Intertrochanteric fracture incision positioning equipment
By designing a femoral fracture incision positioning device including No. 1 positioning rod, fixing frame, limiting plate and guide components, the problem of difficulty in limiting fracture limbs in different thicknesses in the prior art is solved, the precision and stability of the operation are improved, and the precise positioning of the surgical incision is ensured.
Patent Information
- Application Number
- CN202510086052.3
- Authority / Receiving Office
- CN · China
- Patent Type
- Applications(China)
- Current Assignee / Owner
- Filing Date
- 2025-01-20
- Publication Date
- 2025-03-14
- Estimated Expiration
- Not applicable · inactive patent
AI Technical Summary
The existing intertrochanteric fracture surface incision locator of the existing femoral intertrochanteric fracture is difficult to effectively limit fractured limbs of different thicknesses, resulting in limb movement and deviation during surgery and reducing the precision of the surgery.
A intertrochanteric fracture incision positioning device including a No. 1 positioning rod, a fixing frame, a limiting plate and a guide assembly was designed. Through multiple adjustable fixing frames and limiting plates, precise limiting of fractured limbs of different thicknesses is achieved, and guide components are used to assist in positioning and extrusion plates to tighten the muscles, reducing the probability of positioning offset.
It improves the precision and stability of intertrochanteric fracture surgery, ensures the accuracy of surgical incision positioning, reduces the probability of limb movement and offset, and improves the safety of surgical operations.
Smart Images

Figure CN119606508A_ABST
Abstract
Description
Technical Field
[0001] The invention belongs to the technical field of medical devices, in particular to a femoral intertrochanteric fracture incision positioning device. Background Art
[0002] Intertrochanteric fracture is a common hip fracture that occurs from the base of the femoral neck to above the level of the lesser trochanter. It is usually caused by direct or indirect external force. The intertrochanteric fracture surface incision locator is a medical device used to assist in intertrochanteric fracture surgery. Its main function is to help doctors accurately locate the position of the surface incision before surgery, as well as to predict and guide the implantation direction of the intramedullary nail.
[0003] A patent application with publication number CN112137734A discloses a surface incision locator for intertrochanteric fracture of the femur, including a proximal femoral guide pin adjuster, a distal femoral fixer, an acetabulum projector, a main connecting rod and a secondary connecting rod, wherein the opposite ends of the main connecting rod are respectively defined as the proximal end and the distal end; this application can realize the positioning of the positioning guide pin and the determination of the incision position, thereby improving the accuracy, safety and effectiveness of the surgical operation.
[0004] During surgical treatment of intertrochanteric fractures, although the above-mentioned intertrochanteric fracture surface incision locator can help physicians accurately locate the fracture site for easy needle guidance, it is difficult for the above-mentioned intertrochanteric fracture surface incision locator to effectively limit the fractured limbs of patients with different thicknesses, which means that during the operation, limb movement and unintentional collision can easily cause the fracture segment to shift, reducing the precision of the operation.
[0005] To this end, the present invention provides a femoral intertrochanteric fracture incision positioning device. Summary of the invention
[0006] In order to make up for the deficiencies of the prior art, at least one technical problem raised in the background technology is solved.
[0007] The technical solution adopted by the present invention to solve its technical problems is: a femoral intertrochanteric fracture incision positioning device described in the present invention comprises a No. 1 positioning rod; a plurality of No. 1 limiting holes are opened on the No. 1 positioning rod; a plurality of fixing frames are slidably connected to the No. 1 positioning rod; a plurality of fixing frames are installed with limiting plates; a limiting plug rod is fixedly connected to the bottom of the limiting plate near the No. 1 positioning rod, and the limiting plug rod passes through the fixing frame and is inserted into the interior of the No. 1 positioning rod; a No. 1 bolt is threadedly connected to the fixing frame, and the No. 1 bolt passes through the limiting plate; a fixing plate is fixedly connected to the outer wall of one of the fixing frames, and the fixing plate is slidably connected to the No. 1 positioning rod; a clamping plate is slidably connected to the inner wall of the fixing plate; a limiting assembly is arranged on the fixing plate, and the limiting assembly is used to limit the clamping plate on the fixing plate; a guide assembly is arranged at one end of the No. 1 positioning rod, and the guide assembly is used to assist plants in treating intertrochanteric femoral fractures.
[0008] Preferably, the limit assembly includes an adjustment hole and a No. 2 bolt; a plurality of the adjustment holes are opened on the clamping plate; the No. 2 bolt is threadedly connected to the fixed plate, and the No. 2 bolt passes through the two adjustment holes on the clamping plate; the side of the clamping plate close to the fixed plate is V-shaped; the side of the fixed plate close to the clamping plate is arc-shaped.
[0009] Preferably, a No. 1 protective pad is fixedly connected to one side of the clamping plate close to the fixed plate; and a No. 2 protective pad is fixedly connected to one side of the fixed plate close to the clamping plate.
[0010] Preferably, the inner wall of the No. 1 positioning rod is slidably connected to the No. 2 positioning rod, and a fixing frame is slidably connected to the No. 2 positioning rod; a plurality of No. 2 limiting holes are formed on the No. 2 positioning rod, and the No. 2 limiting holes correspond to the No. 1 limiting holes.
[0011] Preferably, the guide assembly includes a fixed block, an extrusion plate, a sliding block and a No. 3 bolt; the fixed block is fixedly connected to one end of the No. 1 positioning rod; the sliding block is slidably connected to the inner wall of the fixed block; the extrusion plate is fixedly connected to the outer wall of the sliding block, and a plurality of guide grooves are provided on the extrusion plate; the No. 3 bolt is rotatably connected to the inner wall of the fixed block, and the No. 3 bolt is threadedly connected to the sliding block.
[0012] Preferably, an extension plate is provided on the outside of the extrusion plate; a guide plate is fixedly connected to the outer wall of the extension plate, and two guide holes are provided on the guide plate; a long rod is slidably connected to the inner wall of the guide plate; an adjustment mechanism is provided on the outer wall of the fixing frame, and the adjustment mechanism is used to adjust the long rod to simulate the positioning guide needle.
[0013] Preferably, the adjustment mechanism includes a support frame, a sliding frame, a turntable, a connecting plate, a plug-in assembly and a friction assembly; the support frame is fixedly connected to the outer wall of a fixed frame, and the support frame is slidably connected to the No. 1 positioning rod; the sliding frame is slidably connected to the end of the support frame away from the No. 1 positioning rod; the turntable is rotatably connected to the sliding frame; the connecting plate is fixedly connected to the outer wall of the turntable, and the top and bottom of the end of the connecting plate away from the turntable are fixed with short rods, and the extension plate is slidably connected to the outer walls of the two short rods; the plug-in assembly is arranged on the turntable, and the plug-in assembly is used to limit the plug-in position of the turntable; the friction assembly is arranged on the extension plate, and the friction assembly is used to limit the extension plate on the connecting plate.
[0014] Preferably, the plug-in assembly includes a snap-in plate, a snap-in rod and an elastic member; the snap-in plate is fixedly connected to the sliding frame; a plurality of circular holes are provided on the turntable; the snap-in rod is slidably connected to the snap-in plate, and the diameter of the snap-in rod corresponds to the diameter of the circular hole; the elastic member is sleeved on the snap-in rod, and the elastic member is located between the snap-in plate and the snap-in rod.
[0015] Preferably, the friction assembly includes a friction plate and a No. 4 bolt; the friction plate is slidably connected to the short rod, and the bottom surfaces of both ends of the friction plate are attached to the extension plate; the No. 4 bolt is threadedly connected to the short rod, and the No. 4 bolt is pressed onto the friction plate.
[0016] Preferably, one end of the No. 2 positioning rod away from the No. 1 positioning rod is fixedly connected to the No. 1 foot pedal; the inner wall of the No. 1 foot pedal is slidably connected with a connecting slider; the top and bottom surfaces of the connecting slider are respectively fixedly connected to the No. 2 foot pedal; and two oppositely arranged lace grooves are provided on the two No. 2 foot pedals.
[0017] The beneficial effects of the present invention are as follows: 1. The intertrochanteric fracture incision positioning device described in the present invention cleverly improves the precision and stability of intertrochanteric fracture surgery through multiple designs. Its key technical effect lies in that through multiple adjustable fixing frames and limiting plates, it can achieve precise positioning of fractured limbs of different thicknesses and stably fix them on the operating table, effectively reducing limb movement and deviation, and ensuring the accuracy of surgical incision positioning.
[0018] 2. The intertrochanteric fracture incision positioning device described in the present invention assists in positioning through a guide component to simulate directional guide needle implantation. The extrusion plate squeezes the overly loose flesh on the patient's limbs and compacts the flesh at the intertrochanteric fracture positioning site. The multiple guide grooves on the extrusion plate assist in positioning the guide needle, thereby reducing the probability of positioning deviation when positioning the guide needle and improving surgical accuracy. The No. 2 positioning rod and foot pedal can fix and limit the patient's foot to ensure the stability of the patient's limbs and improve the safety of surgical operations. BRIEF DESCRIPTION OF THE DRAWINGS
[0019] The present invention will be further described below in conjunction with the accompanying drawings.
[0020] Figure 1 is a stereogram of the present invention; Figure 2 It is a structural schematic diagram of the No. 3 bolt in the present invention; Figure 3 It is a schematic diagram of the structure of two positioning rods in the present invention; Figure 4 It is a schematic diagram of the structure of the clamping plate in the present invention; Figure 5 It is a schematic diagram of the structure of the extruded plate in the present invention; Figure 6 It is a structural schematic diagram of the friction plate in the present invention; Figure 7 It is a structural schematic diagram of the second foot pedal in the present invention.
[0021] In the figure: 1. Positioning rod No. 1; 11. Fixed frame; 12. Limit plate; 13. Limit plug rod; 14. No. 1 bolt; 15. Fixed plate; 16. Clamping plate; 2. Adjustment hole; 21. No. 2 bolt; 3. No. 1 protective pad; 31. No. 2 protective pad; 4. No. 2 positioning rod; 5. Fixed block; 51. Extrusion plate; 52. Sliding block; 53. No. 3 bolt; 6. Extension plate; 61. Guide plate; 62. Long rod; 7. Support frame; 71. Sliding frame; 72. Turntable; 73. Connecting plate; 8. Snap-in plate; 81. Snap-in plug rod; 9. Friction plate; 91. No. 4 bolt; 92. No. 1 foot pedal; 93. Connecting slider; 94. No. 2 foot pedal; 95. Lacing groove. DETAILED DESCRIPTION
[0022] In order to make the technical means, creative features, objectives and effects achieved by the present invention easy to understand, the present invention is further explained below in conjunction with specific implementation methods.
[0023] like Figures 1 to 5As shown, a femoral intertrochanteric fracture incision positioning device described in an embodiment of the present invention includes a No. 1 positioning rod 1; a plurality of No. 1 limiting holes are opened on the No. 1 positioning rod 1; a plurality of fixing frames 11 are slidably connected to the No. 1 positioning rod 1; a plurality of limiting plates 12 are installed on the fixing frames 11; a limiting plug rod 13 is fixedly connected to the bottom of the limiting plate 12 near the No. 1 positioning rod 1, and the limiting plug rod 13 passes through the fixing frame 11 and is inserted into the interior of the No. 1 positioning rod 1; a No. 1 bolt is threadedly connected to the fixing frame 11 14, and the No. 1 bolt 14 passes through the limiting plate 12; a fixing plate 15 is fixedly connected to the outer wall of the fixing frame 11, and the fixing plate 15 is slidably connected to the No. 1 positioning rod 1; the inner wall of the fixing plate 15 is slidably connected to the clamping plate 16; a limiting component is provided on the fixing plate 15, and the limiting component is used to limit the clamping plate 16 on the fixing plate 15; a guide component is provided at one end of the No. 1 positioning rod 1, and the guide component is used to assist the plant in treating the intertrochanteric fracture of the femur; in the surgical treatment of the intertrochanteric fracture of the femur, The No. 1 positioning rod 1 serves as a support for the patient's fractured limb. According to the length of the patient's limb, the position of the fixing frame 11 sliding on the No. 1 positioning rod 1 is adjusted, and the clamping plate 16 is fitted to one side of the patient's fractured limb of different thicknesses. The clamping plate 16 is inserted into the inner wall of the fixing plate 15 and slides accordingly. The clamping plate 16 is fixed to the fixing plate 15 using a limiting component, and the patient's fractured limb is fixed on one side of the No. 1 positioning rod 1. The limiting plate 12 is used to cooperate with the limiting plug rod 13 to limit the fixing frame 11 at the No. 1 limiting hole on the No. 1 positioning rod 1. The No. 1 bolt 14 passes through the limiting plate 12 and is screwed into the fixing frame 11. The No. 1 bolt 14 passes through the part of the fixing frame 11 and is screwed on the operating table, so that the patient's fractured limb is stably limited on the operating table. The guide component simulates the implantation of the positioning guide pin to assist in finding the accurate position of the implant, so as to facilitate the positioning and stabilization of the implant for the intertrochanteric fracture incision, play a role in effectively limiting the fractured limb, reduce the probability of limb movement and unintentional collision causing fracture segment displacement, and improve the precision of the operation.
[0024] like Figures 1 to 4As shown, the limiting assembly includes an adjustment hole 2 and a second bolt 21; a plurality of the adjustment holes 2 are provided on the clamping plate 16; the second bolt 21 is threadedly connected to the fixing plate 15, and the second bolt 21 passes through two adjustment holes 2 on the clamping plate 16; the side of the clamping plate 16 close to the fixing plate 15 is V-shaped; the side of the fixing plate 15 close to the clamping plate 16 is arc-shaped; when limiting the fractured limb of the patient, the V-shaped side of the clamping plate 16 is fitted to one side of the fractured limb of the patient, and the clamping plate 16 is inserted into the fixing plate 15 accordingly. The inner wall of the fixed plate 15 and the arc-shaped side of the fixing plate 15 are fitted to the other side of the patient's fractured limb until the patient's limb is stably restrained. The V-shaped side of the clamping plate 16 can cooperate with the arc-shaped side of the fixing plate 15 to limit the patient's limbs of different thicknesses, thereby improving the adaptability to the patient's limb limitation. Subsequently, the No. 2 bolt 21 is threadedly connected to the fixing plate 15, and the No. 2 bolt 21 passes through the two upper and lower adjustment holes 2 of the clamping plate 16 to limit the clamping plate 16 on the fixing plate 15, thereby playing a role in stabilizing the limitation of the patient's fractured limbs of different thicknesses.
[0025] A No. 1 protection pad 3 is fixedly connected to one side of the clamping plate 16 close to the fixing plate 15; a No. 2 protection pad 31 is fixedly connected to one side of the fixing plate 15 close to the clamping plate 16; when limiting the fractured limb of the patient, the No. 1 protection pad 3 is fixed to the V-shaped side of the clamping plate 16, and the No. 2 protection pad 31 is fixed to the arc-shaped side of the fixing plate 15. The patient's limb is first fitted on the No. 1 protection pad 3, and as the clamping plate 16 is inserted and slid on the fixing plate 15, the No. 2 protection pad 31 also fits tightly on the patient's limb. Both the No. 1 protection pad 3 and the No. 2 protection pad 31 fit and protect the patient's limb, reducing the pressure caused by long-term limitation of the patient's limb.
[0026] The inner wall of the No. 1 positioning rod 1 is slidably connected with the No. 2 positioning rod 4, and a fixing frame 11 is slidably connected to the No. 2 positioning rod 4; a plurality of No. 2 limiting holes are opened on the No. 2 positioning rod 4, and the No. 2 limiting holes correspond to the No. 1 limiting holes; when limiting the patient's limbs, the patient's thigh is usually limited, but if the patient's calf is offset, it is also easy to affect the effect of the operation, and the No. 2 positioning rod 4 is slid inside the No. 1 positioning rod 1 to extend to the calf, and one or more fixing frames 11 are also installed on the No. 2 positioning rod 4, which are fixed by a clamping plate 16 and a fixing plate 15 according to the thickness of the patient's calf, and the fixing frame 11 is fixed to the No. 2 limiting hole on the No. 2 positioning rod 4 by a limiting plate 12 and a limiting rod 13, and the fixing frame 11 is fixed on the operating bed to limit the extension of the patient's limbs and improve the stability of the positioning of the intertrochanteric fracture incision.
[0027] like Figures 1 to 3 , Figure 5As shown, the guide assembly includes a fixed block 5, an extrusion plate 51, a sliding block 52 and a No. 3 bolt 53; the fixed block 5 is fixedly connected to one end of the No. 1 positioning rod 1; the sliding block 52 is slidably connected to the inner wall of the fixed block 5; the extrusion plate 51 is fixedly connected to the outer wall of the sliding block 52, and a plurality of guide grooves are provided on the extrusion plate 51; the No. 3 bolt 53 is rotatably connected to the inner wall of the fixed block 5, and the No. 3 bolt 53 is threadedly connected to the sliding block 52; when locating the intertrochanteric fracture incision of the patient, due to the excessive flesh on some patients' limbs, The flesh of the patient's limbs is too loose, and positioning deviation is easy to occur during positioning of the guide needle. The fixing block 5 is fixed on the No. 1 positioning rod 1 near the intertrochanteric fracture positioning position, and the extrusion plate 51 is attached to the intertrochanteric fracture positioning position. The No. 3 bolt 53 is turned, and the thread of the No. 3 bolt 53 drives the extrusion plate 51 on the sliding block 52 to slide. The extrusion plate 51 squeezes the overly loose flesh on the patient's limbs, and squeezes the flesh at the intertrochanteric fracture positioning position tightly. The multiple guide grooves on the extrusion plate 51 assist in positioning the guide needle, thereby reducing the probability of positioning deviation during positioning of the guide needle.
[0028] An extension plate 6 is provided on the outside of the extrusion plate 51; a guide plate 61 is fixedly connected to the outer wall of the extension plate 6, and two guide holes are provided on the guide plate 61; a long rod 62 is slidably connected to the inner wall of the guide plate 61; an adjustment mechanism is provided on the outer wall of one of the fixing frames 11, and the adjustment mechanism is used to adjust the long rod 62 to simulate the positioning guide pin; when positioning the intertrochanteric fracture incision of the femur, the extension plate 6 is used to cooperate with the adjustment mechanism to be installed on the side of the extrusion plate 51, and the guide plate 61 on the extension plate 6 is provided with two guide holes, one guide hole is vertically set, and the other guide hole is inclined. According to the position of the intertrochanteric fracture incision of the patient, the adjustment mechanism adjusts the plant position of the extension plate 6 and the guide plate 61, and the long rod 62 is inserted into the guide hole of the guide plate 61, and the long rod 62 passes through the guide groove of the extrusion plate 51, simulating the positioning guide pin of the intertrochanteric fracture incision of the femur, thereby improving the precision of the operation.
[0029] like Figures 1 to 3 , Figure 5 , Figure 6As shown, the adjusting mechanism includes a support frame 7, a sliding frame 71, a rotating disk 72, a connecting plate 73, a plug-in assembly and a friction assembly; the support frame 7 is fixedly connected to the outer wall of a fixed frame 11, and the support frame 7 is slidably connected to the No. 1 positioning rod 1; the sliding frame 71 is slidably connected to the end of the support frame 7 away from the No. 1 positioning rod 1; the rotating disk 72 is rotatably connected to the sliding frame 71; the connecting plate 73 is fixedly connected to the outer wall of the rotating disk 72, and the top and bottom of the end of the connecting plate 73 away from the rotating disk 72 are fixed with short rods, and the extension plate 6 is slidably connected to the outer walls of the two short rods; the plug-in assembly is arranged on the rotating disk 72, and the plug-in assembly is used to limit the plug-in of the rotating disk 72; the friction assembly is arranged on the extension plate 6, and the friction assembly is used to limit the extension plate 6 to the connecting plate 73; when the position of the guide plate 61 on the extension plate 6 is adjusted When the lever 7 is in the locked position, the lever 73 is in the locked position, and the spring 72 is in the locked position, so that ...
[0030] The plug-in assembly includes a clamping plate 8, a clamping rod 81 and an elastic member; the clamping plate 8 is fixedly connected to the sliding frame 71; a plurality of circular holes are opened on the rotating disk 72; the clamping rod 81 is slidably connected to the clamping plate 8, and the diameter of the clamping rod 81 corresponds to the diameter of the circular hole; the elastic member is sleeved on the clamping rod 81, and the elastic member is located between the clamping plate 8 and the clamping rod 81; when the rotation angle of the rotating disk 72 is limited, the clamping rod 81 is first pulled to slide on the inner wall of the clamping plate 8, the elastic member is pulled by force, the bottom end of the clamping rod 81 leaves the circular hole, and the rotating disk 72 is rotated according to the position of the intertrochanteric fracture incision. After the rotation is completed, the clamping rod 81 is released, the elastic force of the elastic member is reset to drive the clamping rod 81 to slide down the inner wall of the clamping plate 8, and the clamping rod 81 is inserted into another circular hole for plugging, which plays a role in limiting the rotation angle of the rotating disk 72.
[0031] The friction assembly includes a friction plate 9 and a No. 4 bolt 91; the friction plate 9 is slidably connected to the short rod, and the bottom surfaces of both ends of the friction plate 9 are attached to the extension plate 6; the No. 4 bolt 91 is threadedly connected to the short rod, and the No. 4 bolt 91 is pressed onto the friction plate 9; when the extension plate 6 slides on the short rod of the connecting plate 73 to adjust the longitudinal distance between the extension plate 6 and the extrusion plate 51, the No. 4 bolt 91 is first rotated in the opposite direction so that the friction plate 9 reduces the friction force pressing on the surface of the extension plate 6, and then the extension plate 6 is pulled to slide on the short rod to adjust the longitudinal distance between the extension plate 6 and the extrusion plate 51. After the adjustment is completed, the No. 4 bolt 91 is rotated forward, the No. 4 bolt 91 is threadedly rotated on the short rod, and the No. 4 bolt 91 presses down the friction plate 9, so that the friction plate 9 presses the extension plate 6 tightly on the connecting plate 73, thereby adjusting the limit position at the extension plate 6.
[0032] like Figures 1 to 3 , Figure 7 As shown, the end of the No. 2 positioning rod 4 away from the No. 1 positioning rod 1 is fixedly connected to the No. 1 foot pedal 92; the inner wall of the No. 1 foot pedal 92 is slidably connected with a connecting slider 93; the top and bottom surfaces of the connecting slider 93 are respectively fixedly connected to the No. 2 foot pedal 94; two No. 2 foot pedals 94 are provided with two oppositely arranged lacing grooves 95; when limiting the fractured limb of the patient, the No. 1 foot pedal 92 is fixed to the end of the No. 2 positioning rod 4 away from the No. 1 positioning rod 1, the patient's sole can fit tightly on the No. 1 foot pedal 92, and the heel and sole can fit on the two No. 2 foot pedals 94, and the patient's foot is fixed on the No. 2 foot pedal 94 by using straps to pass through multiple lacing grooves 95, and the position of the connecting slider 93 is adjusted according to the patient's leg position, so that the patient's legs and feet remain vertical, thereby playing a role in fixing and limiting the patient's feet.
[0033] Working process: During surgical treatment of intertrochanteric fracture of the femur, the No. 1 positioning rod 1 is used as a support body for the patient's fractured limb. According to the length of the patient's limb, the position of the fixing frame 11 sliding on the No. 1 positioning rod 1 is adjusted, and the clamping plate 16 is fitted to one side of the patient's fractured limb of different thicknesses. The clamping plate 16 is inserted into the inner wall of the fixing plate 15 and slides accordingly. The clamping plate 16 is fixed to the fixing plate 15 using a limiting assembly, and the patient's fractured limb is fixed to one side of the No. 1 positioning rod 1. The limiting plate 12 is used to cooperate with the limiting insertion rod 13 to limit the fixing frame 11 at the No. 1 limiting hole on the No. 1 positioning rod 1. The No. 1 bolt 14 passes through the limiting plate 12 and is screwed into the fixing frame 11. The No. 1 bolt 14 passes through the part of the fixing frame 11 and is screwed onto the operating table, thereby stably limiting the patient's fractured limb on the operating table. The guide assembly simulates the implantation of the positioning guide pin to assist in finding the exact position of the plant. , so as to facilitate the positioning and stabilization of the intertrochanteric fracture incision, play a role in effectively limiting the fractured limb, reduce the probability of limb movement and unintentional collision causing fracture segment deviation, and improve the precision of the operation; when limiting the fractured limb of the patient, the V-shaped side of the clamping plate 16 is fitted to one side of the patient's fractured limb, and the clamping plate 16 is correspondingly inserted into the inner wall of the fixing plate 15, and the arc-shaped side of the fixing plate 15 is fitted to the other side of the patient's fractured limb until the patient's limb is stably restrained. The V-shaped side of the clamping plate 16 can cooperate with the arc-shaped side of the fixing plate 15 to limit the limbs of the patient with different thicknesses, thereby improving the adaptability to the patient's limb limitation. Subsequently, the No. 2 bolt 21 is threadedly connected to the fixing plate 15, and the No. 2 bolt 21 passes through the two upper and lower adjustment holes 2 of the clamping plate 16, and the clamping plate 16 is limited on the fixing plate 15, which plays a role in stabilizing the fractured limbs of the patient with different thicknesses; When limiting the position of the patient's fractured limb, the No. 1 protection pad 3 is fixed on the V-shaped side of the clamping plate 16, and the No. 2 protection pad 31 is fixed on the arc-shaped side of the fixing plate 15. The patient's limb is first fitted on the No. 1 protection pad 3. As the clamping plate 16 is inserted and slid on the fixing plate 15, the No. 2 protection pad 31 is also closely fitted on the patient's limb. Both the No. 1 protection pad 3 and the No. 2 protection pad 31 fit and protect the patient's limb, reducing the pressure caused by long-term limitation of the patient's limb. When limiting the position of the patient's limbs, the patient's thigh is usually limited. However, if the patient's calf is offset, it is also easy to affect the effect of the operation. The No. 2 positioning rod 4 is slid inside the No. 1 positioning rod 1 and extended to the calf. One or more fixing frames 11 are also installed on the No. 2 positioning rod 4. The clamping plate 16 is used to cooperate with the fixing plate 15 to fix it according to the thickness of the patient's calf. The limiting plate 12 is used to cooperate with the limiting plug rod 13 to fix the fixing frame 11 at the No. 2 limiting hole on the No. 2 positioning rod 4, and the fixing frame 11 is fixed on the operating table to limit the position, which plays a role in limiting the extension of the patient's limbs and improves the stability of the positioning of the intertrochanteric fracture incision.When positioning the incision of the patient's intertrochanteric fracture, since the flesh on some patients' limbs is too loose, positioning deviation is easy to occur when positioning the guide needle. The fixing block 5 is fixed to the No. 1 positioning rod 1 close to the positioning position of the intertrochanteric fracture, and the extrusion plate 51 is attached to the positioning position of the intertrochanteric fracture. The No. 3 bolt 53 is rotated, and the No. 3 bolt 53 drives the extrusion plate 51 on the sliding block 52 to slide. The extrusion plate 51 squeezes the excessively loose flesh on the patient's limbs, and squeezes the flesh at the positioning position of the intertrochanteric fracture tightly. The multiple guide grooves on the extrusion plate 51 are used to assist in positioning the guide needle, thereby reducing the probability of positioning deviation when positioning the guide needle. When positioning the intertrochanteric fracture incision, the extension plate 6 is used to cooperate with the adjustment mechanism to be installed on the side of the extrusion plate 51. The guide plate 61 on the extension plate 6 is provided with two guide holes, one of which is vertically arranged and the other is inclinedly arranged. According to the position of the intertrochanteric fracture incision of the patient, the adjustment mechanism adjusts the plant position of the extension plate 6 and the guide plate 61, and the long rod 62 is inserted into the guide hole of the guide plate 61, and the long rod 62 passes through the guide groove of the extrusion plate 51, so as to simulate the positioning of the guide needle for the intertrochanteric fracture incision of the femur, thereby improving the precision of the operation. When adjusting the position of the guide plate 61 on the extension plate 6, the support frame is used. 7 is fixed to the outer wall of a fixing frame 11, and as the fixing frame 11 slides on the No. 1 positioning rod 1, the position of the overall bracket is adjusted, and the sliding frame 71 is slidably connected to the supporting frame 7 to adjust the lateral position of the extension plate 6. The turntable 72 cooperates with the connecting plate 73 to be rotatably connected to the sliding frame 71, and the inclined distance between the extension plate 6 and the extrusion plate 51 can be adjusted, and the turntable 72 is limited by the plug-in component. The extension plate 6 can be slidably connected to the short rod of the connecting plate 73 to adjust the longitudinal distance between the extrusion plate 51 and the extension plate 6, and the extension plate 6 is limited on the connecting plate 73 by the friction component, which plays a role in the extension plate 6. The position of the upper guide plate 61 is adjusted in multiple directions. When the position of the plant is determined, it is necessary to limit multiple adjustment positions before the positioning guide needle operation can be stably performed; when the rotation angle of the turntable 72 is limited, the card plug rod 81 is first pulled to slide on the inner wall of the card plate 8, and the elastic member is pulled by force, and the bottom end of the card plug rod 81 leaves the circular hole, and the turntable 72 is rotated according to the position of the intertrochanteric fracture incision. After the rotation is completed, the card plug rod 81 is released, and the elastic force of the elastic member is reset to drive the card plug rod 81 to slide down the inner wall of the card plate 8, and the card plug rod 81 is inserted into another circular hole for plugging, which plays a role in limiting the rotation angle of the turntable 72;When the extension plate 6 slides on the short rod of the connecting plate 73 to adjust the longitudinal distance between the extension plate 6 and the extrusion plate 51, the fourth bolt 91 is first rotated in the opposite direction to reduce the friction force of the friction plate 9 pressing on the surface of the extension plate 6, and then the extension plate 6 is pulled to slide on the short rod to adjust the longitudinal distance between the extension plate 6 and the extrusion plate 51. After the adjustment is completed, the fourth bolt 91 is rotated forward, the fourth bolt 91 is threaded on the short rod, and the fourth bolt 91 presses the friction plate 9 downward, so that the friction plate 9 presses the extension plate 6 tightly on the connecting plate 73, thereby adjusting the limit position of the extension plate 6; When limiting the position of the patient's fractured limb, the No. 1 foot pedal 92 is fixed to the end of the No. 2 positioning rod 4 away from the No. 1 positioning rod 1, so that the patient's sole can fit tightly on the No. 1 foot pedal 92, and the heel and sole can fit on the two No. 2 foot pedals 94. The patient's foot is fixed on the No. 2 foot pedal 94 using straps passing through multiple strap grooves 95. The position of the connecting slider 93 is adjusted according to the position of the patient's leg, so that the patient's leg and foot remain vertical, thereby fixing and limiting the patient's foot.
[0034] The above shows and describes the basic principles, main features and advantages of the present invention. It should be understood by those skilled in the art that the present invention is not limited to the above embodiments. The above embodiments and descriptions are only for explaining the principles of the present invention. Without departing from the spirit and scope of the present invention, the present invention may have various changes and improvements, which fall within the scope of the present invention. The scope of protection of the present invention is defined by the attached claims and their equivalents.
Claims
1. A femoral intertrochanteric fracture incision positioning device, characterized in that: The invention comprises a No. 1 positioning rod (1); the No. 1 positioning rod (1) is provided with a plurality of No. 1 limiting holes; the No. 1 positioning rod (1) is slidably connected with a plurality of fixing frames (11); a limiting plate (12) is installed on the plurality of fixing frames (11); a limiting plug rod (13) is fixedly connected to the bottom of the limiting plate (12) near the No. 1 positioning rod (1), and the limiting plug rod (13) passes through the fixing frame (11) and is inserted into the interior of the No. 1 positioning rod (1); the fixing frame (11) is threadedly connected with a No. 1 bolt (14), and A No. 1 bolt (14) passes through the limit plate (12); a fixed plate (15) is fixedly connected to the outer wall of the fixing frame (11), and the fixed plate (15) is slidably connected to the No. 1 positioning rod (1); a clamping plate (16) is slidably connected to the inner wall of the fixing plate (15); a limit assembly is provided on the fixing plate (15), and the limit assembly is used to limit the clamping plate (16) on the fixing plate (15); a guide assembly is provided at one end of the No. 1 positioning rod (1), and the guide assembly is used to assist in the treatment of intertrochanteric fractures of the femur.
2. The intertrochanteric fracture incision positioning device according to claim 1, characterized in that: The limit assembly comprises an adjustment hole (2) and a second bolt (21); a plurality of the adjustment holes (2) are provided on the clamping plate (16); the second bolt (21) is threadedly connected to the fixing plate (15), and the second bolt (21) passes through two adjustment holes (2) on the clamping plate (16); a side of the clamping plate (16) close to the fixing plate (15) is arranged in a V shape; and a side of the fixing plate (15) close to the clamping plate (16) is arranged in an arc shape.
3. The intertrochanteric fracture incision positioning device according to claim 1, characterized in that: A first protective pad (3) is fixedly connected to one side of the clamping plate (16) close to the fixing plate (15); and a second protective pad (31) is fixedly connected to one side of the fixing plate (15) close to the clamping plate (16).
4. The intertrochanteric fracture incision positioning device according to claim 1, characterized in that: The inner wall of the No. 1 positioning rod (1) is slidably connected to a No. 2 positioning rod (4), and a fixing frame (11) is slidably connected to the No. 2 positioning rod (4); a plurality of No. 2 limiting holes are formed on the No. 2 positioning rod (4), and the No. 2 limiting holes correspond to the No. 1 limiting holes.
5. The intertrochanteric fracture incision positioning device according to claim 1, characterized in that: The guide assembly comprises a fixed block (5), an extrusion plate (51), a sliding block (52) and a No. 3 bolt (53); the fixed block (5) is fixedly connected to one end of the No. 1 positioning rod (1); the sliding block (52) is slidably connected to the inner wall of the fixed block (5); the extrusion plate (51) is fixedly connected to the outer wall of the sliding block (52), and a plurality of guide grooves are formed on the extrusion plate (51); the No. 3 bolt (53) is rotatably connected to the inner wall of the fixed block (5), and the No. 3 bolt (53) is threadedly connected to the sliding block (52).
6. The intertrochanteric fracture incision positioning device according to claim 5, characterized in that: An extension plate (6) is arranged outside the extrusion plate (51); a guide plate (61) is fixedly connected to the outer wall of the extension plate (6), and two guide holes are provided on the guide plate (61); a long rod (62) is slidably connected to the inner wall of the guide plate (61); an adjustment mechanism is arranged on the outer wall of one of the fixing frames (11), and the adjustment mechanism is used to adjust the long rod (62) to simulate a positioning guide needle.
7. The intertrochanteric fracture incision positioning device according to claim 6, characterized in that: The adjustment mechanism comprises a support frame (7), a sliding frame (71), a rotating disk (72), a connecting plate (73), a plug-in assembly and a friction assembly; the support frame (7) is fixedly connected to the outer wall of a fixed frame (11), and the support frame (7) is slidably connected to the first positioning rod (1); the sliding frame (71) is slidably connected to the end of the support frame (7) away from the first positioning rod (1); the rotating disk (72) is rotatably connected to the sliding frame (71); the connecting plate (73) is fixedly connected to the outer wall of the rotating disk (72), and the top and bottom of the end of the connecting plate (73) away from the rotating disk (72) are fixedly connected to short rods, and the extension plate (6) is slidably connected to the outer walls of the two short rods; the plug-in assembly is arranged on the rotating disk (72), and the plug-in assembly is used to limit the plugging of the rotating disk (72); the friction assembly is arranged on the extension plate (6), and the friction assembly is used to limit the extension plate (6) on the connecting plate (73).
8. The intertrochanteric fracture incision positioning device according to claim 7, characterized in that: The plug-in assembly comprises a card-connecting plate (8), a card-connecting plug rod (81) and an elastic member; the card-connecting plate (8) is fixedly connected to the sliding frame (71); a plurality of circular holes are provided on the rotating disk (72); the card-connecting plug rod (81) is slidably connected to the card-connecting plate (8), and the diameter of the card-connecting plug rod (81) corresponds to the diameter of the circular hole; the elastic member is sleeved on the card-connecting plug rod (81), and the elastic member is located between the card-connecting plate (8) and the card-connecting plug rod (81).
9. The intertrochanteric fracture incision positioning device according to claim 7, characterized in that: The friction assembly comprises a friction plate (9) and a No. 4 bolt (91); the friction plate (9) is slidably connected to the short rod, and the bottom surfaces of both ends of the friction plate (9) are affixed to the extension plate (6); the No. 4 bolt (91) is threadedly connected to the short rod, and the No. 4 bolt (91) is pressed onto the friction plate (9).
10. The intertrochanteric fracture incision positioning device according to claim 4, characterized in that: One end of the No. 2 positioning rod (4) away from the No. 1 positioning rod (1) is fixedly connected to the No. 1 foot pedal (92); the inner wall of the No. 1 foot pedal (92) is slidably connected to a connecting slider (93); the top surface and the bottom surface of the connecting slider (93) are respectively fixedly connected to the No. 2 foot pedal (94); and two strap grooves (95) arranged opposite to each other are provided on the two No. 2 foot pedals (94).
Citation Information
Patent Citations
Body surface incision positioner for femoral intertrochanteric fracture
CN112137734A