CN106344109A - Location guider for articular cartilage injury repair surgery - Google Patents

Location guider for articular cartilage injury repair surgery Download PDF

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Publication number
CN106344109A
CN106344109A CN201610832451.0A CN201610832451A CN106344109A CN 106344109 A CN106344109 A CN 106344109A CN 201610832451 A CN201610832451 A CN 201610832451A CN 106344109 A CN106344109 A CN 106344109A
Authority
CN
China
Prior art keywords
rod
locating rod
intraarticular
location
articular cartilage
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
CN201610832451.0A
Other languages
Chinese (zh)
Inventor
敖英芳
刘振龙
裴旭
胡晓青
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.)
Peking University Third Hospital
Original Assignee
Peking University Third Hospital
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 Peking University Third Hospital filed Critical Peking University Third Hospital
Priority to CN201610832451.0A priority Critical patent/CN106344109A/en
Publication of CN106344109A publication Critical patent/CN106344109A/en
Pending legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17Guides or aligning means for drills, mills, pins or wires
    • A61B17/1739Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B2017/564Methods for bone or joint treatment

Abstract

The invention relates to a location guider for articular cartilage injury repair surgery. The location guider comprises an intra-articular location rod, a handle, a sliding chute, an adjustable rod and a hollow location rod, wherein an intra-articular location head is arranged at one end of the intra-articular location rod, the other end of the intra-articular location rod is connected with the sliding chute through the handle, and the sliding chute is an arc sliding chute with the circle center located at the intra-articular location head; the adjustable rod comprises an arc rod in sliding fit with the arc sliding chute and a connection part arranged at one end of the arc rod, the adjustable rod is connected with the hollow location rod through the connection part, and the tail end of the hollow location rod points to the intra-articular location head. The location guider can quickly and accurately locate a bone tunnel position, is particularly applicable to patella cartilage repair, can obviously improve the surgical efficiency, shorten the surgical time and reduce patient surgical risk and provides mechanical support for cartilage transplantation repair surgery.

Description

A kind of prosthetic locating guider of articular cartilage damage
Technical field
The present invention relates to a kind of prosthetic locating guider of articular cartilage damage, belong to medical instruments field.
Background technology
Due to a lack of blood supply, innervation and lymphatic return, chondrocyte only accounts for articular cartilage to the articular cartilage of human body The 1-5% of volume, the reason such as chondrocyte division growth inferior capabilities, cause the self-repairing capability of cartilage injury poor.Close After section cartilage injury, if can not timely and effectively treat, osteoarthritis may be further developed into, to patient and society's band Carry out white elephant.
Articular cartilage damage still lacks more effective Therapeutic Method at present, and existing therapy includes expectant treatment and operation is controlled Treat, operative treatment includes microfrature and skin grafing and mending, because simple to operate, current clinical practice is wide for microfrature, but Its long-term effect is unsatisfactory and is not suitable for large area cartilage injury.Skin grafing and mending be cartilage injury reparation bring new Wish, current graft includes many kinds, can be used for clinical inclusion chondrocyte induction regeneration membrane, decalcification bone supporting stand, fibrin Glue support etc..Carry out skin grafing and mending art under arthroscope and organizational project prothesiss have the advantages that wound is little, it is fast to recover.Graft Fixed form have multiple, wherein, position Da Gu road, nail afterwards or the fixation of bone bridge be one of mode the most firm. But because joint inner structure is more complicated, during Da Gu road, positioning has a larger difficulty, and clinically lack special soft at present Bone Defect Repari bone road alignment system, has a strong impact on the process of operation technique, extends operating time, increased the operation risk of patient.
Content of the invention
For the problems referred to above, it is an object of the invention to provide a kind of prosthetic locating guider of articular cartilage damage.
For achieving the above object, the present invention employs the following technical solutions: a kind of prosthetic positioning of articular cartilage damage is led To device it is characterised in that: include intraarticular locating rod, handle, chute, adjustable lever and hollow locating rod;Described joint is default One end of position bar is provided with intraarticular positioning head, and the other end of described intraarticular locating rod connects described cunning by described handle Groove, described chute adopts arc chute, and the center of circle of described arc chute falls on described intraarticular positioning head;Described adjustable lever Including the connection member with the described arc chute bow being slidably matched and the one end being arranged on described bow, described adjustable Pole is connected with described hollow locating rod by described connection member, and the end described joint of sensing of described hollow locating rod is default Potential head.
First screw hole is provided with described chute, described first screw hole is provided with the first lock-screw.
Described connection member is the contiguous block with through hole;Described hollow locating rod passes through the described logical of described contiguous block Hole;The side of described contiguous block is provided with the second screw hole communicating with described through hole, described second screw hole is installed There is the second lock-screw.
Described intraarticular positioning head is the blunt probe of surface circle.
The one end deviating from described intraarticular positioning head in described hollow locating rod is provided with the head of rounded cap shape, in described head Centre bore is provided with portion, described centre bore is communicated with the inner chamber of described hollow locating rod.
Described handle is provided with four semicircle pore structures towards the side of described intraarticular locating rod.
Due to taking above technical scheme, it has the advantage that the present invention can quickly be accurately positioned bone road to the present invention Position, is particularly suited for Patella Cartilage reparation, can significantly improve procedure efficiency, shortens operating time, reduces corrective surgery wind Danger, provides apparatus to support for cartilage transplantation prothesiss.
Brief description
Fig. 1 is the perspective view of the present invention;
Fig. 2 is the main structure diagram of the present invention;
Fig. 3 is the overlooking the structure diagram of the present invention;
Fig. 4 is the left view structural representation of the present invention.
Specific embodiment
With reference to the accompanying drawings and examples the present invention is described in detail.
As shown in figures 1-4, the present invention proposes a kind of prosthetic locating guider of articular cartilage damage, including joint Interior locating rod 1, handle 2, chute 3, adjustable lever 4 and hollow locating rod 5.Wherein, one end setting of intraarticular locating rod 1 is relevant Positioning head 6 in section, the other end of intraarticular locating rod 1 connects chute 3 by handle 2, and chute 3 adopts arc chute, its center of circle Fall on intraarticular positioning head 6.Adjustable lever 4 is included the bow 4-1 being slidably matched with arc chute and is arranged on bow Connection member 4-2 of one end of 4-1, adjustable lever 4 is connected with hollow locating rod 5 by connection member 4-2, hollow locating rod 5 End point to intraarticular positioning head 6.
Further, chute 3 is provided with screw hole, lock-screw 7 is provided with screw hole, for by bow 4-1 is locked in the optional position in chute 3.
Further, connection member 4-2 is the contiguous block with through hole, and hollow locating rod 5 passes through the through hole of contiguous block;? The side of contiguous block is provided with the screw hole communicating with through hole, is provided with lock-screw 8 on screw hole, for by hollow positioning Bar 5 locks optional position in through-holes.
Further, intraarticular positioning head 6 is the blunt probe of surface circle, and its effect is to be accurately positioned defect to need Zuan Gu road Position, the blunt probe of circle contributes to avoiding doctor source when patient detects at using intraarticular locating rod 1 to cartilage defect Property cartilage injury.
Further, the one end deviating from intraarticular positioning head 6 in hollow locating rod 5 is provided with the head 9 of rounded cap shape, in head Centre bore is provided with portion 9, centre bore is communicated with the inner chamber of hollow locating rod 5.
Further, handle 2 is provided with four semicircle pore structures towards the side of intraarticular locating rod 1, when doctor holds During handle 2, four fingers in addition to thumb for the patient can be placed at four semicircle pore structures, so that patient is more securely held Live in the present invention, thus improving the steadiness of follow-up Zuan Gu road operation.
The using method of the present invention is as follows:
1) intraarticular locating rod 1 is delivered to and is detected at articular defect by the hand-held handle of patient 2;
2) repeatedly adjust position on chute 3 for the adjustable lever 4, make line that probe 6 and hollow locating rod 5 constitute with soft Bone injury face is vertical, locks adjustable lever 4 with respect to the position of chute 3 afterwards;
3), after the angles and positions in Hao Zuangu road to be determined, intraarticular positioning head 6 is placed in the back side of cartilage as positioning Point, adjusts the position that hollow locating rod 5 is with respect to connection member 4-2 simultaneously, makes the end of hollow locating rod 5 to be drilled near cartilage The position in hole;
4) carry out Zuan Gu road using drill bit through hollow locating rod 5.
The various embodiments described above are merely to illustrate the present invention, and the structure of wherein each part, connected mode etc. are all can be Change, every equivalents carrying out on the basis of technical solution of the present invention and improvement, all should not exclude the present invention's Outside protection domain.

Claims (6)

1. a kind of prosthetic locating guider of articular cartilage damage it is characterised in that: include intraarticular locating rod, handle, cunning Groove, adjustable lever and hollow locating rod;One end of described intraarticular locating rod is provided with intraarticular positioning head, and described joint is default The other end of position bar passes through described handle and connects described chute, and described chute adopts arc chute, the center of circle of described arc chute Fall on described intraarticular positioning head;Described adjustable lever is included the bow being slidably matched with described arc chute and is arranged on The connection member of one end of described bow, described adjustable lever is connected with described hollow locating rod by described connection member, Described intraarticular positioning head is pointed in the end of described hollow locating rod.
2. as claimed in claim 1 a kind of prosthetic locating guider of articular cartilage damage it is characterised in that: in described cunning First screw hole is provided with groove, described first screw hole is provided with the first lock-screw.
3. as claimed in claim 1 or 2 a kind of prosthetic locating guider of articular cartilage damage it is characterised in that: described Connection member is the contiguous block with through hole;Described hollow locating rod passes through the described through hole of described contiguous block;In described connection The side of block is provided with the second screw hole communicating with described through hole, is provided with the second locking screw on described second screw hole Nail.
4. as claimed in claim 1 or 2 a kind of prosthetic locating guider of articular cartilage damage it is characterised in that: described Intraarticular positioning head is the blunt probe of surface circle.
5. as claimed in claim 1 or 2 a kind of prosthetic locating guider of articular cartilage damage it is characterised in that: in institute State hollow locating rod and deviate from one end of described intraarticular positioning head and be provided with the head of rounded cap shape, during described head is provided with Heart hole, described centre bore is communicated with the inner chamber of described hollow locating rod.
6. as claimed in claim 1 or 2 a kind of prosthetic locating guider of articular cartilage damage it is characterised in that: described Handle is provided with four semicircle pore structures towards the side of described intraarticular locating rod.
CN201610832451.0A 2016-09-19 2016-09-19 Location guider for articular cartilage injury repair surgery Pending CN106344109A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201610832451.0A CN106344109A (en) 2016-09-19 2016-09-19 Location guider for articular cartilage injury repair surgery

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201610832451.0A CN106344109A (en) 2016-09-19 2016-09-19 Location guider for articular cartilage injury repair surgery

Publications (1)

Publication Number Publication Date
CN106344109A true CN106344109A (en) 2017-01-25

Family

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Family Applications (1)

Application Number Title Priority Date Filing Date
CN201610832451.0A Pending CN106344109A (en) 2016-09-19 2016-09-19 Location guider for articular cartilage injury repair surgery

Country Status (1)

Country Link
CN (1) CN106344109A (en)

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109171881A (en) * 2018-09-30 2019-01-11 江苏荷普医疗科技股份有限公司 Three-dimensional target is to guider
CN109567924A (en) * 2017-09-28 2019-04-05 董文伟 Patella fracture tension band is closed device for posting and operation method
IT201900012318A1 (en) * 2019-07-18 2021-01-18 Smith & Nephew Inc GUIDE GROUP FOR CORACOID DRILL AND RELATIVE METHODS OF USE

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20120253352A1 (en) * 2010-12-02 2012-10-04 Graham Smith Reconstructive joint tunnel drilling locator
CN102949216A (en) * 2011-08-24 2013-03-06 德普伊米特克公司 Cross pinning guide devices and methods
US20130282016A1 (en) * 2006-10-30 2013-10-24 Depuy Mitek, Llc Methods and devices for ligament repair
CN103476350A (en) * 2011-01-28 2013-12-25 史密夫和内修有限公司 Surgical aiming device
CN105455872A (en) * 2014-09-30 2016-04-06 美多斯国际有限公司 Surgical Guide for Use in Ligament Repair Procedures
CN206463037U (en) * 2016-09-19 2017-09-05 北京大学第三医院 The locating guider of articular cartilage damage prosthetic

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20130282016A1 (en) * 2006-10-30 2013-10-24 Depuy Mitek, Llc Methods and devices for ligament repair
US20120253352A1 (en) * 2010-12-02 2012-10-04 Graham Smith Reconstructive joint tunnel drilling locator
CN103476350A (en) * 2011-01-28 2013-12-25 史密夫和内修有限公司 Surgical aiming device
CN102949216A (en) * 2011-08-24 2013-03-06 德普伊米特克公司 Cross pinning guide devices and methods
CN105455872A (en) * 2014-09-30 2016-04-06 美多斯国际有限公司 Surgical Guide for Use in Ligament Repair Procedures
CN206463037U (en) * 2016-09-19 2017-09-05 北京大学第三医院 The locating guider of articular cartilage damage prosthetic

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109567924A (en) * 2017-09-28 2019-04-05 董文伟 Patella fracture tension band is closed device for posting and operation method
CN109567924B (en) * 2017-09-28 2024-02-06 宁波大学附属第一医院 Patella fracture tension band closed imbedding device and operation method
CN109171881A (en) * 2018-09-30 2019-01-11 江苏荷普医疗科技股份有限公司 Three-dimensional target is to guider
IT201900012318A1 (en) * 2019-07-18 2021-01-18 Smith & Nephew Inc GUIDE GROUP FOR CORACOID DRILL AND RELATIVE METHODS OF USE
EP3766439A1 (en) * 2019-07-18 2021-01-20 Smith & Nephew, Inc. Coracoid drill guide assembly
US11284909B2 (en) 2019-07-18 2022-03-29 Smith & Nephew, Inc. Coracoid drill guide assembly

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Application publication date: 20170125

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