CN109171879A - Guide the molding device of fibula - Google Patents

Guide the molding device of fibula Download PDF

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Publication number
CN109171879A
CN109171879A CN201811135564.0A CN201811135564A CN109171879A CN 109171879 A CN109171879 A CN 109171879A CN 201811135564 A CN201811135564 A CN 201811135564A CN 109171879 A CN109171879 A CN 109171879A
Authority
CN
China
Prior art keywords
formed body
fibula
guidance
molding device
assembly
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
CN201811135564.0A
Other languages
Chinese (zh)
Inventor
王慧珊
曲行舟
张陈平
解东平
邵波
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
Original Assignee
Ninth Peoples Hospital Shanghai Jiaotong University School of Medicine
Priority date (The priority date 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 date listed.)
Filing date
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 CN201811135564.0A priority Critical patent/CN109171879A/en
Publication of CN109171879A publication Critical patent/CN109171879A/en
Pending legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17Guides or aligning means for drills, mills, pins or wires
    • A61B17/171Guides or aligning means for drills, mills, pins or wires for external fixation
    • 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17Guides or aligning means for drills, mills, pins or wires
    • A61B17/1732Guides or aligning means for drills, mills, pins or wires for bone breaking devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17Guides or aligning means for drills, mills, pins or wires
    • A61B17/1739Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • 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
    • A61B2017/564Methods for bone or joint treatment

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Medical Informatics (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Dentistry (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)
  • Prostheses (AREA)

Abstract

The molding device of a kind of guidance fibula, it is characterised in that including the first formed body and the second formed body, the first formed body and the second formed body are assembled, and guide the molding device of fibula to be formed, the guidance molding device length of fibula is greater than or equal to 12cm.The device of the invention, the guidance molding device of fibula is formed using several formed bodys, long guide plate is segmented and is manufactured, effectively avoids the occurrence of processing deformation and warped caused by 3D manufacturing process, more precisely guidance fibula moulding is conducive to implement molding operation to fibula in tissue repair operation.

Description

Guide the molding device of fibula
Technical field
The present invention relates to a kind of auxiliary tool for processing more particularly to a kind of device, in decorative sursery and orthopaedics In reparation, for guiding fibula to form.
Background technique
Digitlization Computer Aided Design is applied to the treatment serious jaw defect of Maxillary region and deformity, such as: congenital hair Maxillofacial deformities caused by educating answer maxillofacial defeet caused by wound or tumour.Pass through CAD and 3D printing Technology makes model or guide plate, in conjunction with technologies such as microvascular anastomosis, free bone transplantation and orthognathic surgeries, implements essence to patient Quasi- medical treatment restores function and the appearance of patient.
Guide plate is made of guide portion and positioning region, and positioning region is integrally fastened to tissue for guide plate, and guide portion is set to On positioning region, its specific location and angle are determined according to CAD, so as to organizing and implementing precisely operation.
The guide plate completed is designed to manufacture using 3D printing technique.It is printed in guide plate and post-processing with photosensitive resin, molding is led Often there is phenomena such as deformation, warped, torsion and bending in plate, so that guide plate and design requirement be made to generate deviation, gives subsequent procedures Cause difficulty.Fibula is one of two pieces of long bones on people's shank, and phenomena such as deformation, warped, torsion and bending occurs in fibula guide plate It is more significant, although by the manufacture craft of control 3D printing, such as: nozzle temperature, spray head distance, print speed and layer thickness control Deng, but still the guide plate deformation situation that is difficult to avoid that happens occasionally.Preliminary test discovery, the deformation of fibula guide plate and guide plate length It is positively correlated.The deformation error that 3D printing processing generates, needs to compensate in design aspect, with compensating error.
Summary of the invention
It is an object of the present invention to provide a kind of molding devices of guidance fibula, become to avoid in 3D makes Phenomena such as shape, warped, torsion and bending, reduce design deviation, is conducive to implement bone-culting operation to fibula.
It is another object of the present invention to provide a kind of molding devices of guidance fibula, and by multistage, mechanism is spliced, Dislocation of each segment structure in splicing is avoided, to meet the molding operation requirement of guidance fibula.
A kind of molding device of guidance fibula provided by the invention, including the first formed body and the second formed body, the first one-tenth Type body and the second formed body assemble, and guide the molding device of fibula to be formed.
Another guidance molding device of fibula provided by the invention, further includes third formed body, along the first formed body and Formed axial direction after the assembly of second formed body, third formed body and the assembly of the first formed body or the second formed body assemble.
Another guidance molding device of fibula provided by the invention, further includes several formed bodys, along the first formed body and Formed axial direction after the assembly of second formed body, each formed body are assembled with the first formed body after being connected in a manner of head and the tail or with second Formed body assembly or a part of formed body assemble after being connected in a manner of head and the tail with the first formed body, another part and the second molding Body assembly.
Another guidance molding device of fibula provided by the invention, various formed bodys, such as: the first formed body and the second one-tenth Type body etc. generally includes guide portion and positioning region, and positioning region integrally contacts and fixes with fibula for device, and guide portion is set to On positioning region, for guiding active position and the direction of knife saw, such as: drilling guidance part and knife saw guidance part.
The present invention offer molding device of various guidance fibulas, various formed bodys, such as: the first formed body and the second formed body Deng including at least a kind of component, so that component pairing fastens the assembly for realizing formed body two-by-two.
A kind of assembling assembly for the various guidance molding devices of fibula provided by the invention, comprising:
First component comprising spacer is arranged between each fitting groove, the shape on spacer in 1 or more fitting groove At the first fitting surface, assembling stand is set in the vallecular cavity of fitting groove, and generating the space of vallecular cavity has cutting for likeness in form " L " shape The slot bottom in face, fitting groove extends to form assembly lip to vallecular cavity opening side;With
Second component comprising the second fitting surface and 1 or more assembly parts, each assembly parts are set to the second fitting surface It is upper:
Second fitting surface and the first fitting surface assemble, in the vallecular cavity of each assembly parts merging fitting groove, and with assembly seat surface Contact.
When first component and second component assemble, the surface of the vallecular cavity of the side of assembly parts and front end face and fitting groove is connect Touching, assembly parts bottom surface and assembly lip assemble and keep face contact.
Assembling assembly of the another kind for the various guidance molding devices of fibula provided by the invention, comprising:
First component, second component, the first plug connector and the second plug connector, the first plug connector are assemblied in first component and Two components, the second plug connector are assemblied in first component and second component, and the first plug connector and the second plug-in unit are non-coplanar.Preferential selection , the first plug connector is axial orthogonal with the axial direction of the second plug connector.
The molding device of various guidance fibulas provided by the invention, the length is 12cm or more.
Detailed description of the invention
Fig. 1 is the structural schematic diagram of present invention guidance molding one embodiment of device of fibula;
Fig. 2 is the structural schematic diagram that one embodiment of formed body of the present invention of mounting structure is arranged;
Fig. 3 is the structural schematic diagram that another embodiment of formed body of the present invention of mounting structure is arranged.
Specific embodiment
Below in conjunction with attached drawing, the technical schemes of the invention are described in detail.The embodiment of the present invention is only to illustrate skill of the invention Art scheme rather than limit, although being described the invention in detail referring to preferred embodiment, those skilled in the art It should be appreciated that can be with modification or equivalent replacement of the invented technical scheme, without departing from the essence of technical solution of the present invention Mind and range, should all cover within the scope of the claims of the present invention.
Fig. 1 is the structural schematic diagram of present invention guidance molding one embodiment of device of fibula, and Fig. 2 is setting mounting structure The structural schematic diagram of one embodiment of formed body of the present invention, Fig. 3 are another embodiment of formed body of the present invention that mounting structure is arranged Structural schematic diagram.As shown in Figure 1, Figure 2 and Figure 3, a kind of molding device of guidance fibula of the present embodiment, including the first formed body 100 and second formed body 200.First component 300 is set to 100 one end of the first formed body, including 1 or more fitting groove 310, Spacer 320 is set between each fitting groove, the first fitting surface 321 is formed on spacer 320, in the vallecular cavity of fitting groove 310 Interior setting assembling stand 311, and the space of vallecular cavity is made to generate the section 312 with likeness in form " L " shape.As shown in Fig. 2, by section 312 An angle (such as: 90 °) is rotated, that is, the section for being similar to " L " shape can be observed.The slot bottom of fitting groove extends to vallecular cavity opening side Form assembly lip 330.
Second component 400 is set to 200 one end of the second formed body comprising second fitting surface 410 and 1 or more assembly parts 420.When second component 400 and first component 300 assemble, the second fitting surface 410 and the first fitting surface 321 are assembled.Each assembly Part 420 is set on the second fitting surface 410, be placed in fitting groove 310 vallecular cavity in, and with 311 face contact of assembling stand.The present embodiment In, the side 421 of assembly parts 420 and front end face are also contacted with the surface of the vallecular cavity of fitting groove.Assembly parts bottom surface 423 also with assembly Lip 330 assembles and keeps face contact.
First plug connector (not shown) is assemblied in first component and second component, and the second plug connector (not shown) is assemblied in One component and second component, the first plug connector and the second plug-in unit are non-coplanar.In the present embodiment, the first plug connector is assemblied in the first structure Part hole 340 and second component hole 430, the first plug connector are axial orthogonal with the axial direction of the second plug connector.
Assembly method similar to the above, various formed bodys, such as: the first formed body 300 and the second formed body 400, until It less include a kind of component, so that component pairing fastens the assembly for realizing formed body two-by-two.In the present embodiment, along the first formed body 300 and second formed body 400 assemble after formed axial direction, several formed bodys, along the first formed body and the second formed body assembly after Formed axial direction, each formed body connected in a manner of head and the tail after with the first formed body assemble or with the second formed body assembly or one Part formed body assembles after being connected in a manner of head and the tail with the first formed body, and another part and the second formed body assemble, to have been formed The whole molding device of guidance fibula.
The various formed bodys of the present embodiment, generally include guide portion 500 and positioning region 600, and positioning region 600 is whole for device Body is contacted and is fixed with fibula, and guide portion 500 is set on positioning region, including drilling guidance part 510 and knife saw guidance part 520.
Technical solution provided in this embodiment forms the guidance molding device of fibula using several formed bodys, by long guide plate Segmentation manufacture effectively avoids the occurrence of processing deformation caused by 3D manufacturing process and warps, more precisely guidance fibula moulding Be conducive to implement molding operation to fibula in tissue repair operation.
Guide plate is made in each formed body, mutual precision assembly is realized with unique assembly method, and improves guide plate and calf The matching precision of bone, thus raising and fibula compactness, clearly guidance electric saw position and direction, according to preoperative plan osteotomy.
Guide plate is made in each formed body, is reassembled, multiple formed bodys are not only able to achieve while being manufactured, processing effect is improved Rate saves the time of entirety 3D manufacture, also reduces manufacture mistake, avoid making repeatedly because of error correction, reduce the system of guide plate Make failure rate.
Guide plate is made in each formed body, also achieves and local structure is adjusted in time, not only increases operation behaviour The convenience of work, also reduces manufacturing cost.

Claims (8)

1. a kind of molding device of guidance fibula, it is characterised in that including the first formed body and the second formed body, described first Formed body and second formed body assemble, and guide the molding device of fibula, the molding dress of guidance fibula to be formed Length is set more than or equal to 12cm.
2. the molding device of guidance fibula according to claim 1, it is characterised in that further include assembling assembly comprising:
First component comprising spacer is arranged between each fitting groove, between described in 1 or more fitting groove The first fitting surface is formed on spacing body, and assembling stand is set in the vallecular cavity of the fitting groove, and generating the space of vallecular cavity has shape Like the section of " L " shape, the slot bottom of the fitting groove extends to form assembly lip to vallecular cavity opening side;With
Second component comprising the second fitting surface and 1 or more assembly parts, each assembly parts are set to described second On fitting surface;
Second fitting surface and first fitting surface assemble, and each assembly parts are placed in the slot of the fitting groove It is intracavitary, and with the assembling stand face contact.
3. the molding device of guidance fibula according to claim 2, it is characterised in that the side of the assembly parts and described Front end face individually or simultaneously contacted with the surface of the vallecular cavity of the fitting groove.
4. the molding device of guidance fibula according to claim 2, it is characterised in that the assembly parts bottom surface and assembly lip It assembles and keeps face contact.
5. the molding device of guidance fibula according to claim 1, it is characterised in that further include assembling assembly comprising the One component, second component, the first plug connector and the second plug connector, first plug connector be assemblied in the first component and The second component, second plug connector are assemblied in the first component and the second component, and described the One plug connector and second plug-in unit are non-coplanar.
6. the molding device of guidance fibula according to claim 5, it is characterised in that first plug connector it is axial with The axial direction of second plug connector is orthogonal.
7. the molding device of guidance fibula according to claim 1, it is characterised in that further include several formed bodys, along described The first formed body and the assembly of described second formed body after formed axial direction, each formed body connects in a manner of head and the tail Afterwards with the first formed body assembly or with formed body described in the second formed body assembly or a part with head and the tail side It is assembled after formula connection with first formed body, another part and second formed body assemble.
8. the molding device of guidance fibula according to claim 1, it is characterised in that first formed body or described The second formed body include guide portion and positioning region, the positioning region integrally contacts and fixes with fibula for device, described Guide portion be set on the positioning region, for guiding active position and the direction of knife saw.
CN201811135564.0A 2018-09-27 2018-09-27 Guide the molding device of fibula Pending CN109171879A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201811135564.0A CN109171879A (en) 2018-09-27 2018-09-27 Guide the molding device of fibula

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Application Number Priority Date Filing Date Title
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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110477997A (en) * 2019-09-17 2019-11-22 上海交通大学医学院附属第九人民医院 A kind of 3D printing guide plate of the controllable osteotomy depth for fibular flap moulding operation
CN111870373A (en) * 2020-09-08 2020-11-03 四川大学 Maxillary sinus side wall windowing positioning and depth fixing plate, manufacturing method and positioning and depth fixing device

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2004039266A1 (en) * 2002-11-01 2004-05-13 Academisch Medisch Centrum Saw guide and fitting guide for working on a bone, such as a fibula, for a mandibular prosthesis
CN103961153A (en) * 2014-04-09 2014-08-06 浙江工业大学 Fibula bone cutting positioning device and manufacturing method thereof
CN105726087A (en) * 2016-04-26 2016-07-06 中山大学孙逸仙纪念医院 Fibula cutting shaping positioner through 3D printing
CN209285638U (en) * 2018-09-27 2019-08-23 上海交通大学医学院附属第九人民医院 Guide the molding device of fibula

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2004039266A1 (en) * 2002-11-01 2004-05-13 Academisch Medisch Centrum Saw guide and fitting guide for working on a bone, such as a fibula, for a mandibular prosthesis
CN103961153A (en) * 2014-04-09 2014-08-06 浙江工业大学 Fibula bone cutting positioning device and manufacturing method thereof
CN105726087A (en) * 2016-04-26 2016-07-06 中山大学孙逸仙纪念医院 Fibula cutting shaping positioner through 3D printing
CN209285638U (en) * 2018-09-27 2019-08-23 上海交通大学医学院附属第九人民医院 Guide the molding device of fibula

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110477997A (en) * 2019-09-17 2019-11-22 上海交通大学医学院附属第九人民医院 A kind of 3D printing guide plate of the controllable osteotomy depth for fibular flap moulding operation
CN111870373A (en) * 2020-09-08 2020-11-03 四川大学 Maxillary sinus side wall windowing positioning and depth fixing plate, manufacturing method and positioning and depth fixing device

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