CN107028687B - A kind of clavicle proximal end anatomical form prosthese and forming method - Google Patents

A kind of clavicle proximal end anatomical form prosthese and forming method Download PDF

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Publication number
CN107028687B
CN107028687B CN201710412619.7A CN201710412619A CN107028687B CN 107028687 B CN107028687 B CN 107028687B CN 201710412619 A CN201710412619 A CN 201710412619A CN 107028687 B CN107028687 B CN 107028687B
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China
Prior art keywords
prosthese
proximal end
clavicle
main body
anatomical form
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CN201710412619.7A
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CN107028687A (en
Inventor
黄文华
邓羽平
欧阳汉斌
何伟
方斌
刘建成
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Southern Medical University
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Southern Medical University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/28Bones
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/28Bones
    • A61F2/2846Support means for bone substitute or for bone graft implants, e.g. membranes or plates for covering bone defects
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/28Bones
    • A61F2/2846Support means for bone substitute or for bone graft implants, e.g. membranes or plates for covering bone defects
    • A61F2002/285Fixation appliances for attaching bone substitute support means to underlying bone
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/3094Designing or manufacturing processes
    • A61F2/30942Designing or manufacturing processes for designing or making customized prostheses, e.g. using templates, CT or NMR scans, finite-element analysis or CAD-CAM techniques
    • A61F2002/30948Designing or manufacturing processes for designing or making customized prostheses, e.g. using templates, CT or NMR scans, finite-element analysis or CAD-CAM techniques using computerized tomography, i.e. CT scans
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/3094Designing or manufacturing processes
    • A61F2002/30985Designing or manufacturing processes using three dimensional printing [3DP]

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  • Health & Medical Sciences (AREA)
  • Transplantation (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)

Abstract

A kind of clavicle proximal end anatomical form prosthese is provided with the prosthesis handle for being fixed on manubrium pulp cavity, the prosthese main body for being installed on clavicle proximal end defect point, the prosthese internal fixation steel plate for stretching to clavicle stump, support construction.The clavicle proximal end anatomical form prosthese can be effectively facilitated different diaphysis and connect with breastbone, clavicle stump bone;Different diaphysis and articulatio sternalis fusion are improved, to improve prosthese stability, increases the medium-term and long-term service life of prosthese.A kind of forming method of clavicle proximal end anatomical form prosthese, above-mentioned prosthesis handle, prosthese main body, prosthese internal fixation steel plate are all integrally formed using medical aluminium alloy 3D printing.The forming method can fast custom go out the clavicle proximal end anatomical form prosthese high according to the bone matching degree of different patients, different clavicle proximal ends bone defect, to meet the needs of clinically clavicle proximal end is rebuild.

Description

A kind of clavicle proximal end anatomical form prosthese and forming method
Technical field
The present invention relates to clavicle proximal end prostheses, belong to man-made organ technical field, solve more particularly to a kind of clavicle proximal end Cut open type prosthese and forming method.
Background technique
Clavicle proximal end prosthese is the effective ways for treating clavicle proximal end large segmental bone defect.The postoperative medium-term and long-term service life is evaluation lock The main indicator of proximal bone prosthese performance.The factor for influencing the clavicle proximal end prosthese service life is numerous, including: the fixation side of prosthese Formula, the molding mode of prosthese and stress shielding caused by it.Clavicle proximal end prosthese studies less, shortage solution of carrying out the work at present It cuts open and function match, clavicle proximal end prosthese that stability and medium-term and long-term service life are satisfied.
Therefore, in view of the shortcomings of the prior art, providing a kind of clavicle proximal end anatomical form prosthese and forming method is existing to overcome Technical deficiency is very necessary.
Summary of the invention
Present invention aims at avoid in place of the deficiencies in the prior art and provide a kind of clavicle proximal end anatomical form prosthese and at Type method.
A kind of clavicle proximal end anatomical form prosthese can be effectively facilitated different diaphysis and connect with breastbone, clavicle stump bone, improve Different diaphysis and articulatio sternalis fusion, to improve prosthese stability, increase the medium-term and long-term service life of prosthese.
The present invention provide a kind of clavicle proximal end anatomical form prosthese forming method can fast custom go out according to different patients, no With the high clavicle proximal end anatomical form prosthese of the bone matching degree of clavicle proximal end bone defect, rebuild with meeting clinically clavicle proximal end Demand.
Above-mentioned purpose of the invention is realized by following technological means.
A kind of clavicle proximal end anatomical form prosthese is provided, is provided with prosthesis handle for being fixed on manubrium pulp cavity, for pacifying Prosthese main body loaded on clavicle proximal end defect point and the prosthese internal fixation steel plate for stretching to clavicle stump;
Preferably, above-mentioned prosthese internal fixation steel plate is fixedly connected with one end of prosthese main body, and prosthesis handle is fixed on the vacation The other end of phosphor bodies;
Preferably, above-mentioned prosthese main body is hollow structure, and the prosthese main body is provided with multiple through-holes;
Preferably, above-mentioned prosthesis handle, prosthese main body, prosthese internal fixation steel plate are beaten by 3D
It is printed as type.
Preferably, a kind of above-mentioned clavicle proximal end anatomical form prosthese, the prosthese main body are provided with the first sub- main part, second Sub- main part, the first sub- main part are fixedly connected with the second sub- main part;
Preferably, the above-mentioned first sub- main part is connect with prosthese internal fixation steel plate, and the through-hole is set to first son Main part:
Preferably, the above-mentioned second sub- main part is fixedly connected with prosthesis handle.
Preferably, a kind of above-mentioned clavicle proximal end anatomical form prosthese, the through-hole are set as diamond shape, rectangle, circle, ellipse Or triangle.
Preferably, a kind of above-mentioned clavicle proximal end anatomical form prosthese, the prosthesis handle are made of pedestal and protrusion, pedestal and Protrusion is an integral molding structure.
Preferably, above-mentioned a kind of clavicle proximal end anatomical form prosthese, the prosthesis handle and prosthese main body junction are provided with branch Support structure, the support construction and prosthesis handle are in interconnection.
Preferably, above-mentioned a kind of clavicle proximal end anatomical form prosthese, support construction are that cross is connect with prosthesis handle.
Preferably, above-mentioned a kind of clavicle proximal end anatomical form prosthese, prosthese internal fixation steel plate are provided with assembly through-hole, and assembly is logical Hole is set as diamond shape, rectangle, circle, ellipse or triangle.
Preferably, above-mentioned a kind of clavicle proximal end anatomical form prosthese, the prosthesis handle, prosthese main body, prosthese internal fixation steel plate It is integrally formed using medical aluminium alloy 3D printing.
A kind of clavicle proximal end anatomical form prosthese forming method is provided, is false using the above-mentioned clavicle proximal end anatomical form of 3D printing Body.
Clavicle proximal end anatomical form prosthese of the invention can be effectively facilitated different diaphysis and connect with breastbone, clavicle stump bone; Different diaphysis and articulatio sternalis fusion are improved, to improve prosthese stability, increases the medium-term and long-term service life of prosthese.The clavicle is close simultaneously End anatomical form prosthese forming method substantially increases the flexibility of proximal end clavicle bone defect healing, it can be achieved that personalized precisely controls It treats, patient's both limbs CT/MRI fault image data conduct is used in design to individuation anatomic clavicle proximal end prosthese The basis of three-dimensional reconstruction, data source is reliable and is easy to obtain.Operative doctor is visually to carry out osteotomy plant with experience at present Bone, this can reduce the recovery extent that clavicle proximal end rebuilds anatomic form, increase the risk of implantation material fracture.Through the invention not only The step is saved, and reduces operation wound, shortens operating time, the complication such as bone nonunion is reduced, complies fully with modern bone The theory that minimally invasive BO is fixed in section meets the needs of clinically clavicle proximal end reconstruction.
Detailed description of the invention
Using attached drawing, the present invention is further illustrated, but the content in attached drawing is not constituted to any limit of the invention System.
Fig. 1 is a kind of overall structure figure of clavicle proximal end anatomical form prosthese of the present invention.
Fig. 2 is the structure chart of clavicle prosthese of the present invention.
In Fig. 1,2, comprising:
Manubrium pulp cavity 10,
Prosthese main body 20, prosthesis handle 21, prosthese internal fixation steel plate 22, support construction 23, first sub- the 24, second son of main part Main part 25, hollow structure 26,
Clavicle stump 30.
Specific embodiment
The invention will be further described with the following Examples.
A kind of clavicle proximal end anatomical form prosthese is provided with the prosthese for being fixed on manubrium pulp cavity as shown in Figure 1 and Figure 2 Handle 21, the prosthese main body 20 for being installed on clavicle proximal end defect point, the prosthese internal fixation steel plate for stretching to clavicle stump 30 22, support construction 23.
Prosthese internal fixation steel plate 22 is fixedly connected with one end of prosthese main body 20.Prosthesis handle 21 is fixed on the prosthese main body 20 other end.Prosthese main body 20 is hollow structure 26;Prosthese main body 20 is provided with the first sub- main part 24, the second sub- main part 25.First sub- main part 24, the second sub- main part 25 are fixedly connected;First sub- main part 24 and prosthese internal fixation steel plate 22 are fixed Connection;Second sub- main part 25 is fixedly connected with prosthesis handle 21.
Prosthesis handle 21 is made of pedestal and protrusion, and size is determined by patient's breastbone and breastbone pulp cavity size, can be most Big degree increases prosthese extremitas sternalis stability.
The hollow structure 26 of prosthese main body 20 is transplanted for allosome diaphysis.Allograph bone therein and breastbone and clavicle stump 30 junctions carry out bone connection;Allograph bone can carry out joint fusion with breastbone through this structure, therefore hollow structure 26 can mention High prosthese stability increases long-term in prosthese.
The sub- main part 24 of the first of prosthese main body 20 is provided with multiple through-holes, can stitch with nutrition allograph bone and for muscle ligament It closes and stop is provided, while lightweight prosthese;Through-hole may be configured as diamond shape, rectangle, circle, ellipse or triangle it is any it One.
Prosthese internal fixation steel plate 22 is provided with assembly through-hole, is assembled with clavicle stump 30, while can be with lightweight vacation Body;It is one of any that through-hole may be configured as diamond shape, rectangle, circle, ellipse or triangle.
It should be noted that the first sub- main part 24 through-hole and prosthese internal fixation steel plate 22 assembly through-hole all there are many Shape selection, can be used as through-hole of the invention as long as can be realized the function.The primary object of the application does not lie in logical The selection of hole shape.The selection of specific shape of through holes, those skilled in the art can flexibly select according to the technical solution of the application It selects, details are not described herein.
Prosthesis handle 21 and 20 junction of prosthese main body are provided with support construction 23, can resist and come from suffered by prosthesis handle 21 Shearing force on front-rear direction.Support construction 23 and prosthesis handle 21 are in interconnection;Maximumlly to resist shearing force, support knot Structure 23 should be cross with prosthesis handle 21 and connect.
Prosthesis handle 21, prosthese main body 20, prosthese internal fixation steel plate 22 are all integrally formed using medical aluminium alloy 3D printing, energy Effectively promote service life and the stability of prosthese.
Finally it should be noted that the above embodiments are merely illustrative of the technical solutions of the present invention rather than protects to the present invention The limitation of range, any change or replacement expected without creative work, should all cover protection scope of the present invention it It is interior.

Claims (4)

1. a kind of clavicle proximal end anatomical form prosthese, it is characterised in that: be provided with the prosthesis handle for being fixed on manubrium pulp cavity, use In the prosthese main body for being installed on clavicle proximal end defect point and prosthese internal fixation steel plate for stretching to clavicle stump;
The prosthese internal fixation steel plate is fixedly connected with one end of prosthese main body, and prosthesis handle is fixed on the another of the prosthese main body End;
The prosthese main body is hollow structure, and the prosthese main body is provided with multiple through-holes;
The prosthesis handle, prosthese main body, prosthese internal fixation steel plate are formed by 3D printing;
The prosthese main body is provided with the first sub- main part, the second sub- main part, and the first sub- main part and the second sub- main part are solid Fixed connection;
The first sub- main part is connect with prosthese internal fixation steel plate, and the through-hole is set to the described first sub- main part;
The second sub- main part is fixedly connected with prosthesis handle;
The through-hole is set as diamond shape, rectangle, circle, ellipse or triangle;
The prosthesis handle is made of pedestal and protrusion, and pedestal and protrusion are an integral molding structure;
The prosthesis handle and prosthese main body junction are provided with support construction, and the support construction and prosthesis handle are in interconnection;
Support construction is that cross is connect with prosthesis handle.
2. a kind of clavicle proximal end anatomical form prosthese according to claim 1, it is characterised in that: prosthese internal fixation steel plate is provided with Through-hole is assembled, assembly through-hole is set as diamond shape, rectangle, circle, ellipse or triangle.
3. a kind of clavicle proximal end anatomical form prosthese according to claim 1, it is characterised in that: the prosthesis handle, prosthese main body, Prosthese internal fixation steel plate is integrally formed using medical aluminium alloy 3D printing.
4. a kind of forming method of clavicle proximal end anatomical form prosthese, it is characterised in that: appointed using 3D printing such as claims 1 to 3 Clavicle proximal end anatomical form prosthese described in meaning one.
CN201710412619.7A 2017-06-05 2017-06-05 A kind of clavicle proximal end anatomical form prosthese and forming method Active CN107028687B (en)

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108498209B (en) * 2018-04-13 2023-12-08 无锡市第九人民医院 3D printed titanium alloy prosthesis for bone defects of large limbs
CN112022445B (en) * 2020-09-29 2021-10-26 北京市春立正达医疗器械股份有限公司 Bone trabecula structure and application thereof

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CN103462678A (en) * 2012-06-07 2013-12-25 张振武 Anatomical plate for sternoclavicular joints
CN104116553A (en) * 2014-08-12 2014-10-29 李照文 Flexible fixing plate for acromioclavicular joint
CN104323875A (en) * 2014-10-14 2015-02-04 刘振东 Bone grafting device for repairing large segmental bone defects
CN105496537A (en) * 2015-12-31 2016-04-20 林列 Internal fixation steel plate for sternoclavicular joint
CN106170705A (en) * 2013-12-09 2016-11-30 穆罕默德·R·马赫福兹 Skeletal reconstruction and Orthopeadic Surgery implant

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101028208A (en) * 2006-02-27 2007-09-05 浙江科惠医疗器械有限公司 Sternoclavicular hamulus steel plate for treating articulatio sternoclavicularis fracture dearticulation
CN103462678A (en) * 2012-06-07 2013-12-25 张振武 Anatomical plate for sternoclavicular joints
CN106170705A (en) * 2013-12-09 2016-11-30 穆罕默德·R·马赫福兹 Skeletal reconstruction and Orthopeadic Surgery implant
CN104116553A (en) * 2014-08-12 2014-10-29 李照文 Flexible fixing plate for acromioclavicular joint
CN104323875A (en) * 2014-10-14 2015-02-04 刘振东 Bone grafting device for repairing large segmental bone defects
CN105496537A (en) * 2015-12-31 2016-04-20 林列 Internal fixation steel plate for sternoclavicular joint

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