CN118490424B - A tumor-type tibial prosthesis - Google Patents
A tumor-type tibial prosthesis Download PDFInfo
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- CN118490424B CN118490424B CN202410961271.7A CN202410961271A CN118490424B CN 118490424 B CN118490424 B CN 118490424B CN 202410961271 A CN202410961271 A CN 202410961271A CN 118490424 B CN118490424 B CN 118490424B
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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
- A61F2/30—Joints
- A61F2/38—Joints for elbows or knees
- A61F2/389—Tibial components
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Abstract
Description
技术领域Technical Field
本发明涉及医疗器械技术领域,具体而言,涉及一种肿瘤型胫骨假体。The present invention relates to the technical field of medical devices, and in particular to a tumor-type tibial prosthesis.
背景技术Background Art
膝关节周围是骨原发恶性肿瘤及骨转移癌的好发部位之一,近30年来,肿瘤切除、肿瘤型人工假体重建以其显而易见的优势成为治疗膝关节周围恶性骨肿瘤的主要方式。但肿瘤型假体存在的诸如感染、松动,折断等诸多问题,继而引发二次、多次翻修手术,甚至截肢,威胁患者的关节功能和生活质量。The knee joint is one of the most common sites for primary malignant bone tumors and bone metastasis. In the past 30 years, tumor resection and tumor-type artificial prosthesis reconstruction have become the main methods for treating malignant bone tumors around the knee joint due to their obvious advantages. However, tumor-type prostheses have many problems such as infection, loosening, and fracture, which in turn lead to secondary or multiple revision surgeries, or even amputation, threatening the patient's joint function and quality of life.
传统的肿瘤型胫骨假体依靠髓内杆深入胫骨髓腔中完成固定,当胫骨健侧区域保留较少、受到较大弯矩时,在截骨处容易造成胫骨纵向开裂骨折。Traditional tumor-type tibial prostheses rely on an intramedullary rod that penetrates deep into the tibial medullary cavity to achieve fixation. When less healthy area of the tibia is retained and is subjected to a larger bending moment, longitudinal tibial cracking and fractures are easily caused at the osteotomy site.
发明内容Summary of the invention
针对以上问题,本发明提出一种肿瘤型胫骨假体,通过配合传统的肿瘤型胫骨假体,实现胫骨假体的稳定安装。In view of the above problems, the present invention proposes a tumor-type tibial prosthesis, which can achieve stable installation of the tibial prosthesis by cooperating with the traditional tumor-type tibial prosthesis.
本发明提供了一种肿瘤型胫骨假体,以解决相关技术中胫骨假体易松动的问题。The present invention provides a tumor-type tibial prosthesis to solve the problem of easy loosening of tibial prosthesis in the related art.
本发明提供了一种肿瘤型胫骨假体,包括:端盖,呈环状,内壁设有内螺纹;瓦片体,轴向上设有伸缩孔,伸缩孔连通上表面,径向上设有顶出孔,顶出孔连通内弧面,底部设有装配孔,装配孔连通外弧面、下表面、侧平面;伸缩片,设有牵拉部和顶出部,可移动地设置在伸缩孔内,伸缩片底部还设有牵拉孔,牵拉孔连通伸缩片下表面;顶出体,设有弓形体抵接伸缩片、设有沙漏体抵接弓形体、设有弧形体抵接沙漏体、设有楔形体抵接弧形体;线缆,至少设置有两根,线缆两端设有柱形牵拉头,牵拉头穿过装配孔、安装在牵拉孔内。The present invention provides a tumor-type tibial prosthesis, comprising: an end cover, which is annular and has an inner thread on its inner wall; a tile body, which is axially provided with a telescopic hole, the telescopic hole is connected to the upper surface, radially provided with an ejection hole, the ejection hole is connected to the inner arc surface, and the bottom is provided with an assembly hole, the assembly hole is connected to the outer arc surface, the lower surface, and the side plane; an expansion piece, which is provided with a pulling part and an ejection part, and is movably arranged in the expansion hole, and the bottom of the expansion piece is also provided with a pulling hole, the pulling hole is connected to the lower surface of the expansion piece; an ejection body, which is provided with a bow-shaped body abutting the expansion piece, an hourglass body abutting the bow-shaped body, an arc-shaped body abutting the hourglass body, and a wedge-shaped body abutting the arc-shaped body; at least two cables are provided, and columnar pulling heads are provided at both ends of the cables, and the pulling heads pass through the assembly holes and are installed in the pulling holes.
进一步地,瓦片体至少设置有两个,均匀分布在端盖下方。Furthermore, at least two tile bodies are provided and are evenly distributed below the end cover.
进一步地,伸缩片至少设置有两个,每个瓦片体内至少设置有一个伸缩片。Furthermore, at least two expansion pieces are provided, and at least one expansion piece is provided in each tile body.
进一步地,伸缩片的牵拉部设置有外螺纹,多个伸缩片的外螺纹可同时装配在同一端盖的内螺纹。Furthermore, the pulling portion of the expansion piece is provided with an external thread, and the external threads of a plurality of expansion pieces can be simultaneously assembled on the internal thread of the same end cover.
进一步地,伸缩片的顶出部内侧间隔设置有凸起,凸起均匀分布,凸起上表面设有斜面。Furthermore, protrusions are arranged at intervals on the inner side of the ejection portion of the expansion piece, the protrusions are evenly distributed, and the upper surfaces of the protrusions are provided with inclined surfaces.
进一步地,顶出体至少设置有两个,每个伸缩片至少抵接一个顶出体。Furthermore, at least two ejection bodies are provided, and each expansion sheet abuts against at least one ejection body.
进一步地,弓形体一侧抵接伸缩片,另一侧设有弧形的第一滑轨抵接沙漏体;沙漏体一侧设有弧形的第一滑槽抵接弓形体,另一侧设有弧形的第二滑槽抵接弧形体;弧形体一侧设有弧形的第二滑轨抵接沙漏体,另一侧设有弧形的第三滑槽抵接楔形体,第二滑轨所在轴线与第三滑槽所在轴线垂直但不相交;楔形体一侧设有弧形的第三滑轨抵接弧形体,另一侧为楔形面,契合瓦片体内表面抵接人体胫骨。Furthermore, one side of the arched body abuts the telescopic piece, and the other side is provided with an arc-shaped first slide rail abutting the hourglass body; one side of the hourglass body is provided with an arc-shaped first slide groove abutting the arched body, and the other side is provided with an arc-shaped second slide groove abutting the arc-shaped body; one side of the arc-shaped body is provided with an arc-shaped second slide rail abutting the hourglass body, and the other side is provided with an arc-shaped third slide groove abutting the wedge-shaped body, and the axis of the second slide rail is perpendicular to the axis of the third slide groove but do not intersect; one side of the wedge-shaped body is provided with an arc-shaped third slide rail abutting the arc-shaped body, and the other side is a wedge-shaped surface, which fits the inner surface of the tile body and abuts the human tibia.
进一步地,第一滑轨可滑动地设置在第一滑槽内,第二滑轨可滑动地设置在第二滑槽内,第三滑轨可滑动地设置在第三滑槽内。Further, the first slide rail is slidably disposed in the first slide groove, the second slide rail is slidably disposed in the second slide groove, and the third slide rail is slidably disposed in the third slide groove.
应用本发明的技术方案,旋转安装端盖即可向上牵拉伸缩片,顶出体沿顶出孔向内顶出,与人体胫骨紧密抵接,同时收紧线缆,瓦片体向胫骨侧收紧,实现胫骨假体的稳定安装。By applying the technical solution of the present invention, the expansion piece can be pulled upward by rotating the installation end cover, and the ejection body is ejected inward along the ejection hole to closely abut against the human tibia. At the same time, the cable is tightened and the tile body is tightened toward the tibia side, thereby achieving stable installation of the tibial prosthesis.
附图说明BRIEF DESCRIPTION OF THE DRAWINGS
构成本申请的一部分的说明书附图用来提供对本发明的进一步理解,本发明的示意性实施例及其说明用于解释本发明,并不构成对本发明的不当限定。在附图中:The drawings constituting a part of the present application are used to provide a further understanding of the present invention. The exemplary embodiments of the present invention and their descriptions are used to explain the present invention and do not constitute an improper limitation of the present invention. In the drawings:
图1示出了根据本发明实施例提供的一种肿瘤型胫骨假体的爆炸示意图;FIG1 shows an exploded schematic diagram of a tumor-type tibial prosthesis provided according to an embodiment of the present invention;
图2示出了图1中的瓦片体的结构示意图;FIG2 shows a schematic structural diagram of the tile body in FIG1 ;
图3示出了图1中的伸缩片的结构示意图;FIG3 shows a schematic structural diagram of the telescopic sheet in FIG1 ;
图4示出了图1中的弓形体的结构示意图;FIG4 shows a schematic structural diagram of the toxoplasm in FIG1 ;
图5示出了图1中的沙漏体的结构示意图;FIG5 shows a schematic structural diagram of the hourglass body in FIG1 ;
图6示出了图1中的弧形体的结构示意图;FIG6 shows a schematic structural diagram of the arc-shaped body in FIG1 ;
图7示出了图1中的楔形体的结构示意图;FIG7 shows a schematic structural diagram of the wedge-shaped body in FIG1 ;
图8示出了图1中的线缆的结构示意图。FIG. 8 shows a schematic structural diagram of the cable in FIG. 1 .
其中,上述附图包括以下附图标记:The above drawings include the following reference numerals:
10、端盖;11、内螺纹;10. End cover; 11. Internal thread;
20、瓦片体;21、伸缩孔;22、顶出孔;23、装配孔;20. Tile body; 21. Telescopic hole; 22. Ejection hole; 23. Assembly hole;
30、伸缩片;31、牵拉部;311、外螺纹;32、顶出部;321、凸起;322、斜面;33、牵拉孔;30. expansion piece; 31. pulling part; 311. external thread; 32. ejection part; 321. protrusion; 322. inclined surface; 33. pulling hole;
40、顶出体;41、弓形体;411、第一滑轨;42、沙漏体;421、第一滑槽;422、第二滑槽;43、弧形体;431、第二滑轨;432、第三滑槽;44、楔形体;441、第三滑轨;442、楔形面;40, ejector body; 41, arched body; 411, first slide rail; 42, hourglass body; 421, first slide groove; 422, second slide groove; 43, arc-shaped body; 431, second slide rail; 432, third slide groove; 44, wedge-shaped body; 441, third slide rail; 442, wedge-shaped surface;
50、线缆;51、牵拉头。50. Cable; 51. Pull head.
具体实施方式DETAILED DESCRIPTION
下面将结合本发明实施例中的附图,对本发明实施例中的技术方案进行清楚、完整的描述,显然,所描述的实施例仅仅是本发明一部分实施例,而不是全部的实施例。以下对至少一个示例性实施例的描述实际上仅仅是说明性的,决不作为对本发明及其应用或使用的任何限制。基于本发明中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。The following will be combined with the drawings in the embodiments of the present invention to clearly and completely describe the technical solutions in the embodiments of the present invention. Obviously, the described embodiments are only part of the embodiments of the present invention, rather than all the embodiments. The following description of at least one exemplary embodiment is actually only illustrative and is by no means intended to limit the present invention and its application or use. Based on the embodiments of the present invention, all other embodiments obtained by ordinary technicians in this field without creative work are within the scope of protection of the present invention.
如图1至图8所示,本发明提供了一种肿瘤型胫骨假体,包括:端盖10,呈环状,内壁设有内螺纹11;瓦片体20,轴向上设有伸缩孔21,伸缩孔21连通上表面,径向上设有顶出孔22,顶出孔22连通内弧面,底部设有装配孔23,装配孔23连通外弧面、下表面、侧平面;伸缩片30,设有牵拉部31和顶出部32,可移动地设置在伸缩孔21内,伸缩片30底部还设有牵拉孔33,牵拉孔33连通伸缩片30下表面;顶出体40,设有弓形体41抵接伸缩片30、设有沙漏体42抵接弓形体41、设有弧形体43抵接沙漏体42、设有楔形体44抵接弧形体43;线缆50,至少设置有两根,线缆50两端设有柱形牵拉头51,牵拉头51穿过装配孔23、安装在牵拉孔33内。As shown in FIGS. 1 to 8, the present invention provides a tumor-type tibial prosthesis, comprising: an end cap 10, which is annular and has an inner thread 11 on its inner wall; a tile body 20, which has a telescopic hole 21 in the axial direction, the telescopic hole 21 is connected to the upper surface, and has an ejection hole 22 in the radial direction, the ejection hole 22 is connected to the inner arc surface, and a mounting hole 23 is provided at the bottom, the mounting hole 23 is connected to the outer arc surface, the lower surface, and the side plane; a telescopic sheet 30, which has a pulling portion 31 and an ejection portion 32, and is movably arranged on the telescopic surface. In the hole 21, a pulling hole 33 is also provided at the bottom of the expansion piece 30, and the pulling hole 33 is connected to the lower surface of the expansion piece 30; the ejection body 40 is provided with a bow-shaped body 41 abutting the expansion piece 30, an hourglass body 42 abutting the bow-shaped body 41, an arc-shaped body 43 abutting the hourglass body 42, and a wedge-shaped body 44 abutting the arc-shaped body 43; at least two cables 50 are provided, and cylindrical pulling heads 51 are provided at both ends of the cables 50, and the pulling heads 51 pass through the assembly hole 23 and are installed in the pulling hole 33.
应用本发明的技术方案,旋转安装端盖10即可向上牵拉伸缩片30,顶出体40沿顶出孔22向内顶出,与人体胫骨紧密抵接,同时收紧线缆50,瓦片体20向胫骨侧收紧,实现胫骨假体的稳定安装。By applying the technical solution of the present invention, the expansion piece 30 can be pulled upward by rotating the installation end cover 10, and the ejection body 40 is ejected inward along the ejection hole 22 to closely abut against the human tibia. At the same time, the cable 50 is tightened and the tile body 20 is tightened toward the tibia side, thereby achieving stable installation of the tibial prosthesis.
如图1所示,瓦片体20至少设置有两个,均匀分布在端盖10下方。As shown in FIG. 1 , at least two tile bodies 20 are provided and are evenly distributed below the end cover 10 .
如图1所示,伸缩片30至少设置有两个,每个瓦片体20内至少设置有一个伸缩片30。As shown in FIG. 1 , at least two expansion pieces 30 are provided, and at least one expansion piece 30 is provided in each tile body 20 .
如图1和图3所示,伸缩片30的牵拉部31设置有外螺纹311,多个伸缩片30的外螺纹311可同时装配在同一端盖10的内螺纹11。As shown in FIG. 1 and FIG. 3 , the pulling portion 31 of the expansion piece 30 is provided with an external thread 311 , and the external threads 311 of a plurality of expansion pieces 30 can be simultaneously assembled on the internal thread 11 of the same end cover 10 .
特别地,伸缩片30的顶出部32内侧间隔设置有凸起321,凸起321均匀分布,凸起321上表面设有斜面322。In particular, protrusions 321 are arranged at intervals inside the protruding portion 32 of the expansion piece 30 . The protrusions 321 are evenly distributed, and an inclined surface 322 is arranged on the upper surface of the protrusions 321 .
如图1所示,顶出体40至少设置有两个,每个伸缩片30至少抵接一个顶出体40。As shown in FIG. 1 , at least two ejector bodies 40 are provided, and each expansion piece 30 abuts against at least one ejector body 40 .
如图4至图7所示,弓形体41一侧抵接伸缩片30,另一侧设有弧形的第一滑轨411抵接沙漏体42;沙漏体42一侧设有弧形的第一滑槽421抵接弓形体41,另一侧设有弧形的第二滑槽422抵接弧形体43;弧形体43一侧设有弧形的第二滑轨431抵接沙漏体42,另一侧设有弧形的第三滑槽432抵接楔形体44,第二滑轨431所在轴线与第三滑槽432所在轴线垂直但不相交;楔形体44一侧设有弧形的第三滑轨441抵接弧形体43,另一侧为楔形面442,契合瓦片体20内表面抵接人体胫骨。As shown in Figures 4 to 7, one side of the arched body 41 abuts the telescopic piece 30, and the other side is provided with an arc-shaped first slide rail 411 to abut the hourglass body 42; one side of the hourglass body 42 is provided with an arc-shaped first slide groove 421 to abut the arched body 41, and the other side is provided with an arc-shaped second slide groove 422 to abut the arc-shaped body 43; one side of the arc-shaped body 43 is provided with an arc-shaped second slide rail 431 to abut the hourglass body 42, and the other side is provided with an arc-shaped third slide groove 432 to abut the wedge-shaped body 44, and the axis of the second slide rail 431 is perpendicular to the axis of the third slide groove 432 but do not intersect; one side of the wedge-shaped body 44 is provided with an arc-shaped third slide rail 441 to abut the arc-shaped body 43, and the other side is a wedge-shaped surface 442, which fits the inner surface of the tile body 20 to abut the human tibia.
在实际使用过程中,第一滑轨411可滑动地设置在第一滑槽421内,第二滑轨431可滑动地设置在第二滑槽422内,第三滑轨441可滑动地设置在第三滑槽432内。In actual use, the first slide rail 411 is slidably disposed in the first slide groove 421 , the second slide rail 431 is slidably disposed in the second slide groove 422 , and the third slide rail 441 is slidably disposed in the third slide groove 432 .
需要注意的是,这里所使用的术语仅是为了描述具体实施方式,而非意图限制根据本申请的示例性实施方式。如在这里所使用的,除非上下文另外明确指出,否则单数形式也意图包括复数形式,此外,还应当理解的是,当在本说明书中使用术语“包含”和/或“包括”时,其指明存在特征、步骤、操作、器件、组件和/或它们的组合。It should be noted that the terms used herein are only for describing specific embodiments and are not intended to limit the exemplary embodiments according to the present application. As used herein, unless the context clearly indicates otherwise, the singular form is also intended to include the plural form. In addition, it should be understood that when the terms "comprise" and/or "include" are used in this specification, it indicates the presence of features, steps, operations, devices, components and/or combinations thereof.
以上所述仅为本发明的优选实施例而已,并不用于限制本发明,对于本领域的技术人员来说,本发明可以有各种更改和变化。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 above description is only a preferred embodiment of the present invention and is not intended to limit the present invention. For those skilled in the art, the present invention may have various modifications and variations. Any modification, equivalent replacement, improvement, etc. made within the spirit and principle of the present invention shall be included in the protection scope of the present invention.
Claims (8)
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| CN110731837A (en) * | 2019-09-19 | 2020-01-31 | 北京力达康科技有限公司 | ligament retention type tibia tumor assembly type half knee joint prosthesis |
| CN117503434A (en) * | 2023-12-18 | 2024-02-06 | 北京力达康科技有限公司 | But accurate regulation formula tibia tumour knee joint prosthesis of reservation joint face type |
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| FR2814361B1 (en) * | 2000-09-22 | 2002-12-20 | Implants Ind | KNEE PROSTHESIS, TOTAL AND MODULAR |
| CN112741713B (en) * | 2019-10-31 | 2025-06-06 | 苏州微创关节医疗科技有限公司 | Tibial prosthesis and knee prosthesis |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN110731837A (en) * | 2019-09-19 | 2020-01-31 | 北京力达康科技有限公司 | ligament retention type tibia tumor assembly type half knee joint prosthesis |
| CN117503434A (en) * | 2023-12-18 | 2024-02-06 | 北京力达康科技有限公司 | But accurate regulation formula tibia tumour knee joint prosthesis of reservation joint face type |
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