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CN208989102U - Integrated fracture reduction and fixation forceps - Google Patents

Integrated fracture reduction and fixation forceps Download PDF

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Publication number
CN208989102U
CN208989102U CN201721519500.1U CN201721519500U CN208989102U CN 208989102 U CN208989102 U CN 208989102U CN 201721519500 U CN201721519500 U CN 201721519500U CN 208989102 U CN208989102 U CN 208989102U
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screw
fixation
forceps
reduction
hole
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Chinese (zh)
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谢志进
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Individual
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Abstract

本实用新型公开了一种一体化骨折复位固定钳,包括上下钳体及与上钳体配合使用的临时固定板、复位挡板等配套组件,临时固定板可与上钳体固定或解离,三者配合使用来完成骨折段的复位,在复位过程中还可通过器械的配合和适当的技巧对折端进行加压、分离或旋转等微调,随后通过在临时固定板上置入加压螺钉对骨折段进行临时固定,再将临时固定板与复位钳解离,腾出足够空间后可完成最终固定,待完成最终固定后再取下临时固定板。通过本实用新型的应用可以较快、较准确的实现骨折复位,并能在复位的同时进行临时固定,简化了复位步骤,节约了手术时间,并能达到更佳的复位固定效果,对于不稳定骨折效果尤为明显。

The utility model discloses an integrated fracture reduction and fixation forceps, comprising an upper and lower forceps body, a temporary fixation plate, a reset baffle and other supporting components used in cooperation with the upper forceps body. The temporary fixation plate can be fixed or dissociated from the upper forceps body, The three can be used together to complete the reduction of the fractured segment. During the reduction process, the folded end can be fine-tuned by pressing, separating or rotating through the cooperation of the instruments and appropriate skills. The fractured segment is temporarily fixed, and then the temporary fixation plate is dissociated from the reduction forceps, and the final fixation can be completed after sufficient space is cleared. After the final fixation is completed, the temporary fixation plate is removed. Through the application of the utility model, fracture reduction can be realized quickly and accurately, and temporary fixation can be performed at the same time of reduction, the reduction steps are simplified, the operation time is saved, and better reduction and fixation effects can be achieved. The fracture effect is particularly pronounced.

Description

Integrated fracture reduction fixing clamp
Technical field
The utility model relates to medical instruments field more particularly to a kind of integrated reduction of the fracture for four limbs tubular bone Grips pincers.
Background technique
Resetting and being fixed temporarily in fracture operation is an extremely critical step, the time longest usually expended in this step, Particularly with comminuted fracture and a most intractable step, if ideal reset effect and effectively interim solid can be realized as early as possible Fixed, operating time will greatly shorten, and surgical effect also will be more satisfied with.
Currently, existing fracture resetting tongs have a single function, effect is not satisfactory, it is crucial that cannot insert simultaneously after resetting Plate is fixed, and the reduction forceps that be able to achieve reset while can be fixed there is no practical application product, application publication number CN The Chinese invention patent of 105011992 A discloses a kind of " unobstructed fracture resetting tongs ", which more reasonably realizes In the fixation of the reduction of the fracture simultaneously, but the patent is only applicable to Fracture Simple, and is easy to be stopped when steel plate screwing, still deposits In certain defect.And the Chinese invention patent that application publication number is 103976782 A of CN discloses a kind of " fracture resetting tongs ", It cannot achieve at all if stating grip block in by specification and can vacate steel plate placement space actually to movement on the outside of jaw , it can instead be possible to realize to jaw medial movement if it is grip block, but be designed in this way, tend to idealize, firstly, folder Hold that block is too small, can individually the completing to stablize bone block of the task doubtful;Secondly, design is wanted smoothly to be inserted into steel plate then if so Need notch long enough and steel plate sufficiently thin;Furthermore before grip block can only be selected by this design conditions lower steel plate placement location Two sides afterwards, front side can not be fixed, rear side then insufficient space, so the patent is unable to reach design anticipation.
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.
Detailed description of the invention
The present invention will be further described with reference to the accompanying drawings and examples.
Fig. 1 is the upper clamp band accessory structure figure of the utility model.
Fig. 2 is that the upper clamp attachment of the utility model is fixed temporarily hardened composition.
Fig. 3 is the reseting baffle structure chart of the upper clamp attachment of the utility model.
Fig. 4 is the lower clamp structure chart of the utility model.
Fig. 5 is the operation instruction schematic diagram of the utility model.
Description of symbols
1. lower clamp;11. removable pin;12. lower clamp connects mortise;13. locking screw through-hole;14. lower clamp clamps tooth; 2. upper clamp;21. upper clamp U-typed tooth;22. slide opening;23. locking screw rivet;24. the nut of locking screw;25. locking spiral shell Bar;26. locking screw tail cap;27. upper clamp screw hole;28. upper clamp connects mortise;3. being fixed temporarily plate;31. being fixed temporarily plate Fixing screws;32. kirschner pin hole;33. pressurize screw hole;34. flat slot;35. sliding laterally pressurization screw hole;36. it is solid to be fixed temporarily plate Determine screw hole;The screw hole 37. longitudinal sliding motion is pressurizeed;4. reseting baffle;41. augering screw;42. augering screw tail cap;43. augering screw Homalocephalus;44. movable riveted holes;45. aperture;5. tubular bone;51. simulating fracture line.
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.

Claims (10)

1.一种一体化骨折复位固定钳,包括下钳体(1)、上钳体(2)及配套组件,下钳体(1)和上钳体(2)通过可拆销钉(11)连接,二者手柄之间通过锁定螺杆(25)可实现锁定加压,其特征在于:所述的下钳体(1)有不同齿型配置可供选择;所述的配套组件由临时固定板(3)和复位挡板(4)组成;所述的上钳体(2)上可自由组配不同型号的临时固定板(3)和复位挡板(4),临时固定板(3)通过临时固定板固定螺钉(31)与上钳体“U”型齿(21)固定,并可解离,而复位挡板(4)则通过推进螺杆(41)与上钳体(2)钳口近端合拢部连接;由临时固定板(3)、下钳体钳齿(14)和复位挡板(4)三者共同完成复位,复位满意后通过临时固定板(3)上的螺孔进行临时固定,临时固定完成后取下复位钳,继续完成最终固定,最后再取下临时固定板(3)。1. An integrated fracture reduction and fixation forceps, comprising a lower forceps body (1), an upper forceps body (2) and supporting components, and the lower forceps body (1) and the upper forceps body (2) are connected by a detachable pin (11) , between the two handles, the locking screw (25) can be used to achieve locking and pressurization, and it is characterized in that: the lower clamp body (1) has different tooth configuration options; 3) and the reset baffle (4); the upper clamp body (2) can be freely assembled with different types of temporary fixing plates (3) and reset baffles (4). The fixing plate fixing screw (31) is fixed with the "U"-shaped teeth (21) of the upper forceps body and can be dissociated, while the reset baffle (4) is close to the jaws of the upper forceps body (2) by advancing the screw (41). The end closing parts are connected; the reset is completed by the temporary fixing plate (3), the jaw teeth (14) of the lower jaw body and the reset baffle (4). Fix, remove the reduction forceps after the temporary fixation is completed, continue to complete the final fixation, and finally remove the temporary fixation plate (3). 2.根据权利要求1所述的一体化骨折复位固定钳,其特征在于:所述的下钳体(1)的钳口与手柄以下钳体连接卯孔(12)为界,钳口似餐叉样构造,有不同齿型配置,钳口内侧面均为粗糙面。2. The integrated fracture reduction and fixation forceps according to claim 1, characterized in that: the jaws of the lower jaw body (1) and the handle are bounded by the lower jaw body connection hole (12), and the jaws are like a meal Fork-like structure, with different tooth configuration, the inner side of the jaws are rough. 3.根据权利要求1所述的一体化骨折复位固定钳,其特征在于:所述的上钳体(2)的钳口与手柄以上钳体连接卯孔(28)为界,其手柄部分通过锁定螺杆铆钉(23)连接锁定螺杆(25),锁定螺杆(25)穿过锁定螺杆通孔(13)后连接下钳体(1),锁定螺杆(25)上有配套使用的锁定螺杆之螺母(24)和锁定螺杆尾帽(26),可进行上下钳体的锁定加压。3. The integrated fracture reduction and fixation forceps according to claim 1, characterized in that: the jaws of the upper forceps body (2) and the handle are bounded by the upper forceps body connecting hole (28), and the handle part passes through The locking screw rivet (23) is connected to the locking screw (25). The locking screw (25) passes through the locking screw through hole (13) and then connects to the lower clamp body (1). The locking screw (25) is provided with a matching locking screw nut. (24) and the locking screw end cap (26), which can lock and pressurize the upper and lower clamp bodies. 4.根据权利要求1所述的一体化骨折复位固定钳,其特征在于:所述的上钳体(2)的远端钳口部分呈对称排列的“U”型双齿状,每一钳齿上各有一滑孔(22),通过滑孔(22)可用临时固定板固定螺钉(31)将临时固定板(3)固定,并能在设定范围内调整临时固定板(3)的位置,在钳口近端合拢部分横向设置有两个上钳体螺孔(27),通过该螺孔推进螺杆(41)可连接复位挡板(4)。4. The integrated fracture reduction and fixation forceps according to claim 1, characterized in that: the distal jaw portion of the upper forceps body (2) is symmetrically arranged in a "U"-shaped double-toothed shape, and each forceps There is a sliding hole (22) on each of the teeth, and the temporary fixing plate (3) can be fixed by the temporary fixing plate fixing screw (31) through the sliding hole (22), and the position of the temporary fixing plate (3) can be adjusted within the set range. , two upper clamp body screw holes (27) are laterally arranged at the closing portion of the proximal end of the jaws, and the reset baffle (4) can be connected to the reset baffle plate (4) by pushing the screw holes (41) through the screw holes. 5.根据权利要求1所述的一体化骨折复位固定钳,其特征在于:所述的临时固定板(3)为长扁状并带有设定弧度,有不同宽度及长度配置,临时固定板(3)的中间有两枚带内丝的临时固定板固定螺孔(36),其间距与上钳体滑孔(22)间距相等,通过临时固定板固定螺钉(31)可将其与上钳体(2)相连固定,临时固定板固定螺钉(31)埋入深度不超过临时固定板(3)内面,通过滑孔(22)可调节临时固定板相对于钳口的位置。5. The integrated fracture reduction and fixation forceps according to claim 1, characterized in that: the temporary fixation plate (3) is long and flat with a set arc, and has different width and length configurations. There are two temporary fixing plate fixing screw holes (36) with inner wire in the middle of (3), and the distance between them is equal to the distance between the upper clamp body sliding holes (22). The clamp bodies (2) are connected and fixed, the temporary fixing plate fixing screws (31) are embedded in a depth not exceeding the inner surface of the temporary fixing plate (3), and the position of the temporary fixing plate relative to the jaws can be adjusted through the sliding hole (22). 6.根据权利要求1所述的一体化骨折复位固定钳,其特征在于:所述的临时固定板(3)的两端由远至近分别依次设置有克氏针孔(32)、加压螺孔(33)、扁槽(34)、横向滑动加压螺孔(35),而在其中一侧的临时固定板固定螺孔(36)与横向滑动加压螺孔(35)之间另设置一枚纵向滑动加压螺孔(37),扁槽(34)的边缘呈低切迹设计,其厚度要低于临时固定板(3)有既定数值。6 . The integrated fracture reduction and fixation forceps according to claim 1 , wherein the two ends of the temporary fixation plate ( 3 ) are respectively provided with Kirschner wire holes ( 32 ), compression screw holes from far to near, respectively. A hole (33), a flat groove (34), a lateral sliding pressure screw hole (35), and another set between the temporary fixing plate fixing screw hole (36) on one side and the lateral sliding pressure screw hole (35) A longitudinal sliding pressure screw hole (37), the edge of the flat groove (34) is designed with a low notch, and its thickness is lower than the predetermined value of the temporary fixing plate (3). 7.根据权利要求1所述的一体化骨折复位固定钳,其特征在于:所述的临时固定板(3)根据不同骨折类型来选择不同型号,使用前先与上钳体(2)固定,再与下钳体钳齿(14)和复位挡板(4)共同完成复位步骤,复位过程中需要微调时可通过横向滑动加压螺孔(35)和纵向滑动加压螺孔(37)实现断端加压、分离或旋转调整,通过在加压螺孔(33)置入加压螺钉来完成临时固定,完成临时固定后临时固定板(3)可与上钳体(2)分离,待最终固定完成后再将其取下。7. The integrated fracture reduction and fixation forceps according to claim 1, characterized in that: the temporary fixation plate (3) selects different models according to different fracture types, and is fixed with the upper forceps body (2) before use, Then, together with the jaw teeth (14) of the lower jaw body and the reset baffle plate (4), the reset step is completed. When fine-tuning is required during the reset process, it can be realized by sliding the pressing screw hole (35) horizontally and the pressing screw hole (37) vertically. To pressurize, separate or rotate the broken end, the temporary fixation is accomplished by inserting a pressure screw into the pressure screw hole (33). After the temporary fixation is completed, the temporary fixing plate (3) can be separated from the upper clamp body (2). Remove it after final fixation is complete. 8.根据权利要求1所述的一体化骨折复位固定钳,其特征在于:所述的复位挡板(4)带有设定弧度,有不同长度配置,其中部设置有两个活动铆接孔(44),活动铆接孔(44)的间距与上钳体螺孔(27)等距,其形态为扁形中空,腹侧为盲端,推进螺杆(41)通过推进螺杆扁头(43)与活动铆接孔(44)活动铆接。8. The integrated fracture reduction and fixation forceps according to claim 1, characterized in that: the reduction baffle plate (4) has a set arc and has different length configurations, and two movable riveting holes ( 44), the distance between the movable riveting holes (44) is equal to the screw holes (27) of the upper clamp body, its shape is flat and hollow, and the ventral side is a blind end. The riveting hole (44) is movable riveting. 9.根据权利要求8所述的一体化骨折复位固定钳,其特征在于:所述的推进螺杆(41)与上钳体螺孔(27)适配,拧入后通过旋转可调节复位挡板(4)相对于钳口的位置,通过旋进方式辅助复位,无需使用时可连同推进螺杆(41)与上钳体(2)解离。9. The integrated fracture reduction and fixation forceps according to claim 8, characterized in that: the advancing screw (41) is adapted to the screw hole (27) of the upper forceps body, and the reduction baffle can be adjusted by rotating after screwing in (4) With respect to the position of the jaws, the repositioning is assisted by screwing, and can be dissociated from the upper jaw body (2) together with the advancing screw (41) when not in use. 10.根据权利要求8所述的一体化骨折复位固定钳,其特征在于:所述的推进螺杆(41)的尾端设置有顺时针单向锁紧的尾帽(26),逆时针旋转可解锁并取下,方便拆卸。10. The integrated fracture reduction and fixation forceps according to claim 8, characterized in that: the tail end of the push screw (41) is provided with a tail cap (26) that is locked clockwise in one direction, and can be rotated counterclockwise. Unlock and remove for easy disassembly.
CN201721519500.1U 2016-11-23 2017-11-14 Integrated fracture reduction and fixation forceps Expired - Fee Related CN208989102U (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108013927A (en) * 2016-11-23 2018-05-11 谢志进 Integrated fracture reduction fixing clamp
CN111904584A (en) * 2020-08-31 2020-11-10 中国人民解放军联勤保障部队第九〇九医院 Over-extension tibial plateau fracture reduction forceps

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108013927A (en) * 2016-11-23 2018-05-11 谢志进 Integrated fracture reduction fixing clamp
CN111904584A (en) * 2020-08-31 2020-11-10 中国人民解放军联勤保障部队第九〇九医院 Over-extension tibial plateau fracture reduction forceps

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