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CN105411657A - Orthopedic shoulder joint glenoid labrum repairing and reconstructing tool system - Google Patents

Orthopedic shoulder joint glenoid labrum repairing and reconstructing tool system Download PDF

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Publication number
CN105411657A
CN105411657A CN201510972600.9A CN201510972600A CN105411657A CN 105411657 A CN105411657 A CN 105411657A CN 201510972600 A CN201510972600 A CN 201510972600A CN 105411657 A CN105411657 A CN 105411657A
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CN
China
Prior art keywords
face
kirschner wire
tip
tool system
connecting portion
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CN201510972600.9A
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Chinese (zh)
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CN105411657B (en
Inventor
雷俊虎
向明
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Xiang Ming
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Individual
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Filing date
Publication date
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Priority to CN201510972600.9A priority Critical patent/CN105411657B/en
Publication of CN105411657A publication Critical patent/CN105411657A/en
Application granted granted Critical
Publication of CN105411657B publication Critical patent/CN105411657B/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17Guides or aligning means for drills, mills, pins or wires
    • A61B17/171Guides or aligning means for drills, mills, pins or wires for external fixation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17Guides or aligning means for drills, mills, pins or wires
    • A61B17/1728Guides or aligning means for drills, mills, pins or wires for holes for bone plates or plate screws
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17Guides or aligning means for drills, mills, pins or wires
    • A61B17/1739Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/90Guides therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B2017/564Methods for bone or joint treatment

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Dentistry (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses an orthopedic shoulder joint glenoid labrum repairing and reconstructing tool system. The system comprises a glenoid face positioner, a sliding positioning drilling guider, a parallel face kirschner wire guider and a kirschner tip; the glenoid face positioner comprises a connecting part, a hook-shaped positioning part is connected to the end face of one end of the connecting part, a guiding part is connected to the end face of the other end of the connecting part, the end, far away from the connecting part, of the hook-shaped positioning part is provided with crossed fixing grooves, a parallel face kirschner wire guider channel and a sliding positioning drilling guider channel which penetrate through the whole guiding part are formed in the middle of the guiding part, and a locking screw channel which is communicated with the sliding positioning drilling guider channel is formed in the bottom of the guiding part. The orthopedic shoulder joint glenoid labrum repairing and reconstructing tool system is simple in structure, convenient to use and capable of reconstructing orthopedic shoulder joint glenoid labrum conveniently.

Description

Orthopaedics glenoid lip of articulation of humerus is repaired and the reconstruction tool system
Technical field
Utilize processus coracoideus to carry out the collapsible tool system regions repaired after the invention belongs to orthopaedics shoulder joint shoulder broad-mouthed receptacle for holding liquid defect, be specifically related to the reparation of a kind of orthopaedics glenoid lip of articulation of humerus and the reconstruction tool system.
Background technology
For shoulder broad-mouthed receptacle for holding liquid fracture and shoulder broad-mouthed receptacle for holding liquid injured patient, as needed operative treatment, all adopted exploitation formula perform the operation in the past to repair fixing, which damage greatly; As adopted Posterior approach to perform the operation, the tissue such as infraspinatus and suprascapular nerve may be damaged, as adopted anterior lateral cervical approach to perform the operation, then will damage subscapularis, affecting muscle function and easily causing the complication such as postoperative shoulder joint is stiff.
Along with the development of science and technology, the introduction of shoulder joint mirror technology and universal, shoulder broad-mouthed receptacle for holding liquid fracture repair and reconstruction operations are expected to complete under full shoulder joint mirror, to avoid above-mentioned complication to occur, reduce operating difficulty, raising surgical quality.
Summary of the invention
Technical problem to be solved by this invention is for above-mentioned the deficiencies in the prior art, provides the reparation of a kind of orthopaedics glenoid lip of articulation of humerus and the reconstruction tool system, and structure is simple, easy to use, can easily the posterior cruciate ligament of reconstruction of knee.
The technical solution adopted in the present invention is: a kind of orthopaedics glenoid lip of articulation of humerus is repaired and the reconstruction tool system, comprises broad-mouthed receptacle for holding liquid face localizer, slip location drilling guide apparatus, parallel surface Kirschner wire guider and kirschner point;
Described broad-mouthed receptacle for holding liquid face localizer comprises connecting portion, described connecting portion one end end face is connected with hook-type location division, described connecting portion other end end face is connected with guide part, described hook-type location division has the holddown groove of intersection away from one end of connecting portion, have the parallel surface Kirschner wire guider passage and slip location drilling guide apparatus passage that run through whole guide part in the middle part of described guide part, bottom described guide part, be provided with the lock screw passage with the location drilling guide apparatus channel connection that slides;
Described slip location drilling guide apparatus comprises tip and body, the shape of described tip and body, size and slip location drilling guide apparatus channel shape, size is mated, described tip has the holddown groove of intersection away from one end end face of body, described body has away from the end face center, one end of tip the center positioning hole running through whole body and tip, described body has around center positioning hole symmetry the rear end sagittal plane locating hole and rear end coronalplane locating hole that run through whole body and tip away from one end end face of tip, described rear end sagittal plane locating hole and rear end coronalplane locating hole are two and angle is 90 ° each other,
Described parallel surface Kirschner wire guider comprises head and shank, shape, the size of described head are mated with the geomery of parallel surface Kirschner wire guider passage, described head and shank are made by rustless steel, and described afterbody has the Kirschner wire passage running through whole shank and head.
As preferably, between the connecting portion of described broad-mouthed receptacle for holding liquid face localizer and guide part, angle is 60 °-80 °.
As preferably, between the connecting portion of described broad-mouthed receptacle for holding liquid face localizer and guide part, angle is 80 °.
As preferably, described Kirschner wire length is all consistent with diameter.
As preferably, described Kirschner wire length and diameter all inconsistent.
Beneficial effect of the present invention is:
(1) instrument is simple, convenient, and operating procedure is few, reduces operating time, reduces operation risk;
(2) otch is little, reduces operation wound;
(3) accurate positioning, reduces iatrogenic surgical injury;
(4) Kirschner wire that in articular cavity, surface of bone perforate uses operating room standing, without the need to special expensive tool, operation cost is low;
(5) instrument consumes low, meets and repeatedly uses, and reduces operation cost;
(6) tool design realizes standardization operation, avoids because of medical technologies level or in problems such as the postoperative effect that operating-table error in judgement causes differ greatly;
(7) doctor completes this type of operation without the need to good arthroscope specialty operation basis, has the popularizing action that can popularize, more doctor can be allowed to grasp the technical ability of this type of operation of complete independently in a short time.
Accompanying drawing explanation
Fig. 1 is broad-mouthed receptacle for holding liquid face of the present invention locator structure schematic diagram.
Fig. 2 is that the present invention slides location drilling guide apparatus front view.
Fig. 3 is that the present invention slides location drilling guide apparatus right view.
Fig. 4 is parallel surface Kirschner wire guider structural representation of the present invention.
Fig. 5 is parallel surface Kirschner wire guider right view of the present invention.
In figure: 1, connecting portion; 2, hook-type location division; 3, guide part; 4, parallel surface Kirschner wire guider passage; 5, slip location drilling guide apparatus passage; 6, lock screw passage; 7, tip; 8, body; 9, center positioning hole; 10, rear end sagittal plane locating hole; 11, rear end coronalplane locating hole; 12, head; 13, shank; 14, Kirschner wire passage.
Detailed description of the invention
Below in conjunction with the accompanying drawings and the specific embodiments the present invention is described in further detail.
As shown in Figure 1, Figure 2, shown in Fig. 3, Fig. 4 and Fig. 5, a kind of orthopaedics glenoid lip of articulation of humerus is repaired and the reconstruction tool system, comprises broad-mouthed receptacle for holding liquid face localizer, slip location drilling guide apparatus, parallel surface Kirschner wire guider and kirschner point;
Described broad-mouthed receptacle for holding liquid face localizer comprises connecting portion 1, described connecting portion 1 one end end face is connected with hook-type location division 2, described connecting portion 1 other end end face is connected with guide part 3, described hook-type location division 2 has the holddown groove of intersection away from one end of connecting portion 1, have the parallel surface Kirschner wire guider passage 4 and slip location drilling guide apparatus passage 5 that run through whole guide part 3 in the middle part of described guide part 3, bottom described guide part 3, be provided with the lock screw passage 6 be communicated with the location drilling guide apparatus passage 5 that slides;
Described slip location drilling guide apparatus comprises tip 7 and body 8, the shape of described tip 7 and body 8, size and slip location drilling guide apparatus passage 5 shape, size is mated, described tip 7 has the holddown groove of intersection away from one end end face of body 8, described body 8 has away from the end face center, one end of tip 7 center positioning hole 9 running through whole body 8 and tip 7, described body 8 has away from one end end face of tip 7 the rear end sagittal plane locating hole 10 and rear end coronalplane locating hole 11 that run through whole body 8 and tip 7 around center positioning hole 9 symmetry, described rear end sagittal plane locating hole 10 and rear end coronalplane locating hole 11 are two and angle is 90 ° each other,
Described parallel surface Kirschner wire guider comprises head 12 and shank 13, shape, the size of described head 12 are mated with the geomery of parallel surface Kirschner wire guider passage 4, described head 12 and shank 13 are made by rustless steel, and described afterbody has the Kirschner wire passage 14 running through whole shank 13 and head 12.
In the present embodiment, between the connecting portion 1 of described broad-mouthed receptacle for holding liquid face localizer and guide part 3, angle is 60 °-80 °.
In the present embodiment, between the connecting portion 1 of described broad-mouthed receptacle for holding liquid face localizer and guide part 3, angle is 80 °.
In the present embodiment, described Kirschner wire length is all consistent with diameter.
In the present embodiment, described Kirschner wire length and diameter all inconsistent.
This fix tool, in use, in the slip location drilling guide apparatus passage 5 first slip location drilling guide apparatus and parallel surface Kirschner wire guider being inserted respectively broad-mouthed receptacle for holding liquid face localizer and parallel surface Kirschner wire guider passage 4.Then use screw precession lock screw passage 6, slip location drilling guide apparatus is fixed.As required Kirschner wire is inserted in the center positioning hole 9 of slip location drilling guide apparatus, rear end sagittal plane locating hole 10 and rear end coronalplane locating hole 11 subsequently, or Kirschner wire is inserted in the Kirschner wire passage 14 of parallel surface Kirschner wire guider, glenoid lip of articulation of humerus position is repaired.
Upper described embodiment only have expressed the specific embodiment of the present invention, and it describes comparatively concrete and detailed, but therefore can not be interpreted as the restriction to the scope of the claims of the present invention.It should be pointed out that for the person of ordinary skill of the art, without departing from the inventive concept of the premise, can also make some distortion and improvement, these all belong to protection scope of the present invention.

Claims (5)

1. orthopaedics glenoid lip of articulation of humerus is repaired and the reconstruction tool system, it is characterized in that: comprise broad-mouthed receptacle for holding liquid face localizer, slip location drilling guide apparatus, parallel surface Kirschner wire guider and kirschner point;
Described broad-mouthed receptacle for holding liquid face localizer comprises connecting portion, described connecting portion one end end face is connected with hook-type location division, described connecting portion other end end face is connected with guide part, described hook-type location division has the holddown groove of intersection away from one end of connecting portion, have the parallel surface Kirschner wire guider passage and slip location drilling guide apparatus passage that run through whole guide part in the middle part of described guide part, bottom described guide part, be provided with the lock screw passage with the location drilling guide apparatus channel connection that slides;
Described slip location drilling guide apparatus comprises tip and body, the shape of described tip and body, size and slip location drilling guide apparatus channel shape, size is mated, described tip has the holddown groove of intersection away from one end end face of body, described body has away from the end face center, one end of tip the center positioning hole running through whole body and tip, described body has around center positioning hole symmetry the rear end sagittal plane locating hole and rear end coronalplane locating hole that run through whole body and tip away from one end end face of tip, described rear end sagittal plane locating hole and rear end coronalplane locating hole are two and angle is 90 ° each other,
Described parallel surface Kirschner wire guider comprises head and shank, shape, the size of described head are mated with the geomery of parallel surface Kirschner wire guider passage, described head and shank are made by rustless steel, and described afterbody has the Kirschner wire passage running through whole shank and head.
2. orthopaedics glenoid lip of articulation of humerus according to claim 1 is repaired and the reconstruction tool system, it is characterized in that: between the connecting portion of described broad-mouthed receptacle for holding liquid face localizer and guide part, angle is 60 °-80 °.
3. orthopaedics glenoid lip of articulation of humerus according to claim 2 is repaired and the reconstruction tool system, it is characterized in that: between the connecting portion of described broad-mouthed receptacle for holding liquid face localizer and guide part, angle is 80 °.
4. orthopaedics glenoid lip of articulation of humerus according to claim 1 and 2 is repaired and the reconstruction tool system, it is characterized in that: described Kirschner wire length is all consistent with diameter.
5. orthopaedics glenoid lip of articulation of humerus according to claim 1 and 2 is repaired and the reconstruction tool system, it is characterized in that: described Kirschner wire length and diameter all inconsistent.
CN201510972600.9A 2015-12-23 2015-12-23 Orthopaedics glenoid lip of articulation of humerus fix tool system Expired - Fee Related CN105411657B (en)

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CN201510972600.9A CN105411657B (en) 2015-12-23 2015-12-23 Orthopaedics glenoid lip of articulation of humerus fix tool system

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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110327096A (en) * 2019-08-13 2019-10-15 孙鲁宁 A kind of Scapula glenoid bone grafting guider
CN112914642A (en) * 2021-01-29 2021-06-08 北京大学第三医院(北京大学第三临床医学院) Nail placing guider
US11172943B2 (en) 2019-07-19 2021-11-16 Smith & Nephew, Inc. Adjustable drill guide and methods of use thereof
US11284909B2 (en) 2019-07-18 2022-03-29 Smith & Nephew, Inc. Coracoid drill guide assembly

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101156810A (en) * 2006-09-20 2008-04-09 德普伊产品公司 Glenoid component for shoulder arthroplasty
US20090069846A1 (en) * 2006-04-21 2009-03-12 Imperial Innovations Limited Tendon repair
US20100191246A1 (en) * 2009-01-29 2010-07-29 Zimmer, Gmbh Tool and method for implanting acetabular cup with external screw retention features
CN201572174U (en) * 2009-12-04 2010-09-08 张英泽 Accurate-positioning guider for treating acromioclavicular joint dislocation
CN201912219U (en) * 2010-12-29 2011-08-03 陈亿民 Sighting device for processus coracoideus scapulae screw
CN202604978U (en) * 2012-05-21 2012-12-19 北京积水潭医院 Coracoid holding and bolt implanting guide device for coracoid osteotomy displacement operation
US20130018378A1 (en) * 2011-07-12 2013-01-17 Takehito Hananouchi Surgical instrument for the positioning of an alignment element
CN103006313A (en) * 2011-09-23 2013-04-03 德普伊米特克有限责任公司 Gleniod anchor guide
CN203315057U (en) * 2013-06-25 2013-12-04 上海交通大学医学院附属新华医院崇明分院 Guide device for coracoclavicular ligament reconstruction
CN203677218U (en) * 2013-12-31 2014-07-02 张文涛 Acromioclavicular joint reduction guider
US20140236158A1 (en) * 2011-10-28 2014-08-21 Materialise N.V. Shoulder guides

Patent Citations (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20090069846A1 (en) * 2006-04-21 2009-03-12 Imperial Innovations Limited Tendon repair
CN101156810A (en) * 2006-09-20 2008-04-09 德普伊产品公司 Glenoid component for shoulder arthroplasty
US20100191246A1 (en) * 2009-01-29 2010-07-29 Zimmer, Gmbh Tool and method for implanting acetabular cup with external screw retention features
CN201572174U (en) * 2009-12-04 2010-09-08 张英泽 Accurate-positioning guider for treating acromioclavicular joint dislocation
CN201912219U (en) * 2010-12-29 2011-08-03 陈亿民 Sighting device for processus coracoideus scapulae screw
US20130018378A1 (en) * 2011-07-12 2013-01-17 Takehito Hananouchi Surgical instrument for the positioning of an alignment element
CN103006313A (en) * 2011-09-23 2013-04-03 德普伊米特克有限责任公司 Gleniod anchor guide
US20140236158A1 (en) * 2011-10-28 2014-08-21 Materialise N.V. Shoulder guides
CN202604978U (en) * 2012-05-21 2012-12-19 北京积水潭医院 Coracoid holding and bolt implanting guide device for coracoid osteotomy displacement operation
CN203315057U (en) * 2013-06-25 2013-12-04 上海交通大学医学院附属新华医院崇明分院 Guide device for coracoclavicular ligament reconstruction
CN203677218U (en) * 2013-12-31 2014-07-02 张文涛 Acromioclavicular joint reduction guider

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11284909B2 (en) 2019-07-18 2022-03-29 Smith & Nephew, Inc. Coracoid drill guide assembly
US11172943B2 (en) 2019-07-19 2021-11-16 Smith & Nephew, Inc. Adjustable drill guide and methods of use thereof
CN110327096A (en) * 2019-08-13 2019-10-15 孙鲁宁 A kind of Scapula glenoid bone grafting guider
CN112914642A (en) * 2021-01-29 2021-06-08 北京大学第三医院(北京大学第三临床医学院) Nail placing guider

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Effective date of registration: 20190219

Address after: 610000 No. 1 Yunying Road, Wuhou District, Chengdu City, Sichuan Province, 3 blocks, 3 units, 6 floors, 2

Patentee after: Xiang Ming

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