CN204636469U - Combination type bone-culting operation guide plate - Google Patents

Combination type bone-culting operation guide plate Download PDF

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Publication number
CN204636469U
CN204636469U CN201420863632.6U CN201420863632U CN204636469U CN 204636469 U CN204636469 U CN 204636469U CN 201420863632 U CN201420863632 U CN 201420863632U CN 204636469 U CN204636469 U CN 204636469U
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guide plate
plate unit
unit
combination
mosaic face
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王彩梅
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Beijing AK Medical Co Ltd
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Beijing AK Medical Co Ltd
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Abstract

The utility model discloses a kind of combination type bone-culting operation guide plate, corresponding skeleton is implemented operative site and is provided with some pieces of guide plate unit, guide plate unit is provided with the gathering sill inserted for deep apparatus, and be provided with the positioner be fixed on by described guide plate on skeleton, guide plate unit is split production or integral production, guide plate unit is provided with combination unit, combined by described combination unit between two pieces of adjacent guide plate unit, syntagmatic designs according to bone-operating scheme, guide plate unit is also provided with connecting device, after each guide plate unit combination, by described connecting device, guide plate unit is connected to each other fixing.Can carry out deep by this utility model, and can carry out synthetism, centre does not need to dismantle this guide plate, and skeleton splicing angle is correct, highly meets design, relies on doctor profile height not too much, significantly improves operative speed and quality.

Description

Combination type bone-culting operation guide plate
Technical field
This utility model relates to a kind of combination type bone-culting operation guide plate, is specifically related to the guide plate used when performing an operation to skeleton distortion site or correct, and can carry out osteotomy and synthetism, belong to field of surgical by this guide plate.
Background technology
Skeleton has adaptability energy for growth, shape and the normal skeleton of structure ensure that appearance and the action of human body, but disease or accident often cause skeleton to distort, and such as human tibia bends, as shown in Figure 1, patient's Walking and Standing difficulty is directly caused.In existing orthopaedic medical treatment method, can correct by doing cutting bone operation to skeletal abnormalities position and treat, unnecessary osseous tissue can be excised, also one section of prosthese is filled up after skeleton can being cut off, final result is all to make bone length and shape reach pre-provisioning request, and the length of such as human body two legs will close to consistent with shape.
Perform an operation in process, skeleton that distortion occurs often multi-angle is bending, at this time only not enough deep, relocates, splices after also needing that skeleton is reversed certain angle.
Osteotomy uses existing bone-culting operation guide plate to realize, as shown in Figure 2, Figure 3, Figure 4, pin is fixed in advance at tibia, cutting bone operation guide plate is provided with fixing hole and gathering sill, the saw blade of bone-cutting saw can stretch into gathering sill and cut osseous tissue, such as, cut out wedge-shaped indentation and cut off, disassemble cutting bone operation guide plate afterwards, then splicing just can correct tibia, also needs to stamp steel plate clamping and fix after splicing, and during ensureing Rehabilitation, skeleton splicing position does not misplace.
Current computer technology is day by day extensive in the application of medical domain, bone surgery also can set up operation plan by computer simulation, fixed position of the size such as cut off, the shape of otch, cutting bone operation guide plate etc., all can set up in a computer and revise, operation plan is more accurate in theory, and such as tibia corrects splicing design result as shown in Figure 5.
Because skeleton splices after severance, although section can through designing in advance, and by using cutting bone operation guide plate, off-position on skeleton and shearing length also can ensure, but the section formed is only plane, irregular the causing of skeleton self lacks reliable reference in splicing, spliced skeleton but easily dislocation and angle mistake occurs at splicing position, as shown in Figure 6.Because the operation of the type is mainly operated by the experience of doctor, heavy dependence doctor profile height, so surgical effect is desirable not to the utmost, reliability is lower, the doctor lacked experience then needs study for a long time and exercise could implement operation, be difficult to reach theoretic degree of accuracy, deviation is there is with initial design scheme, this deviation may be unconspicuous on the impact of patient, but also may be serious, final operation was lost efficacy, if again performed an operation to patient, can bring follow-up injury and misery to patient.
Utility model content
For problems of the prior art, this utility model provides a kind of combination type bone-culting operation guide plate, first carry out deep by this guide plate, then synthetism is carried out by this guide plate, centre does not need to dismantle this guide plate, and skeleton splicing angle is correct, meets design, dependence doctor profile height within reason, significantly improves operative speed and quality.
The purpose of this utility model is achieved through the following technical solutions:
Combination type bone-culting operation guide plate, corresponding skeleton is implemented operative site and is provided with some pieces of guide plate unit, described guide plate unit is provided with the gathering sill inserted for deep apparatus, and be provided with the positioner be fixed on by described guide plate on skeleton, described guide plate unit is split production or integral production, described guide plate unit is provided with combination unit, combined by described combination unit between adjacent two pieces described guide plate unit, syntagmatic designs according to bone-operating scheme, described guide plate unit is also provided with connecting device, after each guide plate unit combination, by described connecting device, guide plate unit is connected to each other fixing.
Further, described combination unit is made up of the Mosaic face that guide plate unit is arranged, this Mosaic face is plane or convex-concave shape, and guide plate unit is combined by described Mosaic face, jointly limits the position relationship between described guide plate unit by described Mosaic face and described connecting device.
Further, described guide plate unit is integral production, and Mosaic face is made up of described gathering sill side, will carry out the combination between described guide plate unit after the plate body excision between contiguous concatenation face.
Further, described guide plate unit is split production, hinged between adjacent two pieces described guide plate unit, mutually can rotate adjustment angle each other, be connected to each other fixing after adjusting to predetermined angular by described connecting device by guide plate unit.
Further, described guide plate unit hinge point is provided with articulated mounting, this device is included in axle or the shaft-like projection of the setting of one of them guide plate unit hinge point, adjacent carry out that hinged guide plate unit is arranged hole or groove, described articulated mounting forms described combination unit, jointly limits the position relationship between described guide plate unit by described articulated mounting and described connecting device.
Further, described combination unit is made up of the Mosaic face that guide plate unit is arranged, this Mosaic face is plane or convex-concave shape, guide plate unit is combined by described Mosaic face, namely reach described predetermined angular after the combination of described Mosaic face, jointly limit the position relationship between described guide plate unit by described Mosaic face, the articulated mounting of described guide plate unit hinge point, described connecting device.
Further, described connecting device adopts bearing pin, on adjacent described guide plate unit, is correspondingly provided with adaptive hole, Mosaic face described in the axis out of plumb of described bearing pin.
Further, described guide plate cell surface is provided with boss, is arranged on this boss with the hole of described bearing pin adaptation.
Further, described positioner adopts fixing hole.
The bone-culting operation guide plate adopting said structure to arrange has the following advantages:
Can carry out deep by this guide plate, and can synthetism be carried out by this guide plate, centre does not need to dismantle this guide plate, skeleton splicing angle is correct, highly meet design, rely on doctor profile height not too much, significantly improve operative speed and quality, reduce operation risk, also fully can alleviate the treatment misery that patient bears.
Accompanying drawing explanation
Fig. 1 is the schematic diagram of human body deformity tibia;
Fig. 2 is the schematic diagram installing dog screw on tibia;
Fig. 3 is the schematic diagram installing cutting bone operation guide plate on tibia;
Fig. 4 is the schematic diagram installing cutting bone operation guide plate on tibia;
Fig. 5 is the schematic diagram aligned after tibial resection distortion site;
Fig. 6 is the schematic diagram occurring in tibia recovery process to misplace;
The structural representation of Fig. 7-10 this utility model combination type bone-culting operation guide plate embodiment 1;
The structural representation of Figure 11-14 this utility model combination type bone-culting operation guide plate embodiment 3.
In figure: A, tibia; B, distortion site.
1, pin; 2, bone-culting operation guide plate; 2-1, gathering sill; 2-2, fixing hole; 3, combination type bone-culting operation guide plate; 3-1, upper guide plate; 3-2, bottom guide; 3-3, fixing hole; 3-4, shaft-like are protruding; 3-5, gathering sill; 3-6, hole; 3-7, bearing pin; 4, combination type bone-culting operation guide plate; 4-1, upper guide plate; 4-2, bottom guide; 4-3, fixing hole; 4-4, split face; 4-5, gathering sill; 4-6, hole; 4-7, bearing pin.
Detailed description of the invention
For further setting forth this utility model for the technological means that reaches predetermined technique object and take and effect, below in conjunction with accompanying drawing and preferred embodiment, structure of the present utility model, workflow are described in detail as follows.
embodiment 1
Be one of this utility model embodiment as shown in Figure 7, Figure 8, in this embodiment, combination type bone-culting operation guide plate 3, corresponding skeleton is implemented operative site and is provided with two pieces of guide plate unit, the upper guide plate 3-1 namely in Fig. 7 and bottom guide 3-2.The quantity basis of guide plate unit is implemented the needs of operation and determines, and can arrange the guide plate unit more than two pieces.
Guide plate unit is provided with the gathering sill 3-5 inserted for deep apparatus, and is provided with the positioner be fixed on by guide plate on skeleton, this positioner adopts fixing hole 3-3.Straight section can be cut out along gathering sill 3-5 on skeleton, also can cut out oblique section.
Guide plate unit is split production or integral production, adopts split production in the present embodiment.
Guide plate unit is provided with combination unit, combined by this combination unit between two pieces of adjacent guide plate unit, syntagmatic designs according to bone-operating scheme, namely the guide plate unit after combination, wherein all structural relations or part-structure relation must ensure that skeleton splicing meets operation plan design result, such as distance or angle, at least one structural relation can work.
This anabolic process can combine before cutting bone operation, also can combine after cutting bone operation, and the guide plate unit in the present embodiment combines before cutting bone operation, has a detailed description below concrete assembled scheme.Guide plate unit is also provided with connecting device, after each guide plate unit combination, by this connecting device, guide plate unit is connected to each other fixing, ensure the changing of the relative positions not to occur between guide plate unit mutually.
As shown in Figure 7, Figure 8, be articulated and connected between two pieces of adjacent guide plate unit, mutually can rotate adjustment angle each other, by aforementioned connecting device, guide plate unit is connected to each other fixing after adjusting to predetermined angular.Being articulated and connected herein, i.e. guide plate unit combination mode, by being articulated and connected, can ensure the distance that skeleton splices, also can ensure the angle that skeleton splices further.
Guide plate unit hinge point is provided with articulated mounting, this device is included in axle or the shaft-like projection of the setting of one of them guide plate unit hinge point, 3-4 as protruding in the shaft-like in Fig. 7, adjacent carry out that hinged guide plate unit is arranged hole or groove, this articulated mounting forms aforementioned combinatorial device, the position relationship between guide plate unit is jointly limited by this articulated mounting and aforementioned connecting device, can ensure that guide plate unit combines according to design so better, dislocation can not be there is and reverse, correspondingly, stamp skeleton to be spliced before steel plate clamping is fixed also can not occur dislocation with reverse, substantially increase surgical quality.
Aforementioned connecting device adopts bearing pin 3-7, as shown in Figure 9, Figure 10, on adjacent guide plate unit, is correspondingly provided with adaptive hole 3-6.When the dead in line of hole 3-6 allows bearing pin 3-7 to insert, skeleton to be spliced has also adjusted to the angle and distance of design expection simultaneously.Bearing pin 3-7 can arrange one or more, and multiple bearing pin 3-7 axis is not parallel is advisable.
Guide plate in the present embodiment, is applicable to the corrective procedure implemented filling up one section of prosthese after skeleton cut-out.
Guide plate in the present embodiment can adopt medical metal to make, such as rustless steel, titanium alloy, cobalt alloy etc., also the macromolecular materials such as medical nylon can be adopted to make, other suitable materials can certainly be adopted, require the irregular guide plate shape of convenient making, and there is reliable structural strength, when contacting with bone-cutting saw, do not produce grinding powder.
embodiment 2
As this utility model embodiment two, compared with embodiment 1, in this embodiment, guide plate unit is also provided with Mosaic face (not shown), Mosaic face can be arranged on the side that in adjustment angle process, angle reduces, combination unit is made up of jointly Mosaic face and aforementioned hinge device, and this Mosaic face is plane or convex-concave shape, and arranging convex-concave shape is accuracy in order to increase combination and firmness.
Namely reach the predetermined angular of orthopaedics splicing after Mosaic face combination, jointly limit the position relationship between guide plate unit by Mosaic face, the articulated mounting of guide plate unit hinge point, aforementioned connecting device, improve the accuracy of guide plate unit combination.
embodiment 3
As Figure 11, Figure 12 shows that this utility model embodiment three, in this embodiment, guide plate unit is integral production, and namely before the combination, guide plate unit is still fixed together.
Combination unit is made up of the Mosaic face that guide plate unit is arranged, specifically be made up of a side of gathering sill 4-5, this Mosaic face is plane or convex-concave shape, and guide plate unit is combined by Mosaic face, jointly limits the position relationship between guide plate unit by Mosaic face and aforementioned connecting device.
Connecting device adopts bearing pin 4-7, on adjacent guide plate unit, is correspondingly provided with adaptive hole 4-6, the axis out of plumb Mosaic face 4-4 of bearing pin 4-7, and the object of design like this prevents upper guide plate 4-1, and bottom guide 4-2 twists at Mosaic face 4-4 place.
Conveniently providing holes 4-6, guide plate cell surface can arrange boss, as shown in Figure 13,14, if guide plate element thickness meets the demands, also can be set directly in guide plate cell body.
Guide plate in the present embodiment, is applicable to the corrective procedure implementing the unnecessary osseous tissue of excision.
embodiment 4
As this utility model embodiment four, compared with embodiment 3, in this embodiment, guide plate unit is split production, and namely before the combination, each guide plate unit is independently.Before adjacent guide plate unit combines, the plate body excision between needing contiguous concatenation face 4-4.
Adopt the design of the present embodiment, require that each guide plate unit all can reliably be fixed on skeleton, it is why independently structure by guide plate Unit Design, to adapt to the particular procedure such as knochenbruch connects again, such as meet with serious disaster accident and cause bone fracture, the plane of disruption is difficult to direct splicing, needs to redesign Mosaic face, and operation is implemented respectively to severed limb, now namely can adopt the guide plate unit of split.
Described just in order to this utility model is described above, be construed as this utility model and be not limited to above embodiment, meet the various variants of this utility model thought all within protection domain of the present utility model.

Claims (10)

1. combination type bone-culting operation guide plate, corresponding skeleton is implemented operative site and is provided with some pieces of guide plate unit, described guide plate unit is provided with the gathering sill inserted for deep apparatus, and be provided with the positioner be fixed on by described guide plate on skeleton, it is characterized in that, described guide plate unit is split production or integral production, described guide plate unit is provided with combination unit, combined by described combination unit between adjacent two pieces described guide plate unit, syntagmatic designs according to bone-operating scheme, described guide plate unit is also provided with connecting device, after each guide plate unit combination, by described connecting device, guide plate unit is connected to each other fixing.
2. guide plate as claimed in claim 1, it is characterized in that, described combination unit is made up of the Mosaic face that guide plate unit is arranged, this Mosaic face is plane or convex-concave shape, guide plate unit is combined by described Mosaic face, jointly limits the position relationship between described guide plate unit by described Mosaic face and described connecting device.
3. guide plate as claimed in claim 2, it is characterized in that, described guide plate unit is integral production, and Mosaic face is made up of described gathering sill side, will carry out the combination between described guide plate unit after the plate body excision between contiguous concatenation face.
4. guide plate as claimed in claim 1, it is characterized in that, described guide plate unit is split production, hinged between adjacent two pieces described guide plate unit, mutually can rotate adjustment angle each other, by described connecting device, guide plate unit is connected to each other fixing after adjusting to predetermined angular.
5. guide plate as claimed in claim 4, it is characterized in that, described guide plate unit hinge point is provided with articulated mounting, this device is included in axle or the shaft-like projection of the setting of one of them guide plate unit hinge point, adjacent carry out that hinged guide plate unit is arranged hole or groove, described combination unit is made up of described articulated mounting, jointly limits the position relationship between described guide plate unit by described articulated mounting and described connecting device.
6. guide plate as claimed in claim 4, it is characterized in that, described combination unit is made up of the Mosaic face that guide plate unit is arranged, this Mosaic face is plane or convex-concave shape, guide plate unit is combined by described Mosaic face, namely reach described predetermined angular after the combination of described Mosaic face, jointly limit the position relationship between described guide plate unit by described Mosaic face, the articulated mounting of described guide plate unit hinge point, described connecting device.
7. guide plate as claimed in claim 2, is characterized in that, described connecting device adopts bearing pin, on adjacent described guide plate unit, is correspondingly provided with adaptive hole, Mosaic face described in the axis out of plumb of described bearing pin.
8. guide plate as claimed in claim 7, it is characterized in that, described guide plate cell surface is provided with boss, is arranged on this boss with the hole of described bearing pin adaptation.
9. guide plate as claimed in claim 4, is characterized in that, described connecting device adopts bearing pin, on adjacent described guide plate unit, be correspondingly provided with adaptive hole.
10. guide plate as claimed in claim 1, is characterized in that, described positioner adopts fixing hole.
CN201420863632.6U 2014-12-31 2014-12-31 Combination type bone-culting operation guide plate Active CN204636469U (en)

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Application Number Priority Date Filing Date Title
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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104490451A (en) * 2014-12-31 2015-04-08 北京爱康宜诚医疗器材股份有限公司 Combined osteotomy guide
CN107280775A (en) * 2016-04-05 2017-10-24 郑稼 Accurately measure type rotary osteotomy guide plate

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104490451A (en) * 2014-12-31 2015-04-08 北京爱康宜诚医疗器材股份有限公司 Combined osteotomy guide
CN104490451B (en) * 2014-12-31 2017-03-15 北京爱康宜诚医疗器材股份有限公司 Combination type bone-culting operation guide plate
CN107280775A (en) * 2016-04-05 2017-10-24 郑稼 Accurately measure type rotary osteotomy guide plate
CN107280775B (en) * 2016-04-05 2024-03-29 郑稼 Accurate measurement type rotary osteotomy guide plate

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