CN106963488A - A kind of preparation method of the moulding bone piece model of finger phalanges bone thickening - Google Patents

A kind of preparation method of the moulding bone piece model of finger phalanges bone thickening Download PDF

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Publication number
CN106963488A
CN106963488A CN201710306282.1A CN201710306282A CN106963488A CN 106963488 A CN106963488 A CN 106963488A CN 201710306282 A CN201710306282 A CN 201710306282A CN 106963488 A CN106963488 A CN 106963488A
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China
Prior art keywords
phalanges
bone
model
bone piece
moulding
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CN201710306282.1A
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Chinese (zh)
Inventor
黄文华
许靖
王增涛
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Southern Medical University
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Southern Medical University
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Priority to CN201710306282.1A priority Critical patent/CN106963488A/en
Publication of CN106963488A publication Critical patent/CN106963488A/en
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    • BPERFORMING OPERATIONS; TRANSPORTING
    • B33ADDITIVE MANUFACTURING TECHNOLOGY
    • B33YADDITIVE MANUFACTURING, i.e. MANUFACTURING OF THREE-DIMENSIONAL [3-D] OBJECTS BY ADDITIVE DEPOSITION, ADDITIVE AGGLOMERATION OR ADDITIVE LAYERING, e.g. BY 3-D PRINTING, STEREOLITHOGRAPHY OR SELECTIVE LASER SINTERING
    • B33Y30/00Apparatus for additive manufacturing; Details thereof or accessories therefor
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B33ADDITIVE MANUFACTURING TECHNOLOGY
    • B33YADDITIVE MANUFACTURING, i.e. MANUFACTURING OF THREE-DIMENSIONAL [3-D] OBJECTS BY ADDITIVE DEPOSITION, ADDITIVE AGGLOMERATION OR ADDITIVE LAYERING, e.g. BY 3-D PRINTING, STEREOLITHOGRAPHY OR SELECTIVE LASER SINTERING
    • B33Y10/00Processes of additive manufacturing
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B33ADDITIVE MANUFACTURING TECHNOLOGY
    • B33YADDITIVE MANUFACTURING, i.e. MANUFACTURING OF THREE-DIMENSIONAL [3-D] OBJECTS BY ADDITIVE DEPOSITION, ADDITIVE AGGLOMERATION OR ADDITIVE LAYERING, e.g. BY 3-D PRINTING, STEREOLITHOGRAPHY OR SELECTIVE LASER SINTERING
    • B33Y50/00Data acquisition or data processing for additive manufacturing
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B33ADDITIVE MANUFACTURING TECHNOLOGY
    • B33YADDITIVE MANUFACTURING, i.e. MANUFACTURING OF THREE-DIMENSIONAL [3-D] OBJECTS BY ADDITIVE DEPOSITION, ADDITIVE AGGLOMERATION OR ADDITIVE LAYERING, e.g. BY 3-D PRINTING, STEREOLITHOGRAPHY OR SELECTIVE LASER SINTERING
    • B33Y70/00Materials specially adapted for additive manufacturing
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B33ADDITIVE MANUFACTURING TECHNOLOGY
    • B33YADDITIVE MANUFACTURING, i.e. MANUFACTURING OF THREE-DIMENSIONAL [3-D] OBJECTS BY ADDITIVE DEPOSITION, ADDITIVE AGGLOMERATION OR ADDITIVE LAYERING, e.g. BY 3-D PRINTING, STEREOLITHOGRAPHY OR SELECTIVE LASER SINTERING
    • B33Y80/00Products made by additive manufacturing

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  • Chemical & Material Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Manufacturing & Machinery (AREA)
  • Materials Engineering (AREA)
  • Instructional Devices (AREA)
  • Prostheses (AREA)

Abstract

A kind of preparation method of the moulding bone piece model of finger phalanges bone thickening, comprises the following steps:(1) destination object both hands CT data are gathered, three-dimensional reconstruction is carried out and obtains virtual both hands bone threedimensional model;(2) reconstruction model data import three-dimensional printer, print both hands bone mock-up;(3) strong side phalanges form profile is drawn, cuts out and obtains normal phalanges profile;(4) Ipsilateral phalanges form is contrasted, draws and cuts out and obtain defect part phalanges size and form;(5) measurement defect phalangeal section major diameter and minor axis, and record numerical value;(6) polishing of bone piece model cutting is carried out according to defect phalangeal section measured value and form to obtain repairing in bone piece model, the repairing bone piece model forms of acquisition close to defect phalangeal section form.Moulding using this method progress finger phalanges bone thickening, the repairing bone piece model forms obtained are highly approached with defect phalangeal section, can preferably be realized for the moulding form reparation of phalanges thickening.

Description

A kind of preparation method of the moulding bone piece model of finger phalanges bone thickening
Technical field
The present invention relates to finger shaping technique field, more particularly to a kind of finger phalanges bone thickening shaping method.
Background technology
It is to solve finger injury and the important technical of deletion patients that finger, which is replanted with reconstructive operation, and thumb function accounts for hand The 40% of function, clinically the Thumb defect caused by a variety of causes usually need to be replanted and reproduced, conventional operation side Formula has free free second toe transfer for reconstruction, Hallux first valve wrapping floating bone block transplanting reconstruction etc..
After thumb Digits reconstruction is carried out, clinical discovery some patientss occur that phalanges is partially thin or transplants showing for bone piece atrophy As causing finger reconstruction profile undesirable, causing patient dissatisfied to surgical effect, therefore often need progress finger reconstruction whole Shape.Wherein, how to realize the form reparation of phalanges and reach that the form close with normal phalanges is the key of the technology.
Therefore it provides a kind of preparation method of the moulding bone piece model of finger phalanges bone thickening is accurately to carry out phalanges bone Thickening is moulding very necessary.
The content of the invention
It is an object of the invention to provide a kind of preparation method of the moulding bone piece model of finger phalanges bone thickening, work as needs When progress reparation bone piece is cut, reparation bone piece model faster can be more accurately obtained according to the method, with reference to bone piece model, is carried Pinpoint accuracy.
The above-mentioned purpose of the present invention is realized by following technical measures:
A kind of preparation method of the moulding bone piece model of finger phalanges bone thickening is provided, comprised the following steps:
(1) destination object both hands CT data are gathered, three-dimensional reconstruction is carried out and obtains virtual both hands bone threedimensional model;
(2) reconstruction model data import three-dimensional printer, print both hands bone mock-up;
(3) strong side phalanges form profile is drawn, cuts out and obtains normal phalanges profile;
(4) Ipsilateral phalanges form is contrasted, draws and cuts out and obtain defect part phalanges size and form;
(5) measurement defect phalangeal section major diameter and minor axis, and record numerical value;
(6) polishing of bone piece model cutting is carried out according to defect phalangeal section measured value and form to obtain repairing bone piece mould Close to defect phalangeal section form in type, the repairing bone piece model forms of acquisition.
It is preferred that, the preparation method of the above-mentioned moulding bone piece model of finger phalanges bone thickening utilizes 3D printing technique system Standby normal phalanges and Ipsilateral phalanges appearance model, obtain repairing the form of bone piece model using morphological differences.
It is preferred that, above-mentioned steps (1) are specifically to carry out three-dimensional reconstruction using three-dimensional reconstruction software Mimics13.01 to obtain void Intend both hands bone threedimensional model.
It is preferred that, above-mentioned steps (2) are specifically that Three-dimension Reconstruction Model is imported into three-dimensional printer, and it is in kind to print bone Model.
It is preferred that, above-mentioned steps (3) are specifically to draw strong side phalanges form profile, cut out and obtain normal phalanges profile model Enclose.
It is preferred that, above-mentioned steps (4) are specifically contrast Ipsilateral phalanges form, draw and cut out that to obtain defect part phalanges big Small form.
It is preferred that, above-mentioned steps (5) are specifically measurement defect phalangeal section major diameter and minor axis, and record numerical value.
It is preferred that, the preparation method of the above-mentioned moulding bone piece model of finger phalanges bone thickening, the step (4) is used 3D printing material be PLA.
A kind of preparation method of moulding bone piece model of finger phalanges bone thickening of the present invention, comprises the following steps:(1) adopt Collect destination object both hands CT data, carry out three-dimensional reconstruction and obtain virtual both hands bone threedimensional model;(2) reconstruction model data are imported Three-dimensional printer, prints both hands bone mock-up;(3) strong side phalanges form profile is drawn, cuts out and obtains normal phalanges wheel Wide scope;(4) Ipsilateral phalanges form is contrasted, draws and cuts out and obtain defect part phalanges size and form;(5) defect phalanges is measured Part major diameter and minor axis, and record numerical value;(6) bone piece model cutting is carried out according to defect phalangeal section measured value and form to beat Mill obtains repairing in bone piece model, the repairing bone piece model forms of acquisition close to defect phalangeal section form.Using this method Carry out finger phalanges bone thickening moulding, the repairing bone piece model forms that are obtained are highly close with defect phalangeal section, can be compared with Realize for the moulding form reparation of phalanges thickening well.
Brief description of the drawings
With reference to accompanying drawing, the invention will be further described, but the content in accompanying drawing does not constitute any limit to the present invention System.
Fig. 1 is that the three-dimensional reconstruction of the embodiment of the present invention 2 obtains both hands bone threedimensional model.
Fig. 2 is that the strong side phalanges in part needed for choosing and Ipsilateral phalanges carry out 3D printing and obtain mock-up.
Fig. 3 is to draw strong side phalanges form profile, cuts out and obtains normal phalanges profile.
Fig. 4 is contrast Ipsilateral phalanges form, draws and cuts and obtains defect part phalanges size and form.
Fig. 5 is measurement defect phalangeal section major diameter and minor axis, and records numerical value.
Fig. 6 is after transplanting bone piece is cut, to carry out bone piece cutting according to defect phalangeal section measured value and form and polish, Close to defect phalangeal section form on the repairing bone piece morphology of acquisition.
Fig. 7 is that the reparation bone piece obtained realizes pre- reparation on Ipsilateral phalanges model.
Fig. 8 is to apply the reparation bone piece of design and clinical operation and postoperative perspective situation.
In Fig. 1 into Fig. 2, including:
Both hands model 10, mock-up 20.
Embodiment
The invention will be further described with the following Examples.
Embodiment 1.
A kind of preparation method of the moulding bone piece model of finger phalanges bone thickening, comprises the following steps:
(1) destination object both hands CT data are gathered, three-dimensional reconstruction is carried out and obtains virtual both hands bone threedimensional model;
(2) reconstruction model data import three-dimensional printer, print both hands bone mock-up;
(3) strong side phalanges form profile is drawn, cuts out and obtains normal phalanges profile;
(4) Ipsilateral phalanges form is contrasted, draws and cuts out and obtain defect part phalanges size and form;
(5) measurement defect phalangeal section major diameter and minor axis, and record numerical value;
(6) polishing of bone piece model cutting is carried out according to defect phalangeal section measured value and form to obtain repairing bone piece mould Close to defect phalangeal section form in type, the repairing bone piece model forms of acquisition.
Specifically, the preparation method of the above-mentioned moulding bone piece model of finger phalanges bone thickening, utilizes 3D printing technique system Standby normal phalanges and Ipsilateral phalanges appearance model, obtain repairing the form of bone piece model using morphological differences.
Wherein, step (1) is specifically and carries out three-dimensional reconstruction using three-dimensional reconstruction software Mimics13.01 to obtain virtual both hands Bone threedimensional model.
Wherein, step (2) is specifically that Three-dimension Reconstruction Model is imported into three-dimensional printer, and prints bone mock-up.
Wherein, step (3) is specifically to draw strong side phalanges form profile, cuts out and obtains normal phalanges profile.
Wherein, step (4) is specifically contrast Ipsilateral phalanges form, draws and cuts out and obtains defect part phalanges size shape State.The 3D printing material that step (4) is used is PLA.
Wherein, step (5) is specifically measurement defect phalangeal section major diameter and minor axis, and records numerical value.
Moulding using the method progress finger phalanges bone thickening of the present invention, the repairing bone piece model forms obtained are with lacking Damage phalangeal section highly to approach, can preferably realize for the moulding form reparation of phalanges thickening.
The method of the present invention coordinates clinic so to use, and obtains after repairing bone piece model, conjunction is cut with reference to this model Needed for suitable reparation during bone piece, bone piece needed for reparation, the repairing bone piece form and defect obtained faster can be more accurately cut Phalangeal section is highly approached, and can preferably be realized for the moulding form reparation of phalanges thickening.Then, the reparation bone piece of acquisition is existed Pre- repair is realized on Ipsilateral phalanges model;Bone piece will will be repaired again to apply and clinical operation and postoperative perspective situation.
Thumb Digits reconstruction operation especially transplanting thumb reconstructed by second toe reconstruction thumb finger, thumb reconstructed by second toe is more normal on anatomic form Therefore thumb is partially thin to cause postoperative reconstruction thumb finger form, with normal thumb poor appearance away from larger, to be adopted in addition closer to toes The method for wrapping floating bone block transplanting reconstruction thumb finger with Hallux first valve finds that some patients have bone piece and withered through clinical Follow-up After Contracting phenomenon, causes form to there is difference with desired morphology.For the appearance of such situation, clinically often need to carry out finger phalanges Thickening plastic operation is to reach the target for recovering to be close with normal thumb finger form.
When carrying out phalanges thickening plastic operation, it is necessary to carry out repairing cutting for bone piece, traditional operation is based on patient's experience Carry out repairing bone piece and cut, lack objective reference frame, operation short time consumption long, fluoroscopy during operation often, to patient and doctor The injury of business personnel is larger.
, can be faster more accurate according to the method when bone piece needed for needing progress to cut reparation by the method for the present invention True cuts bone piece needed for reparation, and the repairing bone piece form obtained is highly close with defect phalangeal section, can preferably realize pair In the moulding form reparation of phalanges thickening.
Embodiment 2.
By taking destination object after a finger reconstruction as an example, this method is illustrated.
A kind of preparation method of the moulding bone piece model of finger phalanges bone thickening, comprises the following steps:
(1) the both hands CT data of destination object are gathered, three-dimensional reconstruction is carried out and obtains both hands threedimensional model 10, step (1) tool Body is to carry out three-dimensional reconstruction using three-dimensional reconstruction software Mimics 13.01 to obtain both hands threedimensional model, as shown in Figure 1.
(2) both hands mock-up 20 is printed, plasma ion disinfection is standby, as shown in Figure 2.The 3D printing material specifically used For PLA, the print attribution of 3D printer is set, high-precision printing state is adjusted to, printing precision is under specific such a state 0.2mm, adjusts the printing plane of 3D printer, the shower nozzle of 3D printer is smoothly led to just to the distance of printing plane Cross the A4 paper of a folding.Then, model modes of emplacement is adjusted, it is maximized with printing the contact area of plane, now beats Stamp type obtains most stable position, to improve the success rate of printing and reduce the formation of print carriage, so just improves 3D and beats The manufacture efficiency of print machine and 3D printing material is saved.Finally, the temperature for setting 3D printer shower nozzle is 220 degree, starts 3D Print routine, shower nozzle is heated to after predetermined temperature, just starts successively to print accumulation, both hands bony segment needed for finally producing Model, as shown in Figure 2.
(3) as shown in figure 3, drawing strong side phalanges form profile, cut out and obtain normal phalanges profile.Wherein, at this In example, use edge of the skin marking pen vertically with cystosepiment along strong side phalanges model and painted on cystosepiment System, and trim the profile for obtaining strong side phalanges.
(4) as shown in figure 4, contrasting Ipsilateral phalanges form on the basis of Fig. 3, draw and cut out and obtain defect part phalanges Size and form.
(5) as shown in figure 5, measuring defect phalangeal section major diameter and minor axis, and numerical value is recorded.
(6) repaiied as shown in fig. 6, carrying out the polishing of bone piece model cutting according to defect phalangeal section measured value and form Close to defect phalangeal section form in Psoralen block models, the repairing bone piece model forms of acquisition.With reference to repairing bone piece model, Cut after transplanting bone piece, carrying out bone piece cutting according to defect phalangeal section measured value and form polishes, and obtains and defect phalanges The close repairing bone piece of portion forms.
(7) repaired in advance as shown in fig. 7, carrying out reparation bone piece on Ipsilateral phalanges model.
(8) as shown in figure 8, the reparation bone piece of design is applied into clinical operation, and postoperative perspective is carried out, observation Ipsilateral refers to Bones morphology repairs situation.
The method of the present invention, when needing progress reparation bone piece to cut, faster can more accurately be obtained according to the method Bone piece is repaired, operating time is reduced, the damage to patient is reduced.
Finally it should be noted that the above embodiments are merely illustrative of the technical solutions of the present invention rather than the present invention is protected The limitation of scope, although being explained in detail with reference to preferred embodiment to the present invention, one of ordinary skill in the art should manage Solution, technical scheme can be modified or equivalent substitution, without departing from technical solution of the present invention essence and Scope.

Claims (8)

1. a kind of preparation method of the moulding bone piece model of finger phalanges bone thickening, it is characterised in that comprise the following steps:
(1) destination object both hands CT data are gathered, three-dimensional reconstruction is carried out and obtains virtual both hands bone threedimensional model;
(2) reconstruction model data import three-dimensional printer, print both hands bone mock-up;
(3) strong side phalanges form profile is drawn, cuts out and obtains normal phalanges profile;
(4) Ipsilateral phalanges form is contrasted, draws and cuts out and obtain defect part phalanges size and form;
(5) measurement defect phalangeal section major diameter and minor axis, and record numerical value;
(6) carry out the polishing of bone piece model cutting according to defect phalangeal section measured value and form to obtain repairing bone piece model, obtain Close to defect phalangeal section form in the repairing bone piece model forms obtained.
2. the preparation method of the moulding bone piece model of finger phalanges bone thickening according to claim 1, it is characterised in that profit Normal phalanges and Ipsilateral phalanges appearance model are prepared with 3D printing technique, obtains repairing the shape of bone piece model using morphological differences State.
3. the preparation method of the moulding bone piece model of finger phalanges bone thickening according to claim 2, it is characterised in that institute It is specifically to carry out three-dimensional reconstruction using three-dimensional reconstruction software Mimics13.01 to obtain the three-dimensional mould of virtual both hands bone to state step (1) Type.
4. the preparation method of the moulding bone piece model of finger phalanges bone thickening according to claim 3, it is characterised in that institute It is specifically that Three-dimension Reconstruction Model is imported into three-dimensional printer to state step (2), and prints bone mock-up.
5. the preparation method of the moulding bone piece model of finger phalanges bone thickening according to claim 4, it is characterised in that institute It is specifically to draw strong side phalanges form profile to state step (3), cuts out and obtains normal phalanges profile.
6. the preparation method of the moulding bone piece model of finger phalanges bone thickening according to claim 5, it is characterised in that institute It is specifically contrast Ipsilateral phalanges form to state step (4), draws and cuts out and obtains defect part phalanges size and form.
7. the preparation method of the moulding bone piece model of finger phalanges bone thickening according to claim 6, it is characterised in that institute It is specifically measurement defect phalangeal section major diameter and minor axis to state step (5), and records numerical value.
8. the preparation method of the moulding bone piece model of finger phalanges bone thickening according to claim 7, it is characterised in that institute 3D printing material that step (4) used is stated for PLA.
CN201710306282.1A 2017-05-04 2017-05-04 A kind of preparation method of the moulding bone piece model of finger phalanges bone thickening Pending CN106963488A (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107696045A (en) * 2017-09-30 2018-02-16 上海大学 A kind of intelligent bionic manipulator
TWI693922B (en) * 2018-11-30 2020-05-21 財團法人金屬工業研究發展中心 Preparation method of bone defect bone guide device

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20050133955A1 (en) * 2002-09-30 2005-06-23 Medical Modeling Llc Method for design and production of a custom-fit prosthesis
CN106073870A (en) * 2016-05-30 2016-11-09 南方医科大学 A kind of facies articularis ossium is rebuild 3D and is printed the method repairing implant
CN106079458A (en) * 2016-05-31 2016-11-09 广西医科大学 A kind of method preparing repairing bone implant based on selective laser smelting technology
CN106157365A (en) * 2016-07-08 2016-11-23 贵港市人民医院 A kind of forming method reproducing finger model

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20050133955A1 (en) * 2002-09-30 2005-06-23 Medical Modeling Llc Method for design and production of a custom-fit prosthesis
CN106073870A (en) * 2016-05-30 2016-11-09 南方医科大学 A kind of facies articularis ossium is rebuild 3D and is printed the method repairing implant
CN106079458A (en) * 2016-05-31 2016-11-09 广西医科大学 A kind of method preparing repairing bone implant based on selective laser smelting technology
CN106157365A (en) * 2016-07-08 2016-11-23 贵港市人民医院 A kind of forming method reproducing finger model

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107696045A (en) * 2017-09-30 2018-02-16 上海大学 A kind of intelligent bionic manipulator
TWI693922B (en) * 2018-11-30 2020-05-21 財團法人金屬工業研究發展中心 Preparation method of bone defect bone guide device

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Application publication date: 20170721