CN111956297B - Force line correction filling block for guide plate of tibial high-level osteotomy - Google Patents
Force line correction filling block for guide plate of tibial high-level osteotomy Download PDFInfo
- Publication number
- CN111956297B CN111956297B CN202010661674.1A CN202010661674A CN111956297B CN 111956297 B CN111956297 B CN 111956297B CN 202010661674 A CN202010661674 A CN 202010661674A CN 111956297 B CN111956297 B CN 111956297B
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- handle
- main part
- side wall
- main body
- line correction
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- 238000012937 correction Methods 0.000 title claims abstract description 22
- 210000002303 tibia Anatomy 0.000 claims abstract description 10
- 239000000945 filler Substances 0.000 claims description 8
- 210000000988 bone and bone Anatomy 0.000 description 6
- 238000010586 diagram Methods 0.000 description 6
- 208000003947 Knee Osteoarthritis Diseases 0.000 description 3
- 230000000694 effects Effects 0.000 description 3
- 201000008482 osteoarthritis Diseases 0.000 description 3
- 238000010146 3D printing Methods 0.000 description 2
- 238000011882 arthroplasty Methods 0.000 description 2
- 238000012790 confirmation Methods 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 210000003127 knee Anatomy 0.000 description 2
- 210000003141 lower extremity Anatomy 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 238000004904 shortening Methods 0.000 description 2
- 206010057332 Loss of proprioception Diseases 0.000 description 1
- 230000032683 aging Effects 0.000 description 1
- 238000005452 bending Methods 0.000 description 1
- 230000009286 beneficial effect Effects 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
- 230000003631 expected effect Effects 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 238000010030 laminating Methods 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
- 238000011285 therapeutic regimen Methods 0.000 description 1
- 230000008733 trauma 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
- A61B17/16—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 equipment, in particular to a force line correction filling block for a guide plate of a tibia high-level osteotomy operation. The device provided by the invention has the advantages of simple structure and convenience in operation, and can accurately grasp the front-back opening gap, thereby realizing the accurate adjustment of the back inclination angle of the tibial plateau.
Description
Technical Field
The invention relates to the technical field of medical appliances, in particular to a force line correction filling block for a guide plate in a tibial high-level 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.
The force line correction filling block avoids repeated perspective and multiple osteotomies in the operation, thereby shortening the operation time, reducing the operation complications, realizing the accurate adjustment of the force line of the lower limb, improving the accuracy and the simplicity of the operation of operators and obtaining satisfactory clinical curative effect.
Disclosure of Invention
The invention aims to solve the technical problems of providing the force line correction filling block for the tibial plateau osteotomy guide plate, which has the advantages of simple structure, convenient operation and accurate grasp of the anterior and posterior distraction gap and realizes accurate adjustment of the tibial plateau backward tilt angle.
The invention is realized by the following technical scheme:
a force line correction filling block for a tibial high-level osteotomy operation guide plate comprises a handle and a body, wherein the body comprises an upper bonding surface, a lower bonding surface, a front end surface and a side wall surface, the front end surface and the side wall surface are positioned between the upper bonding surface and the lower bonding surface, and the handle is fixedly arranged on the side wall surface.
Further, the side wall surface is of a U-shaped structure, grooves are respectively formed in the middle of the upper bonding surface and the middle of the lower bonding surface, and the handle is fixedly arranged in the middle of the side wall surface.
Further, the body is of an L-shaped structure.
Further, a limiting protrusion is fixedly arranged at the bending part of the L-shaped structure on the body.
Further, the body is split type structure, and the side wall face is U-shaped structure, and the handle is fixed to be located side wall face middle part, and the cover is equipped with the casing on the body, the shape of casing and body phase-match just be the opening in the position corresponding with the side wall face.
Further, the body is formed by combining an upper main body and a lower main body, the side wall surfaces of the upper main body and the lower main body are of U-shaped structures, an upward limit boss is fixedly arranged on the front end surface of the lower main body, a lower main body handle is fixedly arranged in the middle of the side wall surface, a limit hole is formed in the middle of the limit boss, a limit groove is formed in the position, corresponding to the limit boss, of the upper main body, a main body handle is fixedly arranged in the middle of the side wall surface, and a limit block is fixedly arranged in the position, corresponding to the limit hole.
Further, the length of the upper body handle is longer than the length of the lower body handle.
Further, the body is formed by combining a left main body and a right main body, the side wall surfaces of the left main body and the right main body are of a U-shaped structure after being combined, the right main body is provided with a limiting sliding groove on the left side, a right main body handle is fixedly arranged at the end part of the side wall surface, a jack is formed in the middle of the limiting sliding groove, a limiting sliding block is arranged at the position corresponding to the limiting sliding groove, a left main body handle is fixedly arranged at the end part of the side wall surface, and an inserting block is fixedly arranged at the position corresponding to the jack on the limiting sliding block.
Further, the length of the right body handle is longer than the length of the left body handle.
Further, a handle limiting block is fixedly arranged in the middle of the right main body handle, and a handle limiting groove is formed in the lower end of the left main body handle.
The beneficial effects of the invention are that
According to the force line correction filling block for the tibial high-level osteotomy operation guide plate, after the tibia is expanded in the tibial high-level osteotomy operation, the force line correction filling block is placed into the expansion gap, so that perfect attachment to a bone surface can be realized, the front-back expansion gap can be accurately grasped, repeated perspective multiple osteotomies in the operation are avoided, the operation time is shortened, the operation complications are reduced, the accurate adjustment of the back inclination angle of a tibial platform is realized, and the tibial high-level osteotomy operation guide plate is simple in structure and convenient to operate.
Drawings
FIG. 1 is a schematic diagram of an embodiment;
FIG. 2 is a schematic diagram of a second embodiment;
FIG. 3 is a schematic diagram of a third embodiment;
FIG. 4 is a schematic diagram of a fourth embodiment;
FIG. 5 is a schematic diagram of a fifth embodiment;
FIG. 6 is a schematic view of a sixth embodiment of an assembled structure;
FIG. 7 is a schematic view of a sixth embodiment of a structure of a body;
FIG. 8 is a schematic view of a six-shell structure according to an embodiment;
FIG. 9 is a schematic view of a seventh embodiment of an assembled structure;
FIG. 10 is a schematic diagram of a seventh embodiment of a main structure;
FIG. 11 is a schematic view of a seventh embodiment of a main structure;
FIG. 12 is a schematic view of an eighth embodiment of an assembled structure;
FIG. 13 is a schematic view of an eighth left main body structure of an embodiment;
FIG. 14 is a schematic view of the structure of an eighth right main body of the embodiment;
the handle is shown in the figure as 1, 2, body, 3, upper abutment surface, 4, front end surface, 5, lower abutment surface, 6, side abutment surface, 7, recess, 8, shell, 9, opening, 10, upper body handle, 11, upper body, 12, lower body handle, 13, lower body, 14, limit recess, 15, limit block, 16, jack, 17, handle limit block, 18, limit boss, 19, limit hole, 20, right body, 21, left body, 22, right body handle, 23, left body handle, 24, insert, 25, limit slide, 26, limit chute, 27, handle limit slot, 28, three-point boss, 29.
Detailed Description
The utility model provides a first embodiment, a shin high-order osteotomy operation baffle is with line of force correction filler piece, it includes handle 1 and body 2, the body includes fitting surface 3, fitting surface 5 and be located preceding terminal surface 4 and side wall face 6 between fitting surface and the lower fitting surface down, handle fixed mounting is on the side wall face, after strutting the shin in the operation, put into the line of force correction filler piece and prop up the clearance, go up bone face and filler piece upper surface laminating completely, the fitting of bone face and filler piece lower surface is completely can realize accurate propping up down, the handle makes things convenient for the line of force to correct the put in of filler piece and take out the operation.
In the second embodiment, the side wall surface is of a U-shaped structure, the middle parts of the upper bonding surface and the lower bonding surface are respectively provided with a groove 7, the handle is fixedly arranged in the middle part of the side wall surface, when the filling block is taken out, the length of the handle cannot be large enough due to space limitation, and when the filling block is inconvenient to take out, the operation tool is used for clamping the grooves of the upper bonding surface and the lower bonding surface, so that the taking out is realized, and the operation is convenient.
In a third embodiment, the force line correction filling block for the guide plate of the tibial high-level osteotomy is of an L-shaped structure, and the L-shaped body is integrally in a cuboid shape, so that the filling block can be conveniently taken out during the operation, and a small gap in the operation can be used for taking out the filling block by holding the handle during the taking out.
In a fourth embodiment, the force line correction filling block for the guide plate of the tibial high-level osteotomy is of an L-shaped structure, the limiting protrusions of the force line correction filling block are three-point bosses 28 and used for limiting in the operation, the filling block is convenient to position rapidly, and the L-shaped body is integrally in a cuboid shape, so that the filling block can be taken out conveniently in the operation.
Fifth embodiment, a tibia high level osteotomy operation baffle corrects filling block with line of force, and the body is L shape structure, and its spacing arch is two spacing chimb 29 from top to bottom for spacing use in the operation, the filling block of being convenient for is fixed a position fast, because L type body is whole to be the cuboid form, takes out in the convenience art, when taking out, holds the handle and can utilize the less clearance in the art to take out the filling block.
In a sixth embodiment, the body is of a split structure, the side wall surface is of a U-shaped structure, the handle is fixedly arranged in the middle of the side wall surface, the body is sleeved with the shell 8, the shape of the shell is matched with that of the body, the corresponding part of the side wall surface is the opening 9, when the body is put in, the body is put in the shell and then put in the tibial opening gap together, the filling block is put in the tibial opening gap, the pressure ratio of the upper and lower joint surfaces to the tibia is larger, and when the body and the shell are taken out, the handle is clamped by the surgical tool to take out the body, and then the shell is taken out at the opening of the shell, so that the time and the labor are saved.
In a seventh embodiment, the body is formed by combining an upper main body 11 and a lower main body 13, the side wall surfaces of the upper main body and the lower main body are of a U-shaped structure, an upward limit boss 18 is fixedly arranged on the front end surface of the lower main body, a lower main body handle 12 is fixedly arranged in the middle of the side wall surface, a limit hole 19 is formed in the middle of the limit boss, a limit groove 14 is formed in the position, corresponding to the limit boss, of the upper main body, an upper main body handle 10 is fixedly arranged in the middle of the side wall surface, a limit block 15 is fixedly arranged in the position, corresponding to the limit hole, of the upper main body and the lower main body are assembled, then the upper main body is placed in a tibial distraction gap after being assembled, angle confirmation is achieved, when the upper main body handle is firstly clamped by an operation tool to take out, and then the lower main body handle is clamped to take out, so that the upper main body handle is more suitable for the situation that the upper main body is limited by space and inconvenient to take out integrally.
Further, the length of the upper main body handle is longer than that of the lower main body handle, so that the loading and unloading operations are more convenient.
In the eighth embodiment, the body is formed by combining two parts of a left main body 21 and a right main body 20, the side wall surfaces of the left main body and the right main body are of a U-shaped structure after being combined, the right main body is provided with a limiting chute 26 at the left side, a right main body handle 22 is fixedly arranged at the end part of the side wall surface, a jack 16 is arranged in the middle of the limiting chute, a limiting slide block 25 is arranged at the position corresponding to the limiting chute of the left main body, a left main body handle 23 is fixedly arranged at the end part of the side wall surface, an inserting block 24 is fixedly arranged at the position corresponding to the jack on the limiting slide block, the left main body and the right main body are assembled in a tibia opening gap after being subjected to operation, the angle confirmation is realized, and when the left main body is taken out, the left main body is taken out after the right main body is firstly clamped by using an operation tool, and then the left main body handle is clamped, so that the left main body is taken out.
Further, the length of the right main body handle is longer than that of the left main body handle, so that the operation of putting in and taking out is more convenient.
Further, the handle limiting block 17 is fixedly arranged in the middle of the right main body handle, the handle limiting groove 27 is formed in the lower end of the left main body handle, and the right main body handle and the left main body handle are further fixed, so that dislocation, sliding and the like in operation are prevented.
The force line correction filling block for the tibial high-level osteotomy operation guide plate comprises the handle and the body, wherein the body comprises the upper bonding surface, the lower bonding surface, the front end surface and the side wall surface, wherein the front end surface and the side wall surface are positioned between the upper bonding surface and the lower bonding surface, the handle is fixedly arranged on the side wall surface, after the tibia is propped up in an operation, the force line correction filling block is placed into a propping-up gap, the upper bone surface is completely attached to the upper surface of the filling block, the lower bone surface is completely attached to the lower surface of the filling block, the perfect attachment of the bone surfaces can be realized, the front-back propping-up gap can be accurately held, repeated perspective and repeated osteotomy in the operation are avoided, thereby shortening the operation time, reducing the operation complications, realizing the accurate adjustment of the back dip angle of the tibial platform, and the structure is simple and the operation is convenient.
In summary, the force line correction filling block for the guide plate for the tibial high-level osteotomy has the advantages of simple structure, convenient operation and accurate grasp of the front-back opening gap, and realizes accurate adjustment of the back inclination angle of the tibial plateau.
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 (5)
1. The utility model provides a tibia high-order osteotomy guide is with line correction filling block, its characterized in that, includes handle and body, the body includes fitting surface, lower fitting surface and is located preceding terminal surface and the side wall face between fitting surface and the lower fitting surface, handle fixed mounting is on the side wall face, the body is formed by left main part and right main part two parts combination, and is U-shaped structure after the side wall face combination of left main part and right main part, right main part is equipped with spacing spout in the left side, is equipped with right main part handle at the fixed right main part handle that is equipped with of side wall face tip, the jack has been seted up at the middle part of spacing spout, the left main part is equipped with spacing slider in the fixed left main part handle that is equipped with in side wall face tip corresponding position with the jack on spacing slider, and the length of right main part handle is longer than the length of left main part handle, and right main part handle middle part fixed mounting has the handle stopper, and handle spacing groove has been seted up to left main part handle lower tip, puts into the clearance after the left main part and right main part equipment in the art, realizes the angle and confirms, when taking out, the condition, the left main part handle is taken out to the left main part handle after clamping the right main part, takes out the main part handle, left main part again, takes out the whole space, is not suitable for taking out the tibia, and is not suitable for the whole space.
2. The tibial high osteotomy guide plate force line correction filler block of claim 1, wherein the side wall surface is of a U-shaped structure, the middle parts of the upper and lower fitting surfaces are respectively provided with a groove, and the handle is fixedly arranged in the middle of the side wall surface.
3. The tibial plateau osteotomy guide plate force line correction filler block of claim 1, wherein the body is L-shaped.
4. A tibial high osteotomy guide plate force line correction filler block as in claim 3 wherein the body has a stop tab fixedly mounted to the body at the bend of the L-shaped structure.
5. The force line correction filling block for a tibial high-level osteotomy guide plate according to claim 1, wherein the body is of a split type structure, the side wall surface is of a U-shaped structure, the handle is fixedly arranged in the middle of the side wall surface, the body is sleeved with a shell, the shape of the shell is matched with that of the body, and an opening is formed in a position corresponding to the side wall surface.
Priority Applications (1)
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CN202010661674.1A CN111956297B (en) | 2020-07-10 | 2020-07-10 | Force line correction filling block for guide plate of tibial high-level osteotomy |
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CN202010661674.1A CN111956297B (en) | 2020-07-10 | 2020-07-10 | Force line correction filling block for guide plate of tibial high-level osteotomy |
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CN111956297A CN111956297A (en) | 2020-11-20 |
CN111956297B true CN111956297B (en) | 2024-03-22 |
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CN202010661674.1A Active CN111956297B (en) | 2020-07-10 | 2020-07-10 | Force line correction filling block for guide plate of tibial high-level osteotomy |
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Families Citing this family (1)
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CN114587556B (en) * | 2022-03-28 | 2023-03-10 | 中南大学湘雅医院 | Fixed support for tibial osteotomy |
Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
KR20090036707A (en) * | 2007-10-10 | 2009-04-15 | 오상수 | Surgical operation-framework of tibia a broken bone |
CN102665613A (en) * | 2009-05-29 | 2012-09-12 | 史密夫和内修有限公司 | Methods and apparatus for performing knee arthroplasty |
CN108420475A (en) * | 2018-03-20 | 2018-08-21 | 河北医科大学第三医院 | Gradual dilator after a kind of gonitis Tibial osteotomy |
Family Cites Families (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2006107800A2 (en) * | 2005-04-01 | 2006-10-12 | Ibalance Medical, Inc. | Method and apparatus for performing an open wedge, high tibial osteotomy |
US8632547B2 (en) * | 2010-02-26 | 2014-01-21 | Biomet Sports Medicine, Llc | Patient-specific osteotomy devices and methods |
US20150057759A1 (en) * | 2013-08-20 | 2015-02-26 | New York University | Medial tibial plateau realignment procedure for medial osteoarthritis of the knee |
GB201520176D0 (en) * | 2015-11-16 | 2015-12-30 | Isis Innovation | Proximal tibial osteotomy |
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2020
- 2020-07-10 CN CN202010661674.1A patent/CN111956297B/en active Active
Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
KR20090036707A (en) * | 2007-10-10 | 2009-04-15 | 오상수 | Surgical operation-framework of tibia a broken bone |
CN102665613A (en) * | 2009-05-29 | 2012-09-12 | 史密夫和内修有限公司 | Methods and apparatus for performing knee arthroplasty |
CN108420475A (en) * | 2018-03-20 | 2018-08-21 | 河北医科大学第三医院 | Gradual dilator after a kind of gonitis Tibial osteotomy |
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