CN208770079U - Astragalus prosthese - Google Patents

Astragalus prosthese Download PDF

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Publication number
CN208770079U
CN208770079U CN201820030761.5U CN201820030761U CN208770079U CN 208770079 U CN208770079 U CN 208770079U CN 201820030761 U CN201820030761 U CN 201820030761U CN 208770079 U CN208770079 U CN 208770079U
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China
Prior art keywords
metal material
nonmetallic materials
material part
fixing glue
caulking groove
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CN201820030761.5U
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Chinese (zh)
Inventor
段宏
屠重棋
方向
熊燕
张闻力
罗翼
刘宏远
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West China Hospital of Sichuan University
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West China Hospital of Sichuan University
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Abstract

The utility model relates to astragalus prostheses, including range bone prosthese ontology, the range bone prosthese ontology includes the nonmetallic materials part of top and the metal material part of lower section, the nonmetallic materials part can combine assembly with metal material part, the nonmetallic materials part includes trochoid face and articular facet of medial malleolus, the metal material part includes subtalar joint face, the nonmetallic materials part or metal material part include articulatio talonavicularis face, the metal material part is equipped with fixing glue screw way, and fixing glue screw way has 4-5.For porous trabecular bone structure or there is hydroxyapatite coating layer in subtalar joint face and/or articulatio talonavicularis face.The dismountable nonmetallic materials part of the utility model and metal material part, replacement when conveniently overhauling;The region closed on bone is using bone trabecula porous structure or has hydroxyapatite coating layer, can promote bone fusion;Male part A is filled with the gap away from calcaneum on the outside, increases stability.

Description

Astragalus prosthese
Technical field
The utility model relates to the field of medical instrument technology more particularly to astragalus prostheses.
Background technique
Astragalus is the maximum irregular bone of human body, can be divided into head, neck, body three parts.Astragalus shares 7 articular surfaces, nut bone Articular surface, facies articularis anterior calcanei, facies articularis calcanea media, facies articularis calcanea posterior, articular facet of medial malleolus, articular facet of lateral malleolus, trochoid Face is the hinge that body gravity reaches foot, has important biomechanical function.
Astragalus surface about 60%~70% is covered by articular cartilage, remaining is covered by periosteum, and astragalus itself is without independent Blood supply, only by ligament and joint capsule blood supply.The primary bone tumour of astragalus accounts for about the 0.3% of whole body, and main histological type is bone Giant-cell tumor, astragalus giant cell tumor of bone often involve range bone, strike off high recurrence rate.Astragalus excision can reduce recurrence rate, but can lose Stay dysfunction.In addition to tumour, local wound and pyogenic infection can also cause astragalus seriously to damage, operative treatment mesh Before be still that can equally leave dysfunction based on joint fusion.
Utility model content
The utility model is intended to provide astragalus prosthese, and compared to joint fusion, replaceable astragalus, astragalus prosthetic replacement is opposite It is more preferable in the postoperative function of joint fusion;The astragalus prosthese includes range bone prosthese ontology, and range bone prosthese ontology is divided into Lower two parts, two parts can combine assembly, replacement when conveniently overhauling.
In order to achieve the above objectives, the technical solution adopted in the utility model is as follows:
Astragalus prosthese, including range bone prosthese ontology, the range bone prosthese ontology include the nonmetallic materials portion of top Divide the metal material part with lower section, the nonmetallic materials part can combine assembly with metal material part, described nonmetallic Material part includes trochoid face and articular facet of medial malleolus, and the metal material part includes subtalar joint face, described nonmetallic Material part or metal material part include articulatio talonavicularis face, and the metal material part is equipped with fixing glue screw way.
Further, there is caulking groove in the top surface of the metal material part, and the bottom of the nonmetallic materials part is inlaid in In caulking groove.There is caulking groove in the top surface of the metal material part, and the bottom of the nonmetallic materials part is inlaid in caulking groove;Or There are caulking groove in person, the bottom surface of nonmetallic materials part, are inlaid in caulking groove at the top of the metal material part.
It is further preferred that caulking groove side wall has opening up notch when caulking groove is arranged in metal material part;When embedding Slot is arranged at nonmetallic materials part, and caulking groove side wall has downward opening notch.Wherein, the nonmetallic materials part and gold Belong to material part and all refers to articular facet of lateral malleolus.
Further, the subtalar joint face and/or articulatio talonavicularis face are porous trabecular bone structure.
It is further preferred that there is hydroxyapatite coating layer in subtalar joint face and/or articulatio talonavicularis face.
Further, the position that the metal material part corresponds to veins of tarsal sinus outwardly protrudes to form male part A to fill up instep Bone sinus and veins of tarsal sinus pipe.
Preferably, the material of the nonmetallic materials part is high molecular material or medical ceramic, the metal material portion The material divided is that titanium alloy or nickel-base alloy or stainless steel or Ti-Ni alloy or cochrome or acid bronze alloy or tantalum close Gold etc..Wherein, high molecular material can for high density polyethylene (HDPE) or polylactic acid or high-modulus aromatic polyamide or carbon fiber and Its composite material etc..
Metal material part is further, is set on subtalar joint face there are four fixing glue screw way, four fixing glue screw ways are equal Through the bottom surface of caulking groove.
Further, astragalus prosthese further includes the fixing glue being adapted to fixing glue screw way, and the head of a nail of fixing glue is equipped with outer Screw thread has the internal screw thread being adapted to the head of a nail in fixing glue screw way.
Compared with prior art, the utility model has the following beneficial effects:
The dismountable nonmetallic materials part of the utility model and metal material part, replacement when conveniently overhauling;Face with bone Close region is using bone trabecula porous structure or has hydroxyapatite coating layer, can promote bone fusion;Male part A is filled with away from calcaneum Gap on the outside, increases stability.
Detailed description of the invention
Fig. 1 is the structural schematic diagram of embodiment 1;
Fig. 2 is the structural schematic diagram of embodiment 1 when fixing glue is not shown;
Fig. 3 is the structural schematic diagram of metal material part in embodiment 1;
Fig. 4 is the structural schematic diagram of non-metal material part;
Fig. 5 is the structural schematic diagram of embodiment 2;
Fig. 6 is the structural schematic diagram of metal material part in embodiment 2;
Fig. 7 is the structural schematic diagram of embodiment 3 when fixing glue is not shown;
In figure: 1- nonmetallic materials part, 2- metal material part, 3- fixing glue, 11- extension, 21- caulking groove, 22- are lacked Mouth, 23- fixing glue screw way, 24- male part A, 25- articulatio talonavicularis face, 26- stage portion, 27- outer edge.
Specific embodiment
In order to make the purpose of the utility model, technical solutions and advantages more clearly understood, below in conjunction with attached drawing, to this reality It is further elaborated with novel.
Embodiment 1
As shown in Figure 1, 2, astragalus prosthese disclosed in the present embodiment, including range bone prosthese ontology, range bone prosthese ontology For anatomical structure, range bone prosthese ontology includes the nonmetallic materials part 1 of top and the metal material part 2 of lower section, non-gold Assembly can be combined with metal material part 2 by belonging to material part 1, replacement when conveniently overhauling, and the corresponding shin bone in nonmetallic materials part 1 is remote End.There is caulking groove 21 in the top surface of metal material part 2, and the bottom of nonmetallic materials part 1 is inlaid in caulking groove 21, nonmetallic materials The bottom of part 1 and caulking groove 21 are interference fit, and 21 side wall of caulking groove has opening up notch 22, conveniently pried open by notch 22 Nonmetallic materials part 1.It is of course also possible to metal material part 2 is inlaid on nonmetallic materials part 1, in non-metallic material There is caulking groove 21 in the bottom surface of material part 1, and the top of metal material part 2 is inlaid in caulking groove 21, and 21 side wall of caulking groove has opening down Notch 22.
Wherein, the material of the nonmetallic materials part 1 is high molecular material or medical ceramic, the metal material part 2 material is titanium alloy or nickel-base alloy or stainless steel or Ti-Ni alloy or cochrome or acid bronze alloy or tantalum alloy Deng.Wherein, high molecular material can for high density polyethylene (HDPE) or polylactic acid or high-modulus aromatic polyamide or carbon fiber and its Composite material etc..
Metal material part
Nonmetallic materials part 1 includes trochoid face and articular facet of medial malleolus, and metal material part 2 includes subtalar joint face With articulatio talonavicularis face 25, nonmetallic materials part 1 and metal material part 2 all refer to articular facet of lateral malleolus.Subtalar joint bread Include facies articularis anterior calcanei, facies articularis calcanea media and facies articularis calcanea posterior.
As shown in figure 3, metal material part 2 is equipped with fixing glue screw way 23.Subtalar joint face is equipped in the present embodiment Four fixing glue screw ways 23, this four 4 fixing glue screw ways 23 run through the bottom surface of caulking groove 21, for fixing astragalus and calcaneum. As shown in figure 3, astragalus prosthese further includes the fixing glue 3 being adapted to fixing glue screw way 23, the head of a nail of fixing glue 3 is equipped with outer spiral shell Line has the internal screw thread being adapted to the head of a nail in fixing glue screw way 23, in use, utilizing by fixing glue 3 in fixing glue screw way 23 The head of a nail and the internal screw thread of fixing glue screw way 23 lock fixing glue 3 and astragalus prosthese, and stability is high.Fixing glue 3 in the present embodiment Select full thread lock screw.Fixing glue 3 can be with spraying hydroxyapatite coating.The distribution of fixing glue 3 and direction, such as Fig. 5 institute Show, fixing glue 3 is inclined outwardly from the head of a nail to nail tail, and side position can be fan-shaped.
As shown in figure 3, there is a raised stage portion 26 upwards on the side of 2 upper embedded groove 21 of metal material part, away from boat Articular surface 25 is located on the lateral surface of stage portion 26, and the outer edge 27 of 26 top surface of stage portion upwarps.
As shown in figure 4, the extension 11 being adapted to stage portion 26 is arranged at the top of nonmetallic materials part 1, as shown in Fig. 2, When nonmetallic materials part 1 and metal material part 2 assemble together, extension 11 is located at 26 top of stage portion, stage portion 26 outer edges 27 upwarped wrap up the bottom of extension 11 wherein.
Metal material part 2 can 3D printing, can also be used other processes be made, subtalar joint face can in the present embodiment Selective spray has hydroxyapatite or uses 3D printing porous structure, promotes Bone Ingrowth.Wherein, articulatio talonavicularis face 25 is polishing Face.On the basis of anatomical structure, the position of the corresponding veins of tarsal sinus of metal material part 2 outwardly protrudes to form male part A24 to fill out Full veins of tarsal sinus and veins of tarsal sinus pipe, male part A24 are filled with the gap away from calcaneum on the outside, increase stability.Male part A24 For porous trabecular bone structure and/or there is hydroxyapatite coating layer.
Range bone prosthese ontology includes dismountable nonmetallic materials part 1 and metal material part 2, side in the present embodiment Replacement when just overhauling;The lower surface of range bone prosthese ontology, the region closed on calcaneum can promote using bone trabecula porous structure Bone is grown into;Male part A24 is filled with the gap away from calcaneum on the outside, increases stability.
Embodiment 2
The present embodiment the difference from embodiment 1 is that: as shown in Figure 5,6, articulatio talonavicularis face 25 also be porous bone trabecula knot There are hydroxyapatite coating layer, fusion and stable articulatio talonavicularis in structure and/or articulatio talonavicularis face 25.Also there is fixation on articulatio talonavicularis face 25 Screw way 23 is followed closely, when use loads onto fixing glue 3 in the fixing glue screw way 23, for fixing astragalus and nut bone.I.e. if the joint Face has done porous trabecular bone structure or has had hydroxyapatite coating layer, then the articular surface can beat fixing glue 3.
Embodiment 3
The present embodiment the difference from embodiment 1 is that: as shown in fig. 7, articulatio talonavicularis face 25 belongs to non-gold in the present embodiment Belong to material part 1.
The dismountable nonmetallic materials part of the utility model and metal material part, replacement when conveniently overhauling;Face with bone Close region is using bone trabecula porous structure or has hydroxyapatite coating layer, can promote bone fusion;Male part A is filled with away from calcaneum Gap on the outside, increases stability.
Certainly, the utility model can also have other numerous embodiments, without departing substantially from the spirit of the present invention and its essence In the case where, those skilled in the art can make various corresponding changes and modifications, but these according to the utility model Corresponding changes and modifications all should belong to the protection scope of the utility model the attached claims.

Claims (10)

1. astragalus prosthese, it is characterised in that: including range bone prosthese ontology, the range bone prosthese ontology includes the non-gold of top Belong to the metal material part (2) of material part (1) and lower section, the nonmetallic materials part (1) and metal material part (2) can Combination assembly, the nonmetallic materials part (1) includes trochoid face and articular facet of medial malleolus, the metal material part (2) Including subtalar joint face, the nonmetallic materials part (1) or metal material part (2) include articulatio talonavicularis face (25), described Metal material part (2) is equipped with fixing glue screw way (23).
2. astragalus prosthese according to claim 1, it is characterised in that: there is caulking groove in the top surface of the metal material part (2) (21), the bottom of the nonmetallic materials part (1) is inlaid in caulking groove (21);Alternatively, the bottom surface of nonmetallic materials part (1) Have caulking groove (21), is inlaid in caulking groove (21) at the top of the metal material part (2).
3. astragalus prosthese according to claim 1, it is characterised in that: when caulking groove (21) are arranged in metal material part (2) When, caulking groove (21) side wall has opening up notch (22);When the caulking groove at nonmetallic materials part (1) is arranged in caulking groove (21) (21) side wall has downward opening notch (22).
4. astragalus prosthese according to claim 1, it is characterised in that: the nonmetallic materials part (1) and metal material Partially (2) all refer to articular facet of lateral malleolus.
5. astragalus prosthese according to claim 1, it is characterised in that: the subtalar joint face and/or articulatio talonavicularis face It (25) is trabecular bone structure.
6. astragalus prosthese according to claim 1 or 5, it is characterised in that: subtalar joint face and/or articulatio talonavicularis face (25) There is hydroxyapatite coating layer.
7. astragalus prosthese according to claim 1, it is characterised in that: the corresponding veins of tarsal sinus of the metal material part (2) Position outwardly protrudes to form male part A (24) to fill up veins of tarsal sinus and veins of tarsal sinus pipe.
8. astragalus prosthese according to claim 1, it is characterised in that: the material of the nonmetallic materials part (1) is height Molecular material or medical ceramic, the material of the metal material part (2) are titanium alloy or nickel-base alloy or stainless steel or titanium Nickel alloy or cochrome or acid bronze alloy or tantalum alloy.
9. astragalus prosthese according to claim 1, it is characterised in that: fixing glue screw way there are four being set on subtalar joint face (23), four fixing glue screw ways (23) run through the bottom surface of caulking groove (21).
10. according to claim 1 or astragalus prosthese described in 9, it is characterised in that: further include being adapted to fixing glue screw way (23) The head of a nail of fixing glue (3), fixing glue (3) is equipped with external screw thread, and fixing glue screw way has the internal screw thread being adapted to the head of a nail on (23).
CN201820030761.5U 2018-01-08 2018-01-08 Astragalus prosthese Active CN208770079U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201820030761.5U CN208770079U (en) 2018-01-08 2018-01-08 Astragalus prosthese

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201820030761.5U CN208770079U (en) 2018-01-08 2018-01-08 Astragalus prosthese

Publications (1)

Publication Number Publication Date
CN208770079U true CN208770079U (en) 2019-04-23

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108210130A (en) * 2018-01-08 2018-06-29 四川大学华西医院 Astragalus prosthese

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108210130A (en) * 2018-01-08 2018-06-29 四川大学华西医院 Astragalus prosthese
CN108210130B (en) * 2018-01-08 2023-09-08 四川大学华西医院 Talus prosthesis

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