CN111214316A - Artificial hip joint pressure measuring instrument - Google Patents

Artificial hip joint pressure measuring instrument Download PDF

Info

Publication number
CN111214316A
CN111214316A CN201911147247.5A CN201911147247A CN111214316A CN 111214316 A CN111214316 A CN 111214316A CN 201911147247 A CN201911147247 A CN 201911147247A CN 111214316 A CN111214316 A CN 111214316A
Authority
CN
China
Prior art keywords
hip joint
pressure
measuring instrument
acetabulum
bluetooth signal
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201911147247.5A
Other languages
Chinese (zh)
Inventor
姚庆强
王黎明
张惠康
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Nanjing Dongshang Biotechnology Co ltd
Original Assignee
Nanjing Dongshang Biotechnology Co ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Nanjing Dongshang Biotechnology Co ltd filed Critical Nanjing Dongshang Biotechnology Co ltd
Priority to CN201911147247.5A priority Critical patent/CN111214316A/en
Publication of CN111214316A publication Critical patent/CN111214316A/en
Pending legal-status Critical Current

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4657Measuring instruments used for implanting artificial joints
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/32Joints for the hip
    • A61F2/34Acetabular cups
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4684Trial or dummy prostheses
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4657Measuring instruments used for implanting artificial joints
    • A61F2002/4666Measuring instruments used for implanting artificial joints for measuring force, pressure or mechanical tension

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Transplantation (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Cardiology (AREA)
  • Vascular Medicine (AREA)
  • Veterinary Medicine (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Biophysics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Surgery (AREA)
  • Prostheses (AREA)

Abstract

The invention relates to the technical field of medical operation auxiliary equipment, and discloses an artificial hip joint pressure measuring instrument which comprises an acetabulum lining test mold, wherein the acetabulum lining test mold consists of an acetabulum lining shell, a pressure sensor and a Bluetooth signal emitter, and the acetabulum lining test mold can be in data connection with computer equipment. The artificial hip joint pressure measuring instrument can improve the prosthesis installation precision of the artificial total hip joint replacement operation to obtain more ideal stress distribution, thereby improving the curative effect of the artificial total hip joint replacement operation, and can be used for treating femoral neck fracture, femoral head necrosis, hip joint osteoarthritis, hip joint stiffness, hip joint rheumatoid arthritis, acetabular dysplasia, hip primary/metastatic bone tumor and other serious hip joint bone lesions accompanied with joint damage.

Description

Artificial hip joint pressure measuring instrument
Technical Field
The invention relates to the technical field of medical operation auxiliary equipment, in particular to an artificial hip joint pressure measuring instrument.
Background
Many diseases that cause pain, limited mobility and disability in the hip joint, and common diseases in joint surgery include: femoral neck fracture, femoral head necrosis, hip osteoarthritis, hip ankylosis, hip rheumatoid arthritis, acetabulum dysplasia, hip primary/metastatic bone tumor, and the like.
For the treatment of these diseases, artificial total hip replacement surgery (THA) is currently used in clinic. However, as hip arthropathy is often accompanied by a series of joint damages, the acetabulum becomes shallow, becomes small and even forms a prosthetic socket, and factors such as gluteus medius atrophy, peripheral vascular nerve joint capsule distortion and the like which are often accompanied bring difficulties to clinical treatment, so that the conventional artificial total hip joint replacement operation faces a plurality of difficulties such as reconstruction of an acetabulum structure, soft tissue balance of hip joints, limb length recovery and the like, and the treatment effect of the artificial total hip joint replacement is influenced.
The prior art shows that the soft tissue tension of the artificial total hip replacement operation plays an important role in the postoperative curative effect and the service life of the prosthesis. When a human body stands, the femoral eccentricity often influences the stability of the joint by influencing the moment of hip abductor muscles. Thus, the clinical application experience of THA suggests that: the hip joint rotation center of the THA is restored to the anatomical center, and the proper femur offset is selected to adjust the stress balance of the hip joint muscle group and the femur prosthesis after operation, which is an important factor for improving walking gait. An improper center of rotation of the prosthetic joint and too small a femur offset will bring the femur close to the pelvis, reducing the range of motion of the hip joint and the tension of the soft tissue surrounding the hip joint, resulting in instability of the joint and dislocation of the hip joint. This imbalance in post-THA stress may also result in excessive local loading of the prosthesis, such that wear of the prosthesis occurs earlier after use, affecting the post-operative efficacy. However, there is no effective method for accurately measuring and evaluating the soft tissue tension of THA and the stress of the artificial femoral head-acetabular interface, other than depending on the hand feeling of the physician during the operation.
Disclosure of Invention
The invention provides an artificial hip joint pressure measuring instrument which can improve the prosthesis installation precision of the THA operation to obtain more ideal stress distribution, thereby improving the curative effect of the THA operation and can be used for treating femoral neck fracture, femoral head necrosis, hip osteoarthritis, hip ankylosis, hip rheumatoid arthritis, acetabular dysplasia, hip primary/metastatic bone tumor and other serious hip joint bone lesions accompanied with joint destruction.
The invention provides the following technical scheme: an artificial hip joint pressure measuring instrument comprises an acetabulum lining test mold, wherein the acetabulum lining test mold is composed of an acetabulum lining shell, a pressure sensor and a Bluetooth signal emitter, and the acetabulum lining test mold can be in data connection with computer equipment.
Preferably, the outer shape of the acetabular liner shell is a semi-dome-like structure and is matched with the acetabular cup prosthesis.
Preferably, a plurality of groups of Bluetooth signal reflectors are installed in the acetabulum lining test mold, the Bluetooth signal reflectors correspond to different quadrants, and the signal receiving range borne by each Bluetooth signal reflector is consistent.
Preferably, a plurality of pressure sensors are installed in the acetabulum lining test mold, the pressure sensors are installed on the inner side and the outer side of the acetabulum lining shell, the pressure sensors are flexible pressure sensors, and the number of the pressure sensors in each quadrant is not less than three.
Preferably, the computer device comprises a computer, a display and a bluetooth signal receiver, wherein a pressure data analysis and analysis program is installed in the computer.
Preferably, the flexible pressure sensor is a piezoresistive pressure sensitive element with a specific range of measuring ranges.
The invention has the following beneficial effects:
the invention overcomes the defect that the pressure of the artificial hip joint is evaluated only by depending on the hand feeling of a doctor in the existing artificial hip joint replacement operation, has the advantages of improving the prosthesis installation precision of the artificial hip joint replacement operation, obtaining more ideal stress distribution and improving the curative effect of the artificial hip joint replacement operation, and can be used for treating femoral neck fracture, femoral head necrosis, hip osteoarthritis, hip ankylosis, hip joint rheumatoid arthritis, acetabular dysplasia, primary/metastatic bone tumor of the hip and other serious hip joint bone lesions accompanied with joint destruction.
Drawings
FIG. 1 is a front view of an acetabular liner trial with a spatial orientation sensor of the invention;
FIG. 2 is a schematic view of the bottom of the acetabular liner trial with a spatial orientation sensor according to the present invention;
FIG. 3 is a top view of the acetabular liner trial with spatial orientation sensors of the invention;
FIG. 4 is a cross-sectional view of a trial version of the acetabular liner with spatial orientation sensors of the invention;
FIG. 5 is a schematic view of the trial installation position of the acetabular prosthesis with the spatial orientation sensor according to the invention;
FIG. 6 is an enlarged view of the trial installation position of the acetabular prosthesis with the spatial orientation sensor according to the invention.
In the figure: 1. an acetabular liner shell; 2. a pressure sensor; 3. and a Bluetooth signal emitter.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
Referring to fig. 1-6, an artificial hip joint pressure measuring instrument includes an acetabular lining test mold, which is composed of an acetabular lining shell 1, a pressure sensor 2 and a bluetooth signal emitter 3.
The appearance of acetabular liner shell 1 is similar semidome structure, with acetabular cup prosthesis phase-match, install multiunit bluetooth signal reflector 3 in the acetabular liner examination mould, bluetooth signal emitter 3 corresponds different quadrants, the signal reception scope that every bluetooth signal emitter 3 bore is unanimous, install a plurality of pressure sensor 2 in the acetabular liner examination mould, pressure sensor 2 installs inboard and the outside with acetabular liner shell 1, pressure sensor 2 is flexible pressure sensor, and the quantity of every quadrant pressure sensor 2 is no less than three, flexible pressure sensor 2 is the pressure resistance force sensitive element of specific range scope, lead to stress sensor when pressure passes, the sensor can pass through bluetooth signal emitter, with data transmission to computer.
The acetabulum lining test mold can be in data connection with computer equipment, the computer equipment comprises a computer, a display and a Bluetooth signal receiver, wherein a pressure data analysis and analysis program is installed in the computer, and the computer can receive and read real-time pressure parameters transmitted by a Bluetooth signal transmitter in the acetabulum lining test mold through the Bluetooth signal receiver; and recording and analyzing the pressure of each pressure sensor in the acetabular liner test molds of various assembly combinations through a pressure data analysis and analysis program, and displaying the pressure through a tablet computer to help doctors to evaluate the reasonability of prosthesis assembly in the artificial total hip replacement.
Stress data analysis program: calculating and displaying stress distribution in real time according to the distribution and stress values of the stress sensors; according to the structure of the hip joint, respectively carrying out digital reading on the pressure sensors in the acetabular liner test mold, respectively recording the difference values of the pressure sensors of the hip joint adduction, abduction, internal rotation and external rotation as an A, a, B, a, C, D and the total pressure difference value as: Δ =. Δ. A | +. Δ C | +. Ol; when the Link is minimum, the ideal security state of the hip joint prosthesis is achieved.
The theory of operation, during the operation, produce corresponding pressure, pressure conduction is to pressure sensor 2 departments, and the sensor passes through bluetooth signal transmitter promptly, with data transfer to computer, and the computer passes through bluetooth signal receiver and receives and reads the real-time pressure parameter of the transmission of bluetooth signal transmitter in the acetabular liner examination mould, rethread pressure data analysis and analysis program, records and analyzes the pressure of each pressure sensor in the acetabular liner examination mould of various assembly combinations to show through the display screen, be used for helping the doctor to evaluate the rationality of prosthesis assembly in artifical total hip joint replacement art.
It is noted that, herein, relational terms such as first and second, and the like may be used solely to distinguish one entity or action from another entity or action without necessarily requiring or implying any actual such relationship or order between such entities or actions. Also, the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus.
Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.

Claims (6)

1. The utility model provides an artifical hip joint pressure measurement appearance, includes acetabular liner examination mould, its characterized in that: the acetabulum lining test mold is composed of an acetabulum lining shell (1), a pressure sensor (2) and a Bluetooth signal emitter (3), and the acetabulum lining test mold can be connected with computer equipment in a data mode.
2. The artificial hip joint pressure measuring instrument according to claim 1, wherein: the shape of the acetabulum lining shell (1) is a semi-dome-like structure and is matched with an acetabulum cup prosthesis.
3. The artificial hip joint pressure measuring instrument according to claim 1, wherein: a plurality of groups of Bluetooth signal reflectors (3) are installed in the acetabulum lining test mould, the Bluetooth signal reflectors (3) correspond to different quadrants, and the signal receiving range borne by each Bluetooth signal reflector (3) is consistent.
4. The artificial hip joint pressure measuring instrument according to claim 1, wherein: the acetabulum lining test mold is internally provided with a plurality of pressure sensors (2), the pressure sensors (2) are arranged on the inner side and the outer side of the acetabulum lining shell (1), the pressure sensors (2) are flexible pressure sensors, and the number of the pressure sensors (2) in each quadrant is not less than three.
5. The artificial hip joint pressure measuring instrument according to claim 1, wherein: the computer equipment comprises a computer, a display and a Bluetooth signal receiver, wherein a pressure data analysis and analysis program is installed in the computer.
6. The artificial hip joint pressure measuring instrument according to claim 4, wherein: the flexible pressure sensor (2) is a piezoresistive pressure sensitive element with a specific measuring range.
CN201911147247.5A 2019-11-21 2019-11-21 Artificial hip joint pressure measuring instrument Pending CN111214316A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201911147247.5A CN111214316A (en) 2019-11-21 2019-11-21 Artificial hip joint pressure measuring instrument

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201911147247.5A CN111214316A (en) 2019-11-21 2019-11-21 Artificial hip joint pressure measuring instrument

Publications (1)

Publication Number Publication Date
CN111214316A true CN111214316A (en) 2020-06-02

Family

ID=70808388

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201911147247.5A Pending CN111214316A (en) 2019-11-21 2019-11-21 Artificial hip joint pressure measuring instrument

Country Status (1)

Country Link
CN (1) CN111214316A (en)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114343922A (en) * 2022-02-18 2022-04-15 武汉迈瑞科技有限公司 Digital total hip joint replacement device and abduction angle and anteversion angle calibration method thereof
CN117860449A (en) * 2024-03-11 2024-04-12 中国人民解放军总医院第四医学中心 A examination mould device for robot assists hip joint replacement art

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2865928A1 (en) * 2004-02-10 2005-08-12 Tornier Sa Complete prosthesis implantation device for hip of patient, has computer peroperativly comparing determined positions of femoral prosthesis axis with mobility cone of prosthesis to be implanted
US20080065225A1 (en) * 2005-02-18 2008-03-13 Wasielewski Ray C Smart joint implant sensors
US20150297362A1 (en) * 2012-11-02 2015-10-22 Polaris Surgical Llc Systems and methods for measuring orthopedic parameters in arthroplastic procedures
CN105283150A (en) * 2013-03-15 2016-01-27 威廉·L·亨特 Devices, systems and methods for monitoring hip replacements
CN107049560A (en) * 2016-12-29 2017-08-18 北京爱康宜诚医疗器材有限公司 Acetabular component
CN207745199U (en) * 2017-04-10 2018-08-21 清华大学 Attitude data measuring device and the system using the device in replacement of total hip
CN110035716A (en) * 2016-11-02 2019-07-19 捷迈有限公司 For sensing the device of implantation object location and shock

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2865928A1 (en) * 2004-02-10 2005-08-12 Tornier Sa Complete prosthesis implantation device for hip of patient, has computer peroperativly comparing determined positions of femoral prosthesis axis with mobility cone of prosthesis to be implanted
US20080065225A1 (en) * 2005-02-18 2008-03-13 Wasielewski Ray C Smart joint implant sensors
US20150297362A1 (en) * 2012-11-02 2015-10-22 Polaris Surgical Llc Systems and methods for measuring orthopedic parameters in arthroplastic procedures
CN105283150A (en) * 2013-03-15 2016-01-27 威廉·L·亨特 Devices, systems and methods for monitoring hip replacements
CN110035716A (en) * 2016-11-02 2019-07-19 捷迈有限公司 For sensing the device of implantation object location and shock
CN107049560A (en) * 2016-12-29 2017-08-18 北京爱康宜诚医疗器材有限公司 Acetabular component
CN207745199U (en) * 2017-04-10 2018-08-21 清华大学 Attitude data measuring device and the system using the device in replacement of total hip

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114343922A (en) * 2022-02-18 2022-04-15 武汉迈瑞科技有限公司 Digital total hip joint replacement device and abduction angle and anteversion angle calibration method thereof
CN117860449A (en) * 2024-03-11 2024-04-12 中国人民解放军总医院第四医学中心 A examination mould device for robot assists hip joint replacement art

Similar Documents

Publication Publication Date Title
Von Eisenhart et al. Quantitative determination of joint incongruity and pressure distribution during simulated gait and cartilage thickness in the human hip joint
US20200375760A1 (en) Dynamic ligament balancing system
Lee et al. Magnitude and variability of loading on the osseointegrated implant of transfemoral amputees during walking
Hodge et al. Contact pressures from an instrumented hip endoprosthesis.
US7458989B2 (en) Intraoperative joint force measuring device, system and method
Kim et al. Strain distribution in the proximal human femur: an in vitro comparison in the intact femur and after insertion of reference and experimental femoral stems
Damm et al. Total hip joint prosthesis for in vivo measurement of forces and moments
Su et al. The effect of arch height and material hardness of personalized insole on correction and tissues of flatfoot
Paul Strength requirements for internal and external prostheses
Lee et al. Stump-socket interface pressure as an aid to socket design in prostheses for trans-femoral amputees—A preliminary study
Werner et al. Pressures in the distal radioulnar joint: effect of surgical procedures used for Kienbock's disease
TW200412918A (en) Minimally invasive joint implant with 3-dimensional geometry matching the articular surfaces
AU2003228341A1 (en) System and method for prosthetic fitting and balancing in joints
CN111214316A (en) Artificial hip joint pressure measuring instrument
Ghista et al. Orthopaedic mechanics: Procedures and devices
Rizzo et al. Results of biaxial total wrist arthroplasty with a modified (long) metacarpal stem
Zumbrunn et al. Cadaver-specific models for finite-element analysis of iliopsoas impingement in dual-mobility hip implants
CN110974491B (en) Knee joint unicondylar friction measuring device based on pressure measurement
Dimitriou et al. In vivo kinematic evaluation of total hip arthroplasty during stair climbing
Yoshimoto et al. Dynamic hip kinematics before and after periacetabular osteotomy in patients with dysplasia
Enoksen et al. Deformation pattern and load transfer of an uncemented femoral stem with modular necks. An experimental study in human cadaver femurs
Maillot et al. Hip resurfacing generates a more physiological gait than total hip replacement: A case-control study
Arastoo et al. Evaluation of the new, patient-adjustable socket system Varos in the early phase of prosthetic rehabilitation: a pilot study
SWANSON et al. Bone Remodeling Phenomena in Flexible Implant Arthroplasty in the Metacarpophalangeal Joints: Long-term Study.
Zhang Computational modelling of biomechanics for an artificial hip joint

Legal Events

Date Code Title Description
PB01 Publication
PB01 Publication
SE01 Entry into force of request for substantive examination
SE01 Entry into force of request for substantive examination
RJ01 Rejection of invention patent application after publication
RJ01 Rejection of invention patent application after publication

Application publication date: 20200602