CN111671555A - A device for acetabular surgery and method for obtaining ream angle in acetabular surgery - Google Patents
A device for acetabular surgery and method for obtaining ream angle in acetabular surgery Download PDFInfo
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- A61F2/02—Prostheses implantable into the body
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- A61F2/46—Special tools for implanting artificial joints
- A61F2/4657—Measuring instruments used for implanting artificial joints
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- A61B17/1742—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the hip
- A61B17/1746—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the hip for the acetabulum
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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
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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
- A61F2/46—Special tools for implanting artificial joints
- A61F2/4657—Measuring instruments used for implanting artificial joints
- A61F2002/4668—Measuring instruments used for implanting artificial joints for measuring angles
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Abstract
Description
技术领域technical field
本发明涉及髋臼手术技术领域,具体涉及一种髋臼手术用装置以及髋臼手术中锉角获取方法。The invention relates to the technical field of acetabular surgery, in particular to a device for acetabular surgery and a method for obtaining a ream angle in acetabular surgery.
背景技术Background technique
现有技术中,在髋关节置换术后可能会出现的一个并发症是术后脱位,之所以会出现术后脱位其中一个原因是假体安放位置与理想的安放位置具有差异。In the prior art, a possible complication after hip replacement is postoperative dislocation. One of the reasons for postoperative dislocation is that the placement position of the prosthesis is different from the ideal placement position.
在实际进行髋关节置换术时,部分术者选择髋臼侧优先,先行髋臼侧定位;也有部分术者会选择股骨侧优先,认为在联合前倾角概念下,股骨侧可调范围有限,在股骨侧优先的原则下,需要将股骨侧假体安放到位后,装入较大的股骨头试模,进行联合前倾角测试,标记髋臼杯倾角平面,将髋臼锉放入后进行髋臼侧错磨。In actual hip arthroplasty, some operators choose the acetabular side first, and the acetabular side is positioned first; some operators choose the femoral side first, thinking that under the concept of combined anteversion, the adjustable range of the femoral side is limited. Under the principle of priority on the femoral side, it is necessary to place the femoral side prosthesis in place, install a larger femoral head trial mold, perform a combined anteversion test, mark the acetabular cup inclination plane, and place the acetabular reamer in the acetabulum for acetabulum. Side grinding.
在这个过程中,医生通常只能凭经验进行锉磨且凭经验判断锉刀的位置以及角度,因此,就可能会出现经验判断的角度与实际的角度具有偏差,从而导致上述的并发症出现。In this process, the doctor usually can only perform filing based on experience and judge the position and angle of the file based on experience. Therefore, there may be deviations between the angle judged by experience and the actual angle, resulting in the above-mentioned complications.
发明内容SUMMARY OF THE INVENTION
本发明的目的在于提供一种髋臼手术用装置来克服或至少减轻现有技术的至少一个上述缺陷。It is an object of the present invention to provide a device for acetabular surgery that overcomes or at least alleviates at least one of the aforementioned drawbacks of the prior art.
本发明的一个方面,提供一种髋臼手术用装置,所述髋臼手术用装置包括:One aspect of the present invention provides a device for acetabular surgery, the device for acetabular surgery comprising:
髋臼锉,所述髋臼锉包括髋臼锉刀端以及手持端;An acetabular reamer, the acetabular reamer comprising an acetabular reamer end and a hand-held end;
髋臼位置定位器,所述髋臼位置定位器安装在所述手持端;其中,An acetabular position locator mounted on the hand-held end; wherein,
所述髋臼锉被配置为在所述髋臼手术中对髋关节进行髋臼侧锉磨;The acetabular reamer is configured to acetabularly reamer a hip joint during the acetabular surgery;
所述髋臼位置定位器被配置为检测髋臼锉的髋臼锉刀端的角度信息。The acetabular position locator is configured to detect angular information of the reamer end of the acetabular reamer.
可选地,所述髋臼手术用装置进一步包括安装支架,所述安装支架安装在所述手持端,所述髋臼位置定位器以可拆卸的方式安装在所述安装支架上。Optionally, the device for acetabular surgery further comprises a mounting bracket, the mounting bracket is mounted on the hand-held end, and the acetabular position locator is detachably mounted on the mounting bracket.
可选地,髋臼位置定位器包括:Optionally, the acetabular position locator includes:
定位器外壳,所述定位器外壳安装在所述安装支架上;a locator shell, the locator shell is mounted on the mounting bracket;
总控制器,所述总控制器安装在所述定位器外壳内部;an overall controller, which is installed inside the positioner housing;
角度传感器,所述角度传感器安装在所述定位器外壳内部,所述角度传感器与所述总控制器连接,所述角度传感器被配置为受所述总控制器控制从而检测髋臼锉的髋臼锉刀端相对角度信息并将获取的髋臼锉的髋臼锉刀端的角度信息传递给所述总控制器。an angle sensor mounted inside the positioner housing, the angle sensor being connected to the master controller, the angle sensor being configured to be controlled by the master controller to detect the acetabulum of the acetabular reamer The relative angle information of the reamer end is transmitted to the master controller.
可选地,所述髋臼位置定位器进一步包括:定位获取按钮,所述定位获取按钮设置在所述定位器外壳上并与所述总控制器连接,所述总控制器被配置为受所述定位获取按钮的控制从而向所述角度传感器发送控制信号。Optionally, the acetabular position locator further comprises: a positioning acquisition button, the positioning acquisition button is provided on the locator housing and is connected with the overall controller, the overall controller is configured to be Control the positioning acquisition button to send a control signal to the angle sensor.
可选地,所述髋臼位置定位器进一步包括显示器,所述显示器设置在所述定位器外壳上并与所述总控制器连接,所述显示器用于显示总控制器所传递的髋臼锉的髋臼锉刀端的角度信息。Optionally, the acetabular position locator further comprises a display, the display is arranged on the locator housing and connected with the master controller, and the display is used to display the acetabular reamer transmitted by the master controller angle information of the acetabular rasp end.
可选地,所述髋臼位置定位器进一步包括声音播报装置,所述声音播报装置安装在所述定位器外壳上并与所述总控制器连接,所述声音播报装置被配置为播报通过总控制器所传递的髋臼锉的髋臼锉刀端的角度信息。Optionally, the acetabular position locator further comprises a sound announcement device, the sound announcement device is installed on the locator shell and connected with the general controller, and the sound announcement device is configured to broadcast through the general controller. The angle information of the reamer end of the acetabular reaper as passed by the controller.
本申请还提供了一种髋臼手术中锉角获取方法,所述髋臼手术中锉角获取方法包括:The present application also provides a method for obtaining a ream angle in acetabular surgery, and the method for obtaining a ream angle in acetabular surgery includes:
将如上所述的髋臼手术用装置中的髋臼锉的髋臼锉刀端伸入至手术位置;extending the reamer end of the acetabular reamer in the device for acetabular surgery as described above into the surgical site;
使所述髋臼位置定位器获取手术位置的角度信息;enabling the acetabular position locator to obtain the angle information of the surgical position;
根据使用者的控制运动所述髋臼锉,从而改变所述髋臼锉刀端的位置,并通过所述髋臼位置定位器获取髋臼锉刀端的角度以使使用者确定所述髋臼锉刀端位于最佳手术角度。The acetabular reamer is moved according to the user's control, thereby changing the position of the acetabular reamer end, and the angle of the acetabular reamer end is obtained through the acetabular position locator, so that the user can determine that the acetabular reamer end is at the most optimal surgical angle.
可选地,所述髋臼手术中锉角获取方法进一步包括通过显示器显示所述髋臼锉刀端相对角度信息。Optionally, the method for obtaining the reamer angle during acetabular surgery further comprises displaying the relative angle information of the acetabular reamer tip through a display.
可选地,所述髋臼手术中锉角获取方法进一步包括通过声音播报装置播放所述髋臼锉刀端相对角度信息。Optionally, the method for obtaining the reamer angle during acetabular surgery further comprises playing the relative angle information of the acetabular reamer end through a sound broadcasting device.
有益效果beneficial effect
本发明的髋臼手术用装置通过髋臼位置定位器能够获得髋臼锉的髋臼锉刀端相对角度信息,从而为手术提供辅助角度信息,使医生在进行手术时能够获得更精准的位置信息。The device for acetabular surgery of the present invention can obtain the relative angle information of the acetabular reamer end of the acetabular reamer through the acetabular position locator, thereby providing auxiliary angle information for the operation, so that the doctor can obtain more accurate position information during the operation.
附图说明Description of drawings
图1为本发明第一实施例的髋臼手术用装置的结构示意图。FIG. 1 is a schematic structural diagram of a device for acetabular surgery according to a first embodiment of the present invention.
图2为本发明第一实施例的髋臼手术用中锉角获取方法的流程示意图。FIG. 2 is a schematic flowchart of a method for obtaining a middle ream angle for acetabular surgery according to the first embodiment of the present invention.
附图标记:Reference number:
髋臼锉1、手持端12、髋臼位置定位器2、安装支架3、定位器外壳21、显示器4。
具体实施方式Detailed ways
为使本申请实施的目的、技术方案和优点更加清楚,下面将结合本申请实施例中的附图,对本申请实施例中的技术方案进行更加详细的描述。在附图中,自始至终相同或类似的标号表示相同或类似的元件或具有相同或类似功能的元件。所描述的实施例是本申请一部分实施例,而不是全部的实施例。下面通过参考附图描述的实施例是示例性的,旨在用于解释本申请,而不能理解为对本申请的限制。基于本申请中的实施例,本领域普通技术人员在没有作出创造性劳动前提下所获得的所有其他实施例,都属于本申请保护的范围。下面结合附图对本申请的实施例进行详细说明。In order to make the implementation purpose, technical solutions and advantages of the present application clearer, the technical solutions in the embodiments of the present application will be described in more detail below with reference to the accompanying drawings in the embodiments of the present application. Throughout the drawings, the same or similar reference numbers refer to the same or similar elements or elements having the same or similar functions. The described embodiments are some, but not all, of the embodiments of the present application. The embodiments described below with reference to the accompanying drawings are exemplary, and are intended to be used to explain the present application, but should not be construed as a limitation to the present application. Based on the embodiments in the present application, all other embodiments obtained by those of ordinary skill in the art without creative work fall within the protection scope of the present application. The embodiments of the present application will be described in detail below with reference to the accompanying drawings.
在本申请的描述中,需要理解的是,术语“中心”、“纵向”、“横向”、“前”、“后”、“左”、“右”、“竖直”、“水平”、“顶”、“底”“内”、“外”等指示的方位或位置关系为基于附图所示的方位或位置关系,仅是为了便于描述本申请和简化描述,而不是指示或暗示所指的装置或元件必须具有特定的方位、以特定的方位构造和操作,因此不能理解为对本申请保护范围的限制。In the description of this application, it should be understood that the terms "center", "portrait", "horizontal", "front", "rear", "left", "right", "vertical", "horizontal", The orientation or positional relationship indicated by "top", "bottom", "inner", "outer", etc. is based on the orientation or positional relationship shown in the drawings, and is only for the convenience of describing the present application and simplifying the description, rather than indicating or implying that The device or element referred to must have a specific orientation, be constructed and operate in a specific orientation, and therefore should not be construed as limiting the scope of protection of the present application.
图1为本发明第一实施例的髋臼手术用装置的结构示意图。FIG. 1 is a schematic structural diagram of a device for acetabular surgery according to a first embodiment of the present invention.
如图1所示的髋臼手术用装置包括髋臼锉1以及髋臼位置定位器2,髋臼锉1包括髋臼锉刀端以及手持端12;髋臼位置定位器2安装在手持端12;其中,髋臼锉1被配置为在髋臼手术中对髋关节进行髋臼侧锉磨;髋臼位置定位器2被配置为检测髋臼锉的髋臼锉刀端的角度信息。The device for acetabular surgery as shown in FIG. 1 includes an
可以理解的是,在本实施例中,髋臼位置定位器所定位的角度信息为相对于水平面的角度信息。It can be understood that, in this embodiment, the angle information positioned by the acetabular position locator is the angle information relative to the horizontal plane.
在一个实施例中,髋臼位置定位器包括角度传感器。角度传感器的芯片采用MPU9250,MPU9250是一个多轴芯片组模块,由一个三轴陀螺仪,一个三轴加速度计及一个三轴磁强计组成。通过获取其数据经过卡尔曼滤波融合算法解出三轴角度输出。In one embodiment, the acetabular position locator includes an angle sensor. The chip of the angle sensor adopts MPU9250. MPU9250 is a multi-axis chipset module, which consists of a three-axis gyroscope, a three-axis accelerometer and a three-axis magnetometer. By obtaining its data, the three-axis angle output is solved by the Kalman filter fusion algorithm.
(3)如图1所示将角度传感器水平安装在作用杆上。(3) Install the angle sensor horizontally on the action rod as shown in Figure 1.
本发明的髋臼手术用装置通过髋臼位置定位器能够获得髋臼锉的髋臼锉刀端相对角度信息,从而为手术提供辅助角度信息,使医生在进行手术时能够获得更精准的位置信息。The device for acetabular surgery of the present invention can obtain the relative angle information of the acetabular reamer end of the acetabular reamer through the acetabular position locator, thereby providing auxiliary angle information for the operation, so that the doctor can obtain more accurate position information during the operation.
在本实施例中,髋臼手术用装置进一步包括安装支架,安装支架安装在手持端,髋臼位置定位器以可拆卸的方式安装在安装支架上。In this embodiment, the device for acetabular surgery further includes a mounting bracket, the mounting bracket is mounted on the hand-held end, and the acetabular position locator is detachably mounted on the mounting bracket.
采用可拆卸的方式,可以方便髋臼位置定位器维护与更换。The detachable way can facilitate the maintenance and replacement of the acetabular position locator.
在本实施例中,髋臼位置定位器包括定位器外壳、总控制器以及角度传感器,定位器外壳安装在安装支架上;总控制器安装在定位器外壳内部;角度传感器安装在定位器外壳内部,角度传感器与所述总控制器连接,角度传感器被配置为受总控制器控制从而检测髋臼锉的髋臼锉刀端的角度信息并将获取的髋臼锉的髋臼锉刀端的角度信息传递给总控制器。In this embodiment, the acetabular position locator includes a locator housing, a total controller and an angle sensor, the locator housing is mounted on the mounting bracket; the total controller is installed inside the locator housing; the angle sensor is installed inside the locator housing the angle sensor is connected with the master controller, and the angle sensor is configured to be controlled by the master controller so as to detect the angle information of the reamer end of the acetabular reamer and transmit the acquired angle information of the reamer end of the acetabular reamer to the master controller controller.
在本实施例中,总控制器采用STM32,使用IIC与角度传感器进行通信读取角度数据。In this embodiment, the overall controller adopts STM32, and uses the IIC to communicate with the angle sensor to read the angle data.
在本实施例中,所述髋臼位置定位器进一步包括:定位获取按钮,所述定位获取按钮设置在定位器外壳上并与总控制器连接,总控制器被配置为受定位获取按钮的控制从而向角度传感器发送控制信号,该控制信息可以控制角度传感器将当前角度传递给总控制器,总控制器记录该角度。In this embodiment, the acetabular position locator further comprises: a positioning acquisition button, the positioning acquisition button is provided on the locator housing and is connected with a general controller, and the general controller is configured to be controlled by the positioning acquisition button Thus, a control signal is sent to the angle sensor, and the control information can control the angle sensor to transmit the current angle to the general controller, and the general controller records the angle.
在本实施例中,所述髋臼位置定位器进一步包括显示器,显示器设置在所述定位器外壳上并与所述总控制器连接,显示器用于显示总控制器所传递的髋臼锉的髋臼锉刀端相对角度信息。In this embodiment, the acetabular position locator further includes a display, the display is arranged on the locator housing and connected with the master controller, and the display is used to display the acetabular ream transmitted by the master controller. Information about the relative angle of the file end.
在本实施例中,显示器包括OLED,总控制器通过SPI上传至OLED上进行实时的角度显示。通过定位获取按钮获取角度值,并将这个值显示在 OLED上,这个值不随角度变化而更新,会保持不变直到下一次通过定位获取按钮获取或者重新上电归零,整个系统采用3.3V供电,由电源和稳压电路提供。In this embodiment, the display includes an OLED, and the master controller uploads it to the OLED through SPI for real-time angle display. Obtain the angle value through the positioning acquisition button, and display this value on the OLED. This value is not updated with the change of the angle, and will remain unchanged until the next time the positioning acquisition button is used or the power is reset to zero. The whole system uses 3.3V power supply , provided by the power supply and voltage regulator circuit.
通过显示器可以使使用者直接观看到角度情况,方便使用者使用。Through the display, the user can directly view the angle situation, which is convenient for the user to use.
在本实施例中,所述髋臼位置定位器进一步包括声音声音播报装置,所述声音播报装置安装在所述定位器外壳上并与所述总控制器连接,所述声音播报装置被配置为播报总控制器所传递的髋臼锉的髋臼锉刀端的角度信息。In this embodiment, the acetabular position locator further comprises a sound announcement device, the sound announcement device is installed on the locator housing and connected with the general controller, and the sound announcement device is configured to Broadcasts the angle information of the reamer end of the acetabular reaper transmitted by the master controller.
本申请还提供了一种髋臼手术中锉角获取方法,所述髋臼手术中锉角获取方法包括:The present application also provides a method for obtaining a ream angle in acetabular surgery, and the method for obtaining a ream angle in acetabular surgery includes:
将如上所述的髋臼手术用装置中的髋臼锉的髋臼锉刀端伸入至手术位置;extending the reamer end of the acetabular reamer in the device for acetabular surgery as described above into the surgical site;
使所述髋臼位置定位器获取手术位置的角度信息;enabling the acetabular position locator to obtain the angle information of the surgical position;
根据使用者的控制运动所述髋臼锉,从而改变所述髋臼锉刀端的位置,并通过所述髋臼位置定位器获取髋臼锉刀端的角度以使使用者确定所述髋臼锉刀端位于最佳手术角度。The acetabular reamer is moved according to the user's control, thereby changing the position of the acetabular reamer end, and the angle of the acetabular reamer end is obtained through the acetabular position locator, so that the user can determine that the acetabular reamer end is at the most optimal surgical angle.
可以理解的是,手术位置可以根据使用者的术前分析进行确定,也可以是该类手术所约定俗成的具体位置。It can be understood that the surgical location may be determined according to the user's preoperative analysis, or may be a specific location conventionally established for this type of surgery.
最佳手术角度是指在该手术中使用者在术前分析时确定的髋臼锉的锉磨位置,该位置由该患者的联合前倾角通过现有方法在术前决定。The optimal operative angle refers to the reaming position of the acetabular reamer determined by the user in the preoperative analysis during the operation, and the position is determined preoperatively by the combined anteversion angle of the patient by existing methods.
步骤4:所述髋臼手术中锉角获取方法进一步包括通过显示器显示所述髋臼锉刀端相对角度信息。Step 4: the method for obtaining the reamer angle during acetabular surgery further includes displaying the relative angle information of the acetabular reamer end through a display.
步骤5:所述髋臼手术中锉角获取方法进一步包括通过声音播报装置播放所述髋臼锉刀端的角度信息。Step 5: the method for obtaining the reamer angle during acetabular surgery further includes playing the angle information of the acetabular reamer end through a sound broadcasting device.
虽然,上文中已经用一般性说明及具体实施方案对本发明作了详尽的描述,但在本发明基础上,可以对之作一些修改或改进,这对本领域技术人员而言是显而易见的。因此,在不偏离本发明精神的基础上所做的这些修改或改进,均属于本发明要求保护的范围。Although the present invention has been described in detail above with general description and specific embodiments, it is obvious to those skilled in the art that some modifications or improvements can be made on the basis of the present invention. Therefore, these modifications or improvements made without departing from the spirit of the present invention fall within the scope of the claimed protection of the present invention.
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