CN107028640A - A kind of bones of extremities osteotomy guide plate and its application method - Google Patents
A kind of bones of extremities osteotomy guide plate and its application method Download PDFInfo
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- CN107028640A CN107028640A CN201710388477.5A CN201710388477A CN107028640A CN 107028640 A CN107028640 A CN 107028640A CN 201710388477 A CN201710388477 A CN 201710388477A CN 107028640 A CN107028640 A CN 107028640A
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- osteotomy
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- 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
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- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y02—TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
- Y02A—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
- Y02A50/00—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
- Y02A50/30—Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change
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Abstract
The invention belongs to medical instruments field; specifically a kind of bones of extremities osteotomy guide plate and its application method; osteotomy guide plate includes bone-holder and scroll saw osteotomy guide card; the side of epiphysis, the distal end positioned at Osteotomy are held installed in bone-holder in the bottom of scroll saw osteotomy guide card; the middle part of scroll saw osteotomy guide card is the barrier plate that bones of extremities is separated and protected with Surrounding muscles, neural blood vessel; the both sides of scroll saw osteotomy guide card are, to the inclined flank in remote bones of extremities direction, design Osteotomy to be provided with the flank per side, the spacing hole of scroll saw is limited；Application method is bone-holder clamping bones of extremities osteotomy region bone section, and scroll saw is inserted by bones of extremities rear, and is inserted in the spacing hole on the flank of both sides, to bones of extremities osteotomy under the limitation of spacing hole.The present invention can accurately be fixed according to the long bone of different parts, fully ensure that the accuracy of Osteotomy, Osteotomy is realized fully according to surgical planning in art, using simple, conveniently, it is ensured that the safety progress of operation.
Description
Technical field
The invention belongs to medical instruments field, specifically a kind of bones of extremities osteotomy guide plate and its application method.
Background technology
In bone surgery, the lesion resection of limbs long bone often needs to carry out the osteotomy of long bone.The operation of osteotomy is abundant
After the bone section for appearing bones of extremities Osteotomy, import scroll saw and carry out osteotomy.Focus long bone is removed into visual area after the completion of osteotomy.
Traditional limbs long bone bone-culting operation application orthopaedics scroll saw carries out osteotomy.Due to lacking positioning and fixing device, lead
Cause operation technique difficult, often occur Osteotomy error, concurrent blood vessel, neural Accessory injury, operative effect are poor；Its mainly have with
Under several shortcomings：
1. scroll saw osteotomy leans on manually determined Osteotomy completely, the scroll saw during osteotomy is caused to fix difficult, it is impossible to press
According to the accurate osteotomy of Osteotomy set in art.
2. during scroll saw osteotomy, due to lacking necessary protection apparatus, easily cause blood vessel, neural Accessory injury.
3. when osteotomy is completed, scroll saw lacks necessary control device, easily causes scroll saw and flies out visual area, causes operation to grasp
Make the pollution in space.
4. can not accurately grasp scroll saw position in scroll saw operating process, the iatrogenic damage of operating theatre staff is easily caused
Wound.
5. osteotomy process needs the people of operating personnel three, one man operation scroll saw, people protection muscle, nervus vasculairs, people limit
Scroll saw displacement processed.
The content of the invention
In order to solve the above mentioned problem that traditional osteotomy is present, it is an object of the invention to provide a kind of bones of extremities osteotomy guide plate
And its application method.The bones of extremities osteotomy guide plate can improve the horizontal accuracy rate of osteotomy, reduce the damage to blood vessel, nerve.
The purpose of the present invention is achieved through the following technical solutions：
The osteotomy guide plate of the present invention includes bone-holder and scroll saw osteotomy guide card, and wherein scroll saw osteotomy guide card is arranged at bone-holder
Hold the side of epiphysis and positioned at the distal end of Osteotomy, the middle part of the scroll saw osteotomy guide card be by bones of extremities and Surrounding muscles,
The barrier plate that neural blood vessel is separated and protected, the both sides of the scroll saw osteotomy guide card are to away from the inclined side in bones of extremities direction
The spacing hole for be provided with the wing, the flank per side and determine Osteotomy, limiting scroll saw；The bone-holder clamping bones of extremities is cut
Bone region bone section, scroll saw is inserted by the rear of bones of extremities, in the spacing hole described in the insertion both sides of scroll saw two ends on flank, in the limit
The Osteotomy of the determination in position hole is to bones of extremities osteotomy；
Wherein：Entirety, barrier plate and the flank of the scroll saw osteotomy guide card are square；
The length of the spacing hole is more than the edge that the length of flank, i.e. one end of the spacing hole are located at flank, the other end
Extend to the barrier plate；
Spacing hole described in both sides on flank is contour and is located at the middle part of flank, and is put down with the length direction of the flank
OK；Angle between the flank and barrier plate is 20 °~40 °；
The bone-holder includes body, bare terminal end A, bare terminal end B and bolt, and one end of the body is bare terminal end A, the other end
It is connected with the bolt thread, one end and the bare terminal end A of the bare terminal end B coordinate clamping bones of extremities, the bare terminal end B other end
It is connected with the bolt, drives bare terminal end B to be moved along the length direction of body by screwing bolt；Along length side on the body
Guide pad A and guide pad B are respectively equipped with pilot hole A and pilot hole B, bolt and the bare terminal end B to having, the guiding
Block A and guide pad B are passed in pilot hole A, pilot hole B respectively.
The application method of bones of extremities osteotomy guide plate of the present invention is：
Appear bones of extremities osteotomy region bone section before osteotomy, the bone-holder is clamped into bones of extremities, and is fixed on osteotomy and is put down
The distal end in face, Osteotomy is determined by the spacing hole on the scroll saw osteotomy guide card；Line is inserted in the rear of the bones of extremities
Scroll saw two ends are introduced into the spacing hole described in both sides on flank by saw, the Osteotomy determined according to scroll saw osteotomy guide card, scroll saw
Osteotomy operation is carried out, bones of extremities is separated and protected with Surrounding muscles, neural blood vessel by the scroll saw osteotomy guide card, in osteotomy
At the end of, due to the limitation of scroll saw osteotomy guide card, scroll saw completes to remain in the spacing hole during osteotomy；Complete after osteotomy, remove
Except the osteotomy guide plate.
Advantages of the present invention is with good effect：
1. the osteotomy guide plate of the present invention can accurately be fixed according to the long bone of different parts, Osteotomy is fully ensured that
Accuracy, Osteotomy is realized fully according to surgical planning in art.
, will 2. the flank of the scroll saw osteotomy guide card of the osteotomy guide plate of the present invention can protect the muscle of surrounding, nervus vasculairs
Muscle, nervus vasculairs are barred from beyond scroll saw osteotomy opereating specification, are prevented effectively from generation Accessory injury.
3. the scroll saw osteotomy guide card of the osteotomy guide plate of the present invention devises barrier plate, the scroll saw at the end of osteotomy can be prevented
Fly out visual area, it is to avoid scroll saw contaminated operation operating space.
4. the spacing hole on the scroll saw osteotomy guide card of the osteotomy guide plate of the present invention can prevent scroll saw right in operation
The iatrogenic injury that operator causes.
5. the osteotomy guide plate of the application present invention carries out bones of extremities osteotomy, single operation technique can be completed, save manpower.
6. osteotomy guide plate of the present invention uses simple, conveniently, determine that Osteotomy is accurate, it is ensured that the safety of operation is entered
OK.
Brief description of the drawings
Fig. 1 is the dimensional structure diagram of bones of extremities osteotomy guide plate of the present invention；
Fig. 2 is the structural front view of bones of extremities osteotomy guide plate of the present invention；
Fig. 3 is the dimensional structure diagram of scroll saw osteotomy guide card of the present invention；
Fig. 4 is the structural front view of scroll saw osteotomy guide card of the present invention；
Fig. 5 is Fig. 4 upward view；
Wherein：1 is bone-holder, and 2 be scroll saw osteotomy guide card, and 3 be spacing hole, and 4 be barrier plate, and 5 be flank, and 6 be bare terminal end
A, 7 be bare terminal end B, and 8 be body, and 9 be bolt, and 10 be pilot hole A, and 11 be pilot hole B, and 12 be guide pad A, and 13 be guide pad B,
14 be bolt.
Embodiment
The invention will be further described below in conjunction with the accompanying drawings.
As shown in Figure 1 and Figure 2, osteotomy guide plate of the invention includes bone-holder 1 and scroll saw osteotomy guide card 2, wherein scroll saw osteotomy
Guide card 2 can be structure as a whole with bone-holder 1, the scroll saw osteotomy guide card 2 be arranged at bone-holder 1 hold epiphysis side and positioned at cut
The distal end of bone plane.
As seen in figures 3-5, scroll saw osteotomy guide card 2 is square, and middle part is by bones of extremities and Surrounding muscles, neural blood vessel point
From and the barrier plate 4 protected, the side of the barrier plate 4 is the position being integrally formed with bone-holder 1；Scroll saw osteotomy guide card 2
Both sides be to away from bones of extremities direction inclined flank 5, being provided with conclusive Osteotomy, limitation scroll saw on the flank 5 per side
Spacing hole 3.Barrier plate 4 and flank 5 are square, and the spacing hole 3 on both sides flank 5 is contour and is located at the middle part of flank 5,
And it is parallel with the length direction of flank 5.The length of spacing hole 3 is more than the length of flank 5, i.e. one end of spacing hole 3 and is located at flank 5
Edge, the other end extends to barrier plate 4.Angle between flank 5 and barrier plate 4 is 20 °~40 °.The scroll saw of the present embodiment
Osteotomy guide card 2 is rectangle, and width is 3cm, and length is 5.5cm；The length of barrier plate 4 is 1.5cm, and the length per side flank 5 is equal
It it is 30 ° per the inclination angle between side flank 5 and barrier plate 4 for 2cm.It is wide that spacing hole 3 on flank 5 is located at scroll saw osteotomy guide card 2
The middle part in direction is spent, a width of 0.2cm, length is 2.25cm.
As shown in Figure 1 and Figure 2, bone-holder 1 includes body 8, bare terminal end A6, bare terminal end B7 and bolt 9, one end of the body 8
For bare terminal end A6, the other end is threadedly coupled with bolt 9, and bare terminal end B7 one end and bare terminal end A6 coordinate clamping bones of extremities, the folder
The other end for holding end B7 is connected with bolt 9, drives length directions of the bare terminal end B7 along body 8 to move by screwing bolt 9, and
It is moved to behind setting position, is fixed by bolt 14.Bare terminal end A6 and bare terminal end B7 is arc, together with bare terminal end A6
Clamp bones of extremities.Have and divide on pilot hole A10 and pilot hole B11, bolt 9 and bare terminal end B7 along its length on body 8
Not She You guide pad A12 and guide pad B13, guide pad A12 and guide pad B13 respectively in pilot hole A10, pilot hole B11
Pass, play the guiding role in the moving process of bare terminal end B7 and bolt 9.
The application method of osteotomy guide plate of the present invention is：
In bone surgery, the lesion resection of limbs long bone needs to carry out the osteotomy of long bone.Fully appear limbs before osteotomy
Bone osteotomy region bone section, bones of extremities is clamped by bone-holder 1, and is fixed on the distal end of Osteotomy, by scroll saw osteotomy guide card 2
Spacing hole 3 determine Osteotomy.Using the guiding of haemostatic clamp, scroll saw is inserted in the rear of bones of extremities, is led according to scroll saw osteotomy
Scroll saw two ends are introduced into the spacing hole 3 on both sides flank 5 by the Osteotomy that piece 2 is determined, scroll saw carries out osteotomy operation, and scroll saw is cut
Bones of extremities is separated and protected with Surrounding muscles, neural blood vessel by bone conduction piece 2.Scroll saw carries out osteotomy operation, terminates in osteotomy
When, due to the limitation of scroll saw osteotomy guide card 2, scroll saw completes to remain in spacing hole 3 during osteotomy, can prevent that scroll saw from flying out visual area.
After osteotomy success, osteotomy guide plate is removed, operation is completed.
The osteotomy guide plate of the present invention can overcome the shortcoming of traditional osteotomy, improve the horizontal accuracy rate of osteotomy, reduce to blood vessel,
The damage of nerve；Scroll saw osteotomy deflector is reasonable in design, simple to operate, and clinical application effect is notable.
Claims (8)
1. a kind of bones of extremities osteotomy guide plate, it is characterised in that：Including bone-holder (1) and scroll saw osteotomy guide card (2), wherein scroll saw is cut
Bone conduction piece (2) is arranged at bone-holder (1) and holds the side of epiphysis and positioned at the distal end of Osteotomy, the scroll saw osteotomy guide card (2)
Middle part be barrier plate (4) that bones of extremities is separated and protected with Surrounding muscles, neural blood vessel, the scroll saw osteotomy guide card
(2) both sides are, to away from the inclined flank in bones of extremities direction (5), determination osteotomy to be provided with the flank (5) per side flat
Face, the spacing hole (3) for limiting scroll saw；Bone-holder (1) the clamping bones of extremities osteotomy region bone section, scroll saw is by the rear of bones of extremities
Insert, in the spacing hole (3) described in the insertion both sides of scroll saw two ends on flank (5), in the Osteotomy of the determination of the spacing hole (3)
To bones of extremities osteotomy.
2. bones of extremities osteotomy guide plate according to claim 1, it is characterised in that：The entirety of the scroll saw osteotomy guide card (2),
Barrier plate (4) and flank (5) are square.
3. bones of extremities osteotomy guide plate according to claim 1, it is characterised in that：The length of the spacing hole (3) is more than side
The length of the wing (5), i.e. one end of the spacing hole (3) are located at the edge of flank (5), and the other end extends to the barrier plate (4).
4. bones of extremities osteotomy guide plate according to claim 1, it is characterised in that：Spacing hole on flank described in both sides (5)
(3) middle part contour and positioned at flank (5), and it is parallel with the length direction of the flank (5).
5. bones of extremities osteotomy guide plate according to claim 1, it is characterised in that：Between the flank (5) and barrier plate (4)
Angle be 20 °~40 °.
6. bones of extremities osteotomy guide plate according to claim 1, it is characterised in that：The bone-holder (1) include body (8),
Bare terminal end A (6), bare terminal end B (7) and bolt (9), one end of the body (8) is bare terminal end A (6), the other end and the bolt
(9) it is threadedly coupled, one end and the bare terminal end A (6) of the bare terminal end B (7) coordinate clamping bones of extremities, and bare terminal end B's (7) is another
End is connected with the bolt (9), drives length directions of the bare terminal end B (7) along body (8) to move by screwing bolt (9).
7. bones of extremities osteotomy guide plate according to claim 6, it is characterised in that：Divide along its length on the body (8)
Be not provided with pilot hole A (10) and pilot hole B (11), be respectively equipped with the bolt (9) and bare terminal end B (7) guide pad A (12) and
Guide pad B (13), guide pad A (12) and guide pad B (13) are passed by pilot hole A (10), pilot hole B in (11) respectively.
8. the application method of bones of extremities osteotomy guide plate described in a kind of claim 1 to 7 any claim, it is characterised in that：
Appear bones of extremities osteotomy region bone section before osteotomy, the bone-holder (1) is clamped into bones of extremities, and be fixed on the remote of Osteotomy
End, Osteotomy is determined by the spacing hole (3) on the scroll saw osteotomy guide card (2)；Line is inserted in the rear of the bones of extremities
Saw, the Osteotomy determined according to scroll saw osteotomy guide card (2) introduces scroll saw two ends the spacing hole described in both sides on flank (5)
(3) in, scroll saw carries out osteotomy operation, and bones of extremities is separated and given with Surrounding muscles, neural blood vessel by the scroll saw osteotomy guide card (2)
To protect, at the end of osteotomy, due to the limitation of scroll saw osteotomy guide card (2), scroll saw completes to remain in the spacing hole during osteotomy
(3) in；Complete after osteotomy, remove the osteotomy guide plate.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710388477.5A CN107028640B (en) | 2017-05-27 | 2017-05-27 | Limb bone osteotomy guide plate and use method thereof |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710388477.5A CN107028640B (en) | 2017-05-27 | 2017-05-27 | Limb bone osteotomy guide plate and use method thereof |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN107028640A true CN107028640A (en) | 2017-08-11 |
| CN107028640B CN107028640B (en) | 2023-07-18 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201710388477.5A Active CN107028640B (en) | 2017-05-27 | 2017-05-27 | Limb bone osteotomy guide plate and use method thereof |
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Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20080234685A1 (en) * | 2004-05-18 | 2008-09-25 | Scandinavian Customized Prosthesis Asa | Patient-Adapted Osteotomy Template for Precise Resection of the Neck of the Femur in a Total Hip Prosthesis Operation |
| CN101460105A (en) * | 2006-05-19 | 2009-06-17 | 普瑞斯麦德股份有限公司 | Bone cutting fixture assembly with guide appendages |
| US20110238068A1 (en) * | 2008-11-27 | 2011-09-29 | I.T.S Gmbh | Device for shortening an elongated bone |
| US20130253592A1 (en) * | 2010-12-01 | 2013-09-26 | D.L.P. | Device for compressing two bone parts |
| CN203988244U (en) * | 2013-12-31 | 2014-12-10 | 张文涛 | Acetabular bone osteotomy device |
| CN204600592U (en) * | 2015-04-21 | 2015-09-02 | 王庆贤 | A kind of osteotomy retractor with scroll saw guiding function |
| CN106473782A (en) * | 2016-09-30 | 2017-03-08 | 中国人民解放军总医院第附属医院 | A kind of dry osteotomy operation retractor assembly of fibula and its operation method |
| CN207679493U (en) * | 2017-05-27 | 2018-08-03 | 辽宁省肿瘤医院 | A kind of bones of extremities osteotomy guide plate |
-
2017
- 2017-05-27 CN CN201710388477.5A patent/CN107028640B/en active Active
Patent Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20080234685A1 (en) * | 2004-05-18 | 2008-09-25 | Scandinavian Customized Prosthesis Asa | Patient-Adapted Osteotomy Template for Precise Resection of the Neck of the Femur in a Total Hip Prosthesis Operation |
| CN101460105A (en) * | 2006-05-19 | 2009-06-17 | 普瑞斯麦德股份有限公司 | Bone cutting fixture assembly with guide appendages |
| US20110238068A1 (en) * | 2008-11-27 | 2011-09-29 | I.T.S Gmbh | Device for shortening an elongated bone |
| US20130253592A1 (en) * | 2010-12-01 | 2013-09-26 | D.L.P. | Device for compressing two bone parts |
| CN203988244U (en) * | 2013-12-31 | 2014-12-10 | 张文涛 | Acetabular bone osteotomy device |
| CN204600592U (en) * | 2015-04-21 | 2015-09-02 | 王庆贤 | A kind of osteotomy retractor with scroll saw guiding function |
| CN106473782A (en) * | 2016-09-30 | 2017-03-08 | 中国人民解放军总医院第附属医院 | A kind of dry osteotomy operation retractor assembly of fibula and its operation method |
| CN207679493U (en) * | 2017-05-27 | 2018-08-03 | 辽宁省肿瘤医院 | A kind of bones of extremities osteotomy guide plate |
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| Publication number | Publication date |
|---|---|
| CN107028640B (en) | 2023-07-18 |
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