CN205697912U - A kind of osteotomy guide plate component based on tibia and femur - Google Patents

A kind of osteotomy guide plate component based on tibia and femur Download PDF

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Publication number
CN205697912U
CN205697912U CN201620586108.8U CN201620586108U CN205697912U CN 205697912 U CN205697912 U CN 205697912U CN 201620586108 U CN201620586108 U CN 201620586108U CN 205697912 U CN205697912 U CN 205697912U
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CN
China
Prior art keywords
guide plate
tibia
saw blade
femur
gathering sill
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Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Fee Related
Application number
CN201620586108.8U
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Chinese (zh)
Inventor
钟达
王成功
胡念
廖前德
杨序程
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Xiangya Hospital of Central South University
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Xiangya Hospital of Central South University
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Publication date
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Priority to CN201620586108.8U priority Critical patent/CN205697912U/en
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Publication of CN205697912U publication Critical patent/CN205697912U/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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Abstract

The utility model discloses a kind of osteotomy guide plate component based on tibia and femur, including the tibia guide plate being connected by the line of force and femur guide plate, tibia guide plate includes the first sticking part, first connecting rod portion and the first guide part that head and the tail are sequentially connected with;First sticking part is the arcwall face fitted with tibia;On first sticking part, key end being provided with 24 the first kirschner pin holes, the first kirschner pin hole and the first guide part are connected, and the first sticking part is additionally provided with the first saw blade gathering sill, and the first sticking part is divided into two parts by the first saw blade gathering sill;Being provided with accommodating goose saw saw blade on first guide part and pass through the second saw blade gathering sill, the second saw blade gathering sill is arcuate groove;On first guide part and the direction perpendicular with the first saw blade gathering sill is provided with the first line of force pilot hole.This device reduces surgical injury, shortens operating time, the success rate improving complicated diseases of knee joint TKA and popularity rate.

Description

A kind of osteotomy guide plate component based on tibia and femur
Technical field
This utility model belongs to technical field of medical instruments, specifically, relates to a kind of based on tibia with the osteotomy of femur Guide plate component.
Background technology
At present, kneed disease incidence is the highest, particularly knee osteoarthritis, and TKA is still Being the most optimal Therapeutic Method, this operation has many advantages, but the amount for surgical of this operation is huge.
But, the patient that be in a bad way complicated for many patients, especially deformity of knee at present;Or for being permitted The joint section doctor that many experiences are the most shallow.Various troubles and difficult point is often encountered: such as: be difficult to judge stock in operation Bone osteotomy of distal amount, tibial plateau osteotomy amount.These difficult points often lead to: operating time length is (as found osteotomy position the most accurately Put).Surgical injury is big (osteotomy repeatedly), causes the complication such as amount of bleeding is big.Doctor often cannot draft the most personalized hands Art scheme.
Therefore, the success rate of the TKA of complicated diseases of knee joint is undesirable, and operative treatment is difficult With universal;TKA becomes a difficult problem the most urgently to be resolved hurrily.
Utility model content
In view of this, this utility model is for above-mentioned problem, it is provided that a kind of osteotomy guide plate based on tibia and femur Assembly.
In order to solve above-mentioned technical problem, the utility model discloses a kind of osteotomy guide plate group based on tibia and femur Part, including the tibia guide plate being connected by the line of force and femur guide plate, tibia guide plate includes the first laminating that head and the tail are sequentially connected with Portion, first connecting rod portion and the first guide part;
First sticking part is the arcwall face fitted with tibia;On first sticking part, key end is provided with 2-4 the One kirschner pin hole, the first kirschner pin hole and the first guide part are connected, and the first sticking part is additionally provided with the first saw blade gathering sill, First sticking part is divided into two parts by the first saw blade gathering sill;
Being provided with accommodating goose saw saw blade on first guide part and pass through the second saw blade gathering sill, the second saw blade gathering sill is Arcuate groove;On first guide part and the direction perpendicular with the first saw blade gathering sill is provided with the first line of force pilot hole, the first power It is provided with the line of force in line pilot hole.
Further, femur guide plate includes the second sticking part, second connecting rod portion and the second guide part that head and the tail are sequentially connected with;
Second sticking part includes the second sticking part a being fitted in human femur under loading medial condyle and is fitted in human femur under loading lateral condyle The second sticking part b;
2-4 the second kirschner pin hole it is provided with on second guide part;It is provided with on second guide part accommodating goose saw saw Sheet passes through the 3rd saw blade gathering sill, and the 3rd saw blade gathering sill is arcuate groove;Second sticking part a and be fitted in human femur under loading lateral condyle The second sticking part b be arranged at the both sides of the 3rd saw blade gathering sill;On second guide part and perpendicular with the 3rd saw blade gathering sill Direction be provided with the second line of force pilot hole, the line of force through the first line of force pilot hole and the second line of force pilot hole by tibia guide plate and Femur guide plate is connected.
Further, first connecting rod portion is provided with patient information mark.
Further, second connecting rod portion is provided with patient information mark.
Further, should be formed by 3D printing and making by osteotomy guide plate component based on tibia and femur.
Compared with prior art, this utility model can obtain and include techniques below effect:
1) this device reduces surgical injury, shortens operating time, the complicated diseases of knee joint artificial full knee joint transposing of raising The success rate of art and popularity rate.
2) in operation, this device can quickly determine distal femur osteotomy and the position of tibial plateau osteotomy, angle Deng.
Certainly, implement arbitrary product of the present utility model to it is not absolutely required to reach all the above technology effect simultaneously Really.
Accompanying drawing explanation
Accompanying drawing described herein is used for providing being further appreciated by of the present utility model, constitutes one of the present utility model Point, schematic description and description of the present utility model is used for explaining this utility model, is not intended that of the present utility model Improper restriction.In the accompanying drawings:
Fig. 1 is the structural representation of this utility model osteotomy based on tibia and femur guide plate component;
Fig. 2 is the structural representation in this utility model tibia guide plate front;
Fig. 3 is the structural representation of this utility model femur guide plate.
In figure, the 1. line of force, 2. tibia guide plate, 3. femur guide plate, 4. the first sticking part, 5. first connecting rod portion, 6. first lead To portion, 7. the first kirschner pin hole, 8. the first saw blade gathering sill, 9. the second saw blade gathering sill, 10. the first line of force pilot hole, 11. suffer from Person's message identification, 12. second sticking parts, 13. second connecting rod portions, 14. second guide parts, 15. second sticking part a, 16. second patches Conjunction portion b, 17. the 3rd saw blade gathering sills, 18. second line of force pilot holes, 19. second kirschner pin holes.
Detailed description of the invention
Describe embodiment of the present utility model in detail below in conjunction with embodiment, thereby this utility model how should Solve technical problem by technological means and reach the process that realizes of technology effect and can fully understand and implement according to this.
This utility model osteotomy based on tibia and femur guide plate component, as it is shown in figure 1, include being connected by the line of force 1 Tibia guide plate 2 and femur guide plate 3, as in figure 2 it is shown, tibia guide plate 2 includes the first sticking part 4, first of being sequentially connected with of head and the tail Link rod part 5 and the first guide part 6;
First sticking part 4 is the arcwall face fitted with tibia;On first sticking part 4, key end is provided with 2-4 First kirschner pin hole 7, the first kirschner pin hole 7 is connected with the first guide part 6, and the first sticking part 4 is additionally provided with the first saw blade Gathering sill 8, the first sticking part 4 is divided into two parts by the first saw blade gathering sill 8;
It is provided with on first guide part 6 accommodating goose saw saw blade by the second saw blade gathering sill 9, the second saw blade gathering sill 9 is arcuate groove;On first the guide part 6 and direction perpendicular with the first saw blade gathering sill 8 is provided with the first line of force pilot hole 10, It is provided with the line of force 1 in first line of force pilot hole 10.
As it is shown on figure 3, femur guide plate 3 includes the second sticking part 12, the second connecting rod portion 13 and second being sequentially connected with from beginning to end Guide part 14;
Second sticking part 12 includes the second sticking part a15 being fitted in human femur under loading medial condyle and is fitted in outside human femur under loading Second sticking part b16 of side condyle;
It is provided with 2-4 the second kirschner pin hole 19 on second guide part 14, the second guide part 14 is provided with accommodate Goose saw saw blade passes through the 3rd saw blade gathering sill 17, and the 3rd saw blade gathering sill 17 is arcuate groove;Second sticking part a15 and be fitted in people Second sticking part b16 of body condylus lateralis femoris is arranged at the both sides of the 3rd saw blade gathering sill 17;On second guide part 14 and with The perpendicular direction of three saw blade gathering sills 17 is provided with the second line of force pilot hole 18, and the line of force 1 is through the first line of force pilot hole 10 He Tibia guide plate 2 is connected by the second line of force pilot hole 18 with femur guide plate 3.
Patient information mark 11 it is provided with in first connecting rod portion 1 and second connecting rod portion 13.Should be based on tibia and femur Osteotomy guide plate component is formed by 3D printing and making.
This utility model osteotomy based on tibia and femur guide plate component prepares in the following manner: by patient Preoperative knee joint three dimensional CT data sets up data model after being processed, after carry out relevant design, be divided into femoral component (femur Guide plate designs) and tibia part (design of tibia guide plate);
1) femur guide plate design:
1.1) the double lower limb of three-dimensional reconstruction;
1.2) by software, femur mechanical axis is determined;
1.3) by software, determine vertical femur mechanical axis, determine distal femur osteotomy surface;
1.4) by software, the state after distal femur osteotomy is simulated;
1.5) by software, calculate the position scope that in operation, " femur guide plate " and " condyle of femur " are fitted, generate in art Femur guide plate veneer;
1.6) according to above-mentioned default distal femur osteotomy surface, do simulation saw blade, do goose saw sector limit according to saw blade incisura Position groove the second saw blade gathering sill 9;
1.7) parallel femur mechanical axis, reserved with reference to kirschner pin hole position;
1.8) Kirschner wire fixation, prints patient information mark 11, completes guide plate and the patch of femur (or femur bone model) Close;Prepare tibia guide plate 2.
2) tibia guide plate design:
2.1) software simulates distal tibial (ankle joint) coronalplane center;
2.2) computed in software find " neihuaiji " (being positioned at distal tibial);
2.3) based on above-mentioned two steps, computed in software goes out tibia mechanical axis, concrete: crossing astragalus center, pulp cavity is walked Shape, considers to obtain tibia mechanical axis near lateral cortex, the several combined factors in tibial plateau center
2.4) by step 2.1) and step 2.2) based on, computed in software goes out tibia mechanical axis;
2.5) computed in software goes out tibial plateau center;
2.6) the vertical line connecting in tibial tubercle 1/3rd and tibial plateau center, in conjunction with the operation rail of two condyles Mark, obtains tibial plateau rotary shaft;
2.7) design by surgical planning and obtain tibial plateau Osteotomy: such as, minimum at patient's medial side of tibial plateau Point declines 4MM and obtains initial cross-section, then retreats 5 ° and obtain final cross section.
2.8) by software, calculate the position scope that in operation, " tibia guide plate " and " tibial plateau " are fitted, generate art Middle tibial plateau osteotomy guide plate veneer the second sticking part 12;
2.9) according to above-mentioned default tibial plateau osteotomy surface, do simulation saw blade, do goose saw sector according to saw blade incisura Four saw blade gathering sills 17;
2.10) external Kirschner wire reference bore position is designed;
2.11) Kirschner wire fixation, prints patient information mark 11, completes guide plate and tibial bone (or tibial bone model) Laminating;Prepare femur guide plate 3.
After having been prepared by above-mentioned material, qualified product puts into operation after carrying out disinfection;By the first sticking part 4 and tibia Fitting, interior surface thereof can be with bone surface perfect adaptation;Osteotomy line plane at tibia guide plate has the first saw blade gathering sill 8, Can just accommodate goose saw saw blade to pass through;There is 2-4 the first kirschner pin hole 7 at tibia guide plate near key end, can just accommodate gram In family name's pin is through guide plate to skeleton, thus tibia guide plate is fixed on skeleton;First guide part 6 is that tibia guide plate controls osteotomy The argument sections such as position, angle, plane;First guide part 6 selection is regular, abundant, well can enter saw blade direction and position Row guides;There is the second deeper saw blade gathering sill 9 in the first guide part 6 osteotomy line plane, can just accommodate goose saw saw blade and pass through, These groove two ends are designed to arc so that the region that saw blade is arrived is sector, the most in the horizontal direction flexible swinging;Lead first Have the first kirschner pin hole 7 to portion 6 near key end, can just accommodate Kirschner wire through tibia guide plate to skeleton in, thus by shin Bone conduction plate is fixed on skeleton.The using method of femur guide plate 3 is with tibia guide plate 2, now, by the line of force 1 by tibia guide plate 2 and stock Bone conduction plate 3 is connected, and makes the saw blade through tibia guide plate 2 and femur guide plate 3 be arranged in parallel, by osteotomy keeping parallelism.
Described above illustrate and describes some preferred embodiments of utility model, but as previously mentioned, it should be understood that practical Novel be not limited to form disclosed herein, be not to be taken as the eliminating to other embodiments, and can be used for various other Combination, amendment and environment, and can be in utility model contemplated scope described herein, by above-mentioned teaching or the skill of association area Art or knowledge are modified.And the change that those skilled in the art are carried out and change are without departing from the spirit and scope of utility model, then All should be in the protection domain of utility model claims.

Claims (5)

1. an osteotomy guide plate component based on tibia and femur, it is characterised in that include the tibia being connected by the line of force (1) Guide plate (2) and femur guide plate (3), described tibia guide plate (2) includes the first sticking part (4), the first connecting rod being sequentially connected with from beginning to end Portion (5) and the first guide part (6);
Described first sticking part (4) is the arcwall face fitted with tibia;Described first sticking part (4) is upper to be arranged near key end Having 2-4 the first kirschner pin hole (7), described first kirschner pin hole (7) is connected with the first guide part (6), described first laminating Being additionally provided with the first saw blade gathering sill (8) in portion (4), the first sticking part (4) is divided into two by described first saw blade gathering sill (8) Part;
It is provided with on described first guide part (6) accommodating goose saw saw blade by the second saw blade gathering sill (9), described second saw Sheet gathering sill (9) is arcuate groove;The direction that described first guide part (6) is upper and perpendicular with the first saw blade gathering sill (8) is arranged There is the first line of force pilot hole (10), in described first line of force pilot hole (10), be provided with the line of force (1).
Osteotomy guide plate component based on tibia and femur the most according to claim 1, it is characterised in that described femur guide plate (3) the second sticking part (12), second connecting rod portion (13) and the second guide part (14) that head and the tail are sequentially connected with is included;
Described second sticking part (12) includes the second sticking part a (15) being fitted in human femur under loading medial condyle and is fitted in human body stock Second sticking part b (16) of bone lateral condyle;
Being provided with 2-4 the second kirschner pin hole (19) on described second guide part (14), described second guide part (14) is upper to be arranged Having and can accommodate goose saw saw blade by the 3rd saw blade gathering sill (17), described 3rd saw blade gathering sill (17) is arcuate groove;Described Second sticking part a (15) and be fitted in the second sticking part b (16) of human femur under loading lateral condyle and be arranged at the 3rd saw blade gathering sill (17) both sides;Described second guide part (14) is upper and the direction perpendicular with the 3rd saw blade gathering sill (17) is provided with the second power Line pilot hole (18), the described line of force (1) passes the first line of force pilot hole (10) and the second line of force pilot hole (18) by tibia guide plate (2) it is connected with femur guide plate (3).
Osteotomy guide plate component based on tibia and femur the most according to claim 1, it is characterised in that described first connecting rod Patient information mark (11) it is provided with in portion (5).
Osteotomy guide plate component based on tibia and femur the most according to claim 2, it is characterised in that described second connecting rod Patient information mark (11) it is provided with in portion (13).
5. according to the osteotomy guide plate component based on tibia and femur described in any claim in Claims 1-4, its feature It is, should be formed by 3D printing and making by osteotomy guide plate component based on tibia and femur.
CN201620586108.8U 2016-06-15 2016-06-15 A kind of osteotomy guide plate component based on tibia and femur Expired - Fee Related CN205697912U (en)

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Cited By (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107007319A (en) * 2017-05-18 2017-08-04 聂宇 Shin bone list condyle osteotomy device
CN107242895A (en) * 2017-06-29 2017-10-13 芜湖启泽信息技术有限公司 A kind of adjustable 3D osteotomy guide plate
CN107468304A (en) * 2017-08-25 2017-12-15 广州市雄俊医疗科技有限公司 Tibial plateau and femoral far bone platform integration osteotomy rule and measurement and positioning method
CN108294805A (en) * 2018-03-22 2018-07-20 中国人民解放军总医院 Universal congenital velopharyngeal insufficiency hypernasality femur osteotomy guider
CN108635016A (en) * 2018-05-31 2018-10-12 武汉嘉三维技术应用有限公司 A kind of High Tibial biplane osteotomy navigation guide plate
CN108670395A (en) * 2018-05-29 2018-10-19 莆田学院附属医院(莆田市第二医院) A kind of sacroiliac screw digitlization method for posting of 3D printing
CN109009321A (en) * 2018-07-27 2018-12-18 中南大学湘雅医院 A kind of apparatus for correcting for proximal tibia osteotomy
CN109044480A (en) * 2018-09-27 2018-12-21 扬州市妇幼保健院(扬州市红十字医院、扬州市妇幼保健计划生育服务中心) A kind of knee osteotomy auxiliary guide plate and its application method
WO2019033551A1 (en) * 2017-08-17 2019-02-21 上海起励生物技术服务中心 Auxiliary tool for inner side high tibial osteotomy
CN109953798A (en) * 2019-03-27 2019-07-02 北京航空航天大学 The Osteotomy localization method and system of High Tibial Osteotomy
WO2021120265A1 (en) * 2019-12-18 2021-06-24 上海昕健医疗技术有限公司 Osteotomy guide tool and method of use therefor
CN113679447A (en) * 2021-07-20 2021-11-23 国家康复辅具研究中心 Navigation template for distal femur osteotomy and design method thereof

Cited By (18)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107007319A (en) * 2017-05-18 2017-08-04 聂宇 Shin bone list condyle osteotomy device
CN107007319B (en) * 2017-05-18 2024-01-12 聂宇 Tibia unicondylar osteotomy device
CN107242895A (en) * 2017-06-29 2017-10-13 芜湖启泽信息技术有限公司 A kind of adjustable 3D osteotomy guide plate
WO2019033551A1 (en) * 2017-08-17 2019-02-21 上海起励生物技术服务中心 Auxiliary tool for inner side high tibial osteotomy
CN107468304A (en) * 2017-08-25 2017-12-15 广州市雄俊医疗科技有限公司 Tibial plateau and femoral far bone platform integration osteotomy rule and measurement and positioning method
CN107468304B (en) * 2017-08-25 2024-01-09 广州市雄俊医疗科技有限公司 Tibia platform and femur distal iliac platform osteotomy gauge and measuring and positioning method
CN108294805B (en) * 2018-03-22 2020-06-12 中国人民解放军总医院 Universal femur osteotomy guider for congenital acetabular dysplasia
CN108294805A (en) * 2018-03-22 2018-07-20 中国人民解放军总医院 Universal congenital velopharyngeal insufficiency hypernasality femur osteotomy guider
CN108670395A (en) * 2018-05-29 2018-10-19 莆田学院附属医院(莆田市第二医院) A kind of sacroiliac screw digitlization method for posting of 3D printing
CN108635016A (en) * 2018-05-31 2018-10-12 武汉嘉三维技术应用有限公司 A kind of High Tibial biplane osteotomy navigation guide plate
CN109009321B (en) * 2018-07-27 2024-01-02 中南大学湘雅医院 Correcting device for tibia proximal high osteotomy
CN109009321A (en) * 2018-07-27 2018-12-18 中南大学湘雅医院 A kind of apparatus for correcting for proximal tibia osteotomy
CN109044480A (en) * 2018-09-27 2018-12-21 扬州市妇幼保健院(扬州市红十字医院、扬州市妇幼保健计划生育服务中心) A kind of knee osteotomy auxiliary guide plate and its application method
CN109044480B (en) * 2018-09-27 2024-04-05 扬州市妇幼保健院(扬州市红十字医院、扬州市妇幼保健计划生育服务中心) Auxiliary guide plate for knee joint osteotomy
CN109953798A (en) * 2019-03-27 2019-07-02 北京航空航天大学 The Osteotomy localization method and system of High Tibial Osteotomy
WO2021120265A1 (en) * 2019-12-18 2021-06-24 上海昕健医疗技术有限公司 Osteotomy guide tool and method of use therefor
CN113679447A (en) * 2021-07-20 2021-11-23 国家康复辅具研究中心 Navigation template for distal femur osteotomy and design method thereof
CN113679447B (en) * 2021-07-20 2023-02-28 国家康复辅具研究中心 Navigation template for distal femur osteotomy and design method thereof

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Granted publication date: 20161123

Termination date: 20170615