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CN115105267B - Bone-prosthesis interface gap device - Google Patents

Bone-prosthesis interface gap device Download PDF

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Publication number
CN115105267B
CN115105267B CN202110867596.5A CN202110867596A CN115105267B CN 115105267 B CN115105267 B CN 115105267B CN 202110867596 A CN202110867596 A CN 202110867596A CN 115105267 B CN115105267 B CN 115105267B
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bone
prosthesis
trabecular
screw
spiral rod
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CN115105267A (en
Inventor
张春秋
石光辉
王鑫
高丽兰
吕林蔚
叶金铎
张平
徐宝山
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Tianjin University of Technology
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Tianjin University of Technology
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools for implanting artificial joints
    • A61F2/4603Special tools for implanting artificial joints for insertion or extraction of endoprosthetic joints or of accessories thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools for implanting artificial joints
    • A61F2/4657Measuring instruments used for implanting artificial joints
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools for implanting artificial joints
    • A61F2/4657Measuring instruments used for implanting artificial joints
    • A61F2002/4658Measuring instruments used for implanting artificial joints for measuring dimensions, e.g. length

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Transplantation (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Vascular Medicine (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Biophysics (AREA)
  • Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Prostheses (AREA)

Abstract

本发明公开了一种骨‑假体界面相对位移装置,该装置通过3D打印的方式制备,包括旋入装置、螺旋杆、旋转轴、杠杆、骨小梁假体。将该旋入装置旋入骨髓腔,旋转螺旋杆使其下移,螺旋杆推动杠杆使骨小梁结构假体沿着旋转轴转动,使骨小梁假体与骨腔膜接触或间隙。通过控制骨小梁假体与骨腔膜间隙的大小,来验证植入物与骨腔膜的间隙对骨整合的影响。

The present invention discloses a bone-prosthesis interface relative displacement device, which is prepared by 3D printing and includes a screw-in device, a spiral rod, a rotating shaft, a lever, and a trabecular prosthesis. The screw-in device is screwed into the bone marrow cavity, the spiral rod is rotated to move it downward, and the spiral rod pushes the lever to rotate the trabecular structure prosthesis along the rotating shaft, so that the trabecular prosthesis contacts or has a gap with the bone cavity membrane. By controlling the size of the gap between the trabecular prosthesis and the bone cavity membrane, the effect of the gap between the implant and the bone cavity membrane on bone integration is verified.

Description

骨-假体界面间隙装置Bone-prosthesis interface gap device

技术领域Technical Field

本发明专利是一种测试骨整合时,植入物与骨之间的间隙对骨整影响的装置。涉及医疗器械关节假体领域。The invention is a device for testing the effect of the gap between implant and bone on bone integration during bone integration, and relates to the field of medical device joint prosthesis.

背景技术Background Art

关节置换术是通过手术的方式用人工假体替代病变恶化的关节,进而恢复人体关节的正常运动功能,是目前临床药物治疗失效后解决人体关节坏死的唯一方法,植入体植入一定时间就会发生松动,需要进行翻修。Joint replacement is a surgical procedure that replaces diseased and deteriorated joints with artificial prostheses, thereby restoring the normal movement function of the human joints. It is currently the only way to solve human joint necrosis after clinical drug treatment fails. The implant will become loose after a certain period of time and need to be revised.

关节置换假体松动是长久以来临床急需解决的难题,尽管医学、生物学和材料学进步迅速,但松动治疗仍不理想。导致假体与骨界面长不上、长不好和长不久的主要原因在于缺少力学微环境对假体与骨界面组织分化、损伤、修复和整合影响的研究。Loosening of joint replacement prostheses has long been a difficult problem that needs to be solved in clinical practice. Despite rapid advances in medicine, biology, and materials science, loosening treatment is still not ideal. The main reason for the failure, poor growth, and long-term growth of the prosthesis-bone interface is the lack of research on the effects of the mechanical microenvironment on tissue differentiation, damage, repair, and integration at the prosthesis-bone interface.

3D打印技术是一种以物理模型和数字模型为基础,通过逐层打印的方式来构造物体的技术。通过3D打印技术,可以获得任意形状的假体,可以制造出传统加工方法制造不出来的假体,通过调整孔隙率、空隙尺寸和形状,可以或得与正常骨质接近的强度和弹性模型的假体,可以在一定程度上降低应力遮挡效应,提高假体长期生存率。3D打印多孔钛合金假体具有一定的骨长入能力,能够与骨质紧密结合。3D printing technology is a technology that constructs objects by printing layer by layer based on physical models and digital models. Through 3D printing technology, prostheses of any shape can be obtained, and prostheses that cannot be made by traditional processing methods can be manufactured. By adjusting the porosity, void size and shape, prostheses with strength and elasticity models close to normal bone can be obtained, which can reduce the stress shielding effect to a certain extent and improve the long-term survival rate of the prosthesis. 3D printed porous titanium alloy prostheses have a certain bone ingrowth ability and can be closely integrated with bone.

发明内容Summary of the invention

本发明的目的是提供一种测试假体植入骨内进行骨整合时,植入体与骨之间的间隙对骨整合的影响的装置。The purpose of the present invention is to provide a device for testing the influence of the gap between the implant and the bone on the bone integration when the prosthesis is implanted into the bone for bone integration.

为达到上述目的,本发明采用的技术方案是:一种骨-假体界面间隙装置。包括:旋入装置、螺旋杆、旋转轴、杠杆、骨小梁假体;结构特征在于:旋入装置与螺旋杆通过螺纹连接在一起,旋转轴固定在旋入装置的下端,杠杆与骨小梁假体固定连接。To achieve the above-mentioned purpose, the technical solution adopted by the present invention is: a bone-prosthesis interface gap device, comprising: a screw-in device, a spiral rod, a rotating shaft, a lever, and a trabecular bone prosthesis; the structural characteristics are: the screw-in device and the spiral rod are connected together by threads, the rotating shaft is fixed to the lower end of the screw-in device, and the lever is fixedly connected to the trabecular bone prosthesis.

为了使旋入装置能够旋入骨髓腔并保持固定,旋入装置设有外螺纹。In order to enable the screw-in device to be screwed into the medullary cavity and remain fixed, the screw-in device is provided with an external thread.

为了能够控制骨小梁假体与骨髓腔内膜的间隙,杠杆和骨小梁假体与旋转轴连接在一起,并可绕着旋转轴旋转。In order to be able to control the gap between the trabecular bone prosthesis and the lining of the bone marrow cavity, the lever and the trabecular bone prosthesis are connected to a rotation axis and can rotate around the rotation axis.

附图说明BRIEF DESCRIPTION OF THE DRAWINGS

图1是本发明的整体结构示意图;Fig. 1 is a schematic diagram of the overall structure of the present invention;

图2是图1的主视图;Fig. 2 is a front view of Fig. 1;

图3是图1的剖视图;FIG3 is a cross-sectional view of FIG1 ;

图4是本发明装置植入骨后的示意图;FIG4 is a schematic diagram of the device of the present invention after implantation into a bone;

具体实施方式DETAILED DESCRIPTION

下面结合附图对本发明做进一步详细说明。The present invention is further described in detail below with reference to the accompanying drawings.

如图1所示的实施例,本发明所述的骨-假体界面间隙装置,包括旋入装置1、螺旋杆2、旋转轴3、杠杆4、骨小梁假体5。As shown in the embodiment of FIG. 1 , the bone-prosthesis interface gap device of the present invention comprises a screw-in device 1 , a spiral rod 2 , a rotating shaft 3 , a lever 4 , and a trabecular bone prosthesis 5 .

如图1所示,将旋入装置1旋入羊大腿骨的骨髓腔使其固定,旋转螺旋杆2使其下移,通过下移螺旋杆2推动骨小梁假体5另一端的杠杆3,骨小梁假体5与骨腔膜接触,或间隙,继续旋转螺旋杆2使其下移,骨小梁假体5与骨髓腔内膜接触压紧。As shown in Figure 1, the screw-in device 1 is screwed into the medullary cavity of the sheep femur to fix it, and the spiral rod 2 is rotated to move it downward. The lever 3 at the other end of the trabecular prosthesis 5 is pushed by moving the spiral rod 2 downward, and the trabecular prosthesis 5 contacts the bone cavity membrane, or a gap, and the spiral rod 2 is continued to be rotated to move it downward, and the trabecular prosthesis 5 contacts and is tightly pressed against the medullary cavity lining.

Claims (1)

1.一种研究假体与骨之间的间隙对骨整合影响的装置,其特征在于研究假体与骨之间的间隙对骨整合影响的装置包括旋入装置(1)、螺旋杆(2)、杠杆(3)、旋转轴(4)和骨小梁假体(5);旋入装置(1)和螺旋杆(2)有外螺纹,螺旋杆(2)螺纹的大小与旋入装置(1)的螺纹相同,骨小梁假体(5)通过3D钛合金打印;旋入装置(1)与螺旋杆(2)通过螺纹连接,旋转轴(4)连接在旋入装置(1)下部分,杠杆(3)和骨小梁假体(5)与旋转轴(4)连接,并可绕着旋转轴(4)旋转;根据杠杆原理,螺旋杆(2)推动杠杆(3)转动而使骨小梁假体(5)绕着旋转轴(4)转动,进而控制骨小梁假体(5)与大腿骨髓腔内膜的间隙。1. A device for studying the effect of the gap between a prosthesis and a bone on bone integration, characterized in that the device for studying the effect of the gap between a prosthesis and a bone on bone integration comprises a screw-in device (1), a spiral rod (2), a lever (3), a rotating shaft (4) and a trabecular bone prosthesis (5); the screw-in device (1) and the spiral rod (2) have external threads, the size of the threads of the spiral rod (2) is the same as the threads of the screw-in device (1), and the trabecular bone prosthesis (5) is printed by 3D titanium alloy; the screw-in device (1) and the spiral rod (2) are connected by threads, the rotating shaft (4) is connected to the lower part of the screw-in device (1), the lever (3) and the trabecular bone prosthesis (5) are connected to the rotating shaft (4) and can rotate around the rotating shaft (4); according to the lever principle, the spiral rod (2) pushes the lever (3) to rotate so that the trabecular bone prosthesis (5) rotates around the rotating shaft (4), thereby controlling the gap between the trabecular bone prosthesis (5) and the inner membrane of the thigh bone marrow cavity.
CN202110867596.5A 2021-07-29 2021-07-29 Bone-prosthesis interface gap device Active CN115105267B (en)

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Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109938891A (en) * 2019-03-26 2019-06-28 上海市浦东新区公利医院(第二军医大学附属公利医院) Artificial hip joint acetabulum prosthesis rotary cutting extractor
CN112057209A (en) * 2020-08-22 2020-12-11 陕西省人民医院 Ankle prosthesis

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US6755866B2 (en) * 2002-08-20 2004-06-29 Depuy Products, Inc. Prosthetic stem with bearings
US20040158254A1 (en) * 2003-02-12 2004-08-12 Sdgi Holdings, Inc. Instrument and method for milling a path into bone
DE202006009843U1 (en) * 2006-06-23 2006-09-07 Arbabian, Manssur, Dipl.-Ing. Implant to be used in hip replacement, comprising threaded shaft with head for being used with screw-in tool
WO2012006508A2 (en) * 2010-07-08 2012-01-12 Smith & Nephew, Inc. Methods and devices for removing a prosthesis
CN112168433A (en) * 2020-10-30 2021-01-05 嘉思特华剑医疗器材(天津)有限公司 Cobalt alloy partition trabecular bone single compartment femoral condyle prosthesis and preparation method thereof

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109938891A (en) * 2019-03-26 2019-06-28 上海市浦东新区公利医院(第二军医大学附属公利医院) Artificial hip joint acetabulum prosthesis rotary cutting extractor
CN112057209A (en) * 2020-08-22 2020-12-11 陕西省人民医院 Ankle prosthesis

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