CN208524964U - A kind of tibial medial Osteotomy auxiliary tool - Google Patents

A kind of tibial medial Osteotomy auxiliary tool Download PDF

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Publication number
CN208524964U
CN208524964U CN201721029430.1U CN201721029430U CN208524964U CN 208524964 U CN208524964 U CN 208524964U CN 201721029430 U CN201721029430 U CN 201721029430U CN 208524964 U CN208524964 U CN 208524964U
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CN
China
Prior art keywords
osteotomy
tibial
locating detent
main body
wedge
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Expired - Fee Related
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CN201721029430.1U
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Chinese (zh)
Inventor
朱忠林
章鸿
陈广祥
朱健
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Jiangsu Okani Medical Technology Co Ltd
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Jiangsu Okani Medical Technology Co Ltd
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Priority to CN201721029430.1U priority Critical patent/CN208524964U/en
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Abstract

The utility model discloses a kind of tibial medial Osteotomy auxiliary tools comprising osteotomy guiding die plate, the osteotomy guiding die plate include main body, and main body has for being bonded curved surface with the application of a surface of medial side of tibial plateau lower zone;Wedge osteotomy guide structure and tibial tubercle lower section osteotomy guide structure below shin bone are provided on the opposite face of the fitting curved surface;The side of main body is provided with the first locating detent with the highest of tibial tubercle protuberance point contact;The top of main body is provided with the second locating detent and third locating detent contacted with medial side of tibial plateau.Pass through personalized designs and customizes the osteotomy guiding die plate for meeting dedicated the utility model of patient profiles, doctor uses this dedicated osteotomy guiding die plate, it can implement to perform the operation more quickly, reduce operating time, and Intraoperative position is accurately convenient, largely improves osteotomy precision, reduces the number of fluoroscopy during operation, to improve success rate of operation, Infection in operation rate and recurrence rate are reduced.

Description

A kind of tibial medial Osteotomy auxiliary tool
Technical field
The utility model relates to medical auxiliary equipment field, in particular to a kind of tibial medial Osteotomy backman Tool.
Background technique
Side seam in knee joint caused by tibia vara deformity is treated using inside wedge High Tibial Osteotomy (HTO) The diseases such as arthritis correct the lower limb line of force, can delay joint degeneration to Wedged Proximal Tibial Osteotomy, reach the mesh for protecting knee 's.
Respectively along A line (wedge osteotomy line below shin bone) and B line (osteotomy line below tibial tubercle) in inside wedge HTO Osteotomy is carried out, wherein A line is using 35-40mm range below medial tibial plateau as starting point, until head of fibula tip;B line is sweared in human body Shape face and A line are at 110 ° or so of angle;The intersection point of A line and B line is apart from front cortical bone 10-20mm, HTO pairs of inside wedge The operating technology of doctor requires very high.In traditional inside wedge HTO, doctor relies on clinical practice experience and existing measurement work Tool is to carry out bone-culting operation operation, so that leading to osteotomy accuracy error because of operator's difference, while surgical operation edge measurement in side can be led Cause that operating time is elongated and art in the measurement of frequent progress radioscopy, increase the X-ray exposure of patient and patient.
Utility model content
In view of the above problems, the object of the present invention is to provide a kind of tibial medial Osteotomy auxiliary tools, adopt Implement to perform the operation more quickly with the tibial medial Osteotomy auxiliary tool auxiliary doctor of personalized designs, when reducing operation Between, and Intraoperative position is accurately convenient, largely improves osteotomy precision, the number of fluoroscopy during operation is reduced, to improve operation Success rate reduces Infection in operation rate and recurrence rate.
To achieve the above object, the utility model takes following technical scheme:
A kind of tibial medial Osteotomy auxiliary tool, including osteotomy guiding die plate, the osteotomy guiding die plate include master Body, main body have for being bonded curved surface with the application of a surface of medial side of tibial plateau lower zone;It is bonded on the opposite face of curved surface It is provided with wedge osteotomy guide structure and tibial tubercle lower section osteotomy guide structure below shin bone;The side of main body is provided with and shin First locating detent of the highest protuberance point contact of bone tubercle;It is fixed that the top of main body is provided with second contacted with medial side of tibial plateau Position pawl and third locating detent.
Further, wedge osteotomy guide structure is to be through to fitting by the opposite face of the fitting curved surface of main body below shin bone At least two guide holes or osteotomy slot of curved surface, tibial tubercle lower section osteotomy guide structure are by the opposite of the fitting curved surface of main body Face is through at least two guide holes or osteotomy slot of fitting curved surface.
Further, wedge osteotomy guide structure and tibial tubercle lower section osteotomy guide structure are osteotomy below shin bone The fixed structure for being fixed on osteotomy guiding die plate on shin bone is additionally provided with when slot, in main body.
Further, the diameter of guide hole is 1.5mm-5mm, and the shape of guide hole is circle, the guiding depth of guide hole > 10mm, the direct bearing of guide hole are preset target bearing.
Further, the first locating detent, the second locating detent and third locating detent be towards tibial flexion and with outside shin bone The compatible class arcuate structure in surface, the thickness of the first locating detent, the second locating detent and third locating detent is 2mm-10mm.
Further, osteotomy guiding die plate is organic material or metal material, and osteotomy guiding die plate passes through machining or 3D Rapid shaping is printed to be made.
Further, the instruction structure for being used to indicate fixation steel plate screw hole location is additionally provided in main body, the instruction knot Structure is indicator hole or instruction slot.
Further, the tibial medial Osteotomy auxiliary tool of the utility model further includes for using aforementioned The shin bone sectioned is set to maintain the wedge-shaped die board group or dilator of predetermined slant after any osteotomy guiding die plate auxiliary osteotomy.
Further, wedge-shaped die board group includes multiple wedged templates, and wedged template includes crank and is arranged at crank both ends Wedge block, the maximum gauge of wedge block is 5mm-20mm, and the gradient of wedge block is 5 ° -20 °.
Further, the maximum gauge of two wedge blocks at crank both ends and/or gradient are different.
Due to using the technology described above, the utility model has following advantageous effects compared with prior art:
1. personalized designs can be passed through and customize the osteotomy guiding module for meeting dedicated the utility model of patient profiles Plate, doctor use this dedicated osteotomy guiding die plate, and wedged template is used in combination, can implement to perform the operation more quickly, reduce Operating time, and Intraoperative position is accurately convenient, largely improves osteotomy precision, the number of fluoroscopy during operation is reduced, to mention High success rate of operation reduces Infection in operation rate and recurrence rate.
2. the osteotomy guiding die plate of the utility model can be quickly produced based on rapid shaping techniques such as 3D printings, so that Osteotomy becomes simpler, accurate, becomes the development trend of HTO operation, has broad application prospects.
Detailed description of the invention
Following drawings are only intended to schematically illustrate and explain the present invention, does not limit the model of the utility model It encloses.Wherein:
Fig. 1 is the signal of the exemplary osteotomy guiding die plate of the tibial medial Osteotomy auxiliary tool of the utility model Figure;
Fig. 2 is the another exemplary osteotomy guiding die plate of the tibial medial Osteotomy auxiliary tool of the utility model Schematic diagram;
Fig. 3 is the schematic diagram using exemplary osteotomy guiding die plate shown in FIG. 1;
Fig. 4 is the schematic diagram using exemplary osteotomy guiding die plate shown in Fig. 2;
Fig. 5 is the schematic diagram of the exemplary wedged template of the tibial medial Osteotomy auxiliary tool of the utility model;
Fig. 6 is the schematic diagram using wedged template shown in fig. 5.
Appended drawing reference:
10- osteotomy guiding die plate 11- main body 12- the first locating detent the second locating detent of 13-
Wedge osteotomy guide structure below 14- third locating detent 15- shin bone
Osteotomy guide structure below 16- tibial tubercle
20- wedged template
The firstth area 31- 32- the secondth area 33- third area
Specific embodiment
In order to which the purpose of this utility model, technical solution and advantage are more clearly understood, combine and implement below against attached drawing Example, is further elaborated for the utility model.It should be appreciated that specific embodiment described herein is only to explain this Utility model is not used to limit the utility model.
With reference to Fig. 1 and Fig. 2, a kind of tibial medial Osteotomy auxiliary tool according to the present utility model comprising cut Bone guiding die plate 10, the osteotomy guiding die plate 10 include main body 11, main body 11 have for medial side of tibial plateau lower zone Application of a surface fitting curved surface;It is provided on the opposite face of the fitting curved surface for guiding patient along wedge osteotomy below shin bone Line carries out the shin bone lower section wedge osteotomy guide structure 15 of osteotomy and for guiding patient to carry out along osteotomy line below tibial tubercle Osteotomy guide structure 16 below the tibial tubercle of osteotomy;The side of main body 11, which is provided with, swells point contact with the highest of tibial tubercle The first locating detent 12;The top of main body 11 is provided with the second locating detent 13 and third locating detent contacted with medial side of tibial plateau 14.Preferably, above-mentioned fitting curved surface is the skeleton dissection form of patient.
In practical applications, the osteotomy guiding module of the dedicated the utility model of patient can be customized by personalized designs Plate formulates operation plan according to the Tibial shape of patient, size, degree of impairment etc., and designs above-mentioned patch according to operation plan Wedge osteotomy guide structure, tibial tubercle lower section osteotomy guide structure and the first locating detent, second are determined below conjunction curved surface, shin bone Position pawl and third locating detent, to obtain the dedicated osteotomy guiding die plate for meeting patient profiles.Doctor uses this dedicated Osteotomy guiding die plate can be implemented to perform the operation more quickly, reduce operating time, and Intraoperative position is accurately convenient, largely Osteotomy precision is improved, the number of fluoroscopy during operation is reduced, to improve success rate of operation, reduces Infection in operation rate and recurrence rate.
In the exemplary osteotomy guiding die plate 10 of tibial medial Osteotomy auxiliary tool as shown in Figure 1, under shin bone Osteotomy guide structure 16 is for by the opposite face of the fitting curved surface of main body below square wedge osteotomy guide structure 15 and tibial tubercle Two guide holes of fitting curved surface are through to, guidance hole number is merely illustrative in figure, or three or more guide holes, with Increase the accuracy of guiding.Equally, to increase guiding accurately, guide hole may be provided at the opposite face relative to fitting curved surface On the boss of protrusion.Wherein, the diameter of guide hole is 1.5mm-5mm, and the shape of guide hole is circle, the guiding depth of guide hole > 10mm, the direct bearing of guide hole are preset target bearing, and the position of guide hole is according to the Tibial shape, greatly based on patient The operation plans of the formulations such as small, degree of impairment determines.In a preferred embodiment of the utility model, the diameter of guide hole For 1.5mm, the shape of guide hole is circle, and the guiding depth of guide hole is 11mm;Another in the utility model is preferred real It applies in example, the diameter 5mm of guide hole, the shape of guide hole is circle, and the guiding depth of guide hole is 13mm.
At least two guide holes are respectively adopted as wedge osteotomy guide structure and shin below the shin bone of osteotomy guiding template Kirschner wire is squeezed into shin bone under the guidance of guide hole first, then removed by osteotomy guide structure when in use below bone tubercle Osteotomy guiding die plate simultaneously carries out osteotomy under the guidance of Kirschner wire, and osteotomy operating space is big, more flexibly.
In the exemplary osteotomy guiding die plate 10 of tibial medial Osteotomy auxiliary tool as shown in Figure 2, under shin bone Osteotomy guide structure 16 is for by the opposite face of the fitting curved surface of main body below square wedge osteotomy guide structure 15 and tibial tubercle It is through to the osteotomy slot of fitting curved surface, the goose saw that width and the operation of osteotomy slot use matches, the length of osteotomy slot, gradient root It is determined according to based on the operation plan of the formulations such as the Tibial shape of patient, size, degree of impairment.It is additionally provided with and is used in main body 11 Fixed structure (not shown) osteotomy guiding die plate 10 being fixed on shin bone.Preferably, fixed structure be fixing glue and with The hole that fixing glue matches.
Osteotomy slot is respectively adopted as under wedge osteotomy guide structure and tibial tubercle below the shin bone of osteotomy guiding template Osteotomy guiding template is fixed on shin bone by square osteotomy guide structure, when in use, the fixed structure being oriented on template by osteotomy Then inside carries out bone-culting operation under the guidance of osteotomy slot, osteotomy precision is high, and operating time is short, requires patient low.
In one embodiment of the utility model, cut below wedge osteotomy guide structure 15 and tibial tubercle below shin bone Bone guided structure 16 is not identical, i.e., wedge osteotomy guide structure 15 is osteotomy below two guide holes and tibial tubercle below shin bone Guide structure 16 is that wedge osteotomy guide structure 15 is that osteotomy is drawn below osteotomy slot and tibial tubercle below osteotomy slot or shin bone Guide structure 16 is two guide holes.
As depicted in figs. 1 and 2, the first locating detent 12, the second locating detent 13 and third locating detent 14 are curved towards shin bone Class arcuate structure bent and compatible with shin bone outer surface, in order to guarantee that there is pawl certain rigidity to be positioned, the first positioning The thickness of pawl 12, the second locating detent 13 and third locating detent 14 is 2mm-10mm.In a preferred implementation of the utility model In example, the thickness of the first locating detent 12, the second locating detent 13 and third locating detent 14 is 10mm;In the another of the utility model In preferred embodiment, the thickness of the first locating detent 12, the second locating detent 13 and third locating detent 14 is 2mm;It is practical new at this In the another preferred embodiment of type, the thickness of the first locating detent 12 is 8mm, the thickness of the second locating detent 13 is 6mm, third positioning The thickness of pawl 14 is 5mm.In order to keep positioning more stable, the first locating detent 12, the second locating detent 13 and third locating detent 14 must There must be certain rigidity.
The osteotomy guiding die plate 10 of the utility model is made by organic material or metal material.And the osteotomy of the utility model Guiding die plate 10 is made by machining or 3D printing rapid shaping and other rapid prototyping & manufacturing technologies.
Since 3D printing rapid shaping technique can fast and accurately produce product, it is based on 3D printing rapid shaping Technology carries out the personalized designs and manufacture of osteotomy guiding die plate, so that osteotomy becomes simpler, accurate, becomes HTO operation Development trend, have broad application prospects.
In one embodiment of the utility model, it is additionally provided with and is used to indicate admittedly in the main body 11 of osteotomy guiding die plate 10 Determine the instruction structure of steel plate screw hole site, which is indicator hole or instruction slot.
Using the utility model osteotomy guiding die plate 10 auxiliary carry out bone-culting operation the step of include:
(1) operation plan is formulated according to the Tibial shape of patient, size, degree of impairment etc., and is designed according to operation plan It is bonded curved surface, shin bone lower section wedge osteotomy guide structure 15, tibial tubercle lower section osteotomy guide structure 16 and the first locating detent 12, the dedicated osteotomy for meeting patient profiles is made using 3D printing rapid shaping for the second locating detent 13 and third locating detent 14 Guiding die plate 10;
(2) tibial tubercle highest protuberance point and tibial plateau are determined;
(3) point is swelled using the first locating detent 12 contact tibial tubercle highest, is positioned using the second locating detent 13 and third Pawl 14 contacts medial side of tibial plateau, as shown in figure 3, medial side of tibial plateau is divided into the first area 31, the second area 32 and third area 33, the starting point in the first area 31 is right above tibial tubercle, and the stop in third area 33 is tibial plateau most inner side point, wherein second is fixed Position pawl 13 is located at the intersection in the first area 31 and the second area 32, contact inside cortical bone, and third locating detent 14 is located at the second area 32 With the intersection in third area 33, contact inside cortical bone, the curved surface for reusing template is bonded cortical bone side as far as possible, to realize essence Quasi- positioning.
(4) wedge osteotomy guide structure 15 and tibial tubercle lower section osteotomy guide structure 16 are two and draw below shin bone When guide hole (as shown in figures 1 and 3), Kirschner wire is squeezed into below shin bone wedge osteotomy guide hole to opposite side cortical bone, so first The osteotomy guide hole that Kirschner wire is squeezed into below tibial tubercle is taken out to after penetrating afterwards, further takes out osteotomy guiding die plate 10, then will The Kirschner wire of taking-up is squeezed into along former through hole, osteotomy is carried out under the guidance of Kirschner wire using goose saw, channeling direction is operation The preset target bearing of scheme.
(5) wedge osteotomy guide structure 15 and tibial tubercle lower section osteotomy guide structure 16 are osteotomy slot below shin bone When (as shown in Figure 2 and Figure 4), it is artificial or make osteotomy template be tightly fixed to cortical bone by the fixed structure in main body 11 Side carries out osteotomy using osteotomy slot of the goose saw below tibial tubercle, cortical bone is penetrated, then using goose saw along wedge below shin bone Shape osteotomy slot carries out osteotomy according to the osteotomy depth of operation plan.
Tibial medial Osteotomy auxiliary tool according to the present utility model further includes for leading using aforementioned osteotomy The wedge-shaped die board group or dilator for so that the shin bone sectioned is maintained predetermined slant after assisting osteotomy to template.Wherein dilator is city Existing product on field, the utility model provide the wedge shape for making the shin bone sectioned maintain predetermined slant after osteotomy Template group.The wedge-shaped die board group of the utility model includes multiple wedged templates 20 as shown in Figure 5, and wedged template 20 includes crank With the wedge block that crank both ends are arranged in, the maximum gauge of wedge block is 5mm-20mm, and the gradient of wedge block is 5 ° -20 °.Crank The maximum gauge and/or gradient of two wedge blocks at both ends can be identical or different.
In order to intuitively find out the specification (i.e. maximum gauge and gradient) of wedge block, representative is carved on the lozenges of wedge block The number of the thickness of the wedge block is carved with the number for representing the gradient of the wedge block on the side of wedge block.
As shown in fig. 6, being selected after carrying out osteotomy using the auxiliary of osteotomy guiding die plate 10 of the utility model according to required angle Select wedged template 20, wedged template 20 be inserted into Osteotomy so that the shin bone sectioned maintains predetermined angular, using steel plate into After fixing in row, wedged template 20 is further taken out.The crank of wedged template 20 can be convenient for filling in and taking out in operation, but the song Orientation where handle cannot interfere the installation of steel plate.
Using having the wedge-shaped template of fixed specification that the shin bone sectioned is maintained predetermined slant, can effectively prevent because of osteotomy Correction angle error bring operative failure or surgical effect such as can not achieve the desired results at the generation of adverse consequences afterwards.
The above is implemented only to express the embodiments of the present invention, and the description thereof is more specific and detailed, but not Therefore it can be interpreted as that a limitation on the scope of the patent of the present invention.It should be pointed out that for the ordinary skill people of this field For member, without departing from the concept of the premise utility, various modifications and improvements can be made, these belong to this reality With novel protection scope.Therefore, the scope of protection shall be subject to the appended claims for the utility model patent.

Claims (10)

1. a kind of tibial medial Osteotomy auxiliary tool, which is characterized in that including osteotomy guiding die plate, the osteotomy guiding Template includes main body, and the main body has for being bonded curved surface with the application of a surface of medial side of tibial plateau lower zone;
Wedge osteotomy guide structure and tibial tubercle lower section osteotomy below shin bone is provided on the opposite face of the fitting curved surface to draw Guide structure;
The side of the main body is provided with the first locating detent with the highest of tibial tubercle protuberance point contact;
The top of the main body is provided with the second locating detent and third locating detent contacted with medial side of tibial plateau.
2. tibial medial Osteotomy auxiliary tool as described in claim 1, which is characterized in that wedge shape below the shin bone Osteotomy guide structure is to be through at least two of the fitting curved surface by the opposite face of the fitting curved surface of the main body to draw Guide hole or osteotomy slot, tibial tubercle lower section osteotomy guide structure is to be passed through by the opposite face of the fitting curved surface of the main body It wears at least two guide holes or osteotomy slot of the fitting curved surface.
3. tibial medial Osteotomy auxiliary tool as claimed in claim 2, which is characterized in that the wedge below the shin bone When osteotomy guide structure is the osteotomy slot below shape osteotomy guide structure and the tibial tubercle, also set up in the main body There is the fixed structure for being fixed on the osteotomy guiding die plate on shin bone.
4. tibial medial Osteotomy auxiliary tool as claimed in claim 2, which is characterized in that the diameter of the guide hole Shape for 1.5mm-5mm, the guide hole is circle, and the guiding depth > 10mm of the guide hole, the guide hole is led It is preset target bearing to orientation.
5. tibial medial Osteotomy auxiliary tool as described in claim 1, which is characterized in that first locating detent, Second locating detent and the third locating detent are towards tibial flexion and class arc knot compatible with shin bone outer surface The thickness of structure, first locating detent, second locating detent and the third locating detent is 2mm-10mm.
6. tibial medial Osteotomy auxiliary tool as described in claim 1, which is characterized in that the osteotomy guiding die plate For organic material or metal material, the osteotomy guiding die plate is made by machining or 3D printing rapid shaping.
7. tibial medial Osteotomy auxiliary tool as claimed in any one of claims 1 to 6, which is characterized in that the main body On be additionally provided with the instruction structure for being used to indicate fixation steel plate screw hole location, the instruction structure is indicator hole or instruction slot.
8. tibial medial Osteotomy auxiliary tool as described in claim 1, which is characterized in that further include for using The shin bone sectioned is set to maintain the wedge-shaped die board group or dilator of predetermined slant after the osteotomy guiding die plate auxiliary osteotomy.
9. tibial medial Osteotomy auxiliary tool as claimed in claim 8, which is characterized in that the wedge-shaped die board group packet Include multiple wedged templates, the wedged template includes crank and the wedge block that the crank both ends are arranged in, the wedge block Maximum gauge is 5mm-20mm, and the gradient of the wedge block is 5 ° -20 °.
10. tibial medial Osteotomy auxiliary tool as claimed in claim 9, which is characterized in that the crank both ends The maximum gauge and/or gradient difference of two wedge blocks.
CN201721029430.1U 2017-08-17 2017-08-17 A kind of tibial medial Osteotomy auxiliary tool Expired - Fee Related CN208524964U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201721029430.1U CN208524964U (en) 2017-08-17 2017-08-17 A kind of tibial medial Osteotomy auxiliary tool

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201721029430.1U CN208524964U (en) 2017-08-17 2017-08-17 A kind of tibial medial Osteotomy auxiliary tool

Publications (1)

Publication Number Publication Date
CN208524964U true CN208524964U (en) 2019-02-22

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Cited By (1)

* Cited by examiner, † Cited by third party
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

Cited By (2)

* Cited by examiner, † Cited by third party
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
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

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Granted publication date: 20190222