CN107397589A - A kind of 3D printing navigation template and its manufacture method for aiding in shin bone prosthesis - Google Patents
A kind of 3D printing navigation template and its manufacture method for aiding in shin bone prosthesis Download PDFInfo
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- CN107397589A CN107397589A CN201710512181.XA CN201710512181A CN107397589A CN 107397589 A CN107397589 A CN 107397589A CN 201710512181 A CN201710512181 A CN 201710512181A CN 107397589 A CN107397589 A CN 107397589A
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- Prior art keywords
- shin bone
- navigation template
- tibia
- shape
- steel nail
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
-
- B—PERFORMING OPERATIONS; TRANSPORTING
- B33—ADDITIVE MANUFACTURING TECHNOLOGY
- B33Y—ADDITIVE MANUFACTURING, i.e. MANUFACTURING OF THREE-DIMENSIONAL [3-D] OBJECTS BY ADDITIVE DEPOSITION, ADDITIVE AGGLOMERATION OR ADDITIVE LAYERING, e.g. BY 3-D PRINTING, STEREOLITHOGRAPHY OR SELECTIVE LASER SINTERING
- B33Y10/00—Processes of additive manufacturing
-
- B—PERFORMING OPERATIONS; TRANSPORTING
- B33—ADDITIVE MANUFACTURING TECHNOLOGY
- B33Y—ADDITIVE MANUFACTURING, i.e. MANUFACTURING OF THREE-DIMENSIONAL [3-D] OBJECTS BY ADDITIVE DEPOSITION, ADDITIVE AGGLOMERATION OR ADDITIVE LAYERING, e.g. BY 3-D PRINTING, STEREOLITHOGRAPHY OR SELECTIVE LASER SINTERING
- B33Y50/00—Data acquisition or data processing for additive manufacturing
- B33Y50/02—Data acquisition or data processing for additive manufacturing for controlling or regulating additive manufacturing processes
-
- B—PERFORMING OPERATIONS; TRANSPORTING
- B33—ADDITIVE MANUFACTURING TECHNOLOGY
- B33Y—ADDITIVE MANUFACTURING, i.e. MANUFACTURING OF THREE-DIMENSIONAL [3-D] OBJECTS BY ADDITIVE DEPOSITION, ADDITIVE AGGLOMERATION OR ADDITIVE LAYERING, e.g. BY 3-D PRINTING, STEREOLITHOGRAPHY OR SELECTIVE LASER SINTERING
- B33Y80/00—Products made by additive manufacturing
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- Engineering & Computer Science (AREA)
- Chemical & Material Sciences (AREA)
- Manufacturing & Machinery (AREA)
- Materials Engineering (AREA)
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Robotics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
Abstract
The present invention discloses a kind of 3D printing navigation template for aiding in shin bone prosthesis, navigation template includes inner panel and outside plate, the shape for the external condyle that the shape of outside plate extends upwardly to proximal ends of tibia with the leading edge of shaft of tibia matches, the shape that the shape of inner panel extends upwardly to entocondyle with the rear end of shaft of tibia matches, guide groove is distributed with inner panel and outside plate, guide groove is configured according to the trend in shin bone crack, and the relevant position that the tuberosity of tibia position of proximal ends of tibia is located in outside plate upper end is provided with positioning convex.Invention additionally discloses a kind of preparation method of the 3D printing navigation template of auxiliary shin bone prosthesis, pass through the reconstructing three-dimensional model skill modeling of 3 D medical software, then it is made by 3D printer, it is the connected applications of computer realm and 3D printing technique, simple using which operation technique, accuracy is high, does not destroy pulp cavity, intraoperative blood loss is few, reduces the risk of postoperative infection.
Description
Technical field
The invention belongs to shin bone prosthesis technical field, and in particular to a kind of 3D printings for aiding in shin bone prosthesis
Navigation template and its manufacture method.
Background technology
With the development of computer technology and Imaging Technology, airmanship has become the very important of bone surgery
A kind of application mode, airmanship make fracture operation treatment more accurate and effective.
The anatomic form individual difference of shin bone is notable, and traditional shin bone prosthesis detent force line method is complicated, it is impossible to accurate
Line of force position, prosthese size and the osteotomy amount of patient in true predicting surgical, based on reconstruction of medical images, CAD
Technology and the clinical effectiveness of the lower shin bone reparation of the personalized surgical navigational template auxiliary of 3D printing manufacture are notable.
Interior fixation is to maintain fracture reduction and stabilization with metal or biomaterial after the reduction of the fracture by bone surgery
Technology.For the patient of larger sclerite or complicated position fracture be present, not only steel nail is needed to fix, it is also necessary to pass through
Bone plate plays the fixed effect of support.In the prior art, bone plate is typically to be prepared according to the average case of crowd, bone plate
The position and direction of upper steel nail are also what is pre-set, it is impossible to adapt to the demand of each patient completely, add in surgical procedure
Uncertainty, easily delay operating time, produce other syndromes.
The content of the invention
Goal of the invention：In view of the deficienciess of the prior art, it is an object of the invention to provide a kind of simple in construction, operation behaviour
Make the 3D printing navigation template of convenient auxiliary shin bone prosthesis, it is a further object to provide one kind to aid in shin bone
The manufacture method of the 3D printing navigation template of prosthesis.
Technical scheme：In order to realize foregoing invention purpose, the technical solution adopted by the present invention is as follows：
A kind of 3D printing navigation template for aiding in shin bone prosthesis, the navigation template includes inner panel and outside plate, described
The shape for the external condyle that the shape of outside plate extends upwardly to proximal ends of tibia with the leading edge of shaft of tibia matches, the shape of the inner panel
The shape that entocondyle is extended upwardly to the rear end of shaft of tibia matches, and guide groove is distributed with described inner panel and outside plate,
The guide groove is configured according to the trend in shin bone crack, is located at the tuberosity of tibia portion of proximal ends of tibia in described outside plate upper end
The relevant position of position is provided with positioning convex.
Preferably, the guide groove is up/down perforation shape, steel nail patchhole is distributed with the guide groove both sides.
Preferably, the steel nail patchhole is bell shape, the diameter of the internal orifice of the bell shape insert port
Less than the diameter of collar extension.
Preferably, the steel nail patchhole of described bell shape, the direction phase that bell-mouthed direction is inserted with steel nail
Instead, 3-5 times of a diameter of steel nail diameter of the insertion inn.
The manufacture method of the 3D printing navigation template of a kind of auxiliary shin bone prosthesis of the present invention, mainly including following step
Suddenly：
1) the shin bone medical image and data in corrective surgery region are gathered by medical imaging device, data are saved as
DICOM format；
2) import data in Arigin 3D softwares, three-dimensional modeling is carried out according to the medical image and data collected, obtained
The Three-dimension Reconstruction Model of shin bone is obtained, and is resetted the operative region of shin bone according to Three-dimension Reconstruction Model, obtains virtual reset
Model；
3) analysis for carrying out guide groove according to the position of bone split on virtual reset model is arranged, obtains the trend of guide groove
Data, and arrange steel nail patchhole in the both sides of guide groove；
4) virtual reset model is carried out to the horizontal and vertical division of various dimensions, some small solid regions are obtained, in root
According to the position of guide groove and steel nail patchhole, it is determined that the direction of steel nail and positional information on each small solid region, will be small
Solid region is combined to obtain steel nail depth, direction and the positional information of block mold；
5) according to the analyze data of abovementioned steps, the three-dimensional of the 3D printing navigation template of auxiliary shin bone prosthesis is constructed
Model；
6) Arigin 3D softwares are directly connected to 3D printer, will aid in the 3D printing navigation template of shin bone prosthesis
Threedimensional model is completed to print by 3D printer.
Preferably, the medical imaging device in step 1) is x-ray computer tomography (CT), magnetic resonance imaging
(MRI), PET or ultrasonic device.
Beneficial effect：Compared with prior art, the present invention has advantages below：
The 3D printing navigation template of the auxiliary shin bone prosthesis of the present invention, simple in construction, navigation is accurate, substantially increases
The degree of accuracy of operation implantation bone plate, the 3D printing navigation template are built by the reconstructing three-dimensional model technology of 3 D medical software
Mould, then it is made by 3D printer, is the connected applications of computer realm and 3D printing technique, is performed the operation using which
Simple to operate, accuracy is high, compared to traditional surgical approaches, does not destroy pulp cavity, intraoperative blood loss is few, reduces postoperative infection
Risk.
Embodiment
With reference to specific embodiment, the present invention is furture elucidated, and embodiment is under premised on technical solution of the present invention
Implemented, it should be understood that these embodiments are only illustrative of the invention and is not intended to limit the scope of the invention.
A kind of 3D printing navigation template for aiding in shin bone prosthesis, navigation template include inner panel and outside plate, the shape of outside plate
The shape for the external condyle that shape extends upwardly to proximal ends of tibia with the leading edge of shaft of tibia matches, after the shape and shaft of tibia of inner panel
The shape that end extends upwardly to entocondyle matches, and guide groove is distributed with inner panel and outside plate, guide groove is according to shin bone crack
Trend be configured, the relevant position that the tuberosity of tibia position of proximal ends of tibia is located in outside plate upper end is provided with positioning convex,
Due to the setting of positioning convex, can be settled at one go when navigation template is installed, avoid moving up and down the accuracy that influences installation and
Fastness.
Guide groove is up/down perforation shape, and steel nail patchhole is distributed with guide groove both sides.Steel nail patchhole is toroidal
Shape, the diameter of the internal orifice of bell shape insert port are less than the diameter of collar extension.The steel nail patchhole of bell shape, it is bell-mouthed
Towards in opposite direction, insert a diameter of steel nail diameter of inn 1.5-4 times with steel nail insertion, the steel of bell shape
Poor entrance is followed closely conveniently when the entrance of fourth, prevents position deviation.
The 3D printing navigation template of the auxiliary shin bone prosthesis of the present invention is in surgical procedure in use, being led corresponding to
Model plane plate is installed on the bone face in tibial surgical region, and installation requirement navigation template is firmly fixed with bone face with accurate, no
There can be loosening and slide.Navigation template accurately after installation, is squeezed into along the steel nail patchhole of the guide groove both sides on navigation template
Steel nail, after the implantation position of steel nail and direction determination, then the implantation position of tibia bone plate also determines that.Work as institute
After some steel nail patchholes are all implanted into steel nail, navigation template is removed, steel nail still remains in original place.According to position determined by steel nail
Designed bone plate before surgery is put, lock screw is then implanted into, is bored successively along the entry point of steel nail and direction
Hole, tapping, depth measurement and pedicle screw, until completing the implantation of all steel nails.
The invention further relates to a kind of manufacture method for the 3D printing navigation template for aiding in shin bone prosthesis, it is main include with
Lower step：
1) the shin bone medical image and data in corrective surgery region are gathered by medical imaging device, data are saved as
DICOM format, medical imaging device are that x-ray computer tomography (CT), magnetic resonance imaging (MRI), PET or ultrasound are set
It is standby.
2) import data in Arigin 3D softwares, three-dimensional modeling is carried out according to the medical image and data collected, obtained
The Three-dimension Reconstruction Model of shin bone is obtained, and is resetted the operative region of shin bone according to Three-dimension Reconstruction Model, obtains virtual reset
Model；
3) analysis for carrying out guide groove according to the position of bone split on virtual reset model is arranged, obtains the trend of guide groove
Data, and arrange steel nail patchhole in the both sides of guide groove；
4) virtual reset model is carried out to the horizontal and vertical division of various dimensions, some small solid regions are obtained, in root
According to the position of guide groove and steel nail patchhole, it is determined that the direction of steel nail and positional information on each small solid region, will be small
Solid region is combined to obtain steel nail depth, direction and the positional information of block mold；
5) according to the analyze data of abovementioned steps, the 3D printing navigation template for aiding in shin bone prosthesis is constructed；
6) Arigin 3D softwares are directly connected to 3D printer, and the 3D printing navigation template for aiding in shin bone prosthesis is led to
Cross 3D printing and complete printing.
The 3D printing navigation template of the auxiliary shin bone prosthesis of the present invention, simple in construction, navigation is accurate, substantially increases
The degree of accuracy of operation implantation bone plate, the 3D printing navigation template are built by the reconstructing three-dimensional model technology of 3 D medical software
Mould, then it is made by 3D printer, is the connected applications of computer realm and 3D printing technique, is performed the operation using which
Simple to operate, accuracy is high, compared to traditional surgical approaches, does not destroy pulp cavity, intraoperative blood loss is few, reduces postoperative infection
Risk.
Described above is only the preferred embodiment of the present invention, it is noted that for the ordinary skill people of the art
For member, under the premise without departing from the principles of the invention, some improvements and modifications can also be made, these improvements and modifications also should
It is considered as protection scope of the present invention.
Claims (6)
- A kind of 1. 3D printing navigation template for aiding in shin bone prosthesis, it is characterised in that：The navigation template include inner panel and Outside plate, the shape for the external condyle that the shape of the outside plate extends upwardly to proximal ends of tibia with the leading edge of shaft of tibia matches, described The shape that the shape of inner panel extends upwardly to entocondyle with the rear end of shaft of tibia matches, and is distributed on described inner panel and outside plate There is guide groove, the guide groove is configured according to the trend in shin bone crack, is located at proximal ends of tibia in described outside plate upper end The relevant position at tuberosity of tibia position is provided with positioning convex.
- 2. the 3D printing navigation template of auxiliary shin bone prosthesis according to claim 1, it is characterised in that：The guiding Groove is up/down perforation shape, and steel nail patchhole is distributed with the guide groove both sides.
- 3. the 3D printing navigation template of auxiliary shin bone prosthesis according to claim 1, it is characterised in that：The steel nail Patchhole is bell shape, and the diameter of the internal orifice of the bell shape insert port is less than the diameter of collar extension.
- 4. the 3D printing navigation template of auxiliary shin bone prosthesis according to claim 3, it is characterised in that：Described loudspeaker The steel nail patchhole of mouth-shaped, bell-mouthed direction inserted with steel nail it is in opposite direction, it is described insertion inn it is a diameter of 2-4 times of steel nail diameter.
- 5. the manufacture method of the 3D printing navigation template of auxiliary shin bone prosthesis according to claim 1, its feature exist In comprising the following steps：1) the shin bone medical image and data in corrective surgery region are gathered by medical imaging device, data are saved as into DICOM Form；2) import data in Arigin 3D softwares, three-dimensional modeling is carried out according to the medical image and data collected, obtains shin The Three-dimension Reconstruction Model of bone, and resetted the operative region of shin bone according to Three-dimension Reconstruction Model, obtain virtual reset model；3) analysis for carrying out guide groove according to the position of bone split on virtual reset model arranges that obtain guide groove moves towards number According to, and arrange steel nail patchhole in the both sides of guide groove；4) virtual reset model is carried out to the horizontal and vertical division of various dimensions, obtains some small solid regions, is led in basis To the position of groove and steel nail patchhole, it is determined that the direction of steel nail and positional information on each small solid region, by small solid Region is combined to obtain steel nail depth, direction and the positional information of block mold；5) according to the analyze data of abovementioned steps, the three-dimensional mould of the 3D printing navigation template of auxiliary shin bone prosthesis is constructed Type；6) Arigin 3D softwares are directly connected to 3D printer, will aid in the three-dimensional of the 3D printing navigation template of shin bone prosthesis Model is completed to print by 3D printer.
- 6. the manufacture method of the 3D printing navigation template of auxiliary shin bone prosthesis according to claim 5, its feature exist In：Medical imaging device in step 1) is x-ray computer tomography (CT), magnetic resonance imaging (MRI), PET or ultrasound Equipment.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710512181.XA CN107397589A (en) | 2017-06-28 | 2017-06-28 | A kind of 3D printing navigation template and its manufacture method for aiding in shin bone prosthesis |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710512181.XA CN107397589A (en) | 2017-06-28 | 2017-06-28 | A kind of 3D printing navigation template and its manufacture method for aiding in shin bone prosthesis |
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| CN107397589A true CN107397589A (en) | 2017-11-28 |
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| CN201710512181.XA Pending CN107397589A (en) | 2017-06-28 | 2017-06-28 | A kind of 3D printing navigation template and its manufacture method for aiding in shin bone prosthesis |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108309394A (en) * | 2018-03-12 | 2018-07-24 | 北京市春立正达医疗器械股份有限公司 | A kind of osteotomy positioning device again for shin bone |
| CN108720923A (en) * | 2018-04-02 | 2018-11-02 | 王成功 | Householder method is fixed in fracture of calcaneus closed reduction based on digitlization 3D printing tool |
Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN103860295A (en) * | 2014-03-07 | 2014-06-18 | 北京大学第三医院 | Digital design and manufacturing method for knee joint tibia prosthesis |
| CN105816232A (en) * | 2016-05-17 | 2016-08-03 | 南方医科大学 | Designing and forming method for anatomical bone plate of individuation bone model |
| CN205729457U (en) * | 2016-05-26 | 2016-11-30 | 中国人民解放军第三军医大学第二附属医院 | Tibial osteotomy locating template and osteotomy device |
| CN106725806A (en) * | 2017-02-07 | 2017-05-31 | 上海三友医疗器械股份有限公司 | A kind of preparation method of adhesive film type anatomical tibial plateau bone plate |
-
2017
- 2017-06-28 CN CN201710512181.XA patent/CN107397589A/en active Pending
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN103860295A (en) * | 2014-03-07 | 2014-06-18 | 北京大学第三医院 | Digital design and manufacturing method for knee joint tibia prosthesis |
| CN105816232A (en) * | 2016-05-17 | 2016-08-03 | 南方医科大学 | Designing and forming method for anatomical bone plate of individuation bone model |
| CN205729457U (en) * | 2016-05-26 | 2016-11-30 | 中国人民解放军第三军医大学第二附属医院 | Tibial osteotomy locating template and osteotomy device |
| CN106725806A (en) * | 2017-02-07 | 2017-05-31 | 上海三友医疗器械股份有限公司 | A kind of preparation method of adhesive film type anatomical tibial plateau bone plate |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108309394A (en) * | 2018-03-12 | 2018-07-24 | 北京市春立正达医疗器械股份有限公司 | A kind of osteotomy positioning device again for shin bone |
| CN108720923A (en) * | 2018-04-02 | 2018-11-02 | 王成功 | Householder method is fixed in fracture of calcaneus closed reduction based on digitlization 3D printing tool |
| CN108720923B (en) * | 2018-04-02 | 2019-10-08 | 王成功 | Householder method is fixed in fracture of calcaneus closed reduction based on digitlization 3D printing tool |
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Application publication date: 20171128 |