CN211583673U - Novel prosthesis for sternal reconstruction - Google Patents

Novel prosthesis for sternal reconstruction Download PDF

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Publication number
CN211583673U
CN211583673U CN201920865571.XU CN201920865571U CN211583673U CN 211583673 U CN211583673 U CN 211583673U CN 201920865571 U CN201920865571 U CN 201920865571U CN 211583673 U CN211583673 U CN 211583673U
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China
Prior art keywords
sternum
handle
rib holding
sternal
holes
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Expired - Fee Related
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CN201920865571.XU
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Chinese (zh)
Inventor
伊江浦
袁丽君
王磊
黄立军
梁嘉赫
陈云涛
张泽凯
张烨
郭奕彤
周永刚
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Air Force Medical University of PLA
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Individual
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Priority to CN201920865571.XU priority Critical patent/CN211583673U/en
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Publication of CN211583673U publication Critical patent/CN211583673U/en
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Anticipated expiration legal-status Critical

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Abstract

The utility model discloses a novel prosthesis for sternal reconstruction, which comprises a sternum handle and a sternum body integrally connected with the sternum handle; the sternum handle is connected with the sternum body in a physiological radian; the rib holding claw is integrally connected with the gladiolus body through a spring body; the four rib holding claws are symmetrically arranged on two sides of the sternum body in pairs; through holes are formed in the sternum handle, the sternum body and the rib holding claws. The utility model provides a novel false body for sternal reconstruction, which connects a rib holding claw and a sternum body together by arranging a spring body, thereby effectively protecting organs in a thoracic cavity from being damaged, and adopting a spring structure to be favorable for a patient to breathe.

Description

Novel prosthesis for sternal reconstruction
Technical Field
The utility model relates to the technical field of medical treatment, especially, relate to a novel false body for sternal reconstruction.
Background
The sternum is located in the center of the anterior chest wall, the pericardium and great vessels are located at the back, and the sternum is a flat bone with a wide upper part and a narrow lower part and a concave front part and a concave back part and is divided into a sternum handle, a sternum body and a xiphoid process. In addition, the sternoclavicular joint formed by the sternal joint surface of the clavicle, the clavicle notch of the sternum stem and the upper surface of the 1 st costal cartilage can do micro-motion in all directions, which is reflected by the lifting, descending and anteroposterior motion of the outer side end of the clavicle and can also do slight rotary motion. Therefore, the sternoclavicular joint is related to the range of motion of the upper limb of the patient, which affects the normal life of the patient.
The breast wall bone tumor accounts for 7-8% of the whole body bone tumor, most of the breast wall bone tumors are malignant, 85-90% of the breast wall bone tumors occur in ribs, 10-15% of the breast wall bone tumors occur in sternum, and the ratio of male to female is 2: 1. Can occur at any age, the greater the age, the higher the likelihood of malignancy of the chest wall bone tumor. Many chest physicians have never seen an example for decades. It is a kind of chest wall tumor, and is mostly malignant, once diagnosed, surgery is the only way to eradicate completely. However, the tumor must be removed together with the sternum during the operation, which inevitably results in the defect of the sternum wall, and the reconstruction of the following sternum wall will be the biggest problem of the operation. If not repaired, the stability of the normal thorax and the tightness of the thorax are impaired, which may cause abnormal respiratory movement and a series of complications, with great surgical risks.
To this end, various methods may be used to repair the defect and restore the integrity of the thorax, such as autologous bone, allogeneic bone, steel plates, bone cement, plexiglas, and the like.
Some existing products of the sternum substitutes, such as the thoracic cage after sternal tumor resection reconstructed by combining titanium plates and Teflon patches (Chinese Journal of regenerative and regenerative Surgery, October2011, Vol.25, No.10), report a method of reconstructing the thoracic cage by adopting a transverse titanium plate, wherein the two ends of the thoracic cage are reconstructed by means of fixing steel wires with ribs and clavicle fracture sections, and further, the method can be expanded to the method that 2 vertical titanium plates are added on the basis of reconstructing the transverse titanium plate, the two ends of the sternum are fixed by titanium nails, and the steel wires are used for fixing the transverse titanium plate and the vertical titanium plate. The thorax reconstructed by combining a plurality of titanium plates only solves the problem of sternal defect roughly, and is not favorable for postoperative recovery and breathing comfort of a patient.
Chinese patent document CN204428212U discloses an artificial sternum framework for the repair of thoracic wall defects, which comprises an artificial sternum handle and an artificial sternum body, wherein the whole artificial sternum framework and rib clasps are made of memory alloy materials.
Chinese patent document CN205126500U discloses a 3D printing titanium alloy sternum substitute, which comprises a sternum part and a rib part, wherein the combination position of the top end of the sternum part and the sternum is uniformly provided with substitute fixing screw holes, and the bottom end of the sternum part is designed into a butterfly tail shape.
The sternum substitute mentioned in the above patent documents can play a certain role in reconstructing the thorax, but for the case of postoperative clavicle defect caused by tumor expansion to the clavicle, the motion relationship between the sternum substitute and the clavicle and even the whole thorax cannot be processed in a friendly way, which is not favorable for the respiration of patients.
SUMMERY OF THE UTILITY MODEL
The utility model aims at providing a novel false body for sternal reconstruction, which connects the rib holding claw and the sternum body together by arranging the spring body, thereby effectively protecting organs in the chest from being damaged, and adopting the spring structure to be favorable for the patient to breathe.
In order to realize the purpose, the utility model discloses the technical scheme who takes is: a novel prosthesis for sternal reconstruction,
comprises a sternum handle and a sternum body integrally connected with the sternum handle; the sternum handle is connected with the sternum body in a physiological radian;
the rib holding claw is integrally connected with the gladiolus body through a spring body;
the four rib holding claws are symmetrically arranged on two sides of the sternum body in pairs;
through holes are formed in the sternum handle, the sternum body and the rib holding claws.
The novel sternal reconstruction prosthesis as described above, wherein the spring body has a stiffness factor of 10000 to 30000N/M.
The novel prosthesis for sternal reconstruction is characterized in that the sternum stem is provided with a large through hole and a small through hole;
the large through hole is used for weight reduction, tissue climbing and blood supply;
the small through hole is used for clavicle linking;
the size and the number of the large through holes are adjustable and are uniformly distributed in the middle area of the sternum handle;
the size and the number of the small through holes are adjustable and are divided into two groups which are respectively distributed at the clavicle fossa of the sternum handle.
The novel sternal reconstruction prosthesis is characterized in that three water-drop-shaped openings are formed in the middle of the sternum body, and are used for losing weight, climbing tissues and supplying blood.
The height of the opening is 1 cm;
the bottom end of the sternum body is uniformly distributed with 8 locking nail holes for fixedly connecting a sternum replacement.
The novel sternal reconstruction prosthesis is characterized in that 2 suture holes are formed in the rib holding claw; the rib holding claw is in a semi-arc shape, and a plurality of anti-falling gaps are arranged on the side walls of the two sides of the rib holding claw.
The novel prosthesis for sternal reconstruction is characterized in that the sternum stem, the sternum body, the rib holding claws and the spring body are all made of memory alloy or titanium alloy by 3d printing;
the weight of the sternal replacement is 80 to 120 g.
Compared with the prior art, the utility model discloses the beneficial effect who produces mainly embodies:
1. compared with the traditional sternum prosthesis, the novel prosthesis for sternum reconstruction of the utility model has the advantages that the spring body is arranged between the sternum body and the rib holding claws, and the spring is adopted to replace cartilage, so that the respiration of the patient is not limited;
2. the novel sternum reconstruction prosthesis of the utility model adopts the sternum replacement to replace the original thorax, and is friendly to the remaining sternum in the human body, thereby effectively protecting the thoracic organs;
3. the utility model discloses a novel false body for sternal reconstruction, which has the characteristics of good protection effect on the internal organ of the thoracic cavity and good postoperative rehabilitation effect.
Drawings
Fig. 1 is a schematic structural view of a novel sternal reconstruction prosthesis of the present invention;
description of reference numerals:
1. sternum handle 2, sternum body 3 and rib holding claw
4. Spring body 5, through hole 6 and large through hole
7. Small through hole 8, open hole 9, locking hole
10. Suture hole 11, anti-drop gap
Detailed Description
In order to facilitate understanding of the purpose, technical solution and effect of the present invention, the present invention will now be described in further detail with reference to the embodiments.
As shown in figure 1, the novel sternal reconstruction prosthesis of the present invention comprises a sternum handle 1 and a sternum body 2 integrally connected therewith; the sternum handle 1 is connected with the sternum body 2 with physiological radian; the rib holding claw 3 is integrally connected with the sternum body 2 through a spring body 4; the four rib holding claws 3 are symmetrically arranged on two sides of the sternum body 2 in pairs; through holes 5 are formed in the sternum handle 1, the sternum body 2 and each rib holding claw 3.
The novel prosthesis for sternal reconstruction of the utility model adopts the spring body 4 to replace cartilage, compared with the traditional sternal prosthesis, the prosthesis does not limit the breath of the patient; effectively improving the effect of the operation.
As shown in fig. 1, the stiffness coefficient of the spring body 4 of the novel prosthesis for sternal reconstruction of the present invention is 10000 to 30000N/M.
The utility model discloses a novel false body for sternal reconstruction adopts the spring that spring stiffness coefficient is 10000 to 30000N/M as spring body 4, installs this spring body 4 at the rib and embraces between claw 3 and the diaphysis 2, because this spring has certain elasticity to can guarantee that human thorax is normally breathed, be favorable to the patient to be recovered.
The utility model relates to a novel prosthesis for sternal reconstruction, wherein, the size and the length of the sternum body 2 and the sternum handle 1 are set according to the size of the sternum of a patient; the sternal prosthesis in this embodiment, which has a shape and strength similar to the sternum, may meet the needs of the patient.
As shown in fig. 1, the novel sternum reconstruction prosthesis of the present invention has a big through hole 6 and a small through hole 7 formed on the sternum stem 1; the large through hole 6 is used for weight reduction, tissue climbing and blood supply; the small through hole 7 is used for clavicle linkage; the large through holes 6 are adjustable in size and number and are uniformly distributed in the middle area of the sternum handle 1; the small through holes 7 are adjustable in size and number and are divided into two groups which are respectively distributed at the clavicle fossa of the sternum handle 1.
As can be seen from the attached figure 1, as the best embodiment, the number of the large through holes 6 is 8, and the large through holes are uniformly distributed in the middle area of the sternum stem 1; the number of the small through holes 7 is 8, and the small through holes are divided into two groups which are respectively distributed on two sides of the top end of the sternum handle 1.
As shown in fig. 1, the middle of the sternum body 2 of the novel prosthesis for sternal reconstruction of the present invention is provided with three water-drop-shaped openings 8 or any other shapes, which are used for weight reduction, tissue climbing and blood supply; the height of the opening 8 is 1 cm; the bottom end of the sternum body 2 is uniformly distributed with 8 locking nail holes for fixedly connecting sternum replacement objects.
As shown in fig. 1, the rib embracing claw 3 of the novel prosthesis for sternal reconstruction of the present invention is provided with 2 suture holes 10; the rib holding claw 3 is in a semi-arc shape, and a plurality of anti-falling gaps 11 are arranged on the side walls of two sides of the rib holding claw.
The utility model discloses a novel false body for sternal reconstruction, this sternum embrace and are equipped with a plurality of anticreep breachs 11 on the claw 3 to effectively improve its fixed fastness.
As shown in fig. 1, in the novel prosthesis for sternal reconstruction of the present invention, the sternum stem 1, the sternum body 2, the rib clasping claws 3 and the spring body 4 are all made of memory alloy or titanium alloy 3d by printing; the weight of the sternum replacement is 80 to 120 g; it has the characteristics of light weight and good operation effect.
The present invention has been further described with reference to the embodiments, but the present invention is not limited to the above embodiments, and various changes can be made without departing from the spirit of the present invention within the knowledge of those skilled in the art.

Claims (6)

1. A novel prosthesis for sternal reconstruction is characterized in that:
comprises a sternum handle and a sternum body integrally connected with the sternum handle; the sternum handle is connected with the sternum body in a physiological radian;
the rib holding claw is integrally connected with the gladiolus body through a spring body;
the four rib holding claws are symmetrically arranged on two sides of the sternum body in pairs;
through holes are formed in the sternum handle, the sternum body and the rib holding claws.
2. The new sternal reconstruction prosthesis according to claim 1, wherein:
the stiffness coefficient of the spring body is 10000-30000N/M.
3. The new sternal reconstruction prosthesis according to claim 2, wherein:
the sternum handle is provided with a large through hole and a small through hole;
the large through hole is used for weight reduction, tissue climbing and blood supply;
the small through hole is used for clavicle linking;
the size and the number of the large through holes are adjustable and are uniformly distributed in the middle area of the sternum handle;
the size and the number of the small through holes are adjustable and are divided into two groups which are respectively distributed at the clavicle fossa of the sternum handle.
4. The new sternal reconstruction prosthesis according to claim 3, wherein:
the middle part of the corpus sternum is provided with three water-drop-shaped openings for weight reduction, tissue climbing and blood supply;
the height of the opening is 1 cm;
the bottom end of the sternum body is uniformly distributed with 8 locking nail holes for fixedly connecting a sternum replacement.
5. The new sternal reconstruction prosthesis according to claim 4, wherein:
2 suture holes are formed in the rib holding claw; the rib holding claw is in a semi-arc shape, and a plurality of anti-falling gaps are arranged on the side walls of the two sides of the rib holding claw.
6. The new sternal reconstruction prosthesis according to claim 5, wherein:
the sternum handle, the sternum body, the rib holding claws and the spring body are all made of memory alloy or titanium alloy by 3d printing;
the weight of the sternal replacement is 80 to 120 g.
CN201920865571.XU 2019-06-11 2019-06-11 Novel prosthesis for sternal reconstruction Expired - Fee Related CN211583673U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201920865571.XU CN211583673U (en) 2019-06-11 2019-06-11 Novel prosthesis for sternal reconstruction

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201920865571.XU CN211583673U (en) 2019-06-11 2019-06-11 Novel prosthesis for sternal reconstruction

Publications (1)

Publication Number Publication Date
CN211583673U true CN211583673U (en) 2020-09-29

Family

ID=72576244

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201920865571.XU Expired - Fee Related CN211583673U (en) 2019-06-11 2019-06-11 Novel prosthesis for sternal reconstruction

Country Status (1)

Country Link
CN (1) CN211583673U (en)

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GR01 Patent grant
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TR01 Transfer of patent right

Effective date of registration: 20201223

Address after: 710032 No. 169 Changle West Road, Xincheng District, Xi'an City, Shaanxi Province

Patentee after: PEOPLE'S LIBERATION ARMY AIR FORCE MILITARY MEDICAL University

Address before: 710038 Department of ultrasound, Tangdu Hospital, 569 Xinsi Road, Baqiao District, Xi'an City, Shaanxi Province

Patentee before: Yi Jiangpu

TR01 Transfer of patent right
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20200929

Termination date: 20210611

CF01 Termination of patent right due to non-payment of annual fee