CN105105887A - Tibial prosthesis building system suitable for different types of tibial malformations and defects - Google Patents
Tibial prosthesis building system suitable for different types of tibial malformations and defects Download PDFInfo
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- CN105105887A CN105105887A CN201510491478.3A CN201510491478A CN105105887A CN 105105887 A CN105105887 A CN 105105887A CN 201510491478 A CN201510491478 A CN 201510491478A CN 105105887 A CN105105887 A CN 105105887A
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- prosthesis
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- prosthese
- tibial plateau
- tibia
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Abstract
The invention discloses a tibial prosthesis building system suitable for different types of tibial malformations and defects, which comprises a tibial plateau prosthesis, an extension stem prosthesis and a combined metal wedge-shaped cushion block, wherein the tibial plateau prosthesis is a tibial plateau prosthesis; the tibial plateau prosthesis comprises a plateau body, a filling sleeve and a triangular wing plate; the metal wedge-shaped cushion block is matched with the tibial plateau prosthesis and arranged below the platform body, one side of the outer edge of the metal wedge-shaped cushion block is matched with the outer edge of the platform body, and the other side of the outer edge of the metal wedge-shaped cushion block is concave and matched with the triangular wing plate; the upper end of the extension handle prosthesis extends into a filling sleeve of the tibial plateau prosthesis to be connected and fixed. The combination of the tibial plateau prosthesis, the combined metal wedge-shaped cushion block and the extension handle prosthesis can be assembled into various prostheses in the operation, and the tibial plateau prosthesis has the advantages of meeting the customization requirements of various bone defect patients on the prostheses, combining precision and having ideal healing effect.
Description
Technical field
The invention belongs to Design for Medical Device technical field, especially relate to a kind of tibial prosthesis adapting to dissimilar tibia deformity and defect and set up system.
Background technology
At present, the Cranial defect of tibial side can be caused by many reasons, comprising: after the genu varum angulation deformity that arthritis causes, ischemic necrosis, wound, High Tibial Osteotomy and knee joint revision procedure.The Cranial defect of tibial side is divided into by defect: cavity defect and segmental defect; Be divided into by defect area: be less than 5mm, 5mm-10mm, more than 10mm three kinds.
In prior art, can solve by the following method the Cranial defect that tibial side exists:
1. Cement fixation: Cement fixation is applicable to the Cranial defect that the cavity defect degree of depth is less than 5mm, especially gerontal patient; But the relatively poor biomechanics characteristic of bone cement makes it be used in segmental and larger Cranial defect case, especially young patient;
2. bone grafting (autologous bone or allograph bone): bone grafting (autologous bone or allograph bone) is applicable to the cavity Cranial defect between 5-10mm, especially young patient; But autologous bone is drawn materials limited, and the remoldability of the safety of allograph bone, bone and integration ability poor, cause bone grafting failure;
3. metal correcting wedge and prolonging handle prosthese: metal correcting wedge and prolonging handle prosthese are applicable to the moderate Cranial defect between 5-10mm, the cavity Cranial defect being greater than 10mm and segmental defect, there is the situation that obvious bone amount reduces, or have the case of Progressive symmetric erythrokeratodermia bone loss also all applicable.
As can be seen here, for above-mentioned 3 kinds of clinical protocol, metal correcting wedge and prolonging handle prosthese is used to have obvious advantage.
Summary of the invention
The problem to be solved in the present invention is to provide and a kind ofly meets the customized demand of diverse bone types defect patient to prosthese, in conjunction with accurate, and the tibial prosthesis establishment system of the dissimilar tibia deformity of adaptation that healing effect is desirable and defect.
For solving the problems of the technologies described above, the technical solution used in the present invention is: a kind of tibial prosthesis adapting to dissimilar tibia deformity and defect sets up system, comprises the metal correcting wedge of tibial plateau prosthese, prolonging handle prosthese and assembly type; Described tibial plateau prosthese comprises platform body, fills cover and triangle wing plate, and described filling cover is the column structure of hollow, and this filling cover is arranged at below platform body; Described triangle wing plate is symmetricly set in fills cover both sides; Described metal correcting wedge matches with tibial plateau prosthese, is arranged at below platform body, and this side, metal correcting wedge outer and platform body outer match, and opposite side indent and triangle wing plate match; Described prolonging handle prosthese upper end stretch into tibial plateau prosthese filling cover in be connected and fixed.
Described metal wedge shape pad thickness is 5mm-20mm, and interval 1mm increases progressively.
Described prolonging handle prosthesis length is 40mm-160mm.
On described prolonging handle prosthese, radial direction is provided with relief groove.
Described prolonging handle prosthetic designs 0mm, 2.5mm, 5.0mm and 7.5mm tetra-kinds of offset distance sizes, select flexibly and combination in art, can correct the disease of various severe deformities.
Described triangle wing plate and platform are filled and are overlapped employing 360 ° of selectable Split type structures and design, be applicable to the proximal tibia of severe deformities anti-be rotated with fixed.
Owing to adopting technique scheme, the metal correcting wedge of (1) tibial plateau prosthese, assembly type and prolonging handle prosthese allow in art, be assembled into various prosthese, meet the customized demand of diverse bone types defect patient to prosthese; (2) thickness of metal correcting wedge is from 5mm-20mm, and interval 1mm increases progressively, and carries out filling process under realizing the prerequisite of the original bone amount of reservation as much as possible, and metal correcting wedge is maximized with the bone bed contact surface of carrying prosthese; Metal correcting wedge does not need to be incorporated on host bone simultaneously, the risk can not brought nonunion yet He subside; (3) metal correcting wedge is along with thickness difference, and width also changes thereupon; (4) wedge-shaped design of metal correcting wedge, exists and is press-fitted mechanism, do not need to use extra fixing also can with synestotic very accurate; (5) prolonging handle prosthesis length is from 40-160mm, and prosthese band relief groove designs, and assume responsibility for the body weight of human body about 30% while the stress in dispersion prosthese supported underneath face; (6) use tibial plateau prosthese and the metal correcting wedge of assembly type and the assembly of prolonging handle prosthese, be easy to the basic principle realizing knee prosthesis: correct lower limb are to the correct installation of line, prosthese, flexing gap and stretch the balance in gap, mobility that knee joint is enough.
The invention has the beneficial effects as follows: have and meet the customized demand of diverse bone types defect patient to prosthese, in conjunction with accurate, the advantage that healing effect is desirable.
Accompanying drawing explanation
Below by with reference to accompanying drawing describe the present invention particularly in conjunction with example, advantage of the present invention and implementation will be more obvious, wherein content shown in accompanying drawing is only for explanation of the present invention, and does not form restriction of going up in all senses of the present invention, in the accompanying drawings:
Fig. 1 is overall structure schematic diagram of the present invention
Fig. 2 is the front view of tibial plateau prosthese of the present invention
Fig. 3 is the B-B profile of Fig. 2 of the present invention
Fig. 4 is the upward view of tibial plateau prosthese of the present invention
Fig. 5 is the top view of tibial plateau prosthese of the present invention
Fig. 6 is the A-A profile of Fig. 5 of the present invention
Fig. 7 is the upward view of metal correcting wedge of the present invention
Fig. 8 is the front view of metal correcting wedge of the present invention
Fig. 9 is the structural representation of tibial plateau prosthese of the present invention and the assembly of metal correcting wedge
Figure 10 is the upward view of tibial plateau prosthese of the present invention and the assembly of metal correcting wedge
Figure 11 is prolonging handle borrowed structure schematic diagram of the present invention
Figure 12 is the side view of prolonging handle prosthese of the present invention
Figure 13 is perspective view of the present invention
In figure:
1, tibial plateau prosthese 2, prolonging handle prosthese 3, metal correcting wedge
11, platform body 12, filling cover 13, triangle wing plate
21, relief groove
Detailed description of the invention
As shown in figure 1 to figure 13, a kind of tibial prosthesis adapting to dissimilar tibia deformity and defect of the present invention sets up system, comprises the metal correcting wedge 3 of tibial plateau prosthese 1, prolonging handle prosthese 2 and assembly type; Described tibial plateau prosthese 1 comprises platform body 11, fills cover 12 and triangle wing plate 13, and described filling cover 12 is the column structure of hollow, and this filling cover 12 is arranged at below platform body 11; Described triangle wing plate 13 is symmetricly set in fills cover 12 both sides; Described metal correcting wedge 3 matches with tibial plateau prosthese 1, is arranged at below platform body 11, and this side, metal correcting wedge 3 outer and platform body 11 outer match, and opposite side indent and triangle wing plate 13 match; Described prolonging handle prosthese 2 upper end stretch into tibial plateau prosthese 1 filling cover 12 in be connected and fixed; Described metal correcting wedge 3 thickness is 5mm-20mm, and interval 1mm increases progressively; Described prolonging handle prosthese 2 length is 40mm-160mm; On described prolonging handle prosthese 2, radial direction is provided with relief groove 21; Described prolonging handle prosthese 2 devises 0mm, 2.5mm, 5.0mm and 7.5mm tetra-kinds of offset distance sizes, selects flexibly and combination, can correct the disease of various severe deformities in art; Described triangle wing plate 13 is filled cover 12 with platform and is adopted 360 ° of selectable Split type structures to design, and anti-being rotated with of proximal tibia being applicable to severe deformities is determined.
(1) the metal correcting wedge 3 of tibial plateau prosthese 1, assembly type and prolonging handle prosthese 2 allow in art, be assembled into various prosthese, meet the customized demand of diverse bone types defect patient to prosthese; (2) thickness of metal correcting wedge 3 is from 5mm-20mm, and interval 1mm increases progressively, and carries out filling process under realizing the prerequisite of the original bone amount of reservation as much as possible, and metal correcting wedge 3 is maximized with the bone bed contact surface of carrying prosthese; Metal correcting wedge 3 does not need to be incorporated on host bone simultaneously, the risk can not brought nonunion yet He subside; (3) metal correcting wedge 3 is along with thickness difference, and width also changes thereupon; (4) wedge-shaped design of metal correcting wedge 3, exists and is press-fitted mechanism, do not need to use extra fixing also can with synestotic very accurate; (5) prolonging handle prosthese 2 length is from 40-160mm, and prosthese band relief groove 21 designs, and assume responsibility for the body weight of human body about 30% while the stress in dispersion prosthese supported underneath face; (6) use tibial plateau prosthese 1 and the metal correcting wedge 3 of assembly type and the assembly of prolonging handle prosthese 2, be easy to the basic principle realizing knee prosthesis: correct lower limb are to the correct installation of line, prosthese, flexing gap and stretch the balance in gap, mobility that knee joint is enough.
Above embodiments of the invention have been described in detail, but described content being only preferred embodiment of the present invention, can not being considered to for limiting practical range of the present invention.All equalizations done according to the scope of the invention change and improve, and all should still belong within this patent covering scope.
Claims (6)
1. the tibial prosthesis adapting to dissimilar tibia deformity and defect sets up a system, it is characterized in that: the metal correcting wedge comprising tibial plateau prosthese, prolonging handle prosthese and assembly type; Described tibial plateau prosthese comprises platform body, fills cover and triangle wing plate, and described filling cover is the column structure of hollow, and this filling cover is arranged at below platform body; Described triangle wing plate is symmetricly set in fills cover both sides; Described metal correcting wedge matches with tibial plateau prosthese, is arranged at below platform body, and this side, metal correcting wedge outer and platform body outer match, and opposite side indent and triangle wing plate match; Described prolonging handle prosthese upper end stretch into tibial plateau prosthese filling cover in be connected and fixed.
2. the tibial prosthesis of the dissimilar tibia deformity of adaptation according to claim 1 and defect sets up system, it is characterized in that: described metal wedge shape pad thickness is 5mm-20mm, and interval 1mm increases progressively.
3. the tibial prosthesis of the dissimilar tibia deformity of adaptation according to claim 1 and defect sets up system, it is characterized in that: described prolonging handle prosthesis length is 40mm-160mm.
4. the tibial prosthesis of the dissimilar tibia deformity of adaptation according to claim 1 and defect sets up system, it is characterized in that: on described prolonging handle prosthese, radial direction is provided with relief groove.
5. the tibial prosthesis of the dissimilar tibia deformity of adaptation according to claim 1 and defect sets up system, it is characterized in that: described prolonging handle prosthetic designs 0mm, 2.5mm, 5.0mm and 7.5mm tetra-kinds of offset distance sizes, select flexibly and combination in art, the disease of various severe deformities can be corrected.
6. the tibial prosthesis of the dissimilar tibia deformity of adaptation according to claim 1 and defect sets up system, it is characterized in that: described triangle wing plate and platform are filled and overlapped employing 360 ° of selectable Split type structures and design, be applicable to the proximal tibia of severe deformities anti-be rotated with fixed.
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Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN107260369A (en) * | 2017-06-15 | 2017-10-20 | 西安交通大学 | It is a kind of to be used for the personalized biological type cushion block of Cranial defect in total knee arthroplasty |
CN109157309A (en) * | 2018-09-20 | 2019-01-08 | 北京威高亚华人工关节开发有限公司 | Proximal tibia filling block prosthese |
CN110448392A (en) * | 2019-03-13 | 2019-11-15 | 上海交通大学医学院附属第九人民医院 | A kind of tibial plateau prosthese and preparation method thereof of 3D printing personalization |
CN117100466A (en) * | 2023-10-20 | 2023-11-24 | 南方医科大学珠江医院 | Tibia extension rod in knee joint renovation operation |
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Cited By (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN107260369A (en) * | 2017-06-15 | 2017-10-20 | 西安交通大学 | It is a kind of to be used for the personalized biological type cushion block of Cranial defect in total knee arthroplasty |
CN109157309A (en) * | 2018-09-20 | 2019-01-08 | 北京威高亚华人工关节开发有限公司 | Proximal tibia filling block prosthese |
CN109157309B (en) * | 2018-09-20 | 2023-11-24 | 北京威高亚华人工关节开发有限公司 | Proximal tibial filler block prosthesis |
CN110448392A (en) * | 2019-03-13 | 2019-11-15 | 上海交通大学医学院附属第九人民医院 | A kind of tibial plateau prosthese and preparation method thereof of 3D printing personalization |
CN117100466A (en) * | 2023-10-20 | 2023-11-24 | 南方医科大学珠江医院 | Tibia extension rod in knee joint renovation operation |
CN117100466B (en) * | 2023-10-20 | 2023-12-29 | 南方医科大学珠江医院 | Tibia extension rod in knee joint renovation operation |
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Effective date of registration: 20220426 Address after: No.27 Ziyang Road Nankai District Tianjin 300190 Patentee after: Jiasite medical equipment (Tianjin) Co.,Ltd. Address before: No.27 Ziyang Road Nankai District Tianjin 300190 Patentee before: Jiasite Huajian Medical Equipment(Tianjin)Co.,Ltd. |