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CN107616860B - Split type tibia support prosthesis and artificial knee joint - Google Patents

Split type tibia support prosthesis and artificial knee joint Download PDF

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Publication number
CN107616860B
CN107616860B CN201711099278.9A CN201711099278A CN107616860B CN 107616860 B CN107616860 B CN 107616860B CN 201711099278 A CN201711099278 A CN 201711099278A CN 107616860 B CN107616860 B CN 107616860B
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keel
platform
base
tibia
tibial
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CN201711099278.9A
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CN107616860A (en
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李叙璋
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Beijing Ansong Technology Co ltd
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Beijing Ansong Technology Co ltd
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Abstract

The invention relates to the technical field of medical appliances, in particular to a split type tibial tray prosthesis and an artificial knee joint. The split type tibia support prosthesis comprises a tibia base and a tibia keel; the tibia keel comprises a keel platform and a keel column fixedly connected with the keel platform; the tibia base comprises a base platform, and the base platform is provided with a base keel hole corresponding to the keel platform; the base keel hole is a through hole; the keel platform is detachably connected with the base platform through the base keel hole. The artificial knee joint comprises the split type tibia support prosthesis. The invention aims to provide a split type tibia support prosthesis and an artificial knee joint, so that the stock of tibia test molds in an operation tool box can be saved, and the steps of operation operations of doctors can be reduced.

Description

Split type tibia support prosthesis and artificial knee joint
Technical Field
The invention relates to the technical field of medical appliances, in particular to a split type tibial tray prosthesis and an artificial knee joint.
Background
The artificial knee joint prosthesis is implanted into a human body after knee joint replacement operation, and has the function of recovering normal physiological functions of the human body. In artificial knee arthroplasty, the general tibial side procedure is as follows: 1. performing proximal tibial osteotomies; 2. installing a tibia test mould at the proximal end of tibia; 3. the keel chisel passes through the keel hole of the tibia test mould and enters the tibia of the human body so as to form the tibia keel; 4. withdrawing the keel osteotome and the tibia test mold from the tibia; 5. a tibial tray prosthesis is mounted at the proximal end of the tibia.
Referring to fig. 1, a schematic structure of a conventional tibial tray prosthesis is shown, and the tibial tray prosthesis 1 shown in the figure comprises a tibial base 11 and a tibial keel 12 fixedly connected with the tibial base 11; referring to fig. 2, a schematic view of a prior art tibial trial is shown wherein the tibial trial 2 includes a trial keel hole 21.
The above-described tibial side treatment is currently the most common treatment, and is being used by substantially all manufacturers and doctors. By adopting the processing mode, a manufacturer is required to prepare a whole set of tibia test mould to be placed in a surgical tool box, and then corresponding artificial knee joint prostheses such as a tibia support prosthesis, a femur condyle prosthesis and the like are prepared. In addition, when a doctor performs an operation, the doctor needs to install the tibia test mould firstly, take down the tibia test mould after the tibia keel is formed, then install the tibia support prosthesis, and the operation steps are complex.
Therefore, the application provides a novel split type tibia support prosthesis and an artificial knee joint aiming at the problems, so that the stock of tibia test molds in an operation tool box can be saved, and the steps of operation of doctors can be reduced.
Disclosure of Invention
The invention aims to provide a split type tibia support prosthesis, so that the stock of tibia test molds in a surgical tool box can be saved, and the steps of surgical operations of doctors can be reduced.
The invention also aims to provide an artificial knee joint so as to save stock of a tibia test mould in a surgical tool box and reduce the steps of surgical operation of doctors.
Based on the first object, the split type tibial tray prosthesis provided by the invention comprises a tibial base and a tibial keel;
The tibia keel comprises a keel platform and a keel column fixedly connected with the keel platform;
The tibia base comprises a base platform, and the base platform is provided with a base keel hole corresponding to the keel platform; the base keel hole is a through hole;
The keel platform is detachably connected with the base platform through the base keel hole.
The optional technical scheme of the invention is that the base platform is fixedly provided with a limit step;
The limiting step is arranged in the base keel hole, and a distance is reserved between the limiting step and one surface, away from the keel column, of the base platform;
One surface of the keel platform, which is close to the keel column, is detachably connected with the limiting step.
The invention adopts an optional technical scheme that the keel platform is provided with at least one keel connecting through hole, and a screw, a pin or a key passes through the keel connecting through hole to be connected with the limiting step.
The alternative technical scheme of the invention is that the tibia base comprises a flange fixedly connected with the periphery of the base platform; the flange is arranged on one surface of the base platform, which is far away from the keel column;
The flange is provided with at least one flange connection through hole through which a screw, pin or key is passed for connection with the keel platform.
The invention adopts an alternative technical scheme that at least one part of matching surfaces of the keel platform and the base platform are in taper fit.
The alternative technical scheme of the invention is that the taper is Morse taper or the taper is 0.5-5 degrees.
The invention adopts an alternative technical scheme that the keel platform and the base platform adopt one or more of threaded connection, pin connection, key connection, clamping connection and taper fit connection.
The invention has the optional technical scheme that one surface of the keel platform, which is far away from the keel column, is flush with one surface of the base platform, which is far away from the keel column.
The invention adopts an optional technical scheme that the keel platform and the base platform are connected by interference fit.
Based on the second object, the artificial knee joint provided by the invention comprises the split type tibial tray prosthesis.
The invention has the beneficial effects that:
The split type tibia support prosthesis comprises a tibia base and a tibia keel, wherein a base keel hole is formed in a base platform of the tibia base, so that the tibia base can have the function of tibia test mould; the tibia base can replace the existing tibia test mould, and the tibia base and the tibia keel are connected to form the tibia support prosthesis, so that the stock of the tibia test mould in the operation tool box is saved; in addition, during operation, the tibia base does not need to be taken down after the tibia keel is molded, the tibia keel and the tibia base can be directly assembled, the operation steps of doctors are reduced to a certain extent, and the operation time is shortened.
According to the artificial knee joint provided by the invention, the keel platform is detachably connected with the base platform, so that the split type tibial tray prosthesis can realize the conversion of two functional roles of a tibial test model and a tibial tray prosthesis, namely, the tibial base can replace the existing tibial test model, and the tibial base and the tibial keel are connected to form the tibial tray prosthesis, so that the stock of the tibial test model in the operation tool box is saved; the tibia keel and the tibia base can be directly assembled after the tibia keel is molded in an operation, so that the steps of the operation of a doctor are reduced to a certain extent, and the operation time is shortened.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings that are needed in the description of the embodiments or the prior art will be briefly described, and it is obvious that the drawings in the description below are some embodiments of the present invention, and other drawings can be obtained according to the drawings without inventive effort for a person skilled in the art.
FIG. 1 is a schematic view of a prior art tibial tray prosthesis;
FIG. 2 is a schematic view of a prior art tibial trial;
Fig. 3-1 is an exploded view of a split tibial tray prosthesis according to a first embodiment of the present invention;
Fig. 3-2 is a schematic view of a first angular configuration of a split tibial tray prosthesis according to an embodiment of the present invention;
fig. 3-3 are schematic views of a second angular configuration of a split tibial tray prosthesis according to an embodiment of the present invention;
figures 3-4 are A-A cross-sectional views of the split tibial tray prosthesis shown in figures 3-3;
Fig. 3-5 are top views of the split tibial tray prosthesis shown in fig. 3-3;
fig. 4-1 is a schematic view of a first angle structure of a tibial base according to a first embodiment of the present invention;
fig. 4-2 is a schematic view of a second angle structure of a tibial base according to a first embodiment of the present invention;
fig. 4-3 is a top view of the tibial base shown in fig. 4-2;
fig. 4-4 is a B-B cross-sectional view of the tibial base shown in fig. 4-2;
Fig. 4-5 are enlarged views of region C of the tibial base shown in fig. 4-4;
fig. 5-1 is a first angular configuration diagram of a tibial keel according to an embodiment of the invention;
fig. 5-2 is a schematic view of a second angular configuration of a tibial keel according to the first embodiment of the invention;
Fig. 5-3 is a D-D cross-sectional view of the tibial keel of fig. 5-2;
Fig. 5-4 is a top view of the tibial keel of fig. 5-2;
fig. 5-5 are enlarged views of the tibial keel of fig. 5-4 at area E.
Icon: 1-a tibial tray prosthesis; 11-a tibial base; 12-tibial keel; 2-tibia testing; 21-testing a keel hole;
100-tibial base; 110-a base platform; 111-base keel holes; 112-limiting steps; 120-flanges; 121-flange connection through holes; 200-tibial keel; 210-a keel platform; 211-keel connecting through holes; 220-keel posts.
Detailed Description
The following description of the embodiments of the present invention will be made apparent and fully in view of the accompanying drawings, in which some, but not all embodiments of the invention are shown. All other embodiments, which can be made by those skilled in the art based on the embodiments of the invention without making any inventive effort, are intended to be within the scope of the invention.
In the description of the present invention, it should be noted that the directions or positional relationships indicated by the terms "center", "upper", "lower", "left", "right", "vertical", "horizontal", "inner", "outer", etc. are based on the directions or positional relationships shown in the drawings, are merely for convenience of describing the present invention and simplifying the description, and do not indicate or imply that the devices or elements referred to must have a specific orientation, be configured and operated in a specific orientation, and thus should not be construed as limiting the present invention. Furthermore, the terms "first," "second," and "third" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance.
In the description of the present invention, it should be noted that, unless explicitly specified and limited otherwise, the terms "mounted," "connected," and "connected" are to be construed broadly, and may be either fixedly connected, detachably connected, or integrally connected, for example; can be mechanically or electrically connected; can be directly connected or indirectly connected through an intermediate medium, and can be communication between two elements. The specific meaning of the above terms in the present invention will be understood in specific cases by those of ordinary skill in the art.
Example 1
Referring to fig. 3-1 through 5-5, the present embodiment provides a split tibial tray prosthesis; fig. 3-1 to 3-5 are schematic structural views of a split tibial tray prosthesis according to the present embodiment; fig. 4-1 to 4-5 are schematic structural views of a tibial base according to the present embodiment; fig. 5-1 to 5-5 are schematic views of the degree structure of the tibial keel according to the present embodiment.
Referring to fig. 3-1 to 5-5, the split tibial tray prosthesis (tibial tray prosthesis) provided in this embodiment is applied to a tibial prosthesis and also applied to an artificial knee joint, and includes a tibial base 100 and a tibial keel 200;
The tibial keel 200 includes a keel platform 210 and a keel post 220 fixedly connected to the keel platform 210; the keel 220 is adapted to be fixedly coupled to the tibia of the person to fixedly couple the tibial tray prosthesis to the tibia of the person.
The tibial base 100 includes a base platform 110, the base platform 110 being provided with a base keel aperture 111 corresponding to the keel platform 210; the base keel holes 111 are through holes.
The keel platform 210 is removably connected to the base platform 110 through the base keel holes 111 to removably connect the tibial keel 200 to the tibial base 100.
The split tibial tray prosthesis in this embodiment includes a tibial base 100 and a tibial keel 200, and the tibial base 100 has a tibial trial function by providing a base keel hole 111 on a base platform 110 of the tibial base 100; the tibia keel 200 and the tibia base 100 are detachably connected through the keel platform 210, so that the split tibia support prosthesis can realize the conversion of two functions of tibia test and tibia support prosthesis, namely the tibia base 100 can replace the existing tibia test, the tibia base 100 and the tibia keel 200 are connected to form the tibia support prosthesis, and stock of the tibia test in the operation tool box is saved; in addition, during operation, the tibia keel 200 can be directly assembled with the tibia base 100 without taking down the tibia base 100 after the tibia keel 200 is molded, so that the operation steps of doctors are reduced to a certain extent, and the operation time is shortened.
The split tibial tray prosthesis of the embodiment adopts a split design of a tibial base 100 and a tibial keel 200, and comprises the following processing steps of the tibial side in the artificial knee joint replacement operation:
1. performing proximal tibial osteotomies;
2. a tibial base 100 is installed at the proximal end of the tibia to replace the existing tibial trial;
3. The keel chisel passes through the base keel hole 111 of the tibial base 100 and into the tibia of the human body to shape the hole site in the tibia of the human body where the keel post 220 is mounted;
4. The keel osteotome is withdrawn from the tibia, the tibial keel 200 is installed at the proximal end of the tibia, the keel post 220 is installed into a predetermined hole site in the human tibia, and the tibial keel 200 and tibial base 100 are assembled to form the tibial tray prosthesis.
The split type tibia support prosthesis can make the tibia test mould unnecessary to prepare in the operation tool box, saves stock of the tibia test mould in the operation tool box, and reduces equipment cost of artificial knee joint replacement to a certain extent; during operation, the tibia keel 200 and the tibia base 100 are directly assembled without taking down the tibia test mould from the tibia of the human body, so that the operation steps of a doctor are reduced to a certain extent, and the operation time is shortened.
In an alternative to this embodiment, the keel platform 210 is connected to the base platform 110 with an interference fit; to make the keel platform 210 more securely coupled to the base platform 110 to make the tibial tray prosthesis more stable for the patient in use.
In an alternative to this embodiment, the side of the keel platform 210 remote from the keel post 220 is flush with the side of the base platform 110 remote from the keel post 220; to improve the fit between the tibial insert prosthesis and the platform surface formed by the keel platform 210 and the base platform 110, so as to improve the fit between the tibial insert prosthesis and the tibial tray prosthesis, and further improve the stability of the tibial prosthesis structure formed by the tibial insert prosthesis and the tibial tray prosthesis.
In an alternative to this embodiment, the keel platform 210 and the base platform 110 are one or more of threaded, pinned, keyed, snap-fit, and taper fit.
Optionally, the keel platform 210 is threadably coupled to the base platform 110, with a nominal diameter of M1-M10, such as one or more of the nominal diameters M1, M2, M3, M4, M6. Optionally, the number of screws does not exceed 6. Further, the number of screws does not exceed 4.
Optionally, the keel platform 210 is snap-fit with the base platform 110; for example, the keel platform 210 is provided with a slot or protrusion, the base platform 110 is provided with a protrusion or slot that mates with the slot or protrusion, and the keel platform 210 is connected into the base platform 110 by tapping or pressing, etc.
Optionally, the keel platform 210 is coupled to the base platform 110 by tapping or pressing, etc., the keel platform 210 and the base platform 110 in a small interference cylindrical form or other form fit.
Optionally, the keel platform 210 is taper fit with at least a portion of the mating surface of the base platform 110; optionally, the matching surfaces of the keel platform 210 and the base platform 110 are in taper fit; the precision of the matching between the keel platform 210 and the base platform 110 is higher by taper fit. Alternatively, the taper is a Morse taper, or the taper is 0.5-5 degrees. The accuracy of the engagement of keel platform 210 with base platform 110 is further enhanced by using a Morse taper or using a taper of 0.5-5 degrees.
Optionally, at least a part of the matching surfaces of the keel platform 210 and the base platform 110 are in taper fit, and the keel platform 210 and the base platform 110 are in threaded connection; after the surface of the keel platform 210 away from the keel column 220 is assembled flush with the surface of the base platform 110 away from the keel column 220, screws are used to strengthen the connection between the keel platform 210 and the base platform 110, so that the connection between the tibial base 100 and the tibial keel 200 is firmer and more stable.
The connection manner between the keel platform 210 and the base platform 110 in this embodiment may also adopt threaded connection, clamping connection and taper fit connection, or adopt pin connection, clamping connection and taper fit connection, or adopt threaded connection and clamping connection, etc., and may also adopt other connection manners.
Referring to fig. 3-1 to 5-5, in an alternative of the present embodiment, the base platform 110 is fixedly provided with a limiting step 112.
The limiting step 112 is disposed in the base keel hole 111, and the limiting step 112 is spaced from a surface of the base platform 110 away from the keel post 220.
One side of the keel platform 210 adjacent to the keel post 220 is removably connected to the stop step 112. Through the limit step 112, the keel platform 210 and the base platform 110 are matched and assembled, so that the matching degree of the keel platform 210 and the base platform 110 is improved to a certain extent, and the stability of the tibial tray prosthesis can be improved.
Optionally, the spacing step 112 is spaced from the side of the base platform 110 remote from the keel post 220 by a distance equal to the thickness of the portion of the keel platform 210 that mates with the spacing step 112; such that the side of the keel platform 210 remote from the keel post 220 is flush with the side of the base platform 110 remote from the keel post 220.
Optionally, the side of the stop step 112 adjacent the keel post 220 is flush with the side of the base platform 110 adjacent the keel post 220.
In an alternative of this embodiment, the keel platform 210 is provided with at least one keel connecting hole 211, and a screw, pin or key passes through the keel connecting hole 211 to be connected with the limiting step 112, so that the keel platform 210 is fixedly connected with the limiting step 112, and further the tibial keel 200 is fixedly connected with the tibial base 100.
Optionally, a threaded hole is provided on the limiting step 112, and a screw passes through the keel connecting through hole 211 to be screwed with the limiting step 112.
Optionally, the number of keel connecting through holes 211 is 1-6; for example, the number of keel connecting through holes 211 is 2, 3, 4, or the like.
In an alternative to this embodiment, the tibial base 100 includes a flange 120 fixedly attached to the periphery of the base platform 110; the flange 120 is disposed on a side of the base platform 110 away from the keel 220; optionally, flange 120 is annular.
The flange 120 is provided with at least one flange connection through hole 121, and a screw, pin or key is connected to the keel platform 210 through the flange connection through hole 121 to fixedly connect the keel platform 210 to the base platform 110 and, in turn, the tibial keel 200 to the tibial base 100.
Optionally, threaded holes are provided on the keel platform 210, and screws are threaded through the flange connection through holes 121 to the keel platform 210.
Alternatively, the number of flange connection through holes 121 is 1 to 4; for example, the number of flange connection through holes 121 is 1,2, 3, or the like.
Optionally, flange 120 includes a leading edge and a trailing edge, the trailing edge including a left trailing edge and a right trailing edge, a trailing edge groove formed therebetween; the number of the flange connection through holes 121 is 1, and the orifices of 1 flange connection through hole 121 face the trailing edge groove.
Example two
A second embodiment provides an artificial knee joint, where the embodiment includes the split tibial tray prosthesis of the first embodiment, and technical features of the split tibial tray prosthesis disclosed in the first embodiment are also applicable to the embodiment, and technical features of the split tibial tray prosthesis disclosed in the first embodiment are not repeated.
The artificial knee joint provided by the embodiment comprises a split type tibial tray prosthesis, a tibial liner prosthesis and a femoral condyle prosthesis. The split type tibial tray prosthesis is matched with the tibial liner prosthesis to form a tibial prosthesis; the tibial prosthesis is matched and connected with the femoral condyle prosthesis. The split type tibia support prosthesis can realize the conversion of two functional roles of tibia test mould and tibia support prosthesis by detachable connection of the keel platform and the base platform, namely, the tibia base can replace the existing tibia test mould, and the tibia base and the tibia keel are connected to form the tibia support prosthesis, so that the stock of the tibia test mould in the operation tool box is saved; the tibia keel and the tibia base can be directly assembled after the tibia keel is molded in an operation, so that the steps of the operation of a doctor are reduced to a certain extent, and the operation time is shortened.
The artificial knee joint of this embodiment has the advantages of the split tibial tray prosthesis of embodiment one, and the advantages of the split tibial tray prosthesis of embodiment one disclosed herein are not repeated here.
Finally, it should be noted that: the above embodiments are only for illustrating the technical solution of the present invention, and not for limiting the same; although the invention has been described in detail with reference to the foregoing embodiments, it will be understood by those of ordinary skill in the art that: the technical scheme described in the foregoing embodiments can be modified or some or all of the technical features thereof can be replaced by equivalents; such modifications and substitutions do not depart from the spirit of the invention.

Claims (5)

1. The split type tibia support prosthesis is characterized by comprising a tibia base and a tibia keel;
The tibia keel comprises a keel platform and a keel column fixedly connected with the keel platform;
The tibia base comprises a base platform, and the base platform is provided with a base keel hole corresponding to the keel platform; the base keel hole is a through hole;
the keel platform is detachably connected with the base platform through the base keel hole;
The base platform is fixedly provided with a limiting step;
The limiting step is arranged in the base keel hole, and a distance is reserved between the limiting step and one surface, away from the keel column, of the base platform;
One surface of the keel platform, which is close to the keel column, is detachably connected with the limiting step;
the keel platform is provided with at least one keel connecting through hole, and a screw, a pin or a key passes through the keel connecting through hole to be connected with the limiting step;
the keel platform and the base platform are connected in one or more of threaded connection, pin connection, key connection, clamping connection and taper fit connection;
one surface of the keel platform, which is far away from the keel column, is flush with one surface of the base platform, which is far away from the keel column;
the fossil fragments platform with the base platform adopts interference fit to connect.
2. The split tibial tray prosthesis of claim 1 wherein the tibial base includes a flange fixedly connected to a periphery of the base platform; the flange is arranged on one surface of the base platform, which is far away from the keel column;
The flange is provided with at least one flange connection through hole through which a screw, pin or key is passed for connection with the keel platform.
3. The split tibial tray prosthesis of claim 1 wherein at least a portion of the mating surfaces of the keel platform and the base platform are taper fit.
4. The split tibial tray prosthesis of claim 3 wherein the taper is a morse taper or the taper is 0.5 degrees to 5 degrees.
5. An artificial knee joint comprising the split tibial tray prosthesis of any one of claims 1 to 4.
CN201711099278.9A 2017-11-09 2017-11-09 Split type tibia support prosthesis and artificial knee joint Active CN107616860B (en)

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Families Citing this family (3)

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CN109567987B (en) * 2019-02-01 2025-01-21 北京爱康宜诚医疗器材有限公司 Unicompartmental knee prosthesis
CN110772359B (en) * 2019-10-15 2022-02-01 佛山市第一人民医院(中山大学附属佛山医院) Manufacturing method of joint prosthesis and manufacturing method of test mold thereof
CN110680570A (en) * 2019-10-21 2020-01-14 北京安颂科技有限公司 Tibial prosthesis locking assembly and artificial knee joint prosthesis

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CN107280815A (en) * 2017-08-01 2017-10-24 北京安颂科技有限公司 Lateral femoral condyle prosthesis and artificial knee joint
CN107280821A (en) * 2017-08-01 2017-10-24 北京安颂科技有限公司 Rotation platform knee-joint prosthesis
CN107300502A (en) * 2017-08-18 2017-10-27 北京大学第三医院 A kind of auxiliary machinery arm-general-purpose sensor testing system realizes the fixture of knee joint Biomechanics test
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CN104042365A (en) * 2013-03-15 2014-09-17 德普伊(爱尔兰)有限公司 Prosthetic Components And Methods For Joint Line Access
CN203852452U (en) * 2014-05-23 2014-10-01 北京威高亚华人工关节开发有限公司 Stable pad type arthroplasty knee joint
CN105030382A (en) * 2015-02-10 2015-11-11 江苏奥康尼医疗科技发展有限公司 Organic polymer material dual-slide artificial knee joint
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TW201700070A (en) * 2015-06-26 2017-01-01 meng-ting Lin Artificial knee joint replacement structure capable of effectively reducing the damage and risk caused by a second replacement of artificial knee joint
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