WO2004039266A1 - Guide-lame et guide d'accessoire pour travailler un os, tel qu'un perone, pour la reconstruction d'une machoire inferieure - Google Patents

Guide-lame et guide d'accessoire pour travailler un os, tel qu'un perone, pour la reconstruction d'une machoire inferieure Download PDF

Info

Publication number
WO2004039266A1
WO2004039266A1 PCT/NL2003/000740 NL0300740W WO2004039266A1 WO 2004039266 A1 WO2004039266 A1 WO 2004039266A1 NL 0300740 W NL0300740 W NL 0300740W WO 2004039266 A1 WO2004039266 A1 WO 2004039266A1
Authority
WO
WIPO (PCT)
Prior art keywords
segments
saw guide
prosthesis
bone
guide according
Prior art date
Application number
PCT/NL2003/000740
Other languages
English (en)
Inventor
Simon Dante Strackee
Franciscus Hendrikus Maria Kroon
Original Assignee
Academisch Medisch Centrum
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Academisch Medisch Centrum filed Critical Academisch Medisch Centrum
Priority to AU2003275740A priority Critical patent/AU2003275740A1/en
Publication of WO2004039266A1 publication Critical patent/WO2004039266A1/fr

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • 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
    • A61B17/151—Guides therefor for corrective osteotomy
    • A61B17/152—Guides therefor for corrective osteotomy for removing a wedge-shaped piece of bone
    • 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
    • A61F2/30—Joints
    • A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4644—Preparation of bone graft, bone plugs or bone dowels, e.g. grinding or milling bone material
    • A61F2002/4649—Bone graft or bone dowel harvest sites

Definitions

  • the invention relates primarily to a prosthesis saw guide for cutting a bone, such as a fibula intended for the reconstruction of a mandible.
  • Mandible reconstructions may be necessary for vari- ous reasons. Most often such reconstructions are required because of an impaired lower jaw resulting from a carcinoma.
  • a reconstruction method in which a reconstruction plate is used serving as orientation guide and serving also for the final fixation of the transplant to be grafted.
  • a drawbac of this method is that the reconstruction of the jaw is imperfect, especially because of unsuccessful positioning of the symphysis, the central portion of the lower jaw.
  • the known method has the additional drawback that it is difficult to obtain a good bone-bone contact between the reconstruction elements for the lower jaw. Fixing dental prostheses later on poses a further problem.
  • the object of the invention is to minimise these problems and to provide, a facility with which it is possible to produce accurately mating joint faces for mandible recon- struction.
  • the invention also provided certain advantages that will be explained in the following.
  • a prosthesis saw guide for cutting a bone such as a fibula for a mandible reconstruction
  • a prosthesis saw guide for cutting a bone such as a fibula for a mandible reconstruction
  • which is provided with at least two, and preferably at least three adjoining and pivotingly coupled segments having a first position, wherein the segments form an approximation of a symphysis and at least one of the corpus parts of the mandible connecting at opposite sides of the symphysis, and a second position wherein the segments are placed substantially in each other' s extended direction concurrent with the orientation of the bone.
  • Such a prosthesis saw guide allows accurate cutting of the fibula so as to obtain tightly mating joint faces of the bone elements from which the reconstructed mandible is formed.
  • the segments In order to obtain bone elements having tightly mating joint faces, it is advantageous for the segments to be provided at or near their ends with saw guide plates, wherein such saw guide plates of adjacent segments that are placed in their first position can be placed so as to abut against each other, and in this position can be fixed in relation to their respective segments such that when the segments are moved to their second position, the saw guide plates will remain fixed in relation to their respective segments, and that each pair of adjacent saw guide plates of adjoining segments will form an angle in the second position, which is indicative of a bone fragment to be taken from the bone. It is generally pre- ferred for the bone to be used to come from the fibula.
  • each of the segments separately to have an adjustable spacing between the saw guide plates on or near to the ends of the segments.
  • the prosthesis saw guide discussed above is especially suitable for reconstructing the symphysis and the corpus parts of the mandible adjoining the symphysis.
  • the three adjoining and pivotingly coupled segments for the sym- physis and the two corpus parts it is desirable for the three adjoining and pivotingly coupled segments for the sym- physis and the two corpus parts to be supplemented with a fourth and fifth segment, which in the first position of the segments may form an approximation for the ramus parts of the mandible adjoining the corpus parts, and in the second position can be placed substantially in the extended direction of the first three segments, in accordance with the line of the bone .
  • the invention offers the important advantage that it allows the bone (the fibula) to be cut such that the sites from which the bone fragments are taken, are in the most favourable position with regard to the vascular stem, the sep- tocutane perforators and the dental implants possibly to be lodged in the bone .
  • One thing and another may be conveniently realised by the presence on the segments of fixation members for the bone.
  • fixation members are preferably embodied as pylons having a feed-through facility for wire known as Kirchner-wire with which the bone can be fixed in relation to the prosthesis guide.
  • fixation members are designed to be adjustable with respect to their position on the guide, in order to be able to optimise the fastening of the bone.
  • an important advantage of the invention is that a bone cut with the use of this prosthesis saw guide provides a number of bone segments that require no further' finishing of angles or bone lengths for a good mandible reconstruction.
  • the same is also embodied in a prosthesis fitting guide intended and designed for co-operation with the just described prosthesis saw guide.
  • This prosthesis fitting guide is provided with abutting segments, each of which is adjustable in length, and wherein adjacent segments are mutually coupled by means of an adjustable angle fixation member.
  • the earlier described saw guide plates of the prosthesis saw guide may be absent from the prosthesis fitting guide, the same may be entirely embodied so as to optimise the fit of the jaw to be recon- structed.
  • the prosthesis fitting guide may be suitably adjusted with reference to, for example, the model of the jaw fragment to be replaced, or with reference to measurements obtained by, for example, a CT-scan or MRI .
  • the prosthesis fitting guide is preferably designed such that each angle fixation member has a hinge that can be coupled with the pivoting coupling of the segments of the prosthesis saw guide. This allows the settings of the pros- thesis fitting guide to be simply transferred to the prosthesis saw guide used for cutting the bone.
  • the prosthesis saw guide 1 which serves for cutting the fibula intended for a mandible reconstruction.
  • This prosthesis saw guide 1 has a number of abutting and piv- otingly coupled segments.
  • the segment carrying reference number 3 relates to the symphysis of the mandible.
  • the segments carrying reference numbers 2 and 4 relate to the corpus parts of the mandible.
  • reference number 5 refers to one of the two segments corresponding with the ramus parts of the mandible.
  • Fig. 1 shows the prosthesis saw guide 1 with the segments 2, 3, 4 and 5 placed in a first position, wherein said segments form an approximation of the line of the mandi- ble, in particular of the earlier mentioned symphysis and the corpus parts abutting to opposite sides of the symphysis and, in the case shown, of one ramus part of the mandible.
  • Fig. 1 further shows that at or near their ends, the segments 2, 3, 4 and 5 are provided with saw guide plates 6, 7, 8, 9, 10, 11, 12 and 13.
  • these saw guide plates 6-13 may, for so far adjacent saw guide plates are concerned, be placed so as to abut to each other.
  • this concerns for example, the saw guide plate 7 of segment 2 abutting to the saw guide plate 8 of segment 3 and saw guide plate 9 of segment 3 abutting to saw guide plate 10 of segment 4, and saw guide plate 11 of segment 4 abutting to saw guide plate 12 of segment 5.
  • the said saw guide plates can be fixed.
  • Fig. 4 the segments 2, 3 and 4 relating to the symphysis and the corpus parts of the mandible abutting the opposite sides of the symphysis are shown in their second position, wherein the segments are substantially placed in each other's extended direction in correspondence with the line of the fibula 14 that is used for the reconstruction of the mandible.
  • these seg- ments may have a slightly curved line in order to match the actual line of the fibula to be used. To this end the segments may form an angle exceeding 180°.
  • Fig. 4 clearly shows that in the illustrated second position of the segments 2, 3 and 4, the saw guide plates re- main in a fixed position with regard to their respective segments.
  • the saw guide plate 10 belonging to segment 4 and saw guide 9 belonging to segment 3 can be seen to form an angle which is indicative of a bone fragment 15 to be taken from the fibula 14 between said saw guide plates 9 and 10.
  • the saw guide plate 8, belonging to segment 3 and the saw guide plate 7 belonging to segment 2 forming an angle indicative of the bone fragment 16 to be taken from fibula 14.
  • the prosthesis saw guide 1 may be returned to the first position shown in Fig. 1. This is shown in Fig. 5, with segments of the fibula 14 positioned thereon and cut in accor- dance with the position of the saw guide plates.
  • each of the segments 2, 3, 4 and 5 is provided with a facility for adjusting the distance of the saw guide plates positioned at or near the ends of the segments 2, 3, 4 and 5.
  • segment 3 is, for example, embodied in two parts with parts 3' and 3'', which by adjusting their mutual distance, also determine the distance between the saw guide plates 8 and 9. In this way it is possible to adequately take into consideration, for example, the vascular course in the fibula to be cut, so as to avoid undesirable damage.
  • segment 4 shows a comparable facility, with mutually adjustable segment por- tions 4' and 4' ' .
  • fixation members 17, 18, 19, 20 and 21 for the fibula 14.
  • fixation members are embodied as pylons, each of which is provided with a feed- through facility (an opening) for Kirchner-wire 22, known in itself, which can be sunk into the fibula 14.
  • Such pylons may be designed such that they can be repositioned or removed, as required.
  • Fig. 2 shows an embodiment of a prosthesis fitting guide 23 according to the invention, which is designed to be used together with the above explained prosthesis saw guide.
  • the prosthesis fitting guide 23 is provided with adjoining segments 24, 25, 26, each of which is adjustable in length and wherein adjacent segments 24, 25 and 25, 26 are intercon- nected by means of an adjustable angle fixation member 27, 28.
  • Each angle fixation member 27, 28 has a hinge pin 29, 30, which as shown in Fig. 3, can be coupled with the pivoting coupling of the segments 2 and 3, and 3 and 4, respectively, of the prosthesis saw guide 1.

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Dentistry (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Neurology (AREA)
  • Surgical Instruments (AREA)
  • Prostheses (AREA)

Abstract

L'invention concerne un guide-lame pour prothèse servant à découper un os, destiné par exemple à la reconstruction d'une mâchoire inférieure, qui comporte deux, et de préférence trois, segments adjacents et couplés pivotants. Ces segments, dans une première position, forment approximativement une symphyse et au moins une des parties de corps de la mâchoire inférieure qui s'assemble à des côtés opposés de la symphyse ; dans une deuxième position, les segments sont placés sensiblement dans la même direction, qui coïncide avec l'orientation de l'os.
PCT/NL2003/000740 2002-11-01 2003-10-30 Guide-lame et guide d'accessoire pour travailler un os, tel qu'un perone, pour la reconstruction d'une machoire inferieure WO2004039266A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
AU2003275740A AU2003275740A1 (en) 2002-11-01 2003-10-30 Saw guide and fitting guide for working on a bone, such as a fibula, for a mandibular prosthesis

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
NL1021815 2002-11-01
NL1021815A NL1021815C2 (nl) 2002-11-01 2002-11-01 Zaagmal en een daarbij te gebruiken pasmal voor bewerking van een kuitbeen of dergelijke ten behoeve van een onderkaakreconstructie.

Publications (1)

Publication Number Publication Date
WO2004039266A1 true WO2004039266A1 (fr) 2004-05-13

Family

ID=32227863

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/NL2003/000740 WO2004039266A1 (fr) 2002-11-01 2003-10-30 Guide-lame et guide d'accessoire pour travailler un os, tel qu'un perone, pour la reconstruction d'une machoire inferieure

Country Status (3)

Country Link
AU (1) AU2003275740A1 (fr)
NL (1) NL1021815C2 (fr)
WO (1) WO2004039266A1 (fr)

Cited By (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2013165559A1 (fr) * 2012-05-03 2013-11-07 DePuy Synthes Products, LLC Guide chirurgical ayant des inserts résistant à la coupe
US9411939B2 (en) 2012-09-12 2016-08-09 DePuy Synthes Products, Inc. Method for producing patient-specific plate
ES2581777A1 (es) * 2015-03-06 2016-09-07 Santiago JIMENEZ CARABALLO Dispositivo de guía para corte de peroné
BE1023783B1 (fr) * 2016-01-20 2017-07-25 Addiparts Sprl Kit d'ostéotomie et de positionnement de fragments osseux pour reconstruction avec ostéosynthèse
WO2017162444A1 (fr) * 2016-03-20 2017-09-28 Universität Bern Gabarit de découpe et son procédé de fabrication
WO2017191140A1 (fr) 2016-05-06 2017-11-09 Karl Leibinger Medizintechnik Gmbh & Co. Kg Gabarit de résection de maxillaire inférieur
DE102016108426A1 (de) 2016-05-06 2017-11-09 Karl Leibinger Medizintechnik Gmbh & Co. Kg Fibula-Knochenmaterialentnahme- und -verbringschablone
CN109171879A (zh) * 2018-09-27 2019-01-11 上海交通大学医学院附属第九人民医院 引导腓骨成型的装置
DE102017123516A1 (de) 2017-10-10 2019-04-11 Karl Leibinger Medizintechnik Gmbh & Co. Kg Fibula-Knochenmaterialentnahme- und -verbringschablone
RU2772060C2 (ru) * 2017-10-10 2022-05-16 Карл Лайбингер Медицинтехник Гмбх Унд Ко. Кг Шаблон удаления и переноса костной ткани малоберцовой кости
WO2022167943A1 (fr) * 2021-02-03 2022-08-11 Universita' Degli Studi Di Torino Guide chirurgical d'un greffon osseux : système de fermeture et de positionnement

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4750481A (en) * 1984-04-16 1988-06-14 Reese H William Osteotomy appliances and method
EP0574656A1 (fr) * 1992-06-18 1993-12-22 D. Barclay Slocum Gabarit pour l'ostéotomie
GB2324470A (en) * 1997-04-24 1998-10-28 Customflex Limited Prosthetic implants

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4750481A (en) * 1984-04-16 1988-06-14 Reese H William Osteotomy appliances and method
EP0574656A1 (fr) * 1992-06-18 1993-12-22 D. Barclay Slocum Gabarit pour l'ostéotomie
GB2324470A (en) * 1997-04-24 1998-10-28 Customflex Limited Prosthetic implants

Non-Patent Citations (2)

* Cited by examiner, † Cited by third party
Title
HIDALGO D.A.: "Fibula free flap mandibular reconstruction", CLINICS IN PLASTIC SURGERY, vol. 21, no. 1, January 1994 (1994-01-01), pages 25 - 35, XP008019003 *
VAN ZUYLEN A.: "Bijten met je kuit", AMC MAGAZINE, March 2003 (2003-03-01), AMSTERDAM, XP002267968, Retrieved from the Internet <URL:http://www.amc.uva.nl/index.cfm?pid=703&uitgaveid=17&contentitemid=146&itemid=101> [retrieved on 20030626] *

Cited By (39)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2013165559A1 (fr) * 2012-05-03 2013-11-07 DePuy Synthes Products, LLC Guide chirurgical ayant des inserts résistant à la coupe
US9317631B2 (en) 2012-05-03 2016-04-19 DePuy Synthes Products, Inc. Surgical guide with cut resistant inserts
US9317634B2 (en) 2012-05-03 2016-04-19 DePuy Synthes Products, Inc. Surgical guide with cut resistant inserts
US9361410B2 (en) 2012-05-03 2016-06-07 DePuy Synthes Products, Inc. Surgical guides from scanned implant data
EP3305219A1 (fr) * 2012-05-03 2018-04-11 Synthes GmbH Guide chirurgical comportant des inserts résistant aux coupures
JP2018047316A (ja) * 2012-05-03 2018-03-29 シンセス・ゲーエムベーハーＳｙｎｔｈｅｓ ＧｍｂＨ 切除ガイド
US9707044B2 (en) 2012-05-03 2017-07-18 DePuy Synthes Products, Inc. Surgical guides from scanned implant data
US10467356B2 (en) 2012-05-03 2019-11-05 DePuy Synthes Products, Inc. Surgical guide with cut resistant insert
JP2020006204A (ja) * 2012-05-03 2020-01-16 シンセス・ゲーエムベーハーＳｙｎｔｈｅｓ ＧｍｂＨ 切除ガイド
US9411939B2 (en) 2012-09-12 2016-08-09 DePuy Synthes Products, Inc. Method for producing patient-specific plate
US10548668B2 (en) 2012-09-12 2020-02-04 DePuy Synthes Products, Inc. Method for producing patient-specific plate
ES2581777A1 (es) * 2015-03-06 2016-09-07 Santiago JIMENEZ CARABALLO Dispositivo de guía para corte de peroné
EP3195816A1 (fr) * 2016-01-20 2017-07-26 Addiparts Sprl Kit d'ostéotomie et de positionnement de fragments osseux pour reconstruction avec ostéosynthèse
BE1023783B1 (fr) * 2016-01-20 2017-07-25 Addiparts Sprl Kit d'ostéotomie et de positionnement de fragments osseux pour reconstruction avec ostéosynthèse
WO2017162444A1 (fr) * 2016-03-20 2017-09-28 Universität Bern Gabarit de découpe et son procédé de fabrication
CN109219408A (zh) * 2016-03-20 2019-01-15 伯尔尼大学 切割模板及其制造方法
US10786293B2 (en) 2016-05-06 2020-09-29 Karl Leibinger Medizintechnik Gmbh & Co. Kg Mandibular resection template
WO2017191140A1 (fr) 2016-05-06 2017-11-09 Karl Leibinger Medizintechnik Gmbh & Co. Kg Gabarit de résection de maxillaire inférieur
JP7172009B2 (ja) 2016-05-06 2022-11-16 カール ライビンガー メディツィンテクニック ゲーエムベーハー ウント コー． カーゲー 腓骨の骨材除去及び移入テンプレート
CN109069164A (zh) * 2016-05-06 2018-12-21 卡尔莱宾格医疗技术有限责任两合公司 腓骨骨材料去除和转移模板
AU2017259896B2 (en) * 2016-05-06 2022-03-03 Karl Leibinger Medizintechnik Gmbh & Co. Kg Fibula bone material removal and transfer template
CN109069164B (zh) * 2016-05-06 2022-02-11 卡尔莱宾格医疗技术有限责任两合公司 腓骨骨材料去除和转移模板
JP2019515733A (ja) * 2016-05-06 2019-06-13 カール ライビンガー メディツィンテクニック ゲーエムベーハー ウント コー． カーゲーＫａｒｌ Ｌｅｉｂｉｎｇｅｒ Ｍｅｄｉｚｉｎｔｅｃｈｎｉｋ ＧｍｂＨ ＆ Ｃｏ． ＫＧ 腓骨の骨材除去及び移入テンプレート
JP2019520096A (ja) * 2016-05-06 2019-07-18 カール ライビンガー メディツィンテクニック ゲーエムベーハー ウント コー． カーゲーＫａｒｌ Ｌｅｉｂｉｎｇｅｒ Ｍｅｄｉｚｉｎｔｅｃｈｎｉｋ ＧｍｂＨ ＆ Ｃｏ． ＫＧ 下顎骨切除テンプレート
WO2017191139A1 (fr) * 2016-05-06 2017-11-09 Karl Leibinger Medizintechnik Gmbh & Co. Kg Gabarit de prélèvement et de transfert de substance osseuse péronéenne
DE102016108426A1 (de) 2016-05-06 2017-11-09 Karl Leibinger Medizintechnik Gmbh & Co. Kg Fibula-Knochenmaterialentnahme- und -verbringschablone
DE102016108433A1 (de) 2016-05-06 2017-11-09 Karl Leibinger Medizintechnik Gmbh & Co. Kg Unterkieferresektionsschablone
CN109195534A (zh) * 2016-05-06 2019-01-11 卡尔莱宾格医疗技术有限责任两合公司 下颌骨切除模板
RU2743003C2 (ru) * 2016-05-06 2021-02-12 Карл Лайбингер Медицинтехник Гмбх Унд Ко. Кг Шаблон для резекции и переноса костного материала малоберцовой кости
RU2745471C2 (ru) * 2016-05-06 2021-03-25 Карл Лайбингер Медицинтехник Гмбх Унд Ко. Кг Шаблон для резекции нижней челюсти
CN109195534B (zh) * 2016-05-06 2021-05-18 卡尔莱宾格医疗技术有限责任两合公司 下颌骨切除模板
AU2017259897B2 (en) * 2016-05-06 2021-07-15 Karl Leibinger Medizintechnik Gmbh & Co. Kg Mandibular resection template
US11096697B2 (en) 2016-05-06 2021-08-24 Karl Leibinger Medizintechnik Gmbh & Co. Kg Fibula bone material removal and transfer template
WO2019072865A1 (fr) 2017-10-10 2019-04-18 Karl Leibinger Medizintechnik Gmbh & Co. Kg Gabarit de prélèvement et de transfert de substance osseuse péronéenne
DE102017123516A1 (de) 2017-10-10 2019-04-11 Karl Leibinger Medizintechnik Gmbh & Co. Kg Fibula-Knochenmaterialentnahme- und -verbringschablone
RU2772060C2 (ru) * 2017-10-10 2022-05-16 Карл Лайбингер Медицинтехник Гмбх Унд Ко. Кг Шаблон удаления и переноса костной ткани малоберцовой кости
US11779346B2 (en) 2017-10-10 2023-10-10 Karl Leibinger Medizintechnik Gmbh & Co. Kg Fibula bone material removal and transfer template
CN109171879A (zh) * 2018-09-27 2019-01-11 上海交通大学医学院附属第九人民医院 引导腓骨成型的装置
WO2022167943A1 (fr) * 2021-02-03 2022-08-11 Universita' Degli Studi Di Torino Guide chirurgical d'un greffon osseux : système de fermeture et de positionnement

Also Published As

Publication number Publication date
NL1021815C2 (nl) 2004-05-06
AU2003275740A1 (en) 2004-05-25

Similar Documents

Publication Publication Date Title
WO2004039266A1 (fr) Guide-lame et guide d&#39;accessoire pour travailler un os, tel qu&#39;un perone, pour la reconstruction d&#39;une machoire inferieure
EP0532440B1 (fr) Prothèse totale du poignet
US4242758A (en) Elbow prosthesis
US7247170B2 (en) Elbow prosthesis
AU780576B2 (en) Targeting apparatus for use in performing transfemoral osteotomy
US20120095473A1 (en) Automatically adjusting patella cutting guide
US20040030399A1 (en) Articulation prosthesis
US4881537A (en) Surgical instrument, and methods for forming a channel in a femoral condyle including reconstructing an anterior cruciate ligament
WO1993025164A9 (fr) Instruments de preparation du femur pour un implant de genou artificiel et de positionnement du constituant femoral de l&#39;implant
WO1993025164A1 (fr) Instruments de preparation du femur pour un implant de genou artificiel et de positionnement du constituant femoral de l&#39;implant
GB2326345A (en) Orthopaedic appliance for correcting class II malocclusions
JPH10507107A (ja) 大腿骨部及び頸骨部の切除方法、及び装置
US20060276795A1 (en) Scapholunate Disassociation Repair System
EP0983036A1 (fr) Prothese femorale d&#39;essai pour chirurgie de remplacement de l&#39;articulation du genou
JPH08506509A (ja) 頚椎セグメントを安定化されるためのクランプ
JP2001511661A (ja) 体内人工補正器
HU224367B1 (hu) Térdprotéziskészlet
EP3996633B1 (fr) Équipement de préparation de greffon pour la réparation de défauts osseux
US6783535B2 (en) Targeting apparatus for use in performing endofemoral osteotomy surgery
EP1557142B1 (fr) Système pour la fixation de tissu mou
US10987115B2 (en) Apparatus for use in surgery
EP1205149B1 (fr) Appareil-cible pour la resection du fémur lors d&#39;une ostéotomie transfémorale
US20220273443A1 (en) Hydrogel implant procedure
JP2007513657A (ja) 椎間接合人工装具を挿入するための工具セット
US20160374691A1 (en) Surgical Devices for Interventional Orthopedic Surgical Applications And Prosthetic Trial Devices and Methods of Making the Same

Legal Events

Date Code Title Description
AK Designated states

Kind code of ref document: A1

Designated state(s): AE AG AL AM AT AU AZ BA BB BG BR BY BZ CA CH CN CO CR CU CZ DE DK DM DZ EC EE ES FI GB GD GE GH GM HR HU ID IL IN IS JP KE KG KP KR KZ LC LK LR LS LT LU LV MA MD MG MK MN MW MX MZ NI NO NZ OM PG PH PL PT RO RU SC SD SE SG SK SL SY TJ TM TN TR TT TZ UA UG US UZ VC VN YU ZA ZM ZW

AL Designated countries for regional patents

Kind code of ref document: A1

Designated state(s): BW GH GM KE LS MW MZ SD SL SZ TZ UG ZM ZW AM AZ BY KG KZ MD RU TJ TM AT BE BG CH CY CZ DE DK EE ES FI FR GB GR HU IE IT LU MC NL PT RO SE SI SK TR BF BJ CF CG CI CM GA GN GQ GW ML MR NE SN TD TG

121 Ep: the epo has been informed by wipo that ep was designated in this application
DFPE Request for preliminary examination filed prior to expiration of 19th month from priority date (pct application filed before 20040101)
122 Ep: pct application non-entry in european phase
NENP Non-entry into the national phase

Ref country code: JP

WWW Wipo information: withdrawn in national office

Country of ref document: JP