一种拼插式小腿髓内钉手术支架的设计
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摘要
目的:设计一种拼插式小腿髓内钉手术支架,以有效辅助骨科医生完成胫骨髓内钉手术。方法:该拼插式小腿手术支架由三角形支架和倒梯形支架组成,均采用宽度200 mm的医用高分子聚乙烯板制作。三角型支架既可单独使用,又可与倒梯形支架拼插后使用。二者拼插连接方式采用类似乐高积木的穴柱连接。结果:该支架既方便患肢C臂透视,又能为小腿胫骨髓内钉手术提供有效帮助。结论:该支架制作简便、成本低廉、效果可靠,可为基层医院开展下肢相关手术提供有效帮助。
Objective To design a splicing surgical support for lower leg fractures so as to facilitate the orthopedist during intramedullary nailing of the tibia. Methods The support consisted of a triangular support and an inverted trapezoidal support, which was made of 200 mm-width medical high-molecular polyethylene plate. The triangular support could not only be used independently, but also be spliced with the inverted trapezoidal support for combined application. The splicing mode was just like that of Lego blocks. Results The support facilitated intramedullary nailing besides C-arm fluoroscopy of the affected limb. Conclusion The support gains advantages in manufacturing, cost and efficiency, and thus is worthy promoting for lower limb surgery in the primary hospitals. [Chinese Medical Equipment Journal,2019,40(5):103-105]
Objective To design a splicing surgical support for lower leg fractures so as to facilitate the orthopedist during intramedullary nailing of the tibia. Methods The support consisted of a triangular support and an inverted trapezoidal support, which was made of 200 mm-width medical high-molecular polyethylene plate. The triangular support could not only be used independently, but also be spliced with the inverted trapezoidal support for combined application. The splicing mode was just like that of Lego blocks. Results The support facilitated intramedullary nailing besides C-arm fluoroscopy of the affected limb. Conclusion The support gains advantages in manufacturing, cost and efficiency, and thus is worthy promoting for lower limb surgery in the primary hospitals. [Chinese Medical Equipment Journal,2019,40(5):103-105]
引文
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[3]张栋,赵国栋.GE OEC9900 C型臂X线机(L型臂设计)在骨科术中的应用[J].医疗卫生装备,2017,38(10):76-78.
[4]孟庆广,李晓霞.多功能消毒架与手术床夹组合在骨科四肢手术中的应用[J].实用骨科杂志,2017,23(11):1 054-1 056.
[5]贺文英,杨晓莹,翁文坤,等.下肢手术支撑托的研制及临床应用[J].护理学杂志,2013,28(12):45-46.
[6]贾斌,杨泽晋.“髓内钉手术屈膝支架”辅助下交锁髓内钉治疗胫骨骨折286例[J].中国伤残医学,2013,21(6):106-107.
[7]郭志民,张峰,庄泽民,等.支架下旋入式自锁髓内钉内固定治疗胫骨骨折[J].临床骨科杂志,2013,16(3):301-302.
[8]郭志民,郑佳鹏,林斌,等.便携式下肢手术支架辅助关节镜下腓骨长肌腱重建前交叉韧带[J].中国修复重建外科杂志,2012,26(6):679-682.
[9]黄连水,郭志民,康两期,等.便携式下肢手术支架辅助髓内钉治疗浮膝损伤23例临床报告[J].中国中医骨伤科杂志,2011,19(4):30-32.
[10]朱雅芳,赵基栋,祝建中.多功能下肢手术支架的应用[J].中国误诊学杂志,2003,3(11):1 734.
[11]王九现,韩玉莉,张立民,等.下肢长骨干骨折手术体位支架的研制及临床应用[J].双足与保健,2018,27(16):152-154.
[12]蔡云霞.自制简易木墩支架在下肢手术治疗中的临床应用[J].临床医药实践,2017,26(4):309-311.
[13]SUBRAMANIAN P,GOLDIE B.Biplanar imaging for intramedullary nailing of tibia and femur[J].Ann R Coll Surg Engl,2013,95(6):447.
[14]WHITE N J,SORKIN A T,KONOPKA G,et al.Surgical technique:static intramedullary nailing of the femur and tibia without intraoperative fluoroscopy[J].Clin Orthop Relat Res,2011,469(12):3 469-3 476.
[2]CANALE S T,BEATY J H.坎贝尔骨科手术学[M].王岩,译.北京:人民军医出版社,2009:2 449-2 450.
[3]张栋,赵国栋.GE OEC9900 C型臂X线机(L型臂设计)在骨科术中的应用[J].医疗卫生装备,2017,38(10):76-78.
[4]孟庆广,李晓霞.多功能消毒架与手术床夹组合在骨科四肢手术中的应用[J].实用骨科杂志,2017,23(11):1 054-1 056.
[5]贺文英,杨晓莹,翁文坤,等.下肢手术支撑托的研制及临床应用[J].护理学杂志,2013,28(12):45-46.
[6]贾斌,杨泽晋.“髓内钉手术屈膝支架”辅助下交锁髓内钉治疗胫骨骨折286例[J].中国伤残医学,2013,21(6):106-107.
[7]郭志民,张峰,庄泽民,等.支架下旋入式自锁髓内钉内固定治疗胫骨骨折[J].临床骨科杂志,2013,16(3):301-302.
[8]郭志民,郑佳鹏,林斌,等.便携式下肢手术支架辅助关节镜下腓骨长肌腱重建前交叉韧带[J].中国修复重建外科杂志,2012,26(6):679-682.
[9]黄连水,郭志民,康两期,等.便携式下肢手术支架辅助髓内钉治疗浮膝损伤23例临床报告[J].中国中医骨伤科杂志,2011,19(4):30-32.
[10]朱雅芳,赵基栋,祝建中.多功能下肢手术支架的应用[J].中国误诊学杂志,2003,3(11):1 734.
[11]王九现,韩玉莉,张立民,等.下肢长骨干骨折手术体位支架的研制及临床应用[J].双足与保健,2018,27(16):152-154.
[12]蔡云霞.自制简易木墩支架在下肢手术治疗中的临床应用[J].临床医药实践,2017,26(4):309-311.
[13]SUBRAMANIAN P,GOLDIE B.Biplanar imaging for intramedullary nailing of tibia and femur[J].Ann R Coll Surg Engl,2013,95(6):447.
[14]WHITE N J,SORKIN A T,KONOPKA G,et al.Surgical technique:static intramedullary nailing of the femur and tibia without intraoperative fluoroscopy[J].Clin Orthop Relat Res,2011,469(12):3 469-3 476.