The artificial knee joint femur
Technical field
What the present invention relates to is the device in a kind of prosthese field, specifically a kind of artificial knee joint femur.
Background technology
The design form that has the multiclass artificial knee joint in the clinical treatment engineering field, domestic employed artificial knee joint prosthesis is take design abroad as main at present.Usually artificial knee joint prosthesis comprises the knee joint femur section that is fixed on femur amphi position section, and the shin section that is fixed on tibia peri position section.The slip moving part is formed with spherical or oval spherical convex slip all-moving surface in the rear portion of described knee joint femur central authorities, and the slip moving part is formed with spherical or oval spherical recess in the rear portion of tibia support central authorities.This convex slip all-moving surface and concavity slip all-moving surface are chimeric when knee crooked, and rotation when mobile of sliding in the wings can improve movable zone thus.The knee joint femur directly matches with patella or patellar prosthesis, finishes patella in the slippage on femoral prosthesis preartis surface.And the position that the knee joint femur directly matches with patella is its preartis; namely this preartis is fitted in the periphery of patella; therefore the quality of the three-dimensional geometric design of this preartis not only will directly affect the normal activity function of patella, and can affect the proper motion of whole artificial knee joint and the realization of mechanics function.
Structural design for artificial knee joint prosthesis, the 3 dimensional coil geometry design of femur preartis will be that compatriots implement total knee replacement (Total Knee Arthroplasty, one of hereinafter to be referred as " TKA ") key factor of success or not, its good and bad growth and combination that directly affects artificial knee joint femoral component and human femur under loading, good thigh osseous part design, the particularly design of its preartis can avoid causing that domestic patient produces the front pain of knee joint and waits TKA postoperative disease.The requirement of the high flexing functional activity of corresponding compatriots, the preartis coaster trench depth of import femoral prosthesis is not enough, has limited compatriots' Daqu (massive raw stater for alcholic liquor) and has bent activity, is not suitable for Chinese ethnic group.
Through the retrieval of prior art is found, Chinese patent literature CN102448405A, an open day 2012-5-9 has put down in writing a kind of artificial knee joint, and it comprises the femur that is attached to respectively the patient and femoral component and the tibial component of tibia.Femoral component comprises lateral condyle and the medial condyle that extends to the front portion from the rear portion of femoral component.The femur gap is arranged between lateral condyle and the medial condyle rear portion from femoral component and extends to the front portion.Lateral condyle is connected in the front portion of femoral component with medial condyle and forms patella tracking path or area supported, and area supported is positioned at the front end in gap and forms the anterior end in gap.But this technology does not have to solve the problem owing to patient's the few pain on motion that causes of front ankle bone cutting amount.
Summary of the invention
The present invention is directed to the prior art above shortcomings, a kind of artificial knee joint femur for high flexing functional activity object is provided, adopt the design of caving in of coaster ditch at the femur preartis, so that the relative attenuate of preartis, reduce the osteotomy amount of preartis, more meet the femur anatomical features, improve the coupling of facies articularis patellae coupling and the human body lower limbs line of force, simultaneously between the coaster ditch of preartis and human femur under loading interface, be provided with the thickness that the strength increase parts have increased the coaster ditch, and then the intensity of assurance preartis.So that its shape and structure are fit to the patient more, reduce the sickness rate of the front pain of knee joint.
The present invention is achieved by the following technical solutions:
The present invention relates to a kind of artificial knee joint femur for high flexing functional activity object comprises: preartis, first thigh bone articular surface, second largest thigh bone articular surface and insertion piece, wherein: first thigh bone articular surface is set up in parallel at homonymy with second largest thigh bone articular surface and all links to each other with the preartis that is arranged at opposite side and form interstitial structure, be equipped with the insertion piece between preartis and first, second Thigh bone articular surface, an end face that inserts piece is positioned at the middle part of preartis, and the other end is positioned at the middle part of first, second Thigh bone articular surface.
Described preartis is wave structure, comprising: two crests and be positioned at the coaster ditch of these two peak-to-peak troughs of ripple, preartis trailing flank inboard is provided with the cone structure for increasing intensity.
The structure of described strength increase parts is half taper structure, and the base diameter scope of this half taper structure is 16 ~ 24mm, and the distance value scope on top and preartis top is 1 ~ 10mm, and altitude range is 20 ~ 30mm.
Described strength increase component materials adopts the cobalt chrome molybdenum.
Described strength increase parts surface is processed and is adopted the fixing processing of biotype.
The depth value scope of caving in of described coaster ditch is 2-3mm.
Described strength increase parts are between coaster ditch and patient's femur interface.
The radius of curvature of described two crests is 700 ~ 3500, more preferably 800,900,1000,1100,1200 or 3500.
The radius of curvature of described coaster ditch is equal to mutually with the radius of curvature of two crests.
Beneficial effect
Two crests of preartis of the present invention and the profile of coaster ditch are according to the profile design of human femur under loading and its radius of curvature is arranged between 700 and 3500, and adopt the design of caving in of coaster ditch, be complementary with patella, so that patella comprises slippage and the flexing and the stretching that roll with the formation human body knee joint on the coaster at the femur preartis.The similar prosthese with other of the design of coaster ditch is herein compared, and has increased the degree of depth of coaster ditch; With reference to the plane that preartis rear and human femur under loading osteotomy surface are complementary, the relative attenuate of preartis of the present invention reduces the osteotomy amount of preartis, increases the efficient of quadriceps femoris, improves the mechanical property of patellofemoral joint.Coaster ditch design of the present invention reduces the stress of patella and coaster, fit tightly with the end of human femur under loading, more meet the femur anatomical features, improve the coupling of facies articularis patellae coupling and the human body lower limbs line of force, so that its shape and structure are fit to the patient more, cause that the patient produces the sickness rate that the front pain of knee joint waits TKA postoperative disease thereby can reduce.Simultaneously between the coaster ditch of preartis and human femur under loading interface, be provided with the thickness that the strength increase parts have increased the coaster ditch, and then the intensity of assurance preartis.
Description of drawings
Fig. 1 is structure chart of the present invention;
Wherein: a is angle 1 sketch map, and b is angle 2 sketch maps.
Fig. 2 is user mode figure of the present invention.
Fig. 3 is side view of the present invention;
Wherein: a is angle 1 sketch map, and b is angle 2 sketch maps.
Fig. 4 is top view of the present invention.
The specific embodiment
The below elaborates to embodiments of the invention, and present embodiment is implemented under take technical solution of the present invention as prerequisite, provided detailed embodiment and concrete operating process, but protection scope of the present invention is not limited to following embodiment.
Embodiment 1
Shown in Fig. 1 a and Fig. 1 b, present embodiment comprises: preartis 1, first thigh bone articular surface 2, second largest thigh bone articular surface 3 and insertion piece 4, wherein: first thigh bone articular surface 2 be connected thigh bone articular surface 3 and be set up in parallel in a side and all be connected with the preartis 1 of opposite side, form U-shaped structure, be provided with between preartis 1 and first, second Thigh bone articular surface 2,3 and insert piece 4, one end face of this insertion piece 4 is positioned at the middle part of preartis 1, the other end is positioned at first, second Thigh bone articular surface 2,3 middle part, and the inboard of preartis 1 is provided with strength increase parts 5.
As shown in Figure 3, Figure 4, the structure of described strength increase parts 5 is half taper structure, the base diameter scope of this half taper structure is 16 ~ 24mm, the distance value scope on top and preartis top is 1 ~ 10mm, for designed arc-shaped appearance to reduce stress concentration, altitude range 20 ~ 30mm, above-mentioned three structural parameters are in actual applications according to different specification respective change.
The material of described strength increase parts 5 adopts cobalt chrome molybdenum or other ceramic material, and is consistent with the femoral prosthesis integral material.
The fixing processing of biotype, respectively applicable bone cement fixed fae body and biological fixation type prosthese are adopted in described strength increase parts 5 surface treatments.
Described preartis 1 is wave structure, and it comprises: the coaster ditch 7 of two crests 6 and the trough between these two crests 6.Distribution and patient's human body of the value of caving in of coaster ditch 7 are complementary, and scope is at 2-3mm.
As shown in Figure 2, described strength increase parts 5 are between coaster ditch 7 and patient's femur 8 interfaces.
The radius of curvature of described two crests 6 is 700 ~ 3500, is preferably 800,900,1000,1100,1200 or 3500.
The radius of curvature of described coaster ditch 7 is identical with the radius of curvature of two crests 6.
Be provided with interstitial structure 9 between described first thigh bone articular surface 2 and the second largest thigh bone articular surface 3.
During installation, with position, the limit section of present embodiment, and cut away with respect to the position of strength increase parts 5, then make this artificial knee joint femur clamp the end of femur 8 from fore-and-aft direction, and make and insert piece 4 and insert in the femurs 8, thereby stablize the stationary state of femur 8.
Described preartis 1 is fixed on the femur 8 by joint as required.
Insert piece 4 and can play two effects, a stability that increases present embodiment and patient's femur, the 2nd, increase the intensity between described preartis 1 and first thigh bone articular surface 2, the second largest thigh bone articular surface 3, prevent that present embodiment in use is out of shape.
Present embodiment is formed by the organisms such as titanium alloy and cobalt-chromium alloy safe metal or the potteries such as aluminium oxide and zirconium oxide.
Compare external product, the design's preartis 1 is provided with corresponding coaster ditch 7 to caving in, the stress of patella and coaster ditch 7 when minimizing is gone down on one's knees, fit tightly with the end of patient's femur 8, cause that domestic patient produces the sickness rate that the front pain of knee joint waits the postoperative disease of TKA total knee replacement thereby can reduce.