CN206333941U - A kind of bone-culting operation apparatus - Google Patents
A kind of bone-culting operation apparatus Download PDFInfo
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- CN206333941U CN206333941U CN201620909044.0U CN201620909044U CN206333941U CN 206333941 U CN206333941 U CN 206333941U CN 201620909044 U CN201620909044 U CN 201620909044U CN 206333941 U CN206333941 U CN 206333941U
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Abstract
The utility model proposes a kind of bone-culting operation apparatus, it includes a first component and a second component.First component has one first guide edge and one second guide edge；Second component has one the 3rd guide edge.A guide channel is formed between second guide edge and the 3rd guide edge, to guide saw blade to one first cutting position, the first guide edge is to guide saw blade to one second cutting position, and saw blade carries out cutting saw according to the first cutting position and the second cutting position to shin bone.By bone-culting operation apparatus of the present utility model, saw blade will carry out cutting saw according to the first cutting position and the second cutting position to skeleton.Compared to prior art, the utility model is improved to the accuracy of operation itself with efficiency.
Description
Technical field
The utility model is related to a kind of bone-culting operation apparatus, more particularly, and being related to one kind is used to perform bone-culting operation, and
For the bone-culting operation apparatus of operation receiveing person's custom-made.
Background technology
Knee is that one of maximum joint of strength is born in human body, if common people's knee once had athletic injury, or
The middle aged stage is stepped into, is likely to cause the cartilage wear of articular surface, the symptom of gonalgia is produced, causes daily work(of living
The mobility of energy is subtracted.Here it is the origin cause of formation of degenerative arthritis.
Past existing treatment method, is that original knee joint is replaced with implantable artificial joint.But in order to be implanted into people
Work joint needs the articular surface of a large amount of excision femurs, shin bone and kneecap, to provide the fixation of metal and macromolecule implant.But by
The reason worn away in implant, such complete artificial effective life for closing patella replacement operation, up to 20 years, but often can be simultaneously
Send out infection, bone dissolving and osteoporosis problem postoperative, thus cause to be possible to that second operation must be carried out again.Furthermore, part
The patient at initial stage of degenerative arthritis, in fact only inner side articular surface cartilage wear, be not necessary to put using full joint prosthesis
Change, all knee joint surfaces are cut off.So for only inner side degenerative arthritis patient at initial stage, it will usually implement high-order shin bone
Bone-culting operation (HIGH TIBIAL OSTEOTOMY).
Hto operation (HIGH TIBIAL OSTEOTOMY) is the shin bone in patient on the inner side of knee
One of section is opened at end, then section is strutted inserted after artificial Psoralen, while being fixed with hone lamella with nail.Thus patient's knee is corrected
The biomethanics axis of joint varus.Due to only carrying out bone incision and angle adjustment in tibial medial near-end, therefore will not
There are a large amount of removals of any sclerotin, be that good operation is controlled for the gonalgia patient caused by the articular surface cartilage of inner side
One for the treatment of mode.
But, because hto operation needs proximal tibia cutting out one of opening, its position cut, angle
Degree, depth all need to carry out scrupulous assessment in the preoperative with strutting the programs such as height.At present when carrying out this operation, clinician
Often can only be by the assistance of X-ray machine, along with the judgement of its people, to determine geometric parameter that above-mentioned osteotomy is strutted.But every
The biomethanics axis situation of degenerative arthritis patient's knee joint varus differs, above-mentioned surgical parameters be also each patient all
It is different.In view of the situation that differs of the biomethanics axis of above-mentioned human knee joint varus, also must in the design of operating theater instruments
Individual differences must in the lump be considered.
The content of the invention
In response to foregoing the problem of point, the utility model proposes a kind of bone-culting operation apparatus, obtain and come real for guiding a saw blade
Apply a shin bone a hto operation, its exterior design have can assist clinician accurately determine incision position,
Angle, depth and the programs such as height are strutted, the shin bone that postoperative osteotomy is strutted applied by the utility model, by with accurately cutting
The degree of accuracy and execution efficiency, and each apparatus is all the advantage that patient tailors.
The utility model provides a kind of bone-culting operation apparatus, obtains for guiding a saw blade the high-order shin to implement a shin bone
Bone bone-culting operation, foregoing shin bone includes one first cutting position and one second cutting position, and bone-culting operation instrument bag contains one
First component, a second component and multiple fixed slotted eyes.Wherein first component is arranged at the top of the first cutting position, has
One first guide edge, one second guide edge and one first perforation, first, which perforates, must be arranged in the second guide edge；Second component is set
The lower section of the first cutting position is placed in, is perforated with one the 3rd guide edge and one second, second, which perforates, must be arranged in the 3rd and lead
Draw side；Multiple fixed slotted eyes are arranged on the surface of first component and second component, bone-culting operation apparatus is fixed on into this
On the surface of shin bone.
Wherein, a guide channel is formed between the second guide edge and the 3rd guide edge, to guide saw blade to the first cleavage
Put, the first guide edge is to guide saw blade to the second cutting position, and saw blade is according to the first cutting position and the second cutting position pair
Shin bone carries out cutting saw, thus carries out hto operation, the hole axis and biperforate hole axis of the first perforation
Between have one correction angle, and hto operation in, osteotomy breach has a correction angle of preoperative planning, when cut
When the distraction angle of bone breach is identical with the correction angle of preoperative planning, the first perforation also will weight with biperforate hole axis
Close.
In another specific embodiment of the present utility model, the plurality of fixed slotted eye can be by wearing multiple steady pins
And multiple fixed bone spicules, thus the bone-culting operation apparatus is fixed on the surface of the bone.
In another specific embodiment of the present utility model, second guide edge and the 3rd guide edge respectively from this first
Part stretches out with the second component.
In another specific embodiment of the present utility model, the first perforation is able to one first rod member and is connected with first component；
Second perforation is able to one second rod member and is connected with second component.
In another specific embodiment of the present utility model, bone-culting operation apparatus is further comprising a correction axle guidance part
Part, is arranged on the surface of second component, and it includes one the 3rd rod member and one the 3rd for extending to the second cutting position rear
A correction axle provided with preoperative planning in perforation, the 3rd perforation, during for being softened in hto operation as shin bone
Rotating shaft.By in advance using a spicule as correction axle, squeezing into the rotating shaft position of the preoperative planning of lateral of tibia, so strutting hand
When art breach, it can be ensured that rotation axis when strutting is identical with preoperative planning, the accuracy of operation is improved, in addition in advance
The hole of brill can disperse stress at this, it is to avoid lateral of tibia bone is broken when strutting breach.
In another specific embodiment of the present utility model, the correction axle guiding part can with the second component one into
Shape or combined type.
The utility model separately provides a kind of bone-culting operation apparatus, implements a high-order shin of a shin bone for guiding a saw blade
Bone bone-culting operation, foregoing shin bone includes one first cutting position and one second cutting position, and bone-culting operation instrument bag contains one
First component, a second component and multiple fixed slotted eyes.Wherein first component is arranged at the top of the first cutting position, has
One first guide edge, one second guide edge and one first perforation, the first perforation are connected with one first rod member with first component；Second
Part is arranged at the lower section of the first cutting position, is perforated with one the 3rd guide edge and one second, and the second perforation is with one second bar
Part is connected with second component；Multiple fixed slotted eyes are arranged on the surface of first component and second component, to by bone-culting operation
Apparatus is fixed on the surface of shin bone.
Wherein, a guide channel is formed between the second guide edge and the 3rd guide edge, to guide saw blade to the first cleavage
Put, the first guide edge is to guide saw blade to the second cutting position, and saw blade is according to the first cutting position and the second cutting position pair
Shin bone carries out cutting saw, thus carries out hto operation, the hole axis and biperforate hole axis of the first perforation
Between have one correction angle, hto operation in, osteotomy breach has a correction angle of preoperative planning, works as osteotomy
When the distraction angle of breach is identical with the correction angle of preoperative planning, the first perforation also will weight with biperforate hole axis
Close.
In a specific embodiment of the present utility model, bone-culting operation apparatus further corrects axle guiding part comprising one,
It is arranged on the surface of second component, it is included in one the 3rd perforation for extending to the second cutting position rear, the 3rd perforation
A correction axle provided with preoperative planning, rotating shaft when shin bone is softened in being performed the operation for hto.
In a specific embodiment of the present utility model, the correction axle guiding part can be integrally formed with the second component
Or combined type.
In a specific embodiment of the present utility model, the plurality of fixed slotted eye, can by wear multiple steady pins and
The bone-culting operation apparatus, is thus fixed on the surface of the bone by multiple fixed bone spicules.
A kind of bone-culting operation apparatus is separately provided in a specific embodiment of the present utility model, comes real for guiding a saw blade
A bone-culting operation of a bone is applied, the bone includes one first cutting position, it is characterised in that the bone-culting operation instrument bag contains
Have：
One first component, is arranged at the top of first cutting position, is perforated with one first guide edge, with one first,
First perforation is connected with one first rod member with the first component；
One second component, is arranged at the lower section of first cutting position, is perforated with one second guide edge and one second, should
Second perforation is connected with one second rod member with the second component；And
On multiple fixed slotted eyes, the surface for being arranged at the first component and the second component, to by the bone-culting operation device
Tool is fixed on the surface of the bone；
Wherein, form a guide channel between first guide edge and second guide edge, to guide the saw blade to this
One cutting position, the saw blade carries out cutting saw according to first cutting position to the bone, thus carries out the bone-culting operation, this first
The hole axis and biperforate hole axis of perforation and between there is a correction angle, the shin in the bone-culting operation
One osteotomy breach of bone has a correction angle of preoperative planning, when this of distraction angle and the preoperative planning of the osteotomy breach are rectified
When positive-angle is identical, first perforation will also be overlapped with biperforate hole axis.
In a specific embodiment of the present utility model, first guide edge is with second guide edge respectively from this first
Part stretches out with the second component
In a specific embodiment of the present utility model, the plurality of fixed slotted eye, can by wear multiple steady pins and
The bone-culting operation apparatus, is thus fixed on the surface of the bone by multiple fixed bone spicules.
Compared to prior art, bone-culting operation apparatus of the present utility model is according to preoperative collected patient's shin bone image
Data, and assess to print with three-dimensional behind optimal surgical cut position and build up.Apparatus can fit the shin bone of patient completely in itself, and
Hold the guiding slotted eye that knife doctor can specify according to apparatus, carry out the lower knife of the first cutting position, can be allowed by guiding slotted eye and held
Knife doctor descended outside knife exactly, and the calculating that can also provide cutting angle and depth is referred to, and guide edge, which can be provided, holds knife doctor the
The lower knife benchmark of two cutting positions.The utility model is in addition to improveing operation in itself, and the reality of knife doctor operation is held in also standardization
Apply.
Brief description of the drawings
Figure 1A depicts a schematic front view when specific embodiment of the present utility model is implemented.
Figure 1B depicts a schematic side view when specific embodiment of the present utility model is implemented.
Fig. 2 is depicted when implementing the utility model in the position view to be cut on shin bone.
Fig. 3 A depict a schematic rear view when specific embodiment of the present utility model is implemented on shin bone.
Fig. 3 B depict a schematic side view when specific embodiment of the present utility model is implemented on shin bone.
Fig. 4 A depict the schematic front view before a specific embodiment of the present utility model is implemented.
Fig. 4 B depict the schematic side view before a specific embodiment of the present utility model is implemented.
Fig. 5 depicts the schematic diagram of another specific embodiment of the present utility model.
Fig. 6 depicts schematic diagram when another specific embodiment of the present utility model is implemented.
Fig. 7 depicts schematic front view when another specific embodiment of the present utility model is implemented.
Fig. 8 depicts schematic side view when another embodiment of the present utility model is implemented.
Fig. 9 A depict schematic front view when another embodiment of the present utility model is implemented.
Fig. 9 B depict schematic side view when another embodiment of the present utility model is implemented.
To cause it to cover all possible change and the arrangement of tool equality.
【Symbol description】
1、2、3：Bone-culting operation apparatus
12、22、32：First component 121,221,321：First guide edge
122、222、341：Second guide edge 123,223,322：First perforation
14、24、34：Second component 141,241：3rd guide edge
142、242、342：Second perforation 16,26,36：Fixed slotted eye
18：Fixed component 20：Align rod member
224、323：First rod member 243,343：Second rod member
28：Correct axle guiding part 281：3rd perforation
A1、A2：Hole axis
B：Shin bone D：Femur
C1：First cutting position C2：Second cutting position
C3：3rd cutting position
L、N：Correct angle M：Correction angle
Embodiment
This specification only makes statement to necessary element of the present utility model, and it is therein to be merely to illustrate the utility model
Possible embodiment, but the description of specification should not limit to the interest field for the technological essence that the utility model is advocated.
Also, it is to be understood that described at present is only the possible embodiment of the utility model, in implementation of the present utility model or
In test, it can be used and this specification described device or system similar or equivalent any method, flow, function or means.
Defined unless there are other, otherwise all technologies and scientific terminology used by this specification, all with being familiar with the utility model institute
The meaning identical meaning that category those skilled in the art is generally understood.This specification mesh pre-stated be only case method, flow and
Its related data.But when of the present utility model actually used, it can be used similar with this specification methods described and material
Like or equivalent any method and means.
Furthermore, the number above and below mentioned in this specification, comprising number in itself.And it is to be understood that originally
Specification discloses some methods for performing disclosed function, flow, there are a variety of executable identical functions with disclosed structure
Relevant structure, and above-mentioned structure generally may achieve identical result.
Preferred embodiment of the present utility model is will be described below, thus absolutely proves feature of the present utility model, essence
God and advantage.
Referring initially to Figure 1A, Figure 1B and Fig. 2, Figure 1A depicts a master when specific embodiment of the present utility model is implemented
Depending on schematic diagram, Figure 1B depicts a schematic side view when specific embodiment of the present utility model is implemented, and Fig. 2 depicts implementation originally
In the position view to be cut on shin bone during utility model.
The utility model provides a kind of bone-culting operation apparatus 1, must apply in various bone-culting operations, correction or reattachment surgery,
In the present embodiment, the hto for implementing a shin bone B applied to one saw blade of guiding is performed the operation, and shin bone B includes one
First cutting position C1 and one second cutting position C2, bone-culting operation apparatus 1 includes：One first component 12, a second component
14 and multiple fixed slotted eyes 16.Wherein first component 12 is arranged at the first cutting position C1 top, with one first guiding
The guide edge 122 of side 121 and 1 second；Second component 14 is arranged at the first cutting position C1 lower section, with one the 3rd guiding
Side 141；Multiple fixed slotted eyes 16 are arranged on the surface of first component 12 and second component 14, by wear multiple steady pins and
Fixed bone spicule is in multiple fixed slotted eyes 16, on the surface that bone-culting operation apparatus 1 is fixed on to shin bone B.
Wherein, the second guide edge 122 and the 3rd guide edge 141 are respectively from first component 12 and second component 14 to extension
Stretch, and a guide channel is formed between the second guide edge 122 and the 3rd guide edge 141, to guide saw blade to the first cutting position
C1, the first guide edge 121 is to guide saw blade to the second cutting position C2, and saw blade is according to the cuttings of the first cutting position C1 and second
Position C2 carries out cutting saw to shin bone B, thus carries out hto operation.
Fig. 3 A to Fig. 3 B are referred to, Fig. 3 A depict a backsight when specific embodiment of the present utility model is implemented on shin bone
Schematic diagram, Fig. 3 B depict a schematic side view when specific embodiment of the present utility model is implemented on shin bone.It is new in this practicality
In one specific embodiment of type, first component 12 is further comprising one first perforation 123, and the first perforation 123 is arranged in second and led
Draw side 122；Second component 14 is further comprising one second perforation 142, and the second perforation 142 is arranged in the 3rd guide edge 141.Yu Ben
In utility model, the first perforation 123 and the second perforation 142 design in being performed the operation for hto, confirm shin bone section
The angle being softened.Therefore, having a correction between the hole axis of the first perforation 123 and the hole axis of the second perforation 142
Angle (hole axis is illustrated in Fig. 5 with correction angle), and in hto operation, osteotomy breach has preoperative planning
One correction angle M.After shin bone B struts correction angle M by first component 12 and second component 14, the first perforation 123 and the
The hole axis of two perforation 142 just can be overlapped, and be able to wear a contraposition rod member 20 to ensure correction angle.And foregoing correction angle
The size of degree needs first to determine that shin bone B is needed in hto operation after the correction angle M that struts according to doctor diagnosed, then
The angle of the first perforation and the second perforation axis is determined according to required correction angle M and it is manufactured.And align rod member 20
Only first can be arranged in when shin bone B is strutted to the correction angle of preoperative planning by first component 12 and second component 14 to wear
Between the perforation of hole 123 and second 142.
Fig. 4 A to Fig. 4 B are referred to, Fig. 4 A depict the main view signal before a specific embodiment of the present utility model is implemented
Figure, Fig. 4 B depict the schematic side view before a specific embodiment of the present utility model is implemented.Implement in of the present utility model one
In example, first component 12 must be made with second component 14 using the 3D modes of prining, and due to first component 12 and second component 14
Need to be collocated with each other to apply in operation, therefore bone-culting operation apparatus 1 of the present utility model further includes a fixed component 18,
Before first component 12 and second component 14 are not used, fixed component 18 is by the first component 12 being collocated with each other and second component 14
Combine, to ensure to have enough area to attach bone surface, and a high position is used in first component 12 and second component 14
Before Tibial osteotomy operation, obtain and first first component 12 and second component 14 are fixed on the shin bone of patient, then by fixed component
18 removals.Right the utility model is not limited thereto, and first component 12 is also able to integrally formed mode system with second component 14
Make, now there is connecting portion to be connected between the second guide edge 122 and the 3rd guide edge 141, fixed component 18 is not then to be necessary.Implement
During operation, hold knife doctor directly can cut connecting portion with bone saw.
Then Fig. 5 to Fig. 6 is referred to, Fig. 5 depicts the schematic diagram of another specific embodiment of the present utility model, and Fig. 6 is painted
Schematic diagram when another specific embodiment of the present utility model is implemented is shown.
The utility model separately provides a kind of bone-culting operation apparatus 2, must apply in various bone-culting operations, correction or reset hand
Art, in the present embodiment, the hto for implementing a shin bone B applied to one saw blade of guiding is performed the operation, and shin bone B includes
One first cutting position C1 and one second cutting position C2, bone-culting operation apparatus 2 includes：One first component 22, one second
Part 24, the multiple fixed correction axle of slotted eye 26 and one guiding parts 28.In this embodiment, first component 22 and second component 24
Between with a connecting portion be connected, implement operation when, hold knife doctor can directly with bone saw incision connecting portion.
Wherein first component 22 is arranged at the first cutting position C1 top, is led with one first guide edge 221,1 second
Draw the perforation of side 222 and 1 first 223, the first perforation 223 is connected with one first rod member 224 with first component 22；Second component 24
The first cutting position C1 lower section is arranged at, with one the 3rd guide edge 241 and one second perforation 242, the second perforation 242 is with one
Second rod member 243 is connected with second component 24；Multiple fixed slotted eyes 26 are arranged at the surface of first component 22 and second component 24
On, by wearing multiple steady pins and fixed bone spicule in multiple fixed slotted eyes 26, bone-culting operation apparatus 2 is fixed on shin bone
On B surface；Correction axle guiding part 28 is arranged on the surface of second component 24, and it extends to the second cutting position comprising one
A correction axle 30 provided with preoperative planning in one the 3rd perforation 281 at C2 rears, the 3rd perforation 281, for being used as high-order shin bone
Rotating shaft when shin bone B is softened in bone-culting operation, by squeezing into the preoperative rule of lateral of tibia using a spicule as correction axle 30 in advance
The rotating shaft position drawn, so when shin bone B is strutted, it can be ensured that rotation axis and preoperative planning when shin bone B is strutted
It is identical, the accuracy of operation is improved, the hole of preboring can disperse stress at this in addition, it is to avoid when strutting breach on the outside of shin bone B
Bone is broken.And correcting axle guiding part 28 can be one of the forming or combined type with second component 24.
Wherein, the second guide edge 222 and the 3rd guide edge 241 are respectively from first component 22 and second component 24 to extension
Stretch, and a guide channel is formed between the second guide edge 222 and the 3rd guide edge 241, to guide saw blade to the first cutting position
C1, the first guide edge 221 is to guide saw blade to the second cutting position C2, and saw blade is according to the cuttings of the first cutting position C1 and second
Position C2 carries out cutting saw to shin bone B, thus carries out hto operation.
In the utility model, the first perforation 223 and the design of the second perforation 242 come in being performed the operation as hto really
The angle that shin bone section is softened is recognized, therefore, the hole axis A2 of the perforation of hole axis A1 and second 242 of the first perforation 223
Between have one correction angle L, and hto operation in, osteotomy breach has a correction angle of preoperative planning.When
Shin bone B is strutted by first component 22 and second component 24 after foregoing correction angle, and the first perforation 223 perforates 242 with second
Hole axis A1, A2 just can be overlapped, and be able to wear a contraposition rod member 20 to ensure correction angle.And correct angle L size
Need first to determine that shin bone B is needed after the correction angle that struts in hto operation according to doctor diagnosed, then rectified with foregoing
Positive-angle determines correction angle L size and manufactures it, and aligns rod member 20 also only in shin bone B by first component 22 and second
Part 24 can be arranged in when strutting to the correction angle of preoperative planning between the first perforation 223 and the second perforation 242.
Please refer to Fig. 2, Fig. 3 A, Fig. 3 B and Fig. 7, illustrate how that carrying out high-order shin bone using the utility model cuts in this
Osseous surgery.In fig. 2, the shin bone position that bone-culting operation apparatus 1,2 is attached, positioned at human calf and close in knee endoprosthesis
Side upper end.In other words, the front for readding figure people's finding Fig. 2 is directed to human body front, and the left side for readding figure people's finding Fig. 2 is directed to
On the inside of human body.Wherein Fig. 3 A are corresponding with Fig. 3 B to bone-culting operation apparatus 1, and Fig. 7 depicts another specific implementation of the present utility model
Schematic front view when example is implemented, and correspondingly to bone-culting operation apparatus 2.
Bone-culting operation apparatus 1,2 of the present utility model is the shin bone shadow provided in the preoperative according to degenerative arthritis patient
As information, after the model that shin bone B is set up using computer software, determined further according to shin bone B models the first cutting position C1 with
Second cutting position C2 position, and tailor the overall structure of bone-culting operation apparatus 1,2.Wherein bone-culting operation apparatus 1 and 2
The shin bone B surface of laminating patient completely is designed to be able to, then is built and is integrally formed or knockdown entity with the three-dimensional technology of prining
Apparatus.
After bone-culting operation apparatus 1,2 is arranged at the femoral surface of patient, knife physician in view bone-culting operation apparatus is held
1st, the first cutting position C1 that the second guide edge 122,222 and the 3rd guide edge 141,241 are directed on 2, saw blade is stretched into
And start cutting.Knife doctor is held to calculate as depth of cut using the second guide edge 122,222 and the 3rd guide edge 141,241
Reference, or make one on saw blade and mark, you can whether the depth for confirming saw blade incision shin bone B using macroscopic visual reaches
Predetermined depth.
Saw blade is switched to after desired depth in along the second guide edge 122,222 and the 3rd guide edge 141,241 toward human body
Lateral incision enters, and after the shin bone B of truncation part, the second cutting position C2 being then directed to along the first guide edge 121,221
Incision, to cut out the otch of one of beveling.After otch is cut, in the case that bone-culting operation apparatus 1,2 maintains to be fixed on shin bone B
Shin bone B the first cutting position C1 is strutted to after the correction angle of preoperative planning, will contraposition rod member 20 penetrate the first perforation 123,
223 and second perforation 142,242, confirm shin bone B operative incision correction angle, just can continue the action of subsequent fixed breach with
Complete operation.
Then Fig. 8, Fig. 9 A and Fig. 9 B are referred to, Fig. 8 depicts side view when another embodiment of the present utility model is implemented
Schematic diagram, Fig. 9 A depict schematic front view when another embodiment of the present utility model is implemented.It is new that Fig. 9 B depict this practicality
The schematic side view when another embodiment of type is implemented.
The utility model separately provides a kind of bone-culting operation apparatus 3, must apply in various bone-culting operations, correction or reset hand
Art, in the present embodiment, distal femur bone-culting operation (the DISTAL FEMORAL of a femur D are implemented suitable for one saw blade of guiding
OSTEOTOMY,DFO).Bone-culting operation apparatus 3 includes：One first component 32, a second component 34 and multiple fixed slotted eyes
36.In this embodiment, it is connected between first component 22 and second component 24 with a connecting portion, when implementing operation, holds knife doctor
Connecting portion directly can be cut with bone saw.And the femur D parts seen in Fig. 8 to Fig. 9 B are the close knees of human body left thigh bone (femur)
The one end in joint.
Wherein first component 32 is arranged at one the 3rd cutting position C3 top, with one first guide edge 321 and one
One perforation 322, the first perforation 322 is connected with one first rod member 323 with first component 32；Second component 34 is arranged at the 3rd cutting
Position C3 lower section, with one second guide edge 341 and one second perforation 342, the second perforation 342 with one second rod member 343 with
Second component 34 is connected；Multiple fixed slotted eyes 36 are arranged on the surface of first component 32 and second component 34, many by wearing
Individual steady pin and fixed bone spicule are in multiple fixed slotted eyes 36, on the surface that bone-culting operation apparatus 3 is fixed on to femur D.
Wherein, the first guide edge 321 and the second guide edge 341 are respectively from first component 32 and second component 34 to extension
Stretch, and a guide channel is formed between the first guide edge 321 and the second guide edge 341, to guide saw blade to the 3rd cutting position
C3, saw blade carries out cutting saw according to the 3rd cutting position C3 to femur D, thus carries out distal femur bone-culting operation.
In the utility model, the first perforation 322 and the design of the second perforation 342 come as true in distal femur bone-culting operation
The angle that allotment of shares bone section is softened, therefore, the hole axis A2 of the perforation of hole axis A1 and second 342 of the first perforation 322
Between there is a correction angle N, and in distal femur bone-culting operation, osteotomy breach has a correction angle of preoperative planning.When
Femur D is strutted by first component 32 and second component 34 after foregoing correction angle, and the first perforation 322 perforates 342 with second
Hole axis A1, A2 just can be overlapped, and be able to wear a contraposition rod member to ensure correction angle.And the size for correcting angle N is needed
First determine that femur D is needed in distal femur bone-culting operation after the correction angle that struts according to doctor diagnosed, then with foregoing correction
Angle determines correction angle N size and manufactures it, and aligns rod member also only in femur D by first component 32 and second component 34
The first perforation 322 and the second perforation 342 can be arranged in when strutting to the correction angle of preoperative planning.
Referring again to Fig. 8, Fig. 9 A and Fig. 9 B, illustrate how to carry out distal femur osteotomy hand using the utility model in this
Art.In fig. 8, the femur locations that bone-culting operation apparatus 3 is attached, the outside positioned at human body left thigh close to knee endoprosthesis is remote
End.In other words, the front for readding figure people's finding Fig. 8 is directed on the outside of human body, and the left side for readding figure people's finding Fig. 8 is directed to human body
Front side.
The femur image that bone-culting operation apparatus 3 of the present utility model is provided in the preoperative according to degenerative arthritis patient is provided
After news, the model that femur D is set up using computer software, the 3rd cutting position C3 position is determined further according to shin bone B models,
And tailor the overall structure of bone-culting operation apparatus 3.Wherein bone-culting operation apparatus 3 is designed to be able to the stock of laminating patient completely
Bone D surfaces, then built and be integrally formed or knockdown entity apparatus with the three-dimensional technology of prining.
When bone-culting operation apparatus 3 be arranged at the femoral surface of patient after, hold on knife physician in view bone-culting operation apparatus 3
The 3rd cutting position C3 that first guide edge 322 and the second guide edge 341 are directed to, saw blade is stretched into and starts cutting.Hold
The reference that knife doctor calculates using the first guide edge 322 and the second guide edge 341 as depth of cut, or on saw blade
Make one to mark, you can whether the depth for confirming saw blade incision femur D using macroscopic visual reaches predetermined depth.
Saw blade is switched to after desired depth along the first guide edge 322 and the second guide edge 341 toward the outside of human body and cut, and
After the femur D of truncation part, in the case that bone-culting operation apparatus 3-dimensional is held and is fixed on femur D, femur D the 3rd cutting is strutted
Contraposition rod member is penetrated the first perforation 322 and the second perforation 342, confirmation femur D by position C3 to after the correction angle of preoperative planning
Operative incision correction angle, just can continue the action of subsequent fixed breach with complete operation.
In summary, the utility model provides a kind of bone-culting operation apparatus, according to doctor to degenerative arthritis patient's art
Preceding collected skeleton image information and tailor and form.In an embodiment, pass through the second guide edge and the 3rd guide edge
The first cutting position is specified, and as depth of cut reference point, enables to hold knife doctor and simply controls depth of cut, then pass through first
Guide edge specifies the second cutting position to be performed the operation.And in another embodiment, pass through the first guide edge and the second guide edge
The first cutting position is specified, and as depth of cut reference point, enables to hold knife doctor and simply controls depth of cut to be performed the operation.
This case utility model can be cut out in addition to it can not injure ligament in operation, also can resist the rotation fortune that skeleton is produced by walking
It is dynamic, this case utility model is also designed according to preoperative correction planning so that surgical procedure can be simplified.
Compared to prior art, bone-culting operation apparatus of the present utility model according to preoperative collected patient's skeleton data,
And assess to print with three-dimensional behind optimal surgical cut position and build up.Apparatus can fit the skeleton of patient completely in itself, and hold knife
The guiding slotted eye that doctor can specify according to apparatus, the lower knife of the cutting position of progress first or the 3rd, can be allowed by guiding slotted eye
Hold knife doctor to descend exactly outside knife, the calculating that can also provide cutting angle and depth is referred to, and guide edge, which can be provided, holds knife doctor
The lower knife benchmark of second cutting position.The utility model is in addition to improveing operation in itself, and knife doctor operation is held in also standardization
Implement.
Pass through the detailed description of embodiments above, it would be desirable to more clearly describe feature of the present utility model and spirit, and
Not category of the present utility model is any limitation as with above-mentioned disclosed preferred embodiment.On the contrary, the purpose is to
Wish to cover being arranged in the category of the scope of the claims to be applied of the utility model for various changes and tool equality.Cause
This, the category of the apllied the scope of the claims of the utility model should make most broad explanation according to above-mentioned explanation, to cause it to contain
The all possible change of lid and the arrangement of tool equality.
Claims (13)
1. a kind of bone-culting operation apparatus, implements a bone-culting operation of a bone, the bone includes one for guiding a saw blade
First cutting position and one second cutting position, it is characterised in that the bone-culting operation instrument bag contains：
One first component, is arranged at the top of first cutting position, with one first guide edge, one second guide edge and one
First perforation, this first is perforated and must be arranged in second guide edge；
One second component, is arranged at the lower section of first cutting position, is perforated with one the 3rd guide edge and one second, this
Two, which perforate, must be arranged in the 3rd guide edge；And
On multiple fixed slotted eyes, the surface for being arranged at the first component and the second component, the bone-culting operation apparatus to be consolidated
Due on the surface of shin bone；
Wherein, a guide channel is formed between second guide edge and the 3rd guide edge, first is cut to this to guide the saw blade
Cut position, first guide edge to guide the saw blade to second cutting position, the saw blade according to first cutting position with
Second cutting position carries out cutting saw to the bone, thus carries out the bone-culting operation, and a hole axis of first perforation is with being somebody's turn to do
There is a correction angle between biperforate hole axis, and an osteotomy breach of the bone has art in the bone-culting operation
One correction angle of preplanning, when the distraction angle of the osteotomy breach and identical correction angle of preoperative planning, this first
Perforation will also be overlapped with biperforate hole axis.
2. bone-culting operation apparatus as claimed in claim 1, it is characterised in that the plurality of fixed slotted eye, can be multiple by wearing
The bone-culting operation apparatus, is thus fixed on the surface of the bone by steady pin and multiple fixed bone spicules.
3. bone-culting operation apparatus as claimed in claim 1, it is characterised in that second guide edge is distinguished with the 3rd guide edge
Stretch out from the first component with the second component.
4. bone-culting operation apparatus as claimed in claim 1, it is characterised in that first perforation be able to one first rod member with this
One part is connected；Second perforation is able to one second rod member and is connected with the second component.
5. bone-culting operation apparatus as claimed in claim 1, it is characterised in that further comprising a correction axle guiding part, set
In on the surface of the second component, it includes one the 3rd perforation for extending to the second cutting position rear, the 3rd perforation
An interior correction axle provided with preoperative planning, rotating shaft during for being softened as the bone in the bone-culting operation.
6. bone-culting operation apparatus as claimed in claim 5, it is characterised in that the correction axle guiding part can be second with this
Part is integrally formed or combined type.
7. a kind of bone-culting operation apparatus, implements a bone-culting operation of a bone, the bone includes one for guiding a saw blade
First cutting position and one second cutting position, it is characterised in that the bone-culting operation instrument bag contains：
One first component, is arranged at the top of first cutting position, with one first guide edge, one second guide edge and 1
One perforation, first perforation is connected with one first rod member with the first component；
One second component, is arranged at the lower section of first cutting position, is perforated with one the 3rd guide edge and one second, this second
Perforation is connected with one second rod member with the second component；And
On multiple fixed slotted eyes, the surface for being arranged at the first component and the second component, the bone-culting operation apparatus to be consolidated
Due on the surface of the bone；
Wherein, a guide channel is formed between second guide edge and the 3rd guide edge, first is cut to this to guide the saw blade
Cut position, first guide edge to guide the saw blade to second cutting position, the saw blade according to first cutting position with
Second cutting position carries out cutting saw to the bone, thus carries out the bone-culting operation, and a hole axis of first perforation is with being somebody's turn to do
Biperforate hole axis and between there is a correction angle, an osteotomy breach of shin bone has preoperative in the bone-culting operation
One correction angle of planning, when the distraction angle of the osteotomy breach and identical correction angle of preoperative planning, this first is worn
Hole will also be overlapped with biperforate hole axis.
8. bone-culting operation apparatus as claimed in claim 7, it is characterised in that further comprising a correction axle guiding part, if
It is placed on the surface of the second component, it includes one the 3rd perforation for extending to the second cutting position rear, and the 3rd wears
A correction axle provided with preoperative planning, rotating shaft when being softened for the bone in the bone-culting operation in hole.
9. bone-culting operation apparatus as claimed in claim 8, it is characterised in that the correction axle guiding part can be second with this
Part is integrally formed or combined type.
10. bone-culting operation apparatus as claimed in claim 7, it is characterised in that the plurality of fixed slotted eye, can be more by wearing
The bone-culting operation apparatus, is thus fixed on the surface of the bone by individual steady pin and multiple fixed bone spicules.
11. a kind of bone-culting operation apparatus, implements a bone-culting operation of a bone, the bone includes one for guiding a saw blade
First cutting position, it is characterised in that the bone-culting operation instrument bag contains：
One first component, is arranged at the top of first cutting position, with one first guide edge, with one first perforation, this
One perforation is connected with one first rod member with the first component；
One second component, is arranged at the lower section of first cutting position, is perforated with one second guide edge and one second, this second
Perforation is connected with one second rod member with the second component；And
On multiple fixed slotted eyes, the surface for being arranged at the first component and the second component, the bone-culting operation apparatus to be consolidated
Due on the surface of the bone；
Wherein, a guide channel is formed between first guide edge and second guide edge, first is cut to this to guide the saw blade
Position is cut, the saw blade carries out cutting saw according to first cutting position to the bone, thus carries out the bone-culting operation, first perforation
A hole axis and biperforate hole axis and between there is a correction angle, the one of shin bone in the bone-culting operation
Osteotomy breach has a correction angle of preoperative planning, when the distraction angle and the correction angle of preoperative planning of the osteotomy breach
When identical, first perforation will also be overlapped with biperforate hole axis.
12. bone-culting operation apparatus as claimed in claim 11, it is characterised in that first guide edge and second guide edge point
Not stretch out from the first component with the second component.
13. bone-culting operation apparatus as claimed in claim 11, it is characterised in that the plurality of fixed slotted eye, can be more by wearing
The bone-culting operation apparatus, is thus fixed on the surface of the bone by individual steady pin and multiple fixed bone spicules.
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| Application Number | Priority Date | Filing Date | Title |
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| CN201620909044.0U CN206333941U (en) | 2016-08-19 | 2016-08-19 | A kind of bone-culting operation apparatus |
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| Application Number | Priority Date | Filing Date | Title |
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| CN201620909044.0U CN206333941U (en) | 2016-08-19 | 2016-08-19 | A kind of bone-culting operation apparatus |
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| CN206333941U true CN206333941U (en) | 2017-07-18 |
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| CN201620909044.0U Active CN206333941U (en) | 2016-08-19 | 2016-08-19 | A kind of bone-culting operation apparatus |
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Cited By (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107320153A (en) * | 2017-08-17 | 2017-11-07 | 江苏奥康尼医疗科技发展有限公司 | A kind of tibial medial Osteotomy aid |
| CN107753088A (en) * | 2016-08-19 | 2018-03-06 | 爱派司生技股份有限公司 | Osteotomy surgical instrument |
| CN108618823A (en) * | 2017-11-22 | 2018-10-09 | 爱派司生技股份有限公司 | Osteotomy surgical instrument with external sighting device |
| 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 |
| CN109223098A (en) * | 2018-09-20 | 2019-01-18 | 上海昕健医疗技术有限公司 | The orthopedic guide assembly of osteotomy on ankle |
| JP2019093141A (en) * | 2017-11-22 | 2019-06-20 | エイ プラス バイオテクノロジー カンパニー リミテッドＡ Ｐｌｕｓ Ｂｉｏｔｅｃｈｎｏｌｏｇｙ Ｃｏｍｐａｎｙ Ｌｉｍｉｔｅｄ | Universal osteotomy device |
| CN113081161A (en) * | 2021-04-28 | 2021-07-09 | 北京力达康科技有限公司 | Ankle joint shin bone lower extreme cuts bone baffle |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN107753088A (en) * | 2016-08-19 | 2018-03-06 | 爱派司生技股份有限公司 | Osteotomy surgical instrument |
| CN107320153A (en) * | 2017-08-17 | 2017-11-07 | 江苏奥康尼医疗科技发展有限公司 | A kind of tibial medial Osteotomy aid |
| CN107320153B (en) * | 2017-08-17 | 2023-11-07 | 苏州中科生物医用材料有限公司 | Tibia medial high-level osteotomy auxiliary tool |
| KR102183848B1 (en) * | 2017-11-22 | 2020-11-30 | 에이 플러스 바이오테크놀로지 컴퍼니 리미티드 | Universal osteotomy device |
| JP2019093141A (en) * | 2017-11-22 | 2019-06-20 | エイ プラス バイオテクノロジー カンパニー リミテッドＡ Ｐｌｕｓ Ｂｉｏｔｅｃｈｎｏｌｏｇｙ Ｃｏｍｐａｎｙ Ｌｉｍｉｔｅｄ | Universal osteotomy device |
| KR20200068003A (en) * | 2017-11-22 | 2020-06-15 | 에이 플러스 바이오테크놀로지 컴퍼니 리미티드 | Osteotomy device with an in-vitro alignment component |
| KR20200068040A (en) * | 2017-11-22 | 2020-06-15 | 에이 플러스 바이오테크놀로지 컴퍼니 리미티드 | Universal osteotomy device |
| KR102140052B1 (en) * | 2017-11-22 | 2020-08-03 | 에이 플러스 바이오테크놀로지 컴퍼니 리미티드 | Osteotomy device with an in-vitro alignment component |
| CN109805980B (en) * | 2017-11-22 | 2021-04-30 | 爱派司生技股份有限公司 | Universal osteotomy instrument |
| CN108618823A (en) * | 2017-11-22 | 2018-10-09 | 爱派司生技股份有限公司 | Osteotomy surgical instrument with external sighting device |
| 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 |
| CN109223098A (en) * | 2018-09-20 | 2019-01-18 | 上海昕健医疗技术有限公司 | The orthopedic guide assembly of osteotomy on ankle |
| CN113081161A (en) * | 2021-04-28 | 2021-07-09 | 北京力达康科技有限公司 | Ankle joint shin bone lower extreme cuts bone baffle |
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Effective date of registration: 20180226 Address after: Taiwan road and bridge area and China Taipei City No. 120 2 floor 2 Patentee after: A Plus Biotechnology Corporation Limited Address before: Taiwan County, Yunlin, China Co-patentee before: Chen Junming Patentee before: Luo Zhuan |