CN115005924A - A kind of femoral osteotomy shortening osteotomy guide plate - Google Patents
A kind of femoral osteotomy shortening osteotomy guide plate Download PDFInfo
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- 238000004904 shortening Methods 0.000 title claims abstract description 22
- 210000000689 upper leg Anatomy 0.000 claims abstract description 37
- 210000000988 bone and bone Anatomy 0.000 claims description 10
- 238000005520 cutting process Methods 0.000 claims description 5
- 210000002414 leg Anatomy 0.000 claims description 3
- 210000001694 thigh bone Anatomy 0.000 claims 2
- 238000001356 surgical procedure Methods 0.000 abstract description 6
- 230000000399 orthopedic effect Effects 0.000 abstract description 2
- 238000000034 method Methods 0.000 description 4
- 206010010356 Congenital anomaly Diseases 0.000 description 1
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- 208000034133 primary 1 avascular necrosis of femoral head Diseases 0.000 description 1
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- A61B17/00—Surgical instruments, devices or methods
- A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1732—Guides or aligning means for drills, mills, pins or wires for bone breaking devices
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
- A61B17/1742—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the hip
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Abstract
Description
技术领域technical field
本发明涉及一种股骨截骨短缩截骨导板,属于骨科手术治疗领域。The invention relates to a femoral osteotomy shortening osteotomy guide plate, which belongs to the field of orthopedic surgery treatment.
背景技术Background technique
先天性髋关节脱位或股骨头缺血性坏死的儿童,一般需要进行手术治疗,将股骨近端截骨并调整股骨头角度至合适位置后重新接骨,达到治疗的目的,但目前由于辅助工具等限制,在股骨头接骨时只能凭借医生的经验调整角度,人为误差较大,且一旦误差过大并完成接骨会十分麻烦,需重新截断并再次调整角度,操作也十分不便。Children with congenital dislocation of the hip or avascular necrosis of the femoral head generally require surgical treatment. The proximal femur is osteotomy and the angle of the femoral head is adjusted to an appropriate position before re-bonding to achieve the purpose of treatment. However, at present, due to auxiliary tools such as Restriction, the angle can only be adjusted by the doctor's experience when the femoral head is connected to the bone, and the human error is large, and once the error is too large, it will be very troublesome to complete the bone connection.
发明内容SUMMARY OF THE INVENTION
本发明提供一种股骨截骨短缩截骨导板,以解决现有治疗方式只能凭借医生经验调节股骨头角度的问题。The invention provides a femoral osteotomy shortening osteotomy guide plate to solve the problem that the angle of the femoral head can only be adjusted by the doctor's experience in the existing treatment methods.
为实现上述目的,拟采用这样一种股骨截骨短缩截骨导板,包括宽板和窄板,宽板与窄板的一端连接为一体,且二者一侧平齐,宽板和窄板上均分布开设有钉孔,宽板上沿宽度方向标刻有刻度线。In order to achieve the above purpose, it is proposed to use such a femoral osteotomy shortening osteotomy guide plate, which includes a wide plate and a narrow plate. Nail holes are evenly distributed on the upper plate, and scale lines are marked along the width direction on the wide plate.
前述股骨截骨短缩截骨导板中,所述截骨导板的一侧板面为与股骨前表面或侧表面相贴合的内凹平滑曲面,以使该截骨导板沿股骨长度方向能够很好的贴合固定于股骨前表面或侧表面;In the aforementioned femoral osteotomy shortening osteotomy guide, one side of the osteotomy guide is a concave smooth curved surface that fits with the anterior surface or side surface of the femur, so that the osteotomy guide can be very smooth along the length of the femur. Good fit and fixation on the anterior or lateral surface of the femur;
前述股骨截骨短缩截骨导板中,所述截骨导板的两侧板面分别为与两腿股骨前表面或侧表面相贴合的内凹平滑曲面,以使该截骨导板沿股骨长度方向能够很好的贴合固定于股骨前表面或侧表面;In the aforementioned femoral osteotomy shortening osteotomy guide, the two sides of the osteotomy guide are concave smooth curved surfaces that fit with the anterior or lateral surfaces of the femurs of both legs, so that the osteotomy guide runs along the length of the femur. The orientation can be well fitted and fixed to the anterior or lateral surface of the femur;
由于截骨导板的两侧板面与股骨前表面或侧表面相贴合的制作难度较大,成本较高,也可退而求其次,将截骨导板设计为两边厚、中间薄的内凹板面结构,虽然贴合精度略低,但也能与股骨较好的贴合,能够满足手术需要;Due to the difficulty and high cost of manufacturing the two sides of the osteotomy guide to fit the anterior or lateral surface of the femur, the osteotomy guide can be designed as a concave with thick sides and a thin middle. The plate structure, although the fitting accuracy is slightly lower, can also fit well with the femur, which can meet the needs of surgery;
前述股骨截骨短缩截骨导板中,所述截骨导板的两侧板面结构相同;In the aforementioned femoral osteotomy shortening osteotomy guide plate, the two sides of the osteotomy guide plate have the same plate surface structure;
前述股骨截骨短缩截骨导板中,该截骨导板总长50mm,宽板长15mm,宽10mm,窄板长35mm,宽5mm,宽板和窄板的厚度为2mm;In the aforementioned femoral osteotomy shortening osteotomy guide plate, the osteotomy guide plate has a total length of 50mm, a wide plate with a length of 15mm and a width of 10mm, a narrow plate with a length of 35mm and a width of 5mm, and the thickness of the wide plate and the narrow plate is 2mm;
前述股骨截骨短缩截骨导板中,窄板上沿长度方向标刻有长度刻度线;In the aforementioned femoral osteotomy shortening osteotomy guide plate, a length scale line is marked along the length direction on the narrow plate;
前述股骨截骨短缩截骨导板中,所述钉孔为1.5mm直径的克式针孔。In the aforementioned femoral osteotomy shortening osteotomy guide, the pin hole is a gram pin hole with a diameter of 1.5 mm.
前述股骨截骨短缩截骨导板中,所述刻度线精确到毫米。In the aforementioned femoral osteotomy shortening osteotomy guide, the scale line is accurate to millimeters.
与现有技术相比,本发明使用时,首先通过术前CT测量股骨周长并确定股骨应转动调节的角度,从而确定股骨转动调位时外表面的调整距离,而后进行手术,手术时,先将该截骨导板宽板朝上沿股骨长度方向贴合股骨上,调整截骨导板位置,使宽板与窄板交界处与截骨线平齐,用克式针等将该截骨导板固定于股骨上,而后将截骨导板与股骨一同截骨,再根据已经确定好的股骨转动调位时外表面的调整距离进行角度调整,同时,通过宽板上的刻度线进行距离控制,转动达到预定距离后进行接骨即可,完成后可拆下该截骨导板,整个过程简单方便,大大简化了手术难度,保证了角度调节精度,避免了因调节角度偏差导致的二次手术的风险,适宜大范围推广应用。Compared with the prior art, when the present invention is used, the circumference of the femur is first measured by preoperative CT to determine the angle that the femur should be rotated and adjusted, so as to determine the adjustment distance of the outer surface when the femur is rotated and adjusted, and then the operation is performed. First, the wide plate of the osteotomy guide plate is attached to the femur along the length of the femur, and the position of the osteotomy guide plate is adjusted so that the junction of the wide plate and the narrow plate is flush with the osteotomy line. It is fixed on the femur, and then the osteotomy guide plate is cut together with the femur, and then the angle is adjusted according to the adjustment distance of the outer surface of the femur when the femur is rotated and adjusted. After reaching the predetermined distance, the osteotomy can be performed. After completion, the osteotomy guide can be removed. The whole process is simple and convenient, which greatly simplifies the difficulty of the operation, ensures the accuracy of the angle adjustment, and avoids the risk of secondary surgery caused by the deviation of the adjustment angle. It is suitable for large-scale promotion and application.
附图说明Description of drawings
图1是本发明的结构示意图。Figure 1 is a schematic structural diagram of the present invention.
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,下面将结合附图对本发明作进一步的详细说明,应当理解,此处所描述的具体实施例仅用以解释本发明,并不用于限定本发明。In order to make the objectives, technical solutions and advantages of the present invention clearer, the present invention will be further described in detail below with reference to the accompanying drawings. It should be understood that the specific embodiments described herein are only used to explain the present invention, and are not intended to limit the present invention. .
实施例Example
参照图1,本实施例提供一种股骨截骨短缩截骨导板,包括宽板1和窄板2,宽板1与窄板2的一端连接为一体,且二者一侧平齐,宽板1和窄板2上均分布开设有钉孔3,宽板1上沿宽度方向标刻有刻度线11,该截骨导板总长50mm,宽板1长15mm,宽10mm,窄板2长35mm,宽5mm,宽板1和窄板2的厚度为2mm,窄板2上沿长度方向标刻有长度刻度线21,钉孔3为1.5mm直径的克式针孔。Referring to FIG. 1, the present embodiment provides a femoral osteotomy shortening osteotomy guide plate, including a
截骨导板的两侧板面的最优选择是:截骨导板的两侧板面分别为与两腿股骨前表面或侧表面相贴合的内凹平滑曲面,以使该截骨导板沿股骨长度方向能够很好的贴合固定于股骨前表面或侧表面。但由于截骨导板的两侧板面与股骨前表面或侧表面相贴合的制作难度较大,成本较高,也可退而求其次,将截骨导板设计为两边厚、中间薄的内凹板面结构,截骨导板的两侧板面结构相同,如图1所示,虽然贴合精度略低,但也能与股骨较好的贴合,能够满足手术需要。The optimal choice of the two sides of the osteotomy guide is that the two sides of the osteotomy guide are concave smooth curved surfaces that fit with the anterior or lateral surfaces of the femurs of both legs, so that the osteotomy guide can follow the femur. The length direction can be well fitted and fixed to the anterior or lateral surface of the femur. However, due to the difficulty in making the two sides of the osteotomy guide to fit the anterior or lateral surface of the femur, the cost is high, so it is also possible to take the second place. The concave plate surface structure, the two sides of the osteotomy guide plate have the same structure, as shown in Figure 1, although the fitting accuracy is slightly lower, it can also fit well with the femur, which can meet the needs of surgery.
具体使用方法如下:使用时,首先通过术前CT测量股骨周长并确定股骨应转动调节的角度,由于股骨横截面近似为圆形,可通过周长确定半径,再根据股骨应转动调节的角度及股骨半径即可确定股骨转动调位时所需外表面的调整距离,之后即可进行手术,手术时,先将该截骨导板宽板1朝上沿股骨长度方向贴合股骨上,调整截骨导板位置,使宽板1与窄板2交界处与截骨线平齐,用克式针等将该截骨导板固定于股骨上,而后将截骨导板与股骨一同截断,去掉截断部分,再根据已经确定好的股骨转动调位时外表面的调整距离进行角度调整,同时,通过宽板1上的刻度线11进行距离控制,转动达到预定距离后进行接骨即可,完成后可拆下该截骨导板。The specific method of use is as follows: When using, first measure the circumference of the femur through preoperative CT and determine the angle that the femur should be rotated and adjusted. Since the cross-section of the femur is approximately circular, the radius can be determined by the circumference, and then according to the angle that the femur should be rotated and adjusted And the radius of the femur can determine the adjustment distance of the outer surface when the femur is rotated and adjusted, and then the operation can be performed. During the operation, the
以上所述仅为本发明的较佳实施例而已,并不用以限制本发明,凡在本发明的精神和原则之内所作的任何修改、等同替换和改进等,均应包含在本发明的保护范围之内。The above descriptions are only preferred embodiments of the present invention and are not intended to limit the present invention. Any modifications, equivalent replacements and improvements made within the spirit and principles of the present invention shall be included in the protection of the present invention. within the range.
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CN109620345A (en) * | 2019-01-18 | 2019-04-16 | 青岛大学附属医院 | Long Bone Shortening Rotary Osteotomy Guide |
CN110916791A (en) * | 2019-12-31 | 2020-03-27 | 祝斌 | Sliding type ulna short osteotomy bone fracture plate and use method thereof |
CN112826568A (en) * | 2021-01-04 | 2021-05-25 | 南昌大学第二附属医院 | Femoral extramedullary positioning osteotomy device in knee arthroplasty and method of using the same |
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- 2022-06-07 CN CN202210641557.8A patent/CN115005924A/en active Pending
Patent Citations (7)
Publication number | Priority date | Publication date | Assignee | Title |
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US6423061B1 (en) * | 2000-03-14 | 2002-07-23 | Amei Technologies Inc. | High tibial osteotomy method and apparatus |
US20030018341A1 (en) * | 2000-11-13 | 2003-01-23 | Nicolas Deloge | Targeting apparatus for use in performing endofemoral osteotomy surgery |
CN204445969U (en) * | 2015-02-03 | 2015-07-08 | 姜海 | A kind of hair of children fertility hip dislocation near end of thighbone cripetura rotary osteotomy fixture |
CN105434009A (en) * | 2015-11-26 | 2016-03-30 | 南京医科大学附属南京儿童医院 | Navigation template for thighbone osteotomy, application method and fabrication method |
CN109620345A (en) * | 2019-01-18 | 2019-04-16 | 青岛大学附属医院 | Long Bone Shortening Rotary Osteotomy Guide |
CN110916791A (en) * | 2019-12-31 | 2020-03-27 | 祝斌 | Sliding type ulna short osteotomy bone fracture plate and use method thereof |
CN112826568A (en) * | 2021-01-04 | 2021-05-25 | 南昌大学第二附属医院 | Femoral extramedullary positioning osteotomy device in knee arthroplasty and method of using the same |
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