CN102525606A - Medullary core decompression navigator and medullary core decompression method - Google Patents
Medullary core decompression navigator and medullary core decompression method Download PDFInfo
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- CN102525606A CN102525606A CN2012100043879A CN201210004387A CN102525606A CN 102525606 A CN102525606 A CN 102525606A CN 2012100043879 A CN2012100043879 A CN 2012100043879A CN 201210004387 A CN201210004387 A CN 201210004387A CN 102525606 A CN102525606 A CN 102525606A
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Abstract
The invention discloses a medullary core decompression navigator and a medullary core decompression method. The medullary core decompression navigator comprises a guiding plate, three positioning Kirschner wires and a medullary core decompression guiding needle. The guiding plate is provided with three perpendicular positioning holes and an inclined through hole, the three positioning Kirschner wires are perpendicularly fixed in the positioning holes on the guiding plate, and the medullary core decompression guiding needle is disposed in the inclined through hole. The accurate medullary core decompression navigator and the medullary core decompression method thereof realize accurate medullary core decompression for treatment of femoral head necrosis in early and middle stages, and can achieve following four purposes of (1) realizing accurate medullary core decompression; (2) shortening surgery time; (3) reducing amount of bleeding; and (4) reducing radiation injury.
Description
Technical field:
The invention belongs to medical instruments field, relate to a kind of core decompression guider, especially a kind of accurate core decompression omniselector and core decompression method thereof.
Background technology:
Previously treat the core decompression art of early metaphase femur head necrosis, rely in patient's experience and the art X line perspective repeatedly mostly, need repeatedly puncture, can't accurately locate capsule and become the zone, and this process will be followed and thrust repeatedly and radiation injury.Through computer-aided design-rapid shaping technique, can obtain three-dimensional accurately location, and calculate the regional size of capsule change and demonstrate the shape that capsule becomes the zone; In the virtual operation environment, design relief passage, calculated diameter and the degree of depth.Accomplish the making of navigation panel then through rapid shaping technique.
Summary of the invention:
The objective of the invention is to overcome the shortcoming of above-mentioned prior art, a kind of core decompression omniselector and core decompression method thereof are provided, realized the accurate core decompression of treatment early metaphase femur head necrosis, can reach following four aspects: (1) is core decompression precisely; (2) shorten operating time; (3) reduce amount of bleeding; (4) reduce radiation injury.
The objective of the invention is to solve through following technical scheme:
A kind of core decompression omniselector comprises guide plate, three pieces of location Kirschner wire and core decompression guide needle; Said guide plate is provided with three vertical locating holes and an inclined via-hole, and three pieces of location Kirschner wires are vertically fixed in the locating hole on the guide plate, and one piece of core decompression guide needle is set in the inclined via-hole.
Said guide plate thickness is 35mm, and the locating hole diameter is 3mm, and three pieces of location Kirschner wires are parallel to each other, and wherein following two pieces of location Kirschner wires distances are 15mm.Said three pieces of location Kirschner wire diameters are 3mm, and one piece of core decompression guide needle diameter is 2mm.
The core decompression method of said core decompression omniselector, carry out according to following step:
(1) at first patient's greater trochanter summit and below about 50mm place each pierce the Kirschner wire of 3 diameter 30mm perpendicular to the human body sagittal plane; Wherein following two pieces of about 15mm of needle gage; Respectively Kirschner wire is penetrated a side seam cortex, be fixed in proximal femur, Kirschner wire is being cut off apart from skin 50mm place; Then capable hip joint CT scan;
(2) with in the hip joint CT scan data importing Mimics software, rebuild the Ipsilateral femoral head, demonstrate volume and shape that capsule becomes the zone; Through the best relief passage of Mimics computed in software, it is 2mm core decompression guide needle that simulation is provided with one piece of diameter;
(3), draw three pieces of Kirschner wires and one piece of navigation panel that the core decompression guide needle is adaptive with proximal femur with in the above data importing Pro/e software; Process navigation panel through rapid shaping technique;
(4) send the sterilization of sterilization the supplies section with accurate core decompression navigation panel and core decompression guide needle routine before the art; In the art accurate core decompression navigation panel is installed and fixed to Kirschner wire far-end 35mm place, three pieces of location; The angling hole that the core decompression guide needle is passed navigation panel pierces femur head necrosis capsule change district, and the inserting needle distance becomes the zone position degree of depth with Mimics computed in software capsule and is as the criterion.Accomplish accurate core decompression art art leading to.
Accurate core decompression omniselector of the present invention and core decompression method thereof have realized the accurate core decompression of treatment early metaphase femur head necrosis, and can reach following four aspects: (1) is core decompression precisely; (2) shorten operating time; (3) reduce amount of bleeding; (4) reduce radiation injury.
Description of drawings:
Fig. 1 is the front view of core decompression omniselector of the present invention;
Fig. 2 is the rearview of core decompression omniselector of the present invention;
Fig. 3 is the side sectional view of core decompression omniselector of the present invention;
Wherein: 1 is locating hole; 2 is guide plate; 3 is inclined via-hole.
The specific embodiment:
Below in conjunction with accompanying drawing the present invention is done and to describe in further detail:
Referring to Fig. 1,2,3, a kind of core decompression omniselector comprises guide plate, three pieces of location Kirschner wires and one piece of core decompression guide needle; Said guide plate is provided with three vertical locating holes and an inclined via-hole, and three pieces of location Kirschner wires are vertically fixed in the locating hole on the guide plate, and one piece of core decompression guide needle is set in the inclined via-hole.
Said guide plate thickness is 35mm, and the locating hole diameter is 3mm, and three pieces of location Kirschner wires are parallel to each other, and wherein following two pieces of location Kirschner wires distances are 15mm.
The core decompression method of said core decompression omniselector, carry out according to following step:
(1) at first patient's greater trochanter summit and below about 50mm place each pierce the Kirschner wire of 3 pieces of diameter 3mm perpendicular to the human body sagittal plane; Wherein following two pieces of about 15mm of needle gage; Respectively Kirschner wire is penetrated a side seam cortex, be fixed in proximal femur, Kirschner wire is being cut off apart from skin 50mm place; Then capable hip joint CT scan;
(2) with in the hip joint CT scan data importing Mimics software, rebuild the Ipsilateral femoral head, demonstrate volume and shape that capsule becomes the zone; Through the best relief passage of Mimics computed in software, it is 2mm core decompression guide needle that simulation is provided with one piece of diameter;
(3), draw three pieces of Kirschner wires and one piece of navigation panel that the core decompression guide needle is adaptive with proximal femur with in the above data importing Pro/e software; Process navigation panel through rapid shaping technique;
(4) send the sterilization of sterilization the supplies section with accurate core decompression navigation panel and core decompression guide needle routine before the art; In the art accurate core decompression navigation panel is installed and fixed to Kirschner wire far-end 35mm place, three pieces of location; The angling hole that the core decompression guide needle is passed navigation panel pierces femur head necrosis capsule change district, and the inserting needle distance becomes the zone position degree of depth with Mimics computed in software capsule and is as the criterion.Accomplish accurate core decompression art art leading to.
The above only is preferred embodiment of the present invention, is not the present invention is done any pro forma restriction; Though the present invention discloses as above with preferred embodiment; Yet be not in order to limiting the present invention, anyly be familiar with the professional and technical personnel, in not breaking away from technical scheme scope of the present invention; When the method for above-mentioned announcement capable of using and technology contents are made a little change or be modified to the equivalent embodiment of equivalent variations; In every case be the content that does not break away from technical scheme of the present invention, to any simple modification, equivalent variations and modification that above embodiment did, still belong in the scope of technical scheme of the present invention according to technical spirit of the present invention.
Claims (3)
1. a core decompression omniselector is characterized in that: comprise guide plate, three pieces of location Kirschner wires and one piece of core decompression guide needle; Said guide plate is provided with three vertical locating holes and an inclined via-hole, and three pieces of location Kirschner wires are vertically fixed in the locating hole on the guide plate, and one piece of core decompression guide pin is set in the inclined via-hole.
2. accurate according to claim 1 core decompression omniselector, it is characterized in that: said guide plate thickness is 35mm, and the locating hole diameter is 3mm, and three pieces of location Kirschner wires are parallel to each other, and wherein following two pieces of location Kirschner wires distances are 15mm.
3. based on the core decompression method of claim 1 or 2 said core decompression omniselectors, it is characterized in that, carry out according to following step:
(1) at first patient's greater trochanter summit and below about 50mm place each pierce the location Kirschner wire of 3 diameter 3mm perpendicular to the human body sagittal plane; Wherein following two pieces of about 15mm of needle gage; To locate Kirschner wire respectively and penetrate a side seam cortex; Be fixed in proximal femur, cut off will locating Kirschner wire apart from skin 50mm place; Then capable hip joint CT scan;
(2) with in the hip joint CT scan data importing Mimics software, rebuild the Ipsilateral femoral head, demonstrate volume and shape that capsule becomes the zone; Through the best relief passage of Mimics computed in software, it is 2mm core decompression guide needle that simulation is provided with diameter;
(3), draw three pieces of Kirschner wires and one piece of navigation panel that the core decompression guide needle is adaptive with proximal femur with in the above data importing Pro/e software; Process navigation panel through rapid shaping technique;
(4) send the sterilization of sterilization the supplies section with accurate core decompression navigation panel and core decompression guide needle routine before the art; In the art accurate core decompression navigation panel is installed and fixed to Kirschner wire far-end 35mm place, three pieces of location; The angling hole that the core decompression guide needle is passed navigation panel pierces femur head necrosis capsule change district, and the inserting needle distance becomes the zone position degree of depth with Mimics computed in software capsule and is as the criterion.Accomplish accurate core decompression art art leading to.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201210004387.9A CN102525606B (en) | 2012-01-09 | 2012-01-09 | Medullary core decompression navigator and medullary core decompression method |
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| Application Number | Priority Date | Filing Date | Title |
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| CN201210004387.9A CN102525606B (en) | 2012-01-09 | 2012-01-09 | Medullary core decompression navigator and medullary core decompression method |
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| CN102525606A true CN102525606A (en) | 2012-07-04 |
| CN102525606B CN102525606B (en) | 2014-08-06 |
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| CN201210004387.9A Expired - Fee Related CN102525606B (en) | 2012-01-09 | 2012-01-09 | Medullary core decompression navigator and medullary core decompression method |
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Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106618673A (en) * | 2017-03-17 | 2017-05-10 | 西南医科大学附属医院 | Medullary core three-dimensional decompressing device for treating avascular necrosis of femoral head as well as preparing and testing methods based on medullary core three-dimensional decompressing device |
| CN111407390A (en) * | 2020-04-02 | 2020-07-14 | 马驰蛟 | Percutaneous 3D printing femoral head necrosis medullary core decompression channel guide plate and preparation method thereof |
| CN114176800A (en) * | 2022-01-04 | 2022-03-15 | 上海交通大学 | Femoral head core decompression operation positioner and decompression method thereof |
| CN114404042A (en) * | 2022-03-31 | 2022-04-29 | 珠海维尔康生物科技有限公司 | Surgical robot navigation board and navigation method |
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| US5312408A (en) * | 1992-10-21 | 1994-05-17 | Brown Byron L | Apparatus and method of cutting and suctioning the medullary canal of long bones prior to insertion of an endoprosthesis |
| GB2324967A (en) * | 1997-05-06 | 1998-11-11 | Thomas Gauspohl | Marrow space awl |
| CN200948146Y (en) * | 2006-09-27 | 2007-09-19 | 四川大学华西医院 | Surgery appliance for reducing pressure of ischemic necrosis core of femoral head |
| CN201668477U (en) * | 2009-12-30 | 2010-12-15 | 王飞 | Caput femoris core decompression device |
| CN201727569U (en) * | 2010-07-21 | 2011-02-02 | 张纯朴 | Femoral head necrosis pressure reduction guider |
| CN201939475U (en) * | 2011-01-18 | 2011-08-24 | 黄峰 | Marrow core decompression tool for femoral head necrosis |
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2012
- 2012-01-09 CN CN201210004387.9A patent/CN102525606B/en not_active Expired - Fee Related
Patent Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5312408A (en) * | 1992-10-21 | 1994-05-17 | Brown Byron L | Apparatus and method of cutting and suctioning the medullary canal of long bones prior to insertion of an endoprosthesis |
| GB2324967A (en) * | 1997-05-06 | 1998-11-11 | Thomas Gauspohl | Marrow space awl |
| CN200948146Y (en) * | 2006-09-27 | 2007-09-19 | 四川大学华西医院 | Surgery appliance for reducing pressure of ischemic necrosis core of femoral head |
| CN201668477U (en) * | 2009-12-30 | 2010-12-15 | 王飞 | Caput femoris core decompression device |
| CN201727569U (en) * | 2010-07-21 | 2011-02-02 | 张纯朴 | Femoral head necrosis pressure reduction guider |
| CN201939475U (en) * | 2011-01-18 | 2011-08-24 | 黄峰 | Marrow core decompression tool for femoral head necrosis |
Cited By (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106618673A (en) * | 2017-03-17 | 2017-05-10 | 西南医科大学附属医院 | Medullary core three-dimensional decompressing device for treating avascular necrosis of femoral head as well as preparing and testing methods based on medullary core three-dimensional decompressing device |
| CN106618673B (en) * | 2017-03-17 | 2019-01-15 | 西南医科大学附属医院 | A kind of preparation and test method of femoral head ischemic necrosis marrow core solid decompressor |
| CN111407390A (en) * | 2020-04-02 | 2020-07-14 | 马驰蛟 | Percutaneous 3D printing femoral head necrosis medullary core decompression channel guide plate and preparation method thereof |
| CN114176800A (en) * | 2022-01-04 | 2022-03-15 | 上海交通大学 | Femoral head core decompression operation positioner and decompression method thereof |
| CN114176800B (en) * | 2022-01-04 | 2024-01-30 | 上海交通大学 | Femoral head marrow core decompression operation positioner and decompression method thereof |
| CN114404042A (en) * | 2022-03-31 | 2022-04-29 | 珠海维尔康生物科技有限公司 | Surgical robot navigation board and navigation method |
| CN114404042B (en) * | 2022-03-31 | 2022-07-08 | 珠海维尔康生物科技有限公司 | Surgical robot navigation board and navigation method |
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| CN102525606B (en) | 2014-08-06 |
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Granted publication date: 20140806 Termination date: 20170109 |