CN106175875B - A kind of outward turning adjuster - Google Patents
A kind of outward turning adjuster Download PDFInfo
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- CN106175875B CN106175875B CN201610482245.1A CN201610482245A CN106175875B CN 106175875 B CN106175875 B CN 106175875B CN 201610482245 A CN201610482245 A CN 201610482245A CN 106175875 B CN106175875 B CN 106175875B
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- 239000003292 glue Substances 0.000 claims abstract description 70
- 210000000689 upper leg Anatomy 0.000 abstract description 6
- 238000000034 method Methods 0.000 description 10
- 238000010586 diagram Methods 0.000 description 6
- 210000000629 knee joint Anatomy 0.000 description 4
- 238000005516 engineering process Methods 0.000 description 3
- 238000013150 knee replacement Methods 0.000 description 3
- 230000002980 postoperative effect Effects 0.000 description 3
- XEEYBQQBJWHFJM-UHFFFAOYSA-N Iron Chemical compound [Fe] XEEYBQQBJWHFJM-UHFFFAOYSA-N 0.000 description 2
- 238000009434 installation Methods 0.000 description 2
- RYGMFSIKBFXOCR-UHFFFAOYSA-N Copper Chemical compound [Cu] RYGMFSIKBFXOCR-UHFFFAOYSA-N 0.000 description 1
- 206010052428 Wound Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 229910045601 alloy Inorganic materials 0.000 description 1
- 239000000956 alloy Substances 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 229910052802 copper Inorganic materials 0.000 description 1
- 239000010949 copper Substances 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 230000009977 dual effect Effects 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 229910052742 iron Inorganic materials 0.000 description 1
- 210000003127 knee Anatomy 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 238000005259 measurement Methods 0.000 description 1
- 230000036285 pathological change Effects 0.000 description 1
- 239000010935 stainless steel Substances 0.000 description 1
- 229910001220 stainless steel Inorganic materials 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
- A61B17/1657—Bone breaking devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
- A61B17/1662—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans for particular parts of the body
- A61B17/1675—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans for particular parts of the body for the knee
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1732—Guides or aligning means for drills, mills, pins or wires for bone breaking devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B2017/564—Methods for bone or joint treatment
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Engineering & Computer Science (AREA)
- Dentistry (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
Abstract
The present invention provides a kind of outward turning adjuster, and wherein adjuster includes ontology, and ontology is equipped at least a pair of of datum hole and several pairs of adjusting holes；Datum hole is elongate holes, and length extending direction is vertical with a pair of of center line connecting direction of fixing glue；The distribution arrangement of pairs of datum hole is vertical with length extending direction, and the smallest a pair of of the adjusting hole of the distribution arrangement differential seat angle of circle center line connecting and pairs of datum hole, the differential seat angle between circle center line connecting and the distribution arrangement of datum hole is up to 2 °；Differential seat angle between the circle center line connecting of the immediate any two pairs of adjusting holes of inclined degree is up to 2 °；Ontology is equipped with several angle marks, is located on the circle center line connecting of pairs of adjusting hole.Adjuster of the invention, it is parallel with logical condyle line effectively to control former and later two sections, and condyle outward turning osteotomy is improper before and after avoiding the occurrence of femur, realizes accurate osteotomy, improves clinical efficacy.
Description
Technical field
The present invention relates to total knee replacement the field of medical instrument technology, and in particular to a kind of outward turning adjuster.
Background technique
With making constant progress for medical technology, artificial knee replacement surgery has become the normal for the treatment of pathologic changes of knee joint
Advise one for the treatment of method.Artificial knee joint replacement is using the joint of artificial joint prosthesis substitution disease damage, to restore and improve pass
Function is saved, is improved the quality of living.Due to artificial knee joint replacement short treating period, it is obvious to relieve pain effect, is more and more cured
Trouble is received.It in total knee replacement, needs to carry out osteotomy to distal femur, to obtain installation artificial joint prosthesis
Femur model forms a vertical tangent plane a as shown in Figure 1, carrying out osteotomy to row distal femur first, then forms two and is somebody's turn to do
Vertical tangent plane a vertical side grain b, re-forms scarf c between vertical tangent plane a and side grain b, to install with the inside of artificial prosthesis
Space is adapted, and facilitates installation.
In order to obtain the balance in knee joint stretching and beading knee gap, it is also necessary to make the logical of upper and lower two side grains and joint to be replaced
Condyle line is parallel, i.e., parallel with the line d in Fig. 2.In order to achieve this goal, usually first in the vertical tangent plane a subscript in joint to be replaced
Line d is made, then again on the basis of line d, cuts out above-mentioned two side grain b.In order to calibrate line d on vertical tangent plane a
Parallel lines, in the prior art frequently with calibration tool shown in Fig. 3, calibration tool has main body 01 and fixed with main body 01
Collet 02 together is additionally provided with two through-holes 03 in main body 01；When calibration, first the extruding of collet 02 is adjacent to and is fixed on diagram
At femoral-posterior condyles, two fixing glues 04 are then hammered at through-hole 03, after calibration tool is removed, fixing glue 04 stays in be replaced
On joint, the line of two fixing glues 04 is the parallel lines of line d.
This calibration tool in the prior art, be according to the special angle usually having between collet 02 and logical condyle line come
It realizes, however the joint of different patients is not exclusively, the special angle between collet 02 and logical condyle line is also different.When adopting
When going to demarcate the joint of different patients similarly to preset special angle with above-mentioned calibration tool, hammered into inside two through-holes 03
Two fixing glues 04 line, often there are angular errors between real logical condyle line, usually within ± 6 °.When in reality
When there is this error in the operation of border, due to not adjusting tool accurately, usually operative doctor is directly estimated with eye, will be bright
The fixing glue 04 for showing inaccuracy is removed, and orders one or two fixing glue 04 on joint to be replaced again then to re-scale line
The parallel lines of d, however estimating for human eye is usually inaccurate, the line for the fixing glue 04 that human eye hammers into again after estimating and logical condyle line
Between there are still error, when going to cut two sections up and down as standard using this line, still will appear two sections up and down and deposited with logical condyle line
In the defect of deviation, cause postoperative comfort level poor.
Summary of the invention
Therefore, the technical problem to be solved in the present invention is that overcoming when the line for using calibration tool in the prior art to demarcate
It when the parallel lines of d and logical condyle line are not parallel, are adjusted without special adjustment tool, human eye is needed to estimate, lead to calibration
The parallel lines of line d and logical condyle line cannot accurate consistent technological deficiency, thus provide it is a kind of can parallel lines to above-mentioned line d into
The accurate adjustment of row, to make the line consistent outward turning adjuster parallel with logical condyle line of calibration.
The present invention also provides a kind of application methods of outward turning adjuster.
For this purpose, the present invention provides a kind of outward turning adjuster, including ontology, the ontology be equipped at least a pair of of datum hole and
Several pairs of adjusting holes, the spacing setting between the pairs of datum hole, which makes it suitable for being bonded fitting simultaneously, is set in quasi- adjustment
A pair of of fixing glue on；The datum hole is elongate holes, the line of centres of length extending direction and the pair of fixing glue
Direction is vertical；
The distribution arrangement of the pairs of datum hole is vertical with the length extending direction, circle center line connecting and in pairs described
The distribution arrangement of the smallest a pair of of the adjusting hole of differential seat angle between the distribution arrangement of datum hole, circle center line connecting and the datum hole it
Between differential seat angle be up to 2 °；Differential seat angle between the circle center line connecting of the immediate any two pairs of adjusting holes of inclined degree is most
Greatly 2 °；
The ontology is equipped with several angle marks for being used to contrast with logical condyle line, several described angle marks point
On the circle center line connecting of the adjusting hole that Wei Yu be not pairs of；
The ontology has the first side and second side parallel with the circle center line connecting of the datum hole, and connection institute
State the first arc-shaped side and the second arc-shaped side of first side and the second side.
As a preferred embodiment, the circle center line connecting of the pairs of adjusting hole is arranged on above-mentioned ontology, and with it is described
The edge of ontology is crossed to form the angle mark.
As a preferred embodiment, differential seat angle is the smallest between circle center line connecting and the distribution arrangement of the pairs of datum hole
A pair of of adjusting hole, the differential seat angle between circle center line connecting and the distribution arrangement of the datum hole are up to 1 °.
As a preferred embodiment, the angle between the circle center line connecting of the immediate any two pairs of adjusting holes of inclined degree
Degree difference is up to 1 °.
As a preferred embodiment, the circle of the circle center line connecting and the pairs of datum hole of any pairs of adjusting hole
Differential seat angle≤6 ° between heart line.
As a preferred embodiment, the adjusting hole is 6 pairs, respectively first pair of adjusting hole, second pair of adjusting hole, third
To adjusting hole, the 4th pair of adjusting hole, the 5th pair of adjusting hole and the 6th pair of adjusting hole, the circle center line connecting of 6 pairs of adjusting holes and institute
It states the angle difference between the distribution arrangement of datum hole and is followed successively by 1 °, 2 °, 3 °, 4 °, 5 ° and 6 °.
As a preferred embodiment, the spacing setting between the pairs of adjusting hole, which makes it suitable for being bonded simultaneously, is arranged
In the fixing glue of quasi- adjustment.
It as a preferred embodiment, further include several pairs of translation holes, the circle center line connecting in the pairs of translation hole and in pairs
The datum hole distribution arrangement it is parallel.
The present invention also provides a kind of application methods of outward turning adjuster, include the following steps:
A pair of of datum hole fitting fitting on ontology is set in a pair of of fixing glue of quasi- adjustment；
Length extending direction along the datum hole moves the ontology, contrasts with a certain to adjusting hole until finding out
A pair of of angle mark is aligned with the both ends of logical condyle line simultaneously；
New fixing glue is reset in the position for the pair of adjusting hole found out.
As a preferred embodiment, when the position for the pair of adjusting hole found out is unsuitable for that new fixing glue is arranged,
Further include following steps:
Across a pair of translation hole, adjustment nail is set；
The ontology is removed from the fixing glue and the adjustment nail, the fixing glue is removed, by the ontology
Translation is set in the another pair translation hole of the ontology in the adjustment nail.
Outward turning adjuster provided by the invention and its application method, have the advantage that
1. outward turning adjuster of the invention, ontology is equipped at least a pair of of datum hole and several pairs of adjusting holes, pairs of base
Quasi- hole, which is suitable for being bonded, to be set in a pair of of fixing glue of quasi- adjustment, and datum hole is elongate holes, length extending direction with it is above-mentioned
The center line connecting direction of a pair of of fixing glue is vertical；The distribution arrangement of pairs of datum hole is vertical with above-mentioned length extending direction, circle
The smallest a pair of of the adjusting hole of differential seat angle, differential seat angle are up to 2 ° between heart line and the distribution arrangement of pairs of datum hole；Inclination
Differential seat angle between the circle center line connecting of the immediate any two pairs of adjusting holes of degree is up to 2 °；Several use are additionally provided on ontology
The angle mark that Yu Yutong condyle line contrasts, several angle marks are located on the circle center line connecting of pairs of adjusting hole；When
Using calibration tool when nailing on two fixing glues on the vertical tangent plane in joint to be replaced, if the line of two fixing glues and logical condyle
Line is not parallel, and people can move ontology along the length direction of datum hole, until finding out and a certain one contrasted to adjusting hole
Angle mark is aligned with the both ends of logical condyle line simultaneously, then find out this two fixing glues are hammered into again to adjusting hole inside,
Original two fixing glues removal can be obtained into line two fixing glues parallel with logical condyle line.Outward turning adjuster of the invention
It compared with human eye in the prior art is estimated, more easily holds, and can control error within 2 °.Further, setting circle
The smallest a pair of of the adjusting hole of differential seat angle, differential seat angle are up to 1 ° between heart line and the distribution arrangement of pairs of datum hole, inclination
Differential seat angle between the circle center line connecting of the immediate any two pairs of adjusting holes of degree is up to 1 °, can will control error 1 ° with
It is interior, to substantially increase calibration accuracy, based on adjusting two fixing glues finished, it can effectively control upper and lower two
A section is substantially parallel with logical condyle line, avoids the occurrence of eccentric wear, improves postoperative experience.
2. the circle center line connecting of outward turning adjuster of the invention, pairs of adjusting hole is arranged on the body, and the side with ontology
Edge is crossed to form angle mark；In this way in mobile ontology when the both ends of certain two angle mark and logical condyle line align,
Target adjustment hole can be quickly found by the circle center line connecting of setting on the body.
3. outward turning adjuster of the invention, the distribution arrangement of the circle center line connecting of pairs of adjusting hole and pairs of datum hole it
Between differential seat angle≤6 °, can adjust situation of the angular deviation within ± 6 ° between fixing glue line and logical condyle line, in practice
It is fully able to meet needs.
4. outward turning adjuster of the invention, the spacing setting between pairs of adjusting hole, which makes it suitable for being bonded simultaneously, to be arranged
In the fixing glue of quasi- adjustment, in this way in some special occasions, it can be used using a pair of of adjusting hole as datum hole.Also, in pairs
Adjusting hole between spacing can be adapted to fitting and be set in a pair of of fixing glue of quasi- adjustment, when following closely adjusting hole inside at this
When entering new fixing glue, the spacing between spacing between two fixing glues and two original fixing glues is identical, convenient for it is rear
Other continuous surgical instruments match.
5. outward turning adjuster of the invention further includes translation hole, after searching out the adjusting hole of target, it is possible to occur one
A adjusting hole is located at the situation except vertical tangent plane, at this moment only need to a pair of adjustment hole site hammer into two adjustment nails, by ontology from
It is removed in fixing glue and adjustment nail, original fixing glue is removed, then another pair of adjusting hole of ontology is aligned with adjustment nail,
It entirely falls within target adjustment hole on vertical tangent plane, hammers into two fixing glues in the target adjustment hole site.
6. the present invention also provides a kind of application method of outward turning adjuster, the application method of outward turning adjuster of the present invention, energy
When enough lines in two fixing glues and not parallel logical condyle line, the position of ontology is adjusted, finds out and adjusting hole is contrasted with a certain
A pair of of angle mark simultaneously be aligned with the both ends of logical condyle line, then find out this two fixations are hammered into adjusting hole inside
Nail, the position of fixing glue after as adjusting, the line of fixing glue adjusted can reach preferably parallel with logical condyle line.
7. the application method of outward turning adjuster of the present invention, after searching out target adjustment hole, it may also occur that an adjusting hole
Outside vertical tangent plane, so that the problem of fixing glue can not be arranged；At this moment it can be followed closely mounting and adjusting in translation hole, then by ontology
It is removed from fixing glue and adjustment nail, original fixing glue is removed, translate entire ontology, another pair of ontology is made to translate hole
It is set in adjustment nail, to adjusting in target adjustment hole to being respectively positioned on inside vertical tangent plane, in order to install.
Detailed description of the invention
In order to illustrate more clearly of the technical solution in the prior art or the specific embodiment of the invention, below to existing skill
Attached drawing used in art or specific embodiment description is briefly described, it should be apparent that, for ordinary skill people
For member, without creative efforts, it is also possible to obtain other drawings based on these drawings.
Fig. 1 is that condyle osteotomy forms truncation before and after the vertical tangent plane, femur of uplink distal femur osteotomy in joint to be replaced formation
The schematic diagram of face and scarf.
Fig. 2 is the position view of logical condyle line.
Fig. 3 is the structural schematic diagram of calibration tool in the prior art.
Fig. 4 is the top view that adjuster is revolved in China and foreign countries of the embodiment of the present invention.
Fig. 5 is the top view added after surveying obliquity structure in Fig. 4.
Fig. 6 is the overall structure diagram of the ontology of improvement project in embodiment 3.
Fig. 7 is the structural schematic diagram of the survey obliquity structure of improvement project in embodiment 3.
Fig. 8 is the structural schematic diagram after Fig. 7 is installed on Fig. 6.
Appended drawing reference: 01- main body, 02- collet, 03- through-hole, 04- fixing glue, 10- ontology, the first side 101-, 102-
Second side, the first arc-shaped side of 103-, the second arc-shaped side of 104-, 1- datum hole, 11- angle number, 20- angle mark, 21- first
Measuring rod, the second measuring rod of 22-, 23- guide rod, 24- pilot hole, 2- first is to adjusting hole, and 3- second is to adjusting hole, 4- third
To adjusting hole, the 4th pair of adjusting hole of 5-, the 5th pair of adjusting hole of 6-, the 6th pair of adjusting hole of 7-, 8- translation hole.
Specific embodiment
Technical solution of the present invention is described with reference to the accompanying drawings of the specification, it is clear that following embodiments is not this
Invent whole embodiments.Based on embodiment described in the invention, those of ordinary skill in the art are not making other wounds
Every other embodiment obtained under the premise of the property made labour, belongs to protection scope of the present invention.
It should be noted that in the description of the present invention, term " first ", " second " are used for description purposes only, and cannot
It is interpreted as indication or suggestion relative importance.In addition, technology involved in invention described below different embodiments
Feature can be combined with each other as long as they do not conflict with each other.
Embodiment 1
The present embodiment provides a kind of outward turning adjusters, as shown in figure 4, including ontology 10, the ontology 10 is equipped with a pair
Datum hole 1 and several pairs of adjusting holes 2,3,4,5,6,7, the spacing setting between the pairs of datum hole 1 makes it suitable for same
When fitting fitting be set in a pair of of fixing glue of quasi- adjustment；The datum hole 1 is elongate holes, length extending direction and institute
The center line connecting direction for stating a pair of of fixing glue is vertical；The distribution arrangement of the pairs of datum hole 1 and the length extending direction
Vertically, the smallest a pair of of the adjusting hole 2 of the distribution arrangement differential seat angle of circle center line connecting and the pairs of datum hole 1,3,4,5,6,7,
Differential seat angle between its circle center line connecting and the distribution arrangement of the datum hole 1 is up to 2 °；Inclined degree immediate any two
2 ° are up to the differential seat angle between the circle center line connecting of the adjusting hole 2,3,4,5,6,7；Ontology 10 is used for equipped with several
The angle mark 20 contrasted with logical condyle line, several described angle marks 20 are located at the pairs of adjusting hole 2, and 3,4,
On 5,6,7 circle center line connecting；The ontology 10 has the first side 101 parallel with the circle center line connecting of the datum hole 1 and the
Dual side-edge 102, and the first arc-shaped side 103 and the second arc-shaped side of the connection first side 101 and the second side 102
104。
The outward turning adjuster of the present embodiment, when nailing on two fixations on the vertical tangent plane in joint to be replaced using calibration tool
When nail, if the line of two fixing glues and logical condyle line are not parallel, people can move ontology 10 along the length direction of datum hole,
It is aligned with the both ends of logical condyle line until finding out with a certain a pair of of the angle mark 20 contrasted to adjusting hole, is then finding out simultaneously
This two fixing glues are hammered into again to adjusting hole inside, original two fixing glues removal can be obtained into line and is put down with logical condyle line
Two capable fixing glues.The outward turning adjuster of the present embodiment is more easily held compared with human eye in the prior art is estimated, and
Error be can control within 2 °.Further, differential seat angle is set between circle center line connecting and the distribution arrangement of pairs of datum hole 1 most
Small a pair of of adjusting hole, differential seat angle are up to 1 °, between the circle center line connecting of the immediate any two pairs of adjusting holes of inclined degree
Differential seat angle is up to 1 °, can be by control error within 1 °, so that calibration accuracy is substantially increased, to adjust two finished
Based on fixing glue, it is substantially parallel with logical condyle line effectively to control two sections up and down, avoids the occurrence of eccentric wear, improvement is postoperative
Experience.
The circle center line connecting setting of pairs of adjusting hole is crossed to form angle mark on ontology 10, and with the edge of ontology 10
20；In this way in mobile ontology 10 until can be existed by setting when the both ends of certain two angle mark 20 and logical condyle line align
Circle center line connecting on ontology 10 quickly finds target adjustment hole.The circle center line connecting of the pairs of adjusting hole 2,3,4,5,6,7 with
Differential seat angle≤6 ° between the circle center line connecting of the pairs of datum hole 1.Angle between adjustable fixing glue line and logical condyle line
Situation of the deviation within ± 6 °, is fully able to meet needs in practice.
Specifically in the present embodiment, the adjusting hole 2,3,4,5,6,7 is 6 pairs, respectively first pair of adjusting hole 2, second
To adjusting hole 3, third is to adjusting hole 4, the 4th pair of adjusting hole 5,7,6 pairs of tune of the 5th pair of adjusting hole 6 and the 6th pair of adjusting hole
Angle difference between the circle center line connecting in whole hole 2,3,4,5,6,7 and the distribution arrangement of the datum hole 1 is followed successively by 1 °, and 2 °, 3 °,
4 °, 5 ° and 6 °.
Spacing setting between the pairs of adjusting hole 2,3,4,5,6,7, which makes it suitable for being bonded simultaneously, is set in quasi- tune
In the whole fixing glue.In some special occasions, can be used a pair of of adjusting hole as datum hole 1.Also, pairs of adjustment
Spacing between hole can be adapted to fitting and be set in a pair of of fixing glue of quasi- adjustment, when this adjusting hole inside is hammered into it is new
When fixing glue, the spacing between spacing between two fixing glues and two original fixing glues is identical, convenient for it is subsequent its
He matches surgical instrument.
It further include several pairs of translation holes 8, the circle center line connecting in the pairs of translation hole 8 and the pairs of datum hole 1
Circle center line connecting is parallel.After searching out the adjusting hole of target, it is possible to there is the situation that an adjusting hole is located at except vertical tangent plane,
At this moment only two adjustment nails need to be hammered into a pair of adjustment hole site, ontology 10 is removed from fixing glue and adjustment nail, it will be original
Fixing glue removal, then another pair of adjusting hole of ontology 10 is aligned with adjustment nail, target adjustment hole is made to entirely fall within to erect and cut
On face, two fixing glues are hammered into the target adjustment hole site.
In the present embodiment, ontology 10 is stainless steel plate, or the other materials such as iron, copper, alloy.
Embodiment 2
The present embodiment provides a kind of application methods of outward turning adjuster, refering to what is shown in Fig. 4, including the following steps:
A pair of of datum hole 1 on ontology 10 is bonded in a pair of of the fixing glue for being set in quasi- adjustment by S1；
S2 moves the ontology 10 along the length extending direction of the datum hole 1, until find out with a certain to adjusting hole 2,
3,4,5,6,7 a pair of of the angle marks 20 contrasted are aligned with the both ends of logical condyle line simultaneously；
S3 resets new fixing glue in the position for the pair of adjusting hole 2,3,4,5,6,7 found out.
The application method of adjuster is revolved in the present embodiment China and foreign countries, can be not parallel in the line of two fixing glues and logical condyle line
When, the setting position of fixing glue is adjusted, so that the line of fixing glue adjusted be made to reach preferably parallel with logical condyle line.
When the position for the pair of adjusting hole 2,3,4,5,6,7 found out is unsuitable for that new fixing glue is arranged, further include
Following steps:
S2.1 passes through a pair of of translation hole 8 and adjustment nail is arranged；
S2.2 removes the ontology 10 from the fixing glue and the adjustment nail, and the fixing glue is removed, by institute
The translation of ontology 10 is stated, is set in the another pair translation hole 8 of the ontology 10 in the adjustment nail.
By aforesaid operations, target adjustment hole can be adjusted to being respectively positioned on inside vertical tangent plane, in order to install.
Embodiment 3
The present embodiment provides a kind of outward turning adjusters, are deformations on that basis of example 1, as shown in figure 5, difference exists
In: it further include surveying obliquity structure, (angle mark 20 is arranged not on ontology 10 for the survey obliquity structure, but resets survey and incline
Corner structure), the survey obliquity structure is mounted on the ontology 10, for measuring the center of circle of logical condyle line Yu pairs of datum hole 1
Differential seat angle between line.
The survey obliquity structure includes: the first measuring rod 21, and one end is installed in rotation on the ontology 10, the other end
For pointer, the ontology 10 is equipped with using the rotation center of circle of first measuring rod 21 as the angle number 11 in the center of circle；Second measurement
Bar 22 is arranged in parallel with first measuring rod 21, and can be by adjusting between structural adjustment and first measuring rod 21
Distance, there are two opposite pointers for tool.
When two fixing glues hammered on the vertical tangent plane a in joint to be replaced using calibration tool line and logical condyle line not
When parallel, the rotational angle of the first measuring rod 21 is adjusted, and adjust the spacing distance of the second measuring rod 22 and the first measuring rod 21,
It is aligned two relative pointers of the second measuring rod 22 with the both ends of logical condyle line, then reads the first measuring rod 21 in angle number 11
On the angle value pointed out, then find a pair of of adjusting hole 2 with the circle center line connecting of a pair of of datum hole 1 at same angular degree, 3,4,
5,6,7, at this to fixing glue is hammered into adjusting hole, which is the setting position of fixing glue adjusted
It sets.
In this implementation, the adjustment structure includes at least two guide rods 23, and one end of two guide rods 23 is fixed
On first measuring rod 21, and it is vertical with first measuring rod 21；There are two being set on second measuring rod 22 respectively
The pilot hole 24 being only inserted into for two guide rods 23.The design of this structure, can easily adjust the second measuring rod 22 with
Spacing distance between first measuring rod 21, moreover it is possible to which the axial direction of the axial direction and the first measuring rod 21 that guarantee the second measuring rod 22 is always
In parallel.
As an improvement design scheme, as shown in figs 6-8, the survey obliquity structure include: the first measuring rod 21, middle part
It is installed in rotation on the ontology 10, both ends are pointer, and the ontology 10 is equipped with to be turned with first measuring rod 21
The dynamic center of circle is the angle number 11 in the center of circle；Second measuring rod 22 is arranged in parallel with first measuring rod 21, and can be by adjusting knot
The distance between structure adjustment and first measuring rod 21, there are two opposite pointers for tool.
Obviously, the above embodiments are merely examples for clarifying the description, and does not limit the embodiments.It is right
For those of ordinary skill in the art, can also make on the basis of the above description it is other it is various forms of variation or
It changes.There is no necessity and possibility to exhaust all the enbodiments.And it is extended from this it is obvious variation or
It changes still within the protection scope of the invention.
Claims (8)
1. a kind of outward turning adjuster, it is characterised in that: including ontology (10), the ontology (10) is equipped at least a pair of of datum hole
(1) and several pairs of adjusting holes (2,3,4,5,6,7), the spacing setting between the pairs of datum hole (1) makes it suitable for same
When fitting be set in a pair of of fixing glue of quasi- adjustment；The datum hole (1) be elongate holes, length extending direction with it is described
The center line connecting direction of a pair of of fixing glue is vertical；
The distribution arrangement of the pairs of datum hole (1) is vertical with the length extending direction, circle center line connecting and in pairs described
The smallest a pair of of the adjusting hole (2,3,4,5,6,7) of differential seat angle, circle center line connecting and the base between the distribution arrangement of datum hole (1)
Differential seat angle between the distribution arrangement of quasi- hole (1) is up to 2 °；The immediate any two pairs of adjusting holes of inclined degree (2,3,
4,5,6,7) the differential seat angle between circle center line connecting is up to 2 °；
The ontology (10) is equipped with several angle marks (20) for being used to contrast with logical condyle line, several described angle marks
Note (20) is located on the circle center line connecting of the pairs of adjusting hole (2,3,4,5,6,7)；
The ontology (10) has the first side (101) and second side parallel with the circle center line connecting of the datum hole (1)
(102), and connection the first side (101) and the second side (102) the first arc-shaped side (103) and the second arc
Side (104).
2. outward turning adjuster according to claim 1, it is characterised in that: the pairs of adjusting hole (2,3,4,5,6,7)
Circle center line connecting setting be crossed to form the angle mark on above-mentioned ontology (10), and with the edge of the ontology (10)
(20)。
3. outward turning adjuster according to claim 1 or 2, it is characterised in that: circle center line connecting and the pairs of datum hole
(1) the smallest a pair of of the adjusting hole (2,3,4,5,6,7) of differential seat angle, circle center line connecting and the datum hole between distribution arrangement
(1) the differential seat angle between distribution arrangement is up to 1 °.
4. outward turning adjuster according to claim 1, it is characterised in that: the immediate any two pairs of tune of inclined degree
Differential seat angle between the circle center line connecting of whole hole (2,3,4,5,6,7) is up to 1 °.
5. outward turning adjuster according to claim 1, it is characterised in that: any pairs of adjusting hole (2,3,4,5,
6,7) differential seat angle≤6 ° between the circle center line connecting of circle center line connecting and the pairs of datum hole (1).
6. outward turning adjuster according to claim 5, it is characterised in that: the adjusting hole (2,3,4,5,6,7) is 6 pairs,
Respectively first pair of adjusting hole (2), second pair of adjusting hole (3), third is to adjusting hole (4), the 4th pair of adjusting hole (5), and the 5th pair
Adjusting hole (6) and the 6th pair of adjusting hole (7), the circle center line connecting and the datum hole of 6 pairs of adjusting holes (2,3,4,5,6,7)
(1) the angle difference between distribution arrangement is followed successively by 1 °, 2 °, 3 °, 4 °, 5 ° and 6 °.
7. outward turning adjuster according to claim 6, it is characterised in that: the pairs of adjusting hole (2,3,4,5,6,7)
Between spacing setting make it suitable for being bonded simultaneously and be set in the fixing glue of quasi- adjustment.
8. outward turning adjuster according to claim 1, it is characterised in that: further include several pairs of translation holes (8), pairs of institute
The circle center line connecting for stating translation hole (8) is parallel with the pairs of distribution arrangement of the datum hole (1).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610482245.1A CN106175875B (en) | 2016-06-26 | 2016-06-26 | A kind of outward turning adjuster |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610482245.1A CN106175875B (en) | 2016-06-26 | 2016-06-26 | A kind of outward turning adjuster |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN106175875A CN106175875A (en) | 2016-12-07 |
| CN106175875B true CN106175875B (en) | 2019-03-05 |
Family
ID=57462541
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201610482245.1A Expired - Fee Related CN106175875B (en) | 2016-06-26 | 2016-06-26 | A kind of outward turning adjuster |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN106175875B (en) |
Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4703751A (en) * | 1986-03-27 | 1987-11-03 | Pohl Kenneth P | Method and apparatus for resecting a distal femoral surface |
| US5776137A (en) * | 1995-05-31 | 1998-07-07 | Katz; Lawrence | Method and apparatus for locating bone cuts at the distal condylar femur region to receive a knee prosthesis |
| US6173200B1 (en) * | 1997-04-04 | 2001-01-09 | T. Derek V. Cooke | Method and apparatus for locating transepicondylar line in a joint that defines transverse action for a motion |
| CN101102724A (en) * | 2004-12-21 | 2008-01-09 | 史密夫和内修有限公司 | Rotational alignment femoral sizing guide |
| US7364581B2 (en) * | 2004-01-14 | 2008-04-29 | Howmedica Osteonics Corp. | Variable angle cutting block |
Family Cites Families (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US8801720B2 (en) * | 2002-05-15 | 2014-08-12 | Otismed Corporation | Total joint arthroplasty system |
| US20070282347A9 (en) * | 2002-12-20 | 2007-12-06 | Grimm James E | Navigated orthopaedic guide and method |
-
2016
- 2016-06-26 CN CN201610482245.1A patent/CN106175875B/en not_active Expired - Fee Related
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4703751A (en) * | 1986-03-27 | 1987-11-03 | Pohl Kenneth P | Method and apparatus for resecting a distal femoral surface |
| US5776137A (en) * | 1995-05-31 | 1998-07-07 | Katz; Lawrence | Method and apparatus for locating bone cuts at the distal condylar femur region to receive a knee prosthesis |
| US6173200B1 (en) * | 1997-04-04 | 2001-01-09 | T. Derek V. Cooke | Method and apparatus for locating transepicondylar line in a joint that defines transverse action for a motion |
| US7364581B2 (en) * | 2004-01-14 | 2008-04-29 | Howmedica Osteonics Corp. | Variable angle cutting block |
| CN101102724A (en) * | 2004-12-21 | 2008-01-09 | 史密夫和内修有限公司 | Rotational alignment femoral sizing guide |
Also Published As
| Publication number | Publication date |
|---|---|
| CN106175875A (en) | 2016-12-07 |
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Effective date of registration: 20190125 Address after: 266000 Hefei Road, Shibei District, Qingdao, Shandong 758 Applicant after: QILU HOSPITAL OF SHANDONG University (QINGDAO) Address before: 266000 11, building 34, three Yao road three, Shinan District, Qingdao, Shandong. Applicant before: Kong Jie |
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