技术领域technical field
本实用新型属于跟腱修复技术领域，具体涉及一种固定跟腱的腱皮夹板装置。The utility model belongs to the technical field of Achilles tendon repair, in particular to a tendon skin splint device for fixing the Achilles tendon.
背景技术Background technique
跟腱位于小腿后方，起始于小腿中部，止于跟骨结节后面中点。传统跟腱开放修复术是通过小腿后方切口来暴露跟腱完成的，打开腱旁组织后将肌腱断端并置缝合在一起。其他跟腱微创手术是通过皮下隧道，反复穿过跟腱组织进行缝合。The Achilles tendon is located at the back of the calf, starting at the middle of the calf and inserting at the midpoint behind the calcaneal tubercle. The traditional open repair of the Achilles tendon is done by exposing the Achilles tendon through an incision in the back of the calf. Other minimally invasive procedures for the Achilles tendon are through a subcutaneous tunnel, with sutures repeatedly threaded through the Achilles tendon tissue.
现有的技术存在以下问题：There are following problems in existing technology:
1.跟腱处皮肤血运较差，常规开放大切口手术进一步破坏局部血供，易造成切口坏死开裂，跟腱外露感染；1. The blood supply of the skin at the Achilles tendon is poor, and the conventional large open incision surgery further destroys the local blood supply, which may easily cause incision necrosis and cracking, and the Achilles tendon is exposed and infected;
2.跟腱内缝合技术需要编织缝合，(1)破坏提供跟腱血运的腱周组织、腱鞘组织等，破坏跟腱血运；(2)使用大量缝合线，产生异物反应，导致缝合后的跟腱感染、再断裂；2. The Achilles tendon internal suture technique requires braided suture, (1) to destroy the peritendon tissue and tendon sheath tissue that provide the blood supply of the Achilles tendon, and destroy the blood supply of the Achilles tendon; Achilles tendon infection and re-rupture;
3.其他微创的跟腱缝合技术，在皮下隧道穿针缝合跟腱，(1)跟腱断端对合不良或缝合不牢固，导致愈合效果不佳；(2)跟腱旁的腓肠神经易被缝合在线结里，导致术后足外侧疼痛或者麻木。3. Other minimally invasive Achilles tendon suture techniques, in which the Achilles tendon is sutured through a subcutaneous tunnel. (1) The broken end of the Achilles tendon is poorly aligned or the suture is not firm, resulting in poor healing effect; (2) The gastrocnemius next to the Achilles tendon Nerves are prone to being stitched in knots, resulting in postoperative pain or numbness on the outside of the foot.
实用新型内容Utility model content
为解决上述背景技术中提出的问题。本实用新型提供了一种固定跟腱的腱皮夹板装置，具有缝合牢固、钢丝连接稳定、避免神经损伤和辅助跟腱复位固定的特点。In order to solve the problems raised in the above-mentioned background technology. The utility model provides a tendon-skin splint device for fixing the Achilles tendon, which has the characteristics of firm suture, stable steel wire connection, avoiding nerve damage and assisting the reset and fixation of the Achilles tendon.
为实现上述目的，本实用新型提供如下技术方案：一种固定跟腱的腱皮夹板装置，包括腱皮夹板，所述腱皮夹板的上表面两端对应开设有第一钢丝穿孔和第二钢丝穿孔，且所述腱皮夹板的下表面两端对应固定有第一夹板垫和第二夹板垫，所述第一夹板垫靠近所述腱皮夹板的位置设有双面胶，所述第一夹板垫和所述腱皮夹板通过所述双面胶粘接，所述第一夹板垫抵触所述第一钢丝穿孔的位置开设有夹板垫穿孔，钢丝的一端依次贯穿所述夹板垫穿孔和所述第一钢丝穿孔，对应的，所述钢丝的另一端依次贯穿所述第二夹板垫和所述第二钢丝穿孔，所述钢丝的两端在所述腱皮夹板的上表面铰接为打结铰接柱。In order to achieve the above object, the utility model provides the following technical solutions: a tendon skin splint device for fixing the Achilles tendon, including a tendon skin splint, and the two ends of the upper surface of the tendon skin splint are correspondingly provided with first steel wire perforations and second steel wires. perforation, and the two ends of the lower surface of the tendon skin splint are correspondingly fixed with a first splint pad and a second splint pad, and the first splint pad is provided with double-sided adhesive tape near the tendon skin splint. The splint pad and the tendon skin splint are bonded by the double-sided adhesive, and the first splint pad is provided with a plywood pad perforation at the position where the first steel wire perforates, and one end of the steel wire passes through the splint pad perforation and the splint pad successively. The first steel wire is perforated. Correspondingly, the other end of the steel wire passes through the second splint pad and the second steel wire in turn. Hinged column.
为了方便钢丝通过缝针穿刺皮肤进行缝合，作为本实用新型的优选技术方案，所述钢丝的一端固定有直针，且为钝头。In order to facilitate the steel wire to puncture the skin with a suture needle for suturing, as a preferred technical solution of the present invention, one end of the steel wire is fixed with a straight needle, which is blunt.
为了在夹板垫的加药纱布套放置促进跟腱恢复的药剂进行辅助治疗，作为本实用新型的优选技术方案，所述第一夹板垫的内部缝制有加药纱布套，所述加药纱布套的外侧壁开设有透气孔。In order to place a medicament for promoting Achilles tendon recovery on the medicated gauze cover of the splint pad for auxiliary treatment, as a preferred technical solution of the present utility model, the inside of the first splint pad is sewn with a medicated gauze cover, and the medicated gauze Ventilation holes are provided on the outer wall of the cover.
为了提升腱皮夹板与患者皮肤的接触舒适度，作为本实用新型的优选技术方案，所述腱皮夹板的外侧壁固定有夹板护套，所述夹板护套为橡胶构件。In order to improve the contact comfort between the tendon skin splint and the patient's skin, as a preferred technical solution of the present invention, the outer wall of the tendon skin splint is fixed with a splint sheath, and the splint sheath is a rubber member.
为了通过第一夹板和第二夹板垫辅助腱皮夹板在跟腱缝合处进行安装，作为本实用新型的优选技术方案，所述第二夹板垫和所述第一夹板垫规格相同，所述第二夹板垫和所述腱皮夹板通过相同规格的所述双面胶固定。In order to use the first splint and the second splint pad to assist the tendon skin splint to be installed at the suture of the Achilles tendon, as a preferred technical solution of the present invention, the second splint pad and the first splint pad have the same specifications, and the second splint pad has the same specification as the first splint pad. The two splint pads and the tendon skin splint are fixed by the double-sided adhesive of the same specification.
为了使缝合使用的钢丝可以贴附在腱皮夹板的内凹槽内，作为本实用新型的优选技术方案，所述腱皮夹板的下表面一体成型有内凹槽，内凹槽有一定弧度。In order to allow the steel wire used for suture to be attached to the inner groove of the tendon skin splint, as a preferred technical solution of the present invention, the lower surface of the tendon skin splint is integrally formed with an inner groove, and the inner groove has a certain radian.
为了方便钢丝在各个穿孔之间牵引，进行腱皮夹板在跟腱缝合处的安装，作为本实用新型的优选技术方案，所述第一钢丝穿孔、所述第二钢丝穿孔和所述夹板垫穿孔规格相同。In order to facilitate the pulling of the steel wire between each perforation, the tendon skin splint is installed at the suture of the Achilles tendon. As a preferred technical solution of the present invention, the first steel wire perforation, the second steel wire perforation and the splint pad are perforated The specifications are the same.
与现有技术相比，本实用新型的有益效果是：Compared with the prior art, the beneficial effects of the utility model are:
1、本实用新型采用带直针钢丝代替缝线对跟腱进行缝合固定，钢丝缝合更加稳定可靠，且钢丝针头为钝头，对神经损伤风险较低，且不需要对跟腱处进行大切口，治疗并发症较少；1. The utility model adopts a steel wire with a straight needle instead of a suture to suture and fix the Achilles tendon. The steel wire suture is more stable and reliable, and the needle of the steel wire is blunt, which lowers the risk of nerve damage and does not require a large incision on the Achilles tendon. , less complications of treatment;
2、本实用新型中缝合跟腱后的钢丝采用腱皮夹板进行固定，腱皮夹板辅助跟腱复位、固定、愈合，钢丝贯穿腱皮夹板的两端在上表面铰接，可以避免缝合用钢丝切割皮肤，提升钢丝缝合跟腱的安全性。2. In the utility model, the steel wire after the Achilles tendon is sutured is fixed with a tendon skin splint, which assists the Achilles tendon to reset, fix, and heal. The two ends of the steel wire running through the tendon skin splint are hinged on the upper surface, which can avoid cutting with steel wire for suture Skin, to enhance the safety of the wire suturing the Achilles tendon.
附图说明Description of drawings
图1为本实用新型的钢丝和腱皮夹板连接结构示意图；Fig. 1 is the schematic diagram of steel wire and tendon skin splint connection structure of the present utility model;
图2为本实用新型的腱皮夹板结构示意图；Fig. 2 is the structural representation of tendon skin splint of the present utility model;
图3为本实用新型的第一夹板垫结构示意图；Fig. 3 is the structural schematic diagram of the first plywood pad of the present utility model;
图中：1、腱皮夹板；2、第一钢丝穿孔；3、第二钢丝穿孔；4、第一夹板垫；5、第二夹板垫；6、钢丝；7、打结铰接柱；8、夹板护套；9、夹板垫穿孔；10、双面胶；11、加药纱布套。In the figure: 1. tendon skin splint; 2. first steel wire perforation; 3. second steel wire perforation; 4. first splint pad; 5. second splint pad; 6. steel wire; 7. knotted hinge column; 8. Splint sheath; 9. Plywood cushion perforation; 10. Double-sided adhesive tape; 11. Drug-dosed gauze cover.
具体实施方式Detailed ways
下面将结合本实用新型实施例中的附图，对本实用新型实施例中的技术方案进行清楚、完整地描述，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前提下所获得的所有其他实施例，都属于本实用新型保护的范围。The technical solutions in the embodiments of the present invention will be clearly and completely described below in conjunction with the accompanying drawings in the embodiments of the present invention. Obviously, the described embodiments are only part of the embodiments of the present invention, not all of them. example. Based on the embodiments of the present utility model, all other embodiments obtained by persons of ordinary skill in the art without making creative efforts belong to the scope of protection of the present utility model.
请参阅图1-3，本实用新型提供以下技术方案：一种固定跟腱的腱皮夹板，包括腱皮夹板1，腱皮夹板1的上表面两端一体成型有第一钢丝穿孔2和第二钢丝穿孔3，且腱皮夹板1的下表面两端对应粘接有第一夹板垫4和第二夹板垫5，第一夹板垫4靠近腱皮夹板1的位置设有双面胶10，第一夹板垫4和腱皮夹板1通过双面胶10粘接，第一夹板垫4抵触第一钢丝穿孔2的位置一体成型有夹板垫穿孔9，钢丝6的一端依次贯穿夹板垫穿孔9和第一钢丝穿孔2，对应的，钢丝6的另一端依次贯穿第二夹板垫5和第二钢丝穿孔3，钢丝6的两端在腱皮夹板1的上表面铰接为打结铰接柱7。Please refer to Fig. 1-3, the utility model provides the following technical solutions: a tendon skin splint for fixing the Achilles tendon, including a tendon skin splint 1, the two ends of the upper surface of the tendon skin splint 1 are integrally formed with the first steel wire perforation 2 and the second Two steel wires perforate 3, and the two ends of the lower surface of the tendon skin splint 1 are correspondingly bonded with a first splint pad 4 and a second splint pad 5, and the first splint pad 4 is provided with a double-sided adhesive tape 10 near the tendon skin splint 1, The first splint pad 4 and the tendon skin splint 1 are bonded by double-sided adhesive tape 10, and the position where the first splint pad 4 is in contact with the first steel wire perforation 2 is integrally formed with a splint pad perforation 9, and one end of the steel wire 6 passes through the splint pad perforation 9 and The first steel wire perforation 2, correspondingly, the other end of the steel wire 6 runs through the second splint pad 5 and the second steel wire perforation 3 in turn, and the two ends of the steel wire 6 are hinged on the upper surface of the tendon skin splint 1 as a knotted hinge column 7.
进一步地，钢丝6的一端固定有直针，且为钝头。Further, one end of the steel wire 6 is fixed with a straight needle, which is blunt.
本实施例中，缝针用于牵引钢丝6在跟腱处进行缝合，钝头用于防止尖锐的钢丝6穿刺损伤腓肠神经。In this embodiment, the needle is used to pull the steel wire 6 to suture the Achilles tendon, and the blunt head is used to prevent the sharp steel wire 6 from piercing and damaging the sural nerve.
进一步地，第一夹板垫4的内部缝制有加药纱布套11，加药纱布套11的外侧壁开设有透气孔。Further, the inside of the first splint pad 4 is sewn with a medicated gauze cover 11 , and the outer wall of the medicated gauze cover 11 is provided with ventilation holes.
本实施例中，第一夹板垫4的内部缝制有加药纱布套11，加药纱布套11上开设的透气孔用于药物传递，方便在加药纱布套11内添加活血药物辅助跟腱恢复。In this embodiment, the inside of the first splint pad 4 is sewn with a medicated gauze cover 11, and the air holes provided on the medicated gauze cover 11 are used for drug delivery, so that it is convenient to add blood-promoting drugs in the medicated gauze cover 11 to assist the Achilles tendon recover.
进一步地，腱皮夹板1的外侧壁粘接有夹板护套8，夹板护套8为橡胶构件。Further, the outer wall of the tendon skin splint 1 is bonded with a splint sheath 8, and the splint sheath 8 is a rubber member.
本实施例中，橡胶的夹板护套8接触患者皮肤的舒适度较高，提升患者的治疗体验。In this embodiment, the rubber splint sheath 8 is more comfortable in contact with the patient's skin, improving the patient's treatment experience.
进一步地，第二夹板垫5和第一夹板垫4规格相同，第二夹板垫5和腱皮夹板1通过相同规格的双面胶10固定。Further, the specifications of the second splint pad 5 and the first splint pad 4 are the same, and the second splint pad 5 and the tendon skin splint 1 are fixed by double-sided adhesive tape 10 of the same specification.
进一步地，腱皮夹板1的下表面一体成型有内凹槽，内凹槽有一定弧度。Further, the lower surface of the tendon skin splint 1 is integrally formed with an inner groove, and the inner groove has a certain radian.
本实施例中，腱皮夹板1的下表面一体成型的内凹槽用于牵引钢丝6和收纳第一夹板垫4与第二夹板垫5，对应的凸起端用于支撑穿刺腱皮夹板1的钢丝6两端连接的打结铰接柱7。In this embodiment, the inner groove integrally formed on the lower surface of the tendon skin splint 1 is used to pull the steel wire 6 and accommodate the first splint pad 4 and the second splint pad 5, and the corresponding raised end is used to support the puncture of the tendon skin splint 1 A knotted hinged column 7 connected at both ends of the steel wire 6.
进一步地，第一钢丝穿孔2、第二钢丝穿孔3和夹板垫穿孔9规格相同。Further, the specifications of the first steel wire perforation 2 , the second steel wire perforation 3 and the plywood pad perforation 9 are the same.
本实施例中，相同规格的第一钢丝穿孔2、第二钢丝穿孔3和夹板垫穿孔9便于钢丝6在各个穿孔之间牵引。In this embodiment, the first steel wire perforation 2 , the second steel wire perforation 3 and the plywood pad perforation 9 of the same specification facilitate the pulling of the steel wire 6 between the perforations.
本实用新型的工作原理及使用流程：本实用新型，通过钢丝6对患者的跟腱伤口处进行缝合，将第一夹板垫4和第二夹板垫5分别通过双面胶10粘接在腱皮夹板1下表面的两端，将活血药物放置在第一夹板垫4和第二夹板垫5的加药纱布套11内，将缝合完成后穿刺皮肤的钢丝6两端分别穿刺第一夹板垫4和第二夹板垫5的夹板垫穿孔9，穿刺夹板垫穿孔9的钢丝6两端分别对腱皮夹板1的第一钢丝穿孔2和第二钢丝穿孔3进行穿刺，将腱皮夹板1夹板垫一面与患者伤口处贴附，将穿刺腱皮夹板1的钢丝6两端铰接组成打结铰接柱7，钢丝6对皮肤缝合后的两端在腱皮夹板1凸面进行固定，完成对跟腱缝合处的加固。The working principle and application process of the utility model: in the utility model, the patient's Achilles tendon wound is sutured through the steel wire 6, and the first splint pad 4 and the second splint pad 5 are bonded to the tendon skin by double-sided adhesive 10 respectively. At the two ends of the lower surface of the splint 1, the blood-promoting drug is placed in the medicated gauze cover 11 of the first splint pad 4 and the second splint pad 5, and the two ends of the steel wire 6 that punctures the skin after the suture is completed are respectively pierced through the first splint pad 4 and the splint pad perforation 9 of the second splint pad 5, the steel wire 6 two ends of the puncture splint pad perforation 9 are respectively punctured to the first steel wire perforation 2 and the second steel wire perforation 3 of the tendon skin splint 1, and the tendon skin splint 1 splint pad One side is attached to the wound of the patient, and the two ends of the steel wire 6 that punctures the tendon skin splint 1 are hinged to form a knotted hinged column 7, and the two ends of the steel wire 6 are fixed on the convex surface of the tendon skin splint 1 after suturing the skin to complete the suture of the Achilles tendon reinforcement.
尽管已经示出和描述了本实用新型的实施例，对于本领域的普通技术人员而言，可以理解在不脱离本实用新型的原理和精神的情况下可以对这些实施例进行多种变化、修改、替换和变型，本实用新型的范围由所附权利要求及其等同物限定。Although the embodiments of the present invention have been shown and described, those skilled in the art can understand that various changes and modifications can be made to these embodiments without departing from the principle and spirit of the present invention , replacements and modifications, the scope of the present utility model is defined by the appended claims and their equivalents.
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201822021255.2UCN209474913U (en) | 2018-12-03 | 2018-12-03 | Tendon skin splint device for fixing Achilles tendon |
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201822021255.2UCN209474913U (en) | 2018-12-03 | 2018-12-03 | Tendon skin splint device for fixing Achilles tendon |
| Publication Number | Publication Date |
|---|---|
| CN209474913Utrue CN209474913U (en) | 2019-10-11 |
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| CN201822021255.2UExpired - Fee RelatedCN209474913U (en) | 2018-12-03 | 2018-12-03 | Tendon skin splint device for fixing Achilles tendon |
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| CN (1) | CN209474913U (en) |
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110811719A (en)* | 2019-12-02 | 2020-02-21 | 常州市第一人民医院 | A device for fixing the Achilles tendon skin and method of using the same |
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110811719A (en)* | 2019-12-02 | 2020-02-21 | 常州市第一人民医院 | A device for fixing the Achilles tendon skin and method of using the same |
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| CF01 | Termination of patent right due to non-payment of annual fee | Granted publication date:20191011 Termination date:20201203 |