ES2581777B1 - Guide device for fibula cutting - Google Patents
Guide device for fibula cutting Download PDFInfo
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- ES2581777B1 ES2581777B1 ES201500172A ES201500172A ES2581777B1 ES 2581777 B1 ES2581777 B1 ES 2581777B1 ES 201500172 A ES201500172 A ES 201500172A ES 201500172 A ES201500172 A ES 201500172A ES 2581777 B1 ES2581777 B1 ES 2581777B1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/14—Surgical saws ; Accessories therefor
- A61B17/15—Guides therefor
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1732—Guides or aligning means for drills, mills, pins or wires for bone breaking devices
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/28—Bones
- A61F2/2803—Bones for mandibular reconstruction
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Abstract
Dispositivo de guía para corte de peroné que comprende un primer cuerpo (1) fijada a una primera parte del peroné (2) que comprende una primera guía de orientación de corte (3) en un primer extremo del primer cuerpo (4) y una segunda guía de orientación de corte (5) en un segundo extremo del primer cuerpo (6), y un segundo cuerpo (7) fijada a una segunda parte del peroné (8) que comprende una tercera guía de orientación de corte (9) en un primer extremo del segundo cuerpo (11) y una cuarta guía de orientación de corte (11) en un segundo extremo del segundo cuerpo (12), el primer cuerpo (1) y el segundo cuerpo (7) se unen mediante unos medios de unión (13), y donde los dos cuerpos (1, 7) comprenden una ranura longitudinal (14) de recepción de una férula de fijación (15) entre las partes de peroné (2, 8).Guide device for cutting the fibula comprising a first body (1) fixed to a first part of the fibula (2) comprising a first cutting orientation guide (3) at a first end of the first body (4) and a second cutting orientation guide (5) at a second end of the first body (6), and a second body (7) fixed to a second part of the fibula (8) comprising a third cutting orientation guide (9) in a first end of the second body (11) and a fourth cutting orientation guide (11) at a second end of the second body (12), the first body (1) and the second body (7) are joined by means of joining (13), and where the two bodies (1, 7) comprise a longitudinal groove (14) for receiving a fixing splint (15) between the fibula parts (2, 8).
Description
PISPOSITIVO de guia para corte de per6nePISPOSITIVE guide for cutting per6ne
DESCRIPClbNDESCRIPTION
55
OBJETO DE LA INVENClbNOBJECT OF THE INVENCIBN
La presente invencibn se refiere a un dispositivo de guia para corte de perone en cirugias de reconstruction facial, que permite un montaje de la placa que confiere la configuracibn facial al perone, con el dispositivo de corte sobre el propio perone.The present invention relates to a guide device for cutting the perone in facial reconstruction surgeries, which allows a mounting of the plate that confers the facial configuration to the perone, with the cutting device on the perone itself.
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PROBLEMA TECNICO A RESOLVER Y ANTECEDENTES DE LA INVENClbNTECHNICAL PROBLEM TO BE RESOLVED AND BACKGROUND OF THE INVENTION
Una reconstruccion facial de un paciente con algun problema que requiera la reconstruccion facial se realiza empleando una parte del perone del paciente, que se corta y se extrae del cuerpo del paciente para, mediante un tratamiento de adaptacibn a la geometria facial del 15 paciente, servir para reemplazar un hueso mandibular de dicho paciente.A facial reconstruction of a patient with a problem that requires facial reconstruction is performed using a part of the patient's perone, which is cut and removed from the patient's body to, by means of a treatment adapted to the facial geometry of the patient, serve to replace a mandibular bone of said patient.
El corte y adaptacibn del perone a la geometria facial del paciente se realiza en dos fases, una primera fase es el corte del mencionado perone del paciente y su extraccibn, y una segunda fase que es el corte del perone por una zona central mediante una angulacibn 20 especifica por cada lado del perone, y su posterior uni6n para configurar el hueso mandibular del paciente.The cut and adaptation of the perone to the facial geometry of the patient is done in two phases, a first phase is the cut of the mentioned perone of the patient and its extraction, and a second phase that is the cut of the perone by a central area through an angle 20 specifies on each side of the perone, and its posterior joint to configure the patient's jaw bone.
Para realizar el corte del perone en una intervencibn se emplean unos dispositivos de guia realizados a la medida de cada paciente y cada intervencibn, que marcan las angulaciones 25 en las que el perone se debe cortar para posteriormente, mediante la unibn de las dos partes resuKantes del corte del peronb, dar forma a la mandibula del paciente.To perform the cut of the perone in an intervention, guide devices are made to measure for each patient and each intervention, which mark the angles 25 in which the perone must be cut for later, by joining the two resuKante parts When cutting the fibula, shape the patient's jaw.
Dichos dispositivos de guia son piezas que abrazan parcialmente el perone y se fijan en el perone mediante unos tomillos en una posicibn especifica establecida en un estudio quirurgico 30 previo.Said guiding devices are parts that partially embrace the perone and are fixed in the perone by means of thymes in a specific position established in a previous surgical study.
Los dispositivos de guia conocidos en el estado de la tecnica comprenden cuatro ranuras, dos en los extremos del dispositivo de guia y dos en una posicibn intermedia, a traves de las que se realizan las incisiones en el perone. Las cuatro ranuras estan situadas con una orientacibn 35 definida en el estudio quirurgico previo, para, mediante incisiones guiadas por las ranuras realizar el corte del perone, en cuatro lineas obteniendo dos partes de perone que se unen yThe guiding devices known in the state of the art comprise four grooves, two at the ends of the guiding device and two in an intermediate position, through which the incisions are made in the perone. The four grooves are located with an orientation 35 defined in the previous surgical study, to, by means of incisions guided by the grooves, make the cut of the perone, in four lines obtaining two parts of the perone that join and
se obtiene un hueso con la forma de la mandfbula del paciente.a bone with the shape of the patient's jaw is obtained.
Para unir las dos partes del perong se emplea una ferula que se atomilla a las dos partes de perong y que quedarg embebida en la mandfbula del paciente, cuando el perong ya con la 5 forma de la mandfbula se coloque en la cara del paciente.To join the two parts of the perong, a splint is used that is atomized to the two parts of the perong and that is embedded in the patient's jaw, when the perong with the shape of the jaw is placed on the patient's face.
Con los dispositivos conocidos en el estado de la fecnica, estas ferulas de uni6n se colocan una vez se ha extrafdo el perong del paciente y habiendo retirado el dispositivo de gufa, por lo que hay que realizar en primer lugar los codes del perong para su extraccidn del paciente, 10 retirar el dispositivo de gufa y posteriormente unir las dos pades resultantes del perong con laWith the devices known in the state of the art, these joining splints are placed once the patient's perong has been removed and the guiding device has been removed, so the perong codes must first be performed for removal of the patient, 10 remove the gufa device and subsequently join the two resulting pads of the perong with the
ferula de uni6n, pero debido a que el dispositivo de gufa ya se ha desmontado hay que volver a posicionar las dos pades de perong de nuevo antes de fijar la ferula de gufa.joining splint, but because the guiding device has already been removed, the two perong pads must be repositioned before fixing the guiding splint.
EXPLICACI6N de la invencionEXPLANATION OF THE INVENTION
15 El objeto de la presente invencidn se trata de un dispositivo de gufa para code de perong que, en una primera realizacion, comprende un primer cuerpo que se fija a una primera pade del perong y un segundo cuerpo que se fija a una segunda pade del perong.The object of the present invention is a guiding device for perong code which, in a first embodiment, comprises a first body that is fixed to a first sufferer of the perong and a second body that is fixed to a second sufferer of the perong
El primer cuerpo de la primera realizacidn del dispositivo objeto de la invencidn comprende 20 una primera gufa de orientacion de code en un primer extremo del primer cuerpo y una segunda gufa de orientacion de code en un segundo extremo del primer cuerpo.The first body of the first embodiment of the device object of the invention comprises a first code orientation guide at a first end of the first body and a second code orientation guide at a second end of the first body.
El segundo cuerpo de la primera realizacidn del dispositivo objeto de la invencidn comprende una tercera gufa de orientacidn de code en un primer extremo del segundo cuerpo y una 25 cuada gufa de orientacion de code en un segundo extremo del segundo cuerpo.The second body of the first embodiment of the device object of the invention comprises a third code orientation guide at a first end of the second body and a fourth code orientation guide at a second end of the second body.
El primer cuerpo y el segundo cuerpo de la primera realizacion del dispositivo objeto de la invencidn se unen mediante unos medios de uni6n, y tanto el primer cuerpo como el segundo cuerpo comprenden una ranura longitudinal de recepcidn de una ferula de fijacidn entre las 30 pades de perong.The first body and the second body of the first embodiment of the device object of the invention are joined by joining means, and both the first body and the second body comprise a longitudinal receiving groove of a fixing splint between the 30 pads of perong
En la primera realizacidn del dispositivo de gufa para code de perong objeto de la invencidn los medios de union estgn configurados por al menos un elemento con forma de “U” que se extiende desde el primer cuerpo hasta el segundo cuerpo.In the first embodiment of the guiding device for perong code object of the invention, the joining means are configured by at least one "U" shaped element extending from the first body to the second body.
3535
En la primera realization del dispositivo de gufa para code de perong la primera gufa de orientation de code, la segunda gufa de orientation de code, la tercera gufa de orientation de code y la cuada gufa de orientacibn de code estgn configuradas por una superficie plana de un espesor definido.In the first realization of the perong code guide device the first code orientation guide, the second code orientation guide, the third code orientation guide and the fourth code orientation guide are configured by a flat surface of a defined thickness
55
En la primera realizacion del dispositivo de gufa para code de perong objeto de la invention la primera gufa de orientacion de code, la segunda gufa de orientacibn de code, la tercera gufa de orientacibn de code y la cuada gufa de orientacibn de code comprenden un rebaje en el espesor en una zona de coincidencia con la ranura longitudinal tanto del primer cuerpo 10 como del segundo cuerpo.In the first embodiment of the perong code guide device object of the invention, the first code orientation guide, the second code orientation guide, the third code orientation guide and the fourth code orientation guide comprise a recess in the thickness in an area coinciding with the longitudinal groove of both the first body 10 and the second body.
En la primera realizacion del dispositivo de gufa para code de perong objeto de la invencion la primera gufa de orientacion de code, la segunda gufa de orientacion de code, la tercera gufa de orientacion de code y la cuada gufa de orientacibn de code comprenden un hueco de 15 paso para la ferula de fijacion en la zona de coincidencia con la ranura longitudinal tanto del primer cuerpo como del segundo cuerpo.In the first embodiment of the perong code guide device object of the invention, the first code orientation guide, the second code orientation guide, the third code orientation guide and the fourth code orientation guide comprise a gap. of 15 passage for the fixing splint in the area of coincidence with the longitudinal groove of both the first body and the second body.
Existe una segunda realizacion del dispositivo de gufa para code de perong que comprende un tercer cuerpo que se fija a una tercera pade del perong, dicho tercer cuerpo comprende 20 una quinta gufa de orientacibn de code en un primer extremo del tercer cuerpo y una sexta gufa de orientacion de code en un segundo extremo del tercer cuerpo,There is a second embodiment of the perong code guide device comprising a third body that is fixed to a third perong sufferer, said third body comprises a fifth code orientation guide at a first end of the third body and a sixth guide of code orientation at a second end of the third body,
En la segunda realizacibn del dispositivo de gufa para code de perong el segundo cuerpo y el tercer cuerpo estgn unidos entre sf mediante unos medios de uni6n, y donde el tercer cuerpo 25 comprende una ranura longitudinal de recepcibn de una ferula de fijacibn entre las pades de perong.In the second embodiment of the guiding device for perong code the second body and the third body are joined together by means of joining, and where the third body 25 comprises a longitudinal receiving groove of a fixing splint between the pads of perong
En la segunda realizacion del dispositivo de gufa para code de perong los medios de unidn estgn configurados por al menos un elemento con forma de “U” que se extiende desde el 30 segundo cuerpo hasta el tercer cuerpo.In the second embodiment of the guiding device for perong code, the joining means are configured by at least one "U" shaped element extending from the second body to the third body.
En la segunda realizacion del dispositivo de gufa para code de perong la quinta gufa de orientacion de code y la sexta gufa de orientacibn de code estgn configuradas por una superficie plana de un espesor.In the second embodiment of the perong code guide device the fifth code orientation guide and the sixth code orientation guide are configured by a flat surface of a thickness.
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En la segunda realizacibn del dispositivo de gula para corte de peronb la quinta gula de orientacibn de corte y la sexta gula de orientacibn de corte comprenden un rebaje en el espesor en una zona de coincidencia con la ranura longitudinal del tercer cuerpo.In the second embodiment of the glutton device for cutting the fibula, the fifth cutting orientation guide and the sixth cutting orientation guide comprise a recess in the thickness in an area coinciding with the longitudinal groove of the third body.
5 En la segunda realizacibn del dispositivo de gula para corte de perone la quinta gula de orientacion de corte y la sexta gula de orientacibn de corte comprenden un hueco de paso para la ferula de fijacibn en la zona de coincidencia con la ranura longitudinal del tercer cuerpo.5 In the second embodiment of the gliding device for perone cutting the fifth cutting orientation guide and the sixth cutting orientation guide comprise a passage for the fixing splint in the area coinciding with the longitudinal groove of the third body .
BREVE DESCRIPCI6N DE LOS DIBUJOSBRIEF DESCRIPTION OF THE DRAWINGS
10 Para complementar la descripcibn que se estb realizando y con objeto de ayudar a una mejor10 To complement the description that is being made and in order to help a better
comprension de las caracterlsticas de la invencibn, se acompafia como parte integrante de dicha descripcibn, un juego de dibujos en donde con carbcter ilustrativo y no limitativo, se ha representado lo siguienteThe understanding of the characteristics of the invention is accompanied as an integral part of said description, a set of drawings in which with illustrative and non-limiting character, the following has been represented
15 La figura 1 muestra una vista en perspectiva de una realizacibn del dispositivo objeto de la invencibn previo a realizar el corte del perone.15 Figure 1 shows a perspective view of an embodiment of the device object of the invention prior to cutting the perone.
La figura 2 es una vista en perspectiva de la realizacibn del dispositivo de la figura 1 con el perone ya cortado y configurado como una mandlbula.Figure 2 is a perspective view of the embodiment of the device of Figure 1 with the perone already cut and configured as a jaw.
20twenty
La figura 3 es una vista en perspectiva de una segunda realizacibn del dispositivo en el que forma un hueso con tres cuerpos.Figure 3 is a perspective view of a second embodiment of the device in which it forms a bone with three bodies.
RELACI6N DE ELEMENTOS CITADOS EN LAS FIGURASRELATIONSHIP OF ELEMENTS CITED IN THE FIGURES
25 1. primer cuerpo,25 1. first body,
2. primera parte del perone,2. first part of the perone,
3. primera gula de orientacibn de corte,3. first guiding cutter guide,
4. primer extremo del primer cuerpo,4. first end of the first body,
5. segunda gula de orientacibn de corte,5. Second guiding cutter guide
30 6. segundo extremo del primer cuerpo,30 6. second end of the first body,
7. segundo cuerpo,7. second body,
8. segunda parte del perone,8. second part of the perone,
9. tercera gula de orientacibn de corte,9. third guideline guide,
10. primer extremo del segundo cuerpo,10. first end of the second body,
35 11. cuarta gula de orientacibn de corte,35 11. fourth guideline guide,
12. segundo extremo del segundo cuerpo,12. second end of the second body,
13. medios de union,13. means of union,
14. ranura longitudinal,14. longitudinal groove,
15. ferula de fijacion,15. fixing splint,
16. rebaje,16. recess,
5 17.hueco de paso,5 17. passing pitch,
18. hueco pasante,18. through hole,
19. tornillo,19. screw,
20. tercer cuerpo,20. third body,
21. quinta gufa de orientacibn de corte, y21. fifth guide for cutting orientation, and
10 22. sexta gufa de orientacibn de corte.10 22. sixth guideline for cutting guidance.
REALIZACI6N preferente de la invencion.PREFERRED EMBODIMENT OF THE INVENTION
Para superar el problema tbcnico planteado en un eplgrafe anterior de esta memoria descriptiva, surge el objeto de la invencion, que es un dispositivo de corte de peronb, que estb 15 especialmente disefiado para aquellas operaciones en que una mandlbula, que por cualquierTo overcome the technical problem posed in an earlier eplgrafe of this specification, the object of the invention arises, which is a peronb cutting device, which is specially designed for those operations in which a jaw, which by any
motivo, debe ser sustituida por un hueso al que hay de reconfigurar desde una forma lineal a una forma angular que es la forma que tiene el hueso de la mandlbula.reason, it must be replaced by a bone that must be reconfigured from a linear form to an angular form that is the shape of the jaw bone.
Para ello el dispositivo objeto de la invencion comprende un primer cuerpo (1) que se fija a 20 una primera parte del peronb (2) y un segundo cuerpo (7) que se fija a una segunda parte del perone (8), estando el primer cuerpo (1) y el segundo cuerpo (7) unidos entre si mediante unos medios de union (13).For this, the device object of the invention comprises a first body (1) that is fixed to a first part of the fibula (2) and a second body (7) that is fixed to a second part of the perone (8), the body being first body (1) and the second body (7) joined together by means of joining (13).
De la unibn de la primera parte del perone (2) y de la segunda parte del perone (8), se 25 configura la forma angular de la mandlbula del paciente. Para configurar la forma angular del perone a partir de la forma lineal, se realiza un estudio quirurgico previo, en el que se determina tanto la position exacts donde hay que colocar los dos cuerpos del dispositivo objeto de la invencion y como la angulation que hay que proporcionar a los extremos () tanto del primer cuerpo (1) como del segundo cuerpo (7) para, mediante la unibn de la primera parte 30 del peronb (2) y la unibn de la segunda parte del peronb (8), proporcionar la forma angular al perone y proporcionar la orientacibn deseada a los extremos del perone donde se va a unir con los otros huesos de la cara del paciente.From the junction of the first part of the perone (2) and the second part of the perone (8), the angular shape of the patient's jaw is configured. To configure the angular shape of the perone from the linear form, a previous surgical study is carried out, which determines both the exact position where the two bodies of the device object of the invention must be placed and the angulation that must be provide the ends () of both the first body (1) and the second body (7) to, by joining the first part 30 of the peronb (2) and the joining of the second part of the peronb (8), provide the angular shape to the perone and provide the desired orientation to the ends of the perone where it is to be joined with the other bones of the patient's face.
Para proporcionar la angulacibn determinada, el primer cuerpo (1) comprende una primera 35 gula de orientacibn de corte (3) en un primer extremo (4) y una segunda gufa de orientacibn de corte (5) en un segundo extremo (6), y el segundo cuerpo (7) comprende una tercera gufaTo provide the determined angle, the first body (1) comprises a first guide shear guide (3) at a first end (4) and a second guide for shear orientation (5) at a second end (6), and the second body (7) comprises a third guide
de orientation de corte (9) en un primer extremo (10) y una cuarta guia de orientacibn de corte (11) en un segundo extremo (12).of orientation of cutting (9) at a first end (10) and a fourth guide of cutting orientation (11) at a second end (12).
Las guias de orientacibn de corte (3, 5, 9, 11), en la realization preferente de la invencibn, 5 estbn configuradas por una superficie plana en la que un cirujano se apoya para realizar el corte del peronb durante la intervencibn quirurgica.The guidelines for cutting orientation (3, 5, 9, 11), in the preferred embodiment of the invention, 5 are configured by a flat surface on which a surgeon rests to perform the cutting of the fibula during surgical intervention.
El dispositivo objeto de la invention comprende unos medios de fijacibn que fijan el primer cuerpo (1) y el segundo cuerpo (7) al perone en la position determinada en el estudio 10 quirurgico previo a la intervencibn. Los medios de fijacibn en la realization preferente de la invencibn, estbn formados por unos huecos pasantes (18) donde se instalan unos tornillos (19) que fijan el primer cuerpo (1) y el segundo cuerpo (7) al peronb en la posicibn determinada en el estudio quirurgico previo a la intervencibn.The device object of the invention comprises fixing means that fix the first body (1) and the second body (7) to the perone in the position determined in the surgical study 10 prior to the intervention. The fixing means in the preferred embodiment of the invention are formed by through holes (18) where screws (19) are installed that fix the first body (1) and the second body (7) to the peronb in the determined position in the surgical study prior to the intervention.
15 El los dispositivos conocidos en el estado de la tbcnica, una vez se ha cortado el peronb con las guias de orientacibn de corte (3, 5,9,11), se retiran del peronb y para fijar el peronb en la nueva forma angular se instala una ferula de fijacibn (15) que proporciona unidad a las dos partes del peronb (2, 8) cortadas previamente. Sin embargo con el dispositivo objeto de la invencibn, en vez de retirar el primer cuerpo (1) de la primera parte del peronb (2) y el segundo 20 cuerpo de la segunda parte del peronb (8), se cortan los medios de unibn (13) que unen el primer cuerpo (1) y el segundo cuerpo (7) y se unen los dos cuerpos (1, 7) por el segundo extremo del primer cuerpo (6) y el primer extremo del segundo cuerpo (10), de modo que la ranura longitudinal (14) que recorre el primer cuerpo (1) y el segundo cuerpo (7) sirve para colocar la fbrula de fijacibn (15) entre las partes del peronb (2,8), y configurar la forma angular 25 de la mandlbula sin necesidad de retirar el dispositivo objeto de la invencibn del peronb y manteniendo por tanto siempre tanto la orientacibn como la posicibn de las dos partes (2, 8) del peronb con el dispositivo desarrollado para esta intervencibn.15 The devices known in the state of the art, once the fibula has been cut with the cutting orientation guides (3, 5,9,11), are removed from the fibula and to fix the fibula in the new angular shape a fixing splint (15) is installed that provides unity to the two parts of the peronb (2, 8) previously cut. However, with the device object of the invention, instead of removing the first body (1) of the first part of the fibula (2) and the second body of the second part of the fibula (8), the joining means are cut (13) that join the first body (1) and the second body (7) and join the two bodies (1, 7) by the second end of the first body (6) and the first end of the second body (10), so that the longitudinal groove (14) that runs through the first body (1) and the second body (7) serves to place the fixing screw (15) between the parts of the peronb (2,8), and configure the angular shape 25 of the jaw without removing the device object of the invention of the fibula and therefore always maintaining both the orientation and the position of the two parts (2, 8) of the fibula with the device developed for this intervention.
Las cuatros guias de orientacibn de corte (3, 5, 9, 11), en la realizacibn preferente de la 30 invencibn en la que estbn formadas por una superficie plana de un espesor, en la zona en la que coinciden con la ranura longitudinal, comprenden un rebaje (16) de dicho espesor y un hueco de paso (17) para la fbrula de fijacibn (15), facilitando asi la colocacibn de la fbrula de fijacibn (15) en las dos partes (2, 8) de peronb, una vez el peronb ya esta cortado, sin necesidad de retirar el dispositivo objeto de la invencibn.The four guides for cutting orientation (3, 5, 9, 11), in the preferred embodiment of the invention in which they are formed by a flat surface of a thickness, in the area where they coincide with the longitudinal groove, they comprise a recess (16) of said thickness and a passage recess (17) for the fixing flange (15), thus facilitating the placement of the fixing flange (15) in the two parts (2, 8) of peronb, once the fibula is already cut, without the need to remove the device object of the invention.
Para la union de los dos cuerpos (1, 7) del dispositivo en la fase de uni6n de las dos partes (2, 8) del perong, una vez se han unido dichas partes (2, 8) de perong, se cortan los medios de uni6n (13) y la zona del rebaje (16) de la segunda gui'a de orientacidn de corte (5) y de la tercera gula de orientacion de corte (9), facilitando de este modo la fijacidn de la citada ferula 5 de fijacidn (15) a las partes de perone (2, 8).For the union of the two bodies (1, 7) of the device in the joining phase of the two parts (2, 8) of the perong, once said parts (2, 8) of perong have been joined, the means are cut of junction (13) and the recess area (16) of the second cutting orientation guide (5) and the third cutting orientation guide (9), thus facilitating the fixing of said splint 5 of fixation (15) to the parts of the perone (2, 8).
Aunque la realizacidn preferente se ha descrito para un dispositivo que comprende dos cuerpos (1, 7) porque la configuration angular del perone presenta un unico quiebro, por lo que se obtiene mediante dos partes de perong unidas, existe otra realizacidn en la que el 10 dispositivo comprende un tercer cuerpo (20) fijado al segundo cuerpo (7) mediante unos medios de union similares (13) a los que unen el primer cuerpo (1) y el segundo cuerpo (7), que se origina porque el hueso final a obtener presenta dos quiebros, lo que requiere de tres partes de perong unidas para configurar la forma angular del perong.Although the preferred embodiment has been described for a device comprising two bodies (1, 7) because the angular configuration of the perone has a single break, so that it is obtained by means of two joined perong parts, there is another embodiment in which the The device comprises a third body (20) fixed to the second body (7) by means of similar joining means (13) to which the first body (1) and the second body (7) join, which originates because the final bone Obtain two bankruptcies, which requires three parts of perong joined to configure the angular shape of the perong.
15 El tercer cuerpo (20) es similar al primer cuerpo (1) y al segundo cuerpo (7) y comprende tambfen una quinta gula de orientacidn de corte (21) en un extremo y una sexta gula de orientacidn de corte (22) en el extremo opuesto, y una ranura longitudinal. Tanto la quinta gula de orientacidn de corte (21) como la sexta gula de orientacidn de corte (22) esfen configuradas, en la realizacidn preferente de la invencidn, como unas superficies planas de 20 un espesor que comprenden un rebaje de dicho espesor en la zona en la que coinciden con la ranura longitudinal y comprenden un hueco de paso para la ferula de fijacidn (15) en esa misma zona de coincidencia.The third body (20) is similar to the first body (1) and the second body (7) and also comprises a fifth cut-off guide (21) at one end and a sixth cut-orientation guide (22) in the opposite end, and a longitudinal groove. Both the fifth cutting orientation guide (21) and the sixth cutting orientation guide (22) are configured, in the preferred embodiment of the invention, as flat surfaces of a thickness comprising a recess of said thickness in the area in which they coincide with the longitudinal groove and comprise a passageway for the fixing splint (15) in that same area of coincidence.
En la realizacidn del dispositivo que comprende un tercer cuerpo los medios de fijacidn del 25 dispositivo para el tercer cuerpo son similares a los del primer cuerpo (1) y segundo cuerpo (7), esto es estgn formados por unos huecos pasantes donde se instalan unos tornillos que fijan el tercer cuerpo al perong en la posicidn determinada en el estudio quirurgico previo a la intervencidnIn the embodiment of the device comprising a third body the fixing means of the device for the third body are similar to those of the first body (1) and second body (7), this is formed by through holes where some are installed screws that fix the third body to the perong in the position determined in the surgical study prior to the intervention
30 APLICACION INDUSTRIAL30 INDUSTRIAL APPLICATION
El dispositivo objeto de la invencidn es de aplicacidn en la industria de los elementos empleados en intervenciones quirurgicas, conocidos como protesis.The device object of the invention is of application in the industry of the elements used in surgical interventions, known as prostheses.
Claims (8)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| ES201500172A ES2581777B1 (en) | 2015-03-06 | 2015-03-06 | Guide device for fibula cutting |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| ES201500172A ES2581777B1 (en) | 2015-03-06 | 2015-03-06 | Guide device for fibula cutting |
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| Publication Number | Publication Date |
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| ES2581777A1 ES2581777A1 (en) | 2016-09-07 |
| ES2581777B1 true ES2581777B1 (en) | 2017-08-03 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| ES201500172A Expired - Fee Related ES2581777B1 (en) | 2015-03-06 | 2015-03-06 | Guide device for fibula cutting |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| WO2024158396A1 (en) * | 2023-01-26 | 2024-08-02 | Toranto Jason D | Mandibular reconstruction systems and methods |
| US20240252320A1 (en) * | 2023-01-26 | 2024-08-01 | Jason D. Toranto | Mandibular reconstruction systems and methods |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| NL1021815C2 (en) * | 2002-11-01 | 2004-05-06 | Amc Amsterdam | Saw jig and a jig to be used thereby for processing a calf bone or the like for a lower jaw reconstruction. |
| US7959637B2 (en) * | 2007-03-13 | 2011-06-14 | Biomet Manufacturing Corp. | Distal femoral cutting guide |
| WO2013165559A1 (en) * | 2012-05-03 | 2013-11-07 | DePuy Synthes Products, LLC | Surgical guide with cut resistant inserts |
| TWI468144B (en) * | 2012-05-11 | 2015-01-11 | Univ Nat Central | A measuring and guiding device for reconstruction surgery |
| US20140058466A1 (en) * | 2012-08-27 | 2014-02-27 | Materialise Nv | Surgical guiding tools and systems and methods of manufacturing surgical guiding tools |
| CN203915010U (en) * | 2014-04-09 | 2014-11-05 | 浙江工业大学 | Fibula cuts bone positioner |
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