CN108324407B - A porous biomimetic skull repair structure based on additive manufacturing technology - Google Patents
A porous biomimetic skull repair structure based on additive manufacturing technology Download PDFInfo
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- 210000003625 skull Anatomy 0.000 title claims abstract description 28
- 238000005516 engineering process Methods 0.000 title claims abstract description 19
- 238000004519 manufacturing process Methods 0.000 title claims abstract description 17
- 230000008439 repair process Effects 0.000 title claims description 68
- 239000000654 additive Substances 0.000 title abstract description 7
- 230000000996 additive effect Effects 0.000 title abstract description 7
- 230000003592 biomimetic effect Effects 0.000 title description 2
- 229910001069 Ti alloy Inorganic materials 0.000 claims description 88
- 229920003229 poly(methyl methacrylate) Polymers 0.000 claims description 72
- 239000004926 polymethyl methacrylate Substances 0.000 claims description 72
- 229910052588 hydroxylapatite Inorganic materials 0.000 claims description 34
- XYJRXVWERLGGKC-UHFFFAOYSA-D pentacalcium;hydroxide;triphosphate Chemical compound [OH-].[Ca+2].[Ca+2].[Ca+2].[Ca+2].[Ca+2].[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O XYJRXVWERLGGKC-UHFFFAOYSA-D 0.000 claims description 33
- 239000000463 material Substances 0.000 claims description 23
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 claims description 7
- 229910052719 titanium Inorganic materials 0.000 claims description 7
- 239000010936 titanium Substances 0.000 claims description 7
- 150000004702 methyl esters Chemical class 0.000 claims description 2
- 238000005253 cladding Methods 0.000 claims 3
- 230000006978 adaptation Effects 0.000 claims 1
- 239000011664 nicotinic acid Substances 0.000 abstract description 6
- 210000001519 tissue Anatomy 0.000 description 25
- 238000003780 insertion Methods 0.000 description 19
- 230000037431 insertion Effects 0.000 description 19
- 210000000988 bone and bone Anatomy 0.000 description 11
- 230000007547 defect Effects 0.000 description 10
- 230000009286 beneficial effect Effects 0.000 description 8
- 239000007943 implant Substances 0.000 description 7
- 239000002131 composite material Substances 0.000 description 6
- OYPRJOBELJOOCE-UHFFFAOYSA-N Calcium Chemical compound [Ca] OYPRJOBELJOOCE-UHFFFAOYSA-N 0.000 description 4
- BAPJBEWLBFYGME-UHFFFAOYSA-N Methyl acrylate Chemical compound COC(=O)C=C BAPJBEWLBFYGME-UHFFFAOYSA-N 0.000 description 4
- 238000005452 bending Methods 0.000 description 4
- 239000011575 calcium Substances 0.000 description 4
- 229910052791 calcium Inorganic materials 0.000 description 4
- 230000000694 effects Effects 0.000 description 4
- 208000015181 infectious disease Diseases 0.000 description 4
- 238000007493 shaping process Methods 0.000 description 4
- 238000001356 surgical procedure Methods 0.000 description 4
- 206010033474 Pain of skin Diseases 0.000 description 3
- OAICVXFJPJFONN-UHFFFAOYSA-N Phosphorus Chemical compound [P] OAICVXFJPJFONN-UHFFFAOYSA-N 0.000 description 3
- 229910045601 alloy Inorganic materials 0.000 description 3
- 239000000956 alloy Substances 0.000 description 3
- 239000011248 coating agent Substances 0.000 description 3
- 238000000576 coating method Methods 0.000 description 3
- 230000002950 deficient Effects 0.000 description 3
- 238000013461 design Methods 0.000 description 3
- 238000000034 method Methods 0.000 description 3
- 239000011574 phosphorus Substances 0.000 description 3
- 229910052698 phosphorus Inorganic materials 0.000 description 3
- 210000004761 scalp Anatomy 0.000 description 3
- 230000008467 tissue growth Effects 0.000 description 3
- 230000015556 catabolic process Effects 0.000 description 2
- 230000007423 decrease Effects 0.000 description 2
- 238000006731 degradation reaction Methods 0.000 description 2
- 150000002148 esters Chemical class 0.000 description 2
- 230000012010 growth Effects 0.000 description 2
- 210000003128 head Anatomy 0.000 description 2
- 238000002513 implantation Methods 0.000 description 2
- 238000009434 installation Methods 0.000 description 2
- 238000007917 intracranial administration Methods 0.000 description 2
- 229920000193 polymethacrylate Polymers 0.000 description 2
- 230000035807 sensation Effects 0.000 description 2
- 208000000860 Compassion Fatigue Diseases 0.000 description 1
- VVQNEPGJFQJSBK-UHFFFAOYSA-N Methyl methacrylate Chemical compound COC(=O)C(C)=C VVQNEPGJFQJSBK-UHFFFAOYSA-N 0.000 description 1
- 229920005372 Plexiglas® Polymers 0.000 description 1
- 229920002845 Poly(methacrylic acid) Polymers 0.000 description 1
- QFJPQEKQIKSNBU-UHFFFAOYSA-M [Ti]O Chemical compound [Ti]O QFJPQEKQIKSNBU-UHFFFAOYSA-M 0.000 description 1
- 229910052586 apatite Inorganic materials 0.000 description 1
- 230000003796 beauty Effects 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 230000000593 degrading effect Effects 0.000 description 1
- 230000002708 enhancing effect Effects 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 239000000203 mixture Substances 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- VSIIXMUUUJUKCM-UHFFFAOYSA-D pentacalcium;fluoride;triphosphate Chemical compound [F-].[Ca+2].[Ca+2].[Ca+2].[Ca+2].[Ca+2].[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O VSIIXMUUUJUKCM-UHFFFAOYSA-D 0.000 description 1
- 229920003023 plastic Polymers 0.000 description 1
- 239000004033 plastic Substances 0.000 description 1
- 229920000642 polymer Polymers 0.000 description 1
- 238000006116 polymerization reaction Methods 0.000 description 1
- 239000000843 powder Substances 0.000 description 1
- 238000011160 research Methods 0.000 description 1
- 238000004088 simulation Methods 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 239000004575 stone Substances 0.000 description 1
- 239000012815 thermoplastic material Substances 0.000 description 1
- 229920006352 transparent thermoplastic Polymers 0.000 description 1
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/28—Bones
- A61F2/2846—Support means for bone substitute or for bone graft implants, e.g. membranes or plates for covering bone defects
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/28—Bones
- A61F2/2875—Skull or cranium
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/28—Bones
- A61F2002/2817—Bone stimulation by chemical reactions or by osteogenic or biological products for enhancing ossification, e.g. by bone morphogenetic or morphogenic proteins [BMP] or by transforming growth factors [TGF]
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/28—Bones
- A61F2002/2835—Bone graft implants for filling a bony defect or an endoprosthesis cavity, e.g. by synthetic material or biological material
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30003—Material related properties of the prosthesis or of a coating on the prosthesis
- A61F2002/3006—Properties of materials and coating materials
- A61F2002/30062—(bio)absorbable, biodegradable, bioerodable, (bio)resorbable, resorptive
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30003—Material related properties of the prosthesis or of a coating on the prosthesis
- A61F2002/3006—Properties of materials and coating materials
- A61F2002/30092—Properties of materials and coating materials using shape memory or superelastic materials, e.g. nitinol
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00389—The prosthesis being coated or covered with a particular material
- A61F2310/00395—Coating or prosthesis-covering structure made of metals or of alloys
- A61F2310/00407—Coating made of titanium or of Ti-based alloys
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00389—The prosthesis being coated or covered with a particular material
- A61F2310/00592—Coating or prosthesis-covering structure made of ceramics or of ceramic-like compounds
- A61F2310/00796—Coating or prosthesis-covering structure made of a phosphorus-containing compound, e.g. hydroxy(l)apatite
Landscapes
- Health & Medical Sciences (AREA)
- Transplantation (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Neurosurgery (AREA)
- Prostheses (AREA)
- Materials For Medical Uses (AREA)
Abstract
Description
技术领域technical field
本发明涉及医疗技术领域,具体涉及一种基于增材制造技术的多孔仿生颅骨修复结构。The invention relates to the field of medical technology, in particular to a porous bionic skull repair structure based on additive manufacturing technology.
背景技术Background technique
颅骨修补术是神经外科的常见手术,目前,大多数此类手术均使用人工颅骨以代替缺失部位的颅骨,最常用的人工颅骨材料就是钛合金网板,随着人们生活水平的提高,人们不仅要通过颅骨修补能达到解剖、生理的复原,对外观美容的要求也越来越高,为了修补体与患者原颅骨嵌合的更完美,既往的重建手术一般是由医生在术前或在术中根据患者缺损部位的大小和形状,手工敲制钛合金网板,在患者头上比较后反复修型,剪缝,直到符合患者缺损部位的要求,最后用螺钉固定,这就要求医生必须根据患者颅骨缺损的形状在手术台上尽快制造出修复体,但由于每个患者颅骨缺损部位的形状均不一样,修复材料钛合金网板不易成形,术中需要反复塑形,这就增加了手术时间,虽然三维钛板的出现使塑形变的比较容易,缩短了手术时间,但其硬度不如二维钛板。而且钛合金网板的温度传导性较强,易受外界温度的影响而造成患者颅内不适,钛合金网板边缘锐利,头皮较薄的患者术后易发生头皮疼痛等并发症,钛合金网板边缘划破头皮会引起脑脊液漏甚至感染。Cranioplasty is a common operation in neurosurgery. At present, most of these operations use artificial skulls to replace the missing parts of the skull. The most commonly used artificial skull material is titanium alloy mesh. With the improvement of people's living standards, people not only In order to achieve anatomical and physiological restoration through cranial repair, the requirements for appearance and beauty are getting higher and higher. In order to make the prosthetic body fit more perfectly with the patient's original skull, the previous reconstruction surgery was generally performed by doctors before or after surgery. According to the size and shape of the patient's defect, the titanium alloy mesh plate is manually knocked out, and after comparison on the patient's head, it is repeatedly trimmed, cut and sewed until it meets the requirements of the patient's defect, and finally fixed with screws. The shape of the patient’s skull defect was restored on the operating table as soon as possible. However, since the shape of each patient’s skull defect is different, the repair material titanium alloy mesh plate is not easy to shape, and repeated shaping is required during the operation, which increases the operation time. Time, although the appearance of the three-dimensional titanium plate makes the plastic deformation easier and shortens the operation time, but its hardness is not as good as the two-dimensional titanium plate. Moreover, the temperature conductivity of the titanium alloy stencil is strong, and it is easily affected by the external temperature to cause intracranial discomfort in patients. The edge of the titanium alloy stencil is sharp, and patients with thin scalp are prone to complications such as scalp pain after surgery. Titanium alloy mesh Cutting the scalp with the edge of the board can cause a CSF leak or even infection.
基于此,研究并设计一种基于增材制造技术的多孔仿生颅骨修复结构。Based on this, research and design a porous bionic skull repair structure based on additive manufacturing technology.
发明内容Contents of the invention
本发明所要解决的技术问题是:现有的颅骨植入结构在植入时,硬度低,容易凹陷,且易受外界温度影响,使患者使用时有不适感觉,本技术方案改进颅骨修复结构外固定片、内固定片分别为复合层结构,且之间通过连接件,连接件本身具有可降解作用,在增加颅骨植入体强度的同时,尽可能去避免患者颅内产生不适感。The technical problem to be solved by the present invention is: when the existing skull implant structure is implanted, the hardness is low, it is easy to sag, and it is easily affected by the external temperature, which makes the patient feel uncomfortable when using it. The fixation sheet and the internal fixation sheet are composite layer structures, and there are connectors between them. The connectors themselves have a degradable effect. While increasing the strength of the skull implant, it is possible to avoid intracranial discomfort of the patient as much as possible.
本发明通过下述技术方案实现:The present invention realizes through following technical scheme:
一种基于增材制造技术的多孔仿生颅骨修复结构,包括外固定片、内固定片,外固定片与内固定片之间通过连接件连接,所述外固定片包括第一聚甲基丙烯酸甲酯层、第二聚甲基丙烯酸甲酯层、第一钛合金网、第二钛合金网,第一钛合金网位于第二钛合金网的上端,第一聚甲基丙烯酸甲酯层设置在第一钛合金网的上端,第二聚甲基丙烯酸甲酯层设置在第二钛合金网的下端,第一聚甲基丙烯酸甲酯层、第二聚甲基丙烯酸甲酯层、第一钛合金网、第二钛合金网均为拱形的网板结构,第一聚甲基丙烯酸甲酯层为横截面为椭圆形的结构,第一聚甲基丙烯酸甲酯层的外周设有四个连接板,四个连接板以第一聚甲基丙烯酸甲酯层中心轴为轴呈中心对称,四个连接板的末端均连接有一个莫式锥度脚;所述内固定片包括羟基磷灰石修复层、钛合金修复层,羟基磷灰石修复层位于钛合金修复层的上端,钛合金修复层上设有网状孔,羟基磷灰石修复层上位于长轴的两端分别设有第一插入块、第二插入块,且羟基磷灰石修复层上位于短轴的两端分别设有第一通孔、第二通孔,第一通孔、第二通孔内均插入将羟基磷灰石修复层与钛合金修复层固定的钛钉。A porous biomimetic skull repair structure based on additive manufacturing technology, including an external fixation piece and an internal fixation piece, the external fixation piece and the internal fixation piece are connected by a connecting piece, and the external fixation piece includes a first polymethacrylate Ester layer, the second polymethyl methacrylate layer, the first titanium alloy mesh, the second titanium alloy mesh, the first titanium alloy mesh is located at the upper end of the second titanium alloy mesh, the first polymethyl methacrylate layer is set on The upper end of the first titanium alloy mesh, the second polymethyl methacrylate layer is arranged on the lower end of the second titanium alloy mesh, the first polymethyl methacrylate layer, the second polymethyl methacrylate layer, the first titanium The alloy mesh and the second titanium alloy mesh are both arched mesh structures, the first polymethyl methacrylate layer has an elliptical cross-section structure, and the outer periphery of the first polymethyl methacrylate layer is provided with four Connecting plates, the four connecting plates are centrally symmetrical with the central axis of the first polymethyl methacrylate layer as the axis, and a Morse taper foot is connected to the ends of the four connecting plates; the internal fixation piece includes hydroxyapatite The repair layer, the titanium alloy repair layer, the hydroxyapatite repair layer is located on the upper end of the titanium alloy repair layer, the titanium alloy repair layer is provided with mesh holes, and the hydroxyapatite repair layer is respectively provided with the second An insertion block, a second insertion block, and the two ends of the short axis of the hydroxyapatite repair layer are respectively provided with a first through hole and a second through hole, and the first through hole and the second through hole are inserted with hydroxyl Titanium nail fixed with apatite repair layer and titanium alloy repair layer.
进一步地,所述第二聚甲基丙烯酸甲酯层、第一钛合金网、第二钛合金网、第一聚甲基丙烯酸甲酯层之间相互平行,所述第一聚甲基丙烯酸甲酯层的弯曲弧度为30—45°。Further, the second polymethyl methacrylate layer, the first titanium alloy mesh, the second titanium alloy mesh, and the first polymethyl methacrylate layer are parallel to each other, and the first polymethyl methacrylate The curvature of the ester layer is 30-45°.
进一步地,四个连接板的延长线相交的中心夹角为90°。Further, the central angle at which the extension lines of the four connecting plates intersect is 90°.
进一步地,所述第一插入块、第二插入块为以羟基磷灰石修复层的中心轴呈中心对称结构。Further, the first insert block and the second insert block are center-symmetrical to the central axis of the hydroxyapatite repair layer.
进一步地,所述第一聚甲基丙烯酸甲酯层上设有圆孔,圆孔的孔径为50—300um。Further, the first polymethyl methacrylate layer is provided with round holes, and the diameter of the round holes is 50-300um.
进一步地,所述连接件包括第一连接杆、第二连接杆、第一锥形部、第二锥形部、第三连接杆、第四连接杆,所述第一连接杆的一端与外固定片的下表面可拆卸连接,第一连接杆的另一端与第一锥形部可拆卸连接,第一锥形部为横截面为圆形,且圆形直径从上至下依次缩小,第一锥形部的下端与第三连接杆连接。Further, the connecting piece includes a first connecting rod, a second connecting rod, a first tapered portion, a second tapered portion, a third connecting rod, and a fourth connecting rod, one end of the first connecting rod is connected to the outer The lower surface of the fixed piece is detachably connected, and the other end of the first connecting rod is detachably connected to the first tapered part. The cross section of the first tapered part is circular, and the diameter of the circle decreases sequentially from top to bottom. The lower end of a tapered part is connected with the third connecting rod.
进一步地,所述第二连接杆的一端与内固定片的上表面连接,第二连接杆的另一端与第二锥形部连接,第二锥形部的结构与第一锥形部的结构相同,第一锥形部与第四连接杆连接,第三连接杆与第四连接杆可拆卸连接。Further, one end of the second connecting rod is connected to the upper surface of the inner fixed piece, the other end of the second connecting rod is connected to the second tapered part, and the structure of the second tapered part is the same as that of the first tapered part. Similarly, the first tapered portion is connected to the fourth connecting rod, and the third connecting rod is detachably connected to the fourth connecting rod.
进一步地,所述第三连接杆为横截面为圆形的结构,第四连接杆为上端开口的中空结构,第三连接杆插入到第四连接杆的内部,所述第三连接杆与第四连接杆的形状适配,且为螺纹连接,所述第四连接杆的内表面设有内螺纹,第三连接杆的外表面设有外螺纹,第三连接杆的纵向长度小于等于第四连接杆的纵向长度。Further, the third connecting rod has a circular cross section, the fourth connecting rod is a hollow structure with an open upper end, the third connecting rod is inserted into the fourth connecting rod, and the third connecting rod is connected to the first connecting rod. The shapes of the four connecting rods are adapted and are threaded, the inner surface of the fourth connecting rod is provided with internal threads, the outer surface of the third connecting rod is provided with external threads, and the longitudinal length of the third connecting rod is less than or equal to the fourth connecting rod. The longitudinal length of the connecting rod.
进一步地,所述莫式锥度脚的横截面为椭圆形,所述莫式锥度脚采用的材质为钛合金。Further, the cross section of the Morse taper foot is oval, and the material of the Morse taper foot is titanium alloy.
进一步地,所述第一插入块为弯曲的长条板状结构,第一插入块与第二插入块的结构相同。Further, the first insertion block is a curved long plate-shaped structure, and the structure of the first insertion block is the same as that of the second insertion block.
本发明具有如下的优点和有益效果:The present invention has following advantage and beneficial effect:
(1)本发明将外固定片创造性的设计为复合层结构,该复合层包括第一聚甲基丙烯酸甲酯层、第二聚甲基丙烯酸甲酯层、第一钛合金网、第二钛合金网,第一聚甲基丙烯酸甲酯层、第二聚甲基丙烯酸甲酯层为骨植入体的最外侧,不易受为外界温度的影响,且能够有效降低钛合金网板边缘锐利,减少患者发生头皮疼痛等并发症。(1) In the present invention, the external fixation piece is creatively designed as a composite layer structure, and the composite layer includes a first polymethyl methacrylate layer, a second polymethyl methacrylate layer, a first titanium alloy mesh, a second titanium alloy mesh, and a second titanium alloy mesh. Alloy mesh, the first polymethyl methacrylate layer and the second polymethyl methacrylate layer are the outermost of the bone implant, which is not easily affected by the external temperature, and can effectively reduce the edge sharpness of the titanium alloy mesh plate. Reduce the occurrence of complications such as scalp pain in patients.
(2)本发明将内固定片设计为复合层结构,该复合层为羟基磷灰石修复层、钛合金修复层一体成型结构,羟基磷灰石修复层会在植入体内后,钙磷游离出来被身体组织吸收,并诱导出新的骨组织生长,且钛合金修复层设置,增强植入结构的强度,确保对损伤组织部位的形状具有一定支撑性,使修复后的组织能够保持一定形状,维持头部正常弯窿状外形。(2) In the present invention, the internal fixation piece is designed as a composite layer structure. The composite layer is an integrally formed structure of a hydroxyapatite repair layer and a titanium alloy repair layer. After the hydroxyapatite repair layer is implanted in the body, calcium and phosphorus are freed It is absorbed by body tissue and induces new bone tissue growth, and the titanium alloy repair layer is set to enhance the strength of the implanted structure, ensure a certain degree of support for the shape of the damaged tissue, and enable the repaired tissue to maintain a certain shape , to maintain the normal curved shape of the head.
(3)本发明中采用连接件将外固定片和内固定片进行连接,且采用可拆卸连接方式进行连接,外部固定片、内固定片的形状与缺损组织表面形状相同,外固定片位于缺损组织的外表面,而内固定片设置在缺损组织的内表面,中间连接件的设置可对缺损后植入的组织进行固定,利于缺损组织的连接件周围生长,提高组织相容性。(3) In the present invention, connectors are used to connect the external fixation piece and the internal fixation piece, and the connection is carried out in a detachable connection mode. The shapes of the external fixation piece and the internal fixation piece are the same as those of the surface of the defect tissue, and the external fixation piece is located in the defect tissue. The outer surface of the tissue, while the internal fixation piece is set on the inner surface of the defective tissue, and the setting of the intermediate connector can fix the implanted tissue after the defect, which is beneficial to the growth around the connector of the defective tissue and improves tissue compatibility.
附图说明Description of drawings
此处所说明的附图用来提供对本发明实施例的进一步理解,构成本申请的一部分,并不构成对本发明实施例的限定。在附图中:The drawings described here are used to provide a further understanding of the embodiments of the present invention, constitute a part of the application, and do not limit the embodiments of the present invention. In the attached picture:
图1为本发明的结构示意图,Fig. 1 is a structural representation of the present invention,
图2为本发明中内固定片的结构示意图;Fig. 2 is a schematic structural view of the internal fixation sheet in the present invention;
图3为本发明中连接件的结构示意图;Fig. 3 is the structural representation of connector among the present invention;
附图中标记及对应的零部件名称:Marks and corresponding parts names in the attached drawings:
1-1—外固定片,1—第一聚甲基丙烯酸甲酯层,2—第二聚甲基丙烯酸甲酯层,3—第一钛合金网,4—第二钛合金网,5—莫式锥度脚,7—连接板,8—连接件,82—第一连接杆,83—第一锥形部,84—第三连接杆,85—第四连接杆,86—第二锥形部,87—第二连接杆,9—内固定片,91—羟基磷灰石修复层,92—第一插入块,93—第二插入块,94—第一通孔,95—第二通孔,97—钛合金修复层,11—圆孔。1-1—external fixation piece, 1—the first polymethyl methacrylate layer, 2—the second polymethyl methacrylate layer, 3—the first titanium alloy mesh, 4—the second titanium alloy mesh, 5— Morse taper foot, 7—connecting plate, 8—connecting piece, 82—first connecting rod, 83—first tapered part, 84—third connecting rod, 85—fourth connecting rod, 86—second cone part, 87—second connecting rod, 9—internal fixation piece, 91—hydroxyapatite repair layer, 92—first insertion block, 93—second insertion block, 94—first through hole, 95—second through hole Hole, 97—titanium alloy repair layer, 11—round hole.
具体实施方式Detailed ways
为使本发明的目的、技术方案和优点更加清楚明白,下面结合实施例和附图,对本发明作进一步的详细说明,本发明的示意性实施方式及其说明仅用于解释本发明,并不作为对本发明的限定。In order to make the purpose, technical solutions and advantages of the present invention clearer, the present invention will be further described in detail below in conjunction with the examples and accompanying drawings. As a limitation of the present invention.
实施例1:Example 1:
如图1、图2、图3所示,一种基于增材制造技术的多孔仿生颅骨修复结构,包括外固定片1-1、内固定片9,外固定片1-1与内固定片9之间通过连接件8连接,所述外固定片1-1包括第一聚甲基丙烯酸甲酯层1、第二聚甲基丙烯酸甲酯层2、第一钛合金网3、第二钛合金网4,第一钛合金网3位于第二钛合金网4的上端,第一聚甲基丙烯酸甲酯层1设置在第一钛合金网3的上端,第二聚甲基丙烯酸甲酯层2设置在第二钛合金网4的下端,第一聚甲基丙烯酸甲酯层1、第二聚甲基丙烯酸甲酯层2、第一钛合金网3、第二钛合金网4均为拱形的网板结构,第一聚甲基丙烯酸甲酯层1为横截面为椭圆形的结构,第一聚甲基丙烯酸甲酯层1的外周设有四个连接板7,四个连接板7以第一聚甲基丙烯酸甲酯层1的中心轴为轴呈中心对称,四个连接板7的末端均连接有一个莫式锥度脚5;所述内固定片9包括羟基磷灰石修复层91、钛合金修复层97,羟基磷灰石修复层91位于钛合金修复层97的上端,钛合金修复层97上设有网状孔,羟基磷灰石修复层91上位于长轴的两端分别设有第一插入块92、第二插入块93,且羟基磷灰石修复层91上位于短轴的两端分别设有第一通孔94、第二通孔95,第一通孔94、第二通孔95内均插入将羟基磷灰石修复层91与钛合金修复层97固定的钛钉。As shown in Figure 1, Figure 2, and Figure 3, a porous bionic skull repair structure based on additive manufacturing technology, including an external fixation piece 1-1, an internal fixation piece 9, an external fixation piece 1-1 and an internal fixation piece 9 They are connected by a connecting piece 8, and the external fixation sheet 1-1 includes a first polymethyl methacrylate layer 1, a second polymethyl methacrylate layer 2, a first titanium alloy mesh 3, a second titanium alloy Net 4, the first titanium alloy net 3 is located at the upper end of the second titanium alloy net 4, the first polymethyl methacrylate layer 1 is arranged on the upper end of the first titanium alloy net 3, the second polymethyl methacrylate layer 2 Set at the lower end of the second titanium alloy mesh 4, the first polymethyl methacrylate layer 1, the second polymethyl methacrylate layer 2, the first titanium alloy mesh 3, and the second titanium alloy mesh 4 are all arched The net plate structure, the first polymethyl methacrylate layer 1 is an oval structure in cross section, the outer periphery of the first polymethyl methacrylate layer 1 is provided with four connection plates 7, four connection plates 7 with The central axis of the first polymethyl methacrylate layer 1 is axisymmetric, and the ends of the four connecting plates 7 are connected with a Morse taper foot 5; the internal fixation piece 9 includes a hydroxyapatite repair layer 91 1. Titanium alloy repair layer 97, the hydroxyapatite repair layer 91 is located at the upper end of the titanium alloy repair layer 97, the titanium alloy repair layer 97 is provided with mesh holes, and the hydroxyapatite repair layer 91 is located at both ends of the long axis respectively A first insertion block 92 and a second insertion block 93 are provided, and the two ends of the short axis on the hydroxyapatite repair layer 91 are respectively provided with a first through hole 94 and a second through hole 95. The first through hole 94, Titanium nails for fixing the hydroxyapatite repair layer 91 and the titanium alloy repair layer 97 are inserted into the second through holes 95 .
本实施例中对颅骨修复结构进行改进,设计为复合层结构,外固定片1-1由第一聚甲基丙烯酸甲酯层1、第二聚甲基丙烯酸甲酯层2、第一钛合金网3、第二钛合金网4组成,第一聚甲基丙烯酸甲酯层1、第二聚甲基丙烯酸甲酯层2、第一钛合金网3、第二钛合金网4均位于修复组织的外侧,故直接接触皮肤的为第一聚甲基丙烯酸甲酯层1、第二聚甲基丙烯酸甲酯层2,该两层为网孔层结构,采用的材质为聚甲基丙烯酸甲酯,聚甲基丙烯酸甲酯俗称有机玻璃,是一种透明的热塑性材料,具有重量轻、价格低、塑性强等优势,其应用时,可根据骨缺损的形状即时塑形,并牢靠地固定。且聚甲基丙烯酸甲酯由两种成分合成,具体为由固体粉末高聚物成分、液体聚甲基丙烯酸酯按照2:1的比例混合,发生聚合反应并固化,故制备获得聚甲基丙烯酸甲酯作为修复结构接触皮肤的材质时,不易受外界温度的影响,避免头皮较薄的患者术后发生头皮疼痛等问题。故外侧两层材质优选聚甲基丙烯酸甲酯。且第一聚甲基丙烯酸甲酯层1、第二聚甲基丙烯酸甲酯层2、第一钛合金网3、第二钛合金网4的结构为拱形的网板结构,即上述结构层的中心部分向上拱起,这样的弯曲形状能够与颅骨受伤组织紧密贴近,提高与人体本身组织的相容性。In this embodiment, the skull repair structure is improved, and it is designed as a composite layer structure. The external fixation piece 1-1 is composed of the first polymethyl methacrylate layer 1, the second polymethyl methacrylate layer 2, the first titanium alloy Mesh 3 and second titanium alloy mesh 4, the first polymethyl methacrylate layer 1, the second polymethyl methacrylate layer 2, the first titanium alloy mesh 3, and the second titanium alloy mesh 4 are all located in the repair tissue Therefore, the first polymethyl methacrylate layer 1 and the second polymethyl methacrylate layer 2 are in direct contact with the skin. These two layers have a mesh layer structure, and the material used is polymethyl methacrylate Polymethyl methacrylate, commonly known as plexiglass, is a transparent thermoplastic material that has the advantages of light weight, low price, and strong plasticity. When it is applied, it can be instantly shaped according to the shape of the bone defect and firmly fixed. And polymethyl methacrylate is synthesized from two components, specifically, the solid powder polymer component and liquid polymethacrylate are mixed according to the ratio of 2:1, polymerization reaction occurs and solidifies, so polymethacrylic acid is prepared When methyl ester is used as the material of the repair structure in contact with the skin, it is not easily affected by the external temperature, and it can avoid problems such as scalp pain in patients with thin scalp after surgery. Therefore, the material of the outer two layers is preferably polymethyl methacrylate. And the structure of the first polymethyl methacrylate layer 1, the second polymethyl methacrylate layer 2, the first titanium alloy mesh 3, and the second titanium alloy mesh 4 is an arched mesh structure, that is, the above-mentioned structural layer The central part of the skull is arched upwards, and this curved shape can be closely attached to the injured tissue of the skull, improving the compatibility with the tissue of the human body.
本实施例中在第一聚甲基丙烯酸甲酯层1的外周设置四个连接板7,四个连接板7以第一聚甲基丙烯酸甲酯层的中心轴为轴呈中心对称,四个连接板7均与一个莫式锥度脚5连接,莫式锥度脚5的设置,能够与骨孔紧密配合,促进位于修复组织周围血肉的生长,减少感染性,同时,四个莫式锥脚5的高度相同,且大于第一聚甲基丙烯酸甲酯层1、第二聚甲基丙烯酸甲酯层2、第一钛合金网3、第二钛合金网4的整体高度之和,莫式锥度脚5下端延伸到第二聚甲基丙烯酸甲酯层2的下端,故而,四个莫式锥度脚5可对外固定片1-1进行支撑,提高植入结构的强度、稳定性。In the present embodiment, four connection plates 7 are arranged on the periphery of the first polymethyl methacrylate layer 1, and the four connection plates 7 are center-symmetrical with the central axis of the first polymethyl methacrylate layer. The connecting plates 7 are all connected with one Morse taper foot 5. The setting of the Morse taper foot 5 can closely cooperate with the bone hole, promote the growth of blood and flesh around the repair tissue, and reduce infectivity. At the same time, the four Morse taper feet 5 The heights are the same, and greater than the sum of the overall heights of the first polymethyl methacrylate layer 1, the second polymethyl methacrylate layer 2, the first titanium alloy mesh 3, and the second titanium alloy mesh 4, and the Morse taper The lower end of the foot 5 extends to the lower end of the second polymethyl methacrylate layer 2, therefore, the four Morse taper feet 5 can support the external fixation piece 1-1, improving the strength and stability of the implanted structure.
本实施例中内固定片9包括羟基磷灰石修复层91、钛合金修复层97,其位于修复组织的内表面,羟基磷灰石修复层91采用的材质为羟基磷灰石,其分子结构和钙鳞比与正常骨骼中的无机成分极其相似,具有良好的生物相容性,骨传导性和骨诱导性。植入体内后,钙和磷会游离出材料表面被身体组织吸收,并诱导出新的骨组织生长。通过计算机辅助三维仿真设计技术,可以在术前根据缺损的大小和形状将羟基磷灰石预制成个性化的植人体。同时考虑到羟基磷灰石在体内降解过快,将其与钛合金修复层进行结合,钛合金修复层97的使用,利于根据颅颌面的缺损形状进行塑形,固定牢靠,与羟基磷灰石修复层1合用,可增加植入体的稳定性,且能够减少感染几率。In this embodiment, the internal fixation piece 9 includes a hydroxyapatite repair layer 91 and a titanium alloy repair layer 97, which are located on the inner surface of the repair tissue. The material used for the hydroxyapatite repair layer 91 is hydroxyapatite, and its molecular structure Compared with calcium scale, it is very similar to the inorganic components in normal bone, and has good biocompatibility, osteoconductivity and osteoinductivity. After implanted in the body, calcium and phosphorus will be released from the surface of the material to be absorbed by body tissues and induce new bone tissue growth. Through computer-aided three-dimensional simulation design technology, hydroxyapatite can be prefabricated into personalized implants according to the size and shape of the defect before operation. At the same time, considering that hydroxyapatite degrades too quickly in the body, it is combined with the titanium alloy repair layer. The use of titanium alloy repair layer 97 is conducive to shaping according to the shape of the cranio-maxillofacial defect, and it is firmly fixed. Stone repair layer 1 is used together to increase the stability of the implant and reduce the chance of infection.
且本实施例中设置第一通孔94、第二通孔95,并在两个通孔内插入钛钉,对羟基磷灰石修复层1与钛合金修复层7进行固定,加强塑形效果。Moreover, in this embodiment, a first through hole 94 and a second through hole 95 are set, and titanium nails are inserted into the two through holes to fix the hydroxyapatite repair layer 1 and the titanium alloy repair layer 7 to enhance the shaping effect .
本实施例中外固定片1-1、内固定片9之间通过连接件8连接,且连接件8与外固定片1-1、内固定片9之间采用可拆卸连接方式,且连接件可采用羟基磷灰石材质制备获得,具有可降解能力,待植入体内一段时间后,可自行降解,减少修复结构在体内的异物感。In this embodiment, the outer fixation piece 1-1 and the inner fixation piece 9 are connected by a connecting piece 8, and a detachable connection method is adopted between the connecting piece 8 and the outer fixing piece 1-1 and the inner fixing piece 9, and the connecting piece can be It is made of hydroxyapatite material, which has degradability. After being implanted in the body for a period of time, it can degrade by itself, reducing the foreign body sensation of the repair structure in the body.
实施例2:Example 2:
本实施例在实施例1的基础上进一步限定:所述第二聚甲基丙烯酸甲酯层2、第一钛合金网3、第二钛合金网4、第一聚甲基丙烯酸甲酯层1之间相互平行,所述第一聚甲基丙烯酸甲酯层1的弯曲弧度为30—45°,且四个连接板7的延长线相交的中心夹角为90°,所述第一聚甲基丙烯酸甲酯层1上设有圆孔95,圆孔95的孔径为50—300um。本实施例中通过设置第一聚甲基丙烯酸甲酯层1的弯曲弧度为30—45°,由于第二聚甲基丙烯酸甲酯层2、第一钛合金网3、第二钛合金网4、第一聚甲基丙烯酸甲酯层1之间相互平行,则第二聚甲基丙烯酸甲酯层2、第一钛合金网3、第二钛合金网4的弯曲弧度与第一聚甲基丙烯酸甲酯层1的弯曲弧度相同,第一聚甲基丙烯酸甲酯层1、第二聚甲基丙烯酸甲酯层2、第一钛合金网3、第二钛合金网4相互之间通过连接结构形成一个整体结构,利骨植入体的上下表面与受损皮肤的贴合性,同时减少由于接触生物相容性差,出现感染并发症等问题。且本实施例中所述第一聚甲基丙烯酸甲酯层1、第二聚甲基丙烯酸甲酯层2、第一钛合金网3、第二钛合金网4为一体成型结构。且第一聚甲基丙烯酸甲酯层1与第二聚甲基丙烯酸甲酯层2之间设置第一钛合金网3、第二钛合金网4,则第一钛合金网3、第二钛合金网4采用的结构均为网孔板状结构,且采用的材质均为医用钛合金,医用钛合金具有良好的生物相容性,和较高的机械强度,可以抗击二次外伤,可通过钛钉进行固定。而在本实施例中对第一钛合金网、第二钛合金网位置的设定,不接触皮肤,减少感染并发症,同时提高了整个骨植入体的强度、支撑性。This embodiment is further defined on the basis of Example 1: the second polymethyl methacrylate layer 2, the first titanium alloy mesh 3, the second titanium alloy mesh 4, the first polymethyl methacrylate layer 1 are parallel to each other, the bending radian of the first polymethyl methacrylate layer 1 is 30-45°, and the central angle at which the extension lines of the four connecting plates 7 intersect is 90°, the first polymethyl methacrylate layer 1 The methyl acrylate layer 1 is provided with a round hole 95, and the diameter of the round hole 95 is 50-300um. In this embodiment, by setting the bending radian of the first polymethyl methacrylate layer 1 to be 30-45°, due to the second polymethyl methacrylate layer 2, the first titanium alloy mesh 3, and the second titanium alloy mesh 4 , The first polymethyl methacrylate layer 1 is parallel to each other, then the bending arc of the second polymethyl methacrylate layer 2, the first titanium alloy mesh 3, and the second titanium alloy mesh 4 is the same as that of the first polymethyl methacrylate layer. The bending arc of the methyl acrylate layer 1 is the same, and the first polymethyl methacrylate layer 1, the second polymethyl methacrylate layer 2, the first titanium alloy mesh 3, and the second titanium alloy mesh 4 are connected to each other by The structure forms an integral structure, which improves the fit between the upper and lower surfaces of the bone implant and the damaged skin, and at the same time reduces the problems of infection complications due to poor contact biocompatibility. And in this embodiment, the first polymethyl methacrylate layer 1 , the second polymethyl methacrylate layer 2 , the first titanium alloy mesh 3 , and the second titanium alloy mesh 4 are integrally formed. And the first titanium alloy mesh 3 and the second titanium alloy mesh 4 are set between the first polymethyl methacrylate layer 1 and the second polymethyl methacrylate layer 2, then the first titanium alloy mesh 3 and the second titanium alloy mesh The structure adopted by the alloy mesh 4 is a mesh plate structure, and the material used is medical titanium alloy, which has good biocompatibility and high mechanical strength, and can resist secondary trauma. Titanium nails for fixation. However, in this embodiment, the setting of the positions of the first titanium alloy mesh and the second titanium alloy mesh does not touch the skin, reduces infection complications, and improves the strength and support of the entire bone implant.
实施例3:Example 3:
本实施例在上述实施例的基础上进一步限定:所述第一插入块92、第二插入块93为以羟基磷灰石修复层1的中心轴呈中心对称结构。且所述第一插入块92为弯曲的长条板状结构,所述第一插入块92与第二插入块93的结构相同。This embodiment is further defined on the basis of the above embodiments: the first inserting block 92 and the second inserting block 93 are center-symmetrical to the central axis of the hydroxyapatite repair layer 1 . Moreover, the first inserting block 92 is a curved long plate-shaped structure, and the structure of the first inserting block 92 and the second inserting block 93 are the same.
本实施例中设置第一插入块92、第二插入块93的作用是便于将羟基磷灰石修复层1、钛合金修复层7形成的整体结构,进行固定,能够与颅颌面受损组织良好接触。另外本实施例中,对第一插入块的形状优选为弯曲的长条板状结构,利于将第一插入块、第二插入块与周围组织良好的接触。In this embodiment, the first inserting block 92 and the second inserting block 93 are set to facilitate fixing the overall structure formed by the hydroxyapatite repair layer 1 and the titanium alloy repair layer 7, so as to be able to connect with the craniomaxillofacial damaged tissue. good contact. In addition, in this embodiment, the shape of the first insertion block is preferably a curved long strip structure, which is beneficial to good contact between the first insertion block and the second insertion block and surrounding tissues.
实施例4:Example 4:
本实施例在上述实施例的基础上进一步限定,所述连接件8包括第一连接杆82、第二连接杆87、第一锥形部83、第二锥形部86、第三连接杆84、第四连接杆85,所述第一连接杆82的一端与外固定片1-1的下表面可拆卸连接,第一连接杆82的另一端与第一锥形部83可拆卸连接,第一锥形部83为横截面为圆形,且圆形直径从上至下依次缩小,第一锥形部83的下端与第三连接杆84连接。This embodiment is further defined on the basis of the above embodiments, the connecting member 8 includes a first connecting rod 82 , a second connecting rod 87 , a first tapered portion 83 , a second tapered portion 86 , and a third connecting rod 84 , the fourth connecting rod 85, one end of the first connecting rod 82 is detachably connected to the lower surface of the outer fixing piece 1-1, the other end of the first connecting rod 82 is detachably connected to the first tapered portion 83, the second A tapered portion 83 has a circular cross section, and the diameter of the circle decreases sequentially from top to bottom. The lower end of the first tapered portion 83 is connected to the third connecting rod 84 .
本实施例中连接件具体结构第一连接杆82、第二连接杆87,在分别与内固定片9、外固定片1-1连接时,采用可拆卸连接方式,利于安装,同时内固定片9、外固定片1-1之间可设置多个连接件结构,在达到对缺损组织固定的同时,对内固定片9、外固定片1-1本身也是一种固定,增强塑形的效果。In this embodiment, the specific structure of the connectors, the first connecting rod 82 and the second connecting rod 87, when connecting with the inner fixing piece 9 and the outer fixing piece 1-1 respectively, adopt a detachable connection mode, which is beneficial to installation, and the inner fixing piece 9. A plurality of connector structures can be set between the external fixation piece 1-1. While achieving the fixation of the defective tissue, the internal fixation piece 9 and the external fixation piece 1-1 are also a kind of fixation, enhancing the shaping effect .
而本实施例中第一锥形部83、第二锥形部86、第三连接杆84、第四连接杆85的设定,形成的整体连接件结构,具有将内固定片9、外固定片1-1有效连接的作用,且本身具有一定强度。而第三连接杆84、第四连接杆85之间的连接为可可拆卸连接,利于内固定片9、外固定片1-1之间稳定连接。In the present embodiment, the setting of the first tapered portion 83, the second tapered portion 86, the third connecting rod 84, and the fourth connecting rod 85 form an integral connector structure, which has the inner fixing piece 9, the outer fixing piece Sheet 1-1 is effectively connected and has a certain strength. The connection between the third connecting rod 84 and the fourth connecting rod 85 is a detachable connection, which is beneficial to the stable connection between the inner fixing piece 9 and the outer fixing piece 1-1.
实施例5:Example 5:
本实施例在上述实施例的基础上进一步限定,所述第二连接杆87的一端与内固定片9的上表面连接,第二连接杆87的另一端与第二锥形部86连接,第二锥形部86的结构与第一锥形部83的结构相同,第一锥形部83与第四连接杆85连接,第三连接杆84与第四连接杆85可拆卸连接。所述第三连接杆84为横截面为圆形的结构,第四连接杆5为上端开口的中空结构,第三连接杆84插入到第四连接杆85的内部,所述第三连接杆84与第四连接杆85的形状适配,且为螺纹连接,所述第四连接杆85的内表面设有内螺纹,第三连接杆84的外表面设有外螺纹,第三连接杆84的纵向长度小于等于第四连接杆85的纵向长度。This embodiment is further defined on the basis of the above embodiments, one end of the second connecting rod 87 is connected to the upper surface of the inner fixed piece 9, the other end of the second connecting rod 87 is connected to the second tapered portion 86, the second The structure of the second tapered portion 86 is the same as that of the first tapered portion 83 , the first tapered portion 83 is connected to the fourth connecting rod 85 , and the third connecting rod 84 is detachably connected to the fourth connecting rod 85 . The third connecting rod 84 is a circular structure in cross section, the fourth connecting rod 5 is a hollow structure with an open upper end, the third connecting rod 84 is inserted into the inside of the fourth connecting rod 85, and the third connecting rod 84 It is adapted to the shape of the fourth connecting rod 85 and is threaded. The inner surface of the fourth connecting rod 85 is provided with internal threads, the outer surface of the third connecting rod 84 is provided with external threads, and the third connecting rod 84 is provided with external threads. The longitudinal length is less than or equal to the longitudinal length of the fourth connecting rod 85 .
本实施例中对连接件中第三连接杆84、第四连接杆85的连接方式作具体优选,优选这种螺纹连接方式,再将第三连接杆插入到第四连接杆内部时,确保两者之间连接稳定。同时兼顾考虑到了组织相容性,整个连接件结构的表面可涂覆羟基磷灰石涂层,羟基磷灰石涂层的成分与正常骨骼中的无机成分极为相似,具有良好的生物相容性、骨传导性和骨诱导性。植入体内后,钙和磷会游离出材料表面被身体组织吸收,并诱导出新的骨组织生长。In this embodiment, the connection mode of the third connecting rod 84 and the fourth connecting rod 85 in the connector is specifically optimized. This threaded connection method is preferred, and when the third connecting rod is inserted into the inside of the fourth connecting rod, the two The connection between them is stable. At the same time, considering the tissue compatibility, the surface of the entire connector structure can be coated with hydroxyapatite coating. The composition of the hydroxyapatite coating is very similar to the inorganic components in normal bones, and has good biocompatibility , osteoconductivity and osteoinductivity. After implanted in the body, calcium and phosphorus will be released from the surface of the material to be absorbed by body tissues and induce new bone tissue growth.
同时连接件本身结构也可采用羟基磷灰石材质,利于连接件在植入一段时间后降解,并且可对降解时间进行优选限定。而在植入一段时间后,内固定片已经与周围组织有效结合,形成良好的生物相容性,降解掉连接件,减少生物组织的异物感。At the same time, the structure of the connector itself can also be made of hydroxyapatite, which is beneficial to the degradation of the connector after implantation for a period of time, and the degradation time can be preferably limited. After a period of time of implantation, the internal fixation piece has been effectively combined with the surrounding tissue, forming good biocompatibility, degrading the connecting parts, and reducing the foreign body sensation of biological tissues.
实施例6:Embodiment 6:
本实施例在上述实施例的基础上进一步限定,所述莫式锥度脚5的横截面为椭圆形,所述莫式锥度脚5采用的材质为钛合金。莫式锥度脚5的个数为四个,四个锥度脚均为分布在第一聚甲基丙烯酸甲酯层1的外周,而具体安装情况可以根据实际情况选择结构稳定区域进行固定,也可以避开重要区域。莫式锥度脚5的外表面可以涂覆羟基磷灰石涂层,减少插入固定时的异物性。This embodiment is further defined on the basis of the above embodiments, the cross-section of the Morse taper foot 5 is elliptical, and the material of the Morse taper foot 5 is titanium alloy. The number of Morse taper feet 5 is four, and the four taper feet are all distributed on the periphery of the first polymethyl methacrylate layer 1, and the specific installation situation can be fixed by selecting a structurally stable area according to the actual situation, or can Avoid critical areas. The outer surface of the Morse taper foot 5 can be coated with hydroxyapatite coating to reduce foreign body properties during insertion and fixation.
实施例7:Embodiment 7:
本实施例在上述实施例的基础上进一步限定,所述第一插入块92为弯曲的长条板状结构,第一插入块92与第二插入块93的结构相同。所述第一插入块92、第二插入块93为以羟基磷灰石修复层1的中心轴呈中心对称结构。本实施例中设置第一插入块92、第二插入块93的作用是便于将羟基磷灰石修复层91、钛合金修复层97形成的整体结构,进行固定,能够与受损组织良好接触。另外本实施例中,对第一插入块的形状优选为弯曲的长条板状结构,利于将第一插入块、第二插入块与周围组织良好的接触。This embodiment is further defined on the basis of the above embodiments, the first insertion block 92 is a curved long plate-shaped structure, and the structure of the first insertion block 92 and the second insertion block 93 are the same. The first inserting block 92 and the second inserting block 93 are center-symmetrical to the central axis of the hydroxyapatite repair layer 1 . In this embodiment, the purpose of setting the first inserting block 92 and the second inserting block 93 is to facilitate fixing the overall structure formed by the hydroxyapatite repairing layer 91 and the titanium alloy repairing layer 97 , so as to be in good contact with the damaged tissue. In addition, in this embodiment, the shape of the first insertion block is preferably a curved long strip structure, which is beneficial to good contact between the first insertion block and the second insertion block and surrounding tissues.
本实施例中所述内固定片9、外固定片1-1,连接件8的具体结构可通过增材制造技术制备获得,而具体的孔径大小、空隙率可通过现有软件设置来调节其弹性模量,结合了计算机辅助三维设计来形成类似的仿生结构,实现与骨组织匹配的力学性能,利于截面应力传导,可增加该多孔仿生颅骨修复结构的固定效果。The specific structure of the inner fixing piece 9, the outer fixing piece 1-1, and the connector 8 described in this embodiment can be prepared by additive manufacturing technology, and the specific aperture size and porosity can be adjusted through existing software settings. The modulus of elasticity, combined with computer-aided three-dimensional design to form a similar bionic structure, achieve mechanical properties matching with bone tissue, facilitate cross-sectional stress conduction, and increase the fixation effect of the porous bionic skull repair structure.
以上所述的具体实施方式,对本发明的目的、技术方案和有益效果进行了进一步详细说明,所应理解的是,以上所述仅为本发明的具体实施方式而已,并不用于限定本发明的保护范围,凡在本发明的精神和原则之内,所做的任何修改、等同替换、改进等,均应包含在本发明的保护范围之内。The specific embodiments described above have further described the purpose, technical solutions and beneficial effects of the present invention in detail. It should be understood that the above descriptions are only specific embodiments of the present invention and are not intended to limit the scope of the present invention. Protection scope, within the spirit and principles of the present invention, any modification, equivalent replacement, improvement, etc., shall be included in the protection scope of the present invention.
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