CN106580394A - Osteotomy guide plate assembly - Google Patents
Osteotomy guide plate assembly Download PDFInfo
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- CN106580394A CN106580394A CN201611090018.0A CN201611090018A CN106580394A CN 106580394 A CN106580394 A CN 106580394A CN 201611090018 A CN201611090018 A CN 201611090018A CN 106580394 A CN106580394 A CN 106580394A
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- guide plate
- osteotomy
- osteotomy guide
- head
- motion track
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- 210000000988 bone and bone Anatomy 0.000 claims abstract description 59
- 241000272814 Anser sp. Species 0.000 claims description 30
- 210000003689 pubic bone Anatomy 0.000 claims description 20
- 238000000034 method Methods 0.000 abstract description 8
- 230000008569 process Effects 0.000 abstract description 4
- 210000004197 pelvis Anatomy 0.000 description 57
- 210000004204 blood vessel Anatomy 0.000 description 7
- 210000005036 nerve Anatomy 0.000 description 6
- 210000001549 wing of ilium Anatomy 0.000 description 5
- 238000013461 design Methods 0.000 description 4
- 239000000203 mixture Substances 0.000 description 4
- 230000006378 damage Effects 0.000 description 3
- 238000010030 laminating Methods 0.000 description 3
- 238000001356 surgical procedure Methods 0.000 description 3
- 230000008859 change Effects 0.000 description 2
- 238000011161 development Methods 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 210000004394 hip joint Anatomy 0.000 description 2
- 239000007787 solid Substances 0.000 description 2
- 210000001835 viscera Anatomy 0.000 description 2
- 238000010146 3D printing Methods 0.000 description 1
- 208000035126 Facies Diseases 0.000 description 1
- 206010058046 Post procedural complication Diseases 0.000 description 1
- 206010067268 Post procedural infection Diseases 0.000 description 1
- 208000035965 Postoperative Complications Diseases 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 230000001934 delay Effects 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 238000002224 dissection Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000011156 evaluation Methods 0.000 description 1
- 210000003099 femoral nerve Anatomy 0.000 description 1
- 238000002594 fluoroscopy Methods 0.000 description 1
- 210000003692 ilium Anatomy 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 230000001788 irregular Effects 0.000 description 1
- 210000002239 ischium bone Anatomy 0.000 description 1
- 210000003141 lower extremity Anatomy 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 210000004239 obturator nerve Anatomy 0.000 description 1
- 238000007639 printing Methods 0.000 description 1
- 230000005855 radiation Effects 0.000 description 1
- 230000002285 radioactive effect Effects 0.000 description 1
- 238000004153 renaturation Methods 0.000 description 1
- 230000008439 repair process Effects 0.000 description 1
- 210000003497 sciatic nerve Anatomy 0.000 description 1
- 238000004088 simulation Methods 0.000 description 1
- 230000000007 visual effect Effects 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/14—Surgical saws ; Accessories therefor
- A61B17/15—Guides 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
-
- 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
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medical Informatics (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Veterinary Medicine (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Dentistry (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Surgical Instruments (AREA)
Abstract
The invention provides an osteotomy guide plate assembly, comprising an osteotomy guide plate used to be mounted on the first preset position of a to-be-cut bone. The osteotomy guide plate is provided with a sawing channel used to guide and limit moving track of an oscillating saw, so that the oscillating saw moves in the sawing channel to cut the preset position of the to-be-cut bone. Using the osteotomy guide plate assembly of the technical scheme, through arranging the osteotomy guide plate, the osteotomy guide plate is arranged on the first preset position of the to-be-cut bone. The osteotomy guide plate is provided with the sawing channel used to guide and limit moving track of the oscillating saw, so that the oscillating saw moves in the sawing channel to cut the preset position of the to-be-cut bone. In a Ganz osteotomy, the osteotomy guide plate assembly can accurately position an osteotomy track, reduces degree of dependency on experience of a doctor, so that an operation process is standardized, and is accurate and repeatable, and problems in the prior art that a Ganz osteotomy mainly relays on experience of a doctor, and that precision and repeatability are hard to guarantee and risk is high are solved.
Description
Technical field
The present invention relates to area of medical devices, in particular to a kind of osteotomy guide plate component.
Background technology
Ganz osteotomies are the Periacetabular osteotomies that nineteen eighty-three is started by the Ganz doctor of Bern, SUI hospital.Ganz
Osteotomy changes the direction of acetabular bone covering, increased hip joint to capital area coverage so that young acetabular development
Bad patient delays or even avoids prosthetic replacement significantly.
Because pelvis is made up of the cancellous bone of easily bleeding, the various internal organs of human body are deeply surrounded and protect.And by ilium
The acetabular bone part of the pelvis that bone, pubis and ischium are constituted in a ring is located at the depths of pelvis, is around dispersed with most abundant blood vessel
The femoral nerve important with lower limb, obturator nerve and sciatic nerve.
The most dangerous step of Ganz osteotomies is that among more than ten to two ten centimeters of acetabular bone Curved osteotomy, have half even
2/3rds is that saw bone is carried out with consummate dissection grounding in basic skills or under C-arm x-ray fluoroscopy.Due to Ganz osteotomies difficulty height, wind
Danger is big, is described in " Mountain Everest " for bone surgery field.Thus, this operation has at a relatively high technique approval threshold,
Hamper the popularization of the technology.
It can be seen that, Ganz osteotomies of the prior art have the disadvantage that：
(1) Ganz osteotomies difficulty is high, and risk is big, and postoperative complication easily occurs, and doctors experience is had high demands；
(2) when osteotomy is with rotating and putting nail process, substantial amounts of perspective is carried out, increases operating time, increase radioactive exposure；
(3) osteotomy site and the anglec of rotation depend on the empirical evaluation of doctor, lack accuracy and repeatability.
The content of the invention
Present invention is primarily targeted at provide a kind of osteotomy guide plate component, to solve prior art in carry out Ganz osteotomy
Experience during art mainly by doctor is operated, the problem that accuracy is difficult to ensure that with repeatability and risk is larger.
To achieve these goals, a kind of content of the invention, there is provided osteotomy guide plate component, including：Osteotomy is led
Plate, for installed in the first predetermined position for treating osteotomy head, goose saw moving rail being offered for guiding and limiting on osteotomy guide plate
The kerf of mark, so that goose saw moves to cut down the predetermined portions for treating osteotomy head in kerf.
Further, osteotomy guide plate component also includes：Reset guide plate, for installed in the second reservations for treating osteotomy head
Position, the predetermined portions for treating osteotomy head for cutting down is repositioned at and is treated on osteotomy head.
Further, osteotomy guide plate component also includes：Nail guide plate is put, for installed in the 3rd reservations for treating osteotomy head
Position, so that fixing screws retighten the predetermined portions for treating osteotomy head having good positioning through reset guide plate.
Further, osteotomy guide plate includes：Outside osteotomy guide plate, for being arranged on the first osteotomy surface for treating osteotomy head,
To guide and goose saw is limited along the first default motion track movement；Pubis osteotomy guide plate, for being fixed on the first of osteotomy head is treated
On osteotomy surface, to guide and goose saw is limited along the second default motion track movement；Wherein, the first default motion track and second pre-
If the complete motion track that motion track composition goose saw cuts down the predetermined portions for treating osteotomy head.
Further, osteotomy guide plate in outside is the plate body matched with the first default motion track, and kerf is pre- along first
If motion track is opened in the osteotomy guide plate of outside.
Further, it is provided with positioning screw hole on outside osteotomy guide plate and pubis osteotomy guide plate.
Further, osteotomy guide plate includes：First inner side osteotomy guide plate, the second inner side osteotomy guide plate, the 3rd inner side osteotomy
Guide plate and the 4th inner side osteotomy guide plate, the first inner side osteotomy guide plate, the second inner side osteotomy guide plate, the 3rd inner side osteotomy guide plate and
Four inner side osteotomy guide plates are used to be arranged on the second osteotomy surface for treating osteotomy head；First inner side osteotomy guide plate, the second inner side osteotomy
Guide plate and the 3rd inner side osteotomy guide plate are used to guide and limit goose saw along the first default motion track movement, and the 4th inner side osteotomy is led
Plate is used to guide and limit goose saw along the second default motion track movement；Wherein, the first default motion track and the second default shifting
The complete motion track that dynamic rail mark composition goose saw cuts down the predetermined portions for treating osteotomy head.
Further, the first inner side osteotomy guide plate, the second inner side osteotomy guide plate and the 3rd inner side osteotomy guide plate are strip
Body, kerf is opened in the first inner side osteotomy guide plate, the second inner side osteotomy guide plate and the 3rd inner side and cuts along the first default motion track
In bone conduction plate.
Further, the first inner side osteotomy guide plate, the second inner side osteotomy guide plate, the 3rd inner side osteotomy guide plate and the 4th inner side
Positioning screw hole is provided with osteotomy guide plate.
Further, reset guide plate is multiple, and multiple reset guide plates are arranged at intervals treats that osteotomy head is pre- with what is cut down
Treated on osteotomy head so that the predetermined portions for treating osteotomy head for cutting down are repositioned on fixed part.
Further, reset guide plate have with treat the first connection end that osteotomy head is connected and with cut down treat osteotomy head
Second connection end of predetermined portions connection, on the first connection end and the second connection end positioning screw hole is offered.
Further, put and have on nail guide plate draw-in groove with the edge clamping for treating osteotomy head, the bottom of draw-in groove has to putting
What the outside of nail guide plate extended puts nail, has the positioning screw hole extended to the outside for putting nail guide plate on the side wall of draw-in groove.
Using the osteotomy guide plate component of technical solution of the present invention, by arranging osteotomy guide plate, osteotomy guide plate is arranged on to be waited to cut
First predetermined position of bone, offers for guiding and limits the kerf of goose saw motion track on osteotomy guide plate, so that goose saw
Move to cut down the predetermined portions for treating osteotomy head in kerf.So as to can be to osteotomy rail during Ganz osteotomies are carried out
Mark is accurately positioned, and reduces the dependency degree to doctors experience, makes surgical procedure standardization, precision, repeatableization, is solved
Experience when Ganz osteotomies are carried out in prior art mainly by doctor is operated, and accuracy and repeatability are difficult to ensure that
And the larger problem of risk.
Description of the drawings
The Figure of description for constituting the part of the application is used for providing a further understanding of the present invention, and the present invention's shows
Meaning property embodiment and its illustrated for explaining the present invention, does not constitute inappropriate limitation of the present invention.In the accompanying drawings：
Fig. 1 is the use state structural representation of optional outside osteotomy guide plate according to embodiments of the present invention；
Fig. 2 is the structural representation of optional outside osteotomy guide plate according to embodiments of the present invention；
Fig. 3 is the cross-sectional view of optional outside osteotomy guide plate according to embodiments of the present invention；
Fig. 4 is the use state structural representation of optional three inner sides osteotomy guide plate according to embodiments of the present invention；
Fig. 5 is the use state structural representation of optional another inner side osteotomy guide plate according to embodiments of the present invention；
Fig. 6 is the use state structural representation of optional reset guide plate according to embodiments of the present invention；
Fig. 7 is the structural representation of optional reset guide plate according to embodiments of the present invention；
Fig. 8 is optional reset guide plate according to embodiments of the present invention and the use state structural representation for putting nail guide plate；With
And
Fig. 9 is the structural representation for optionally putting nail guide plate according to embodiments of the present invention.
Wherein, above-mentioned accompanying drawing is marked including the following drawings：
10th, osteotomy guide plate；11st, kerf；12nd, outside osteotomy guide plate；13rd, pubis osteotomy guide plate；14th, the first inner side osteotomy is led
Plate；15th, the second inner side osteotomy guide plate；16th, the 3rd inner side osteotomy guide plate；17th, the 4th inner side osteotomy guide plate；20th, reset guide plate；
30th, nail guide plate is put；40th, positioning screw hole；50th, nail is put；60th, Positioning screw；70th, fixing screws.
Specific embodiment
It should be noted that in the case where not conflicting, the feature in embodiment and embodiment in the application can phase
Mutually combination.Below with reference to the accompanying drawings and in conjunction with the embodiments describing the present invention in detail.
Osteotomy guide plate component according to embodiments of the present invention, as shown in Figure 1, Figure 4 and Figure 5, including：Osteotomy guide plate 10, cuts
Bone conduction plate 10 is used to be arranged on the first predetermined position for treating osteotomy head, and goose saw is offered for guiding and limited on osteotomy guide plate 10
The kerf 11 of motion track, so that goose saw moves to cut down the predetermined portions for treating osteotomy head in kerf 11.
Using the osteotomy guide plate component of technical solution of the present invention, by arranging osteotomy guide plate 10, osteotomy guide plate 10 is arranged on
The first predetermined position of osteotomy head is treated, the kerf 11 of goose saw motion track is offered for guiding and limited on osteotomy guide plate 10,
So that goose saw moves to cut down the predetermined portions for treating osteotomy head in kerf 11.So as to the energy during Ganz osteotomies are carried out
It is enough that osteotomy track is accurately positioned, reduce the dependency degree to doctors experience, make surgical procedure standardization, precision, can weigh
Complexification, solves when Ganz osteotomies are carried out in prior art and mainly to be operated by the experience of doctor, accuracy and can be again
The problem that renaturation is difficult to ensure that and risk is larger.
After the completion of Ganz osteotomy osteotomy, in order to will be repositioned to change covering for acetabular bone by the acetabular bone cut down on pelvis
The direction of lid, increases hip joint to capital area coverage, alternatively, as shown in fig. 6, osteotomy guide plate component also include for
The reset guide plate 20 positioned to acetabular bone, reset guide plate 20 is used to be arranged on the second predetermined position for treating osteotomy head, will cut
Under the predetermined portions for treating osteotomy head be repositioned at and treat on osteotomy head.Specifically, during Ganz osteotomies, acetabular bone is entered
When row is repositioned, reset guide plate 20 is arranged between the acetabular bone and pelvis for cutting down, and one end of reset guide plate 20 is connected with acetabular bone
Fixed, the other end and the pelvis of reset guide plate 20 are connected, so as to the acetabular bone for cutting down be repositioned.
Reset guide plate 20 is multiple, and multiple reset guide plates 20 are arranged on treat osteotomy head and the predetermined portions for cutting down at intervals
On.In the present embodiment reset guide plate 20 is two, as shown in fig. 7, each reset guide plate 20 has first be connected with pelvis
Connection end and the second connection end being connected with acetabular bone, by connection plate body connection between the first connection end and the second connection end,
Each reset guide plate 20 is connected across between pelvis and acetabular bone, the end surface shape link position corresponding with pelvis of the first connection end
The surface configuration at place matches, the surface configuration phase at the end surface shape link position corresponding with acetabular bone of the second connection end
Match somebody with somebody, ensure that reset guide plate 20 and pelvis and acetabular bone good fit and position is unique.In the first connection end and the second connection end
On offer positioning screw hole 40, by the way that Positioning screw 60 is positioned on reset guide plate 20 through corresponding positioning screw hole 40
And be fixed on pelvis and acetabular bone.
After the completion of positioning, in order to the acetabular bone having good positioning is connected with pelvis again, alternatively, as shown in figure 8, cutting
Bone conduction board component also includes putting nail guide plate 30, and putting nail guide plate 30 is used to be arranged on the 3rd predetermined position for treating osteotomy head, so that solid
Determine screw 70 to retighten the predetermined portions for treating osteotomy head having good positioning through reset guide plate 20.Specifically, as shown in figure 9,
The draw-in groove having on nail guide plate 30 with the edge clamping for treating osteotomy head is put, the bottom of draw-in groove has to the outside for putting nail guide plate 30 prolongs
That what is stretched puts nail 50, has the positioning screw hole 40 extended to the outside for putting nail guide plate 30 on the side wall of draw-in groove.The bottom land of draw-in groove
Face is the Irregular Boundary Surface matched with hyperpelvic alaossisilii, so as to uniquely determine with the position of the deep wing.Put nail 50
Bearing of trend points to acetabular bone.
During Ganz osteotomies, when the acetabular bone to cutting down is retightened, nail guide plate 30 will be put and be positioned at pelvis edge
Alaossisilii at correct position, first by Positioning screw 60 through each corresponding positioning screw hole 40 will put nail guide plate 30
Position and fix, then pelvis and the acetabular bone for cutting down are connected into solid by fixing screws 70 through the nail 50 of putting put on nail guide plate 30
It is scheduled on together.
In Ganz osteotomies, osteotomy can be carried out from the outside or inner side of pelvis according to specific needs.It is of the invention based on this
There is provided from the outside of pelvis carries out the osteotomy guide plate of osteotomy and carries out the osteotomy guide plate of osteotomy from pelvis inner side.
Embodiment 1：
As shown in figure 1, osteotomy guide plate 10 includes：Outside osteotomy guide plate 12 and pubis osteotomy guide plate 13, outside osteotomy guide plate
12 and pubis osteotomy guide plate 13 be used to be arranged on treat on the first osteotomy surface of osteotomy head, the first osteotomy surface for pelvis outside
Face, outside osteotomy guide plate 12 with plane and guide plate lower plane on guide plate, with installation outside osteotomy on pelvis lead by guide plate lower plane
Surface configuration at the position of plate 12 matches, it is ensured that outside osteotomy guide plate 12 is with pelvis good fit and position is unique.
Alternatively, as shown in Figures 2 and 3, outside osteotomy guide plate 12 is the tabular matched with the first default motion track
Body, outside osteotomy guide plate 12 forms the spill plate body of a side opening, and outside osteotomy guide plate 12 is arranged around acetabular bone, kerf 11
It is opened in outside osteotomy guide plate 12 along the first default motion track.
Outside osteotomy guide plate 12 is guided and limits goose saw presets motion track movement along the first of Periacetabular；Pubis osteotomy
Guide plate 13 is guided and limits goose saw presets motion track movement along the second of Periacetabular；Wherein, the first default motion track and
The complete motion track that second default motion track composition goose saw cuts down acetabular bone from pelvis.The guide plate of outside osteotomy guide plate 12
Upper plane is equal along the beeline of the direction of kerf 11 to pelvis medial surface, so as to control goose saw length in the case of, energy
Enough ensure that goose saw will not hurt blood vessel and nerve on the inside of pelvis.
It is optional in order to effectively be positioned and fixed outside osteotomy guide plate 12 and pubis osteotomy guide plate 13 on pelvis
Ground, on outside osteotomy guide plate 12 and pubis osteotomy guide plate 13 positioning screw hole 40 is provided with, and positioning screw hole 40 is provided with
It is multiple, by by Positioning screw 60 through each corresponding positioning screw hole 40 by outside osteotomy guide plate 12 and pubis osteotomy guide plate
13 are located and fixed within the relevant position on the outside of pelvis, after acetabular bone is intercepted from pelvis, by outside osteotomy guide plate 12
Remove with pubis osteotomy guide plate 13.
Embodiment 2：
Except intercepting acetabular bone in pelvis lateral surface, it is also possible to intercept acetabular bone from the medial surface of pelvis.Alternatively, such as Fig. 4 and
Shown in Fig. 5, osteotomy guide plate 10 includes：First inner side osteotomy guide plate 14, the second inner side osteotomy guide plate 15, the 3rd inner side osteotomy guide plate
16 and the 4th inner side osteotomy guide plate 17, the first inner side osteotomy guide plate 14, the second inner side osteotomy guide plate 15, the 3rd inner side osteotomy guide plate
16 and the 4th inner side osteotomy guide plate 17 be used to be arranged on the second osteotomy surface for treating osteotomy head, i.e., installed in the medial surface of pelvis
On；First inner side osteotomy guide plate 14, the second inner side osteotomy guide plate 15 and the 3rd inner side osteotomy guide plate 16 are used to guiding and limiting pendulum
Saw and preset motion track movement along the first of Periacetabular, the 4th inner side osteotomy guide plate 17 is used to guide and limit goose saw along acetabular bone
The default motion track movement of the second of surrounding；Wherein, the first default motion track and the second default motion track composition goose saw will
The complete motion track that acetabular bone cuts down from pelvis.The first default motion track in the present embodiment is pre- with first in embodiment 1
If track mutually corresponds to, the second default motion track in the present embodiment is corresponding with the in embodiment 1 second default motion track.
First inner side osteotomy guide plate 14, the second inner side osteotomy guide plate 15, the 3rd inner side osteotomy guide plate 16 and the 4th inner side osteotomy guide plate 17
Thickness less than the outside osteotomy guide plate 12 in embodiment 1 thickness.
Alternatively, the first inner side osteotomy guide plate 14, the second inner side osteotomy guide plate 15 and the 3rd inner side osteotomy guide plate 16 are
Strip shape body, kerf is opened in the first inner side osteotomy guide plate 14, the second inner side osteotomy guide plate 15 and the along the first default motion track
In three inner side osteotomy guide plates 16, the first inner side osteotomy guide plate 14, the second inner side osteotomy guide plate 15 and the 3rd inner side osteotomy guide plate 16
Arrange around acetabular bone, the kerf 11 on the 4th inner side osteotomy guide plate 17 is arranged on the 4th inner side and cuts along the second default motion track
In bone conduction plate 17, goose saw presets motion track movement so as to acetabular bone be cut from pelvis along the first default motion track and second
Under.
In order to effectively by the first inner side osteotomy guide plate 14, the second inner side osteotomy guide plate 15, the 3rd inner side osteotomy guide plate 16
Positioned and fixed on osteotomy head is treated with the 4th inner side osteotomy guide plate 17, first inner side the 14, second inner side of osteotomy guide plate is cut
Positioning screw hole 40 is provided with bone conduction plate 15, the 3rd inner side osteotomy guide plate 16 and the 4th inner side osteotomy guide plate 17.Positioning spiral shell
Nail 40 be provided with it is multiple, by by Positioning screw 60 through each corresponding positioning screw hole 40 by the first inner side osteotomy guide plate
14th, the second inner side osteotomy guide plate 15, the 3rd inner side osteotomy guide plate 16 and the 4th inner side osteotomy guide plate 17 are located and fixed within pelvis
The relevant position of inner side, after acetabular bone is intercepted from pelvis, outside osteotomy guide plate 12 and pubis osteotomy guide plate 13 are removed.
Before Ganz osteotomies, planned by CT data, determined osteotomy site and acetabular bone rotation mode, and designed
The osteotomy guide plate component matched with patient's pelvis and acetabular bone.Pelvis and osteotomy guide plate component are printed by 3D printing technique, is used
The pelvis of printing and osteotomy guide plate component simulation acetabular bone osteotomy, the process for resetting and putting nail, confirm that osteotomy guide plate is designed and printed
Correctly, operation can well be completed.
During operation is carried out, outside osteotomy guide plate 12 and pubis osteotomy guide plate 13 are positioned over corresponding on the outside of pelvis
Position, mobile outside osteotomy guide plate 12 and pubis osteotomy guide plate 13, find the guide plate lower plane and pelvis of outside osteotomy guide plate 12
The most suitable position of outer surface laminating degree and pubis osteotomy guide plate 13 and the most suitable position of pelvis outer surface laminating degree, as
Design attitude, then with Positioning screw 60 along outside osteotomy guide plate 12 and the positioning screw hole 40 dozens of pubis osteotomy guide plate 13
Enter, outside osteotomy guide plate 12 and pubis osteotomy guide plate 13 are fixed on pelvis.Then with the goose saw of limited length along kerf
11 row acetabular bone osteotomy, acetabular bone is dissociated from pelvis, and the process will not damage the blood vessel and nerve of pelvis inner side plane.
Inner side osteotomy guide plate may also be employed carries out acetabular bone osteotomy from pelvis inner side.Concrete mode is, by pelvis inner side internal organ
Push aside, and the blood vessel on the inside of pelvis, nerve etc. are pushed aside from pelvis, then the first inner side osteotomy guide plate 14 is positioned over into pelvis
The relevant position of inner side, mobile first inner side osteotomy guide plate 14 is found in the lower plane of the first inner side osteotomy guide plate 14 and pelvis
The most suitable position of side laminating degree, as design attitude, are then squeezed into Positioning screw 60 along positioning screw hole 40, by first
Inner side osteotomy guide plate 14 is fixed on pelvis, is then cut along the row acetabular bone of kerf 11 on the first inner side osteotomy guide plate 14 with goose saw
Bone.Next, according to said method successively using the second inner side osteotomy guide plate 15, the 3rd inner side osteotomy guide plate 16 and the 4th inner side
Osteotomy guide plate 17 carries out osteotomy, and acetabular bone is dissociated from pelvis.Using the first inner side osteotomy guide plate 14, the second inner side osteotomy guide plate
15th, the 3rd inner side osteotomy guide plate 16 and the 4th inner side osteotomy guide plate 17 carry out acetabular bone osteotomy on the inside of pelvis, are on the inside of pelvis
Blood vessel and nerve it is visual in the case of carry out, security is higher, and the danger of destruction nerve and blood vessel is less.
After the completion of acetabular bone osteotomy, from pelvis outside osteotomy guide plate 12 and pubis osteotomy guide plate 13 or the first inner side osteotomy are pulled down
Guide plate 14, the second inner side osteotomy guide plate 15, the 3rd inner side osteotomy guide plate 16 and the 4th inner side osteotomy guide plate 17.Two resets are led
Plate 20 is separately mounted on pelvis and acetabular bone by Positioning screw 60, makes the lower plane of the reset guide plate 20 near alaossisilii side
It is brought into close contact with corresponding facies pelvina, now acetabular bone just rotates and be moved to the position with pelvis setting.
Finally, will put and follow closely the relevant position that guide plate 30 is placed in alaossisilii, nail guide plate 30 is put in movement, find and put nail guide plate 30
The groove bottom of draw-in groove is fitted most suitable position with the surface at alaossisilii, as design attitude, then with the edge of Positioning screw 60
Positioning screw hole 40 squeeze into will put nail guide plate 30 be located and fixed within pelvis.Then by the good respective diameters of Design and length
The fixing screws 70 of degree are retightened acetabular bone with pelvis along putting nail 50 and insert.Pull down two reset guide plates 20 and put nail and lead
Plate 30 completes GANZ osteotomies.
The osteotomy guide plate component of the embodiment of the present invention has reached following technique effect：
1., by depth or blood vessel, the stripping of nerve of control osteotomy guide plate, the operation of GANZ osteotomies is substantially reduced
Risk；
2. by preoperative planning and guide plate system, operating time is substantially reduced, reduce the risk of postoperative infection.
3. the use of guide plate system, reduces requirement of the operation to doctors experience, and the doctor that can be done increases, so that suitable
The disease patient is answered to perform the operation in time, it is to avoid further development；
4. osteotomy and rotation and put during nail, it is no longer necessary to substantial amounts of perspective, it is to avoid substantial amounts of perspective radiation is to suffering from
Person and the damage of medical personnel.
The preferred embodiments of the present invention are the foregoing is only, the present invention is not limited to, for the skill of this area
For art personnel, the present invention can have various modifications and variations.It is all within the spirit and principles in the present invention, made any repair
Change, equivalent, improvement etc., should be included within the scope of the present invention.
Claims (12)
1. a kind of osteotomy guide plate component, it is characterised in that include：
Osteotomy guide plate (10), for installed in the first predetermined position for treating osteotomy head, on the osteotomy guide plate (10) use being offered
In guiding and limiting the kerf (11) of goose saw motion track, so that the goose saw moves to be treated described in the kerf (11)
The predetermined portions of osteotomy head cut down.
2. osteotomy guide plate component according to claim 1, it is characterised in that the osteotomy guide plate component also includes：
Reset guide plate (20), for treating osteotomy head described in installed in second predetermined position for treating osteotomy head, cutting down
Predetermined portions be repositioned at described treating on osteotomy head.
3. osteotomy guide plate component according to claim 2, it is characterised in that the osteotomy guide plate component also includes：
Nail guide plate (30) is put, for installed in the 3rd predetermined position for treating osteotomy head, so that fixing screws (70) will be passed through
What the reset guide plate (20) was had good positioning described treats that the predetermined portions of osteotomy head are retightened.
4. osteotomy guide plate component according to claim 1, it is characterised in that the osteotomy guide plate (10) includes：
Outside osteotomy guide plate (12), for installed in first osteotomy surface for treating osteotomy head, to guide and limits the pendulum
Saw is along the first default motion track movement；
Pubis osteotomy guide plate (13), for being fixed on first osteotomy surface for treating osteotomy head, to guide and limits the pendulum
Saw is along the second default motion track movement；
Wherein, the described first default motion track and the second default motion track constitute the goose saw and treat osteotomy head by described
The complete motion track that cuts down of predetermined portions.
5. osteotomy guide plate component according to claim 4, it is characterised in that the outside osteotomy guide plate (12) be with it is described
The plate body that first default motion track matches, the kerf (11) is opened in described outer along the described first default motion track
In side osteotomy guide plate (12).
6. osteotomy guide plate component according to claim 4, it is characterised in that the outside osteotomy guide plate (12) and pubis cut
Positioning screw hole (40) is provided with bone conduction plate (13).
7. osteotomy guide plate component according to claim 1, it is characterised in that the osteotomy guide plate (10) includes：
First inner side osteotomy guide plate (14), the second inner side osteotomy guide plate (15), the 3rd inner side osteotomy guide plate (16) and the 4th inner side
Osteotomy guide plate (17), the first inner side osteotomy guide plate (14), the second inner side osteotomy guide plate (15), the 3rd inner side are cut
Bone conduction plate (16) and the 4th inner side osteotomy guide plate (17) are for installed in second osteotomy surface for treating osteotomy head；
The first inner side osteotomy guide plate (14), the second inner side osteotomy guide plate (15) and the 3rd inner side osteotomy guide plate
(16) for guiding and the goose saw is limited along the first default motion track movement, the 4th inner side osteotomy guide plate (17) is used for
The goose saw is guided and limited along the second default motion track movement；
Wherein, the described first default motion track and the second default motion track constitute the goose saw and treat osteotomy head by described
The complete motion track that cuts down of predetermined portions.
8. osteotomy guide plate component according to claim 7, it is characterised in that the first inner side osteotomy guide plate (14), institute
State the second inner side osteotomy guide plate (15) and the 3rd inner side osteotomy guide plate (16) is strip shape body, the kerf is along described first
Default motion track is opened in the first inner side osteotomy guide plate (14), the second inner side osteotomy guide plate (15) and the described 3rd
In inner side osteotomy guide plate (16).
9. osteotomy guide plate component according to claim 7, it is characterised in that the first inner side osteotomy guide plate (14), institute
State on the second inner side osteotomy guide plate (15), the 3rd inner side osteotomy guide plate (16) and the 4th inner side osteotomy guide plate (17)
It is provided with positioning screw hole (40).
10. osteotomy guide plate component according to claim 2, it is characterised in that the reset guide plate (20) be it is multiple, it is multiple
The reset guide plate (20) is arranged at intervals described treating on osteotomy head and the predetermined portions that cut down with by the institute for cutting down
State and treat that the predetermined portions of osteotomy head are repositioned at described treating on osteotomy head.
The 11. osteotomy guide plate components according to any one of claim 2 or 10, it is characterised in that the reset guide plate
(20) with it is described treat the first connection end that osteotomy head is connected and with cut down described in treat that the predetermined portions of osteotomy head are connected
The second connection end, offer positioning screw hole (40) on first connection end and second connection end.
12. osteotomy guide plate components according to claim 3, it is characterised in that described being put have and institute on nail guide plate (30)
The draw-in groove of the edge clamping for treating osteotomy head is stated, the bottom of the draw-in groove has to putting that the outside for putting nail guide plate (30) extends
Nail (50), has the positioning screw hole (40) extended to the outside for putting nail guide plate (30) on the side wall of the draw-in groove.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201611090018.0A CN106580394A (en) | 2016-11-30 | 2016-11-30 | Osteotomy guide plate assembly |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201611090018.0A CN106580394A (en) | 2016-11-30 | 2016-11-30 | Osteotomy guide plate assembly |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN106580394A true CN106580394A (en) | 2017-04-26 |
Family
ID=58594203
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201611090018.0A Pending CN106580394A (en) | 2016-11-30 | 2016-11-30 | Osteotomy guide plate assembly |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN106580394A (en) |
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| CN107007319A (en) * | 2017-05-18 | 2017-08-04 | 聂宇 | Shin bone list condyle osteotomy device |
| CN108784782A (en) * | 2018-07-26 | 2018-11-13 | 重庆市华港科技有限公司 | 3D printing condyle of femur 5 closes 1 integration osteotomy device and its forming method |
| CN108904104A (en) * | 2018-07-17 | 2018-11-30 | 河南医工智能科技有限公司 | It is a kind of based on 3D printing personalization acetabular bone and bone inner support prosthese and the surgical guide being used cooperatively with supporting prostheses and preparation method |
| JP2019024741A (en) * | 2017-07-27 | 2019-02-21 | 国立大学法人大阪大学 | Surgical instrument for acetabulum rotation osteotomy |
| CN109620380A (en) * | 2019-01-21 | 2019-04-16 | 四川大学 | A kind of mandibular buccula porose area reduction of the fracture resting guide |
| CN113081161A (en) * | 2021-04-28 | 2021-07-09 | 北京力达康科技有限公司 | Ankle joint shin bone lower extreme cuts bone baffle |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN108784782A (en) * | 2018-07-26 | 2018-11-13 | 重庆市华港科技有限公司 | 3D printing condyle of femur 5 closes 1 integration osteotomy device and its forming method |
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| CN113081161A (en) * | 2021-04-28 | 2021-07-09 | 北京力达康科技有限公司 | Ankle joint shin bone lower extreme cuts bone baffle |
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