CN104983486A - System for customizing individualized artificial total hip joint replacement operation femur preparation template - Google Patents
System for customizing individualized artificial total hip joint replacement operation femur preparation template Download PDFInfo
- Publication number
- CN104983486A CN104983486A CN201510244810.6A CN201510244810A CN104983486A CN 104983486 A CN104983486 A CN 104983486A CN 201510244810 A CN201510244810 A CN 201510244810A CN 104983486 A CN104983486 A CN 104983486A
- Authority
- CN
- China
- Prior art keywords
- femur
- guide plate
- neck
- lateral border
- top rake
- 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
Abstract
The invention provides a system for customizing an individualized artificial total hip joint replacement operation femur preparation template. The system comprises a femur neck osteotomy guide plate, a femur prosthesis anteversion and lateral border guide plate, the interior surface of the femur neck osteotomy guide plate is matched with a femur head, a femur neck, and a femur intermediate zone between a greater trochanter and a lesser trochanter in anatomic shape, the femur neck osteotomy guide plate is provided with an osteotomy positioning groove, the bottom of the femur prosthesis anteversion and lateral border guide plate is matched with a femur neck osteotomy surface in shape, the femur prosthesis anteversion and lateral border guide plate comprises a body, a lesser trochanter positioning wing and a front side wing, the lesser trochanter positioning wing and the front side wing are arranged on the body, and the body is provided with an anteversion and lateral border guide groove. According to the invention, the position of the ideal artificial total hip joint femur prosthesis in a human body can be controlled accurately, and furthermore the operation effect can be improved.
Description
Technical field
The invention belongs to artificial full hip-joint replacement operation mould plate technique field, particularly a kind of customization individuation artificial full hip-joint replacement operation femur prepares template system.
Background technology
Artificial total hip arthroplasty treats at present one of the most effective means of hip joint disease in the world, and its therapeutic effect obtains the consistent accreditation of doctor and patient in worldwide.But one of key factor affecting surgical effect is that can recover normal hip joint after in the position of artificial full-hip joint prosthese and prosthetic implants dissects and biomechanics characteristic, the such as contact feature etc. of Leg length, hip joint center of rotation, eccentric throw, prosthese size, position, angle and prosthese and bone, these are all determined by surgical technic and patient anatomical's feature, and whether these factors solve the effect that directly influencer operation is recent and even at a specified future date.Therefore, individual operation template is prepared for the anatomical data that patient is intrinsic, to the process preparation can carrying out accurate osteotomy and bone bed in art according to the anatomical features of individual patients, desirable femoral prosthesis position in vivo can be obtained, thus greatly improve postoperative effect, prevent dislocation, leg length discrepancy and prosthese from not mating the complication such as caused shock, sinking.The current femur for artificial total hip arthroplasty is prepared template and is still belonged to blank.
Summary of the invention
A kind of customization individuation artificial full hip-joint replacement operation femur is the object of the present invention is to provide to prepare template system, in artificial full-hip joint operation, one of key factor affecting surgical effect is the position in cutting neck of femur face, and the correct angle that femoral prosthesis is inserted, such as top rake and the position in pulp cavity and size, eccentric throw etc.Therefore how correctly can lay femoral prosthesis is one of conclusive technical factor.For this reason, the present invention designs and a kind ofly can obtain the osteotomy of desirable femoral prosthesis position and lay template system.
For solving the problems of the technologies described above, the present invention is achieved by the following technical solutions:
A kind of customization individuation artificial full hip-joint replacement operation femur prepares template system, and described femur is prepared template system and comprised cutting neck of femur guide plate and femoral prosthesis top rake and lateral border guide plate,
Between the inner surface of described cutting neck of femur guide plate and femoral head, neck of femur and femur large lesser trochanter, the anatomical shape in district coincide, and described cutting neck of femur guide plate offers osteotomy locating slot;
The bottom shape of described femoral prosthesis top rake and lateral border guide plate and cutting neck of femur face coincide, and described femoral prosthesis top rake and lateral border guide plate comprise body, described body offer top rake and lateral border gathering sill.
Customization individuation artificial full hip-joint replacement operation femur as above prepares template system, and the direction of described top rake and lateral border gathering sill is identical with the anteversion of femoral neck measured according to neck of femur anatomical data.
Customization individuation artificial full hip-joint replacement operation femur as above prepares template system, and the outer ledge of described top rake and lateral border gathering sill is positioned on the near-end extended line of femoral bone cavitas medullaris lateral cortex inner surface.
Customization individuation artificial full hip-joint replacement as above operation femur prepares template system, and described cutting neck of femur guide plate comprises for being attached at greater trochanter location wing inside greater trochanter point, for being attached at the lesser trochanter location wing of lesser trochanter pointed tip and the head and neck transitional areas location wing for being attached at femoral head, neck of femur transitional areas.
Customization individuation artificial full hip-joint replacement operation femur as above prepares template system, described femoral prosthesis top rake and lateral border guide plate comprise and are arranged on lesser trochanter location wing on body and the front side wing, described lesser trochanter location wing is for being attached at the surface of bone of cutting neck of femur face to lesser trochanter point according near end of thighbone anatomical shape, and the described front side wing is for being attached near end of thighbone front surface of bone according near end of thighbone anatomical shape.
Compared with prior art, advantage of the present invention and good effect are: the present invention customizes individuation artificial full hip-joint replacement operation femur and prepares template system and carry out individuation for the anatomical data of patient and accurately customize, utilize cutting neck of femur guide plate can implement accurate osteotomy to neck of femur, the top rake of femoral prosthesis top rake and lateral border guide plate and the direction indicated by lateral border gathering sill is utilized to prepare femoral bone cavitas medullaris, the desirable on position of prosthese in femoral bone cavitas medullaris can be obtained, to carry out precise placement to the position of femoral prosthesis in art; Strictly can control and implement various suitable angle, the degree of depth, the Distance geometry prosthese size of for the prosthese of patient specific anatomic data laying identical with Design in art, thus accurately control desirable artificial full-hip joint femoral prosthesis position in vivo, avoid placing the complication such as undersized, the thigh pain produced because of position of turning up in bad the produced dislocation of hip joint in prosthese position, prosthese shock, sinking, leg length discrepancy, prosthese, and then improve surgical effect.
After reading the detailed description of embodiment of the present invention by reference to the accompanying drawings, the other features and advantages of the invention will become clearly.
Accompanying drawing explanation
Fig. 1 is the structural representation of specific embodiment of the invention cutting neck of femur guide plate.
Fig. 2 is the structural representation of specific embodiment of the invention femur.
Fig. 3 is the combinative structure schematic diagram of specific embodiment of the invention femur and cutting neck of femur guide plate.
Fig. 4 is the structural representation after specific embodiment of the invention femur osteotomy.
Fig. 5 be Fig. 4 A to structural representation
Fig. 6 is the structural representation of specific embodiment of the invention femoral prosthesis top rake and lateral border guide plate.
Fig. 7 is the combinative structure schematic diagram after specific embodiment of the invention femoral prosthesis top rake and lateral border guide plate and femur osteotomy.
Detailed description of the invention
The present invention proposes a kind of customization individuation artificial full hip-joint replacement operation femur and prepare template system.Utilize femur to prepare template system to determine to implement accurate osteotomy to neck of femur, and prepare femoral bone cavitas medullaris, obtain the desirable on position of prosthese, to carry out precise placement to the position of femoral prosthesis in art, control artificial full-hip joint femoral prosthesis ideal position in vivo, improve surgical effect.
Below in conjunction with accompanying drawing, by specific embodiment, implementation of the present invention is specifically described:
As shown in figs. 1-7, the present embodiment proposes a kind of customization individuation artificial full hip-joint replacement operation femur and prepares template system, comprises cutting neck of femur guide plate 1 and femoral prosthesis top rake and lateral border guide plate 2.Cutting neck of femur guide plate 1 is for determining the osteotomy site of femur 3, cutting neck of femur guide plate 1 is positioned by greater trochanter location wing 101, lesser trochanter location wing 102 and head and neck transitional areas location wing 103, and determines that osteotomy site carries out osteotomy by osteotomy locating slot 104.After osteotomy, femoral prosthesis top rake and lateral border guide plate 2 are for determining the desirable on position of prosthese in femoral bone cavitas medullaris, by lesser trochanter location wing 201 and the front side wing 202, femoral prosthesis top rake and lateral border guide plate 2 are positioned on cutting neck of femur face 4, are obtained the desirable on position of prosthese by the top rake on body 203 and lateral border gathering sill 204.
The inner surface of the neck of femur guide plate 1 of the present embodiment and between femoral head 31, neck of femur 32 and femur large lesser trochanter district 33 anatomical shape coincide, cutting neck of femur guide plate 1 comprises greater trochanter location wing 101, lesser trochanter location wing 102 and head and neck transitional areas location wing 103, and cutting neck of femur guide plate 1 also offers osteotomy locating slot 104.Specifically described below:
Greater trochanter location wing 101, for being attached at greater trochanter 34 point inner side, matches to position with greater trochanter 34;
Lesser trochanter location wing 102, for being attached at lesser trochanter 35 pointed tip, matches to position with lesser trochanter 35;
Head and neck transitional areas location wing 103, for being attached at femoral head, neck of femur transitional areas 36, matches to position with femoral head, neck of femur transitional areas 36;
Neck of femur guide plate 1 also offers osteotomy locating slot 104, and preferably, osteotomy locating slot 104 is arranged on head and neck transitional areas location wing 103, for determining osteotomy site.
Femoral prosthesis top rake and lateral border guide plate 2, for after being cut out by femoral head 31, attach and are positioned on neck of femur cross section 4.Bottom shape and the cutting neck of femur face 4 of femoral prosthesis top rake and lateral border guide plate 2 coincide, femoral prosthesis top rake and lateral border guide plate 2 comprise body 203, be arranged on lesser trochanter location wing 201 on body 203 and the front side wing 202, body 203 offers top rake and lateral border gathering sill 204.Specifically described below:
Lesser trochanter location wing 201, for being attached at the surface of bone of cutting neck of femur face 4 to lesser trochanter 35 point according near end of thighbone anatomical shape, matches to position with lesser trochanter 35;
The front side wing 202, for being attached near end of thighbone front surface of bone according near end of thighbone anatomical shape, matches to position with near end of thighbone front surface of bone.
The direction of top rake and lateral border gathering sill 204 is identical with the anteversion of femoral neck measured according to neck of femur anatomical data.
The outer ledge of top rake and lateral border gathering sill 204 is positioned on the near-end extended line of femoral bone cavitas medullaris lateral cortex inner surface.
The cutting neck of femur guide plate 1 of the present embodiment and femoral prosthesis top rake and lateral border guide plate 2 need to process respectively according to the anatomical shape of individuation femur 3, and the acquisition process of cutting neck of femur guide plate 1 and femoral prosthesis top rake and lateral border guide plate 2 is as follows:
First by the hip joint image data data of patient, such as CT or MRI data utilize specific software to carry out three-dimensional reconstruction, determine the anatomical datas such as femoral head center of rotation, femoral neck shaft angle, top rake, eccentric throw, femoral bone cavitas medullaris width.Determine the data such as near-end and distal dimension size, top rake of suitable cutting neck of femur angle, eccentric throw, femoral prosthesis.Choose in operation the bone anatomic landmark can determining to appear in software, reversely try to achieve reverse model, design generates template file, utilizes certain material such as medical plastic or metal material to carry out 3D printing in 3D printing device, makes femur and prepares template system.
In the middle of operation, femoral head 31, neck of femur 32 and near end of thighbone 37 are appeared to femur 3 dislocation, the cutting neck of femur guide plate 1 of customization is placed in femoral head neck region, make greater trochanter location wing 101 be attached at greater trochanter 34 point inner side anatomic landmark; Lesser trochanter location wing 102 is attached at lesser trochanter 35 pointed tip anatomic landmark; Head and neck transitional areas location wing 103 is attached at femoral head, neck of femur transitional areas 36.Cutting neck of femur is implemented according to the osteotomy locating slot 104 on cutting neck of femur guide plate 1.
Femoral prosthesis top rake and lateral border guide plate 2 are placed on cutting neck of femur face 4, make guide plate body 203 be attached on cutting neck of femur face 4; Lesser trochanter location wing 201 is attached on the surface of bone at 4 to lesser trochanter 35 tip, cutting neck of femur face; The front side wing 202 is attached on the surface of bone of near end of thighbone 37 front; Utilize the position of the top rake of body 203 and the direction indicated by lateral border gathering sill 204 and prosthese lateral border, the femoral myelocavity file using each artificial full-hip joint prosthesis system to carry prepares femoral bone cavitas medullaris, the femoral prosthesis can choosing preoperative measurement size is laid according to the direction indicated by top rake and lateral border gathering sill 204, and the outer ledge of gathering sill 204 is the desirable on position of prosthese lateral border.Then the femoral head prosthesis choosing the appropriate eccentric distance of preoperative measurement is laid, the implantation of whole prosthese that resetted.
Last it is noted that above embodiment is only in order to illustrate technical scheme of the present invention, be not intended to limit; Although with reference to previous embodiment to invention has been detailed description, those of ordinary skill in the art is to be understood that: it still can be modified to the technical scheme described in foregoing embodiments, or carries out equivalent replacement to wherein portion of techniques feature; And these amendments or replacement, do not make the essence of appropriate technical solution depart from the spirit and scope of various embodiments of the present invention technical scheme.
Claims (5)
1. customize individuation artificial full hip-joint replacement operation femur and prepare a template system, it is characterized in that, described femur is prepared template system and is comprised cutting neck of femur guide plate and femoral prosthesis top rake and lateral border guide plate,
Between the inner surface of described cutting neck of femur guide plate and femoral head, neck of femur and femur large lesser trochanter, the anatomical shape in district coincide, and described cutting neck of femur guide plate offers osteotomy locating slot;
The bottom shape of described femoral prosthesis top rake and lateral border guide plate and cutting neck of femur face coincide, and described femoral prosthesis top rake and lateral border guide plate comprise body, described body offer top rake and lateral border gathering sill.
2. customization individuation artificial full hip-joint replacement operation femur according to claim 1 prepares template system, and it is characterized in that, the direction of described top rake and lateral border gathering sill is identical with the anteversion of femoral neck measured according to neck of femur anatomical data.
3. customization individuation artificial full hip-joint replacement operation femur according to claim 1 prepares template system, and it is characterized in that, the outer ledge of described top rake and lateral border gathering sill is positioned on the near-end extended line of femoral bone cavitas medullaris lateral cortex inner surface.
4. customization individuation artificial full hip-joint replacement operation femur according to claim 1 and 2 prepares template system, it is characterized in that, described cutting neck of femur guide plate comprises for being attached at greater trochanter location wing inside greater trochanter point, for being attached at the lesser trochanter location wing of lesser trochanter pointed tip and the head and neck transitional areas location wing for being attached at femoral head, neck of femur transitional areas.
5. customization individuation artificial full hip-joint replacement operation femur according to claim 1 and 2 prepares template system, it is characterized in that, described femoral prosthesis top rake and lateral border guide plate comprise and are arranged on lesser trochanter location wing on body and the front side wing, described lesser trochanter location wing is for being attached at the surface of bone of cutting neck of femur face to lesser trochanter point according near end of thighbone anatomical shape, and the described front side wing is for being attached near end of thighbone front surface of bone according near end of thighbone anatomical shape.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510244810.6A CN104983486B (en) | 2015-05-14 | 2015-05-14 | Customization individuation artificial full hip-joint replacement operation femur prepares template system |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510244810.6A CN104983486B (en) | 2015-05-14 | 2015-05-14 | Customization individuation artificial full hip-joint replacement operation femur prepares template system |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN104983486A true CN104983486A (en) | 2015-10-21 |
| CN104983486B CN104983486B (en) | 2017-01-04 |
Family
ID=54295485
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201510244810.6A Active CN104983486B (en) | 2015-05-14 | 2015-05-14 | Customization individuation artificial full hip-joint replacement operation femur prepares template system |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN104983486B (en) |
Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105796188A (en) * | 2016-03-03 | 2016-07-27 | 湖北嘉三维高科股份有限公司 | Guide plate for osteotomy |
| CN106875489A (en) * | 2017-02-20 | 2017-06-20 | 影为医疗科技(上海)有限公司 | A kind of construction method of individuation femur short handle |
| CN107149490A (en) * | 2017-05-18 | 2017-09-12 | 汤向阳 | A kind of complete positioner of artificial full hip-joint replacement |
| CN108210074A (en) * | 2018-03-08 | 2018-06-29 | 上海市同济医院 | Personalized type femoral bone end prosthesis is implanted into top rake guider |
| CN110353759A (en) * | 2019-07-22 | 2019-10-22 | 北京长木谷医疗科技有限公司 | Osteotomy guide plate |
Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN201168001Y (en) * | 2008-01-24 | 2008-12-24 | 马卫华 | Guider for cutting neck of femur |
| US7601155B2 (en) * | 2003-05-20 | 2009-10-13 | Petersen Thomas D | Instruments and method for minimally invasive surgery for total hips |
| CN101742972A (en) * | 2007-05-14 | 2010-06-16 | 金斯顿女王大学 | The surgical guidance tool of patient's special use and using method thereof |
| US20110160736A1 (en) * | 2006-02-27 | 2011-06-30 | Biomet Manufacturing Corp. | Patient-specific femoral guide |
| CN102283726A (en) * | 2011-05-26 | 2011-12-21 | 祝桂涛 | Positioning device for bone-cutting angle and anteversion angle of femoral neck |
| US20130085500A1 (en) * | 2011-09-29 | 2013-04-04 | Biomet Manufacturing Corporation | Patient-Specific Femoroacetabular Impingement Instruments And Methods |
| CN104490451A (en) * | 2014-12-31 | 2015-04-08 | 北京爱康宜诚医疗器材股份有限公司 | Combined osteotomy guide |
-
2015
- 2015-05-14 CN CN201510244810.6A patent/CN104983486B/en active Active
Patent Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US7601155B2 (en) * | 2003-05-20 | 2009-10-13 | Petersen Thomas D | Instruments and method for minimally invasive surgery for total hips |
| US20110160736A1 (en) * | 2006-02-27 | 2011-06-30 | Biomet Manufacturing Corp. | Patient-specific femoral guide |
| CN101742972A (en) * | 2007-05-14 | 2010-06-16 | 金斯顿女王大学 | The surgical guidance tool of patient's special use and using method thereof |
| CN201168001Y (en) * | 2008-01-24 | 2008-12-24 | 马卫华 | Guider for cutting neck of femur |
| CN102283726A (en) * | 2011-05-26 | 2011-12-21 | 祝桂涛 | Positioning device for bone-cutting angle and anteversion angle of femoral neck |
| US20130085500A1 (en) * | 2011-09-29 | 2013-04-04 | Biomet Manufacturing Corporation | Patient-Specific Femoroacetabular Impingement Instruments And Methods |
| CN104490451A (en) * | 2014-12-31 | 2015-04-08 | 北京爱康宜诚医疗器材股份有限公司 | Combined osteotomy guide |
Non-Patent Citations (2)
| Title |
|---|
| LEI YANG ET AL.: "Femoral neck osteotomy guide for total hip arthroplasty", 《BMC SURGEY》 * |
| 张海宁 等: "关节内骨折的治疗进展", 《中华关节外科杂志》 * |
Cited By (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105796188A (en) * | 2016-03-03 | 2016-07-27 | 湖北嘉三维高科股份有限公司 | Guide plate for osteotomy |
| CN105796188B (en) * | 2016-03-03 | 2018-11-30 | 湖北嘉一三维高科股份有限公司 | Osteotomy guide plate |
| CN106875489A (en) * | 2017-02-20 | 2017-06-20 | 影为医疗科技(上海)有限公司 | A kind of construction method of individuation femur short handle |
| CN106875489B (en) * | 2017-02-20 | 2023-12-05 | 影为医疗科技(上海)有限公司 | Construction method of individualized femur short handle |
| CN107149490A (en) * | 2017-05-18 | 2017-09-12 | 汤向阳 | A kind of complete positioner of artificial full hip-joint replacement |
| CN108210074A (en) * | 2018-03-08 | 2018-06-29 | 上海市同济医院 | Personalized type femoral bone end prosthesis is implanted into top rake guider |
| CN110353759A (en) * | 2019-07-22 | 2019-10-22 | 北京长木谷医疗科技有限公司 | Osteotomy guide plate |
Also Published As
| Publication number | Publication date |
|---|---|
| CN104983486B (en) | 2017-01-04 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| US20230233215A1 (en) | Instrument for intra-operative implant templating using fluoroscopy | |
| CN104983486B (en) | Customization individuation artificial full hip-joint replacement operation femur prepares template system | |
| CN101969869B (en) | For determining the system and method for the mechanical axis of femur | |
| KR101299906B1 (en) | Acetabulum surgical resurfacing aid | |
| CN104887361B (en) | Fabrication template system for custom individual artificial total hip replacement operation acetabulum | |
| CN105852985B (en) | The manufacturing method of personalized orthopedic positioning guide plate | |
| JP2017159117A (en) | Patient specific instrument | |
| CN104023655A (en) | Surgical kit for cartilage repair | |
| CN107260369A (en) | It is a kind of to be used for the personalized biological type cushion block of Cranial defect in total knee arthroplasty | |
| CN204106119U (en) | Reamer for hip arthroplasty,acetabulum is guide locating device provided | |
| WO2015160560A4 (en) | Devices and methods for hip replacement | |
| CN110478090A (en) | CAD pelvic tumor is precisely cut off with personalized prosthese and preparation method thereof | |
| CN104337572A (en) | Customized hip joint surgical positioning device based on medical images and matched prosthesis | |
| CN109106475A (en) | A kind of acetabular cup guide plate and preparation method thereof | |
| CN111658237B (en) | Titanium alloy semi-pelvic prosthesis capable of preserving part of acetabulum in 3D printing individuation mode | |
| CN106037994B (en) | Hipbone dummy | |
| CN104997562A (en) | Navigation device capable of accurately locating hemiarthroplasty and manufacturing method of navigation device | |
| CN206587021U (en) | A kind of minimally invasive guide plate for Caput femoris core decompression | |
| CN106073948B (en) | Ilium dummy | |
| CN212089852U (en) | Acetabulum treatment guider | |
| CN206044680U (en) | Hip replacement osteotomy guider based on computer-aided design 3D printing | |
| CN206214238U (en) | Hipbone dummy | |
| CN113413251B (en) | 3D printed individualized acetabulum accurate positioning operation guide plate | |
| CN114271920A (en) | Preparation method of 3D printing combined guide plate suitable for femoral neck system | |
| CN110338943B (en) | Computer aided design individuation humerus prosthesis and manufacturing method |
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 | ||
| TR01 | Transfer of patent right |
Effective date of registration: 20181019 Address after: 201203 Pudong New Area, Shanghai, China (Shanghai) free trade pilot area, 1690 2, Cai Lun Road, 311 room. Patentee after: Shanghai longhui Medical Technology Co., Ltd. Address before: 266000 joint surgery, Affiliated Hospital of Qiingdao University, 59 Haier Road, Qingdao, Shandong Patentee before: Affiliated Hospital of University Of Qingdao |
|
| TR01 | Transfer of patent right |