CN109199643A - Assembled ankle and knee protecting tibia stem prosthesis - Google Patents

Assembled ankle and knee protecting tibia stem prosthesis Download PDF

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Publication number
CN109199643A
CN109199643A CN201810615824.8A CN201810615824A CN109199643A CN 109199643 A CN109199643 A CN 109199643A CN 201810615824 A CN201810615824 A CN 201810615824A CN 109199643 A CN109199643 A CN 109199643A
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CN
China
Prior art keywords
base station
prosthese
bone
protects
tibial shaft
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Granted
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CN201810615824.8A
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Chinese (zh)
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CN109199643B (en
Inventor
屠重棋
赵坤
肖聪
王杰
卢敏勋
周勇
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West China Hospital of Sichuan University
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West China Hospital of Sichuan University
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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
    • A61F2/28Bones
    • 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
    • A61F2/28Bones
    • A61F2002/2892Tibia
    • 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
    • A61F2310/00Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005The prosthesis being constructed from a particular material
    • A61F2310/00011Metals or alloys
    • A61F2310/00023Titanium or titanium-based alloys, e.g. Ti-Ni alloys
    • 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
    • A61F2310/00Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00389The prosthesis being coated or covered with a particular material
    • A61F2310/00592Coating or prosthesis-covering structure made of ceramics or of ceramic-like compounds
    • A61F2310/00796Coating or prosthesis-covering structure made of a phosphorus-containing compound, e.g. hydroxy(l)apatite

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention relates to a combined type ankle-protecting knee-protecting tibia stem prosthesis which comprises a tibia near-end base station and a combined section prosthesis, wherein the bottom of the tibia near-end base station is connected with the top of the combined section prosthesis, a trabecular bone structure is arranged at the top of the tibia near-end base station, a groove is formed in the center of the top surface of the trabecular bone structure, a plurality of U-shaped nail holes and a plurality of suture holes are formed in the side surface of the tibia near-end base station so as to reconstruct patellar ligaments and save the motion function of knee joints, and two sides of the tibia near-end base station are. The top of the proximal tibia base station disclosed by the invention adopts a bone trabecula structure, so that bone ingrowth can be promoted, the groove in the top surface of the bone trabecula structure is convenient for inserting cancellous bone, so that the artificial bone trabecula and the bone are combined tightly, the purpose of retaining epiphysis can be achieved, the growth capacity of the bone of a child patient caused by excision or damage of the epiphysis is reduced, and lower limb deformity is avoided; and the screw is used for auxiliary fixation, so that the initial stability and the medium-term and long-term stability can be achieved, and the operation time and the operation difficulty are greatly reduced.

Description

Assembly type protects ankle and protects knee tibial shaft prosthese
Technical field
Ankle, which is protected, the present invention relates to the field of medical instrument technology more particularly to assembly type protects knee tibial shaft prosthese.
Background technique
The site of pathological change of malignant bone tumor is common with femur and tibial metaphysis, especially common with knee joint peripheral.Pernicious bone Tumor invasion age level is common with children and teenager.Shin bone is kneed main composition portion as important load-bearing bone Point.By the application of new adjuvant chemotherapy and adjuvant chemotherapy, early diagnosis and multidisciplinary assistance, so that 5 years survival rates have been approached 80%.The implementation of new surgical technic, the higher functional requirement of patient, the raising of prosthetic designs level, novel imaging technique go out It is existing, make it possible the existing conventional treatment mode of limb-sparing surgery.
But at present for the processing mode of child or adolescent's proximal tibia malignant bone tumor are as follows: complete resection tumour Afterwards, tibial neoplasms knee prosthesis is carried out.Which will destroy the metaphysis of Ipsilateral proximal tibia and distal femur, to Ipsilateral bone Growth effect is huge, will lead to leg length discrepancy, walks lamely, the later period need to repeatedly carry out revision procedure.Both want to guarantee patient's itself Knee joint, and want to rebuild bone defect, it is that existing prosthese is unappeasable.When the tumour of complete resection proximal tibia, while can be with When complete reservation proximal tibia epiphysis, it is desirable to obtain good initial stability at once, while so that interface is quickly healed again, also Guarantee good stability at a specified future date and good knee joint function, is a current research emphasis.
Summary of the invention
The present invention is intended to provide assembly type, which protects ankle, protects knee tibial shaft prosthese, it is conducive to promote Bone Ingrowth, interface is promoted quickly to be cured It closes, medium-long term stability can be improved.
In order to achieve the above objectives, The technical solution adopted by the invention is as follows:
Assembly type protects ankle and protects knee tibial shaft prosthese, including proximal tibia base station and assembles a section prosthese, proximal tibia base station Bottom is connect with the top for assembling section prosthese, and the top of the proximal tibia base station is equipped with trabecular bone structure, trabecular bone structure top Face center is fluted, and proximal tibia base station side is equipped with multiple U-shaped nail hole and multiple suture holes.
Further, proximal tibia base station two sides are set side by side there are two screw way, and screw way sequentially passes through the bottom of groove Face and side wall.
Preferably, the side wall of groove is the conical surface.
Further, trabecular bone structure includes the base station of lower part and the bone trabecula annular fence on top, the bone trabecula ring Shape fence is set to the center of base station top surface, the top surface of the base station covering proximal tibia base station.
Preferably, the height of base station is 2mm, and the height of bone trabecula annular fence is 5mm.
Further, at the top of bone trabecula annular fence with a thickness of 1mm, bone trabecula annular fence bottom with a thickness of 5mm.
Further, assembling a section prosthese includes Tibial Shaft Lengthening section and distal end prosthese, and the distal end prosthese includes distal end base Handle in platform and marrow, the top of handle is connect with the bottom of distal end base station in the marrow, and the top of the distal end base station is prolonged with tibial shaft The bottom of long section connects, and the top of Tibial Shaft Lengthening section is connect with the bottom of proximal tibia base station.
Wherein, Tibial Shaft Lengthening section bottom surface is equipped with limiting stand, and the limiting stand bottom surface, which is equipped with to distal end base station, to be extended Outer cone, there is a limiting slot being adapted to limiting stand in distal end base station top surface, and the limit groove bottom is equipped with to be adapted to outer cone Inner cone chamber, limiting stand and limiting slot are interference fitted;The positioning that the oriented Tibial Shaft Lengthening section in proximal tibia base station bottom extends There are the caulking groove being adapted to positioning convex platform in boss, Tibial Shaft Lengthening section top surface, and positioning convex platform and caulking groove are interference fitted.
Wherein, the material of proximal tibia base station, Tibial Shaft Lengthening section and distal end prosthese is titanium alloy.
Further, there is hydroxyapatite coating layer in the outer surface on handle top in the outer surface of distal end base station lower part and marrow.
Compared with prior art, the invention has the following advantages:
1. using trabecular bone structure in the present invention at the top of proximal tibia base station, Bone Ingrowth can promote, to reach medium-long term Stability;Trabecular bone structure top surface is equipped with the groove of taper, facilitates insertion cancellous bone, convenient for tying artificial bone trabecula and bone closely It closes, then assists being fixed with inside and two, outside cross screws, initial stability can be reached, when greatly reducing operation Between and operating difficulty;
2. the present invention can achieve the purpose for retaining epiphysis, limit residual proximal tibia only needs to retain 2cm length, for shin Proximal bone malignant tumor patient (especially children) can achieve and delay to replace the kneed purpose of tumour, retain itself knee pass Section retains proximal tibia and distal femur epiphysis, reduces due to double lower limb deformity caused after epiphysis excision or destruction;
3. reserving U-shaped nail hole in front of proximal tibia base station, all directions are facilitated to be driven into U-shaped nail or Kirschner wire, to rebuild Ligamentum patellae has saved kneed motor function;Entire prosthese is that all biological type is fixed, and is not necessarily to bone cement.
4, knee joint peripheral natural ligaments can be retained, surrounding ligaments problem is rebuild without considering, to ensure that knee joint Stability.
Detailed description of the invention
Fig. 1 is structural schematic diagram of the invention;
Fig. 2 is the three-dimensional figure of proximal tibia base station;
Fig. 3 is the cross-sectional view of proximal tibia base station;
Fig. 4 is the cross-sectional view of Tibial Shaft Lengthening section;
Fig. 5 is the cross-sectional view of distal end prosthese;
In figure: 1- proximal tibia base station, 2- Tibial Shaft Lengthening section, the distal end 3- prosthese, 4- hydroxyapatite coating layer, 5- nail Road, 6- suture hole, 7-U sprig hole, 11- bone trabecula platform, 12- bone trabecula annular fence, 13- groove, 14- trabecular bone structure, 15- positioning convex platform, 21- caulking groove, 23- outer cone, 24- limiting stand, the distal end 31- base station, handle, 33- inner cone chamber, 34- limit in 32- marrow Slot.
Specific embodiment
In order to make the objectives, technical solutions, and advantages of the present invention clearer, below in conjunction with attached drawing, to the present invention into Row is further described.
As shown in Figure 1, assembly type disclosed by the invention, which protects ankle, protects knee tibial shaft prosthese, including imitative Tibia Anatomy Morphological Features Proximal tibia base station 1 and assemble a section prosthese, the bottom of proximal tibia base station 1 is connect with the top for assembling section prosthese, assembles section Prosthese includes Tibial Shaft Lengthening section 2 and distal end prosthese 3.Imitative Tibia Anatomy Morphological Features, biomethanics conduction more meet normal tibial Bone condition.
Distal end prosthese 3 includes handle 32 in distal end base station 31 and marrow, and the top of handle 32 and the bottom of distal end base station 31 connect in marrow It connects, the top of distal end base station 31 is connect with the bottom of Tibial Shaft Lengthening section 2, the top of Tibial Shaft Lengthening section 2 and proximal tibia base The bottom of platform 1 connects.The material of proximal tibia base station 1, Tibial Shaft Lengthening section 2 and distal end prosthese 3 is titanium alloy, distal end base station There is hydroxyapatite coating layer 4 in the outer surface on 32 top of handle in the outer surface of 31 lower parts and marrow.
The top of proximal tibia base station 1 is equipped with trabecular bone structure 14, can promote Bone Ingrowth, stablizes to reach medium-long term Property;Trabecular bone structure 14 shows that roughness is big simultaneously, increasing friction force, reduces sliding.1 side of proximal tibia base station is equipped with multiple U-shaped nail hole 7 is reserved in front of proximal tibia base station 1 in U-shaped nail hole 7 and multiple suture holes 6, facilitate all directions be driven into U-shaped nail or gram Family name's needle, fixed ligamentum patellae, and the suture hole 6 of reserved bar shaped, reinforce ligamentum patellae and fix;Entire prosthese is that all biological type is fixed, Without bone cement.
As shown in Figure 2,3,14 top surface of trabecular bone structure center fluted 13,1 two sides of proximal tibia base station are equipped with side by side Two screw ways 5, screw way 5 sequentially pass through bottom surface and the side wall of groove 13, and mounting screw is auxiliarily fixed when screw way 5 is used in the early stage, Later period is removable.Preferably, the side wall of groove 13 is the conical surface.Groove 13 facilitates insertion cancellous bone, convenient for make artificial bone trabecula and Synosteosis is close, then assists being fixed with inside and two, outside cross screws, can reach initial stability, subtract significantly Few operating time and operating difficulty.
Trabecular bone structure 14 includes the bone trabecula platform 11 of lower part and the bone trabecula annular fence 12 on top, bone trabecula annular Fence 12 is set to the center of 11 top surface of bone trabecula platform, and bone trabecula platform 11 covers the top surface of proximal tibia base station 1, bone trabecula ring Region is enclosed in shape fence 12 constitutes groove 13.The height of bone trabecula platform 11 is 2mm, and the height of bone trabecula annular fence 12 is 5mm.The top of bone trabecula annular fence 12 with a thickness of 1mm, 12 bottom of bone trabecula annular fence with a thickness of 5mm.
As shown in Figure 3,4, the positioning convex platform 15 that the oriented Tibial Shaft Lengthening section 2 in 1 bottom of proximal tibia base station extends, tibial shaft There is the caulking groove 21 being adapted to positioning convex platform 15 in 2 top surface of extension, and positioning convex platform 15 and caulking groove 21 are interference fitted, positioning convex platform 15 Length is 1cm.Of course, the length of positioning convex platform 15 can according to need setting.Special positioning convex platform 15 is reserved as group With interface, section can be assembled according to defect of tibial length increase.
As shown in Figure 4,5, the outer cone 23 that the oriented distal end base station 31 in 2 lower end of Tibial Shaft Lengthening section extends, distal end base station 31 push up There is the inner cone chamber 33 being adapted to outer cone 23 in portion, and outer cone 23 and inner cone chamber 33 are interference fitted.2 bottom surface of Tibial Shaft Lengthening section is equipped with limit Platform 24, outer cone 23 are set to 24 bottom surface of limiting slot limiting stand, and there is the limiting slot 34 being adapted to limiting stand 24 in base station 31 top surface in distal end, interior It bores chamber 33 and is set to 34 bottom surface of limiting slot, limiting stand 24 and limiting slot 34 are interference fitted.Tibial Shaft Lengthening section 2 with 3 groups of distal end prosthese With connection, section can be assembled according to defect of tibial length increase.
The present invention can achieve for proximal tibia malignant tumor patient especially children and delay replacement tumour kneed Purpose retains itself knee joint, retains distal femur epiphysis, reduces due to epiphysis excision or caused double lower limb is abnormal after destroying Shape.
Certainly, the present invention can also have other numerous embodiments, without deviating from the spirit and substance of the present invention, Those skilled in the art can make various corresponding changes and modifications, but these corresponding changes and change according to the present invention Shape all should fall within the scope of protection of the appended claims of the present invention.

Claims (10)

1. assembly type protects ankle and protects knee tibial shaft prosthese, including proximal tibia base station (1) and assembles a section prosthese, proximal tibia base station (1) bottom is connect with the top for assembling section prosthese, it is characterised in that: it is small that the top of the proximal tibia base station (1) is equipped with bone Girder construction (14), trabecular bone structure (14) top surface center is fluted (13), and proximal tibia base station (1) side is equipped with multiple U Sprig hole (7) and multiple suture holes (6).
2. assembly type according to claim 1 protects ankle and protects knee tibial shaft prosthese, it is characterised in that: the proximal tibia base station (1) two sides are set side by side there are two screw way (5), and screw way (5) sequentially passes through bottom surface and the side wall of groove (13).
3. assembly type according to claim 1 or 2 protects ankle and protects knee tibial shaft prosthese, it is characterised in that: the side of groove (13) Wall is the conical surface.
4. assembly type according to claim 1 protects ankle and protects knee tibial shaft prosthese, it is characterised in that: trabecular bone structure (14) packet The bone trabecula platform (11) of lower part and the bone trabecula annular fence (12) on top are included, the bone trabecula annular fence (12) is set to bone Girder platform (11) top surface, the top surface of bone trabecula platform (11) covering proximal tibia base station (1).
5. assembly type according to claim 4 protects ankle and protects knee tibial shaft prosthese, it is characterised in that: bone trabecula platform (11) Height is 2mm, and the height of bone trabecula annular fence (12) is 5mm.
6. assembly type according to claim 4 or 5 protects ankle and protects knee tibial shaft prosthese, it is characterised in that: bone trabecula ring-shaped gate At the top of column (12) with a thickness of 1mm, bone trabecula annular fence (12) bottom with a thickness of 5mm.
7. assembly type according to claim 1 protects ankle and protects knee tibial shaft prosthese, it is characterised in that: assembling a section prosthese includes shin Backbone extension (2) and distal end prosthese (3), the distal end prosthese (3) include handle (32), the marrow in distal end base station (31) and marrow The top of interior handle (32) is connect with the bottom of distal end base station (31), the top of the distal end base station (31) and Tibial Shaft Lengthening section (2) bottom connection, the top of Tibial Shaft Lengthening section (2) is connect with the bottom of proximal tibia base station (1).
8. assembly type according to claim 7 protects ankle and protects knee tibial shaft prosthese, it is characterised in that: the Tibial Shaft Lengthening section (2) bottom surface is equipped with limiting stand (24), and limiting stand (24) bottom surface is equipped with the outer cone (23) extended to distal end base station (31), described There is the limiting slot (34) being adapted to limiting stand (24) in distal end base station (31) top surface, and limiting slot (34) bottom surface is equipped with and outer cone (23) the inner cone chamber (33) being adapted to, limiting stand (24) and limiting slot (34) are interference fitted;Proximal tibia base station (1) bottom has The positioning convex platform (15) extended to Tibial Shaft Lengthening section (2), Tibial Shaft Lengthening section (2) top surface have suitable with positioning convex platform (15) The caulking groove (21) matched, positioning convex platform (15) and caulking groove (21) are interference fitted.
9. assembly type according to claim 7 or 8 protects ankle and protects knee tibial shaft prosthese, it is characterised in that: proximal tibia base station (1), Tibial Shaft Lengthening section (2) and the material of distal end prosthese (3) are titanium alloy.
10. assembly type according to claim 9 protects ankle and protects knee tibial shaft prosthese, it is characterised in that: under distal end base station (31) The outer surface on handle (32) top has hydroxyapatite coating layer (4) in the outer surface in portion and marrow.
CN201810615824.8A 2018-04-26 2018-06-14 Assembled ankle-protecting knee-protecting tibia dry prosthesis Active CN109199643B (en)

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Cited By (8)

* Cited by examiner, † Cited by third party
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CN109984872A (en) * 2019-04-25 2019-07-09 苏州伯塔医疗科技有限公司 A kind of proximal humerus protects head and prosthese transformation treatment device
CN111134907A (en) * 2020-01-08 2020-05-12 武汉优联百康医疗科技有限公司 Novel tibial prosthesis locking handle and preparation method thereof
CN111467087A (en) * 2020-05-18 2020-07-31 四川大学华西医院 3D prints porous thighbone near-end arc intramedullary handle in surface
CN111888055A (en) * 2020-08-06 2020-11-06 北京市春立正达医疗器械股份有限公司 Femur distal prosthesis with retained epiphysis
CN112472371A (en) * 2020-12-04 2021-03-12 北京力达康科技有限公司 Keep shin bone false body of bone dirt line
CN113413249A (en) * 2021-07-06 2021-09-21 四川大学华西医院 Dissect bionical type shin bone near-end tumour half knee joint prosthesis
CN113425464A (en) * 2021-05-11 2021-09-24 上海市第一人民医院 Joint prosthesis
CN113456313A (en) * 2021-07-06 2021-10-01 四川大学华西医院 Hinge-free ligament bionic type tumor half/total knee joint prosthesis reconstruction system

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CN209154110U (en) * 2018-04-26 2019-07-26 四川大学华西医院 Assembled ankle and knee protecting tibia stem prosthesis

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CN103315798A (en) * 2013-06-28 2013-09-25 四川大学华西医院 Bone tunnel fixator for reconstruction of anterior cruciate ligament
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CN206167015U (en) * 2016-08-26 2017-05-17 北京力达康科技有限公司 Biotype broach false body with prevent function soon
CN107149512A (en) * 2017-06-28 2017-09-12 江苏奥康尼医疗科技发展有限公司 A kind of knee joint tibial part
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US4808185A (en) * 1986-02-07 1989-02-28 Penenberg Brad L Tibial prosthesis, template and reamer
US6299645B1 (en) * 1999-07-23 2001-10-09 William S. Ogden Dove tail total knee replacement unicompartmental
US20110009974A1 (en) * 2001-08-27 2011-01-13 Zimmer Technology, Inc. Tibial augments for use with knee joint prostheses, method of implanting the tibial augment, and associated tools
JP2004237096A (en) * 2003-02-03 2004-08-26 Zimmer Technology Inc Unicompartmental knee joint implant for orthopedics
US20100160921A1 (en) * 2008-12-19 2010-06-24 Arthrocare Corporation Cancellous bone displacement system and methods of use
CN201759699U (en) * 2010-02-02 2011-03-16 北京爱康宜诚医疗器材股份有限公司 Combined femoral component prosthesis
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CN209154110U (en) * 2018-04-26 2019-07-26 四川大学华西医院 Assembled ankle and knee protecting tibia stem prosthesis

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CN109984872A (en) * 2019-04-25 2019-07-09 苏州伯塔医疗科技有限公司 A kind of proximal humerus protects head and prosthese transformation treatment device
CN111134907A (en) * 2020-01-08 2020-05-12 武汉优联百康医疗科技有限公司 Novel tibial prosthesis locking handle and preparation method thereof
CN111467087A (en) * 2020-05-18 2020-07-31 四川大学华西医院 3D prints porous thighbone near-end arc intramedullary handle in surface
CN111888055A (en) * 2020-08-06 2020-11-06 北京市春立正达医疗器械股份有限公司 Femur distal prosthesis with retained epiphysis
CN112472371A (en) * 2020-12-04 2021-03-12 北京力达康科技有限公司 Keep shin bone false body of bone dirt line
CN113425464A (en) * 2021-05-11 2021-09-24 上海市第一人民医院 Joint prosthesis
CN113413249A (en) * 2021-07-06 2021-09-21 四川大学华西医院 Dissect bionical type shin bone near-end tumour half knee joint prosthesis
CN113456313A (en) * 2021-07-06 2021-10-01 四川大学华西医院 Hinge-free ligament bionic type tumor half/total knee joint prosthesis reconstruction system

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