CN111956294B - Tibia high-level osteotomy guide plate - Google Patents
Tibia high-level osteotomy guide plate Download PDFInfo
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- CN111956294B CN111956294B CN202010661656.3A CN202010661656A CN111956294B CN 111956294 B CN111956294 B CN 111956294B CN 202010661656 A CN202010661656 A CN 202010661656A CN 111956294 B CN111956294 B CN 111956294B
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- 210000002303 tibia Anatomy 0.000 title abstract description 55
- 210000003423 ankle Anatomy 0.000 claims abstract description 51
- 238000010146 3D printing Methods 0.000 claims description 10
- 239000002184 metal Substances 0.000 claims description 7
- 238000000034 method Methods 0.000 claims description 3
- 238000010276 construction Methods 0.000 claims 1
- 208000014674 injury Diseases 0.000 abstract description 6
- 230000008733 trauma Effects 0.000 abstract description 6
- 210000004872 soft tissue Anatomy 0.000 abstract description 5
- 238000013461 design Methods 0.000 description 5
- 208000003947 Knee Osteoarthritis Diseases 0.000 description 3
- 201000008482 osteoarthritis Diseases 0.000 description 3
- 210000001519 tissue Anatomy 0.000 description 3
- 238000011882 arthroplasty Methods 0.000 description 2
- 230000009286 beneficial effect Effects 0.000 description 2
- 238000012937 correction Methods 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 210000003127 knee Anatomy 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
- 230000032683 aging Effects 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 210000000988 bone and bone Anatomy 0.000 description 1
- 210000000845 cartilage Anatomy 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
- 230000003631 expected effect Effects 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 210000003141 lower extremity Anatomy 0.000 description 1
- 238000007493 shaping process Methods 0.000 description 1
- 238000004904 shortening Methods 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
- 238000011285 therapeutic regimen Methods 0.000 description 1
Classifications
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- 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
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Engineering & Computer Science (AREA)
- Dentistry (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
The invention relates to the technical field of medical equipment, in particular to a tibia high-position osteotomy guide plate which comprises a tibia near-end fixing module, a guide plate connecting rod and an inner ankle positioning module, wherein the tibia near-end fixing module is fixedly arranged at the top of the guide plate connecting rod, and the inner ankle positioning module and the outer ankle positioning module are 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 operation, short operation incision, small soft tissue trauma and the like.
Description
Technical Field
The invention relates to the technical field of medical appliances, in particular to a guide plate for a tibial high osteotomy operation.
Background
With the aging of the population of China and the improvement of the 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 arthroplasty has become a mature procedure and a well-defined therapeutic regimen. However, knee arthroplasty has the disadvantages of large trauma, limited service life of the prosthesis, infection, loss of proprioception, and the like. The tibia high-level osteotomy (HTO) is popular for more and more people as a knee-protecting therapy for intervening in the knee osteoarthritis of the inner side, has the advantages of correcting lower limb force lines, relieving pain, delaying the further damage of joint cartilage and the like, and the traditional tibia high-level osteotomy needs to rely on abundant clinical experience of operators and repeated perspective in the operation, but often cannot achieve the expected effect of preoperative planning due to the individuation difference of patients, and along with the development of a computer and a 3D printing technology, the accuracy, the simplicity and the like can be improved by applying the 3D printing technology to assist the HTO in treating the knee osteoarthritis, so that the ideal curative effect is achieved.
At present, the high-level tibia osteotomy mainly depends on experience of an operator to determine the osteotomy position, and X-ray shooting is carried out for many times in the operation to adjust and confirm the correction angle of the force line, so that the operation time is long, the operation precision is low and the health of the operator is damaged.
Disclosure of Invention
The invention aims to solve the technical problems of short operation time, accurate positioning of an osteotomy position, few X-ray exposure times in operation, short operation incision and small soft tissue trauma, and provides a tibia high osteotomy operation guide plate.
The invention is realized by the following technical scheme:
a tibia high-level osteotomy guide plate comprises a tibia near-end fixing module, a guide plate connecting rod and an inner ankle positioning module, wherein the tibia near-end fixing module is fixedly arranged at the top of the guide plate connecting rod, and the inner ankle positioning module is fixedly arranged at the bottom of the guide plate connecting rod.
Further, the proximal tibia module comprises a proximal tibia fixing plate formed by 3D printing, a Kirschner wire guide post fixedly arranged on the proximal tibia fixing plate, a Kirschner wire fixing post and a proximal tibia module connecting rod fixedly connected with the proximal tibia fixing plate, kirschner wire guide holes are formed in corresponding positions of the proximal tibia fixing plate and the Kirschner wire guide post, kirschner wire fixing holes are formed in corresponding positions of the proximal tibia fixing plate and the Kirschner wire fixing post, and the proximal tibia module connecting rod is fixedly arranged at the top of the guide plate connecting rod.
Further, 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.
Further, the proximal tibia fixing plate is of 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 post is fixedly arranged on the first fixing plate.
Further, a cut depth indicator is provided on the connector/first securing plate.
Further, a plurality of anti-skidding columns are fixedly arranged on the first fixing plate.
Further, a tibial tuberosity osteotomy groove is formed in the first fixing plate.
Further, inside and outside ankle positioning module includes two fixed blocks of 3D printing shaping, fixed connection in connecting body and inside and outside ankle positioning module connecting rod between two fixed blocks, inside and outside ankle positioning module connecting rod fixed mounting is in connecting body's middle part, inside and outside ankle positioning module connecting rod fixed mounting is in baffle connecting rod bottom.
Further, inside and outside ankle positioning module is adjustable inside and outside ankle positioning module, and it includes connecting body, clamping lever, fixed block and inside and outside ankle positioning module connecting rod, inside and outside ankle positioning module connecting rod fixed mounting is on connecting body's lateral surface, the clamping lever is two respectively through the pin installation in connecting body lower part left and right sides, the fixed block is two respectively through locking screw installs in the below of clamping lever, every fixed mounting has the spring between clamping lever upper portion and the connecting body upper portion.
Further, the fixing block is of a cross-sectional structure which is printed in a 3D mode and is attached to the ankle.
Further, the fixed block is a circular ring-shaped structure for 3D printing.
Further, the guide plate connecting rod is a telescopic rod.
The beneficial effects of the invention are that
According to the high-level tibia osteotomy guide plate provided by the invention, 3D design can be carried out according to CT data of a patient and a preoperative plan, then the proximal tibia positioning module is attached to the tibial tuberosity of the patient, and the inner ankle positioning module and the outer ankle positioning module are attached to the surfaces of the inner ankle and the outer ankle of the patient, so that the stable fixation of the guide plate on the tibia of the patient is realized, and the 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 trauma and the like.
Drawings
FIG. 1 is a schematic diagram of the structure of the present invention;
FIG. 2 is a schematic view of a proximal tibial end module embodiment;
FIGS. 3 and 4 are schematic views of a second embodiment of a proximal tibial end module;
FIG. 5 is a schematic view of a third embodiment of a proximal tibial end module;
FIG. 6 is a schematic view of a fourth embodiment of a proximal tibial end module;
FIG. 7 is a schematic view of a fifth embodiment of a proximal tibial end module;
FIG. 8 is a schematic view of a sixth embodiment of a proximal tibial end module;
FIG. 9 is a schematic view of a specific embodiment of a medial and lateral ankle positioning module shown in FIG. 10;
FIG. 11 is a schematic view of a second embodiment of a medial and lateral ankle positioning module shown in FIG. 12;
in the drawing, 01, a tibia proximal fixing module, 02, a guide plate connecting rod, 03, a medial and lateral ankle positioning module, 04, a tibia proximal fixing plate, 05, a Kirschner wire guide post, 06, a Kirschner wire fixing post, 07, a metal insert, 08, a tibia proximal fixing module connecting rod, 9, a first fixing plate, 10, a connecting piece, 11, a second fixing plate, 12, a cutting depth mark, 13, a tibia tuberosity osteotomy groove, 14, an anti-skid post, 15, a connecting main body, 16, a medial and lateral ankle positioning module connecting rod, 17, a fixing block, 18, a spring, 19, a clamping rod, 20, a pin and 21, and a locking screw.
Detailed Description
A tibia high-level osteotomy guide plate comprises a tibia near-end fixing module 01, a guide plate connecting rod 02 and an inner ankle positioning module 03, wherein the tibia near-end fixing module is fixedly arranged at the top of the guide plate connecting rod, and the inner ankle positioning module is fixedly arranged at the bottom of the guide plate connecting rod.
According to the first embodiment of the tibia proximal end fixing module, as shown in fig. 2, the tibia proximal end fixing module comprises a tibia proximal end fixing plate 04 formed by 3D printing, a Kirschner wire guide post 05 fixedly arranged on the tibia proximal end fixing plate, a Kirschner wire fixing post 06 and a tibia proximal end fixing module connecting rod 08 fixedly connected with the tibia proximal end fixing plate, kirschner wire guide holes are formed in corresponding positions of the tibia proximal end fixing plate and the Kirschner wire guide post, kirschner wire fixing holes are formed in corresponding positions of the tibia proximal end fixing plate and the Kirschner wire fixing post, and the tibia proximal end fixing module connecting rod is fixedly arranged at the top of the guide plate connecting rod.
The Kirschner wire guide column and the Kirschner wire fixing column are both provided with metal inserts 07, and the metal inserts are provided with Kirschner wire holes corresponding to the Kirschner wire guide holes/the Kirschner wire fixing holes.
In a second embodiment of the proximal tibia module, 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 a kirschner wire guide post is fixedly arranged on the first fixing plate.
Specifically, as shown in fig. 3 and 4, the connecting piece may be an arc-shaped connecting plate, and is connected to the front ends of the first fixing plate and the second fixing plate, and the connecting piece may also be an L-shaped rod, and is connected between the first fixing plate and the proximal tibia module connecting rod. The middle of the tibia proximal positioning module adopts a disconnected design, the front end of the tibia proximal positioning module adopts a hollow structure, and the two broken parts are connected through different connection modes. When the operation position 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 interference of the cut skin or human tissue on the accurate positioning of the tibia proximal positioning module is avoided.
In a third embodiment, as shown in fig. 5, the connecting piece is in a semicircular arc shape and is connected between the first fixing plate and the second fixing plate stage connecting rod. The proximal tibia positioning module adopts a disconnected design, the connecting piece is designed into a semicircular arc shape, and the fixed position is changed from the original tibial nodule positioning to the upper tibial nodule positioning. The aim of this design is to provide another way of fixing the proximal tibial positioning module, depending on the condition and anatomy of the patient.
In a fourth embodiment of the proximal tibial module, as shown in fig. 6, a cutting depth indicator 12 is provided on the connector/first fixation plate. The full 3D printing middle disconnection type structure with the cutting depth mark is adopted, so that repeated measurement of the osteotomy depth in the operation is avoided, and the operation time is shortened.
Fifth embodiment of proximal tibial module, as shown in fig. 7, the first fixation plate is provided with tibial tuberosity osteotomy groove 13. The design is beneficial to the doctor to cut bones, thereby shortening the operation time.
In a sixth embodiment of the proximal tibial module, as shown in fig. 8, a plurality of cleats 14 are fixedly disposed on the first plate. And adding a non-slip column at the hand or hand-held position of the tibia proximal positioning module. The proximal tibial positioning module can be conveniently fixed by hands in operation by a doctor.
In one embodiment of the inner and outer ankle positioning module, as shown in fig. 9 and 10, the inner and outer ankle positioning module comprises two fixing blocks 17 formed by 3D printing, a connecting main body 15 fixedly connected between the two fixing blocks, and an inner and outer ankle positioning module connecting rod 16 fixedly installed at the middle part of the connecting main body, and the inner and outer ankle positioning module connecting rod is fixedly installed at the bottom of the guide plate connecting rod.
In a second embodiment of the inner and outer ankle positioning module, as shown in fig. 11 and 12, the inner and outer ankle positioning module is an adjustable inner and outer ankle positioning module, and comprises a connecting main body 15, a clamping rod 19, a fixing block 17 and an inner and outer ankle positioning module connecting rod 16, wherein the inner and outer ankle positioning module connecting rod is fixedly installed on the outer side surface of the connecting main body, the two clamping rods are respectively installed on the left side and the right side of the lower part of the connecting main body through pins 20, the two fixing blocks are respectively installed below the clamping rods through locking screws 21, and springs 18 are fixedly installed between the upper part of each clamping rod and the upper part of the connecting main body.
Specifically, the fixing block can be of a cross-section structure which is printed in a 3D mode and is attached to the ankle, and can also be of a circular ring-shaped structure which is printed in a 3D mode.
Further, the guide plate connecting rod is a telescopic rod.
Because the invention provides the tibia high-level osteotomy guide plate, which comprises the tibia near-end fixing module, the guide plate connecting rod and the inner ankle positioning module, the tibia near-end fixing module is fixedly arranged at the top of the guide plate connecting rod, the inner ankle positioning module and the outer ankle positioning module are fixedly arranged at the bottom of the guide plate connecting rod, the tibia near-end fixing module and the inner ankle positioning module can be 3D designed according to CT data of a patient according to preoperative planning, then the tibia near-end positioning module is attached to a tibial nodule of the patient, and the inner ankle positioning module and the outer ankle positioning module are attached to the surfaces of the inner ankle and the outer ankle of the patient, so that the stable fixing of the guide plate on the tibia of the patient is realized, and the osteotomy position is accurately positioned. It has the advantages of short operation time, measurement of osteotomy depth, less X-ray exposure times in operation, short operation incision, small soft tissue trauma, etc.
In summary, the guide plate for high-level osteotomy of tibia provided by the invention has the advantages of short operation time, accurate line correction, few X-ray exposure times in operation, short operation incision, small soft tissue trauma and the like.
The above description is only of the preferred embodiments of the present invention and is not intended to limit the present invention, but various modifications and variations can be made to the present invention by those skilled in the art. Any modification, equivalent replacement, improvement, etc. made within the spirit and principle of the present invention should be included in the protection scope of the present invention.
Claims (10)
1. The utility model provides a shin high-order osteotomy guide plate, its characterized in that includes shin proximal end fixed module, baffle connecting rod and interior outer ankle positioning module, shin proximal end fixed module fixed mounting is in baffle connecting rod top, interior outer ankle positioning module fixed mounting is in baffle connecting rod bottom, and shin proximal end fixed module is attached in patient's shin tuberosity department, and interior outer ankle positioning module is attached in patient's interior outer ankle surface, shin proximal end fixed module includes 3D printing fashioned shin proximal end fixed plate, fixedly locates the needle guide post on the shin proximal end fixed plate, needle guide post and the proximal end fixed module connecting rod of shin proximal end fixed plate fixed connection, the needle guide hole has been seted up in corresponding position to shin proximal end fixed plate and needle guide post, shin proximal end fixed plate connecting rod fixed mounting is in the baffle top, all installs metal insert on needle guide post and the needle guide post, metal insert is last to have set up needle guide pin needle guide hole corresponding with Kong Huoke.
2. The tibial high osteotomy guide plate of claim 1, wherein the tibial proximal fixation plate is of a split construction comprising a first fixation plate, a second fixation plate, and a connector fixedly coupled between the first fixation plate and the second fixation plate, and wherein the k-wire guide post is fixedly mounted on the first fixation plate.
3. A tibial plateau osteotomy guide as in claim 2, wherein the connector/first fixation plate has an incision depth indicator disposed thereon.
4. A tibial plateau osteotomy guide plate as claimed in claim 3, wherein the first fixing plate is provided with tibial tuberosity osteotomy grooves.
5. A tibial high osteotomy guide plate as in claim 3, wherein the first fixation plate is fixedly provided with a plurality of cleats.
6. The tibial high osteotomy guide plate of 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 fixedly mounted at the middle of the connecting body, and the medial and lateral malleolus positioning module connecting rod is fixedly mounted at the bottom of the guide plate connecting rod.
7. The guide plate for tibial high osteotomy procedures of claim 1, wherein the inner and outer ankle positioning modules are adjustable inner and outer ankle positioning modules and comprise a connecting body, clamping rods, fixing blocks and inner and outer ankle positioning module connecting rods, wherein the inner and outer ankle positioning module connecting rods are fixedly arranged on the outer side face of the connecting body, the two clamping rods are respectively arranged on the left side and the right side of the lower portion of the connecting body through pins, the two fixing blocks are respectively arranged below the clamping rods through locking screws, and springs are fixedly arranged between the upper portion of each clamping rod and the upper portion of the connecting body.
8. A tibial high osteotomy guide plate according to any of claims 6 to 7, wherein the anchor block is a 3D printed cross-sectional configuration conforming to the ankle.
9. A tibial plateau osteotomy guide plate as in any one of claims 6 to 7, wherein the fixing block is a 3D printed annular structure.
10. The tibial plateau osteotomy guide plate of claim 1, wherein the guide plate connecting rod is a telescoping rod.
Priority Applications (1)
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CN202010661656.3A CN111956294B (en) | 2020-07-10 | 2020-07-10 | Tibia high-level osteotomy guide plate |
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CN202010661656.3A CN111956294B (en) | 2020-07-10 | 2020-07-10 | Tibia high-level osteotomy guide plate |
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CN111956294A CN111956294A (en) | 2020-11-20 |
CN111956294B true CN111956294B (en) | 2023-10-31 |
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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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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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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 |
Family Cites Families (1)
Publication number | Priority date | Publication date | Assignee | Title |
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WO2008140748A1 (en) * | 2007-05-09 | 2008-11-20 | Ibalance Medical, Inc. | Method and apparatus for reconstructing a ligament and/or repairing cartilage, and for performing an open wedge, high tibial osteotomy |
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2020
- 2020-07-10 CN CN202010661656.3A patent/CN111956294B/en active Active
Patent Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
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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 |
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 |
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