CN107374787A - The artificial prosthesis and application method of the adjustable overlapping attachment structure in long bone backbone portion - Google Patents
The artificial prosthesis and application method of the adjustable overlapping attachment structure in long bone backbone portion Download PDFInfo
- Publication number
- CN107374787A CN107374787A CN201710750919.6A CN201710750919A CN107374787A CN 107374787 A CN107374787 A CN 107374787A CN 201710750919 A CN201710750919 A CN 201710750919A CN 107374787 A CN107374787 A CN 107374787A
- Authority
- CN
- China
- Prior art keywords
- prosthese
- connection component
- connecting portion
- plane
- shank
- 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.)
- Pending
Links
- 210000000988 bone and bone Anatomy 0.000 title claims abstract description 49
- 238000000034 method Methods 0.000 title claims abstract description 19
- 210000002758 humerus Anatomy 0.000 claims abstract description 18
- 201000010099 disease Diseases 0.000 claims abstract description 9
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 claims abstract description 9
- 229910000831 Steel Inorganic materials 0.000 claims description 17
- 239000010959 steel Substances 0.000 claims description 17
- 230000000694 effects Effects 0.000 claims description 16
- 239000011248 coating agent Substances 0.000 claims description 14
- 238000000576 coating method Methods 0.000 claims description 14
- 229910052751 metal Inorganic materials 0.000 claims description 9
- 239000002184 metal Substances 0.000 claims description 9
- 238000000926 separation method Methods 0.000 claims description 5
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 claims description 4
- 239000010936 titanium Substances 0.000 claims description 4
- 229910052719 titanium Inorganic materials 0.000 claims description 4
- 241001074085 Scophthalmus aquosus Species 0.000 claims description 3
- 206010064390 Tumour invasion Diseases 0.000 claims description 3
- 230000009400 cancer invasion Effects 0.000 claims description 3
- 210000001519 tissue Anatomy 0.000 claims description 3
- 238000003032 molecular docking Methods 0.000 claims description 2
- PCHJSUWPFVWCPO-UHFFFAOYSA-N gold Chemical compound [Au] PCHJSUWPFVWCPO-UHFFFAOYSA-N 0.000 claims 1
- 239000010931 gold Substances 0.000 claims 1
- 229910052737 gold Inorganic materials 0.000 claims 1
- 239000002639 bone cement Substances 0.000 abstract description 13
- 238000013461 design Methods 0.000 abstract description 7
- 230000002980 postoperative effect Effects 0.000 abstract description 6
- 210000003414 extremity Anatomy 0.000 description 17
- 239000004568 cement Substances 0.000 description 14
- 238000006243 chemical reaction Methods 0.000 description 14
- 230000007547 defect Effects 0.000 description 7
- 206010005949 Bone cancer Diseases 0.000 description 5
- 206010028980 Neoplasm Diseases 0.000 description 4
- 208000015181 infectious disease Diseases 0.000 description 4
- 230000009931 harmful effect Effects 0.000 description 3
- 208000014674 injury Diseases 0.000 description 3
- 230000007774 longterm Effects 0.000 description 3
- 230000008733 trauma Effects 0.000 description 3
- 210000003484 anatomy Anatomy 0.000 description 2
- 230000000295 complement effect Effects 0.000 description 2
- 230000007812 deficiency Effects 0.000 description 2
- 238000011161 development Methods 0.000 description 2
- 239000007943 implant Substances 0.000 description 2
- 238000003780 insertion Methods 0.000 description 2
- 230000037431 insertion Effects 0.000 description 2
- 230000003902 lesion Effects 0.000 description 2
- 230000002138 osteoinductive effect Effects 0.000 description 2
- 238000004321 preservation Methods 0.000 description 2
- 239000007787 solid Substances 0.000 description 2
- 238000007711 solidification Methods 0.000 description 2
- 230000008023 solidification Effects 0.000 description 2
- 230000001225 therapeutic effect Effects 0.000 description 2
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 2
- 208000018084 Bone neoplasm Diseases 0.000 description 1
- 208000010496 Heart Arrest Diseases 0.000 description 1
- 208000032843 Hemorrhage Diseases 0.000 description 1
- 208000001953 Hypotension Diseases 0.000 description 1
- 206010021143 Hypoxia Diseases 0.000 description 1
- 206010027336 Menstruation delayed Diseases 0.000 description 1
- 206010027476 Metastases Diseases 0.000 description 1
- 206010031252 Osteomyelitis Diseases 0.000 description 1
- 235000018259 Solanum vestissimum Nutrition 0.000 description 1
- 240000002825 Solanum vestissimum Species 0.000 description 1
- 206010052428 Wound Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 230000002159 abnormal effect Effects 0.000 description 1
- 230000006793 arrhythmia Effects 0.000 description 1
- 206010003119 arrhythmia Diseases 0.000 description 1
- 238000011882 arthroplasty Methods 0.000 description 1
- 208000006673 asthma Diseases 0.000 description 1
- 230000004888 barrier function Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 208000034158 bleeding Diseases 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 201000011510 cancer Diseases 0.000 description 1
- 238000000354 decomposition reaction Methods 0.000 description 1
- 208000002925 dental caries Diseases 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 235000013399 edible fruits Nutrition 0.000 description 1
- 208000018875 hypoxemia Diseases 0.000 description 1
- 238000002347 injection Methods 0.000 description 1
- 239000007924 injection Substances 0.000 description 1
- 210000003127 knee Anatomy 0.000 description 1
- 208000012866 low blood pressure Diseases 0.000 description 1
- 230000009401 metastasis Effects 0.000 description 1
- 230000001394 metastastic effect Effects 0.000 description 1
- 206010061289 metastatic neoplasm Diseases 0.000 description 1
- 208000010125 myocardial infarction Diseases 0.000 description 1
- 230000036285 pathological change Effects 0.000 description 1
- 231100000915 pathological change Toxicity 0.000 description 1
- 230000002093 peripheral effect Effects 0.000 description 1
- 210000002320 radius Anatomy 0.000 description 1
- 238000011160 research Methods 0.000 description 1
- 238000012827 research and development Methods 0.000 description 1
- 238000004062 sedimentation Methods 0.000 description 1
- 238000004381 surface treatment Methods 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 230000004083 survival effect Effects 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
- 210000000623 ulna Anatomy 0.000 description 1
- 210000000689 upper leg Anatomy 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F2/00—Filters 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
- A61F2/02—Prostheses implantable into the body
- A61F2/28—Bones
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F2/00—Filters 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/3094—Designing or manufacturing processes
- A61F2/30942—Designing or manufacturing processes for designing or making customized prostheses, e.g. using templates, CT or NMR scans, finite-element analysis or CAD-CAM techniques
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F2/00—Filters 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
- A61F2/02—Prostheses implantable into the body
- A61F2/28—Bones
- A61F2002/2835—Bone graft implants for filling a bony defect or an endoprosthesis cavity, e.g. by synthetic material or biological material
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F2/00—Filters 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F2/00—Filters 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2002/30405—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by screwing complementary threads machined on the parts themselves
- A61F2002/30406—Threads machined on spherical, e.g. hemispherical, surfaces
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F2/00—Filters 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30537—Special structural features of bone or joint prostheses not otherwise provided for adjustable
Abstract
The present invention relates to a kind of artificial prosthesis of the adjustable overlapping attachment structure in long bone backbone portion；Pulp cavity closely, in the pulp cavity of distal end is expanded to remaining long bone respectively first by marrow device is expanded, the shank I of prosthese near-end handle is inserted in proximal humeral pulp cavity；The shank II of prosthese distal stem is inserted in distal humerus pulp cavity, connection component is socketed on the lug boss of prosthese distal stem by access opening, after left rotation and right rotation connection component carries out pairing matching with connecting portion I, prosthese near-end handle connecting portion I and connection component are separated again, and connection component is fixed on and rebuild on the basal part II of part；Connecting portion I is fixed together with connection component again, prosthese is installed successfully.Ensure that prosthese has good initial stability using biological fixation mode, and improve in prosthese, stability at a specified future date, while avoid the generation of bone cement disease.Prosthese adds with adjustable structure design, reduces operation technique difficulty, adds the success rate of operation, improve postoperative effect.
Description
Technical field
It is long suitable for clinic the present invention relates to a kind of artificial prosthesis of the adjustable overlapping attachment structure in long bone backbone portion
Bone backbone portion defect reconstruction technical field, it is to be related to long bone of limbs to include humerus, ulna, radius, femur, shin specifically
The primary or metastatic tumo(u)r excision Limb preservation of bone etc., the bone-culting operation institute such as Cranial defect, severe infections osteomyelitis after severe trauma
Caused by the artificial prosthesis rebuild of the structural Cranial defect in long bone backbone portion.
Background technology
With the progress and development of medical consultations technology, limb-sparing surgery turns into the main flow treatment side of malignant bone tumor at present
Method；Meanwhile structural Cranial defect caused by the factor such as severe trauma, infection be also required to carry out bone tissue rebuild could recover limbs
Function.Bone tumour can occur at each position in theory, and long bone of limbs be malignant tumour late period common metastasis site it
One, according to the difference of happening part, the design and use method of prosthese is also not quite similar.The current research to prosthese mainly collects
In knee, hip etc. larger weight-bearing joints, and these large joint prostheses applied in clinic it is relatively broad, and for four limbs
The prosthese in long bone backbone portion is few compared with in-depth study.Limb preservation becomes as the main development of current four limbs bone tumour therapy
Gesture, due to the pathological change of bone tumour occupancy so that be difficult the markings for finding contraposition after knurl section resected bone, so key portion
Usually there is the rotation deformity of limbs in bone tumour prosthese art after rebuilding, and is difficult to correct in the later stage, causes the long-term function barrier of patient
Hinder.Long bone backbone portion prosthese research and development at present relatively lags behind, as shown in Figure 5 and Figure 6, the vacation of the long bone backbone of prior art
Body is to use cement reaction mode mostly, and its remote, proximal shank portion is cement reaction mode, needed in art by it is remote, near-end is key
Injection bone cement in pulp cavity, is inserted into remote, near-end handle, and prosthese just can obtain preferable stability, art after bone cement solidification
Limb function can be recovered in short term afterwards；But when using cement reaction, the operation requirement inserted to prosthese is higher, general to require
" disposable accurate " inserts prosthese, and before bone cement is fully cured prosthese and host bone must be maintained to be relatively fixed, because
For bone cement once solidify, prosthese is difficult to be adjusted again, and if bone cement solidification before repeatedly regulation prosthese position or
Fail to maintain if prosthese and host bone be relatively fixed, the stability of prosthese will be reduced, it is easy to cause prosthese early stage to loosen,
The appearance of the complication such as abjection, sedimentation.In addition, cement reaction mode has the risk that bone cement disease occurs, i.e. bone cement is planted
Include a series of clinical conditions such as low blood pressure, arrhythmia cordis, hypoxemia, myocardial infarction, bleeding, asthma attack caused by after entering
Shape, cardiac arrest incidence is 0.5%~10% in bone-cement type total hip arthroplasty, and fatal rate is 0.6%~1.0%.Together
When, in cement reaction mode, prosthese crash rate at a specified future date it is higher, failure mode is mainly shown as mechanicalness aseptic loosening, disconnected
Split, dislocate, surrounding bone dissolving, fracture etc., wherein the sterile loosening problem of mechanicalness is the most prominent, and document report incidence is up to
30.6%~42.7%.As can be seen here, the prosthese service life of cement reaction is relatively short, and the second phase after prosthese failure overhauls hand
Art is nearly unavoidable, and some cases even need row Repeated Operation to solve problem, and the prosthese of cement reaction its
The difficulty of prosthese revision procedure is larger, complication is more, and postoperative effect is bad, disability rate is higher.For some expection survival periods
Longer young Patients with Bone Tumor, be particularly not suitable for by the way of cement reaction.Likewise, in severe trauma and infection
Etc. also usually needing in the case of long bone of limbs cadre Cranial defect caused by reason key portion's prosthese to carry out bone tissue reconstruction, use
These drawbacks similarly be present in cement reaction mode.
Although more far short of what is expected than the effect of cement reaction using the prosthese initial stability of biological fixation mode, due to life
The prosthese that thing is fixed has good osteoinductive and Integrated implant in itself, can effectively improve in prosthese, stability at a specified future date,
Extend the prosthese life-span, lower the related mechanical complications of prosthese, therefore this fixed form of biological fixation is increasingly by patient
Received with doctor, and one of the focus studied at present and direction.
The content of the invention
In view of the situation of prior art and existing deficiency, the invention provides a kind of long bone backbone portion is adjustable overlapping
The artificial prosthesis and application method of attachment structure, this prosthese, which is that guarantor's limb of long bone of limbs backbone's tumor patient is more suitable, to be controlled
Treatment scheme.Fixed form is changed to more suitable biological fixation mode by the prosthese of the present invention.Although biological fixation mode is initial
Stability is poorer than cement reaction, but the later stage, its stability can gradually step up with Bone Ingrowth degree, wherein, stability at a specified future date
Be substantially better than cement reaction effect, compared with the prosthese of cement reaction, in the prosthese of biological fixation, long term complication it is few,
Service life is grown, and prosthese revision procedure is easily a lot.Avoid simultaneously in art using the bone water caused by bone cement
The generation of mud disease, the security of operation is improved, reduce the risk of death.
The prosthese of the present invention, adds connection component and toothed adjustment structure so that operation technique is humanized
And variation, prosthese near-end handle and distal stem insert it is fixed in host's ossis after, can be adjusted by connection component with
The problem of correcting long bone distance end rotation deformity, and can repeatedly operate and be adjusted in art, it is steady to prosthese that it adjusts process
Qualitative no any harmful effect, reduces operation technique difficulty, improves success rate of operation and efficiency, improves operation effect
Fruit.
To achieve the above object, used technical scheme is the present invention：A kind of adjustable overlapping company of long bone backbone portion
The artificial prosthesis of binding structure, including prosthese near-end handle, prosthese distal stem；It is characterized in that：Also include connection component；
The prosthese near-end handle is made up of the shank I of integrative-structure, the basal part I of reconstruction part and connecting portion I, the shank I
For thin cylinder, tail end is hemisphere, and the basal part I for rebuilding part is thick cylinder, and connecting portion I is thick semicylinder；
In the plane of the connecting portion I, provided with concave surface I and convex surface I, the upper surface of concave surface I is inclined-plane I, the lower surface on convex surface I
For inclined-plane II, a screwed hole I communicated with the semi circular surface of connecting portion I is respectively equipped with concave surface I and convex surface I, is rebuilding part
Basal part I be provided with screwed hole II, screwed hole II and two perpendicular separations of screwed hole I arrangements on one wire, in the He of shank I
One layer of coarse metal coating is equipped with the periphery for the basal part I for rebuilding part；
The prosthese distal stem is made up of the shank II of integrative-structure and the basal part II of reconstruction part, and shank II is thin cylinder
Body, tail end are hemisphere, and the basal part II for rebuilding part is thick cylinder, are set on the upper surface of basal part II for rebuilding part
There is the lug boss of tubulose, internal thread is provided with the pipe of lug boss, one is set along the upper surface of basal part II periphery for rebuilding part
Teeth I are enclosed, one layer of coarse metal coating is equipped with the periphery of shank II and the basal part II for rebuilding part；
The lower end of the connection component is hollow cylinder, a circle platform is provided with hollow access opening, in hollow circle
The external face of shape is provided with a screwed hole, sets a circle teeth II along connection component lower surface periphery, is above hollow rounded body
Inclined-plane III；
The upper end of connection component is U-shaped semicircular body, concave surface II and convex surface II is provided with U-shaped semicircular body plane, in U-shaped semicircular body
Outside be provided with two counterbores communicated with the groove of concave surface II and the groove of convex surface II, the screwed hole of two counterbores and connection component lower end hangs down
Directly it is spaced on one wire, is inclined-plane IV above U-shaped semicircular body；
The connection component is fixed by screws in prosthese distal stem and rebuild on the basal part II of part, and the one of connection component lower end
One circle teeth I of the upper end of basal part II that circle teeth II rebuild part with distal stem engage, the connecting portion I of the prosthese near-end handle
Be fixed together with connection component by two screws, the concave surface I of connecting portion I and convex surface I respectively with the convex surface II of connection component and
Concave surface II contacts tight fit, and the inclined-plane I of connecting portion I and inclined-plane II correspond respectively to the inclined-plane IV of connection component and inclined-plane III and contacted tightly
Coordinate.
Described coarse metal coating is titanium coating.
A kind of artificial prosthesis application method of the adjustable overlapping attachment structure in long bone backbone portion, it is characterised in that：Step
It is as follows：
It is long to remnants respectively using marrow device i.e. expansion marrow brill is expanded first after the bone and tissue of excision humerus backbone's tumor invasion
Bone is near, expands pulp cavity in the pulp cavity of distal end, inserts in proximal humeral pulp cavity the shank I of prosthese near-end handle after expanding marrow, uses hammer
The inclined-plane II of prosthese near-end handle is gently tapped, the shank I of prosthese near-end handle is reached near press-fit in proximal humerus ossis
Effect；The shank II of prosthese distal stem is inserted in distal humerus pulp cavity, the inclined-plane of prosthese distal end is gently tapped using hammer
IV, the shank II of prosthese distal stem is reached the effect of near press-fit in proximal humerus ossis；It is this to use near press-fit
Biological fixation mode can effectively improve in prosthese, stability at a specified future date, extend the prosthese life-span, lower prosthetic loosening, dislocation, vacation
The generation of the mechanical complications such as the dissolving of body surrounding bone and fracture；
Nearly, after distal end prosthese is inserted firmly, connection component is socketed in the projection of prosthese distal stem by hollow access opening
In portion, left rotation and right rotation connection component carries out pairing matching with connecting portion I, and after adjusting good position, then separately prosthese near-end handle connects
Portion I and connection component, the access opening hollow along connection component are screwed into 1 screw, and connection component is fixed on reconstruction by trip bolt
On partial basal part II, a circle teeth II of connection component lower end and a circle teeth I of the upper end of basal part II of reconstruction part
Engagement；
Connecting portion I is docked with connection component again, make the concave surface I of connecting portion I and convex surface I respectively with the convex surface II of connection component and recessed
Face II contacts tight fit, and the inclined-plane I of connecting portion I and inclined-plane II contact tight fit with the inclined-plane IV and inclined-plane III of connection component respectively,
Finally it is spirally connected with two screws by two counterbores on connection component and two screwed holes I on connecting portion I, by connecting portion I
It is fixed together with connection component, prosthese is installed successfully；
In order to improve the initial stability of prosthese, on the outside of prosthese plus steel plate and screw fixtation are used, steel plate closely, is distally divided
It is near, distally key that remaining humerus is not fixed on, and screw is fixed using mono cortex, and pars intermedia is fixed on vacation with 1 screw respectively
Body near-end handle is rebuild in the screwed hole II on the basal part I of part, and another piece is fixed in the screwed hole of connection component lower end, this
When steel plate by humerus is near, distal end and prosthese fix it is locked be integrated, after steel plate and screw are fixed successfully, passive activity suffering limb, look into
Seeing prosthese has non-loosening, a dislocation situation, and the auxiliary steel plate on prosthese is installed successfully.
The beneficial effects of the invention are as follows：The handle of the shank of prosthese near-end handle, the basal part for rebuilding part I and prosthese distal stem
Portion and the basal part surface for rebuilding part ii, carry out coarse metal coating（Such as titanium coating）Surface treatment, it is solid using biology
Fixed mode, coarse metal coating（Such as titanium coating）Prosthetic surface there is preferable osteoinductive and Integrated implant, in vacation
Body closely distally reaches good biological type fixed effect in key near, the distal end pulp cavity of insertion by near press-fit, improves prosthese
In, stability at a specified future date, extend the prosthese life-span, reduce the related mechanical complications of prosthese, avoid the generation of bone cement disease,
The security of operation is improved, patient is reduced and dead risk occurs.Combine steel plate and screw fixtation simultaneously, greatly
The initial stability of prosthese is improved, makes up the deficiency of biological fixation initial stability difference.
The prosthese of the present invention, adds connection component and toothed adjustment structure so that operation technique is humanized
And variation, prosthese near-end handle and distal stem are inserted in host's ossis, can be adjusted by connection component to correct length
The problem of bone distance end rotation deformity, and can repeatedly operate and be adjusted in art, its regulation process does not have to prosthese stability
There is any harmful effect, reduce operation technique difficulty, improve success rate of operation and efficiency, improve surgical effect.
The prosthese of the present invention is near, the shank of distal stem uses Individual design strategy, and the prosthese of individuation can not only improve
The accuracy of operation, moreover it is possible to improve the therapeutic effect of postoperative prosthese.It is preoperative to obtain tumour by measuring patient image's data
Position, size and ossis internal diameter carry out Individual design, enter for the specific anatomical structure of each patient's lesion bone tissue
Row individuation customizes, and improves the accuracy of operation and the therapeutic effect of postoperative prosthese.
In a word, prosthese of the invention improves and excellent in the progress that long bone backbone's prosthetic designs are rebuild to currently available technology
Change：1st, prosthese customization uses the strategy of Individual design, improves the accuracy and aftertreatment effect of operation.2nd, it is solid using biology
Determine mode and combine steel plate screw auxiliary to fix, not only ensure that prosthese has good initial stability, and improve in prosthese,
Stability at a specified future date, reduce in prosthese, the long term complication incidence of disease, extend the prosthese life-span, reduce the difficulty of the second stage of revision procedure
Degree, while avoid the generation of bone cement disease.3rd, prosthese adds with adjustable structure design, and the rotation that limbs can be corrected in art is abnormal
Shape, and regulation can be repeated, and there is no any harmful effect to the stability of prosthese, operation technique difficulty is reduced,
The success rate of operation is added, improves postoperative effect.
Brief description of the drawings
Fig. 1 is the structural representation of the present invention；
Fig. 2 is the structural decomposition diagram of the present invention；
Fig. 3 is the structural representation of prosthese near-end handle of the present invention；
Fig. 4 is the structural representation of connection component of the present invention；
Fig. 5 is the front view of prior art prosthese；
Fig. 6 is the side view of prior art prosthese.
Embodiment
To make those skilled in the art more fully understand technical scheme, below in conjunction with the accompanying drawings to this hair
Bright embodiment is described further：
As shown in Figures 1 to 4, the artificial prosthesis of the adjustable overlapping attachment structure in long bone backbone portion, including prosthese near-end handle 1,
Prosthese distal stem 3, in addition to connection component 2.
Prosthese near-end handle 1 is made up of the 1-1 of shank I of integrative-structure, the 1-2 of basal part I and the 1-3 of connecting portion I of reconstruction part,
The 1-1 of shank I is thin cylinder, and tail end is hemisphere, and the 1-2 of basal part I for rebuilding part is thick cylinder, the 1-3 of connecting portion I
For thick semicylinder.
In the 1-3 of connecting portion I plane, provided with the 1-3-1 of concave surface I and the 1-3-2 of convex surface I, the 1-3-1 of concave surface I upper surface is
The 1-3-3 of inclined-plane I, the 1-3-2 of convex surface I lower surface are the 1-3-4 of inclined-plane II, are respectively equipped with the 1-3-1 of concave surface I and the 1-3-2 of convex surface I
One 1-3-5 of screwed hole I communicated with the 1-3 semi circular surfaces of connecting portion I, screwed hole II is provided with the 1-2 of basal part I for rebuilding part
1-3-6, II 1-3-6 and two 1-3-5 perpendicular separation of screwed hole I of screwed hole are arranged on one wire, in the 1-1 of shank I and reconstruction
One layer of coarse metal coating 1-3-7 is equipped with the partial 1-2 of basal part I periphery.
Prosthese distal stem 3 is made up of the 3-1 of shank II of integrative-structure and the 3-2 of basal part II of reconstruction part, the 3-1 of shank II
For thin cylinder, tail end is hemisphere, and the 3-2 of basal part II for rebuilding part is thick cylinder；The basal part for rebuilding part
II 3-2 upper surfaces are provided with the lug boss 3-3 of tubulose, and internal thread 3-3-1 is provided with lug boss 3-3 pipe, along reconstruction part
Basal part II 3-2 upper surfaces periphery the one circle 3-4 of teeth I is set, in the 3-1 of shank II and rebuild the 3-2 of basal part II of part
One layer of coarse metal coating 3-5 is equipped with periphery.
The lower end of connection component 2 is hollow rounded body, a circle platform 2-1 is provided with hollow access opening 2-9, in
A screwed hole 2-2 is provided with outside empty rounded body, it is hollow along the peripheral circle teeth II of setting one 2-3 in the lower surface of connection component 2
It is the 2-4 of inclined-plane III above rounded body.
The upper end of connection component 2 is the hollow semicircular body of U-shaped, and the 2-5 of concave surface II and convex surface are provided with U-shaped semicircular body plane
II 2-6, two are provided with the outside of U-shaped semicircular body respectively with the 2-5 grooves of concave surface II and the counterbore 2-7 of the 2-6 grooves of convex surface II, two heavy
Hole 2-7 and connection component 2 lower end screwed hole 2-2 perpendicular separations arrangement are on one wire, above U-shaped semicircular body the 2- of inclined-plane IV
8。
Connection component 2 is socketed in into prosthese distal stem 3 to rebuild on the 3-2 of basal part II of part, left rotation and right rotation regulation connection
Component 2 adjusts good position, and access opening 2-9 is passed through with rebuilding the 3-2 lug boss 3-3 internal threads 3- of basal part II of part with screw 4
3-1 is spirally connected, and connection component 2 is fixed on and rebuild on the 3-2 of basal part II of part by trip bolt 4, and the lower end one of connection component 2 is enclosed
Basal part II 3-2s of the 2-3 of teeth II with rebuilding part upper end one is enclosed the 3-4 of teeth I and engaged.
The 1-3 of connecting portion I of prosthese near-end handle 1 is docking together with connection component 2, connection group is passed through with two screws 4
2 two counterbore 2-7 of the part and 1-3 of connecting portion I two 1-3-5 of screwed hole I are spirally connected, and connection component 2 and the 1-3 of connecting portion I are fixed
Together, the 1-3-1 of 1 connecting portion of prosthese near-end handle, the I 1-3 concave surfaces I and 1-3-2 of convex surface I 2-6 of convex surface II with connection component 2 respectively
Tight fit is contacted with the 2-5 of concave surface II, the 1-3-3 of I 1-3 inclined-planes of connecting portion I and the 1-3-4 of inclined-plane II inclined-plane with connection component 2 respectively
The IV 2-8 and 2-4 of inclined-plane III contact tight fits.
The screwed hole 2-2 on the 1-3-6 of screwed hole II and connection component 2 rebuild on the 1-2 of basal part I of part is auxiliary
Interal fixation screw used when prosthese.
A kind of application method of the artificial prosthesis of the adjustable overlapping connection in long bone of limbs backbone portion, step are as follows：
It is long to remnants respectively using marrow device i.e. expansion marrow brill is expanded first after the bone and tissue of excision humerus backbone's tumor invasion
Bone is near, expands pulp cavity in the pulp cavity of distal end, expands in the 1-1 of the shank I insertion proximal humeral pulp cavitys of prosthese near-end handle 1 after marrow, uses
Hammer gently taps the 1-3-4 of inclined-plane II of prosthese near-end handle 1, makes the 1-1 of shank I of prosthese near-end handle 1 in proximal humerus ossis
Inside reach the effect of near press-fit；The 3-1 of shank II of prosthese distal stem 3 is inserted in distal humerus pulp cavity, using hammer gently
The 2-8 of inclined-plane IV of prosthese distal end 3 is tapped, the 3-1 of shank II of prosthese distal stem 3 is reached close pressure in proximal humerus ossis
The effect matched somebody with somebody；This biological fixation mode using near press-fit can be effectively improved in prosthese, stability at a specified future date, extend prosthese
In the life-span, lower the generation of the mechanical complications such as prosthetic loosening, dislocation, the dissolving of Periprosthetic bone and fracture, while avoid bone water
The generation of mud disease；
Nearly, after distal end prosthese is inserted firmly, connection component 2 is socketed in the lug boss of prosthese distal stem 3 by access opening 2-9
3-3, the left rotation and right rotation connection component 2 and 1-3 of connecting portion I carry out pairing matching, after adjusting good position, then separately prosthese near-end handle 1
The 1-3 of connecting portion I and connection component 2,1 screw 4 is screwed into along the access opening 2-9 of connection component 2, trip bolt 4 is by connection component 2
It is fixed on and rebuilds on the 3-2 of basal part II of part, the 2-3 of teeth II and the reconstruction portion of prosthese distal stem 3 is enclosed in the lower end one of connection component 2
The 3-4 of teeth I engagements are enclosed in the basal part 3-2 divided upper end one.
The 1-3 of connecting portion I is docked with connection component 2 again, distinguishes the 1-3-1 of I 1-3 concave surfaces of the connecting portion I and 1-3-2 of convex surface I
Tight fit, the 1-3-3 of I 1-3 inclined-planes of connecting portion I and the 1-3-4 of inclined-plane II are contacted with the 2-6 of convex surface II and the 2-5 of concave surface II of connection component 2
Tight fit is contacted with the 2-8 of inclined-plane IV and the 2-4 of inclined-plane III of connection component 2 respectively, finally passes through connection component 2 with two screws 4
On two counterbore 2-7 and two 1-3-5 of screwed hole I on the 1-3 of connecting portion I be spirally connected, the 1-3 of connecting portion I and connection component 2 are consolidated
It is scheduled on together, prosthese is installed successfully.
In order to improve the initial stability of prosthese, fixed on the outside of prosthese plus with auxiliary steel plate and screw, steel plate is near, distal end
It is near, distally key to be individually fixed in remaining humerus, screw is fixed using mono cortex, and vacation is fixed in center section with a screw
Body near-end handle 1 is rebuild in the 1-3-6 of screwed hole II on the 1-2 of basal part I of part, another piece of lower end for being fixed on connection component 2
Screwed hole 2-2 in, now steel plate by humerus is near, distal end and prosthese fix it is locked be integrated, after steel plate and screw are fixed successfully,
Passive activity suffering limb checks that prosthese has situations such as non-loosening, dislocation, the auxiliary Interal fixation success on prosthese.
Steel plate and screw fixtation are combined in biological fixation, are greatly enhanced the initial stability of prosthese, be compensate for biology
Fix the shortcomings that initial stability is bad.Both fixed form use in conjunction, serve complement one another, complementary work
With, the defects of not only overcoming the prosthese initial stability difference of biological fixation, while the generation of bone cement disease is avoided, keep away simultaneously
Exempt from the prosthese of cement reaction, the drawbacks of crash rate at a specified future date is high.
This prosthese is applicable to long bone of limbs backbone portion because tumour, wound, infection etc. cause structural Cranial defect to need to carry out
The operative treatment that prosthese is rebuild.
It is preoperative to be carried out according to anatomical structures such as the concrete position of patient's lesion bone tissue and sizes by taking humeral shaft tumour as an example
Individuation measure prostheses, the prosthese of individuation customization can not only improve the accuracy of operation, moreover it is possible to improve the treatment of postoperative prosthese
Effect.
Above is the preferable implementation to the present invention is illustrated, but the invention is not limited to the implementation
Example, those skilled in the art can also make a variety of equivalent variations on the premise of without prejudice to spirit of the invention or replace
Change, these equivalent variations or replacement are all contained within the application claim limited range.
Claims (3)
1. a kind of artificial prosthesis of the adjustable overlapping attachment structure in long bone backbone portion, including prosthese near-end handle（1）, prosthese distal end
Handle（3）；It is characterized in that：Also include connection component（2）；
The prosthese near-end handle（1）By the shank I of integrative-structure（1-1）, rebuild part basal part I（1-2）With connecting portion I
（1-3）Form, the shank I（1-1）For thin cylinder, tail end is hemisphere, rebuilds the basal part I of part（1-2）For thick circle
Cylinder, connecting portion I（1-3）For thick semicylinder；
In the connecting portion I（1-3）Plane on, provided with concave surface I（1-3-1）With convex surface I（1-3-2）, concave surface I（1-3-1）'s
Upper surface is inclined-plane I（1-3-3）, convex surface I（1-3-2）Lower surface be inclined-plane II（1-3-4）, in concave surface I（1-3-1）And convex surface
Ⅰ（1-3-2）On be respectively equipped with one and connecting portion I（1-3）The screwed hole I that semi circular surface communicates（1-3-5）, rebuilding the base of part
Bottom I（1-2）It is provided with screwed hole II（1-3-6）, screwed hole II（1-3-6）With two screwed holes I（1-3-5）Perpendicular separation is arranged
Arrange on one wire, in shank I（1-1）With the basal part I for rebuilding part（1-2）Periphery on be equipped with one layer of coarse gold
Belong to coating（1-3-7）；
The prosthese distal stem（3）By the shank II of integrative-structure（3-1）With the basal part II for rebuilding part（3-2）Form, handle
Portion II（3-1）For thin cylinder, tail end is hemisphere, rebuilds the basal part II of part（3-2）For thick cylinder, the reconstruction portion
The basal part II divided（3-2）Upper surface is provided with the lug boss of tubulose（3-3）, in lug boss（3-3）Pipe in be provided with internal thread
（3-3-1）, along the basal part II for rebuilding part（3-2）Upper surface periphery sets a circle teeth I（3-4）, in shank II（3-1）With
Rebuild the basal part II of part（3-2）Periphery on be equipped with one layer of coarse metal coating（3-5）；
The connection component（2）Lower end be hollow cylinder, in hollow access opening（2-9）Inside it is provided with a circle platform（2-
1）, a screwed hole is provided with outside hollow rounded body（2-2）, along connection component（2）Lower surface periphery sets a circle teeth
Ⅱ（2-3）, it is inclined-plane III above hollow rounded body（2-4）；
Connection component（2）Upper end be U-shaped semicircular body, concave surface II is provided with U-shaped semicircular body plane（2-5）With convex surface II（2-
6）, two and concave surface II are provided with the outside of U-shaped semicircular body（2-5）Groove and convex surface II（2-6）The counterbore that groove communicates（2-7）, two
Individual counterbore（2-7）And connection component（2）The screwed hole of lower end（2-2）Perpendicular separation is arranged on one wire, above U-shaped semicircular body
For inclined-plane IV（2-8）；
The connection component（2）Pass through screw（4）It is fixed on prosthese distal stem（3）Rebuild the basal part II of part（3-2）On, even
Connected components（2）One circle teeth II of lower end（2-3）With distal stem（3）Rebuild the basal part II of part（3-2）One circle tooth of upper end
Tooth I（3-4）Engagement,
The prosthese near-end handle（1）Connecting portion I（1-3）With connection component（2）Pass through two screws（4）It is fixed together, even
Socket part I（1-3）Concave surface I（1-3-1）With convex surface I（1-3-2）Respectively with connection component（2）Convex surface II（2-6）With concave surface II（2-
5）Contact tight fit,
Connecting portion I（1-3）Inclined-plane I（1-3-3）With inclined-plane II（1-3-4）Correspond respectively to connection component（2）Inclined-plane IV（2-8）
With inclined-plane III（2-4）Contact tight fit.
2. the artificial prosthesis of the adjustable overlapping attachment structure in long bone backbone portion according to claim 1, it is characterised in that：
Described coarse metal coating（4）For titanium coating.
A kind of 3. artificial prosthesis user of adjustable overlapping attachment structure in long bone backbone portion using described in claim 1
Method, it is characterised in that：Step is as follows：
It is long to remnants respectively using marrow device i.e. expansion marrow brill is expanded first after the bone and tissue of excision humerus backbone's tumor invasion
Bone is near, expands pulp cavity in the pulp cavity of distal end, by prosthese near-end handle after expansion marrow（1）Shank I（1-1）Insert in proximal humeral pulp cavity,
Prosthese near-end handle is gently tapped using hammer（1）Inclined-plane II（1-3-4）, make prosthese near-end handle（1）Shank I（1-1）In the upper arm
Reach the effect of near press-fit in proximal bone ossis；By prosthese distal stem（3）Shank II（3-1）Insert distal humerus pulp cavity
It is interior, prosthese distal end is gently tapped using hammer（3）Inclined-plane IV（2-8）, make prosthese distal stem（3）Shank II（3-1）In the upper arm
Reach the effect of near press-fit in proximal bone ossis；It is this that vacation can be effectively improved using the biological fixation mode of near press-fit
In body, stability at a specified future date, extend the prosthese life-span, lower prosthetic loosening, dislocation, Periprosthetic bone dissolving and fracture etc. mechanicalness simultaneously
Send out the generation of disease；
Nearly, after distal end prosthese is inserted firmly, by connection component（2）Pass through hollow access opening（2-9）It is socketed in prosthese distal end
Handle（3）Lug boss（3-3）On, left rotation and right rotation connection component（2）With connecting portion I（1-3）Pairing matching is carried out, adjusts good position
Afterwards, then separately prosthese near-end handle（1）Connecting portion I（1-3）And connection component（2）, along connection component（2）Hollow access opening（2-
9）It is screwed into 1 screw（4）, trip bolt（4）By connection component（2）It is fixed on the basal part II for rebuilding part（3-2）On, connection
Component（2）One circle teeth II of lower end（2-3）Basal part II with rebuilding part（3-2）One circle teeth I of upper end（3-4）Nibble
Close；
Again by connecting portion I（1-3）With connection component（2）Docking, makes connecting portion I（1-3）Concave surface I（1-3-1）With convex surface I（1-3-
2）Respectively with connection component（2）Convex surface II（2-6）With concave surface II（2-5）Contact tight fit, connecting portion I（1-3）Inclined-plane I（1-
3-3）With inclined-plane II（1-3-4）Respectively with connection component（2）Inclined-plane IV（2-8）With inclined-plane III（2-4）Tight fit is contacted, finally
With two screws（4）Pass through connection component（2）On two counterbores（2-7）With connecting portion I（1-3）On two screwed holes I（1-
3-5）It is spirally connected, by connecting portion I（1-3）With connection component（2）It is fixed together, prosthese is installed successfully；
In order to improve the initial stability of prosthese, on the outside of prosthese plus steel plate and screw fixtation are used, steel plate closely, is distally divided
It is near, distally key that remaining humerus is not fixed on, and screw is fixed using mono cortex, and pars intermedia is fixed on vacation with 1 screw respectively
Body near-end handle（1）Rebuild the basal part I of part（1-2）On screwed hole II（1-3-6）In, another piece is fixed on connection component
（2）The screwed hole of lower end（2-2）In, now steel plate by humerus is near, distal end and prosthese fix it is locked be integrated, steel plate and screw are consolidated
After fixed success, passive activity suffering limb, check that prosthese has non-loosening, a dislocation situation, the auxiliary steel plate on prosthese is installed successfully.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710750919.6A CN107374787A (en) | 2017-08-28 | 2017-08-28 | The artificial prosthesis and application method of the adjustable overlapping attachment structure in long bone backbone portion |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710750919.6A CN107374787A (en) | 2017-08-28 | 2017-08-28 | The artificial prosthesis and application method of the adjustable overlapping attachment structure in long bone backbone portion |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN107374787A true CN107374787A (en) | 2017-11-24 |
Family
ID=60345534
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201710750919.6A Pending CN107374787A (en) | 2017-08-28 | 2017-08-28 | The artificial prosthesis and application method of the adjustable overlapping attachment structure in long bone backbone portion |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN107374787A (en) |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110811931A (en) * | 2019-11-14 | 2020-02-21 | 胡永成 | Backbone prosthesis of pronation type expansion pipe structure handle and use method |
| CN110916853A (en) * | 2019-11-13 | 2020-03-27 | 上海交通大学医学院附属第九人民医院 | Tibia middle section reconstruction device, preparation method, device model construction method, computer-readable storage medium and equipment |
| CN112674912A (en) * | 2020-12-30 | 2021-04-20 | 北京爱康宜诚医疗器材有限公司 | Long bone lengthening prosthesis |
Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20040193268A1 (en) * | 2003-03-31 | 2004-09-30 | Hazebrouck Stephen A. | Intercalary prosthesis, kit and method |
| CN201370653Y (en) * | 2009-01-16 | 2009-12-30 | 北京力达康科技有限公司 | Bone-connecting fusion cage |
| CN201759699U (en) * | 2010-02-02 | 2011-03-16 | 北京爱康宜诚医疗器材股份有限公司 | Combined femoral component prosthesis |
| CN102908215A (en) * | 2012-11-05 | 2013-02-06 | 胡永成 | Backbone assembled prosthesis |
| CN105581859A (en) * | 2015-12-18 | 2016-05-18 | 胡永成 | Multifunctional fixed upper limb backbone prosthesis |
| CN206167015U (en) * | 2016-08-26 | 2017-05-17 | 北京力达康科技有限公司 | Biotype broach false body with prevent function soon |
| CN208770072U (en) * | 2017-08-28 | 2019-04-23 | 胡永成 | A kind of artificial prosthesis of the adjustable overlapping connection structure in long bone backbone portion |
-
2017
- 2017-08-28 CN CN201710750919.6A patent/CN107374787A/en active Pending
Patent Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20040193268A1 (en) * | 2003-03-31 | 2004-09-30 | Hazebrouck Stephen A. | Intercalary prosthesis, kit and method |
| CN201370653Y (en) * | 2009-01-16 | 2009-12-30 | 北京力达康科技有限公司 | Bone-connecting fusion cage |
| CN201759699U (en) * | 2010-02-02 | 2011-03-16 | 北京爱康宜诚医疗器材股份有限公司 | Combined femoral component prosthesis |
| CN102908215A (en) * | 2012-11-05 | 2013-02-06 | 胡永成 | Backbone assembled prosthesis |
| CN105581859A (en) * | 2015-12-18 | 2016-05-18 | 胡永成 | Multifunctional fixed upper limb backbone prosthesis |
| CN206167015U (en) * | 2016-08-26 | 2017-05-17 | 北京力达康科技有限公司 | Biotype broach false body with prevent function soon |
| CN208770072U (en) * | 2017-08-28 | 2019-04-23 | 胡永成 | A kind of artificial prosthesis of the adjustable overlapping connection structure in long bone backbone portion |
Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110916853A (en) * | 2019-11-13 | 2020-03-27 | 上海交通大学医学院附属第九人民医院 | Tibia middle section reconstruction device, preparation method, device model construction method, computer-readable storage medium and equipment |
| CN110811931A (en) * | 2019-11-14 | 2020-02-21 | 胡永成 | Backbone prosthesis of pronation type expansion pipe structure handle and use method |
| CN112674912A (en) * | 2020-12-30 | 2021-04-20 | 北京爱康宜诚医疗器材有限公司 | Long bone lengthening prosthesis |
| CN112674912B (en) * | 2020-12-30 | 2022-04-12 | 北京爱康宜诚医疗器材有限公司 | Long bone lengthening prosthesis |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| CN206167123U (en) | Keep nodal section type that closes matched stack formula thighbone tumour knee joint prosthesis | |
| Haentjens et al. | Proximal femoral replacement prosthesis for salvage of failed hip arthroplasty: complications in a 2–11 year follow-up study in 19 elderly patients | |
| US8647391B2 (en) | Malleolar replacement devices | |
| JP6275436B2 (en) | Height-adjustable arthroplasty plate | |
| CN104287873B (en) | Knee shim system with adjustable barrier | |
| EP3592266B1 (en) | Platform fracture fixation implants | |
| US10507113B2 (en) | Reverse total hip replacement | |
| US20040254646A1 (en) | Provisional coupling mechanism | |
| EP2337520B1 (en) | Amputation stabilization device | |
| US20120065737A1 (en) | Prosthetic femoral stem for use in high offset hip replacement | |
| KR101785947B1 (en) | Hip implant | |
| EP1884221A1 (en) | Variable stiffness intramedullary system | |
| US20090171463A1 (en) | Arthrodesis module and method for providing a patient with an arthrodesis | |
| CN107374787A (en) | The artificial prosthesis and application method of the adjustable overlapping attachment structure in long bone backbone portion | |
| JP2014069078A (en) | Orthopaedic hip prosthesis having femoral stem component with variable a/p taper angle | |
| US20170086981A1 (en) | Femoral hip stem | |
| CN107361881B (en) | Femur far-end prosthesis capable of increasing bone preservation quantity and adopting bone trabecular structure | |
| US20060155382A1 (en) | Canulized prosthesis for total hip replacement surgery | |
| CN208770072U (en) | A kind of artificial prosthesis of the adjustable overlapping connection structure in long bone backbone portion | |
| CN103705319A (en) | Biological fixation type tibia platform | |
| CN109157309A (en) | Proximal tibia filling block prosthese | |
| US11883297B2 (en) | Hip joint method | |
| CN208799372U (en) | A kind of four limbs large segmental bone defect titanium prosthesis of 3D printing | |
| JP6718908B2 (en) | α type artificial femoral stem prosthesis | |
| US20060155381A1 (en) | Orthopedic system for total hip replacement surgery |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| PB01 | Publication | ||
| PB01 | Publication | ||
| SE01 | Entry into force of request for substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| WD01 | Invention patent application deemed withdrawn after publication |
Application publication date: 20171124 |
|
| WD01 | Invention patent application deemed withdrawn after publication |