CN206560458U - Osteotomy guide plate component - Google Patents
Osteotomy guide plate component Download PDFInfo
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- CN206560458U CN206560458U CN201621307829.7U CN201621307829U CN206560458U CN 206560458 U CN206560458 U CN 206560458U CN 201621307829 U CN201621307829 U CN 201621307829U CN 206560458 U CN206560458 U CN 206560458U
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- osteotomy
- osteotomy guide
- head
- motion track
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- 241000272814 Anser sp. Species 0.000 claims abstract description 34
- 210000000988 bone and bone Anatomy 0.000 claims description 55
- 210000003689 pubic bone Anatomy 0.000 claims description 20
- 238000001356 surgical procedure Methods 0.000 abstract description 4
- 210000004197 pelvis Anatomy 0.000 description 57
- 238000000034 method Methods 0.000 description 8
- 210000004204 blood vessel Anatomy 0.000 description 7
- 238000013461 design Methods 0.000 description 5
- 210000005036 nerve Anatomy 0.000 description 5
- 210000001549 wing of ilium Anatomy 0.000 description 5
- 230000006378 damage Effects 0.000 description 3
- 238000011161 development Methods 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 210000004394 hip joint Anatomy 0.000 description 2
- 239000000203 mixture Substances 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 239000007787 solid Substances 0.000 description 2
- 210000001835 viscera Anatomy 0.000 description 2
- 238000010146 3D printing Methods 0.000 description 1
- 208000035126 Facies Diseases 0.000 description 1
- 206010058046 Post procedural complication Diseases 0.000 description 1
- 206010067268 Post procedural infection Diseases 0.000 description 1
- 208000035965 Postoperative Complications Diseases 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 230000001934 delay Effects 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 238000002224 dissection Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000011156 evaluation Methods 0.000 description 1
- 210000003099 femoral nerve Anatomy 0.000 description 1
- 238000002594 fluoroscopy Methods 0.000 description 1
- 210000003692 ilium Anatomy 0.000 description 1
- 230000001788 irregular Effects 0.000 description 1
- 210000002239 ischium bone Anatomy 0.000 description 1
- 210000003141 lower extremity Anatomy 0.000 description 1
- 210000001020 neural plate Anatomy 0.000 description 1
- 210000004239 obturator nerve Anatomy 0.000 description 1
- 238000007639 printing Methods 0.000 description 1
- 230000005855 radiation Effects 0.000 description 1
- 230000002285 radioactive effect Effects 0.000 description 1
- 210000003497 sciatic nerve Anatomy 0.000 description 1
- 238000004088 simulation Methods 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 230000000007 visual effect Effects 0.000 description 1
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Abstract
The utility model provides a kind of osteotomy guide plate component, including：Osteotomy guide plate, for offering the kerf for guiding and limiting goose saw motion track on the first predetermined position for treating osteotomy head, osteotomy guide plate, so that goose saw moves to cut down the predetermined portions for treating osteotomy head in kerf；Using the osteotomy guide plate component of technical solutions of the utility model, by setting osteotomy guide plate, osteotomy guide plate is arranged on the first predetermined position for treating osteotomy head, the kerf for guiding and limiting goose saw motion track is offered on osteotomy guide plate, so that goose saw moves to cut down the predetermined portions for treating osteotomy head in kerf.Osteotomy track can be accurately positioned in Ganz osteotomies, reduce the dependency degree to doctors experience, make surgical procedure standardization, precision, repeatableization, solve and mainly operated when carrying out Ganz osteotomies in the prior art by the experience of doctor, the problem of accuracy and repeatability are difficult to ensure that and risk is larger.
Description
Technical field
The utility model is related to area of medical devices, in particular to a kind of osteotomy guide plate component.
Background technology
Ganz osteotomies are the Periacetabular osteotomies started by the Ganz doctor of Bern, SUI hospital nineteen eighty-three.Ganz
Osteotomy changes the direction of acetabular bone covering, adds area coverage of the hip joint to femoral head so that young acetabular development
Bad patient delays even from prosthetic replacement significantly.
Because pelvis is made up of the cancellous bone of easily bleeding, deeply surrounds and protect a variety of internal organs of human body.And by ilium
The acetabular bone part for the pelvis that bone, pubis and ischium are constituted in a ring is located at the depths of pelvis, is around dispersed with most abundant blood vessel
Important femoral nerve, obturator nerve and sciatic nerve with lower limb.
Ganz osteotomies most dangerous step is that among more than ten to two ten centimeters of acetabular bone Curved osteotomy, have half even
2/3rds be that saw bone is carried out with consummate dissection grounding in basic skills or under C-arm x-ray fluoroscopy.Because Ganz osteotomies difficulty is high, wind
Danger is big, is described in " Mountain Everest " for bone surgery field.Thus, this operation has at a relatively high technique approval threshold,
Hamper the popularization of the technology.
It can be seen that, Ganz osteotomies of the prior art have the disadvantage that：
(1) Ganz osteotomies difficulty is high, and risk is big, easily occurs postoperative complication, requires high to doctors experience；
(2) when osteotomy is with rotating and putting nail process, substantial amounts of perspective is carried out, increases operating time, increases radioactive exposure；
(3) osteotomy site and the anglec of rotation depend on the empirical evaluation of doctor, lack accuracy and repeatability.
Utility model content
Main purpose of the present utility model is to provide a kind of osteotomy guide plate component, to solve to carry out Ganz in the prior art
Mainly operated during osteotomy by the experience of doctor, the problem of accuracy and repeatability are difficult to ensure that and risk is larger.
To achieve these goals, according to content of the present utility model there is provided a kind of osteotomy guide plate component, including：Cut
Bone conduction plate, for being offered on the first predetermined position for treating osteotomy head, osteotomy guide plate for guiding and limiting goose saw shifting
The kerf of dynamic rail mark, so that goose saw moves to cut down the predetermined portions for treating osteotomy head in kerf.
Further, osteotomy guide plate component also includes：Guide plate is resetted, for installed in the second reservations for treating osteotomy head
Position, the predetermined portions for treating osteotomy head cut down are repositioned at and treated on osteotomy head.
Further, osteotomy guide plate component also includes：Nail guide plate is put, for installed in the 3rd reservations for treating osteotomy head
Position, so that fixing screws retighten the predetermined portions for treating osteotomy head being had good positioning by resetting guide plate.
Further, osteotomy guide plate includes：Outside osteotomy guide plate, for installed in treat osteotomy head the first osteotomy surface,
Moved with guiding and limiting goose saw along the first default motion track；Pubis osteotomy guide plate, the first of osteotomy head is treated for being fixed on
On osteotomy surface, moved with guiding and limiting goose saw along the second default motion track；Wherein, the first default motion track and second pre-
If motion track constitutes the complete motion track that goose saw cuts down the predetermined portions for treating osteotomy head.
Further, osteotomy guide plate in outside is the plate body matched with the first default motion track, and kerf is pre- along first
If motion track is opened in the osteotomy guide plate of outside.
Further, it is provided with positioning screw hole on outside osteotomy guide plate and pubis osteotomy guide plate.
Further, osteotomy guide plate includes：First inner side osteotomy guide plate, the second inner side osteotomy guide plate, the 3rd inner side osteotomy
Guide plate and the 4th inner side osteotomy guide plate, the first inner side osteotomy guide plate, the second inner side osteotomy guide plate, the 3rd inner side osteotomy guide plate and
Four inner side osteotomy guide plates are used to be arranged on the second osteotomy surface for treating osteotomy head；First inner side osteotomy guide plate, the second inner side osteotomy
Guide plate and the 3rd inner side osteotomy guide plate are moved for guiding and limiting goose saw along the first default motion track, and the 4th inner side osteotomy is led
Plate is moved for guiding and limiting goose saw along the second default motion track；Wherein, the first default motion track and the second default shifting
Dynamic rail mark constitutes the complete motion track that goose saw cuts down the predetermined portions for treating osteotomy head.
Further, the first inner side osteotomy guide plate, the second inner side osteotomy guide plate and the 3rd inner side osteotomy guide plate are strip
Body, kerf is opened in the first inner side osteotomy guide plate, the second inner side osteotomy guide plate and the 3rd inner side along the first default motion track and cut
In bone conduction plate.
Further, the first inner side osteotomy guide plate, the second inner side osteotomy guide plate, the 3rd inner side osteotomy guide plate and the 4th inner side
Positioning screw hole is provided with osteotomy guide plate.
Further, guide plate is resetted to be multiple, and multiple guide plates that reset are arranged on treat osteotomy head and cut down pre- at intervals
Treated on fixed part so that the predetermined portions for treating osteotomy head cut down are repositioned on osteotomy head.
Further, reset guide plate have with treat osteotomy the first connection end for be connected of head and with cut down treat osteotomy
Positioning screw hole is offered on second connection end of predetermined portions connection, the first connection end and the second connection end.
Further, the neck having on nail guide plate with treating the edge clamping of osteotomy head is put, the bottom of neck has to putting
Putting for the outside extension of nail guide plate has the positioning screw hole extended to the outside for putting nail guide plate on nail, the side wall of neck.
Using the osteotomy guide plate component of technical solutions of the utility model, by setting osteotomy guide plate, osteotomy guide plate is arranged on
Treat to offer the kerf for guiding and limiting goose saw motion track on the first predetermined position of osteotomy head, osteotomy guide plate, so that
Goose saw moves to cut down the predetermined portions for treating osteotomy head in kerf.So that can be to cutting during Ganz osteotomies are carried out
Bone track is accurately positioned, and reduces the dependency degree to doctors experience, makes surgical procedure standardization, precision, repeatableization, solution
Experience when carrying out Ganz osteotomies in the prior art mainly by doctor of having determined is operated, and accuracy and repeatability are difficult to
Ensure and risk it is larger the problem of.
Brief description of the drawings
The Figure of description for constituting the part of the application is used for providing further understanding to of the present utility model, this practicality
New schematic description and description is used to explain the utility model, does not constitute to improper restriction of the present utility model.
In the accompanying drawings：
Fig. 1 is the use state structural representation according to the optional outside osteotomy guide plate of the utility model embodiment；
Fig. 2 is the structural representation according to the optional outside osteotomy guide plate of the utility model embodiment；
Fig. 3 is the cross-sectional view according to the optional outside osteotomy guide plate of the utility model embodiment；
Fig. 4 is the use state structural representation according to the optional three inner sides osteotomy guide plate of the utility model embodiment；
Fig. 5 is the use state structural representation according to another optional inner side osteotomy guide plate of the utility model embodiment
Figure；
Fig. 6 is the use state structural representation that guide plate is optionally resetted according to the utility model embodiment；
Fig. 7 is the structural representation that guide plate is optionally resetted according to the utility model embodiment；
Fig. 8 is optionally to reset guide plate according to the utility model embodiment and put the use state structural representation of nail guide plate
Figure；And
Fig. 9 is the structural representation that nail guide plate is optionally put according to the utility model embodiment.
Wherein, above-mentioned accompanying drawing is marked including the following drawings：
10th, osteotomy guide plate；11st, kerf；12nd, outside osteotomy guide plate；13rd, pubis osteotomy guide plate；14th, the first inner side osteotomy is led
Plate；15th, the second inner side osteotomy guide plate；16th, the 3rd inner side osteotomy guide plate；17th, the 4th inner side osteotomy guide plate；20th, guide plate is resetted；
30th, nail guide plate is put；40th, positioning screw hole；50th, nail is put；60th, positioning screw；70th, fixing screws.
Embodiment
It should be noted that in the case where not conflicting, the feature in embodiment and embodiment in the application can phase
Mutually combination.Describe the utility model in detail below with reference to the accompanying drawings and in conjunction with the embodiments.
According to the osteotomy guide plate component of the utility model embodiment, as shown in Figure 1, Figure 4 and Figure 5, including：Osteotomy guide plate
10, osteotomy guide plate 10, which is used to be arranged on the first predetermined position for treating osteotomy head, osteotomy guide plate 10, to be offered for guiding and limiting
The kerf 11 of goose saw motion track processed, so that goose saw moves to cut down the predetermined portions for treating osteotomy head in kerf 11.
Using the osteotomy guide plate component of technical solutions of the utility model, by setting osteotomy guide plate 10, osteotomy guide plate 10 is pacified
Mounted in the first predetermined position for treating osteotomy head, the kerf for guiding and limiting goose saw motion track is offered on osteotomy guide plate 10
11, so that goose saw moves to cut down the predetermined portions for treating osteotomy head in kerf 11.So as to carry out Ganz osteotomy processes
In osteotomy track can be accurately positioned, reduce to the dependency degree of doctors experience, make surgical procedure standardization, precision,
Repeatableization, solves and is mainly operated when carrying out Ganz osteotomies in the prior art by the experience of doctor, accuracy with
The problem of repeatability is difficult to ensure that and risk is larger.
After the completion of Ganz osteotomy osteotomy, in order to which the acetabular bone cut down on pelvis is repositioned to change covering for acetabular bone
The direction of lid, increases area coverage of the hip joint to femoral head, alternatively, as shown in fig. 6, osteotomy guide plate component also includes being used for
The reset guide plate 20 positioned to acetabular bone, resetting guide plate 20 is used to be arranged on the second predetermined position for treating osteotomy head, will cut
Under treat osteotomy head predetermined portions be repositioned at treat osteotomy head on.Specifically, during Ganz osteotomies, acetabular bone is entered
When row is repositioned, reset guide plate 20 and be arranged between the acetabular bone cut down and pelvis, the one end for resetting guide plate 20 is connected with acetabular bone
Fixed, the other end for resetting guide plate 20 is connected with pelvis, so that the acetabular bone cut down be repositioned.
It is multiple to reset guide plate 20, and multiple guide plates 20 that reset are arranged on the predetermined portions treated osteotomy head and cut down at intervals
On.It is two to reset guide plate 20 in the present embodiment, as shown in fig. 7, each resetting guide plate 20 has first be connected with pelvis
Connection end and the second connection end being connected with acetabular bone, are connected between the first connection end and the second connection end by connecting plate body,
Each guide plate 20 that resets is connected across between pelvis and acetabular bone, the end surface shape of the first connection end link position corresponding with pelvis
The surface configuration at place matches, the surface configuration phase at the end surface shape of the second connection end link position corresponding with acetabular bone
Match somebody with somebody, ensure that reset guide plate 20 and pelvis and acetabular bone good fit and position is unique.In the first connection end and the second connection end
On offer positioning screw hole 40, by by positioning screw 60 through corresponding positioning screw hole 40 by reset guide plate 20 position
And be fixed on pelvis and acetabular bone.
After the completion of positioning, in order to which the acetabular bone having good positioning is connected with pelvis again, alternatively, as shown in figure 8, cutting
Bone conduction board component also includes putting nail guide plate 30, and putting nail guide plate 30 is used to be arranged on the 3rd predetermined position for treating osteotomy head, so that solid
Determine screw 70 to retighten the predetermined portions for treating osteotomy head having good positioning by resetting guide plate 20.Specifically, as shown in figure 9,
The neck having on nail guide plate 30 with treating the edge clamping of osteotomy head is put, the bottom of neck, which has to the outside for putting nail guide plate 30, prolongs
That stretches puts the positioning screw hole 40 having on nail 50, the side wall of neck to the outside extension for putting nail guide plate 30.The bottom land of neck
Face is the Irregular Boundary Surface matched with hyperpelvic alaossisilii, so as to be uniquely determined with the position of the deep wing.Put nail 50
Bearing of trend points to acetabular bone.
During Ganz osteotomies, when being retightened to the acetabular bone cut down, nail guide plate 30 will be put and be positioned at pelvis edge
Alaossisilii at correct position, first by positioning screw 60 through each corresponding positioning screw hole 40 will put nail guide plate 30
Position and fix, then pass through fixing screws 70 nail 50 of putting put on nail guide plate 30 pelvis and the acetabular bone cut down are connected into solid
It is scheduled on together.
In Ganz osteotomies, osteotomy can be carried out from the outside of pelvis or inner side according to specific needs.Based on this, this practicality
New offer carries out the osteotomy guide plate of osteotomy on the outside of pelvis and the osteotomy guide plate of osteotomy is carried out on the inside of pelvis.
Embodiment 1：
As shown in figure 1, osteotomy guide plate 10 includes：Outside osteotomy guide plate 12 and pubis osteotomy guide plate 13, outside osteotomy guide plate
12 and pubis osteotomy guide plate 13 be used to be arranged on treat osteotomy head the first osteotomy surface on, the first osteotomy surface be pelvis outside
Face, outside osteotomy guide plate 12 has plane and guide plate lower plane on guide plate, and guide plate lower plane is led with installing outside osteotomy on pelvis
Surface configuration at the position of plate 12 matches, it is ensured that outside osteotomy guide plate 12 and pelvis good fit and position is unique.
Alternatively, as shown in Figures 2 and 3, outside osteotomy guide plate 12 is the tabular matched with the first default motion track
Body, the spill plate body of one side opening of formation of outside osteotomy guide plate 12, outside osteotomy guide plate 12 is set around acetabular bone, kerf 11
It is opened in along the first default motion track in outside osteotomy guide plate 12.
Outside osteotomy guide plate 12 guides and limits goose saw and moved along the first default motion track of Periacetabular；Pubis osteotomy
Guide plate 13 guides and limits goose saw and moved along the second default motion track of Periacetabular；Wherein, the first default motion track and
The complete motion track that second default motion track composition goose saw cuts down acetabular bone from pelvis.The guide plate of outside osteotomy guide plate 12
Direction of the upper plane along kerf 11 is equal to the beeline of pelvis medial surface, so that in the case where controlling goose saw length, energy
Enough ensure that goose saw will not hurt the blood vessel and nerve on the inside of pelvis.
It is optional in order to effectively be positioned and fixed outside osteotomy guide plate 12 and pubis osteotomy guide plate 13 on pelvis
Ground, is provided with positioning screw hole 40, positioning screw hole 40 is provided with outside osteotomy guide plate 12 and pubis osteotomy guide plate 13
It is multiple, by the way that positioning screw 60 is passed through into each corresponding positioning screw hole 40 by outside osteotomy guide plate 12 and pubis osteotomy guide plate
13 are located and fixed within the relevant position on the outside of pelvis, after acetabular bone is intercepted from pelvis, by outside osteotomy guide plate 12
Removed with pubis osteotomy guide plate 13.
Embodiment 2：
Except intercepting acetabular bone in pelvis lateral surface, acetabular bone can also be intercepted from the medial surface of pelvis.Alternatively, such as Fig. 4 and
Shown in Fig. 5, osteotomy guide plate 10 includes：First inner side osteotomy guide plate 14, the second inner side osteotomy guide plate 15, the 3rd inner side osteotomy guide plate
16 and the 4th inner side osteotomy guide plate 17, the first inner side osteotomy guide plate 14, the second inner side osteotomy guide plate 15, the 3rd inner side osteotomy guide plate
16 and the 4th inner side osteotomy guide plate 17 be used to be arranged on the second osteotomy surface for treating osteotomy head, the i.e. medial surface installed in pelvis
On；First inner side osteotomy guide plate 14, the second inner side osteotomy guide plate 15 and the 3rd inner side osteotomy guide plate 16 are used to guide and limit pendulum
Saw and moved along the first default motion track of Periacetabular, the 4th inner side osteotomy guide plate 17 is used to guide and limit goose saw along acetabular bone
The default motion track movement of the second of surrounding；Wherein, the first default motion track and the second default motion track composition goose saw will
The complete motion track that acetabular bone is cut down from pelvis.The first default motion track in the present embodiment with it is first pre- in embodiment 1
If track is mutually corresponded to, the default motion track of second in the present embodiment is corresponding with the in embodiment 1 second default motion track.
First inner side osteotomy guide plate 14, the second inner side osteotomy guide plate 15, the 3rd inner side osteotomy guide plate 16 and the 4th inner side osteotomy guide plate 17
Thickness be less than embodiment 1 in outside osteotomy guide plate 12 thickness.
Alternatively, the first inner side osteotomy guide plate 14, the second inner side osteotomy guide plate 15 and the 3rd inner side osteotomy guide plate 16 are
Strip shape body, kerf is opened in the first inner side osteotomy guide plate 14, the second inner side osteotomy guide plate 15 and the along the first default motion track
In three inner side osteotomy guide plates 16, the first inner side osteotomy guide plate 14, the second inner side osteotomy guide plate 15 and the 3rd inner side osteotomy guide plate 16
Set around acetabular bone, the kerf 11 on the 4th inner side osteotomy guide plate 17 is arranged on the 4th inner side along the second default motion track and cut
In bone conduction plate 17, goose saw moves to cut acetabular bone from pelvis along the first default motion track and the second default motion track
Under.
In order to effectively by the first inner side osteotomy guide plate 14, the second inner side osteotomy guide plate 15, the 3rd inner side osteotomy guide plate 16
Positioned and fixed with the 4th inner side osteotomy guide plate 17 on osteotomy head is treated, first the 14, second inner side of inner side osteotomy guide plate is cut
Positioning screw hole 40 is provided with bone conduction plate 15, the 3rd inner side osteotomy guide plate 16 and the 4th inner side osteotomy guide plate 17.Position spiral shell
Nail 40 be provided with it is multiple, by by positioning screw 60 through each corresponding positioning screw hole 40 by the first inner side osteotomy guide plate
14th, the second inner side osteotomy guide plate 15, the 3rd inner side osteotomy guide plate 16 and the 4th inner side osteotomy guide plate 17 are located and fixed within pelvis
The relevant position of inner side, after acetabular bone is intercepted from pelvis, outside osteotomy guide plate 12 and pubis osteotomy guide plate 13 are removed.
Before Ganz osteotomies, planned by CT data, determine osteotomy site and acetabular bone rotation mode, and design
The osteotomy guide plate component matched with patient's pelvis and acetabular bone.Pelvis and osteotomy guide plate component are printed by 3D printing technique, used
Pelvis and osteotomy guide plate component simulation the acetabular bone osteotomy of printing, the process for resetting and putting nail, confirm that osteotomy guide plate is designed and printed
Correctly, operation can be completed well.
During operation is carried out, outside osteotomy guide plate 12 and pubis osteotomy guide plate 13 are positioned over corresponding on the outside of pelvis
Position, mobile outside osteotomy guide plate 12 and pubis osteotomy guide plate 13, finds the guide plate lower plane and pelvis of outside osteotomy guide plate 12
The most suitable position of outer surface compactness and pubis osteotomy guide plate 13 and the pelvis outer surface most suitable position of compactness, be
Design attitude, the then positioning screw hole 40 dozens with positioning screw 60 along outside osteotomy guide plate 12 and pubis osteotomy guide plate 13
Enter, outside osteotomy guide plate 12 and pubis osteotomy guide plate 13 are fixed on pelvis.Then with the goose saw of limited length along kerf
11 row acetabular bone osteotomy, acetabular bone are dissociated from pelvis, the process will not damage the blood vessel and nerve of pelvis inner side plane.
Also acetabular bone osteotomy can be carried out on the inside of pelvis using inner side osteotomy guide plate.Concrete mode is, by internal organ on the inside of pelvis
Push aside, and the blood vessel on the inside of pelvis, nerve etc. are pushed aside from pelvis, the first inner side osteotomy guide plate 14 is then positioned over pelvis
In the relevant position of inner side, mobile first inner side osteotomy guide plate 14, the lower plane and pelvis for finding the first inner side osteotomy guide plate 14
The most suitable position of side compactness, as design attitude, are then squeezed into positioning screw 60 along positioning screw hole 40, by first
Inner side osteotomy guide plate 14 is fixed on pelvis, is then cut with goose saw along the row acetabular bone of kerf 11 on the first inner side osteotomy guide plate 14
Bone.Next, according to the above method successively using the second inner side osteotomy guide plate 15, the 3rd inner side osteotomy guide plate 16 and the 4th inner side
Osteotomy guide plate 17 carries out osteotomy, and acetabular bone is dissociated from pelvis.Using the first inner side osteotomy guide plate 14, the second inner side osteotomy guide plate
15th, the 3rd inner side osteotomy guide plate 16 and the 4th inner side osteotomy guide plate 17 carry out acetabular bone osteotomy on the inside of pelvis, are on the inside of pelvis
Blood vessel and nerve it is visual in the case of carry out, security is higher, and the danger of destruction nerve and blood vessel is smaller.
After the completion of acetabular bone osteotomy, outside osteotomy guide plate 12 and pubis osteotomy guide plate 13 or the first inner side osteotomy are pulled down from pelvis
Guide plate 14, the second inner side osteotomy guide plate 15, the 3rd inner side osteotomy guide plate 16 and the 4th inner side osteotomy guide plate 17.Two resets are led
Plate 20 is separately mounted on pelvis and acetabular bone by positioning screw 60, makes the lower plane of the reset guide plate 20 close to alaossisilii side
It is brought into close contact with corresponding facies pelvina, now acetabular bone just rotates and be moved to the position set with pelvis.
Finally, it will put and follow closely the relevant position that guide plate 30 is placed in alaossisilii, it is mobile to put nail guide plate 30, find and put nail guide plate 30
The groove bottom of neck is fitted most suitable position with the surface at alaossisilii, as design attitude, then with the edge of positioning screw 60
Positioning screw hole 40 squeeze into will put nail guide plate 30 be located and fixed within pelvis.Then by Design good respective diameters and length
The fixing screws 70 of degree retighten acetabular bone with pelvis along putting nail 50 and insert.Pull down two reset guide plates 20 and put nail and lead
Plate 30 completes GANZ osteotomies.
The osteotomy guide plate component of the utility model embodiment has reached following technique effect：
1. by the depth or blood vessel that control osteotomy guide plate, neural stripping, substantially reduce the operation of GANZ osteotomies
Risk；
2. by preoperative planning and guide plate system, substantially reducing operating time, the risk of postoperative infection is reduced.
3. the use of guide plate system, reduces requirement of the operation to doctors experience, the doctor that can be done increases, so that suitable
Disease patient is answered to perform the operation in time, it is to avoid further development；
4. osteotomy and rotation and during putting nail, it is no longer necessary to substantial amounts of perspective, it is to avoid substantial amounts of perspective radiation is to trouble
Person and the damage of medical personnel.
Preferred embodiment of the present utility model is the foregoing is only, the utility model is not limited to, for this
For the technical staff in field, the utility model can have various modifications and variations.It is all it is of the present utility model spirit and principle
Within, any modification, equivalent substitution and improvements made etc. should be included within protection domain of the present utility model.
Claims (12)
1. a kind of osteotomy guide plate component, it is characterised in that including：
Osteotomy guide plate (10), for offering use on the first predetermined position for treating osteotomy head, the osteotomy guide plate (10)
In the kerf (11) for guiding and limiting goose saw motion track, so that the goose saw moves to treat described in the kerf (11)
The predetermined portions of osteotomy head are cut down.
2. osteotomy guide plate component according to claim 1, it is characterised in that the osteotomy guide plate component also includes：
Reset guide plate (20), for installed in it is described treat osteotomy head the second predetermined position, will cut down described in treat osteotomy head
Predetermined portions be repositioned at described treat on osteotomy head.
3. osteotomy guide plate component according to claim 2, it is characterised in that the osteotomy guide plate component also includes：
Nail guide plate (30) is put, for installed in the 3rd predetermined position for treating osteotomy head, so that fixing screws (70) will pass through
The predetermined portions for treating osteotomy head that the reset guide plate (20) is had good positioning are retightened.
4. osteotomy guide plate component according to claim 1, it is characterised in that the osteotomy guide plate (10) includes：
Outside osteotomy guide plate (12), for installed in first osteotomy surface for treating osteotomy head, to guide and limit the pendulum
Saw is moved along the first default motion track；
Pubis osteotomy guide plate (13), for being fixed on first osteotomy surface for treating osteotomy head, to guide and limit the pendulum
Saw is moved along the second default motion track；
Wherein, the described first default motion track and the second default motion track constitute the goose saw and treat osteotomy head by described
The complete motion track that cuts down of predetermined portions.
5. osteotomy guide plate component according to claim 4, it is characterised in that the outside osteotomy guide plate (12) be with it is described
The plate body that first default motion track matches, the kerf (11) is opened in described outer along the described first default motion track
In side osteotomy guide plate (12).
6. osteotomy guide plate component according to claim 4, it is characterised in that the outside osteotomy guide plate (12) and pubis are cut
Positioning screw hole (40) is provided with bone conduction plate (13).
7. osteotomy guide plate component according to claim 1, it is characterised in that the osteotomy guide plate (10) includes：
First inner side osteotomy guide plate (14), the second inner side osteotomy guide plate (15), the 3rd inner side osteotomy guide plate (16) and the 4th inner side
Osteotomy guide plate (17), the first inner side osteotomy guide plate (14), the second inner side osteotomy guide plate (15), the 3rd inner side are cut
Bone conduction plate (16) and the 4th inner side osteotomy guide plate (17) are used to be arranged on second osteotomy surface for treating osteotomy head；
The first inner side osteotomy guide plate (14), the second inner side osteotomy guide plate (15) and the 3rd inner side osteotomy guide plate
(16) moved for guiding and limiting the goose saw along the first default motion track, the 4th inner side osteotomy guide plate (17) is used for
Guide and limit the goose saw and moved along the second default motion track；
Wherein, the described first default motion track and the second default motion track constitute the goose saw and treat osteotomy head by described
The complete motion track that cuts down of predetermined portions.
8. osteotomy guide plate component according to claim 7, it is characterised in that the first inner side osteotomy guide plate (14), institute
It is strip shape body to state the second inner side osteotomy guide plate (15) and the 3rd inner side osteotomy guide plate (16), and the kerf is along described first
Default motion track is opened in the first inner side osteotomy guide plate (14), the second inner side osteotomy guide plate (15) and the described 3rd
In inner side osteotomy guide plate (16).
9. osteotomy guide plate component according to claim 7, it is characterised in that the first inner side osteotomy guide plate (14), institute
State on the second inner side osteotomy guide plate (15), the 3rd inner side osteotomy guide plate (16) and the 4th inner side osteotomy guide plate (17)
It is provided with positioning screw hole (40).
10. osteotomy guide plate component according to claim 2, it is characterised in that the reset guide plate (20) be it is multiple, it is multiple
The guide plate (20) that resets is arranged on described treat on osteotomy head and the predetermined portions cut down with by the institute cut down at intervals
State and treat that the predetermined portions of osteotomy head are repositioned at described treat on osteotomy head.
11. the osteotomy guide plate component according to any one of claim 2 or 10, it is characterised in that the reset guide plate
(20) have with it is described treat osteotomy the first connection end for be connected of head and with cut down described in treat that the predetermined portions of osteotomy are connected
The second connection end, offer positioning screw hole (40) on first connection end and second connection end.
12. osteotomy guide plate component according to claim 3, it is characterised in that described put on nail guide plate (30) has and institute
The neck for the edge clamping for treating osteotomy head is stated, the bottom of the neck has putting to the outside extension for putting nail guide plate (30)
There is the positioning screw hole (40) to the outside extension for putting nail guide plate (30) on nail (50), the side wall of the neck.
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| Application Number | Priority Date | Filing Date | Title |
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| CN201621307829.7U CN206560458U (en) | 2016-11-30 | 2016-11-30 | Osteotomy guide plate component |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201621307829.7U CN206560458U (en) | 2016-11-30 | 2016-11-30 | Osteotomy guide plate component |
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| CN206560458U true CN206560458U (en) | 2017-10-17 |
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| CN201621307829.7U Active CN206560458U (en) | 2016-11-30 | 2016-11-30 | Osteotomy guide plate component |
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| CN106580394A (en) * | 2016-11-30 | 2017-04-26 | 北京爱康宜诚医疗器材有限公司 | Osteotomy guide plate assembly |
| WO2019123193A1 (en) * | 2017-12-22 | 2019-06-27 | Medacta International Sa | Cutting guide for periacetabular osteotomy and kit for periacetabular osteotomy |
| WO2019123192A1 (en) * | 2017-12-22 | 2019-06-27 | Medacta International Sa | Cutting guide for periacetabular osteotomy and kit for periacetabular osteotomy |
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| US11707287B2 (en) | 2016-09-23 | 2023-07-25 | Medacta International Sa | Disposable guide device for spinal surgery |
| CN106580394A (en) * | 2016-11-30 | 2017-04-26 | 北京爱康宜诚医疗器材有限公司 | Osteotomy guide plate assembly |
| US11357519B2 (en) | 2017-12-22 | 2022-06-14 | Medacta International Sa | Cutting guide for periacetabular osteotomy and kit for periacetabular osteotomy |
| JP2021506481A (en) * | 2017-12-22 | 2021-02-22 | メダクタ・インターナショナル・ソシエテ・アノニム | Cutting guide for acetabular osteotomy and kit for acetabular osteotomy |
| JP2021506482A (en) * | 2017-12-22 | 2021-02-22 | メダクタ・インターナショナル・ソシエテ・アノニム | Cutting guide for acetabular osteotomy and kit for acetabular osteotomy |
| JP7016419B2 (en) | 2017-12-22 | 2022-02-04 | メダクタ・インターナショナル・ソシエテ・アノニム | Cutting guide for acetabular osteotomy and kit for acetabular osteotomy |
| WO2019123192A1 (en) * | 2017-12-22 | 2019-06-27 | Medacta International Sa | Cutting guide for periacetabular osteotomy and kit for periacetabular osteotomy |
| JP7158484B2 (en) | 2017-12-22 | 2022-10-21 | メダクタ・インターナショナル・ソシエテ・アノニム | Cutting Guide for Acetabular Osteotomy and Kit for Acetabular Osteotomy |
| US11602355B2 (en) | 2017-12-22 | 2023-03-14 | Medacta International Sa | Cutting guide for periacetabular osteotomy and kit for periacetabular osteotomy |
| WO2019123193A1 (en) * | 2017-12-22 | 2019-06-27 | Medacta International Sa | Cutting guide for periacetabular osteotomy and kit for periacetabular osteotomy |
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