CN209004332U - A kind of biomimetic prosthetic remporomandibular joint replacement prosthesis - Google Patents

A kind of biomimetic prosthetic remporomandibular joint replacement prosthesis Download PDF

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Publication number
CN209004332U
CN209004332U CN201820950481.6U CN201820950481U CN209004332U CN 209004332 U CN209004332 U CN 209004332U CN 201820950481 U CN201820950481 U CN 201820950481U CN 209004332 U CN209004332 U CN 209004332U
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mandible
ramus
prosthese
glenoid
condyle
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何冬梅
朱慧敏
邹璐芗
王成焘
李祥
张露珠
杨磊
孙琦
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Ninth Peoples Hospital Shanghai Jiaotong University School of Medicine
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Ninth Peoples Hospital Shanghai Jiaotong University School of Medicine
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Abstract

The utility model relates to field of medical technology, specially a kind of biomimetic prosthetic remporomandibular joint replacement prosthesis, the biomimetic prosthetic remporomandibular joint replacement prosthesis, growing into and adhering to for lateral pterygoid muscle may be implemented, to increase the motion range of joint prosthesis, the shortcomings that avoiding limited simple mechanical joint motions and increase opposite side healthy joint burden, the POROUS TITANIUM structure of the hydroxyapatite sprayed and mandible prosthesis and bone contact surface of glenoid prosthese and bone contact surface increases the binding ability of prosthese and bone, prevent aseptic necrosis of bone caused by prosthese fine motion, to improve its using effect and service life.

Description

A kind of biomimetic prosthetic remporomandibular joint replacement prosthesis
Technical field
The utility model relates to field of medical technology, specially a kind of biomimetic prosthetic remporomandibular joint replacement prosthesis.
Background technique
Remporomandibular joint displacement is the effective of the diseases such as treatment advanced stage osteoarthropathy, arthrocleisis, tumour, idiopathic absorption Means.Wherein, artificial remporomandibular joint prosthese has to stablize and not absorb, without opening up the second art area to reduce operation wound The advantages of and be widely used in foreign countries.However, current prosthetic designs cannot achieve the biological attachment of muscle, thus cannot reach To the physiological movement range in joint, while increasing the burden of healthy lateral joint.
Utility model content
The technical issues of the utility model solves is to overcome the deficiencies of existing technologies, and provides a kind of biomimetic prosthetic temporomandibular joint Joint replacement prostheses.
To achieve the above object, the utility model provides the following technical solutions:
A kind of biomimetic prosthetic remporomandibular joint replacement prosthesis, including glenoid prosthese and ramus of mandible prosthese, the glenoid Prosthese includes tissue surface and functional surfaces, and wherein tissue surface includes wing plate and extension, and the bottom surface of the functional surfaces offers joint Fossa concave portion, the wing plate are fixedly mounted on another side surface that functional surfaces are located at glenoid recessed portion, and the extension is fixed It is mounted on side wall surface of the functional surfaces far from wing plate, the lower section of glenoid prosthese is arranged in the ramus of mandible prosthese, under described Jaw branch prosthese includes condyle protruding head, condyle neck and ramus of mandible maintenance handle, and the condyle protruding head is arranged in ramus of mandible maintenance handle close to joint The position between condyle protruding head and ramus of mandible maintenance handle is arranged in the side of nest prosthese, the condyle neck, wherein the both ends of condyle neck One end corresponding with condyle protruding head and the corresponding one end of ramus of mandible maintenance handle are connected and fixed respectively, the condyle protruding head rotation card It connects in the inside of the glenoid recessed portion of glenoid prosthese, the surface of the wing plate and the surface of ramus of mandible maintenance handle are opened respectively Equipped with multiple screw holes one and screw hole two.
Preferably, it be 8mm, length is 16mm and the rectangular slab with a thickness of 1.5mm that the wing plate, which is width, wherein wing plate It is an integral molding structure with functional surfaces.
Preferably, the functional surfaces are an integral molding structure with extension, and wherein the two is arranged in glenoid recessed portion Bottom surface.
Preferably, the glenoid recessed portion is that length is 22mm and width is the spheroid shape cambered surface of 18mm, wherein joint The least radius of fossa concave portion is 9mm, maximum radius is 13mm and depth is 5mm.
Preferably, the wing plate is screwed by the screw hole one and screw on its surface with zygomatic arch, wherein screw hole One quantity is two groups, and every group at least two, wherein two groups of screw hole one is successively linear in the surface vertical direction of wing plate Arrangement, wherein horizontal direction successively linear array of every group at least two of the screw hole one on wing plate surface.
Preferably, the ramus of mandible maintenance handle is contacted by the screw hole two and screw on its surface with human body lower jaw fulcra Face, which is threadedly coupled, to be fixed, and the quantity of the screw hole two is two groups, and every group at least two, wherein two groups of screw hole two is under The surface horizontal direction of jaw branch maintenance handle successively linear array, wherein every group at least two of screw hole two is in ramus of mandible maintenance handle Surface vertical direction successively linear array.
Preferably, the ramus of mandible prosthese is that titanium alloy material is made up of 3D printing technique, wherein condyle protruding head, condyle neck And ramus of mandible maintenance handle is an integral molding structure.
Preferably, wherein the outer surface of condyle neck and ramus of mandible maintenance handle and human body lower jaw fulcra contact surface are porous Shape structure.
Preferably, the condyle protruding head is that diameter is 10mm and height is the spheroid of 4.5mm, and the surface light of condyle protruding head It is sliding.
It preferably, is in by inclination angle, wherein be in layback between the two between the condyle protruding head and ramus of mandible maintenance handle Angle be 160 °, 165 ° or 170 °, between the condyle protruding head and ramus of mandible maintenance handle formed leaning angle be 145 °, 150 ° or 155°。
Preferably, glenoid prosthese position ultra high molecular polyethylene polymer is made.
Preferably, the tissue surface and glenoid recessed portion are provided with hydroxylapatite powder spray coating.
Compared with prior art, the utility model has the beneficial effects that the biomimetic prosthetic remporomandibular joint replacement prosthesis, it can To realize growing into and adhering to for lateral pterygoid muscle, to increase the motion range of joint prosthesis, avoiding simple mechanical joint motions has The shortcomings that limit and increase opposite side healthy joint burden, glenoid prosthese and the hydroxyapatite sprayed and lower jaw of bone contact surface are false The POROUS TITANIUM structure of body and bone contact surface increases the binding ability of prosthese and bone, prevents aseptic bone caused by prosthese fine motion Necrosis, to improve its using effect and service life.
Detailed description of the invention
Fig. 1 is the structural schematic diagram of the utility model;
Fig. 2 is the structure front view of the glenoid prosthese of the utility model;
Fig. 3 is the structural side view of the glenoid prosthese of the utility model;
Fig. 4 is the structure front view of the ramus of mandible prosthese of the utility model;
Fig. 5 is the structural side view of the ramus of mandible prosthese of the utility model.
In figure: 1 glenoid prosthese, 2 ramus of mandible prostheses, 3 tissue surfaces, 4 functional surfaces, 5 wing plates, 6 extensions, 7 joint fossas Concave portion, 8 screw holes one, 9 condyle protruding heads, 10 condyle necks, 11 ramus of mandible maintenance handles, 12 screw holes two.
Specific embodiment
The following will be combined with the drawings in the embodiments of the present invention, carries out the technical scheme in the embodiment of the utility model Clearly and completely describe, it is clear that the described embodiments are only a part of the embodiments of the utility model, rather than whole Embodiment.Based on the embodiments of the present invention, those of ordinary skill in the art are without making creative work Every other embodiment obtained, fall within the protection scope of the utility model.
Fig. 1-5 is please referred to, the utility model provides a kind of technical solution:
A kind of biomimetic prosthetic remporomandibular joint replacement prosthesis, including glenoid prosthese 1 and ramus of mandible prosthese 2, the joint Nest prosthese 1 includes tissue surface 3 and functional surfaces 4, and wherein tissue surface 3 includes wing plate 5 and extension 6, and the bottom surface of the functional surfaces 4 is opened Equipped with glenoid recessed portion 7, the wing plate 5 is fixedly mounted on another side surface that functional surfaces 4 are located at glenoid recessed portion 7, institute The side wall surface far from wing plate 5 that is fixedly mounted on functional surfaces 4 of extension 6 is stated, the setting of ramus of mandible prosthese 2 is in glenoid vacation The lower section of body 1, the ramus of mandible prosthese 2 include condyle protruding head 9, condyle neck 10 and ramus of mandible maintenance handle 11, and the condyle protruding head 9 is arranged In ramus of mandible maintenance handle 11 close to the side of glenoid prosthese 1, the condyle neck 10 is arranged in condyle protruding head 9 and ramus of mandible maintenance handle Position between 11, the wherein both ends of condyle neck 10 11 phase of one end corresponding with condyle protruding head 9 and ramus of mandible maintenance handle respectively Corresponding one end is connected and fixed, and the condyle protruding head 9 rotates the inside for being connected to the glenoid recessed portion 7 of glenoid prosthese 1, described The surface of wing plate 5 and the surface of ramus of mandible maintenance handle 11 offer multiple screw holes 1 and screw hole 2 12 respectively.
As a kind of technical optimization scheme of the utility model, the wing plate 5 be width be 8mm, length be 16mm and With a thickness of the rectangular slab of 1.5mm, wherein wing plate 5 is an integral molding structure with functional surfaces 4.
As a kind of technical optimization scheme of the utility model, the functional surfaces 4 are an integral molding structure with extension 6, Wherein the bottom surface of the two is arranged in glenoid recessed portion 7.
As a kind of technical optimization scheme of the utility model, the glenoid recessed portion 7 is that length is 22mm and width It is the spheroid shape cambered surface of 18mm, wherein the least radius of glenoid recessed portion 7 is 9mm, maximum radius is 13mm and depth is 5mm。
As a kind of technical optimization scheme of the utility model, the wing plate 5 passes through the screw hole 1 and spiral shell on its surface Nail is screwed with zygomatic arch, and wherein the quantity of screw hole 1 is two groups, and every group at least two, wherein two groups of screw hole 1 In the surface vertical direction successively linear array of wing plate 5, wherein water of every group at least two of the screw hole 1 on 5 surface of wing plate Square to successively linear array.
As a kind of technical optimization scheme of the utility model, the ramus of mandible maintenance handle 11 passes through the screw hole on its surface 2 12 and screw be threadedly coupled fixation with human body lower jaw fulcra contact surface, the quantity of the screw hole 2 12 is two groups, and every Group at least two, wherein surface horizontal direction successively linear array of two groups of the screw hole 2 12 in ramus of mandible maintenance handle 11, In every group at least two screw hole 2 12 ramus of mandible maintenance handle 11 surface vertical direction successively linear array.
As a kind of technical optimization scheme of the utility model, the ramus of mandible prosthese 2 is that titanium alloy material is beaten by 3D Technological maheup is printed, wherein condyle protruding head 9, condyle neck 10 and ramus of mandible maintenance handle 11 are an integral molding structure.
As a kind of technical optimization scheme of the utility model, the wherein outer surface of condyle neck 10 and ramus of mandible maintenance handle 11 and human body lower jaw fulcra contact surface are vesicular texture.
As a kind of technical optimization scheme of the utility model, the condyle protruding head 9 is that diameter is 10mm and height is 4.5mm Spheroid, and the surface of condyle protruding head 9 is smooth.
As a kind of technical optimization scheme of the utility model, between the condyle protruding head 9 and ramus of mandible maintenance handle 11 in by Inclination angle, wherein the be in rear elevation angle between the two is 160 °, 165 ° or 170 °, the condyle protruding head 9 and ramus of mandible maintenance handle 11 Between formed leaning angle be 145 °, 150 ° or 155 °.
As a kind of technical optimization scheme of the utility model, 1 ultra high molecular polyethylene polymerization of the glenoid prosthese Object is made.
As a kind of technical optimization scheme of the utility model, the tissue surface 3 and glenoid recessed portion 7 are provided with Hydroxylapatite powder spray coating.
Working principle: when doctor uses the biomimetic prosthetic remporomandibular joint replacement prosthesis, by that will be gathered by supra polymer The tissue surface 3 of the contact of glenoid made of ethene polymers and functional surfaces 4 constitute glenoid prosthese 1, by tissue surface 3 Top surface be fixedly mounted wing plate 5, make it is corresponding at its zygomatic arch with human body, while the side of tissue surface 3 be arranged extension 6, mention The size of high tissue surface 3 improves protective performance of the wing plate 5 when connecting with human body zygomatic arch, using being provided with multiple spiral shells on wing plate 5 Nail hole, so that wing plate 5 can be fixedly connected by doctor by screw with zygomatic arch, is dismounted with 8 convenient for doctor.By in functional surfaces 4 bottom surface setting glenoid recessed portion 7 contacts it with ramus of mandible prosthese 2, to carry out glenoid prosthese 1 and ramus of mandible prosthese Being connected and fixed between 2 is provided with hydroxylapatite powder spray using in tissue surface 3 and glenoid recessed portion 7 and bone contact portion Coating is stimulated and is induced to sclerotin by hydroxylapatite powder.To accelerate the reparation of defective tissue.
Wing plate 5 is placed in zygomatic arch region to doctor outwardly by upward, being by glenoid prosthetic devices face 3, and after wing plate 5 Portion is apart from external auditory canal antetheca 2-3mm, and in installation course, appropriate bone finishing, glenoid and vacation can be done to the tuberculum articulare of patient Gap between body is filled by bone block, is then fixed on first screw hole 8 of the glenoid prosthese 1 on wing plate 5 by screw It is further reinforced on zygomatic arch lateral surface.
Using using by titanium alloy material, and ramus of mandible prosthese 2 is made via 3D printing technique so that by condyle protruding head 9, The ramus of mandible prosthese 2 that condyle neck 10 and ramus of mandible maintenance handle 11 are constituted, shape are more adapted to patient's own situation, are improved false The using effect of body, avoids prosthese collocation degree not high, causes the phenomenon that further damaging to patient, using the condyle protruding head of spheroid 9 make its rotation be connected to the inside of glenoid recessed portion 7, enable the glenoid prosthese 1 after installation and ramus of mandible prosthese 2 from Main carry out activity, by the way that ramus of mandible maintenance handle 11 to be attached to the lateral surface of human body lower jaw fulcra contact surface, by being provided with down 11 surface of jaw branch maintenance handle is provided with multiple screw holes 2 12, and is carried out under ramus of mandible maintenance handle 11 and human body by screw Jaw fulcra contact surface is fixedly connected, by the way that condyle neck 10 and the position corresponding with bone contact surface of ramus of mandible maintenance handle 11 is equal It is POROUS TITANIUM structure by 3D printing technique, the better corresponding sclerotin of the two made is combined, to be conducive to vacation Body is integrated with bone tissue growth.
Wherein the riding position of ramus of mandible prosthese 2 is the rear lateral surface of human body ramus of mandible, which can effectively avoid Nervus alverlaris, and ramus of mandible prosthese 2 is fixed on lower jaw fulcra face by screw.
Using multiple groups successively linearly aligned screw hole 1 and screw hole 2 12, in such a way that multiple spot rule positions, Improve the stable connection degree of wing plate 5 and ramus of mandible maintenance handle 11, thus improve glenoid prosthese 1 and ramus of mandible prosthese 2 with The connection tightness of its corresponding human body bone contact surface.
Operation consent closes the measurement of glenoid and ramus of mandible or CT measurement selection according to whole scenery piece and A-P head film Suitable prosthese model.Sufficiently expose using notch after improvement preauricular incision+jaw that zygomatic arch, condyle be prominent and Mandibular Rumas in art, under Jaw branch simoid notch horizontal truncation lesion condyle is dashed forward and is taken out, and selects glenoid prosthese according to glenoid depth, modifies tuberculum articulare, In favor of prosthese maintenance, the bone block filling that the gap between prosthese and glenoid is amputated using tuberculum articulare or neck of condyle portion, with Increase stability, screw fixing joint nest prosthese 1.Suitable ramus of mandible prosthese 2 is selected according to preoperative measurement, on the outside of ramus of mandible Face carries out bone mill and changes, and a plane is made, in favor of 2 maintenance of ramus of mandible prosthese.Sterile drape in oral cavity carries out lower jaw tooth The jaw of tooth pricks rear enclosed oral cavity indirectly, installs ramus of mandible prosthese 2 after sterile drape again, condyle protruding head 9 is made to be located at glenoid prosthese 1 Back upper place in functional surfaces, the fixed ramus of mandible prosthese 2 of lock screw.It opens jaw to prick indirectly, checks whether occluding relation is stable.Such as Stabilization closes oral cavity again, and again after sterile drape, chloramphenicol irrigates, and places before ear and respectively and bears in notch after jaw Pressure drainage tube 1, layer-by-layer suture notch.
While there has been shown and described that the embodiments of the present invention, for the ordinary skill in the art, It is understood that these embodiments can be carried out with a variety of variations in the case where not departing from the principles of the present invention and spirit, repaired Change, replacement and variant, the scope of the utility model is defined by the appended claims and the equivalents thereof.

Claims (12)

1. a kind of biomimetic prosthetic remporomandibular joint replacement prosthesis, including glenoid prosthese (1) and ramus of mandible prosthese (2), feature Be: the glenoid prosthese (1) includes tissue surface (3) and functional surfaces (4), and wherein tissue surface (3) includes wing plate (5) and extends The bottom surface in portion (6), the functional surfaces (4) offers glenoid recessed portion (7), and the wing plate (5) is fixedly mounted on functional surfaces (4) Positioned at another side surface of glenoid recessed portion (7), the extension (6) is fixedly mounted on functional surfaces (4) far from wing plate (5) Side wall surface, the ramus of mandible prosthese (2) are arranged in the lower section of glenoid prosthese (1), and the ramus of mandible prosthese (2) includes condyle Protruding head (9), condyle neck (10) and ramus of mandible maintenance handle (11), condyle protruding head (9) setting are close in ramus of mandible maintenance handle (11) The side of glenoid prosthese (1), the position that the condyle neck (10) is arranged between condyle protruding head (9) and ramus of mandible maintenance handle (11) It sets, wherein one end corresponding with condyle protruding head (9) and ramus of mandible maintenance handle (11) are corresponding respectively at the both ends of condyle neck (10) One end be connected and fixed, the condyle protruding head (9) rotation is connected to the inside of the glenoid recessed portion (7) of glenoid prosthese (1), institute The surface on the surface and ramus of mandible maintenance handle (11) of stating wing plate (5) offers multiple screw holes one (8) and screw hole two respectively (12)。
2. a kind of biomimetic prosthetic remporomandibular joint replacement prosthesis according to claim 1, it is characterised in that: the wing plate It (5) be 8mm, length for width is 16mm and the rectangular slab with a thickness of 1.5mm, wherein wing plate (5) is integrated with functional surfaces (4) Molding structure.
3. a kind of biomimetic prosthetic remporomandibular joint replacement prosthesis according to claim 1, it is characterised in that: the functional surfaces (4) it is an integral molding structure with extension (6), wherein the bottom surface of the two is arranged in glenoid recessed portion (7).
4. a kind of biomimetic prosthetic remporomandibular joint replacement prosthesis according to claim 1, it is characterised in that: the glenoid Recessed portion (7) is that length is 22mm and width is the spheroid shape cambered surface of 18mm, and wherein the least radius of glenoid recessed portion (7) is 9mm, maximum radius are 13mm and depth is 5mm.
5. a kind of biomimetic prosthetic remporomandibular joint replacement prosthesis according to claim 1, it is characterised in that: the wing plate (5) it is screwed by the screw hole one (8) and screw on its surface with zygomatic arch, wherein the quantity of screw hole one (8) is two groups, And every group at least two, wherein surface vertical direction successively linear array of two groups of the screw hole one (8) in wing plate (5), wherein Horizontal direction successively linear array of every group at least two of the screw hole one (8) on wing plate (5) surface.
6. a kind of biomimetic prosthetic remporomandibular joint replacement prosthesis according to claim 1, it is characterised in that: the ramus of mandible Maintenance handle (11) is threadedly coupled fixation, institute with human body lower jaw fulcra contact surface by the screw hole two (12) and screw on its surface The quantity for stating screw hole two (12) is two groups, and every group at least two, wherein two groups of screw hole two (12) is in ramus of mandible maintenance The surface horizontal direction of handle (11) successively linear array, wherein every group at least two of screw hole two (12) is in ramus of mandible maintenance handle (11) surface vertical direction successively linear array.
7. a kind of biomimetic prosthetic remporomandibular joint replacement prosthesis according to claim 1, it is characterised in that: the ramus of mandible Prosthese (2) is that titanium alloy material is made up of 3D printing technique, wherein condyle protruding head (9), condyle neck (10) and ramus of mandible maintenance Handle (11) is an integral molding structure.
8. a kind of biomimetic prosthetic remporomandibular joint replacement prosthesis according to claim 1, it is characterised in that: wherein condyle neck (10) outer surface and ramus of mandible maintenance handle (11) and human body lower jaw fulcra contact surface is vesicular texture.
9. a kind of biomimetic prosthetic remporomandibular joint replacement prosthesis according to claim 1, it is characterised in that: the condyle protruding head It (9) is that diameter is 10mm and height is the spheroid of 4.5mm, and the surface of condyle protruding head (9) is smooth.
10. a kind of biomimetic prosthetic remporomandibular joint replacement prosthesis according to claim 1, it is characterised in that: the condyle is prominent In by inclination angle between head (9) and ramus of mandible maintenance handle (11), wherein the be in rear elevation angle between the two for 160 °, 165 ° or 170 °, formed leaning angle is 145 °, 150 ° or 155 ° between the condyle protruding head (9) and ramus of mandible maintenance handle (11).
11. a kind of biomimetic prosthetic remporomandibular joint replacement prosthesis according to claim 1, it is characterised in that: the joint Nest prosthese (1) position ultra high molecular polyethylene polymer is made.
12. a kind of biomimetic prosthetic remporomandibular joint replacement prosthesis according to claim 1, it is characterised in that: the tissue Face (3) and glenoid recessed portion (7) are provided with hydroxylapatite powder spray coating.
CN201820950481.6U 2018-06-20 2018-06-20 A kind of biomimetic prosthetic remporomandibular joint replacement prosthesis Active CN209004332U (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108720969A (en) * 2018-06-20 2018-11-02 上海交通大学医学院附属第九人民医院 A kind of biomimetic prosthetic remporomandibular joint replacement prosthesis

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108720969A (en) * 2018-06-20 2018-11-02 上海交通大学医学院附属第九人民医院 A kind of biomimetic prosthetic remporomandibular joint replacement prosthesis
CN108720969B (en) * 2018-06-20 2024-05-31 上海交通大学医学院附属第九人民医院 Bionic artificial temporomandibular joint replacement prosthesis

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