CN205514854U - Jaw profiled sheeting under four -stage - Google Patents
Jaw profiled sheeting under four -stage Download PDFInfo
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- CN205514854U CN205514854U CN201620055529.8U CN201620055529U CN205514854U CN 205514854 U CN205514854 U CN 205514854U CN 201620055529 U CN201620055529 U CN 201620055529U CN 205514854 U CN205514854 U CN 205514854U
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- titanium plate
- holes
- plate
- titanium
- mandibular bone
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- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 claims abstract description 128
- 239000010936 titanium Substances 0.000 claims abstract description 128
- 229910052719 titanium Inorganic materials 0.000 claims abstract description 128
- 210000000988 bone and bone Anatomy 0.000 claims abstract description 76
- 210000002082 fibula Anatomy 0.000 claims abstract description 12
- 238000013461 design Methods 0.000 abstract description 4
- 230000001174 ascending effect Effects 0.000 abstract 1
- 230000002146 bilateral effect Effects 0.000 abstract 1
- 230000002349 favourable effect Effects 0.000 abstract 1
- 230000000392 somatic effect Effects 0.000 abstract 1
- 210000004373 mandible Anatomy 0.000 description 9
- 238000000465 moulding Methods 0.000 description 7
- 238000004458 analytical method Methods 0.000 description 5
- 238000000034 method Methods 0.000 description 5
- 238000011160 research Methods 0.000 description 4
- 230000000694 effects Effects 0.000 description 3
- 238000007405 data analysis Methods 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 238000005259 measurement Methods 0.000 description 2
- 229910052751 metal Inorganic materials 0.000 description 2
- 239000002184 metal Substances 0.000 description 2
- 208000026721 nail disease Diseases 0.000 description 2
- 238000011017 operating method Methods 0.000 description 2
- 238000007493 shaping process Methods 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 238000012876 topography Methods 0.000 description 2
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 238000007796 conventional method Methods 0.000 description 1
- 230000003247 decreasing effect Effects 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 239000006185 dispersion Substances 0.000 description 1
- 238000002474 experimental method Methods 0.000 description 1
- 239000007943 implant Substances 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 238000010030 laminating Methods 0.000 description 1
- 238000012423 maintenance Methods 0.000 description 1
- 230000003340 mental effect Effects 0.000 description 1
- 230000000877 morphologic effect Effects 0.000 description 1
- 230000004899 motility Effects 0.000 description 1
- 238000002278 reconstructive surgery Methods 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 230000008929 regeneration Effects 0.000 description 1
- 238000011069 regeneration method Methods 0.000 description 1
- 238000003786 synthesis reaction Methods 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
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- Surgical Instruments (AREA)
- Prostheses (AREA)
Abstract
The utility model discloses a jaw profiled sheeting under four -stage, including a bilateral symmetry's U -shaped titanium board, the bone graft piece of a fixed both sides chin portion before the titanium board, the fibula bone piece of jaw somatic part under the fixed both sides in the titanium board, a fixed lower jaw ascending branch behind the titanium board, jaw profiled sheeting under four -stage is 32 holes of U -shaped, 30 holes or 28 hole titanium boards to the centre is the boundary, 16 orifice plates, 15 orifice plates or 14 orifice plates of two symmetries about divideing into, wherein part is 2 holes before the titanium board, and two hole pitchs are wideer than in the titanium board hole pitch, part is densely arranged's 8 holes, 7 holes or 6 holes in the titanium board, part is densely arranged's 6 holes behind the titanium board. This device design rebuilds the board for the U -shaped that is suitable for the chinese's use of growing up, has reduced the plane inflection system of titanium board, has reduced the curved system degree of difficulty, is favorable to rebuilding the board and closely laminates with lower each bone graft piece of jaw. In addition, two nail hole pitchs are planted for the tooth and have been reserved the position from the broad before the titanium board, simplify the operation step, reduce patient's wound.
Description
Technical field
This utility model belongs to medical apparatus and instruments, more particularly, relates to oral and maxillofacial surgery and repaiies the four-part form mandibular bone dieplate used in reconstructive surgery.
Background technology
Mandibular bone fibula rebuilds the method for Titanic micro-plates to be had a lot, and main application titanium mini-plate or reconstruction titanium plate carry out interior fixing.
Research is had to select Titanium miniplate to be fixed fibula section, think that it has the advantages such as motility is big, plasticity is easy, and with fibula laminating closely (Qu Deming, Wu Ying, Liu Jun, Liao Guiqing, titanium mini-plate is for the clinical curative effect analysis of fibula mandible reconstruction. Oral and Maxillofacial Surgery magazine, 2015.25 (4): p.293-296.), but its shortcoming is intensity deficiency, is unfavorable for longer bone section reparation.
Reconstruction plate has good intensity, but it is big to bend difficulty in art, it is difficult to bow out and the form of bone topographies, easily there is spatium interosseum, produces metal fatigue, thus greatly reduces service life and the reconstruction effect of reconstruction plate.
4mm UniLock reconstruction plate (Synthes GmbH, Switzerland) it is the conventional implant of Titanic micro-plates in current mandible reconstruction, this plate has good intensity, but bend in needing plane when using, it is easily caused nail deformation, the application risk such as titanium plate intensity reduction, and this plate intensity is higher, it is difficult to bend out and the form of bone topographies, is unfavorable for that abecedarian operates.
2.0mm/2.3mm " u "-shaped reconstruction plate (KLS S.O.R.G) is the conventional selection of mandible reconstruction equally, and this buttress is according to the face type design of Europe normal population, it is simple to the most moulding to Mandible regeneration titanium plate.But also there is obvious shortcoming, this " u "-shaped reconstruction plate nail uniform close, nail is uniformly distributed, and is not Dental implantion headspace, if needing Dental implantion must carry out Repeated Operation, there is no at present according to the mandible reconstruction plate designed by the type of Aisan's normal population face.
There are the research application multiple technologies such as CAD/CAM, rapid prototyping, the moulding of reconstruction titanium plate can be previously-completed in the preoperative.Be greatly shortened operating time, but in art still time have mismatch case to occur, and need to configure correlation computer designer, expensive soft hardware equipment, add the financial burden of patient, be unfavorable for carrying out.
Utility model content
The purpose of this utility model is to provide according to designed by the type of Aisan's normal population face, not only simplify the process of mandible reconstruction operation, accurately and quickly recover the position transplanting bone piece with mandibular bone stump, the four-part form mandibular bone dieplate of advantage is provided for Dental implantion simultaneously.
For realizing object above, the open techniques below scheme of this utility model: four-part form mandibular bone dieplate, including a symmetrical U-shaped POROUS TITANIUM PLATE, before titanium plate, part fixes the transplanting bone piece in chin portion, both sides, in titanium plate, part fixes the fibula bone piece of both sides lateral mandibular, after titanium plate, part fixes mandibular ramus, it is characterized in that, described four-part form mandibular bone dieplate is U-shaped 32 hole, 30 holes or 28 hole titanium plates, with center as boundary, it is divided into two the 16 symmetrical orifice plates in left and right, 15 orifice plates or 14 orifice plates, before wherein said titanium plate, part is 2 holes, and two pitch of holes wider, in described titanium plate, part is 8 holes of dense arrangement, 7 holes or 6 holes, after described titanium plate, part is 6 holes of dense arrangement.
As a preferred version, a length of 20-30mm of part, a length of 35-45mm of part after titanium plate before described titanium plate.
As a preferred version, a length of 26mm of part, a length of 40mm of part after titanium plate before described titanium plate.
As a preferred version, part two pitch of holes 10-15mm before described titanium plate.
As a preferred version, part two pitch of holes 12mm before described titanium plate.
As a preferred version, in described titanium plate, part length is respectively, when mandibular bone synthetism reconstruction plate is 32 hole, part length 50-60mm in titanium plate, when mandibular bone synthetism reconstruction plate is 30 hole, part length 44-52mm in titanium plate, when mandibular bone synthetism reconstruction plate is 28 hole, part length 36-44mm in titanium plate.
As a preferred version, in described titanium plate, part length is respectively, when mandibular bone synthetism reconstruction plate is 32 hole, part length 56mm in titanium plate, when mandibular bone synthetism reconstruction plate is 30 hole, part length 48mm in titanium plate, when mandibular bone synthetism reconstruction plate is 28 hole, part length 40mm in titanium plate.
As a preferred version, before described titanium plate, part and vertical are 77 ° of-83 ° of angles, and in titanium plate, part and vertical are 72 ° of-78 ° of angles, and after titanium plate, part and vertical are 17 ° of-23 ° of angles.
As a preferred version, before described titanium plate, part and vertical are 80 ° of angles, and in titanium plate, part and vertical are 75 ° of angles, and after titanium plate, part and vertical are 20 ° of angles.
Before titanium plate, part two pitch of holes is wider refers to before titanium plate that in part holes gap ratio titanium plate, after part and titanium plate, the nail distance of part dense arrangement wants big, has reserved space for Dental implantion rather than all nail are uniformly distributed.
The utility model has the advantage of: this device transplants bone piece and mandibular bone stump in order to quickly to connect " four-part form " during fixing mandibular bone horizontal part is rebuild, it clamps with fibula shaping board for use in mandibular reconstruction and reconstruction plate bent plate and supports the use, in titanium plate marked go out set bent plate position, thus it is greatly simplified operating procedure, save operating time, decrease and repeatedly bend the nail deformation and metal fatigue equivalent risk caused.The parameters analysis measured based on normal adult the Hans' mandibular bone, it is designed as being suitable for the " u "-shaped reconstruction plate that adult Chinese use, bend in decreasing the plane of titanium plate, reduce and bend difficulty, be conducive to reconstruction plate respectively to transplant bone piece with mandibular bone to fit tightly, optimal recovery mandibular bone profile.Additionally, two nail spacings of part are wider before titanium plate, reserve position for Dental implantion, simplified operating procedure, reduce patient trauma.
Accompanying drawing explanation
Fig. 1 is four-part form mandibular bone dieplate schematic diagram.
Figure is numbered:
Part before 1 titanium plate, part in 2 titanium plates, part after 3 titanium plates.
Detailed description of the invention
Below in conjunction with specific embodiment, this utility model is expanded on further.Experimental technique used in following embodiment if no special instructions, is conventional method.Should be understood that these embodiments are merely to illustrate this utility model rather than limit scope of the present utility model.
Embodiment
By the morphological analysis to normal adult mandibular bone in early-stage Study, it is determined that the moulding parameter of mandibular bone horizontal part, design produces the moulding plate of general fibula according to this, it is achieved that the concept that " four-part form " mandibular bone is the most moulding.
Theoretical basis of the present utility model:
One, mandibular bone is made up of vertical component effect and horizontal part, and mandibular bone horizontal part is made up of lower jaw body and chin portion, and its trim line of research report is similar to parabolic structure, is the moulding difficult point of mandible reconstruction bone graft.Clinical practice finds that mandibular bone horizontal part almost presents linear structure after mandibular first premolar, and lower jaw chin portion curvature between mental foramen is bigger, and with pogonion (Pg) for, therefore mandibular first premolar point (Men) and pogonion become the profile flex point of mandibular bone horizontal part, further mandibular bone horizontal part can be reduced to four symmetrical linear structure: Go-Men, Men-Pg, Pg-Men ', Men '-Go ', this is also the basis that mandibular bone horizontal part " four-part form " is moulding.Research finds that the significant difference of different sexes Mandibular Morphology essentially consists in the length (p<0.05) of its structure, and the curvature of non-structural (p>0.05).
Two, standard deviation and the coefficient of variation are the common counters of the individual dispersion degree of statistics reflection, and the coefficient of variation is mainly used in the comparison between measurement unit data with different.Study the three-dimensional measurement to 55 example normal adult mandibular bone to find, although the sex difference of mandibular bone linear variable is notable, but the average of different sexes lower jaw chin length (Men-Pg) and standard deviation are all minimum, illustrate that the individual variation of lower jaw chin length is the most obvious relative to other linear variables.And in the analysis of the angle variables (body angle, chin angle) of mandibular bone, finding that its coefficient of variation is generally less than linear variable, this also illustrate that the angle variables individual variation of mandibular bone is little equally.
This patent is based on the parameters measuring normal Adults of Han Nationality group's mandibular bone, supporting fibula shaping board for use in mandibular reconstruction, reconstruction plate bent plate clamp, develop mandibular bone synthetism reconstruction plate to connect each bone section of fixing mandibular bone, not only simplify the process of mandible reconstruction operation, accurately and quickly recover the position transplanting bone piece with mandibular bone stump, provide advantage for Dental implantion simultaneously.And the nail queueing discipline of tradition titanium plate, closely, be the Dental implantion headspace same period, after generally requiring second operation dismounting reconstruction plate, then row Dental implantion, the wound i.e. increasing patient adds again financial burden.
Based on the parameters analysis that normal Adults of Han Nationality group's mandibular bone is measured, four-part form mandibular bone dieplate is designed as " u "-shaped 28 hole, 30 holes, 32 hole reconstruction plate, this plate is with center as boundary, it is divided into 14 full symmetric holes of two, left and right, 15 holes or 16 orifice plates, before titanium plate, part is in order to the transplanting bone piece in chin portion, fixing both sides, middle part fixes mandibular ramus in order to the fibula bone piece of fixing both sides lateral mandibular, rear part.
Part before titanium plate: according to data analysis, the parameter such as chin length, chin angle is the most constant in crowd, makes a variation less, so two, chin portion of design nail spacing is wider, has reserved space for Dental implantion.
Part in titanium plate: according to data analysis, the mandibular bone of different people changes what the variation mainly due to mandible body length was caused, so lateral mandibular is designed as 6 holes of dense arrangement, 7 holes or 8 hole titanium plates, in order to adjust lateral mandibular length.
Part after titanium plate: for 6 hole titanium plates of dense arrangement, mandibular ramus is stablized maintenance.
Refer to Fig. 1, four-part form mandibular bone dieplate, including a symmetrical U-shaped POROUS TITANIUM PLATE, before titanium plate, part 1 fixes the transplanting bone piece in chin portion, both sides, in titanium plate, part 2 fixes the fibula bone piece of both sides lateral mandibular, after titanium plate, part 3 fixes mandibular ramus, described four-part form mandibular bone dieplate is U-shaped 32 hole, 30 holes or 28 hole titanium plates (Fig. 1 is 28 hole titanium plates), with center as boundary, it is divided into two the 16 symmetrical orifice plates in left and right, 15 orifice plates or 14 orifice plates (Fig. 1 is 14 orifice plates), before wherein said titanium plate, part 1 is 2 holes, and two pitch of holes wider, in described titanium plate, part 2 is 8 holes of dense arrangement, 7 holes or 6 holes (Fig. 1 is 6 holes), after described titanium plate, part 3 is 6 holes of dense arrangement.
As a preferred embodiment, when four-part form mandibular bone dieplate is U-shaped 28 hole titanium plate titanium plate, the front a length of 26mm of part 1, a length of 40mm of part 3 after titanium plate, 1 liang of pitch of holes 12mm of part before described titanium plate, a length of 40mm of part 2 in titanium plate.
Before titanium plate, part 1 and vertical are 80 ° of angles, and in titanium plate, part 2 and vertical are 75 ° of angles, and after titanium plate, part 3 and vertical are 20 ° of angles.
As another preferred embodiment, when four-part form mandibular bone dieplate is U-shaped 32 hole titanium plate titanium plate, the front a length of 28mm of part 1, a length of 42mm of part 3 after titanium plate, 1 liang of pitch of holes 14mm of part before described titanium plate, a length of 56mm of part 2 in titanium plate.
Before titanium plate, part 1 and vertical are 78 ° of angles, and in titanium plate, part 2 and vertical are 73 ° of angles, and after titanium plate, part 3 and vertical are 22 ° of angles.
As another preferred embodiment, when four-part form mandibular bone dieplate is U-shaped 30 hole titanium plate titanium plate, the front a length of 24mm of part 1, a length of 38mm of part 3 after titanium plate, 1 liang of pitch of holes 10mm of part before described titanium plate, a length of 58mm of part 2 in titanium plate.
Before titanium plate, part 1 and vertical are 82 ° of angles, and in titanium plate, part 2 and vertical are 78 ° of angles, and after titanium plate, part 3 and vertical are 18 ° of angles.
The above is only preferred implementation of the present utility model; should be understood that; the titanium plate realizing mandibular bone and bone graft section fixing exists multiple; on the premise of without departing from this patent ultimate principle; can also be by changing titanium plate length; the multiple methods such as outward appearance, angle and titanium hole count produce four-part form mandibular bone dieplate, and these also should be regarded as protection domain of the present utility model.
Claims (9)
1. four-part form mandibular bone dieplate, including a symmetrical U-shaped titanium plate, before titanium plate, part fixes the transplanting bone piece in chin portion, both sides, in titanium plate, part fixes the fibula bone piece of both sides lateral mandibular, after titanium plate, part fixes mandibular ramus, it is characterized in that, described four-part form mandibular bone dieplate is U-shaped 32 hole, 30 holes or 28 hole titanium plates, with center as boundary, it is divided into two the 16 symmetrical orifice plates in left and right, 15 orifice plates or 14 orifice plates, before wherein said titanium plate, part is 2 holes, and the pitch of holes width of part in holes gap ratio titanium plate, in described titanium plate, part is 8 holes of dense arrangement, 7 holes or 6 holes, after described titanium plate, part is 6 holes of dense arrangement.
Four-part form mandibular bone dieplate the most according to claim 1, it is characterised in that a length of 20-30mm of part, a length of 35-45mm of part after titanium plate before described titanium plate.
Four-part form mandibular bone dieplate the most according to claim 2, it is characterised in that a length of 26mm of part, a length of 40mm of part after titanium plate before described titanium plate.
Four-part form mandibular bone dieplate the most according to claim 1, it is characterised in that part two pitch of holes 10-15mm before described titanium plate.
Four-part form mandibular bone dieplate the most according to claim 4, it is characterised in that part two pitch of holes 12mm before described titanium plate.
Four-part form mandibular bone dieplate the most according to claim 1, it is characterized in that, in described titanium plate, part length is respectively, when mandibular bone synthetism reconstruction plate is 32 hole, part length 50-60mm in titanium plate, when mandibular bone synthetism reconstruction plate is 30 hole, part length 44-52mm in titanium plate, when mandibular bone synthetism reconstruction plate is 28 hole, part length 36-44mm in titanium plate.
Four-part form mandibular bone dieplate the most according to claim 6, it is characterized in that, in described titanium plate, part length is respectively, when mandibular bone synthetism reconstruction plate is 32 hole, part length 56mm in titanium plate, when mandibular bone synthetism reconstruction plate is 30 hole, part length 48mm in titanium plate, when mandibular bone synthetism reconstruction plate is 28 hole, part length 40mm in titanium plate.
Four-part form mandibular bone dieplate the most according to claim 1, it is characterised in that before described titanium plate, part and vertical are 77 ° of-83 ° of angles, in titanium plate, part and vertical are 72 ° of-78 ° of angles, and after titanium plate, part and vertical are 17 ° of-23 ° of angles.
Four-part form mandibular bone dieplate the most according to claim 8, it is characterised in that before described titanium plate, part and vertical are 80 ° of angles, in titanium plate, part and vertical are 75 ° of angles, and after titanium plate, part and vertical are 20 ° of angles.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201620055529.8U CN205514854U (en) | 2016-01-20 | 2016-01-20 | Jaw profiled sheeting under four -stage |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201620055529.8U CN205514854U (en) | 2016-01-20 | 2016-01-20 | Jaw profiled sheeting under four -stage |
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| Publication Number | Publication Date |
|---|---|
| CN205514854U true CN205514854U (en) | 2016-08-31 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201620055529.8U Expired - Fee Related CN205514854U (en) | 2016-01-20 | 2016-01-20 | Jaw profiled sheeting under four -stage |
Country Status (1)
| Country | Link |
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| CN (1) | CN205514854U (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105520776A (en) * | 2016-01-20 | 2016-04-27 | 上海景堂医疗器械有限公司 | Four-section type mandible molding plate |
| CN107157566A (en) * | 2017-06-20 | 2017-09-15 | 上海交通大学医学院附属第九人民医院 | It is a kind of that there is the defect fracture of mandible reconstruction titanium plate part for aiding in bone grafting function |
-
2016
- 2016-01-20 CN CN201620055529.8U patent/CN205514854U/en not_active Expired - Fee Related
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105520776A (en) * | 2016-01-20 | 2016-04-27 | 上海景堂医疗器械有限公司 | Four-section type mandible molding plate |
| CN107157566A (en) * | 2017-06-20 | 2017-09-15 | 上海交通大学医学院附属第九人民医院 | It is a kind of that there is the defect fracture of mandible reconstruction titanium plate part for aiding in bone grafting function |
| CN107157566B (en) * | 2017-06-20 | 2023-08-04 | 上海交通大学医学院附属第九人民医院 | Defective mandibular fracture rebuilding titanium plate with auxiliary bone grafting function |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C14 | Grant of patent or utility model | ||
| GR01 | Patent grant | ||
| 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: 20160831 |