CN103860233A - Hallux valgus substrate occlusion wedged osteotomy guider - Google Patents

Hallux valgus substrate occlusion wedged osteotomy guider Download PDF

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Publication number
CN103860233A
CN103860233A CN201410124137.8A CN201410124137A CN103860233A CN 103860233 A CN103860233 A CN 103860233A CN 201410124137 A CN201410124137 A CN 201410124137A CN 103860233 A CN103860233 A CN 103860233A
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China
Prior art keywords
osteotomy
drill bit
guide
hole
wedge osteotomy
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CN201410124137.8A
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Chinese (zh)
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CN103860233B (en
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毛威
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Xuanwu Hospital
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毛威
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Priority to CN201410124137.8A priority Critical patent/CN103860233B/en
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    • 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
    • A61B17/1732Guides or aligning means for drills, mills, pins or wires for bone breaking devices
    • 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
    • A61B17/1657Bone breaking devices
    • 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
    • A61B17/1662Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
    • A61B17/1682Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the foot or ankle

Abstract

The invention relates to a hallux valgus substrate occlusion wedged osteotomy guider. The hallux valgus substrate occlusion wedged osteotomy guider comprises a planta pedis support, an ankle support, a vertical rod and an osteotomy device, wherein the ankle support is perpendicularly connected with the planta pedis support, guide rails are arranged on the two sides of the planta pedis support respectively, the bottom of the vertical rod is fixedly connected with a guiding sliding block which is matched with the corresponding guide rail, laser locators are arranged at the tail ends of the two sides of a wedged osteotomy guide block respectively, the osteotomy device is connected with a through hole in a rotary mode through the vertical rod, an angle locating hole which is matched with a locating guide needle is formed in one side of a scale, an extended circular-arc-shaped measuring plate is arranged on the edge of the other side of the scale, a stirring block is arranged at the upper end of the extended circular-arc-shaped measuring plate, and the scale is movably connected with the wedged osteotomy guide block in the mode that the locating guide needle penetrates through the angle locating hole and first locating needle holes in sequence. The hallux valgus substrate occlusion wedged osteotomy guider is accurate in locating and easy to operate, and facilitating operation of beginners.

Description

The closed wedge osteotomy guider of a kind of intoe substrate
Technical field
The present invention relates to orthopedic medical device field, the closed wedge osteotomy guider of especially a kind of intoe substrate.
Background technology
The closed osteotomy of substrate wedge shape belongs to the one of substrate osteotomy, aspect treatment intoe taking orthopedic ability by force for most doctors acceptance, Loison mentioned this osteotomy first in 1901, Balacescu in 1903 for clinical operation, in 60~seventies of last century, constantly have doctor to use this art formula to carry out the treatment of intoe, after the eighties, starting constantly has document to deliver.Aspect the mathematics and Study on Geometry of this osteotomy, starting also relatively early, just had scholar to carry out Mathematics Research for this osteotomy as far back as 1984.The people such as JahssMH in 1985 are docked subject 120 example foots (75 patient's intoe patients) and are adopted 5 kinds of osteotomies to carry out the research of mathematics and geometry aspect.In the nineties, this art formula is well-known for a time.But along with going deep into of research, its shortcoming is also constantly found.Stretch deformity as osteotomy causes first metatarsal to spend cripetura and the metatarsal far-end back of the body more, often cause transitivity metatarsalgia.For avoiding occurring appeal complication, this art formula is constantly modified, and becomes one of classical art formula for the treatment of intoe, but most scholars point out, this operation technique difficulty, needs certain learning curve, is unfavorable for that abecedarian operates.Trace it to its cause is mainly accurately to determine osteotomy direction and osteotomy amount.For this reason, invention is a kind of convenient, and effectively osteotomy operation tool and operational approach are very necessary.
Summary of the invention
The technical problem to be solved in the present invention is: in order to overcome the problem of above-mentioned middle existence, provide a kind of intoe substrate closed wedge osteotomy guider, and its accurate positioning, simple to operate, be beneficial to abecedarian's operation.
The technical solution adopted for the present invention to solve the technical problems is: the closed wedge osteotomy guider of a kind of intoe substrate, and comprise vola holder, hold in the palm the vertical ankle holder, vertical rod and the osteotomy device that arrange of being connected with vola, described vola holder dual-side is provided with guide rail; Described vertical rod bottom is fixedly connected with the slider guide suitable with guide rail;
Described osteotomy device comprises osteotomy drill bit, wedge osteotomy guide pad, scale and some location guide pin; Described osteotomy drill bit comprises drill bit, limited block, be arranged on drive motors on limited block, be arranged on the hands handle on limited block; Described drill bit is to be connected with drive motors; Described drive motors is electrically connected mutually with internal battery, and drive motors top is provided with gauge tap; Described wedge osteotomy guide pad bottom is provided with lower arcuate surface, middle part is provided with drill bit positioning runner, one side of wedge osteotomy guide pad has been arranged side by side several the first location pin holes, opposite side both sides are provided with several the second location pin holes, also be provided with near the end of the first location pin hole one side and the vertical rod adaptive through hole that slides, wedge osteotomy guide pad both-side ends is provided with laser locator, and wedge osteotomy guide pad both sides end face is provided with the supplying cell and the laser switch button that are mutually electrically connected with laser locator; Described osteotomy device is to be rotationally connected by vertical rod and through hole; Described drill bit is through drill bit positioning runner, with drill bit positioning runner mobile link; One side of described scale is provided with the angle orientation hole suitable with locating guide pin, and opposite side edge prolongs to be equipped with and extends arc measuring plate, and the upper end of extending arc measuring plate is provided with stirs piece; Described extension arc measuring plate is provided with angle index; Scale is flexibly connected with wedge osteotomy guide pad through angle orientation hole and the first location pin hole successively by location guide pin.
As preferred scheme, described vola holder is integral structure with ankle holder.
As preferred scheme, the first described location pin hole is seven.
As preferred scheme, the second described location pin hole is five.
The invention has the beneficial effects as follows: the closed wedge osteotomy guider of a kind of intoe substrate, there is vola holder and ankle holder, be conducive to fixing foot, located by laser locator and location guide pin, its accurate positioning, having scale can adjust angle accurately and easily, simple to operate, is beneficial to abecedarian's operation.
Brief description of the drawings
Below in conjunction with drawings and Examples, the present invention is further described.
Fig. 1 is the closed wedge osteotomy guider of a kind of intoe substrate of the present invention overall structure schematic diagram.
Fig. 2 is the closed wedge osteotomy guider of a kind of intoe substrate of the present invention osteotomy device structural representation.
Fig. 3 is the closed wedge osteotomy guider of a kind of intoe substrate of the present invention wedge osteotomy guide block structure schematic diagram.
Fig. 4 is the closed wedge osteotomy guider of a kind of intoe substrate of the present invention scale structural representation.
Accompanying drawing acceptance of the bid note is described below: 1, vola holder, 11, guide rail, 2, ankle holder, 3, vertical rod, 31, slider guide, 4, osteotomy device, 5, osteotomy drill bit, 51, drill bit, 52, limited block, 53, drive motors, 531, gauge tap, 54, hands handle, 6, wedge osteotomy guide pad, 61, lower arcuate surface, 62, drill bit positioning runner, 63, the first location pin hole, 64, the second location pin hole, 65, through hole, 66, laser locator, 67, supplying cell, 68, laser switch button, 7, scale, 71, angle orientation hole, 72, extend arc measuring plate, 73, stir piece, 8, location guide pin.
Detailed description of the invention
In conjunction with the accompanying drawings, the present invention is further detailed explanation.These accompanying drawings are the schematic diagram of simplification, and basic structure of the present invention is only described in a schematic way, and therefore it only shows the formation relevant with the present invention.
The closed wedge osteotomy guider of a kind of intoe substrate as shown in Figure 1,2,3, 4, comprises vola holder 1, holds in the palm the 1 vertical ankle holder 2, vertical rod 3 and the osteotomy device 4 that arrange of being connected with vola, and described vola asks 1 dual-side to be provided with guide rail 11; Described vertical rod 3 bottoms are fixedly connected with the slider guide 31 suitable with guide rail 11;
Described osteotomy device 4 comprises osteotomy drill bit 5, wedge osteotomy guide pad 6, scale 7 and some location guide pin 8, described osteotomy drill bit 5 comprises drill bit 51, limited block 52, be arranged on drive motors 53 on limited block 52, be arranged on the handle 54 on limited block 52, described drill bit 51 is to be connected with drive motors 53, described drive motors 53 is electrically connected mutually with internal battery, and drive motors 53 tops are provided with gauge tap 531, described wedge osteotomy guide pad 6 bottoms are provided with lower arcuate surface 61, middle part is provided with drill bit positioning runner 62, one side of wedge osteotomy guide pad 6 has been arranged side by side several the first location pin holes 63, opposite side both sides are provided with several the second location pin holes 64, also be provided with near the end of the first location pin hole 63 1 sides and the vertical rod 3 adaptive through hole 65 that slides, wedge osteotomy guide pad 6 both-side ends are provided with laser locator 66, wedge osteotomy guide pad 6 both sides end faces are provided with the supplying cell 67 and the laser switch button 68 that are mutually electrically connected with laser locator 66, described osteotomy device 4 is to be rotationally connected by vertical rod 3 and through hole 65, described drill bit 51 is through drill bit positioning runner 62, with drill bit positioning runner 62 mobile links, one side of described scale 7 is provided with the angle orientation hole 71 suitable with locating guide pin 8, and opposite side edge prolongs to be equipped with and extends arc measuring plate 72, and the upper end of extending arc measuring plate 72 is provided with stirs piece 73, described extension arc measuring plate 72 is provided with angle index, scale 7 is flexibly connected with wedge osteotomy guide pad 6 through angle orientation hole 71 and the first location pin hole 63 successively by location guide pin 8.
Described vola holder 1 is integral structures with ankle holder 2.The first described location pin hole 63 is seven.The second described location pin hole 64 is five.
Patient's horizontal position, is placed in foot holder to suffer from foot, makes ankle joint keep 90 degree positions, regulates vertical rod sliding tray to correct position, near joint, apart from cortex 2mm place, inner side, squeezes into first piece of location guide pin along osteotomy device hole with first metatarsal substrate.Remove foot holder and vertical rod.Regulating initial osteotomy site, is generally to become 40 ° with first metatarsal axis, squeezes into second piece of location guide pin with osteotomy device far-end, carries out osteotomy for the first time.After osteotomy completes, extract second piece of location guide pin, put scale with first piece of location guide pin, rotary osteotomy device, to proper angle, is squeezed into second piece of location guide pin again.Complete osteotomy, can ensure that interior side seam hinge is complete simultaneously.
The closed wedge osteotomy guider of a kind of intoe substrate of the present invention, has vola holder and ankle holder, is conducive to fixing foot, located guide pin location, location, its accurate positioning by laser locator, having scale can adjust angle accurately and easily, simple to operate, is beneficial to abecedarian's operation.
Taking above-mentioned foundation desirable embodiment of the present invention as enlightenment, by above-mentioned description, relevant staff can, not departing from the scope of this invention technological thought, carry out various change and amendment completely.The technical scope of this invention is not limited to the content in description, must determine its technical scope according to claim scope.

Claims (4)

1. the closed wedge osteotomy guider of intoe substrate, it is characterized in that: comprise vola holder (1), hold in the palm (1) vertical ankle holder (2), vertical rod (3) and osteotomy device (4) of arranging of being connected with vola, described vola holder (1) dual-side is provided with guide rail (11); Described vertical rod (3) bottom is fixedly connected with the slider guide (31) suitable with guide rail (11);
Described osteotomy device (4) comprises osteotomy drill bit (5), wedge osteotomy guide pad (6), scale (7) and some location guide pins (8), described osteotomy drill bit (5) comprises drill bit (51), limited block (52), be arranged on drive motors (53) on limited block (52), be arranged on the handle (54) on limited block (52), described drill bit (51) is to be connected with drive motors (53), described drive motors (53) is electrically connected mutually with internal battery, and drive motors (53) top is provided with gauge tap (531), described wedge osteotomy guide pad (6) bottom is provided with lower arcuate surface (61), middle part is provided with drill bit positioning runner (62), one side of wedge osteotomy guide pad (6) has been arranged side by side several the first location pin holes (63), opposite side both sides are provided with several the second location pin holes (64), also be provided with near the end of the first location pin hole (63) one sides and vertical rod (3) the adaptive through hole (65) that slides, wedge osteotomy guide pad (6) both-side ends is provided with laser locator (66), wedge osteotomy guide pad (6) both sides end face is provided with the supplying cell (67) and the laser switch button (68) that are mutually electrically connected with laser locator (66), described osteotomy device (4) is to be rotationally connected by vertical rod (3) and through hole (65), described drill bit (51) is through drill bit positioning runner (62), with drill bit positioning runner (62) mobile link, one side of described scale (7) is provided with the angle orientation hole (71) suitable with locating guide pin (8), and opposite side edge prolongs to be equipped with and extends arc measuring plate (72), and the upper end of extending arc measuring plate (72) is provided with and stirs piece (73), described extension arc measuring plate (72) is provided with angle index, scale (7) is flexibly connected with wedge osteotomy guide pad (6) through angle orientation hole (71) and the first location pin hole (63) successively by location guide pin (8).
2. the closed wedge osteotomy guider of a kind of intoe substrate according to claim 1, is characterized in that: described vola holder (1) is integral structure with ankle holder (2).
3. the closed wedge osteotomy guider of a kind of intoe substrate according to claim 1, is characterized in that: the first described location pin hole (63) is seven.
4. the closed wedge osteotomy guider of a kind of intoe substrate according to claim 1, is characterized in that: the second described location pin hole (64) is five.
CN201410124137.8A 2014-03-28 2014-03-28 A kind of intoe substrate closes wedge osteotomy guider Expired - Fee Related CN103860233B (en)

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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106821474A (en) * 2017-02-28 2017-06-13 尤微 A kind of guiding assistor for lower-limb skeletal traction operation
CN108567465A (en) * 2018-03-28 2018-09-25 西安市红会医院 Scarf osteotomy devices
CN109171878A (en) * 2018-09-19 2019-01-11 北京新星靓京广医疗美容医院有限公司 A kind of intoe substrate closure wedge osteotomy guider
CN109567897A (en) * 2017-09-28 2019-04-05 陈德路 Orthopaedics three-dimensional precision localised puncture system
CN111887932A (en) * 2020-07-31 2020-11-06 北京积水潭医院 Auxiliary positioning device for foot osteotomy

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5254119A (en) * 1991-08-23 1993-10-19 Schreiber Saul N Osteotomy device and method therefor
US5540695A (en) * 1994-02-18 1996-07-30 Howmedica Inc. Osteotomy cutting guide
CN2524686Y (en) * 2002-01-29 2002-12-11 马桂文 Abrasive drill for correcting hallux valgus deformity
EP1952776A1 (en) * 2007-02-01 2008-08-06 Giuseppe Lodola Implant for fixing two fragments of bone together in osteotomy procedures
US20090036931A1 (en) * 2007-08-04 2009-02-05 Normed Medizin-Technik Vertriebs-Gmbh Foot surgery bone plate, and system comprising bone plate and insertion aid
CN203749497U (en) * 2014-03-28 2014-08-06 毛威 Wedge-shaped osteotomy guide device with closed substrate for hallux valgus

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5254119A (en) * 1991-08-23 1993-10-19 Schreiber Saul N Osteotomy device and method therefor
US5540695A (en) * 1994-02-18 1996-07-30 Howmedica Inc. Osteotomy cutting guide
CN2524686Y (en) * 2002-01-29 2002-12-11 马桂文 Abrasive drill for correcting hallux valgus deformity
EP1952776A1 (en) * 2007-02-01 2008-08-06 Giuseppe Lodola Implant for fixing two fragments of bone together in osteotomy procedures
US20090036931A1 (en) * 2007-08-04 2009-02-05 Normed Medizin-Technik Vertriebs-Gmbh Foot surgery bone plate, and system comprising bone plate and insertion aid
CN203749497U (en) * 2014-03-28 2014-08-06 毛威 Wedge-shaped osteotomy guide device with closed substrate for hallux valgus

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106821474A (en) * 2017-02-28 2017-06-13 尤微 A kind of guiding assistor for lower-limb skeletal traction operation
CN109567897A (en) * 2017-09-28 2019-04-05 陈德路 Orthopaedics three-dimensional precision localised puncture system
CN108567465A (en) * 2018-03-28 2018-09-25 西安市红会医院 Scarf osteotomy devices
CN108567465B (en) * 2018-03-28 2023-10-27 西安市红会医院 Scarf osteotomy device
CN109171878A (en) * 2018-09-19 2019-01-11 北京新星靓京广医疗美容医院有限公司 A kind of intoe substrate closure wedge osteotomy guider
CN109171878B (en) * 2018-09-19 2023-08-04 北京新星靓京广医疗美容医院有限公司 Thumb everting substrate closed wedge-shaped osteotomy guider
CN111887932A (en) * 2020-07-31 2020-11-06 北京积水潭医院 Auxiliary positioning device for foot osteotomy

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