CN110859654A

CN110859654A - Bone resection device

Info

Publication number: CN110859654A
Application number: CN201911285814.3A
Authority: CN
Inventors: 俞良钢; 王若愚; 李青峰; 高博文
Original assignee: Individual
Current assignee: Individual
Priority date: 2019-12-13
Filing date: 2019-12-13
Publication date: 2020-03-06

Abstract

The invention belongs to the field of medical instruments and discloses a bone resection device. The bone resection device comprises: a bone plate for being attached and fixed to the surface of a bone of a human body, wherein a through groove for exposing the bone to be cut is formed on the bone plate; a support guide plate detachably attached to one side of the bone plate; a cutting assembly slidably coupled to the support guide plate in a predetermined sliding path. Wherein, the cutting assembly is arranged to slide along a preset sliding path on the support guide plate so that the cutting end of the cutting assembly can cut the bone to be cut in the area of the through groove. The bone resection device can effectively reduce the operation difficulty of the operation when being applied to the cutting of the mandible, and improve the cutting precision of the operation so as to reduce the risk of failure of the operation.

Description

Bone resection device

Technical Field

The invention belongs to the field of medical instruments, and particularly relates to a bone resection device.

Background

When a bone of a human body is diseased or needs to be modified, for example, a mandible of the human body, a partial region is generally cut out to meet the health or appearance requirements of a patient. The existing bone resection device for the mandible is a hand-held electric rotating tool, and one end of the tool is provided with a saw blade type milling cutter. In performing a mandible resection procedure, a master surgeon holds the tool to make a cut in the mandible of a patient.

However, the mandible cutting method in the prior art still has the following defects: 1) the whole operation process is carried out by the hand of a main surgeon, so that the cutting track of the mandible completely depends on the personal experience of the surgeon, and the difficulty of the operation and the risk of operation failure are increased; 2) the control of the size of the cut mandible is determined by a master surgeon in an operation, when the sizes of the cuts of the mandible on two sides of the face are different, the mandible on one side of the patient is easily cut excessively or less, and the face of the patient is reduced in symmetry; 3) the rotating speed of the hand-held electric rotating tool in the prior art is low, which causes that the cutting is laborious and time-consuming; 4) the volume of the saw blade type milling cutter is large, and when the mandible is cut, the artery blood vessel close to the mandible is easily cut, so that the patient has life danger.

In view of the deficiencies of the prior art, a need exists in the art for a bone resection device that can effectively reduce the operational difficulty of the surgery and improve the cutting accuracy of the surgery to reduce the risk of the failure of the surgery when applied to the cutting of the mandible.

Disclosure of Invention

In order to solve all or part of the above problems, the present invention is directed to provide a bone cutting device which can effectively reduce the difficulty of the operation when applied to the cutting of the mandible, and improve the cutting accuracy of the operation to reduce the risk of the failure of the operation.

The bone resection device of the invention comprises: a bone plate for being attached and fixed to the surface of a bone of a human body, wherein a through groove for exposing the bone to be cut is formed on the bone plate; a support guide plate detachably attached to one side of the bone plate; a cutting assembly slidably coupled to the support guide plate in a predetermined sliding path. Wherein, the cutting assembly is arranged to slide along a preset sliding path on the support guide plate so that the cutting end of the cutting assembly can cut the bone to be cut in the area of the through groove.

Further, a sliding groove for sliding the cutting assembly along a preset sliding path is formed on the supporting guide plate, and the cutting assembly includes: a slide block connected with the slide groove in a sliding manner; an operating rod rotatably connected to the slider; and the drilling and milling cutter assembly is arranged at one end of the operating rod, which is close to the through groove. Wherein, the action bars can rotate for the slider to drive and bore milling cutter subassembly and remove along the direction of being close to and keeping away from logical groove.

Further, the operating rod is constructed as a hollow rod, so that an air inlet channel and an air outlet channel are formed in the operating rod, the cutting assembly further comprises an air supply device which is positioned at an air inlet end of the air inlet channel and communicated with the operating rod, the drilling and milling cutter assembly comprises a pneumatic turbine assembly which is positioned at an air inlet end of the air outlet channel and is fixed and communicated with the operating rod, and a drilling and milling cutter head connected with the pneumatic turbine assembly, wherein the pneumatic turbine assembly is arranged to drive the drilling and milling cutter head to rotate under the driving of the air supply device.

Further, the air turbine assembly includes: the turbine shell is fixedly and hermetically communicated with the operating rod; a pneumatic turbine rotatably connected within the turbine housing; one end of the pneumatic turbine is fixedly connected with the pneumatic turbine, the other end of the pneumatic turbine extends out of the clamping sleeve on one side of the turbine shell facing the bone plate, and the drilling and milling cutter is sleeved in the clamping sleeve. The pneumatic turbine can rotate in the circumferential direction under the driving of the air supply device so as to drive the drilling and milling cutter head sleeved with the clamping sleeve to rotate synchronously.

Further, the pneumatic turbine subassembly still includes the reset spring that the cover was established on the centre gripping sleeve and elasticity butt between pneumatic turbine and turbine casing, is formed with the through-hole with centre gripping sleeve sliding connection on the turbine casing, wherein, the diameter of the telescopic periphery wall of centre gripping reduces along the axial from the telescopic one end that extends turbine casing of centre gripping, and the maximum diameter of the telescopic periphery wall of centre gripping is greater than the diameter of through-hole gradually.

Further, the pneumatic turbine assembly further comprises a pressing plate penetrating through the top wall of the side, far away from the drilling and milling cutter head, of the turbine shell, the pressing plate is connected with the turbine shell in a sliding and sealing mode, and one end, located in the turbine shell, of the pressing plate is connected with the pneumatic turbine.

Further, the tool head part of the drilling and milling tool bit is made of polycrystalline diamond material, and the tool shank of the drilling and milling tool bit is made of steel material.

Furthermore, one of the bone adhering plate and the supporting guide plate is provided with a positioning groove, and the other one is provided with a positioning projection which is matched and connected with the positioning groove.

Further, the bone adhering plate and the supporting guide plate are fixed in a gluing mode.

Further, the bone adhering plate also comprises a clamping part which is arranged at the edge of the bone adhering plate and is used for clamping with the bone to be cut.

Compared with the prior art, the bone resection device provided by the embodiment of the invention has the following advantages:

1) the process of bone cutting is completed by matching the bone plate, the supporting guide plate and the cutting assembly, and the cutting track is drawn by a doctor in a holographic scanning or sensor embedding mode to determine. Therefore, the problem that the cutting track of the mandible completely depends on personal experience of a doctor in the prior art due to the fact that the operation is carried out by the master doctor in the whole course of the operation can be effectively avoided, the difficulty of the operation and the risk of operation failure are effectively reduced, and the accuracy of the operation is effectively improved.

2) The mandible size of cutting is predetermined, preset cutting orbit promptly, even the size of the mandible of face both sides is different, also can be through changing subsides hone lamella and direction backup pad to accomplish the cutting of mandible, so not only be difficult to cause the mandible excessive cutting of patient unilateral or cut less problem, can also improve the facial symmetry of patient effectively.

3) The through groove formed on the bone adhering plate and used for exposing the bone to be cut can effectively determine the initial operation position so as to prevent the cutting end of the cutting assembly from cutting unnecessary parts, thus effectively avoiding the problem that the life of a patient is dangerous because the artery blood vessel close to the mandible is cut.

Drawings

FIG. 1 is a schematic structural view of a bone resection device according to an embodiment of the present invention;

FIG. 2 is a perspective view of the lever of FIG. 1 showing the lever in connection with a drill and mill assembly;

FIG. 3 is a schematic diagram of the drilling and milling cutter assembly shown in FIG. 1.

Detailed Description

For a better understanding of the objects, structure and function of the invention, a bone cutting device according to the invention will be described in more detail with reference to the accompanying drawings.

Fig. 1 illustrates the structure of a bone resection device 100 according to an embodiment of the present invention. As shown in fig. 1, a bone resection device 100 according to an embodiment of the present invention includes: the bone-adhering plate 1 is used for adhering and fixing the surface of a bone of a human body, and a through groove 11 for exposing the bone to be cut is formed in the bone-adhering plate 1; a support guide plate 2 detachably attached to one side of the bone plate 1; a cutting assembly 3 slidably coupled to the support guide 2 in a predetermined sliding path. Wherein the cutting assembly 3 is arranged to be able to slide along a preset sliding path on the support guide plate 2, so that the cutting end of the cutting assembly 3 is able to cut the bone to be cut in the area of the through slot 11.

When the bone cutting device 100 of the embodiment of the present invention is used, for example, when applied to cutting the mandible of a human body, according to the cutting requirement of a patient, a doctor firstly uses a holographic scanning or sensor embedding manner to draw a three-dimensional model of the mandible on both sides of the patient in a computer, draws a bone plate 1 and a supporting guide plate 2 suitable for the patient to use according to the three-dimensional model, so that the bone plate 1 can completely fit the surface of the mandible of the patient, and a preset sliding path for sliding the cutting component 3 according to the cutting requirement of the patient is formed on the supporting guide plate 2, that is, the preset sliding path is the required cutting track of the patient. In the operation process, the bone plate 1 is used for being attached and fixed on the mandible of a patient, and the through groove 11 on the bone plate 1 can expose the area to be resected of the mandible of the patient. The cutting assembly 3 slides according to the cutting trajectory, so that the cutting end of the cutting assembly 3 moves simultaneously according to the cutting trajectory to complete the cutting of the mandible. And after the mandible removing part on one side is completely cut, the cutting assembly 3 is replaced to the bone adhering plate 1 and the guide supporting plate 2 on the other side so as to complete the mandible cutting operation on the other side.

With the above arrangement, compared with the prior art, the bone cutting process of the bone cutting device 100 according to the embodiment of the present invention is completed by the bone plate 1, the supporting guide plate 2 and the cutting assembly 3, and the cutting track is determined by the doctor by drawing in a holographic scanning or sensor embedding manner. Therefore, on one hand, the problem that in the prior art, the whole operation is carried out by a master surgeon in a handheld mode, so that the cutting track of the mandible is completely dependent on the personal experience of the surgeon can be effectively solved, the operation difficulty and the operation failure risk are effectively reduced, and the operation accuracy is effectively improved; on the other hand, the mandible size of cutting is predetermined, preset cutting orbit promptly, even when the size of the mandible of face both sides is different, also can be through changing subsides bone plate 1 and guide support plate 2 to accomplish the cutting of mandible, so not only be difficult to cause the mandible of patient unilateral to cut excessively or cut less problem, can also improve the facial symmetry of patient effectively. In addition, the through groove 11 formed on the bone plate 1 for exposing the bone to be cut can effectively determine the initial operation position to prevent the cutting end of the cutting assembly 3 from cutting unnecessary parts, so that the problem that the life of the patient is dangerous due to the fact that the artery blood vessel adjacent to the mandible is cut can be effectively avoided.

Therefore, when the bone resection device 100 provided by the embodiment of the invention is used for cutting bones, the operation difficulty can be effectively reduced, the operation of a doctor is greatly simplified, and the consistency of the operation result and the operation prediction effect is greatly improved.

In a preferred embodiment, the bone plate 1 may be processed by a 3D printing process, so that the bone plate 1 may be rapidly processed according to the shape of the mandible of different patients to improve the processing efficiency, and the processing accuracy by the 3D printing process may be better, thereby effectively improving the accuracy of the surgery.

Preferably, the support guide plate 2 may be formed with a slide groove 21 for sliding the cutting assembly 3 along a preset slide path, and the cutting assembly 3 may include: a slider 31 slidably connected to the chute 21; an operating lever 32 rotatably connected to the slider 31; and the drilling and milling cutter assembly 33 is arranged at one end of the operating rod 32 close to the through groove 11. Wherein the operating rod 32 can rotate relative to the sliding block 31 to drive the drilling and milling cutter assembly 33 to move in the direction approaching to and departing from the through slot 11. During the use, the handheld action bars 32 of main sword doctor, when needs are cut the mandible, when drilling or milling the mandible through brill milling cutter subassembly 33 promptly, make brill milling cutter subassembly 33 remove along the direction that is close to the mandible through control action bars 32 to punch on the mandible, accomplish the back, control action bars 32 so that brill milling cutter subassembly 33 breaks away from with the mandible, remove slider 31, make brill milling cutter subassembly 33 be located next and beat the department, through a lot of operations, thereby accomplish the cutting of mandible.

Through the arrangement, on one hand, the sliding groove 21 can be processed according to the cutting track of the mandible of the patient in advance, so that the sliding fit of the sliding block 31 and the sliding groove 21 can effectively provide accurate surgical guidance so as to improve the cutting precision of the mandible; on the other hand, the main surgeon only needs to control the operating rod 32 along the mandible close to and far away from the patient, and the sliding block 31 can be moved to complete the operation, so that the operation difficulty is further reduced, once the cutting position of the main surgeon has a mistake, the drilling and milling cutter assembly 33 can be separated timely by lifting up the operating rod 32, and the unnecessary cutting problem caused by misoperation can be effectively avoided.

In the preferred embodiment shown in fig. 1, the cutting assembly 3 may further comprise a ball 311 disposed on the slider 31 and slidably connected with the chute 21. Through this setting, ball 311 can form the cooperation of more laminating with the inner wall of spout 21, not only can provide more nimble slip like this, still makes cutting assembly 3 better through the stability of ball 311's slip process.

Preferably, as shown in fig. 2, the operating rod 32 may be configured as a hollow rod, so that an air inlet passage 321 and an air outlet passage 322 may be formed in the operating rod 32, as shown in fig. 1, the cutting assembly 3 may further include an air supply device 34 located at an air inlet end of the air inlet passage 321 and communicating with the operating rod 32, and as shown in fig. 3, the drilling and milling cutter assembly 33 may include an air turbine assembly 331 located at an air inlet end of the air outlet passage 322 and fixed and communicating with the operating rod 32, and a drilling and milling cutter head 332 connected to the air turbine assembly 331. Wherein, the air turbine assembly 331 is configured to rotate the drilling and milling head 332 driven by the air supply device 34. When the drilling and milling cutter is used, the gas supply device 34 is started, the gas supply device 34 can provide high-pressure gas, the high-pressure gas sequentially passes through the gas inlet channel 321, the pneumatic turbine component 331 and the gas outlet channel 322, so that the high-pressure gas forms a circulating high-pressure gas flow, and the pneumatic turbine component 331 rotates at a high speed under the action of the high-pressure circulating gas flow, so that the drilling and milling cutter head 332 is driven to synchronously rotate at a high speed. Preferably, the gas supply device 34 may be configured to: the power was 1500W, a gas pressure of 8bar was provided, and a gas flow of 300L/min was provided. Further preferably, the air turbine assembly 331 may be configured to have a maximum rotational speed of 40 rpm driven by the air supply 34. Through this setting, can make the brill mill tool bit 332 have higher rotational speed in order to satisfy the demand of operation to not only can be less operation time effectively, stress when higher rotational speed can also reduce brill mill tool bit 332 and bone contact, risk when with the reduction bone cutting.

Preferably, as shown in fig. 1, the gas supply device 34 may include a high pressure gas pump 341 and a medical gas tube 342 for communicating the high pressure gas pump 341 with the gas inlet end of the operation rod 32.

Preferably, the operating rod 32 can be machined by means of 3D printing in order to adapt itself to the length and shape of the different cutting trajectories by means of rapid machining.

In a preferred embodiment as shown in fig. 3, the pneumatic turbine assembly 331 may include: a turbine housing 333 in fixed and sealed communication with the operating rod 32; an air turbine 334 rotatably coupled within the turbine housing 333; one end of the clamping sleeve is fixedly connected with the air turbine 334, the other end of the clamping sleeve 335 extends out of the side of the turbine housing 333 facing the bone plate 1, and the drilling and milling cutter head 332 is sleeved in the clamping sleeve 335. The air turbine 334 can be driven by the air supply device 34 to rotate circumferentially to drive the drilling and milling head 332 sleeved with the clamping sleeve 335 to rotate synchronously. Specifically, a cylindrical sealed cavity is formed in the turbine housing 333, high-pressure gas in the gas supply device 34 can enter the sealed cavity through the gas flow passage, the air turbine 334 and the sealed cavity of the turbine housing 333 are coaxially arranged in the turbine housing 333, the clamping sleeve 335 and the air turbine 334 are coaxially fixed, and one end of the clamping sleeve extends out of the turbine housing 333 to be used for installing and disassembling the drilling and milling cutter head 332. The turbine housing 333 is spaced apart from and coaxially fixed with bearings for rotatably connecting the clamping sleeve 335 such that the clamping sleeve 335 can rotate synchronously with the air turbine 334 to rotate the milling and drilling bit 332.

Preferably, the turbine housing 333 may be fixed to the operating rod 32 by welding, so as to improve the stability of the connection between the turbine housing 333 and the operating rod 32.

Preferably, as shown in fig. 3, the pneumatic turbine component 331 may further include a return spring 336 disposed on the clamping sleeve 335 and elastically abutting between the pneumatic turbine 334 and the turbine housing 333, a through hole (not shown) slidably connected to the clamping sleeve 335 is formed on the turbine housing 333, wherein a diameter of an outer peripheral wall of the clamping sleeve 335 may be gradually reduced along an axial direction from an end of the clamping sleeve 335 extending out of the turbine housing 333, and a maximum diameter of the outer peripheral wall of the clamping sleeve 335 is larger than a diameter of the through hole. With this arrangement, the clamping sleeve 335 can be formed as a spring jacket, so that when the drilling and milling head 332 is installed, the return spring 336 is further compressed, so that the end 335 of the clamping sleeve extends out of the turbine housing 333, the shank of the drilling and milling head 332 is inserted into the clamping sleeve 335, the return spring 336 is released, so that the return spring 336 drives the clamping sleeve 335 to move, so that the maximum diameter of the outer peripheral wall of the clamping sleeve 335 is greater than the diameter of the through hole, so that the clamping sleeve 335 can form a tight fit with the turbine housing 333 under the action of the return spring 336, and thus the drilling and milling head 332 is effectively fixed; and if not, the drill and mill cutter head 332 is removed, which will not be described in detail. This arrangement facilitates the installation and removal of the milling and drilling bit 332, thereby facilitating the use of the bone removal device 100 of embodiments of the present invention.

Preferably, as shown in fig. 3, the air turbine assembly 331 may further include an upper cover 337 at an upper portion of the turbine housing 333 for covering an upper portion of the air turbine 334 and a lower cover 338 at a lower portion of the turbine housing 333 for compressing the return spring 336 so as not to be ejected and maintaining a pressing force of the return spring 336.

Preferably, as shown in fig. 3, the air turbine assembly 331 may further include a pressing plate 339 penetrating through a top wall of the side of the turbine housing 333 away from the drilling and milling head 332, the pressing plate 339 is slidably and hermetically connected with the turbine housing 333, and an end of the pressing plate 339 located in the turbine housing 333 is connected with the air turbine 334. Wherein the upper cover 337 is slidably coupled to the pressing plate 339 and prevents the pressing plate 339 from being ejected. With this arrangement, the drill-milling cutter head 332 can be mounted and dismounted as much as possible by merely operating the pressing plate 339, so that the convenience of replacement of the drill-milling cutter head 332 can be effectively improved.

Preferably, as shown in fig. 3, the head portion 3321 of the drilling and milling head 332 is made of a polycrystalline diamond material and the shank 3322 of the drilling and milling head 332 is made of a steel material. This has the advantage that polycrystalline diamond has a high hardness and a good hot hardness, which allows good cutting of bone at high speed, thus allowing faster operation times. Preferably, the shank 3322 may be made of tool steel or high speed steel material to provide rigidity to the drill and mill head 332.

Returning to fig. 1, preferably, one of the bone plate 1 and the support guide plate 2 may be formed with a positioning groove 4, and the other may be formed with a positioning protrusion 5 to be fittingly coupled with the positioning groove 4. Through this setting, on the one hand, positioning groove 4 is more convenient with the installation dismantlement of location arch 5, and on the other hand can improve the complex precision effectively to guarantee the precision of the cutting orbit after subsides bone plate 1 and the installation of support deflector 2.

Preferably, the bone plate 1 and the support guide plate 2 are fixed by gluing. Preferably, medical glue with waterproof property can be used for bonding.

Preferably, the bone plate 1 and the support guide plate 2 may be disposed coplanar or parallel to each other, so that the bone cutting device 100 of the embodiment of the present invention can be applied to bone cutting of different parts, thereby enabling a wider application range of the bone cutting device 100 of the embodiment of the present invention.

Preferably, the osteotome plate 1 may further comprise a snap-in portion (not shown) provided at an edge of the osteotome plate 1 for snapping into engagement with a bone to be cut. Wherein, the clamping part can be constructed as a hook to be hooked on the edge of the mandible of the human body so as to fix the bone plate 1.

It is to be noted that, unless otherwise specified, technical or scientific terms used herein shall have the ordinary meaning as understood by those skilled in the art to which the invention pertains.

Finally, it should be noted that: the above embodiments are only used to illustrate the technical solution of the present invention, and not to limit the same; while the invention has been described in detail and with reference to the foregoing embodiments, it will be understood by those skilled in the art that: the technical solutions described in the foregoing embodiments may still be modified, or some or all of the technical features may be equivalently replaced; such modifications and substitutions do not depart from the spirit and scope of the present invention, and they should be construed as being included in the following claims and description. In particular, the technical features mentioned in the embodiments can be combined in any way as long as there is no structural conflict. It is intended that the invention not be limited to the particular embodiments disclosed, but that the invention will include all embodiments falling within the scope of the appended claims.

Claims

1. A bone resection device, comprising:

the bone adhering plate is used for adhering and fixing the surface of a bone of a human body and is provided with a through groove for exposing the bone to be cut;

a support guide plate detachably attached to one side of the bone plate;

a cutting assembly slidably coupled to the support guide plate in a predetermined sliding path;

wherein the cutting assembly is arranged to be slidable along a predetermined sliding path on the support guide plate to enable a cutting end of the cutting assembly to cut bone to be cut in the region of the through slot.

2. The bone resection device of claim 1, wherein the support guide plate has a sliding slot formed therein for sliding the cutting assembly along the predetermined sliding path, the cutting assembly comprising:

the sliding block is connected with the sliding groove in a sliding manner;

the operating rod is rotatably connected to the sliding block;

the drilling and milling cutter assembly is arranged at one end, close to the through groove, of the operating rod;

the operating rod can rotate relative to the sliding block so as to drive the drilling and milling cutter assembly to move in the direction close to and far away from the through groove.

3. The bone resection device of claim 2, wherein the operating rod is configured as a hollow rod, such that an air inlet channel and an air outlet channel are formed in the operating rod, the cutting assembly further comprises an air supply device located at an air inlet end of the air inlet channel and communicated with the operating rod, the drilling and milling cutter assembly comprises a pneumatic turbine assembly located at an air inlet end of the air outlet channel and fixed and communicated with the operating rod, and a drilling and milling cutter head connected with the pneumatic turbine assembly, wherein the pneumatic turbine assembly is configured to drive the drilling and milling cutter head to rotate under the driving of the air supply device.

4. The bone resection device of claim 3, wherein the pneumatic turbine assembly comprises:

a turbine housing in fixed and sealed communication with the lever;

a pneumatic turbine rotatably connected within the turbine housing;

one end of the clamping sleeve is fixedly connected with the pneumatic turbine, the other end of the clamping sleeve extends out of one side of the turbine shell, which faces the bone plate, and the drilling and milling cutter is sleeved in the clamping sleeve;

the pneumatic turbine can rotate in the circumferential direction under the driving of the air supply device so as to drive the drilling and milling cutter head sleeved with the clamping sleeve to rotate synchronously.

5. The bone resection device of claim 4, wherein the pneumatic turbine assembly further comprises a return spring sleeved on the clamping sleeve and elastically abutted between the pneumatic turbine and the turbine housing, a through hole slidably connected with the clamping sleeve is formed on the turbine housing, wherein the diameter of the peripheral wall of the clamping sleeve is gradually reduced from the end of the clamping sleeve extending out of the turbine housing along the axial direction, and the maximum diameter of the peripheral wall of the clamping sleeve is larger than the diameter of the through hole.

6. The bone resection device of claim 5, wherein the pneumatic turbine assembly further comprises a pressing plate penetrating through a top wall of a side of the turbine housing away from the drilling and milling head, the pressing plate is slidably and hermetically connected with the turbine housing, and one end of the pressing plate located in the turbine housing is connected with the pneumatic turbine.

7. A bone resection device according to any one of the claims 3 to 6, wherein the head portion of the drilling and milling head is made of a polycrystalline diamond material and the shank of the drilling and milling head is made of a steel material.

8. The bone resection device of any one of the claims 1 to 6, wherein one of the bone grafting plate and the support guide plate is formed with a positioning groove, and the other is formed with a positioning projection which is in fit connection with the positioning groove.

9. The bone resection device of claim 8, wherein the plating plate is adhesively secured to the support guide.

10. The bone resection device of any one of the claims 1 to 6, wherein the osteotomy plate further comprises a snap-in portion provided at an edge of the osteotomy plate for snapping into engagement with a bone to be cut.