WO2013071872A1 - Knee joint prosthesis - Google Patents

Knee joint prosthesis Download PDF

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Publication number
WO2013071872A1
WO2013071872A1 PCT/CN2012/084666 CN2012084666W WO2013071872A1 WO 2013071872 A1 WO2013071872 A1 WO 2013071872A1 CN 2012084666 W CN2012084666 W CN 2012084666W WO 2013071872 A1 WO2013071872 A1 WO 2013071872A1
Authority
WO
WIPO (PCT)
Prior art keywords
tibial component
component platform
side guiding
pad member
wall
Prior art date
Application number
PCT/CN2012/084666
Other languages
French (fr)
Chinese (zh)
Inventor
曲铁兵
郑诚功
丁玉宝
宋大勇
Original Assignee
北京纳通科技集团有限公司
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 北京纳通科技集团有限公司 filed Critical 北京纳通科技集团有限公司
Publication of WO2013071872A1 publication Critical patent/WO2013071872A1/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/38Joints for elbows or knees
    • A61F2/389Tibial components
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30108Shapes
    • A61F2002/30199Three-dimensional shapes
    • A61F2002/3028Three-dimensional shapes polyhedral different from parallelepipedal and pyramidal
    • A61F2002/30281Three-dimensional shapes polyhedral different from parallelepipedal and pyramidal wedge-shaped
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30317The prosthesis having different structural features at different locations within the same prosthesis
    • A61F2002/30324The prosthesis having different structural features at different locations within the same prosthesis differing in thickness
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30317The prosthesis having different structural features at different locations within the same prosthesis
    • A61F2002/30326The prosthesis having different structural features at different locations within the same prosthesis differing in height or in length
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30329Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30383Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by laterally inserting a protrusion, e.g. a rib into a complementarily-shaped groove
    • A61F2002/30387Dovetail connection
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30329Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30383Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by laterally inserting a protrusion, e.g. a rib into a complementarily-shaped groove
    • A61F2002/3039Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by laterally inserting a protrusion, e.g. a rib into a complementarily-shaped groove with possibility of relative movement of the rib within the groove
    • A61F2002/30398Sliding
    • A61F2002/30401Sliding with additional means for preventing or locking said sliding
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30329Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30476Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements locked by an additional locking mechanism
    • A61F2002/305Snap connection
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30535Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30604Special structural features of bone or joint prostheses not otherwise provided for modular
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/30767Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30771Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
    • A61F2002/30878Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves with non-sharp protrusions, for instance contacting the bone for anchoring, e.g. keels, pegs, pins, posts, shanks, stems, struts
    • A61F2002/30891Plurality of protrusions
    • A61F2002/30892Plurality of protrusions parallel
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/30767Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30771Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
    • A61F2002/30878Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves with non-sharp protrusions, for instance contacting the bone for anchoring, e.g. keels, pegs, pins, posts, shanks, stems, struts
    • A61F2002/30891Plurality of protrusions
    • A61F2002/30894Plurality of protrusions inclined obliquely with respect to each other

Definitions

  • the present invention relates to an artificial knee joint prosthesis, and more particularly to a locking structure of an artificial knee joint prosthesis platform. Background technique
  • the current fixed platform total knee replacement prosthesis, the pad component and the tibial component platform are locked by forming a fixing groove along the edge contour of the tibial component platform, and the elastic snap and the fixing groove are provided in front and rear of the pad component.
  • this type of closure tends to cause displacement between the pad component and the tibial component platform.
  • the pad member is usually implanted in the vertical direction on the tibial component platform when implanting the tibial component platform, and for the purpose of surgery, a larger implantation angle is required. Causes a large defect in the implant opening.
  • Another object of the present invention is to provide a knee prosthesis in which the cushion member can also be implanted at a smaller angle into the tibial component platform.
  • the present invention provides a knee joint prosthesis having a cushion member and a tibial component platform, the bottom portion of which has a side guiding structure, a front fixing wall and a rear fixing structure.
  • the upper portion of the tibial component platform has a side guiding structure, a front retaining wall and a rear securing structure that are adapted to the cushion member.
  • the side guide structure of the tibial component platform cooperates with the side guide structure of the pad component to guide the pad component from the posterior to the tibial component platform.
  • the front fixing wall and the rear fixing structure of the pad component are respectively engaged with the front wall and the rear fixing structure of the tibial component platform, thereby fixing the pad component to the tibial component on the platform.
  • the side guiding structure of the pad member is a convex side guiding edge
  • the side guiding structure of the tibial component platform is a side guiding fixing groove
  • the side guiding structure of the pad member is a side guiding fixing groove, the tibial component platform
  • the side guiding structure is a convex side guiding edge.
  • the rear fixing structure of the cushion member is a rear fixed wall, and the rear fixing structure of the tibial component platform is rear The retaining wall; or, the rear fixing structure of the cushion member is a convex rear fixing edge, and the rear fixing structure of the tibial component platform is a rear fixing groove.
  • the side guiding structure of the pad member and the side guiding structure of the tibial component platform are both inclined from the rear to the front.
  • the angle of the inclination is 0 to 10 degrees, preferably 0.5 to 5 degrees.
  • the front barrier wall of the tibial component platform is an integral barrier wall, or is formed by a plurality of segmented discontinuous barrier walls, or is a spring liftable barrier wall.
  • the rear fixing structure of the cushion member and the rear fixing structure of the tibial component platform are integrally formed or formed of a plurality of segmented discontinuous structures.
  • the side guiding structure of the pad member is located at both sides or the middle of the bottom portion of the pad member, and the side guiding structure of the tibial member platform is located at a position corresponding to the side guiding structure of the pad member.
  • the side guiding structure of the pad member is a convex side guiding edge
  • the side guiding structure of the tibial component platform is a side guiding fixing groove
  • the side guiding fixing groove has an extension extending toward the opposite inner side. unit.
  • the front fixing wall of the pad member is provided with two elastic buckles.
  • the front barrier wall of the tibial component platform is an integral retaining wall having a central projection, and two recesses for holding the two elastic snaps are formed below the central projection.
  • the front retaining wall of the tibial component platform is formed by a plurality of segmented discontinuous retaining walls, and the central two retaining wall segments are higher than the retaining wall segments on both sides, and the two central stops Two grooves for holding the two elastic buckles are formed under the wall segments.
  • the rear fixing structure of the tibial component platform is a rear fixing groove, and the rear fixing groove and the two side guiding fixing grooves on both sides are respectively separated by two transition portions.
  • the front portion of the pad member has a mounting hole.
  • the side guide structure at the bottom of the pad member, the front fixing wall and the rear fixing structure cooperate with the side guiding structure of the upper part of the tibial component platform, the front retaining wall and the rear fixing structure, thereby not only restricting the front, rear, left and right movement of the pad component Position, prevent rotation of the pad member on the tibial component platform, enable peripheral contact locking, and maximize the overall contact area between the pad component and the tibial component platform, thereby enabling the pad component to be more stably locked to the tibia On the component platform.
  • the pad component can be implanted into the tibial component platform at a smaller angle, and the implantation opening required for the pad component implantation is reduced, and the operation is more convenient. .
  • Figure 1 is a schematic exploded view of the pad member and the tibial component platform of the present invention
  • FIG. 2 is a perspective view of a tibial component platform of a knee joint prosthesis according to a first embodiment of the present invention
  • FIG. 3 is a top plan view of a tibial component platform of a knee joint prosthesis according to a first embodiment of the present invention
  • FIG. 4 is a partial enlarged view of the inner side surface of the tibial component platform of the knee joint prosthesis according to the first embodiment of the present invention
  • FIG. 5 is a side view of the pad component of the knee joint prosthesis according to the first embodiment of the present invention
  • Figure 6 is a front elevational view of a cushion member of a knee joint prosthesis according to a first embodiment of the present invention
  • Figure 7 is a bottom plan view of a cushion member of a knee joint prosthesis according to a first embodiment of the present invention.
  • Figure 8 is a top plan view of a tibial component platform of a knee joint prosthesis according to a second embodiment of the present invention.
  • FIG. 9 is a schematic structural view of an inner side surface of a tibial component platform of a knee joint prosthesis according to a second embodiment of the present invention
  • FIG. 10 is a schematic structural view of a front side surface of a tibial component platform of a knee joint prosthesis according to a second embodiment of the present invention
  • Figure 11 is a perspective view of a tibial component platform of a knee joint prosthesis according to a second embodiment of the present invention
  • Figure 12 is a side elevational view of a cushion member of a knee joint prosthesis according to a second embodiment of the present invention.
  • Figure 13 is a front elevational view of a cushion member of a knee joint prosthesis according to a second embodiment of the present invention.
  • Figure 14 is a bottom plan view of a cushion member of a knee joint prosthesis according to a second embodiment of the present invention.
  • the knee joint prosthesis of the present invention will be described in detail below with reference to the accompanying drawings.
  • the "front” and “rear” directions referred to in the present invention are consistent with the anteroposterior direction of the human body after the knee prosthesis is implanted into the human body.
  • the knee prosthesis of the present invention comprises a cushion member 1 and a tibial component platform 2.
  • the pad member 1 is fixed to the tibial component platform 2, and the pad member 1 can be locked to the tibial component platform 2 to limit the relative movement between the pad member 1 and the tibial component platform 2.
  • the upper part of the tibial component platform 2 of the first embodiment of the present invention has a side guiding structure, a front retaining wall 8 and a rear fixing structure, and the lower part of the tibial component platform 2 further has a tibial implant column 10 and positioning.
  • the side guiding structure of the tibial component platform 2 is preferably a side guiding fixing groove 6 (shown in FIG. 2) which is distributed on both sides of the tibial component platform 2.
  • the side guiding structure can also be a convex side guiding edge.
  • the side guiding fixing groove 6 of the tibial component platform 2 further preferably has a diagonal guiding structure, that is, the side guiding fixing groove 6 is inclined at a slight angle ⁇ from the back to the front with respect to the tibial component platform 2, the micro angle ⁇ is 0 to 10 degrees, preferably 0.5 to 5 degrees.
  • the design of the oblique guiding structure can better guide the insertion of the pad component into the tibial component platform and contribute to a certain stability in the up and down direction.
  • the side guide fixing groove 6 of the tibial component platform 2 can also be set horizontally.
  • the front barrier wall 8 of the tibial component platform 2 is an integral retaining wall.
  • the front retaining wall 8 may also be formed by a plurality of segmented discontinuous retaining walls or a spring liftable retaining wall.
  • the posterior fixation structure of the tibial component platform 2 is preferably a rear fixation groove 7, which may be a U-shaped groove whose opening is horizontally forward or other similarly shaped groove structure known to those skilled in the art.
  • the rear fixed structure may also be a rear stop wall in the form of a front retaining wall 8.
  • the rear fixed structure may be an integral design or a segmented discontinuous design.
  • the bottom of the pad member 1 has a side guiding structure, a front fixing wall 5 and a rear fixing structure.
  • the side guiding structure of the pad member 1 is preferably a convex side guiding edge 3 (see Fig. 6) to cooperate with the side guiding fixing groove 6 of the tibial component platform 2.
  • the side guiding structure may also be a side guiding fixing groove.
  • the side guiding structure of the pad member 1 and the side guiding structure of the tibial component platform 2 are matched, and it is also possible to prevent the pad member 1 from moving left and right and to prevent The function of the pad member 1 to rotate.
  • the side guiding edge 3 of the pad member 1 further preferably has a diagonal guiding structure, that is, the side guiding edge 3 is inclined from the rear to the front with respect to the bottom of the pad member 1, the inclination angle and the tibial component.
  • the inclination angles of the side guide grooves 6 of the platform 2 are uniform.
  • the oblique guiding structure by the side guiding fixing groove 6 and the oblique guiding structure of the side guiding edge 3 of the pad member 1 are combined and guided to each other, allowing slight tilting
  • the implantation method mounts the cushion member 1 to the tibial component platform 2, thereby greatly reducing the implantation opening required for the insertion of the cushion member 1, while the micro-tilted structural design allows the tibial component to be implanted in the cushion member 1.
  • the slightly inclined side guiding structure forms a continuous inclined surface, it has a good guiding effect.
  • the side guiding edges 3 of the pad member 1 can also be arranged horizontally.
  • the rear fixing structure of the pad member 1 is preferably a convex rear fixing side 4 (see Figs. 5 and 7) for engaging the rear fixing groove 7 of the tibial component platform 2, and this rear fixing
  • the manner in which the side 4 is engaged with the rear fixing groove 7 can greatly enhance the degree of stability (including the stability in the up and down direction) between the pad member 1 and the tibial component platform 2.
  • the rear fixing structure of the tibial component platform 2 is the rear retaining wall
  • the rear fixing structure of the cushion member 1 may also be a rear fixing wall.
  • the pad member 1 is fixed to the tibial component platform 2 by the front fixing wall 5 and the rear fixing structure of the pad member 1 being engaged with the front wall 8 and the rear fixing structure of the tibial component platform 2, respectively.
  • the rear fixing structure of the pad member 1 may be an integral design or a segmented discontinuous design.
  • the front portion of the spacer member 1 of the present invention has mounting holes 21, and the number of the mounting holes 21 may vary depending on the operational complexity, and is preferably two mounting holes.
  • the mounting hole 21 can serve as a structure for the intervention of the instrument. By inserting the instrument into the mounting hole 21, it is easy to apply force to push the pad member 1 into the tibial component platform 2, and it is also advantageous for later revision.
  • the instrument is inserted into the mounting hole 21 of the pad member 1 so that the side guiding edge 3 of the pad member 1 is aligned with the tibial component platform 2
  • the side guide fixing groove 6 allows the pad member 1 to be gradually pushed into the tibial component platform 2 from the front to the rear by the guidance of the side guide edge 3 and the side guide fixing groove 6. Since the tibial component platform 2 is usually a metal material, the pad component 1 is usually an ultra-high polymer.
  • the polyethylene material is sized so that the rear fixed edge 4 and the front fixed wall 5 of the cushion member 1 can finally fall completely into and engage in the rear fixing groove 7 and the front retaining wall 8 of the tibial component platform 2.
  • the instrument can be removed from the mounting hole 21 of the cushion member 1, at this time, the side guiding edge 3 of the cushion member 1 and the tibial component platform 2
  • the side guide fixing grooves 6 are engaged, and the front fixing wall 5 and the rear fixing side 4 of the pad member 1 are respectively engaged with the front wall 8 and the rear fixing groove 7 of the tibial component platform 2, and the pad member 1 and the tibial component platform 2
  • the overall contact area is maximized so that the pad member 1 can be stably fixed to the tibial component platform 2, and the pad member 1 can remain stationary relative to the tibial component platform 2 when the knee joint undergoes flexion and extension.
  • the pad member 1 and the side guide structure of the tibial component platform 2 shown in the above embodiments of the present invention are both located on both sides, but the present invention is not limited thereto.
  • the position of the side guide structure of the cushion member 1 and the tibial component platform 2 can be set in the middle.
  • the side guiding structure is located in the middle of the tibial component platform 2 and the cushion member 1, the other structures and the manner in which the pad member 1 and the tibial plate member 2 are combined are the same as the corresponding portions of the embodiment of the present invention.
  • the overall fitting relationship of the tibial component platform 12 and the pad member 11 is the same as that of the first embodiment, the pad member 11 is fixed to the tibial component platform 12, and the pad member 11 can be locked on the tibial component platform 12. The relative movement between the pad member 11 and the tibial component platform 12 is restricted.
  • the upper part of the tibial component platform 12 of the second embodiment of the present invention has a side guiding structure, a front retaining wall 18 and a rear fixing structure, and the lower part of the tibial component platform 12 further has a tibial implant column 10 and positioning.
  • the side guiding structure of the tibial component platform 12 is preferably a side guiding fixing groove 16 (as shown in Figs. 9 and 10), and the side guiding fixing groove 16 is distributed on both sides of the tibial component platform 12.
  • the side guiding structure can also be a convex side guiding edge.
  • the side guide fixing groove 16 has a projecting portion 160 extending toward the opposite inner side, that is, the projecting portion 160 is formed by the side guiding fixing groove 6 of the first embodiment.
  • the parts are wider and extend more towards the opposite inner side, making the side guide fixing grooves 16 deeper.
  • the side guide fixing groove 16 of the tibial component platform 12 may also have a diagonal guiding structure, which is the same as the first embodiment, to better guide the insertion of the pad member 11 into the tibial component platform 12, and Conducive to a certain stability in the up and down direction.
  • the side guide fixing grooves 16 of the tibial component platform 12 can also be arranged horizontally.
  • the front retaining wall 18 of the tibial component platform 12 is preferably an integral retaining wall. As shown in FIGS. 10 and 11, the central portion of the front retaining wall 18 has an upward central projection for projecting in the center. Two grooves 181, 183 are formed below, and between the two grooves 181, 183 are partitions 182, and the grooves 181, 183 function to hold the elastic snaps 151, 152 in the pad member 11.
  • the front retaining wall 18 may also be formed by a plurality of segmented discontinuous retaining walls, wherein the central two retaining wall segments are higher than two
  • the side wall segments are formed with two retaining wall segments at the center to form two recesses for the resilient snaps 151, 152 in the cushion member 11.
  • the rear fixing structure of the tibial component platform 12 is preferably the rear fixing groove 17, which can be the same as the rear fixing groove 7 of the first embodiment.
  • the rear fixing groove 17 is not connected to the side guiding fixing groove 16, and the rear fixing groove 17 and the two side guiding fixing grooves 16 on both sides are separated by two transition portions 19, respectively. open.
  • the bottom of the cushion member 11 has a side guide structure, a front fixed wall 15 and a rear fixed structure.
  • the side guiding structure of the pad member 11 is preferably still a convex side guiding edge 13 (see Figs. 12 and 14) for cooperating with the side guiding fixing groove 16 of the tibial component platform 12,
  • the principle of the mating is also the same as in the first embodiment, and the side guiding edges 13 also preferably have a diagonal guiding structure.
  • the groove between the side guide edge 13 and the pad member 11 is correspondingly deepened.
  • the rear fixing structure of the pad member 11 is preferably a convex rear fixing edge 14 (see Figs. 12 and 14) for engaging with the rear fixing groove 17 of the tibial component platform 12, the cooperation of the two.
  • the relationship is the same as that of the rear fixing groove 7 and the rear fixing side 4 of the first embodiment.
  • the rear fixing structure of the pad member 11 may be an integral design or a segmented discontinuous design.
  • the side guiding edge 13 of the pad member 11 is not connected to the rear fixing edge 14, and may be separated by the transition portion.
  • the front fixing wall 15 of the pad member 11 is provided with elastic snaps 151, 152, for example, hollowed out in the front fixing wall 15, and then set in the hollowed out portion.
  • the elastic snaps 151, 152, the elastic snaps 151, 152 snap into the front stop wall 18 and the recesses 181, 183 of the tibial component platform 12 to better secure the cushion member 11 to the tibial component platform 12.
  • the front portion of the pad member 11 has mounting holes 21, and the number and function of the mounting holes 21 are the same as those of the first embodiment.
  • the instrument is inserted into the mounting hole 21 of the pad member 11 such that the lateral guiding edge 13 of the pad member 11 is aligned with the tibial component platform 12.
  • the side guides the fixing groove 16, so that the pad member 11 can be gradually pushed into the tibial component platform 12 from the front to the rear by the guidance of the side guide edge 13 and the side guide fixing groove 16.
  • the cushioning component 11 is typically an ultra high molecular weight polyethylene material, so that the rear fixed edge 14 of the cushioning component 11 can ultimately be completely collapsed and engaged.
  • the elastic snaps 151, 152 of the front fixing wall 15 are completely caught in the grooves 181, 183 of the front retaining wall 18 of the tibial component platform 12.
  • the instrument can be removed from the mounting hole 21 of the cushion member 11, at which time the overall contact area of the cushion member 11 and the tibial component platform 12 is maximized.
  • the pad member 11 can be stably fixed to the tibial component platform 12, and the pad member 11 can also remain stationary with respect to the tibial component platform 12 when the knee joint undergoes flexion and extension.
  • the beneficial technical effects of the knee prosthesis of the present invention include:
  • the side guide structure through the bottom of the pad members 1, 11, the front fixing walls 5, 15 and the rear fixing structure and the side guiding structures of the upper part of the tibial component platforms 2, 12, the front retaining walls 8, 18 and the rear fixing structure Cooperating, not only restricts the front, rear, left and right displacement of the cushion members 1, 11, prevents the rotation of the cushion members 1, 11 on the tibial component platforms 2, 12, enables peripheral contact locking, and the cushion members 1, 11, and the tibia
  • the overall contact area between the component platforms 2, 12 is maximized so that the cushion members 1, 11 can be more stably locked to the tibial component platforms 2, 12.
  • the pad members 1, 11 can be implanted into the tibial component platform at a smaller angle by the pad members 1, 11 and the side guiding structures of the tibial component platforms 2, 12, reducing the pad components 1, 11
  • the implanted opening required for entry is more convenient to operate.
  • the pad member 11 is better fixed to the tibial component platform 12, and is easy to operate.
  • the present invention is directed to an improvement in the fit between the tibial component platform and the cushion component.
  • the other components of the knee prosthesis are the same as in the prior art and will not be described again herein.

Abstract

A knee joint prosthesis has a liner component (1, 11) and a tibia component platform (2, 12). The liner component (1, 11) can be locked with the tibia component platform (2, 12). The bottom of the liner component (1, 11) is provided with a lateral guide structure, a front fixing wall (5, 15) and a rear fixing structure. The tibia component platform (2, 12) is provided with a lateral guide structure adapting to the liner component (1, 11), a front baffle wall (8, 18) and a rear fixing structure. In the knee joint prosthesis, the liner component (1, 11) can be locked on the tibia component platform (2, 12) more stably, and the liner component (1, 11) can be implanted into the tibia component platform (2, 12) at a smaller angle, thereby reducing the implantation opening required for implanting the liner component (1, 11), making the operation more convenient.

Description

一种膝关节假体 技术领域  Knee joint prosthesis
本发明涉及一种人工膝关节假体,尤其是涉及一种人工膝关节假体固定平台的锁定结 构。 背景技术  The present invention relates to an artificial knee joint prosthesis, and more particularly to a locking structure of an artificial knee joint prosthesis platform. Background technique
目前的固定平台全膝关节置换假体,衬垫部件与胫骨部件平台的锁合是通过沿着胫骨 部件平台的边缘轮廓形成固定槽,在衬垫部件的前后通过设置弹性卡扣与固定槽达到锁合 的目的, 此种锁合方式容易造成衬垫部件和胫骨部件平台间的移位。 并且, 由于固定槽的 设置, 衬垫部件在植入该胫骨部件平台时, 通常是以垂直方向植入到胫骨部件平台上, 为 手术目的, 此时需要一个较大的植入角度, 由此造成植入开口大的缺陷。  The current fixed platform total knee replacement prosthesis, the pad component and the tibial component platform are locked by forming a fixing groove along the edge contour of the tibial component platform, and the elastic snap and the fixing groove are provided in front and rear of the pad component. For the purpose of the closure, this type of closure tends to cause displacement between the pad component and the tibial component platform. Moreover, due to the arrangement of the fixing groove, the pad member is usually implanted in the vertical direction on the tibial component platform when implanting the tibial component platform, and for the purpose of surgery, a larger implantation angle is required. Causes a large defect in the implant opening.
因此, 急需提出一种衬垫部件能够稳定锁合在胫骨部件平台上, 且能以较小角度植入 胫骨部件平台的膝关节假体。 发明内容  Therefore, there is an urgent need to provide a knee prosthesis in which the cushion member can be stably locked to the tibial component platform and can be implanted at a smaller angle to the tibial component platform. Summary of the invention
本发明的目的在于提供一种膝关节假体, 其衬垫部件能够稳定锁合在胫骨部件平台 上。  It is an object of the present invention to provide a knee prosthesis in which the cushion member is stably locked to the tibial component platform.
本发明的另一目的在于提供一种膝关节假体,其衬垫部件还能以较小角度植入胫骨部 件平台。  Another object of the present invention is to provide a knee prosthesis in which the cushion member can also be implanted at a smaller angle into the tibial component platform.
为实现上述目的, 本发明提供一种膝关节假体, 具有衬垫部件和胫骨部件平台, 所述 衬垫部件的底部具有侧导向结构、 前固定壁和后固定结构。所述胫骨部件平台的上部具有 与衬垫部件相适应的侧导向结构、 前挡壁和后固定结构。胫骨部件平台的侧导向结构与衬 垫部件的侧导向结构相配合, 能够引导衬垫部件从前往后安装到胫骨部件平台上。 并且, 在衬垫部件安装到胫骨部件平台上之后,衬垫部件的前固定壁和后固定结构分别与胫骨部 件平台的前挡壁和后固定结构相接合, 从而使衬垫部件固定在胫骨部件平台上。  To achieve the above object, the present invention provides a knee joint prosthesis having a cushion member and a tibial component platform, the bottom portion of which has a side guiding structure, a front fixing wall and a rear fixing structure. The upper portion of the tibial component platform has a side guiding structure, a front retaining wall and a rear securing structure that are adapted to the cushion member. The side guide structure of the tibial component platform cooperates with the side guide structure of the pad component to guide the pad component from the posterior to the tibial component platform. And, after the pad member is mounted on the tibial component platform, the front fixing wall and the rear fixing structure of the pad component are respectively engaged with the front wall and the rear fixing structure of the tibial component platform, thereby fixing the pad component to the tibial component on the platform.
根据上述构思, 衬垫部件的侧导向结构为凸出的侧导向边, 胫骨部件平台的侧导向结 构为侧导向固定槽; 或者, 衬垫部件的侧导向结构为侧导向固定槽, 胫骨部件平台的侧导 向结构为凸出的侧导向边。  According to the above concept, the side guiding structure of the pad member is a convex side guiding edge, and the side guiding structure of the tibial component platform is a side guiding fixing groove; or the side guiding structure of the pad member is a side guiding fixing groove, the tibial component platform The side guiding structure is a convex side guiding edge.
根据上述构思, 衬垫部件的后固定结构为后固定壁, 胫骨部件平台的后固定结构为后 挡壁; 或者, 衬垫部件的后固定结构为凸出的后固定边, 胫骨部件平台的后固定结构为后 固定槽。 According to the above concept, the rear fixing structure of the cushion member is a rear fixed wall, and the rear fixing structure of the tibial component platform is rear The retaining wall; or, the rear fixing structure of the cushion member is a convex rear fixing edge, and the rear fixing structure of the tibial component platform is a rear fixing groove.
根据上述构思,衬垫部件的侧导向结构和胫骨部件平台的侧导向结构均为自后向前向 上倾斜。  According to the above concept, the side guiding structure of the pad member and the side guiding structure of the tibial component platform are both inclined from the rear to the front.
根据上述构思, 该倾斜的角度为 0-10度, 优选为 0.5-5度。  According to the above concept, the angle of the inclination is 0 to 10 degrees, preferably 0.5 to 5 degrees.
根据上述构思, 所述胫骨部件平台的前挡壁为一整体挡壁, 或者由多个分段不连续挡 壁形成, 或者为弹簧可升降挡壁。  According to the above concept, the front barrier wall of the tibial component platform is an integral barrier wall, or is formed by a plurality of segmented discontinuous barrier walls, or is a spring liftable barrier wall.
根据上述构思,所述衬垫部件的后固定结构和所述胫骨部件平台的后固定结构均为一 整体, 或者由多个分段不连续结构形成。  According to the above concept, the rear fixing structure of the cushion member and the rear fixing structure of the tibial component platform are integrally formed or formed of a plurality of segmented discontinuous structures.
根据上述构思, 衬垫部件的侧导向结构位于衬垫部件的底部两侧或中部, 胫骨部件平 台的侧导向结构位于与衬垫部件的侧导向结构相对应的位置。  According to the above concept, the side guiding structure of the pad member is located at both sides or the middle of the bottom portion of the pad member, and the side guiding structure of the tibial member platform is located at a position corresponding to the side guiding structure of the pad member.
根据上述构思, 所述衬垫部件的侧导向结构为凸出的侧导向边, 所述胫骨部件平台的 侧导向结构为侧导向固定槽, 所述侧导向固定槽具有向相对内侧延伸的伸出部。  According to the above concept, the side guiding structure of the pad member is a convex side guiding edge, the side guiding structure of the tibial component platform is a side guiding fixing groove, and the side guiding fixing groove has an extension extending toward the opposite inner side. unit.
根据上述构思, 所述衬垫部件的前固定壁处设置有两弹性卡扣。  According to the above concept, the front fixing wall of the pad member is provided with two elastic buckles.
根据上述构思, 所述胫骨部件平台的前挡壁为一具有中央凸起的整体挡壁, 所述中央 凸起的下方形成有用于卡持两所述弹性卡扣的两凹槽。  According to the above concept, the front barrier wall of the tibial component platform is an integral retaining wall having a central projection, and two recesses for holding the two elastic snaps are formed below the central projection.
根据上述构思, 所述胫骨部件平台的前挡壁为多个分段不连续挡壁形成, 且中央的两 挡壁分段高于两侧的所述挡壁分段,两所述中央的挡壁分段下方形成两用于卡持两所述弹 性卡扣的凹槽。  According to the above concept, the front retaining wall of the tibial component platform is formed by a plurality of segmented discontinuous retaining walls, and the central two retaining wall segments are higher than the retaining wall segments on both sides, and the two central stops Two grooves for holding the two elastic buckles are formed under the wall segments.
根据上述构思, 所述胫骨部件平台的后固定结构为后固定槽, 所述后固定槽与两侧的 两所述侧导向固定槽之间分别由两过渡部隔开。  According to the above concept, the rear fixing structure of the tibial component platform is a rear fixing groove, and the rear fixing groove and the two side guiding fixing grooves on both sides are respectively separated by two transition portions.
根据上述构思, 衬垫部件的前部具有安装孔。  According to the above concept, the front portion of the pad member has a mounting hole.
相比于现有技术, 本发明的膝关节假体的有益技术效果包括:  Advantageous technical effects of the knee prosthesis of the present invention include:
1. 通过衬垫部件底部的侧导向结构、前固定壁和后固定结构与胫骨部件平台上部的侧 导向结构、 前挡壁和后固定结构的相互配合, 不仅限制了衬垫部件的前后左右移位, 防止 衬垫部件在胫骨部件平台上的旋转, 能够实现四周接触锁定, 而且衬垫部件和胫骨部件平 台之间的整体接触面积达到最大, 从而使衬垫部件能够更加稳定地锁合在胫骨部件平台 上。  1. The side guide structure at the bottom of the pad member, the front fixing wall and the rear fixing structure cooperate with the side guiding structure of the upper part of the tibial component platform, the front retaining wall and the rear fixing structure, thereby not only restricting the front, rear, left and right movement of the pad component Position, prevent rotation of the pad member on the tibial component platform, enable peripheral contact locking, and maximize the overall contact area between the pad component and the tibial component platform, thereby enabling the pad component to be more stably locked to the tibia On the component platform.
2. 通过衬垫部件和胫骨部件平台的侧导向结构,使衬垫部件能以更小的角度植入胫骨 部件平台, 减小了衬垫部件植入时所需的植入开口, 操作更加方便。 附图说明 2. Through the side guiding structure of the pad component and the tibial component platform, the pad component can be implanted into the tibial component platform at a smaller angle, and the implantation opening required for the pad component implantation is reduced, and the operation is more convenient. . DRAWINGS
图 1为本发明的衬垫部件与胫骨部件平台的配合分解示意图;  Figure 1 is a schematic exploded view of the pad member and the tibial component platform of the present invention;
图 2为本发明第一实施例的膝关节假体的胫骨部件平台的立体图;  2 is a perspective view of a tibial component platform of a knee joint prosthesis according to a first embodiment of the present invention;
图 3为本发明第一实施例的膝关节假体的胫骨部件平台的俯视图;  3 is a top plan view of a tibial component platform of a knee joint prosthesis according to a first embodiment of the present invention;
图 4为本发明第一实施例的膝关节假体的胫骨部件平台内侧面的局部放大图; 图 5为本发明第一实施例的膝关节假体的衬垫部件的侧面示意图;  4 is a partial enlarged view of the inner side surface of the tibial component platform of the knee joint prosthesis according to the first embodiment of the present invention; FIG. 5 is a side view of the pad component of the knee joint prosthesis according to the first embodiment of the present invention;
图 6为本发明第一实施例的膝关节假体的衬垫部件的正视图;  Figure 6 is a front elevational view of a cushion member of a knee joint prosthesis according to a first embodiment of the present invention;
图 7为本发明第一实施例的膝关节假体的衬垫部件的仰视图;  Figure 7 is a bottom plan view of a cushion member of a knee joint prosthesis according to a first embodiment of the present invention;
图 8为本发明第二实施例的膝关节假体的胫骨部件平台的俯视图;  Figure 8 is a top plan view of a tibial component platform of a knee joint prosthesis according to a second embodiment of the present invention;
图 9为本发明第二实施例的膝关节假体的胫骨部件平台的内侧面的结构示意图; 图 10为本发明第二实施例的膝关节假体的胫骨部件平台的前侧面的结构示意图; 图 11为本发明第二实施例的膝关节假体的胫骨部件平台的立体图;  9 is a schematic structural view of an inner side surface of a tibial component platform of a knee joint prosthesis according to a second embodiment of the present invention; FIG. 10 is a schematic structural view of a front side surface of a tibial component platform of a knee joint prosthesis according to a second embodiment of the present invention; Figure 11 is a perspective view of a tibial component platform of a knee joint prosthesis according to a second embodiment of the present invention;
图 12为本发明第二实施例的膝关节假体的衬垫部件的侧面示意图;  Figure 12 is a side elevational view of a cushion member of a knee joint prosthesis according to a second embodiment of the present invention;
图 13为本发明第二实施例的膝关节假体的衬垫部件的正视图;  Figure 13 is a front elevational view of a cushion member of a knee joint prosthesis according to a second embodiment of the present invention;
图 14为本发明第二实施例的膝关节假体的衬垫部件的仰视图。  Figure 14 is a bottom plan view of a cushion member of a knee joint prosthesis according to a second embodiment of the present invention.
其中, 附图标记说明如下:  The reference numerals are as follows:
弟 实施例:  Example:
1 衬垫部件 2 胫骨部件平台  1 pad component 2 tibial component platform
3 侧导向边 4 后固定边  3 side guide edge 4 rear fixed edge
5 前固定壁 6 侧导向固定槽  5 front fixed wall 6 side guide fixing groove
7 后固定槽 8 前挡壁  7 rear fixing groove 8 front wall
9 定位部件 10 胫骨植入柱  9 positioning components 10 iliac implanted column
21 安装孔  21 mounting holes
弟一 :实施例:  Brother 1: Embodiment:
11 衬垫部件 12 胫骨部件平台  11 Pad component 12 Tibial component platform
13 侧导向边 14 后固定边  13 side guide edge 14 rear fixed edge
15 前固定壁 16 侧导向固定槽  15 front fixed wall 16 side guide fixing groove
17 后固定槽 18 前挡壁  17 rear fixing groove 18 front wall
181 凹槽 182 分隔部 183 凹槽 19 过渡部 181 groove 182 partition 183 groove 19 transition
151 弹性卡扣 152 弹性卡扣  151 elastic buckle 152 elastic buckle
9 定位部件 10 胫骨植入柱  9 positioning components 10 iliac implanted column
21 安装孔 160 伸出部 具体实施方式  21 Mounting hole 160 Extension part Detailed description
以下结合附图, 对本发明的膝关节假体作详细说明。 本发明中所称的 "前" 、 "后" 方向与所述膝关节假体植入人体以后人体的前后方向相一致。  The knee joint prosthesis of the present invention will be described in detail below with reference to the accompanying drawings. The "front" and "rear" directions referred to in the present invention are consistent with the anteroposterior direction of the human body after the knee prosthesis is implanted into the human body.
第一实施例:  First embodiment:
如图 1所示, 本发明的膝关节假体包括衬垫部件 1和胫骨部件平台 2。 其中的衬垫部 件 1固定到胫骨部件平台 2上, 并且衬垫部件 1能够锁定在胫骨部件平台 2上, 限制衬垫 部件 1与胫骨部件平台 2之间的相对运动。  As shown in Fig. 1, the knee prosthesis of the present invention comprises a cushion member 1 and a tibial component platform 2. The pad member 1 is fixed to the tibial component platform 2, and the pad member 1 can be locked to the tibial component platform 2 to limit the relative movement between the pad member 1 and the tibial component platform 2.
如图 2至图 4所示, 本发明第一实施例的胫骨部件平台 2上部具有侧导向结构、 前挡 壁 8和后固定结构,胫骨部件平台 2的下部还具有胫骨植入柱 10及定位部件 9。本实施例 中, 胫骨部件平台 2的侧导向结构优选为侧导向固定槽 6 (如图 2所示) , 该侧导向固定 槽 6分布在胫骨部件平台 2的两侧。 该侧导向结构也可以是凸出的侧导向边。  As shown in FIG. 2 to FIG. 4, the upper part of the tibial component platform 2 of the first embodiment of the present invention has a side guiding structure, a front retaining wall 8 and a rear fixing structure, and the lower part of the tibial component platform 2 further has a tibial implant column 10 and positioning. Part 9. In this embodiment, the side guiding structure of the tibial component platform 2 is preferably a side guiding fixing groove 6 (shown in FIG. 2) which is distributed on both sides of the tibial component platform 2. The side guiding structure can also be a convex side guiding edge.
本实施例中,胫骨部件平台 2的侧导向固定槽 6进一步优选具有斜直导向结构,也即, 侧导向固定槽 6相对于胫骨部件平台 2 自后向前向上倾斜微小角度 α, 该微小角度 α为 0-10度, 优选为 0.5-5度。 这种斜直导向结构的设计, 能够更好地引导衬垫部件植入到胫 骨部件平台中, 并且有利于在上下方向上起到一定的稳固效果。胫骨部件平台 2的侧导向 固定槽 6也可以设置成水平的。  In this embodiment, the side guiding fixing groove 6 of the tibial component platform 2 further preferably has a diagonal guiding structure, that is, the side guiding fixing groove 6 is inclined at a slight angle α from the back to the front with respect to the tibial component platform 2, the micro angle α is 0 to 10 degrees, preferably 0.5 to 5 degrees. The design of the oblique guiding structure can better guide the insertion of the pad component into the tibial component platform and contribute to a certain stability in the up and down direction. The side guide fixing groove 6 of the tibial component platform 2 can also be set horizontally.
本实施例中, 胫骨部件平台 2的前挡壁 8为一整体挡壁。 前挡壁 8也可以是由多个分 段不连续挡壁形成, 或者为弹簧可升降形式挡壁。  In this embodiment, the front barrier wall 8 of the tibial component platform 2 is an integral retaining wall. The front retaining wall 8 may also be formed by a plurality of segmented discontinuous retaining walls or a spring liftable retaining wall.
本实施例中, 胫骨部件平台 2的后固定结构优选为后固定槽 7, 可以是开口水平向前 的 U型槽或本领域技术人员所熟知的其他类似形状的槽结构。该后固定结构还可以是类似 前挡壁 8形式的后挡壁。 此外, 该后固定结构可以是整体设计或者分段不连续设计。  In this embodiment, the posterior fixation structure of the tibial component platform 2 is preferably a rear fixation groove 7, which may be a U-shaped groove whose opening is horizontally forward or other similarly shaped groove structure known to those skilled in the art. The rear fixed structure may also be a rear stop wall in the form of a front retaining wall 8. In addition, the rear fixed structure may be an integral design or a segmented discontinuous design.
如图 5至图 7所示, 为与胫骨部件平台 2相配合, 衬垫部件 1底部具有侧导向结构、 前固定壁 5和后固定结构。  As shown in Figs. 5 to 7, in order to cooperate with the tibial component platform 2, the bottom of the pad member 1 has a side guiding structure, a front fixing wall 5 and a rear fixing structure.
本实施例中, 衬垫部件 1的侧导向结构优选为凸出的侧导向边 3 (参见图 6) , 以与 胫骨部件平台 2的侧导向固定槽 6相配合。另外, 当胫骨部件平台 2的侧导向结构是凸出 的侧导向边时, 该侧导向结构也可以是侧导向固定槽。 由此, 通过胫骨部件平台 2的侧导 向结构与衬垫部件 1的侧导向结构相配合,从而能够引导衬垫部件 1从前往后安装到胫骨 部件平台 2上。 并且, 在衬垫部件 1安装到胫骨部件平台 2上之后, 衬垫部件 1的侧导向 结构和胫骨部件平台 2的侧导向结构相配合, 还能够起到防止衬垫部件 1左右移动, 以及 防止衬垫部件 1旋转的功能。 In the present embodiment, the side guiding structure of the pad member 1 is preferably a convex side guiding edge 3 (see Fig. 6) to cooperate with the side guiding fixing groove 6 of the tibial component platform 2. In addition, when the side guide structure of the tibial component platform 2 is convex The side guiding structure may also be a side guiding fixing groove. Thereby, the side guide structure of the tibial component platform 2 is engaged with the side guide structure of the pad member 1, so that the pad member 1 can be guided from the posterior to the tibial component platform 2. Further, after the pad member 1 is attached to the tibial component platform 2, the side guiding structure of the pad member 1 and the side guiding structure of the tibial component platform 2 are matched, and it is also possible to prevent the pad member 1 from moving left and right and to prevent The function of the pad member 1 to rotate.
本实施例中, 衬垫部件 1的侧导向边 3进一步也优选具有斜直导向结构, 也即, 侧导 向边 3相对于衬垫部件 1底部自后向前向上倾斜,该倾斜角度与胫骨部件平台 2的侧导向 槽 6的倾斜角度一致。 当衬垫部件 1安装到胫骨部件平台 2时, 通过侧导向固定槽 6的斜 直导向结构与衬垫部件 1的侧导向边 3的斜直导向结构的彼此结合和引导,就允许以微小 倾斜植入方式将衬垫部件 1安装到胫骨部件平台 2, 从而大大减小了衬垫部件 1植入时所 需的植入开口, 同时微小倾斜的结构设计可以在衬垫部件 1植入胫骨部件平台 2时, 由于 微小倾斜的侧导向结构形成一个连续的倾斜表面, 起到良好的引导效果。 当然, 衬垫部件 1的侧导向边 3也可以设置成水平的。  In this embodiment, the side guiding edge 3 of the pad member 1 further preferably has a diagonal guiding structure, that is, the side guiding edge 3 is inclined from the rear to the front with respect to the bottom of the pad member 1, the inclination angle and the tibial component. The inclination angles of the side guide grooves 6 of the platform 2 are uniform. When the pad member 1 is mounted to the tibial component platform 2, the oblique guiding structure by the side guiding fixing groove 6 and the oblique guiding structure of the side guiding edge 3 of the pad member 1 are combined and guided to each other, allowing slight tilting The implantation method mounts the cushion member 1 to the tibial component platform 2, thereby greatly reducing the implantation opening required for the insertion of the cushion member 1, while the micro-tilted structural design allows the tibial component to be implanted in the cushion member 1. At the time of the platform 2, since the slightly inclined side guiding structure forms a continuous inclined surface, it has a good guiding effect. Of course, the side guiding edges 3 of the pad member 1 can also be arranged horizontally.
在本实施例中,衬垫部件 1的后固定结构优选为凸出的后固定边 4 (参见图 5和图 7), 以与胫骨部件平台 2的后固定槽 7相接合,这种后固定边 4与后固定槽 7的配合方式能够 大大增强衬垫部件 1和胫骨部件平台 2之间的稳固程度(包括上下方向上的稳固性) 。 另 夕卜, 当胫骨部件平台 2的后固定结构是后挡壁时, 衬垫部件 1的后固定结构也可以是后固 定壁。 由此, 通过衬垫部件 1的前固定壁 5和后固定结构分别与胫骨部件平台 2的前挡壁 8和后固定结构相接合, 使衬垫部件 1固定在胫骨部件平台 2上。 此外, 衬垫部件 1的后 固定结构可以为整体设计或者分段不连续设计。  In the present embodiment, the rear fixing structure of the pad member 1 is preferably a convex rear fixing side 4 (see Figs. 5 and 7) for engaging the rear fixing groove 7 of the tibial component platform 2, and this rear fixing The manner in which the side 4 is engaged with the rear fixing groove 7 can greatly enhance the degree of stability (including the stability in the up and down direction) between the pad member 1 and the tibial component platform 2. Further, when the rear fixing structure of the tibial component platform 2 is the rear retaining wall, the rear fixing structure of the cushion member 1 may also be a rear fixing wall. Thereby, the pad member 1 is fixed to the tibial component platform 2 by the front fixing wall 5 and the rear fixing structure of the pad member 1 being engaged with the front wall 8 and the rear fixing structure of the tibial component platform 2, respectively. Further, the rear fixing structure of the pad member 1 may be an integral design or a segmented discontinuous design.
另外, 如图 6所示, 本发明的衬垫部件 1的前部具有安装孔 21, 安装孔 21的数量可 以视操作复杂程度而定, 优选为两个安装孔。 在手术过程中, 该安装孔 21可以作为器械 介入的结构,通过将器械插入安装孔 21,便于施力将衬垫部件 1推入安装于胫骨部件平台 2中, 并且也利于后期翻修。  Further, as shown in Fig. 6, the front portion of the spacer member 1 of the present invention has mounting holes 21, and the number of the mounting holes 21 may vary depending on the operational complexity, and is preferably two mounting holes. During the operation, the mounting hole 21 can serve as a structure for the intervention of the instrument. By inserting the instrument into the mounting hole 21, it is easy to apply force to push the pad member 1 into the tibial component platform 2, and it is also advantageous for later revision.
以下结合图 2至图 7所示的具体实施例来说明本发明膝关节假体的衬垫部件 1与胫骨 部件平台 2的安装过程。  The mounting process of the cushion member 1 and the tibial component platform 2 of the knee prosthesis of the present invention will be described below with reference to the specific embodiments shown in Figs. 2 to 7.
在胫骨部件平台 2借助胫骨植入柱 10及定位部件 9固定于胫骨近端后, 将器械插入 衬垫部件 1的安装孔 21,使衬垫部件 1的侧导向边 3对准胫骨部件平台 2的侧导向固定槽 6, 这样就可以借助侧导向边 3和侧导向固定槽 6的引导, 控制衬垫部件 1从前往后逐渐 推入胫骨部件平台 2。 由于胫骨部件平台 2通常为金属材料, 衬垫部件 1通常为超高分子 量聚乙烯材料,所以最终可以使得衬垫部件 1的后固定边 4和前固定壁 5完全落入并卡合 在胫骨部件平台 2的后固定槽 7和前挡壁 8内。 当衬垫部件 1完全安装到胫骨部件平台 2 就位后, 即可将器械从衬垫部件 1的安装孔 21 中取出, 此时, 衬垫部件 1的侧导向边 3 与胫骨部件平台 2的侧导向固定槽 6相接合,衬垫部件 1的前固定壁 5和后固定边 4分别 和胫骨部件平台 2的前挡壁 8和后固定槽 7相接合,衬垫部件 1和胫骨部件平台 2的整体 接触面积达到最大, 从而使衬垫部件 1能够稳定地固定在胫骨部件平台 2上, 并且当膝关 节进行屈伸运动时, 衬垫部件 1相对于胫骨部件平台 2也能保持不动。 After the tibial component platform 2 is fixed to the proximal end of the tibia by the tibial implant column 10 and the positioning member 9, the instrument is inserted into the mounting hole 21 of the pad member 1 so that the side guiding edge 3 of the pad member 1 is aligned with the tibial component platform 2 The side guide fixing groove 6 allows the pad member 1 to be gradually pushed into the tibial component platform 2 from the front to the rear by the guidance of the side guide edge 3 and the side guide fixing groove 6. Since the tibial component platform 2 is usually a metal material, the pad component 1 is usually an ultra-high polymer. The polyethylene material is sized so that the rear fixed edge 4 and the front fixed wall 5 of the cushion member 1 can finally fall completely into and engage in the rear fixing groove 7 and the front retaining wall 8 of the tibial component platform 2. When the cushion member 1 is fully mounted to the tibial component platform 2 in position, the instrument can be removed from the mounting hole 21 of the cushion member 1, at this time, the side guiding edge 3 of the cushion member 1 and the tibial component platform 2 The side guide fixing grooves 6 are engaged, and the front fixing wall 5 and the rear fixing side 4 of the pad member 1 are respectively engaged with the front wall 8 and the rear fixing groove 7 of the tibial component platform 2, and the pad member 1 and the tibial component platform 2 The overall contact area is maximized so that the pad member 1 can be stably fixed to the tibial component platform 2, and the pad member 1 can remain stationary relative to the tibial component platform 2 when the knee joint undergoes flexion and extension.
本发明上述实施例中所示的衬垫部件 1 和胫骨部件平台 2 的侧导向结构均是位于两 侧, 但本发明并不局限于此。衬垫部件 1和胫骨部件平台 2的侧导向结构的位置可以设置 于中部。 当该侧导向结构位于胫骨部件平台 2和衬垫部件 1的中部时, 其他结构以及衬垫 部件 1和胫骨平台部件 2的结合方式均与本发明实施例的相应部分相同。  The pad member 1 and the side guide structure of the tibial component platform 2 shown in the above embodiments of the present invention are both located on both sides, but the present invention is not limited thereto. The position of the side guide structure of the cushion member 1 and the tibial component platform 2 can be set in the middle. When the side guiding structure is located in the middle of the tibial component platform 2 and the cushion member 1, the other structures and the manner in which the pad member 1 and the tibial plate member 2 are combined are the same as the corresponding portions of the embodiment of the present invention.
第二实施例:  Second embodiment:
本实施例中, 胫骨部件平台 12与衬垫部件 11的整体配合关系与第一实施例相同, 衬 垫部件 11固定到胫骨部件平台 12上, 并且衬垫部件 11能够锁定在胫骨部件平台 12上, 限制衬垫部件 11与胫骨部件平台 12之间的相对运动。  In the present embodiment, the overall fitting relationship of the tibial component platform 12 and the pad member 11 is the same as that of the first embodiment, the pad member 11 is fixed to the tibial component platform 12, and the pad member 11 can be locked on the tibial component platform 12. The relative movement between the pad member 11 and the tibial component platform 12 is restricted.
如图 8至图 11所示, 本发明第二实施例的胫骨部件平台 12上部具有侧导向结构、 前 挡壁 18和后固定结构,胫骨部件平台 12的下部还具有胫骨植入柱 10及定位部件 9。本实 施例中, 胫骨部件平台 12的侧导向结构优选为侧导向固定槽 16 (如图 9和图 10所示) , 侧导向固定槽 16分布在胫骨部件平台 12的两侧。与第一实施例一样, 该侧导向结构也可 以是凸出的侧导向边。 与第一实施例不同的是, 本实施例中, 侧导向固定槽 16的具有向 相对内侧延伸的伸出部 160, 也即伸出部 160比第一实施例的形成侧导向固定槽 6的部件 更宽, 向相对内侧延伸更多, 使得侧导向固定槽 16更深。  As shown in FIG. 8 to FIG. 11, the upper part of the tibial component platform 12 of the second embodiment of the present invention has a side guiding structure, a front retaining wall 18 and a rear fixing structure, and the lower part of the tibial component platform 12 further has a tibial implant column 10 and positioning. Part 9. In this embodiment, the side guiding structure of the tibial component platform 12 is preferably a side guiding fixing groove 16 (as shown in Figs. 9 and 10), and the side guiding fixing groove 16 is distributed on both sides of the tibial component platform 12. As with the first embodiment, the side guiding structure can also be a convex side guiding edge. Different from the first embodiment, in the present embodiment, the side guide fixing groove 16 has a projecting portion 160 extending toward the opposite inner side, that is, the projecting portion 160 is formed by the side guiding fixing groove 6 of the first embodiment. The parts are wider and extend more towards the opposite inner side, making the side guide fixing grooves 16 deeper.
本实施例中, 胫骨部件平台 12的侧导向固定槽 16也可具有斜直导向结构, 与第一实 施例相同, 以更好地引导衬垫部件 11植入到胫骨部件平台 12中, 并且有利于在上下方向 上起到一定的稳固效果。 胫骨部件平台 12的侧导向固定槽 16也可以设置成水平的。  In this embodiment, the side guide fixing groove 16 of the tibial component platform 12 may also have a diagonal guiding structure, which is the same as the first embodiment, to better guide the insertion of the pad member 11 into the tibial component platform 12, and Conducive to a certain stability in the up and down direction. The side guide fixing grooves 16 of the tibial component platform 12 can also be arranged horizontally.
本实施例中, 胫骨部件平台 12的前挡壁 18优选的为一整体挡壁, 如图 10和图 11所 示, 前挡壁 18的中部具有向上的中央凸起, 以在中央凸起的下方形成两凹槽 181、 183, 两凹槽 181、 183之间为分隔部 182, 凹槽 181、 183的作用是卡持衬垫部件 11中的弹性卡 扣 151、 152。  In this embodiment, the front retaining wall 18 of the tibial component platform 12 is preferably an integral retaining wall. As shown in FIGS. 10 and 11, the central portion of the front retaining wall 18 has an upward central projection for projecting in the center. Two grooves 181, 183 are formed below, and between the two grooves 181, 183 are partitions 182, and the grooves 181, 183 function to hold the elastic snaps 151, 152 in the pad member 11.
前挡壁 18也可以是由多个分段不连续挡壁形成, 其中中央的两个挡壁分段, 高于两 侧的挡壁分段, 以在中央的两个挡壁分段形成容纳衬垫部件 11中的弹性卡扣 151、 152的 两凹槽。 The front retaining wall 18 may also be formed by a plurality of segmented discontinuous retaining walls, wherein the central two retaining wall segments are higher than two The side wall segments are formed with two retaining wall segments at the center to form two recesses for the resilient snaps 151, 152 in the cushion member 11.
本实施例中, 胫骨部件平台 12的后固定结构优选为后固定槽 17, 可与第一实施例的 后固定槽 7相同。  In the present embodiment, the rear fixing structure of the tibial component platform 12 is preferably the rear fixing groove 17, which can be the same as the rear fixing groove 7 of the first embodiment.
与第一实施例不同的是, 本实施例中, 后固定槽 17与侧导向固定槽 16不相连, 后固 定槽 17与两侧的两侧导向固定槽 16之间分别由两过渡部 19隔开。  Different from the first embodiment, in the embodiment, the rear fixing groove 17 is not connected to the side guiding fixing groove 16, and the rear fixing groove 17 and the two side guiding fixing grooves 16 on both sides are separated by two transition portions 19, respectively. open.
如图 12至图 14所示, 为与胫骨部件平台 12相配合, 衬垫部件 11底部具有侧导向结 构、 前固定壁 15和后固定结构。  As shown in Figures 12 through 14, in order to cooperate with the tibial component platform 12, the bottom of the cushion member 11 has a side guide structure, a front fixed wall 15 and a rear fixed structure.
本实施例中,衬垫部件 11的侧导向结构优选仍为凸出的侧导向边 13 (参见图 12和图 14) , 以与胫骨部件平台 12的侧导向固定槽 16相配合, 两者相配合的原理也与第一实施 例相同, 且侧导向边 13也优选具有斜直导向结构。 与第一实施例不同的是, 为适应侧导 向固定槽 16加宽的伸出部 160, 侧导向边 13与衬垫部件 11之间的凹槽也相应的加深。  In this embodiment, the side guiding structure of the pad member 11 is preferably still a convex side guiding edge 13 (see Figs. 12 and 14) for cooperating with the side guiding fixing groove 16 of the tibial component platform 12, The principle of the mating is also the same as in the first embodiment, and the side guiding edges 13 also preferably have a diagonal guiding structure. In contrast to the first embodiment, in order to accommodate the projecting portion 160 which is widened by the side guide fixing groove 16, the groove between the side guide edge 13 and the pad member 11 is correspondingly deepened.
在本实施例中,衬垫部件 11的后固定结构优选为凸出的后固定边 14 (参见图 12和图 14) , 以与胫骨部件平台 12的后固定槽 17相接合, 两者的配合关系与第一实施例的后固 定槽 7与后固定边 4之间的配合关系相同。 此外, 衬垫部件 11的后固定结构可以为整体 设计或者分段不连续设计。 与胫骨部件平台 12的后固定槽 17与侧导向固定槽 16不相连 相对应, 衬垫部件 11的侧导向边 13与后固定边 14也不相连, 也可由过渡部隔开。  In the present embodiment, the rear fixing structure of the pad member 11 is preferably a convex rear fixing edge 14 (see Figs. 12 and 14) for engaging with the rear fixing groove 17 of the tibial component platform 12, the cooperation of the two. The relationship is the same as that of the rear fixing groove 7 and the rear fixing side 4 of the first embodiment. Further, the rear fixing structure of the pad member 11 may be an integral design or a segmented discontinuous design. Corresponding to the fact that the rear fixing groove 17 of the tibial component platform 12 and the side guiding fixing groove 16 are not connected, the side guiding edge 13 of the pad member 11 is not connected to the rear fixing edge 14, and may be separated by the transition portion.
另夕卜,如图 13和图 14所示,衬垫部件 11的前固定壁 15处设置有弹性卡扣 151、 152, 例如在前固定壁 15中挖空两处, 然后在挖空处设置弹性卡扣 151、 152, 弹性卡扣 151、 152卡入胫骨部件平台 12的前挡壁 18和凹槽 181、 183, 以使衬垫部件 11更好的固定在 胫骨部件平台 12上。  Further, as shown in FIGS. 13 and 14, the front fixing wall 15 of the pad member 11 is provided with elastic snaps 151, 152, for example, hollowed out in the front fixing wall 15, and then set in the hollowed out portion. The elastic snaps 151, 152, the elastic snaps 151, 152 snap into the front stop wall 18 and the recesses 181, 183 of the tibial component platform 12 to better secure the cushion member 11 to the tibial component platform 12.
另外, 如图 13所示, 本实施例中, 衬垫部件 11的前部具有安装孔 21, 安装孔 21的 数量及作用与第一实施例相同。  Further, as shown in Fig. 13, in the present embodiment, the front portion of the pad member 11 has mounting holes 21, and the number and function of the mounting holes 21 are the same as those of the first embodiment.
以下结合图 8至图 14来说明本发明第二实施例的膝关节假体的衬垫部件 11与胫骨部 件平台 12的安装过程。  The mounting process of the cushion member 11 and the tibial component platform 12 of the knee joint prosthesis of the second embodiment of the present invention will be described below with reference to Figs. 8 to 14 .
在胫骨部件平台 12借助胫骨植入柱 10及定位部件 9固定于胫骨近端后,将器械插入 衬垫部件 11的安装孔 21,使衬垫部件 11的侧导向边 13对准胫骨部件平台 12的侧导向固 定槽 16, 这样就可以借助侧导向边 13和侧导向固定槽 16的引导, 控制衬垫部件 11从前 往后逐渐推入胫骨部件平台 12。由于胫骨部件平台 12通常为金属材料,衬垫部件 11通常 为超高分子量聚乙烯材料,所以最终可以使得衬垫部件 11的后固定边 14完全落入并卡合 在胫骨部件平台 12的后固定槽 17内, 前固定壁 15的弹性卡扣 151、 152完全卡入胫骨部 件平台 12的前挡壁 18的凹槽 181、 183内。 当衬垫部件 11完全安装到胫骨部件平台 12 就位后, 即可将器械从衬垫部件 11的安装孔 21中取出, 此时, 衬垫部件 11和胫骨部件 平台 12的整体接触面积达到最大,从而使衬垫部件 11能够稳定地固定在胫骨部件平台 12 上, 并且当膝关节进行屈伸运动时, 衬垫部件 11相对于胫骨部件平台 12也能保持不动。 After the tibial component platform 12 is secured to the proximal end of the tibia by the tibial implant column 10 and the positioning member 9, the instrument is inserted into the mounting hole 21 of the pad member 11 such that the lateral guiding edge 13 of the pad member 11 is aligned with the tibial component platform 12. The side guides the fixing groove 16, so that the pad member 11 can be gradually pushed into the tibial component platform 12 from the front to the rear by the guidance of the side guide edge 13 and the side guide fixing groove 16. Since the tibial component platform 12 is typically a metallic material, the cushioning component 11 is typically an ultra high molecular weight polyethylene material, so that the rear fixed edge 14 of the cushioning component 11 can ultimately be completely collapsed and engaged. In the rear fixing groove 17 of the tibial component platform 12, the elastic snaps 151, 152 of the front fixing wall 15 are completely caught in the grooves 181, 183 of the front retaining wall 18 of the tibial component platform 12. When the cushion member 11 is fully mounted to the tibial component platform 12 in position, the instrument can be removed from the mounting hole 21 of the cushion member 11, at which time the overall contact area of the cushion member 11 and the tibial component platform 12 is maximized. Thereby, the pad member 11 can be stably fixed to the tibial component platform 12, and the pad member 11 can also remain stationary with respect to the tibial component platform 12 when the knee joint undergoes flexion and extension.
综合上述两实施例, 相比于现有技术, 本发明的膝关节假体的有益技术效果包括: In combination with the above two embodiments, the beneficial technical effects of the knee prosthesis of the present invention include:
1. 通过衬垫部件 1、 11底部的侧导向结构、前固定壁 5、 15和后固定结构与胫骨部件 平台 2、 12上部的侧导向结构、 前挡壁 8、 18和后固定结构的相互配合, 不仅限制了衬垫 部件 1、 11的前后左右移位, 防止衬垫部件 1、 11在胫骨部件平台 2、 12上的旋转, 能够 实现四周接触锁定, 而且衬垫部件 1、 11和胫骨部件平台 2、 12之间的整体接触面积达到 最大, 从而使衬垫部件 1、 11能够更加稳定地锁合在胫骨部件平台 2、 12上。 1. The side guide structure through the bottom of the pad members 1, 11, the front fixing walls 5, 15 and the rear fixing structure and the side guiding structures of the upper part of the tibial component platforms 2, 12, the front retaining walls 8, 18 and the rear fixing structure Cooperating, not only restricts the front, rear, left and right displacement of the cushion members 1, 11, prevents the rotation of the cushion members 1, 11 on the tibial component platforms 2, 12, enables peripheral contact locking, and the cushion members 1, 11, and the tibia The overall contact area between the component platforms 2, 12 is maximized so that the cushion members 1, 11 can be more stably locked to the tibial component platforms 2, 12.
2. 通过衬垫部件 1、 11和胫骨部件平台 2、 12的侧导向结构, 使衬垫部件 1、 11能以 更小的角度植入胫骨部件平台, 减小了衬垫部件 1、 11植入时所需的植入开口, 操作更加 方便。  2. The pad members 1, 11 can be implanted into the tibial component platform at a smaller angle by the pad members 1, 11 and the side guiding structures of the tibial component platforms 2, 12, reducing the pad components 1, 11 The implanted opening required for entry is more convenient to operate.
3. 通过弹性卡扣 151、 152与凹槽 181、 183之间的配合, 衬垫部件 11更好的固定在 胫骨部件平台 12上, 且操作方便。  3. By the cooperation between the elastic snaps 151, 152 and the grooves 181, 183, the pad member 11 is better fixed to the tibial component platform 12, and is easy to operate.
本发明旨在对于胫骨部件平台及衬垫部件之间的配合进行改进,膝关节假体的其他组 成部件与现有技术内容相同, 本文不再赘述, 特此说明。  The present invention is directed to an improvement in the fit between the tibial component platform and the cushion component. The other components of the knee prosthesis are the same as in the prior art and will not be described again herein.
以上所述, 仅为本发明较佳具体实施例的详细说明与图式, 本发明的特征并不局限于 此, 本发明的所有范围应以下述的范围为准, 凡符合于本发明权利要求保护范围的精神与 其类似变化的实施例, 皆应包含于本发明的范畴中, 任何熟悉本领域的技术人员在本发明 的领域内, 可轻易思及的变化或调整皆可涵盖在本发明的权利要求保护范围内。  The above is only the detailed description and the drawings of the preferred embodiments of the present invention, and the features of the present invention are not limited thereto, and all the scope of the present invention shall be subject to the following scope, which is in accordance with the claims of the present invention. The spirit of the scope of the protection and the similarly modified embodiments are intended to be included in the scope of the present invention. Any changes or adjustments that can be easily conceived by those skilled in the art within the scope of the present invention can be encompassed by the present invention. Within the scope of the claims.

Claims

权利要求 Rights request
1、 一种膝关节假体, 具有衬垫部件 (1、 11 ) 和胫骨部件平台 (2、 12) , 其特征在 于:  A knee prosthesis having a cushion member (1, 11) and a tibial component platform (2, 12) characterized by:
所述衬垫部件 (1、 11 ) 底部具有侧导向结构、 前固定壁 (5、 15 ) 和后固定结构; 所述胫骨部件平台(2、 12)上部具有与所述衬垫部件(1、 11 )相适应的侧导向结构、 前挡壁 (8、 18) 和后固定结构;  The pad member (1, 11) has a side guiding structure, a front fixing wall (5, 15) and a rear fixing structure at the bottom; the upper part of the tibial component platform (2, 12) has the pad member (1) 11) compatible side guiding structures, front retaining walls (8, 18) and rear fixed structures;
所述胫骨部件平台 (2、 12) 的侧导向结构与所述衬垫部件(1、 11 ) 的侧导向结构相 配合, 能够引导所述衬垫部件 (1、 11 ) 从前往后安装到所述胫骨部件平台 (2、 12) 上; 并且, 在所述衬垫部件 (1、 11 )安装到所述胫骨部件平台 (2、 12)上之后, 所述衬垫部 件 (1、 11 ) 的前固定壁 (5、 15 ) 和后固定结构分别与所述胫骨部件平台 (2、 12) 的前 挡壁(8、 18)和后固定结构相接合, 从而使所述衬垫部件(1、 11 ) 固定在所述胫骨部件 平台 (2、 12) 上。  The side guiding structure of the tibial component platform (2, 12) cooperates with the side guiding structure of the pad component (1, 11) to guide the pad component (1, 11) from the rear to the rear On the tibial component platform (2, 12); and, after the pad component (1, 11) is mounted on the tibial component platform (2, 12), the pad component (1, 11) The front fixed wall (5, 15) and the rear fixed structure are respectively engaged with the front retaining walls (8, 18) and the rear fixed structure of the tibial component platforms (2, 12), thereby causing the cushion member (1) 11) is fixed on the tibial component platform (2, 12).
2、 如权利要求 1所述的膝关节假体, 其中, 所述衬垫部件(1 ) 的侧导向结构为凸出 的侧导向边 (3 ) , 所述胫骨部件平台 (2) 的侧导向结构为侧导向固定槽 (6) ;  2. The knee prosthesis according to claim 1, wherein the side guiding structure of the pad member (1) is a convex side guiding edge (3), and the side guiding of the tibial component platform (2) The structure is a side guiding fixing groove (6);
或者, 所述衬垫部件(1 ) 的侧导向结构为侧导向固定槽, 所述胫骨部件平台 (2) 的 侧导向结构为凸出的侧导向边。  Alternatively, the side guiding structure of the pad member (1) is a side guiding fixing groove, and the side guiding structure of the tibial component platform (2) is a convex side guiding edge.
3、 如权利要求 1所述的膝关节假体, 其中, 所述衬垫部件(1 ) 的后固定结构为后固 定壁, 所述胫骨部件平台 (2) 的后固定结构为后挡壁;  The knee joint prosthesis according to claim 1, wherein the rear fixing structure of the pad member (1) is a rear fixing wall, and the rear fixing structure of the tibial component platform (2) is a rear blocking wall;
或者, 所述衬垫部件(1 ) 的后固定结构为凸出的后固定边(4) , 所述胫骨部件平台 (2) 的后固定结构为后固定槽 (7) 。  Alternatively, the rear fixing structure of the pad member (1) is a convex rear fixing edge (4), and the rear fixing structure of the tibial component platform (2) is a rear fixing groove (7).
4、 如权利要求 2所述的膝关节假体, 其中, 所述衬垫部件(1 ) 的侧导向结构和所述 胫骨部件平台 (2) 的侧导向结构均为自后向前向上倾斜。  The knee joint prosthesis according to claim 2, wherein the side guiding structure of the pad member (1) and the side guiding structure of the tibial component platform (2) are both inclined from the rear to the front.
5、 如权利要求 4所述的膝关节假体, 其中, 所述倾斜的角度为 0-10度。  The knee joint prosthesis according to claim 4, wherein the angle of the inclination is 0 to 10 degrees.
6、 如权利要求 5所述的膝关节假体, 其中, 所述倾斜的角度为 0.5-5度。  The knee joint prosthesis according to claim 5, wherein the angle of the inclination is 0.5 to 5 degrees.
7、 如权利要求 1所述的膝关节假体, 其中, 所述胫骨部件平台 (2) 的前挡壁 (8) 为一整体挡壁, 或者由多个分段不连续挡壁形成, 或者为弹簧可升降挡壁。  7. The knee prosthesis according to claim 1, wherein the front barrier wall (8) of the tibial component platform (2) is an integral barrier wall or is formed by a plurality of segmented discontinuous barrier walls, or The spring can lift the wall.
8、 如权利要求 1所述的膝关节假体, 其中, 所述衬垫部件(1 ) 的后固定结构和所述 胫骨部件平台 (2) 的后固定结构均为一整体, 或者由多个分段不连续结构形成。  The knee joint prosthesis according to claim 1, wherein the rear fixing structure of the pad member (1) and the rear fixing structure of the tibial component platform (2) are both integral or multiple Segmented discontinuous structures are formed.
9、 如权利要求 1所述的膝关节假体, 其中, 所述衬垫部件(1 ) 的侧导向结构位于所 述衬垫部件(1 ) 的底部两侧或中部, 所述胫骨部件平台 (2) 的侧导向结构位于与所述衬 垫部件 (1 ) 的侧导向结构相对应的位置。 9. The knee prosthesis according to claim 1, wherein a side guiding structure of the pad member (1) is located on both sides or a middle portion of a bottom portion of the pad member (1), and the tibial component platform ( 2) the side guiding structure is located with the lining The position of the side guiding structure of the pad member (1).
10、 如权利要求 1所述的膝关节假体, 其中, 所述衬垫部件(11 ) 的侧导向结构为凸 出的侧导向边(13 ) , 所述胫骨部件平台 (12) 的侧导向结构为侧导向固定槽(16) , 所 述侧导向固定槽 (16) 具有向相对内侧延伸的伸出部 (160) 。  10. The knee prosthesis according to claim 1, wherein the side guiding structure of the pad member (11) is a convex side guiding edge (13), and the side guiding of the tibial component platform (12) The structure is a side guide fixing groove (16) having a projecting portion (160) extending toward the opposite inner side.
11、 如权利要求 1所述的膝关节假体, 其中, 所述衬垫部件 (11 ) 的前固定壁 (15 ) 处设置有两弹性卡扣 ( 151、 152) 。  The knee joint prosthesis according to claim 1, wherein the front fixing wall (15) of the pad member (11) is provided with two elastic snaps (151, 152).
12、如权利要求 11所述的膝关节假体,其中,所述胫骨部件平台(12)的前挡壁(18 ) 为一具有中央凸起的整体挡壁, 所述中央凸起的下方形成有用于卡持两所述弹性卡扣 ( 151、 152) 的两凹槽 (181、 183 ) 。  The knee prosthesis according to claim 11, wherein the front barrier wall (18) of the tibial component platform (12) is an integral retaining wall having a central projection, the lower portion of the central projection being formed There are two grooves (181, 183) for holding the two elastic buckles (151, 152).
13、如权利要求 11所述的膝关节假体,其中,所述胫骨部件平台(12)的前挡壁(18) 为多个分段不连续挡壁形成,且中央的两挡壁分段高于两侧的所述挡壁分段,两所述中央 的挡壁分段下方形成两用于卡持两所述弹性卡扣 (151、 152) 的凹槽。  13. The knee prosthesis of claim 11 wherein the front barrier wall (18) of the tibial component platform (12) is formed as a plurality of segmented discontinuous barriers and the central two barrier segments are Above the two side wall segments, two recesses for holding the two elastic buckles (151, 152) are formed under the two central wall segments.
14、 如权利要求 10所述的膝关节假体, 其中, 所述胫骨部件平台 (12) 的后固定结 构为后固定槽(17) , 所述后固定槽(17)与两侧的两所述侧导向固定槽(16)之间分别 由两过渡部 (19) 隔开。  The knee prosthesis according to claim 10, wherein the posterior fixation structure of the tibial component platform (12) is a rear fixation groove (17), the rear fixing groove (17) and two sides of the two sides The side guide fixing grooves (16) are respectively separated by two transition portions (19).
15、 如权利要求 1-14中任一所述的膝关节假体, 其中, 所述衬垫部件 (1、 11 ) 的前 部具有安装孔 (21 ) 。  The knee joint prosthesis according to any one of claims 1 to 14, wherein the front portion of the pad member (1, 11) has a mounting hole (21).
PCT/CN2012/084666 2011-11-18 2012-11-15 Knee joint prosthesis WO2013071872A1 (en)

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CN201110369879.3A CN103120606B (en) 2011-11-18 2011-11-18 Knee-joint prosthesis

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
AU2014203674A1 (en) * 2013-07-15 2015-01-29 Heraeus Medical Gmbh Knee spacer system with adjustable separator

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105982766B (en) * 2015-02-25 2019-01-29 北京纳通科技集团有限公司 Knee-joint prosthesis with filling block

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP3469972B2 (en) * 1995-09-29 2003-11-25 京セラ株式会社 Artificial knee joint
CN1803106A (en) * 2005-01-11 2006-07-19 郑诚功 Artificial knee joint with improved structure
US20080114463A1 (en) * 2006-10-13 2008-05-15 Auger Daniel D Mobile/fixed prosthetic knee systems
CN101401750A (en) * 2007-09-25 2009-04-08 德普伊产品公司 Fixed-bearing knee prosthesis
CN201404314Y (en) * 2009-04-09 2010-02-17 联合骨科器材股份有限公司 Orthopaedic implant structure improvement
CN202313811U (en) * 2011-11-18 2012-07-11 北京纳通科技集团有限公司 Prosthesis of knee joint

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP3469972B2 (en) * 1995-09-29 2003-11-25 京セラ株式会社 Artificial knee joint
CN1803106A (en) * 2005-01-11 2006-07-19 郑诚功 Artificial knee joint with improved structure
US20080114463A1 (en) * 2006-10-13 2008-05-15 Auger Daniel D Mobile/fixed prosthetic knee systems
CN101401750A (en) * 2007-09-25 2009-04-08 德普伊产品公司 Fixed-bearing knee prosthesis
CN201404314Y (en) * 2009-04-09 2010-02-17 联合骨科器材股份有限公司 Orthopaedic implant structure improvement
CN202313811U (en) * 2011-11-18 2012-07-11 北京纳通科技集团有限公司 Prosthesis of knee joint

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
AU2014203674A1 (en) * 2013-07-15 2015-01-29 Heraeus Medical Gmbh Knee spacer system with adjustable separator
AU2014203674B2 (en) * 2013-07-15 2015-02-12 Heraeus Medical Gmbh Knee spacer system with adjustable separator

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