CN106725716B - Tibial plateau inner edge osteotomy orienting locator - Google Patents

Tibial plateau inner edge osteotomy orienting locator Download PDF

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Publication number
CN106725716B
CN106725716B CN201710004431.9A CN201710004431A CN106725716B CN 106725716 B CN106725716 B CN 106725716B CN 201710004431 A CN201710004431 A CN 201710004431A CN 106725716 B CN106725716 B CN 106725716B
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CN
China
Prior art keywords
inner edge
osteotomy
tibial plateau
positioning plate
arc positioning
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.)
Expired - Fee Related
Application number
CN201710004431.9A
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Chinese (zh)
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CN106725716A (en
Inventor
王敏
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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
Application granted granted Critical
Publication of CN106725716B publication Critical patent/CN106725716B/en
Expired - Fee Related legal-status Critical Current
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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

Abstract

The invention discloses a kind of tibial plateau inner edge osteotomy orienting locators, including arc positioning plate, unilateral rack is equipped on the edge of the arc positioning plate side, the radian of the unilateral rack is identical with the radian of arc positioning plate, and the teeth portion of the unilateral rack is used to inscribe trace in intercondylar ridge Inner edge.Using tibial plateau inner edge osteotomy orienting locator provided by the invention, structure novel, it is easily achieved, whole 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, ensure the correct placement of femur and tibial prosthesis, avoid hitting there is a situation where excessive osteotomy, angular deviation or prosthese, reduce patient pain, accelerate speed of wound healing.

Description

Tibial plateau inner edge osteotomy orienting locator
Technical field
The invention belongs to medical auxiliary instrument technical fields, 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 common operation for treating the diseases such as osteoarthritis or the traumatic arthritis in separate room, Have many advantages, such as that wound is small, it is fast to restore, 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, and osteotomy depth and direction influence stock How the correct placement of bone and tibial prosthesis correctly determines that the direction of the vertical osteotomy in tibial plateau inner edge is particularly significant, current Localization method is to position homonymy anterior superior spine by touch, and round-trip mandrel line is aligned the anterior superior spine direction osteotomy, this method Receptor site and subjective impact are larger, and cannot accurately determine the distance close to shin bone intercondylar ridge, be easy to cause cut outgoing direction and Femoral prosthesis is axially inconsistent, and excessive osteotomy, angular deviation or prosthese is caused to hit.Solving problem above becomes the task of top priority.
Invention content
For solution more than technical problem, the present invention provides a kind of tibial plateau inner edge osteotomy orienting locator, can be accurate It determines the direction of the vertical osteotomy in tibial plateau inner edge, makes 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, is characterized by:Including arc positioning plate, determine in the arc The edge of position plate side is equipped with unilateral rack, and the radian of the unilateral rack is identical with the radian of arc positioning plate, described unilateral The teeth portion of rack is used to inscribe trace in intercondylar ridge Inner edge, which represents the straightforward bone direction of tibial plateau Inner marginal lappets, according to The trace after osteotomy accurately to dispose prosthese.
Using more than structure, doctor holds handle, and entire orienting locator is inserted into patient's knee space, then will suffer from Person's knee joint is gradually lifted to from buckling position in the dynamic process for stretching position, since single-end is higher by arch section, thus it is single The teeth portion of side gear can inscribe trace in intercondylar ridge Inner edge, which represents 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 femur and tibial prosthesis is demonstrate,proved, avoids hitting there is a situation where excessive osteotomy, angular deviation or prosthese, reduces trouble Person's pain, accelerates speed of wound healing.
As preferred:Detachable handle is additionally provided on the arc positioning plate.Using more than structure, pass through handle Stablize entire orienting locator, it is ensured that device is fitted in the centre position of femur Inner condyles, and handle is detachable, is conveniently replaceable.
As preferred:One end that the handle is connect with arc positioning plate has external screw thread, in the arc positioning plate The threaded hole being adapted with the external screw thread is provided on outer wall.Simple in structure using more than structure, installation is reliable, convenient for tearing open It unloads.
As preferred:The handle is truncated cone-shaped, and the diameter of the handle first end is less than the straight of the handle second end Diameter, the handle first end can be connect with the arc positioning plate.Using more than structure, hold and operate convenient for doctor.
As preferred:The arc positioning plate and unilateral rack are integrally formed.Using more than structure, structural strength is high, makes With reliable and stable.
As preferred:The arc positioning plate and unilateral rack use metal material.Using more than structure, structural strength Height, use are reliable and stable.
As preferred:The a height of 1mm of teeth portion, tooth pitch 1.5mm.Using more than structure, the tooth of unilateral rack was both ensured Portion can inscribe trace, and can reduce the operation wound of patient in intercondylar ridge Inner edge.
Compared with prior art, the beneficial effects of the invention are as follows:
Using tibial plateau inner edge osteotomy orienting locator provided by the invention, structure novel, it is easy to accomplish, it is whole 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 axial consistent, ensure the correct placement of femur and tibial prosthesis, avoid that the feelings that excessive osteotomy, angular deviation or prosthese are hit occur Condition reduces patient pain, accelerates speed of wound healing.
Description of the drawings
Fig. 1 is the usage state diagram of the present invention;
Fig. 2 is the axonometric drawing of the present invention;
Fig. 3 is the structure diagram of the present invention;
Fig. 4 is the structure diagram of handle.
Specific embodiment
The invention will be further described with attached drawing with reference to embodiments.
As shown in FIG. 1 to 3, a kind of tibial plateau inner edge osteotomy orienting locator, including arc positioning plate 1, described The edge of 1 side of arc positioning plate is equipped with unilateral rack 2, the radian of the unilateral rack 2 and the radian phase of arc positioning plate 1 Together, the teeth portion 2a of the unilateral rack 2 is used to inscribe trace in intercondylar ridge Inner edge.The arc positioning plate 1 and unilateral rack 2 one It is body formed, it is manufactured convenient for technique, and the two uses metal material, the integrally formed arc positioning plate 1 and unilateral rack 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 rack 2, tooth pitch are 1.5mm, the teeth portion 2a for not only having ensured unilateral rack 2 can inscribe trace, but also can reduce the operation wound of patient in intercondylar ridge Inner edge.
As shown in Figure 1 to 4, detachable handle 3, the handle 3 and arc are additionally provided on the arc positioning plate 1 One end that shape positioning plate 1 connects has external screw thread 3a, is provided on the outer wall of the arc positioning plate 1 and the external screw thread 3a Adaptable threaded hole, the handle 3 also can be removably mounted on the arc by other connection modes such as embedded and position On the outer wall of plate 1, the handle 3 can arrange in pairs or groups various sizes of arc positioning plate 1.The handle 3 be truncated cone-shaped, the handle The diameter of 3 first ends is less than the diameter of 3 second end of handle, and 3 first end of handle can connect with the arc positioning plate 1 It connects, holds and operate convenient for doctor.
The course of work of the present invention is as follows:
After the conventional approach of operation shows condyle of femur and tibial plateau, corresponding size is selected according to the condyle of femur size of measurement Handle 3 is mounted on arc positioning plate 1, then by arc positioning plate 1 and unilateral rack by arc positioning plate 1 and unilateral rack 2 2 are inserted into joint space, are bonded condyle of femur, it is ensured that arc positioning plate 1 is fitted in the centre position of femur Inner condyles, will by handle 3 It is stablized, and the knee joint of patient is gradually lifted to from buckling position in the dynamic process for stretching position by doctor, since unilateral rack 2 compares Arc positioning plate 1 is high, so the teeth portion 2a of unilateral rack 2 can inscribe trace in intercondylar ridge Inner edge, which represents shin bone The straightforward bone direction of platform Inner marginal lappets, according to disposing prosthese after the trace osteotomy.
Finally it should be noted that foregoing description is only the preferred embodiment of the present invention, the ordinary skill people of this field Member under the premise of without prejudice to present inventive concept and claim, can make table as multiple types under the enlightenment of the present invention Show, such transformation 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 positioning plate (1), in the arc The edge of positioning plate (1) side is equipped with unilateral rack (2), the radian of the unilateral rack (2) and the radian of arc positioning plate (1) Identical, for the teeth portion (2a) of the unilateral rack (2) for inscribing trace in intercondylar ridge Inner edge, which represents tibial plateau Inner The straightforward bone direction of marginal lappet, according to the trace accurately to dispose prosthese after osteotomy.
2. tibial plateau inner edge osteotomy orienting locator according to claim 1, it is characterised in that:It is positioned in the arc Detachable handle (3) is additionally provided on plate (1).
3. tibial plateau inner edge osteotomy orienting locator according to claim 2, it is characterised in that:The handle (3) with Arc positioning plate (1) connection one end have external screw thread (3a), be provided on the outer wall of the arc positioning plate (1) with it is described The adaptable threaded 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) For truncated cone-shaped, the diameter of the handle first end is less than the diameter of the handle second end, and the handle first end can be with institute State arc positioning plate (1) connection.
5. tibial plateau inner edge osteotomy orienting locator according to claim 1, it is characterised in that:The arc positioning plate (1) it is integrally formed with unilateral rack (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 rack (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 For 1mm, tooth pitch 1.5mm.
CN201710004431.9A 2017-01-04 2017-01-04 Tibial plateau inner edge osteotomy orienting locator Expired - Fee Related CN106725716B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201710004431.9A CN106725716B (en) 2017-01-04 2017-01-04 Tibial plateau inner edge osteotomy orienting locator

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201710004431.9A CN106725716B (en) 2017-01-04 2017-01-04 Tibial plateau inner edge osteotomy orienting locator

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CN106725716A CN106725716A (en) 2017-05-31
CN106725716B true CN106725716B (en) 2018-07-03

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Family Cites Families (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
US6375658B1 (en) * 2000-04-28 2002-04-23 Smith & Nephew, Inc. 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
WO2012003375A1 (en) * 2010-06-30 2012-01-05 Smith & Nephew, Inc. Resection instrument
US8821509B2 (en) * 2012-10-27 2014-09-02 Danamed, Inc. 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
CN105708529B (en) * 2016-01-20 2018-05-08 首都医科大学附属北京朝阳医院 A kind of posterior cruciate ligament of knee protective device for total knee arthroplasty

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Granted publication date: 20180703

Termination date: 20190104