TR201609340A1 - BALPETTE MOSAICPLASTY SYSTEM - Google Patents
BALPETTE MOSAICPLASTY SYSTEM Download PDFInfo
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- TR201609340A1 TR201609340A1 TR2016/09340A TR201609340A TR201609340A1 TR 201609340 A1 TR201609340 A1 TR 201609340A1 TR 2016/09340 A TR2016/09340 A TR 2016/09340A TR 201609340 A TR201609340 A TR 201609340A TR 201609340 A1 TR201609340 A1 TR 201609340A1
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- 210000000845 cartilage Anatomy 0.000 claims abstract description 42
- 125000006850 spacer group Chemical group 0.000 claims abstract description 31
- 210000003035 hyaline cartilage Anatomy 0.000 claims abstract description 23
- 238000011282 treatment Methods 0.000 claims abstract description 18
- 210000003127 knee Anatomy 0.000 claims abstract description 7
- 206010007710 Cartilage injury Diseases 0.000 claims abstract description 6
- 210000003423 ankle Anatomy 0.000 claims abstract description 3
- 238000000034 method Methods 0.000 claims description 17
- 210000001519 tissue Anatomy 0.000 claims description 14
- 230000001012 protector Effects 0.000 claims description 11
- 210000000707 wrist Anatomy 0.000 claims 1
- 210000004283 incisor Anatomy 0.000 abstract 3
- 239000000463 material Substances 0.000 description 10
- 238000001356 surgical procedure Methods 0.000 description 8
- 230000003902 lesion Effects 0.000 description 6
- 210000000988 bone and bone Anatomy 0.000 description 5
- 238000011084 recovery Methods 0.000 description 5
- 210000000629 knee joint Anatomy 0.000 description 3
- 230000015572 biosynthetic process Effects 0.000 description 2
- 230000006378 damage Effects 0.000 description 2
- 230000008407 joint function Effects 0.000 description 2
- 231100000241 scar Toxicity 0.000 description 2
- 230000037390 scarring Effects 0.000 description 2
- 238000002054 transplantation Methods 0.000 description 2
- 206010023203 Joint destruction Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 239000012634 fragment Substances 0.000 description 1
- 230000035876 healing Effects 0.000 description 1
- 210000004276 hyalin Anatomy 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 230000007774 longterm Effects 0.000 description 1
- 230000000399 orthopedic effect Effects 0.000 description 1
- 230000007170 pathology Effects 0.000 description 1
- 238000007789 sealing Methods 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 210000001694 thigh bone Anatomy 0.000 description 1
- 210000000689 upper leg Anatomy 0.000 description 1
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Abstract
Buluş, diz, kalça, kol, el ve ayak bileği gibi eklem, eklem içi kıkırdak hasarlarının tedavisinde kullanılan mozaikplasti setleri ve sistemleri ile ilgili olup, özelliği; hasarlı kıkırdak alanın boşluksuz bir şekilde sağlıklı kıkırdaklarla doldurulmasını sağlamak üzere, hasarlı bölgenin altıgen/beşgen şekilli olarak doldurulmasını sağlayan altıgen şablon kılavuz (1) veya beşgen şablon kılavuz (2), sağlıklı bölgeden altıgen/beşgen şeklinde hyalin kıkırdak dokusu alınmasını sağlayan altıgen greft alıcı (3) veya beşgen greft alıcı (5), altıgen greft alıcı (3) veya beşgen greft alıcı (5) üzerinden sağlıklı kıkırdak dokunun alınmasını sağlayan kesi tutucu (7),hasarlı kıkırdak bölgesinden altıgen/beşgen şeklinde alınmasını sağlayan altıgen greft yer açıcı (4) veya beşgen greft yer açıcı (6), greft yer açıcı (4) veya beşgen greft açıcı (6) üzerinden sağlıklı kıkırdak dokunun alınmasını sağlayan kesi tutucu (7), işlemlerin yapılmasını sağlayan kesi tutucu (7) ve/veya açılan yerin temizlenmesini sağlayan kesi tutucu (7) üzerine monte edilen yer açıcı burgu (9) ve/veya sağlıklı greftlerin itilmesini sağlayan greft itici (10) ve/veya hasarlı bölgeye sağlıklı bölgeden altıgen şeklinde hyalin kıkırdak dokusunu nakledilmesini sağlayan altıgen yer tutucu (11) veya beşgen yer tutucu (12) içeren mozaikplasti sistemi ve seti ile karakterize edilir.The invention relates to mosaicplasty sets and systems for the treatment of joint, intraarticular cartilage injuries such as knee, hip, arm, hand and ankle. hexagonal stencil guide (1) or pentagonal stencil guide (2), which allows the damaged area to be filled in a hexagonal / pentagonal shape to ensure that the damaged cartilage area is filled with healthy cartilages without gap, the hexagonal graft receiver (1), 3) or the incisor holder (7) for receiving healthy cartilage tissue via the pentagonal graft acceptor (5), hexagonal graft acceptor (3) or pentagonal graft acceptor (5), hexagonal graft spacer (4) for removal of damaged cartilage from the region of the damaged cartilage (4). or the incisor holder (7), which provides the removal of healthy cartilage tissue via the pentagonal graft spacer (6), the graft spacer (4) or the pentagonal graft opener (6), the incisor holder (7) for performing the operations incision holder (7) and a mosaicplasty system and set comprising a graft pusher (10) for pushing urgent (9) and / or healthy grafts and / or a hexagonal placeholder (11) or pentagonal placeholder (12) for transplanting hyaline cartilage tissue from the healthy zone to the damaged area. it is.
Description
TARFNAME BALPETEGI MOZAIKPLASTI SISTEMI Teknik Alan Mevcut bulus; diz, kalça, kol, el ve ayak bilegi gibi eklem, eklem içi kikirdak hasarlarinin tedavisinde kullanilan enstrümanlar ve bu enstrümanlarla yapilan mozaikplasti sistemleri ile ilgilidir. DESCRIPTION BALPETEGI MOSAICPLASTY SYSTEM Technical Area The present invention; joint, intra-articular cartilage such as knee, hip, arm, hand and ankle instruments used in the treatment of injuries and related to mosaicplasty systems.
Bulus özellikle, gelistirilen altigen / besgen sekilli doku nakli ile olusturulan kikirdak tedavisinde kullanilacak yeni tasarim altigen sekilli osteokondral greft enstrüman setini ve bu set ile yapilan bal petegi mozaikplasti sistemi ile ilgilidir. The invention is particularly focused on cartilage formed by hexagonal / pentagonal shaped tissue transplantation. new design hexagonal shaped osteochondral graft instrument to be used in the treatment of It is about the set and the honeycomb mosaicplasty system made with this set.
Teknigin Bilinen Durumunun Açiklanmasi Ortopedi ve Travmatoloji vakalarinda, eklem patolojilerinden kikirdak hasarlari (kondral lezyonlar) özellikle diz eklemine sik görülmektedir. Eklem içindeki kemiklerin yüzeyini kaplayan kikirdak dokusunda meydana gelen bölgesel hasar olarak tanimlanabilecek bu lezyonlar 4 evrede degerlendirilmektedir. 1. evrede yüzeysel bir kikirdak kaybi g'orül'urken, 4. evrede kikirdak tamamen kaybolmakta ve kemik dokusu çiplak olarak karsimiza çikmaktadir. Kondral lezyonlar `Özellikle eklemlerin yük tasiyan ve ayakta durma, yürüme, kosma, ziplama gibi normal eklem fonksiyonlari sirasinda basinca maruz kalan bölgelerinde daha sik görülmekte ve hastalarda sikayetlere neden olmaktadir. Description of the State of the Art In Orthopedics and Traumatology cases, cartilage damage from joint pathologies (chondral lesions) are especially common in the knee joint. bones within the joint regional damage to the cartilage tissue covering its surface. These lesions that can be defined are evaluated in 4 stages. While a superficial cartilage loss is seen in the 1st stage, the cartilage is completely lost in the 4th stage. disappears and the bone tissue appears as bare. chondral Lesions more frequently in areas exposed to pressure during normal joint functions, such as seen and causes complaints in patients.
Bu sekildeki sikayetlerin tedavisinde amaç kikirdak hasari olan bölgede nedbe dokusu (fibr'oz kikirdak) olusmadan normal kikirdaktaki doku türü olan hyalin kikirdak dokusu ile kapli bir yüzey elde etmektir. Uygun sekilde tedavi edilmedigi takdirde erken dönemde eklemin harabiyetine neden olarak eklem fonksiyon kayiplarina ve sonuç olarak erken yaslarda riskli ve ekonomik maiyeti yüksek bir operasyon olan diz protezi uygulanma gerekliligine neden olabilmektedir. The aim of the treatment of such complaints is scarring in the area with cartilage damage. hyaline cartilage, which is the type of tissue in normal cartilage without the formation of fibrous cartilage is to obtain a surface covered with texture. If not treated appropriately it causes joint destruction in the early period, leading to joint function losses and As a result, knee knee surgery is a risky and economically expensive operation in early ages. may result in the necessity of applying the prosthesis.
Kondral Iezyonlarin tedavisinde çesitli yöntemler kullanilmaktadir. Bunlar arasinda mozaikplasti klinik sonuçlari açisindan digerlerinden daha üstündür. Hastanin kendi vücudundan elde edilen silindir seklinde kikirdakli kemik doku parçalari (osteokondral greft) ile hasarli bölgenin tedavi edilmesi olarak tanimlanan mozaikplasti yöntemi kapali (artroskopik) ve açik cerrahi ile uygulanabilmektedir. Various methods are used in the treatment of chondral lesions. Among them mosaicplasty is superior to others in terms of clinical results. The patient's own Cylindrical cartilaginous bone tissue fragments (osteochondral mosaicplasty method, which is defined as the treatment of the damaged area with a graft It can be applied with closed (arthroscopic) and open surgery.
Mozaikplasti prosedüründe femur (uyluk kemigi) alt ucunda, diz eklemini olusturan anatomik bölgede yük tasimayan ve kikirdak yüzeye sahip bölgelerden uygun sayi ve ölçülerde silindirik sekilli kikirdakli kemik doku parçalari alinarak hastalikli bölgeye doku nakli yapilmaktadir. Bu sayede hasarli bölgede çogunlugu Hyalin kikirdakla kapli bir alan elde edilmektedir. Ancak, bu yöntemin de yetersiz yönleri bulunmaktadir. Yapilan çalismalar, tedavi bitiminde hasarli bölgenin yaklasik %75 oraninda Hyalin kikirdakla kaplanabildigini göstermektedir. Geri kalan %25'Iik alan ise yukarida bahsi geçen yük tasima kapasitesi ve dayanikliligi düsük olan fibröz kikirdak ile dolmaktadir. In the mosaicplasty procedure, the femur (thigh bone) is located at the lower end, forming the knee joint. Appropriate number of non-load-bearing and cartilage surface areas in the anatomical region and cylindrical shaped cartilaginous bone tissue pieces are taken to the diseased area. tissue transplantation is performed. In this way, most of the damaged area is covered with Hyaline cartilage. covered area is obtained. However, the shortcomings of this method are are available. Studies have shown that approximately 75% of the damaged area at the end of the treatment shows that Hyaline can be covered with cartilage. The remaining 25% area fibrous tissue with low load carrying capacity and durability mentioned above. is filled with cartilage.
Sonuç olarak, en basarili uygulamalarda bile amaçlanan tedavinin sadece dörtte üçlük bir kismi elde edilmis olmaktadir. Bunun yaninda hastanin saglikli kikirdak bölgesinden alinan 0ste0k0ndral greft materyallerinin miktari sinirlidir. Olçüleri genis olan kikirdak lezyonlarinda bu greftler tedavi için yetersiz olabilmekte ve hyalin kikirdak orani daha düsük tedaviler yapilmak zorunda kalinmaktadir. Ayrica silindirik sekilli doku materyalleri yerlestirildikten sonra erken dönemde mekanik olarak desteksiz ve yük tasimaya elverissizdir. As a result, even in the most successful applications, only a quarter of the intended treatment a portion of three is obtained. In addition, the patient's healthy cartilage The amount of graft materials taken from the ste0k0ndral region is limited. Large in size These grafts may be insufficient for treatment in cartilage lesions with Treatments with a lower rate of cartilage have to be done. Also cylindrical mechanically in the early period after shaped tissue materials are placed It is unsupported and unsuitable for load bearing.
Bu yüzden hastalarin ameliyat sonrasi 6 ila 8 haftalik bir dönemde yük vermelerine izin verilmemektedir. Bu dönemde koltuk degnegi kullanarak mobilize olan hastalarin normal hayata dönüsleri daha da uzun sürebilmektedir. Sporcularda ise normal spor faaliyetlerine dönüs 6 ayi bulmaktadir. Bu da özellikle profesyonel sporcularda performans kayiplarina ve maddi kayiplarin büyük olmasina neden olabilmektedir. Therefore, it is recommended that patients bear weight in a period of 6 to 8 weeks after surgery. are not allowed. In this period, the patients who were mobilized using crutches Returning to normal life may take longer. In athletes, normal sports It takes 6 months to return to its activities. This is especially true for professional athletes. It can cause performance losses and great financial losses.
Buradaki iyilesme sürecinin uzun olmasi önemli bir sorun haline gelmektedir. basvurusunda, farkli bir malzemeden silindirik formlu olarak olusturulan materyaller ile hasarli alanin kapatilmasina dair bir çözüm verilmektedir. Ancak, yukarida açiklanan sebeplerden dolayi, hasarli alanin tam olarak doldurulamamasindan dolayi iyilesme süresi uzun olmakta ve hasarli bölgenin tekrari söz konusu olabilmektedir. mozaikplasti cerrahi teknigi osteokondral greft sabitlemek için bir cihazi tarif etmektedir. Buradaki silindirik sekilli osteokondral greft alindigindan yukarida bahsedilen sorunlar yasanmaktadir. The long recovery period here becomes an important problem. In the application, materials formed as a cylindrical form from a different material A solution for sealing the damaged area is given with . However, above due to incomplete filling of the damaged area for the reasons described The recovery period is long and the damaged area may be repeated. The mosaicplasty surgical technique describes a device for fixing osteochondral grafts. is doing. Since the cylindrical osteochondral graft is taken here, mentioned problems occur.
Bahsedilen basvurularda yeterli bir çözüm verilememektedir. Bahsedilen sorunlarin çözülmesini saglayan yeni bir teknik gelistirmeye ihtiyaç duyulmaktadir. An adequate solution cannot be given in the applications mentioned. The mentioned problems There is a need to develop a new technique to solve the problem.
Bulusun Amaçlarinin Açiklanmasi Teknigin bilinen durumundan yola çikilarak bulusun gayesi, mevcut yapilardaki olumsuzluklarin giderildigi, bosluksuz ve saglam bir yapi elde edilmesini saglayan altigen veya besgen mozaik plasti sistemi gelistirilmesidir. Clarifying the Objects of the Invention Starting from the known state of the technique, the aim of the invention is to It provides a gap-free and solid structure where the negativities are eliminated. is the development of a hexagonal or pentagonal mosaic plasty system.
Bulusun bir baska amaci, kikirdak hasari olan bölgede nedbe dokusu (fibröz kikirdak) olusmadan normal kikirdaktaki doku türü olan hyalin kikirdak dokusu ile kapli bir yüzey elde edilmesidir. Arada bosluk olmadan hyalin kikirdak dokusu konumlandirilmasiyla arada bosluk yani hasarli kikirdak olmadan doldurulmasiyla daha iyi sonuçlar elde edilmesidir. Another object of the invention is scar tissue (fibrous tissue) in the area of cartilage damage. cartilage) with hyaline cartilage tissue, which is the tissue type in normal cartilage to obtain a coated surface. Hyaline cartilage tissue without spaces by positioning and filling the space without damaged cartilage. better results are obtained.
Bulusun bir baska amaci, hastanin iyilesme sürecinin azaltilmasi, daha kisa sürede ayaga kalkabilmesidir. Another aim of the invention is to reduce the recovery period of the patient, in a shorter time. to be able to stand up.
Bulusun bir baska amaci da, diz protezine gerek kalmadan tedavi edilerek protez uygulamalarindaki sorunlarin üstesinden gelinmesidir. Another object of the invention is to provide prosthetic treatment without the need for knee prosthesis. to overcome the problems in its applications.
Bulusun bir baska amaci da, arasinda bosluk kalmadan saglikli bir tabaka olusturularak yüksek dayanima sahip bir yapi elde edilmesidir. Bu sekilde daha hizli bir iyilesme yaninda hastaligin tekrar etme olasiliginin da düsürülmesidir. Another aim of the invention is to create a healthy layer with no gaps in between. is to obtain a structure with high strength. Faster this way In addition to a recovery, the probability of recurrence of the disease is also reduced.
Bulusun bir baska amaci da, bilinen uygulamalardaki uzun süre hastanin bekleme süresi, dayanimi düsük bir yapi olmasi sorunlarinin üstesinden gelen bir çözüm gelistirilmesidir. Another object of the invention is the long-term patient waiting time in known applications. A solution that overcomes the problems of being a low-strength structure is to be developed.
Bahsedilen amaçlara ulasmak üzere, altigen/besgen bal petegi mozaik plasti sistemi ve bunun uygulanmasini saglayan mozaikplasti seti gelistirilmistir. In order to achieve the mentioned purposes, the hexagonal / pentagonal honeycomb mosaic plasty system and a mosaicplasty set has been developed that enables its implementation.
Sekillerin Açiklanmasi Sekil-1; Bulusun temsili bir uygulamasinda uygulama yontemi adimlarinin belirtildigi çizimidir. Explanation of Figures Figure 1; In a representative embodiment of the invention, implementation method steps are specified. is the drawing.
Sekil-2; Bulusun temsili bir uygulamasinda besgen veya altigen olarak olusturulan kullanilan mozaikplasti setinin belirtildigi çizimidir. Figure-2; formed as a pentagon or hexagon in a representative embodiment of the invention. It is the drawing of the mosaicplasty set used.
Sekil-3; Bulusun temsili bir uygulamasinda, besgen veya altigen olarak olusturulan moazikplasti setinin kullanim seklinin belirtildigi çizimidir. Figure-3; In a representative embodiment of the invention, pentagonal or hexagonal It is the drawing of the moazikplasti set, indicating the way of use.
Referans Numaralari 1 Altigen sablon kilavuz 8 Darbe koruyucu 2 Besgen sablon kilavuz 9 Yer açici burgu 3 Altigen greft alici 10 Greft itici 4 Altigen greft yer açici 11 Altigen yer tutucu Besgen greft alici 12 Besgen yer tutucu 6 Besgen greft yer açici 7 Kesi tutucu Bulusun Detayli Açiklanmasi Bulus, altigen sablon kilavuz (1) veya besgen sablon kilavuz (2), altigen greft alici (3) veya besgen greft alici (5), altigen greft yer açici (4) veya besgen greft yer açici (6), kesi tutucu (7), darbe koruyucu (8), yer açici burgu (9), greft itici (10), altigen yer tutucu (11) veya besgen yer tutucu (12) ile olusturulan mozaikplasti seti ve bu set ile gelistirilen bal petegi mozaikplasti sistemi ile ilgilidir. Reference Numbers 1 Hexagon template guide 8 Impact protector 2 Pentagonal template guide 9 Spacer auger 3 Hexagon graft takers 10 Graft pushers 4 Hexagon graft spacer 11 Hexagon spacer Besgen graft recipient 12 Besgen placeholder 6 Pentagon graft spacer 7 Incision holder Detailed Description of the Invention Invention, hexagonal template guide (1) or pentagonal template guide (2), hexagonal graft taker (3) or pentagon graft recipient (5), hexagonal graft spacer (4) or pentagon graft spacer (6), incision holder (7), impact protector (8), spacer auger (9), graft pusher (10), hexagonal spacer mosaicplasty set formed with holder (11) or pentagonal placeholder (12) and with this set It is related to the honeycomb mosaicplasty system developed.
Sekil-1'de, gelistirilen mozaikplasti seti ile yapilan uygulamanin her bir asamasinin belirtildigi çizimleri verilmektedir. Hasarli kikirdak doku verilmektedir. In Figure-1, each stage of the application with the developed mosaicplasty set is shown. drawings are given. Damaged cartilage tissue is given.
Kesi tutucusu (7) ve darbe koruyucu (8) üzerinden altigen greft alici (3) ile saglikli bölgeden altigen seklinde hyalin kikirdak dokusu alinmaktadir. Darbe koruyucu (8) uzaklastirilip greft itici (10) yerlestirilir. Altigen greft alicidaki (3) greft çikartilir. Healthy with hexagonal graft taker (3) over incision holder (7) and impact protector (8) Hexagonal hyaline cartilage tissue is taken from the area. Impact protector (8) removed and the graft pusher (10) is placed. The graft in the hexagonal graft recipient (3) is removed.
Daha sonra hasarli kikirdak bölgesinde altigen sablon kilavuz (1) yardimiyla kesi tutucusu (7) ve darbe koruyucu (8) 'üzerindeki altigen greft yer açici (4) ile hasarli bölgeden altigen formunda hasarli nedbe dokusu (fibröz kikirdak) alinir. Zeminin d'uz olmasi için yer açici burgu (9) ile kalintilar uzaklastirilir. Her bir altigen alinan bos kalan bölge, altigen yer tutucular (11) ile doldurulmustur. Buradaki bölge stabilitesi saglandiktan sonra her bir altigen yer tutucu (11) yerine yer açici burgu (9) ile temizlenen alanda bölgeden altigen seklinde hyalin kikirdak dokusu yerlestirilir. Bu sekilde arada hiçbir bosluk olmadan hasarli alan saglikli bölgeden altigen seklinde hyalin kikirdak dokusu ile doldurulmaktadir. Bu sekilde daha saglam ve dayanikli bir bölge elde edilir. Burada olusturulan ve arasinda bosluk olmadigi için daha saglam bir yapi elde edilen bölge çok daha kisa sürede üzerine basilabilir hale gelmektedir. Then, with the help of the hexagonal template guide (1), incision in the damaged cartilage area The hexagonal graft spacer (4) on the retainer (7) and the impact protector (8) is damaged by Damaged scar tissue (fibrous cartilage) in hexagonal form is taken from the area. the floor of the ground Residues are removed with the auger (9) to make room. Each hexagon is blank the remaining region is filled with hexagonal placeholders (11). Zone stability here Once provided, replace each hexagonal placeholder (11) with a spacer auger (9). In the cleaned area, hexagonal hyaline cartilage tissue is placed from the area. This In the figure, the damaged area is hexagonal from the healthy area without any gaps. It is filled with hyaline cartilage tissue. In this way, a more robust and durable region is obtained. It is more robust because there is no space between the created and The area where a structure is obtained becomes printable in a much shorter time.
Dayanikli bir yapi olusturuldugundan yük binmesi durumunda daha hizli bir sekilde iyilesme ve sorun olmadan iyilesme sürecinin daha kisa sürede tamamlanmasi saglanir. Since a durable structure is created, it is faster in case of load. recovery and completion of the healing process without problems in a shorter time is provided.
Gelistirilen moaikplasti seti ile tedavide amaç kikirdak hasari olan bölgede nedbe dokusu (fibröz kikirdak) olusmadan normal kikirdaktaki doku türü olan hyalin kikirdak dokusu ile kapli bir yüzey elde etmektir. The aim of the treatment with the developed moaicplasty set is scarring in the area with cartilage damage. hyaline cartilage, which is the type of tissue in normal cartilage without the formation of tissue (fibrous cartilage) is to obtain a surface covered with texture.
Hastanin kendi vücudundan elde edilen silindir seklinde kikirdakli kemik doku parçalari (osteokondral greft) ile hasarli bölgenin tedavi edilmesi olarak tanimlanan mozaikplasti yöntemi kapali (artroskopik) ve açik cerrahi ile uygulanabilmektedir. Cylindrical cartilaginous bone tissue obtained from the patient's own body defined as the treatment of the damaged area with pieces of (osteochondral graft) mosaicplasty method can be applied with closed (arthroscopic) and open surgery.
Mimari ve mühendislik çalismalar en az materyal kullanilarak en büyük miktarda alani altigen sekilli materyaller ile elde edilebilecegini göstermistir. Architectural and engineering works are performed in the largest amount using the least material. showed that the area can be obtained with hexagonal shaped materials.
Altigen sekilli greft materyalleri hasarli bölgeye aralarinda hiçbir bosluk olmadan yerlestirilebilmektedir. Bunun da istenmeyen doku miktarini en aza indirerek çok daha yüksek oranda hyalin kikirdak içeren bir alan elde etmeyi mümkün kilmaktadir. Hexagonal shaped graft materials are applied to the damaged area with no gaps between them. can be placed. This is also very important by minimizing the amount of unwanted tissue. it makes it possible to obtain an area with a higher proportion of hyaline cartilage.
Bulus konusu altigen prizma sekilli greftlerle mozaikplasti sistemi tamamen yeni ve özgün bir sistemdir. Mozaikplasti ameliyati bu yöntemle daha önce tanimlamamistir. The mosaicplasty system with hexagonal prism-shaped grafts, which is the subject of the invention, is completely new and It is a unique system. Mosaicplasty surgery has not been defined with this method before.
Altigen sekilli greft materyalleri hasarli bölgeye aralarinda hiçbir bosluk olmadan yerlestirilebilmektedir. Bu sekilde, %25 oranindaki istenmeyen doku miktarini en aza indirerek çok daha yüksek oranda hyalin kikirdak içeren bir alan elde etmeyi mümkün kilmaktadir. Hexagonal shaped graft materials are applied to the damaged area with no gaps between them. can be placed. In this way, the amount of unwanted tissue at the rate of 25% is minimized. It is possible to obtain an area with a much higher proportion of hyaline cartilage by it builds.
Altigen sekilli greft materyallerinin birbiri ile genis temas yüzeyi ile yerlestirilebilecegini ve silindirik sekilli materyallere nazaran erken dönemde bile mekanik olarak daha dayanikli olmaktadir. With the large contact surface of the hexagonal graft materials It can be placed and even at an early stage compared to cylindrical shaped materials. mechanically more durable.
Diz eklemine ait kikirdak lezyonlarinin yetersiz tedavisi hastalarin diz protezi ile tedavi edilmesi gerekmektedir. Bulusumuz ile mozaikplasti tedavisine yeni bir bakis açisi getirmekte ve çok daha basarili tedaviler yapma imkanini sunulmaktadir. Insan sagliginin korunmasi ve yasam kalitesinin artmasina katkida bulunacak bu tedavi ile hastalardaki diz protezi ihtiyacinda belirgin azalma saglanir. Inadequate treatment of cartilage lesions of the knee joint should be performed in patients with knee prosthesis. needs to be treated. A new perspective on mosaicplasty treatment with our invention angle and offers the opportunity to make much more successful treatments. Human With this treatment, which will contribute to the protection of health and increase the quality of life, There is a significant reduction in the need for knee prosthesis in patients.
Mozaikplasti yöntemi artroskopi (kapali eklem cerrahisi) ile uygulanabilmektedir. The mosaicplasty method can be applied with arthroscopy (closed joint surgery).
Bulus, "Minimal invaziv tibbi girisimlerde kullanilan özgün cihazlara yönelik klinik çalismalar" kapsaminda, altigen prizma sekilli greftlerle mozaikplasti sistemi tamamen yeni ve özgün sistemdir. The invention is a clinical study for specific devices used in minimally invasive medical procedures. Within the scope of "works", mosaicplasty system with hexagonal prism shaped grafts It is a completely new and original system.
Mozaikplasti ameliyati bu yöntemle daha önce tanimlamamistir. Tamamen yeni bir teknik ortaya konulmustur. Mosaicplasty surgery has not been defined with this method before. A completely new technique has been introduced.
Hasarli kikirdak alanin bosluksuz bir sekilde saglikli kikirdaklarla doldurulmasini saglamak 'üzere, hasarli bölgenin altigen/besgen sekilli olarak doldurulmasini saglayan altigen sablon kilavuz (1) veya besgen sablon kilavuz (2), - saglikli bölgeden altigen/besgen seklinde hyalin kikirdak dokusu alinmasini saglayan altigen greft alici (3) veya besgen greft alici (5), - altigen greft alici (3) veya besgen greft alici (5) 'üzerinden saglikli kikirdak dokunun alinmasini saglayan kesi tutucu (7), - hasarli kikirdak bölgesinden altigen/besgen seklinde alinmasini saglayan altigen greft yer açici (4) veya besgen greft yer açici (6), - altigen greft yer açici (4) veya besgen greft yer açici (6) 'üzerinden saglikli kikirdak dokunun alinmasini saglayan kesi tutucu (7), - islemlerin yapilmasini saglayan kesi tutucu (7) ve/veya - açilan yerin temizlenmesini saglayan kesi tutucu (7) 'üzerine monte edilen yer açici burgu (9) ve/veya - saglikli greftlerin itilmesini saglayan greft itici (10) ve/veya - hasarli bölgeye saglikli bölgeden altigen seklinde hyalin kikirdak dokusunu nakledilmesini saglayan altigen yer tutucular (11) veya besgen yer tutucular (12) içeren mozaikplasti sistemi ve seti içerir. Filling the damaged cartilage area with healthy cartilage without gaps 'filling the damaged area in hexagonal/pentagonal shape to ensure hexagonal template guide (1) or pentagonal template guide (2), - hexagonal/pentagonal hyaline cartilage tissue from the healthy area hexagonal graft recipient (3) or pentagonal graft recipient (5), - healthy via 'hexagon grafter (3) or pentagonal grafter (5)' incision holder (7), which allows the removal of cartilage tissue, - hexagonal/pentagonal removal from the damaged cartilage area hexagonal graft spacer (4) or pentagonal graft spacer (6), - Via hexagonal graft spacer (4) or pentagonal graft spacer (6) incision holder (7), which allows the removal of healthy cartilage tissue, - incision holder (7) and/or - mounted on the incision holder (7) 'to clean the opening spacer auger (9) and/or - graft pusher (10) that allows pushing healthy grafts and/or - hexagonal hyaline cartilage from the healthy area to the damaged area hexagonal placeholders (11) or Includes mosaicplasty system and set with pentagon placeholders (12).
Kesi tutucusuna (7) monte edilen darbe koruyucu (8), greft alici (3) veya besgen greft alici (5), altigen greft yer açici (4) veya besgen greft yer açici (6), yer açici burgu (9), greft itici (10) bulunmaktadir. Impact protector (8), graft taker (3) or pentagon graft mounted on the incision holder (7) recipient (5), hexagonal graft spacer (4) or pentagonal graft spacer (6), spacer auger (9), There is a graft pusher (10).
Altigen sablon kilavuz (1) veya besgen sablon kilavuz (2) 'üzerindeki her bir iç yuvaya uygun formda yerlestirilen altigen greft alici (3) veya besgen greft alici (5) içerir. Each inner slot on the hexagonal template guide (1) or pentagonal template guide (2) It includes a hexagonal graft recipient (3) or a pentagonal graft recipient (5) placed in a suitable form.
Altigen sablon kilavuz (1) veya besgen sablon kilavuz (2) 'üzerindeki her bir iç yuvaya uygun formda yerlestirilen altigen yer tutucu (11) veya besgen yer tutucu (12) içerir. Each inner slot on the hexagonal template guide (1) or pentagonal template guide (2) It includes a hexagonal placeholder (11) or a pentagonal placeholder (12) placed in a suitable form.
Altigen/besgen mozaikplasti seti uygulama yöntemi: altigen sablon kilavuz (1) veya besgen sablon kilavuz (2), üzerinden saglikli bölgelerden kesi tutucusu (7) ve darbe koruyucu (8) ile altigen greft alici (3) veya besgen greft alici (5) üzerinden altigen/besgen formlu hyalin kikirdak dokusu alinmasi, alinan altigen/besgen formlu hyalin kikirdak dokusunun kesi tutucusu (7) üzerinden greft itici (10) ile çikarilmasi, altigen sablon kilavuz (1) veya besgen sablon kilavuz (2) üzerinden hasarli kikirdak bölgesinden kesi tutucusu (7) ve darbe koruyucu (8) ile altigen greft yer açici (4) veya besgen greft yer açici (6) üzerinden altigen/besgen formlu hasarli kikirdaklarin alinmasi ve yerlerine altigen yer tutucular (11) veya besgen yer tutucular (12) yerlestirilmesi, altigen sablon kilavuz (1) veya besgen sablon kilavuz (2) üzerinden saglikli bölgeden alinan altigen/besgen hyalin kikirdak dokusunun altigen yer tutucular (11) veya besgen yer tutucular (12) çikartilarak altigen/besgen formlu hyalin kikirdak dokusunun nakledilerek doldurulmasi islem asamalarini içerir.Application method of hexagon/besgon mosaicplasty set: hexagonal template guide (1) or pentagonal template guide (2), via hexagonal with incision holder (7) and impact protector (8) from healthy areas hexagonal/pentagonal over graft recipient (3) or pentagonal graft recipient (5) shaped hyaline cartilage tissue removal, incision holder of the hexagonal/ pentagonal hyaline cartilage tissue taken Removing it with the graft pusher (10) over (7), via the hexagonal template guide (1) or the pentagonal template guide (2) with incision holder (7) and impact protector (8) from the damaged cartilage area Via hexagonal graft spacer (4) or pentagonal graft spacer (6) Removal of damaged hexagonal/petagonal cartilages and replacing them with hexagonal placing placeholders (11) or pentagonal placeholders (12), via the hexagonal template guide (1) or the pentagonal template guide (2) of the hexagonal/pentagonal hyaline cartilage tissue taken from the healthy area. by removing the hexagonal placeholders (11) or the pentagonal placeholders (12) hexagonal / pentagonal hyaline cartilage tissue is transplanted Filling includes the process steps.
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| TR2016/09340A TR201609340A1 (en) | 2016-07-01 | 2016-07-01 | BALPETTE MOSAICPLASTY SYSTEM |
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