CN115089262A - Hip joint cuts bone navigation based on 3D prints - Google Patents

Hip joint cuts bone navigation based on 3D prints Download PDF

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CN115089262A
CN115089262A CN202210895810.2A CN202210895810A CN115089262A CN 115089262 A CN115089262 A CN 115089262A CN 202210895810 A CN202210895810 A CN 202210895810A CN 115089262 A CN115089262 A CN 115089262A
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module
layer
data
model
printing
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李军
荆珏华
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Second Affiliated Hospital of Anhui Medical University
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Second Affiliated Hospital of Anhui Medical University
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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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10Computer-aided planning, simulation or modelling of surgical operations
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B29WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29CSHAPING OR JOINING OF PLASTICS; SHAPING OF MATERIAL IN A PLASTIC STATE, NOT OTHERWISE PROVIDED FOR; AFTER-TREATMENT OF THE SHAPED PRODUCTS, e.g. REPAIRING
    • B29C64/00Additive manufacturing, i.e. manufacturing of three-dimensional [3D] objects by additive deposition, additive agglomeration or additive layering, e.g. by 3D printing, stereolithography or selective laser sintering
    • B29C64/30Auxiliary operations or equipment
    • B29C64/386Data acquisition or data processing for additive manufacturing
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B33ADDITIVE MANUFACTURING TECHNOLOGY
    • B33YADDITIVE MANUFACTURING, i.e. MANUFACTURING OF THREE-DIMENSIONAL [3-D] OBJECTS BY ADDITIVE DEPOSITION, ADDITIVE AGGLOMERATION OR ADDITIVE LAYERING, e.g. BY 3-D PRINTING, STEREOLITHOGRAPHY OR SELECTIVE LASER SINTERING
    • B33Y50/00Data acquisition or data processing for additive manufacturing
    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06TIMAGE DATA PROCESSING OR GENERATION, IN GENERAL
    • G06T7/00Image analysis
    • G06T7/0002Inspection of images, e.g. flaw detection
    • G06T7/0012Biomedical image inspection
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/101Computer-aided simulation of surgical operations
    • A61B2034/105Modelling of the patient, e.g. for ligaments or bones
    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06TIMAGE DATA PROCESSING OR GENERATION, IN GENERAL
    • G06T2207/00Indexing scheme for image analysis or image enhancement
    • G06T2207/30Subject of image; Context of image processing
    • G06T2207/30004Biomedical image processing
    • G06T2207/30008Bone

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  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
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  • Oral & Maxillofacial Surgery (AREA)
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Abstract

The invention provides a hip joint osteotomy navigation system based on 3D printing, which comprises an application layer, a data layer, a feedback layer and a network transmission layer, wherein the output end of the application layer is connected with the input end of the data layer, the application layer comprises a hip joint fixing module, an image acquisition module, a joint CT scanning module, a total computer and a 3D printing access module, the output end of the data layer is connected with the input end of the feedback layer, the data layer comprises an original data storage module and an image data storage module, the feedback layer comprises a mobile terminal and a fixed terminal, the hip joint data of the patient is acquired by two modes of image acquisition and thin-layer CT scanning, and a 3D hip joint model is established according to the acquired data, so that the models established in the two modes can be verified mutually, the accuracy of model navigation data is improved, and a subsequent doctor can perform operation rehearsal by means of the 3D printed model.

Description

Hip joint cuts bone navigation based on 3D prints
Technical Field
The invention relates to the technical field of 3D printing, in particular to a hip joint osteotomy navigation system based on 3D printing.
Background
The human hip joint consists of a femoral head and an acetabulum, belongs to a ball-and-socket joint, and is a typical pestle joint, wherein 2/3 of the head area of the surface of the femoral joint is embedded into the acetabulum, the lunar surface of the acetabulum surrounds the acetabulum socket, and fat is filled in the socket; the acetabular lip is attached to the acetabular rim to increase the depth of the acetabulum. The acetabulum transverse ligament seals the acetabulum incisura, the nerve blood vessel passes through the joint of coming in and going out under the ligament, the clearance between the acetabulum recess and the femoral head joint surface is the hip joint clearance, and the clearance width of a normal adult is 4-5 mm. The upper half of the gap is narrower, the distance between two opposite bony articular surfaces is displayed, the lower half of the gap is wider, the distance between the femoral head and the acetabular fossa bottom is displayed, on the positioning sheet, the lower edge of the neck of the femur of a normal person is not connected with the upper edge of the obturator foramen, but forms a relatively natural arc curve together, the curve is called a pubic cervical curve, the joint capsule is generally firm and thick, the lower part of the joint capsule is weaker, the hip bone is attached to the periphery of the acetabulum and a transverse ligament, the femoral bone is attached to the intertrochanteric line in the front, the upper part and the lower part are attached to the vicinity of the large and small rotors, and the joint capsule is attached to the position which is about 1cm away from the intertrochanteric crest in the rear;
the hip osteotomy is often used for treating children with dysplasia of hip joints, the children over three years old have the dysplasia of hip joints, the secondary lesion of congenital hip dislocation with older age is aggravated, the conservative treatment is often ineffective, the hip osteotomy can be adopted, the most common method is Salter pelvic osteotomy, and the principle is to change the direction of the acetabulum, so that the acetabulum is moved towards the lower front part and covers the femoral head better;
before the hip osteotomy operation, a 3D printing technical means is introduced, the preoperative operation can be performed on a 3D printed equal-proportion model in advance, the conditions such as angle, position and size are observed, corresponding explanation is performed on a patient and family members, and then the effect of reducing the operation trauma can be achieved.
Disclosure of Invention
In view of the above problems, an object of the present invention is to provide a hip osteotomy navigation system based on 3D printing, which has the advantage of high accuracy and solves the problems in the prior art.
In order to realize the purpose of the invention, the invention is realized by the following technical scheme: the device comprises an application layer, a data layer, a feedback layer and a network transmission layer, wherein the output end of the application layer is connected with the input end of the data layer, the application layer comprises a hip joint fixing module for fixing a hip joint, an image acquisition module for acquiring hip joint images, a joint CT scanning module for thin-layer CT scanning, a general computer for system control and model establishment and a 3D printing access module for accessing a 3D printer, the output end of the data layer is connected with the input end of the feedback layer, the data layer comprises an original data storage module for storing original data of CT scanning and an image data storage module for storing acquired hip joint image data, the feedback layer comprises a mobile terminal and a fixed terminal, an information display module and a model display module are arranged in the mobile terminal and the fixed terminal, and the application layer, the data layer and the feedback layer are connected through the network transmission layer, the network transmission layer comprises a wireless network module for wireless connection and a Bluetooth connection module for Bluetooth connection.
The further improvement lies in that: still including logging in the layer, the output on logging in the layer passes through the network transmission layer and is connected with the input of input layer, and the layer of logging in including the doctor that is used for the doctor to log in login the module, be used for the patient that the patient logs in to log in the module and be used for the administrator that the administrator logs in to log in the module.
The further improvement lies in that: and an image analysis module for analyzing hip joint images, a data extraction module for extracting and analyzing image results and a model construction module for establishing a 3D printing navigation model according to the extraction results are arranged in the total computer.
The further improvement lies in that: still be equipped with the user login module that is used for logging in the data layer, be equipped with the patient information record subunit that is used for recording patient information and the doctor information record subunit that is used for recording doctor's information in the user login module, the input of patient information record subunit is connected with the output that the patient logged in the module, the input of doctor information record subunit is connected with the output that the doctor logged in the module.
The further improvement is that: the total computer is internally provided with a medical image data processing software module, the input end of the medical image data processing software module is connected with the output end of the joint CT scanning module, medical image data processing software is arranged in the medical image data processing software module, and the medical image data processing software module is used for constructing a hip joint model according to original CT scanning data.
The further improvement lies in that: and a model data storage module is further arranged in the data layer, the input end of the model data storage module is connected with the output end of the total computer, the model data storage module is used for storing constructed hip joint model data, and the output end of the model data storage module is connected with the input end of the model display module.
The further improvement lies in that: corresponding data storage folders are established in the image data storage module and the original data storage module according to different patient information, and after a patient logs in, the feedback layer calls corresponding data to feed back.
The further improvement is that: still be equipped with in the data layer and be used for the record to use the 3D printer to print the printing record module of number of times, the output of printing record module is printed the input that inserts the module and be connected with the 3D printer through 3D, and prints the input that records the module and be connected with the output that the doctor logged the module.
The invention has the beneficial effects that: this kind of hip joint cuts bone navigation based on 3D prints acquires patient's hip joint data through quoting image acquisition and thin layer CT scanning two kinds of modes, and establish the 3D hip joint model to according to the data acquisition, make the model that two kinds of modes were established can verify each other, promote the accurate nature of model navigation data, so that follow-up doctor carries out the operation preview with the help of the model that 3D printed, and adopt the feedback layer through setting up, make things convenient for patient and family members to look over hip joint's data by oneself, simultaneously, through the data layer that sets up, separately store different information, make things convenient for follow-up inquiry and the call to information data.
Drawings
FIG. 1 is a schematic diagram of the system architecture of the present invention.
FIG. 2 is a schematic view of the periacetabular osteotomy model of the present invention.
Detailed Description
In order to further understand the present invention, the following detailed description will be made with reference to the following examples, which are only used for explaining the present invention and are not to be construed as limiting the scope of the present invention.
According to the drawings of fig. 1-2, the embodiment provides a hip osteotomy navigation system based on 3D printing, which includes an application layer, a data layer, a feedback layer and a network transmission layer, wherein an output end of the application layer is connected with an input end of the data layer, the application layer includes a hip fixing module for fixing a hip, an image acquisition module for acquiring an image of the hip, a joint CT scanning module for thin-layer CT scanning, a general computer for system control and model establishment, and a 3D printing access module for accessing a 3D printer, an output end of the data layer is connected with an input end of the feedback layer, the data layer includes an original data storage module for storing original data of CT scanning and an image data storage module for storing image data of the acquired hip, the feedback layer includes a mobile terminal and a fixed terminal, an information display module and a model display module are respectively arranged in the mobile terminal and the fixed terminal, the application layer, the data layer and the feedback layer are connected through a network transmission layer, the network transmission layer comprises a wireless network module for wireless connection and a Bluetooth connection module for Bluetooth connection, namely in the system, data transmission can be carried out in a wireless connection mode and a Bluetooth connection mode, in the embodiment, information data of the hip joint is obtained through the set application layer, is analyzed and calculated through a general computer, a corresponding 3D printing navigation model is constructed, is connected into a 3D printer through a 3D printing access module, is subjected to 3D printing according to the constructed 3D printing navigation model, model printing of the hip joint is completed, then, a bone cutting scheme of the hip joint is analyzed through analyzing a bone cutting angle according to the hip joint model, bone cutting is simulated according to the hip joint model, in the embodiment, data are stored separately through the data layer, the separate storage mode enables the calling to be more rapid in the subsequent process.
The medical system is characterized by further comprising a login layer, wherein the output end of the login layer is connected with the input end of the input layer through a network transmission layer, the login layer comprises a doctor login module used for a doctor to login, a patient login module used for a patient to login and an administrator login module used for an administrator to login, and the administrator is mainly responsible for operating the whole system.
An image analysis module for analyzing hip joint images, a data extraction module for extracting and analyzing image results and a model construction module for establishing a 3D printing navigation model according to the extraction results are arranged in the total computer.
Still be equipped with the user login module that is used for logging in the data sheet, be equipped with the patient information record subunit that is used for taking notes patient information and the doctor information record subunit that is used for taking notes doctor information in the user login module, the input of patient information record subunit is connected with the output that the patient logged the module, the input of doctor information record subunit is connected with the output that the doctor logged the module, adopt the setting that the user logged in the module, make this navigation system can log in by different users, and simultaneously, carry out the record respectively to user's information, and provide corresponding function, avoid non-professional to operate the 3D printer and print.
The total computer is internally provided with a medical image data processing software module, the input end of the medical image data processing software module is connected with the output end of the joint CT scanning module, medical image data processing software is arranged in the medical image data processing software module, and the medical image data processing software module is used for constructing a hip joint model according to CT scanning original data.
The data layer is also internally provided with a model data storage module, the input end of the model data storage module is connected with the output end of the summary computer, the model data storage module is used for storing constructed hip joint model data, the output end of the model data storage module is connected with the input end of the model display module, the model data storage module is mainly used for storing constructed hip joint model data, in the embodiment, two data are adopted for constructing the hip joint model, the first data is to acquire the image data of the hip joint through the image acquisition module, the image data is analyzed through the image analysis module in the summary computer, then the data extraction module extracts the analyzed characteristic result, the model construction module is used for constructing a 3D printing navigation model, the model is used for printing a 3D printer, and the second data is to perform thin-layer scanning on the double-side hip joint of a user through the joint CT scanning module, the thickness of the scanning layer is 0.625mm, then the data is exported and stored in a DICOM format, a file in the DICOM format is extracted through MImics (medical image data processing) software, post-processing is performed through Magics software after extraction, a reverse model is obtained through a reverse engineering technology, namely three-dimensional modeling is performed on the hip joint, and two model establishment modes are adopted, wherein one mode can be used for mutual verification and strengthening the accuracy of a 3D printing model, the two modes can be used for performing model establishment in different modes according to the requirements of patients, and can be performed independently or simultaneously.
The image data storage module and the original data storage module are respectively provided with corresponding data storage folders according to different patient information, the condition of patients is different, the number of patients is more, then, a mode of establishing corresponding folders according to different patients is adopted, so that the data corresponding to the patient information can be quickly called by different patients after logging in, the use is convenient, when the patients log in, the corresponding data is called by a feedback layer for feedback, in the embodiment, a mobile terminal and a fixed terminal are adopted as the feedback layer, wherein the mobile terminal is a tablet computer, the fixed terminal is a desktop computer, the data of one previous hip joint and a corresponding 3D model can be conveniently checked by the mobile terminal after logging in, and the fixed terminal is mainly convenient for a doctor to check and can be matched with the user to check by the fixed terminal, for the purpose of teaching.
Still be equipped with in the data layer and be used for the record to use the printing record module of 3D printer printing number of times, the output of printing record module is connected with the input of 3D printer through 3D printing access module, and the input of printing record module is connected with the output of doctor login module, after in the doctor logins the system through doctor login module, monitor by printing record module, after using 3D printer to print, print record module and carry out the record to its number, and the record is on the doctor information of logging in, can be convenient for carry out the demand that 3D printed to which doctor, and the number of times of using.
The foregoing illustrates and describes the principles, general features, and advantages of the present invention. It will be understood by those skilled in the art that the present invention is not limited to the embodiments described above, which are given by way of illustration of the principles of the present invention, but that various changes and modifications may be made without departing from the spirit and scope of the invention, and such changes and modifications are within the scope of the invention as claimed. The scope of the invention is defined by the appended claims and equivalents thereof.

Claims (8)

1. The utility model provides a hip cuts bone navigation based on 3D prints which characterized in that: the device comprises an application layer, a data layer, a feedback layer and a network transmission layer, wherein the output end of the application layer is connected with the input end of the data layer, the application layer comprises a hip joint fixing module for fixing a hip joint, an image acquisition module for acquiring hip joint images, a joint CT scanning module for thin-layer CT scanning, a general computer for system control and model establishment and a 3D printing access module for accessing a 3D printer, the output end of the data layer is connected with the input end of the feedback layer, the data layer comprises an original data storage module for storing original data of CT scanning and an image data storage module for storing acquired hip joint image data, the feedback layer comprises a mobile terminal and a fixed terminal, an information display module and a model display module are arranged in the mobile terminal and the fixed terminal, and the application layer, the data layer and the feedback layer are connected through the network transmission layer, the network transmission layer comprises a wireless network module for wireless connection and a Bluetooth connection module for Bluetooth connection.
2. The 3D printing-based hip osteotomy navigation system of claim 1, wherein: still including logging on the layer, the output on logging on the layer passes through the network transmission layer and is connected with the input of input layer, and the login layer including the doctor that is used for the doctor to log on the module, be used for the patient that the patient logins to log on the module and be used for the administrator that the administrator logins to log on the module.
3. The 3D printing-based hip osteotomy navigation system of claim 1, wherein: and an image analysis module for analyzing hip joint images, a data extraction module for extracting and analyzing image results and a model construction module for establishing a 3D printing navigation model according to the extraction results are arranged in the total computer.
4. The 3D printing-based hip osteotomy navigation system of claim 2, wherein: still be equipped with the user login module that is used for logging in the data layer, be equipped with the patient information record subunit that is used for recording patient information and the doctor information record subunit that is used for recording doctor's information in the user login module, the input of patient information record subunit is connected with the output that the patient logged in the module, the input of doctor information record subunit is connected with the output that the doctor logged in the module.
5. The 3D printing-based hip osteotomy navigation system of claim 1, wherein: the total computer is internally provided with a medical image data processing software module, the input end of the medical image data processing software module is connected with the output end of the joint CT scanning module, medical image data processing software is arranged in the medical image data processing software module, and the medical image data processing software module is used for constructing a hip joint model according to original CT scanning data.
6. The 3D printing-based hip osteotomy navigation system of claim 1, wherein: and a model data storage module is further arranged in the data layer, the input end of the model data storage module is connected with the output end of the total computer, the model data storage module is used for storing constructed hip joint model data, and the output end of the model data storage module is connected with the input end of the model display module.
7. The 3D printing-based hip osteotomy navigation system of claim 1, wherein: corresponding data storage folders are established in the image data storage module and the original data storage module according to different patient information, and after a patient logs in, the feedback layer calls corresponding data to feed back.
8. The 3D printing-based hip osteotomy navigation system of claim 2, wherein: still be equipped with in the data stratum and be used for the record to use the 3D printer to print the printing record module of number of times, the output of printing record module is printed the input that inserts the module and be connected with the 3D printer through 3D, and prints the input that records the module and be connected with the output that the doctor logged the module.
CN202210895810.2A 2022-07-27 2022-07-27 Hip joint cuts bone navigation based on 3D prints Pending CN115089262A (en)

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Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20150182292A1 (en) * 2012-06-20 2015-07-02 Intellijoint Surgical Inc. Computer-assisted joint replacement surgery and patient-specific jig systems
CN105741354A (en) * 2016-03-22 2016-07-06 陈继营 Preoperative hip joint deformity bone model manufacturing method based on 3D printing technology
CN108056800A (en) * 2016-11-09 2018-05-22 上海微创医疗器械(集团)有限公司 knee joint osteotomy tool and manufacturing system and manufacturing method thereof
CN112353493A (en) * 2020-11-02 2021-02-12 安徽医科大学第二附属医院 3D printing navigation system and method for ischial osteotomy of hip dislocation triple osteotomy
CN114081623A (en) * 2021-11-08 2022-02-25 北京中诺恒康生物科技有限公司 3D cloud platform multi-plate guide plate manufacturing data management system and guide plate manufacturing method
CN215914784U (en) * 2021-09-03 2022-03-01 安徽医科大学第二附属医院 Acetabular bone cutting guide plate based on 3D printing

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20150182292A1 (en) * 2012-06-20 2015-07-02 Intellijoint Surgical Inc. Computer-assisted joint replacement surgery and patient-specific jig systems
CN105741354A (en) * 2016-03-22 2016-07-06 陈继营 Preoperative hip joint deformity bone model manufacturing method based on 3D printing technology
CN108056800A (en) * 2016-11-09 2018-05-22 上海微创医疗器械(集团)有限公司 knee joint osteotomy tool and manufacturing system and manufacturing method thereof
CN112353493A (en) * 2020-11-02 2021-02-12 安徽医科大学第二附属医院 3D printing navigation system and method for ischial osteotomy of hip dislocation triple osteotomy
CN215914784U (en) * 2021-09-03 2022-03-01 安徽医科大学第二附属医院 Acetabular bone cutting guide plate based on 3D printing
CN114081623A (en) * 2021-11-08 2022-02-25 北京中诺恒康生物科技有限公司 3D cloud platform multi-plate guide plate manufacturing data management system and guide plate manufacturing method

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Application publication date: 20220923