CN105982766A - Knee joint prosthesis with filling block - Google Patents

Knee joint prosthesis with filling block Download PDF

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Publication number
CN105982766A
CN105982766A CN201510087941.8A CN201510087941A CN105982766A CN 105982766 A CN105982766 A CN 105982766A CN 201510087941 A CN201510087941 A CN 201510087941A CN 105982766 A CN105982766 A CN 105982766A
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CN
China
Prior art keywords
bone
filling block
tibial plateau
bone grafting
locking part
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Granted
Application number
CN201510087941.8A
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Chinese (zh)
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CN105982766B (en
Inventor
郑诚功
王建
宋大勇
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Beijing Naton Medical Technology Holdings Co Ltd
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Beijing Naton Technology Group Co Ltd
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Priority to CN201510087941.8A priority Critical patent/CN105982766B/en
Publication of CN105982766A publication Critical patent/CN105982766A/en
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Publication of CN105982766B publication Critical patent/CN105982766B/en
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Abstract

The invention discloses a knee joint prosthesis with a filling block. The knee joint prosthesis comprises a tibial plateau prosthesis and the filling block. A first locking part and a second locking part are arranged on the lower surface of the tibial plateau prosthesis. The filling block comprises a bone grafting coaming forming a bone grafting space in a surrounding mode. A first installing part and a second installing part are arranged on the bone grafting coaming. The bone grafting coaming is fixedly installed on the tibial plateau prosthesis. The first installing part is locked on the first locking part, and the second installing part is located on the second locking part. The bone grafting coaming provides fixation and support for the tibial plateau prosthesis in the early period so as to improve the stability of the tibial plateau prosthesis; the bone grafting space is formed between the bone grafting coaming and the tibial plateau prosthesis in the surrounding mode, ankylose of a grafted bone is promoted in the bone grafting space, and therefore effective support is provided for the tibial plateau prosthesis after bone healing; thus, the knee joint prosthesis is safe and reliable in the whole use process, and the knee joint revision level is improved.

Description

There is the knee-joint prosthesis of filling block
Technical field
The present invention relates to the knee-joint prosthesis with filling block.
Background technology
In artificial knee joint overhaul technology, how with the situation of a certain degree of bone loss, process this kind of Cranial defect, is one of challenge maximum in complete knee joint overhaul technology.The reason causing Cranial defect has aseptic pine Incorrect prosthese taking-up etc. in dynamic, bone dissolving, chronic infection, stress-shielding effect, overhaul technology.Pin Difference to scope, size, position and the degree of Cranial defect, clinically frequently with different processing modes, As little Cranial defect can use Cement fixation, and more relatively large Cranial defect can use metal purse seine Carry out rebuilding bone grafting and assembly type filling block, and huge pardon Cranial defect applied metal metaphysis is filled Block is repaired.
At present, the more commonly used is to carry out rebuilding bone grafting with metal purse seine and assembly type filling block carries out bone and lacks Damaging and repair, the shortcoming of metal purse seine patching is that its initial stage bone grafting does not heals, and lacks effective support. Although it addition, use assembly type filling block primary stability good, but can remove when shortcoming is the chunks such as installation More tibia sclerotin, wedge also has shearing force in addition to by compressive stress when supporting and is acted on, Life-time service can make the generation crack, bone cement interface that prosthese is connected with bone, affects its stability.
Summary of the invention
For problems of the prior art, the purpose of the present invention is steady for providing one both can improve prosthese The qualitative knee-joint prosthesis with filling block that effectively support can be provided for prosthese again after knitting.
For achieving the above object, technical scheme is as follows:
A kind of knee-joint prosthesis with filling block, including:
Tibial plateau prosthese, described tibial plateau prosthese lower surface is provided with the first locking part and second sealed Portion;
Filling block, described filling block includes that bone grafting coaming plate, described bone grafting coaming plate enclose and is provided with bone grafting space, institute Stating bone grafting coaming plate and be provided with the first installation portion and the second installation portion, described bone grafting coaming plate is mounted on described On tibial plateau prosthese, wherein said first installation portion is locked in described first locking part, described second peace Dress portion is locked in described second locking part.
In an optional embodiment, arbitrary or whole in described first locking part and described second locking part It is connected with guidance part.
In an optional embodiment, described guidance part is slideway, and described first locking part is described slideway Abutment end, described second locking part is snap close, and described snap close is connected with gap.
In an optional embodiment, described guidance part is slideway, described first locking part and described second Locking part is the snap close being arranged on described ways-end.
In an optional embodiment, described first installation portion is guide posts, and described second installation portion is anti- To snap close.
In an optional embodiment, described first installation portion and described second installation portion are guide posts.
In an optional embodiment, described bone grafting coaming plate connects on the position of described tibial plateau prosthese Connect and be provided with retainer ring, the position of the corresponding described retainer ring of described tibial plateau prosthese is provided with connecting hole, Described retainer ring and described connecting hole wear connector jointly, with by described bone grafting coaming plate and described tibia Platform prosthese is fixed together.
In an optional embodiment, described bone grafting coaming plate connects on the side away from described tibial plateau prosthese Connect and be provided with retainer ring, described retainer ring wears connector, so that described bone grafting coaming plate is connected to tibia On.
In an optional embodiment, described bone grafting coaming plate is banded structure, uses rigid material to make.
In an optional embodiment, filling bone graft in described bone grafting space, described bone graft is autologous Bone, allograph bone or artificial bone.
The beneficial effects of the present invention is, compared with prior art, in the present invention, bone grafting coaming plate exists the present invention Initial stage provides fixing for tibial plateau prosthese and supports, to improve its stability, and bone grafting coaming plate and tibia Enclose between platform prosthese and set bone grafting space, promote that implanting bone carries out growing conjunction wherein, thus after knitting There is provided effective for tibial plateau prosthese to support, so that the use overall process of the present invention is safe and reliable, Improve knee joint overhaul technology level.
Accompanying drawing explanation
Below in conjunction with the accompanying drawings the present invention is described in further detail:
Fig. 1 be the present invention knee-joint prosthesis one alternative embodiment with filling block in tibial plateau prosthese Perspective view;
Fig. 2 be the present invention knee-joint prosthesis one alternative embodiment with filling block in bone grafting coaming plate vertical Body structural representation;
Fig. 3 is the stereo decomposing structure of knee-joint prosthesis one alternative embodiment with filling block of the present invention Schematic diagram;
Fig. 4 is the signal in the knee-joint prosthesis one alternative embodiment bone grafting space with filling block of the present invention Figure;
Fig. 5 be the present invention knee-joint prosthesis one alternative embodiment with filling block in tibial plateau prosthese Closing component structure schematic diagram;
Fig. 6 be the present invention another alternative embodiment of the knee-joint prosthesis with filling block in tibial plateau false Body perspective view;
Fig. 7 be the present invention another alternative embodiment of the knee-joint prosthesis with filling block in bone grafting coaming plate stand Body structural representation;
Fig. 8 is that another alternative embodiment neutral body of the knee-joint prosthesis with filling block of the present invention decomposes knot Structure schematic diagram;
Fig. 9 is that the bone grafting space of another alternative embodiment of knee-joint prosthesis with filling block of the present invention shows It is intended to;
Figure 10 be the present invention another alternative embodiment of the knee-joint prosthesis with filling block in tibial plateau The closing component structure schematic diagram of prosthese;
Figure 11 be the present invention the another alternative embodiment of the knee-joint prosthesis with filling block in bone grafting coaming plate Structural representation;
Figure 12 is the knee-joint prosthesis yet another alternative embodiment stereo decomposing knot with filling block of the present invention Structure schematic diagram;
Figure 13 is that the knee-joint prosthesis yet another alternative embodiment plan structure with filling block of the present invention is shown It is intended to;
Figure 14 is that the connector in the knee-joint prosthesis yet another alternative embodiment of filling block that has of the present invention is tied Structure schematic diagram.
Detailed description of the invention
Embodiment feature of present invention will describe the most in detail with the exemplary embodiments of advantage.This The bright knee-joint prosthesis with filling block can be used for overhauling knee joint it can also be used to need to fill up at the beginning of Cranial defect Secondary displacement knee joint, can be used for knee joint femoral prosthesis it can also be used to knee joint tibial prosthesis.It should be understood that Be that the present invention can have various changes in different embodiments, it is all without departing from the model of the present invention Enclose, and explanation therein and accompanying drawing are inherently illustrated as being used, and be not used to limit the present invention.
For convenience of describing, the design of the present invention is only described as a example by knee joint tibial prosthesis, the present invention's Knee-joint prosthesis with filling block includes that tibial plateau prosthese and filling block, tibial plateau prosthese are the present invention Agent structure, filling block is used for supporting tibial plateau prosthese, and filling block includes bone grafting coaming plate, and bone grafting encloses Enclose in plate and set bone grafting space.Specifically, tibial plateau prosthese is provided with the first locking part and the second lock Conjunction portion.Bone grafting coaming plate is rigid material, is provided with the first installation portion and the second installation portion.During use state The bone grafting coaming plate being filled with bone graft in bone grafting space is mounted on tibial plateau prosthese, Qi Zhong One installation portion is locked in the first locking part, and the second installation portion is locked in the second locking part.First installation portion with Attachment between first locking part and the second installation portion and the second locking part does not limit, if energy Enough satisfied convenient, stable connections.It is described in detail below in conjunction with several specific embodiments:
First embodiment
In the present embodiment, as shown in Figure 1 and Figure 5, tibial plateau prosthese 1 has post portion 11, platform part 12 and boss portion 13.Tibial plateau prosthese 1 coordinates the V-arrangement symmetry on side, post portion 11 by post portion 11 The wing arranged is implanted in human body, the proximal tibia surface of the neighbouring excision of the lower surface of platform part 12, boss portion 13 for coordinating with liner prosthese.In the present embodiment, the first locking part 15 is relative with the second locking part 14 It is arranged on the lower surface of platform part 12.In the present embodiment, the second locking part 14 is snap close, and this snap close Being connected with gap 17, the first locking part 15 connects slideway 16, and this first locking part 15 is this cunning The butting section of road 16 end.Wherein, gap 17 is uncovered structure, and slideway 16 is arcuate structure.It addition, First locking part 15 and the second locking part 14 are two, and relatively before and after tibial plateau prosthese 1 in Heart line is oppositely arranged.
In the present embodiment, as in figure 2 it is shown, bone grafting coaming plate 2 includes body the 20, first end 21 and second End 22, arranges the first installation portion 23 on the first end 21, arranges the second installation portion on the second end 22 24.Wherein, bone grafting coaming plate 2 is the banded structure of bending, the shape of its bending and tibial prosthesis platform 12 Edge shape similar, metal material can be used to make, it is also possible to other rigid material make.This enforcement In example, the first installation portion 23 is specially guide posts, and the second installation portion 24 is reversing catch.
In the present embodiment, the first installation portion 23 (guide posts) can arrive at end (i.e. first along slideway 16 Locking part 15), the second installation portion 24 (reversing catch) can enter the second locking part 14 by gap 17 (snap close), by two to abutting power, thus locks bone grafting coaming plate 2 at tibial plateau prosthese 1 Platform part 12 lower surface on.In the present embodiment, slideway 16 is provided with step surface 151, first Installation portion 23 (guide posts) bottom (with shown in Fig. 2 as reference) be cervical region 231, during assembling, neck Portion 231 coordinates slideway 16, the protuberance of the first installation portion 23 (guide posts) then to coordinate step surface 151.This In embodiment, after the first installation portion 23 (guide posts) and the assembling of the second installation portion 24 (reversing catch) all Do not protrude from platform part 12.One tibial plateau prosthese 1, according to the situation of Cranial defect, can arrange one Bone grafting coaming plate 2, it is possible to arrange two bone grafting coaming plates 2, two bone grafting coaming plates 2 are oppositely arranged, in practical operation In determine as the case may be.
In the present embodiment, as shown in Figure 3 and Figure 4, enclose and be provided with bone grafting between the bone grafting coaming plate 2 of bending Space 3.When installing prosthese, the post portion 11 first passing through tibial plateau prosthese 1 is inserted into ready shin In medullary cavity, then further according to the situation of Cranial defect, selecting to be suitable for the bone grafting coaming plate 2 of height, bone grafting encloses Plate 2 can be arranged on the flat of tibial plateau prosthese 1 by guide posts 23 (the first installation portion) along slideway 16 Platform 12 lower surface, clogs bone graft in the implantation space 3 of bone grafting coaming plate 2, and bone graft can be autologous Bone, allograph bone or artificial bone, after filling full bone graft, then by reversing catch 24 (the second installation portion) Push snap close 14 (the second locking part) to by gap 17, be locked.Also has other installation Fit system, before installing tibial plateau prosthese 1, first by clogging bone graft in bone grafting space 3, transplants Bone can be autologous bone, allograph bone or artificial bone, after filling full bone graft, by guide posts 23 (the One installation portion) platform 12 lower surface of tibial plateau prosthese 1 it is arranged on along slideway 16, simultaneously will be reversely Snap close 24 (the second installation portion) pushes snap close 14 (the second locking part) to by gap 17, locks Fixing, after the metal coaming plate with bone graft is arranged on platform 12 lower surface of tibial plateau prosthese 1, It is inserted in ready tibia pulp cavity by the post portion 11 of tibial plateau prosthese 1 again.
The design of the present embodiment, make bone grafting coaming plate 2 and transplant osteoplastic filling block can be at tibial plateau Prosthese 1 is installed before being arranged on tibia, it is also possible to be arranged on tibia at tibial plateau prosthese 1 After install, doctor can select mounting means flexibly.And bone grafting coaming plate 2 makes for rigid material, Primary stability, tibial plateau prosthese 1 and bending can be provided after being arranged on tibial plateau prosthese 1 Bone grafting coaming plate 2 between enclose bone graft in the bone grafting space 3 set after tibial plateau prosthese 1 is installed, Bone Ingrowth can be promoted, form the long-time stability of tibial plateau prosthese 1, so the filling of this kind of design The primary stability that block both can provide tibial plateau prosthese 1 to install can also provide tibial plateau prosthese 1 The long-time stability installed, have prominent feature and substantial progress.Further, due to bone grafting Coaming plate 2 is banding, has elasticity, the first locking part 15 and the first installation portion 23 (guide posts) with And second locking part 14 and the second installation portion 24 (reversing catch) when locking, it is possible to provide one Clamp force, back action, on bone graft, can compress the implantation bone in bone grafting space 3, so that it is preferably Long conjunction.And after the prosthese of the present embodiment is installed, patient, when upright or motion, can give tibial plateau 12 One pressure, under pressure, there is downwards trace elastic deformation in tibial plateau 12, it is possible to compresses and plants Implantation bone in bone space 3, so that its preferably long conjunction.
Second embodiment
In the present embodiment, as shown in figs. 6 and 10, the agent structure of tibial plateau prosthese 5 is real with first Execute example identical, the terrace part lower surface of tibial plateau prosthese 5 is oppositely arranged four and sets in bias type The slideway 51 put, the end radial diameter at slideway 51 reduces, and forms an opisthotonos, to form the One locking part and the second locking part 52, concrete closing component structure is a snap close stretched out 521.
In the present embodiment, as it is shown in fig. 7, bone grafting coaming plate 6 is one all-round to confining zone structure, including this Body the 60, first installation end 61 and the second installation end 62, at the first installation end 61 and the second installation end 62 Between be provided with circuitous configuration 65, this is that the V-arrangement on post radical limit in order to avoid tibial prosthesis element is symmetrical The wing arranged.In the present embodiment, the first installation end 61 arranges the first installation portion 63, in the second peace Arranging the second installation portion 64 on dress end 62, the first installation portion 63 and the second installation portion 64 are specially and guide Post.
In the present embodiment, the first installation portion 63 and the second installation portion 64 are guide posts, and all along slideway 51 enter, until contact snap close 521, make its elasticity open against snap close 521, until guide posts enters First locking part and the second locking part 52, then snap close 521 do not have guide posts against resilience again after power To origin-location, and prop up guide posts so that it is can not skid off along slideway 51, thus by bone grafting coaming plate 6 Locking is on tibial plateau prosthese 5.One tibial plateau prosthese 5 is according to the situation of Cranial defect, Ke Yipei If a bone grafting coaming plate 2, it is possible to arrange two bone grafting coaming plates 6, two bone grafting coaming plates 6 are symmetrical arranged, in reality Border operation determines as the case may be.
In the present embodiment, as shown in Figure 8 and Figure 9, set all-round the enclosing in the middle of confining zone of bone grafting coaming plate 6 There is bone grafting space 7.
The installation fit system of the present embodiment is, before installing tibial plateau prosthese 1, first by bone grafting space Clogging bone graft in 7, bone graft can be autologous bone, allograph bone or artificial bone, is filling full transplanting After bone, by bone grafting coaming plate 2 and the osteoplastic filling block of transplanting, by guide posts 63 (the first installation portion) With platform 12 lower surface that 64 (the second installation portions) are arranged on tibial plateau prosthese 1 along slideway 51, with Time be locked by the first and second locking parts 52, be arranged on tibial plateau prosthese 1 at filling block Platform lower surface after, then be inserted in ready tibia pulp cavity by the post portion of tibial plateau prosthese 5. Can also be after the post portion of tibial plateau prosthese 5 be inserted in ready tibia pulp cavity, by bone grafting coaming plate 2 and transplant osteoplastic filling block, by guide posts 63 (the first installation portion) and 64 (the second installation portions) Platform 12 lower surface of tibial plateau prosthese 1 it is arranged on along slideway 51.Can according to doctor need select Different mounting means.
3rd embodiment
In the present embodiment, tibial plateau prosthese 1 is identical with embodiment 1, as shown in figure 11, and bone grafting coaming plate 4 is the most similar to Example 1, including body the 40, first installation end 41 and the second installation end 42.Different Be in the present embodiment, second installation end 42 side away from tibial plateau prosthese is connected with Second retainer ring 43, the second retainer ring 43 is provided with third through-hole 44, wears second in third through-hole Connector 100 (please also refer to shown in Figure 14).In the present embodiment, this second connector 100 is one Screw, by this second connector 100 to be fixed in tibia (not shown) by bone grafting coaming plate 4. Metal coaming plate and tibial plateau prosthese can be the most stably fixed on tibia by this kind of design.
4th embodiment
In the present embodiment, as shown in Figure 12 and Figure 13, tibial plateau prosthese 8 is similar with embodiment 1, Bone grafting coaming plate 9 is the most similar to Example 1, and the most in the present embodiment, bone grafting coaming plate 9 is near shin On the upper surface of bone platform prosthese 8, horizontal expansion is connected with the first retainer ring 91, the first retainer ring 91 On be provided with the first through hole 92.Set on position after corresponding first through hole 92 installation of tibial plateau prosthese 8 It is equipped with the second through hole 81.In the present embodiment, with reference to shown in Figure 14, the first through hole 92 and the second through hole 81 In jointly wear the first connector 100, bone grafting coaming plate 9 and tibial plateau prosthese 8 to be fixed together. Metal coaming plate can be the most stably fixed on tibial plateau prosthese by this kind of design.
Technical scheme is disclosed as above by alternative embodiment.Those skilled in the art it should be appreciated that To institute in the case of without departing from the scope and spirit of the present invention disclosed in appended claims of the invention The change made and retouching, within all belonging to the scope of the claims of the present invention.

Claims (10)

1. a knee-joint prosthesis with filling block, it is characterised in that including:
Tibial plateau prosthese, described tibial plateau prosthese lower surface is provided with the first locking part and second sealed Portion;
Filling block, described filling block includes that bone grafting coaming plate, described bone grafting coaming plate enclose and is provided with bone grafting space, institute Stating bone grafting coaming plate and be provided with the first installation portion and the second installation portion, described bone grafting coaming plate is mounted on described On tibial plateau prosthese, wherein said first installation portion is locked in described first locking part, described second peace Dress portion is locked in described second locking part.
There is the knee-joint prosthesis of filling block the most as claimed in claim 1, it is characterised in that described In one locking part and described second locking part arbitrary or be all connected with guidance part.
There is the knee-joint prosthesis of filling block the most as claimed in claim 2, it is characterised in that described in lead The portion of drawing is slideway, and described first locking part is the abutment end of described slideway, and described second locking part is snap close, Described snap close is connected with gap.
There is the knee-joint prosthesis of filling block the most as claimed in claim 2, it is characterised in that described in lead The portion of drawing is slideway, and described first locking part and described second locking part are and are arranged on described ways-end Snap close.
There is the knee-joint prosthesis of filling block the most as claimed in claim 3, it is characterised in that described One installation portion is guide posts, and described second installation portion is reversing catch.
There is the knee-joint prosthesis of filling block the most as claimed in claim 4, it is characterised in that described One installation portion and described second installation portion are guide posts.
There is the knee-joint prosthesis of filling block the most as claimed in claim 1, it is characterised in that described in plant Bone coaming plate is connected with retainer ring on the position of described tibial plateau prosthese, and described tibial plateau is false It is provided with in connecting hole, described retainer ring and described connecting hole common on the position of the corresponding described retainer ring of body Wear connector, described bone grafting coaming plate and described tibial plateau prosthese to be fixed together.
There is the knee-joint prosthesis of filling block the most as claimed in claim 1, it is characterised in that described in plant Bone coaming plate is connected with retainer ring on the side away from described tibial plateau prosthese, wears in described retainer ring If connector, to be connected to described bone grafting coaming plate on tibia.
There is the knee-joint prosthesis of filling block the most as claimed in claim 1, it is characterised in that described in plant Bone coaming plate is banded structure, uses rigid material to make.
There is the knee-joint prosthesis of filling block the most as claimed in claim 1, it is characterised in that described Filling bone graft in bone grafting space, described bone graft is autologous bone, allograph bone or artificial bone.
CN201510087941.8A 2015-02-25 2015-02-25 Knee-joint prosthesis with filling block Active CN105982766B (en)

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CN105982766A true CN105982766A (en) 2016-10-05
CN105982766B CN105982766B (en) 2019-01-29

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111839822A (en) * 2020-08-31 2020-10-30 北京爱康宜诚医疗器材有限公司 Knee joint prosthesis

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CN2579375Y (en) * 2002-11-15 2003-10-15 黄国富 Buffer combined embedding type knee joint
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US20070179627A1 (en) * 2005-12-21 2007-08-02 Gustilo Ramon B Tibial component with a conversion module for a knee implant
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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111839822A (en) * 2020-08-31 2020-10-30 北京爱康宜诚医疗器材有限公司 Knee joint prosthesis

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