CN103054633A - Meniscus transplanting bone bridge inlaying technology and device - Google Patents
Meniscus transplanting bone bridge inlaying technology and device Download PDFInfo
- Publication number
- CN103054633A CN103054633A CN2012105368190A CN201210536819A CN103054633A CN 103054633 A CN103054633 A CN 103054633A CN 2012105368190 A CN2012105368190 A CN 2012105368190A CN 201210536819 A CN201210536819 A CN 201210536819A CN 103054633 A CN103054633 A CN 103054633A
- Authority
- CN
- China
- Prior art keywords
- meniscus
- bone
- hole
- bone bridge
- semicircle
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
Images
Landscapes
- Surgical Instruments (AREA)
Abstract
The invention relates to a meniscus transplanting bone bridge inlaying technology and device and belongs to the field of medical devices. The meniscus transplanting bone bridge inlaying device is composed of a meniscus fixing table (1), a sighting device (2), a guide pin (3), a guide pin sleeve pipe (4), a drill bit sleeve pipe (5), a hollow drill (6), a semicircular bone chisel (7), a socket wrench (8), a drill bit (9) and an allen wrench (10). The meniscus transplanting bone bridge inlaying device is characterized in that a cutting edge is arranged at the left end of the hollow drill (6), a quick change interface is arranged at the right end of the hollow drill (6) and can be connected with a universal quick change handle, the center of the semicircular bone chisel (7) is provided with a through hole, a knife body is semicircular, the head of the semicircular bone chisel (7) is provided with a cutting edge, and the head of the socket wrench (8) is provided with the allen wrench. Under monitoring of an arthroscope, a bone bridge is manufactured, and a bone bridge inlaying operation is performed through small incision of the skin.
Description
Technical field
The present invention relates to a kind of meniscal implantation bone bridge embedding technique and apparatus, belong to medical instruments field.
Background technology
The patient of the early stage separate room of the knee joint chamber regression that causes for Meniscectomy, the allosome meniscal implantation is an alternative Therapeutic Method, it also is at present unique clinical meniscus reconstruction technique that is applied to, but, so far allosome meniscal implantation surgical technic, particularly the Minimally Invasive Surgery technology still lacks Minimally Invasive Surgery apparatus under the arthroscope under the arthroscope, therefore, has seriously hindered the development of technique and popularizes.
At present, most bone bridge technique for fixing are open surgery or small incision surgery in the meniscal implantation art, operation wound is heavier, operation easier is larger, and technology lacks standard, so far, it is the operating theater instruments that most operation techniques do not have standard that total joint mirror lower meniscus is transplanted one of greatest difficulty of less invasive techniques existence, the doctor can only rely on profile free-hand and that bone flute profile attitude and bone bridge are made in the naked eyes range estimation, both sizes also almost can only lean on naked eyes to estimate, there is not standardized operating theater instruments to help, so, usually cause bone groove and bone bridge size, form can not be coincide, so both inlay fixing second-rate, both prolong operating time, be difficult to again reach the fixing optimum stabilization of bone bridge.
Summary of the invention
The invention provides a kind of have simple in structure, easy to operate, practical meniscal implantation bone bridge embedding technique and apparatus.
Technical scheme of the present invention is as follows:
Meniscal implantation bone bridge embedding technique and apparatus, formed by meniscus fixed station (1), sight (2), guide pin (3), guide pin sleeve pipe (4), bit sleeve (5), core drill (6), half circular bone chisel (7), box spanner (8), drill bit (9), hexagon (10), it is characterized in that: core drill (6) left end has cutting edge, there is scale mark in bar section, be beneficial to control and the accurate location of driving depth, right-hand member has rapid replacing interface, can be connected with general Quick-change handle; Half circular bone chisel (7) central through hole, cutter hub are semicircle, and head has cutting edge; Box spanner (8) head has interior six sides.
Meniscus fixed station (1) is comprised of right clamping plate (9), DOCK LEVELER (10), guide pillar (11), guide plate (12), bolt (13), semicircle osteotome (14), base (15), left clamping plate (16), briquetting bolt (17), briquetting (18), square head screw (19), it is characterized in that: semicircle osteotome (14) semicircular body is square, and semicircle opening arranged, head has cutting edge, be convenient to meniscal making, there is scale mark on the osteotome surface, is convenient to operation technique; Guide plate (12) is step-like, screwed hole is arranged, and there is semicircle fluting the middle and lower part, and bolt (13) links together guide plate (12) and base (15), semicircle osteotome (14) passes guide plate (12), carries out meniscus and repaiies type; Left clamping plate (16) left end upper surface has bar-shaped trough and through hole, and right-hand member has through hole and groove, perpendicular to through-hole section screwed hole is arranged, and rear end face has tooth; There is step right clamping plate (9) lower end, and there is Baltimore groove the lower surface, and left end has stepped hole and groove; Base (15) right-hand member has groove and stepped hole, the lower surface is fluted, hole, stepped hole, meniscus fixed station (1) is used for clamping, the fixing allosome meniscus of preparing transplanting, standard-sized meniscus front-and-back angle bone bridge cutting mould is arranged on it, semicircle osteotome (14) is exactly to come cutting to finish meniscus front-and-back angle bone bridge by the upper standard-sized cutting mould of meniscus fixed station (1) to make, and standard-sized meniscus front-and-back angle bone bridge can disposablely complete.
Sight (2): formed by handle (20), union joint (21), gear shaft (22), square head screw (19), location-plate (23), location support body (24), it is characterized in that: location support body (24) right-hand member has stepped hole, the lower end bar hole is connected with semi-circular through hole, bar hole is convenient to location-plate (23) and is penetrated, and semi-circular through hole is convenient to guide pin sleeve pipe (4), bit sleeve (5), core drill (6), half circular bone chisel (7) importing; Location-plate (23) has bar hole, and the right-hand member inner side end has tooth, and the left end outer surface has screw thread.Guide pin (3) left end head is sharp-pointed, conveniently pierces the skeleton location during operation, and there is scale marker on guide pin (3) surface, is beneficial to control and the accurate location of driving depth.
Guide pin sleeve pipe (4), bit sleeve (5): outer surface is circular, and is inner porose, penetrates guide pin (3) location during guide pin sleeve pipe (4) operation, penetrates core drill (6) or drill bit (9) during bit sleeve (5) operation.
Half circular bone chisel (7) is comprised of chiseled body (25), handle (26), it is characterized in that chiseled body (25) is hollow structure, and the lower surface is semicircle shape, and there is opening the upper surface, is convenient to the bone bits and discharges.
Box spanner (8), hexagon (10) are used for regulating screw, the bolt of meniscus fixed station (1), sight (2).
Drill bit (9) left end has rapid replacing interface, and drill body has scale marker, is beneficial to control and the accurate location of driving depth.
Under Arthroscopy, make the bone bridge, through skin incision, implement the bone bridge and inlay operation.
The purpose of first quarter moon tabulare bridge technique for fixing is allow to place the meniscus front-and-back angle as far as possible near normal anatomical position, if size correctly, and front-and-back angle is positioned at anatomical position, and transplanting so meniscus has to a certain degree similar the normal meniscus to bring into play like that function.
First quarter moon tabulare bridge technique for fixing, between receptor tibial plateau meniscus front-and-back angle, make the bone groove, bone groove cross section can be made as semicircular arch shape (trough), connect the bone bridge of transplanting between the meniscus front-and-back angle and embed mutually this bone groove, the fixing position of meniscus front-and-back angle and the distance of can guaranteeing of bone bridge approaches normal as far as possible, kept the position relationship between the natural meniscus front-and-back angle, the probability that the meniscus positional fault occurs is less, can better rebuild the function of meniscus buffering belt stress, this technology can be used for the medial meniscus transplanting or lateral meniscus is transplanted.Because lateral meniscus front-and-back angle close together (1cm or nearer) does not have important structure therebetween, so this technology is more multiplex transplants in lateral meniscus yet.
The Minimally Invasive Surgery technology of total joint mirror lower meniscus bone graft bridge and corresponding tibial plateau bone groove making and corresponding operating theater instruments, can easier, accurately finish meniscal implantation bone bridge technique for fixing, reach best bone bridge and the bone groove goodness of fit and fixed effect thereof, realize the recovery of better meniscus function.
The present invention has simple in structure, easy to operate, practical advantage, is suitable for Orthopedic Clinical and applies.
Description of drawings
Fig. 1 is sketch map of the present invention.
Fig. 2 is meniscus fixed station of the present invention (1) structure chart.
Fig. 3 is the upward view of meniscus fixed station of the present invention (1).
Fig. 4 is the structure chart of left clamping plate of the present invention (16).
Fig. 5 is guide plate of the present invention (12) structure chart.
Fig. 6 is briquetting of the present invention (12) structure chart.
Fig. 7 is right clamping plate of the present invention (9) top views.
Fig. 8 is right clamping plate of the present invention (9) upward views.
Fig. 9 is DOCK LEVELER of the present invention (10) structure chart.
Figure 10 is base of the present invention (15) structure chart.
Figure 11 is semicircle osteotome of the present invention (14) structure chart.
Figure 12 is sight of the present invention (2) structure chart.
Figure 13 is location-plate of the present invention (23) structure chart.
Figure 14 is guide pin of the present invention (3) structure chart.
Figure 15 is guide pin sleeve pipe of the present invention (4) structure chart.
Figure 16 is bit sleeve of the present invention (5) structure chart.
Figure 17 is core drill of the present invention (6) structure chart.
Figure 18 is half circular bone chisel of the present invention (7) structure chart.
Figure 19 is box spanner of the present invention (8) structure chart.
Figure 20 is drill bit of the present invention (9) structure chart.
Figure 21 is hexagon of the present invention (10) structure chart.
The specific embodiment
The invention will be further described below in conjunction with accompanying drawing.
1. make the bone bridge at the allosome meniscus: be close to first the meniscus front-and-back angle excises the meniscus side with thin osteotome unnecessary skeleton (lateral meniscus is close to first meniscus front-and-back angle excision outside skeleton, and medial meniscus then excises first inboard skeleton).Meniscus fixed station (1) is put in the counter-rotating of allosome meniscus, make the die edge of one side alignment osteotome that excises skeleton, with anchor clamps from the firm bone piece that is fixedly connected between the allosome meniscus front-and-back angle of direction up and down, pass through osteotome die-cut bone piece with bilateral not contour semicircle osteotome (14), finish the making of bone bridge, at last the allosome meniscus is taken off on meniscus fixed station (1) together with the bone bridge between the front-and-back angle, finishing bone bridge makes it more regular level and smooth, and the length of the tibial plateau bone groove of adaptation making in future, before bone bridge meniscus, relief angle is adhered to the place, and front, the intersection of relief angle and body is worn 4 of nonabsorable draught lines, will help the bone bridge and include in the bone groove and fixing meniscus.
2. go operative incision and knee joint and detect: adopt the horizontal shape otch in the front inboard of conventional knee arthroscope and the front outside.After operative incision is inserted arthroscope, implement arthroscope and detect.
3. the meniscus stump is processed: the former residual meniscus of receptor need to be cleared up to synovial membrane edge meniscus reservation 1～2mm, has till the fresh petechial hemorrhage.
4. sight (2) is inserted and the determining of tibial plateau bone groove position: under arthroscope, the location-plate (23) of sight (2) is inserted in the knee space by inner incision, location-plate (23) is pressed close to the outside (lateral meniscus transplanting) or inboard (medial meniscus transplanting) edge of tibial insertion of anterior cruciate ligament stop, point to meniscus relief angle top dead center from meniscus anterior angle top dead center, adjust and indicate position and the direction of bone groove by location-plate (23).
5. pierce guide pin (3): guide pin sleeve pipe (4) is inserted in the sight (2), pierce guide pin (3).
6. make the tibial plateau semicircle and deepen (arch) bone groove: pierce core drill (6) along guide pin (3) and enlarge, take out sight (2) and core drill (6), measure the length distance in bone road, i.e. the length of bone groove, allosome first quarter moon tabulare bridge should be trimmed to same length.For avoiding tibia trailing edge cortical bone to be penetrated by accident, bone road length should be measured with dipstick, by the length distance of measuring the bone road, squeezes into along piston rod with half circular bone chisel (7).With the osteomiosis piece under the foreign body forceps taking-up osteotome cutter, finish the making that the tibial plateau semicircle is deepened the bone groove.
7. meniscus front-and-back angle draught line bone road makes: this modus operandi adopts the method for draught line that allosome first quarter moon tabulare bridge is fixed in the tibial plateau bone groove, at the expert otch of tibial tubercle, sight with Healing in Anterior Cruciate Ligament Reconstruction under the arthroscope helps to make meniscus front-and-back angle draught line bone road, bone road internal orifice is equivalent to the position of meniscus anterior angle and relief angle stop in the bone groove, bone road collar extension is inboard due to tibial tubercle.
8. insert the allosome meniscus: by the arthroscope the place ahead entrance that enlarges, with guide wire the meniscal draught line of allosome is passed respectively to the inboard stringer incision of tibial tubercle, the allosome meniscus is inserted in the knee joint cavity to correct position and correct above-below direction by this entrance, simultaneously, first quarter moon tabulare bridge is inserted in the bone groove, the front and back position of adjusting the bone bridge makes the position of meniscus front-and-back angle normal, it is normal to do the movable affirmation meniscus of bending and stretching of knee joint activity certain limit position, pushes gently and beats first quarter moon tabulare bridge with small-sized punching pin and make it to embed in the tibial bone groove.It is fixing in the knotting of tibia the place ahead that the front-and-back angle bone road that place's draught line wears bone-discharging groove inside is adhered at the forward and backward angle of allosome first quarter moon tabulare bridge.The corresponding position of 2 draught lines of side direction tibial plateau edge meniscus front-and-back angle and body intersection makes the bone road of 2 2mm in tibial tubercle.It is fixing in the knotting of tibia the place ahead that 2 of the intersection nonabsorable draught lines of the forward and backward angle of allosome meniscus and body pass the tibial plateau marginal bone road of corresponding site.It is fixing realize to transplant on tibia 4 of meniscus.
9. the meniscal stitching of allosome is fixed: after allosome meniscus front-and-back angle is fixing, the meniscus periphery is seamed to the fixing of joint capsule, sews up meniscus, end properly to meniscus is fixed stably.
Claims (6)
1. meniscal implantation bone bridge embedding technique and apparatus, formed by meniscus fixed station (1), sight (2), guide pin (3), guide pin sleeve pipe (4), bit sleeve (5), core drill (6), half circular bone chisel (7), box spanner (8), drill bit (9), hexagon (10), it is characterized in that: core drill (6) left end has cutting edge, right-hand member has rapid replacing interface, can be connected with general Quick-change handle; Half circular bone chisel (7) central through hole, cutter hub are semicircle, and head has cutting edge; Box spanner (8) head has interior six sides.
2. meniscal implantation bone bridge embedding technique according to claim 1 and apparatus, it is characterized in that, described meniscus fixed station (1) is by right clamping plate (9), DOCK LEVELER (10), guide pillar (11), guide plate (12), bolt (13), semicircle osteotome (14), base (15), left clamping plate (16), briquetting bolt (17), briquetting (18), square head screw (19) forms, it is characterized in that: semicircle osteotome (14) semicircular body is square, and semicircle opening arranged, head has cutting edge, is convenient to meniscal making; Guide plate (12) is step-like, screwed hole is arranged, and there is semicircle fluting the middle and lower part, and bolt (13) links together guide plate (12) and base (15), semicircle osteotome (14) passes guide plate (12), carries out meniscus and repaiies type; Left clamping plate (16) left end upper surface has bar-shaped trough and through hole, and right-hand member has through hole and groove, perpendicular to through-hole section screwed hole is arranged, and rear end face has tooth; There is step right clamping plate (9) lower end, and there is Baltimore groove the lower surface, and left end has stepped hole and groove; Base (15) right-hand member has groove and stepped hole, the lower surface is fluted, hole, stepped hole, meniscus fixed station (1) is used for clamping, the fixing allosome meniscus of preparing transplanting, standard-sized meniscus front-and-back angle bone bridge cutting mould is arranged on it, semicircle osteotome (14) is exactly to come cutting to finish meniscus front-and-back angle bone bridge by the upper standard-sized cutting mould of meniscus fixed station (1) to make, and standard-sized meniscus front-and-back angle bone bridge can disposablely complete.
3. meniscal implantation bone bridge embedding technique according to claim 1 and apparatus, it is characterized in that, described sight (2): by handle (20), union joint (21), gear shaft (22), square head screw (19), location-plate (23), location support body (24) forms, it is characterized in that: location support body (24) right-hand member has stepped hole, the lower end bar hole is connected with semi-circular through hole, bar hole is convenient to location-plate (23) and is penetrated, and semi-circular through hole is convenient to guide pin sleeve pipe (4), bit sleeve (5), core drill (6), half circular bone chisel (7) imports; Location-plate (23) has bar hole, and the right-hand member inner side end has tooth, and the left end outer surface has screw thread.
4. meniscal implantation bone bridge embedding technique according to claim 1 and apparatus, it is characterized in that, described guide pin sleeve pipe (4), bit sleeve (5): outer surface is circular, inner porose, penetrate guide pin (3) location during guide pin sleeve pipe (4) operation, penetrate core drill (6) or drill bit (9) during bit sleeve (5) operation.
5. meniscal implantation bone bridge embedding technique according to claim 1 and apparatus, it is characterized in that, described half circular bone chisel (7) is comprised of chiseled body (25), handle (26), it is characterized in that chiseled body (25) is hollow structure, the lower surface is semicircle shape, there is opening the upper surface, is convenient to the bone bits and discharges.
6. meniscal implantation bone bridge embedding technique according to claim 1 and apparatus is characterized in that, described drill bit (9) left end has rapid replacing interface, and drill body has scale marker, are beneficial to control and the accurate location of driving depth.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201210536819.0A CN103054633B (en) | 2012-12-13 | 2012-12-13 | Meniscal implantation bone bridge embedding technique and apparatus |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201210536819.0A CN103054633B (en) | 2012-12-13 | 2012-12-13 | Meniscal implantation bone bridge embedding technique and apparatus |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN103054633A true CN103054633A (en) | 2013-04-24 |
| CN103054633B CN103054633B (en) | 2016-05-11 |
Family
ID=48097747
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201210536819.0A Active CN103054633B (en) | 2012-12-13 | 2012-12-13 | Meniscal implantation bone bridge embedding technique and apparatus |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN103054633B (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108420477A (en) * | 2018-03-19 | 2018-08-21 | 运怡（北京）医疗器械有限公司 | A kind of quick implanting instrument for meniscal repairs |
Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5139520A (en) * | 1990-01-31 | 1992-08-18 | American Cyanamid Company | Method for acl reconstruction |
| CN2164257Y (en) * | 1993-09-06 | 1994-05-11 | 中国人民解放军第二六零医院 | Skull drill assembly |
| US20020151975A1 (en) * | 2001-04-17 | 2002-10-17 | Jack Farr | Methods and instruments for improved meniscus transplantation |
| US20060085006A1 (en) * | 2002-12-03 | 2006-04-20 | Ek Steven W | System and method for retrograde procedure |
| US20080215052A1 (en) * | 2007-03-02 | 2008-09-04 | Musculoskeletal Transplant Foundation | Allograft implant workstation |
| US20090234452A1 (en) * | 2008-03-06 | 2009-09-17 | Steiner Anton J | Instrumentation and method for repair of meniscus tissue |
| CN203226883U (en) * | 2012-12-13 | 2013-10-09 | 章亚东 | Bone bridge inlaying device for meniscus transplant |
-
2012
- 2012-12-13 CN CN201210536819.0A patent/CN103054633B/en active Active
Patent Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5139520A (en) * | 1990-01-31 | 1992-08-18 | American Cyanamid Company | Method for acl reconstruction |
| CN2164257Y (en) * | 1993-09-06 | 1994-05-11 | 中国人民解放军第二六零医院 | Skull drill assembly |
| US20020151975A1 (en) * | 2001-04-17 | 2002-10-17 | Jack Farr | Methods and instruments for improved meniscus transplantation |
| US20060085006A1 (en) * | 2002-12-03 | 2006-04-20 | Ek Steven W | System and method for retrograde procedure |
| US20080215052A1 (en) * | 2007-03-02 | 2008-09-04 | Musculoskeletal Transplant Foundation | Allograft implant workstation |
| US20090234452A1 (en) * | 2008-03-06 | 2009-09-17 | Steiner Anton J | Instrumentation and method for repair of meniscus tissue |
| CN203226883U (en) * | 2012-12-13 | 2013-10-09 | 章亚东 | Bone bridge inlaying device for meniscus transplant |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108420477A (en) * | 2018-03-19 | 2018-08-21 | 运怡（北京）医疗器械有限公司 | A kind of quick implanting instrument for meniscal repairs |
| CN108420477B (en) * | 2018-03-19 | 2024-04-16 | 运怡（北京）医疗器械有限公司 | Be used for prosthetic quick implantation instrument of meniscus |
Also Published As
| Publication number | Publication date |
|---|---|
| CN103054633B (en) | 2016-05-11 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| US11672574B2 (en) | Method for deploying a fusion device for sacroiliac joint fusion | |
| US8535330B2 (en) | Arthroscopic tibial sizer | |
| CN102711671B (en) | Method and apparatus for performing arthroplasty of knee | |
| US9456833B2 (en) | Patient-specific osteotomy devices and methods | |
| BR102012021435A2 (en) | CROSS-PINING DEVICES AND METHODS | |
| RU2011148292A (en) | RELATED PATIENT FEATURES GUIDE DEVICE FOR PROXIMAL FEM DIVISION | |
| CN104013456A (en) | Femoral orthopaedic surgical instrument including a measurement device and method of use of same | |
| CN204274656U (en) | A kind of bone cutting positioner in knee | |
| CN105395223B (en) | A kind of eccentric positioning shin bone guider | |
| Chahla et al. | Arthroscopic anatomic single-bundle anterior cruciate ligament reconstruction using bone–patellar tendon–bone autograft: pearls for an accurate reconstruction | |
| CN102113910A (en) | Positioning and bone-cutting system used for minimally invasive artificial knee joint replacement | |
| CN109330677A (en) | A kind of personalization atlas and axis pedicle screw navigation template device and preparation method thereof step by step | |
| CN203226883U (en) | Bone bridge inlaying device for meniscus transplant | |
| CN105411657A (en) | Orthopedic shoulder joint glenoid labrum repairing and reconstructing tool system | |
| CN103054633A (en) | Meniscus transplanting bone bridge inlaying technology and device | |
| CN203226884U (en) | Bone-bolt fixation device for meniscus transplant | |
| CN102670266A (en) | Knee joint posterior cruciate ligament reconstruction locator | |
| CN202619723U (en) | Knee-joint posterior cruciate ligament reconstruction positioner | |
| CN209574810U (en) | A kind of knee osteotomy system of tape verifying function | |
| CN203815587U (en) | Tibia platform fracture minimally invasive operation positioning, resetting device | |
| CN209377668U (en) | A kind of visualization bone milling cutter | |
| CN205094526U (en) | Shoulder sleeve of area direction function is restoreed with implanting body | |
| CN103054634B (en) | Meniscus transplanting bone bolt fixing technology and device | |
| CN205198116U (en) | A coaptation board device for distal femur fracture | |
| CN218979079U (en) | Adjustable patella osteotomy navigation template for knee joint replacement |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C06 | Publication | ||
| PB01 | Publication | ||
| C10 | Entry into substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| C14 | Grant of patent or utility model | ||
| GR01 | Patent grant |