CN101530354A - Digital data design method of joint local surface implant - Google Patents
Digital data design method of joint local surface implant Download PDFInfo
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- CN101530354A CN101530354A CN200810082936A CN200810082936A CN101530354A CN 101530354 A CN101530354 A CN 101530354A CN 200810082936 A CN200810082936 A CN 200810082936A CN 200810082936 A CN200810082936 A CN 200810082936A CN 101530354 A CN101530354 A CN 101530354A
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- 239000007943 implant Substances 0.000 title claims abstract description 55
- 238000000034 method Methods 0.000 title claims abstract description 19
- 210000000988 bone and bone Anatomy 0.000 description 8
- 238000010586 diagram Methods 0.000 description 4
- 238000005516 engineering process Methods 0.000 description 2
- 210000001503 joint Anatomy 0.000 description 2
- 238000004519 manufacturing process Methods 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000002513 implantation Methods 0.000 description 1
- 230000037231 joint health Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 230000000717 retained effect Effects 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 238000003325 tomography Methods 0.000 description 1
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Abstract
Description
技术领域 technical field
本发明与人工关节的制作技术有关,特别是指一种关节局部表面植入物的数字数据设计方法。The invention relates to the manufacturing technology of artificial joints, in particular to a digital data design method for local joint surface implants.
背景技术 Background technique
按,在医学工程人体植入物的设计领域中,目前大多是对整个关节进行置换,因此整体的设计方向大多是朝向整个关节的结构及功能来进行设计。然而,多数的关节损坏仅在于局部区域,因此,对局部损坏关节进行全关节置换时,也会同时将部份健康的关节一并置换掉。全人工关节手术复杂,伤口较大,患者复原较慢,并且日后若因人工关节磨损或病变而需再次置换时,则往往需要更复杂的手术与处理。Press, in the design field of medical engineering human implants, at present most of the whole joint is replaced, so the overall design direction is mostly designed towards the structure and function of the whole joint. However, most of the joint damage is only localized. Therefore, when a total joint replacement is performed on a partially damaged joint, some healthy joints will also be replaced at the same time. Total artificial joint surgery is complicated, the wound is large, and the recovery of the patient is slow. In addition, if the artificial joint needs to be replaced again due to wear or disease in the future, more complicated surgery and treatment are often required.
现今于关节进行置换时,局部表面置换技术俨然已成为趋势,其优点在于患者只需切除少量的患位骨头即可达到治疗的效果。就目前局部表面置换所使用的植入物曲面而言,其在设计时均由设计者本身利用一或多套软件来进行设计,在设计时大多使用规格化的植入物来进行设计,而不会参考病患本身的数字化骨头数据,亦即目前于植入物设计方面,其大多为规格品的设计,也因此而无法达到客制化植入物的设计需求。此种方式所可能产生的缺点在于:局部表面植入物装配于人体后,与未被切除的骨头匹配度不佳。Nowadays, when performing joint replacement, partial surface replacement technology has become a trend. Its advantage is that patients only need to remove a small amount of bone in the affected area to achieve the therapeutic effect. As far as the surface of the implant used in partial surface replacement is concerned, it is designed by the designer himself using one or more sets of software, and most of the standardized implants are used for design. It does not refer to the patient's own digital bone data, that is, in terms of implant design, most of them are standard product designs, and therefore cannot meet the design requirements of customized implants. The possible disadvantage of this method is that after the partial surface implant is assembled in the human body, it does not match well with the unresected bone.
发明内容 Contents of the invention
本发明的目的在于提供一种关节局部表面植入物的数字数据设计方法,其可达到客制化的需求。The purpose of the present invention is to provide a digital data design method for local joint surface implants, which can meet the requirements of customization.
本发明的又一目的在于提供一种关节局部表面植入物的数字数据设计方法,其可与病患未被切除的骨头达到较佳的匹配度。Another object of the present invention is to provide a digital data design method for partial joint surface implants, which can achieve a better matching degree with the patient's unresected bone.
为实现上述目的,本发明所提供的关节局部表面植入物的数字数据设计方法,包含有下列步骤:a)取得待植关节的数字数据:对病患的待植关节进行数字扫瞄,藉以取得该待植关节的数字数据;b)定义修补区域及保留区域:对该待植关节的数字数据分为二个区域,并分别定义,把需要切除掉的被切除区域定义为修补区域,切除后的剩余区域定义为保留区域,用前述两区域交界的点数据产生曲线,以作为植入物的边界轮廓曲线;以及c)建立植入物的数字数据:对该修补区域选定特征并定义为参考数据,再配合该保留区域的数字数据,通过数学运算处理后,产生出一个可涵盖该修补区域轮廓的曲面外形,并运用该植入物的边界轮廓曲线将该曲面外形加以剪裁调整,使其符合该修补区域的大小,并定义为一植入物的数字数据。由此,可达到客制化的需求,并可与病患未被切除的骨头达到较佳的匹配度。In order to achieve the above purpose, the digital data design method of the local joint surface implant provided by the present invention includes the following steps: a) Obtaining the digital data of the joint to be implanted: digitally scanning the patient's joint to be implanted, so as to Obtain the digital data of the joint to be implanted; b) define the repair area and the reserved area: divide the digital data of the joint to be implanted into two areas, and define them separately, and define the resected area that needs to be removed as the repair area. The remaining area after is defined as a reserved area, and the point data at the intersection of the aforementioned two areas is used to generate a curve as the boundary contour curve of the implant; and c) establish digital data of the implant: select features and define the repair area As a reference data, combined with the digital data of the reserved area, after mathematical operation processing, a curved surface shape that can cover the contour of the repaired area is generated, and the surface shape is trimmed and adjusted by using the boundary contour curve of the implant. Make it conform to the size of the repaired area and define it as the digital data of an implant. In this way, customized requirements can be achieved, and a better matching degree can be achieved with the unresected bone of the patient.
换言之,本发明提供的关节局部表面植入物的数字数据设计方法,包含有下列步骤:In other words, the digital data design method of the local joint surface implant provided by the present invention includes the following steps:
a)取得待植关节的数字数据:对病患的待植关节进行数字扫瞄,以取得该待植关节的数字数据;a) Obtain the digital data of the joint to be implanted: digitally scan the patient's joint to be implanted to obtain the digital data of the joint to be implanted;
b)定义修补区域及保留区域:对该待植关节的数字数据分为二个区域,并分别定义,把需要切除掉的被切除区域定义为修补区域,切除后的剩余区域定义为保留区域,用前述两区域交界的点数据产生曲线,以作为植入物的边界轮廓曲线;以及b) Define the repair area and the reserved area: divide the digital data of the joint to be implanted into two areas, and define them separately, define the excised area that needs to be cut off as the repair area, and define the remaining area after the removal as the reserved area, Generating a curve using the point data at the junction of the aforementioned two regions as the boundary contour curve of the implant; and
c)建立植入物的数字数据:对该修补区域选定特征与/或自行建构导引特征并定义为参考数据,再配合该保留区域的数字数据,通过数学运算处理后,产生出一个可涵盖该修补区域轮廓的曲面外形,并运用该植入物的边界轮廓曲线将该曲面外形加以剪裁调整,使其符合该修补区域的大小,并定义为一植入物的数字数据。c) Establish digital data of the implant: select features and/or self-construct guide features for the repaired area and define them as reference data, and then cooperate with the digital data of the reserved area to generate a possible The curved surface shape covering the outline of the repaired area is trimmed and adjusted by using the boundary contour curve of the implant so that it conforms to the size of the repaired area, and is defined as digital data of an implant.
所述的关节局部表面植入物的数字数据设计方法,其中,于步骤c)中:利用该保留区域的数字数据,配合计算机接口操作撷取或产生相关辅助数据,来产生该植入物的数字数据。The digital data design method of the local joint surface implant, wherein, in step c), use the digital data of the reserved area to cooperate with the computer interface to extract or generate relevant auxiliary data to generate the implant. digital data.
所述的关节局部表面植入物的数字数据设计方法,其中,于步骤b)中:在定义修补区域以及保留区域时,利用几何数据例如点、线、面的定义所取得;其中线包含曲线、直线、以及圆弧线,而面则包含平面、曲面、球面、以及圆柱面。The digital data design method of the local joint surface implant, wherein, in step b): when defining the repair area and the reserved area, it is obtained by using geometric data such as points, lines, and surfaces; wherein the lines include curves , straight lines, and arcs, while surfaces include planes, curved surfaces, spherical surfaces, and cylindrical surfaces.
所述的关节局部表面植入物的数字数据设计方法,其中,于步骤c)中:该植入物的数字数据底部表面与该保留区域的顶部表面相符。The digital data design method of the partial joint surface implant, wherein, in step c): the bottom surface of the digital data of the implant matches the top surface of the reserved area.
所述的关节局部表面植入物的数字数据设计方法,其中,于步骤c)中:在自行建构导引特征时,于该修补区域上建构原来不存在的导引特征,而产生辅助的特征。The digital data design method of the local joint surface implant, wherein, in step c): when constructing the guide feature by itself, construct the guide feature that does not exist on the repaired area, and generate auxiliary features .
附图说明 Description of drawings
图1是本发明一较佳实施例的步骤流程图。Fig. 1 is a flowchart of the steps of a preferred embodiment of the present invention.
图2是本发明一较佳实施例的示意图,显示待植关节的数字数据。Fig. 2 is a schematic diagram of a preferred embodiment of the present invention, showing the digital data of the joint to be implanted.
图3是图2的待植关节局部放大图。Fig. 3 is a partially enlarged view of the joint to be implanted in Fig. 2 .
图4是本发明一较佳实施例的示意图,显示修补区域与保留区域分开的状态。FIG. 4 is a schematic diagram of a preferred embodiment of the present invention, showing the state that the repaired area is separated from the reserved area.
图5是本发明一较佳实施例的示意图,显示曲面外形的成形状态。Fig. 5 is a schematic diagram of a preferred embodiment of the present invention, showing the forming state of the curved surface shape.
图6是本发明一较佳实施例的示意图,显示植入物的轮廓外形。Fig. 6 is a schematic diagram of a preferred embodiment of the present invention, showing the outline of the implant.
附图中主要组件符号说明:Explanation of main component symbols in the attached drawings:
11待植关节的数字数据11 Digital data of the joint to be implanted
12修补区域12 patched areas
14保留区域14 reserved areas
16植入物的边界轮廓曲线16 Implant Boundary Contour Curves
19平面19 planes
21曲面外形21 surface shape
22植入物的数字数据22 Digital data for implants
具体实施方式 Detailed ways
为了详细说明本发明的技术特点所在,举以下一较佳实施例并配合附图说明如后,其中:In order to describe the technical features of the present invention in detail, the following preferred embodiment is given and described as follows in conjunction with the accompanying drawings, wherein:
如图1所示,本发明一较佳实施例所提供的一种关节局部表面植入物的数字数据设计方法,主要具有下列步骤:As shown in Figure 1, a digital data design method of a local joint surface implant provided by a preferred embodiment of the present invention mainly has the following steps:
a)取得待植关节的数字数据:对病患的待植关节进行数字扫瞄,以取得该待植关节的数字数据11,如图2所示。在进行数字扫瞄时,可通过计算机断层扫瞄(CT)或计算机核磁共振扫瞄(MRI),取得多张数字化2D影像建构形成。a) Obtain digital data of the joint to be implanted: digitally scan the patient's joint to be implanted to obtain the
b)定义修补区域及保留区域:如图3至图4所示,对该待植关节的数字数据11分为二个区域并进行定义,把需要切除掉的被切除区域定义为修补区域12,切除后的剩余区域定义为保留区域14。而在定义前述二区域时,利用几何数据例如点、线、面的定义所取得。其中线包含曲线、直线、以及圆弧线,而面则包含平面、曲面、球面,以及圆柱面。如图3所示,此例在区分时使用一平面19做为切除面,而于该平面19上方定义为该修补区域12,下方则定义为该保留区域14。同时,用两区域交界的点数据产生曲线,以作为植入物的边界轮廓曲线16。b) Define repair area and reserved area: as shown in Figure 3 to Figure 4, the
c)建立植入物的数字数据:对该修补区域12选定特征与/或自行建构导引特征并定义为参考数据,再配合该保留区域14的数字数据,通过数学运算处理后,产生出一个可涵盖该修补区域12轮廓的曲面外形21,如图5所示。其后,以运用该前述获得的植入物的边界轮廓曲线16剪裁该曲面外形21,获得该曲面外形21,使其符合该修补区域12的大小,并定义为一植入物的数字数据22,如图6所示。其中该植入物的数字数据22底部表面与该保留区域14的顶部表面相符,而具有较佳的匹配度。此外,亦可利用该保留区域14的数字数据,配合计算机接口操作撷取或产生相关辅助数据(例如产生导引曲线),来产生涵盖该修补区域12轮廓的曲面外形21,以取得该植入物的数字数据22。于本步骤中,在自行建构导引特征时,是于该修补区域12上建构原来不存在的导引特征,而产生辅助的特征,以在难以选定特征时,能以外加的方式建立特征。c) Establishing the digital data of the implant: selecting features and/or self-constructed guiding features for the repaired
由上述步骤,可产生出待植入物的数字数据22,以进行后续实体化的制作,进而产生实体的待植入物(图中未示)。由于所产生的待植入物是基于病患本身的关节形状所建立出来的,因此可达到客制化的效果。Through the above steps, the
值得一提的是,该修补区域12及该保留区域14的数字数据还具有其它的用途。该修补区域12的数字化数据可作为真实还原人体原有骨头形状的依据,该保留区域14的数字数据则可作为植入物表面设计时,与保留的骨头在装配时轮廓贴合程度的参考,或与植入物表面几何连续性关系的判读。It is worth mentioning that the digital data in the repaired
由上可知,由本发明所设计出的植入物的数字数据,其进行实体化后,可达到客制化的需求,并可与病患未被切除的骨头达到较佳的匹配度。It can be seen from the above that the digital data of the implant designed by the present invention can meet the requirements of customization after materialization, and can achieve a better matching degree with the unresected bone of the patient.
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CN106535827A (en) * | 2014-06-10 | 2017-03-22 | 梅约医学教育与研究基金会 | Method for optimization of joint arthroplasty component design |
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