CN106725716A - Tibial plateau inner edge osteotomy orienting locator - Google Patents

Tibial plateau inner edge osteotomy orienting locator Download PDF

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Publication number
CN106725716A
CN106725716A CN201710004431.9A CN201710004431A CN106725716A CN 106725716 A CN106725716 A CN 106725716A CN 201710004431 A CN201710004431 A CN 201710004431A CN 106725716 A CN106725716 A CN 106725716A
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CN
China
Prior art keywords
inner edge
plate
osteotomy
tibial plateau
tooth bar
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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.)
Granted
Application number
CN201710004431.9A
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Chinese (zh)
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CN106725716B (en
Inventor
王敏
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Third Military Medical University TMMU
Second Affiliated Hospital of TMMU
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Second Affiliated Hospital of TMMU
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Priority to CN201710004431.9A priority Critical patent/CN106725716B/en
Publication of CN106725716A publication Critical patent/CN106725716A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/1657Bone breaking devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/1662Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17Guides or aligning means for drills, mills, pins or wires
    • A61B17/1732Guides or aligning means for drills, mills, pins or wires for bone breaking devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17Guides or aligning means for drills, mills, pins or wires
    • A61B17/1739Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B2017/564Methods for bone or joint treatment

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Dentistry (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)

Abstract

The invention discloses a kind of tibial plateau inner edge osteotomy orienting locator, including arc location-plate, unilateral tooth bar is provided with the edge of the arc location-plate side, the radian of the unilateral tooth bar is identical with the radian of arc location-plate, and the teeth portion of the unilateral tooth bar is used to inscribe vestige in intercondylar ridge Inner edge.The tibial plateau inner edge osteotomy orienting locator provided using the present invention, structure is novel, it is easily achieved, overall small volume and less weight is easy to use, doctor can accurately determine the direction of the vertical osteotomy in tibial plateau inner edge, make section outgoing direction axially consistent with femoral prosthesis, it is ensured that the correct placement of femur and tibial prosthesis, it is to avoid the situation that excessive osteotomy, angular deviation or prosthese clash into occurs, patient pain is reduced, speed of wound healing is accelerated.

Description

Tibial plateau inner edge osteotomy orienting locator
Technical field
The invention belongs to medical assistive device technical field, and in particular to a kind of tibial plateau inner edge osteotomy guide-localization Device.
Background technology
Knee joint single condyle displacement technique is the conventional operation of the diseases such as the osteoarthritis or traumatic arthritis in treatment separate room, Have the advantages that wound is small, it is fast to recover, only need to replace bad bony part, patient can be made to reduce pain, reduce the hospital stays, Accelerate speed of wound healing, make the rapid rehabilitation of patient.
The straightforward bone of tibial plateau Inner marginal lappets is the first step of knee joint single condyle displacement technique, its osteotomy depth and aspect effect stock How the correct placement of bone and tibial prosthesis, correctly determine that the direction of the vertical osteotomy in tibial plateau inner edge is particularly significant, current Localization method is by touching positioning homonymy anterior superior spine, round mandrel line being aligned into the anterior superior spine direction osteotomy, the method Receptor site and subjective impact are larger, and can not accurately determine to be close to the distance of the intercondylar ridge of shin bone, be easily caused cut outgoing direction and Femoral prosthesis is axially inconsistent, causes excessive osteotomy, angular deviation or prosthese to clash into.Solving problem above turns into the task of top priority.
The content of the invention
To solve above technical problem, the present invention provides a kind of tibial plateau inner edge osteotomy orienting locator, can be accurate Determine the direction of the vertical osteotomy in tibial plateau inner edge, make section outgoing direction axially consistent with femoral prosthesis.
To achieve the above object, technical solution of the present invention is as follows:
A kind of tibial plateau inner edge osteotomy orienting locator, it is characterized by:It is fixed in the arc including arc location-plate The edge of position plate side is provided with unilateral tooth bar, and the radian of the unilateral tooth bar is identical with the radian of arc location-plate, described unilateral The teeth portion of tooth bar is used to inscribe vestige in intercondylar ridge Inner edge.
Using above structure, doctor holds handle, and whole orienting locator is inserted into patient's knee space, then will suffer from Person's knee joint is gradually lifted in the dynamic process for stretching position from flexing position, because single-end is higher by arch section thus single The teeth portion of side gear can inscribe vestige in intercondylar ridge Inner edge, and the vestige is to represent the straightforward bone direction of tibial plateau Inner marginal lappets, from And doctor can accurately determine the direction of the vertical osteotomy in tibial plateau inner edge, make section outgoing direction axially consistent with femoral prosthesis, protect The correct placement of card femur and tibial prosthesis, it is to avoid the situation that excessive osteotomy, angular deviation or prosthese clash into occurs, trouble is reduced Person's pain, accelerates speed of wound healing.
As preferred:Detachable handle is additionally provided with the arc location-plate.Using above structure, by handle Stablize whole orienting locator, it is ensured that device is fitted in the centre position of femur Inner condyles, handle is detachable, is conveniently replaceable.
As preferred:One end that the handle is connected with arc location-plate has external screw thread, in the arc location-plate The screwed hole being adapted with the external screw thread is provided with outer wall.Using above structure, simple structure installs reliable, is easy to tear open Unload.
As preferred:The handle is truncated cone-shaped, and the diameter of the handle first end is straight less than the end of the handle second Footpath, the handle first end can be connected with the arc location-plate.Using above structure, it is easy to doctor to hold operation.
As preferred:The arc location-plate and unilateral tooth bar are integrally formed.Using above structure, structural strength is high, makes With reliable and stable.
As preferred:The arc location-plate and unilateral tooth bar use metal material.Using above structure, structural strength Height, using reliable and stable.
As preferred:The a height of 1mm of teeth portion, tooth pitch is 1.5mm.Using above structure, the tooth of unilateral tooth bar was both ensured Portion can inscribe vestige in intercondylar ridge Inner edge, and the operation wound of patient can be reduced again.
Compared with prior art, the beneficial effects of the invention are as follows:
The tibial plateau inner edge osteotomy orienting locator provided using the present invention, structure is novel, it is easy to accomplish, it is overall compact Light, easy to use, doctor can accurately determine the direction of the vertical osteotomy in tibial plateau inner edge, make to cut outgoing direction and femoral prosthesis It is axially consistent, it is ensured that the correct placement of femur and tibial prosthesis, it is to avoid the feelings that excessive osteotomy, angular deviation or prosthese clash into occur Condition, reduces patient pain, accelerates speed of wound healing.
Brief description of the drawings
Fig. 1 is use state figure of the invention;
Fig. 2 is axonometric drawing of the invention;
Fig. 3 is structural representation of the invention;
Fig. 4 is the structural representation of handle.
Specific embodiment
The invention will be further described with accompanying drawing with reference to embodiments.
As shown in FIG. 1 to 3, a kind of tibial plateau inner edge osteotomy orienting locator, including arc location-plate 1, described The edge of the side of arc location-plate 1 is provided with unilateral tooth bar 2, the radian of the unilateral tooth bar 2 and the radian phase of arc location-plate 1 Together, the teeth portion 2a of the unilateral tooth bar 2 is used to inscribe vestige in intercondylar ridge Inner edge.The arc location-plate 1 and unilateral tooth bar 2 one It is body formed, it is easy to technique to manufacture, and the two uses metal material, the integrally formed arc location-plate 1 and unilateral tooth bar 2 It is of different sizes, to adapt to condyle of femur of different sizes.The a height of 1mm of teeth portion 2a of the unilateral tooth bar 2, tooth pitch is 1.5mm, both having ensured the teeth portion 2a of unilateral tooth bar 2 can inscribe vestige in intercondylar ridge Inner edge, and the operation wound of patient can be reduced again.
As shown in Figure 1 to 4, detachable handle 3, the handle 3 and arc are additionally provided with the arc location-plate 1 One end of the connection of shape location-plate 1 has external screw thread 3a, is provided with the outer wall of the arc location-plate 1 and the external screw thread 3a Adaptable screwed hole, the handle 3 also can be removably mounted on the arc and position by other connected modes such as embedded On the outer wall of plate 1, the handle 3 can arrange in pairs or groups various sizes of arc location-plate 1.The handle 3 is truncated cone-shaped, the handle The diameter of 3 first ends is less than the diameter at the end of the handle 3 second, and the first end of the handle 3 can connect with the arc location-plate 1 Connect, be easy to doctor to hold operation.
The course of work of the invention is as follows:
After the conventional approach display condyle of femur of operation and tibial plateau, corresponding size is selected according to the condyle of femur size of measurement Arc location-plate 1 and unilateral tooth bar 2, handle 3 are arranged on arc location-plate 1, then by arc location-plate 1 and unilateral tooth bar 2 insertion joint spaces, condyle of femur of fitting, it is ensured that arc location-plate 1 is fitted in the centre position of femur Inner condyles will by handle 3 From flexing position be gradually lifted in the dynamic process for stretching position the knee joint of patient by its stabilization, doctor, because unilateral tooth bar 2 compares Arc location-plate 1 is high, so the teeth portion 2a of unilateral tooth bar 2 can inscribe vestige in intercondylar ridge Inner edge, the vestige is to represent shin bone The straightforward bone direction of platform Inner marginal lappets, according to disposing prosthese after the vestige osteotomy.
Finally it should be noted that foregoing description is only the preferred embodiments of the present invention, the ordinary skill people of this area Member on the premise of without prejudice to present inventive concept and claim, can make table as multiple types under enlightenment of the invention Show, such conversion is each fallen within protection scope of the present invention.

Claims (7)

1. a kind of tibial plateau inner edge osteotomy orienting locator, it is characterised in that:Including arc location-plate (1), in the arc The edge of location-plate (1) side is provided with unilateral tooth bar (2), the radian of the unilateral tooth bar (2) and the radian of arc location-plate (1) Identical, the teeth portion (2a) of the unilateral tooth bar (2) is used to inscribe vestige in intercondylar ridge Inner edge.
2. tibial plateau inner edge osteotomy orienting locator according to claim 1, it is characterised in that:In arc positioning Detachable handle (3) is additionally provided with plate (1).
3. tibial plateau inner edge osteotomy orienting locator according to claim 2, it is characterised in that:The handle (3) with Arc location-plate (1) connection one end there is external screw thread (3a), be provided with the outer wall of the arc location-plate (1) with it is described The adaptable screwed hole of external screw thread (3a).
4. the tibial plateau inner edge osteotomy orienting locator according to Claims 2 or 3, it is characterised in that:The handle (3) It is truncated cone-shaped, the diameter of the diameter less than the end of the handle second of the handle first end, the handle first end can be with institute State arc location-plate (1) connection.
5. tibial plateau inner edge osteotomy orienting locator according to claim 1, it is characterised in that:The arc location-plate (1) it is integrally formed with unilateral tooth bar (2).
6. tibial plateau inner edge osteotomy orienting locator according to claim 1 or 5, it is characterised in that:The arc is determined Position plate (1) and unilateral tooth bar (2) use metal material.
7. tibial plateau inner edge osteotomy orienting locator according to claim 1, it is characterised in that:The teeth portion (2a) is high It is 1mm, tooth pitch is 1.5mm.
CN201710004431.9A 2017-01-04 2017-01-04 Tibial plateau inner edge osteotomy orienting locator Expired - Fee Related CN106725716B (en)

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Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5035698A (en) * 1985-04-10 1991-07-30 Ohio Medical Instrument Co., Inc. Arcuate osteotomy blade
US20020143342A1 (en) * 2000-04-28 2002-10-03 Smith & Nephew, Inc. A Delaware Corporation Cartilage grafting
US20060241405A1 (en) * 2005-03-09 2006-10-26 Aesculap Ag & Co. Kg Method and apparatus for performing an orthodepic stability test using a surgical navigation system
US20120004662A1 (en) * 2010-06-30 2012-01-05 Paul Alexander Torrie Resection Instrument
CN203598028U (en) * 2013-12-03 2014-05-21 中南大学湘雅医院 Tibia osteotomy positioner for individualized osteotomy posterior slope angle
CN104755035A (en) * 2012-10-27 2015-07-01 达纳迈德公司 Surgical instrument and method of using same
CN204468191U (en) * 2015-02-07 2015-07-15 上海时光整形外科医院有限公司 A kind of angle of mandible Horn remover
CN105708529A (en) * 2016-01-20 2016-06-29 首都医科大学附属北京朝阳医院 Posterior cruciate ligament protection device for total knee replacement

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5035698A (en) * 1985-04-10 1991-07-30 Ohio Medical Instrument Co., Inc. Arcuate osteotomy blade
US20020143342A1 (en) * 2000-04-28 2002-10-03 Smith & Nephew, Inc. A Delaware Corporation Cartilage grafting
US20060241405A1 (en) * 2005-03-09 2006-10-26 Aesculap Ag & Co. Kg Method and apparatus for performing an orthodepic stability test using a surgical navigation system
US20120004662A1 (en) * 2010-06-30 2012-01-05 Paul Alexander Torrie Resection Instrument
CN104755035A (en) * 2012-10-27 2015-07-01 达纳迈德公司 Surgical instrument and method of using same
CN203598028U (en) * 2013-12-03 2014-05-21 中南大学湘雅医院 Tibia osteotomy positioner for individualized osteotomy posterior slope angle
CN204468191U (en) * 2015-02-07 2015-07-15 上海时光整形外科医院有限公司 A kind of angle of mandible Horn remover
CN105708529A (en) * 2016-01-20 2016-06-29 首都医科大学附属北京朝阳医院 Posterior cruciate ligament protection device for total knee replacement

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