M310697 八、新型說明： 【新型所屬之技術領域】 本創作係關於-種全人工膝關節置換術之手術 二:種可由股骨遠端往股骨近端之方向置入股骨遠端切除規;= 【先前技術】 稱爲按’14日公告之美國第5676668號專利’發明名 位= i中骨定位懸臂架、—校正桿以及—切除規， ，可供 _ m双月挝門胺以建立解剖軸線，該定位器另有其鎖 ίίί 位於股骨遠端正面適當位置之上。該懸臂架可結合 i端ϊ伸入股骨定位器中’且有-自股骨遠端往 除藉定杨W 軸體上之數子“記得知赠量多寡，以決定切 定饴gi7叮教W，位置決定後即在該切除規之定位孔釘入鋼釘固定，固 ϊίίΐ! 5 以二置巧術ί使用’但由於整體組成體積較為龐^ 膝蓋處^ =股骨遠端之方向置人切除規，因此必須於患者 員手術siiifί 躺辟復健品#，減補祕醫療人 貝乎切从不便觀，较得患麵魅活品質不佳。 【新型内容】 膝關之缺點1本_之主要目的在於提供—種全人工 近端之方具’齡財遠翻除規可自股#綱往股骨 創手術3 定位ί設計，於顿切時祕iGem長度之微 、 術進行之便利性’且將患者股四頭肌之破壞傷害 M310697 減至最低，組織破壞少，利於患者術後復健，提升患者術後生活品質。 成ΐί目的，本創作之目的提供一種全人工膝關節置換術之 于術用具，包括： 一股骨髓内腔桿，其係由一手握橫把及一長桿所構成之τ字型結 構； 、 一股骨髓内腔校正規，其二側各具有一翼部，正面具有一水平方 向斜孔’頂端具有二垂直方向導孔； 對ΐΐ ’其設有一平台’該平台上部為滑動導執，下 口I5為與上述二垂直方向導孔相對應之二結合桿；與 一股骨遠端切除規’其頂端具有一定位裝置、—鋸片導槽、數個 定位孔，底端具有一與上述滑動導執相對應之滑動凹槽。曰 丰;’ ίϊ成本創作上述目的’提供—種全人工膝關節置換術之 ^ i i其中該水平方向斜孔具有不同偏移角度，介於G度-10度 之股贼正規適合不同病患股骨解剖軸線與力學軸線 導執上刻有特定數字記號，俾利於調整股骨遠端 2 具魏個定位凹槽，俾概骨遠端切除規之定 土 if 觀適#位置定位’使股骨遠端嫌賴定於股骨 =對正規上；祕牌槽關則與股骨遠端切面呈9G度垂直方向 ^動’以切出-垂直於股骨力學軸線之骨切面；該定位孔可將 股，端頂面，俾利股骨遠端之切除；該滑動凹槽與 適=骨遠端切除規自股骨遠端往近端方向置入股 【實施方式】 下、^ίϊΐ該項麟人士瞭解本㈣之目的、特徵及功效，兹藉由 下I、體心例，並配合所附之圖式，對本創作詳加說明，說明如^ · 正規t 由一鑛内腔桿1、一股骨趙内腔校 版月遂鳊對正規3、一股骨遠端切除規4所構成，其中·· M310697 型結t讀内腔才干1 ’係由一手握橫把11及一長桿12所構成之τ字 =髓内腔校正規2 ’二側各具有一翼部21 向斜孔22二頂端具有二垂直方向導孔23。 八十万 32，有一平台31，該平台31上部為滑動導執 位，該平台31 骨近端之方向滑入至適當定 丨馮與上述一垂直方向導孔23相對應之二結合桿33。 數個定規4，其頂端具有—定位裝置4卜—則導槽42、 端具有一與上述滑動導執32相對應之滑動凹槽体 i Ο第一心一 f圖’分別代表在不同角度水平斜孔之股骨髓内 角圖說明水平方向斜孔之偏移 股骨解剖軸線與力學軸線之偏移角度。 广度乂週口不同 狀著，三d圖所示，分別說明股骨遠端切除規4之定位 生定位裝置作動突出45，以利股骨遠端切除規位丨。轉後’產 接著’請繼够考第四圖、第五圖與第六圖，分職明 腔校正規i、股骨遠端對正規3與股骨遠端切除規4 之使用狀悲立體7F意圖，如第四@所示，將股骨髓 ^ ，置入適红股倾峨校正規2之水平斜孔22 正1L定置於股骨遠端5 ’之後，如第五圖所示，將股骨遠端 β才干33置入股骨趙内腔校正規2頂端之垂直導孔23，並依股 =5之碰餅酿高紐適當位置後；再參考第 骨退端切除規4底端之滑動凹槽44自股骨遠端往股骨近端 = 入至，遠端對正規3之滑動導轨32，接著依據滑動導軌32二二M310697 VIII. New description: [New technical field] This department is about the operation of total knee arthroplasty. The second kind can be inserted into the distal femur from the distal femur to the proximal femur. Prior Art] It is called the US Patent No. 5676668 of the '14th Announcement' invention title = i bone positioning cantilever frame, calibration rod and - resection gauge, available for _ m bimonthly amine to establish an anatomical axis The locator has its own lock ίίί located above the proper position on the distal end of the femur. The cantilever frame can be combined with the i-end ϊ into the femoral locator 'and there is - from the distal end of the femur to the number of the borrowing of the Yang W axis. "Remember the amount of the gift, to determine the 饴gi7 叮 W W After the position is determined, the positioning hole of the resection gauge is nailed into the nail for fixation, and the fixation is ϊίίΐ! 5 is used by the two tricks ί, but because the overall composition volume is relatively high, the knee is at the knee = the distal end of the femur is removed. Therefore, it is necessary to siiifί lie in the patient's surgery siiifί lie back to the health products #, to reduce the secret medical person Bai Qiqi from the inconvenience, the quality of the face is not good. [New content] Knee's shortcomings 1 _ the main The purpose is to provide a kind of full artificial proximal end of the 'old age far-removing rules can be from the stock #纲 to the femoral surgery 3 positioning ί design, in the time of the cut, iGem length, the convenience of the operation' and Minimize the damage of the quadriceps of the patient's quadriceps muscle M310697, and reduce the tissue damage, which is beneficial to the patient's postoperative rehabilitation and improve the quality of life of the patient. The purpose of this creation is to provide a total artificial knee replacement. Equipment, including: a bone marrow lumen The utility model relates to a τ-shaped structure composed of a horizontal handle and a long rod. A bone marrow lumen correction gauge has a wing on each side and a horizontal oblique hole on the front surface. The top has two vertical guides. a pair of holes; the upper part of the platform is a sliding guide, the lower mouth I5 is a two-joint rod corresponding to the two vertical direction guide holes; and the distal end of the femoral resection gauge has a positioning device at the top end thereof , the saw blade guide groove, a plurality of positioning holes, the bottom end has a sliding groove corresponding to the sliding guide. 曰丰; ' ϊ ϊ cost creation of the above purpose 'providing a kind of total artificial knee joint replacement ^ ii The horizontal oblique hole has different offset angles, and the female thief with a G degree of -10 degrees is suitable for different patients with a specific digital mark on the anatomical axis of the femur and the mechanical axis guide, which is beneficial to adjust the distal end of the femur. Wei locating groove, 俾 俾 远端 distal distal resection of the fixed soil if view suitable # position positioning 'so that the distal femur is suspected in the femur = normal; secret card slot and the distal femur section is 9G vertical Direction Cut out - a section perpendicular to the axis of the femoral mechanics; the locating hole can resect the distal end of the femur, the top surface of the femur, and the distal end of the femur; the sliding groove and the distal end of the bone are removed from the distal end of the femur Directions into the stock [Implementation] Under, ^ίϊΐ The Lin people understand the purpose, characteristics and effects of this (4), and hereby explain the creation by the following I, body and mind, and with the attached drawings. Description such as ^ · regular t consists of a mine inner lumen rod 1, a femur Zhao lumen cavity version of the sacral sacral regular 3, a distal extremity resection gauge 4, which · · M310697 type t read lumens 1 'The τ word consisting of a handle 17 and a long rod 12 = the intramedullary correction gauge 2 'on each side has a wing portion 21 having two vertical guide holes 23 at the top end of the oblique hole 22 . 800,000, there is a platform 31, the upper part of the platform 31 is a sliding guide position, and the platform 31 slides in the direction of the proximal end of the bone to the two coupling rods 33 corresponding to the above-mentioned one vertical direction guide hole 23. a plurality of gauges 4, the top end of which has a positioning device 4b, and the guide groove 42 has a sliding groove body i corresponding to the sliding guide 32. The first center and the first figure are respectively represented at different angle levels. The intramedullary angle of the oblique hole shows the offset angle of the anatomical axis of the femur from the horizontal axis and the mechanical axis. The breadth of the sacral circumference is different, as shown in the three d-figure, respectively, indicating that the positioning of the distal femoral resection gauge 4 is performed by the positioning device 45 to facilitate the distal femoral resection. After the transfer, 'production followed', please take the fourth picture, the fifth picture and the sixth picture, the divisional clear cavity correction rule i, the distal femur to the regular 3 and the distal femoral resection gauge 4 use sorrow stereo 7F intention As shown in the fourth @, the femoral bone marrow ^, placed in the appropriate red stock tilting correction rule 2 horizontal oblique hole 22 positive 1L placed 5' after the distal femur, as shown in the fifth figure, the distal femur beta The genius 33 is placed into the vertical guide hole 23 at the top of the femoral viscera correction gauge 2, and the stalk is filled with the appropriate position after the gluten=5; The distal end of the femur to the proximal end of the femur = into, the distal end of the sliding guide 32 of the regular 3, and then according to the sliding guide 32 two
記號當位定適當的財遠端切_後，然i ^考弟二e、二d圖所不’精由旋轉定位裝置41產蚊 突出45，座落於股骨遠端對正規3之定位中^J M310697 退端切除規4，之後，如第七圖所示，於定位孔43釘入固定釘牝使 股骨遠端切除規4穩固於股骨遠端5之上，接著，移除股骨髓内腔 1、股骨髓内腔校正規2及股骨遠端對正規3，如此，即可於鑛片導槽 42中置^鋸片47切割出適當尺寸以及一垂直於股骨力學軸線之骨士^ 面，如第八圖所示，即為本創作之最終切骨狀態示意圖。 綜上所述，根據本創作之全人工膝關節置換術之手術用具設計， - 其中該股骨遠端切除規可直接從股骨遠端正面往股骨近端之方向置 • 入1結合股骨返端對正規，可縮減手術時所需之傷口空間範圍，並使 • 手術進行過程更加順利，且將患者股四頭肌之破壞傷害降至最低，提 升術後口口貝，故本創作確貫滿足產業利用性、新穎性與進步性，符人 籲新型專利申請要件，因此依法申請新型專利，惟請^ 寇; 賜准專利，實感德便。 〜ϋ亚 —惟以上所述者，僅為本創作之較佳實施例，當不能以此限定本 作貫施之範圍；故，凡依本創作申請專利範圍及創作說明書内容所 之簡單的等效變化與修飾，皆應仍屬本創作專利涵蓋之範圍内。 【圖式簡單說明】 第一圖說明本創作各元件之立體示意圖；When the mark is set to the appropriate financial remote cut _, then i ^ Kadi two e, two d map is not 'fine by the rotary positioning device 41 mosquito-producing 45, located in the distal part of the femur to the positioning of the formal 3 ^J M310697 The retraction rule 4 is removed, and then, as shown in the seventh figure, the fixation nail is nailed into the positioning hole 43 so that the distal femoral resection gauge 4 is stabilized on the distal end 5 of the femur, and then the femur is removed. The cavity 1 and the femoral medullary cavity correction gauge 2 and the distal femur are normal 3, so that the saw blade 47 can be cut into the proper size and a bone perpendicular to the mechanical axis of the femur in the ore channel guide 42 As shown in the eighth figure, it is the schematic diagram of the final osteotomy state of the creation. In summary, according to the design of the surgical instrument for total knee arthroplasty, the distal femoral resection can be directly placed from the distal femur to the proximal femur. Regular, can reduce the range of wound space required for surgery, and make the operation process smoother, and minimize the damage of the quadriceps of the patient, and improve the mouth and mouth after surgery, so the creation satisfies the industry. Utilization, novelty and progressiveness, Furen appeals for new patent application requirements, so apply for a new type of patent according to law, but please ^ 寇; grant a patent, real sense of virtue. ~ϋ亚—but the above is only the preferred embodiment of this creation, and it is not possible to limit the scope of this application; therefore, the simple scope of applying for the patent scope and the content of the creation manual according to this creation All changes and modifications shall remain within the scope of this creation patent. [Simple description of the drawing] The first figure illustrates a three-dimensional schematic diagram of each component of the creation;
第二a-二f圖分別說明不同角度水平斜孔之股骨髓内腔校正規之 俯視圖；其中第二a與二b圖說明該水平方向斜孔 第二c與二d圖制該水平方向斜孔之偏移角度為 f圖說明該水平方向斜孔之偏移角度為9度； /、 j三a-三d圖分別說明股骨遠端切除規定位裝置旋轉前後之俯視 立第四圖說明股骨髓内腔桿及股骨髓内腔校正規使用狀態立體示 意圖； 一 第五圖說明股骨遠端對正規使用狀態立體示意圖； 第六圖說明股骨遠端切除規使用狀態立體示意圖； 第七圖說明股骨遠端切除規定位狀態立體示意圖；以及 M310697 第八圖說明本創作最終切骨狀態示意圖。 【主要元件符號說明】 1股骨髓内腔桿 11手握橫把 12長桿 2股骨髓内腔校正規 21翼部 22水平斜孔 23垂直導孔 3股骨遠端對正規 31平台 32滑動導執 33結合桿 321數字記號 322定位凹槽 4股骨遠端切除規 41定位裝置 42鑛片導槽 43定位孔 44滑動凹槽 45定位裝置作動突出 46固定釘 47鋸片 5股骨遠端The second a-f f diagram respectively illustrates a top view of the correction procedure of the femoral bone marrow cavity of the horizontal oblique hole of different angles; wherein the second a and the second b diagrams illustrate the horizontal oblique hole second c and the second d pattern of the horizontal direction oblique The offset angle of the hole is f. The offset angle of the horizontal oblique hole is 9 degrees; /, j three a-three d diagrams respectively illustrate the distal femur resection device before and after the rotation of the device. Stereoscopic diagram of the use of the intramedullary canal and femoral bone marrow correction gauge; a fifth diagram illustrating the stereoscopic view of the distal femur to the normal state of use; Figure 6 illustrates a three-dimensional schematic diagram of the distal femoral resection gauge; The schematic diagram of the distal resection of the prescribed position state; and the eighth diagram of M310697 illustrates the final state of the osteotomy of the present creation. [Main component symbol description] 1 strand of bone marrow rod 11 hand holding crossbar 12 long rod 2 strand bone marrow lumen correction gauge 21 wing 22 horizontal oblique hole 23 vertical guide hole 3 femur distal to regular 31 platform 32 sliding guide 33 combination rod 321 digital mark 322 positioning groove 4 distal femoral resection gauge 41 positioning device 42 ore piece guide groove 43 positioning hole 44 sliding groove 45 positioning device actuation protrusion 46 fixing nail 47 saw blade 5 distal femur