Femoral hip prosthesis excision appliance system
Technical field
The present invention relates to a kind of femoral hip prosthesis excision appliance system, and especially, relate to a kind of being suitable for because patient's skeleton shape carries out the femoral hip prosthesis excision appliance system of customized excision.
Background technology
Hip joint is human body most important joint when standing or take action, the weight of main support people, and multidirectional activity can be had as squatted, running, jump, kneel, abduction, bend forward or the action such as stretching, extension backward.But the support of accumulating over a long period and use after, make hip joint become a kind of joint of easy degeneration.
But, except the degenerative coxitis caused because of the growth at age, cause ischemic necrosis of femoral head because of the rheumatoid arthritis caused by immunodeficiency disease, wound or femoral head poor circulation, also can cause the impaired of hip joint.And treat serious hip joint disease, common artificial hip joint replacing operation is at present the method for very main flow.When sufferer is suffered from hip pain and inconvenient activity for a long time, after accepting hip replacement surgery, the movable function in joint has sizable improvement mostly, and pain symptom also can fade away before, and muscle power increases, and the degree of limping also can be improved.
Refer to TaiWan, China patent I401060 patent, it discloses a kind of femoral head replacement module and operation tool thereof, its operation tool comprises one and cuts die sleeve and a mould cutter, this cuts die sleeve and is a hollow and has the housing with neck of femur surface same shape, make it can be simple and easy, closely be sleeved on neck of femur week side, for a mould cutter, femoral head is cut into one for displacement end shape and presets the shape of dissecting section, and take off after being convenient to operation, cut die sleeve top side be provided with a conduit in this, a medium pore is drilled with for femoral head, cut die sleeve stage casing and be horizontally set with a cross groove-channel, the capital accurate guiding of excision can be made for, this femoral head replacement module then at least comprises a cover body and an artificial thigh bone, this cover body utilizes stereoscan instrument to assist, the shape of its cardinal extremity is made to be have the surface configuration identical with size thickness below neck of femur, and its top section establishes the dissection section identical or approximate with above-mentioned femoral head replacement end, make the cover body of this artificial thigh bone also can with accurate and firm combinations of states in above-mentioned femoral head replacement end.
But excision mode so is after completing, and this cover body is still needed and utilized stereoscan instrument to assist, and makes the shape of its cardinal extremity be have the surface configuration identical with size thickness below neck of femur, comparatively inconvenient, therefore the part in fact for improving.
Summary of the invention
For solving the part improved needed for prior art, femoral hip prosthesis is the object of the present invention is to provide to excise appliance system, for excising a femur, it includes one first module, one second module, a three module, a four module and one the 5th module.
First module is formed in one (one piece formed), there is an inner surface, one outer surface, one top and a bottom, inner surface is according to bone surface curvature design, top has a level and wears groove and a locating slot, level is worn groove and is penetrated inner surface and outer surface and have a first of a first cutter to enter nose angle to extension with definition toward a Party A, locating slot is formed at an end on top and forms toward sunken inside from end face, and bottom has multiple fixing perforation, multiple fixing perforation penetrates inner surface and outer surface, wherein, when applying, multiple retaining element via multiple fixing perforation the first module to be fixedly arranged on the surface of femur, and level is worn the neck of femur that groove is suitable for corresponding femur and is penetrated for first cutter, one first is had to cut milling surface to excise neck of femur and to produce in femur.
Second module is formed in one (one piece formed), there is an inner surface, an outer surface, a fixed part and a holding part, the shape of fixed part is mutually corresponding with locating slot, and be suitable for mutually setting firmly with locating slot, and holding part is connected with fixed part, holding part separately has a hollow bulb, and hollow bulb penetrates inner surface and outer surface.In addition, there is a curved profile holding part outside, and it is with on bone, first to cut the outline on milling surface identical, and whether in order to confirm first, to cut milling surface accurate.
Three module has an inner surface and an outer surface, and the shape of three module is mutually corresponding with the hollow bulb of the second module, three module is suitable for being embedded at hollow bulb, and three module has at least two perforation, and at least two penetrate inner surface and outer surface and are suitable for respectively wearing for retaining element.
Wherein, when applying, three module is embedded among the second module, the holding part of the second module and three module be arranged at simultaneously first cut milling surface and be a copline, and then multiple precalculated positions of multiple retaining element are defined by least two perforation, this copline can confirm first cuts the whether smooth of milling surface once again.
Four module is formed in one (one piece formed), there is an inner surface, an outer surface, a contraposition part vertically wear groove with multiple, wherein contraposition part has at least two perforation, at least two penetrate inner surface and outer surface and are suitable for wearing for multiple retaining element, and multiple groove of vertically wearing penetrates inner surface and outer surface and toward a Party B to extension, multiple groove of vertically wearing is suitable for having a second to enter nose angle to a second cutter definition respectively.
Wherein, when three module at least two perforation be installed with multiple retaining element and the second module removes from femur time, four module must carry out sheathed multiple retaining element by least two perforation, by this, multiple second cutter must be cut milling surface to first and vertically excises and produced one second and cut milling surface via multiple groove of vertically wearing.
5th module includes a sanding apparatus, is suitable for cutting after milling surface produces second, cuts milling surface and second cut the thin portion that carries out, milling surface and repair first.
It should be noted that wherein retaining element can be a nail, a spicule or other there is the element of identical effect; The fixed part of the second module and the surface of holding part parallel to each other, and the surface of fixed part and holding part has a difference in height; Multiple length bearing of trends vertically wearing groove of four module can mode parallel to each other exist, or have an angle, and wherein, this angle can be an acute angle, and multiple vertically wearing between groove is located at least two perforation.
Beneficial effect of the present invention is, compared to prior art, femoral hip prosthesis excision appliance system of the present invention provides a locating slot, locating slot is formed at an end on top and forms toward sunken inside from end face, be able to more firm for the second module and three module, be fixed on first more accurately and cut milling surface, in order to the carrying out of follow-up distal femoral resection, simultaneously, by the use of three module, profile needed for cover body can complete by advance, so, after excision completes, just assist without the need to recycling stereoscan instrument, the shape of its cardinal extremity is made to be have the surface configuration identical with size thickness below neck of femur, to increase its convenience.
Accompanying drawing explanation
Figure 1A illustrates the schematic perspective view of the first module in a preferred embodiment in femoral hip prosthesis of the present invention excision appliance system.
Figure 1B illustrates the schematic side view of the first module in a preferred embodiment in femoral hip prosthesis of the present invention excision appliance system.
Fig. 1 C illustrates the schematic front view of the first module in a preferred embodiment in femoral hip prosthesis of the present invention excision appliance system.
Fig. 2 A illustrate femoral hip prosthesis of the present invention excision appliance system in the second module and the top visual angle schematic diagram of three module in a preferred embodiment.
Fig. 2 B illustrate femoral hip prosthesis of the present invention excision appliance system in the second module and the below visual angle schematic diagram of three module in a preferred embodiment.
Fig. 3 A illustrates the top visual angle schematic diagram of four module in a preferred embodiment in femoral hip prosthesis of the present invention excision appliance system.
Fig. 3 B illustrates the below visual angle schematic diagram of four module in a preferred embodiment in femoral hip prosthesis of the present invention excision appliance system.
Fig. 4 illustrate femoral hip prosthesis of the present invention excision appliance system in the first module in the service condition schematic diagram of a preferred embodiment.
Fig. 5 illustrate femoral hip prosthesis of the present invention excision appliance system in the first module in the excision performance schematic diagram of a preferred embodiment.
Fig. 6 illustrate femoral hip prosthesis of the present invention excision appliance system in the second module and three module in the installation situation schematic diagram of a preferred embodiment.
Fig. 7 illustrate femoral hip prosthesis of the present invention excision appliance system in three module in the installation situation schematic diagram of a preferred embodiment.
Fig. 8 illustrate femoral hip prosthesis of the present invention excision appliance system in four module in the service condition schematic diagram of a preferred embodiment.
Fig. 9 illustrate femoral hip prosthesis of the present invention excision appliance system in four module in the excision performance schematic diagram of a preferred embodiment.
Figure 10 illustrate femoral hip prosthesis of the present invention excision appliance system in the 5th module in the excision performance schematic diagram of a preferred embodiment.
Figure 11 illustrates the femur schematic diagram that femoral hip prosthesis of the present invention excision appliance system has excised in the entirety of a preferred embodiment.
Wherein, description of reference numerals is as follows:
1: femoral hip prosthesis excision appliance system 3: femur
5: first cutter 7: retaining element
9: second cutter 10: the first module
The outer surface of inner surface 14: the first module of 12: the first modules
16: top 162: level wears groove
164: locating slot 18: bottom
182: fixing perforation 20: the second module
The outer surface of inner surface 24: the second module of 22: the second modules
26: fixed part 28: holding part
282: hollow bulb 30: the three module
The outer surface of inner surface 34: the three module of 32: the three modules
36: perforation 40: the four modules
The outer surface of inner surface 44: the four module of 42: the four modules
46: contraposition part 462: perforation
48: vertically wear groove 50: the five module
S1: the first cuts milling surface S2: the second cuts milling surface
Detailed description of the invention
Below in conjunction with the drawings and specific embodiments, the femoral hip prosthesis excision appliance system that the present invention proposes is described in further detail.According to the following describes and claim, advantages and features of the invention will be clearer.
First, a detailed description is carried out by for the modules in femoral hip prosthesis excision appliance system provided by the present invention.
The object of the present invention is to provide a kind of femoral hip prosthesis to excise appliance system, for excising a femur, it includes one first module 10,1 second module 20, three module 30, four module 40 and one the 5th module 50.
See also Figure 1A, Figure 1B and Fig. 1 C, wherein Figure 1A illustrates the schematic perspective view of the first module in a preferred embodiment in femoral hip prosthesis of the present invention excision appliance system, Figure 1B illustrates the schematic side view of the first module in a preferred embodiment in femoral hip prosthesis of the present invention excision appliance system, and Fig. 1 C illustrates the schematic front view of the first module in a preferred embodiment in femoral hip prosthesis of the present invention excision appliance system.First module 10 is formed in one (one piece formed), namely it is processed by homogenous material meaning, there is inner surface 12, outer surface 14, top 16 and a bottom 18, the radian of inner surface 12 designs according to bone surface curvature, can more be located on bone by stabilizing bracket.Top 16 has a level and wears groove 162 and a locating slot 164, level is worn groove 162 and is penetrated inner surface 12 and outer surface 14 and have a first of a first cutter 5 to enter nose angle to extension with definition toward a Party A, locating slot 164 is formed at an end on top 16 and forms toward sunken inside from end face, and bottom 18 has multiple fixing perforation 182, multiple fixing perforation 182 penetrates inner surface 12 and outer surface 14, wherein, when applying, multiple retaining element 7 via multiple fixing perforation 182 the first module 10 to be fixedly arranged on the surface of femur 3, inner surface 12 is according to bone surface curvature design, can more be located on femur 3 by stabilizing bracket, and level is worn the neck of femur that groove 162 is suitable for corresponding femur 3 and is penetrated for first cutter 5, one first is had to cut milling surface S1 to excise neck of femur and to produce in femur 3.
See also Fig. 2 A and Fig. 2 B, wherein Fig. 2 A illustrates the second module and the top visual angle schematic diagram of three module in a preferred embodiment in femoral hip prosthesis of the present invention excision appliance system, and Fig. 2 B illustrates femoral hip prosthesis of the present invention and excises the second module in appliance system and the below visual angle schematic diagram of three module in a preferred embodiment.Second module 20 is also formed in one (one piece formed), there is inner surface 22, outer surface 24, fixed part 26 and a holding part 28, the shape of fixed part 26 is mutually corresponding with locating slot 164, and be suitable for mutually setting firmly with locating slot 164, and holding part 28 is connected with fixed part 26, holding part 28 separately has a hollow bulb 282, and hollow bulb 282 penetrates inner surface 22 and outer surface 24.Three module 30 has inner surface 32 and an outer surface 34, and the shape of three module 30 is mutually corresponding with the hollow bulb 282 of the second module 20, three module 30 is suitable for being embedded at hollow bulb 282, three module 30 has at least two perforation 36, at least two perforation 36 and penetrates inner surface 32 and outer surface 34 and be suitable for respectively wearing for retaining element 7.Wherein, when applying, three module 30 is embedded among the second module 20, and the holding part 28 of the second module 20 and three module 30 are arranged at first simultaneously and cut milling surface S1 be a copline, and then are defined multiple precalculated positions of multiple retaining element 7 by least two perforation 36.
See also Fig. 3 A and Fig. 3 B, wherein Fig. 3 A illustrates the top visual angle schematic diagram of four module in a preferred embodiment in femoral hip prosthesis of the present invention excision appliance system, and Fig. 3 B illustrates the below visual angle schematic diagram of four module in a preferred embodiment in femoral hip prosthesis of the present invention excision appliance system.Four module 40 is also formed in one (one piece formed), there is inner surface 42, outer surface 44, contraposition part 46 and vertically wear groove 48 with multiple, wherein contraposition part 46 has at least two perforation 462, at least two perforation 462 are penetrate inner surface 42 and outer surface 44 and be suitable for wearing for multiple retaining element 7, and multiple groove 48 of vertically wearing penetrates inner surface 42 and outer surface 44 and toward a Party B to extension, multiple groove 48 of vertically wearing is suitable for having a second to enter nose angle to second cutter 9 definition respectively.Wherein, when three module 30 at least two perforation 36 be installed with multiple retaining element 7 and the second module 20 removes from femur 3 time, four module 40 must by least two perforation 462 sheathed multiple retaining elements 7, by this, multiple second cutter 9 must be cut milling surface S1 to first and vertically excises and has produced one second and cut the surperficial S2 of milling via multiple groove 48 of vertically wearing.
Wherein, include one the 5th module 50 in addition and include a sanding apparatus, be suitable for second cut milling surface S2 produce after, to first cut milling surface S1 and second cut milling surface the S2 thin portion that carries out repair.
It should be noted that, in a preferred embodiment of the present invention, retaining element 7 can be a nail, a spicule, or other have the element of identical effect; The fixed part 26 of the second module 20 is parallel to each other with the surface of holding part 28, and fixed part 26 has a difference in height with the surface of holding part 28; Multiple length bearing of trends vertically wearing groove 48 of four module 40 have an angle, and wherein angle is an acute angle (not being illustrated in figure), and multiple vertically wearing between groove 48 is located at least two perforation 462.
Next, be described studying carefully a kind of femoral hip prosthesis excision appliance system provided by the present invention in the use step of a preferred embodiment.
Refer to Fig. 4, Fig. 4 illustrate femoral hip prosthesis of the present invention excision appliance system in the first module in the service condition schematic diagram of a preferred embodiment.In a preferred embodiment, first step of the present invention is used to be, when the first module 10 is for using, need first confirm for excision datum level, then the first module 10 is made to be fixed on the surface of femur 3 accurately by the multiple fixing perforation 182 of its underpart 18, and then first cutter 5 is worn groove 162 through level, wear groove 162 along level and cut femur 3.
Refer to Fig. 5, Fig. 5 illustrate femoral hip prosthesis of the present invention excision appliance system in the first module in the excision performance schematic diagram of a preferred embodiment.Completing the preceding paragraph falls after described step, femur 3 in the first module 10 the situation of having excised namely as shown in the figure, it should be noted that after this step completes, generation one first cut milling surface S1, following steps are carried out.
Refer to Fig. 6, Fig. 6 illustrate femoral hip prosthesis of the present invention excision appliance system in the second module and three module in the installation situation schematic diagram of a preferred embodiment.In this step, after milling surface S1 is cut in generation first, just by first cutter 5 removal, and by the fixed part 26 of the second module 20, second module 20 and three module 30 are fixed on the first module 10, to check that first cuts milling surface S1.After having checked, recycle multiple retaining element 7 and penetrate at least two perforation 36, be fixed on first to make three module 30 and cut milling surface S1.
Refer to Fig. 7, Fig. 7 illustrate femoral hip prosthesis of the present invention excision appliance system in three module in the installation situation schematic diagram of a preferred embodiment.Completing the preceding paragraph falls after described step, again by the first module 10 and the second module 20 removal, wherein, second module 20 and three module 30 are interconnected originally, must first the bond both it be removed and can be separated, only leave utilization at least two and bore a hole and 36 be fixed on retaining element 7 three module 30 that first cuts milling surface S1.
Refer to Fig. 8, Fig. 8 illustrate femoral hip prosthesis of the present invention excision appliance system in four module in the service condition schematic diagram of a preferred embodiment.Completing the preceding paragraph falls after described step, again four module 40 is sheathed on retaining element 7 by least two perforation 462, to make four module 40 be set firmly, then by second cutter 9 penetrate multiple vertically wear groove 48 to first cut milling surface S1 cut, in order to the carrying out of following steps.
Refer to Fig. 9, Fig. 9 illustrate femoral hip prosthesis of the present invention excision appliance system in four module in the excision performance schematic diagram of a preferred embodiment.Completing the preceding paragraph falls after described step, then by four module 40 and second cutter 9 removal, namely as shown in the figure, wherein, it should be noted that now creating one second cuts milling surface S2, make that femur 3 global sections is long-pending to be reduced many, be conducive to the carrying out of following steps.
Refer to Figure 10, Figure 10 illustrate femoral hip prosthesis of the present invention excision appliance system in the 5th module in the excision performance schematic diagram of a preferred embodiment.Above-mentioned step create second cut milling surface S2 after, utilize the sanding apparatus of the 5th module 50, along the profile of three module 30, cut milling surface S1 and second to first and cut milling surface S2 and carry out the processing in a thin portion.
Refer to Figure 11, Figure 11 illustrates the femur schematic diagram that femoral hip prosthesis of the present invention excision appliance system has excised in the entirety of a preferred embodiment.After completing above-mentioned step, by three module 30 and retaining element 7 removal, namely complete the step that femur 3 excises, and the femur 3 excised namely as shown in the figure.
In sum, compared to prior art, a kind of femoral hip prosthesis excision appliance system of the present invention provides a locating slot, locating slot is formed at an end on top and forms toward sunken inside from end face, be able to more firm for the second module and three module, be fixed on first more accurately and cut milling surface, in order to the carrying out of follow-up distal femoral resection, simultaneously, by the use of three module, profile needed for cover body can complete by advance, so, after excision completes, just assist without the need to recycling stereoscan instrument, the shape of its cardinal extremity is made to be have the surface configuration identical with size thickness below neck of femur, to increase its convenience.
By the above detailed description of preferred embodiments, it is desirable to clearly to describe feature of the present invention and spirit, and not with above-mentioned disclosed preferred embodiment, category of the present invention is limited.On the contrary, its objective is wish to contain various change and tool equality be arranged in the present invention institute in the category of the scope of the claims applied for.Therefore, the category of the scope of the claims that the present invention applies for should do the broadest explanation, with the arrangement causing it to contain all possible change and have identity property according to above-mentioned explanation.