External fixation of fracture method and small splint constant-force bandage thereof
Technical field
The present invention relates to the plintlet band for external fixation of fracture, mainly refer to a kind of have band pulling force external fixation of fracture method constant, auto-alarm function and small splint constant-force bandage thereof.
Background technology
Tradition fracture fixation method roughly comprises several below:
1. the method for the fixing fracture of common gypsum, the method exist volume large, heavy, airtight, easily get loose, difficulty adjusting, easily form the defects such as pressure ulcer.
2. the method that resin Gypsum Fibrosum bone fixation is rolled over, there is the defects such as high, the difficult adjusting of expense in the method.
3. plintlet external fixation: manual reduction and plintlet are fixedly characteristic and the advantages that Chinese traditional treatment is fractured outward, obtain already the approval in the world.Plintlet have advantages of letter, just, test, honest and clean, be maximum external fixation of fracture method and the equipment of the current clinical use of China.Wherein the most extensive with volume of production maximum, the use of Willow splint.
The fixing physiological function from limbs of plintlet, by band to the restraining forces of clamping plate, pressure pad to fracture site being prevented or corrected the efficacy of displacement, and make full use of limb muscle and shrink the internal motivation producing, impel fracture stabilization, healing.Plintlet has fixedly embodied " being association of activity and inertia " principle of traditional Chinese medical science organic conception and fixing fracture outward.
Strong interior fixing " AO " theory and technology are praised highly by western countries over nearly 30 years, more because of clinical drawback, and then turn to and fix (B0 is theoretical) biology of focusing on the confession of protection blood.According to China's tradition synthetism theory day by day traditional Chinese medical science synthetism (CO) the opinion flexible fastening (fine motion is fixed) of maturation, through experiment and a large amount of clinical research confirmation, curative effect can meet or exceed open reduction internal fixation treatment completely.Plintlet best embodies the fixing principle of fine motion, and therefore, plintlet external fixation bone-fracture treatment is still science and advanced Therapeutic Method so far, will continue as human health and make contributions.
The defect that plintlet exists:
The subject matter of tradition clamping plate be because the defect of material and the imbalance of band elasticity cause fixedly that dynamics is out of control, clamping plate and pressure pad displacement, pressure ulcer and infection, nerve injury, limb ischemia necrosis (even causing amputation) etc.Wherein, the loosening or tension of band is the most general problem.The judgement of the elasticity of band and adjustment need doctor's rich experience, are that patient is difficult to grasp, and this is affect the treatment and cause the main cause of severe complication.
Summary of the invention
The object of the invention is the deficiency existing in order to overcome prior art, a kind of have band pulling force external fixation of fracture method constant, auto-alarm function and small splint constant-force bandage thereof are provided.
Realizing method of the present invention is: comprising:
A. have constant force, the self-adjustable bundle of band length ties up mode; Comprise
Adopt constant force wind spring;
Adopt band;
Adopt plintlet;
Band one end and constant force wind spring are connected to form to constant-force bandage;
In fracture site surrounding, attach 4-5 piece plintlet, wherein on a plintlet, be fixed with 3-4 control box;
With constant-force bandage, the plintlet of fixing fracture is tied up around bundle, at this moment constant force wind spring is opened, and along with progressively swelling or the detumescence of fracture site, constant force wind spring progressively elongates or tightens up, and the pulling force size of constant force wind spring is constant, and it is invariable that the bundle of realizing band is tied up power;
B. the band pulling force sound and light alarm that transfinites; Comprise:
Band pulling force upper limit alarm contact is set, and when band pulling force reaches in limited time, warning circuit is connected, and acousto-optic is reported to the police;
Band pulling force lower limit alarm actuating contact is set, and when band pulling force reaches in limited time lower, warning circuit is connected, and acousto-optic is reported to the police;
When band pulling force is normal, do not report to the police;
C. band pulling force regulates; Comprise:
By moving with the hand band clasp, loosen band;
Tension band is to correct position.
The method also comprises:
Light in described sound and light alarm is reported to the police and is comprised with the different photochromic band pulling force upper limit and the band pulling force lower limits of showing respectively.
Realizing small splint constant-force bandage for external fixation of fracture of the present invention is:
Comprise constant force wind spring, band, plintlet and sound light alarming circuit, wherein
Band one end and constant force wind spring connect to form constant-force bandage, and the band other end is provided with the contact being connected with sound light alarming circuit;
Plintlet is for clamping fracture site, and together with plintlet is tied up with fracture site bundle by constant-force bandage, constant-force bandage can automatically loosen or tighten up along with the swelling gradually of fracture site or detumescence, and it is constant to make the bundle of band tie up power;
Sound light alarming circuit is provided with the circuit contact being connected with band contact, sound and light alarm when realizing band pulling force and transfiniting.
This small splint constant-force bandage for external fixation of fracture also comprises:
Described contact comprises band pulling force upper limit alarm contact and band pulling force lower limit alarm actuating contact, and demonstration is distinguished by different color light in this bound contact.
Described plintlet comprises 4-5 piece, and this 4-5 piece plintlet is clamping in fracture site surrounding respectively, wherein on a plintlet, is provided with 3-4 control box.
Described sound light alarming circuit comprises constant-force bandage, button cell, buzzer, two detector diodes in parallel, dichromatic LED, the first contact, the second contact, wherein button cell circuit is after dichromatic LED and buzzer, one tunnel the first detector diode connects the first contact, another road second detector diode connects the second contact, and this first contact is corresponding with the contact on described band with the second contact.
Bound contact on described band is loosened band or is strained band to suitable pulling force by moving with the hand band clasp.
Described constant-force bandage is arranged in control box, and this control box other end is provided with band pulling buckle, and described band is tied up after plintlet through pricking, and its end is connected with band pulling buckle; Described sound light alarming circuit is arranged in control box, and this control box is arranged on plintlet.
Described band is provided with the markings that show band pulling force size, and these markings show in the window of control box.
The beneficial effect that the present invention has: use constant-force bandage, the judgement of the elasticity of band and adjustment do not need doctor to complete, by constant-force bandage, automatically adjusted, thoroughly solved easily loosening or tension and need the frequent problem of adjusting of doctor of band, effectively keep fixing, reduce side effect, for clinical, provide more effective, safe, easy, practical external fixation of fracture instrument.
Accompanying drawing explanation
Fig. 1 is control box schematic diagram of the present invention.
Fig. 2 is the sectional view of Fig. 1.
Fig. 3 is the top view of Fig. 1.
Fig. 4-6 are fundamental diagram of the present invention.
Fig. 7 is result of use schematic diagram of the present invention.
Fig. 8 is circuit theory diagrams of the present invention.
In figure: 1 constant force wind spring, 2 first contacts, 3 second contacts, 4 first detector diodes, 5 second detector diodes, 6 buzzers, 7 dichromatic LEDs, 8 button cells, 9 bands pull direction, 10 control boxes, 11 band pulling buckles, 13 wiring boards, 14 red marker lines, 15 yellow markings, 16 clasps, 17 band drag hooks, 18 colour code points, 20 limbs cross sections, 30 pressure directions, 40 skeleton cross sections, 50 plintlets, 60 bands, 61 band contacts.
The specific embodiment
Below in conjunction with accompanying drawing, the present invention will be further described:
As shown in the figure, this small splint constant-force bandage, is mainly comprised of constant force wind spring 1, band 60, plintlet 50 and sound light alarming circuit, and constant force wind spring (being similar to clock watch spring) 1, band 60, plintlet 50 and sound light alarming circuit are all contained in 10 li of control boxes.
Band 60 one end and constant force wind spring 1 connect to form constant-force bandage, and band is provided with the band contact 61 that is connected with sound light alarming circuit and markings 15, clasp 16, band drag hook 17.
On control box 10, have buzzer 6 and dichromatic LED (display lamp) 7, there is band pulling buckle 11 control box 10 one end.
Sound light alarming circuit is provided with the circuit contact 2,3 being connected with band contact, realizes the sound and light alarm that band pulling force transfinites.
Operation principle
Use constant force wind spring, band, plintlet, band one end and constant force wind spring are connected to form to constant-force bandage, in fracture site surrounding, attach 4-5 piece plintlet (see figure 8), on a plintlet, be fixed with 3-4 control box 10 therein, in control box 10, be fixed with constant-force bandage and circuit board, band is pulled out from control box 10 one end, walk around all the other 3 plintlets, hang in band pulling buckle 11, together with 4-5 piece plintlet and fracture site are pricked and are tied up, at this moment constant force wind spring is in pulling open state, when fracture site is progressively subsided a swelling, constant force wind spring can progressively tighten up, at this moment band is also along with tightening up, prick that to tie up power constant simultaneously, in like manner, when fracture site is progressively during swelling, constant force wind spring can progressively elongate, and at this moment band is also along with elongation, pricks that to tie up power constant simultaneously.
On band, be provided with the markings (showing) that show band pulling force size in the window of control box, on band, also have alarm actuating contact.On control box, there are the buzzer and the display lamp that controlled by circuit, also have 2 alarm actuating contacts.When band correct tension, display lamp does not work, buzzer does not ring, markings point is central at window; When band pulling force is too small, the contact circuits for triggering on band, display lamp glassy yellow, buzzer ring, markings are near the yellow end of window; When band pulling force is excessive, the contact on band is circuits for triggering also, and display lamp shiny red, buzzer ring, the red end of the close window of markings point; Pulling force is excessive or when too small, patient can oneself adjust band pulling force.
When Fig. 4 is band correct tension, display lamp does not work, buzzer does not ring, markings are emerging in green area.
Fig. 5 is band pulling force when too small, and display lamp glassy yellow, buzzer ring, markings are emerging in yellow area.
Fig. 6 is band pulling force when excessive, and display lamp shiny red, buzzer ring, markings are emerging in red area.Explain:
Band: be the chemical fibre ribbon of wide approximately 1 centimetre, require more smoothly, can bear pulling force more than 50 newton.
" move with the hand ": the meaning of " moving with the hand " is first to lift gently the afterbody of clasp, can loosen traction force, the same with the operation starting subsequently, the afterbody of tractive band.Two actions are summarized with " moving with the hand ".
Clasp on band: the effect of clasp is just as the cingulum on sandals, and band is by clasp opisthotonos, oppositely tractive band and strain band; The 2nd, play the effect of unidirectional pulley, can not form band retraction during tractive band and loosen (reducing pulling force); The 3rd, on cingulum, there is hook, the annular bundle that can complete band is tied up.
The spring assembly of every employing and this constant force wind spring same application, all belongs to protection scope of the present invention.