CN108524063A - A kind of 3D printing personalization astragalus surface replacement prosthesis - Google Patents

A kind of 3D printing personalization astragalus surface replacement prosthesis Download PDF

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Publication number
CN108524063A
CN108524063A CN201810377339.1A CN201810377339A CN108524063A CN 108524063 A CN108524063 A CN 108524063A CN 201810377339 A CN201810377339 A CN 201810377339A CN 108524063 A CN108524063 A CN 108524063A
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CN
China
Prior art keywords
astragalus
prosthese
contact surface
replacement prosthesis
rough contact
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.)
Granted
Application number
CN201810377339.1A
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Chinese (zh)
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CN108524063B (en
Inventor
曾参军
郭浩
黄华军
黄伟奇
谭新宇
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Third Affiliated Hospital Of Southern Medical University (academy Of Orthopaedics Guangdong Province)
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Third Affiliated Hospital Of Southern Medical University (academy Of Orthopaedics Guangdong Province)
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Priority to CN201810377339.1A priority Critical patent/CN108524063B/en
Publication of CN108524063A publication Critical patent/CN108524063A/en
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Publication of CN108524063B publication Critical patent/CN108524063B/en
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Classifications

    • 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
    • A61F2/42Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes
    • A61F2/4202Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes for ankles
    • 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
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316The 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
    • A61F2002/30317The prosthesis having different structural features at different locations within the same prosthesis
    • A61F2002/30321The prosthesis having different structural features at different locations within the same prosthesis differing in roughness
    • 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]
    • 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
    • A61F2/42Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes
    • A61F2/4202Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes for ankles
    • A61F2002/4207Talar components

Abstract

The invention discloses a kind of 3D printing personalization astragalus surface replacement prosthesis, it include the prosthese made by 3D printing technique, prosthese includes being smoothly connected face and rough contact surface for being removed body fit with astragalus for compatible with facies articularis inferior tibiae, prosthese further includes being located at the ontology being smoothly connected between face and rough contact surface, rough contact surface is equipped with multiple micropores to which astragalus to be fixedly connected with the prosthese by allowing the bone that astragalus is newly grown to stretch into, and prosthese is equipped with the connector for it to connect with astragalus.3D printing personalization astragalus surface replacement prosthesis provided by the invention, astragalus surface replacement remains all ligaments around astragalus, the stability that can not only maintain ankle-joint and metapedes, also retains the normal proprioception of patient, and clinical prognosis is predictable and good.

Description

A kind of 3D printing personalization astragalus surface replacement prosthesis
Technical field
The present invention relates to ankle-joint therapy field more particularly to a kind of 3D printing personalization astragalus surface replacement prosthesis.
Background technology
Ankle-joint is the weight-bearing joints of human body most easy damaged, and only sprain of ankle joint just accounts for the 20% of injury gained in sports, is China The medical common cause of emergency department.It is different from knee joint, post-traumatic arthritis be cause whole latter stage ankle arthritis it is main because Element.Since astragalus blood supply itself is poor, it is susceptible to necrosis, articular step-off, therefore the damage of ankle-joint astragalus articular surface is often More more common than the damage in tibial prosthesis face, up to 50% sprain of ankle joint can cause astragalus osteocartilaginous and subchondralo bone injury.
Astragalus osteochondral defect changes the biomethanics state of ankle-joint heavy burden, eventually leads to serious ankle arthritis, Keep patient's difficulty in walking, quality of life low.
For whole latter stage ankle-joint disease damage, the therapeutic modality mainly used at present has ankle fusion or full ankle-joint to set Change art.
But before developing into whole latter stage ankle arthritis, it is seen that, the damage of ankle-joint astragalus side is far more than shin The damage of bone side.Astragalus osteochondral defect, the formation of bone cyst is very common under Astragal ischemic necrosis, astragalus articular surface, this is more Concomitant injury when sprain of ankle joint or fracture of ankle joint is seen, the complication after fracture of talus or dislocation, this kind of disease are also seen Damage is typically irreversible.As can early stage is handled, the destiny that can avoid or delay ankle fusion or full ankle-joint to replace.It is small The astragalus osteocartilaginous and subchondralo bone injury of area has the treatment means of more system, but for astragalus osteochondral defect, the astragalus of large area Necrosis still lacks effective therapy at present.
Relatively intact, only astragalus arched roof damage of articular surface the patient for such distal tibial articular surface, using ankle-joint Fusion or total ankle joint replacement have the suspicion of over-treatment, they all destroy original distal tibial articular surface, prematurely Reduce the quality of life of patient.Then, astragalus displacement technique starts to occur.In astragalus displacement technique, one is stainless steel or oxygen Change the body of talus prosthese of aluminium ceramic material, replace body of talus and retain neck of talus, retains most of ligament.However, the prosthese has One is stretched into neck of talus handle for fixing, in the shank stress Relatively centralized of prosthese, easily causes prosthetic loosening, Forward, under Heavy, failure, head of talus necrosis rate are high.
In astragalus displacement technique, another way is range bone prosthetic replacement, however, range bone displacement can not repair away from Ligament, deltoid ligament pollex portion, interosseous talocalcaneal ligament, paxwax etc. maintain ankle-joint and subtalar joint to stablize important before calf Ligament, prognosis values at a specified future date must worry.
It may be seen from the foregoing that, only astragalus arched roof damage of articular surface relatively intact for such distal tibial articular surface Patient, above-mentioned several ways cannot all reach ideal effect.Therefore, it is necessary to design it is a kind of can avoid damage to it is intact Distal tibial articular surface and the 3D printing personalization astragalus surface replacement prosthesis that ligament can be retained as far as possible.
Invention content
The object of the present invention is to provide a kind of 3D printing personalization astragalus surface replacement prosthesis, intact which obviate destroying Distal tibial articular surface and astragalus surrounding ligaments, as far as possible retain patients after surgery ankle-joint locomitivity, improve disease The postoperative quality of life of people.
To achieve the above object, the present invention provides a kind of 3D printing personalization astragalus surface replacement prosthesis, including passes through 3D The prosthese that printing technique makes, prosthese include being smoothly connected face for compatible with facies articularis inferior tibiae and being used for and astragalus It is removed the rough contact surface of body fit, prosthese further includes being located at the ontology being smoothly connected between face and rough contact surface, Rough contact surface is equipped with multiple to which astragalus to be fixedly connected with the prosthese by allowing the bone that astragalus is newly grown to stretch into Micropore, prosthese are equipped with the connector for it to connect with astragalus.
As a further improvement on the present invention, the netted knot of multilayer extended from the rough contact surface surface into ontology Be configured to the multiple micropore, the aperture of micropore is 500-700 microns, using electron beam melting or laser-light beam melts technology at Type is interconnected between micropore.
As a further improvement of the present invention, the quantity of the micropore from direction of the Rough Contact towards ontology successively It reduces to zero.
As a further improvement of the present invention, the prosthese be equipped with from it is described be smoothly connected face be through to it is described thick The counter sink of rough contact surface, the counter sink are adapted with the connector.
As a further improvement of the present invention, the connector is the screw across the counter sink.
As a further improvement of the present invention, the rough contact surface is equipped with to be removed with astragalus and partly match Groove.
As a further improvement of the present invention, the connector includes compatible screw bolt and nut, the counter sink In pairs, each pair of two counter sinks are opposite and coaxially arranged, the groove between each pair of two counter sinks, bolt Bolt head and nut are located in two pairs of counter sinks, and the screw rod of bolt passes through pairs of counter sink.
Advantageous effect
Compared with prior art, the advantages of 3D printing personalization astragalus surface replacement prosthesis of the invention, is:
1, astragalus surface replacement remains all ligaments around astragalus, can not only maintain the stabilization of ankle-joint and metapedes Property, the normal proprioception of patient is also retained, clinical prognosis is predictable and good;
2, part is removed on astragalus to be in contact with the rough contact surface on prosthese, and by connector by astragalus with it is false Body is fixed to each other, and in healing phases, astragalus is removed multiple micropores that the bone that part is newly grown can stretch on the face of being smoothly connected In, to which astragalus is merged fixation with prosthese, increase the connective stability of prosthese and astragalus;
3, the quantity of micropore is reduced successively from direction of the Rough Contact towards ontology to zero, and bone can be allowed as long as possible It is deep, allow hold bigger between prosthese and bone interface, connection is more secured, while it is to protect that micropore quantity, which gradually decreases, The overall stiffness for holding prosthese reduces the probability of its brittle break, to extend its service life;
4, from rough contact surface surface, into ontology, gradually increased multilayer network structure is formed density micropore, Multilayer Network Shape structure can be realized by 3D printing techniques such as electron beam melting or laser-light beam melts, and prosthese can also integrally pass through 3D Printing technique makes, and will escort for personalized, precision prosthetic designs.
By description below and in conjunction with attached drawing, the present invention will become more fully apparent, these attached drawings are for explaining the present invention Embodiment.
Description of the drawings
In order to more clearly explain the embodiment of the invention or the technical proposal in the existing technology, below will to embodiment or Attached drawing needed to be used in the description of the prior art is briefly described, it should be apparent that, the accompanying drawings in the following description is only Some embodiments of the present invention, for those of ordinary skill in the art, without creative efforts, also It can be obtain other attached drawings according to these attached drawings.
Fig. 1 is human body ankle joint structure schematic diagram;
Fig. 2 is the use state front view of 3D printing personalization astragalus surface replacement prosthesis in embodiment 1;
Fig. 3 is the schematic diagram in A-A direction in Fig. 2;
Fig. 4 is the left view sectional view of prosthese in embodiment 1;
Fig. 5 is the multilayer network structure schematic diagram in rough contact surface;
Fig. 6 is the left view sectional view of 3D printing personalization astragalus surface replacement prosthesis use state in embodiment 2;
Fig. 7 is the left view sectional view of prosthese in embodiment 2;
Fig. 8 is the left view sectional view of 3D printing personalization astragalus surface replacement prosthesis use state in embodiment 3.
Specific implementation mode
The embodiment of the present invention is described referring now to the drawings.
Embodiment 1
The specific implementation mode of the present invention is as shown in Figures 1 to 5, a kind of 3D printing personalization astragalus surface replacement prosthesis, Include the prosthese 1 made by 3D printing technique, prosthese 1 includes being smoothly connected face for compatible with 6 inferior articular surface of shin bone 11 and the rough contact surface 12 for being removed body fit with astragalus 3, prosthese 1 further include be located at be smoothly connected face 11 with Ontology 13 between rough contact surface 12, rough contact surface 12 are equipped with by allowing the bone that astragalus 3 is newly grown to stretch into thus will Multiple micropores that astragalus 3 is fixedly connected with the prosthese 1, prosthese 1 are equipped with the connector for it to connect with astragalus 3.Away from It is removed part on bone 3 to be in contact with the rough contact surface 12 on prosthese 1, and by connector that astragalus 3 and prosthese 1 is mutual Fixed, in healing phases, astragalus 3 is removed the bone that part is newly grown and can stretch into multiple micropores on the face of being smoothly connected 11, To which astragalus 3 is merged fixation with prosthese 1, the connective stability of prosthese 1 and astragalus 3 is increased.
The multilayer network structure extended from 12 surface of the rough contact surface into ontology 13 forms the multiple micropore, The aperture of micropore is 500-700 microns, is molded using electron beam melting or laser-light beam melts technology, is interconnected between micropore. The micropore quantity of the micropore distribution gradient, 12 side of rough contact surface is most, and the micropore quantity in ontology 13 successively subtracts It is few, until zero.The quantity of micropore is reduced successively from direction of the Rough Contact towards ontology to zero, and bone can be allowed as long as possible It is deep, allow hold bigger between prosthese and bone interface, connection is more secured, while it is to protect that micropore quantity, which gradually decreases, The overall stiffness for holding prosthese reduces the probability of its brittle break, to extend its service life.
The prosthese 1 is equipped with from the counter sink 14 for being smoothly connected face 11 and being through to the rough contact surface 12, should Counter sink 14 is adapted with the connector.
The connector is the screw 2 across the counter sink 14.
The rough contact surface 12 is equipped with is removed the matched groove in part 15 with astragalus.
The counter sink 14 is distributed on the both sides of groove 15, and the end of counter sink 14 is located on 15 inside of groove, screw 2 stretch into counter sink 14 and are inserted into the part that astragalus 3 is located in groove 15.
Embodiment 2
As shown in Figure 6 and Figure 7, difference from example 1 is that, rough contact surface 12 is plane, on astragalus 3 with 12 compatible part of rough contact surface is also plane, and the two contacts with each other.Screw 2 pass through counter sink 14 and it is oblique be inserted into away from The plane being in contact with rough contact surface 12 on bone 3.
Embodiment 3
As shown in figure 8, difference from example 1 is that, the connector includes compatible bolt 4 and nut 5, in pairs, each pair of two counter sinks 14 are opposite and coaxially arranged for the counter sink 14, and the groove 15 is located at each pair of two Between counter sink 14, the bolt head and nut 5 of bolt 4 are located in two pairs of counter sinks 14, and the screw rod of bolt 4 is worn Cross pairs of counter sink 14.
Above in association with most preferred embodiment, invention has been described, but the invention is not limited in realities disclosed above Example is applied, and modification, equivalent combinations that various essence according to the present invention carry out should be covered.

Claims (7)

1. a kind of 3D printing personalization astragalus surface replacement prosthesis, which is characterized in that include the vacation made by 3D printing technique Body (1), prosthese (1) include being smoothly connected face (11) and for being removed portion with astragalus for compatible with facies articularis inferior tibiae It further includes being located to be smoothly connected between face (11) and rough contact surface (12) to divide compatible rough contact surface (12), prosthese (1) Ontology (13), rough contact surface (12) is equipped with by allowing the bone that astragalus is newly grown to stretch by astragalus and the prosthese (1) the multiple micropores being fixedly connected, prosthese (1) are equipped with the connector for it to connect with astragalus.
2. a kind of 3D printing personalization astragalus surface replacement prosthesis according to claim 1, which is characterized in that by described thick The multilayer network structure that rough contact surface (12) surface extends into ontology (13) forms the multiple micropore, and the aperture of micropore is It 500-700 microns, is interconnected between adjacent micropore.
3. a kind of 3D printing personalization astragalus surface replacement prosthesis according to claim 1 or 2, which is characterized in that described The quantity of micropore is reduced successively from rough contact surface (12) to the direction of ontology (13) to zero.
4. a kind of 3D printing personalization astragalus surface replacement prosthesis according to claim 1, which is characterized in that the prosthese (1) it is equipped with from the counter sink (14) for being smoothly connected face (11) and being through to the rough contact surface (12), the counter sink (14) it is adapted with the connector.
5. a kind of 3D printing personalization astragalus surface replacement prosthesis according to claim 4, which is characterized in that the connection Part is the screw (2) across the counter sink (14).
6. a kind of 3D printing personalization astragalus surface replacement prosthesis according to claim 4, which is characterized in that described coarse Contact surface (12) is equipped with is removed the matched groove in part (15) with astragalus.
7. a kind of 3D printing personalization astragalus surface replacement prosthesis according to claim 6, which is characterized in that the connection Part includes compatible bolt (4) and nut (5), and in pairs, each pair of two counter sinks (14) are opposite for the counter sink (14) And it is coaxially arranged, the groove (15) is between each pair of two counter sinks (14), the bolt head and nut (5) point of bolt (4) Wei Yu not be in two pairs of counter sinks (14), the screw rod of bolt (4) passes through pairs of counter sink (14).
CN201810377339.1A 2018-04-25 2018-04-25 3D prints individualized talus surface replacement prosthesis Active CN108524063B (en)

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Application Number Priority Date Filing Date Title
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Application Number Priority Date Filing Date Title
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CN108524063B CN108524063B (en) 2024-03-19

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Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109330747A (en) * 2018-11-20 2019-02-15 中国人民解放军陆军军医大学第附属医院 A kind of personalization astragalus surface replacement prosthesis
CN109330748A (en) * 2018-11-20 2019-02-15 中国人民解放军陆军军医大学第附属医院 A kind of ankle prosthesis shin bone sidepiece part
CN109620483A (en) * 2019-01-18 2019-04-16 青岛大学附属医院 Single ankle-joint surface replacement system
CN109846580A (en) * 2019-02-14 2019-06-07 中国人民解放军陆军军医大学第一附属医院 Personalized range bone prosthese with biological function and preparation method thereof
CN111529142A (en) * 2020-04-17 2020-08-14 蒋青 Talus prosthesis model for 3D printing and forming method of talus prosthesis by 3D printing
CN113827378A (en) * 2021-11-24 2021-12-24 北京爱康宜诚医疗器材有限公司 Ankle joint tibia side prosthesis
JP2022524620A (en) * 2019-03-11 2022-05-09 ライト メディカル テクノロジー インコーポレイテッド Talus dome with angled holes

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US20060142870A1 (en) * 2004-08-19 2006-06-29 Shawn Robinson Modular total ankle prosthesis apparatuses, systems and methods, and systems and methods for bone resection and prosthetic implantation
CN102784014A (en) * 2012-08-14 2012-11-21 中国科学院深圳先进技术研究院 Porotic bone scaffold and preparation method thereof
CN106618807A (en) * 2016-11-17 2017-05-10 中国人民解放军第三军医大学第附属医院 Detachable talus prosthesis
WO2018011604A2 (en) * 2016-07-15 2018-01-18 Cudeti (Uk) Limited Implant

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20060142870A1 (en) * 2004-08-19 2006-06-29 Shawn Robinson Modular total ankle prosthesis apparatuses, systems and methods, and systems and methods for bone resection and prosthetic implantation
CN102784014A (en) * 2012-08-14 2012-11-21 中国科学院深圳先进技术研究院 Porotic bone scaffold and preparation method thereof
WO2018011604A2 (en) * 2016-07-15 2018-01-18 Cudeti (Uk) Limited Implant
CN106618807A (en) * 2016-11-17 2017-05-10 中国人民解放军第三军医大学第附属医院 Detachable talus prosthesis

Cited By (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109330747A (en) * 2018-11-20 2019-02-15 中国人民解放军陆军军医大学第附属医院 A kind of personalization astragalus surface replacement prosthesis
CN109330748A (en) * 2018-11-20 2019-02-15 中国人民解放军陆军军医大学第附属医院 A kind of ankle prosthesis shin bone sidepiece part
CN109620483A (en) * 2019-01-18 2019-04-16 青岛大学附属医院 Single ankle-joint surface replacement system
CN109620483B (en) * 2019-01-18 2023-07-25 青岛大学附属医院 Single ankle joint surface replacement system
CN109846580A (en) * 2019-02-14 2019-06-07 中国人民解放军陆军军医大学第一附属医院 Personalized range bone prosthese with biological function and preparation method thereof
JP2022524620A (en) * 2019-03-11 2022-05-09 ライト メディカル テクノロジー インコーポレイテッド Talus dome with angled holes
EP3937853A4 (en) * 2019-03-11 2022-11-02 Wright Medical Technology, Inc. Talar dome with angled holes
US11752001B2 (en) 2019-03-11 2023-09-12 Wright Medical Technology, Inc. Talar dome with angled holes
CN111529142A (en) * 2020-04-17 2020-08-14 蒋青 Talus prosthesis model for 3D printing and forming method of talus prosthesis by 3D printing
CN113827378A (en) * 2021-11-24 2021-12-24 北京爱康宜诚医疗器材有限公司 Ankle joint tibia side prosthesis
CN113827378B (en) * 2021-11-24 2022-05-03 北京爱康宜诚医疗器材有限公司 Ankle joint tibia side prosthesis

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