CN106580523A - Femoral condyle front bone defect filling prosthesis - Google Patents
Femoral condyle front bone defect filling prosthesis Download PDFInfo
- Publication number
- CN106580523A CN106580523A CN201611088518.0A CN201611088518A CN106580523A CN 106580523 A CN106580523 A CN 106580523A CN 201611088518 A CN201611088518 A CN 201611088518A CN 106580523 A CN106580523 A CN 106580523A
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- CN
- China
- Prior art keywords
- face
- condyle
- femur
- main body
- body block
- 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.)
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/38—Joints for elbows or knees
- A61F2/3859—Femoral components
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/28—Bones
- A61F2002/2825—Femur
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/3094—Designing or manufacturing processes
- A61F2002/30985—Designing or manufacturing processes using three dimensional printing [3DP]
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2240/00—Manufacturing or designing of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2240/001—Designing or manufacturing processes
- A61F2240/002—Designing or making customized prostheses
Landscapes
- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Veterinary Medicine (AREA)
- Cardiology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Physical Education & Sports Medicine (AREA)
- Prostheses (AREA)
Abstract
The invention provides a femoral condyle front bone defect filling prosthesis. The prosthesis comprises a body block with a joint face fitting a femoral condyle front bone defect face, and the body block contacts with the femoral condyle front bone defect face through the joint face and is fixedly connected with femoral condyle. In application of the femoral condyle front bone defect filling prosthesis according to the technical scheme, the body block is provided with the joint face fitting the femoral condyle front bone defect face and contacts with the femoral condyle front bone defect face through the joint face, and the body block is fixedly connected with the femoral condyle. After the femoral condyle front bone defect filling prosthesis is filled to the femoral condyle front bone defect face, the risk of bone resorption or fracture is avoided, and the problem of influences on long-term survival of the prosthesis due to bone resorption or fracture after adoption of bone cement or bone filling for femoral condyle front bone defect in the prior art is solved.
Description
Technical field
The present invention relates to area of medical devices, in particular to face Cranial defect filling prosthesis before a kind of condyle of femur.
Background technology
With the raising of surgical technic and prosthetic designs quality, the existence life-span of artificial knee joint greatly improves, but by
In reasons such as infection, loosenings, knee joint is overhauled still very important.
The knee joint overhauled, particularly femur side, typically can be with different degrees of Cranial defect, and Cranial defect has nearly one
Partly involve front face.
However, facial coloboma is typically filled using bone cement or bone before condyle of femur of the prior art, but effect and pay no attention to
Want there is the risk that bone resorption or bone cement fracture occur, so as to have impact on the long term survival of prosthese.
The content of the invention
Present invention is primarily targeted at provide face Cranial defect filling prosthesis before a kind of condyle of femur, to solve prior art in
Facial coloboma affects asking for prosthese long term survival after there is bone resorption or bone cement fracture using bone cement or bone filling before condyle of femur
Topic.
To achieve these goals, according to an aspect of the invention, there is provided face Cranial defect filling before a kind of condyle of femur
Prosthese, including:Main body block, main body block has the composition surface being adapted with the front face Cranial defect face of condyle of femur, and main body block is by connecing
Conjunction face contacts with the front face Cranial defect face of condyle of femur, and main body block is fixedly connected with condyle of femur.
Further, along the bearing of trend of condyle of femur, the outer perimeter of the cross section of main body block gradually increases.
Further, main body block is curved end away from one end of condyle of femur lower end.
Further, multiple screw holes are offered in main body block, screw hole is used to make screw pass through so that main body block to be fixed
On the front face Cranial defect face of condyle of femur.
Further, screw hole is two.
Further, the circumferential edge around screw hole is provided with the screw hole reinforcement of annular.
Further, the both sides of main body block are provided with main body reinforcement, and main body reinforcement extends perpendicularly to stock
The bearing of trend of bone condyle.
Further, main body reinforcement is connected with screw hole reinforcement.
Further, main body block has the first network away from the surface of front face Cranial defect face side.
Further, the surface for engaging with front face Cranial defect face in main body block has the second network;Wherein, the second net
Area of the area of the single grid of lattice structure less than the single grid of the first network.
Further, arc-shaped recess structure, arc-shaped recess are offered on the surface that main body block is engaged with front face Cranial defect face
Structure is adapted with the extension rod being arranged on condyle of femur.
Further, main body block offers avoidance breach for avoiding extension rod near one end of condyle of femur lower end, keeps away
Breach is allowed to connect with arc-shaped recess structure.
Using face Cranial defect filling prosthesis before the condyle of femur of technical solution of the present invention, by arranging main body block, main body block tool
There is the composition surface being adapted with the front face Cranial defect face of condyle of femur, main body block is by composition surface and the front face Cranial defect face of condyle of femur
Contact, meanwhile, main body block is fixedly connected with condyle of femur.Face Cranial defect filling prosthesis are filled into stock before the present embodiment is by condyle of femur
After on the front face Cranial defect face of bone condyle, the risk of bone resorption or fracture will not occur, solve in prior art face before condyle of femur
Defect affects the problem of prosthese long term survival after there is bone resorption or bone cement fracture using bone cement or bone filling.
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 peace of the face Cranial defect filling prosthesis on condyle of femur before optional a kind of condyle of femur according to embodiments of the present invention
Holding position schematic diagram;
Fig. 2 is that the Facad structure of face Cranial defect filling prosthesis before optional a kind of condyle of femur according to embodiments of the present invention is illustrated
Figure;And
Fig. 3 is that the backside structure of face Cranial defect filling prosthesis before optional a kind of condyle of femur according to embodiments of the present invention is illustrated
Figure.
Wherein, above-mentioned accompanying drawing includes the following drawings labelling:
10th, main body block;11st, screw hole;12nd, screw hole reinforcement;13rd, main body reinforcement;14th, the first network;15、
Second network;16th, arc-shaped recess structure;17th, breach is avoided;20th, condyle of femur.
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.
Face Cranial defect filling prosthesis before condyle of femur according to embodiments of the present invention, as shown in figure 1, including:Main body block 10, it is main
Body block 10 has the composition surface being adapted with the front face Cranial defect face of condyle of femur 20, and main body block 10 is by composition surface and condyle of femur 20
The contact of front face Cranial defect face, main body block 10 is fixedly connected with condyle of femur 20.
Using face Cranial defect filling prosthesis before the condyle of femur of technical solution of the present invention, by arranging main body block 10, main body block
10 have the composition surface being adapted with the front face Cranial defect face of condyle of femur 20, before main body block 10 is by composition surface and condyle of femur 20
Face Cranial defect face contacts, meanwhile, main body block 10 is fixedly connected with condyle of femur 20.Face Cranial defect is filled out before the present embodiment is by condyle of femur
Fill after prosthese is filled on the front face Cranial defect face of condyle of femur 20, the risk of bone resorption or fracture will not occur, solve existing
Facial coloboma affects prosthese to give birth to for a long time after there is bone resorption or bone cement fracture using bone cement or bone filling before condyle of femur in technology
The problem deposited.
When being embodied as, as shown in Fig. 2 femur from top to bottom arrives the position of condyle of femur 20, its sectional area gradually increases, and is
It is adapted with the profile of condyle of femur 20, along the bearing of trend of condyle of femur 20, the outer perimeter of the cross section of main body block 10 gradually increases
Greatly, wherein, the cross section of main body block 10 is the cross section of the bearing of trend perpendicular to condyle of femur 20, thus, the direction of main body block 10
Width of the width of one end of the upper end of condyle of femur 20 less than the one end towards the lower end of condyle of femur 20.
Further, in order that main body block 10 have rounder and more smooth profile, main body block 10 away from the lower end of condyle of femur 20 one
End, the i.e. upper end of main body block 10 are curved end.
In order to main body block 10 can be fixed firmly on the front face Cranial defect face of condyle of femur 20, open up in main body block 10
There are multiple screw holes 11, alternatively, screw hole 11 is two, and two screw holes 11 are in main body block 10 along its lateral separation cloth
Put, screw is passed through and be tightened on condyle of femur 20 the front face that main body block 10 can be fixed on condyle of femur 20 by screw hole 11
On Cranial defect face.It is pyramidal structure in screw hole 11, can be adapted with screw cap, it is ensured that after screw is tightened completely, screw cap
The surface of surface and main body block 10 form a plane, make the outer surface of main body block 10 more smooth.
Bigger press from both sides screw hole 11 of clamping force after in order to prevent screw-driving is split, alternatively, around the circumference of screw hole 11
Edge is provided with the screw hole reinforcement 12 of annular, and screw hole reinforcement 12 is located on the front of main body block 10, i.e., away from main body
The surface that block 10 is contacted with the front face Cranial defect face of condyle of femur 20.
In order to strengthen the overall construction intensity of main body block 10, the both sides of main body block 10 are provided with main body reinforcement 13, main
The bearing of trend for extending perpendicularly to condyle of femur 20 of body reinforcement 13, i.e. laterally the prolonging along condyle of femur 20 of main body reinforcement 13
Stretch setting.Structure that main body reinforcement 13 also is located on the front of main body block 10 and screw hole reinforcement 12 links into an integrated entity.
In order to mitigate the weight of main body block 10, alternatively, main body block 10 is led away from the surface of front face Cranial defect face side
The front of body block 10 has the first network 14, and the area of the single grid of the first network 14 is larger, can effectively mitigate
The weight of main body block 10.
Because the medium position at the back side of main body block 10 needs design to accommodate the cavity volume of the extension rod of condyle of femur 20, therefore,
The middle part thinner thickness of main body block 10, therefore, the first network 14 is not provided with the positive middle part of main body block 10,
First network 14 is provided only on the regional area of the positive both sides of main body block 10, to ensure the structure at the middle part of main body block 10
Intensity.
In order that the back side of main body block 10, i.e. main body block 10 can make bone more preferable with the surface that front face Cranial defect face engages
Grow into, alternatively, as shown in figure 3, be provided with the second network 15 at the back side of main body block 10, the second network 15
Area of the area of single grid less than the single grid of the first network 14.Bone Ingrowth can preferably be met, it is ensured that main
The stability that body block 10 is combined with bone.
The back side of main body block 10 is provided with the prolongation rod of arc-shaped recess structure 16, arc-shaped recess structure 16 and condyle of femur 20
Shape is adapted as the cavity volume for accommodating extension rod, after the back side of main body block 10 engages with the front face Cranial defect face of condyle of femur 20, is extended
The surface of bar is fitted completely with the internal face of arc-shaped recess structure 16, has both met the requirement of stability, can also be avoided extension rod.
The prolongation bar part of the lower end of condyle of femur 20 projects more, in order to avoid the prolongation bar portion of the lower end of condyle of femur 20
Point, main body block 10 offers the avoidance breach 17 for avoiding extension rod near one end of the lower end of condyle of femur 20, and alternatively, this is kept away
Breach 17 is allowed for rectangle and is connected with arc-shaped recess structure 16.
Face Cranial defect filling prosthesis pass through 3D printing skill to customize design using titanium alloy before the condyle of femur of the present embodiment
Art is produced.Can also be designed using non-customizedization, prosthese routinizes in shape and size, be produced by 3D printing technique.
Before prosthese filling operation is carried out, hospital collection patient CT data, engineer is processed and analytical data, formulates operation
Scheme and face Cranial defect filling prosthesis before designing the condyle of femur of the present embodiment, Jing after doctor confirms, are printed using 3D printing technique
Go out face Cranial defect filling prosthesis and its die trial before bone condyle, through sufficient post processing, preoperative model surgery is carried out by doctor.
In art, doctor adopts conventional surgical techniques, articular prosthesis, extension rod and bone cement in removal joint etc..By stock
The cushion block die trial of bone distal end, the die trial of femoral-posterior condyles cushion block are arranged in lateral femoral condyle prosthesis die trial according to operation planning model, then will
Face Cranial defect filling prosthesis die trial before the condyle of femur of the present embodiment is arranged on the Qian Lian Cranial defects area of condyle of femur, then will be provided with
Distal femur cushion block die trial, the lateral femoral condyle prosthesis die trial of femoral-posterior condyles cushion block die trial are arranged on distal femur.
After confirming using die trial, face Cranial defect filling prosthesis before the condyle of femur of lateral femoral condyle prosthesis die trial and the present embodiment are removed
Die trial.Then the surface sclerotin in condyle of femur Qian Lian Cranial defects area is processed using operation tool, until surface hard bone removes, it is fresh and alive
Spongy bone expose, then, face Cranial defect filling prosthesis before the condyle of femur of the present embodiment are installed on into face Cranial defect before condyle of femur
The planning position in face simultaneously compresses, it is ensured that facial coloboma surface is fresh and alive before second network and condyle of femur at the back side of main body block 10
Spongy bone is brought into close contact, and is tightened along alternative screw hole 11 using fixing screws.Then, by distal femur cushion block,
Femoral-posterior condyles cushion block is installed on lateral femoral condyle prosthesis and adopts and is screwed.
The bone water of 1-2mm is smeared in Qian Lian Cement fixations area, the distal end of distal end bone cement fill area and femur and postartis
Mud, then by being provided with distal femur cushion block, the lateral femoral condyle prosthesis of femoral-posterior condyles cushion block be placed on the planning position of distal femur,
Fixation simultaneously removes unnecessary bone cement, completes femur side and changes.
The beneficial effect of face Cranial defect filling prosthesis is before the condyle of femur of the present embodiment:
1st, by the special selectable screw hole 11 for arranging, the short-term stability of prosthese can be conducive to;
2nd, the second network 15 for arranging, the i.e. metal class trabecular bone structure of 3D printing can realize Bone Ingrowth, be beneficial to
Prosthese it is medium-term and long-term stable;
3rd, screw hole reinforcement 12 and main body reinforcement 13 make prosthese have enough mechanical strengths, reduce risk of breakage;
4th, the first network 14, i.e., big network can be such that prosthese weight mitigates significantly, improve the comfortable of patient
Degree;Stablize beneficial to bone cement between the prosthese and lateral femoral condyle prosthesis of the present embodiment, beneficial to the medium-term and long-term stable of lateral femoral condyle prosthesis.
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. face Cranial defect filling prosthesis before a kind of condyle of femur, it is characterised in that include:
Main body block (10), the composition surface that the main body block (10) is adapted with the front face Cranial defect face with condyle of femur (20), institute
State main body block (10) to contact with the described front face Cranial defect face of the condyle of femur (20) by the composition surface, the main body block
(10) it is fixedly connected with the condyle of femur (20).
2. face Cranial defect filling prosthesis before condyle of femur according to claim 1, it is characterised in that along the condyle of femur (20)
Bearing of trend, the outer perimeter of the cross section of the main body block (10) gradually increases.
3. face Cranial defect filling prosthesis before condyle of femur according to claim 1, it is characterised in that the main body block (10) is remote
It is curved end from one end of the condyle of femur (20) lower end.
4. face Cranial defect filling prosthesis before condyle of femur according to claim 1, it is characterised in that on the main body block (10)
Multiple screw holes (11) are offered, the screw hole (11) is described so that the main body block (10) to be fixed on for passing through screw
On the described front face Cranial defect face of condyle of femur (20).
5. face Cranial defect filling prosthesis before condyle of femur according to claim 4, it is characterised in that the screw hole (11) is
Two.
6. face Cranial defect filling prosthesis before condyle of femur according to claim 4, it is characterised in that around the screw hole (11)
Circumferential edge be provided with annular screw hole reinforcement (12).
7. face Cranial defect filling prosthesis before condyle of femur according to claim 6, it is characterised in that the main body block (10)
Both sides are provided with main body reinforcement (13), and the main body reinforcement (13) extends perpendicularly to the condyle of femur (20)
Bearing of trend.
8. face Cranial defect filling prosthesis before condyle of femur according to claim 7, it is characterised in that the main body reinforcement
(13) it is connected with the screw hole reinforcement (12).
9. face Cranial defect filling prosthesis before condyle of femur according to claim 1, it is characterised in that main body block (10) back of the body
Surface from the front face Cranial defect face side has the first network (14).
10. face Cranial defect filling prosthesis before condyle of femur according to claim 9, it is characterised in that the main body block (10)
On the surface that engages with the front face Cranial defect face there is the second network (15);
Wherein, single net of the area of the single grid of second network (15) less than first network (14)
The area of lattice.
Face Cranial defect filling prosthesis before 11. condyles of femur according to claim 1, it is characterised in that the main body block (10)
Offer arc-shaped recess structure (16) on the surface engaged with the front face Cranial defect face, the arc-shaped recess structure (16) with set
The extension rod put on the condyle of femur (20) is adapted.
Face Cranial defect filling prosthesis before 12. condyles of femur according to claim 11, it is characterised in that the main body block (10)
The avoidance breach (17) for avoiding the extension rod is offered near one end of the condyle of femur (20) lower end, described avoidance lacks
Mouth (17) connects with the arc-shaped recess structure (16).
Priority Applications (1)
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CN201611088518.0A CN106580523B (en) | 2016-11-30 | 2016-11-30 | Face bone defect filling prosthesis before condyle of femur |
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CN201611088518.0A CN106580523B (en) | 2016-11-30 | 2016-11-30 | Face bone defect filling prosthesis before condyle of femur |
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CN106580523B CN106580523B (en) | 2019-07-23 |
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Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
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CN108618837A (en) * | 2018-05-30 | 2018-10-09 | 上海交通大学医学院附属第九人民医院 | Individuation bone defect filling metal internal fixation device, preparation method and the usage |
CN109549763A (en) * | 2019-01-09 | 2019-04-02 | 上海交通大学医学院附属第九人民医院 | A kind of distal femur list condyle of 3D printing personalization rebuilds prosthese and preparation method thereof |
CN109875729A (en) * | 2019-03-05 | 2019-06-14 | 福建医科大学附属第一医院 | A kind of single condyle displacement femoral prosthesis and its application method equipped with metal filling block |
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殷庆丰: "快速成型打印个体化钛合金填充块治疗膝关节严重骨缺损的研究", 《中国博士学位论文全文数据库 医药卫生科技辑》 * |
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CN108618837A (en) * | 2018-05-30 | 2018-10-09 | 上海交通大学医学院附属第九人民医院 | Individuation bone defect filling metal internal fixation device, preparation method and the usage |
CN109549763A (en) * | 2019-01-09 | 2019-04-02 | 上海交通大学医学院附属第九人民医院 | A kind of distal femur list condyle of 3D printing personalization rebuilds prosthese and preparation method thereof |
CN109549763B (en) * | 2019-01-09 | 2021-03-23 | 上海交通大学医学院附属第九人民医院 | 3D printing personalized femoral distal unicondylar reconstruction prosthesis and preparation method thereof |
CN109875729A (en) * | 2019-03-05 | 2019-06-14 | 福建医科大学附属第一医院 | A kind of single condyle displacement femoral prosthesis and its application method equipped with metal filling block |
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