CN109567913A - The supported osteotomy of arthroplasty of temporomandibular joint bone and navigation registration guide plate - Google Patents
The supported osteotomy of arthroplasty of temporomandibular joint bone and navigation registration guide plate Download PDFInfo
- Publication number
- CN109567913A CN109567913A CN201811626281.6A CN201811626281A CN109567913A CN 109567913 A CN109567913 A CN 109567913A CN 201811626281 A CN201811626281 A CN 201811626281A CN 109567913 A CN109567913 A CN 109567913A
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- China
- Prior art keywords
- fixed part
- osteotomy
- lower fixed
- arthroplasty
- supported
- Prior art date
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- Pending
Links
- 238000011882 arthroplasty Methods 0.000 title claims abstract description 18
- 210000001738 temporomandibular joint Anatomy 0.000 title claims abstract description 17
- 210000000988 bone and bone Anatomy 0.000 title claims abstract description 16
- 230000000740 bleeding effect Effects 0.000 abstract description 3
- 230000000694 effects Effects 0.000 abstract description 3
- 238000000034 method Methods 0.000 description 3
- 208000008822 Ankylosis Diseases 0.000 description 2
- 206010023198 Joint ankylosis Diseases 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 208000036487 Arthropathies Diseases 0.000 description 1
- 208000012659 Joint disease Diseases 0.000 description 1
- 208000002607 Pseudarthrosis Diseases 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 230000003902 lesion Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 210000000214 mouth Anatomy 0.000 description 1
- 239000000523 sample Substances 0.000 description 1
- 108010048734 sclerotin Proteins 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 230000000007 visual effect Effects 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B2017/568—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor produced with shape and dimensions specific for an individual patient
Abstract
The present invention relates to a kind of supported osteotomy of arthroplasty of temporomandibular joint bone and navigation registration guide plates, including upper fixed part, lower fixed part and interconnecting piece, the inner surface structure of upper fixed part and lower fixed part matches with patient's jawbone outer contour shape, upper fixed part is connected with lower fixed part by interconnecting piece, osteotomy slot is formed between upper fixed part and lower fixed part, fixation hole and registration point are respectively equipped on upper fixed part and lower fixed part, registration point is concave point structure.The present invention can carry out the positioning of accurate stable to osteotomy site, can be realized the rapid registering to navigate in art, be conducive to the efficient implementation of operation, shorten operating time, reduce bleeding and side effect.
Description
Technical field
It is supported more particularly to a kind of arthroplasty of temporomandibular joint bone the invention belongs to the technical field of osteotomy positioning
Osteotomy and navigation registration guide plate.
Background technique
Arthroplasty of temporomandibular joint is one of oral cavity Lu Hemian section routine operation, ankylosis of temporo-mandibular joint refer to because of joint and
The adulterium of periarticular organizer matter venereal disease cannot be open at opening difficulty or completely.It is divided into according to the position of lesion: intra-articular strong
Directly, tetanic outside joint and mixed joint is tetanic.Arthroplasty of temporomandibular joint is that the true property ankylosis of temporo-mandibular joint for the treatment of is (intra-articular
It is tetanic) only effective ways.The purpose of operation is the sclerotin for cutting off arthropathy adhesion, pseudarthrosis is formed, to restore lower jaw
Movement and masticatory function.
In traditional operation, operative doctor needs to determine osteotomy line position by the clinical experience of itself in art,
Navigating surgery applies to after Oral and Maxillofacial Surgery field, and navigation becomes the routine techniques in arthroplasty.But it navigates
Under arthroplasty the biggest problems are that navigation registration the time, due to patient's art area exposure the visual field it is smaller, bone tissue table
The registration point in face is less, it is difficult to ensure that registration accuracy, therefore, for the navigation of depth of this operation, there are large errors.In addition,
The selection of the navigation registration point of traditional arthroplasty can also select the height of contour of the tooth in cavity interior region to carry out
Registration, but according to the height of contour of tooth carry out registration have following disadvantage: 1. dental surfaces are smooth, the required registration time compared with
It is long, lead to be registrated the time much larger than operating time；2. farther out from patient's art area, i.e., registration point region is from patient's art area for tooth regions
Farther out, and for the principle navigated, the registration accuracy highest of registration region, distance is remoter, and precision is poorer.Operative region precision
Not enough, cause preoperative good design not can be carried out well, effectively to implement, and operating time is longer, causes bleeding more,
Patient's after-operation response is heavier, and side effect is more.
Summary of the invention
Technical problem to be solved by the invention is to provide a kind of supported osteotomy of arthroplasty of temporomandibular joint bone and lead
Boat registration guide plate, improves registration accuracy and location efficiency, assists the accuracy and depth of osteotomy, improve procedure efficiency and safety
Property.
The technical solution adopted by the present invention to solve the technical problems is to provide a kind of arthroplasty of temporomandibular joint bone branch
Hold formula osteotomy and navigation registration guide plate, including upper fixed part, lower fixed part and interconnecting piece, fixed portion and lower fixed part
Inner surface structure matches with patient's jawbone outer contour shape, and fixed portion is connected with lower fixed part by interconnecting piece, institute
Formation osteotomy slot between fixed part and lower fixed part is stated, fixation hole is respectively equipped in fixed portion and lower fixed part and matches
On schedule, the registration point is concave point structure.
A side position of the connecting portion between upper fixed part and lower fixed part.
The other side between fixed portion and lower fixed part is the osteotomy slot of open-type.
Fixed portion, lower fixed part and interconnecting piece are an integral structure.
Fixed portion and/or the outside of lower fixed part are equipped with wing plate, and the wing plate is equipped with registration point.
The registration point is hemisphere concave point structure.
Beneficial effect
First, the present invention is based on the characteristic bone appearance profiles of jawbone, and upper fixed part and lower fixed part, Intraoperative position is arranged
Accurate and stable, osteotomy range and osteotomy site are not likely to produce deviation.
Second, upper fixed part and lower fixed part are equipped with multiple registration points, are distributed in different space planes, Neng Goushi
The rapid registering to navigate in existing art, is conducive to the efficient implementation of operation, shortens operating time, reduces bleeding and side effect.
Detailed description of the invention
Fig. 1 is the structural diagram of the present invention.
Specific embodiment
Present invention will be further explained below with reference to specific examples.It should be understood that these embodiments are merely to illustrate the present invention
Rather than it limits the scope of the invention.In addition, it should also be understood that, after reading the content taught by the present invention, those skilled in the art
Member can make various changes or modifications the present invention, and such equivalent forms equally fall within the application the appended claims and limited
Range.
A kind of supported osteotomy of arthroplasty of temporomandibular joint bone and navigation registration guide plate as shown in Figure 1, including it is upper solid
Determine portion 1, lower fixed part 2 and interconnecting piece 3.
The inner surface structure of upper fixed part 1 and lower fixed part 2 is designed according to the jawbone outer contour shape of patient, can
It is effectively bonded with patient's jawbone, improves fixed stability.Upper fixed part 1 and lower fixed part 2 are connected by interconnecting piece 3, are connected
A side position of the portion 3 between upper fixed part 1 and lower fixed part 2, upper fixed part 1, lower fixed part 2 and interconnecting piece 3 are integrated
Formula structure ensure that the globality of guide plate.The other side between upper fixed part 1 and lower fixed part 2 is the osteotomy slot 4 of open-type.
It is set on upper fixed part 1 there are two fixation hole 5, lower fixed part 2 is equipped with a fixation hole 5, and fixation hole 5 is diameter
The circular hole of 2mm.The outside of upper fixed part 1 is equipped with three blocks of outwardly directed wing plates 7, is scattered and is distributed on upper fixed part 1 and wing plate 7
Multiple registration points 6, registration point 6 are the hemisphere concave point structure of diameter 1mm.The presence of registration point 6 is convenient for remporomandibular joint forming
It is preferably matched using navigation probe in art, realizes the rapid registering to navigate in art.
Claims (6)
1. a kind of supported osteotomy of arthroplasty of temporomandibular joint bone and navigation registration guide plate, it is characterised in that: including upper fixation
The inner surface structure and patient's jaw of portion (1), lower fixed part (2) and interconnecting piece (3), fixed portion (1) and lower fixed part (2)
Bone outer contour shape matches, and fixed portion (1) and lower fixed part (2) are connected by interconnecting piece (3), fixed portion
(1) osteotomy slot (4) are formed between lower fixed part (2), is respectively equipped with fixation on fixed portion (1) and lower fixed part (2)
Hole (5) and registration point (6), the registration point (6) are concave point structure.
2. a kind of supported osteotomy of arthroplasty of temporomandibular joint bone according to claim 1 and navigation registration guide plate,
It is characterized in that: a side position of the interconnecting piece (3) between upper fixed part (1) and lower fixed part (2).
3. a kind of supported osteotomy of arthroplasty of temporomandibular joint bone according to claim 2 and navigation registration guide plate,
Be characterized in that: the other side between fixed portion (1) and lower fixed part (2) is the osteotomy slot (4) of open-type.
4. a kind of supported osteotomy of arthroplasty of temporomandibular joint bone according to claim 1 or 2 and navigation registration guide plate,
It is characterized by: fixed portion (1), lower fixed part (2) and interconnecting piece (3) are an integral structure.
5. a kind of supported osteotomy of arthroplasty of temporomandibular joint bone according to claim 1 and navigation registration guide plate,
Be characterized in that: the outside of fixed portion (1) and/or lower fixed part (2) is equipped with wing plate (7), and the wing plate (7), which is equipped with, matches
(6) on schedule.
6. a kind of supported osteotomy of arthroplasty of temporomandibular joint bone and navigation registration guide plate according to claim 1 or 5,
It is characterized by: the registration point (6) is hemisphere concave point structure.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201811626281.6A CN109567913A (en) | 2018-12-28 | 2018-12-28 | The supported osteotomy of arthroplasty of temporomandibular joint bone and navigation registration guide plate |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201811626281.6A CN109567913A (en) | 2018-12-28 | 2018-12-28 | The supported osteotomy of arthroplasty of temporomandibular joint bone and navigation registration guide plate |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN109567913A true CN109567913A (en) | 2019-04-05 |
Family
ID=65933389
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201811626281.6A Pending CN109567913A (en) | 2018-12-28 | 2018-12-28 | The supported osteotomy of arthroplasty of temporomandibular joint bone and navigation registration guide plate |
Country Status (1)
| Country | Link |
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| CN (1) | CN109567913A (en) |
Cited By (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110393581A (en) * | 2019-07-09 | 2019-11-01 | 缙云县平民大药房药品零售有限公司 | A kind of fracture of mandible exterior fixing rack and its fixing means |
| US11324525B1 (en) | 2021-06-30 | 2022-05-10 | Kinos Medical Inc. | Surgical alignment guide assembly for total ankle replacement and method of using the same |
| CN115153838A (en) * | 2022-05-16 | 2022-10-11 | 上海交通大学医学院附属第九人民医院 | Rapid craniomaxillofacial bone tissue operation navigation registration guide plate and registration method thereof |
| US11806028B1 (en) | 2022-10-04 | 2023-11-07 | Restor3D, Inc. | Surgical guides and processes for producing and using the same |
| USD1013876S1 (en) | 2020-01-08 | 2024-02-06 | Restor3D, Inc. | Osteotomy wedge |
| USD1013875S1 (en) | 2020-01-08 | 2024-02-06 | Restor3D, Inc. | Spinal implant |
| US11960266B1 (en) | 2023-08-23 | 2024-04-16 | Restor3D, Inc. | Patient-specific medical devices and additive manufacturing processes for producing the same |
Citations (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP1779790A2 (en) * | 2005-10-27 | 2007-05-02 | DePuy Products, Inc. | Support for locating instrument guides |
| CN209884287U (en) * | 2018-12-28 | 2020-01-03 | 上海交通大学医学院附属第九人民医院 | Bone supporting type bone cutting and navigation registration guide plate for temporomandibular joint arthroplasty |
-
2018
- 2018-12-28 CN CN201811626281.6A patent/CN109567913A/en active Pending
Patent Citations (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP1779790A2 (en) * | 2005-10-27 | 2007-05-02 | DePuy Products, Inc. | Support for locating instrument guides |
| CN209884287U (en) * | 2018-12-28 | 2020-01-03 | 上海交通大学医学院附属第九人民医院 | Bone supporting type bone cutting and navigation registration guide plate for temporomandibular joint arthroplasty |
Non-Patent Citations (1)
| Title |
|---|
| 蔡鸣;沈国芳;林艳萍;王旭东;张诗雷;邓思敏;于德栋;: "导航辅助山羊下颌体牵张成骨术的实验研究", 中国口腔颌面外科杂志, no. 06, 15 November 2010 (2010-11-15), pages 525 - 530 * |
Cited By (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110393581A (en) * | 2019-07-09 | 2019-11-01 | 缙云县平民大药房药品零售有限公司 | A kind of fracture of mandible exterior fixing rack and its fixing means |
| CN110393581B (en) * | 2019-07-09 | 2020-11-20 | 义乌市优创知识产权运营有限公司 | External fixing bracket for mandibular fracture and fixing method thereof |
| USD1013876S1 (en) | 2020-01-08 | 2024-02-06 | Restor3D, Inc. | Osteotomy wedge |
| USD1013875S1 (en) | 2020-01-08 | 2024-02-06 | Restor3D, Inc. | Spinal implant |
| US11324525B1 (en) | 2021-06-30 | 2022-05-10 | Kinos Medical Inc. | Surgical alignment guide assembly for total ankle replacement and method of using the same |
| US11839388B2 (en) | 2021-06-30 | 2023-12-12 | Restor3D, Inc. | Surgical alignment guide assembly for total ankle replacement and method of using the same |
| CN115153838A (en) * | 2022-05-16 | 2022-10-11 | 上海交通大学医学院附属第九人民医院 | Rapid craniomaxillofacial bone tissue operation navigation registration guide plate and registration method thereof |
| US11806028B1 (en) | 2022-10-04 | 2023-11-07 | Restor3D, Inc. | Surgical guides and processes for producing and using the same |
| US11960266B1 (en) | 2023-08-23 | 2024-04-16 | Restor3D, Inc. | Patient-specific medical devices and additive manufacturing processes for producing the same |
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