CN106264799B - A kind of acetabulum reconstruction prosthesis system for adapting to different type acetabular defects - Google Patents
A kind of acetabulum reconstruction prosthesis system for adapting to different type acetabular defects Download PDFInfo
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- CN106264799B CN106264799B CN201510266407.3A CN201510266407A CN106264799B CN 106264799 B CN106264799 B CN 106264799B CN 201510266407 A CN201510266407 A CN 201510266407A CN 106264799 B CN106264799 B CN 106264799B
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- acetabulum reconstruction
- acetabulum
- reconstruction
- acetabular
- acetabular bone
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- 210000000588 acetabulum Anatomy 0.000 title claims abstract description 88
- 230000007547 defect Effects 0.000 title claims abstract description 61
- 210000000988 bone and bone Anatomy 0.000 claims abstract description 69
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 claims abstract description 31
- 229910052719 titanium Inorganic materials 0.000 claims abstract description 31
- 239000010936 titanium Substances 0.000 claims abstract description 31
- 230000000694 effects Effects 0.000 claims abstract description 16
- 230000002980 postoperative effect Effects 0.000 claims abstract description 12
- 108010048734 sclerotin Proteins 0.000 claims abstract description 10
- 241001484259 Lacuna Species 0.000 claims abstract description 6
- 210000003692 ilium Anatomy 0.000 claims abstract description 4
- 210000002239 ischium bone Anatomy 0.000 claims abstract description 4
- 230000002093 peripheral effect Effects 0.000 claims description 5
- 230000004927 fusion Effects 0.000 description 3
- 210000004197 pelvis Anatomy 0.000 description 3
- 230000006978 adaptation Effects 0.000 description 2
- 210000001624 hip Anatomy 0.000 description 2
- 210000004394 hip joint Anatomy 0.000 description 2
- 230000009286 beneficial effect Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 239000004570 mortar (masonry) Substances 0.000 description 1
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- Prostheses (AREA)
Abstract
The invention discloses a kind of acetabulum reconstruction prosthesis system for adapting to different type acetabular defects, including acetabulum reconstruction cushion block, acetabulum reconstruction titanium net and acetabulum reconstruction bracket;Acetabulum reconstruction cushion block is similar to acetabular bone outer rim, realizes the effect of filling bone defects;Acetabulum reconstruction titanium net is semicircle bowl structure, and the lacuna type in acetabular bone that meets needs the defect of bone grafting, and the bowl-shape side wall is set to five valve structures;Acetabulum reconstruction bracket includes center section and three wings part, and upper both wings are extensible to be attached at ilium, and bottom wing can be attached at ischium;The surface of acetabulum reconstruction cushion block, acetabulum reconstruction titanium net and acetabulum reconstruction bracket is covered with nail, and the preferable position of acetabular bone sclerotin can be fixed on by acetabular bone screw, realizes filling and supporting role at defect, reaches the stable effect of immediate postoperative;Acetabulum reconstruction cushion block, acetabulum reconstruction titanium net and acetabulum reconstruction bracket can meet the demand of different size acetabular bone.The present invention, which has, sets up normal joint motion mechanism, the advantage of the structural intergrity of Acetabular reconstruction.
Description
Technical field
The invention belongs to Design for Medical Device technical field, more particularly, to a kind of hip for adapting to different type acetabular defects
Mortar rebuilds prosthesis system.
Background technology
The AAOS hips committee in 1989 designs the acetabular defects parting system for clinically using and still effectively using so far
System, acetabular defects are divided into five types by the system, as shown in figure 1, I types:Segmental pattern defect (figure A, figure B);II types:Intracavitary type
Defect (figure C, figure D);Type III:Mixed type defect (figure E);IV types:Pelvis interrupt-type (figure F);V-type:Joint fusion type (figure G).
Acetabular defects can not be solved using conventional acetabular component, can only use the acetabulum reconstruction prosthese solution for acetabular defects, but
Often a kind of acetabulum reconstruction prosthese can not solve all types of acetabular defects at all, therefore, and design is a set of to can adapt to difference
The acetabulum reconstruction prosthesis system of type acetabular defects is those skilled in the art's technical problem urgently to be resolved hurrily.
The content of the invention
The problem to be solved in the present invention be to provide it is a kind of the pivot of hip joint is recovered to anatomical position, reduce postoperative
Loosen, set up normal joint motion mechanism, the structural intergrity of Acetabular reconstruction, the adaptation different type acetabular defects of fixation
Acetabulum reconstruction prosthesis system.
In order to solve the above technical problems, the technical solution adopted by the present invention is:A kind of adaptation different type acetabular defects
Acetabulum reconstruction prosthesis system, including acetabulum reconstruction cushion block, acetabulum reconstruction titanium net and acetabulum reconstruction bracket;The acetabulum reconstruction cushion block
Shape is similar to acetabular bone outer rim, and thickness is thicker than acetabular bone outer rim, and the acetabulum reconstruction cushion block meets the defect of acetabular bone peripheral edge portion, realizes
The effect of filling bone defects;The acetabulum reconstruction titanium net shape meets the configuration of acetabular bone, is semicircle bowl structure, meets
Lacuna type needs the defect of bone grafting in acetabular bone, and the bowl-shape side wall of the acetabulum reconstruction titanium net is set to five valve structures, can facilitate a certain in art
Position is directly cut off when need not rebuild titanium net;The acetabulum reconstruction bracket is divided into two single supports in left and right, is symmetrical solution
Morphosis is cutd open, each single support includes center section and three wings part, and the center section is semicircle bowl structure,
The flap portion, which sets up separately, to be placed at the rim of a bowl of center section, and the flap portion point includes first wing, second wing and three wings, described first
The wing and second wing are arranged at the upside of center section, and extensible to be attached at ilium, the three wings are arranged under center section
Side, can be attached at ischium.
The surface of the acetabulum reconstruction cushion block, acetabulum reconstruction titanium net and acetabulum reconstruction bracket is covered with nail, and can pass through
Acetabular bone screw reaches any of the above fillings and supporting role be fixed on the preferable position of acetabular bone sclerotin, realize at defect
To the effect that immediate postoperative is stable.
The acetabulum reconstruction cushion block, acetabulum reconstruction titanium net and acetabulum reconstruction bracket are provided with plurality of specifications, meet different
The demand of size acetabular bone.
Due to using above-mentioned technical proposal, acetabulum reconstruction cushion block, acetabulum reconstruction titanium net and acetabulum reconstruction bracket basis respectively
Different acetabular defects type Cranial defect situation designs, (1) acetabulum reconstruction cushion block meets the defect of acetabular bone peripheral edge portion, and realization is filled out
The effect of Cranial defect is filled, its surface is covered with nail, be easy to acetabular bone screw to be firmly secured to the preferable position of acetabular bone sclerotin, it is real
Filling and supporting role at existing defect, reach the stable effect of immediate postoperative, are divided into different specifications and models, meet different big
The demand of small acetabular bone, it is adaptable to I type segmental pattern defects and type III mixed type defect;(2) acetabulum reconstruction titanium net meets the whole of acetabular bone
Volume morphing, the lacuna type in acetabular bone that meets needs the defect of bone grafting to dispose, the design of its 5 flap-type, facilitates a certain position in art to weigh
Directly cut off when building titanium net, convenient, flexible, its surface is covered with nail, be easy to acetabular bone screw be firmly secured to acetabular bone sclerotin compared with
Good position, realizes the filling and supporting role at defect, reaches the stable effect of immediate postoperative, point different specifications and models,
Meet the demand of different size acetabular bone, it is adaptable to II die cavity inner mold defects and type III mixed type defect;(3) acetabulum reconstruction bracket,
Divide left and right sides band three wings anatomic form design, effectively solve the acetabulum reconstruction of serious acetabular defects and be fixedly secured problem, its table
Face is covered with nail, is easy to acetabular bone screw to be firmly secured to the preferable position of acetabular bone sclerotin, realizes the filling at defect and branch
Support is acted on, and reaches the stable effect of immediate postoperative, and point different specifications and models meet the demand of different size acetabular bone, it is adaptable to
IV type pelvis interrupt-types and V-type joint fusion type.
The beneficial effects of the invention are as follows:With the pivot of hip joint is recovered to anatomical position, postoperative 30% is reduced
Loosening occur;Set up normal joint motion mechanism;The structural intergrity of Acetabular reconstruction;Firm bone grafting is by the abundant ring of new prosthese
Embrace, acetabulum reconstruction prosthese is fixedly secured to the advantage on host bone.
Brief description of the drawings
The present invention is specifically described below with reference to accompanying drawing and with reference to example, advantages of the present invention and implementation will
More obvious, wherein content is only used for explanation of the present invention shown in accompanying drawing, without constituting to the present invention in all senses
On limitation, in the accompanying drawings:
Fig. 1 acetabular defects classification system schematic diagrames in the prior art
The structural representation of Fig. 2 different size acetabulum reconstruction cushion blocks of the present invention
The structural representation of Fig. 3 acetabulum reconstruction titanium nets of the present invention
The structural representation of Fig. 4 acetabulum reconstruction brackets of the present invention
The structural representation of Fig. 5 acetabular bone screws of the present invention
In figure:
1st, acetabulum reconstruction cushion block, 2, acetabulum reconstruction titanium net 3, acetabulum reconstruction bracket
4th, acetabular bone screw 5, nail 21, five valve structures
31st, center section 32, three wings part 321, first wing
322nd, second wing 323, three wings
Embodiment
As shown in Figures 1 to 5, a kind of acetabulum reconstruction prosthesis system for adapting to different type acetabular defects of the present invention, including
Acetabulum reconstruction cushion block 1, acetabulum reconstruction titanium net 2 and acetabulum reconstruction bracket 3;As shown in Fig. 2 the shape class of acetabulum reconstruction cushion block 1
Acetabular bone outer rim is similar to, thickness is thicker than acetabular bone outer rim, the acetabulum reconstruction cushion block 1 meets the defect of acetabular bone peripheral edge portion, realizes filling
The effect of Cranial defect;As shown in figure 3, the shape of acetabulum reconstruction titanium net 2 meets the configuration of acetabular bone, it is semicircle bowl-shape knot
Structure, the lacuna type in acetabular bone that meets needs the defect of bone grafting, and the bowl-shape side wall of the acetabulum reconstruction titanium net 2 is set to five valve structures 21, can be square
Just directly cut off when a certain position need not rebuild titanium net in art;As shown in figure 4,3 points of the acetabulum reconstruction bracket is left and right two
Individual single support, is symmetrical anatomic form structure, each single support includes center section 31 and three wings part 32, described
Center section 31 is semicircle bowl structure, and the three wings part 32 is arranged at the rim of a bowl of center section, and the three wings part 32 is wrapped
First wing 321, second wing 322 and three wings 323 are included, the wing 322 of first wing 321 and second is arranged at the upper of center section 31
Side, extensible to be attached at ilium, the three wings 323 are arranged at the downside of center section 31, can be attached at ischium;The acetabular bone
Rebuild cushion block 1, the surface of acetabulum reconstruction titanium net 2 and acetabulum reconstruction bracket 3 is covered with nail 5, and can will be upper by acetabular bone screw 4
State any one and be fixed on the preferable position of acetabular bone sclerotin, realize filling and supporting role at defect, reach that immediate postoperative is steady
Fixed effect;The acetabulum reconstruction cushion block 1, acetabulum reconstruction titanium net 2 and acetabulum reconstruction bracket 3 are provided with plurality of specifications, meet
The demand of different size acetabular bone.
Acetabulum reconstruction cushion block 1, acetabulum reconstruction titanium net 2 and acetabulum reconstruction bracket 3 are respectively according to different acetabular defects types
Cranial defect situation is designed, and (1) acetabulum reconstruction cushion block 1 meets the defect of acetabular bone peripheral edge portion, realizes the effect of filling bone defects, its
Surface is covered with nail 5, is easy to acetabular bone screw 4 to be firmly secured to the preferable position of acetabular bone sclerotin, realizes the filling at defect
And supporting role, the stable effect of immediate postoperative is reached, is divided into different specifications and models, meets the demand of different size acetabular bone,
Suitable for I type segmental pattern defects and type III mixed type defect;(2) acetabulum reconstruction titanium net 2 meets the configuration of acetabular bone, meets
Lacuna type needs the defect of bone grafting to dispose in acetabular bone, the design of its 5 flap-type, facilitates a certain position in art to rebuild direct during titanium net
Cut off, convenient, flexible, its surface is covered with nail 5, be easy to acetabular bone screw 4 to be firmly secured to the preferable position of acetabular bone sclerotin,
The filling and supporting role at defect are realized, the stable effect of immediate postoperative is reached, point different specifications and models meet different big
The demand of small acetabular bone, it is adaptable to II die cavity inner mold defects and type III mixed type defect;(3) acetabulum reconstruction bracket 3, point left and right sides
The anatomic form design of band three wings, effectively solves the acetabulum reconstruction of serious acetabular defects and is fixedly secured problem, its surface is covered with nail
Hole 5, is easy to acetabular bone screw 4 to be firmly secured to the preferable position of acetabular bone sclerotin, realizes filling and supporting role at defect,
The stable effect of immediate postoperative is reached, point different specifications and models meet the demand of different size acetabular bone, it is adaptable to IV type pelvises
Interrupt-type and V-type joint fusion type.
Embodiments of the invention are described in detail above, but the content is only presently preferred embodiments of the present invention,
It is not to be regarded as the practical range for limiting the present invention.All equivalent changes made according to the scope of the invention and improvement etc., all should
Still belong within this patent covering scope.
Claims (3)
1. a kind of acetabulum reconstruction prosthesis system for adapting to different type acetabular defects, it is characterised in that:Including acetabulum reconstruction cushion block,
Acetabulum reconstruction titanium net and acetabulum reconstruction bracket;The acetabulum reconstruction cushion block shape is similar to acetabular bone outer rim, and thickness is thicker than outside acetabular bone
Edge, the acetabulum reconstruction cushion block meets the defect of acetabular bone peripheral edge portion, realizes the effect of filling bone defects;The acetabulum reconstruction titanium net
Shape meets the configuration of acetabular bone, is semicircle bowl structure, and the lacuna type in acetabular bone that meets needs the defect of bone grafting, the acetabular bone weight
Build the bowl-shape side wall of titanium net and be set to five valve structures, can facilitate and directly be cut off when a certain position need not rebuild titanium net in art;It is described
Acetabulum reconstruction bracket is divided into two single supports in left and right, is symmetrical anatomic form structure, and each single support includes centre
Part and three wings part, the center section are semicircle bowl structure, and the flap portion, which sets up separately, to be placed at the rim of a bowl of center section,
The flap portion point includes first wing, second wing and three wings, and first wing and second wing are arranged at the upside of center section, can
Extension is attached at ilium, and the three wings are arranged at the downside of center section, can be attached at ischium.
2. the acetabulum reconstruction prosthesis system according to claim 1 for adapting to different type acetabular defects, it is characterised in that:Institute
The surface for stating acetabulum reconstruction cushion block, acetabulum reconstruction titanium net and acetabulum reconstruction bracket is covered with nail, and can be incited somebody to action by acetabular bone screw
Any one in acetabulum reconstruction cushion block, acetabulum reconstruction titanium net and acetabulum reconstruction bracket is fixed on the preferable position of acetabular bone sclerotin, real
Filling and supporting role at existing defect, reach the stable effect of immediate postoperative.
3. the acetabulum reconstruction prosthesis system according to claim 1 for adapting to different type acetabular defects, it is characterised in that:Institute
State acetabulum reconstruction cushion block, acetabulum reconstruction titanium net and acetabulum reconstruction bracket and be provided with plurality of specifications, meet different size acetabular bone
Demand.
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Families Citing this family (9)
Publication number | Priority date | Publication date | Assignee | Title |
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CN106963520B (en) * | 2017-04-13 | 2020-03-17 | 安徽省立医院 | Acetabulum outer cup |
CN108618837A (en) * | 2018-05-30 | 2018-10-09 | 上海交通大学医学院附属第九人民医院 | Individuation bone defect filling metal internal fixation device, preparation method and the usage |
CN110464509B (en) * | 2019-09-05 | 2024-06-14 | 北京爱康宜诚医疗器材有限公司 | Pelvic prosthesis |
CN113440315B (en) * | 2020-04-16 | 2024-12-06 | 天津正天医疗器械有限公司 | Acetabular bone defect block and hip joint replacement system |
CN111728739A (en) * | 2020-06-22 | 2020-10-02 | 北京市春立正达医疗器械股份有限公司 | Filling block for bone defect and method for manufacturing same |
CN111658237B (en) * | 2020-06-28 | 2023-07-21 | 中国人民解放军空军军医大学 | A 3D printed titanium alloy hemi-pelvic prosthesis with partial acetabular retention |
CN112137765A (en) * | 2020-08-17 | 2020-12-29 | 上海市第六人民医院 | 3D printed universal ilium wing prosthesis |
CN113576717B (en) * | 2021-07-01 | 2025-03-14 | 华中科技大学同济医学院附属协和医院 | Acetabular posterior wall defect reconstruction system |
CN118615072A (en) * | 2024-05-31 | 2024-09-10 | 北京力达康科技有限公司 | Matching acetabular reconstruction prosthesis system based on model fusion and its application method |
Family Cites Families (8)
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DE19621269A1 (en) * | 1996-05-25 | 1997-11-27 | Gmt Medizinische Technik Gmbh | Saddle prosthesis |
CN2292532Y (en) * | 1997-04-05 | 1998-09-30 | 徐州市第一人民医院 | Combined artificial hip joint connected by screw |
CN201664350U (en) * | 2010-03-09 | 2010-12-08 | 上海晟实医疗器械科技有限公司 | Acetabular revision cup |
CN101836906A (en) * | 2010-03-09 | 2010-09-22 | 上海晟实医疗器械科技有限公司 | Acetabulum reconstruction bracket for revision of total hip arthroplasty |
BR112013031631A2 (en) * | 2011-04-11 | 2019-09-24 | Depuy Synthes Products Llc | acetabular cover reinforcement plate |
ES2603628T3 (en) * | 2013-02-08 | 2017-02-28 | Waldemar Link Gmbh & Co. Kg | Endoprosthesis for partial replacement of the human pelvic bone |
CN103169550B (en) * | 2013-04-15 | 2016-03-30 | 北京市春立正达医疗器械股份有限公司 | A kind of acetabular cup of improvement |
CN103705317A (en) * | 2013-12-27 | 2014-04-09 | 北京爱康宜诚医疗器材股份有限公司 | Matched stack type acetabulum prosthesis |
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Address after: 300110 No. 27, Ziyang Road, Nankai District, Tianjin Patentee after: Jiasite medical equipment (Tianjin) Co.,Ltd. Address before: No.27 Ziyang Road Nankai District Tianjin 300190 Patentee before: Jiasite Huajian Medical Equipment(Tianjin)Co.,Ltd. |