CN221786691U - Elbow joint steering exerciser - Google Patents
Elbow joint steering exerciser Download PDFInfo
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- CN221786691U CN221786691U CN202420231920.3U CN202420231920U CN221786691U CN 221786691 U CN221786691 U CN 221786691U CN 202420231920 U CN202420231920 U CN 202420231920U CN 221786691 U CN221786691 U CN 221786691U
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- 210000002310 elbow joint Anatomy 0.000 title claims abstract description 21
- 238000004873 anchoring Methods 0.000 claims abstract description 29
- 230000008878 coupling Effects 0.000 description 8
- 238000010168 coupling process Methods 0.000 description 8
- 238000005859 coupling reaction Methods 0.000 description 8
- 210000000988 bone and bone Anatomy 0.000 description 6
- 208000006111 contracture Diseases 0.000 description 4
- 206010062575 Muscle contracture Diseases 0.000 description 3
- 210000001364 upper extremity Anatomy 0.000 description 3
- 238000010586 diagram Methods 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 230000000399 orthopedic effect Effects 0.000 description 2
- 238000002560 therapeutic procedure Methods 0.000 description 2
- 101001121408 Homo sapiens L-amino-acid oxidase Proteins 0.000 description 1
- 206010061218 Inflammation Diseases 0.000 description 1
- 102100026388 L-amino-acid oxidase Human genes 0.000 description 1
- 208000010358 Myositis Ossificans Diseases 0.000 description 1
- 206010003246 arthritis Diseases 0.000 description 1
- 238000011882 arthroplasty Methods 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000000903 blocking effect Effects 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 230000005484 gravity Effects 0.000 description 1
- 230000007941 heterotopic ossification Effects 0.000 description 1
- 230000004054 inflammatory process Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 230000002688 persistence Effects 0.000 description 1
- 238000012545 processing Methods 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 238000004904 shortening Methods 0.000 description 1
- 230000008961 swelling Effects 0.000 description 1
- 238000013519 translation Methods 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
- 210000000623 ulna Anatomy 0.000 description 1
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Abstract
Description
技术领域Technical Field
本实用新型涉及医疗器械的技术领域,特别涉及一种肘关节转向运动器。The utility model relates to the technical field of medical equipment, in particular to an elbow joint steering exerciser.
背景技术Background Art
由于对肘关节创伤或其它原因(炎症、烧伤、关节炎)的治疗,因此关节的屈曲挛缩是按照损坏的频率和程度来假设特定的临床重要性。实际上,即使轻微的挛缩(约30°-40°)也会显著地减小上肢的功能性。在多种情形中,在挛缩以后通过复原或牵引关节成形术的灵活性的恢复,在相关的肌胜在关节的两侧上缩短情况下可能受到疼痛和/或膨胀而被限定或阻挡。Flexion contractures of the joint, due to treatment of trauma to the elbow joint or other causes (inflammation, burns, arthritis), assume a particular clinical importance according to the frequency and degree of damage. In fact, even a mild contracture (about 30°-40°) can significantly reduce the functionality of the upper limb. In many cases, the restoration of mobility after the contracture by reduction or distraction arthroplasty may be limited or prevented by pain and/or swelling in case of shortening of the associated muscles on both sides of the joint.
可以使用类似早期积极运动、一般性治疗、持续被动运动(CPM)的一些技术来面对此问题,但是它们不能以任何确定的方式确保将解决此问题。早期积极运动可以减小挛缩的重力,但是这要求病人持续与费劲的坚持。在一般性治疗中,通过治疗师的帮助而执行的被动伸展可能致使异位骨形成以及骨化性肌炎。最后,CPM装置允许运动性的快速恢复,但是它们未达到动态运动的端部,所述端部是需要最大复原的地方。Some techniques like early active mobilization, general therapy, and continuous passive motion (CPM) can be used to face this problem, but they cannot guarantee in any definitive way that this problem will be solved. Early active mobilization can reduce the gravity of the contracture, but this requires continuous and strenuous persistence by the patient. In general therapy, passive stretching performed with the help of a therapist may lead to heterotopic bone formation and myositis ossificans. Finally, CPM devices allow for a rapid return of mobility, but they do not reach the end of dynamic motion, which is where the greatest recovery is needed.
目前,只有一些骨科装置满足这些要求,具有有限的有效性。实际上,市场上的饺接式外部固定器不是为关节强的复原而直特别设计的,并且因此它们具有使它们不适于此目的的一系列缺点。第一缺点源自难以使外部固定器相对于肘关节定心与再定位。此定心受到使骨关节可见性减小的射线不可见固定器构件以及难以识别装置的铰接轴的妨碍。另一个缺点源自这样的事实:市场上的外部固定器不允许与其关联的肘关节的完全动态运动。另一个缺点是基于当今已知的外部肘关节固定器的过大的尺寸与重量。At present, only some orthopedic devices meet these requirements, with limited effectiveness. In fact, the external fixators on the market are not specifically designed for the restoration of the elbow joint, and therefore they have a series of disadvantages that make them unsuitable for this purpose. The first disadvantage stems from the difficulty of centering and repositioning the external fixator relative to the elbow joint. This centering is hampered by the radiographically invisible fixator components that reduce the visibility of the bone joint and the difficulty in identifying the articulation axis of the device. Another disadvantage stems from the fact that the external fixators on the market do not allow full dynamic movement of the elbow joint associated therewith. Another disadvantage is based on the excessive size and weight of the external elbow fixators known today.
实用新型内容Utility Model Content
针对现有技术中存在的不足之处,本实用新型的目的是提供一种肘关节转向运动器,运动器重量轻,大大降低了成本且有效的实现了铰接,确保了待与时关节对直的中心元件的射线可透性。为了实现根据本实用新型的上述目的和其他优点,提供了一种肘关节转向运动器,包括:In view of the shortcomings of the prior art, the purpose of the present invention is to provide an elbow joint steering exerciser, which is lightweight, greatly reduces the cost and effectively realizes the articulation, ensuring the radiolucency of the central element to be aligned with the joint. In order to achieve the above-mentioned purpose and other advantages according to the present invention, an elbow joint steering exerciser is provided, comprising:
近端杆锚定部件,该近端杆锚定部件包括环形连接件及与该环形连接件一体式连接的横向连接件,该环形连接件中间固接有中心轴,该中心轴上套接有蜗轮,该蜗轮上固接有铰接件,该铰接件可调节连接有远端杆锚定部件,该远端杆锚定部件远离蜗轮的一端固接有第二连接棒,横向连接件远离环形连接件的一端固接有第一连接棒;A proximal rod anchoring component, the proximal rod anchoring component comprises an annular connector and a transverse connector integrally connected to the annular connector, a central shaft is fixedly connected to the middle of the annular connector, a worm gear is sleeved on the central shaft, a hinge is fixedly connected to the worm gear, the hinge is adjustably connected to the distal rod anchoring component, a second connecting rod is fixedly connected to one end of the distal rod anchoring component away from the worm gear, and a first connecting rod is fixedly connected to one end of the transverse connector away from the annular connector;
环形连接件上插接有蜗杆,该蜗杆与横向连接件均横向设置。A worm is inserted into the annular connecting piece, and the worm and the transverse connecting piece are both arranged transversely.
优选的,蜗轮的结构为环状形状,该蜗轮的外表面一圈设置有齿轮,该齿轮与蜗杆上齿轮相啮合。Preferably, the structure of the worm wheel is annular, and a gear is arranged on the outer surface of the worm wheel, and the gear is meshed with the gear on the worm.
优选的,环形连接件位于蜗杆处的表面上插接有蜗杆限位器,该蜗杆限位器用于调节蜗杆的位置。Preferably, a worm stopper is inserted into the surface of the annular connecting member located at the worm, and the worm stopper is used to adjust the position of the worm.
优选的,远端杆锚定部件包括调节连接段及与连接段一体式连接的固定连接段,调节连接段包括两个相互平行设置的固定片,固定连接段的中间部位上螺纹连接有延长螺栓,该延长螺栓延伸至两个相互平行设置的固定片之间。Preferably, the distal rod anchoring component includes an adjustable connecting section and a fixed connecting section integrally connected to the connecting section, the adjustable connecting section includes two fixed plates arranged parallel to each other, an extension bolt is threadedly connected to the middle portion of the fixed connecting section, and the extension bolt extends between the two fixed plates arranged parallel to each other.
优选的,铰接件的一相对的侧面上分别开设有滑动槽,该滑动槽与固定片相匹配,且铰接件的中间部位开设有调节孔,该调节孔内设置有调节螺栓,该调节螺栓依次贯穿两个固定片,且延长螺栓从固定连接段延伸至调节螺栓的位置处于与调节螺栓相抵触。Preferably, a sliding groove is provided on one opposite side of the hinge, the sliding groove matches the fixing plate, and an adjustment hole is provided in the middle portion of the hinge, an adjusting bolt is arranged in the adjustment hole, the adjusting bolt passes through the two fixing plates in sequence, and the extension bolt extends from the fixed connection section to the position of the adjusting bolt and is in conflict with the adjusting bolt.
本实用新型与现有技术相比,其有益效果是:通过中心轴、铰接件、蜗杆、蜗轮使得肘关节定心与再定位,而且中心轴与透光定心窗色设置定心不受到使骨关节可见性减小的射线不可见固定器构件以及难以识别装置的铰接轴的妨碍。通过蜗杆取出,可使得铰接件自由围绕中心轴转动。本申请的运动器尺寸小且重量轻。Compared with the prior art, the utility model has the following beneficial effects: the elbow joint is centered and repositioned through the central axis, hinge, worm and worm gear, and the central axis and the light-transmitting centering window color setting centering are not hindered by the radiographic invisible fixation member that reduces the visibility of the bone joint and the hinge axis of the device that is difficult to identify. By removing the worm, the hinge can be freely rotated around the central axis. The exerciser of the present application is small in size and light in weight.
附图说明BRIEF DESCRIPTION OF THE DRAWINGS
图1为根据本实用新型的肘关节转向运动器的三维结构示意图;FIG1 is a schematic diagram of the three-dimensional structure of an elbow joint steering exerciser according to the present utility model;
图2为根据本实用新型的肘关节转向运动器的三维爆炸结构示意图。FIG. 2 is a schematic diagram of a three-dimensional exploded structure of the elbow joint steering exerciser according to the present invention.
具体实施方式DETAILED DESCRIPTION
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 following will be combined with the drawings in the embodiments of the utility model to clearly and completely describe the technical solutions in the embodiments of the utility model. Obviously, the described embodiments are only part of the embodiments of the utility model, not all of the embodiments. Based on the embodiments in the utility model, all other embodiments obtained by ordinary technicians in this field without creative work are within the scope of protection of the utility model.
参照图1-2,一种肘关节转向运动器,包括:近端杆锚定部件3,该近端杆锚定部件3包括环形连接件及与该环形连接件一体式连接的横向连接件,该环形连接件中间固接有中心轴,该中心轴的中心为中空状态,该中心轴的端面上安装有透光定心窗11,通过透光定心窗11可为安装、治疗时提供肘关节中心指引,该中心轴上套接有蜗轮14,该蜗轮14上固接有铰接件5,该铰接件5可调节连接有远端杆锚定部件6,该远端杆锚定部件6远离蜗轮14的一端通过第一固定螺栓9锁紧固接有第二连接棒10,第二连接棒10通过棒夹连接安装固定针与尺骨,横向连接件远离环形连接件的一端通过第二固定螺栓2固接有第一连接棒1;肘关节通过近端杆锚定部件3,连接棒1、连接棒10及棒夹的连接固定,可达到固定与控制肘关节的运动和治疗作用。Referring to Fig. 1-2, an elbow joint steering exerciser comprises: a proximal rod anchoring component 3, the proximal rod anchoring component 3 comprises an annular connector and a transverse connector integrally connected to the annular connector, a central axis is fixedly connected in the middle of the annular connector, the center of the central axis is hollow, a light-transmitting centering window 11 is installed on the end surface of the central axis, and the light-transmitting centering window 11 can provide elbow joint center guidance during installation and treatment, a worm gear 14 is sleeved on the central axis, and a hinge 5 is fixedly connected to the worm gear 14, the The hinged part 5 is adjustably connected to the distal rod anchoring component 6, and the end of the distal rod anchoring component 6 away from the worm gear 14 is locked and fixed with the second connecting rod 10 through the first fixing bolt 9. The second connecting rod 10 is connected to the fixing needle and the ulna through the rod clamp, and the end of the transverse connecting part away from the annular connecting part is fixed to the first connecting rod 1 through the second fixing bolt 2; the elbow joint is fixed by the connection of the proximal rod anchoring component 3, the connecting rod 1, the connecting rod 10 and the rod clamp, which can achieve the effect of fixing and controlling the movement and treatment of the elbow joint.
环形连接件上插接有蜗杆12,该蜗杆12与横向连接件均横向设置,环形连接件位于蜗杆12处的表面上插接有蜗杆限位器13,该蜗杆限位器13用于调节蜗杆12的位置;通过蜗杆12转动可控制蜗轮14绕中心轴转动,当拆除蜗杆限位器13时,可取出蜗杆12,蜗轮14可带动铰接件5绕中心轴自由转动。A worm 12 is inserted into the annular connector, and the worm 12 and the transverse connector are both arranged transversely. A worm limiter 13 is inserted into the surface of the annular connector located at the worm 12, and the worm limiter 13 is used to adjust the position of the worm 12; the rotation of the worm 12 can control the worm wheel 14 to rotate around the central axis. When the worm limiter 13 is removed, the worm 12 can be taken out, and the worm wheel 14 can drive the hinge 5 to rotate freely around the central axis.
进一步的,蜗轮14的结构为环状形状,该蜗轮14的外表面一圈设置有齿轮,该齿轮与蜗杆12上齿轮相啮合。Furthermore, the structure of the worm wheel 14 is annular, and a gear is arranged around the outer surface of the worm wheel 14 , and the gear meshes with the gear on the worm 12 .
进一步的,远端杆锚定部件6包括调节连接段及与连接段一体式连接的固定连接段,调节连接段包括两个相互平行设置的固定片,固定连接段的中间部位上螺纹连接有延长螺栓8,该延长螺栓8延伸至两个相互平行设置的固定片之间。铰接件5的一相对的侧面上分别开设有滑动槽,该滑动槽与固定片相匹配,且铰接件5的中间部位开设有调节孔,该调节孔内设置有调节螺栓4,该调节螺栓4依次贯穿两个固定片,且延长螺栓8从固定连接段延伸至调节螺栓4的位置处于与调节螺栓4相抵触。当松开调节螺栓4时,此时可通过转动延长螺栓8,调节远端杆锚定部件6在滑动槽上的位置。延长螺栓8可通过销钉7与远端杆锚定部件6固定连接。Furthermore, the distal rod anchoring component 6 includes an adjusting connection section and a fixed connection section integrally connected to the connection section, the adjusting connection section includes two fixed plates arranged in parallel to each other, an extension bolt 8 is threadedly connected to the middle portion of the fixed connection section, and the extension bolt 8 extends to between the two fixed plates arranged in parallel to each other. Sliding grooves are respectively provided on opposite side surfaces of the hinge 5, the sliding grooves match the fixed plates, and an adjusting hole is provided in the middle portion of the hinge 5, an adjusting bolt 4 is provided in the adjusting hole, the adjusting bolt 4 passes through the two fixed plates in sequence, and the extension bolt 8 extends from the fixed connection section to the position of the adjusting bolt 4 to conflict with the adjusting bolt 4. When the adjusting bolt 4 is loosened, the position of the distal rod anchoring component 6 on the sliding groove can be adjusted by rotating the extension bolt 8. The extension bolt 8 can be fixedly connected to the distal rod anchoring component 6 through the pin 7.
具体的,近端杆锚定部件3与患者上肢的近端骨整体相关,远端杆锚定部件6与患者上肢的远端骨整体相关,铰接件器将近端杆锚定部件3与远端杆锚定部件6铰接到一起,该铰接件器包括中心轴及贯穿该铰接轴的透光定心窗11,当定位外部骨科固定器时用于框住肘关节的透光定心窗11,透光定心窗11可以具有圆柱形几何形状并且将铰接针限定在近端联接部分与远端联接部分之间。透光定心窗11的存在在定心关节轴的步骤中提供了显著的帮助,透光定心窗11可以有利地包括沿着中心轴定向的中心管,以允许诸如例如克氏针的已知类型的参考线的可能插入。Specifically, the proximal rod anchoring component 3 is integrally associated with the proximal bone of the patient's upper limb, and the distal rod anchoring component 6 is integrally associated with the distal bone of the patient's upper limb. The articulator hinges the proximal rod anchoring component 3 and the distal rod anchoring component 6 together, and the articulator includes a central axis and a light-transmitting centering window 11 that passes through the articulation axis. The light-transmitting centering window 11 is used to frame the elbow joint when positioning the external orthopedic fixator. The light-transmitting centering window 11 can have a cylindrical geometry and confine the articulation pin between the proximal connection part and the distal connection part. The presence of the light-transmitting centering window 11 provides significant assistance in the step of centering the joint axis. The light-transmitting centering window 11 can advantageously include a central tube oriented along the central axis to allow the possible insertion of a reference wire of a known type such as, for example, a Kirschner wire.
近端杆锚定部件3包括至少一个近端杆,所述至少一个近端杆连接到铰接器并且通过由至少一个钉夹支撑的近端骨内针固定到近端骨上。远端骨内针可以由与远端杆相关的至少一个远端钉夹支撑,这可以有利地允许杆与针之间的三个自由度,即通常地由于杆能够在其座上轴向滑动的能力、针在其座中轴向滑动的能力以及锁定杆和针的接合元件之间的角度调节可能性,远端骨内针可以由远端杆直接支撑并且借助于通过固定部件(例如固定螺钉)紧固到远端杆上的锁定件而保持在适当位置中。远端杆与锁定件可以具有一起工作以限定远端骨内针的座的相对的中空部。具有明显的降低结构成本的优点。远端骨内针由同与远端杆一体的基部可旋转地重叠的至少一个插入件支撑,用于将所述远端骨内针保持在适当位置中的锁定件布置在所述插入件上方,所述锁定件通过固定部件(尤其是固定螺钉)可锁定在远端基部上,固定部件还可以有利地允许阻挡所述基部与所述插入部之间的相对运动。The proximal rod anchoring component 3 comprises at least one proximal rod connected to the hinge and fixed to the proximal bone by a proximal intrabone needle supported by at least one nail clip. The distal intrabone needle can be supported by at least one distal nail clip associated with the distal rod, which can advantageously allow three degrees of freedom between the rod and the needle, namely, the distal intrabone needle can be directly supported by the distal rod and held in place by means of a locking piece fastened to the distal rod by a fixing member (e.g. a fixing screw), generally due to the ability of the rod to slide axially on its seat, the ability of the needle to slide axially in its seat, and the possibility of angular adjustment between the engaging elements of the locking rod and the needle. The distal rod and the locking piece can have relative hollow parts that work together to define the seat of the distal intrabone needle. It has the obvious advantage of reducing the cost of the structure. The distal endosseous needle is supported by at least one insert which rotatably overlaps with a base integral with the distal rod, and a locking member for holding the distal endosseous needle in an appropriate position is arranged above the insert, and the locking member can be locked on the distal base by a fixing member (especially a fixing screw), and the fixing member can also advantageously allow blocking of relative movement between the base and the insert.
铰接器可以有利地包括布置为阻挡近端联接部分与远端联接部分之间的相对旋转的关节锁定部件。特别地,这些部件可以采用关节锁定螺钉的形式。铰接器还可以包括布置为允许远端锚定部件相对于近端锚定部件平移的关节牵引部件。沿着相对于远端骨的纵轴倾斜以牵引角的牵引轴发生上述平移,所述牵引角包括在60°与75”之间,优选地66”。远端联接部分可以包括铰接到近端联接部分的接合元件以及与远端锚定部件一体的远端连接器,此远端连接器相对于所述接合元件可滑动地移动。在此情形中,关节牵引部件可以布置为使远端连接器产生相对于接合元件的平移。远端连接器可以包括可滑动地插入接合元件的滑动座中的滑动臂,然后具有用于牵引控制的螺钉形式的所述关节牵引部件,包括与滑动座可旋转相关的头部和接合在滑动臂中的柄部。The articulator can advantageously include joint locking components arranged to block relative rotation between the proximal coupling part and the distal coupling part. In particular, these components can take the form of joint locking screws. The articulator can also include joint distraction components arranged to allow the distal anchoring component to translate relative to the proximal anchoring component. The above-mentioned translation occurs along a distraction axis inclined at a distraction angle relative to the longitudinal axis of the distal bone, and the distraction angle is included between 60° and 75", preferably 66". The distal coupling part can include a coupling element hinged to the proximal coupling part and a distal connector integral with the distal anchoring part, which is slidably movable relative to the coupling element. In this case, the joint distraction component can be arranged to cause the distal connector to translate relative to the coupling element. The distal connector can include a sliding arm slidably inserted into a sliding seat of the coupling element, and then has the joint distraction component in the form of a screw for distraction control, including a head rotatably associated with the sliding seat and a handle engaged in the sliding arm.
这里说明的设备数量和处理规模是用来简化本实用新型的说明的,对本实用新型的应用、修改和变化对本领域的技术人员来说是显而易见的。The number of devices and processing scale described here are used to simplify the description of the utility model. The application, modification and variation of the utility model are obvious to those skilled in the art.
尽管本实用新型的实施方案已公开如上,但其并不仅限于说明书和实施方式中所列运用,它完全可以被适用于各种适合本实用新型的领域,对于熟悉本领域的人员而言,可容易地实现另外的修改,因此在不背离权利要求及等同范围所限定的一般概念下,本实用新型并不限于特定的细节和这里示出与描述的图例。Although the implementation scheme of the utility model has been disclosed as above, it is not limited to the applications listed in the specification and implementation modes. It can be fully applied to various fields suitable for the utility model. For those familiar with the art, additional modifications can be easily implemented. Therefore, without departing from the general concept defined by the claims and the scope of equivalents, the utility model is not limited to the specific details and the illustrations shown and described herein.
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