CN217162374U - Clamping groove type 3D printing sacrum-ilium-hip semi-pelvis prosthesis - Google Patents
Clamping groove type 3D printing sacrum-ilium-hip semi-pelvis prosthesis Download PDFInfo
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- CN217162374U CN217162374U CN202220155637.8U CN202220155637U CN217162374U CN 217162374 U CN217162374 U CN 217162374U CN 202220155637 U CN202220155637 U CN 202220155637U CN 217162374 U CN217162374 U CN 217162374U
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Abstract
The utility model relates to a draw-in groove formula 3D prints "sacrum-ilium-hip" half pelvis false body, including sacrum-ilium joint face false body and the anticreep position hip joint false body that matches with patient's sacrum-ilium joint, sacrum-ilium joint face false body includes sacrum-ilium joint draw-in groove supporting part, ilium contact site and the connecting portion that is connected with the anticreep position hip joint false body, sacrum-ilium joint draw-in groove supporting part, ilium contact site and connecting portion integrated into one piece, sacrum-ilium joint draw-in groove supporting part and draw-in groove supporting part periphery are connected with 3D and print the long interface of bone; the lower part of the connecting part is of a cylindrical structure, and the connecting part is connected with the anti-dislocation hip joint prosthesis; the dislocation-preventing hip joint prosthesis is of a hemispherical acetabular fossa structure. The utility model discloses realize sacrum-ilium-hip joint's connection, rebuild the conduction of low limbs line of force, easily rebuild pelvis tumour excision back patient's walking function, 3D prints the bone and grows into the interface, can realize the biological connection of false body and sacroiliac joint, improves the life of false body.
Description
The technical field is as follows:
the utility model relates to a medical false body field, more specifically the draw-in groove formula 3D prints "sacrum-ilium-hip" half pelvis false body that says so.
Background art:
the malignant pelvic tumor is one of common orthopedic tumors, and with the improvement of diagnosis and treatment technology and the improvement of operation technology, the treatment of pelvic tumor has advanced greatly, and the tumor resection limb protection operation can be realized, which gradually becomes a standardized diagnosis and treatment scheme for pelvic tumor treatment. About 40% of pelvic tumors affect the acetabulum to the sacroiliac joint, the sacroiliac joint is a good segmentation interface of the tumors, and if the pelvic tumors are cut off along the surface of the sacroiliac joint, the tumors can be completely cut off, and the purpose of radically treating the tumors can be achieved. The sacroiliac joint is a longitudinal joint surface, and after tumor resection and limb protection surgery, the sacrum-ilium-hip joint connection function needs to be established, which is also a key problem troubling the industry. The sacrum-ilium-hip joint connection is the primary strut that can reconstruct the walking function of one limb. The existing pelvic prosthesis and the conventional joint apparatus cannot realize good reconstruction of the connection function.
The utility model has the following contents:
the utility model aims at prior art's weak point, provide a draw-in groove formula 3D and print "sacrum-ilium-hip" half pelvis false body, preserve autologous bone volume from the at utmost, according to the shape of normal sacrum-ilium articular surface, remain the subchondral bone, preserve normal bone intensity, the design can be with the 3D draw-in groove formula interface that normal sacrum-ilium articular bone grows into, the shape of the ilium of minimizing can extend the false body of normal acetabulum, realize sacrum-ilium-hip joint's connection function.
The technical solution of the utility model is as follows:
a clamping groove type 3D printing 'sacrum-ilium-hip' semi-pelvis prosthesis comprises a sacrum-ilium joint surface prosthesis and an anti-dislocation hip joint prosthesis, wherein the sacrum-ilium joint surface prosthesis is matched with a sacrum-ilium joint of a patient; the shape of the ilium contact part is arc, and the ilium contact part is matched with the ilium separation surface of the human body; the lower part of the connecting part is of a cylindrical structure, and the connecting part is connected with the dislocation-preventing hip joint prosthesis; the dislocation-preventing hip joint prosthesis is of a hemispherical acetabular fossa structure.
Preferably, the lower end of the connecting part is provided with a clamping groove hole formed by extending from the upper surface of the lower end of the connecting part inwards; the upper part of the dislocation-preventing hip joint prosthesis is provided with a cylindrical clamping block matched with the clamping groove hole.
Preferably, the 3D printed bone in-growth interface has a thickness of 1mm to 5 mm.
Preferably, a plurality of groups of threaded holes a which can be designed along normal bone biomechanics are arranged on the sacroiliac joint clamping groove supporting part; and the ilium contact part is provided with a plurality of groups of threaded holes b which can be designed along normal bone biomechanics.
Preferably, three groups of positioning columns are arranged on the sacroiliac joint clamping groove supporting part, three groups of positioning holes matched with the positioning columns are arranged on the 3D printed bone growing interface, the positioning columns can penetrate through the positioning holes to enable the 3D printed bone growing interface to be connected with the sacroiliac joint clamping groove supporting part in a positioning mode, and the 3D printed bone growing interface can be attached to the sacral joint surface.
Preferably, the threaded hole a passes through a positioning column on the sacroiliac joint clamping groove supporting part, and the screw passes through the sacroiliac joint clamping groove supporting part and the positioning column thereof to fix the prosthesis.
Preferably, the screw can pass through in the threaded hole b to make the prosthesis be connected with the ilium, and the screw direction is along normal bone biomechanical design, reduces screw shearing atress.
The beneficial effects of the utility model reside in that:
the utility model discloses a draw-in groove formula 3D prints "sacrum-ilium-hip" half pelvis false body, preserves autologous bone volume from the at utmost, according to the shape of normal sacrum ilium articular surface, remains the subchondral bone, preserves normal bone intensity, and the design can be with the 3D draw-in groove formula interface that normal sacrum ilium articular bone grows into, the shape of the ilium of minimizing, can extend the false body of normal acetabulum, realizes sacrum-ilium-hip joint's connection function. The sacrum-ilium-hip joint connection is the primary strut that can reconstruct the walking function of one limb. The existing pelvic prosthesis and the conventional joint apparatus cannot realize good reconstruction of the connection function.
The utility model can realize the connection of the sacrum, the ilium and the hip joint through a prosthesis component, rebuild the conduction of the lower limb force line, and rebuild the walking function of the patient after the pelvic tumor is removed; the sacroiliac joint contact surface is designed into a clamping groove type 3D printed bone in-growth interface, so that biological connection between the prosthesis and the sacroiliac joint can be realized, and the service life of the prosthesis is prolonged; the periphery of the sacroiliac joint clamping groove is also designed into a 3D printed bone growing interface, and the periphery of the clamping groove can be communicated to form a ring to form a bone healing area through bone grafting around the sacroiliac joint, so that the stability of the sacroiliac joint prosthesis is further improved; the sacroiliac joint is a longitudinal plane, the clamping groove type design is designed into a clamping groove flat support at the front lower part of the sacrum, and the clamping groove flat support is fixed by using a down-biomechanical screw, so that powerful support is provided for initial stability and early prosthesis load bearing; because the shape of the sacroiliac joint of a human body is fixed and similar, the sacroiliac joint surface prostheses with different sizes and models can be designed to be matched with the sacroiliac joint of a patient, and the mass production can be realized; the embedded double-acting polyethylene dislocation-preventing hip joint prosthesis designed in the acetabular fossa can provide normal mobility of the hip joint and prevent dislocation of the hip joint.
Description of the drawings:
the invention will be further explained with reference to the drawings:
fig. 1 is a schematic front structural view of the prosthesis of the present invention after installation.
Fig. 2 is a schematic view of the back structure of the prosthesis according to the present invention after installation.
Fig. 3 is a schematic side view of the prosthesis according to the present invention after installation.
Fig. 4 is a schematic front structural view of the fixed prosthesis screw according to the present invention.
Fig. 5 is a schematic top view of the prosthesis after being fixed by the screw according to the present invention.
Fig. 6 is a schematic bottom view of the prosthesis after being fixed by the screw according to the present invention.
Fig. 7 is one of the exploded structural schematic diagrams of the present invention.
Fig. 8 is a second exploded view of the present invention.
Fig. 9 is one of the schematic structural diagrams of the present invention.
Fig. 10 is a second schematic structural diagram of the present invention.
The specific implementation mode is as follows:
the following description is only a preferred embodiment of the present invention, and is not intended to limit the scope of the present invention, and various modifications and variations of the present invention will occur to those skilled in the art; any modification, equivalent replacement, or improvement made within the spirit and principle of the present invention should be included in the protection scope of the present invention.
In addition, the terms "vertical", "horizontal", "top", "bottom", "front", "back", "upper", "lower", "inner", "outer", and the like in the embodiments of the present invention refer to the orientation or positional relationship based on the orientation or positional relationship shown in fig. 1, or the orientation or positional relationship that the product is conventionally placed when in use, and are merely for convenience of description and simplicity of description, and do not indicate or imply that the device or element referred to must have a particular orientation, be constructed and operated in a particular orientation, and thus, should not be construed as limiting the present invention. The present invention will be described in detail below with reference to the accompanying drawings in conjunction with embodiments.
In the description of the present invention, it should be noted that, unless otherwise explicitly specified or limited, terms such as "mounted," "connected," and "fixed" in the description are to be construed broadly, and may be, for example, fixedly connected, detachably connected, or integrally connected; either directly or indirectly through intervening media, or through both elements. The specific meaning of the above terms in the present invention can be understood in specific cases to those skilled in the art.
A slot type 3D printing 'sacrum-ilium-hip' semi-pelvis prosthesis is shown in attached figures 1-10 and comprises a sacrum-ilium joint surface prosthesis 1 and an anti-dislocation hip joint prosthesis 2 which are matched with a sacrum-ilium joint of a patient, wherein the sacrum-ilium joint surface prosthesis comprises a sacrum-ilium joint slot supporting part 101, an ilium contact part 102 and a connecting part 103 connected with the anti-dislocation hip joint prosthesis, the sacrum-ilium joint slot supporting part, the ilium contact part and the connecting part are integrally formed, the peripheries of the sacrum-ilium joint slot supporting part and the slot supporting part are connected with a 3D printing bone growing interface 3, the 3D printing bone growing interface is perfectly attached to corresponding parts of a sacrum 4 and an ilium 5, adjacent bone surfaces are convenient to inlay, early stability of the prosthesis can be realized, and the bone growing probability is increased. The 3D printing bone growth interface is accurately and firmly combined with a bony structure through a surrounding edge covering structure, the fixation is strengthened by means of screws, the accurate combination of the contact surface of the prosthesis and the surface of the bone is completed, the design of the 3D printing bone growth interface can provide lasting biological reconstruction, and the service life of the prosthesis is prolonged.
The semi-pelvic prosthesis is based on preoperative CT and MRI three-dimensional image fusion digital models to conduct preoperative planning, determine an operative resection range, obtain parameters such as a pelvic osteotomy plane and an acetabulum position, design an individualized customized prosthesis for a specific patient according to the parameters, conduct computer simulation installation after design is completed, and prepare a prosthesis real object by utilizing metal 3D printing equipment. In the operation, a 3D printed guide plate or a computer-aided navigation system is used for finishing accurate excision, and the osteotomy plane can be perfectly attached to the contact surface of the prosthesis.
The sacroiliac joint clamping groove supporting part adopts a clamping groove type bone support, the sacroiliac joint is a longitudinal plane, the clamping groove type clamping groove flat support is designed at the front lower part of a sacrum and is fixed by using a smooth biomechanics screw, powerful support is provided for initial stabilization and early prosthesis load bearing, limb support during load bearing is provided, connection of the sacrum-the ilium-the hip joint is realized through a prosthesis component, conduction of lower limb force lines is reestablished, and the walking function of a patient after pelvic tumor resection is easily reestablished. The periphery of the sacroiliac joint clamping groove is also designed into a 3D printed bone growing interface, and the periphery of the clamping groove can be communicated to form a bone healing area through bone grafting around the sacroiliac joint, so that the stability of the sacroiliac joint prosthesis is further improved.
The shape of the ilium contact part is arc, and the ilium contact part is matched with the ilium separation surface of the human body; the lower part of the connecting part is of a cylindrical structure, and the connecting part is connected with the dislocation-preventing hip joint prosthesis; the dislocation-preventing hip joint prosthesis is of a hemispherical acetabular fossa structure. The dislocation-preventing hip joint prosthesis is designed into an embedded double-acting polyethylene dislocation-preventing hip joint prosthesis, so that normal mobility of the hip joint can be provided, and the dislocation of the hip joint can be prevented.
The dislocation-preventing hip joint prosthesis is designed by preoperative imaging data, an osteotomy plane after accurate resection in an operation can be perfectly attached to a contact surface of the dislocation-preventing hip joint prosthesis, when corresponding parts of a sacrum and an ilium are perfectly attached, the central position of a hemispherical acetabular fossa structure can be coincided with the central position of an original acetabulum of a patient, the reconstruction of the acetabulum is completed, and the function of the hip joint of the patient is recovered.
The lower end of the connecting part is provided with a clamping groove hole formed by extending from the upper surface to the upper surface of the lower end of the connecting part; the upper part of the dislocation-preventing hip joint prosthesis is provided with a cylindrical clamping block matched with the clamping groove hole.
The thickness of the 3D printing bone ingrowth interface is 1 mm-5 mm.
A plurality of groups of threaded holes a104 which can be designed along normal bone biomechanics are arranged on the sacroiliac joint clamping groove supporting part; and a plurality of groups of threaded holes b105 which can be designed along normal bone biomechanics are arranged on the iliac contact part.
Be equipped with three reference columns 106 on the sacroiliac draw-in groove supporting part, 3D print the bone grow in the interface on be equipped with three groups with reference column matched with locating hole 301, the reference column can pass the locating hole make 3D print the bone grow in the interface and be connected with sacroiliac draw-in groove supporting part location, and 3D print the bone and grow in the interface and can attach sacrum articular surface.
The threaded hole a penetrates through the positioning column on the sacroiliac joint clamping groove supporting part, and the screw penetrates through the sacroiliac joint clamping groove supporting part and the positioning column to fix the prosthesis, so that the firmness of the implanted prosthesis is enhanced.
The screw can be passed through in the screw hole b to make the false body be connected with the ilium, and the screw direction is for following normal bone biomechanics design, reduces the screw and cuts the atress, strengthens the fastness after the false body implantation.
The sacroiliac joint clamping groove supporting part, the ilium contact part and the connecting part are integrally formed, the sacroiliac joint clamping groove supporting part, the ilium contact part and the connecting part are designed through computer mechanics analysis, manufacturing materials are saved most, the weight is light, the bearing capacity is strongest through optimization, and the sacroiliac joint clamping groove supporting part, the ilium contact part and the connecting part can be integrally formed through a 3D printing technology.
The utility model provides a half pelvis false body not only can have fine laminating with normal human bony structure in appearance, can realize moreover that accurate installation 3D prints half pelvis false body to can shorten implantation operation time, reduce the hemorrhage in the implantation operation, half pelvis is rebuild to the accuracy, and the central point of semi-circular acetabular cup also can with patient's acetabular bone central point before the art put the coincidence, obtain better hip joint function and early stability.
While embodiments of the present invention have been shown and described, it will be understood by those of ordinary skill in the art that: various changes, modifications, substitutions and alterations can be made to the embodiments without departing from the principles and spirit of the invention, the scope of which is defined by the claims and their equivalents.
Claims (7)
1. A slot type 3D printing 'sacrum-ilium-hip' semi-pelvis prosthesis is characterized in that: the sacroiliac joint prosthesis comprises a sacroiliac joint surface prosthesis and an anti-dislocation hip joint prosthesis, wherein the sacroiliac joint surface prosthesis is matched with a sacroiliac joint of a patient and comprises a sacroiliac joint clamping groove supporting part, an ilium contact part and a connecting part connected with the anti-dislocation hip joint prosthesis; the shape of the ilium contact part is arc, and the ilium contact part is matched with the ilium separation surface of the human body; the lower part of the connecting part is of a cylindrical structure, and the connecting part is connected with the dislocation-preventing hip joint prosthesis; the dislocation-preventing hip joint prosthesis is of a hemispherical acetabular fossa structure.
2. The snap-in 3D printed sacro-iliac-hip hemi-pelvic prosthesis of claim 1, wherein: the lower end of the connecting part is provided with a clamping groove hole formed by extending from the upper surface to the upper surface of the lower end of the connecting part; the upper part of the dislocation-preventing hip joint prosthesis is provided with a cylindrical clamping block matched with the clamping groove hole.
3. The snap-in 3D printed sacro-iliac-hip hemi-pelvic prosthesis of claim 1, wherein: the thickness of the 3D printing bone ingrowth interface is 1 mm-5 mm.
4. The snap-in 3D printed sacro-iliac-hip hemi-pelvic prosthesis of claim 1, wherein: a plurality of groups of threaded holes a which can be designed along normal bone biomechanics are arranged on the sacroiliac joint clamping groove supporting part; and the ilium contact part is provided with a plurality of groups of threaded holes b which can be designed along normal bone biomechanics.
5. The snap-in 3D printed sacro-iliac-hip hemi-pelvic prosthesis of claim 4, wherein: be equipped with three groups of reference columns on the sacroiliac joint draw-in groove supporting part, 3D prints to be equipped with on the bone ingrowth interface three groups with reference column matched with locating hole, the reference column can pass the locating hole make 3D print the bone ingrowth interface and be connected with sacroiliac joint draw-in groove supporting part location, and 3D prints the bone ingrowth interface and can attach sacral articular surface.
6. The snap-in 3D printed sacro-iliac-hip hemi-pelvic prosthesis of claim 5, wherein: the threaded hole a penetrates through the positioning column on the sacroiliac joint clamping groove supporting part, and the screw penetrates through the sacroiliac joint clamping groove supporting part and the positioning column to fix the prosthesis.
7. The snap-in 3D printed sacro-iliac-hip hemi-pelvic prosthesis of claim 4, wherein: the screw can pass through in the screw hole b to make the false body be connected with the ilium, and the screw direction is for following normal bone biomechanics design, reduces screw shearing atress.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202220155637.8U CN217162374U (en) | 2022-01-20 | 2022-01-20 | Clamping groove type 3D printing sacrum-ilium-hip semi-pelvis prosthesis |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202220155637.8U CN217162374U (en) | 2022-01-20 | 2022-01-20 | Clamping groove type 3D printing sacrum-ilium-hip semi-pelvis prosthesis |
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| Publication Number | Publication Date |
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| CN217162374U true CN217162374U (en) | 2022-08-12 |
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| CN202220155637.8U Active CN217162374U (en) | 2022-01-20 | 2022-01-20 | Clamping groove type 3D printing sacrum-ilium-hip semi-pelvis prosthesis |
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| CN (1) | CN217162374U (en) |
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- 2022-01-20 CN CN202220155637.8U patent/CN217162374U/en active Active
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Effective date of registration: 20221017 Address after: No.218 Jixi Road, Shushan District, Hefei City, Anhui Province Patentee after: The First Affiliated Hospital of Anhui Medical University Address before: 237008 No. 21, Wanxi West Road, Jin'an District, Lu'an City, Anhui Province Patentee before: Xu Shenglin Patentee before: Hu Yong |