Device for treating epiphyseolysis with fracture of epiphysis of long tubular bones

FIELD: medicine.

SUBSTANCE: invention relates to medical equipment, and is applied in traumatology and orthopedics. Device contains first module for bone from one side of joint, second module for bone from the other side of joint and threaded bars for connection of said modules. Said first module consists of bone support with wires and wire clamps. Said second module consists of first and second bone support, threaded rods with nuts, connecting said first and second supports, wire clamps, wire holders for wire tightening, at least, one wire holder for console wires, at least, one regulated wire holder for console wires and repositioning module. First support is intended for joint end. Repositioning module has support plate with holes, rod wire clamps for console wires and posts. Posts are intended for installation of support plate on support for joint end. All said supports are made in form of flat rings and/or half-rings with holes. Brackets are used in said wire holders and in repositioning modules. Brackets represent straps with, at least, one hole and tip with thread, installed on one of strap ends. Each rod wire clamp is made with slot for wire and nuts. Rod wire clamps are installed by means of nuts in hole of brackets, with last tip being installed in holes of support plate by means of nuts. Each post is made from connecting threaded rod and two brackets, one of which is installed with tip by means of nuts in hole of support plate, the other by means of nuts - with tip in hole of support for joint end. Connecting threaded rod is installed in holes of said two brackets by means of nuts. Wire holders for tightening wires are made in form of brackets, in holes of which wire clamps are installed and tips of which are installed on second support of second module by means of nuts. Wire holder for console wires is made in form of bracket, in holes of which wire clamps are located, and tips of which are installed in holes for joint end by means of nuts. Regulated wire holder for console wires is made in form of a pair of brackets, one of which has wire clamp in hole and is by means of nuts installed with tip in hole of another bracket, and the last one is by means of nuts fixed in support holes for joint end.

EFFECT: invention ensures fixation and reposition of epiphysis fragments which results in creation of favourable anatomical and functional conditions for recovery of injured growth zone with further normal course of physiological processes of growth and preservation of extremity biomechanics due to possibility of eliminating displacement of fragments in all planes due to possibility of eliminating displacement of fragments in all planes in the process of treatment without apparatus remounting.

8 dwg

 

The invention relates to medical technology, applied in traumatology and orthopedics. Approved for treatment of fractures in the zone of growth of the long bones of the lower extremities.

Known apparatus G.A. Ilizarov (A.S. USSR 538710, MKI 2 AV 17/18, published 15.12.1976,, bull. No. 46) for transosseous osteosynthesis, comprising, a support in the form of rings and half rings, pins, fasteners, knots adjustment and fixation of the bearings and spokes in the form of threaded rods.

The disadvantage of the prototype is the impossibility of exact closed reposition of fragments of the epiphysis with simultaneous fixation and unloading of the damaged zone growth and involved in the traumatic process of joint.

The objective of the invention is to optimize the treatment of epiphyseolysis, namely the provision of accurate controlled reposition and fixation of bone fragments due to the constructive abilities of the full volume repositioning movements in all planes.

The invention consists in that the device for the treatment of epiphyseolysis fracture of epiphysis of a long bone contains the first module to the bone on one side of the joint, the second module to the bone on the other side of the joint, threaded rod to connect the above-mentioned modules, referred to the first module consists of a support for bones with spokes and spacetime mentioned wereunable consists of first and second supports for bone, the first bearing is designed for articular end, threaded rods and nuts connecting the first and second supports, spectation, spiegelzaal for tensioning the spokes, at least one specularities for console spokes, at least one adjustable specularities for console spokes, repairaudio module having a support plate with holes, a rod spacetime for console spokes and the rack, the latter designed to mount the base plate on the support for the articular end, all of these supports are made in the form of flat rings and/or half-rings with holes, in the above-mentioned specularities and repairwoman module used the brackets represent the bracket with at least one hole and the tip of the threaded mounted on one end of the strap, each rod spacesuit made with a cutout under the needle and nuts, rod spacetime established by nuts in the hole of the bracket, and the last ends with nuts installed in the holes of the support plate, each rack is made of connective threaded rod and two brackets, one of which has a tip with nuts in the hole of the support plate, and the other tip with nuts in the hole of a support for the articular end, with the denitely threaded rod installed in the holes of these two brackets with nuts, spiegelzaal to tension the spokes are arranged in the form of brackets in the holes which are spacetime and tips which, by means of nuts mounted on the second support of the second module, spiegelzaal for console spokes are arranged in the form of a bracket, the holes which are spacetime and tips which by means of screws inserted in the holes of support for the articular end, adjustable spiegelzaal for console spokes are arranged in a pair of brackets, one of which has a hole spinetail and installed by the end by nuts in the hole on the other bracket, and the last end by nuts mounted in the holes of support for the articular end.

The invention presented in the figures: figure 1 - General view of the device, figa - features a fastening device for the treatment of epiphyseolysis fracture of epiphysis of the distal segment of the limb, PIGB - features a fastening device for the treatment of epiphyseolysis fracture of epiphysis of the proximal segment of the limb, figa - features a fastening device for the treatment of osteophytosis distal segment of the limb, PIGB - features a fastening device for the treatment of osteophytosis proximal segment of the limb, 4 - intermediate bearing with repairwoman module 5 - repositionned in which moznosti device, 6 - components of the device: a) ring, (b) the semi-circle, in) plate, g) rod spacetime, d) brackets, 7 - circuit mounting console spokes, Fig diagram repairaudio module.

Device for the treatment of epiphyseolysis with fracture of the epiphysis of the long bones (figure 1) consists of two modules, the first module to the bone on one side of the joint includes a proximal base support in the form of a ring 1, the second module to the bone on the other side of the joint consists of the first intermediate support for the articular end 2 and a second distal base support 3, the proximal bearing 2 and the distal bearing 3 contain spokes base of the supports 4, the first and second modules are connected by a threaded rod 5, the second module contains repairbuy module consisting of a console spokes 6, pivotal spectation 7, plate 8, which may have a different number of holes, brackets 9 with different length of the shelves and the number of holes on them, connecting threaded rods 10. In addition, the device contains reposition-fixing the needle 11, the console metafisico needle 12, a console epiphyseal needle 13, the threaded rods 14, which connect the intermediate and distal support the second module, the nuts 15 for pivotal spectation.

Console spokes 6 repairaudio module and console metafisica 12 and epiphyseal 13 spokes have pornou pad to prevent displacement of bone fragments along the spokes. Spokes 6 are fixed on repairwoman module by means of a rod spectation attached to the brackets 9. The needle 12 is fixed by a nut on the bracket 9 mounted on the intermediate support 2 opposite repairosome module. The needle 13 is fixed by means of an adjustable specularities mounted on the intermediate support opposite repairosome module. When osteophytosis reposition-fixing pin 11 also has a support platform. The needle 11 is fixed by nuts on the two brackets 9 mounted on the proximal base of the support 1 opposite to each other.

Basic and intermediate support can be a ring or connected by bolts semiring, depending on which segment of the body is applied to the device. All supports have holes spaced at equal distances around the perimeter of the rings and semirings for the purpose of connecting with each other.

The plate 8 may be of different size and having at least two holes so that it can be mounted on the rod ends of the arms 9 to secure attachment repairaudio module to the intermediate support 2 near the damaged area of bone. The brackets 9 are plates of rectangular cross-section with one or more transverse smooth holes. At one end of the bracket is done is but a hole or a threaded rod.

Device for the treatment of epiphyseolysis with fracture of the epiphysis of the long bones is as follows. When epiphysiolysis (figa and figb) mounting design begin after the elimination of the coarse displacement of the fragments on an orthopaedic table. Installed the proximal and distal base 1, 3, and intermediate 2 support. In the basic pillars carry from one to three spokes base supports 4, which fix and pulled with the help of spiranthinae.

The intermediate support 2 with repairwoman module (figure 4) installed at the level of the damaged zone of the growth of the bone and connected to the proximal base support 1 by means of the threaded rod 5, and the distal base support 3 by means of the threaded rods 14. Under the control of radiographs, arthroscope, an electron-optical Converter have a console spokes 6 repairaudio module and console epiphyseal needle 13 through the damaged epiphysis and performed subsequent reposition of bone fragments. Console epiphyseal needle 13 is pre-mounted on the intermediate support 2 near the corresponding fragment of the epiphysis through regulated specularities located diametrically opposite repairosome module, in the opposite side to repairosome module from the plane of the intermediate support 2. The number of console epiphyseal spokes 13 and konsolen the x spokes 6 repairaudio module may vary depending on the number of fragments.

Repairbuy module has a fixation on the intermediate support 2 in two points. On both sides of fixation is provided by the plate 8 and the bracket 9 (Fig). Each side plate 8 is fixed to the intermediate support 2 by means of the threaded rod 10 and the two brackets 9. The bracket 9 is fixed on the plate 8. Repairwoman the device connects to the bracket 9, secured to the intermediate support by means of the threaded rod 10. When changing the position of the plate 8 and the bracket 9 in the holes of the intermediate supports (2) changing the length of the plate 8, the number and position of the threaded rods 10 may approach repairaudio node to the damaged area of bone growth. Console spokes 6 are fixed by means of a rod spectation 7.

In the treatment of epiphysiolysis it is necessary to adjust the compression on the threaded rods 10 repairaudio module to achieve optimum unloading of the damaged zone growth and involved in the traumatic process of joint. This operation is performed under the control of the electro-optical Converter).

When osteophytosis has the following features fastening device (figa and figb). After you install intermediate supports 2 and fixation of bone fragments epiphysis carry through to the smallest fragments of the metaphysis console metafisico needle 12, fixed to the ex who offered support 2 near the fragment by means of a bracket 9, which is fastened to the intermediate support 2 on one side with repairwoman module from the plane of the intermediate support 2. To create in this area between the bone fragments counter-lateral compression through the end of the large fragment conduct reposition-fixing the needle 11, which is attached by means of brackets 9 to the base support, which is fixed on a limb with damaged epiphysis.

Fixing console 6 spokes on core spacetime 7 is made with nuts 15 in the direction of the rod (7). Oblique groove on the rod allows you to securely carry out the fixation of the spokes. The position and degree of fixation of the spokes in the rod is adjusted by changing the distance between the nuts 15.

If you have apetizers with longitudinal fracture of epiphysis, repairwoman device is mounted on both sides.

The device provides atraumatic reposition and stability of the osteosynthesis. The device is designed to improve the quality of treatment and to reduce the recovery time of the patient.

The technical result of using the device to treat epiphyseolysis with fracture of the epiphysis of the long bones is a new feature, which is to provide fixation and reposition of the fragments of the epiphysis. This creates favorable anatomical and functional conditions for the restored what I damaged areas of growth with a subsequent normal course of physiological processes of growth and survival of the biomechanics of the limb due to the possibility of eliminating the displacement of bone fragments in all planes in the treatment process without remounting the device.

Device for the treatment of epiphyseolysis fracture of epiphysis of a long bone consists of a simple part (6) and designed to produce standard equipment.

SOURCES of INFORMATION

1. USSR author's certificate No. 538710, MKI 2 AV 17/18, 1976 (prototype).

Device for the treatment of epiphyseolysis fracture of epiphysis of a long bone that contains the first module to the bone on one side of the joint, the second module to the bone on the other side of the joint, threaded rod to connect the above-mentioned modules, referred to the first module consists of a support for bones with spokes and spacetime referred to the second module consists of the first and second supports for the bones, and the first leg for articular end, threaded rods and nuts connecting the first and second supports, spectation, spiegelzaal for tensioning the spokes, at least one specularities for console spokes, at least one adjustable specularities for console spokes, repairaudio module having a support plate with holes, a rod spacetime for console spokes and the rack, the latter designed to mount the base plate on the support for the articular end, all of these supports are made in the form of flat rings and/or half-rings with holes in providing Utah specularities and repairwoman module used brackets, the latter represent a bracket with at least one hole and the tip of the threaded mounted on one end of the strap, each rod spacesuit made with a cutout under the needle and nuts, rod spacetime established by nuts in the hole of the bracket, and the last ends with nuts installed in the holes of the support plate, each rack is made of connective threaded rod and two brackets, one of which has a tip with nuts in the hole of the support plate, and the other tip with nuts in the hole of a support for the articular end, with the connecting threaded rod installed in these two holes of the brackets with nuts, spiegelzaal to tension the spokes are arranged in the form of brackets in the holes which are spacetime and tips which, by means of nuts mounted on the second support of the second module, spiegelzaal for console spokes are arranged in the form of a bracket, the holes which are spacetime and tips which by means of screws inserted in the holes of support for the articular end, adjustable spiegelzaal for console spokes are arranged in a pair of brackets, one of which has a hole spinetail and set tip by means of nuts is the hole on the other bracket, and the last tip by means of nuts mounted in the holes of support for the articular end.



 

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FIELD: medical equipment, in particular, instruments used in traumatology.

SUBSTANCE: apparatus has para-articulation rings equipped with wires and connected through telescopic bars. Apparatus consists of standard set parts of Ilizarov' apparatus and is equipped with para-fracture outer support with wires for additional designing of apparatus, said support including semi-ring connected with plates and threaded bar by means of bolts, nuts and brackets so as to define closed circle. Outer support is secured by means of threaded bars and nuts to plates preliminarily set on telescopic bars. Perimeter of para-fracture outer support is adjusted in accordance with perimeter of cross section of shin, at the level of positioning the support.

EFFECT: increased efficiency and reduced time of treating patient with shin fracture.

6 dwg 1 ex

FIELD: medicine, in particular, surgical dentistry, maxillofacial surgery.

SUBSTANCE: apparatus has curved base formed as threaded bar with two diametrically opposite flats, wire holders mounted on base and made in the form of plates equipped with wires, and retaining units comprising couplings with screw arranged in projection of flat and adapted for displacement and fixing on base. Wire holder consists of two plates, one of said plates being made integral with retaining unit and having two 6-mm long grooves for receiving of wires, and other plate being made detachable and equipped with wire fixing screw positioned perpendicular to retaining unit. Threaded wires have at their sharpened end 15-mm long thrust thread for cortical bone.

EFFECT: reliable retaining of fractured bone fragments, provision for correcting position of fragments in oral-vestibular direction, simplified construction allowing apparatus assembling time to be reduced and time of keeping patient under anesthesia to be decreased.

7 dwg

FIELD: surgical instruments used in orthopedics and traumatology, in particular, for open setting of displaced cervical vertebrae of spine.

SUBSTANCE: apparatus has spring-loaded branches connected with one another through pivotal lock with shaft and mating opening. Arms and working jaws are provided on branches. One of working jaws is equipped with adjustment retainer provided on first outer supporting surface and other working jaw has pusher adapted for cooperation with displaced vertebral body and disposed on second outer supporting surface. Opening mating with said shaft is made in the form of guiding slot oriented at an angle to plane where working jaws adjoin one another. Length and angle of inclination of guiding slot correspond to maximal height of lift of vertebral body of joint having maximal size. Pusher for cooperation with displaced vertebral body is made in the form of step. Branches are loaded by means of spring formed as branch shifting means which are provided with angular bend for preliminary passage of branches before deformation of spring. Apparatus of such construction ensures injure-free setting of displaced vertebra by one hand for minimal time.

EFFECT: simplified construction, provision for trauma-free cooperation of instruments with vertebral body, convenient use and reduced time for performing setting of displaced vertebra body.

5 cl, 7 dwg

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