CN204814146U - Ankle joint tumour merges steel sheet - Google Patents

Ankle joint tumour merges steel sheet Download PDF

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Publication number
CN204814146U
CN204814146U CN201520586914.0U CN201520586914U CN204814146U CN 204814146 U CN204814146 U CN 204814146U CN 201520586914 U CN201520586914 U CN 201520586914U CN 204814146 U CN204814146 U CN 204814146U
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China
Prior art keywords
steel plate
ankle joint
diaphysis
steel sheet
patient
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Expired - Fee Related
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CN201520586914.0U
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Chinese (zh)
Inventor
张余
马立敏
张松
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Individual
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Individual
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Priority to CN201520586914.0U priority Critical patent/CN204814146U/en
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Anticipated expiration legal-status Critical

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Abstract

The utility model discloses an ankle joint tumour merges steel sheet, include the steel sheet body, the steel sheet body has can match the coating surface of laminating with patient's diaphysis, and the steel sheet body includes focus portion and fixed part, forms between focus portion and fixed part to follow buckling of patient's diaphysis tendency, and focus portion has can be embraced two focus regions of ankle joint and press from both sides tight first stationary vane and second stationary vane, and the steel sheet body all sets up a plurality of fixed orificess on first stationary vane, second stationary vane and fixed part. This steel sheet body has can match the coating surface of laminating with patient's diaphysis, and this coating surface can carry out personalized design with the MRI image according to CT before the art, realizes that anatomy matches, reaches good bone nature subsides clothes effect, avoids the postoperative stress concentration of internal fixation, the complication such as nail, fracture of breaking to appear. Focus portion has first stationary vane and second stationary vane simultaneously to once perform the operation and a slice steel sheet can be accomplished in the face of the regional accessibles of two focuses of ankle joint, reduces surgical cost and wound, reduces the complication incidence of postsurgical.

Description

A kind of ankle joint tumor merges steel plate
Technical field
This utility model is used for technical field of medical instruments, particularly relates to a kind of ankle joint tumor and merges steel plate.
Background technology
Distal tibial tumor is relatively rare, has 69 examples to occur in distal tibial, account for 2.3% in 2982 routine bone tumor of the statistics such as domestic Wang Zhen and Tumor-like Lesion.In 7974 routine bone tumor of external Campanacci statistics and Tumor-like Lesion, what occur in distal tibial has 257 examples, and sickness rate is 3.2%.This position soft tissue covers thinner, blood fortune is relatively poor, excision is more difficult reaches surgery border widely, and conventional Therapeutic Method is bulk homogeneous allogenic bone transplantation, special artificial full ankle prosthesis replacement treats this region tumors, and limb-sparing surgery infectious-related complication incidence rate is higher.Often there will be following situation: final knitting cannot occur artificial full ankle prosthese, is not suitable for this position.Main complication after application bulk homogeneous allogenic bone transplantation is the infection of rejection secondary, nonunion and allogeneic bone fracture etc., and the large sample report of its incidence rate is respectively 6%-30%, 8%-17% and 5%-20%.For ankle joint two place bone tumor defect, usual operation method carries out at twice, and its wound is large, and surgery cost is high.
Utility model content
For solving the problem, use demand according to clinical practice, for the deficiency of above operation, this utility model provides one to realize anatomic match, reduces surgery cost and wound simultaneously, and the ankle joint tumor reducing postoperative complication rate merges steel plate.
This utility model solves the technical scheme that its technical problem adopts: a kind of ankle joint tumor merges steel plate, comprise steel plate body, steel plate body has and can mate the coating surface of fitting with patient's diaphysis, described steel plate body comprises the focus portion that can coordinate with patient's diaphysis end and can with the fixed part coordinated in the middle part of patient's diaphysis, the bending with patient's diaphysis tendency is formed between described focus portion and fixed part, described focus portion has can be embraced focal area, ankle joint two place and the first fixed-wing clamped and the second fixed-wing, steel plate body is at the first fixed-wing, second fixed-wing and fixed part all arrange some fixing holes.
Be further used as the improvement of technical solutions of the utility model, described steel plate body is by passing through 3D printing shaping after the modeling of scan patients ankle joint diaphysis.
Be further used as the improvement of technical solutions of the utility model, the fixing hole in described focus portion is distributed in the surrounding of patient's diaphysis focal area, the distance >=2.7cm at the fixing hole in focus portion and edge, focal area.
Be further used as the improvement of technical solutions of the utility model, the tip forming arc-shaped in the one end away from focus portion of described fixed part, described tip has the inclined-plane that thickness reduces gradually.
Be further used as the improvement of technical solutions of the utility model, described fixing hole is common through hole or screwed lock hole.
The beneficial effects of the utility model: this steel plate body has and can mate the coating surface of fitting with patient's diaphysis, this coating surface can carry out personalized designs according to preoperative CT and MRI image, realize anatomic match, reach good bone docile effect, the postoperative stress occurring internal fixtion is avoided to concentrate, the complication such as broken nail, fracture.Simultaneously focus portion has the first fixed-wing and the second fixed-wing, thus can complete by once operation and a slice steel plate in the face of two focal area, place of ankle joint, and minimizing surgery cost and wound, reduce postoperative complication rate.In addition, first fixed-wing and the second fixed-wing are wholely set, the fixing and stable of Cranial defect end can be maintained, there is the action of compressive stress improving Cranial defect end longitudinal direction, centration, compressive stress is added by applying polymerization to Cranial defect end, Cranial defect packing material effectively can be kept to stablize, prevent bone cement to be shifted.There are efficient recovery Cranial defect end integrity and continuity, allow patient can carry out functional exercise as early as possible, the stimulation of being conducted by stress, be more conducive to the healing of Cranial defect, the recovery as early as possible of limb activity function.
Accompanying drawing explanation
Below in conjunction with accompanying drawing, the utility model is described in further detail:
Fig. 1 is this utility model structural representation;
Fig. 2 is this utility model using state first visual angle schematic diagram;
Fig. 3 is this utility model using state second visual angle schematic diagram.
Detailed description of the invention
With reference to Fig. 1, that show the concrete structure of the preferred embodiment of this utility model.The construction features of each element of this utility model will be described in detail below, if and when being described to direction (upper and lower, left and right, before and after), be with the structure shown in Fig. 1 for reference describes, but actual user of the present utility model is to being not limited thereto.
This utility model provides a kind of ankle joint tumor and merges steel plate, comprise steel plate body 1, steel plate body 1 has and can mate the coating surface of fitting with patient's diaphysis, described steel plate body 1 comprises the focus portion 11 that can coordinate with patient's diaphysis 2 end and can with the fixed part 12 coordinated in the middle part of patient's diaphysis 2, the bending 13 with patient's diaphysis tendency is formed between described focus portion 11 and fixed part 12, described focus portion 11 has can be embraced focal area, ankle joint two place and the first fixed-wing 11a clamped and the second fixed-wing 11b, steel plate body 1 is at the first fixed-wing 11a, second fixed-wing 11b and fixed part 12 all arrange some fixing holes 3, described fixing hole 3 is common through hole or screwed lock hole, for placing trip bolt, bend 13 places and fixing hole 3 and screw are not set, avoid postoperative steel plate at rupture.
See Fig. 2, Fig. 3, during use, adopt microwave ablation techniques to remove the pathological changes diaphysis of focal area, fill bone cement to focal area, then adopt screw to be fastened on patient's diaphysis 2 through fixing hole 3 steel plate body.This steel plate body 1 has and can mate the coating surface of fitting with patient's diaphysis 2, this coating surface can carry out personalized designs according to preoperative CT and MRI image, realize anatomic match, reach good bone docile effect, the postoperative stress occurring internal fixtion is avoided to concentrate, the complication such as broken nail, fracture.Simultaneously focus portion 11 has the first fixed-wing 11a and the second fixed-wing 11b, thus can complete by once operation and a slice steel plate in the face of two focal area, place of ankle joint, and minimizing surgery cost and wound, reduce postoperative complication rate.In addition, first fixed-wing 11a and the second fixed-wing 11b is wholely set, the fixing and stable of Cranial defect end can be maintained, there is the action of compressive stress improving Cranial defect end longitudinal direction, centration, compressive stress is added by applying polymerization to Cranial defect end, Cranial defect packing material effectively can be kept to stablize, prevent bone cement to be shifted.There are efficient recovery Cranial defect end integrity and continuity, allow patient can carry out functional exercise as early as possible, the stimulation of being conducted by stress, be more conducive to the healing of Cranial defect, the recovery as early as possible of limb activity function.
Described steel plate body 1 is by passing through 3D printing shaping after the modeling of scan patients ankle joint diaphysis.Namely CT and MRI scanning is carried out before operation in patients, the design of personalized steel plate morphosis is carried out according to CT and MRI image, according to CT reconstruction of bone tissue model, utilize the principle of reverse-engineering, design the personalized steel plate of cutting the garment according to the figure and mating and fitting completely, carried out forging and processing by the personalized steel plate designed, preoperatively steel plate and 3D printer model to be mated, laminating effect is perfect.
Fixing hole 3 in described focus portion 11 is distributed in the surrounding of patient's diaphysis focal area, extends according to focal area the principle that about 2.7cm is safety zone again, the fixing hole 3 in focus portion 11 and the distance >=2.7cm at edge, focal area.
Described fixed part 12 form the tip 13 of arc-shaped in the one end away from focus portion 11, described most advanced and sophisticated 13 have the inclined-plane that thickness reduces gradually, the carrying out of Minimally Invasive Surgery on skin.
Certainly, the invention is not limited to above-mentioned embodiment, those of ordinary skill in the art also can make equivalent variations or replacement under the prerequisite without prejudice to this utility model spirit, and these equivalent modification or replacement are all included in the application's claim limited range.

Claims (5)

1. an ankle joint tumor merges steel plate, it is characterized in that: comprise steel plate body, steel plate body has and can mate the coating surface of fitting with patient's diaphysis, described steel plate body comprises the focus portion that can coordinate with patient's diaphysis end and can with the fixed part coordinated in the middle part of patient's diaphysis, the bending with patient's diaphysis tendency is formed between described focus portion and fixed part, described focus portion has can be embraced focal area, ankle joint two place and the first fixed-wing clamped and the second fixed-wing, steel plate body is at the first fixed-wing, second fixed-wing and fixed part all arrange some fixing holes.
2. ankle joint tumor according to claim 1 merges steel plate, it is characterized in that: described steel plate body is by passing through 3D printing shaping after the modeling of scan patients ankle joint diaphysis.
3. ankle joint tumor according to claim 1 and 2 merges steel plate, it is characterized in that: the fixing hole in described focus portion is distributed in the surrounding of patient's diaphysis focal area, the distance >=2.7cm at the fixing hole in focus portion and edge, focal area.
4. ankle joint tumor according to claim 1 and 2 merges steel plate, it is characterized in that: the tip forming arc-shaped in the one end away from focus portion of described fixed part, described tip has the inclined-plane that thickness reduces gradually.
5. ankle joint tumor according to claim 1 and 2 merges steel plate, it is characterized in that: described fixing hole is common through hole or screwed lock hole.
CN201520586914.0U 2015-08-06 2015-08-06 Ankle joint tumour merges steel sheet Expired - Fee Related CN204814146U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201520586914.0U CN204814146U (en) 2015-08-06 2015-08-06 Ankle joint tumour merges steel sheet

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201520586914.0U CN204814146U (en) 2015-08-06 2015-08-06 Ankle joint tumour merges steel sheet

Publications (1)

Publication Number Publication Date
CN204814146U true CN204814146U (en) 2015-12-02

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105832397A (en) * 2016-04-27 2016-08-10 广州雄俊智能科技有限公司 Personalized bone fracture plate and manufacturing method thereof

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105832397A (en) * 2016-04-27 2016-08-10 广州雄俊智能科技有限公司 Personalized bone fracture plate and manufacturing method thereof

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CF01 Termination of patent right due to non-payment of annual fee
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20151202

Termination date: 20200806