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CN105559951B - Customized acetabulum guide plate - Google Patents

Customized acetabulum guide plate Download PDF

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Publication number
CN105559951B
CN105559951B CN201610113787.1A CN201610113787A CN105559951B CN 105559951 B CN105559951 B CN 105559951B CN 201610113787 A CN201610113787 A CN 201610113787A CN 105559951 B CN105559951 B CN 105559951B
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CN
China
Prior art keywords
guide plate
acetabular bone
acetabular
cup
personalized customization
Prior art date
Legal status (The legal status 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 status listed.)
Active
Application number
CN201610113787.1A
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Chinese (zh)
Other versions
CN105559951A (en
Inventor
刘非
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Shanghai Xin Jian Medical Skill Co Ltd
Original Assignee
Shanghai Xin Jian Medical Skill Co Ltd
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 Shanghai Xin Jian Medical Skill Co Ltd filed Critical Shanghai Xin Jian Medical Skill Co Ltd
Priority to CN201610113787.1A priority Critical patent/CN105559951B/en
Publication of CN105559951A publication Critical patent/CN105559951A/en
Application granted granted Critical
Publication of CN105559951B publication Critical patent/CN105559951B/en
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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
    • A61F2/46Special tools for implanting artificial joints
    • A61F2/4603Special tools for implanting artificial joints for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2/4609Special tools for implanting artificial joints for insertion or extraction of endoprosthetic joints or of accessories thereof of acetabular cups
    • 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
    • A61F2/46Special tools for implanting artificial joints
    • A61F2002/4631Special tools for implanting artificial joints the prosthesis being specially adapted for being cemented
    • 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
    • A61F2/46Special tools for implanting artificial joints
    • A61F2002/4687Mechanical guides for implantation instruments

Landscapes

  • Health & Medical Sciences (AREA)
  • Transplantation (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Vascular Medicine (AREA)
  • Cardiology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention provides a customized acetabulum guide plate which is assembled on the acetabulum and used for guiding implantation of an acetabular prosthesis. The customized acetabulum guide plate comprises a semi-spherical cup body, two positioning arms which extend from the edge of the cup body in an upward bending mode and are arranged in a spaced mode, an abutting foot protrusively extending from the outer surface of the cup body and a guide portion upwards extending from the bottom of the cup body. The positioning arms are provided with contacting portions which abut against the surrounding portions of the acetabulum, and the abutting foot abuts against the acetabular fossa. The guide portion is provided with a longitudinally-arranged guide hole. When the acetabulum guide plate is assembled on the acetabulum, the axis where the extending direction of the guide hole is located is set through pre-operation planning and coincides with the central axis of the acetabulum. According to the customized acetabulum guide plate, by abutting the contact portions of the positioning arms against the surrounding portions of the acetabulum and abutting the abutting foot against the acetabular fossa, the customized acetabulum guide plate is stably and firmly assembled at the pre-positioned position of the acetabulum, the structure is simple, and operation is convenient.

Description

The acetabular bone guide plate of personalized customization
Technical field
The present invention relates to technical field of medical instruments, more particularly to a kind of acetabular bone guide plate of personalized customization.
Background technology
Acetabular bone guide plate related to the present invention, can be mounted in hip replacement surgery on acetabular bone is used to guide drill edge The central axial direction for acetabular bone drills so that acetabular component is implanted to precalculated position, such as U.S. Patent Bulletin the 8608749th It is disclosed.The acetabular bone guide plate includes the main body and the guiding being extended by bottom part body upward of the acetabular fossa for covering acetabular bone Portion.The main body is designed by the threedimensional model of the basin bone of the acetabular bone and Periacetabular of patient, and which is included positioned at hip The body for coordinating and the extension that acetabular bone edge is extended to by body in mortar nest and with acetabular fossa.The guide part is by body Upwardly extend setting.The guide part runs through the pilot hole for arranging with one along longitudinally.When acetabular cup is mounted on acetabular bone When upper, the center overlapping of axles of pilot hole bearing of trend place axis and acetabular cup the surface perpendicular to acetabular cup.
The acetabular bone guide plate is also with the reference portion that setting is upwardly extended by extension.It is described with reference to portion with longitudinally through setting The through hole put, is available for Kirschner wire to pass through, with guide doctor adjust during drilling drill make the axis direction of drilling with gram Family name's pin is parallel.Mating surface of the body with the three-dimensional coordinated with acetabular fossa, the mating surface are the acetabular fossa according to patient Surface designed in mirror image made by, can be fitted with the acetabular fossa surface of patient completely, acetabular bone guide plate is limited on acetabular bone.
Acetabular bone is only led with the cooperation on the surface of acetabular fossa by above-mentioned acetabular bone guide plate by the mating surface of the main body of acetabular bone guide plate Plate is placed on acetabular bone, can be there is doctor and acetabular bone guide plate is placed in during acetabular fossa because manual operation causes hip by apparatus There is deviation with precalculated position when mortar guide plate is placed on acetabular bone, cause the acetabular component of the bearing of trend and preoperative planning for drilling to be planted There is deviation effects surgical effect in the central shaft after entering;And because acetabular bone guide plate is coordinated with acetabular fossa using full laminating type, There is a problem of affecting precision of performing the operation because there is bony spur to cause acetabular bone guide plate positioning inaccurate on acetabular fossa.In addition, the patent is not yet Disclose the Design and manufacturing process of acetabular bone guide plate.
Therefore, it is necessory to provide a kind of acetabular bone guide plate of personalized customization, to overcome defect present in prior art.
The content of the invention
It is an object of the invention to it is a kind of be simple to manufacture, the acetabular bone guide plate of easy to operate and accurate positioning.
For achieving the above object, the acetabular bone guide plate of personalized customization of the invention is achieved by the following technical solution: A kind of acetabular bone guide plate of personalized customization, is mounted on patient's acetabular bone to guide acetabular component implantation, and which includes hemispheric cup Body, extended by cup and multiple registration arm of interruption-like setting, the abutting foot of setting protruded out and by bottom of cup by cup The guide part of setting is upwardly extended, the registration arm is contacted with Periacetabular corresponding site, the acetabular bone for abutting foot and acetabular bone Nest corresponding site is abutted.
Further, the acetabular bone guide plate of the personalized customization also includes the guiding that setting is upwardly extended by bottom of cup Portion, with longitudinally through the pilot hole for arranging, the bearing of trend place axis of the pilot hole is according to preoperative to the guide part Specify setting, the bearing of trend place axis of the pilot hole and the central axes of acetabular bone.
Further, the bearing of trend that the registration arm has the location hole inclined through arranging, the location hole is located Axis obliquely arrange with the bearing of trend place axis of the pilot hole.
Further, the registration arm be on the edge by cup bending after be extended, the registration arm end to Lower extension is provided with contact site, and the contact surface that the contact site is had positioned at its bottom and can be fitted with Periacetabular position is described Location hole is in fore-and-aft tilt shape on the contact site.
Further, the abutting part is to protrude out setting by the outer surface of cup, and its end is with abutting with acetabular fossa Bearing surface.
Further, the acetabular bone guide plate of the personalized customization also includes the ribs in the registration arm.
Further, the acetabular bone guide plate of the personalized customization also includes the reinforcement for being convexly equipped in the guide part surrounding, The pilot hole is screwed hole.
Further, the acetabular bone guide plate of the personalized customization also includes the mark part on cup.
Further, the mark part is to protrude out setting upwards by cup edge, and the mark part is close located at cup At the position of registration arm.
Further, the registration arm also has fore-and-aft tilt through the index aperture for arranging, the index aperture bearing of trend Place axis and the pilot hole bearing of trend place diameter parallel.
The acetabular bone guide plate of personalized customization of the present invention is by being extended by cup edge and spaced registration arm and acetabular bone Surrounding position abutting and the abutting foot for protruding out setting by cup outer surface are abutted with acetabular fossa, by acetabular bone guide plate strong fix To acetabular bone, accurate positioning is simple to operation, and can avoid because cup and acetabular fossa using when fitting spacing entirely because of acetabular fossa Interior bony spur causes the inaccurate problem of acetabular bone guide plate positioning.
Description of the drawings
Technical scheme, is carried out to technical solution of the present invention below in conjunction with accompanying drawing detailed for convenience of description Description.
Fig. 1 is the three-dimensional combination figure of the acetabular bone guide plate with hip joint of the present invention.
Fig. 2 is the three-dimensional exploded view of the acetabular bone guide plate shown in Fig. 1 and hip joint.
Fig. 3 is the axonometric chart of the acetabular bone guide plate shown in Fig. 2.
Fig. 4 is another axonometric chart of the acetabular bone guide plate shown in Fig. 2.
Another axonometric charts of the Fig. 5 for acetabular bone guide plate described in Fig. 3.
Specific embodiment
It is understandable to enable the above objects, features and advantages of the present invention to become apparent from, below in conjunction with the accompanying drawings to the present invention Specific embodiment be described in detail.
Refer to shown in Fig. 1 to Fig. 5, the acetabular bone guide plate 100 of the personalized customization of the present invention is mounted on patient's basin bone 200 Acetabular bone 202 on for guiding acetabular component to be implanted into, which includes hemispheric cup 1, the multiple positioning being extended by cup 1 Arm 2, protruded out setting by cup 1 abut foot 3, the guide part 4 being extended by 1 bottom up of cup and on the cup 1 Mark part 5.The acetabular bone guide plate 100 of the personalized customization is designing and pass through according to patient's acetabular bone threedimensional model of reconstruct What rapid shaping technique was made into integration.
The cup 1 cover acetabular bone 202 acetabular fossa 203, its have be oppositely arranged inner surface 11, outer surface 12 and The edge 10 of connection inner surface 11 and outer surface 12.The abutting foot is to protrude out setting by the outer surface of cup 1, and which has and sets In its end and in irregular setting bearing surface 30.The bearing surface 30 can be pasted completely with 203 corresponding surface of acetabular fossa Close.The guide part 4 is to upwardly extend setting by the inner surface of 1 bottom of cup.The guide part 4 is substantially conical to be set Put, which has one longitudinally through the pilot hole 40 for arranging, and drill during surgical for is guided on acetabular bone 202.The guiding 40 bearing of trend place axis A of hole is determined by preoperative planning, and the center overlapping of axles with acetabular bone 202.The pilot hole 40 Bearing of trend place axis A also on implantation acetabular bone 202 (not shown) with acetabular component after and acetabular component central axes. The surrounding of the guide part 4 is additionally provided with multiple reinforcements 41, for improving the intensity of guide part 4, it is to avoid guide part 4 is made in processing Occur to rupture with middle.The pilot hole 40 is screwed hole.
The registration arm 2 be folded upward at by the edge 10 of cup 1 after it is extended in the horizontal direction.The registration arm 2 are extended across acetabular bone edge 204 and cotyloid ligament 205 and are contacted with Periacetabular corresponding site 206,207, it include by 1 edge 10 of cup extend and interruption-like setting the first registration arm 21 and the second registration arm 22.First registration arm 21 is wrapped Include the first arm 210 extended in the horizontal direction after being bent by 1 edge of cup, located at 210 end of the first arm and have First contact site 211 of the first contact surface 212 and the first ribs 213 located at 210 bottom of the first arm.Described first adds Strong rib 213 can improve the intensity of the first arm 210, prevent the first arm 210 from sending out when abutting with 206 corresponding site of Periacetabular Raw fracture.
First contact site 211 is to be extended by 210 end of the first arm straight down, can be with Periacetabular 206 corresponding sites are abutted.First contact surface 212 is in the irregular bottom for being located at the first contact site 211, can be with acetabular bone week Fit completely on the surface for enclosing 206 corresponding sites.Also extend through on first arm 210 and be provided with an index aperture 214, be available for Kirschner wire 301 pass through.The index aperture 214 in fore-and-aft tilt shape on the first arm 210, its bearing of trend place axis B it is parallel with 40 bearing of trend place axis A of pilot hole.Also have a fore-and-aft tilt fixed through first for arranging on first contact site 211 Position hole 215, is available for Kirschner wire 300 through so that the position of Periacetabular 206 is located at into basin bone 200.First location hole 215 Bearing of trend place axis C is obliquely arranged with 40 bearing of trend place axis A of pilot hole.First arm 210 is in width The cumulative tabular of degree is arranged.
Second registration arm 22 include being folded upward at by the edge 10 of cup 1 after in the horizontal direction extended second Arm 220, located at 220 end of the second arm and have the second contact surface 222 the second contact site 221 and be located at the second arm Second ribs 223 of 220 bottoms.Second arm 220 tabular cumulative in width is arranged.Second contact site 221 It is to be extended by the second arm 220 straight down, can contacts with 207 corresponding site of Periacetabular of basin bone 200.Described second Contact surface 222 is located at 221 bottom of the second contact site, and is in irregular setting, can be with the surface of 207 corresponding site of Periacetabular Fit completely.Second registration arm 22 is also included through the second location hole 224 on the second contact site 221.Described Two location holes 224 are arranged through the second contact site 221 in fore-and-aft tilt shape, are available for Kirschner wire 300 to pass through.Second location hole 224 bearing of trend place axis D are obliquely arranged with the bearing of trend place axis A of pilot hole 40.Second location hole 224 bearing of trend place axis D are obliquely arranged with 215 bearing of trend place axis C of the first location hole.
The mark part 5 is to protrude out setting upwards by the edge 10 of cup 1, for guiding doctor by acetabular bone guide plate 100 It is mounted on acetabular bone 202.The mark part 5 is substantially arranged in arrow shaped, and which is located at cup 1 near the position of the second registration arm 22 Place.The mark part 5 points to acetabular notch 208 when acetabular bone guide plate 100 is mounted on acetabular bone 202.
The acetabular bone guide plate 100 of personalized customization of the present invention under the guiding that mark part 5 points to acetabular notch 208, by the First contact site 211 of one registration arm 21 is abutted with 206 corresponding site of Periacetabular, the second contact site of the second registration arm 22 221 are abutted with 207 corresponding site of Periacetabular and protrude out the abutting foot 3 of setting by 1 outer surface of cup and acetabular fossa 203 is supported Connect, quickly 202 precalculated position of acetabular bone is mounted on by the acetabular bone guide plate 100 of personalized customization firm, and then guide doctor's drilling And implantation acetabular component, it is accurate positioning, simple, convenient, and using by the first contact surface of the first registration arm 21 212nd, the second contact surface 222 of the second registration arm 22 fit with Periacetabular surface respectively and abut foot 3 bearing surface 30 with The local laminating type of the surface laminating of acetabular fossa 203 is mounted on acetabular bone 202, can avoid being fitted with acetabular fossa entirely using cup When cause positioning inaccurate because of the bony spur in acetabular fossa.In addition, the acetabular bone guide plate 100 of personalized customization of the present invention is according to reconstruct Patient's acetabular bone threedimensional model is designing and personalized accurate medical by made by rapid shaping technique, realizing.
To sum up, these are only presently preferred embodiments of the present invention, the scope of the present invention should not be limited with this, i.e., it is every according to The simple equivalence changes made by claims of the present invention and present specification and modification, all should still belong to the present invention In the range of patent covers.

Claims (9)

1. a kind of acetabular bone guide plate of personalized customization, is mounted on patient's acetabular bone to guide acetabular component implantation, it is characterised in that: The acetabular bone guide plate of the personalized customization include hemispheric cup, by cup extend and interruption-like setting multiple positioning Arm, the abutting foot that setting is protruded out by cup and the guide part that setting is upwardly extended by bottom of cup, the guide part has vertical It is according to preoperative planning setting, the guiding to the bearing of trend place axis through the pilot hole for arranging, the pilot hole The bearing of trend place axis in hole and the central axes of acetabular bone, the registration arm are contacted with Periacetabular corresponding site, institute State abutting foot abut with the acetabular fossa corresponding site of acetabular bone, it is described to leg end with the bearing surface abutted with acetabular fossa, institute Registration arm is stated with the contact surface fitted with Periacetabular position, acetabular bone guide plate the connecing by registration arm of the personalized customization The contacting surface local laminating type group that the bearing surface of foot fitted with the surface of acetabular fossa of being fitted with Periacetabular surface and abutted is set On acetabular bone.
2. the acetabular bone guide plate of personalized customization as claimed in claim 1, it is characterised in that:The registration arm runs through with inclination The location hole of setting, the axis at bearing of trend place and the bearing of trend place axis of the pilot hole of the location hole are in incline Ramp-like setting.
3. the acetabular bone guide plate of personalized customization as claimed in claim 2, it is characterised in that:The registration arm is by the side of cup It is extended after bending on edge, the registration arm end extends downwardly and is provided with contact site, the contact surface is located at the contact The bottom in portion, the location hole is in fore-and-aft tilt shape on the contact site.
4. the acetabular bone guide plate of personalized customization as claimed in claim 3, it is characterised in that:The foot that abuts is by the outer of cup Surface protrudes out setting.
5. the acetabular bone guide plate of personalized customization as claimed in claim 1, it is characterised in that:The acetabular bone of the personalized customization is led Plate also includes the ribs in the registration arm.
6. the acetabular bone guide plate of personalized customization as claimed in claim 1, it is characterised in that:The acetabular bone of the personalized customization is led Plate also includes the reinforcement for being convexly equipped in the guide part surrounding, and the pilot hole is screwed hole.
7. the acetabular bone guide plate of the personalized customization as any one of claim 1 to 6, it is characterised in that:The personalization The acetabular bone guide plate of customization also includes the mark part on cup, acetabular bone guide plate group of the mark part in the personalized customization Acetabular notch is pointed to when on acetabular bone.
8. the acetabular bone guide plate of personalized customization as claimed in claim 7, it is characterised in that:The mark part is by cup edge Setting is protruded out upwards, and the mark part is located at cup at the position of registration arm.
9. the acetabular bone guide plate of personalized customization as claimed in claim 2, it is characterised in that:The registration arm is also inclined with longitudinal direction Tiltedly through the index aperture for arranging, the index aperture bearing of trend place axis is flat with the pilot hole bearing of trend place axis OK.
CN201610113787.1A 2016-03-01 2016-03-01 Customized acetabulum guide plate Active CN105559951B (en)

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Cited By (1)

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EP3795098A1 (en) * 2019-09-17 2021-03-24 Stryker European Operations Limited Surgical targeting device

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CN108742770A (en) * 2018-06-20 2018-11-06 重庆大学 For the rasion guide plate of total hip arthroplasty and its manufacture, application method
CN110192939A (en) * 2019-07-08 2019-09-03 安徽佰陆小动物骨科器械有限公司 The locating apparatus of toy acetabular cup
CN111513867B (en) * 2020-05-08 2022-02-01 郑州市骨科医院 Hip joint rotation center locator
CN112826641B (en) * 2021-01-12 2021-12-14 北京长木谷医疗科技有限公司 Guide plate design method for total hip replacement and related equipment

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CN102014804A (en) * 2008-02-28 2011-04-13 德普伊国际有限公司 Acetabular alignment guide
CN105208944A (en) * 2013-03-13 2015-12-30 拜欧米特制造有限责任公司 Hydrodynamic eccentrically pivoting catheter
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Publication number Priority date Publication date Assignee Title
EP3795098A1 (en) * 2019-09-17 2021-03-24 Stryker European Operations Limited Surgical targeting device
EP3903699A3 (en) * 2019-09-17 2022-01-19 Stryker European Operations Limited Surgical targeting device

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