CN104814814B - Supporting device for treatment of femoral head necrosis - Google Patents

Supporting device for treatment of femoral head necrosis Download PDF

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Publication number
CN104814814B
CN104814814B CN201510116828.8A CN201510116828A CN104814814B CN 104814814 B CN104814814 B CN 104814814B CN 201510116828 A CN201510116828 A CN 201510116828A CN 104814814 B CN104814814 B CN 104814814B
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head
eyelid retractor
hollow
afterbody
bone
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CN104814814A (en
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刘德俊
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SUZHOU RUIHUA ORTHOPAEDICS HOSPITAL Co.,Ltd.
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Suzhou Ruihua Hospital Co Ltd
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Abstract

The invention discloses a supporting device for the treatment of femoral head necrosis, and the device comprises a supporting apparatus and a bone fracture plate. The supporting apparatus comprises a head part, a body part, and a tail part. The head part is a bent hemisphere with gyrus, and the body part is cylindrical. The head part, the body part and the tail part are connected to form a body, and the interior of the body is hollow. The walls of the head part and the body part are provided with a plurality of hexagonal hollow-out through holes, and the inner walls of the tail part and the body part are provided with a mesh support. A hollow pipe of the body part extends outwards from the tail part. The bone fracture plate is matched with a femur, and is provided with a sleeve. During an operation, a necrotic bone tissue is removed at first, so as to place the supporting apparatus. The hollow pipe extends to the interior of the sleeve of the bone fracture plate, and bone putty is injected in the mesh support. A flow guide cable is buried in the hollow inner cavity of the supporting apparatus. The device improves the fixing of the bone fracture plate, enables a patient to bear a load and recover in advance, and achieves the treatment of femoral head necrosis from the pathology of blood supply improvement and the reduction of bone core pressure.

Description

A kind of support meanss for treating femur head necrosiss
Technical field
The present invention relates to a kind of support meanss for treating femur head necrosiss of hospital orthopedics.
Background technology
In existing clinical case, the common femur head necrosiss that are related to are mainly ischemic necrosis of femoral head (avascular Necrosis of the femoral head, anfh) due to the Different types of etiopathogenises capital blood supply of destruction, make femoral head internal skeleton bad An extremely caused pathological process, after osteonecrosis in femoral head, body carries out nature reparation, downright bad bone trabecula quilt to necrotic area Progressively absorb, femoral head mechanical strength declines, and causes collapse-deformation, lead to the major injury of hip joint, support performance declines, Under loading conditions, may result in subchondral bone to bear ABNORMAL STRESS, cause articular step-off, Hip osteoarthritis occur, sternly Ghost image rings hip joint function, affects patients ' life quality.
Treatment to femur head necrosiss has Three models at present: early treatment, that is, the treatment being directed to the cause of disease and taking leads to Cross bring vexation on oneself because, remove the cause of disease, this method is the most thorough, ideal, but in the cause of disease of femur head necrosiss, clearly or not Clearly a lot, among currently many causes of disease are still in and probe into, etiotropic treatment is not more known where to begin;Intermediate period treatment, that is, right Symptomatic patient, takes certain method, from intervention, prevents from or delays subsiding, postpone or avoid carrying out artificial joint Displacement, this is the emphasis place of current research;Later stage rescue therapy, must not be also the Therapeutic Method then taken, i.e. femoral head After necrosis is subsided, Hip osteoarthritis, the hip arthralgia, moving obstacle occur, have impact on patients ' life quality, Zhi Nengtong Cross joint replacement.Hip replacement wound is big, spends high.
The prior art closest with the present invention is: early stage subsiding, the elasticity of cartilage is fair, and subchondral bone matter is not Subside, remove sequestrum now by operation, through duct of reducing pressure, insert eyelid retractor and support subchondral bone matter, improve capital anti- Subside ability, preventer subsides, by implanting autologous spongiosa bone, restart the reparation potential of stock head internal skeleton.Using device And technology has the patent of invention of patent No. zl200810111686.6 and Patent No. zl2010202833869, wherein Zl200810111686.6 discloses a kind of eyelid retractor for femur head necrosiss, and its surface is designed as loose spongy, hole Footpath is 100-800 micron, and axial portions are solid;The patent of invention of Patent No. zl2010202833869 discloses a kind of use Netted eyelid retractor in femur head necrosiss, it is being made up of ti-ni shape memory alloy, has cancellated hollow out component, this structure The profile of part is consistent with femoral head intramedullary cavity, by changing temperature, you can be allowed to deform upon, is easy to implant, after implantation, permissible Filled by its hollow cavity bone grafting, make interior netted eyelid retractor and New bone formation one, realize and strengthen to the femoral head subsiding Effective support, prevent or delay collapse of the femoral head necrosis.
It is disadvantageous in that: the patent of invention of patent No. zl200810111686.6, this eyelid retractor aperture is less, grows into Bone trabecula is more very thin, bears the limited use of pressure, and axial portions are solid, more occupy space in limited marrow; Support function is not good enough, very limited to the effect preventing or delaying femur head necrosiss to subside, and uses less in recent years;The patent No. Patent of invention for zl2010202833869, small volume required for this eyelid retractor it is difficult to the establishment of memorial alloy silk material, with thin Memorial alloy silk material is worked out, and its support performance is limited, the experiment proved that the side of the interior netted eyelid retractor using memorial alloy silk material Case is infeasible.
Content of the invention
The invention mainly solves the technical problem of provide a kind of support meanss for treating femur head necrosiss so as to While improving the capital effective physical support that subsides, strengthen positioning, it is possible to decrease the growth stress of osseous tissue, patient is made to carry Early healing of bearing a heavy burden, and from improve blood supply, reduce pressure in marrow, treatment femoral head continues to subside and bad inaccessible pathology in dredging marrow Extremely, it is to avoid carry out prosthetic replacement, reduce patient suffering, reduce the financial burden, improve patients ' life quality.
For solving above-mentioned technical problem, the invention mainly solves the technical problem of provide one kind be used for treating femoral head bad Dead support meanss, its material is Ti-Ni alloy, comprising: eyelid retractor and blade plate;Described eyelid retractor comprises, head, body and Afterbody;Described head is the curved hemisphere returning shape with ditch, and described body is cylindric;Described head, body and afterbody are linked to be Integrally, and inside is hollow out, described head and body wall there are multiple hexagon hollow out through holes, described head and body axis Wire clamp angle one-tenth obtuse angle, described afterbody and body inwall carry mesh-supported, and described mesh-supported is a hexagon honeycomb like structure, And separately having the one end on three sides to intersect at hexagonal center in hexagon, the other end on three sides is respectively with hexagon not Adjacent vertex is connected;Described eyelid retractor head hemisphere is put upwards, can achieve and strengthens to capital effective subsiding Support;It is provided with drain rope in described eyelid retractor hollow cavity, pulp in described mesh-supported, can be poured into;Described blade plate and femur phase Join, which is provided with sleeve and multiple threaded locked holes;Described eyelid retractor body hollow pipe stretches out from afterbody, and extension is put In the sleeve on blade plate.
Preferably, no through hole on described eyelid retractor extension wall, to improve extension intensity.
Preferably, described eyelid retractor extension end surface is provided with cross recess.
Preferably, described eyelid retractor is used in combination with blade plate, while can making eyelid retractor positioning, allows eyelid retractor to exist again A range of activity, be beneficial to increase bear a heavy burden, the growth healing at bone damage and the buffering to pressure.
The invention has the beneficial effects as follows: the raising that is utilized in conjunction with of eyelid retractor and blade plate is subsided capital effective physics Property while support, strengthen positioning, it is possible to decrease the growth stress of osseous tissue, so that patient is born a heavy burden ahead of time healing, and from improve blood supply, Reduce treatment femoral head on inaccessible pathology in bone core pressure and dredging marrow to continue to subside and necrosis, it is to avoid carry out artificial joint and put Change, reduce patient suffering, reduce the financial burden, improve patients ' life quality.
Brief description
Fig. 1 is the main cross section structure diagram of the support meanss for treating femur head necrosiss of the present invention;
Fig. 2 is Fig. 1 afterbody 3 tail end schematic cross-section;
Fig. 3 is the support meanss example structure schematic diagram for treating femur head necrosiss of the present invention;
Wherein, 1, head;2nd, body;3rd, afterbody;4th, cross recess;5th, through hole;6th, eyelid retractor;7th, femoral head and neck;8th, net Shape supports;9th, drain rope;10th, blade plate;11st, sleeve;12nd, threaded locked holes;13rd, extension.
Specific embodiment
Below in conjunction with the accompanying drawings presently preferred embodiments of the present invention is described in detail, so that advantages and features of the invention energy It is easier to be readily appreciated by one skilled in the art, thus protection scope of the present invention is made apparent clearly defining.
Embodiments of the invention as Figure 1-3, a kind of support meanss for treating femur head necrosiss, its material For Ti-Ni alloy, comprising: eyelid retractor 6 and blade plate 10;Described eyelid retractor 6 comprises, head 1, body 2 and afterbody 3;Described head 1 is the curved hemisphere returning shape with ditch, and described body 2 is cylindric;Described head 1, body 2 and afterbody 3 are connected, and interior Portion is hollow out, and described head 1 and body 2 wall have multiple hexagon hollow out through holes 5, described head 1 and body 2 axis wire clamp Angle one-tenth obtuse angle, described afterbody 3 and body 2 inwall carry mesh-supported 8, and described mesh-supported 8 is a hexagon honeycomb like structure, And separately having the one end on three sides to intersect at hexagonal center in hexagon, the other end on three sides is respectively with hexagon not Adjacent vertex is connected;Described eyelid retractor 6 head 1 hemisphere is put upwards, can achieve and strengthen capital effective to subside Support;It is provided with drain rope 9 in described eyelid retractor 6 hollow cavity, in described mesh-supported 8, pulp can be poured into;Described blade plate 10 Match with femur, which is provided with sleeve 11 and multiple threaded locked holes 12;Described eyelid retractor 6 body, 2 hollow pipes are outside from afterbody Extend, and extension 13 is placed in the sleeve 11 on blade plate 10;No through hole on described eyelid retractor 6 extension 13 wall, to carry High extension 13 intensity, described extension 13 afterbody is provided with cross recess 4;Described eyelid retractor 6 is used in combination with blade plate 10, can make While eyelid retractor 6 positioning, allow eyelid retractor 6 activity within the specific limits again, be beneficial to increase bear a heavy burden, the growth at bone damage Healing and the buffering to pressure.
The work process of the support meanss for treating femur head necrosiss of the present invention is as follows:
In fig. 1-3, after first the downright bad osseous tissue of femur bone marrow intracavity being removed during operation, eyelid retractor 6 is inserted bone marrow Intracavity, head 1 hemisphere is put upwards, hollow pipe extension 13 is placed in blade plate 10 sleeve 11, pulp is poured into netted Support in 8 grid, then imbed drain rope 9 to the hollow cavity of eyelid retractor 6, drain rope 9 afterbody is extended to soft tissue muscle After inside being stitched again.
The combination of eyelid retractor 6 and blade plate 10 in a kind of support meanss for treating femur head necrosiss of the present invention Use, while capital effective physical support, reinforcement positioning are subsided in raising, it is possible to decrease the growth stress of osseous tissue, Patient is made to bear a heavy burden ahead of time healing, and from improving blood supply, reduce and treat femoral head inaccessible pathology in bone core pressure and dredging marrow Continue to subside and necrosis, it is to avoid carry out prosthetic replacement, reduce patient suffering, reduce the financial burden, improve minimal invasive treatment's matter Amount, for treatment femur head necrosiss and subside and provide a kind of new method and new equipment.
The foregoing is only embodiments of the invention, not thereby limit the present invention the scope of the claims, every using this Equivalent structure or equivalent flow conversion that bright description and accompanying drawing content are made, or directly or indirectly it is used in other related skills Art field, is included within the scope of the present invention.

Claims (4)

1. a kind of support meanss for treating femur head necrosiss, its material is Ti-Ni alloy, comprising: eyelid retractor (6) and synthetism Plate (10);Described eyelid retractor (6) comprises, head (1), body (2) and afterbody (3);Described head (1) is to return the curved of shape with ditch Hemisphere, described body (2) is cylindric;Described head (1), body (2) and afterbody (3) are connected, and inside is and engraves Sky, described head (1) and body (2) wall have multiple hexagons hollow out through hole (5), described head (1) and body (2) axis Angle becomes obtuse angle, and described afterbody (3) and body (2) inwall carry mesh-supported (8), and described mesh-supported (8) is six sides Shape honeycomb like structure, and separately have the one end on three sides to intersect at hexagonal center in hexagon, the other end on three sides divides It is not connected with hexagon nonadjacent vertices;Described eyelid retractor (6) head (1) hemisphere is put upwards, can achieve and strengthens to collapsing Sunken capital effective support;It is provided with drain rope (9) in described eyelid retractor (6) hollow cavity, can in described mesh-supported (8) Pour into pulp;Described blade plate (10) is matched with femur, which is provided with sleeve (11) and multiple threaded locked holes (12);Its feature It is, described eyelid retractor (6) body (2) hollow pipe stretches out from afterbody, and extension (13) is placed on blade plate (10) In sleeve (11).
2. according to claim 1 a kind of support meanss for treating femur head necrosiss it is characterised in that described eyelid retractor (6) no through hole on extension (13) wall, to improve extension (13) intensity.
3. a kind of support meanss for treating femur head necrosiss according to claim 1 or claim 2 are it is characterised in that described Support device (6) extension (13) end face is provided with cross recess (4).
4. according to claim 1 a kind of support meanss for treating femur head necrosiss it is characterised in that described eyelid retractor (6) it is used in combination with blade plate (10), while eyelid retractor (6) positioning can be made, allow eyelid retractor (6) within the specific limits again Activity, be beneficial to increase bear a heavy burden, the growth healing at bone damage and the buffering to pressure.
CN201510116828.8A 2015-03-17 2015-03-17 Supporting device for treatment of femoral head necrosis Active CN104814814B (en)

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Families Citing this family (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
RU2611926C2 (en) * 2015-08-20 2017-03-01 Анатолий Александрович Цыбин Device for endoprosthesis of hip joint (variants)
CN106388980B (en) * 2016-11-24 2018-04-06 河南理工大学 A kind of femoral head inner supporting device
WO2018133868A1 (en) * 2017-01-23 2018-07-26 北京形梦信息技术有限公司 Stent
CN107007379A (en) * 2017-05-02 2017-08-04 杨新明 Supporting femoral head for preventing collapse coated hollow core titanium rod with anticreep spike devices
CN109984831B (en) * 2019-04-08 2021-01-05 毛玉江 Femoral head internal decompression self-circulation dynamic hip screw system
CN112773573B (en) * 2021-02-10 2022-05-03 北京爱康宜诚医疗器材有限公司 Inner support prosthesis for femoral head
CN114366270A (en) * 2022-01-19 2022-04-19 孔德贵 Bone fracture plate fixing device matched with bone healing process

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EP1464293A1 (en) * 1994-01-26 2004-10-06 Kyphon Inc. Improved device for use in surgical protocol relating to fixation of bone
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CN102824207A (en) * 2011-06-16 2012-12-19 北京爱康宜诚医疗器材股份有限公司 Support body in expansion fixing whirlbone
CN103519922A (en) * 2013-10-22 2014-01-22 张海宁 Fusion device for treating femoral head necrosis

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EP1464293A1 (en) * 1994-01-26 2004-10-06 Kyphon Inc. Improved device for use in surgical protocol relating to fixation of bone
WO2003043543A1 (en) * 2001-11-22 2003-05-30 Eska Implants Gmbh & Co. Femoral neck endoprosthesis for an artificial hip joint
CN1709206A (en) * 2005-07-06 2005-12-21 四川大学华西医院 Thigh-bone internal support device
CN101317790A (en) * 2008-05-16 2008-12-10 北京天新福医疗器材有限公司 Metal bone support device for femoral head putrescence
CN101342100A (en) * 2008-08-25 2009-01-14 哈尔滨工业大学 Inner support false body of femoral head
CN201840550U (en) * 2010-08-06 2011-05-25 刘德俊 Inner reticular support used for femoral head necrosis
CN102028566A (en) * 2010-12-06 2011-04-27 北京畅想天行医疗技术有限公司 Inner supporting frame for femoral head
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CN103519922A (en) * 2013-10-22 2014-01-22 张海宁 Fusion device for treating femoral head necrosis

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Address after: 215000 No. 5, Yuexi Tayun Road, Wuzhong District, Suzhou City, Jiangsu Province

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