CN205964155U - Fibula cuts bone conduction board device - Google Patents

Fibula cuts bone conduction board device Download PDF

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Publication number
CN205964155U
CN205964155U CN201521055891.7U CN201521055891U CN205964155U CN 205964155 U CN205964155 U CN 205964155U CN 201521055891 U CN201521055891 U CN 201521055891U CN 205964155 U CN205964155 U CN 205964155U
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Prior art keywords
fibula
osteotomy
guide plate
groove
draw
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CN201521055891.7U
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Chinese (zh)
Inventor
龙洁
袁晓燕
田卫东
汤炜
宣鸣
刘磊
郑晓辉
敬伟
李鹏
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Sichuan University
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Sichuan University
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Abstract

The utility model belongs to the maxillofacial surgery medical instrument field relates to a fibula cuts bone conduction board device, including the baffle body, its characterized in that: the baffle is equipped with a guide board and a N section bone draw -in groove, and a section bone draw -in groove will guide the board to divide into the N+1 section on locating the guide board, the guide board is equipped with guide above the board, below the guide board, internal surface and surface, and arc is personally submitted to the outward appearance, and internal surface and fibula need the position lateral surface laminating of intercepting, cut the fibula osteotomy line of bone draw -in groove virtual operation design before according to the art and form, it is identical with the direction with the position of fibula intercepting and segmentation line, the baffle combines fibula intercepting navigation technique simultaneously, instructs the relative position who cuts bone draw -in groove and fibula. The utility model discloses more accurate in the art of being convenient for, carry out the intercepting and the segmentation of fibula fast, make its and art before the design unanimous to reach the purpose of the damaged length of jaw down of coincideing completely, thereby rebuild the normal lower jaw appearance of patient, resume good face type and the physiological function of patient.

Description

A kind of fibula osteotomy guide plate arrangement
Technical field
This utility model belongs to decorative sursery medical instruments field, more particularly, to a kind of fibula osteotomy guide plate arrangement.
Background technology
The method that mandible growth is rebuild at present has a lot, but the best still autologous bone transplanting of the most frequently used effect, and For the reconstruction of large-scale mandibular defect, because fibula has sufficient length, plasticity is high, the advantages of vessel pedicle is long It is considered as the standard repaired.
And accurately repair mandibular defect, the purpose of mandible reconstruction normal morphology, digitized surgery to reach fibula Technology most currently used come assisted surgical procedures.Wherein apply most inclusion navigation and guide plate technology.It is applied to calf at present The great majority accurately cutting of bone are fibula osteotomy guide plate, but excessively complicated difficult, the design of most of fibula osteotomy guide plate design Operate excessively complicated in process and art, relatively can extend operating time on the contrary, and need technical professional to be designed and Cooperation in operation uses.Which results in the inconvenience of operation.
Content of the invention
In order to solve above technical problem, this utility model provides a kind of fibula osteotomy guide plate arrangement, is easy in art more Accurately and fast carry out the intercepting of fibula and segmentation so as to pre-operative surgical design completely the same, to reach the lower jaw that fits like a glove The purpose of Cranial defect form, thus reconstruction patient normal mandibular bone profile, is finally reached and recovers the good face type of patient And the purpose of physiological function.
Fibula osteotomy guide plate in this utility model, structure is simple, easy to operate, shortens operating time, improves operation accurately Degree and efficiency, make postoperative patient healing rate high.
Solve one of this utility model of above technical problem fibula osteotomy guide plate arrangement, including guide plate body, its It is characterised by:Described guide plate is provided with guided plate and N number of osteotomy draw-in groove, and osteotomy draw-in groove, on guided plate, guided plate is divided into N+1 Section;Guided plate is provided with that guided plate top, guided plate be following, inner surface and outer surface, and outer surface is in smooth circular arc, inner surface The portion faces that form need to intercept with fibula are fitted;Osteotomy draw-in groove is the fibula osteotomy line and shape according to the design of preoperative virtual operation Become, fit with fibula intercepting and the position of segmentation and direction;Guide plate arrangement be additionally provided with fibula intercept navigation, instruction osteotomy draw-in groove with The relative position of fibula, can be located at osteotomy draw-in groove.
Guided plate length between the osteotomy draw-in groove of guide plate two ends farthest is then the length of the fibula of required intercepting, osteotomy Draw-in groove number the fibula length intercepting and segmentation number according to needed for personalized operation are determined.
Described guide plate top thickness 1.8-2.2mm.To ensure that guide plate has certain intensity, will not be because of outer force deformation, folding Disconnected, also will not be too thick, too big, it is unfavorable for clinical practice.
The following thickness 1.8-2.2mm of described guide plate.
Described osteotomy draw-in groove is down-set from guided plate top, and length is guided plate arc width 2/3-3/4.
Fibula intercepts and determines whether first osteotomy draw-in groove of guide plate is accurately located at preoperative setting in guider Rhizoma Atractylodis Macrocephalae First osteotomy site of the fibula of meter, can verify the osteotomy of guide plate according to the segmentation site of preoperative plan instruction fibula simultaneously Whether draw-in groove accurately indicates the osteotomy line of the fibula of Design.
Fibula osteotomy guide plate arrangement structure in this utility model is simple, and design is easy, prints low cost, easy and simple to handle, Decorative sursery doctor is conducive to carry out accurate intercepting and the segmentation of fibula length in art using this guide plate arrangement, and airmanship The site of osteotomy can be accurately positioned on fibula simultaneously, be easy to correctly to find fibula according to pre-operative surgical plan and be best suitable for intercepting Position.Airmanship is further simplified operation technique with reference to fibula osteotomy guide plate arrangement, improves the accuracy of operation, shortens Operating time.
Brief description
Fig. 1 is this utility model centering guide perspective view
Fig. 2 is this utility model art centering guide device and diseased synestotic structural representation
Wherein, identifier in figure is specially:1. guided plate, 2. osteotomy draw-in groove, 3. guided plate top, 4. guided plate is following, 5. Inner surface, 6. outer surface, 7. fibula intercepting navigation, 8. fibula
Specific embodiment
Below by this utility model is described further in conjunction with the embodiments it should be understood that these embodiments only For illustration purposes, it is never limited in protection domain of the present utility model.
Embodiment 1
A kind of fibula osteotomy guide plate arrangement, including guide plate body, described guide plate is provided with guided plate, N number of osteotomy draw-in groove and calf Bone intercepts navigation, and osteotomy draw-in groove, on guided plate, guided plate is divided into N+1 section;Osteotomy draw-in groove is from guided plate top to dividing into Put, length is that guided plate arc is wide by 2/3;Fibula intercepts navigation and is located at osteotomy draw-in groove;Guided plate is provided with guided plate top, guided plate Below, inner surface and outer surface, outer surface is in smooth circular arc, the portion faces patch that inner surface form and fibula need to intercept Close;Osteotomy draw-in groove be according to preoperative virtual operation design fibula osteotomy line formed, with fibula intercept and segmentation position and Fit in direction.
Guide plate top thickness 2mm, guide plate following thickness 2mm.
Guided plate length between the osteotomy draw-in groove of guide plate two ends farthest is then the length of the fibula of required intercepting, osteotomy Draw-in groove number the fibula length intercepting and segmentation number according to needed for personalized operation are determined.
Embodiment 2
A kind of fibula osteotomy guide plate arrangement, including guide plate body, described guide plate is provided with guided plate, N number of osteotomy draw-in groove and calf Bone intercepts navigator, and osteotomy draw-in groove, on guided plate, guided plate is divided into N+1 section;Osteotomy draw-in groove is downward from guided plate top Setting, length is that guided plate arc is wide by 3/4;Fibula intercepts navigation and is located at osteotomy draw-in groove;Guided plate is provided with guided plate top, guiding Plate is following, inner surface and outer surface, and outer surface is in smooth circular arc, the portion faces patch that inner surface form and fibula need to intercept Close;Osteotomy draw-in groove be according to preoperative virtual operation design fibula osteotomy line formed, with fibula intercept and segmentation position and Fit in direction.
Guide plate top thickness 1.8mm, guide plate following thickness 1.8mm.
Fibula intercepts the bootable fibula osteotomy guide plate that navigates and is correctly seated to most suitable position according to pre-operative surgical plan Put, then the osteotomy draw-in groove bootable reflex saw of fibula osteotomy guide plate carries out osteotomy operation;In art, navigation and guide plate can phases simultaneously Mutually checking is it is ensured that the accuracy of fibula osteotomy.
Embodiment 3
A kind of fibula osteotomy guide plate arrangement, is applied to repair mandibular bone, including guide plate body, described guide plate is provided with guiding Plate, fibula intercept navigation and 3 osteotomy draw-in grooves, and osteotomy draw-in groove, on guided plate, guided plate is divided into 4 sections;Osteotomy draw-in groove from Guided plate top is down-set, and length is that guided plate arc is wide by 2/3;Fibula intercepts navigation and is located at osteotomy draw-in groove;Guided plate is provided with Guided plate top, guided plate are following, inner surface and outer surface, and outer surface is in smooth circular arc, and inner surface form is needed with fibula The portion faces laminating intercepting;Osteotomy draw-in groove is to be formed according to the fibula osteotomy line of preoperative virtual operation design, cuts with fibula Take and the position of segmentation and direction laminating.
Guide plate top thickness 2.2mm, guide plate following thickness 2.2mm.
This utility model is in operation designing software, guide plate design software, 3D printing equipment, navigation operation and clinical manipulation On, to implementing, personnel's technical requirements are relatively low, have general software operative knowledge and the medical worker of decorative sursery technical ability to get final product in fact Apply;For patient, can reach the surgical effect of more precision;If medical institutions have operation designing software and desktop is fast Fast former can designed, designed process guide plate, eliminate the digitized operation designing of third company and guide plate design Expense and time-consuming guide plate transportation.The process of whole guide plate molding only needs 30min, and with low cost, and navigation programming sets Meter simple and fast, high precision, navigation is combined, with guide plate, the accuracy further increasing operation, greatly advances technique Clinical practice.
The personalized fibula osteotomy guide plate arrangement manufacturing process of this utility model navigation technology includes obtaining patient's The spiral CT scans of jawbone and fibula, virtual operation design, the design of fibula osteotomy guide plate and 3D printing fibula osteotomy guide plate, lead The steps such as boat planning.Partly weighed using the part that the cylinder that Medcad designs a diameter about 33mm need to intercept with fibula Folded, underlapped segment thickness about 2mm, then deduct fibula using Boolean calculation cylinder, this just makes guide plate define and calf The inner surface that bone surface fits like a glove.It is then sliced out the sharp keen edge in guide plate both sides, make the straight uniform edge of guide plate shape. Last osteotomy line on guide plate according to fibula is formed and the on all four shear plane of osteotomy line, is then made using Boolean calculation Guide plate deducts shear plane, is the formation of the personalized fibula osteotomy guide plate of our designs.
In art using this navigation technology personalized fibula osteotomy guide plate arrangement when, the bootable fibula of airmanship Osteotomy guide plate easily finds the riding position of the guide plate of pre-operative surgical design, and then guide plate bootable reflex saw carries out the essence of fibula Really intercept and segmentation, navigate simultaneously and also can verify the accuracy of osteotomy site further.So that the fibula essence of intercepting and segmentation Fibula interception position and section length that the pre-operative surgical that really coincide designs, the form of mandibular defect and length so that it fits like a glove Degree, makes mandibular defect obtain accurate reconstruction, meet patient obtain that face is symmetrical and stomatognathic system physiological function will Ask.
The foregoing is only preferred embodiment of the present utility model, be merely illustrative for this utility model, rather than Restricted;Those of ordinary skill in the art understand, can be right in the spirit and scope that this utility model claim is limited It carries out many changes, modification, or even equivalent change, but falls within protection domain of the present utility model.

Claims (4)

1. a kind of fibula osteotomy guide plate arrangement, including guide plate body it is characterised in that:Described guide plate is provided with guided plate(1)With N number of Osteotomy draw-in groove(2), osteotomy draw-in groove(2)Located at guided plate(1)On, by guided plate(1)It is divided into N+1 section;Guided plate(1)It is provided with guiding Plate top(3), guided plate following(4), inner surface(5)And outer surface(6), outer surface(6)In smooth circular arc, inner surface (5)Form and fibula(8)The portion faces laminating that need to intercept;Osteotomy draw-in groove(2)It is the fibula according to the design of preoperative virtual operation Osteotomy line and formed, with fibula(8)The position of intercepting and segmentation and direction laminating;Guide plate arrangement is additionally provided with fibula and intercepts navigation (7), indicate osteotomy draw-in groove(2)Relative position with fibula.
2. a kind of fibula osteotomy guide plate arrangement according to claim 1 it is characterised in that:Described guide plate top(3)Thickness 1.8-2.2mm.
3. a kind of fibula osteotomy guide plate arrangement according to claim 1 and 2 it is characterised in that:Described guide plate is following(4)Thick Degree 1.8-2.2mm.
4. a kind of fibula osteotomy guide plate arrangement according to claim 1 it is characterised in that:Described osteotomy draw-in groove(2)From drawing Guide plate top(3)Down-set, length is guided plate(1)The direction one of arc width 2/3-3/4, the direction of draw-in groove and fibula osteotomy line Cause.
CN201521055891.7U 2015-12-17 2015-12-17 Fibula cuts bone conduction board device Active CN205964155U (en)

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Application Number Priority Date Filing Date Title
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Application Number Priority Date Filing Date Title
CN201521055891.7U CN205964155U (en) 2015-12-17 2015-12-17 Fibula cuts bone conduction board device

Publications (1)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107320155A (en) * 2017-06-30 2017-11-07 深圳市倍康美医疗电子商务有限公司 A kind of digitlization forming method of intraoral tumor resection and repairing accessory

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107320155A (en) * 2017-06-30 2017-11-07 深圳市倍康美医疗电子商务有限公司 A kind of digitlization forming method of intraoral tumor resection and repairing accessory

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