CN209827140U - Continuous traction reduction frame for hip joint dislocation - Google Patents
Continuous traction reduction frame for hip joint dislocation Download PDFInfo
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- CN209827140U CN209827140U CN201920092646.5U CN201920092646U CN209827140U CN 209827140 U CN209827140 U CN 209827140U CN 201920092646 U CN201920092646 U CN 201920092646U CN 209827140 U CN209827140 U CN 209827140U
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Abstract
The utility model discloses a hip joint dislocation lasts pulls reset shelf, including the bed body of getting up the back of the body bed and crane subassembly, the below of the bed body of getting up the back of the body is equipped with the mechanism of getting up the back of the body, and the bed body of getting up the back of the body includes the bed board of compriseing last body board and lower body board and is used for supporting the bed frame of bed board, and bed board one side is connected with the hip fixed band, and the one end middle part that the body board was kept away from to lower body board is equipped with the ankle fixed subassembly that is used for fixed patient to suffer from limb ankle, and the crane subassembly is established in the top of lower body board, is equipped with the fixed. The utility model is not only suitable for the Allis reduction method, but also suitable for the Bigelow reduction method, the fixed angle of the affected limb of the patient during the reduction traction more conforms to the requirements of the Allis reduction method and the Bigelow reduction method, and the reduction success rate is improved; the compression force generated during the traction is relatively dispersed, and the problem that the compression force on the lower limbs of a patient is relatively concentrated when the traditional restorer is used for traction, and the popliteal fossa part of the patient is easily subjected to compressive injury is solved.
Description
Technical Field
The utility model relates to the technical field of orthopedic medical instruments, in particular to a hip joint dislocation continuous traction restoration frame.
Background
The hip joint consists of an acetabulum and a femoral head, wherein the acetabulum is deep and large and can contain most of the femoral head, and the acetabulum and the femoral head are mutually sealed to form vacuum and can attract each other. The joint capsule and the surrounding ligaments are stronger, so that a relatively stable joint is formed, and the dislocation incidence is lower. The anterior wall of the hip joint capsule is provided with a stronger iliofemoral ligament, the inner upper wall is provided with a pubic capsule ligament, and the rear upper wall is provided with an ischial capsule ligament reinforcement. But the inferior and posterior walls lack ligaments and are weak and are susceptible to dislocation from both. The simple hip joint dislocation which does not combine with the acetabulum fracture is only an anterior hip joint dislocation and a posterior hip joint dislocation; clinically, dislocation is most common later.
The posterior dislocation of the hip joint can be generally reduced by a manual method, the reduction method adopts a hip-bending and knee-bending position to ensure stable and reliable traction along the axis of the femur, the Allis method and the Bigelow method are supine position traction, and the Stimson method is prone position traction. During reduction, the manipulation should be slow, the traction should be continuously applied, the violent force or sudden steering should be strictly prohibited, and the rotation should not be forced even when the resistance is met. The above method has disadvantages in that: the manual reduction operator has great physical strength consumption in the traction process, the traction force gradually decreases, the traction force is not constant or cannot resist the muscle force of a patient, the reduction failure rate is high under the conditions of no anesthesia and muscle relaxation, and many complications are caused.
Chinese patent No. CN207236887U discloses a hip dislocation continuous traction repositor, which comprises a base component and a lifting frame component; the base component comprises a base, the base is in a U shape which is horizontally placed, the same ends of two parallel arms of the U shape are connected through a base beam, and an ankle fixing component is arranged on the base beam; one end of the U-shaped parallel arm which is not connected is provided with a hip fixing belt; vertical brackets are respectively arranged on the two U-shaped parallel arms, the vertical brackets are tubular structures, and rocking handle sliding grooves are formed in the tube walls of the vertical brackets; the shape of the lifting frame component is door-shaped, two vertical upright posts of the door-shaped are tubular structures, and the top ends of the two vertical upright posts of the door-shaped are connected through a lifting frame cross beam; a popliteal fossa fixing component is arranged on the cross beam of the lifting frame; rack sliding grooves are respectively arranged on the two vertical upright posts of the door type; the vertical upright posts are inserted with the vertical supports; the vertical upright post is internally provided with a transmission device and a locking device. The utility model discloses a restorer fungible manpower pulls the reduction to the patient, can alleviate medical person's intensity of labour.
Although the technical scheme solves the defects of the prior art to a certain extent, the following defects still exist:
1) the hip dislocation continuous traction repositor is only suitable for an Allis repositioning method, and is not suitable for other repositioning methods after the Allis repositioning is invalid;
2) when the Allis method is adopted for reduction, the lower leg and the thigh of a patient are kept at approximately 90 degrees, the ankle fixing component in the hip dislocation continuous traction reducer is arranged on the base cross beam and is fixed relative to the cross beam, and the angle between the lower leg and the thigh is far less than 90 degrees when the Allis method is adopted for reduction, so that the reduction of the hip joint is not facilitated;
3) when the continuous traction repositor for hip joint dislocation is used for hip joint reposition, the popliteal fossa fixing component of the repositor is used for forming traction on the lower limbs of a patient under the action of the lifting component so as to promote the hip joint reposition; however, important nerve vessels of the lower limbs are in a shape of walking behind the popliteal fossa of the human body, the pressure force on the lower limbs of the patient is relatively concentrated when the popliteal fossa fixing component of the repositor is pulled, the popliteal fossa position of the patient is easily subjected to compressive injury, the numbness and movement disorder of the lower limbs of the patient after the traction is caused, even the nerve vessels of the lower limbs of the patient are damaged, and the safety is poor.
SUMMERY OF THE UTILITY MODEL
The utility model aims at providing a hip joint dislocation is kept drawing and is reset frame to solve the problem that proposes among the above-mentioned background art.
The above technical purpose of the present invention can be achieved by the following technical solutions:
a hip joint dislocation continuous traction restoration frame comprises a back rising bed body and a lifting frame assembly, wherein a back rising mechanism is arranged below the back rising bed body, the back rising bed body comprises a bed plate consisting of an upper body plate and a lower body plate and a bed frame for supporting the bed plate, one end of the upper body plate is rotatably connected with the lower body plate, the other end of the upper body plate is a free end, and the bed plate is horizontally placed above the bed frame;
two sides of one end of the lower body plate, which is close to the upper body plate, are provided with connecting rods, each connecting rod is arranged along the length direction of the bed plate, one connecting rod is connected with a hip fixing belt, and the other end of the hip fixing belt is a free end;
the middle part of one end of the lower body plate, which is far away from the upper body plate, is provided with an ankle fixing component, and the ankle fixing component comprises a slide rail, a support rod, a support piece and an ankle fixing belt; the slide rail is arranged along the length direction of the bed board, and one end of the slide rail, which is close to the upper body plate, is rotatably connected with the lower body plate through a rotating shaft; an arc-shaped sliding groove is formed in one end, away from the upper body plate, of the lower body plate, the circle center position of the arc-shaped sliding groove is consistent with the axis position of the rotating shaft, a sliding block is arranged on the lower side of one end, away from the upper body plate, of the sliding rail, and the sliding block is clamped inside the arc-shaped sliding groove and is in sliding fit with the arc-shaped sliding groove; the lower end of the support rod is connected with the slide rail in a sliding manner, the support rod is fixed with the slide rail through a locking screw, the support piece is connected with the upper end of the support rod, one end of the ankle fixing band is connected with the support piece, and the other end of the ankle fixing band is detachably connected with the support piece;
two guide posts are arranged in the middle of the two side edges of the lower body plate in a mirror image manner, and the two guide posts are both in a tubular structure and are vertical to the lower body plate; the lifting frame assembly is in a door shape, two vertical stand columns penetrating through the door shape are provided with adjusting holes with internal threads, the two vertical stand columns are respectively spliced with the two guide columns, and the top ends of the two vertical stand columns are connected through a lifting frame cross beam; a shank fixing component is arranged on a cross beam of the lifting frame, and two vertical upright posts are in threaded connection with a driving component for driving the lifting frame component to lift;
the shank fixing assembly comprises an arc-shaped plate and a shank protecting belt, the length of the arc-shaped plate is 20-35 cm, and the convex side of the arc-shaped plate is connected with the lifting frame cross beam; the shank protecting band and the arc-shaped plate are equal in length and arranged in the same direction, one end of the shank protecting band is connected with one end of the arc-shaped plate through a first connecting band, the other end of the shank protecting band is connected with a second connecting band, and the other end of the second connecting band is a free end; and a first connecting piece is arranged at one end of the arc-shaped plate, which is far away from the first connecting belt, and a cavity with two open ends is formed between the arc-shaped plate and the shank protecting belt after the free end of the second connecting belt is connected with the first connecting piece.
The utility model discloses a further set up to: and one end of the upper body plate, which is close to the lower body plate, is hinged with the lower body plate through a hinge.
The utility model discloses a further set up to: one end of the hip fixing belt is connected with a connecting sleeve, and the connecting sleeve is sleeved outside one of the connecting rods.
The utility model discloses a further set up to: the sliding rail is provided with a T-shaped sliding groove with an opening at the upper end, the lower end of the supporting rod is connected with a T-shaped sliding block, and the T-shaped sliding block is in sliding fit with the T-shaped sliding groove; the side wall of the sliding rail is provided with a notch communicated with the T-shaped sliding groove, and the notch and the T-shaped sliding groove are in the same direction and are equal in length; one side of the T-shaped sliding block, which is close to the notch, is provided with a mounting hole matched with the locking screw, the thread head of the locking screw extends into the mounting hole from the notch and is in threaded connection with the mounting hole, and one end of the locking screw, which is far away from the T-shaped sliding block, is exposed out of the notch and abuts against the outer wall of the sliding rail.
The utility model discloses a further set up to: the ankle joint connecting piece is characterized in that the supporting piece is in an arc plate shape with two upwards bent ends, the two ends of the supporting piece are respectively provided with a second connecting piece, one end of the ankle fixing band is connected with one of the second connecting pieces, and the other end of the ankle fixing band is detachably connected with the other second connecting piece.
The utility model discloses a further set up to: the driving assembly comprises a screw rod and a hand wheel, the screw rod is in threaded connection with the adjusting hole and the lower end of the adjusting hole and is rotationally connected with the guide post, and the hand wheel is connected with the upper end of the screw rod.
The utility model discloses a further set up to: the upper surface of the upper body plate is paved with a soft pad, and one end of the soft pad close to the lower body plate extends to the position under the lifting frame cross beam.
The utility model discloses a further set up to: the upper surface of the cushion, which is far away from one end of the lower body plate, is provided with a pillow.
The utility model discloses a further set up to: the back lifting mechanism comprises an electric cylinder and a motor, the lower end of the electric cylinder is hinged to the bed frame, the upper end of the electric cylinder is hinged to the lower surface of one end of the lower body plate, the upper body plate is far away from the lower body plate, and the electric cylinder is electrically connected with the motor.
To sum up, the utility model discloses following beneficial effect has:
firstly, the hip joint dislocation continuous traction reduction frame is not only suitable for an Allis reduction method, but also suitable for a Bigelow reduction method, and the hip joint can be reduced by adopting the Bigelow method after the reduction by adopting the Allis method is invalid, so that the problem that the reduction method suitable for the existing reductor is single is solved;
secondly, the hip joint dislocation continuous traction reduction frame of the utility model integrally draws the shank when performing traction reduction, and the compression force generated during traction is relatively dispersed, thereby solving the problems that the compression force to the lower limbs of the patient is relatively concentrated when the current reduction device is used for traction, the popliteal fossa part of the patient is easily subjected to compressive injury, the numbness and movement disorder of the lower limbs of the patient are caused after traction, even the nerve vessels of the lower limbs of the patient are damaged, and the safety is poor;
thirdly, the continuous traction reduction frame for hip joint dislocation of the utility model can replace manpower to carry out traction reduction on the hip joint dislocation patient, thereby greatly reducing the labor intensity of the medical personnel; the traction force can be continuously and gradually increased, the muscle contraction force of a patient can be completely resisted, the constant traction force can be kept after the reduction, the reduction success rate is high, the pain of the patient can be relieved, and the economic and social benefits are very obvious. Therefore, the utility model not only has the advantages of simple structure and convenient operation, but also has the advantages of safe and reliable use and good use effect;
fourthly, the utility model discloses a hip joint dislocation lasts pulls reduction frame, no matter adopt Allis method or the Bigelow method to carry out the hip joint and resets, all can make the thigh that the patient suffered from the limb keep roughly 90 with the truck when the tractive that resets, and shank and thigh keep roughly 90, are favorable to the hip joint to reset, have solved current restorer and have adopted the Allis method to reset when the angle between shank and the thigh far be less than 90, are unfavorable for the problem that the hip joint resets.
Drawings
Fig. 1 is a schematic overall structure diagram of a first view angle of the present invention;
fig. 2 is a schematic view of the overall structure of the second view angle of the present invention (with the cushion and pillow removed);
FIG. 3 is a schematic view of the overall structure of the ankle brace assembly of the present invention;
fig. 4 is a partial sectional view of the middle position of the arc chute when the slide block of the utility model is clamped in the arc chute;
fig. 5 is a longitudinal sectional view of the slide rail of the present invention;
fig. 6 is a partial cross-sectional view of the present invention at a lower position of the guide post;
fig. 7 is a schematic view of the overall structure of the lower leg fixing assembly of the present invention.
In the figure: 1. a bed board; 11. an upper body panel; 12. a lower body panel; 121. an arc-shaped chute; 13. a bed frame; 14. an electric cylinder; 15. a motor; 16. a support plate; 17. a hinge; 2. a slide rail; 21. A T-shaped chute; 22. a T-shaped slider; 23. a support bar; 24. a support member; 25. ankle securing straps; 26. a second connecting member; 27. a notch; 271. locking the screw; 28. a slider; 29. A rotating shaft; 3. a lift cage assembly; 31. a vertical column; 311. an adjustment hole; 32. a cross beam of the lifting frame; 33. a guide post; 34. a limiting cavity; 35. a screw rod; 36. a limiting block; 37. a hand wheel; 38. a support arm; 4. a shank securing assembly; 41. an arc-shaped plate; 42. a shank protecting band; 43. A first connecting belt; 44. a second connecting band; 45. a first connecting member; 5. hip fixing belts; 51. mounting grooves; 52. a connecting rod; 53. connecting sleeves; 6. a soft cushion; 61. a pillow.
Detailed Description
The present invention will be described in further detail with reference to the accompanying drawings.
In the description of the present invention, it is to be understood that the terms "upper", "lower", "inner", "outer", and the like indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings, and are only for convenience of description and simplicity of description, and do not indicate or imply that the device or element referred to must have a specific orientation, be constructed in a specific orientation, and be operated, and thus should not be construed as limiting the present invention.
Furthermore, the terms "horizontal", "vertical" and the like do not imply that the components are required to be absolutely horizontal or overhanging, but may be slightly inclined. For example, "horizontal" merely means that the direction is more horizontal than "vertical" and does not mean that the structure must be perfectly horizontal, but may be slightly inclined.
In the description of the present invention, it should also be noted that, unless explicitly stated or limited otherwise, the terms "disposed," "connected," and "connected" are to be construed broadly, e.g., as meaning fixedly connected, detachably connected, or integrally connected; they may be mechanically coupled, directly coupled, indirectly coupled through intervening media, or may be interconnected between two elements. The specific meaning of the above terms in the present invention can be understood according to specific situations by those skilled in the art.
The first embodiment is as follows:
a hip joint dislocation continuous traction restoration frame is shown in figures 1 to 7 and comprises a back lifting bed body and a lifting frame assembly 3, wherein a back lifting mechanism is arranged below the back lifting bed body, the back lifting bed body comprises a bed plate 1 and a bed frame 13, the bed plate 1 is composed of an upper body plate 11 and a lower body plate 12, the bed frame is used for supporting the bed plate 1, one end of the upper body plate 11 is rotatably connected with the lower body plate 12, the other end of the upper body plate is a free end, and the bed plate 1 is horizontally placed above the bed frame 13. Specifically, one end of the upper body panel 11 close to the lower body panel 12 is hinged with the lower body panel 12 through a hinge 17; the back lifting mechanism comprises an electric cylinder 14 and a motor 15, the lower end of the electric cylinder 14 is hinged to a bed frame 13, the upper end of the electric cylinder is hinged to the lower surface of the upper body plate 11 far away from one end of the lower body plate 12, a supporting plate 16 is connected with the bed frame 13 below the upper body plate 11, the motor 15 is arranged above the supporting plate 16, the electric cylinder 14 is electrically connected with the motor 15, a switch is arranged on a circuit between the motor 15 and the electric cylinder 14, so that the motor 15 can be controlled to be started and closed, and the back lifting angle of the upper body plate 11 can be adjusted conveniently.
The two sides of the lower body plate 12 close to one end of the upper body plate 11 are both provided with connecting rods 52, each connecting rod 52 is arranged along the length direction of the bed plate 1, one connecting rod 52 is connected with a hip fixing belt 5, and the other end of the hip fixing belt 5 is a free end. Specifically, the hip fixing belt 5 is made of pure cotton material and has a width of 20 cm.
Preferably, both sides of one end of the lower body plate 12 close to the upper body plate 11 are provided with mounting grooves 51, and the connecting rod 52 is arranged in the mounting grooves 51, so as to prevent the connecting rod 52 from extending out of the outer edge of the bed plate 1 and affecting the reduction of the hip joint of the operator.
Preferably, one end of the hip fixing belt 5 is connected with a connecting sleeve 53, and the connecting sleeve 53 is sleeved outside one of the connecting rods 52. By the arrangement, the position of the hip fixing belt 5 is adjustable, so that the hip fixing belt is suitable for patients with different body types, and the application range is wider.
The middle part of one end of the lower body plate 12 far away from the upper body plate 11 is provided with an ankle fixing component, and the ankle fixing component comprises a slide rail 2, a support rod 23, a support piece 24 and an ankle fixing belt 25; the supporting member 24 is connected to the upper end of the supporting rod 23, one end of the ankle fixing strap 25 is connected to the supporting member 24, and the other end is detachably connected to the supporting member 24. Specifically, the supporting member 24 is in the shape of an arc plate with two upward-bent ends, the two ends of the supporting member 24 are both provided with second connecting members 26, one end of the ankle fixing strap 25 is connected with one of the second connecting members 26, and the other end of the ankle fixing strap 25 is detachably connected with the other second connecting member 26; the two second connecting members 26 are cylindrical, and an opening for the ankle fixing strap 25 to pass through is formed between each second connecting member 26 and the supporting member 24, so as to connect the ankle fixing strap 25 and the second connecting member 26. The slide rail 2 is arranged along the length direction of the bed board 1, and one end of the slide rail 2 close to the upper body board 11 is rotatably connected with the lower body board 12 through a rotating shaft 29; an arc-shaped sliding chute 121 is arranged at one end of the lower body plate 12, which is far away from the upper body plate 11, the position of the center of a circle of the arc-shaped sliding chute 121 is consistent with the position of the axis of the rotating shaft 29, specifically, the angle of the arc-shaped sliding chute 121 is 120 degrees; thus, the slide rail 2 can rotate in a plane parallel to the lower body panel 12 around the axis of the rotary shaft 29 within the range of the arc-shaped slide groove 121. A sliding block 28 is arranged at the lower side of one end of the sliding rail 2 far away from the upper body plate 11, and the sliding block 28 is clamped inside the arc-shaped sliding groove 121 and is in sliding fit with the arc-shaped sliding groove 121; specifically, the upper portion of the slider 28 is cylindrical, and the lower portion thereof is spherical; with the arrangement, when the hip joint is reset, the sliding rail 2 bears upward pulling force, the connection between the sliding rail 2 and the lower body plate 12 is more stable, excessive shearing force borne by the rotating shaft 29 during resetting operation is avoided, and the safety is better. The lower extreme and the slide rail 2 sliding connection of bracing piece 23, specifically, be equipped with the T type spout 21 of upper end open-ended on the slide rail 2, the lower extreme of bracing piece 23 is connected with T type slider 22, T type slider 22 and the sliding adaptation of T type spout 21. The bracing piece 23 forms fixedly with slide rail 2 through locking screw 271, specifically, is equipped with the intercommunication on the slide rail 2 lateral wall the notch 27 of T type spout 21, notch 27 and T type spout 21 syntropy and isometric, one side that T type slider 22 is close to notch 27 be equipped with the mounting hole of locking screw 271 adaptation, the screw thread head of locking screw 271 stretch into and threaded connection in from notch 27 in the mounting hole, the one end that T type slider 22 was kept away from to locking screw 271 exposes in notch 27 and supports slide rail 2 outer wall.
The middle parts of the two side edges of the lower body plate 12 are provided with two guide posts 33 in a mirror image manner, and the two guide posts 33 are both in a tubular structure and are vertical to the lower body plate 12; the lifting frame component 3 is in a door shape, two vertical upright posts 31 penetrating through the door shape are provided with adjusting holes 311 with internal threads, the two vertical upright posts 31 are respectively inserted with two guide posts 33, and the top ends of the two vertical upright posts 31 are connected through a lifting frame cross beam 32; the lifting frame cross beam 32 is provided with a shank fixing component 4, and the two vertical upright posts 31 are in threaded connection with a driving component for driving the lifting frame component 3 to lift.
Wherein, the shank fixing component 4 comprises an arc-shaped plate 41 and a shank protecting belt 42, the length of the arc-shaped plate 41 is 20cm, and the convex side of the arc-shaped plate 41 is connected with the lifting frame beam 32; the shank protecting band 42 is equal in length and in the same direction with the arc-shaped plate 41, one end of the shank protecting band 42 is connected with one end of the arc-shaped plate 41 through a first connecting band 43, the other end of the shank protecting band 42 is connected with a second connecting band 44, and the other end of the second connecting band 44 is a free end; a first connecting piece 45 is arranged at one end of the arc-shaped plate 41 far away from the first connecting belt 43, and a cavity with two open ends is formed between the arc-shaped plate 41 and the shank protecting belt 42 after the free end of the second connecting belt 44 is connected with the first connecting piece 45. Specifically, 5 first connecting belts 43 and 5 second connecting belts 44 are provided, so that the connection between the lower leg protection belt 42 and the arc-shaped plate 41 is more stable, and the safety is good; the first connecting member 45 is cylindrical, and an opening through which the second connecting strap 44 passes is formed between the second connecting member 26 and the arc plate 41, so as to connect the second connecting strap 44 with the second connecting member 26. The driving assembly comprises a screw rod 35 and a hand wheel 37, the screw rod 35 is in threaded connection with the adjusting hole 311, the lower end of the screw rod is rotatably connected with the guide post 33, and the hand wheel 37 is connected with the upper end of the screw rod 35. Specifically, the lower part of guide post 33 is equipped with spacing chamber 34, and the lower extreme of lead screw is connected with stopper 36, and stopper 36 card is in spacing chamber 34 and stopper 36 can rotate around the axle center of lead screw 35 in spacing chamber 34 under the drive of lead screw 35 to realize rotating lead screw 35 alright adjustment crane assembly 3's the height of going up and down.
Preferably, a support arm 38 is connected to the crane beam 32 above the curved plate 41, and the convex side of the curved plate 41 is connected to the lower surface of the support arm 38. By the arrangement, the tension range which can be borne by the lower leg fixing component 4 is larger, and the safety is better.
Preferably, a soft cushion 6 is laid on the upper surface of the upper body plate 11, and one end of the soft cushion 6 close to the lower body plate 12 extends to the position right below the crane crossbeam 32; the upper surface of the cushion 6 at the end far away from the lower body plate 12 is provided with a pillow 61. With the arrangement, the comfort level of a patient lying on the bed plate 1 is good, and the satisfaction degree of the patient is improved.
The utility model discloses a hip joint dislocation lasts pulls reduction of the position frame is applicable to the two kinds of hip joint methods of reduction of the Allis method and the Bigelow method, concrete using-way:
referring to fig. 1 to 7, the hip joint reduction is performed by Allis method, the patient lies on the back on the bed plate 1 of the hip joint dislocation continuous traction reduction frame disclosed in the present invention, the operator is located at the affected side, the hip of the patient is fixed by the hip fixing band 5, the affected limb of the patient bends the knee and bends the hip, the thigh and the trunk of the affected limb keep approximately 90 degrees, the leg and the thigh keep approximately 90 degrees, the lifting frame component 3 is adjusted to the proper height according to the thigh length of the patient, the leg of the affected limb of the patient is fixed by the leg fixing component 4, the supporting rod 23 is slid to the proper position according to the leg length of the patient, the supporting rod 23 is fixed with the sliding rail 2 by the locking screw 271, the ankle of the affected limb of the patient is placed above the supporting piece 24, the ankle of the affected limb of the patient is fixed by the ankle fixing band 25, the affected limb ankle of the patient is protected by cotton pads respectively at the, the proper anesthesia (lumbar anesthesia or general anesthesia) can be selected under the condition, the muscle is relaxed, the reduction is carried out under the painless condition, local anesthesia medicine can be injected into the joint in the non-condition anesthesia of primary hospitals and hospitals, the pain of a patient during the reduction is relieved as much as possible, the hand wheel 37 is slowly rotated clockwise after the fixation is finished, the screw rod 35 drives the lifting frame component 3 to slowly lift up, the ankle fixing band 25, the shank fixing component 4 and the hip fixing band 5 are slowly released after the reduction sound is heard, and the reduction operation is finished after the hip joint dislocation continuous traction reduction frame is withdrawn.
Referring to fig. 1 to 7, the Bigelow method is used to reposition the hip joint, the patient lies on the back on the bed plate 1 of the hip joint dislocation continuous traction reposition frame disclosed in the present invention, the operator is located at the affected side, the hip of the patient is fixed by the hip fixing band 5, the affected limb of the patient bends the knee and bends the hip, the thigh and the trunk of the affected limb keep approximately 90 degrees, the leg and the thigh keep approximately 90 degrees, the crane component 3 is adjusted to the proper height according to the thigh length of the patient, the leg of the affected limb of the patient is fixed by the leg fixing component 4, the supporting rod 23 is slid to the proper position according to the leg length of the patient, the supporting rod 23 is fixed with the slide rail 2 by the locking screw 271, the ankle of the affected limb of the patient is placed above the supporting piece 24, the ankle of the affected limb of the patient is fixed by the ankle fixing band 25, the affected limb ankle of the patient is protected by cotton pads respectively at the, when the patient is in a conditioned state, proper anesthesia (lumbar anesthesia or general anesthesia) can be selected, muscles are relaxed, the resetting is carried out in a painless state, local anesthesia medicine can be injected into joints when the patient is in the unconditional anesthesia in primary hospitals and in front of hospitals, the pain of the patient during the resetting is relieved as much as possible, after the fixation is finished, the hand wheel 37 is slowly rotated clockwise, and the lead screw 35 drives the lifting frame component 3 to be slowly lifted; when the affected limb is a left limb (right limb), one end of the slide rail 2 far away from the upper body plate 11 is slowly pushed to one side of the left limb (left limb) in the traction process, the slide rail 2 drives the support rod 23 to rotate around the axis of the rotating shaft 29, the support piece 24 drives the left limb ankle to horizontally move, the affected limb femur revolves inwards, the motor 15 is started when the slide rail 2 is pushed, the electric cylinder 14 drives the upper body plate 11 to slowly rise, the trunk of the patient is close to the knee, the motor 15 is closed and the slide rail 2 is stopped to be pushed after the reset sound is heard, the ankle fixing band 25, the calf fixing component 4 and the hip fixing band 5 are slowly released, and the resetting operation is finished after the hip joint dislocation is withdrawn and the traction resetting frame is continuously.
When necessary, an X-ray film can be taken to confirm whether the hip joint is reset, the reset affected limb carries out skin traction or plaster fixation, the hip joint is placed on a functional position to be abducted for 30 degrees and bent for 15 degrees, and the fixation time is 3-5 weeks. The patient is encouraged to do functional exercise, the toes and the ankles move, and the quadriceps femoris contracts to prevent muscular atrophy; after fixation and traction are removed, the user gradually goes down to hold the crutch to walk, and the flexion amplitude of the knee and the hip is exercised until the knee and the hip are recovered to normal.
Example two:
the same features of this embodiment and the first embodiment are not described again, and the different features of this embodiment and the first embodiment are:
as shown in fig. 1 to 7, the angle of the arc chute 121 is 140 °, and the length of the arc plate 41 is 30 cm.
Example three:
the same features of this embodiment and the first embodiment are not described again, and the different features of this embodiment and the first embodiment are:
as shown in fig. 1 to 7, the angle of the arc chute 121 is 160 °, and the length of the arc plate 41 is 35 cm.
With reference to the first to third embodiments, it is conceivable that the angle of the arc chute 121 may be any value within a range of 140 ° to 160 °, and the length of the arc plate 41 may be any value within a range of 20cm to 35 cm.
The above embodiments are only some examples of the present invention, and are not intended to limit the present invention in any way; the invention is not limited to the embodiments described herein, but is capable of other embodiments according to the invention, and may be used in various other applications, including, but not limited to, industrial. Therefore, any simple modification, equivalent replacement, equivalent change and modification made to the above embodiments by the technical entity of the present invention all still belong to the protection scope of the technical solution of the present invention.
Claims (9)
1. The utility model provides a hip joint dislocation lasts pulls reset shelf, includes back of the body bed and crane subassembly (3), the below of back of the body bed is equipped with back of the body mechanism, its characterized in that: the back lifting bed body comprises a bed board (1) consisting of an upper body plate (11) and a lower body plate (12) and a bed frame (13) for supporting the bed board (1), one end of the upper body plate (11) is rotatably connected with the lower body plate (12), the other end of the upper body plate is a free end, and the bed board (1) is horizontally placed above the bed frame (13);
two sides of one end, close to the upper body plate (11), of the lower body plate (12) are respectively provided with a connecting rod (52), each connecting rod (52) is arranged along the length direction of the bed plate (1), one connecting rod (52) is connected with a hip fixing belt (5), and the other end of the hip fixing belt (5) is a free end;
the middle part of one end of the lower body plate (12) far away from the upper body plate (11) is provided with an ankle fixing component, and the ankle fixing component comprises a slide rail (2), a support rod (23), a support piece (24) and an ankle fixing belt (25); the slide rail (2) is arranged along the length direction of the bed board (1), and one end, close to the upper body plate (11), of the slide rail (2) is rotatably connected with the lower body plate (12) through a rotating shaft (29); an arc-shaped sliding groove (121) is formed in one end, away from the upper body plate (11), of the lower body plate (12), the circle center position of the arc-shaped sliding groove (121) is consistent with the axis position of the rotating shaft (29), a sliding block (28) is arranged on the lower side of one end, away from the upper body plate (11), of the sliding rail (2), and the sliding block (28) is clamped inside the arc-shaped sliding groove (121) and is in sliding fit with the arc-shaped sliding groove (121); the lower end of the supporting rod (23) is connected with the sliding rail (2) in a sliding manner, the supporting rod (23) is fixed with the sliding rail (2) through a locking screw (271), the supporting piece (24) is connected with the upper end of the supporting rod (23), one end of the ankle fixing band (25) is connected with the supporting piece (24), and the other end of the ankle fixing band is detachably connected with the supporting piece (24);
the middle parts of two side edges of the lower body plate (12) are provided with two guide columns (33) in a mirror image manner, and the two guide columns (33) are both in a tubular structure and are vertical to the lower body plate (12); the lifting frame assembly (3) is in a door shape, two vertical upright posts (31) penetrating through the door shape are provided with adjusting holes (311) with internal threads, the two vertical upright posts (31) are respectively inserted with the two guide posts (33), and the top ends of the two vertical upright posts (31) are connected through a lifting frame cross beam (32); a lower leg fixing component (4) is arranged on the lifting frame cross beam (32), and the two vertical upright posts (31) are in threaded connection with a driving component for driving the lifting frame component (3) to lift;
the lower leg fixing assembly (4) comprises an arc-shaped plate (41) and a lower leg protecting band (42), the length of the arc-shaped plate (41) is 20-35 cm, and the convex side of the arc-shaped plate (41) is connected with the lifting frame cross beam (32); the shank protecting band (42) and the arc-shaped plate (41) are equal in length and arranged in the same direction, one end of the shank protecting band (42) is connected with one end of the arc-shaped plate (41) through a first connecting band (43), the other end of the shank protecting band (42) is connected with a second connecting band (44), and the other end of the second connecting band (44) is a free end; one end, far away from the first connecting belt (43), of the arc-shaped plate (41) is provided with a first connecting piece (45), and a cavity with two open ends is formed between the arc-shaped plate (41) and the lower leg protecting belt (42) after the free end of the second connecting belt (44) is connected with the first connecting piece (45).
2. The hip dislocation continuous traction reduction frame according to claim 1, wherein: one end of the upper body plate (11) close to the lower body plate (12) is hinged with the lower body plate (12) through a hinge (17).
3. The hip dislocation continuous traction reduction frame according to claim 1, wherein: one end of the hip fixing belt (5) is connected with a connecting sleeve (53), and the connecting sleeve (53) is sleeved outside one of the connecting rods (52).
4. The hip dislocation continuous traction reduction frame according to claim 1, wherein: the sliding rail (2) is provided with a T-shaped sliding groove (21) with an opening at the upper end, the lower end of the supporting rod (23) is connected with a T-shaped sliding block (22), and the T-shaped sliding block (22) is in sliding fit with the T-shaped sliding groove (21); a notch (27) communicated with the T-shaped sliding groove (21) is formed in the side wall of the sliding rail (2), and the notch (27) and the T-shaped sliding groove (21) are in the same direction and are equal in length; one side of the T-shaped sliding block (22) close to the notch (27) is provided with a mounting hole matched with the locking screw (271), the thread head of the locking screw (271) extends into the mounting hole from the notch (27) and is in threaded connection with the mounting hole, and one end of the locking screw (271) far away from the T-shaped sliding block (22) is exposed out of the notch (27) and abuts against the outer wall of the sliding rail (2).
5. The hip dislocation continuous traction reduction frame according to claim 1, wherein: the ankle joint connecting piece is characterized in that the supporting piece (24) is in an arc plate shape with two upwards bent ends, the two ends of the supporting piece (24) are respectively provided with a second connecting piece (26), one end of the ankle fixing band (25) is connected with one of the second connecting pieces (26), and the other end of the ankle fixing band (25) is detachably connected with the other second connecting piece (26).
6. The hip dislocation continuous traction reduction frame according to claim 1, wherein: the driving assembly comprises a screw rod (35) and a hand wheel (37), the screw rod (35) is in threaded connection with the adjusting hole (311) and the lower end of the adjusting hole is connected with the guide post (33) in a rotating mode, and the hand wheel (37) is connected with the upper end of the screw rod (35).
7. The hip dislocation continuous traction reduction frame according to claim 1, wherein: the upper surface of going up body board (11) has laid cushion (6), cushion (6) are close to the one end of body board (12) down extends to under crane crossbeam (32).
8. The hip dislocation continuous traction reduction frame according to claim 7, wherein: the upper surface of one end of the soft cushion (6) far away from the lower body plate (12) is provided with a pillow (61).
9. The hip joint dislocation continuous traction reduction frame according to any one of claims 1 to 8, which is characterized in that: the back lifting mechanism comprises an electric cylinder (14) and a motor (15), the lower end of the electric cylinder (14) is hinged to the bed frame (13), the upper end of the electric cylinder is hinged to the lower surface of one end of the lower body plate (12) far away from the upper body plate (11), and the electric cylinder (14) is electrically connected with the motor (15).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201920092646.5U CN209827140U (en) | 2019-01-21 | 2019-01-21 | Continuous traction reduction frame for hip joint dislocation |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201920092646.5U CN209827140U (en) | 2019-01-21 | 2019-01-21 | Continuous traction reduction frame for hip joint dislocation |
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| Publication Number | Publication Date |
|---|---|
| CN209827140U true CN209827140U (en) | 2019-12-24 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201920092646.5U Expired - Fee Related CN209827140U (en) | 2019-01-21 | 2019-01-21 | Continuous traction reduction frame for hip joint dislocation |
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| Country | Link |
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| CN (1) | CN209827140U (en) |
Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111166548A (en) * | 2020-02-07 | 2020-05-19 | 王锦霞 | Multidirectional draw gear of knee joint for orthopedic rehabilitation nursing |
| CN111228013A (en) * | 2020-01-17 | 2020-06-05 | 山东省耳鼻喉医院(山东省立医院西院) | Hip joint reduction device |
| CN112245092A (en) * | 2020-11-09 | 2021-01-22 | 中国人民解放军总医院第二医学中心 | Device for pulling hip joint |
| CN112515703A (en) * | 2020-12-23 | 2021-03-19 | 刘瑞雪 | Patient limb auxiliary adjusting device for ultrasound department examination |
| CN112914812A (en) * | 2021-01-25 | 2021-06-08 | 河北省胸科医院 | Adjustable fixing clamp for orthopedic medical treatment |
-
2019
- 2019-01-21 CN CN201920092646.5U patent/CN209827140U/en not_active Expired - Fee Related
Cited By (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111228013A (en) * | 2020-01-17 | 2020-06-05 | 山东省耳鼻喉医院(山东省立医院西院) | Hip joint reduction device |
| CN111228013B (en) * | 2020-01-17 | 2021-11-05 | 秦燎阳 | Hip joint reduction device |
| CN111166548A (en) * | 2020-02-07 | 2020-05-19 | 王锦霞 | Multidirectional draw gear of knee joint for orthopedic rehabilitation nursing |
| CN112245092A (en) * | 2020-11-09 | 2021-01-22 | 中国人民解放军总医院第二医学中心 | Device for pulling hip joint |
| CN112515703A (en) * | 2020-12-23 | 2021-03-19 | 刘瑞雪 | Patient limb auxiliary adjusting device for ultrasound department examination |
| CN112914812A (en) * | 2021-01-25 | 2021-06-08 | 河北省胸科医院 | Adjustable fixing clamp for orthopedic medical treatment |
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