Utility model content
For the design defect for overcoming existing fracture resetting tongs to reset low efficiency, can not achieve while fixing, this is practical new
Type provides a kind of " integrated fracture reduction fixing clamp ", first by reset assembly realization to the fast of fracture segment axis and length
Quick-recovery, then fracture segment is fixed temporarily by fixation kit, it lays a good foundation for the final fixation of next step.
In order to solve the above-mentioned technical problem, the technical solution adopted in the utility model is: a kind of integration reduction of the fracture is solid
Fixed pincers, including lower clamp, upper clamp and matching component, lower clamp is connected with upper clamp by removable pin, between the two handle
Locking compress can be realized by locking screw;Lower clamp has not isodont configuration available;Matching component is by being fixed temporarily plate
It is formed with reseting baffle;Different model can be freely assembled on upper clamp is fixed temporarily plate and reseting baffle, and it is logical to be fixed temporarily plate
Cross and be fixed temporarily plate fixing screws and fixed with upper clamp U-typed tooth, and can dissociate, and reseting baffle then pass through augering screw with it is upper
The connection of the caliper jaw proximal end portion of closing up;It completes to reset jointly by being fixed temporarily plate, lower clamp pincers tooth and reseting baffle three, reset
It is fixed temporarily after satisfaction by the screw hole being fixed temporarily on plate, removes reduction forceps after the completion of being fixed temporarily, continue to complete most
It is fixed eventually, it finally removes again and is fixed temporarily plate.
Using lower clamp connection mortise as boundary, jaw constructs the jaw and handle of the lower clamp like table fork sample, different
Flute profile configuration, jaw medial surface is rough surface.
For the jaw and handle of the upper clamp using upper clamp connection mortise as boundary, handle portion passes through locking screw riveting
Nail connection locking screw, locking screw connect lower clamp after passing through locking screw through-hole, there is matching used lock in locking screw
The nut and locking screw tail cap for determining screw rod, can carry out the locking compress of lower clamp.
The distal jaw part of the upper clamp is in the U-typed bidentate shape being symmetrically arranged, and respectively has one to slide on each pincers tooth
Hole, by slide opening it is available be fixed temporarily plate fixing screws and will be fixed temporarily plate fix, and can adjust within the set range interim solid
The position of fixed board, closing up parts transversely setting in jaw proximal end, there are two upper clamp screw holes, can be connected by the screw hole augering screw
Connect reseting baffle.
The plate that is fixed temporarily is long and flat and has setting radian have different in width and length configuration, be fixed temporarily
The centre of plate has two pieces to be fixed temporarily plate fixing threaded hole with internal thread, and its spacing is equal with upper clamp slide opening spacing, by interim
It can be fixedly connected by fixed plate fixing screws with upper clamp, be fixed temporarily plate fixing screws length of embedment be no more than be fixed temporarily
Plate inner face is fixed temporarily position of the plate relative to jaw by the way that slide opening is adjustable.
The both ends for being fixed temporarily plate are disposed with kirschner pin hole, pressurization screw hole, flat slot, cross respectively from far near
To sliding screw hole, and wherein side be fixed temporarily plate fixing threaded hole and slide laterally separately be arranged between pressurization screw hole one piece it is vertical
To sliding pressurization screw hole, the edge of flat slot is designed in undercut mark, and thickness will have predetermined value lower than plate is fixed temporarily.
Described is fixed temporarily plate according to different classification of fracture to select different model, is fixed using preceding elder generation with upper clamp,
Tooth is clamped with lower clamp again and reseting baffle completes reset process jointly, can be added by sliding laterally when needing to finely tune in reseting procedure
Screw hole and longitudinal sliding motion pressurization screw hole is pressed to realize broken ends of fractured bone pressurization, separation or rotation adjustment, by pressurization screw hole merging pressurization spiral shell
To complete to be fixed temporarily, completion is fixed temporarily plate after being fixed temporarily and can separate with upper clamp nail, again will after the completion of finally fixing
It is removed.
The reseting baffle has different length configuration with setting radian, the middle part is provided with two movable riveted holes,
The spacing of movable riveted holes and upper clamp screw hole are equidistant, and form is that flat is hollow, and veutro is cecum, and augering screw passes through propulsion
Screw rod homalocephalus and movable riveted holes activity rivet.
The augering screw is adapted to upper clamp screw hole, by rotating adjustable reseting baffle relative to jaw after being screwed into
Position, by precession mode auxiliary reset, without using when can be dissociated together with augering screw and upper clamp.
The tail end of the augering screw is provided with the tail cap of one-way locking clockwise, and rotation can be unlocked and be taken counterclockwise
Under, it is easy to disassemble.
The utility model has the beneficial effects that first, it can realize faster the reduction of the fracture: according to different classification of fracture
Select suitable component that settling at one go for the reduction of the fracture may be implemented.Second, it can achieve reset accurate as far as possible, for simple
Fracture (transverse fracture, oblique fracture, spiral fracture) and not serious comminuted fracture, can accomplish anatomical reduction, and right
In serious splintered fracture, then integral reset thought is used, fundamental length, rotation and axis can be first restored, then by facing
When fixed plate temporary stabilization, finally carry out the fine reset of broken bone block on this basis.Third, it is most important that practical by this
Novel application can effectively change and reset in existing reduction of the fracture fixed mode and fix disconnection, be easy to make when fixed
At the case where losing is resetted, a kind of new reduction of the fracture fixed mode is created.
Specific embodiment
As shown in the picture, the present embodiment is a kind of integrated fracture reduction fixing clamp, lower clamp 1 by removable pin 11 with
Upper clamp 2 connects, and the two constitutes upper lower handle, the handle portion of upper lower clamp by the part staggeredly extended after removable pin 11
Locking compress can be carried out by the nut 24 of the locking screw in locking screw 25 by dividing, and be connected with group on upper clamp U-typed tooth 21
Part is fixed temporarily plate 3, and the 2 jaw proximal end portion of closing up of upper clamp is connected with the reseting baffle 4 of component, reduction forceps using when by facing
When fixed plate 3, lower clamp pincers tooth 14 and reseting baffle 4 common pushings complete reset, reset satisfaction after by being fixed temporarily plate 3
On screw hole be fixed temporarily, remove reduction forceps after the completion of being fixed temporarily, only retain and be fixed temporarily plate 3, it is to be done final solid
It is removed again after fixed and is fixed temporarily plate 3.Reduction forceps generally high-strength stainless steel material, is especially fixed temporarily plate in small volume
In the case where just have enough intensity, excessive space can be occupied in this way to avoid plate is fixed temporarily, be conducive to dissection armor plate most
It is fixed eventually, it is made in addition, forcing screw also should be high-strength stainless steel, can guarantee that small diameter can also be completed to be fixed temporarily in this way
Task, while unnecessary bone injury can also be reduced to the greatest extent.
In Fig. 4, Fig. 5, the jaw and handle of lower clamp 1 are boundary with lower clamp connection mortise 12, and jaw is constructed like table fork sample,
There is not isodont configuration (monodentate B, three tooth A, five tooth C), wherein monodentate type is used for Fracture Simple, and three flute profiles are basic model, remote
Associated jaw portion is held to design in three tooth of " Ψ " type, jaw medial surface is rough surface, and five flute profiles are used for comminuted fracture, and lower clamp 1 exists
Periosteum insertion should be directly pasted when use, can reduce fracture segment blood supply damage in this way.
In Fig. 1, Fig. 5, the jaw and handle of upper clamp 2 are boundary with upper clamp connection mortise 28, and handle portion passes through lock
Determine screw rod rivet 23 and connect locking screw 25, locking screw 25 connects lower clamp 1, locking screw after passing through locking screw through-hole 13
There are the nut 24 and locking screw tail cap 26 of matching used locking screw on 25, the locking compress of lower clamp can be carried out, on
The front end of the associated jaw portion of caliper 2 is upper clamp U-typed tooth 21, respectively has a slide opening 22 on each pincers tooth, can be used by slide opening 22
The fixation of plate 3 will be fixed temporarily by being fixed temporarily plate fixing screws 31, and can adjust the position for being fixed temporarily plate 3 in a certain range,
Close up parts transversely setting there are two upper clamp screw hole 27 in jaw proximal end, which is provided with spiral shell matched with augering screw 41
Line can connect reseting baffle 4 by the screw hole augering screw 41.
In Fig. 1, Fig. 2, Fig. 5, being fixed temporarily plate 3 is long and flat, there is different in width and length configuration (basic model A, extended type
B, narrow C, narrow long type D), common trait is: being fixed temporarily 3 top and bottom of plate and has certain radian, radian and upper pincers
The associated jaw portion radian of body 2 is consistent, and intermediate portion has two pieces to be fixed temporarily plate fixing threaded hole 36 with internal thread, which passes through
Being fixed temporarily plate fixing screws 31 can connect with upper clamp U-typed tooth 21, screw hole spacing and 21 spacing phase of upper clamp U-typed tooth
Deng being fixed temporarily plate fixing threaded hole 36 and to be fixed temporarily plate fixing screws 31 mating, be fixed temporarily the length of plate fixing screws 31
Equal to the sum of plate 3 and 21 thickness of upper clamp U-typed tooth is fixed temporarily, distinguish from far near successively at the both ends for being fixed temporarily plate 3
It is provided with kirschner pin hole 32, pressurization screw hole 33, flat slot 34, slides laterally screw hole 35, and the plate that is fixed temporarily in wherein side is consolidated
Determine screw hole 36 and slide laterally one piece of longitudinal sliding motion pressurization screw hole 37 is separately arranged between pressurization screw hole 35, the edge of flat slot 34 is in low
Incisura design, thickness are slightly below the thickness for being fixed temporarily plate 3.Plate is fixed temporarily according to different classification of fracture to select different shaped
Number, it is fixed using preceding elder generation with upper clamp, then complete reset process jointly with lower clamp pincers tooth and reseting baffle, is needed in reseting procedure
When finely tuning broken ends of fractured bone pressurization, separation or rotation adjustment can be realized by sliding laterally pressurization screw hole and longitudinal sliding motion pressurization screw hole,
It completes to be fixed temporarily by being placed in forcing screw in pressurization screw hole, completion is fixed temporarily plate after being fixed temporarily can be with upper clamp point
From being removed again after the completion of finally fixed.
In Fig. 1, Fig. 3, Fig. 5, reseting baffle 4 has different length to configure (basic model A, extended type B), and common trait exists
In: reseting baffle 4, which has, sets radian, thinner thickness, the middle part is provided with two movable riveted holes 44, its spacing and upper pincers
Body screw hole 27 is equidistant, and form is that flat is hollow, and veutro is cecum, and back side has aperture 45;Augering screw 41 passes through augering screw
Homalocephalus 43 and 44 activity of movable riveted holes rivet, and the rotation of augering screw 41 is not limited;The screw thread of augering screw 41 and upper pincers
Body screw hole 27 is mating, and the axial movement of reseting baffle 4 can be realized by augering screw 41;The tail end of augering screw 41, which is provided with, to be pushed away
Into screw rod tail cap 42, can auxiliary propulsion, reseting baffle 4 and upper clamp 2 can be dissociated after removing tail cap.
In the operation instruction schematic diagram of Fig. 5, reseting baffle 4 can not used for the reset of Fracture Simple, be fixed temporarily
Plate 3 is reasonably selected according to bone thickness, and lower clamp clamps tooth 14 and selects A type or Type B, repositioning method and existing reduction forceps application method
It is almost the same, it since contact area increases, can comparatively fast restore the line of force using the utility model, to reach Rapid reset, reset
Forcing screw can be rationally placed on being fixed temporarily plate 3 after satisfaction to achieve the purpose that be fixed temporarily.For general comminuted bone
Folding, it is preferred to use reseting baffle 4 is fixed temporarily plate 3 and is reasonably selected according to bone thickness and broken line length, and lower clamp clamps tooth 14 and selects
A type or c-type are selected, length can be restored and can temporarily support under reduction forceps auxiliary steady by such as being judged major fracture block after the reset
It is fixed, then major fracture block first can substantially be resetted (emphasis corrects rotation and angulation), after placing integrated fracture reduction fixing clamp
It is further adjusted by interdental space with vessel forceps, the broken ends of fractured bone has cripetura under normal circumstances, needs to carry out hand traction at this time
Restore bone length and adjustment rotation, closes up reduction forceps rapidly in major fracture block reset and temporarily under support, and reset is promoted to keep off
Plate 4 is reinforced stablizing, if at this time there are still the unstable situation of angulation, can appropriate adjustment reset clamp position and angle, after adjustment still not
The person of satisfaction, which is contemplated that, fills in the consolidation gauze ball that is of moderate size temporarily on the vertex at angular direction to maintain position, can then lock at this time
Tight reduction forceps bit, and further push-tight reseting baffle 4, can rationally be placed in after resetting satisfaction on being fixed temporarily plate 3
Forcing screw achievees the purpose that be fixed temporarily, need to be according to severe comminuted bone if filling in gauze ball all to stablize angulation displacement
Folding disposition.For serious splintered fracture, support can not be formed between bone block, need to take integral reset thought at this time, at this point, building
View uses the Type B of reseting baffle 4, is fixed temporarily plate 3 and preferably selects longer Type B or D type, lower clamp clamps tooth 14 and selects A type or C
Type, it is necessary to reduction forceps are integrally first preset in fracture site, be placed in one piece in wherein side pressurization screw hole 33 after prejudging position
Then forcing screw restores bone fundamental length, rotation and axis by manual traction, immediately with one common after basic reset
Reduction forceps clamp fracture other end backbone with plate 3 is fixed temporarily, and clamp position can avoid sliding at flat slot 34, after clamping,
The split as far as possible of the broken bone block of fracture segment is resetted, if the undesirable standard reset pincers that unclamp repeat the above process again, is satisfied in the main
Lower clamp 1 is closed up afterwards, push-tight reseting baffle 4 assists stablizing the broken ends of fractured bone, then passes through the rationally merging pressurization spiral shell on being fixed temporarily plate 3
Nail is to achieve the purpose that be fixed temporarily.
When carrying out temporary setting operation, one piece of Kirschner wire, the effect of Kirschner wire fixation can be placed in kirschner pin hole 32
There is two o'clock: one is auxiliary control folding end is swung, being blocked the second is soft tissue can be carried out, reduce assistant and drag hook uses, if bone
Folding resets ideal, can directly be fixed in bilateral pressurization screw hole 33, at this point, Kirschner wire mono cortex is fixed;If resetting not
It is very ideal, then it can be finely adjusted, but principle is: accomplish to be satisfied with reset as far as possible before fixation, can not be adjusted or not, to subtract
Few bone iatrogenic injury.
For needing the person of adjustment: if Fracture Simple and general comminuted fracture, first being followed closely simultaneously on side pressurization screw hole 33
Pressurization, the double cortex of one piece of ipsilateral upper Kirschner wire are fixed, then opposite side slide laterally hole 35 or longitudinal sliding motion hole 37 pressurizeed,
The fine tuning such as separation or rotation (aftermentioned), forcing screw is fixed on the pressurization screw hole 33 of sliding eye adjustment side after adjustment, should
The no longer upper Kirschner wire auxiliary in side;If serious splintered fracture, fracture segment can not form support after resetting, and be placed in pressurization spiral shell
One piece of double cortex of Kirschner wire progress is fixed on nail side, is then slid laterally hole 35 or longitudinal sliding motion hole 37 in opposite side and is added
Pressure, separation or rotation adjustment sink to the screw hole stage in nut and synchronize and slowly unclamp standard reset pincers, reach after adjustment effect in cunning
Forcing screw is fixed on the pressurization screw hole 33 of dynamic hole adjustment side, the no longer upper Kirschner wire auxiliary in the side.
After the completion of being fixed temporarily, reverse rotation, which is fixed temporarily plate fixing screws 31, to be made to be fixed temporarily plate 3 and upper clamp " U "
Type tooth 21 dissociates, and unclamps the nut 24 of locking screw, exits back reduction forceps.Doubling end again may be needed for comminuted fracture
The broken secondary reset of bone block, the length of bone has been restored at this time, and folding end stress, which concentrates on, is fixed temporarily plate 3, is being fixed temporarily plate 3
The reset of broken bone block becomes easy under support, and longer dissection armor plate or reconstruction plate should be selected to carry out most after the completion of secondary reset
It is fixed eventually, it can be removed after the completion of finally fixing and be fixed temporarily plate 3.
Adjustment can be pressurizeed, separated or rotated when needing to finely tune to fracture segment: sliding laterally hole 35 close to fracture end
A Slideslip pressurization can be achieved folding end separation, sliding laterally hole 35 far from fracture end a Slideslip pressurization can be achieved folding
The pressurization at end;When needing to adjust rotation angle, can be realized by longitudinal sliding motion hole 37: reaching rotation purpose merely can be in longitudinal direction
It is realized by different boring directions at the middle part of sliding eye;It adjusts rotation simultaneously and lateral displacement can be in the upper of longitudinal sliding motion hole
It is realized in conjunction with bore angle lower two sides.
Theoretically, be fixed temporarily stability more with lock hole, but lock screw it is repeatedly elastic after do not occur inevitably
Screw hole stripped thread, locking failure even cold welding situations such as can not removing, if reliable guarantee can be obtained in technique, with lock hole into
Row, which is fixed temporarily, should be used as first choice.
Above-described embodiment only is used to further illustrate a kind of integrated fracture reduction fixing clamp of the utility model, but this reality
Embodiment is not limited to novel, it is made by the above technical examples according to the technical essence of the present invention any simple
Modification, equivalent variations and modification, each fall in the protection scope of technical solutions of the utility model.