CN106601103A - Posterolateral approach total hip joint replacement surgery teaching model - Google Patents
Posterolateral approach total hip joint replacement surgery teaching model Download PDFInfo
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- CN106601103A CN106601103A CN201710045593.7A CN201710045593A CN106601103A CN 106601103 A CN106601103 A CN 106601103A CN 201710045593 A CN201710045593 A CN 201710045593A CN 106601103 A CN106601103 A CN 106601103A
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- 238000013459 approach Methods 0.000 title claims abstract description 12
- 210000004394 hip joint Anatomy 0.000 title abstract description 11
- 238000001356 surgical procedure Methods 0.000 title abstract description 11
- 238000013334 tissue model Methods 0.000 claims abstract description 21
- 206010033675 panniculitis Diseases 0.000 claims abstract description 13
- 210000004304 subcutaneous tissue Anatomy 0.000 claims abstract description 13
- 210000003205 muscle Anatomy 0.000 claims abstract description 7
- 210000000689 upper leg Anatomy 0.000 claims description 36
- 230000006698 induction Effects 0.000 claims description 32
- 210000000988 bone and bone Anatomy 0.000 claims description 29
- 230000003387 muscular Effects 0.000 claims description 10
- SBNFWQZLDJGRLK-UHFFFAOYSA-N phenothrin Chemical compound CC1(C)C(C=C(C)C)C1C(=O)OCC1=CC=CC(OC=2C=CC=CC=2)=C1 SBNFWQZLDJGRLK-UHFFFAOYSA-N 0.000 claims description 10
- 238000011541 total hip replacement Methods 0.000 claims description 9
- 210000000281 joint capsule Anatomy 0.000 claims description 8
- 210000001659 round ligament Anatomy 0.000 claims description 5
- 210000001519 tissue Anatomy 0.000 claims 1
- 238000000034 method Methods 0.000 abstract description 7
- 241000489861 Maximus Species 0.000 description 5
- 238000011540 hip replacement Methods 0.000 description 4
- 238000013461 design Methods 0.000 description 3
- 238000012360 testing method Methods 0.000 description 3
- 208000012659 Joint disease Diseases 0.000 description 2
- 230000032683 aging Effects 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 238000004088 simulation Methods 0.000 description 2
- 239000007787 solid Substances 0.000 description 2
- 238000012549 training Methods 0.000 description 2
- 208000010392 Bone Fractures Diseases 0.000 description 1
- 208000015813 Familial avascular necrosis of femoral head Diseases 0.000 description 1
- 206010023204 Joint dislocation Diseases 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 238000001514 detection method Methods 0.000 description 1
- 210000003195 fascia Anatomy 0.000 description 1
- 210000001624 hip Anatomy 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 210000003127 knee Anatomy 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 230000008520 organization Effects 0.000 description 1
- 230000003349 osteoarthritic effect Effects 0.000 description 1
- 201000008482 osteoarthritis Diseases 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 210000004872 soft tissue Anatomy 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
Classifications
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- G—PHYSICS
- G09—EDUCATION; CRYPTOGRAPHY; DISPLAY; ADVERTISING; SEALS
- G09B—EDUCATIONAL OR DEMONSTRATION APPLIANCES; APPLIANCES FOR TEACHING, OR COMMUNICATING WITH, THE BLIND, DEAF OR MUTE; MODELS; PLANETARIA; GLOBES; MAPS; DIAGRAMS
- G09B23/00—Models for scientific, medical, or mathematical purposes, e.g. full-sized devices for demonstration purposes
- G09B23/28—Models for scientific, medical, or mathematical purposes, e.g. full-sized devices for demonstration purposes for medicine
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- Engineering & Computer Science (AREA)
- Physics & Mathematics (AREA)
- General Physics & Mathematics (AREA)
- Computational Mathematics (AREA)
- Mathematical Analysis (AREA)
- Medicinal Chemistry (AREA)
- General Health & Medical Sciences (AREA)
- Algebra (AREA)
- Health & Medical Sciences (AREA)
- Chemical & Material Sciences (AREA)
- Medical Informatics (AREA)
- Mathematical Optimization (AREA)
- Mathematical Physics (AREA)
- Pure & Applied Mathematics (AREA)
- Business, Economics & Management (AREA)
- Educational Administration (AREA)
- Educational Technology (AREA)
- Theoretical Computer Science (AREA)
- Prostheses (AREA)
Abstract
Disclosed is a posterolateral approach total hip joint replacement surgery teaching model. The posterolateral approach total hip joint replacement surgery teaching model comprises an acetabular model and a femoral model which cooperate with each other, wherein the outer ends of the acetabular model and the femoral model are each provided with a universal joint fixation end, the outer ends of the universal joint fixation ends are provided with magnets, the acetabular model and the femoral model are placed on a workbench, the workbench is provided with an upper fixation frame and a lower fixation frame, and the magnets are attached to the upper fixation frame and the lower fixation frame. The inner side of a skin model and the inner side of a subcutaneous tissue model are each provided with a scoreboard, and the inner side of a muscle tissue model is provided with a scoreboard. In a surgery process, first of all, skin and subcutaneous tissue are cut, the scoreboards are installed at the inner side of skin, the cutting position, angle and length can be detected, the surgery accuracy is evaluated, trainees are trained, and the surgery proficiency is enhanced.
Description
Technical field
The present invention relates to medical teaching equipment technical field, more particularly to a kind of operation of posterolateral approach total hip replacement
Teaching mode.
Background technology
At present, according to China National Bureau of Statistics of China statistics 2013 at the end of, 1,360,720,000 people of China's Mainland total population, 60 one full year of life and with
202,430,000 people of upper population, accounts for the 14.9% of total population, and 131,610,000 people of 65 one full year of life and above population accounts for the 9.7% of total population.
2013 start, and China's aging populations quantity will be incremented by with 10,000,000 scale, and future will also double breakthrough 400,000,000 for 20 years.
There is substantial amounts of crowd to undergo the puzzlement of hip-joint disease in old people.Aseptic necrosis of femoral head, hip joint severe osteoarthritic, stock
The whole latter stage of bone fracture of cervical vertebra, DDH etc. hip joint disease, total hip replacement are a kind of preferable therapeutic schemes.According to statistics, mesh
The artificial joint operation that front Europe is carried out every year is nearly 600,000, and U.S.'s population more than 300,000,000 receives artificial hip replacement surgery every year
Patient about 400,000, knee prosthesises about 500,000.China has just stepped into aging society, the only patient of osteoarthritis at present
Jing reaches 50,000,000 people, and the patient for receiving prosthetic replacement will increase year by year.It is estimated that, China is annual potential first artificial
Joint replacement should be at 1,200,000-170 ten thousand or so plus revision procedure sum.
There is huge PATIENT POPULATION in joint replacement surgery, but postoperative access is of a relatively high, need secondary high above duty
Claim independent to perform the operation, the orthopedist before secondary height hardly results in the chance of operator, in order to allow more young doctors to exist
The primary stage of operation career can just experience and grasp the modus operandi elite be located, invent it is a with normal person
Body identical anatomical structure, authentic sham operated process, and comprehensive assessment and the operation instruction for instructing are carried out to whole operation process
Practice model to be particularly important.
The content of the invention
The invention solves the problems that the problem that above-mentioned prior art is present, there is provided a kind of posterolateral approach total hip replacement operation
Teaching mode, authentic simulation hip joint, more surgical procedure design part, the hip replacement training of comprehensive assessment surgical effect
Model.
The present invention solves the technical scheme that its technical problem is adopted：This posterolateral approach total hip replacement operation teaching
Model, including the acetabular bone model and femur model that cooperate, is connected with round ligament, acetabular bone between acetabular bone model and femur model
Model and femur model are wrapped with joint capsule model, and muscular tissue model, muscular tissue model are provided with outside joint capsule model
Subcutaneous tissue model was wrapped up, subcutaneous tissue model is externally provided with skin model；The model is mainly according to the full hip of posterolateral approach
The region of surgical cut needed for joint, design structure.
The outer end of wherein acetabular bone model and femur model is respectively equipped with universal joint fixing end, the outer end peace of universal joint fixing end
Equipped with Magnet, acetabular bone model and femur model are placed on the table, and upper holder and lower fixation are separately installed with workbench
Frame, Magnet adsorb on upper holder and lower fixed frame respectively；Angles and positions can so be adjusted fix acetabular bone model and
Femur model, in the operation of posterolateral approach total hip replacement, acetabular bone and femur will be laterallyd secure, therefore acetabular bone model and stock
The fixed angle of bone model and position are also a part for teaching.
Wherein on the inside of skin model and scoring board is separately installed with the inside of subcutaneous tissue model, pacify on the inside of muscular tissue model
Equipped with scoring board；It is to cut skin and subcutaneous tissue first in operation process, scoring board is arranged on the inside of skin, can detect and cut
Position, angle and the length cut, evaluates and tests the degree of accuracy of operation, and tempers intern, strengthens the proficiency of operation.
Wherein scoring board includes flexible fixed plate, and some row's induction apparatuss are provided with flexible fixed plate, and induction apparatuss include position
In middle full marks induction apparatuss, positioned at the deduction of points induction apparatuss of full marks induction apparatuss both sides, full marks induction apparatuss and deduction of points induction apparatuss difference
Connection controller, is connected with the cutting knife with induction apparatuss contact induction on controller；This is the scoring to operation exercise, can be corrected
The deviation of operation, improves the degree of accuracy of operation.
Wherein acetabular bone model is provided with groove, and glue-line is provided with groove, and goblet is fixed with groove, and femur model includes stock
Bone portion and femur mobile jib, the inside between femoral head and femur mobile jib are provided with sensing element, sensing element connection control
Device, is connected with the saw blade with sensing element contact induction on controller, mounting groove is provided with femur mobile jib, and mounting groove is installed and fixed
Support, support bracket fastened outer end are provided with and are connected the fixing head for coordinating with goblet.Glue-line is easy to fix goblet, and sensing element is
Score induction apparatuss, in saw blade contact induction element, evaluate and test the position to femoral cut, then mounting and fixing bracket, it is determined that solid
Setting angle between fixed rack and goblet, realizes the exercise and teaching to intern of performing the operation.
Wherein muscular tissue model includes tensor fasciae latae model, gluteus maximus model, piriformis model, obturator internuss mould
Type, Shang inferior gemellus muscles model and quadratus femoris model, tensor fasciae latae model, gluteus maximus model, piriformis model, obturator internuss mould
Scoring board is separately installed with the inside of type, Shang inferior gemellus muscles model and quadratus femoris model.
The invention has the advantages that：The present invention is commented according to hip replacement surgery, design anthropometric dummy, and installation
Subsystem, tempers the operation technique of intern, and contact that can be earlier is performed the operation, and authentic simulation hip joint, more surgical procedure set
Meter part, the hip replacement training pattern of comprehensive assessment surgical effect, are conducive to being widely popularized.
Description of the drawings
Fig. 1 is the structural representation of acetabular bone model of the present invention and femur model；
Fig. 2 is that acetabular bone model of the present invention and femur model are installed on the structural representation on workbench；
Fig. 3 is the structural representation of scoring board in the present invention；
Fig. 4 is the structural representation for coordinating saw blade in the present invention between acetabular bone model and femur model；
Fig. 5 is the structural representation of mounting and fixing bracket between acetabular bone model and femur model in the present invention.
Description of reference numerals：Acetabular bone model 1, groove 1-1, glue-line 1-2, goblet 1-3, femur model 2, femoral head 2-
1, femur mobile jib 2-2, mounting groove 2-21, round ligament 3, joint capsule model 4, muscular tissue model 5, subcutaneous tissue model 6, skin
Model 7, universal joint fixing end 8, Magnet 9, workbench 10, upper holder 10-1, lower fixed frame 10-2, scoring board 11 are flexible solid
Fixed board 11-1, induction apparatuss 11-2, full marks induction apparatuss 11-21, deduct points induction apparatuss 11-22, controller 11-3, cutting knife 12, sensing unit
Part 13, saw blade 14, fixed support 15, fixing head 15-1.
Specific embodiment
The invention will be further described below in conjunction with the accompanying drawings：
Referring to the drawings：Posterolateral approach total hip replacement operation teaching model in the present embodiment, including what is cooperated
Acetabular bone model 1 and femur model 2, are connected with round ligament 3, acetabular bone model 1 and femur mould between acetabular bone model 1 and femur model 2
Type 2 is wrapped with joint capsule model 4, is provided with muscular tissue model 5 outside joint capsule model 4, and muscular tissue model 5 is enclosed with skin
The following group organization model 6, subcutaneous tissue model 6 are externally provided with skin model 7；
The outer end of acetabular bone model 1 and femur model 2 is respectively equipped with universal joint fixing end 8, the outer end peace of universal joint fixing end 8
Equipped with Magnet 9, acetabular bone model 1 and femur model 2 are placed on workbench 10, are separately installed with upper holder on workbench 10
10-1 and lower fixed frame 10-2, Magnet 9 adsorb on upper holder 10-1 and lower fixed frame 10-2 respectively；
On the inside of skin model 7 and scoring board 11 is separately installed with the inside of subcutaneous tissue model 6, muscular tissue model 5 includes
Tensor fasciae latae model, gluteus maximus model, piriformis model, obturator internuss model, Shang inferior gemellus muscles model and quadratus femoris model, it is wealthy
On the inside of tensor fascia femoris model, gluteus maximus model, piriformis model, obturator internuss model, Shang inferior gemellus muscles model and quadratus femoris model
It is separately installed with scoring board 11；
Scoring board 11 includes flexible fixed plate 11-1, and some row's induction apparatuss 11-2 are provided with flexible fixed plate 11-1, sense
Device 11-2 is answered to include positioned at middle full marks induction apparatuss 11-21, positioned at the deduction of points induction apparatuss 11- of full marks induction apparatuss 11-21 both sides
22, full marks induction apparatuss 11-21 and deduction of points induction apparatuss 11-22 connect controller 11-3 respectively, are connected with and sense on controller 11-3
Answer the cutting knife 12 of device 11-2 contact inductions；
Wherein acetabular bone model 1 is provided with groove 1-1, is provided with glue-line 1-2, goblet 1- is fixed with groove 1-1 in groove 1-1
3, femur model 2 includes femoral head 2-1 and femur mobile jib 2-2, the inside peace between femoral head 2-1 and femur mobile jib 2-2
Equipped with sensing element 13, the connection controller 11-3 of sensing element 13, be connected with controller 11-3 and sense contacted with sensing element 13
The saw blade 14 answered, is provided with mounting groove 2-21 in femur mobile jib 2-2, mounting groove 2-21 mounting and fixing brackets 15, fixed support 15
Outer end is provided with and is connected fixing head 15-1 for coordinating with goblet 1-3.
The step of teaching according to operation difference can be different, but substantially the step of it is as follows：
1st, lateral position
2nd, skin and subcutaneous tissue, otch tensor fasciae latae, blunt separation gluteus maximus are cut
3rd, piriformis, obturator internuss, Shang inferior gemellus muscles, quadratus femoris are cut
4th, cut joint capsule, enter hip joint
5th, by dislocation of hip joint saw lower femoral head, after interruption round ligament, take out femoral head
6th, Periacetabular soft tissue burr acetabular bone are cleared up
7th, acetabular component and liner are loaded
8th, femur side opens marrow, expands marrow, loads femoral prosthesiss
9th, femoral head is installed
10th, reset hip joint
11st, suture, operation is completed.
Therefore the teaching mode of the present invention some organs mainly according to needed for the operation of posterolateral approach total hip replacement,
And embedded scoring board, scoring board and cutting knife and saw blade cooperation, intern can be allowed to contact operation process earlier, by some passes
Key detection scoring, evaluates and tests the degree of accuracy of operation.
Although the present invention is shown and described by reference to preferred embodiment, this professional ordinary skill
Personnel are it is to be appreciated that in the range of claims, can make the various change in form and details.
Claims (1)
1. a kind of posterolateral approach total hip replacement operation teaching model, including the acetabular bone model (1) and femur that cooperate
Model (2), is characterized in that：Round ligament (3), acetabular bone model (1) are connected between the acetabular bone model (1) and femur model (2)
It is wrapped with outside joint capsule model (4), joint capsule model (4) with femur model (2) and muscular tissue model (5), muscle is installed
Tissue model (5) is enclosed with subcutaneous tissue model (6), and subcutaneous tissue model (6) is externally provided with skin model (7)；
The outer end of the acetabular bone model (1) and femur model (2) is respectively equipped with universal joint fixing end (8), universal joint fixing end (8)
Outer end Magnet (9) is installed, acetabular bone model (1) and femur model (2) are placed on workbench (10), on workbench (10) point
Upper holder (10-1) and lower fixed frame (10-2) be not installed, the Magnet (9) adsorb in upper holder (10-1) respectively and
On lower fixed frame (10-2)；
On the inside of the skin model (7) and scoring board (11), the muscular tissue are separately installed with the inside of subcutaneous tissue model (6)
Scoring board (11) is installed on the inside of model (5)；
The scoring board (11) includes flexible fixed plate (11-1), is provided with some row's induction apparatuss on flexible fixed plate (11-1)
(11-2), induction apparatuss (11-2) are included positioned at middle full marks induction apparatuss (11-21), positioned at full marks induction apparatuss (11-21) both sides
Deduction of points induction apparatuss (11-22), full marks induction apparatuss (11-21) and deduction of points induction apparatuss (11-22) respectively connect controller (11-3),
The cutting knife (12) with induction apparatuss (11-2) contact induction is connected with controller (11-3)；
The acetabular bone model (1) is provided with to be provided with glue-line (1-2), groove (1-1) in groove (1-1), groove (1-1) and is fixed with cup
Shape body (1-3), femur model (2) include femoral head (2-1) and femur mobile jib (2-2), femoral head (2-1) and femur mobile jib
(2-2) inside between is provided with sensing element (13), and sensing element (13) connects the controller (11-3), controller (11-
3) it is connected with the saw blade (14) with sensing element (13) contact induction, femur mobile jib (2-2) and is provided with mounting groove (2-21), pacifies
Tankage (2-21) mounting and fixing bracket (15), the outer end of fixed support (15) are provided with and are connected the fixation for coordinating with goblet (1-3)
Head (15-1).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710045593.7A CN106601103A (en) | 2017-01-20 | 2017-01-20 | Posterolateral approach total hip joint replacement surgery teaching model |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710045593.7A CN106601103A (en) | 2017-01-20 | 2017-01-20 | Posterolateral approach total hip joint replacement surgery teaching model |
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| Publication Number | Publication Date |
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| CN106601103A true CN106601103A (en) | 2017-04-26 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201710045593.7A Pending CN106601103A (en) | 2017-01-20 | 2017-01-20 | Posterolateral approach total hip joint replacement surgery teaching model |
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Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108257471A (en) * | 2018-03-13 | 2018-07-06 | 医技通智能科技（珠海）有限公司 | A kind of manikin of hip and knee displacement simulation operation |
| CN108269476A (en) * | 2018-03-13 | 2018-07-10 | 医技通智能科技（珠海）有限公司 | A kind of manikin of knee prosthesis simulation operation |
| CN108269477A (en) * | 2018-03-13 | 2018-07-10 | 医技通智能科技（珠海）有限公司 | A kind of manikin of hip replacement simulation operation |
| CN110610641A (en) * | 2019-10-08 | 2019-12-24 | 贵州省人民医院 | Acetabular osteotomy operation practice method |
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| CN206460709U (en) * | 2017-01-20 | 2017-09-01 | 丽水市人民医院 | Posterolateral approach total hip replacement operation teaching model |
Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108257471A (en) * | 2018-03-13 | 2018-07-06 | 医技通智能科技（珠海）有限公司 | A kind of manikin of hip and knee displacement simulation operation |
| CN108269476A (en) * | 2018-03-13 | 2018-07-10 | 医技通智能科技（珠海）有限公司 | A kind of manikin of knee prosthesis simulation operation |
| CN108269477A (en) * | 2018-03-13 | 2018-07-10 | 医技通智能科技（珠海）有限公司 | A kind of manikin of hip replacement simulation operation |
| CN110610641A (en) * | 2019-10-08 | 2019-12-24 | 贵州省人民医院 | Acetabular osteotomy operation practice method |
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