CN105852985A - Method for manufacturing personalized orthopedic positioning guide plates - Google Patents
Method for manufacturing personalized orthopedic positioning guide plates Download PDFInfo
- Publication number
- CN105852985A CN105852985A CN201610237841.3A CN201610237841A CN105852985A CN 105852985 A CN105852985 A CN 105852985A CN 201610237841 A CN201610237841 A CN 201610237841A CN 105852985 A CN105852985 A CN 105852985A
- Authority
- CN
- China
- Prior art keywords
- osteotomy
- model
- positioning guide
- guide plate
- threedimensional model
- 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.)
- Granted
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B2017/564—Methods for bone or joint treatment
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
The invention provides a method for manufacturing personalized orthopedic positioning guide plates. The method includes designing the personalized orthopedic positioning guide plates according to three-dimensional models of areas of interest of patients and then manufacturing the personalized orthopedic positioning guide plates by the aid of 3D (three-dimensional) printing technologies. The method has the advantages that doctors can carry out bone cutting operation under the guidance of straight slots of the orthopedic positioning guide plates and can carry out orthopedic operation under the guidance of positioning holes of the orthopedic positioning guide plates, accordingly, the surgical difficulty can be lowered owing to the orthopedic positioning guide plates, and the surgical safety can be improved.
Description
Technical field
The present invention relates to technical field of medical instruments, particularly relate to the manufacture method of the orthopedic positioning guide plate of a kind of personalization.
Background technology
Osteotomy orthomorphia is possible not only to improve deformity outward appearance, it is often more important that prevent and treat the osteoarthritis that severe deformities causes.At present in clinical orthopaedics orthomorphia, carry out usually lacking the instrument of quantization when osteotomy is orthopedic.The size of osteotomy site, osteotomy angle and osteotomy amount is the most only by measurement and the labelling of bidimensional image image, and in art, the experience by doctor carries out osteotomy operation, and surgical effect is not good enough, even operative failure.Osteotomy is improper and does not again often reach after osteotomy and preferably dissects para-position and extend line, operating time, and para-position is not good enough, can affect the postoperation recovery at osteotomy.
Therefore, the manufacture method of the orthopedic positioning guide plate of a kind of personalization of necessary offer, to overcome defect present in prior art.
Summary of the invention
It is an object of the invention to provide the manufacture method of the orthopedic positioning guide plate of a kind of personalization, the orthopedic positioning guide plate of personalization obtained by the inventive method can guide doctor to carry out osteotomy and orthotic procedure, thus reduces operating difficulty, improves operation safety.
For achieving the above object, the manufacture method of the orthopedic positioning guide plate of personalization of the present invention comprises the steps: that using scanning device to treat scanning position is scanned obtaining the initial data containing position to be scanned, and described position to be scanned is subjects bones's maleformation；Obtain the data message of area-of-interest according to the initial data containing position to be scanned, described area-of-interest is the skeleton of subjects bones's maleformation；Data message reconstruct according to area-of-interest obtains the threedimensional model of area-of-interest, and the threedimensional model of described area-of-interest is the skeleton threedimensional model at position to be scanned；Threedimensional model design according to area-of-interest generates orthopedic positioning guide plate model；By rapid shaping technique, orthopedic positioning guide plate model is carried out physical print and obtain personalized orthopedic positioning guide plate.
Further, the described threedimensional model according to area-of-interest designs the process of the orthopedic positioning guide plate model of generation and comprises the steps: that the threedimensional model according to area-of-interest obtains three characteristic points of threedimensional model, and three characteristic points of described threedimensional model are hip joint central point, maximum deformity place-centric point and ankle joint central point；Threedimensional model Osteotomy is obtained according to three characteristic points of threedimensional model；It is simulated the skeleton model after osteotomy obtains osteotomy according to threedimensional model Osteotomy；Rotate the skeleton model after osteotomy, translation obtains the skeleton model after correcting；Skeleton model after correcting is carried out being virtually implanted of implant and obtains the position of fixing hole in implant；According to the position of fixing hole in implant, the skeleton model after correcting is carried out punching and implant nail operation acquisition skeleton model with holes；Skeleton model with holes is carried out recovery operation and obtains with holes, the skeleton model of band Osteotomy after recovery；The design carrying out orthopedic positioning guide plate model according to skeleton model with holes, band Osteotomy after restoring obtains orthopedic positioning guide plate model.
Further, the described process according to three characteristic points acquisition threedimensional model Osteotomies of threedimensional model comprises the steps: to obtain two osteotomy reference lines according to three characteristic points of threedimensional model, and described two osteotomy reference lines are respectively the line of the hip joint central point of the threedimensional model maximum deformity place-centric point with the line of its maximum deformity place-centric point and threedimensional model and its ankle joint central point；Two osteotomy reference lines projecting to coronalplane and obtains coronalplane osteotomy reference projection line, described coronalplane osteotomy is respectively the first osteotomy reference line and the second osteotomy reference line with reference to projection line；Judge whether described coronalplane osteotomy is on same straight line acquisition judged result for the first time with reference to projection line, and obtain threedimensional model Osteotomy according to first time judged result.
Further, described first time judged result includes that described coronalplane osteotomy is on same straight line with reference to projection line and described coronalplane osteotomy is not on same straight line with reference to projection line.
Further, the described process being on same straight line acquisition threedimensional model Osteotomy with reference to projection line according to coronalplane osteotomy comprises the steps: that described two osteotomy reference lines project to sagittal plane obtains two sagittal plane osteotomy reference projection lines, and described sagittal plane osteotomy is respectively the 3rd osteotomy reference line and the 4th osteotomy reference line with reference to projection line；Threedimensional model sagittal plane Osteotomy is obtained with reference to projection line according to two sagittal plane osteotomy；Using described threedimensional model sagittal plane Osteotomy as threedimensional model Osteotomy.
Further, described threedimensional model sagittal plane Osteotomy includes that first Osteotomy vertical with the 3rd osteotomy reference line and second Osteotomy vertical with the 4th osteotomy reference line, the intersection of described first Osteotomy and the second Osteotomy subpoint on sagittal plane are positioned at the cortical bone of threedimensional model.
Further, the described process being not on same straight line obtaining threedimensional model Osteotomy with reference to projection line according to coronalplane osteotomy comprises the steps: to obtain threedimensional model coronalplane Osteotomy according to two coronalplane osteotomy with reference to projection line；Carry out the operation of threedimensional model coronalplane osteotomy according to threedimensional model coronalplane Osteotomy and obtain model after coronalplane osteotomy；Rotate model after coronalplane osteotomy, translation obtains coronalplane correction model；Obtaining two correction model osteotomy reference lines according to coronalplane correction model, described two correction model osteotomy reference lines are respectively the line of the hip joint central point of the coronalplane correction model maximum deformity place-centric point with the line of its maximum deformity place-centric point and coronalplane correction model and its ankle joint central point；Two correction model osteotomy reference lines projecting to sagittal plane and obtains correction model sagittal plane osteotomy reference projection line, described correction model sagittal plane osteotomy is respectively the 5th osteotomy reference line and the 6th osteotomy reference line with reference to projection line；Judge whether described sagittal plane osteotomy is on same straight line acquisition second time judged result with reference to projection line, and obtain threedimensional model Osteotomy according to second time judged result.
Further, described threedimensional model coronalplane Osteotomy includes that threeth Osteotomy vertical with the first osteotomy reference line and fourth Osteotomy vertical with the second osteotomy reference line, the intersection of described 3rd Osteotomy and the 4th Osteotomy subpoint on coronalplane are positioned at the cortical bone of threedimensional model.
Further, described second time judged result includes that described sagittal plane osteotomy is on same straight line with reference to projection line and described sagittal plane osteotomy is not on same straight line with reference to projection line.
Further, the described process being on same straight line acquisition threedimensional model Osteotomy with reference to projection line according to sagittal plane osteotomy comprises the steps: threedimensional model coronalplane Osteotomy as threedimensional model Osteotomy.
Further, the described process being not on same straight line obtaining threedimensional model Osteotomy with reference to projection line according to sagittal plane osteotomy comprises the steps: to obtain threedimensional model sagittal plane Osteotomy according to two correction model sagittal plane osteotomy with reference to projection line；Using described threedimensional model coronalplane Osteotomy and threedimensional model sagittal plane Osteotomy as threedimensional model Osteotomy.
Further, described threedimensional model sagittal plane Osteotomy includes that fiveth Osteotomy vertical with the 5th osteotomy reference line and sixth Osteotomy vertical with the 6th osteotomy reference line, the intersection of described 5th Osteotomy and the 6th Osteotomy subpoint on sagittal plane are positioned at the cortical bone of threedimensional model.
Further, orthopedic positioning guide plate model has hole, multiple location and multiple groove, the position in the hole, location of described orthopedic positioning guide plate model with restore after with holes, band Osteotomy skeleton model on the position in hole overlap, the position of the groove place plane of described orthopedic positioning guide plate model is with holes with after recovery, the position of Osteotomy on the skeleton model of band Osteotomy overlaps.
Further, described according to skeleton model with holes, band Osteotomy after restoring carry out the design of orthopedic positioning guide plate model obtain the process of orthopedic positioning guide plate model comprise the steps: to extract according to the position in the hole of the skeleton model of with holes, band Osteotomy after restoring restore after with holes, band Osteotomy skeleton model on surface of bone obtain orthopedic positioning guide plate die body face, the region of the surface of bone of described extraction is with holes after containing recovery, the hole of the skeleton model of band Osteotomy；Orthopedic positioning guide plate die body face is carried out stretched operation and obtains orthopedic positioning guide plate model blank；Orthopedic positioning guide plate model blank is got through hole, cut through groove operation obtain orthopedic positioning guide plate model.
Further, after restoring according to described punch operation, orthopedic positioning guide plate model blank is got through hole operation by the position in the hole of the skeleton model of with holes, band Osteotomy, and the position of the Osteotomy of the skeleton model of with holes after restoring according to described grooving operations, band Osteotomy cuts through groove operation to orthopedic positioning guide plate model blank.
Further, the hip joint central point of described coronalplane correction model, maximum deformity place-centric point, the line projection on coronalplane of ankle joint central point are located on the same line, and two bone section fitting areas of described correction model are at least the 80% of its bone cross-sectional area.
The orthopedic positioning guide plate of personalization of the present invention is that the threedimensional model design according to patient's area-of-interest generates, and is made by 3D printing technique；The groove of orthopedic positioning guide plate can guide doctor to carry out osteotomy operation, and the hole, location of orthopedic positioning guide plate can guide doctor to carry out corrective operations, reduces operating difficulty by the use of orthopedic positioning guide plate, improves the safety of operation.
Accompanying drawing explanation
Fig. 1 is the manufacture method schematic flow sheet of the personalized orthopedic positioning guide plate of the present invention.
Fig. 2 is the schematic flow sheet of the data message obtaining area-of-interest in Fig. 1 according to the initial data containing position to be scanned.
Fig. 3 is the schematic flow sheet of the threedimensional model design orthopedic positioning guide plate model of generation in Fig. 1 according to area-of-interest.
Fig. 4 is the schematic flow sheet obtaining orthopedic positioning guide plate model according to flow scheme design described in Fig. 3.
Fig. 5 is the schematic flow sheet obtaining threedimensional model Osteotomy in Fig. 3 according to three characteristic points of threedimensional model.
Fig. 6 is the threedimensional model Osteotomy schematic diagram obtained according to step S46 in Fig. 5.
Fig. 7 is the enlarged drawing of circle D part in Fig. 6.
Fig. 8 is the threedimensional model Osteotomy schematic diagram obtained according to step S53 in Fig. 5.
Fig. 9 is the enlarged drawing of circle E part in Fig. 8 (b).
Figure 10 is the threedimensional model sagittal plane Osteotomy schematic diagram that in described Fig. 5, step S54 obtains.
Figure 11 is the enlarged drawing of circle F part in Figure 10.
Figure 12 is the schematic flow sheet of the design orthopedic positioning guide plate model of acquisition carrying out orthopedic positioning guide plate model in Fig. 3 according to skeleton model with holes, band Osteotomy after restoring.
Detailed description of the invention
Understandable for enabling the above-mentioned purpose of the present invention, feature and advantage to become apparent from, below in conjunction with the accompanying drawings the specific embodiment of the present invention is described in detail.
Incorporated by reference to shown in Fig. 1 Yu Fig. 4, Fig. 1 is the schematic flow sheet of the manufacture method of the personalized orthopedic positioning guide plate of the present invention.This manufacture method comprises the steps:
S11, employing scanning device are treated scanning position and are scanned obtaining the initial data containing position to be scanned, and described position to be scanned is subjects bones's maleformation；
S12, the basis initial data containing position to be scanned obtain the data message of area-of-interest, and described area-of-interest is the skeleton of subjects bones's maleformation；
S13, reconstruct the threedimensional model 1 obtaining area-of-interest, the skeleton threedimensional model that threedimensional model 1 is position to be scanned of described area-of-interest according to the data message of area-of-interest；
S14, design according to the threedimensional model 1 of area-of-interest and generate orthopedic positioning guide plate model 6；
S15, by rapid shaping technique orthopedic positioning guide plate model carried out physical print obtain personalized orthopedic positioning guide plate.
Wherein, the scanning device in step S11 is CT scan equipment or nuclear magnetic resonance scanning equipment, and the described initial data containing position to be scanned is DICOM format data.The threedimensional model of described area-of-interest is that the data message Reverse reconstruction according to area-of-interest obtains.Incorporated by reference to shown in Fig. 2, the detailed process of the data message obtaining area-of-interest according to the initial data containing position to be scanned described in step S12 comprises the steps:
S21, the basis initial data containing position to be scanned rebuild the CT/MRI image obtained containing position to be scanned；
S22, CT/MRI image from the CT/MRI image zooming-out area-of-interest containing position to be scanned；
S23, obtain the data message of area-of-interest according to the CT/MRI image of area-of-interest.
The data that CT/MRI image is DICOM format in step S23, the data message of described area-of-interest is the data of STL form.The data message of described area-of-interest is the CT/MRI image of area-of-interest to carry out conversion obtain.
Rapid shaping technique described in step S15 can also be fusion sediment technology, it is also possible to for laser sintering technology.
Incorporated by reference to shown in Fig. 3 Yu Fig. 4 and Fig. 8, threedimensional model 1 design according to area-of-interest described in step S14 generates the process of orthopedic positioning guide plate model 6 and comprises the steps:
S31, threedimensional model 1 according to area-of-interest obtain threedimensional model 1 three characteristic points A, B, C, and three characteristic points of described threedimensional model are hip joint central point A, maximum deformity place-centric point B and ankle joint central point C, as shown in Fig. 8 (a)；
S32, obtain threedimensional model Osteotomy according to 1 three characteristic points A of threedimensional model, B, C；
S33, it is simulated osteotomy according to threedimensional model Osteotomy and obtains the skeleton model after osteotomy；
S34, the skeleton model after osteotomy is rotated, translation obtain correct after skeleton model 2, as shown in Fig. 4 (a)；
S35, the skeleton model 2 after correcting is carried out being virtually implanted of implant 3 obtain the position of fixing hole 31 in implant 3, as shown in Fig. 4 (b)；
S36, according to the position of fixing hole 31 in implant 3 to correct after skeleton model 2 carry out punching implant nail 4 operation obtain skeleton model with holes, as shown in Fig. 4 (c)；
S37, skeleton model with holes is carried out recovery operation obtain restore after with holes 51, the skeleton model 5 of band Osteotomy 52, as shown in Fig. 4 (d)；
S38, according to after restoring with holes 51, skeleton model 5 with Osteotomy 52 carries out the design of orthopedic positioning guide plate model and obtains orthopedic positioning guide plate model 6, described orthopedic positioning guide plate model 6 has hole, multiple location 61 and multiple groove 62, described orthopedic positioning guide plate model 6 location hole 61 position with restore after with holes 51, the position in the hole 51 on skeleton model 5 with Osteotomy 52 overlaps, the position of the groove 62 place plane of described orthopedic positioning guide plate model 6 with restore after with holes 51, the position of the Osteotomy 52 on skeleton model 5 with Osteotomy 52 overlaps, after recovery with holes 51, the Osteotomy 52 on skeleton model 5 with Osteotomy 52 namely the Osteotomy of threedimensional model, as shown in Fig. 4 (e).
Incorporated by reference to shown in Fig. 5 Yu Fig. 8, described in step S32, the process according to three characteristic points acquisition threedimensional model Osteotomies of threedimensional model comprises the steps:
S41, obtaining two osteotomy reference lines according to three characteristic points of threedimensional model, described two osteotomy reference lines are respectively the line L of the hip joint central point A and its maximum deformity place-centric point B of threedimensional modelABAnd the line L of maximum deformity place-centric point B and its ankle joint central point C of threedimensional modelBC, as shown in Fig. 8 (a)；
S42, two osteotomy reference lines project to coronalplane obtaining coronalplane osteotomy with reference to projection line, described coronalplane osteotomy is respectively the first osteotomy reference line L with reference to projection line1With the second osteotomy reference line L2, as shown in Fig. 8 (b)；
S43, judge whether described coronalplane osteotomy is on same straight line acquisition for the first time judged result with reference to projection line, and obtain threedimensional model Osteotomy according to first time judged result.
Described in step S43, judged result includes that described coronalplane osteotomy is on same straight line with reference to projection line and described coronalplane osteotomy is not on same straight line with reference to projection line for the first time.
Incorporated by reference to shown in Fig. 5 to Fig. 7, the process being on same straight line acquisition threedimensional model Osteotomy according to coronalplane osteotomy with reference to projection line described in step S43 comprises the steps:
S44, described two osteotomy reference lines are projected to sagittal plane obtain two sagittal plane osteotomy and be respectively the 3rd osteotomy reference line L with reference to projection lines, described sagittal plane osteotomy with reference to projection line3With the 4th osteotomy reference line L4；
S45, obtaining threedimensional model sagittal plane Osteotomies according to two sagittal plane osteotomy with reference to projection lines, described threedimensional model sagittal plane Osteotomy includes and the 3rd osteotomy reference line L3The first vertical Osteotomy S1And with the 4th osteotomy reference line L4The second vertical Osteotomy S2, described first Osteotomy S1With the second Osteotomy S2Intersection subpoint P on sagittal plane1It is positioned at the cortical bone of threedimensional model；
S46, using described threedimensional model sagittal plane Osteotomy as threedimensional model Osteotomy, as shown in Figures 6 and 7.
Incorporated by reference to shown in Fig. 5 Yu Fig. 8, the process being not on same straight line obtaining threedimensional model Osteotomy according to coronalplane osteotomy with reference to projection line described in step S43 comprises the steps:
S47, obtaining threedimensional model coronalplane Osteotomies according to two coronalplane osteotomy with reference to projection lines, described threedimensional model coronalplane Osteotomy includes and the first osteotomy reference line L1The 3rd vertical Osteotomy S3And with the second osteotomy reference line L2The 4th vertical Osteotomy S4, described 3rd Osteotomy S3With the 4th Osteotomy S4Intersection subpoint P on coronalplane2It is positioned at the cortical bone of threedimensional model, as shown in Fig. 8 (b) and Fig. 9；
S48, carry out the operation of threedimensional model coronalplane osteotomy according to threedimensional model coronalplane Osteotomy and obtain model after coronalplane osteotomy；
S49, model after coronalplane osteotomy is rotated, translation obtain coronalplane correction model 7, the hip joint central point A ' of described coronalplane correction model 7, maximum deformity place-centric point B ', the line projection on coronalplane of ankle joint central point C ' are located on the same line, two bone section fitting areas of described correction model are at least the 80% of its bone cross-sectional area, as shown in Fig. 8 (c)；
S50, obtaining two correction model osteotomy reference lines according to coronalplane correction model 7, described two correction model osteotomy reference lines are respectively the line L of coronalplane correction model hip joint central point A ' and its maximum deformity place-centric point B 'A ’ B ’And the line L of coronalplane correction model maximum deformity place-centric point B ' and its ankle joint central point C 'B ’ C ’；
S51, two correction model osteotomy reference lines project to sagittal plane obtaining correction model sagittal plane osteotomy with reference to projection line, described correction model sagittal plane osteotomy is respectively the 5th osteotomy reference line L with reference to projection line5With the 6th osteotomy reference line L6, as shown in Fig. 8 (d)；
S52, judge described sagittal plane osteotomy with reference to projection line whether be on same straight line acquisition second time judged result, and according to second time judged result obtain threedimensional model Osteotomy.
Second time judged result described in step S52 includes that described sagittal plane osteotomy is on same straight line with reference to projection line and described sagittal plane osteotomy is not on same straight line with reference to projection line.
The process being on same straight line acquisition threedimensional model Osteotomy according to sagittal plane osteotomy with reference to projection line described in step S52 comprises the steps:
S53, using threedimensional model coronalplane Osteotomy as threedimensional model Osteotomy；Now namely threedimensional model Osteotomy includes and the first osteotomy reference line L1The 3rd vertical Osteotomy S3And with the second osteotomy reference line L2The 4th vertical Osteotomy S4, as shown in Fig. 8 (b) and Fig. 9.
Incorporated by reference to shown in Fig. 5 and Fig. 8 to Figure 11, the process being not on same straight line obtaining threedimensional model Osteotomy according to sagittal plane osteotomy with reference to projection line described in step S52 comprises the steps:
S54, obtaining threedimensional model sagittal plane Osteotomies according to two correction model sagittal plane osteotomy with reference to projection lines, described threedimensional model sagittal plane Osteotomy includes and the 5th osteotomy reference line L5The 5th vertical Osteotomy S5And with the 6th osteotomy reference line L6The 6th vertical Osteotomy S6, described 5th Osteotomy S5With the 6th Osteotomy S6Intersection subpoint P on sagittal plane3It is positioned at the cortical bone of threedimensional model；
S55, using described threedimensional model coronalplane Osteotomy and threedimensional model sagittal plane Osteotomy as threedimensional model Osteotomy；Now namely threedimensional model Osteotomy includes and the first osteotomy reference line L1The 3rd vertical Osteotomy S3, and the second osteotomy reference line L2The 4th vertical Osteotomy S4, and the 5th osteotomy reference line L5The 5th vertical Osteotomy S5And with the 6th osteotomy reference line L6Vertical 6th Osteotomy S6, as shown in Fig. 8 (b) and Figure 10 Yu Figure 11.
Incorporated by reference to shown in Figure 12, the process obtaining orthopedic positioning guide plate model 6 according to design with holes 51 after restoring, that the skeleton model 5 of band Osteotomy 52 carries out orthopedic positioning guide plate model described in step S38 comprises the steps:
The surface of bone that S61, position according to the hole 51 of the skeleton model 5 of with holes 51 after restoring, band Osteotomy 52 are extracted on the skeleton model 5 of with holes 51 after restoring, band Osteotomy 52 obtains orthopedic positioning guide plate die body face, and the region of the surface of bone of described extraction is with holes 51 after containing recovery, the hole of the skeleton model 5 of band Osteotomy 52；
S62, orthopedic positioning guide plate die body face is carried out stretched operation obtain orthopedic positioning guide plate model blank；
S63, orthopedic positioning guide plate model blank is got through hole, cut through groove operation obtain orthopedic positioning guide plate model 6, after restoring according to described punch operation, orthopedic positioning guide plate model blank is got through hole operation by the position in the hole 51 of the skeleton model 5 of with holes 51, band Osteotomy 52, and the position of the Osteotomy 52 of the skeleton model 5 of with holes 51 after restoring according to described grooving operations, band Osteotomy 52 cuts through groove operation to orthopedic positioning guide plate model blank.
The orthopedic positioning guide plate of personalization of the present invention is that the threedimensional model design according to patient's area-of-interest generates, and is made by 3D printing technique；The groove of orthopedic positioning guide plate can guide doctor to carry out osteotomy operation, and the hole, location of orthopedic positioning guide plate can guide doctor to carry out corrective operations, reduces operating difficulty by the use of orthopedic positioning guide plate, improves the safety of operation.
To sum up, these are only presently preferred embodiments of the present invention, should not limit the scope of the present invention with this, the simple equivalence that the most every claims under this invention and description of the invention content are made changes and modifies, and all should still remain within the scope of the patent.
Claims (16)
1. the manufacture method of the orthopedic positioning guide plate of personalization, it is characterised in that: comprise the steps:
Using scanning device to treat scanning position to be scanned obtaining the initial data containing position to be scanned, described position to be scanned is subjects bones's maleformation；
Obtain the data message of area-of-interest according to the initial data containing position to be scanned, described area-of-interest is the skeleton of subjects bones's maleformation；
Data message reconstruct according to area-of-interest obtains the threedimensional model of area-of-interest, and the threedimensional model of described area-of-interest is the skeleton threedimensional model at position to be scanned；
Threedimensional model design according to area-of-interest generates orthopedic positioning guide plate model；
By rapid shaping technique, orthopedic positioning guide plate model is carried out physical print and obtain personalized orthopedic positioning guide plate.
The manufacture method of personalized orthopedic positioning guide plate the most as claimed in claim 1, it is characterised in that: the described threedimensional model according to area-of-interest designs the process of the orthopedic positioning guide plate model of generation and comprises the steps:
Threedimensional model according to area-of-interest obtains three characteristic points of threedimensional model, and three characteristic points of described threedimensional model are hip joint central point, maximum deformity place-centric point and ankle joint central point；
Threedimensional model Osteotomy is obtained according to three characteristic points of threedimensional model；
It is simulated the skeleton model after osteotomy obtains osteotomy according to threedimensional model Osteotomy；
Rotate the skeleton model after osteotomy, translation obtains the skeleton model after correcting；
Skeleton model after correcting is carried out being virtually implanted of implant and obtains the position of fixing hole in implant；
According to the position of fixing hole in implant, the skeleton model after correcting is carried out punching and implant nail operation acquisition skeleton model with holes；
Skeleton model with holes is carried out recovery operation and obtains with holes, the skeleton model of band Osteotomy after recovery；
The design carrying out orthopedic positioning guide plate model according to skeleton model with holes, band Osteotomy after restoring obtains orthopedic positioning guide plate model.
The manufacture method of personalized orthopedic positioning guide plate the most as claimed in claim 2, it is characterised in that: the described process according to three characteristic points acquisition threedimensional model Osteotomies of threedimensional model comprises the steps:
Obtaining two osteotomy reference lines according to three characteristic points of threedimensional model, described two osteotomy reference lines are respectively the line of the hip joint central point of the threedimensional model maximum deformity place-centric point with the line of its maximum deformity place-centric point and threedimensional model and its ankle joint central point；
Two osteotomy reference lines projecting to coronalplane and obtains coronalplane osteotomy reference projection line, described coronalplane osteotomy is respectively the first osteotomy reference line and the second osteotomy reference line with reference to projection line；
Judge whether described coronalplane osteotomy is on same straight line acquisition judged result for the first time with reference to projection line, and obtain threedimensional model Osteotomy according to first time judged result.
The manufacture method of personalized orthopedic positioning guide plate the most as claimed in claim 3, it is characterised in that: described first time judged result includes that described coronalplane osteotomy is on same straight line with reference to projection line and described coronalplane osteotomy is not on same straight line with reference to projection line.
The manufacture method of personalized orthopedic positioning guide plate the most as claimed in claim 4, it is characterised in that: the described process being on same straight line acquisition threedimensional model Osteotomy with reference to projection line according to coronalplane osteotomy comprises the steps:
Described two osteotomy reference lines projecting to sagittal plane and obtains two sagittal plane osteotomy reference projection lines, described sagittal plane osteotomy is respectively the 3rd osteotomy reference line and the 4th osteotomy reference line with reference to projection line；
Threedimensional model sagittal plane Osteotomy is obtained with reference to projection line according to two sagittal plane osteotomy；
Using described threedimensional model sagittal plane Osteotomy as threedimensional model Osteotomy.
The manufacture method of personalized orthopedic positioning guide plate the most as claimed in claim 5, it is characterized in that: described threedimensional model sagittal plane Osteotomy includes that first Osteotomy vertical with the 3rd osteotomy reference line and second Osteotomy vertical with the 4th osteotomy reference line, the intersection of described first Osteotomy and the second Osteotomy subpoint on sagittal plane are positioned at the cortical bone of threedimensional model.
The manufacture method of personalized orthopedic positioning guide plate the most as claimed in claim 4, it is characterised in that: the described process being not on same straight line obtaining threedimensional model Osteotomy with reference to projection line according to coronalplane osteotomy comprises the steps:
Threedimensional model coronalplane Osteotomy is obtained with reference to projection line according to two coronalplane osteotomy；
Carry out the operation of threedimensional model coronalplane osteotomy according to threedimensional model coronalplane Osteotomy and obtain model after coronalplane osteotomy；
Rotate model after coronalplane osteotomy, translation obtains coronalplane correction model；
Obtaining two correction model osteotomy reference lines according to coronalplane correction model, described two correction model osteotomy reference lines are respectively the line of the hip joint central point of the coronalplane correction model maximum deformity place-centric point with the line of its maximum deformity place-centric point and coronalplane correction model and its ankle joint central point；
Two correction model osteotomy reference lines projecting to sagittal plane and obtains correction model sagittal plane osteotomy reference projection line, described correction model sagittal plane osteotomy is respectively the 5th osteotomy reference line and the 6th osteotomy reference line with reference to projection line；
Judge whether described sagittal plane osteotomy is on same straight line acquisition second time judged result with reference to projection line, and obtain threedimensional model Osteotomy according to second time judged result.
The manufacture method of personalized orthopedic positioning guide plate the most as claimed in claim 7, it is characterized in that: described threedimensional model coronalplane Osteotomy includes that threeth Osteotomy vertical with the first osteotomy reference line and fourth Osteotomy vertical with the second osteotomy reference line, the intersection of described 3rd Osteotomy and the 4th Osteotomy subpoint on coronalplane are positioned at the cortical bone of threedimensional model.
The manufacture method of personalized orthopedic positioning guide plate the most as claimed in claim 8, it is characterised in that: described second time judged result includes that described sagittal plane osteotomy is on same straight line with reference to projection line and described sagittal plane osteotomy is not on same straight line with reference to projection line.
The manufacture method of personalized orthopedic positioning guide plate the most as claimed in claim 9, it is characterised in that: the described process being on same straight line acquisition threedimensional model Osteotomy with reference to projection line according to sagittal plane osteotomy comprises the steps:
Using threedimensional model coronalplane Osteotomy as threedimensional model Osteotomy.
The manufacture method of 11. personalized orthopedic positioning guide plates as claimed in claim 9, it is characterised in that: the described process being not on same straight line obtaining threedimensional model Osteotomy with reference to projection line according to sagittal plane osteotomy comprises the steps:
Threedimensional model sagittal plane Osteotomy is obtained with reference to projection line according to two correction model sagittal plane osteotomy；
Using described threedimensional model coronalplane Osteotomy and threedimensional model sagittal plane Osteotomy as threedimensional model Osteotomy.
The manufacture method of 12. personalized orthopedic positioning guide plates as claimed in claim 11, it is characterized in that: described threedimensional model sagittal plane Osteotomy includes that fiveth Osteotomy vertical with the 5th osteotomy reference line and sixth Osteotomy vertical with the 6th osteotomy reference line, the intersection of described 5th Osteotomy and the 6th Osteotomy subpoint on sagittal plane are positioned at the cortical bone of threedimensional model.
The manufacture method of the 13. orthopedic positioning guide plates of the personalization as according to any one of claim 2 to 12, it is characterized in that: orthopedic positioning guide plate model has hole, multiple location and multiple groove, the position in the hole, location of described orthopedic positioning guide plate model with restore after with holes, band Osteotomy skeleton model on the position in hole overlap, the position of the groove place plane of described orthopedic positioning guide plate model is with holes with after recovery, the position of Osteotomy on the skeleton model of band Osteotomy overlaps.
14. the manufacture method of the orthopedic positioning guide plate of personalization as according to any one of claim 2 to 12, it is characterised in that: the process of the described design orthopedic positioning guide plate model of acquisition carrying out orthopedic positioning guide plate model according to skeleton model with holes, band Osteotomy after restoring comprises the steps:
The surface of bone extracted according to the position in the hole of the skeleton model of with holes, band Osteotomy after restoring on the skeleton model of with holes after restoring, band Osteotomy obtains orthopedic positioning guide plate die body face, and the region of the surface of bone of described extraction is with holes after containing recovery, the hole of the skeleton model of band Osteotomy；
Orthopedic positioning guide plate die body face is carried out stretched operation and obtains orthopedic positioning guide plate model blank；
Orthopedic positioning guide plate model blank is got through hole, cut through groove operation obtain orthopedic positioning guide plate model.
The manufacture method of 15. personalized orthopedic positioning guide plates as claimed in claim 14, it is characterized in that: after restoring according to described punch operation, orthopedic positioning guide plate model blank is got through hole operation by the position in the hole of the skeleton model of with holes, band Osteotomy, the position of the Osteotomy of the skeleton model of with holes after restoring according to described grooving operations, band Osteotomy cuts through groove operation to orthopedic positioning guide plate model blank.
The manufacture method of the 16. orthopedic positioning guide plates of the personalization as according to any one of claim 7 to 12, it is characterized in that: the hip joint central point of described coronalplane correction model, maximum deformity place-centric point, the line projection on coronalplane of ankle joint central point are located on the same line, and two bone section fitting areas of described correction model are at least the 80% of its bone cross-sectional area.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610237841.3A CN105852985B (en) | 2016-04-18 | 2016-04-18 | The manufacturing method of personalized orthopedic positioning guide plate |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610237841.3A CN105852985B (en) | 2016-04-18 | 2016-04-18 | The manufacturing method of personalized orthopedic positioning guide plate |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN105852985A true CN105852985A (en) | 2016-08-17 |
| CN105852985B CN105852985B (en) | 2018-07-06 |
Family
ID=56633163
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201610237841.3A Active CN105852985B (en) | 2016-04-18 | 2016-04-18 | The manufacturing method of personalized orthopedic positioning guide plate |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN105852985B (en) |
Cited By (13)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107149494A (en) * | 2017-04-06 | 2017-09-12 | 国家康复辅具研究中心 | The controllable personalized hone lamella Fast design method of laminating degree |
| CN107343817A (en) * | 2017-04-11 | 2017-11-14 | 天津市天津医院 | CAD orthopaedics osteotomy orthopedic fixation integration guide plate and preparation method |
| CN107693088A (en) * | 2017-10-24 | 2018-02-16 | 苏州昕健医疗技术有限公司 | The personalized orthopedic positioning guide plate of near end of thighbone |
| CN108143488A (en) * | 2017-12-21 | 2018-06-12 | 成都真实维度科技有限公司 | Operation plan design method and system based on patients with fracture of neck true model |
| CN108606823A (en) * | 2016-12-09 | 2018-10-02 | 深圳市普天阳医疗科技股份有限公司 | A kind of mandibular resetting apparatus and production method |
| CN109640859A (en) * | 2016-08-25 | 2019-04-16 | 德普伊新特斯产品公司 | The fixed control of plastic surgery and manipulation |
| CN110236672A (en) * | 2019-06-03 | 2019-09-17 | 福建省立医院 | A kind of brain tumor procedures plate and its manufacturing method |
| CN111481259A (en) * | 2020-04-17 | 2020-08-04 | 广西医科大学 | Preparation method of bone cutting guide plate made of polyether-ether-ketone and bone cutting guide plate |
| US11304757B2 (en) | 2019-03-28 | 2022-04-19 | Synthes Gmbh | Orthopedic fixation control and visualization |
| US11334997B2 (en) | 2020-04-03 | 2022-05-17 | Synthes Gmbh | Hinge detection for orthopedic fixation |
| WO2022152128A1 (en) * | 2021-01-12 | 2022-07-21 | 北京长木谷医疗科技有限公司 | Guide plate design method for total hip replacement and related device |
| US11439436B2 (en) | 2019-03-18 | 2022-09-13 | Synthes Gmbh | Orthopedic fixation strut swapping |
| US11896313B2 (en) | 2010-05-19 | 2024-02-13 | DePuy Synthes Products, Inc. | Orthopedic fixation with imagery analysis |
Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US8126533B2 (en) * | 2000-11-06 | 2012-02-28 | Perception Raisonnement Action En Medecine | System for determining the position of a knee prosthesis |
| US20140303938A1 (en) * | 2013-04-05 | 2014-10-09 | Biomet Manufacturing Corp. | Integrated orthopedic planning and management process |
| CN204274656U (en) * | 2014-11-21 | 2015-04-22 | 广州军区广州总医院 | A kind of bone cutting positioner in knee |
| CN205126398U (en) * | 2015-11-19 | 2016-04-06 | 上海昕健医疗技术有限公司 | Individuation pedicle of vertebral arch location baffle |
-
2016
- 2016-04-18 CN CN201610237841.3A patent/CN105852985B/en active Active
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US8126533B2 (en) * | 2000-11-06 | 2012-02-28 | Perception Raisonnement Action En Medecine | System for determining the position of a knee prosthesis |
| US20140303938A1 (en) * | 2013-04-05 | 2014-10-09 | Biomet Manufacturing Corp. | Integrated orthopedic planning and management process |
| CN204274656U (en) * | 2014-11-21 | 2015-04-22 | 广州军区广州总医院 | A kind of bone cutting positioner in knee |
| CN205126398U (en) * | 2015-11-19 | 2016-04-06 | 上海昕健医疗技术有限公司 | Individuation pedicle of vertebral arch location baffle |
Non-Patent Citations (2)
| Title |
|---|
| PH.HERNIGOU: "Open wedge tibial osteotomy: combined coronal and sagittal correction", 《THE KNEE》 * |
| 丁焕文，等: ""计算机辅助膝内翻及外翻畸形分析和精确矫形"", 《中华关节外科杂志（电子版）》 * |
Cited By (18)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US11896313B2 (en) | 2010-05-19 | 2024-02-13 | DePuy Synthes Products, Inc. | Orthopedic fixation with imagery analysis |
| CN109640859A (en) * | 2016-08-25 | 2019-04-16 | 德普伊新特斯产品公司 | The fixed control of plastic surgery and manipulation |
| US11918292B2 (en) | 2016-08-25 | 2024-03-05 | DePuy Synthes Products, Inc. | Orthopedic fixation control and manipulation |
| CN108606823A (en) * | 2016-12-09 | 2018-10-02 | 深圳市普天阳医疗科技股份有限公司 | A kind of mandibular resetting apparatus and production method |
| CN107149494A (en) * | 2017-04-06 | 2017-09-12 | 国家康复辅具研究中心 | The controllable personalized hone lamella Fast design method of laminating degree |
| CN107343817B (en) * | 2017-04-11 | 2020-07-31 | 天津市天津医院 | Computer-aided design orthopedic osteotomy and orthopedic fixation integrated guide plate and manufacturing method thereof |
| CN107343817A (en) * | 2017-04-11 | 2017-11-14 | 天津市天津医院 | CAD orthopaedics osteotomy orthopedic fixation integration guide plate and preparation method |
| CN107693088A (en) * | 2017-10-24 | 2018-02-16 | 苏州昕健医疗技术有限公司 | The personalized orthopedic positioning guide plate of near end of thighbone |
| CN108143488A (en) * | 2017-12-21 | 2018-06-12 | 成都真实维度科技有限公司 | Operation plan design method and system based on patients with fracture of neck true model |
| US11439436B2 (en) | 2019-03-18 | 2022-09-13 | Synthes Gmbh | Orthopedic fixation strut swapping |
| US11648035B2 (en) | 2019-03-18 | 2023-05-16 | Synthes Gmbh | Orthopedic fixation strut swapping |
| US11304757B2 (en) | 2019-03-28 | 2022-04-19 | Synthes Gmbh | Orthopedic fixation control and visualization |
| CN110236672A (en) * | 2019-06-03 | 2019-09-17 | 福建省立医院 | A kind of brain tumor procedures plate and its manufacturing method |
| CN110236672B (en) * | 2019-06-03 | 2020-05-05 | 福建省立医院 | Brain tumor operation board and manufacturing method thereof |
| US11334997B2 (en) | 2020-04-03 | 2022-05-17 | Synthes Gmbh | Hinge detection for orthopedic fixation |
| US11893737B2 (en) | 2020-04-03 | 2024-02-06 | Synthes Gmbh | Hinge detection for orthopedic fixation |
| CN111481259A (en) * | 2020-04-17 | 2020-08-04 | 广西医科大学 | Preparation method of bone cutting guide plate made of polyether-ether-ketone and bone cutting guide plate |
| WO2022152128A1 (en) * | 2021-01-12 | 2022-07-21 | 北京长木谷医疗科技有限公司 | Guide plate design method for total hip replacement and related device |
Also Published As
| Publication number | Publication date |
|---|---|
| CN105852985B (en) | 2018-07-06 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| CN105852985A (en) | Method for manufacturing personalized orthopedic positioning guide plates | |
| CN107343817B (en) | Computer-aided design orthopedic osteotomy and orthopedic fixation integrated guide plate and manufacturing method thereof | |
| EP3244835B1 (en) | Method for manufacturing an auxiliary device suitable for the manufacture of a patient customized implant | |
| CN102405024B (en) | The surgical guide localizer that patient is special and installed part | |
| EP3187151B1 (en) | Patient adapted joint arthroplasty devices and surgical tools | |
| AU2014217929B2 (en) | Alignment plate apparatus and system and method of use | |
| US6711432B1 (en) | Computer-aided orthopedic surgery | |
| TWI397397B (en) | Method of manufacturing guide device | |
| US20180008349A1 (en) | Methods to assist with medical procedures by utilizing patient-specific devices | |
| CN204468186U (en) | A kind of patella osteotomy navigation template for knee prosthesis | |
| CN104546060A (en) | Patella osteotomy navigation template for knee arthroplasty and manufacture method | |
| CN105434009A (en) | Navigation template for thighbone osteotomy, application method and fabrication method | |
| CN104983458A (en) | Manufacturing method for posterior column lag screw 3D navigation module used for acetabulum fracture | |
| CN105476707B (en) | A kind of personalized Occipitocervical fussion screw enters to follow closely the preparation method of navigation template | |
| CN104905869A (en) | Navigation template for vertebral pedicle locating and real-time screw path monitoring and manufacturing method thereof | |
| CN112826641B (en) | Guide plate design method for total hip replacement and related equipment | |
| CN104783861A (en) | Total knee arthroplasty distal femur multifunctional bone cutting guide plate device and manufacturing method thereof | |
| CN110801283A (en) | Fibula-assembled reconstructed jaw bone defect model and manufacturing method and application thereof | |
| CN107115151A (en) | The preparation method of pinpoint acetabular bone guide plate is aided in after a kind of half pelvis excision | |
| CN104997547A (en) | Total knee replacement digital osteotomy guiding plate manufacturing method and device | |
| CN205144706U (en) | A navigation template that is used for rotatory cripetura enstrophe osteotomy of children's thighbone near -end | |
| CN108670395B (en) | 3D printed sacroiliac screw digital embedding method | |
| CN209678664U (en) | One kind is simultaneously through sacrum 1,2 centrum femoral neck cannulated screw navigation templates | |
| US20230310013A1 (en) | Apparatus, system, and method for patient-specific instrumentation | |
| CN204708929U (en) | The deep guide plate arrangement of a kind of Total knee arthroplasty proximal tibia |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C06 | Publication | ||
| PB01 | Publication | ||
| C10 | Entry into substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| GR01 | Patent grant | ||
| GR01 | Patent grant |