CN108392260A - Single condyle replacement tibia prosthesis anti-displacement fixator - Google Patents
Single condyle replacement tibia prosthesis anti-displacement fixator Download PDFInfo
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- CN108392260A CN108392260A CN201810203198.1A CN201810203198A CN108392260A CN 108392260 A CN108392260 A CN 108392260A CN 201810203198 A CN201810203198 A CN 201810203198A CN 108392260 A CN108392260 A CN 108392260A
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- 238000006073 displacement reaction Methods 0.000 title claims abstract description 16
- 210000002303 tibia Anatomy 0.000 title description 2
- 238000000034 method Methods 0.000 claims description 8
- 239000002184 metal Substances 0.000 abstract description 16
- 210000000988 bone and bone Anatomy 0.000 abstract description 11
- 210000001185 bone marrow Anatomy 0.000 abstract description 4
- 238000005553 drilling Methods 0.000 abstract description 2
- 230000000642 iatrogenic effect Effects 0.000 abstract description 2
- 239000002639 bone cement Substances 0.000 description 9
- 230000005499 meniscus Effects 0.000 description 4
- 230000000694 effects Effects 0.000 description 3
- 208000014674 injury Diseases 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000008733 trauma Effects 0.000 description 2
- 238000011882 arthroplasty Methods 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 210000003127 knee Anatomy 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8872—Instruments for putting said fixation devices against or away from the bone
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Abstract
本发明提供一种单髁置换术胫骨假体防移位固定器,属于外科手术辅助设备技术领域。本发明包括固定部、连接部和握持部;固定部与握持部通过连接部连接;固定部包括上固定部和下固定部;上固定部是薄扁方形的金属杆,金属杆前部的表面内侧设置有软垫;下固定部是能够插入预留的骨髓道中的圆针;连接部包括两根交叉且转动连接的连接杆;其中一根连接杆的后端与一根长柄的前端固定连接,其前端与金属杆的后端固定连接;另一根连接杆的后端与另一根长柄的前端固定连接,其前端与圆针的后端固定连接。本发明可以使胫骨假体固定牢靠;且操作简单,利用原有骨髓道,不用在骨质上钻孔;同时假体接触面软垫设计,可以保护假体,防止医源性磨损。
The invention provides a tibial prosthesis anti-displacement fixer for unicondylar replacement, which belongs to the technical field of surgical operation auxiliary equipment. The present invention includes a fixing part, a connecting part and a gripping part; the fixing part and the gripping part are connected through the connecting part; the fixing part includes an upper fixing part and a lower fixing part; the upper fixing part is a thin flat square metal rod, and the front part of the metal rod There is a cushion on the inner side of the surface; the lower fixing part is a round needle that can be inserted into the reserved bone medullary canal; the connecting part includes two connecting rods that cross and rotate; the rear end of one of the connecting rods is connected with a long handle The front end is fixedly connected, and its front end is fixedly connected to the rear end of the metal rod; the rear end of the other connecting rod is fixedly connected to the front end of the other long handle, and its front end is fixedly connected to the rear end of the round needle. The invention can securely fix the tibial prosthesis; and the operation is simple, and the original bone marrow canal is used without drilling holes in the bone; at the same time, the soft pad design of the contact surface of the prosthesis can protect the prosthesis and prevent iatrogenic wear.
Description
技术领域technical field
本发明属于外科手术辅助设备技术领域,尤其涉及一种单髁置换术胫骨假体防移位固定器。The invention belongs to the technical field of surgical operation auxiliary equipment, in particular to a tibial prosthesis anti-displacement fixer for unicondylar replacement.
背景技术Background technique
目前膝关节单髁置换术(unicondylar knee arthroplasty,UKA),在临床上取得了广泛的应用,获得了良好的手术效果,优点为创伤小,切口小,创伤轻。优秀的手术效果需要精确的假体放置为保证,临床中在将股骨侧和胫骨侧假体通过骨水泥安装在骨质上时,在骨水泥还没硬化时需要用半月板试模放入,以挤出多余的骨水泥,创造合适的空间,在取出半月板试模时,由于此时骨水泥还没完全凝固,固定不稳,常导致胫骨假体移位或倾斜,需重新安置,影响手术效果。At present, unicondylar knee arthroplasty (UKA) has been widely used clinically and has achieved good surgical results. The advantages are small trauma, small incision, and light trauma. Excellent surgical results require accurate prosthesis placement. In clinical practice, when the femoral and tibial prostheses are installed on the bone through bone cement, the meniscus trial mold should be used before the bone cement has hardened. Extrude the excess bone cement to create a suitable space. When the meniscus is taken out for trial, the bone cement is not completely solidified at this time, and the fixation is unstable, which often causes the tibial prosthesis to shift or tilt, and needs to be relocated. The effect of surgery.
目前临床并无合适工具解决上述问题,只能等骨水泥完全硬化后,再取出,这样浪费时间,还导致残余骨水泥清除困难;或是寄希望于术者小心操作。本发明填补这一空白。At present, there is no suitable clinical tool to solve the above problems. We can only wait for the bone cement to harden completely before taking it out. This wastes time and makes it difficult to remove the residual bone cement; or it is hoped that the surgeon will operate carefully. The present invention fills this gap.
发明内容Contents of the invention
本发明的目的在于,克服现有技术的不足,提供一种单髁置换术胫骨假体防移位固定器,在骨水泥完全凝固前以及假体和骨面形成牢靠粘合前为假体提供确切稳定的固定,确保假体不会移位或倾斜。The purpose of the present invention is to overcome the deficiencies of the prior art, and to provide a tibial prosthesis anti-displacement fixer for unicompartmental replacement, which provides prosthesis for the prosthesis before the bone cement is completely solidified and before the prosthesis and the bone surface form a firm bond. An exact and stable fixation ensures that the prosthesis does not shift or tilt.
为了实现上述目标,本发明提供了如下技术方案:In order to achieve the above object, the present invention provides the following technical solutions:
一种单髁置换术胫骨假体防移位固定器,包括固定部、连接部和握持部;固定部与握持部之间通过连接部连接。An anti-displacement fixer for tibial prosthesis for unicompartmental replacement, comprising a fixing part, a connecting part and a holding part; the fixing part and the holding part are connected through the connecting part.
进一步,握持部为两个长柄,且两个长柄的后端通过阻力弹簧连接;作为举例而非限定,长柄的长度可以是5cm,阻力弹簧在非使用状态下的长度为2cm。Further, the holding part is two long handles, and the rear ends of the two long handles are connected by a resistance spring; as an example and not limitation, the length of the long handle may be 5 cm, and the length of the resistance spring in a non-use state is 2 cm.
进一步,固定部包括上固定部和下固定部;上固定部可以是薄扁方形的金属杆,在优选的实施方式中,金属杆的宽度为5mm,金属杆的长度为3cm,金属杆前部的表面设置有软垫;下固定部是可以插入预留的骨髓道中的圆针,在优选的实施方式中,圆针的直径为1mm,圆针的长度为3cm。在使用状态下,上述软垫可以与胫骨假体的上表面接触,上述圆针插入到预留的骨髓道中,完成固定。Further, the fixing part includes an upper fixing part and a lower fixing part; the upper fixing part can be a thin flat square metal rod, in a preferred embodiment, the width of the metal rod is 5mm, the length of the metal rod is 3cm, and the front part of the metal rod The surface of the surface is provided with a cushion; the lower fixing part is a round needle that can be inserted into the reserved bone marrow canal. In a preferred embodiment, the diameter of the round needle is 1 mm, and the length of the round needle is 3 cm. In the state of use, the above-mentioned soft pad can be in contact with the upper surface of the tibial prosthesis, and the above-mentioned round needle is inserted into the reserved bone medullary canal to complete the fixation.
进一步,连接部可以包括两根交叉、转动连接的连接杆,在优选的实施方式中,连接杆的长度可以是3cm;其中一根连接杆的后端与握持部的一根长柄的前端固定连接,其前端与金属杆的后端固定连接;另一根连接杆的后端与握持部的另一根长柄的前端固定连接,其前端与圆针的后端固定连接。Further, the connecting part can include two connecting rods crossed and connected in rotation. In a preferred embodiment, the length of the connecting rods can be 3 cm; Fixedly connected, its front end is fixedly connected with the rear end of the metal rod; the rear end of the other connecting rod is fixedly connected with the front end of another long handle of the holding part, and its front end is fixedly connected with the rear end of the round needle.
本发明提供的单髁置换术胫骨假体防移位固定器,用于在骨水泥完全凝固前以及假体和骨面形成牢靠粘合前,取出半月板试模后,固定假体,以防止其移位或倾斜。The tibial prosthesis anti-displacement fixer for unicompartmental replacement provided by the present invention is used to fix the prosthesis after the meniscus is taken out for trial mold before the bone cement is completely solidified and before the prosthesis and the bone surface form a firm bond, so as to prevent It shifts or tilts.
本发明提供的单髁置换术胫骨假体防移位固定器的使用方式为:将固定部的圆针插入到预留的骨髓道中,同时使金属杆前部的软垫与胫骨假体的上表面接触;握紧握持部的两个长柄,并使阻力弹簧压缩,从而控制固定部将胫骨假体夹紧并固定不动。The method of using the tibial prosthesis anti-displacement fixer for unicompartmental replacement provided by the present invention is: insert the round needle of the fixing part into the reserved bone medullary canal, and at the same time make the soft pad at the front of the metal rod and the upper surface of the tibial prosthesis Surface contact; hold the two long handles of the holding part tightly, and compress the resistance spring, so as to control the fixing part to clamp and fix the tibial prosthesis.
与现有技术相比,本发明的有益效果在于:Compared with prior art, the beneficial effect of the present invention is:
(1)可以使胫骨假体固定牢靠。(1) The tibial prosthesis can be firmly fixed.
(2)操作简单,利用原有骨髓道,不用在骨质上钻孔。(2) The operation is simple, and the original bone marrow canal is used without drilling holes in the bone.
(3)假体接触面软垫设计,可以保护假体,防止医源性磨损。(3) The padded contact surface of the prosthesis is designed to protect the prosthesis and prevent iatrogenic wear.
附图说明Description of drawings
图1为本发明实施例提供的单髁置换术胫骨假体防移位固定器的结构示意图;Fig. 1 is the schematic structural view of the tibial prosthesis anti-displacement fixer for unicompartmental replacement provided by the embodiment of the present invention;
图2为本发明实施例提供的单髁置换术胫骨假体防移位固定器的应用场景示意图。Fig. 2 is a schematic diagram of the application scene of the tibial prosthesis anti-displacement fixer for unicompartmental replacement provided by an embodiment of the present invention.
附图标记说明Explanation of reference signs
10单髁置换术胫骨假体防移位固定器;10 Tibial prosthesis anti-displacement fixer for unicompartmental replacement;
1固定部,11金属杆,111软垫,12圆针;1 fixed part, 11 metal rod, 111 cushion, 12 round needle;
2连接部,21连接杆;2 connecting parts, 21 connecting rods;
3握持部,31长柄,32阻力弹簧;3 grips, 31 long handles, 32 resistance springs;
胫骨假体20;tibial prosthesis 20;
股骨假体30。Femoral prosthesis 30.
具体实施方式Detailed ways
下面将结合具体实施例及其附图对本发明提供的单髁置换术胫骨假体防移位固定器的技术方案作进一步说明。结合下面说明,本发明的优点和特征将更加清楚。The technical solution of the tibial prosthesis anti-displacement fixer for unicompartmental replacement provided by the present invention will be further described below in conjunction with specific embodiments and accompanying drawings. The advantages and features of the present invention will become clearer in conjunction with the following description.
需要说明的是,本发明的实施例有较佳的实施性,并非是对本发明任何形式的限定。本发明实施例中描述的技术特征或者技术特征的组合不应当被认为是孤立的,它们可以被相互组合从而达到更好的技术效果。本发明优选实施方式的范围也可以包括另外的实现,且这应被本发明实施例所属技术领域的技术人员所理解。It should be noted that the embodiments of the present invention have better implementability and are not intended to limit the present invention in any form. The technical features or combinations of technical features described in the embodiments of the present invention should not be regarded as isolated, and they can be combined with each other to achieve better technical effects. The scope of the preferred embodiment of the present invention may also include other implementations, and this should be understood by those skilled in the art to which the embodiments of the present invention pertain.
对于相关领域普通技术人员已知的技术、方法和设备可能不作详细讨论,但在适当情况下,所述技术、方法和设备应当被视为授权说明书的一部分。在这里示出和讨论的所有示例中,任何具体值应被解释为仅仅是示例性的,而不是作为限定。因此,示例性实施例的其它示例可以具有不同的值。Techniques, methods and devices known to those of ordinary skill in the relevant art may not be discussed in detail, but where appropriate, such techniques, methods and devices should be considered part of the Authorized Specification. In all examples shown and discussed herein, any specific values should be construed as illustrative only, and not as limiting. Therefore, other examples of the exemplary embodiment may have different values.
本发明的附图均采用非常简化的形式且均使用非精准的比例,仅用以方便、明晰地辅助说明本发明实施例的目的,并非是限定本发明可实施的限定条件。任何结构的修饰、比例关系的改变或大小的调整,在不影响本发明所能产生的效果及所能达成的目的下,均应落在本发明所揭示的技术内容所能涵盖的范围内。且本发明附图中所出现的相同标号代表相同的特征或者部件,可应用于不同实施例中。The drawings of the present invention are all in a very simplified form and use inaccurate proportions, and are only used for the purpose of conveniently and clearly assisting in illustrating the embodiments of the present invention, and are not intended to limit the conditions for the implementation of the present invention. Any structural modification, change in proportion or size adjustment shall fall within the scope covered by the technical content disclosed in the present invention without affecting the effect and purpose of the present invention. And the same symbols appearing in the drawings of the present invention represent the same features or components, and can be applied in different embodiments.
实施例Example
如图1至图2所示,本发明提供一种单髁置换术胫骨假体防移位固定器10,包括固定部1、连接部2和握持部3;固定部1与握持部3之间通过连接部2连接。As shown in Figures 1 to 2, the present invention provides a tibial prosthesis anti-displacement fixer 10 for unicompartmental replacement, comprising a fixing part 1, a connecting part 2 and a gripping part 3; the fixing part 1 and the gripping part 3 They are connected by connecting part 2.
进一步,握持部3为两个长柄31,且两个长柄31的后端通过阻力弹簧32连接;作为举例而非限定,长柄31的长度可以是5cm,阻力弹簧32在非使用状态下的长度为2cm。Further, the grip part 3 is two long handles 31, and the rear ends of the two long handles 31 are connected by a resistance spring 32; as an example and not limitation, the length of the long handle 31 can be 5 cm, and the resistance spring 32 is in a non-use state The lower length is 2cm.
进一步,固定部1包括上固定部和下固定部;上固定部可以是薄扁方形的金属杆11,在优选的实施方式中,金属杆11的宽度为5mm,金属杆11的长度为3cm,金属杆11前部的表面内侧设置有软垫111;下固定部是可以插入预留的骨髓道中的圆针12,在优选的实施方式中,圆针12的直径为1mm,圆针12的长度为3cm。在使用状态下,上述软垫111可以与胫骨假体的上表面接触,上述圆针12插入到预留的骨髓道中,完成固定。Further, the fixing part 1 includes an upper fixing part and a lower fixing part; the upper fixing part can be a thin flat square metal rod 11, in a preferred embodiment, the width of the metal rod 11 is 5 mm, and the length of the metal rod 11 is 3 cm. The inner side of the surface of the metal rod 11 front part is provided with a cushion 111; the lower fixing part is a round needle 12 that can be inserted into the reserved bone marrow canal. In a preferred embodiment, the diameter of the round needle 12 is 1mm, and the length of the round needle 12 It is 3cm. In the state of use, the above-mentioned soft pad 111 can be in contact with the upper surface of the tibial prosthesis, and the above-mentioned round needle 12 is inserted into the reserved bone medullary canal to complete the fixation.
进一步,连接部2可以包括两根交叉、转动连接的连接杆21,作为举例而非限定,两根连接杆21可以在各自的中部位置转动连接,在优选的实施方式中,连接杆21的长度可以是3cm;其中一根连接杆21的后端与握持部的一根长柄31的前端固定连接,其前端与金属杆11的后端连接;另一根连接杆21的后端与握持部的另一根长柄31的前端固定连接,其前端与圆针12的后端连接。Further, the connecting part 2 may include two crossed and rotationally connected connecting rods 21. As an example without limitation, the two connecting rods 21 may be rotated and connected at respective middle positions. In a preferred embodiment, the length of the connecting rods 21 is It can be 3cm; the rear end of one of the connecting rods 21 is fixedly connected with the front end of a long handle 31 of the grip portion, and its front end is connected with the rear end of the metal rod 11; the rear end of the other connecting rod 21 is connected with the grip The front end of another long handle 31 of the holding portion is fixedly connected, and its front end is connected with the rear end of the round needle 12 .
本发明提供的单髁置换术胫骨假体防移位固定器10,用于在骨水泥完全凝固前以及胫骨假体20和股骨假体30的骨面形成牢靠粘合前,取出半月板试模后,固定胫骨假体20,以防止其移位或倾斜。The tibial prosthesis anti-displacement fixer 10 for unicompartmental replacement provided by the present invention is used to take out the meniscus trial mold before the bone cement is completely solidified and before the bone surfaces of the tibial prosthesis 20 and the femoral prosthesis 30 form a firm bond Finally, the tibial prosthesis 20 is fixed to prevent it from shifting or tilting.
本发明提供的单髁置换术胫骨假体防移位固定器10的使用方式为:将固定部的圆针12插入到预留的骨髓道中,同时使金属杆11前部的软垫111与胫骨假体的上表面接触;握紧握持部的两个长柄31,并使阻力弹簧32压缩,从而控制固定部将胫骨假体夹紧并固定不动。The method of using the tibial prosthesis anti-displacement fixer 10 for unicompartmental replacement provided by the present invention is: insert the round needle 12 of the fixing part into the reserved bone medullary canal, and at the same time make the soft pad 111 at the front of the metal rod 11 and the tibia The upper surface of the prosthesis is in contact; the two long handles 31 of the holding part are held firmly, and the resistance spring 32 is compressed, thereby controlling the fixing part to clamp and fix the tibial prosthesis.
上述描述仅是对本发明较佳实施例的描述,并非是对本发明范围的任何限定。任何熟悉该领域的普通技术人员根据上述揭示的技术内容做出的任何变更或修饰均应当视为等同的有效实施例,均属于本发明技术方案保护的范围。The above description is only a description of the preferred embodiments of the present invention, and is not intended to limit the scope of the present invention. Any change or modification made by any person familiar with the field based on the technical content disclosed above shall be regarded as an equivalent effective embodiment, and shall fall within the protection scope of the technical solution of the present invention.
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| US20030130665A1 (en) * | 2000-03-10 | 2003-07-10 | Pinczewski Leo Arieh | Method of arthroplastly on a knee joint and apparatus for use in same |
| GB0302533D0 (en) * | 2003-02-04 | 2003-03-12 | Wozencroft Robert M | Surgical apparatus |
| US20050192588A1 (en) * | 2004-02-27 | 2005-09-01 | Garcia Daniel X. | Instrumentation and method for prosthetic knee |
| US20140094819A1 (en) * | 2012-09-28 | 2014-04-03 | Jennifer B. Clever | Orthopaedic surgical instrument assembly for implanting a prosthetic patella component |
| CN105997312A (en) * | 2015-03-27 | 2016-10-12 | 德普伊(爱尔兰)有限公司 | Orthopaedic surgical instrument system for implanting a prosthetic patella component and method of use |
| CN107080563A (en) * | 2017-05-18 | 2017-08-22 | 南京明基医院有限公司 | Positioner |
| CN208677554U (en) * | 2018-03-13 | 2019-04-02 | 上海市杨浦区中心医院(同济大学附属杨浦医院) | Single condyle replacement tibia prosthesis anti-displacement fixator |
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