CN108720889A - Tooth-borne type Mandibular Rumas osteotomy and tractor resting guide - Google Patents

Tooth-borne type Mandibular Rumas osteotomy and tractor resting guide Download PDF

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Publication number
CN108720889A
CN108720889A CN201810638744.4A CN201810638744A CN108720889A CN 108720889 A CN108720889 A CN 108720889A CN 201810638744 A CN201810638744 A CN 201810638744A CN 108720889 A CN108720889 A CN 108720889A
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CN
China
Prior art keywords
fixed part
tooth
osteotomy
interconnecting piece
tractor
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
Application number
CN201810638744.4A
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Chinese (zh)
Inventor
张剑飞
姜腾飞
徐晓峰
张文斌
史俊
王旭东
沈国芳
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Ninth Peoples Hospital Shanghai Jiaotong University School of Medicine
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Ninth Peoples Hospital Shanghai Jiaotong University School of Medicine
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Publication date
Application filed by Ninth Peoples Hospital Shanghai Jiaotong University School of Medicine filed Critical Ninth Peoples Hospital Shanghai Jiaotong University School of Medicine
Priority to CN201810638744.4A priority Critical patent/CN108720889A/en
Publication of CN108720889A publication Critical patent/CN108720889A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/14Surgical saws ; Accessories therefor
    • A61B17/15Guides therefor
    • A61B17/151Guides therefor for corrective osteotomy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/90Guides therefor

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Medical Informatics (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Dentistry (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)

Abstract

A kind of tooth-borne type Mandibular Rumas osteotomy of present invention offer and tractor resting guide, the tooth-borne type Mandibular Rumas osteotomy and tractor resting guide include tooth support sector, guide rod and guide plate ontology.The part denture of mandibular unilateral is fixed in tooth support sector.Wherein one end connection tooth support sector of guide rod.It leads and multiple mounting holes for determining tractor three-dimensional position is distributed in board body part, it includes interconnecting piece, fixed part and extension to lead board body part.Interconnecting piece is connected with the other end of guide rod.Fixed part is set to interconnecting piece, and the inner surface of fixed part is the matched arc-shaped curved surface of surface radian with mandibular, has osteotomy slot for accommodate electric saw blade of the opening towards both sides on fixed part.Extension is relatively arranged on fixed part with interconnecting piece.

Description

Tooth-borne type Mandibular Rumas osteotomy and tractor resting guide
Technical field
The present invention relates to a kind of medical instruments, and more particularly to a kind of tooth-borne type Mandibular Rumas osteotomy and tractor are solid Determine guide plate.
Background technology
Mandibular distraction osteogenesis is mandibular deformity, and hemifacial is short and small, the solution of a variety of diseases such as ankylosis of temporomandibular joint Certainly mode.Since mandibular intra-oral approach is more narrow, and its opening degree of the patient of deformity is usually smaller, and the visual field is sudden and violent in such art Dew is often not enough.In order to which the implantation position and osteotomy site that ensure tractor are identical as design, ensure optimum treatment effect, both Toward research in, surgical guide is divided into two pieces, one piece of osteotomy guide plate, one piece of tractor position guide plate.Osteotomy is first placed in art Guide plate determines osteotomy line;It removes osteotomy guide plate again later, places tractor position guide plate, to be that follow-up osteotomy and nail hole are true Positioning is set, and is kept true osteotomy line and true tractor position similar to design point, is reached expected surgical effect.
However, osteotomy guide plate and tractor position guide plate will be fixed respectively, very complexity is operated, needs to take repeatedly and wear Positional.In addition, tractor position guide plate only secures draw bar direction, the not position of the traction on tractor for fixing direction It sets, also needs preoperative pre-bending, extend operation preparation time;Further, the tractor after pre-bending often can not be complete with design Full fitting, the tractor after pre-bending hammer into nail hole rear haulage device position and often will produce a little offset, and offset is generated with preoperative position.
Invention content
For overcome the deficiencies in the prior art, provide a kind of can determine osteotomy line and tractor fixed position to the present invention simultaneously Tooth-borne type Mandibular Rumas osteotomy and tractor resting guide.
To achieve the goals above, a kind of tooth-borne type Mandibular Rumas osteotomy of present invention offer and tractor fixation are led Plate, the tooth-borne type Mandibular Rumas osteotomy and tractor resting guide include tooth support sector, guide rod and guide plate ontology.Dental branches The part denture of mandibular unilateral is fixed in the portion of holding.Wherein one end connection tooth support sector of guide rod.Lead be distributed in board body part it is multiple Mounting hole for determining tractor three-dimensional position, it includes interconnecting piece, fixed part and extension to lead board body part.Interconnecting piece with lead The other end of bar is connected.Fixed part is set to interconnecting piece, and the inner surface of fixed part is to be matched with the surface radian of mandibular Arc-shaped curved surface, there is on fixed part osteotomy slot for accommodate electric saw blade of the opening towards both sides.Extension and interconnecting piece phase To being set to fixed part.
The inner surface of an embodiment according to the present invention, interconnecting piece and extension is arc-shaped curved surface, the width of fixed part The respectively greater than width of the width of interconnecting piece and extension.
An embodiment according to the present invention, fixed part include upper fixed part and lower fixed part, upper fixed part and lower fixed part Between formed osteotomy slot.
An embodiment according to the present invention, multiple mounting holes on guide plate ontology be distributed in respectively interconnecting piece, fixed part with And extension.
An embodiment according to the present invention, there are six mounting hole, interconnecting piece, fixed part and extensions for tool on guide plate ontology Upper each distribution two, mounting hole is longitudinally disposed on interconnecting piece and fixed part, and two mounting holes on extension transversely divide Cloth.
An embodiment according to the present invention, interconnecting piece and extension are connected respectively at fixed part arc transition.
The end of an embodiment according to the present invention, extension is in arc-shaped.
In conclusion tooth-borne type Mandibular Rumas osteotomy provided by the invention and tractor resting guide pass through in guide plate Fixed part is formed on ontology, fixed part, which is fixed, has osteotomy slot on mandibular and fixed part, realize Mandible Osteotomy position really It is fixed.By being distributed multiple mounting holes on guide plate ontology, the position of mounting hole is also that tractor fixes six required nails simultaneously The position of the fixed position of son, six mounting holes has uniquely determined the three-dimensional position of tractor, realizes the fixation of tractor position. Tooth-borne type Mandibular Rumas osteotomy provided by the invention and tractor resting guide realize osteotomy and two big work(of tractor for fixing The set of energy, if one-time authentication interception installation tractor is carried out in the course of surgery, and without being tried on repeatedly, no The process of operation is only greatly accelerated, while also improving the installation accuracy of tractor.
For above and other objects of the present invention, feature and advantage can be clearer and more comprehensible, preferred embodiment cited below particularly, And coordinate attached drawing, it is described in detail below.
Description of the drawings
Fig. 1 show the tooth-borne type Mandibular Rumas osteotomy and tractor resting guide of one embodiment of the invention offer Structural schematic diagram.
Specific implementation mode
As shown in Figure 1, tooth-borne type Mandibular Rumas osteotomy provided in this embodiment and tractor resting guide include tooth Support sector 1, guide rod 2 and guide plate ontology 3.The part denture of mandibular anterior teeth is fixed in tooth support sector 1.Wherein one end of guide rod 2 Connect tooth support sector 1.It leads and multiple mounting holes 301 for determining tractor three-dimensional position is distributed in board body part 3, lead board body part 3 include interconnecting piece 31, fixed part 32 and extension 33.Interconnecting piece 31 is connected with the other end of guide rod 2.Fixed part 32 is arranged In interconnecting piece 31, the inner surface of fixed part 32 is the matched arc-shaped curved surface of surface radian with mandibular, is had on fixed part 32 There is osteotomy slot 321 for accommodate electric saw blade of the opening towards both sides.Extension 33 is relatively arranged on fixed part with interconnecting piece 31 32。
Under fixed part 32 is fixed in tooth-borne type Mandibular Rumas osteotomy provided in this embodiment and tractor resting guide Jawbone, osteotomy slot 321 determine the position of osteotomy line.In the course of surgery, nail is hammered into multiple mounting holes 301 by guide plate sheet Body 3 is fixed with lower jaw part, and the nail in multiple mounting holes has also uniquely determined the three-dimensional position of tractor simultaneously.In bone-culting operation It completes back guide ontology 3, guide rod 2 and 1 three of tooth support sector and forms tractor, guide plate ontology 3 and guide rod 2 realize both direction On traction, that is, realize osteotomy and traction both combination.
In this present embodiment, fixed part 32 includes upper fixed part 322 and lower fixed part 323, upper fixed part 322 and lower fixation Osteotomy slot 321 is formed between portion 323.However, the present invention is not limited in any way this.In this present embodiment, have on guide plate ontology 3 There are six mounting hole 301, it is respectively distributed two on interconnecting piece 31, fixed part 32 and extension 33, interconnecting piece 31 and fixed part 32 Upper mounting hole is longitudinally disposed and the center of four mounting holes is located along the same line longitudinally.Two fixations on extension 33 Hole is transversely distributed, and the center of mounting hole and consolidating on interconnecting piece 31 and fixed part 32 one of on extension 33 The center for determining hole is straight line.The cooperation in lateral mounting hole and longitudinally fixed hole not only determine the position of tractor while Lead is determined, greatly improves the precision of traction.
In this present embodiment, the inner surface of interconnecting piece 31 and extension 33 is arc-shaped curved surface, the width point of fixed part 32 Not great Yu interconnecting piece 31 width and extension 33 width.Arc-shaped curved surface makes interconnecting piece 31, fixed part 32 and extension 33 can be bonded with epimandibular surface well.By the way that maximum width is arranged at fixed part 32 fixed part is had very Good fixed effect, the design of interconnecting piece 31 and extension 33 will also consider to operation while meeting certain fixed function Interference, therefore width is arranged slightly smaller.To further avoid operation interference or causing to damage to mandibular, interconnecting piece is set 31 and extension 33 connect respectively with 32 arc transition of fixed part and the end of extension 33 be in arc-shaped.
In conclusion tooth-borne type Mandibular Rumas osteotomy provided by the invention and tractor resting guide pass through in guide plate Fixed part is formed on ontology, fixed part, which is fixed, has osteotomy slot on mandibular and fixed part, realize Mandible Osteotomy position really It is fixed.By being distributed multiple mounting holes on guide plate ontology, the position of mounting hole is also that tractor fixes six required nails simultaneously The position of the fixed position of son, six mounting holes has uniquely determined the three-dimensional position of tractor, realizes the fixation of tractor position. Tooth-borne type Mandibular Rumas osteotomy provided by the invention and tractor resting guide realize osteotomy and two big work(of tractor for fixing The set of energy, if one-time authentication interception installation tractor is carried out in the course of surgery, and without being tried on repeatedly, no The process of operation is only greatly accelerated, while also improving the installation accuracy of tractor.
Although the present invention is disclosed above by preferred embodiment, however, it is not intended to limit the invention, this any known skill Skill person can make some changes and embellishment without departing from the spirit and scope of the present invention, therefore protection scope of the present invention is worked as Subject to claims range claimed.

Claims (7)

1. a kind of tooth-borne type Mandibular Rumas osteotomy and tractor resting guide, which is characterized in that including:
The part denture of lower jaw is fixed in tooth support sector;
Guide rod, wherein one end connect tooth support sector;
Board body part is led, multiple mounting holes for determining tractor three-dimensional position are distributed with, the board body part of leading includes:
Interconnecting piece is connected with the other end of guide rod;
Fixed part is set to interconnecting piece, and the inner surface of the fixed part is bent with the matched arc of the surface radian of mandibular Face has osteotomy slot for accommodate electric saw blade of the opening towards both sides on fixed part;
Extension is relatively arranged on the fixed part with interconnecting piece.
2. tooth-borne type Mandibular Rumas osteotomy according to claim 1 and tractor resting guide, which is characterized in that institute The inner surface for stating interconnecting piece and extension is arc-shaped curved surface, and the width of fixed part is respectively greater than the width and extension of interconnecting piece Width.
3. tooth-borne type Mandibular Rumas osteotomy according to claim 1 and tractor resting guide, which is characterized in that institute It includes upper fixed part and lower fixed part to state fixed part, and osteotomy slot is formed between fixed portion and lower fixed part.
4. tooth-borne type Mandibular Rumas osteotomy according to claim 1 and tractor resting guide, which is characterized in that lead Multiple mounting holes on plate ontology are distributed in interconnecting piece, fixed part and extension respectively.
5. tooth-borne type Mandibular Rumas osteotomy according to claim 4 and tractor resting guide, which is characterized in that institute Tool is stated on guide plate ontology there are six mounting hole, is respectively distributed two on interconnecting piece, fixed part and extension, interconnecting piece and fixed part On mounting hole it is longitudinally disposed, two mounting holes on extension are transversely distributed.
6. tooth-borne type Mandibular Rumas osteotomy according to claim 1 and tractor resting guide, which is characterized in that institute Interconnecting piece is stated to connect respectively at fixed part arc transition with extension.
7. tooth-borne type Mandibular Rumas osteotomy according to claim 1 and tractor resting guide, which is characterized in that prolong The end of extending portion is in arc-shaped.
CN201810638744.4A 2018-06-20 2018-06-20 Tooth-borne type Mandibular Rumas osteotomy and tractor resting guide Pending CN108720889A (en)

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CN201810638744.4A CN108720889A (en) 2018-06-20 2018-06-20 Tooth-borne type Mandibular Rumas osteotomy and tractor resting guide

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Application Number Priority Date Filing Date Title
CN201810638744.4A CN108720889A (en) 2018-06-20 2018-06-20 Tooth-borne type Mandibular Rumas osteotomy and tractor resting guide

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109875682A (en) * 2019-03-26 2019-06-14 上海交通大学医学院附属第九人民医院 A kind of construction method of maxillary teeth guidance ascending branch reset and fixed guide plate

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104771231A (en) * 2015-04-27 2015-07-15 四川大学 Navigation device for bone block directional movement in orthognathic surgery and manufacturing method thereof
CN205286448U (en) * 2015-11-30 2016-06-08 上海交通大学医学院附属第九人民医院 Bone conduction board is cut to tooth -borne type piecemeal chin shaping art
CN205287036U (en) * 2015-11-30 2016-06-08 上海交通大学医学院附属第九人民医院 Jaw pulls into skull operation baffle down
CN205286509U (en) * 2015-11-30 2016-06-08 上海交通大学医学院附属第九人民医院 Jaw cuts bone conduction board down
CN205286451U (en) * 2015-11-30 2016-06-08 上海交通大学医学院附属第九人民医院 Tooth -borne type's chin shaping cuts bone conduction board
RU2599370C1 (en) * 2015-04-20 2016-10-10 Государственное Бюджетное учреждение здравоохранения города Москвы "Детская городская клиническая больница святого Владимира Департамента здравоохранения города Москвы" Method for expansion of ramus of mandible and compression-expansion device for its implementation
CN209004106U (en) * 2018-06-20 2019-06-21 上海交通大学医学院附属第九人民医院 Tooth-borne type Mandibular Rumas osteotomy and tractor resting guide

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
RU2599370C1 (en) * 2015-04-20 2016-10-10 Государственное Бюджетное учреждение здравоохранения города Москвы "Детская городская клиническая больница святого Владимира Департамента здравоохранения города Москвы" Method for expansion of ramus of mandible and compression-expansion device for its implementation
CN104771231A (en) * 2015-04-27 2015-07-15 四川大学 Navigation device for bone block directional movement in orthognathic surgery and manufacturing method thereof
CN205286448U (en) * 2015-11-30 2016-06-08 上海交通大学医学院附属第九人民医院 Bone conduction board is cut to tooth -borne type piecemeal chin shaping art
CN205287036U (en) * 2015-11-30 2016-06-08 上海交通大学医学院附属第九人民医院 Jaw pulls into skull operation baffle down
CN205286509U (en) * 2015-11-30 2016-06-08 上海交通大学医学院附属第九人民医院 Jaw cuts bone conduction board down
CN205286451U (en) * 2015-11-30 2016-06-08 上海交通大学医学院附属第九人民医院 Tooth -borne type's chin shaping cuts bone conduction board
CN209004106U (en) * 2018-06-20 2019-06-21 上海交通大学医学院附属第九人民医院 Tooth-borne type Mandibular Rumas osteotomy and tractor resting guide

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109875682A (en) * 2019-03-26 2019-06-14 上海交通大学医学院附属第九人民医院 A kind of construction method of maxillary teeth guidance ascending branch reset and fixed guide plate

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