CN113081161B - Ankle joint shin bone lower extreme cuts bone baffle - Google Patents

Ankle joint shin bone lower extreme cuts bone baffle Download PDF

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Publication number
CN113081161B
CN113081161B CN202110466925.5A CN202110466925A CN113081161B CN 113081161 B CN113081161 B CN 113081161B CN 202110466925 A CN202110466925 A CN 202110466925A CN 113081161 B CN113081161 B CN 113081161B
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guide plate
bone
groove
baffle
installation
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CN202110466925.5A
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CN113081161A (en
Inventor
曹鹏飞
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Beijing Lidakang Technology Co Ltd
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Beijing Lidakang Technology Co Ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17Guides or aligning means for drills, mills, pins or wires
    • A61B17/1732Guides or aligning means for drills, mills, pins or wires for bone breaking devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17Guides or aligning means for drills, mills, pins or wires
    • A61B17/1739Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • A61B17/1775Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the foot or ankle

Abstract

The utility model relates to an ankle joint shin bone lower extreme cuts bone baffle relates to the field of medical treatment osteotomy apparatus, including the baffle body, the baffle body is including being used for with the installation baffle of the connection baffle of cutting the portion laminating and being used for with the shin bone body laminating, one side of connecting the baffle is connected with one side of installation baffle, has all seted up the installation nail hole on connection baffle and the installation baffle, has seted up the osteotomy groove on the installation baffle, there is the space at the interval between the side of osteotomy groove and baffle body, and the installation nail hole on the installation baffle lies in the osteotomy groove and keeps away from one side of connecting the baffle. This application has can be through cutting along cutting the bone groove, and convenient and fast's intercepting part down is difficult for appearing the effect of the too much or too little phenomenon of cutting the bone.

Description

Ankle joint shin bone lower extreme cuts bone baffle
Technical Field
The application relates to the field of medical osteotomy instruments, in particular to an ankle joint tibia lower end osteotomy guide plate.
Background
Talar cyst is a very common disease, which mostly refers to a tumor-like lesion occurring in the talus, and the cyst wall is a fibrous envelope, and yellow or brown liquid is in the cyst. Often occurring as a result of congenital dysplasia, or acquired lesions, can trigger an uncomfortable manifestation. At present, when treating talar cyst, a doctor needs to cut off a part of bone at the lower part of tibia, and the cut-off bone is a cut-off part. After the part is intercepted, can be convenient for the doctor handle the talus cyst, treat the cyst and handle the back that finishes, fix the part of cutting to the original place again.
At present, when a bone is cut, doctors mostly cut the bone by experience and feeling, and during the process of cutting the bone, the phenomenon of too little bone cutting or too much bone cutting may occur. When the bone is cut too little, the operation time can be prolonged and the operation risk can be increased due to the bone cutting too little, and when the bone is cut too much, the postoperative recovery of the patient is not favorable, and the normal function of the ankle joint of the patient is influenced.
In view of the above-mentioned related art, the inventors have considered that when a bone is cut, there is a problem that it is difficult to cut a bone properly, and too much or too little bone is cut, which may affect the surgical effect.
Disclosure of Invention
In order to improve when the intercepting skeleton, be difficult for the osteotomy appropriate, lead to easily cutting the bone too much or too little, influence the problem of operation effect, the application provides an ankle joint shin bone lower extreme bone cutting baffle.
The application provides a pair of ankle joint shin bone lower extreme cuts bone conduction board adopts following technical scheme:
the utility model provides an ankle joint shin bone lower extreme cuts bone baffle, includes the baffle body, the baffle body including be used for with cut the portion laminating connect the baffle and be used for with the installation baffle of shin bone body laminating, connect one side of baffle and be connected with one side of installation baffle, connect and all seted up the installation nail hole on baffle and the installation baffle, seted up the osteotomy groove on the installation baffle, the interval has the space between the side of osteotomy groove and baffle body, and the installation nail hole site on the installation baffle is in the osteotomy groove and keeps away from the one side of connecting the baffle.
By adopting the technical scheme, the guide plate body is manufactured in advance according to the bone image scanned by the patient before the operation, so that the guide plate body is matched with the bone, and the bone cutting groove can be formed in the guide plate body in advance and is positioned at a proper position. When in the operation, with baffle body laminating shin bone, later along cutting bone groove cutting, can convenient and fast's intercepting lower part, the too much or too little phenomenon of osteotomy is difficult to appear. And because the connecting guide plate is connected with the mounting guide plate, the cut-off part connected with the connecting guide plate can be kept at the position jointed with the tibia body, so that the fixing in the follow-up operation is facilitated.
Optionally, the osteotomy groove comprises two unit grooves, each unit groove is in a long strip shape, one ends of the two unit grooves are connected with each other, and the angle between the two unit grooves is smaller than 180 degrees.
Through adopting above-mentioned technical scheme, because the angle between two unit grooves is less than 180 to make the side of cutting the portion and laminating of shin bone body not a plane, when cutting the portion and laminating with the shin bone body, cut portion and shin bone body can be fixed a position, the phenomenon of the dislocation of cutting the portion position is difficult for appearing.
Optionally, the connecting guide plate is arranged on one side of the mounting guide plate, where the angle of the two unit grooves is small.
Through adopting above-mentioned technical scheme, because connect the baffle setting in the little one side of unit groove angle, make the truncation portion that the intercepting got off form wedge-shaped structure, can be more stable with shin bone body laminating.
Optionally, a reinforcing strip is fixedly arranged on the front side surface of the installation guide plate, and the reinforcing strip is arranged along the edge of the osteotomy groove.
Through adopting above-mentioned technical scheme, the reinforcement strip has increased the installation baffle thickness of cutting bone groove edge, and when cutting along cutting bone groove, the phenomenon of the difficult fracture damage that appears of baffle body.
Optionally, one side of the connecting guide plate, which is far away from the mounting guide plate, inclines towards the rear side of the mounting guide plate, a connecting nail hole is formed in the connecting guide plate, the axis of the connecting nail hole is located at the rear side of the mounting guide plate, and the axis of the connecting nail hole penetrates through the cut-off portion and the side face attached to the tibia body.
Through adopting above-mentioned technical scheme, when connecting the downthehole nail that penetrates of nail on the baffle, the nail can pass truncation portion and shin bone body simultaneously along the axis in connecting the nail hole, will truncate portion and shin bone body and couple together.
Optionally, a connecting cylinder is fixedly arranged on the front side surface of the connecting guide plate, the connecting cylinder is arranged at the connecting nail hole, and the axis of the connecting cylinder is collinear with the axis of the adjacent connecting nail hole.
Through adopting above-mentioned technical scheme, when penetrating the nail toward connecting the nail downthehole, the nail can be along the accurate bone that penetrates of axis of connecting cylinder under the direction of connecting cylinder.
Optionally, the connecting nail holes are provided with at least two connecting nail holes, and the axes of the connecting nail holes are not parallel to each other.
Through adopting above-mentioned technical scheme, wear to establish two piece at least nails on making the skeleton, wear to establish in connecting the nail downthehole nail can follow the angle nail of difference and go into the skeleton, make cut portion and shin bone body coupling inseparable.
Optionally, the connecting nail hole is formed at a position adjacent to a side edge of the connecting guide plate far away from the installation guide plate.
Through adopting above-mentioned technical scheme, the nail is followed the one side nail that the installation baffle was kept away from to connecting the baffle and is gone into the skeleton, makes the nail longer at the inside length of truncation portion, makes the fixation that truncation portion can be stable on the shin bone body.
Optionally, the baffle body on seted up the logical groove of stepping down, the side that leads to the groove of stepping down coincides with the edge of baffle body, the logical groove of stepping down with cut bone groove, installation nail hole and direction nail hole between the equal interval have the space.
Through adopting above-mentioned technical scheme, lead to the groove through setting up stepping down, can reduce the size of baffle body, when carrying out the operation, the wound size that opens on patient also can corresponding reduction, is favorable to the postoperative to be resumeed.
Optionally, the corners of the guide plate body are all set to be round corners.
By adopting the technical scheme, when the guide plate body is attached to the skeleton, the guide plate body is not easy to scratch surrounding tissues.
In summary, the present application includes at least one of the following beneficial technical effects:
1. the lower cut part is cut conveniently and quickly by cutting along the cut bone groove, so that the phenomenon of too much or too little cut bone is not easy to occur;
2. the cut-off part forms a wedge-shaped structure, so that the tibia body can be attached more stably.
Drawings
Fig. 1 is a schematic structural diagram of the present embodiment.
Fig. 2 is a schematic structural view of the connecting guide plate.
FIG. 3 is a schematic view of the back of the fence body.
Description of the reference numerals: 1. a guide plate body; 11. installing a guide plate; 12. connecting the guide plate; 2. a osteotomy slot; 21. a unit cell; 22. reinforcing the strips; 3. installing a nail hole; 4. connecting nail holes; 41. a connecting cylinder; 5. let a logical groove.
Detailed Description
The present application is described in further detail below with reference to figures 1-3.
The embodiment of the application discloses ankle joint shin bone lower extreme cuts bone conduction board. Referring to fig. 1 and 2, the lower ankle tibia osteotomy guide includes a guide body 1. The guide body 1 includes an integrally formed mounting guide 11 and a connecting guide 12, and the connecting guide 12 is disposed along one side of the mounting guide 11. The corners of the guide plate body 1 are all set to be round corners. The connecting guide 12 is used for jointing with a cut-off part in the bone, and the mounting guide 11 is used for jointing with a tibia body in the bone.
Referring to fig. 1 and 2, the installation guide plate 11 is provided with a osteotomy groove 2, the osteotomy groove 2 includes two unit grooves 21, and one ends of the two unit grooves 21 are communicated with each other. An included angle between the two unit grooves 21 is a right angle, one unit groove 21 is vertically arranged, and the unit groove 21 is adjacent to the right side of the installation guide plate 11; another unit groove 21 is horizontally disposed, and the unit groove 21 is positioned adjacent to the upper side of the installation guide 11. Gaps are arranged between the osteotomy groove 2 and the edge of the guide plate body 1. A reinforcing bar 22 is integrally formed on the front side of the installation guide 11, and the reinforcing bar 22 is provided in a circle along the edge of the osteotomy groove 2.
Referring to fig. 1 and 2, a connecting guide 12 is provided along a left side edge of the mounting guide 11. The connecting guide plate 12 and the installing guide plate 11 are both provided with installing nail holes 3, the installing nail holes 3 on the connecting guide plate 12 are positioned at the center of the connecting guide plate 12, and the installing nail holes 3 on the installing guide plate 11 are positioned on one side, far away from the connecting guide plate 12, of the vertical unit groove 21.
Referring to fig. 2 and 3, an end of the connecting guide 12 away from the mounting guide 11 is inclined toward a rear side of the mounting guide 11. Connect baffle 12 and keep away from the one end department of installation baffle 11 and seted up connection nail hole 4, connect nail hole 4 and seted up two, and the axis of connecting nail hole 4 all is located the rear side of installation baffle 11. The axes of the two connecting nail holes 4 are not parallel to each other, and the axes of the connecting nail holes 4 pass through the lateral surfaces of the cut-off part and the tibia body. Two connecting cylinders 41 are integrally formed on the front side surface of the connecting guide plate 12, the connecting cylinders 41 correspond to the connecting holes one by one, and the axes of the connecting cylinders 41 and the corresponding connecting holes are collinear.
Referring to fig. 1 and 3, two yielding through grooves 5 are formed in the mounting guide plate 11, one yielding through groove 5 is formed in one side, away from the connecting guide plate 12, of the vertical unit groove 21, and the yielding through groove 5 is located on the upper side of the mounting nail hole 3. Should let the side of going up and the left side that lead to groove 5 all coincide with the side of installation baffle 11, should let the position lead to groove 5 and cut the bone groove 2 and install and have the space between the nail hole 3. Another logical groove 5 of stepping down sets up in horizontal unit groove 21 below, and is located one side that vertical unit groove 21 is close to connecting baffle 12, and the lower side that should step down logical groove 5 coincides with the lower side of installation baffle 11, and should step down and lead to the interval between groove 5 and the osteotomy groove 2 and have the space.
The implementation principle of the ankle joint shin bone lower extreme osteotomy baffle of the embodiment of this application does: before an operation, the guide plate body 1 is manufactured according to a bone image scanned by a patient in advance, so that the shape of the guide plate body 1 is matched with the bone, the osteotomy groove 2 can be formed in the guide plate body 1 in advance, and the osteotomy groove 2 is located at a proper position. During the operation, with the laminating shin bone of baffle body 1 to penetrate the staple in installing nail hole 3, the staple is provided with one respectively in the both sides of cutting bone groove 2. Then, the lower cutting part can be conveniently and quickly cut along the cutting groove 2, and the phenomenon of too much or too little cutting bone is not easy to occur. And because the angle between two unit grooves 21 in the osteotomy groove 2 is a right angle, the cut off part forms a wedge-shaped structure, so that the tibia body can be attached more stably. The connecting guide 12 and the mounting guide 11 are connected together, and the cut-off portion connected to the connecting guide 12 can be held at a position where it is fitted to the tibia body. After the doctor finishes processing the talus cyst, penetrate the nail again in connecting nail hole 4, the nail can pass truncation portion and shin bone body simultaneously along the axis in connecting nail hole 4, will truncate portion and shin bone body and couple together. When the head of the nail moves to the position adjacent to the bone, the whole guide plate body 1 can be conveniently taken down, then the bone is filled in the defect position, and finally the operation can be completed by suturing the wound.
The above embodiments are preferred embodiments of the present application, and the protection scope of the present application is not limited by the above embodiments, so: all equivalent changes made according to the structure, shape and principle of the present application shall be covered by the protection scope of the present application.

Claims (8)

1. The utility model provides an ankle joint shin bone lower extreme cuts bone baffle which characterized in that: the bone cutting guide plate comprises a guide plate body (1), wherein the guide plate body (1) comprises a connecting guide plate (12) used for being attached to a cutting part and an installing guide plate (11) used for being attached to a shin bone body, one side of the connecting guide plate (12) is connected with one side of the installing guide plate (11), installing nail holes (3) are formed in the connecting guide plate (12) and the installing guide plate (11), a bone cutting groove (2) is formed in the installing guide plate (11), a gap is formed between the bone cutting groove (2) and the side edge of the guide plate body (1), and the installing nail holes (3) in the installing guide plate (11) are located on one side, far away from the connecting guide plate (12), of the bone cutting groove (2);
one side, far away from the installation guide plate (11), of the connection guide plate (12) inclines towards the rear side of the installation guide plate (11), a connection nail hole (4) is formed in the connection guide plate (12), the axes of the connection nail holes (4) are located on the rear side of the installation guide plate (11), and the axis of the connection nail hole (4) penetrates through the side face, attached to the tibia body, of the cut-off portion;
the connecting guide plate is characterized in that a connecting cylinder (41) is fixedly arranged on the front side surface of the connecting guide plate (12), the connecting cylinder (41) is arranged at the connecting nail hole (4), and the axis of the connecting cylinder (41) is collinear with the axis of the adjacent connecting nail hole (4).
2. The lower ankle tibia osteotomy guide of claim 1, wherein: cut bone groove (2) include two unit groove (21), unit groove (21) are rectangular shape, and the one end interconnect of two unit groove (21), the angle between two unit groove (21) is less than 180.
3. The lower ankle tibia osteotomy guide of claim 2, wherein: the connecting guide plate (12) is arranged on one side, with a small angle, of the two unit grooves (21) on the mounting guide plate (11).
4. The lower ankle tibia osteotomy guide of claim 1, wherein: the right side surface of the installation guide plate (11) is fixedly provided with a reinforcing strip (22), and the reinforcing strip (22) is arranged along the edge of the osteotomy groove (2).
5. The lower ankle tibia osteotomy guide of claim 1, wherein: at least two connecting nail holes (4) are formed, and the axes of the connecting nail holes (4) are not parallel to each other.
6. The ankle joint tibia lower end osteotomy guide of claim 1, wherein: the connecting nail hole (4) is arranged at a position adjacent to the side edge position of the connecting guide plate (12) far away from the installation guide plate (11).
7. The ankle joint tibia lower end osteotomy guide of claim 1, wherein: the novel bone guide plate is characterized in that a yielding through groove (5) is formed in the guide plate body (1), the side edge of the yielding through groove (5) coincides with the edge of the guide plate body (1), and gaps are formed among the yielding through groove (5), the bone cutting groove (2), the mounting nail holes (3) and the guide nail holes at intervals.
8. The ankle joint tibia lower end osteotomy guide of claim 1, wherein: the corner of the guide plate body (1) is set to be a round angle.
CN202110466925.5A 2021-04-28 2021-04-28 Ankle joint shin bone lower extreme cuts bone baffle Active CN113081161B (en)

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CN113081161B true CN113081161B (en) 2022-11-01

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10292713B2 (en) * 2015-01-28 2019-05-21 First Ray, LLC Freeform tri-planar osteotomy guide and method
CN206333941U (en) * 2016-08-19 2017-07-18 骆主安 A kind of bone-culting operation apparatus
US10582936B1 (en) * 2016-11-11 2020-03-10 Treace Medical Concepts, Inc. Devices and techniques for performing an osteotomy procedure on a first metatarsal to correct a bone misalignment
CN106580394A (en) * 2016-11-30 2017-04-26 北京爱康宜诚医疗器材有限公司 Osteotomy guide plate assembly
CN106725849B (en) * 2017-01-17 2018-12-14 武汉大学 A kind of fast conversion method of operation on mandible titanium plate-osteotomy guide plate spatial position
CN207721848U (en) * 2017-04-28 2018-08-14 首都医科大学宣武医院 Osteotomy guide plate for High Tibial Osteotomy
CN208319272U (en) * 2017-08-24 2019-01-04 北京纳通医学科技研究院有限公司 Knee joint femoral cuts positioning guide plate
CN108635016A (en) * 2018-05-31 2018-10-12 武汉嘉三维技术应用有限公司 A kind of High Tibial biplane osteotomy navigation guide plate
CN210932054U (en) * 2019-07-05 2020-07-07 扬州大学附属医院 Auxiliary bone cutting guide plate for knee joint unicondylar replacement
CA3150081A1 (en) * 2019-09-13 2021-03-18 Adam D. Perler Patient-specific surgical methods and instrumentation

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