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CN206809310U - Dislocation of the patella operation kneecap collateral ligament drilling fixed locator system - Google Patents

Dislocation of the patella operation kneecap collateral ligament drilling fixed locator system
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CN206809310U
CN206809310UCN201720037426.3UCN201720037426UCN206809310UCN 206809310 UCN206809310 UCN 206809310UCN 201720037426 UCN201720037426 UCN 201720037426UCN 206809310 UCN206809310 UCN 206809310U
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arm
fixed
patella
length
positioning
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孙学斌
张克远
马创
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First Affiliated Hospital of Xinjiang Medical University
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First Affiliated Hospital of Xinjiang Medical University
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Abstract

Translated fromChinese

本实用新型提供的一种髌骨脱位手术髌骨侧韧带钻孔固定定位器系统,包括测量臂、滑块、固定臂、调节器和定位器,测量臂包括横臂和竖臂,且滑块设置在横臂上且可沿横臂滑动,固定臂设置在横臂的端部,横臂上沿其长度方向设置有滑槽,滑块上设置有通孔,定位器包括定位臂和与定位臂呈直角设置的定位针头,定位针头设置在通孔内,定位针头设置在髌骨上表面的第一钻孔内,定位臂在远离定位针头的一端设置有插槽,调节器设置在插槽内,且调节器的一端设置有圆孔,圆孔内设置有导向空心针,本系统使髌骨脱位手术髌骨侧韧带钻孔难以准确定位的问题得到解决,能够使初学者很快的掌握,减轻患者在手术过程中所遭受的痛苦,提高了手术的成功率。

The utility model provides a patella lateral ligament drilling fixation locator system for patella dislocation surgery, comprising a measuring arm, a slider, a fixing arm, a regulator and a locator, the measuring arm includes a horizontal arm and a vertical arm, and the slider is arranged on On the cross arm and can slide along the cross arm, the fixed arm is arranged at the end of the cross arm, the cross arm is provided with a chute along its length direction, the slide block is provided with a through hole, and the positioner includes a positioning arm and a positioning arm. The positioning needle is arranged at a right angle, the positioning needle is arranged in the through hole, the positioning needle is arranged in the first drill hole on the upper surface of the patella, the positioning arm is provided with a slot at the end away from the positioning needle, and the regulator is arranged in the slot, and One end of the adjuster is provided with a circular hole, and a guiding hollow needle is provided in the circular hole. This system solves the problem that it is difficult to locate the lateral ligament of the patella in the operation of patellar dislocation. The pain suffered during the process increases the success rate of the operation.

Description

Translated fromChinese
髌骨脱位手术髌骨侧韧带钻孔固定定位器系统Lateral Patella Ligament Drill Hole Fixation Locator System for Patellar Dislocation Surgery

技术领域technical field

本实用新型涉及医疗手术设备领域,特别是一种髌骨脱位手术髌骨侧韧带钻孔固定定位器系统。The utility model relates to the field of medical operation equipment, in particular to a patella lateral ligament drilling and fixing locator system for patella dislocation operation.

背景技术Background technique

髌骨脱位手术需要在髌骨侧钻孔固定一侧韧带是常规术式,目前常采用手摸心会或者在透视下定位,经常出现髌骨钻孔处L形隧道不能相通或者偏斜的情况导致韧带不能顺利引入,并且容易造成骨折影响手术效果;需要有一种辅助工具引导定位,尤其是对于初学者。Patellar dislocation surgery needs to drill a hole on the side of the patella to fix the ligament on one side. It is a routine operation. At present, manual palpation or fluoroscopy is often used for positioning. Often, the L-shaped tunnel at the patella drill hole cannot communicate or is deflected, resulting in ligament failure. It is introduced smoothly, and it is easy to cause fractures and affect the surgical effect; an auxiliary tool is needed to guide the positioning, especially for beginners.

同时,髌骨脱位的治疗目前对于青少年儿童是一个热点,大家越来越重视早期髌骨脱位的治疗。而限制髌骨脱位的一个重要结构就是膝关节内侧髌股韧带,这成为目前治疗髌骨脱位的一个重要手术步骤。在手术过程中,这个髌股韧带一侧需要固定在髌骨上,通常采用的办法就是在髌骨上横向和垂直钻孔形成一个或者两个“L”形隧道以便韧带穿入,横向和垂直的骨道在髌骨上,最好是在中部相通。也有手术医生采用髌骨内侧置入缝合铆钉来避免钻孔发生的失误,是利用铆钉上带的缝线将韧带缝合于局部,依靠缝线的力量初始固定。但这无疑增加了患者的手术费用,而且是金属铆钉,无法二次取出,对患者心理有一定影响。对于大多数医院来说采用钻孔技术固定韧带是一个可靠经济的方法。At the same time, the treatment of patellar dislocation is currently a hot spot for adolescents and children, and everyone pays more and more attention to the treatment of early patellar dislocation. An important structure limiting patellar dislocation is the medial patellofemoral ligament of the knee joint, which has become an important surgical step in the treatment of patellar dislocation. During the operation, one side of the patellofemoral ligament needs to be fixed on the patella. The usual method is to drill holes horizontally and vertically on the patella to form one or two "L"-shaped tunnels for the ligament to penetrate. The tract is on the patella, preferably in the middle. There are also surgeons who place suture rivets on the inside of the patella to avoid mistakes in drilling. They use the sutures on the rivets to suture the ligament locally and rely on the strength of the sutures for initial fixation. However, this undoubtedly increases the patient's operation cost, and it is a metal rivet, which cannot be taken out again, which has a certain impact on the patient's psychology. Fixation of the ligament using the drilling technique is a reliable and economical method for most hospitals.

现有技术虽然在一定程度上解决了髌骨侧韧带固定的问题,但是有这样那样的问题,尤其是对于经验欠缺的手术者,容易出现髌骨侧韧带固定失误的问题,常见问题有:髌骨垂直骨道进入关节面,损伤髌骨软骨面。还有横向骨道偏前,容易造成骨道破裂固定失败。Although the prior art has solved the problem of patellar lateral ligament fixation to a certain extent, there are such and other problems, especially for inexperienced operators, the problem of fixation error of patellar lateral ligament is prone to occur. Common problems include: The tract enters the articular surface and damages the cartilage surface of the patella. In addition, the transverse bone tunnel is forward, which may easily cause fracture and fixation failure of the bone tunnel.

实用新型内容Utility model content

为了解决上述技术问题,而提供一种髌骨脱位手术髌骨侧韧带钻孔固定定位器系统,使髌骨脱位手术髌骨侧韧带钻孔难以准确定位的问题得到解决,且能够使初学者很快的掌握,且通过本系统,大大减轻了患者在手术过程中所遭受的痛苦,提高了手术的成功率,在一定程度上节省了患者的手术费用。In order to solve the above-mentioned technical problems, a patella lateral ligament drilling fixation locator system for patellar dislocation surgery is provided, which solves the problem that it is difficult to accurately locate the patellar lateral ligament drilling in patella dislocation surgery, and enables beginners to master it quickly. And through this system, the pain suffered by the patient in the operation process is greatly reduced, the success rate of the operation is improved, and the operation cost of the patient is saved to a certain extent.

本实用新型提供的一种髌骨脱位手术髌骨侧韧带钻孔固定定位器系统,包括测量臂、滑块、固定臂、调节器和定位器,所述测量臂包括横臂和竖臂,且所述滑块设置在所述横臂上且可沿所述横臂滑动,所述固定臂设置在所述横臂的端部且可沿所述横臂相对所述竖臂进行移动,且所述固定臂与所述竖臂用于将所述定位器系统固定在患者的髌骨上,所述横臂上沿其长度方向设置有滑槽,所述滑块上设置有通孔,所述定位器包括定位臂和与所述定位臂呈直角设置的定位针头,所述定位针头设置在所述通孔内,且所述滑块可带动所述定位针在所述滑槽内移动,所述定位针头设置在髌骨上表面的第一钻孔内,所述定位臂在远离所述定位针头的一端设置有插槽,所述调节器设置在所述插槽内,且所述调节器的一端设置有圆孔,所述圆孔内设置有用于对髌骨侧面的第二钻孔进行导向的导向空心针。The utility model provides a patella lateral ligament drilling and fixing locator system for patella dislocation surgery, which includes a measuring arm, a slider, a fixing arm, a regulator and a locator, the measuring arm includes a cross arm and a vertical arm, and the The slider is arranged on the cross arm and can slide along the cross arm, the fixed arm is arranged at the end of the cross arm and can move relative to the vertical arm along the cross arm, and the fixed arm The arm and the vertical arm are used to fix the locator system on the patient's patella, the cross arm is provided with a chute along its length direction, the slider is provided with a through hole, and the locator includes A positioning arm and a positioning needle arranged at right angles to the positioning arm, the positioning needle is arranged in the through hole, and the slider can drive the positioning needle to move in the chute, the positioning needle It is arranged in the first bore hole on the upper surface of the patella, the positioning arm is provided with a slot at one end away from the positioning needle, the adjuster is arranged in the slot, and one end of the adjuster is provided with a A circular hole, the circular hole is provided with a guiding hollow needle for guiding the second drilling hole on the side of the patella.

进一步地,所述固定臂包括固定块和与所述固定块固定连接的第一固定板,所述固定块套置在所述横臂上且可带动所述第一固定板在所述横臂上滑动,且所述固定块上设置有用于固定所述固定块的第一螺纹固定槽和设置在所述第一螺纹固定槽内的第一固定螺钉,所述竖臂上设置有第二固定板,所述第一固定板和所述第二固定板相对设置,且所述第一固定板上设置有用于固定经皮的第一固定针,所述第二固定板上设置有用于固定经皮的第二固定针,所述第一固定板和所述第二固定板分别固定在髌骨的上端和下端。Further, the fixed arm includes a fixed block and a first fixed plate fixedly connected with the fixed block, and the fixed block is sleeved on the cross arm and can drive the first fixed plate on the cross arm slide upward, and the fixed block is provided with a first threaded fixing groove for fixing the fixed block and a first fixing screw arranged in the first threaded fixing groove, and a second fixing screw is arranged on the vertical arm plate, the first fixing plate and the second fixing plate are arranged oppositely, and the first fixing plate is provided with a first fixing needle for fixing the percutaneous needle, and the second fixing plate is provided with a needle for fixing the percutaneous The second fixing pin of the skin, the first fixing plate and the second fixing plate are respectively fixed on the upper end and the lower end of the patella.

进一步地,所述固定块的长度为35mm、宽度为30mm、高度为25mm、厚度为2.5mm,所述第一螺纹固定槽的直径为4mm,所述第一固定板的长度为 102.5mm,所述第二固定板的长度为105mm。Further, the length of the fixed block is 35mm, the width is 30mm, the height is 25mm, and the thickness is 2.5mm, the diameter of the first screw fixing groove is 4mm, and the length of the first fixing plate is 102.5mm, so The length of the second fixing plate is 105mm.

进一步地,所述调节器呈长度80mm、宽度10mm、高度10mm的矩形状,且所述调节器的侧面上设置有刻度及角度标识。Further, the adjuster is in the shape of a rectangle with a length of 80 mm, a width of 10 mm, and a height of 10 mm, and scales and angle marks are provided on the sides of the adjuster.

进一步地,所述调节器呈外围直径为160mm的半环状设置,所述调节器的截面是长度为10mm的正方形,且所述调节器的侧面上设置有刻度及角度标识。Further, the adjuster is arranged in a semi-circular shape with an outer diameter of 160 mm, the cross section of the adjuster is a square with a length of 10 mm, and scales and angle marks are provided on the side of the adjuster.

进一步地,所述横臂和所述竖臂上均设置有刻度标识,且所述横臂长度为 200mm、宽度为2.5mm,所述竖臂的长度为130mm,所述滑槽的长度为110mm、宽度为20mm,高度为20mm。Further, both the cross arm and the vertical arm are provided with scale marks, and the length of the cross arm is 200 mm, the width is 2.5 mm, the length of the vertical arm is 130 mm, and the length of the chute is 110 mm , The width is 20mm, and the height is 20mm.

进一步地,所述滑块套置在所述横臂上,且所述滑块的长度为30mm、宽度为30mm、壁厚为2.5mm,所述滑块的侧面上设置有用于固定的第二螺纹固定槽和设置在所述第二螺纹固定槽内的第二固定螺钉,且所述滑块上还设置有长度为20mm,宽度为3mm的读数孔。Further, the slider is sleeved on the cross arm, and the length of the slider is 30mm, the width is 30mm, and the wall thickness is 2.5mm, and the side of the slider is provided with a second A threaded fixing groove and a second fixing screw arranged in the second threaded fixing groove, and a reading hole with a length of 20mm and a width of 3mm is also arranged on the slider.

进一步地,所述定位臂包括与所述定位针头呈直角设置且固定连接的定位杆和与所述定位杆固定连接的定位柄,所述定位杆是长度60mm、宽度7mm、高7mm的长方体结构,所述插槽设置在所述定位柄上,且所述插槽与所述定位针头同向设置,所述定位柄的呈直径20mm、长度40mm的圆柱状,且所述定位柄上设置有用于固定所述调节器的第三螺纹固定槽和设置在所述第三螺纹固定槽内的第三固定螺钉。Further, the positioning arm includes a positioning rod fixedly connected to the positioning needle at right angles and a positioning handle fixedly connected to the positioning rod. The positioning rod is a cuboid structure with a length of 60 mm, a width of 7 mm, and a height of 7 mm. , the slot is set on the positioning handle, and the slot is set in the same direction as the positioning needle, the positioning handle is cylindrical with a diameter of 20 mm and a length of 40 mm, and the positioning handle is provided with a useful The third thread fixing groove for fixing the adjuster and the third fixing screw arranged in the third thread fixing groove.

进一步地,所述定位针头呈直径为25mm的圆柱状,且长度为30mm。Further, the positioning needle is in the shape of a cylinder with a diameter of 25 mm and a length of 30 mm.

进一步地,导向空心针的长度为150mm,且为中空设置,用于容纳2mm 的克氏针。Further, the guide hollow needle has a length of 150mm and is hollow, and is used for accommodating a 2mm Kirschner wire.

综上所述,本实用新型提供的一种髌骨脱位手术髌骨侧韧带钻孔固定定位器系统与现有技术相比其具有的有益效果为,通过采用此种结构,利用三维立体定位方法,从以下几个方向来确定钻孔位置以及深度,因为髌骨是一个中间厚两侧薄的结构,所以需要先确定髌骨长度,从侧面看,在髌骨中上三分之一处定位点,也就是髌骨最宽处就是横向定位点,即髌股韧带的生理附着处。首先利用测量臂及固定臂夹住髌骨上下级,利用水平滑槽确定髌骨中上三分之一处位置,再确定一下髌骨中点;利用滑块固定3mm粗导针,由髌骨表面垂直钻入,钻入深度髌骨厚度的1/2(术前CT测出髌骨厚度,钻取深度=髌骨厚度/2,具体数值由测量的髌骨厚度算出);再由髌骨的侧方钻取一条通道与垂直通道相通,可将定位器的定位针头插入表面隧道内,再由调节器器瞄准髌骨侧方中心点位置钻取,这样横向及垂直骨道相交,然后以4.5毫米粗钻头扩大这个“L”形隧道,为后面韧带穿入做准备,采用本实用新型提供的定位器系统,使髌骨脱位手术髌骨侧韧带钻孔难以准确定位的问题得到解决,且能够使初学者很快的掌握,且通过本系统,大大减轻了患者在手术过程中所遭受的痛苦,提高了手术的成功率,在一定程度上节省了患者的手术费用。In summary, compared with the prior art, a kind of patella lateral ligament drilling and fixing locator system provided by the utility model has the beneficial effect that by adopting this structure and using a three-dimensional positioning method, from The following directions are used to determine the drilling position and depth. Because the patella is a structure with a thick middle and thin sides, the length of the patella needs to be determined first. From the side view, the positioning point is at the middle and upper third of the patella, that is, the patella. The widest point is the lateral anchor point, the physiological attachment of the patellofemoral ligament. First, use the measuring arm and the fixed arm to clamp the upper and lower levels of the patella, use the horizontal chute to determine the position of the middle and upper third of the patella, and then determine the midpoint of the patella; use the slider to fix a 3mm thick guide pin, and drill it vertically from the surface of the patella , the drilling depth is 1/2 of the thickness of the patella (the thickness of the patella was measured by CT before operation, the drilling depth = the thickness of the patella/2, the specific value is calculated from the measured patella thickness); The channels are connected, the positioning needle of the locator can be inserted into the surface tunnel, and then the adjuster is aimed at the center point of the lateral side of the patella to drill, so that the horizontal and vertical bone channels intersect, and then the "L" shape is enlarged with a 4.5 mm thick drill bit Tunnel, in preparation for the penetration of the posterior ligament, using the locator system provided by the utility model, the problem that the drilling of the lateral ligament of the patella is difficult to accurately locate is solved, and beginners can quickly master it, and through this The system greatly reduces the pain suffered by patients during the operation, improves the success rate of the operation, and saves the operation cost of the patient to a certain extent.

通过设置第一固定板和第二固定板,可将上述系统较好地固定在髌骨上,方便操作,节省手术时间,减轻患者在手术过程中遭受的痛苦,同时,通过在第一固定板、第二固定板、调节器、横臂和竖臂上设置刻度标识,能更加精确的对患者髌骨尺寸进行测量,保证手术的准确性,保证手术的成功率。By setting the first fixing plate and the second fixing plate, the above-mentioned system can be better fixed on the patella, which is convenient to operate, saves operation time, and reduces the pain suffered by the patient during the operation. At the same time, through the first fixing plate, Scale markings are set on the second fixing plate, the adjuster, the cross arm and the vertical arm, which can measure the size of the patient's patella more accurately, so as to ensure the accuracy of the operation and the success rate of the operation.

附图说明Description of drawings

为了更清楚地说明本实用新型实施例或现有技术中的技术方案,下面将对实施例或现有技术描述中所需要使用的附图作简单地介绍,显而易见地,下面描述中的附图仅仅是本实用新型的一些实施例,对于本领域普通技术人员来讲,在不付出创造性劳动的前提下,还可以根据这些附图获得其他的附图。In order to more clearly illustrate the technical solutions in the embodiments of the present invention or the prior art, the following will briefly introduce the accompanying drawings that need to be used in the description of the embodiments or the prior art. Obviously, the accompanying drawings in the following description These are only some embodiments of the utility model, and those skilled in the art can also obtain other drawings based on these drawings without creative work.

图1为本实用新型提供的一种髌骨脱位手术髌骨侧韧带钻孔固定定位器系统的测量臂和固定臂的结构示意图;Fig. 1 is the structural representation of the measuring arm and the fixing arm of a kind of patella lateral ligament drilling fixing locator system provided by the utility model;

图2为本实用新型提供的一种髌骨脱位手术髌骨侧韧带钻孔固定定位器系统的调节器和定位器的结构示意图;Fig. 2 is the structural representation of the regulator and the locator of a kind of patella lateral ligament drilling fixation locator system provided by the utility model;

图中in the picture

1-测量臂;2-滑块;3-固定臂;4-调节器;5-定位器;11-横臂;12-竖臂; 21-通孔;31-固定块;32-第一固定板;41-圆孔;42-导向空心针;51-定位臂; 52-定位针头;111-滑槽;121-第二固定板;511-插槽。1-measurement arm; 2-slider; 3-fixed arm; 4-adjuster; 5-positioner; 11-cross arm; 12-vertical arm; 21-through hole; 31-fixed block; plate; 41-round hole; 42-guiding hollow needle; 51-positioning arm; 52-positioning needle; 111-chute; 121-second fixing plate; 511-slot.

具体实施方式detailed description

为使本实用新型的目的、技术方案和优点更加清楚,下面将对本实用新型的技术方案进行详细的描述。显然,所描述的实施例仅仅是本实用新型一部分实施例,而不是全部的实施例。基于本实用新型中的实施例,本领域普通技术人员在没有做出创造性劳动的前提下所得到的所有其它实施方式,都属于本实用新型所保护的范围。In order to make the purpose, technical solution and advantages of the utility model clearer, the technical solution of the utility model will be described in detail below. Apparently, the described embodiments are only some of the embodiments of the present invention, not all of them. Based on the embodiments of the present utility model, all other implementations obtained by persons of ordinary skill in the art without making creative efforts belong to the protection scope of the present utility model.

如图1至图2所示,本实用新型提供的一种髌骨脱位手术髌骨侧韧带钻孔固定定位器系统,包括测量臂1、滑块2、固定臂3、调节器4和定位器5,测量臂1包括横臂11和竖臂12,且滑块2设置在横臂11上且可沿横臂11滑动,固定臂3设置在横臂11的端部且可沿横臂11相对竖臂12进行移动,且固定臂 3与竖臂12用于将定位器系统固定在患者的髌骨上,横臂11上沿其长度方向设置有滑槽111,滑块2上设置有通孔21,定位器5包括定位臂51和与定位臂51呈直角设置的定位针头52,定位针头52设置在通孔21内,且滑块2可带动定位针在滑槽111内移动,定位针头52设置在髌骨上表面的第一钻孔内,定位臂51在远离定位针头的一端设置有插槽511,调节器4设置在插槽511内,且调节器4的一端设置有圆孔41,圆孔41内设置有用于对髌骨侧面的第二钻孔进行导向的导向空心针42,通过采用此种结构,利用三维立体定位方法,从以下几个方向来确定钻孔位置以及深度,因为髌骨是一个中间厚两侧薄的结构,所以需要先确定髌骨长度,从侧面看,在髌骨中上三分之一处定位点,也就是髌骨最宽处就是横向定位点,即髌股韧带的生理附着处。首先利用测量臂1及固定臂3夹住髌骨上下级,利用水平滑槽111确定髌骨中上三分之一处位置,再确定一下髌骨中点;利用滑块2固定3mm粗导针,由髌骨表面垂直钻入,钻入深度髌骨厚度的1/2术前CT测出髌骨厚度,钻取深度=髌骨厚度/2,具体数值由测量的髌骨厚度算出;再由髌骨的侧方钻取一条通道与垂直通道相通,可将定位器5的定位针头52插入表面隧道内,再由调节器4器瞄准髌骨侧方中心点位置钻取,这样横向及垂直骨道相交,然后以4.5毫米粗钻头扩大这个“L”形隧道,为后面韧带穿入做准备,采用本实用新型提供的定位器系统,使髌骨脱位手术髌骨侧韧带钻孔难以准确定位的问题得到解决,且能够使初学者很快的掌握,且通过本系统,大大减轻了患者在手术过程中所遭受的痛苦,提高了手术的成功率,在一定程度上节省了患者的手术费用。As shown in Fig. 1 to Fig. 2, a kind of patella lateral ligament drilling fixation locator system provided by the utility model includes a measuring arm 1, a slider 2, a fixing arm 3, an adjuster 4 and a locator 5, Measuring arm 1 comprises cross arm 11 and vertical arm 12, and slide block 2 is arranged on cross arm 11 and can slide along cross arm 11, and fixed arm 3 is arranged on the end of cross arm 11 and can be opposite vertical arm along cross arm 11 12 to move, and the fixed arm 3 and the vertical arm 12 are used to fix the locator system on the patient's patella, the cross arm 11 is provided with a chute 111 along its length direction, and the slide block 2 is provided with a through hole 21 for positioning The device 5 includes a positioning arm 51 and a positioning needle 52 arranged at right angles to the positioning arm 51. The positioning needle 52 is arranged in the through hole 21, and the slider 2 can drive the positioning needle to move in the chute 111. The positioning needle 52 is arranged on the patella. In the first bore hole on the upper surface, the positioning arm 51 is provided with a slot 511 at the end away from the positioning needle, the adjuster 4 is arranged in the slot 511, and one end of the adjuster 4 is provided with a round hole 41, and the inside of the round hole 41 A guiding hollow needle 42 for guiding the second drilling hole on the side of the patella is provided. By adopting this structure, the position and depth of the drilling hole can be determined from the following directions by using the three-dimensional positioning method, because the patella is a middle-thick The structure is thin on both sides, so the length of the patella needs to be determined first. From the side view, the positioning point at the middle and upper third of the patella, that is, the widest part of the patella is the lateral positioning point, which is the physiological attachment of the patellofemoral ligament. First, use the measuring arm 1 and the fixed arm 3 to clamp the upper and lower levels of the patella, use the horizontal chute 111 to determine the position of the middle and upper third of the patella, and then determine the midpoint of the patella; The surface is drilled vertically, and the drilling depth is 1/2 of the thickness of the patella. The thickness of the patella is measured by CT before operation, and the drilling depth = the thickness of the patella/2. The specific value is calculated from the measured patella thickness; and then a channel is drilled from the side of the patella Connected with the vertical channel, the positioning needle 52 of the locator 5 can be inserted into the superficial tunnel, and then the regulator 4 is aimed at the center point of the lateral side of the patella to drill, so that the horizontal and vertical bone channels intersect, and then the 4.5mm thick drill bit is used to expand This "L" shaped tunnel prepares for the penetration of the posterior ligament. Using the locator system provided by the utility model, the problem that it is difficult to accurately locate the drilling of the lateral ligament of the patella in patella dislocation surgery is solved, and beginners can quickly Mastering, and through this system, the pain suffered by the patient during the operation is greatly reduced, the success rate of the operation is improved, and the operation cost of the patient is saved to a certain extent.

在一个优选的实施例中,固定臂3包括固定块31和与固定块31固定连接的第一固定板32,固定块31套置在横臂11上且可带动第一固定板32在横臂11上滑动,且固定块31上设置有用于固定固定块31的第一螺纹固定槽和设置在第一螺纹固定槽内的第一固定螺钉,竖臂12上设置有第二固定板121,第一固定板32和第二固定板121相对设置,且第一固定板32上设置有用于固定经皮的第一固定针,第二固定板121上设置有用于固定经皮的第二固定针,第一固定板32和第二固定板121分别固定在髌骨的上端和下端,第一固定板32和第二固定板121上均设置有刻度表示,通过设置第一固定板32和第二固定板 121,可将上述系统较好地固定在髌骨上,方便操作,节省手术时间,减轻患者在手术过程中遭受的痛苦。In a preferred embodiment, the fixed arm 3 includes a fixed block 31 and a first fixed plate 32 fixedly connected with the fixed block 31, the fixed block 31 is sleeved on the cross arm 11 and can drive the first fixed plate 32 on the cross arm 11, and the fixing block 31 is provided with a first thread fixing groove for fixing the fixing block 31 and a first fixing screw arranged in the first thread fixing groove, and the vertical arm 12 is provided with a second fixing plate 121. A fixed plate 32 and the second fixed plate 121 are arranged oppositely, and the first fixed plate 32 is provided with the first fixed needle for fixing the percutaneous, and the second fixed plate 121 is provided with the second fixed needle for fixed percutaneous, The first fixed plate 32 and the second fixed plate 121 are respectively fixed on the upper end and the lower end of the patella, and the first fixed plate 32 and the second fixed plate 121 are provided with scale indications, by setting the first fixed plate 32 and the second fixed plate 121. The above-mentioned system can be better fixed on the patella, which is convenient for operation, saves operation time, and relieves the pain suffered by patients during the operation.

其中,固定块31的长度为35mm、宽度为30mm、高度为25mm、厚度为 2.5mm,第一螺纹固定槽的直径为4mm,第一固定板32的长度为102.5mm,第二固定板121的长度为105mm。Wherein, the length of fixed block 31 is 35mm, and width is 30mm, and height is 25mm, and thickness is 2.5mm, and the diameter of the first thread fixing groove is 4mm, and the length of first fixed plate 32 is 102.5mm, and the length of second fixed plate 121 The length is 105mm.

优选地,调节器4呈长度80mm、宽度10mm、高度10mm的矩形状,且调节器4的侧面上设置有刻度及角度标识,便于精确测量,保证手术的准确性,保证手术的成功率。Preferably, the adjuster 4 is in the shape of a rectangle with a length of 80 mm, a width of 10 mm, and a height of 10 mm, and scales and angle marks are provided on the sides of the adjuster 4 to facilitate accurate measurement, ensure the accuracy of the operation, and ensure the success rate of the operation.

此外,调节器4还可以是呈外围直径为160mm的半环状设置,调节器4 的截面是长度为10mm的正方形,且调节器4的侧面上设置有刻度及角度标识,同样便于精确测量,保证手术的准确性,保证手术的成功率。In addition, the adjuster 4 can also be arranged in a semi-circular shape with a peripheral diameter of 160 mm. The cross section of the adjuster 4 is a square with a length of 10 mm, and scales and angle marks are arranged on the side of the adjuster 4, which is also convenient for accurate measurement. To ensure the accuracy of the operation, to ensure the success rate of the operation.

其中,横臂11和竖臂12上均设置有刻度标识,且横臂11长度为200mm、宽度为2.5mm,竖臂12的长度为130mm,滑槽111的长度为110mm、宽度为 20mm,高度为20mm。Wherein, the cross arm 11 and the vertical arm 12 are all provided with scale marks, and the length of the cross arm 11 is 200mm, the width is 2.5mm, the length of the vertical arm 12 is 130mm, the length of the chute 111 is 110mm, the width is 20mm, the height 20mm.

在一个优选的实施例中,滑块2套置在横臂11上,且滑块2的长度为30mm、宽度为30mm、壁厚为2.5mm,滑块2的侧面上设置有用于固定的第二螺纹固定槽和设置在第二螺纹固定槽内的第二固定螺钉,且滑块2上还设置有长度为 20mm,宽度为3mm的读数孔,在选取到准确的位置后,使滑块2固定,方便手术,保证手术的成功率。In a preferred embodiment, the slider 2 is sleeved on the cross arm 11, and the length of the slider 2 is 30 mm, the width is 30 mm, and the wall thickness is 2.5 mm. Two thread fixing grooves and the second fixing screw arranged in the second thread fixing groove, and the slide block 2 is also provided with a reading hole with a length of 20mm and a width of 3mm. After the accurate position is selected, the slide block 2 Fixing is convenient for operation and ensures the success rate of operation.

在一个优选的实施例中,定位臂51包括与定位针头52呈直角设置且固定连接的定位杆和与定位杆固定连接的定位柄,定位杆是长度60mm、宽度7mm、高7mm的长方体结构,插槽511设置在定位柄上,且插槽511与定位针头52 同向设置,定位柄的呈直径20mm、长度40mm的圆柱状,且定位柄上设置有用于固定调节器4的第三螺纹固定槽和设置在第三螺纹固定槽内的第三固定螺钉,在选取到准确的位置后,使调节器4固定,方便手术,保证手术的成功率。In a preferred embodiment, the positioning arm 51 includes a positioning rod fixedly connected to the positioning needle 52 at right angles and a positioning handle fixedly connected to the positioning rod. The positioning rod is a cuboid structure with a length of 60 mm, a width of 7 mm, and a height of 7 mm. The slot 511 is arranged on the positioning handle, and the slot 511 and the positioning needle 52 are arranged in the same direction. The positioning handle is cylindrical with a diameter of 20 mm and a length of 40 mm, and the positioning handle is provided with a third screw thread for fixing the regulator 4. Groove and the 3rd fixing screw that is arranged in the 3rd screw thread fixing groove, after choosing accurate position, make adjuster 4 fix, facilitate operation, guarantee the success rate of operation.

优选地,定位针头52呈直径为25mm的圆柱状,且长度为30mm。Preferably, the positioning needle 52 is cylindrical with a diameter of 25 mm and a length of 30 mm.

优选地,导向空心针42的长度为150mm,且为中空设置,用于容纳2mm 的克氏针。Preferably, the guide hollow needle 42 has a length of 150mm and is hollow, and is used to accommodate a 2mm Kirschner wire.

以上所述,仅为本实用新型的具体实施方式,但本实用新型的保护范围并不局限于此,任何熟悉本技术领域的技术人员在本实用新型揭露的技术范围内,可轻易想到变化或替换,都应涵盖在本实用新型的保护范围之内。因此,本实用新型的保护范围应以所述权利要求的保护范围为准。The above is only a specific embodiment of the present utility model, but the scope of protection of the present utility model is not limited thereto. Anyone familiar with the technical field can easily think of changes or changes within the technical scope disclosed by the utility model Replacement should be covered within the protection scope of the present utility model. Therefore, the protection scope of the present utility model should be based on the protection scope of the claims.

Claims (10)

  1. A kind of 1. dislocation of the patella operation kneecap collateral ligament drilling fixed locator system, it is characterised in that including measuring arm (1),Sliding block (2), fixed arm (3), adjuster (4) and locator (5), the measuring arm (1) include transverse arm (11) and vertical arm (12), andThe sliding block (2) is arranged on the transverse arm (11) and can slided along the transverse arm (11), and the fixed arm (3) is arranged on describedThe end of transverse arm (11) and it can be moved along the relatively described vertical arm (12) of the transverse arm (11), and the fixed arm (3) and instituteThe kneecap that vertical arm (12) is used to for the fixture system to be fixed on patient is stated, is set along its length on the transverse arm (11)Be equipped with chute (111), be provided with through hole (21) on the sliding block (2), the locator (5) include registration arm (51) and with it is describedThe positioning syringe needle (52) that registration arm (51) is at right angles set, the positioning syringe needle (52) is arranged in the through hole (21), and instituteStating sliding block (2) can drive the pilot pin to be moved in the chute (111), and the positioning syringe needle (52) is arranged on kneecap upper tableIn first drilling in face, the registration arm (51) is provided with slot (511), the regulation in one end away from the positioning syringe needleDevice (4) is arranged in the slot (511), and one end of the adjuster (4) is provided with circular hole (41), and the circular hole (41) is interiorIt is provided with the guiding hollow needle (42) being oriented to for the second drilling to kneecap side.
  2. 2. a kind of dislocation of the patella operation kneecap collateral ligament drilling fixed locator system according to claim 1, its featureIt is, the fixed arm (3) includes fixed block (31) and the first fixed plate (32) being fixedly connected with the fixed block (31), instituteFixed block (31) is stated to be nested with the transverse arm (11) and first fixed plate (32) can be driven sliding on the transverse arm (11)It is dynamic, and be provided with to be screwed for fixing the first of the fixed block (31) on the fixed block (31) and groove and be arranged on describedFirst is screwed the first fixing screws in groove, and the second fixed plate (121) is provided with the vertical arm (12), and described first is solidFixed board (32) and second fixed plate (121) are oppositely arranged, and are provided with first fixed plate (32) for fixed warpFirst fixed pin of skin, it is provided with second fixed plate (121) solid for fixed the second percutaneous fixed pin, described firstFixed board (32) and second fixed plate (121) are separately fixed at the top and bottom of kneecap.
  3. 8. a kind of dislocation of the patella operation kneecap collateral ligament drilling fixed locator system according to claim 1, its featureBe, the registration arm (51) include at right angles setting with the positioning syringe needle (52) and the locating rod that is fixedly connected and with it is describedThe positioning handle that locating rod is fixedly connected, the locating rod are length 60mm, width 7mm, high 7mm rectangular parallelepiped structure, described to insertGroove (511) is arranged on the positioning handle, and the slot (511) is set in the same direction with the positioning syringe needle (52), the positioningThe diametrically 20mm of handle, length 40mm it is cylindric, and be provided with the positioning handle for fix the adjuster (4) theThree, which are screwed, groove and is arranged on the 3rd the 3rd fixing screws being screwed in groove.
CN201720037426.3U2017-01-122017-01-12Dislocation of the patella operation kneecap collateral ligament drilling fixed locator systemActiveCN206809310U (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication numberPriority datePublication dateAssigneeTitle
CN109907774A (en)*2019-03-042019-06-21广州中医药大学第一附属医院 device for immobilizing the lower limb
CN112914674A (en)*2021-03-192021-06-08中国人民解放军总医院第一医学中心Patella replacement integrated drilling device
CN118948374A (en)*2024-08-222024-11-15复旦大学附属华山医院 A positioning device for medial patellofemoral ligament reconstruction surgery

Cited By (3)

* Cited by examiner, † Cited by third party
Publication numberPriority datePublication dateAssigneeTitle
CN109907774A (en)*2019-03-042019-06-21广州中医药大学第一附属医院 device for immobilizing the lower limb
CN112914674A (en)*2021-03-192021-06-08中国人民解放军总医院第一医学中心Patella replacement integrated drilling device
CN118948374A (en)*2024-08-222024-11-15复旦大学附属华山医院 A positioning device for medial patellofemoral ligament reconstruction surgery

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