骨折整复外固定器 Fracture restoration external fixator
技术领域 本发明涉及一种医疗器械, 特别涉及一种用于骨折接骨调整、 定位 及固定的接骨器械。 背景技术 传统的骨折治疗仍多是采用 X光拍片后, 由骨科医生用手凭经验和 技术进行调整、复位、定位接骨, 然后用石膏夹板或者固定器固定。 因石 膏固定方式已十分落后,现已较少采用。 固定器使用较为普遍,但由于骨 折固定器是由金属材料制做, 重量大, 目前使用不方便, 而且该器械仅可 以用在手工接骨后固定使用, 不能做接骨调整应用。近年来, 随着医疗技 术水平的提高,一种接骨、固定两种功能兼备的接骨器应运而生, 然而由 于结构的不完善,它只具有两个自由度的调整,不能实现全方位的灵活调 整, 又因全部用金属材料制做, 出现射线遮挡的问题,达不到临床应用的 效果。 因此, 接骨器械不仅需要接骨、 固定两种功能兼备, 而且还要实现 全方位灵活调整,并且能够完成复位调整操作的电脑控制, 以达到使用方 便和高效率操作的目的。 发明内容 本发明所提供的接骨器可以解决的问题之一是既能完成接骨调整、 又能承担接骨后的固定工作,实现调整与固定同步进行;解决的问题之二 是实现立体多自由度调整,并且无射线遮挡,同时减少针道感染和减轻重 量;解决的问题之三是在解决上述两个问题基础上,提供一种可用电脑控 制调整操作的方便和高效接骨器。 TECHNICAL FIELD The present invention relates to a medical device, and more particularly, to a bone bonding device for adjusting, positioning and fixing a fracture bone. BACKGROUND OF THE INVENTION Conventional fracture treatment is still mostly performed by X-ray radiographs, adjusted or reduced by an orthopaedic surgeon by hand and experience, and positioning the bone, and then fixed with a plaster splint or fixture. Because the plaster fixing method is very backward, it is now rarely used. The fixture is more commonly used, but because the bone-folding fixture is made of a metal material and is heavy, it is currently inconvenient to use, and the instrument can only be used for fixing after manual bone grafting, and cannot be used for bone adjustment. In recent years, with the improvement of the level of medical technology, an osteosynthesis device with both functions of osteosynthesis and fixation has emerged. However, due to the imperfect structure, it has only two degrees of freedom to adjust and cannot achieve all-round flexibility. The adjustment, because it is made entirely of metal materials, has the problem of ray shielding, which cannot achieve the effect of clinical application. Therefore, the osteosynthesis instrument not only needs to have both functions of osteosynthesis and fixation, but also needs to realize all-round flexible adjustment, and can complete the computer control of the reset adjustment operation, in order to achieve the purpose of convenience and high efficiency operation. SUMMARY OF THE INVENTION One of the problems that the osteosynthesis provided by the present invention can solve is that it can not only complete the adjustment of the osteosynthesis, but also undertake the fixation work after the osteosynthesis, so that the adjustment and the fixation can be performed simultaneously; the second problem to be solved is the realization of stereo multi-degree of freedom adjustment , And there is no ray shielding, while reducing needleway infection and weight reduction; the third problem is to provide a convenient and efficient bone connector that can be controlled by computer based on the above two problems.
本发明所述的接骨器基本组成包括: 螺旋连接杆; 固定于所述螺旋 连接杆一端,并可沿其轴向移动的拉伸环总成; 由紧固件紧固于所述螺旋 连接杆另一端的旋转环总成;分别安装在所述拉伸环总成和旋转环总成外 侧端面上的上骨针调整架总成和下骨针调整架总成;位于拉伸环总成和旋
转环总成之间,靠近拉伸环总成一侧的螺旋连接杆上设装的移动骨针架总 成; 同样位于拉伸环总成和旋转环总成之间,靠近旋转环总成一侧的螺旋 连接杆上固装的固定骨针架总成;整体位于旋转环总成内侧并插装其上的 全方位调整总成; 与上骨针调整架总成、拉伸环总成、 旋转环总成、 下骨 针调整架总成和全方位调整总成的调整孔插装配合的调整手柄。 The basic component of the bone connector of the present invention includes: a spiral connecting rod; a tensile ring assembly fixed at one end of the spiral connecting rod and movable along its axial direction; fastened to the spiral connecting rod by a fastener The other end of the rotating ring assembly; the upper bone needle adjusting frame assembly and the lower bone needle adjusting frame assembly respectively installed on the outer end surface of the stretching ring assembly and the rotating ring assembly; Spin The mobile bone holder assembly is installed on the spiral connecting rod near the side of the tension ring assembly, and is also located between the tension ring assembly and the rotation ring assembly, near the side of the rotation ring assembly The fixed bone needle frame assembly fixed on the screw connection rod; the all-round adjustment assembly that is located on the inside of the rotary ring assembly and inserted on it; and the upper bone needle adjustment frame assembly, the tension ring assembly, and the rotation The ring assembly, the lower bone needle adjustment frame assembly, and the adjustment holes of the all-round adjustment assembly are fitted with the adjustment handles.
如上所述的接骨器, 所述螺旋连接杆可以由平行设置的二根或二根 以上螺旋连接杆组成, 最佳方案为四根对称设置。 In the bone connector described above, the spiral connecting rod may be composed of two or more spiral connecting rods arranged in parallel, and the optimal solution is four symmetrical settings.
如上所述的接骨器, 所述拉伸环总成包括设有上骨针调整架安装孔 和齿轮安装孔的拉伸环壳体;设置在拉伸环壳体内的齿圈;装配在所述齿 轮安装孔内的,带有与螺旋连接杆外螺纹配合的内螺纹内孔,并与所述齿 圈啮合的齿轮; 配装在接伸环壳体上部内, 带有与调整手柄配合内孔的, 并与所述齿圈啮合的蜗轮; 固定在拉伸环壳体内侧面,位于齿轮安装孔侧 部上的纵向螺旋拉杆。 As described above, the tensile ring assembly includes a tensile ring housing provided with an upper bone needle adjusting frame mounting hole and a gear mounting hole; a ring gear provided in the tensile ring housing; and assembled in the A gear in the gear mounting hole with an internally threaded internal hole that cooperates with the external thread of the helical connecting rod and meshes with the ring gear; fits in the upper part of the extension ring housing with an internal hole that cooperates with the adjustment handle A worm gear that meshes with the ring gear; a longitudinal spiral tie rod fixed on the inner side of the tensile ring housing and located on the side of the gear mounting hole.
如上所述的接骨器, 所述旋转环总成包括在外圆周表面上设有螺旋 连接杆通孔的旋转环壳体;旋转环壳体内安装的齿圈;设置在旋转环壳体 上部内, 具有调整手柄配合内孔, 并与所述齿圈啮合的蜗轮; 设置在齿圈 内孔壁上的下骨针调整架总成安装孔和全方位调整总成安装孔。 As described above, the rotating ring assembly includes a rotating ring housing provided with a through-hole of a spiral connecting rod on an outer circumferential surface; a ring gear installed in the rotating ring housing; and provided in an upper portion of the rotating ring housing, having A worm gear that adjusts the handle to cooperate with the inner hole and meshes with the ring gear; a lower bone needle adjustment frame assembly installation hole and an all-round adjustment assembly installation hole provided on the inner hole wall of the ring gear.
如上所述的接骨器, 全方位调整总成包括通过紧固件固装在连接架 上的蜗轮蜗杆壳体;蜗轮蜗杆壳体内安装着互相啮合的蜗杆和蜗轮;与所 述蜗轮套接的上下调整螺纹杆;滑动安装在所述上下调整螺纹杆下端的弧 形全方位调整骨针架;安装在弧形全方位调整架针架的弧形槽上,可倾斜 或水平调整的,并由可调紧固件固装的骨针;所述连接架插装在旋转环总 成的全方位调整总成安装 ¾^内。 The osteosynthesis device as described above includes an omnidirectional adjustment assembly including a worm and worm housing fixed on a connecting frame by fasteners; the worm and the worm are installed in the worm and the worm housing and engage with each other; Adjust the threaded rod; slide the arc-shaped omnidirectional adjustment bone needle holder mounted on the lower end of the upper and lower adjustment threaded rod; install on the arc groove of the arc-shaped omnidirectional adjustment needle holder, which can be tilted or adjusted horizontally, and The bone needle fixed by adjusting the fastener; the connecting frame is inserted into the omnidirectional adjustment assembly installation of the rotating ring assembly.
如上所述的接骨器, 上骨针调整架总成包括固定连接座; 安装在固 定连接座内,具有与调整手柄配合内孔的可转动调整螺杆;套装在调整螺 杆上,可沿基轴向移动的骨针支架;通过紧固件固装在骨针支架上的骨针 及骨针支架上设有调整螺母;利用所述固定连接座将该总成固装在拉伸环 总成外侧端面上。 For the bone connector described above, the upper bone needle adjustment frame assembly includes a fixed connection seat; a rotatable adjustment screw installed in the fixed connection seat and having an inner hole that cooperates with the adjustment handle; and is set on the adjustment screw and can be along the base axis Mobile bone needle bracket; bone needle fixed on bone needle bracket through fasteners and adjusting nut provided on bone needle bracket; using the fixed connection seat to fix the assembly to the outer end surface of the tensile ring assembly on.
如上所述的接骨器, 下骨针调整架总成包括固定连接座; 固定连接座 内安装着的轴端头面上设有与调整手柄相配合的内孔,并可转动的调整螺 杆; 下端套装在调整螺杆上, 且可沿其轴向移动的紧固支架; 两端固连在 紧固支架上的骨针;利用固定连接座将该总成固装在旋转环总成的齿圈的
下骨针调整架总成安装孔上。 As described above, the lower bone needle adjusting frame assembly includes a fixed connection base; an inner end of the shaft end mounted on the fixed connection base is provided with an inner hole that cooperates with an adjustment handle, and an adjustable screw can be rotated; a lower end set A fastening bracket on the adjusting screw and movable along its axial direction; a bone needle fixed at both ends to the fastening bracket; the assembly is fixed to the ring gear of the rotary ring assembly by a fixed connection seat Lower bone needle adjustment frame assembly mounting hole.
如上所述的接骨器, 移动骨针架总成包括移动骨针架; 安装在移动 骨针架的下端和上端的可调固定夹;所述固定夹上设有螺纹孔和螺旋连接 杆通孔;所述螺紋孔和螺旋连接杆通孔分别与拉伸环总成的纵向螺旋拉杆 和螺旋连接杆配合; 紧固件将骨针可调整的安装在移动骨针架的弧形槽 上。 In the bone connector described above, the mobile bone needle holder assembly includes a mobile bone needle holder; an adjustable fixing clip installed on the lower end and the upper end of the mobile bone needle holder; the fixing clip is provided with a threaded hole and a through-hole of a spiral connecting rod The threaded hole and the through-hole of the spiral connecting rod are respectively matched with the longitudinal spiral tie rod and the spiral connecting rod of the tension ring assembly; the fastener can adjustably install the bone needle on the arc-shaped groove of the mobile bone needle frame.
如上所述的接骨器, 除骨针外的其它组件均采用非金属材料制做。 本发明所述接骨器, 它由调整固定部件或总成组成, 所述调整固定 部件或总成包括各自设置的驱动接口; 该接骨器还包括一个变速驱动器、 一个控制变速驱动器工作的电脑主机和一组驱动软轴;该组驱动软轴一端 分别连接在所述接骨器的调整固定部件或总成的对应驱动接口上,另一端 分别连接在所述变速驱动器上的对应控制输出驱动接口上;变速驱动器的 控制插座分别通过导线与电脑主机连接,该电脑主机包括一个骨折部位图 象采集及显示装置。 As mentioned above, all components except bone needles are made of non-metallic materials. The osteosynthesis device of the present invention is composed of an adjustment fixing component or an assembly, and the adjustment and fixing component or the assembly includes a driving interface provided separately; the osteosynthesis further includes a variable speed drive, a computer host controlling the operation of the variable speed drive, and A set of driving flexible shafts; one end of the set of driving flexible shafts is respectively connected to the corresponding drive interface of the bone fixation adjustment fixing component or assembly, and the other end is respectively connected to the corresponding control output drive interface on the variable speed drive; The control socket of the variable speed drive is connected to the computer host through wires, and the computer host includes an image acquisition and display device for the fracture site.
如上所述的接骨器, 它的调整固定部件或总成包括螺旋连接杆、 固 定于螺旋连接杆一端可移动拉伸环总成、固定于螺旋连接杆另一端的旋转 环总成、分别安装在拉伸环总成和旋转环总成外侧端面上的上骨针调整架 总成和下骨针调整架总成、位于拉伸环总成和旋转环总成之间的螺旋连接 杆上的移动骨针架总成和固定骨针架总成、插装在旋转环总成内侧的全方 位调整总成;在变速驱动器上设有上骨针控制输出驱动接口、拉伸压缩控 制输出驱动接口、全方位上移下移控制输出驱动接口、旋转环左旋右旋控 制输出驱动接口,平行左移右移控制输出驱动接口和下骨针控制输出驱动 接口; 上骨针驱动软轴、 拉伸压縮驱动软轴、 全方位上移下移驱动软轴、 旋转环左旋右旋驱动软轴、平行左移右移驱动软轴、下骨针驱动软轴的一 端依次分别与接骨器上的上骨针调整驱动接口、旋转环左旋右旋调整驱动 接口、平行左移右移调整接口下骨针调整驱动接口相连接,另一端分别与 变速驱动器上的上骨针控制输出驱动接口、 拉伸压缩控制输出驱动接口、 全方位上移下移控制输出接口、旋转环左旋右旋控制输出驱动接口、平行 左移右移控制输出驱动接口、下骨针控制输出驱动接口相连接;在变速驱 动器的面板上设有电脑线输入窗,在该输入窗内设置上骨针控制插座、拉 伸压縮控制插座、 全方位上移下移控制插座、 旋转环左旋右旋控制插座、 平行左移右移控制插座和下骨针控制插座;所述插座通过导线与电脑主机
相连接。 As mentioned above, the adjusting and fixing component or assembly of the bone connector includes a screw connection rod, a movable tensile ring assembly fixed to one end of the screw connection rod, and a rotating ring assembly fixed to the other end of the screw connection rod, respectively installed on Movement of the upper and lower needle adjustment bracket assemblies and the lower bone needle adjustment bracket assemblies on the outer end faces of the tension ring assembly and the rotation ring assembly, and the spiral connecting rods located between the tension ring assembly and the rotation ring assembly Bone needle holder assembly and fixed bone needle holder assembly, all-round adjustment assembly inserted inside the rotating ring assembly; the variable speed drive is provided with an upper bone needle control output drive interface, a tensile compression control output drive interface, Omnidirectional movement up and down control output drive interface, rotation ring left and right rotation control output drive interface, parallel left and right movement control output drive interface and lower bone needle control output drive interface; upper bone needle drive soft shaft, stretch compression The driving soft shaft, the omnidirectional moving up and down driving soft shaft, the rotating ring left-handed right-hand driving soft shaft, the parallel left-hand moving right-hand driving soft shaft, and the end of the lower bone needle driving soft shaft are respectively connected with the upper bone needle on the bone connector in order The whole drive interface, the rotation ring is turned left and right to adjust the drive interface, and the left and right adjustment interfaces are connected to the lower bone needle adjustment drive interface, and the other ends are connected to the upper bone needle control output drive interface and stretch compression control output on the variable speed drive. Drive interface, omnidirectional upward and downward control output interface, rotation ring left-handed and right-handed control output driver interface, parallel leftward and right-handed control output driver interface, lower bone needle control output and drive interface are connected; it is set on the panel of the variable speed driver There is a computer line input window. The upper bone needle control socket, the tension compression control socket, the all-round upward and downward control socket, the rotation ring left-handed right-handed control socket, the parallel left-handed right-handed control socket, and Lower bone needle control socket; the socket communicates with the host computer through a wire 相 连接。 Phase connection.
如上所述的接骨器, 在电脑主机的显示屏一侧设有骨折部位图像显 示窗, 在另一侧设置拉、 伸压縮标识、 左旋右旋标识、 上移下移标识、 左 移右移标识、 上骨针标识、 下骨针标识, 在其下部设置位移距离标识、 时 间标识、 执行标识、 静止图像标识和中止标识。 The bone device described above is provided with an image display window of the fracture site on one side of the display screen of the computer host, and the other side is provided with a pull, extension and compression logo, a left-handed right-handed logo, an up-down-right logo, and a left-right-right logo. A mark, an upper bone needle mark, and a lower bone needle mark, and a displacement distance mark, a time mark, an execution mark, a still image mark, and a suspension mark are set at the lower part.
本发明与传统的接骨方法及装置相比, 具有如下积极效果和优点- Compared with the traditional osteosynthesis method and device, the present invention has the following positive effects and advantages:
1. 实现立体多自由度调整及固定同步进行的操作功能; 1. Realize the operation function of stereo multi-degree of freedom adjustment and fixed synchronization;
2. 本接骨器除骨针外, 均采用非金属材料制成, 可克服金属部件对 射线的遮挡问题; 2. Except the bone needle, this bone connector is made of non-metallic materials, which can overcome the problem of blocking the rays by metal parts;
3. 整体接骨器结构设计合理, 功能齐全、 治疗效果好、 重量轻便、 针感染率低; 3. The overall osteosynthesis structure is reasonable in design, complete functions, good treatment effect, light weight, and low needle infection rate;
4. 可以配备电脑控制, 具有自动化程度高、动作精准、 治疗效率高、 医务人员免受 X光射线幅射和可实现远程操作等优点。 附图概述 图 1是本发明所述接骨器总体装配结构示意图; 4. It can be equipped with computer control, which has the advantages of high degree of automation, precise movement, high treatment efficiency, medical staff's protection from X-ray radiation and remote operation. Brief Description of the Drawings Figure 1 is a schematic diagram of the overall assembly structure of the bone connector according to the present invention;
图 2是本发明所述接骨器中拉伸环总成结构示意图; FIG. 2 is a schematic structural diagram of a tensile ring assembly in a bone connector according to the present invention; FIG.
图 3是图 2的侧向视图; Figure 3 is a side view of Figure 2;
图 4是本发明所述接骨器中的旋转环总成结构示意图; FIG. 4 is a schematic structural diagram of a rotating ring assembly in an osteosynthesis according to the present invention; FIG.
图 5是本发明所述接骨器中的全方位调整总成结构示意图; 5 is a schematic structural diagram of an omnidirectional adjustment assembly in an osteosynthesis according to the present invention;
图 6是本发明所述接骨器中的上骨针调整架总成结构示意图; 图 7是本发明所述接骨器中的下骨针调整架总成结构示意图; 图 8是本发明所述接骨器中的移动骨针架总成结构示意图; Fig. 6 is a schematic structural diagram of an upper bone needle adjusting bracket assembly in an osteosynthesis device according to the present invention; Fig. 7 is a schematic structural diagram of a lower bone needle adjusting bracket assembly in an osteosynthesis device according to the present invention; Fig. 8 is an osteosynthesis according to the present invention Structural diagram of the mobile bone needle holder assembly in the device;
图 9是本发明所述接骨器与变速驱动器连接结构示意图; FIG. 9 is a schematic structural diagram of a connection between a bone connector and a variable speed drive according to the present invention; FIG.
图 10是本发明所述电脑主机显示屏显示方式示意图。 FIG. 10 is a schematic diagram of a display mode of a computer host according to the present invention.
图 11是本发明所述接骨器、电脑主机、变速驱动器连接关系方框示意图。 本发明的实施方式一 下面结构附图对本发明最佳实施方案进行详细描述。 接骨器总体结 构参见图 1,在螺旋连接杆 1的两端部位上分别配装拉伸环总成 3和旋转
环总成 6, 其拉伸环总成 3可沿螺旋连接杆 1轴向移动, 旋转环总成 6可由 紧固件紧固在螺旋连接杆 1上;上骨针调整架总成 2和下骨针调整架总成 7分别安装在拉伸环总成 3和旋转环总成 6外侧端面上; 在拉伸环总成 3 和旋转环总成 6之间靠近拉伸环总成 3—侧的螺旋连接杆 1上设装移动骨 针架总成 4,在靠近旋转环总成 6—侧的螺旋连接杆 1上固装固定骨针架 总成 5 ; 全方位调整总成 8插装在旋转环总成 6上, 整体位于旋转环总成 6内侧; 调整手柄 9可分别与上骨针调整架总成 2、 拉伸环总成 3、 旋转 环总成 6、 下骨针调整架总成 7和全方位调整总成 8的调整孔插装配合。 拉伸环总成 3结构请参见图 2、图 3 :在拉伸环壳体 13上设有上骨针调整 架安装孔 15和齿轮安装孔 16;带有与螺旋连接杆 1外螺纹配合的内螺纹 内孔的齿轮 14配装在齿轮安装孔 16内, 并与设置在拉伸环壳体 13内的 齿圈 12啮合; 带有与调整手柄 9配合内孔的蜗轮 11配装在拉伸环壳体 13上部内, 与齿圈 12啮合; 纵向螺旋拉杆 10固定在拉伸环壳体 13内侧 面位于齿轮安装孔 16侧部上。 旋转环总成 6结构参见图 4: 在外圆周表 面上带有螺旋连接杆通孔 21的旋转环壳体 19内安装齿圈 20,齿圈 20与 带有与调整手柄 9配合内孔的蜗轮 18啮合, 蜗轮 18配置在旋转环壳体 19上部内, 在齿圈 20的内孔壁上设有下骨针调整架总成安装孔 17和全 方位调整总成安装孔 22。全方位调整总成 8结构参见图 5 :在蜗轮蜗杆壳 体 24内安装着互相啮合的蜗杆 23和蜗轮 25,蜗轮 25与上下调整螺纹杆 26套接, 蜗轮蜗杆壳体 24用紧固件固装在连接架 27上; 在上下调整螺 纹杆 26下端上, 滑动安装全方位调整骨针架 28, 在其弧形的全方位调整 骨针架 28的弧形槽上由可调紧固件固装骨针 32, 该骨针 32在全方位调 整骨针架 28上可倾斜或水平调整;连接架 27插装在旋转环总成 6的全方 位调整总成安装孔 22内。 上骨针调整总成 2结构参见图 6: 在固定连接 座 29内安装带有与调整手柄 9配合内孔的调整螺杆 33,在可转动的调整 螺杆 33上套装着可沿调整螺杆 33轴向移动的骨针支架 30,紧固件 31将 骨针 32固装在骨针支架 30上, 在骨针支架 30上设有调整螺母 42, 该总 成 2利用固定连接座 29固装在拉伸环总成 3外侧端面上。 下骨针调整架 总成 7结构参见图 7; 在固定连接座 34内安装着可转动的调整螺杆 36, 在调整螺杆 36的轴端头面上设有与调整手柄 9相配合的内孔; 紧固支架 35下端套装在调整螺杆 36上, 且可沿其轴向移动; 骨针 32两端固连在 紧固支架 35上;该总成 7利用固定连接座 34固装在旋转环总成 6的齿圈
20的下骨针调整架总成安装孔 17上。 移动骨针架总成 4结构参见图 8; 在移动骨针架 40的下和上端上均安装可调固定夹 39, 在可调固定夹 39 上设有螺纹孔 37和螺旋连接杆通孔 38, 该螺紋孔 37和螺旋连接杆通孔 38分别与拉伸环总成 3的纵向螺旋拉杆 10和螺旋连接杆 1配合;紧固件 41将骨针 32可调整的安装在移动骨针架 40的弧形槽上。 该器除骨针 32 外, 全部采用非金属材料制做。 工业实用性 使用时, 将接骨器套装在骨折部位上, 将骨针 32刺过骨骼后分别在 上骨针调整架总成 2、 移动骨针架总成 4、 全方位调整总成 8和下骨针调 整架总成 7上锁定, 用调整手柄 9转动蜗轮 11和齿圈 12、 齿轮 14使拉 伸环总成 3及移动骨针架总成 4带动骨骼轴向移动、调整、定位; 用调整 手柄 8转动蜗轮 18和齿轮 20, 使旋转环总成 6上的下骨针调套架总成 Ί 和全方位调整总成 8周向转动, 调整、对位; 各种角度微调可采用每个骨 针 32位置, 角度变化来实现。 接骨后, 可用固定骨针架总成 5与其他骨 针 32共同固定。 本发明的实施方式二 下面结合附图对本发明电脑控制驱动的接骨器技术方案进行说明。电 脑控制骨折整复外固定器包括接骨器、变速驱动器 48和电脑主机 68, 在 变速驱动器 48上设有上骨针驱动接口 49、拉伸压缩驱动接口 50、全方位 上移下移驱动接口 51、 旋转环左旋右旋驱动接口 52、 平行左移右移动接 口 53和下骨针驱动接口 54; 上骨针驱动软轴 56、拉伸压缩驱动软轴 57、 全方位上移下移驱动软轴 58、 旋转环左旋右旋驱动软轴 59、 平行左移右 移驱动软轴 60、下骨针驱动软轴 61的一端依次分别与接骨器上的上骨针 调整接口 42、 拉伸压缩环调整接口 43、 全方位上移下移调整接口 44、 旋 转环左旋右旋调整接口 45、 平行左移右移调整接口 46、 下骨针调整接口 47相连接,另一端分别与变速驱动器 48上的上骨针驱动接口 49、拉伸压 缩驱动接口 50、 全方位上移下移驱动接口 51、 旋转环左旋右旋驱动接口 52、 平行左移右移驱动接口 53、 下骨针驱动接口 54固连, 将接骨器与变
速驱动器 48接通。 在变速驱动器 48的面板上设有电脑线输入窗 55, 在 电脑线输入窗 55内设置上骨针控制插座 62、拉伸压縮控制插座 63、全方 位上移下移控制插座 64、 旋转环左旋右旋控制插座 65、 平行左移右移控 制插座 66和下骨针控制插座 67, 并由导线与电脑主机 68连通。 在电脑 主机 68的显示屏一侧部位上设有骨折部位图象显示窗 69,在另一侧部处 设置拉伸压缩标识 75、左旋右旋标识 76、 上移下移标识 77、左移右移标 识 78、 上骨针标识 79、 下骨针标识 80, 在其下部设置位移距离标识 74、 时间标识 73、 执行标识 72、 静止图象标识 71和中止标识 79。 工业实用性 操作使用时, 将接骨器套装在骨折部位上,根据电脑主机 68的骨折 部位图像示窗 69上的骨折图象,用鼠标点击相关标识,设计好位移距离、 时间等,将信号送至变速驱动器 48上相关插座处,经变速驱动器 48上相 应的驱动接口带动相关驱动软轴使接骨器上的对应调整接口运动,完成对 断骨处接口的全方位自动调整对正。
11 is a schematic block diagram of a connection relationship between a bone connector, a computer host and a variable speed drive according to the present invention. The first embodiment of the present invention will be described in detail with reference to the following structural drawings. The overall structure of the osteosynthesis is shown in Fig. 1. The two ends of the spiral connecting rod 1 are respectively equipped with a tension ring assembly 3 and a rotation. Ring assembly 6, the tensile ring assembly 3 can be moved axially along the screw connection rod 1, the rotary ring assembly 6 can be fastened to the screw connection rod 1 by a fastener; the upper bone needle adjustment frame assembly 2 and the lower The bone needle adjusting frame assembly 7 is installed on the outer end faces of the stretching ring assembly 3 and the rotating ring assembly 6 respectively; near the stretching ring assembly 3-side between the stretching ring assembly 3 and the rotating ring assembly 6 A mobile bone needle holder assembly 4 is provided on the screw connecting rod 1 and a fixed bone needle holder assembly 5 is fixed on the screw connecting rod 1 near the 6-side of the rotating ring assembly. The all-round adjustment assembly 8 is inserted in The rotating ring assembly 6 is located on the inside of the rotating ring assembly 6; the adjusting handle 9 can be respectively connected with the upper bone needle adjusting frame assembly 2, the stretching ring assembly 3, the rotating ring assembly 6, and the lower bone needle adjusting frame assembly It fits into the adjustment holes of 7 and 8 in all directions. The structure of the tension ring assembly 3 is shown in Figs. 2 and 3: The tension ring housing 13 is provided with an upper bone needle adjustment frame mounting hole 15 and a gear mounting hole 16; The internally threaded internal gear 14 is fitted in the gear mounting hole 16 and meshes with the ring gear 12 provided in the tensile ring housing 13; the worm gear 11 with the internal hole matched with the adjustment handle 9 is fitted in the tensile The upper part of the ring housing 13 meshes with the ring gear 12; the longitudinal spiral tie rod 10 is fixed on the inner side of the tensile ring housing 13 on the side of the gear mounting hole 16. The structure of the rotating ring assembly 6 is shown in FIG. 4: a ring gear 20 is installed in a rotating ring housing 19 with a through hole 21 for a spiral connecting rod on the outer circumferential surface, and the ring gear 20 and a worm gear 18 with an inner hole matching the adjustment handle 9 For meshing, the worm wheel 18 is arranged in the upper part of the rotating ring housing 19, and the inner hole wall of the ring gear 20 is provided with a lower bone needle adjustment frame assembly installation hole 17 and an all-directional adjustment assembly installation hole 22. The structure of the all-round adjustment assembly 8 is shown in FIG. 5: In the worm and worm housing 24, an intermeshing worm 23 and a worm gear 25 are installed. The worm and the worm gear 25 are sleeved with the upper and lower adjusting screw rods 26. Mounted on the connecting bracket 27; On the lower end of the upper and lower adjustment screw rods 26, slide the omnidirectional adjustment bone needle holder 28 slidingly, and fix the arc groove of the arc omnidirectional adjustment bone needle holder 28 with adjustable fasteners. The bone needle 32 can be tilted or adjusted horizontally on the omnidirectional adjustment bone needle holder 28; the connecting bracket 27 is inserted into the omnidirectional adjustment assembly mounting hole 22 of the rotary ring assembly 6. The structure of the upper bone needle adjustment assembly 2 is shown in FIG. 6: An adjustment screw 33 with an inner hole matching with the adjustment handle 9 is installed in the fixed connection seat 29, and the rotatable adjustment screw 33 is sleeved along the axial direction of the adjustment screw 33 The moving bone needle bracket 30, the fastener 31 fixes the bone needle 32 to the bone needle bracket 30, and an adjusting nut 42 is provided on the bone needle bracket 30. The assembly 2 is fixed to the extension by using a fixed connection seat 29 3 on the outer end face of the ring assembly. The structure of the lower bone needle adjusting frame assembly 7 is shown in FIG. 7; a rotatable adjusting screw 36 is installed in the fixed connection base 34, and an inner hole matching the adjusting handle 9 is provided on the shaft end surface of the adjusting screw 36; The lower end of the fixed bracket 35 is sleeved on the adjusting screw 36 and can be moved along its axial direction; the two ends of the bone needle 32 are fixedly connected to the fastening bracket 35; the assembly 7 is fixed to the rotating ring assembly 6 by using the fixed connection base 34 Ring gear 20 is mounted on the lower bone needle adjustment frame assembly mounting hole 17. The structure of the mobile bone holder assembly 4 is shown in FIG. 8; an adjustable fixing clip 39 is installed on the lower and upper ends of the mobile bone holder 40, and a threaded hole 37 and a screw connecting rod through hole 38 are provided on the adjustable fixing clip 39 The threaded hole 37 and the spiral connecting rod through hole 38 are respectively matched with the longitudinal spiral tie rod 10 and the spiral connecting rod 1 of the tension ring assembly 3; the fastener 41 adjustably installs the bone needle 32 on the mobile bone needle holder 40 Curved groove. Except for the bone needle 32, the device is made of non-metallic materials. For industrial applicability, set the bone connector on the fracture site, pierce the bone needle 32 through the bone, and then place it on the upper bone needle adjustment frame assembly 2. Move the bone needle frame assembly 4, the all-round adjustment assembly 8 and down The bone needle adjusting frame assembly 7 is locked, and the adjusting handle 9 is used to rotate the worm wheel 11 and the ring gear 12 and the gear 14 to make the stretching ring assembly 3 and the moving bone needle assembly 4 to drive the bone to move, adjust, and position axially. The adjustment handle 8 rotates the worm wheel 18 and the gear 20, so that the lower bone needle adjustment sleeve assembly Ί on the rotating ring assembly 6 and the all-round adjustment assembly 8 rotate in the circumferential direction, and the alignment is performed; The bone needle 32 position and angle are changed. After the bone is connected, it can be fixed together with other bone needles 32 by fixing the bone needle holder assembly 5. Embodiment 2 of the present invention The technical solution of the bone control device driven by the computer according to the present invention will be described below with reference to the drawings. The computer-controlled fracture fixation external fixator includes a bone connector, a variable-speed drive 48, and a computer host 68. The variable-speed drive 48 is provided with an upper bone needle drive interface 49, a tensile compression drive interface 50, and an all-around up and down drive interface 51 , Rotary ring Left-right rotation drive interface 52, Parallel left-shift right-movement interface 53 and Lower bone needle drive interface 54; Upper bone needle drive soft shaft 56, Stretch compression drive soft shaft 57, All-directional up-down drive soft shaft 58, Rotary ring Left-handed right-hand drive soft shaft 59, Parallel left-handed right-hand drive soft shaft 60, One end of the lower bone needle drive soft shaft 61 is sequentially adjusted with the upper bone needle adjustment interface 42 on the bone connector, and the tension compression ring is adjusted Interface 43, omnidirectional upward and downward adjustment interface 44, rotation ring left-right adjustment interface 45, parallel left-right adjustment interface 46, lower bone needle adjustment interface 47 are connected, and the other ends are respectively connected with the upper on the variable-speed drive 48 Bone Needle Drive Interface 49, Stretch Compression Drive Interface 50, All-around Move Down Move Drive Interface 51, Rotary Ring Left-Right Drive Drive Interface 52, Parallel Left-Right Drive Drive Interface 53, Lower Bone Needle Drive Interface 54 are fixedly connected, will Bone and change The speed driver 48 is turned on. A computer line input window 55 is provided on the panel of the variable speed drive 48. Inside the computer line input window 55, an upper bone control socket 62, a tensile compression control socket 63, an all-round up and down control socket 64, and a rotating ring are provided. The left-handed right-handed control socket 65, the left-handed right-handed control socket 66 in parallel, and the lower bone needle control socket 67 are in communication with the host computer 68 by wires. A fracture site image display window 69 is provided on one side of the display screen of the host computer 68. On the other side, a stretch compression mark 75, a left-handed right-handed mark 76, a move-up, right-handed mark 77, and a left-handed right A shift mark 78, an upper bone needle mark 79, and a lower bone needle mark 80 are provided with a displacement distance mark 74, a time mark 73, an execution mark 72, a still image mark 71, and a stop mark 79 at the lower portion. For industrial practical operation, set the bone connector on the fracture site. According to the fracture image on the fracture site image window 69 of the host computer 68, click the relevant mark with the mouse, design the displacement distance and time, and send the signal. Go to the relevant socket on the variable speed drive 48, and drive the relevant drive flexible shaft through the corresponding drive interface on the variable speed drive 48 to move the corresponding adjustment interface on the bone connector to complete the automatic adjustment and alignment of the interface at the broken bone.