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    • 2. 发明授权
    • Integrated surgical reduction clamp and drill guide
    • 综合手术夹钳和钻孔导向器
    • US5725532A
    • 1998-03-10
    • US711274
    • 1996-09-10
    • Steven Shoemaker
    • Steven Shoemaker
    • A61B17/17A61B17/88A61B17/90A61B17/28
    • A61B17/8866A61B17/1775
    • A non-opposed surgical reduction clamp 10 is provided which has a drill guide 40 integrally formed with a guide leg 20 of the reduction clamp 10. The reduction clamp 10 also includes a reference leg 50 pivotably connected to the guide leg 20 through a pivot 70. The reference leg 50 includes a sharpened tip 57 at a tip thereof which can penetrate into a surface of a bone somewhat to prevent slippage of the reference leg 50. The drill guide 40 has an inner cylindrical surface 44 to provide an alignment axis Z for location of bone fixation structures, such as K-wire, pins or screws for reattachment and fixation of fractured bone fragments. Alignment axis Z of the drill guide 40 is in a common plane with the sharpened tip 57 of the reference leg 50, but extends beyond the sharpened tip 57 of the reference leg 50. Ends of the reference leg 50 and guide leg 20 opposite the sharpened tip 57 and drill guide 40 are provided with handle loops 30, 60 and clamp tabs 32, 62 to allow the reduction clamp 10 to be easily manipulated by a surgeon and clamped into position. The reduction clamp 10 is particularly configured to provide for reattachment of a lower tip H of a tibia T and to reattach a lower end E of a fibula F within the ankle A of a human patient. Precise orientation of the bone fixation structures such as wire K is provided without requiring a fully opposed reduction clamp.
    • 提供了一种不相对的手术还原夹具10,其具有与减速夹具10的引导腿20一体形成的钻子引导件40.还原夹具10还包括通过枢轴70可枢转地连接到引导腿20的参考腿部50 参考腿50包括在尖端处的锋利的尖端57,其可以稍微渗透到骨的表面中以防止参考腿50滑动。钻子引导件40具有内圆柱形表面44,以提供对准轴线Z,以提供对准轴线Z 骨固定结构的位置,例如K线,针或螺钉,用于重新附着和固定骨折骨碎片。 钻子引导器40的对准轴Z与参考腿50的锋利尖端57在共同的平面内,但是延伸超过参考腿50的尖锐的尖端57.参考腿50的端部和引导腿20相对于锋利的 尖端57和钻子引导件40设置有手柄环30,60和夹紧片32,62,以允许减压夹具10被外科医生容易地操纵并夹紧就位。 还原夹具10特别地构造成提供胫骨T的下尖端H的重新附接并且重新附接人类患者的脚踝A内的腓骨F的下端E. 提供诸如线材K的骨固定结构的精确取向,而不需要完全相对的减压夹具。