Guider of belt carrier titanium plate for treating distal clavicle fracture
By designing a guide with sliding handle and coracoid fixation assembly, the problem of surgical guidance of distal clavicle fractures is solved, and a more minimally invasive and safer operation is achieved, suitable for instable fractures such as NeerIIb fractures.
Patent Information
- Application Number
- CN202420844500.2
- Authority / Receiving Office
- CN · China
- Patent Type
- Utility models(China)
- Current Assignee / Owner
- Filing Date
- 2024-04-23
- Publication Date
- 2025-02-14
- Estimated Expiration
- 2034-04-23
AI Technical Summary
The prior art cannot realize the orientation of distal clavicle fracture surgery, especially NeerIIb type fractures due to their instability, conservative treatment can easily lead to non-healing or delayed healing.
A guide with a sliding handle and a coracoid fixing assembly is designed. The front face of the sliding handle is provided with a sliding groove. The coracoid fixing assembly includes a sliding connecting rod and a fixer positioning foot, which can be adjusted under direct view to adapt. The development of different people.
The guide can accurately position the titanium plate guide needle with loop, reduce damage to important organs, blood vessels and nerves, and achieve more minimally invasive and safer operation. It is suitable for grassroots units and avoids large incisions.
Smart Images

Figure CN222467066U_ABST
Abstract
Description
Technical Field
[0001] The utility model relates to the technical field of medical equipment, in particular to a guide with a loop titanium plate for treating distal clavicle fractures. Background Art
[0002] Distal clavicle fractures are common in young people, mostly caused by falling on the shoulder. Neer classification is often used to guide treatment in clinical practice. Neer classification is divided into three types according to the relationship between the fracture line and the coracoclavicular ligament. Among them, Neer IIb type is extremely unstable due to combined rupture of the conoid ligament. The probability of nonunion or delayed union of the fracture with conservative treatment is very high. Therefore, for this type of fracture, domestic and foreign scholars mostly advocate surgical treatment.
[0003] At present, there is only one acromioclavicular joint dislocation guide in clinical practice, which is suitable for the surgical treatment of acromioclavicular joint dislocation. It is performed under the guidance of an arthroscope and the surgical approach is also different. Currently, this type of guide cannot achieve surgical guidance for distal clavicle fractures. Utility Model Content
[0004] One purpose of the present application is to provide a guide with a loop titanium plate for treating distal clavicle fractures, so as to solve the technical problem in the prior art that such guides are currently unable to achieve surgical guidance for distal clavicle fractures.
[0005] To achieve the above-mentioned purpose, the utility model provides the following technical solutions: a guide with a titanium plate loop for treating distal clavicle fractures, comprising a sliding handle, a sliding groove is formed through the front of the sliding handle, a coracoid fixation assembly is installed inside the sliding groove, the coracoid fixation assembly is used to be positioned on the outer side of the distal end of the clavicle, the coracoid fixation assembly comprises a sliding connecting rod, one end of the sliding connecting rod is located inside the sliding groove, and a fixer positioning base is installed on the other end of the sliding connecting rod.
[0006] Preferably, a plurality of upper through grooves are formed through the top of the fixing device positioning foot, a lower through groove is formed at the bottom of the upper through groove, and the lower through groove passes through the bottom of the fixing device positioning foot.
[0007] Preferably, a bayonet is provided on the front side of one end of the sliding handle, and a guide tube is fixed inside the bayonet.
[0008] Preferably, a threaded through hole is provided on the top of the sliding handle, and a threaded fixing rod is threadedly installed inside the threaded through hole.
[0009] Preferably, a plurality of fixing holes are provided on the top of the sliding connecting rod, and the fixing holes are threadedly connected to the threaded fixing rod.
[0010] Preferably, scale lines are installed on the front side of the sliding connecting rod.
[0011] Compared with the prior art, the beneficial effects of the utility model are:
[0012] 1. The guide in the utility model is suitable for grass-roots units, avoiding the need for large incisions for clavicle hook plate placement, ensuring the accurate position of the guide Kirschner wire with loop titanium plate, and avoiding damage to important organs, blood vessels and nerves. Such a guide is more minimally invasive, and the operation is more convenient and safer.
[0013] 2. The coracoid fixator of the guide in the utility model can be adjusted within a certain range under direct vision, and can realize personalized and customized angle measurement, adjustment and fixation according to the different development of the coracoids of different people, so as to ensure that the titanium plate guide needle with loop is accurately fixed in the middle of the base of the coracoid. BRIEF DESCRIPTION OF THE DRAWINGS
[0014] Figure 1 It is a three-dimensional diagram of the utility model;
[0015] Figure 2 This is a schematic diagram of the structure of the sliding handle of the utility model;
[0016] Figure 3 This is a schematic diagram of the structure of the coracoid fixation assembly of the utility model;
[0017] Figure 4 It is a schematic diagram of the fixing foot structure of the utility model.
[0018] In the figure: 11, sliding handle; 2, bayonet; 3, sliding groove; 4, threaded through hole; 5, threaded fixing rod; 6, guide tube; 7, sliding connecting rod; 8, fixing hole; 9, scale line; 10, fixer positioning base; 11, upper through groove; 12, lower through groove; 13, coracoid process fixing assembly. DETAILED DESCRIPTION
[0019] The following will be combined with the drawings in the embodiments of the utility model to clearly and completely describe the technical solutions in the embodiments of the utility model. Obviously, the described embodiments are only part of the embodiments of the utility model, not all of the embodiments. Based on the embodiments in the utility model, all other embodiments obtained by ordinary technicians in this field without creative work are within the scope of protection of the utility model.
[0020] In the description of the present invention, it should be noted that the terms "upper", "lower", "inner", "outer", "front end", "rear end", "two ends", "one end", "the other end" and the like indicate positions or positional relationships based on the positions or positional relationships shown in the drawings, and are only for the convenience of describing the present invention and simplifying the description, and do not indicate or imply that the device or element referred to must have a specific orientation, be constructed and operate in a specific orientation, and therefore cannot be understood as a limitation on the present invention. In addition, the terms "first" and "second" are used for descriptive purposes only and cannot be understood as indicating or implying relative importance.
[0021] In the description of the present invention, it should be noted that, unless otherwise clearly specified and limited, the terms "installed", "provided with", "connected", etc. should be understood in a broad sense. For example, "connected" can be a fixed connection, a detachable connection, or an integral connection; it can be a mechanical connection or an electrical connection; it can be a direct connection, or it can be an indirect connection through an intermediate medium, or it can be the internal communication of two components. For ordinary technicians in this field, the specific meanings of the above terms in the present invention can be understood according to specific circumstances.
[0022] See also Figure 1 , Figure 3 and Figure 4 , an embodiment provided by the utility model: a guide with a loop titanium plate for treating distal clavicle fracture;
[0023] It includes a sliding handle 1 and a coracoid fixing assembly 13. The front of the sliding handle 1 is penetrated with a sliding groove 3. The coracoid fixing assembly 13 is installed inside the sliding groove 3. The coracoid fixing assembly 13 is used to be positioned on the outer side of the distal end of the clavicle. The coracoid fixing assembly 13 includes a sliding connecting rod 7. One end of the sliding connecting rod 7 is located inside the sliding groove 3. The other end of the sliding connecting rod 7 is installed with a fixer positioning foot 10. The top of the fixer positioning foot 10 is penetrated with a plurality of upper through grooves 11. The bottom of the upper through grooves 11 is provided with a lower through groove 12, and the lower through groove 12 penetrates the bottom of the fixer positioning foot 10.
[0024] The sliding handle 1 is assembled with the coracoid fixation component 13 through the sliding groove 3. The sliding groove 3 provides space for the installation of the coracoid fixation component 13. After the coracoid fixation component 13 and the sliding handle 1 are assembled, they are installed on the outer side of the distal end of the clavicle for positioning. The distal end of the fixator positioning base 10 is 90 degrees to adapt to the front minimally invasive approach. The upper through groove 11 and the lower through groove 12 are opened to form a needle tip groove. The needle tip groove is wide at the top and narrow at the bottom. The upper opening is 2.0mm and the lower opening is 1.0mm, ensuring that the 2.0mm diameter Kirschner wire does not penetrate and protect the important organs, blood vessels and nerves below the coracoid. The fixator positioning base 10 provides a position for the opening of the upper through groove 11 and the lower through groove 12.
[0025] See also Figure 1 , Figure 2 and Figure 3 , an embodiment provided by the utility model: a guide with a loop titanium plate for treating distal clavicle fracture;
[0026] It includes a bayonet 2 and a guide tube 6. The bayonet 2 is provided on the front of one end of the sliding handle 1. The guide tube 6 is fixed inside the bayonet 2. A threaded through hole 4 is provided on the top of the sliding handle 1. A threaded fixing rod 5 is threadedly installed inside the threaded through hole 4. A plurality of fixing holes 8 are provided on the top of the sliding connecting rod 7. The fixing holes 8 are threadedly connected to the threaded fixing rod 5. A scale mark 9 is installed on the front of the sliding connecting rod 7.
[0027] The sliding handle 1 provides an opening position for the bayonet 2, and the bayonet 2 provides a position for the opening of the guide tube 6, so that the guide tube 6 can be installed on the outside of the sliding handle 1 for use. The guide tube 6 provides space for the guidance of the Kirschner wire, and the threaded through hole 4 provides space for the installation of the threaded fixing rod 5. The threaded fixing rod 5 can pass through the top of the sliding handle 1 through the threaded through hole 4. The threaded fixing rod 5 passes through the top of the sliding handle 1 by rotation and enters into the fixing hole 8 opened on the top of the sliding connecting rod 7, so that the sliding connecting rod 7 can be fixed inside the sliding handle 1. At the same time, the sliding connecting rod 7 can slide in the sliding groove 3, thereby changing the use position of the guide, realizing personalized and customized angle measurement, adjustment and fixation, and ensuring that the titanium plate guide needle with loop is accurately fixed in the middle of the base of the coracoid process.
[0028] Working principle: Before using the guide with a loop titanium plate for treating distal clavicle fractures, you should first check whether there are any problems that affect the use of the guide with a loop titanium plate for treating distal clavicle fractures. First, according to the preoperative X-ray plan, determine the insertion point of the proximal Kirschner wire of the clavicle fracture, and place the guided coracoid fixator in the correct position (in the middle of the base of the coracoid process) under intraoperative fluoroscopy; second, assemble the three parts of the guide; third, guided by the Kirschner wire, adjust the appropriate angle according to the preoperative plan, and drill the Kirschner wire from the proximal end of the clavicle fracture to the base of the coracoid process; fourth, confirm that the guide Kirschner wire is in the right position through fluoroscopy, remove the guide, drill the hollow drill bit along the guide Kirschner wire, insert the titanium plate with a loop, reconstruct the coracoclavicular ligament, fix the fracture end, and the operation is completed.
[0029] It is obvious to those skilled in the art that the present invention is not limited to the details of the exemplary embodiments described above, and that the present invention can be implemented in other specific forms without departing from the spirit or basic features of the present invention. Therefore, no matter from which point of view, the embodiments should be regarded as exemplary and non-restrictive, and the scope of the present invention is defined by the appended claims rather than the above description, and it is intended that all changes falling within the meaning and scope of the equivalent elements of the claims are included in the present invention, and any figure mark in the claims should not be regarded as limiting the claims involved.
Claims
1. A guide for treating distal clavicle fractures with a titanium plate having a loop, comprising a sliding handle (1), characterized in that: The front side of the sliding handle (1) is provided with a sliding groove (3) extending therethrough, and a coracoid process fixing assembly (13) is installed inside the sliding groove (3). The coracoid process fixing assembly (13) is used to be positioned on the outer side of the distal end of the clavicle, and the coracoid process fixing assembly (13) comprises a sliding connecting rod (7), one end of the sliding connecting rod (7) is located inside the sliding groove (3), and the other end of the sliding connecting rod (7) is installed with a fixer positioning foot (10).
2. A guide device with a titanium plate loop for treating distal clavicle fracture according to claim 1, characterized in that: A plurality of upper through grooves (11) are formed through the top of the fixer positioning foot (10), a lower through groove (12) is formed at the bottom of the upper through grooves (11), and the lower through grooves (12) penetrate the bottom of the fixer positioning foot (10).
3. The guide device with a titanium plate loop for treating distal clavicle fracture according to claim 1, characterized in that: A bayonet (2) is provided on the front side of one end of the sliding handle (1), and a guide tube (6) is fixed inside the bayonet (2).
4. The guide device with a titanium plate loop for treating distal clavicle fracture according to claim 3, characterized in that: A threaded through hole (4) is provided on the top of the sliding handle (1), and a threaded fixing rod (5) is threadedly mounted inside the threaded through hole (4).
5. The guide device with a titanium plate loop for treating distal clavicle fracture according to claim 1, characterized in that: A plurality of fixing holes (8) are provided on the top of the sliding connection rod (7), and the fixing holes (8) are threadedly connected to the threaded fixing rod (5).
6. A guide device with a titanium plate loop for treating distal clavicle fracture according to claim 5, characterized in that: A scale mark (9) is installed on the front side of the sliding connecting rod (7).