CN111956294A - High-order osteotomy operation baffle of shin bone - Google Patents
High-order osteotomy operation baffle of shin bone Download PDFInfo
- Publication number
- CN111956294A CN111956294A CN202010661656.3A CN202010661656A CN111956294A CN 111956294 A CN111956294 A CN 111956294A CN 202010661656 A CN202010661656 A CN 202010661656A CN 111956294 A CN111956294 A CN 111956294A
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- tibia
- connecting rod
- medial
- kirschner wire
- fixing
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Links
- 210000002303 tibia Anatomy 0.000 title claims abstract description 72
- 210000003423 ankle Anatomy 0.000 claims description 10
- 238000010146 3D printing Methods 0.000 claims description 7
- 239000002184 metal Substances 0.000 claims description 7
- 238000002271 resection Methods 0.000 claims 7
- 210000004872 soft tissue Anatomy 0.000 abstract description 5
- 206010052428 Wound Diseases 0.000 description 4
- 208000027418 Wounds and injury Diseases 0.000 description 4
- 208000003947 Knee Osteoarthritis Diseases 0.000 description 3
- 238000000034 method Methods 0.000 description 3
- 201000008482 osteoarthritis Diseases 0.000 description 3
- 210000001519 tissue Anatomy 0.000 description 3
- 238000012937 correction Methods 0.000 description 2
- 238000013461 design Methods 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 238000005259 measurement Methods 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 206010057332 Loss of proprioception Diseases 0.000 description 1
- 208000002847 Surgical Wound Diseases 0.000 description 1
- 230000032683 aging Effects 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 230000003466 anti-cipated effect Effects 0.000 description 1
- 210000001188 articular cartilage Anatomy 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 210000000988 bone and bone Anatomy 0.000 description 1
- 238000007640 computer printing Methods 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 230000018109 developmental process Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 230000002452 interceptive effect Effects 0.000 description 1
- 210000003127 knee Anatomy 0.000 description 1
- 210000000629 knee joint Anatomy 0.000 description 1
- 238000013150 knee replacement Methods 0.000 description 1
- 210000003141 lower extremity Anatomy 0.000 description 1
- 238000004904 shortening Methods 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 238000011285 therapeutic regimen Methods 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/171—Guides or aligning means for drills, mills, pins or wires for external fixation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1732—Guides or aligning means for drills, mills, pins or wires for bone breaking devices
Abstract
The invention relates to the technical field of medical instruments, in particular to a tibia high-position osteotomy operation guide plate which comprises a tibia proximal end fixing module, a guide plate connecting rod and an internal and external malleolus positioning module, wherein the tibia proximal end fixing module is fixedly arranged at the top of the guide plate connecting rod, and the internal and external malleolus positioning module is fixedly arranged at the bottom of the guide plate connecting rod. The instrument provided by the invention has the advantages of short operation time, accurate positioning of the osteotomy position, less X-ray exposure times in the operation, short operation incision, small soft tissue wound and the like.
Description
Technical Field
The invention relates to the technical field of medical instruments, in particular to a tibial high-position osteotomy surgical guide plate.
Background
With the aging of Chinese population and the improvement of economic level of people, more and more knee osteoarthritis patients are required to be treated due to pain and limited activity, and the quality of life is improved. Knee replacement has become well established as a surgical procedure and therapeutic regimen with precise results. However, knee joint replacement has the disadvantages of large trauma, limited service life of prosthesis, infection, loss of proprioception and the like. High-order osteotomy of shin bone (HTO) is regarded as and intervenes a "knee protection" treatment of medial knee osteoarthritis, receive more and more people's welcome, HTO has the advantage of correcting lower limb force line, relieve pain, delay articular cartilage further destruction etc., traditional high-order osteotomy of shin bone needs to rely on the abundant clinical experience of art person and intraoperative repeated perspective, but often can't reach the anticipated effect planned before the art because of patient's personalized difference, with the development of computer and 3D printing technique, it can increase its accuracy, simplicity etc. to apply HTO to treat knee osteoarthritis to the supplementary to 3D printing technique, thus reach ideal curative effect.
At present, the high tibial osteotomy mainly depends on the experience of an operator to determine the osteotomy position, and X-ray shooting is carried out for multiple times in the operation to adjust and confirm the force line correction angle, so that the operation time is long, the operation precision is low, and the health of the operator is damaged.
Disclosure of Invention
The technical problem to be solved by the invention is to provide a tibial high-position osteotomy surgical guide plate which has short operation time, accurate positioning of an osteotomy position, less X-ray exposure times in an operation, short operation incision and small soft tissue wound.
The invention is realized by the following technical scheme:
the utility model provides a high-order osteotomy operation baffle of shin bone, its includes the fixed module of shin bone near end, baffle connecting rod and medial malleolus orientation module, and the fixed module fixed mounting of shin bone near end is in baffle connecting rod top, and medial malleolus orientation module fixed mounting is in baffle connecting rod bottom.
Further, the tibia near-end fixed module comprises a tibia near-end fixing plate formed by 3D printing, a Kirschner wire guide column fixedly arranged on the tibia near-end fixing plate, a Kirschner wire fixing column and a tibia near-end fixed module connecting rod fixedly connected with the tibia near-end fixing plate, Kirschner wire guide holes are formed in the positions, corresponding to the Kirschner wire guide column, of the tibia near-end fixing plate, Kirschner wire fixing holes are formed in the positions, corresponding to the Kirschner wire fixing column, of the tibia near-end fixed module connecting rod, and the tibia near-end fixed module connecting.
Furthermore, metal inserts are mounted on the Kirschner wire guide column and the Kirschner wire fixing column, and Kirschner wire holes corresponding to the Kirschner wire guide holes/the Kirschner wire fixing holes are formed in the metal inserts.
Further, shin bone near-end fixed plate is split type structure, including first fixed plate, second fixed plate and fixed connection in the connecting piece between first fixed plate and the second fixed plate, ke shi needle guide post fixed mounting is on first fixed plate.
Furthermore, a cutting-in depth mark is arranged on the connecting piece/the first fixing plate.
Furthermore, a plurality of anti-slip columns are fixedly arranged on the first fixing plate.
Furthermore, a tibial tubercle osteotomy groove is arranged on the first fixing plate.
Further, medial and lateral malleolus orientation module includes that 3D prints two fashioned fixed blocks, fixed connection in the joint body and medial and lateral malleolus orientation module connecting rod between two fixed blocks, medial and lateral malleolus orientation module connecting rod fixed mounting is in the middle part of joint body, medial and lateral malleolus orientation module connecting rod fixed mounting is in baffle connecting rod bottom.
Furthermore, medial and lateral malleolus orientation module is adjustable medial and lateral malleolus orientation module, and it includes joint main part, clamping bar, fixed block and medial and lateral malleolus orientation module connecting rod, medial and lateral malleolus orientation module connecting rod fixed mounting is on joint main part's lateral surface, clamping bar is two and installs in joint main part lower part left and right sides through the pin respectively, the fixed block is two and installs in the below of clamping bar through locking screw respectively, every fixed mounting has the spring between clamping bar upper portion and the joint main part upper portion.
Further, the fixed block is 3D prints and the section structure who laminates mutually with the ankle.
Further, the fixed block is the ring structure that 3D printed.
Further, the guide plate connecting rod is a telescopic rod.
The invention has the advantages of
The tibia high-position osteotomy surgical guide plate provided by the invention can be designed in a 3D mode according to CT data of a patient and preoperative planning, and then a tibia near-end positioning module is attached to a tibia tubercle of the patient, and an inner and outer ankle positioning module is attached to the surface of an inner and outer ankle of the patient, so that the guide plate is stably fixed on the tibia of the patient, and an osteotomy position is accurately positioned. The method has the advantages of short operation time, accurate positioning of the osteotomy position, less X-ray exposure times in the operation, short operation incision, small soft tissue wound and the like.
Drawings
FIG. 1 is a schematic structural view of the present invention;
FIG. 2 is a schematic view of a proximal tibial stent module embodiment;
fig. 3 and 4 are schematic structural views of a second embodiment of a proximal tibial end fixing module;
FIG. 5 is a schematic view of a three-configuration embodiment of a proximal tibial fixation module;
FIG. 6 is a schematic structural view of a fourth embodiment of a proximal tibial fixation module;
FIG. 7 is a schematic structural view of a fifth embodiment of a proximal tibial fixation module;
FIG. 8 is a six-configuration diagram of an embodiment of a proximal tibial fixation module;
FIG. 9 and FIG. 10 are schematic structural views of an embodiment of a medial-lateral malleolus positioning module;
FIG. 11, FIG. 12 is a schematic structural view of a second embodiment of a medial-lateral malleolus positioning module;
in the figure, 01, a proximal tibia fixing module, 02, a guide plate connecting rod, 03, a medial and lateral malleolus positioning module, 04, a proximal tibia fixing plate, 05, a Kirschner wire guide post, 06, a Kirschner wire fixing post, 07, a metal insert, 08, a proximal tibia fixing module connecting rod, 9, a first fixing plate, 10, a connecting piece, 11, a second fixing plate, 12, an incision depth mark, 13, a tibial tubercle osteotomy groove, 14, an anti-skidding post, 15, a connecting body, 16, a medial and lateral malleolus positioning module connecting rod, 17, a fixing block, 18, a spring, 19, a clamping rod, 20, a pin and 21 are provided.
Detailed Description
The utility model provides a high-order osteotomy operation baffle of shin bone, its includes the fixed module 01 of shin bone near end, baffle connecting rod 02 and medial external malleolus orientation module 03, and the fixed module fixed mounting of shin bone near end is in baffle connecting rod top, and medial external malleolus orientation module fixed mounting is in baffle connecting rod bottom.
In a first specific embodiment of the proximal tibia fixation module, as shown in fig. 2, the proximal tibia fixation module includes a proximal tibia fixation plate 04 formed by 3D printing, a kirschner wire guide column 05 fixedly disposed on the proximal tibia fixation plate, a kirschner wire fixation column 06, and a proximal tibia fixation module connection rod 08 fixedly connected to the proximal tibia fixation plate, the proximal tibia fixation plate and the kirschner wire guide column have kirschner wire guide holes at corresponding positions, the proximal tibia fixation plate and the kirschner wire fixation column have kirschner wire fixation holes at corresponding positions, and the proximal tibia fixation module connection rod is fixedly mounted on the top of the guide plate connection rod.
And metal inserts 07 are respectively arranged on the Kirschner wire guide column and the Kirschner wire fixing column, and Kirschner wire holes corresponding to the Kirschner wire guide holes/the Kirschner wire fixing holes are formed in the metal inserts.
The second specific implementation mode of the proximal tibia fixing module is that the proximal tibia fixing plate is of a split structure and comprises a first fixing plate 09, a second fixing plate 11 and a connecting piece 10 fixedly connected between the first fixing plate and the second fixing plate, and the kirschner wire guide column is fixedly installed on the first fixing plate.
As shown in fig. 3 and 4, the connecting member may be an arc connecting plate connected to the front ends of the first fixing plate and the second fixing plate, or an L-shaped rod connected between the first fixing plate and the connecting rod of the proximal tibial fixed module. The middle of the tibia near-end positioning module is designed in a disconnecting mode, the front end of the tibia near-end positioning module is of a hollow structure, and the two parts which are disconnected are connected through different connecting modes. After the surgical site is cut, the cut skin or human tissue is positioned at the outer side of the second fixing plate, the first fixing plate is separated from the cut skin or human tissue, and the cut skin or human tissue is prevented from interfering the accurate positioning of the proximal tibia positioning module.
In a third embodiment, as shown in fig. 5, the connecting member is in a semi-circular arc shape and is connected between the first fixing plate and the second fixing plate-level connecting rod. The proximal tibia positioning module is designed in a disconnected mode, the connecting piece is designed to be in a semi-circular arc shape, and the fixed position is changed from the original tibial tubercle positioning to the tibial tubercle upper end positioning. The purpose of this design is to provide another way of fixing the proximal tibial positioning module according to the condition and anatomy of different patients.
In a fourth embodiment of the proximal tibial fixation module, as shown in fig. 6, a cut-in depth mark 12 is provided on the connecting member/first fixation plate. The full 3D printing interrupted open structure with the incision depth mark is adopted, so that repeated measurement of the osteotomy depth in the operation is avoided, and the operation time is shortened.
In a fifth embodiment of the proximal tibial fixation module, as shown in fig. 7, a tibial tubercle osteotomy slot 13 is formed in the first fixation plate. The design can be beneficial to the doctor to cut the bone, thereby shortening the operation time.
In a sixth embodiment of the proximal tibia fixation module, as shown in fig. 8, a plurality of anti-slip columns 14 are fixedly arranged on the first fixation plate. And adding an anti-slip column at the hand-held or hand-held position of the proximal tibia positioning module. The tibia proximal positioning module can be conveniently fixed by hands of a doctor in an operation.
First embodiment of medial-lateral malleolus positioning module, as shown in fig. 9 and 10, the medial-lateral malleolus positioning module comprises two 3D printing-molded fixing blocks 17, a connecting body 15 fixedly connected between the two fixing blocks, and medial-lateral malleolus positioning module connecting rods 16, the medial-lateral malleolus positioning module connecting rods are fixedly installed in the middle of the connecting body, and the medial-lateral malleolus positioning module connecting rods are fixedly installed at the bottom of the guide plate connecting rods.
Second embodiment of medial-lateral malleolus positioning module, as shown in fig. 11 and 12, medial-lateral malleolus positioning module is adjustable medial-lateral malleolus positioning module, and it includes connecting body 15, clamping bar 19, fixed block 17 and medial-lateral malleolus positioning module connecting rod 16, medial-lateral malleolus positioning module connecting rod fixed mounting is on connecting body's lateral surface, clamping bar is two and installs in connecting body lower part left and right sides through pin 20 respectively, the fixed block is two and installs in the below of clamping bar through locking screw 21 respectively, every fixed mounting has spring 18 between clamping bar upper portion and the connecting body upper portion.
Specifically, the fixed block can be 3D prints and with the profile structure that the ankle was laminated mutually, also can be the ring structure that 3D printed.
Further, the guide plate connecting rod is a telescopic rod.
The tibia high-position osteotomy surgical guide plate comprises a tibia proximal end fixing module, a guide plate connecting rod and inner and outer ankle positioning modules, wherein the tibia proximal end fixing module is fixedly arranged at the top of the guide plate connecting rod, the inner and outer ankle positioning modules are fixedly arranged at the bottom of the guide plate connecting rod, the tibia proximal end fixing module and the inner and outer ankle positioning modules can be designed in a 3D mode according to CT data of a patient according to preoperative planning, then the tibia proximal end positioning module is attached to a tibia tubercle of the patient, and the inner and outer ankle positioning modules are attached to the surfaces of the inner and outer ankles of the patient, so that the guide plate can be stably fixed on the tibia of the patient. It has the advantages of short operation time, measurement of osteotomy depth, less X-ray exposure times in the operation, short operation incision, small soft tissue wound and the like.
In conclusion, the tibia high-position osteotomy surgical guide plate provided by the invention has the advantages of short surgical time, accurate force line correction, less X-ray exposure times in the operation, short surgical incision, small soft tissue wound and the like.
The above description is only a preferred embodiment of the present invention and is not intended to limit the present invention, and various modifications and changes may be made by those skilled in the art. Any modification, equivalent replacement, or improvement made within the spirit and principle of the present invention should be included in the protection scope of the present invention.
Claims (12)
1. The utility model provides a high-order osteotomy operation baffle of shin bone, a serial communication port, including the fixed module of shin bone near end, baffle connecting rod and medial malleolus orientation module, the fixed module fixed mounting of shin bone near end is in baffle connecting rod top, and medial malleolus orientation module fixed mounting is in baffle connecting rod bottom.
2. The tibia high-position osteotomy surgical guide plate according to claim 1, wherein the tibia near-end fixed module comprises a tibia near-end fixing plate formed by 3D printing, a Kirschner wire guide column fixedly arranged on the tibia near-end fixing plate, a Kirschner wire fixing column and a tibia near-end fixed module connecting rod fixedly connected with the tibia near-end fixing plate, Kirschner wire guide holes are formed in the positions, corresponding to the Kirschner wire guide column, of the tibia near-end fixing plate, the Kirschner wire fixing holes are formed in the positions, corresponding to the Kirschner wire fixing column, of the tibia near-end fixed module connecting rod, and the tibia near-end fixed module connecting rod is fixedly mounted at.
3. The tibia high-order osteotomy surgical guide plate as recited in claim 2, wherein the kirschner wire guide column and the kirschner wire fixing column are both provided with metal inserts, and the metal inserts are provided with kirschner wire holes corresponding to the kirschner wire guide holes/the kirschner wire fixing holes.
4. The tibia high-position osteotomy surgical guide plate according to claim 3, wherein the tibia proximal fixing plate is a split structure and comprises a first fixing plate, a second fixing plate and a connecting piece fixedly connected between the first fixing plate and the second fixing plate, and the Kirschner wire guide column is fixedly mounted on the first fixing plate.
5. The tibial plateau resection surgical guide according to claim 4, wherein said connector/first fixation plate is provided with an incision depth indicator.
6. The tibial plateau resection surgical guide of claim 4, wherein the first retaining plate is provided with a tibial tubercle resection slot.
7. The tibial plateau resection surgical guide of claim 4, wherein the first fixing plate is fixedly provided with a plurality of anti-slip posts.
8. The tibia high-order osteotomy surgical guide plate according to claim 1, wherein the medial and lateral malleolus positioning modules comprise two fixing blocks formed by 3D printing, a connecting body fixedly connected between the two fixing blocks, and a medial and lateral malleolus positioning module connecting rod, the medial and lateral malleolus positioning module connecting rod is fixedly installed in the middle of the connecting body, and the medial and lateral malleolus positioning module connecting rod is fixedly installed at the bottom of the guide plate connecting rod.
9. The tibia high-position osteotomy surgical guide plate as recited in claim 1, wherein the medial and lateral malleolus positioning modules are adjustable medial and lateral malleolus positioning modules, each adjustable medial and lateral malleolus positioning module comprises a connecting body, two clamping rods, a fixing block and medial and lateral malleolus positioning module connecting rods, the medial and lateral malleolus positioning module connecting rods are fixedly mounted on the outer side surface of the connecting body, the two clamping rods are respectively mounted on the left side and the right side of the lower portion of the connecting body through pins, the two fixing blocks are respectively mounted below the clamping rods through locking screws, and a spring is fixedly mounted between the upper portion of each clamping rod and the upper portion of the connecting body.
10. The tibial plateau resection surgical guide according to any one of claims 8 to 9, wherein the fixation block is a 3D printed cross-sectional structure that conforms to the ankle.
11. The tibial plateau resection surgical guide according to any one of claims 8 to 9, wherein the fixed block is a 3D printed circular ring structure.
12. The tibial plateau resection surgical guide of claim 1, wherein said guide connecting rod is a telescopic rod.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202010661656.3A CN111956294B (en) | 2020-07-10 | 2020-07-10 | Tibia high-level osteotomy guide plate |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202010661656.3A CN111956294B (en) | 2020-07-10 | 2020-07-10 | Tibia high-level osteotomy guide plate |
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| Publication Number | Publication Date |
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| CN111956294A true CN111956294A (en) | 2020-11-20 |
| CN111956294B CN111956294B (en) | 2023-10-31 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN202010661656.3A Active CN111956294B (en) | 2020-07-10 | 2020-07-10 | Tibia high-level osteotomy guide plate |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN115068052A (en) * | 2022-05-19 | 2022-09-20 | 北京长木谷医疗科技有限公司 | Embedded steel sleeve type osteotomy guide plate based on knee joint surgery, press-fit tool and method |
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| US20090076512A1 (en) * | 2007-05-09 | 2009-03-19 | Ammann Kelly G | Method and apparatus for reconstructing a ligament and/or repairing cartilage, and for performing an open wedge, high tibial osteotomy |
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| CN206424183U (en) * | 2016-07-28 | 2017-08-22 | 北京力达康科技有限公司 | A kind of adjustable shin bone orienting device |
| CN207721849U (en) * | 2017-04-28 | 2018-08-14 | 首都医科大学宣武医院 | Osteotomy guide plate for High Tibial Osteotomy |
| CN209220412U (en) * | 2018-10-17 | 2019-08-09 | 嘉思特华剑医疗器材(天津)有限公司 | A kind of active type separate room knee prosthesis replacement Tibial osteotomy guider |
| CN111329583A (en) * | 2020-03-11 | 2020-06-26 | 中南大学湘雅医院 | High-position osteotomy device of shin bone |
-
2020
- 2020-07-10 CN CN202010661656.3A patent/CN111956294B/en active Active
Patent Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20090076512A1 (en) * | 2007-05-09 | 2009-03-19 | Ammann Kelly G | Method and apparatus for reconstructing a ligament and/or repairing cartilage, and for performing an open wedge, high tibial osteotomy |
| CN103099679A (en) * | 2013-03-06 | 2013-05-15 | 吴志宏 | Personalized lumbar internal fixation auxiliary device and manufacturing method thereof |
| CN205126436U (en) * | 2015-10-21 | 2016-04-06 | 冯明光 | Shin bone spin control measuring device in art that fractures futilely |
| CN206424183U (en) * | 2016-07-28 | 2017-08-22 | 北京力达康科技有限公司 | A kind of adjustable shin bone orienting device |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN115068052A (en) * | 2022-05-19 | 2022-09-20 | 北京长木谷医疗科技有限公司 | Embedded steel sleeve type osteotomy guide plate based on knee joint surgery, press-fit tool and method |
| CN115068052B (en) * | 2022-05-19 | 2023-03-24 | 北京长木谷医疗科技有限公司 | Embedded steel sleeve type osteotomy guide plate based on knee joint surgery, press-fit tool and method |
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| Publication number | Publication date |
|---|---|
| CN111956294B (en) | 2023-10-31 |
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