CN105125325A - Manufacturing method for customizing femoral head necrosis repair module by applying three-dimensional printing technology - Google Patents

Manufacturing method for customizing femoral head necrosis repair module by applying three-dimensional printing technology Download PDF

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Publication number
CN105125325A
CN105125325A CN201510661290.9A CN201510661290A CN105125325A CN 105125325 A CN105125325 A CN 105125325A CN 201510661290 A CN201510661290 A CN 201510661290A CN 105125325 A CN105125325 A CN 105125325A
Authority
CN
China
Prior art keywords
femoral head
module
repairing
repairing module
sufferer
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
CN201510661290.9A
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Chinese (zh)
Inventor
白金广
孙海滨
刘素萍
吕尚军
朱书朝
史春宝
解凤宝
张朋
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.)
Beijing Chunlizhengda Medical Instruments Co Ltd
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Beijing Chunlizhengda Medical Instruments 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 Beijing Chunlizhengda Medical Instruments Co Ltd filed Critical Beijing Chunlizhengda Medical Instruments Co Ltd
Priority to CN201510661290.9A priority Critical patent/CN105125325A/en
Publication of CN105125325A publication Critical patent/CN105125325A/en
Priority to PCT/CN2016/082209 priority patent/WO2016206500A1/en
Pending legal-status Critical Current

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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
    • A61F2/32Joints for the hip
    • A61F2/36Femoral heads ; Femoral endoprostheses

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)

Abstract

The invention discloses a manufacturing method for customizing a femoral head necrosis repair module by applying a three-dimensional printing technology. The method comprises the following steps: performing computerized tomography reconstruction on a femoral head of a patient, and manufacturing a femoral head prosthesis model on a computer solid figure so as to simulate conditions of the femoral head of the patient on the femoral head prosthesis model; excising necrosis and collapse parts in the femoral head prosthesis model; manufacturing femoral head repair modules for filling up the necrosis and collapse parts of the patient according to a skeletal three-dimensional image and a bone border of the femoral head of the patient, which are obtained after excising the necrosis and collapse parts; and printing out the repair modules by using a three-dimensional printer, wherein the material for preparing the repair modules can be a titanium alloy material or a polyethylene material. A femoral head prosthesis and a use method thereof are provided by the invention, and the femoral head prosthesis has good wear resistance, biocompatibility and stability; and a femoral head prosthesis highly matching the patient can be customized.

Description

The customized femur head necrosis of applying three-dimensional printing technique repairs the manufacture method of module
Technical field
The present invention relates to a kind of femoral head prosthesis, particularly relating to a kind of for repairing necrosis, the capital repairing module of collapsed portion.
Background technology
Femoral head prosthesis is the surgical implant of human body femoral hip prosthesis head part, for necrosis, the femoral head that subsides repairs, use as excessive joint.
Existing femoral head prosthesis has progressive, but but finds also there is some shortcomings in its structure when reality uses, and causes this femoral head prosthesis to have limitation.
Summary of the invention
The object of the present invention is to provide a kind of fixation, the repairing module of femur head necrosis collapsed portion can be repaired.
For achieving the above object, the concrete technical scheme of the manufacture method of a kind of applying three-dimensional printing technique of the present invention customized femur head necrosis repairing module is:
The customized femur head necrosis of applying three-dimensional printing technique repairs a manufacture method for module, and the method comprises the steps:
Computed tomography reconstruction is carried out to sufferer femoral head, the solid figure of computer is produced femoral head prosthesis model, to simulate the capital situation of sufferer on femoral head prosthesis model;
Downright bad collapsed portion in excision femoral head prosthesis model;
According to the capital bone portion 3-D view of sufferer obtained after the downright bad collapsed portion of excision and sclerotin border, produce for filling up the capital repairing module of the downright bad collapsed portion of sufferer;
Three-dimensional printer is used to print repairing module;
Wherein, the material repairing module can adopt titanium alloy material or polythene material.
A kind of femur head necrosis repairs module, femoral head prosthesis simulates for filling up the capital repairing module of the downright bad collapsed portion of sufferer, repairing module is wedge shape, and the side of femoral head prosthesis is bone trabecula, bone trabecula contacts with femoral head, and femoral head bone can be grown into and be repaired in module; The outer surface of femoral head prosthesis is burnishing surface, in case friction and wear causes producing granule.
The advantage that the customized femur head necrosis of a kind of applying three-dimensional printing technique of the present invention repairs the manufacture method of module is:
1) there is good wearability and biocompatibility;
2) fixed by Embedded agnail and screw, there is good stability;
3) surface forms burnishing surface by polishing, reduces the generation of abrasion and wear particle;
4) joint contact face is trabecular bone structure, adds roughness, is convenient to osteogenesis;
5) CT scan data can be utilized to carry out customized according to downright bad collapsed portion femoral head to the shape of repairing module, make the repairing module prosthese highly meeting sufferer;
6) overcome the present situation that existing femur head necrosis needs to replace a set of hip joint, do not need femoral stem and full acetabular bone.
Accompanying drawing explanation
Fig. 1 is the structural representation of repairing module of the present invention;
Fig. 2 is the left view of the repairing module in Fig. 1.
Detailed description of the invention
In order to better understand object of the present invention, structure and function, below in conjunction with accompanying drawing, the manufacture method of the customized femur head necrosis of a kind of applying three-dimensional printing technique of the present invention being repaired to module does further detailed description.
As depicted in figs. 1 and 2, it shows the manufacture method for a kind of applying three-dimensional printing technique of the present invention customized femur head necrosis repairing module, the sufferer of 50% can be less than for necrotic extent in femur head necrosis, the method comprises the steps: to carry out computed tomography reconstruction (being CT scan to rebuild) to the femoral head of sufferer, be made into CD, technician produces the femoral head prosthesis model with necroses of 1:1 equal proportion in the solid figure of computer, to simulate the capital situation of sufferer on femoral head prosthesis model; Downright bad collapsed portion in femoral head prosthesis model on Computerized 3 D figure is carried out wedge excision; According to the capital bone portion 3-D view of sufferer obtained after the downright bad collapsed portion of excision and sclerotin border, produce for filling up the capital repairing module of the downright bad collapsed portion of sufferer; Repairing module is printed by three-dimensional printer (i.e. 3D printer) after software conversion; Repairing module is fixed on sufferer femoral head.Wherein, the present invention uses 3 D-printing (namely 3D prints) technology to produce the downright bad collapsed portion of the sufferer capital repairing module prosthese of equal proportion according to the ratio of 1:1.
The material of the repairing module in the present invention can adopt titanium alloy material, make for employing titanium alloy material and fill the capital repairing module of sufferer, the both sides of repairing module are provided with fixing hole, and fixture is passed by fixing hole and repairs module to insert repairing module on the femoral head of sufferer.To repair the surface finish of module, and arrange multiple micropore in the two sides of repairing module, sufferer femoral head bone can be grown into and be repaired in module with together with repairing module being fixedly secured with femoral head.Wherein, tiltedly passed from inside to outside, upward by fixture and repair module with retained prosthesis makes module, fixture can adopt screw, but is not limited in use screw.
The material of the repairing module in the present invention can adopt polythene material, makes fill the capital repairing module of sufferer for employing polythene material, repairs module and injects repairing module to be fixed on the femoral head of sufferer by bone cement.
Repairing module 1 of the present invention is in wedge shape, repairing the two sides that module 1 contacts with sufferer joint is bone trabecula 4, bone trabecula has micropore, add the roughness of femoral head prosthesis 1, after contacting with femoral head, femoral head bone can be grown into and be repaired in module, to repair the Bone Ingrowth of module thus to realize being permanently fixed; The outer surface of femoral head prosthesis 4 is burnishing surface 3, in case friction and wear causes producing granule.
Further, the outer end face repairing module 1 is provided with multiple protruding 2, and protruding 2 can insert on femoral head with retained prosthesis makes module 1.
Further, the side of repairing module 1 is provided with fixing hole 5, and fixing hole 5 is the through hole on bone trabecula, and repairing module 1 can be fixed on femoral head through fixing hole 5 by fixture, to be inserted in femoral head by stable for projection, has good stability.Wherein, fixture can be screw, and repairing module is fixed in femoral head through fixing hole by screw.
In addition, projection 2 is cylindrical, and multiple protruding 2 arranged in parallel being arranged on are repaired in module 1, and the length of two adjacent projections 2 is not identical.
Further, the shape of repairing module 1 can utilize CT scan data to customize, make before surgery and meet the downright bad collapsed portion of sufferer capital repairing module prosthese, by collapsed portion femoral head excision downright bad in femoral head, retain the good femoral head that pathological changes does not occur, then repairing module prosthese is fit in the good femoral head of sufferer.
The customized femur head necrosis of applying three-dimensional printing technique of the present invention repairs the manufacture method of module, has good wearability and biocompatibility; Fixed by Embedded agnail and screw, there is good stability; Surface forms burnishing surface by polishing, reduces the generation of abrasion and wear particle; Joint contact face is trabecular bone structure, adds roughness, is convenient to osteogenesis; CT scan data can be utilized to carry out customized according to downright bad collapsed portion femoral head to the shape of repairing module, make and highly meet sufferer capital repairing module prosthese; Overcome the present situation that existing femur head necrosis needs to replace a set of hip joint, do not need femoral stem and full acetabular bone.
Further describe invention has been by specific embodiment above; but it should be understood that; here concrete description; should not be construed as the restriction to the spirit and scope of the invention; one of ordinary skilled in the art to the various amendments that above-described embodiment is made, belongs to the scope that the present invention protects after reading this specification.

Claims (8)

1. the customized femur head necrosis of applying three-dimensional printing technique repairs a manufacture method for module, and it is characterized in that, the method comprises the steps:
Computed tomography reconstruction is carried out to sufferer femoral head, the solid figure of computer is produced femoral head prosthesis model, to simulate the capital situation of sufferer on femoral head prosthesis model;
Downright bad collapsed portion in excision femoral head prosthesis model;
According to the capital bone portion 3-D view of sufferer obtained after the downright bad collapsed portion of excision and sclerotin border, produce for filling up the capital repairing module of the downright bad collapsed portion of sufferer;
Three-dimensional printer is used to print repairing module;
Wherein, the material repairing module can adopt titanium alloy material or polythene material.
2. the manufacture method of repairing module according to claim 1, it is characterized in that, adopt titanium alloy material to make and fill capital repairing module, the both sides of repairing module are provided with fixing hole, and fixture is passed by fixing hole and repairs module to insert repairing module on the femoral head of sufferer.
3. the manufacture method of repairing module according to claim 2, it is characterized in that, also comprise: will repair the surface finish of module, arrange multiple micropore in the two sides of repairing module, sufferer femoral head bone can be grown into and be repaired in module repairing module and femoral head to be fixed together.
4. the manufacture method of repairing module according to claim 3, is characterized in that, tiltedly passed from inside to outside, upward by fixture and repair module with retained prosthesis makes module, fixture can adopt screw.
5. the manufacture method of repairing module according to claim 1, is characterized in that, adopts polythene material to make and fills capital repairing module, repairs module and injects repairing module to be fixed on the femoral head of sufferer by bone cement.
6. repair module for one kind, it is characterized in that, the customized femur head necrosis of applying three-dimensional printing technique repairs module (1), repair module (1) in wedge shape, repairing module (1) is gone up and sufferer joint phase-contact surface is bone trabecula (4), bone trabecula contacts with femoral head, and femoral head bone can be grown into and be repaired in module; The outer surface of femoral head prosthesis (4) is burnishing surface (3), in case friction and wear causes producing granule.
7. repairing module according to claim 6, is characterized in that, the outer end face repairing module (1) is provided with multiple projection (2), and protruding (2) can insert on femoral head with retained prosthesis makes module (1).
8. repairing module according to claim 6, it is characterized in that, the side of repairing module (1) is provided with fixing hole (5), fixing hole (5) is the through hole on bone trabecula (4), and fixture is fixed on femoral head by repairing module (1) through fixing hole (5).
CN201510661290.9A 2015-06-26 2015-10-14 Manufacturing method for customizing femoral head necrosis repair module by applying three-dimensional printing technology Pending CN105125325A (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
CN201510661290.9A CN105125325A (en) 2015-06-26 2015-10-14 Manufacturing method for customizing femoral head necrosis repair module by applying three-dimensional printing technology
PCT/CN2016/082209 WO2016206500A1 (en) 2015-06-26 2016-05-16 3d printed custom module capable of treating osteonecrosis of hip and manufacturing method thereof

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
CN201510364220.7A CN104887353A (en) 2015-06-26 2015-06-26 Femoral head prosthesis
CN2015103642207 2015-06-26
CN201510661290.9A CN105125325A (en) 2015-06-26 2015-10-14 Manufacturing method for customizing femoral head necrosis repair module by applying three-dimensional printing technology

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CN105125325A true CN105125325A (en) 2015-12-09

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CN201510364220.7A Pending CN104887353A (en) 2015-06-26 2015-06-26 Femoral head prosthesis
CN201510582443.0A Pending CN105078619A (en) 2015-06-26 2015-09-14 Femoral prosthesis and using method
CN201510661290.9A Pending CN105125325A (en) 2015-06-26 2015-10-14 Manufacturing method for customizing femoral head necrosis repair module by applying three-dimensional printing technology

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CN201510364220.7A Pending CN104887353A (en) 2015-06-26 2015-06-26 Femoral head prosthesis
CN201510582443.0A Pending CN105078619A (en) 2015-06-26 2015-09-14 Femoral prosthesis and using method

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CN (3) CN104887353A (en)
WO (1) WO2016206500A1 (en)

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WO2016206500A1 (en) * 2015-06-26 2016-12-29 北京市春立正达医疗机械股份有限公司 3d printed custom module capable of treating osteonecrosis of hip and manufacturing method thereof
CN106827500A (en) * 2017-01-19 2017-06-13 西安交通大学 A kind of skull bone substitute multiple degrees of freedom 3D printing method

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CN107280816B (en) * 2016-03-31 2020-10-13 重庆润泽医药有限公司 Patellar implant
CN109106481B (en) * 2018-09-18 2021-04-30 北京爱康宜诚医疗器材有限公司 Method and device for determining acetabular bone defect degree
CN110680562B (en) * 2019-10-25 2023-12-15 上海交通大学医学院附属第九人民医院 Bone defect repair stent, construction method, preparation method, computer readable storage medium and equipment
CN111166532B (en) * 2019-12-30 2022-03-01 武汉联影智融医疗科技有限公司 Artificial joint and preparation method thereof
CN111616839A (en) * 2020-06-01 2020-09-04 北京爱康宜诚医疗器材有限公司 Replacement prosthesis for semi-hip joint and surgical tool
CN113749828A (en) * 2020-06-04 2021-12-07 上海昕健医疗技术有限公司 Personalized proximal fusion femoral stem and manufacturing method thereof
CN114129310A (en) * 2021-11-22 2022-03-04 中国人民解放军联勤保障部队第九二〇医院 Wrist part scaphoid replacement prosthesis
CN116602797B (en) * 2023-07-21 2023-11-14 上海大博医疗科技有限公司 Conical self-locking partial femoral head replacement device capable of customizing reserved femoral head in personalized manner

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CN106827500A (en) * 2017-01-19 2017-06-13 西安交通大学 A kind of skull bone substitute multiple degrees of freedom 3D printing method

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Publication number Publication date
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WO2016206500A1 (en) 2016-12-29
CN105078619A (en) 2015-11-25

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