CN2146964Y - Separable adjustable external fixer for lower jawbone fracture reduction - Google Patents

Separable adjustable external fixer for lower jawbone fracture reduction Download PDF

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Publication number
CN2146964Y
CN2146964Y CN 92245720 CN92245720U CN2146964Y CN 2146964 Y CN2146964 Y CN 2146964Y CN 92245720 CN92245720 CN 92245720 CN 92245720 U CN92245720 U CN 92245720U CN 2146964 Y CN2146964 Y CN 2146964Y
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CN
China
Prior art keywords
bolt
folder
model
utility
purl
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Expired - Fee Related
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CN 92245720
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Chinese (zh)
Inventor
陈竹
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WUHAN WAR INDUSTRY GENERAL HOSPITAL
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WUHAN WAR INDUSTRY GENERAL HOSPITAL
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Priority to CN 92245720 priority Critical patent/CN2146964Y/en
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Publication of CN2146964Y publication Critical patent/CN2146964Y/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

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Abstract

The utility model relates to a separable adjustable external fixer for lower jawbone fracture reduction, which mainly comprises an arc-shaped connecting bent lever 1 which is similar to the shape of the long axis of a lower jawbone, bone round needle 3, a plurality of slide blocks sheathed on the bent lever 1, a boost clip and an adjustable wrench. The utility model is characterized in that an adjusting function and a fixing function are respectively completed by corresponding components, which reduces the weight of the utility model. The utility model has the advantages of simple structure and simple operation in clinical application. The utility model can reduce patients' pain, and shorten fixing time between jawbones or avoid having a fixation between the jawbones. The utility model can quicken the healing of the fracture, promote the functional recovery of the oral cavity and avoid unhealthy complications.

Description

Separable adjustable external fixer for lower jawbone fracture reduction
This utility model relates to medical apparatus and instruments, particularly a kind of split adjustable lower jawbone external immobilizer for fracture restitution.
For the patient of fracture of mandible, conventional Therapeutic Method be adopt that single jaw is fixed, method such as fixing between fixing and bone between jaw, these methods all have tangible deficiency.As the single jaw of Arch bar splint or tinsel ligation fixedly is to belong to a kind of fixing means, and because of fixedly strength is little, stability maintenance is poor, and the simple fracture that generally is only applicable to not have obvious displacement is fixed or cooperated other fixing meanss to use together.Fixation between jaw also belongs to one of external fixation.Because of last lower jaw is fixed together, wounded's limitation of mouth opening, functions such as influence feed, language be unfavorable for the oral cavity cleaning health, and to edentulous jaw, dental pattern week, scorching tooth body were loosening, and the jackknifing of popularity tooth trauma lacks the arrow person, should not adopt this method.Fixedly belong to internal fixation method between bone, need the surgical incision soft tissue, appear fracture site, increased patient's local wound and used steel wire to make fastening's less stable between bone.Inner matters such as steel plate spiral shell pin are the person fixedly, have easily to be excluded, and the anxiety that gets loose, operation easier is higher, enough soft tissue flap coverages need be arranged during application or need second operation to take out inner matter, and forbid in local infection, suppuration, opening fracture.
The purpose of this utility model is in order to solve above-mentioned existing in prior technology problem, and a kind of split adjustable lower jawbone external immobilizer for fracture restitution is proposed, this holder is by respectively wearing 1~2 piece of bone garden pin 3 external fixation that resets in mandibular bone lower edge fracture end both sides through skin, in the hope of the occluding relation that obtains to recover good, reduce operation wound and influence the unfavorable factor of union of fracture, shorten or exempt the set time between jaw, to prevent the generation of bad complication.
This utility model mainly is connected curved bar 1, bone garden pin 3 by one with similar arciform of mandibular bone major axis shape, be enclosed within several slide blocks 2, the afterburning folder on the curved bar 1 and regulate spanner and constitute.Wherein, fixing between slide block 2 and the curved bar 1 by screw 10, head at slide block 2 is with bolt folder 5, purl bolt 7 is contained in the hole of bolt folder 5, have the hole 9 of threading a needle in the side of purl bolt 7, bone garden pin 3 is contained in this hole 9 of threading a needle, and it is fixedly clamped by pin nut 8 and the bolt folder 5 of deciding that is positioned on the purl bolt 7, and one 4 of purl bolt 7 is polygon.
During use, at first the patient is carried out local anesthesia, about distance fracture of mandible end both sides 1cm, respectively wear 1 piece of bone garden pin 3 then in the lower jaw lower edge, look fracture site and the fracture misalignment can respectively wear 1 piece of auxiliary bone fixation garden pin 3 in mandibular bone broken ends of fractured bone one or both sides again, afterwards, the afterbody of exposed body surface bone garden pin 3 is penetrated respectively in the hole 9 of threading a needle in the purl bolt 7, adjust the position of curved bar 1, tighten and decide pin nut 8 bone garden pin 3 is fixed on the purl bolt 7, be enclosed within purl bolt 7 polygonal with the sleeve pipe 16 of regulating Wrench head, regulate the position of purl bolt 7 and bolt folder 5, drive bone garden pin 3 and reverse displacement to correct fracture, fastening nut 6 is with bolt folder 5, and purl bolt 7 is fixed on the slide block 2.Two arc card arms 13 with the reinforcing folder are stuck on the cervical region draw-in groove of adjacent two slide blocks 2 in fracture two ends, tighten the adjusting nut 15 on the afterburning folder, draw two card arms 13 through screw rod 14, promote two slide blocks 2 and move, drive bone garden pin 3 and make fracture end obtain axial compressive force to relative direction.Tighten screw 10 at last, slide block 2 is fixed on the curved bar 1, the fracture of mandible end just is fixed like this, keeps geometry indeformable.Also can adjust at any time simultaneously fracture para-position situation.Treat that fracture reaches clinical healing and can remove this utility model.For complexity or bone damaged mandibular fracture is arranged, can cooperate a mouthful interior Arch bar splint, method auxiliary treatment such as short-term intermaxillary traction and mouthful outer suspension, elastic traction.
The utlity model has following advantage.
1, simple in structure, be convenient to operation, be easy to grasp, in light weight.
2, do not need surgical incision local soft tissue and periosteum, only need respectively wear 1-2 piece of bone garden pin respectively at fracture folding end, assembling is fast, and is easy to adjust, damage for a short time, and patient is painful to be lacked, and the position concealed of threading a needle obviously influences nothing attractive in appearance.
3, purl bolt, bolt folder and slide block be flexible within the specific limits, and reset response is reliable.
4, can avoid doing fixing between jaw or obviously shortening the set time between jaw, make the patient exercise oral cavity function in early days, safeguard oral hygiene, the prevention secondary infection can prevent because of passive fasting causes stomach discomfort malnutrition, weight loss simultaneously.
5, open the jaw fixation for treatment in early days, and keeping fracture site to put up under the geometrically stable system flexible fastening situation through bone garden pin and external fixation, make fracture end obtain suitable stress stimulation, safeguard effective activity of muscles of mastication and temporomandibular joint, can promote union of fracture and mouth opening to recover, shorten rehabilitation duration greatly.
6, relation recovers reliable, dehisces, masticatory function recovers fast.Can be used for open infectious fracture, can carry out the part simultaneously during the treatment and change dressings.Also can be used for being not suitable for using the case of fixing between Arch bar splint ligation jaw (as edentulous jaw, the tooth body is extensively loosening, infects disappearance etc.), can be used as a mouthful outer auxiliary hitch.
Followingly specify this utility model with reference to accompanying drawing.
Fig. 1 is a front view of the present utility model.
Fig. 2 is an A-A cutaway view among Fig. 1.
Fig. 3 is the front view of afterburning folder.
Fig. 4 regulates the spanner front view.
Fig. 5 regulates the spanner left view.
The cross section of curved bar 1 is square, and slide block 2 is garden cylindricalitys, and its base has square hole, and slide block 2 is gone here and there on square arciform connection curved bar 1, and can endwisely slip in curved bar 1 upper edge also can be fixing by screw 10.The head of slide block 2 is connected with bolt folder 5, bolt folder 5 can be done 360 ° of rotations at the head of slide block 2, the cervical region of slide block 2 has draw-in groove, purl bolt 7 is contained in slide block 2 axial vertical bolts and presss from both sides in 5 holes, be with nut 6 and decide pin nut 8 on purl bolt 7, have the hole 9 of threading a needle of inclination in the side of purl bolt 7, utilization is decided pin nut 8 and bone garden pin 3 can be fixed in the perforation 9 on the purl bolt, the purl bolt can be along the rotation of self axis, tighten decide pin nut 8 can be simultaneously fixing purl bolt 7 and bolt folder 5.
The head of regulating spanner is square sleeve pipe 16, it can with the purl bolt 7 foursquare one 4 cooperate, because neck space folder is narrow, be the convenient purl bolt 7 of regulating, the neck portion design of regulating spanner has plate-like joint 17, use the adjusting spanner to make vertical and horizontal direction arc with slide block 2 and purl bolt 7 as the axle center simultaneously and regulate, drive bone garden pin 3 to correct the deflection displacement of fracturing.
Afterburning folder adopts the rod-pulling type structure, it is made up of two arc card arms 13, screw rod 14 and adjusting nuts 15, and wherein, adjusting nut 15 is contained on the screw rod 14, the not end and the adjusting nut 15 of card arm 13 are hinged, and the front portion of card arm 13 is hinged by the tail end of connecting rod and screw rod 14.Two card arms 13 of afterburning folder can snap in the draw-in groove of adjacent two slide blocks, 2 cervical regions, are used for the relative direction pressurization.
Member of the present utility model is by rustless steel, and aluminium alloy is made.Afterburning folder and adjusting spanner can be used as special equipment and use separately.

Claims (4)

1, a kind of split adjustable lower jawbone external immobilizer for fracture restitution, it is characterized in that: it is mainly by arciform a be connected curved bar 1 similar with mandibular bone major axis shape, bone garden pin 3, be enclosed within several slide blocks 2 on the curved bar 1, afterburning folder and adjusting spanner constitute, wherein, fixing between slide block 2 and the curved bar 1 by screw 10, head at slide block 2 is with bolt folder 5, purl bolt 7 is contained in the hole of bolt folder 5, have the hole 9 of threading a needle in the side of purl bolt 7, bone garden pin 3 is contained in this hole 9 of threading a needle, it is fixedly clamped by pin nut 8 and the bolt folder 5 of deciding that is positioned on the purl bolt 7, and one 4 of purl bolt 7 is polygon.
2, according to the described split adjustable lower jawbone of claim 1 external immobilizer for fracture restitution, it is characterized in that curved bar 1 is a square pole, have square opening in the slide block 2, curved bar 1 inserts in this hole.
3, according to the described split adjustable lower jawbone of claim 1 external immobilizer for fracture restitution, it is characterized in that: afterburning folder is made up of two arc card arms 13, screw rod 14 and adjusting nuts 15, wherein, adjusting nut 15 is contained on the screw rod 14, the not end and the adjusting nut 15 of card arm 13 are hinged, and the front portion of card arm 13 is hinged by the tail end of connecting rod and screw rod 14.
4, according to the described split adjustable lower jawbone of claim 1 external immobilizer for fracture restitution, it is characterized in that: the head of regulating spanner is a polygon sleeve pipe 16, and sleeve pipe 16 can cooperate with 4 of polygon lock plunger 7, and the cervical region of this spanner is provided with plate-like joint 17.
CN 92245720 1992-12-31 1992-12-31 Separable adjustable external fixer for lower jawbone fracture reduction Expired - Fee Related CN2146964Y (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN 92245720 CN2146964Y (en) 1992-12-31 1992-12-31 Separable adjustable external fixer for lower jawbone fracture reduction

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN 92245720 CN2146964Y (en) 1992-12-31 1992-12-31 Separable adjustable external fixer for lower jawbone fracture reduction

Publications (1)

Publication Number Publication Date
CN2146964Y true CN2146964Y (en) 1993-11-24

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Family Applications (1)

Application Number Title Priority Date Filing Date
CN 92245720 Expired - Fee Related CN2146964Y (en) 1992-12-31 1992-12-31 Separable adjustable external fixer for lower jawbone fracture reduction

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CN (1) CN2146964Y (en)

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101700191B (en) * 2008-07-11 2012-07-18 奥林巴斯医疗株式会社 Tissue fastening tool
CN102858254A (en) * 2010-04-29 2013-01-02 斯恩蒂斯有限公司 Orthognathic implant
US9277948B2 (en) 2010-04-29 2016-03-08 DePuy Synthes Products, Inc. Orthognathic implant and methods of use
CN108635028A (en) * 2018-04-13 2018-10-12 中国人民解放军陆军军医大学 The interim exterior fixing rack of mandibular and its application method under wartime or wild environment
CN109452993A (en) * 2018-12-28 2019-03-12 孙杜斌 Jawbone support folder

Cited By (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101700191B (en) * 2008-07-11 2012-07-18 奥林巴斯医疗株式会社 Tissue fastening tool
CN102858254A (en) * 2010-04-29 2013-01-02 斯恩蒂斯有限公司 Orthognathic implant
US9066733B2 (en) 2010-04-29 2015-06-30 DePuy Synthes Products, Inc. Orthognathic implant and methods of use
CN102858254B (en) * 2010-04-29 2015-11-25 斯恩蒂斯有限公司 Orthognathic implant
US9277948B2 (en) 2010-04-29 2016-03-08 DePuy Synthes Products, Inc. Orthognathic implant and methods of use
US9855056B2 (en) 2010-04-29 2018-01-02 DePuy Synthes Products, Inc. Orthognathic implant and methods of use
US10080567B2 (en) 2010-04-29 2018-09-25 DePuy Synthes Products, Inc. Orthognathic implant and method of use
US11357514B2 (en) 2010-04-29 2022-06-14 DePuy Synthes Products, Inc. Orthognathic implant and methods of use
CN108635028A (en) * 2018-04-13 2018-10-12 中国人民解放军陆军军医大学 The interim exterior fixing rack of mandibular and its application method under wartime or wild environment
CN108635028B (en) * 2018-04-13 2023-06-20 中国人民解放军陆军军医大学 Temporary external fixing support for mandible in war time or field environment
CN109452993A (en) * 2018-12-28 2019-03-12 孙杜斌 Jawbone support folder

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C19 Lapse of patent right due to non-payment of the annual fee
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