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CN118750237A - An artificial shoulder joint prosthesis with high range of motion - Google Patents

An artificial shoulder joint prosthesis with high range of motion Download PDF

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Publication number
CN118750237A
CN118750237A CN202410960323.9A CN202410960323A CN118750237A CN 118750237 A CN118750237 A CN 118750237A CN 202410960323 A CN202410960323 A CN 202410960323A CN 118750237 A CN118750237 A CN 118750237A
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CN
China
Prior art keywords
shoulder
glenoid
liner
joint prosthesis
ball head
Prior art date
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Granted
Application number
CN202410960323.9A
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Chinese (zh)
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CN118750237B (en
Inventor
郝改平
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Beijing Lidakang Technology Co Ltd
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Beijing Lidakang Technology Co Ltd
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Priority to CN202410960323.9A priority Critical patent/CN118750237B/en
Publication of CN118750237A publication Critical patent/CN118750237A/en
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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
    • A61F2/40Joints for shoulders
    • 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
    • A61F2/4612Special tools for implanting artificial joints for insertion or extraction of endoprosthetic joints or of accessories thereof of shoulders
    • 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
    • A61F2/4637Special tools for implanting artificial joints for connecting or disconnecting two parts of a prosthesis
    • 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
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30003Material related properties of the prosthesis or of a coating on the prosthesis
    • A61F2002/3006Properties of materials and coating materials

Landscapes

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

Abstract

The invention provides an artificial shoulder joint prosthesis with high mobility, and belongs to the technical field of medical appliances. The shoulder pelvis ball head comprises a shoulder pelvis ball head, one side of the shoulder pelvis ball head is provided with a shoulder basin back plate, fixing screws are arranged on the inner side of the shoulder basin back plate in an equal-angle mode, a shoulder pelvis liner is sleeved on the outer side of the shoulder pelvis ball head, the shoulder pelvis ball head further comprises an angle assembly, the angle assembly is installed on the outer side of the shoulder pelvis liner and used for improving the movable angle of the shoulder pelvis liner, the telescopic assembly is installed at the tail of the angle assembly, and the telescopic assembly is used for changing the length of a bone handle inserted into a humerus. According to the invention, the angle component is arranged, the shoulder spittoon lining rotates along with the universal ball head, and the shoulder spittoon ball head and the shoulder spittoon lining generate relative displacement, so that the flexibility of the shoulder joint prosthesis is improved, the abrasion in the contact rotation of the shoulder spittoon lining and the shoulder spittoon ball head is reduced, the service life is prolonged, and the comfort level of a patient during rehabilitation training is improved.

Description

一种具有高活动度的人工肩关节假体An artificial shoulder joint prosthesis with high range of motion

技术领域Technical Field

本发明涉及医疗器械技术领域,特别涉及一种具有高活动度的人工肩关节假体。The invention relates to the technical field of medical devices, and in particular to an artificial shoulder joint prosthesis with high mobility.

背景技术Background Art

肩关节置换术是指当人体肩关节发生病变后,通过手术将人体肩关节切除并通过人工肩关节假体替代的手术,人工肩关节主要用金属、陶瓷等材料,根据人体肩关节的形态、构造及功能制成的,通过外科技术植入人体内,代替患病关节功能,以达到缓解关节疼痛、恢复肩关节功能的目的。Shoulder replacement surgery refers to a surgery in which the human shoulder joint is removed and replaced with an artificial shoulder prosthesis when the human shoulder joint is diseased. The artificial shoulder joint is mainly made of metal, ceramic and other materials according to the shape, structure and function of the human shoulder joint. It is implanted into the human body through surgical techniques to replace the function of the diseased joint, so as to relieve joint pain and restore shoulder joint function.

患者在进行手臂环转运动康复训练时,内衬和肩盂球头连接作为持续受力运动点,仍存在着过量磨损的可能性,影响使用寿命,同时,骨柄在肱骨内安装时,由于患者骨骼大小不同,运动时肩盂球头受力情况不同,大范围手臂运动时,骨柄不能对肩盂球头提供持续的支撑力,容易造成骨柄在运动中产生松动,造成塑料内衬和肩盂球头脱落。When patients perform arm rotation rehabilitation training, the connection between the liner and the glenosphere head is a continuous force-bearing point, and there is still a possibility of excessive wear, which affects the service life. At the same time, when the stem is installed in the humerus, due to the different bone sizes of patients, the force applied to the glenosphere head during exercise is different. During large-scale arm movements, the stem cannot provide continuous support for the glenosphere head, which can easily cause the stem to loosen during exercise and cause the plastic liner and glenosphere head to fall off.

因此,本申请提供了一种具有高活动度的人工肩关节假体来满足需求。Therefore, the present application provides an artificial shoulder joint prosthesis with high mobility to meet the needs.

发明内容Summary of the invention

本发明要解决的技术问题是提供一种具有高活动度的人工肩关节假体以解决现有的患者在进行手臂环转运动康复训练时,内衬和肩盂球头连接作为持续受力运动点,仍存在着过量磨损的可能性,影响使用寿命,同时,骨柄在肱骨内安装时,由于患者骨骼大小不同,运动时肩盂球头受力情况不同,大范围手臂运动时,骨柄不能对肩盂球头提供持续的支撑力,容易造成骨柄在运动中产生松动,造成塑料内衬和肩盂球头脱落的问题。The technical problem to be solved by the present invention is to provide an artificial shoulder joint prosthesis with a high range of motion to solve the problem that when existing patients perform arm rotation rehabilitation training, the connection between the liner and the glenosphere head is used as a continuous force-bearing movement point, which still has the possibility of excessive wear and affects the service life. At the same time, when the stem is installed in the humerus, due to the different bone sizes of patients, the force conditions of the glenosphere head during exercise are different. During large-scale arm movements, the stem cannot provide continuous support for the glenosphere head, which can easily cause the stem to loosen during exercise and cause the plastic liner and the glenosphere head to fall off.

为解决上述技术问题,本发明提供如下技术方案:In order to solve the above technical problems, the present invention provides the following technical solutions:

一种具有高活动度的人工肩关节假体,包括肩盂球头,所述肩盂球头的一侧设置有肩盆背板,所述肩盆背板的内侧等角度分布设置有固定螺钉,所述肩盂球头外侧套设有肩盂内衬,还包括角度组件,所述角度组件安装在所述肩盂内衬的外侧,所述角度组件用于提高肩盂内衬的可动角度,伸缩组件,所述伸缩组件安装在所述角度组件的尾部,所述伸缩组件用于改变骨柄68在肱骨内插入长短。An artificial shoulder joint prosthesis with high mobility includes a glenosphere head, a shoulder pelvis back plate is arranged on one side of the glenosphere head, fixing screws are arranged at equal angles on the inner side of the shoulder pelvis back plate, a glenoid liner is sleeved on the outer side of the glenosphere head, an angle assembly is installed on the outer side of the glenoid liner, the angle assembly is used to increase the movable angle of the glenoid liner, and a telescopic assembly is installed at the tail of the angle assembly, the telescopic assembly is used to change the insertion length of the bone stem 68 in the humerus.

可选地,所述肩盂球头和肩盂内衬使用钛合金材料,所述固定螺钉设置为三组,所述固定螺钉与肩盆背板中轴线夹角为30~50°。Optionally, the glenosphere head and the glenosphere liner are made of titanium alloy material, the fixing screws are provided in three groups, and the angle between the fixing screws and the central axis of the shoulder-pelvic back plate is 30-50°.

可选地,所述角度组件包括安装壳,所述安装壳安装在所述肩盂内衬的外侧,所述安装壳的底部设置有滑轨一和滑轨二。Optionally, the angle assembly includes a mounting shell, the mounting shell is mounted on the outside of the glenoid liner, and a slide rail 1 and a slide rail 2 are provided at the bottom of the mounting shell.

可选地,所述滑轨一和滑轨二在安装壳的端部转动,所述滑轨一和滑轨二的内侧滑动设置有滑动杆,所述滑动杆的一端连接有万向球头。Optionally, the slide rail 1 and the slide rail 2 rotate at the ends of the mounting shell, and a sliding rod is slidably provided inside the slide rail 1 and the slide rail 2, and one end of the sliding rod is connected to a universal ball head.

可选地,所述万向球头的尾端安装在所述肩盂内衬的底面,所述滑动杆的底面连接有固定板,所述固定板的顶部连接有反肩肱骨体。Optionally, the tail end of the universal ball head is mounted on the bottom surface of the glenoid liner, the bottom surface of the sliding rod is connected to a fixing plate, and the top of the fixing plate is connected to the anti-shoulder humerus body.

可选地,所述安装壳表面设置有钽涂层,所述滑轨一和滑轨二设置为圆弧形,所述滑轨一位于滑轨二的底部,所述滑轨一与滑轨二呈十字型设置,所述滑动杆同时嵌套在滑轨一和滑轨二内侧。Optionally, a tantalum coating is provided on the surface of the mounting shell, the slide rail one and the slide rail two are arranged in an arc shape, the slide rail one is located at the bottom of the slide rail two, the slide rail one and the slide rail two are arranged in a cross shape, and the sliding rod is nested inside the slide rail one and the slide rail two at the same time.

可选地,所述伸缩组件包括手拧环,所述手拧环安装在所述反肩肱骨体的底部,所述手拧环的内侧嵌套安装有齿盘。Optionally, the telescopic assembly includes a hand-tightening ring, which is installed at the bottom of the reverse scapulohumeral body, and a gear disk is nested on the inner side of the hand-tightening ring.

可选地,所述齿盘与锥齿轮相互啮合,所述锥齿轮在反肩肱骨体的底部转动,所述锥齿轮的尾端连接有传动杆,所述传动杆的尾端连接有锥齿轮组,所述锥齿轮组的输出端连接有螺杆。Optionally, the toothed disc and the bevel gear are meshed with each other, the bevel gear rotates at the bottom of the anti-scapulohumeral body, the tail end of the bevel gear is connected to a transmission rod, the tail end of the transmission rod is connected to a bevel gear set, and the output end of the bevel gear set is connected to a screw.

可选地,所述螺杆的外侧螺纹连接有螺纹块,所述螺纹块外侧套设有骨柄,所述骨柄的外侧套设有固定套,所述手拧环的一侧设置有卡接块,所述卡接块通过扭簧连接在固定套的侧壁上。Optionally, the outer side of the screw rod is threadedly connected to a threaded block, a bone handle is sleeved on the outer side of the threaded block, a fixing sleeve is sleeved on the outer side of the bone handle, a clamping block is provided on one side of the hand-tightening ring, and the clamping block is connected to the side wall of the fixing sleeve through a torsion spring.

可选地,所述手拧环在反肩肱骨体的底部转动,所述传动杆安装在固定套内壁上,所述螺杆垂直于手拧环的底面设置,所述骨柄在固定套内侧滑动。Optionally, the hand-tightening ring rotates at the bottom of the reverse shoulder humerus body, the transmission rod is installed on the inner wall of the fixing sleeve, the screw rod is arranged perpendicular to the bottom surface of the hand-tightening ring, and the bone handle slides inside the fixing sleeve.

本发明与现有技术相比,至少具有如下有益效果:Compared with the prior art, the present invention has at least the following beneficial effects:

上述方案中,通过设置有角度组件,肩盂球头和肩盂内衬在接触转动时,滑动杆在滑轨一和滑轨二的内侧导向滑动,由于反肩肱骨体与手拧环和固定套相连接,从而使滑动杆始终垂直于固定板的表面固定,肩盂内衬跟随万向球头进行转动,肩盂球头和肩盂内衬产生相对位移,提高了肩关节假体的灵活度,降低了肩盂内衬与肩盂球头接触转动中的磨损,增加使用寿命,提高患者康复训练时的舒适度。In the above scheme, by providing an angle component, when the glenosphere head and the glenosphere liner are in contact and rotate, the sliding rod slides on the inner side of the slide rails one and two. Since the reverse shoulder humerus body is connected with the hand-tightening ring and the fixing sleeve, the sliding rod is always fixed perpendicular to the surface of the fixing plate, and the glenosphere liner rotates with the universal ball head. The glenosphere head and the glenosphere liner produce relative displacement, which improves the flexibility of the shoulder joint prosthesis, reduces the wear of the glenosphere liner and the glenosphere head during contact and rotation, increases the service life, and improves the comfort of the patient during rehabilitation training.

通过设置伸缩组件,根据剩余肱骨长度,计算最佳的假体骨柄受力长度,手动旋转手拧环,手拧环带动齿盘进行转动,使锥齿轮通过传动杆带动锥齿轮组转动,从而使锥齿轮组输出端相连接的螺杆进行转动,通过螺杆和螺纹块的螺纹啮合,使螺纹块带动骨柄在固定套内侧竖直向下滑动,从而使骨柄进行伸长操作,提高了假体安装的通用性,可针对不同长度的肱骨进行安装,骨柄不能对肩盂球头提供持续的支撑力,防止骨柄在运动中产生松动,造成塑料内衬和肩盂球头脱落,使假体各部件能够连接更紧密。By setting a telescopic component, the optimal force-bearing length of the prosthetic stem is calculated according to the remaining humeral length, and the hand-tightening ring is manually rotated. The hand-tightening ring drives the toothed disk to rotate, so that the bevel gear drives the bevel gear group to rotate through the transmission rod, thereby rotating the screw connected to the output end of the bevel gear group. Through the threaded engagement of the screw and the threaded block, the threaded block drives the stem to slide vertically downward on the inside of the fixing sleeve, thereby extending the stem, thereby improving the versatility of prosthetic installation, and can be installed for humeri of different lengths. The stem cannot provide continuous support for the glenosphere head, which prevents the stem from loosening during movement and causing the plastic liner and the glenosphere head to fall off, so that the various components of the prosthesis can be connected more tightly.

附图说明BRIEF DESCRIPTION OF THE DRAWINGS

并入本文中并且构成说明书的部分的附图示出了本发明的实施例,并且与说明书一起进一步用来对本发明的原理进行解释,并且使相关领域技术人员能够实施和使用本发明。The accompanying drawings, which are incorporated herein and constitute a part of the specification, illustrate embodiments of the invention and, together with the description, further serve to explain the principles of the invention and to enable those skilled in the relevant art to make and use the invention.

图1为具有高活动度的人工肩关节假体立体结构示意图;FIG1 is a schematic diagram of the three-dimensional structure of an artificial shoulder joint prosthesis with high mobility;

图2为具有高活动度的人工肩关节假体立体结构爆炸图;FIG2 is an exploded view of the three-dimensional structure of an artificial shoulder joint prosthesis with high mobility;

图3为肩盂内衬、反肩肱骨体和固定套装配立体结构示意图;FIG3 is a schematic diagram of the three-dimensional structure of the glenoid liner, the reverse shoulder humerus body and the fixation sleeve assembly;

图4为图3的A处立体结构放大图;FIG4 is an enlarged view of the three-dimensional structure at point A in FIG3 ;

图5为角度组件立体结构示意图;FIG5 is a schematic diagram of the three-dimensional structure of the angle assembly;

图6为伸缩组件立体结构剖视图;FIG6 is a cross-sectional view of the three-dimensional structure of the telescopic assembly;

图7为图6的B处立体结构放大图;FIG7 is an enlarged view of the three-dimensional structure at B in FIG6;

图8为螺纹块、骨柄和固定套装配立体结构剖视图;FIG8 is a cross-sectional view of the assembled three-dimensional structure of the threaded block, the bone handle and the fixing sleeve;

图9为固定套、锥齿轮组和螺杆装配关系俯视图;FIG9 is a top view of the assembly relationship between the fixed sleeve, the bevel gear set and the screw;

图10为手拧环和卡接块装配立体结构示意图;FIG10 is a schematic diagram of the three-dimensional structure of the hand-tightening ring and the clamping block assembly;

图11为卡接块的立体结构示意图。FIG. 11 is a schematic diagram of the three-dimensional structure of the clamping block.

[附图标记][Reference Signs]

1、肩盂球头;2、肩盆背板;3、固定螺钉;4、肩盂内衬;5、角度组件;51、安装壳;52、滑轨一;53、滑轨二;54、滑动杆;55、万向球头;56、固定板;57、反肩肱骨体;6、伸缩组件;61、手拧环;62、齿盘;63、锥齿轮;64、传动杆;65、锥齿轮组;66、螺杆;67、螺纹块;68、骨柄;69、固定套;610、卡接块。1. Glenoid head; 2. Shoulder pelvis back plate; 3. Fixing screw; 4. Glenoid liner; 5. Angle assembly; 51. Mounting shell; 52. Slide rail 1; 53. Slide rail 2; 54. Slide rod; 55. Universal ball head; 56. Fixing plate; 57. Anti-shoulder humeral body; 6. Telescopic assembly; 61. Hand-tightening ring; 62. Toothed disc; 63. Bevel gear; 64. Transmission rod; 65. Bevel gear set; 66. Screw; 67. Threaded block; 68. Bone handle; 69. Fixing sleeve; 610. Snap-in block.

如图所示,为了能明确实现本发明的实施例的结构,在图中标注了特定的结构和器件,但这仅为示意需要,并非意图将本发明限定在该特定结构、器件和环境中,根据具体需要,本领域的普通技术人员可以将这些器件和环境进行调整或者修改。As shown in the figure, in order to clearly implement the structure of the embodiment of the present invention, specific structures and devices are marked in the figure, but this is only for illustrative purposes and is not intended to limit the present invention to the specific structure, device and environment. According to specific needs, ordinary technicians in this field can adjust or modify these devices and environments.

具体实施方式DETAILED DESCRIPTION

下面结合附图和具体实施例对本发明提供的一种具有高活动度的人工肩关节假体进行详细描述。同时在这里做以说明的是,为了使实施例更加详尽,下面的实施例为最佳、优选实施例,对于一些公知技术本领域技术人员也可采用其他替代方式而进行实施;而且附图部分仅是为了更具体的描述实施例,而并不旨在对本发明进行具体的限定。The following is a detailed description of an artificial shoulder joint prosthesis with high mobility provided by the present invention in conjunction with the accompanying drawings and specific embodiments. At the same time, it is explained here that in order to make the embodiments more detailed, the following embodiments are the best and preferred embodiments, and those skilled in the art may also adopt other alternatives to implement some known technologies; and the accompanying drawings are only for a more specific description of the embodiments, and are not intended to specifically limit the present invention.

需要指出的是,在说明书中提到“一个实施例”、“实施例”、“示例性实施例”、“一些实施例”等指示所述的实施例可以包括特定特征、结构或特性,但未必每个实施例都包括该特定特征、结构或特性。另外,在结合实施例描述特定特征、结构或特性时,结合其它实施例(无论是否明确描述)实现这种特征、结构或特性应在相关领域技术人员的知识范围内。It should be noted that the references to "one embodiment", "embodiment", "exemplary embodiments", "some embodiments" and the like in the specification indicate that the embodiments described may include specific features, structures or characteristics, but not every embodiment may include the specific features, structures or characteristics. In addition, when a specific feature, structure or characteristic is described in conjunction with an embodiment, it should be within the knowledge of a person skilled in the art to implement such feature, structure or characteristic in conjunction with other embodiments (whether or not explicitly described).

通常,可以至少部分从上下文中的使用来理解术语。例如,至少部分取决于上下文,本文中使用的术语“一个或多个”可以用于描述单数意义的任何特征、结构或特性,或者可以用于描述复数意义的特征、结构或特性的组合。另外,术语“基于”可以被理解为不一定旨在传达一组排他性的因素,而是可以替代地,至少部分地取决于上下文,允许存在不一定明确描述的其他因素。In general, a term can be understood, at least in part, from its use in context. For example, depending, at least in part, on the context, the term "one or more" as used herein can be used to describe any feature, structure, or characteristic in the singular sense, or can be used to describe a combination of features, structures, or characteristics in the plural sense. Additionally, the term "based on" can be understood as not necessarily intended to convey an exclusive set of factors, but can instead, depending, at least in part, on the context, allow for the presence of other factors that are not necessarily explicitly described.

可以理解的是,本发明中的“在……上”、“在……之上”和“在……上方”的含义应当以最宽方式被解读,以使得“在……上”不仅表示“直接在”某物“上”而且还包括在某物“上”且其间有居间特征或层的含义,并且“在……之上”或“在……上方”不仅表示“在”某物“之上”或“上方”的含义,而且还可以包括其“在”某物“之上”或“上方”且其间没有居间特征或层的含义。It will be understood that the meanings of “on,” “over,” and “above” in the present invention should be interpreted in the broadest manner, so that “on” not only means “directly on” something, but also includes the meaning of being “on” something with intervening features or layers therebetween, and “on” or “over” not only means “on” or “above” something, but also includes the meaning of being “on” or “above” something with no intervening features or layers therebetween.

此外,诸如“在…之下”、“在…下方”、“下部”、“在…之上”、“上部”等空间相关术语在本文中为了描述方便可以用于描述一个元件或特征与另一个或多个元件或特征的关系,如在附图中示出的。空间相关术语旨在涵盖除了在附图所描绘的取向之外的在设备使用或操作中的不同取向。设备可以以另外的方式被定向,并且本文中使用的空间相关描述词可以类似地被相应解释。Additionally, spatially relative terms such as "under," "beneath," "lower," "above," "upper," and the like may be used herein for descriptive convenience to describe the relationship of one element or feature to another element or features, as shown in the accompanying drawings. Spatially relative terms are intended to encompass different orientations of the device in use or operation in addition to the orientation depicted in the accompanying drawings. The device may be oriented in other ways, and the spatially relative descriptors used herein may be similarly interpreted accordingly.

如图1至图3所示的,本发明的实施例提供一种具有高活动度的人工肩关节假体,包括肩盂球头1,所述肩盂球头1的一侧设置有肩盆背板2,肩盆背板2的内侧等角度分布设置有固定螺钉3,肩盂球头1外侧套设有肩盂内衬4,还包括角度组件5,角度组件5安装在肩盂内衬4的外侧,角度组件5用于提高肩盂内衬4的可动角度,伸缩组件6,伸缩组件6安装在角度组件5的尾部,伸缩组件6用于改变骨柄68在肱骨内插入长短。As shown in Figures 1 to 3, an embodiment of the present invention provides an artificial shoulder joint prosthesis with a high range of motion, including a glenosphere head 1, a shoulder pelvis back plate 2 is provided on one side of the glenosphere head 1, fixing screws 3 are provided on the inner side of the shoulder pelvis back plate 2 at equal angles, a glenoid liner 4 is sleeved on the outer side of the glenosphere head 1, and also includes an angle component 5, which is installed on the outer side of the glenoid liner 4, and the angle component 5 is used to increase the movable angle of the glenoid liner 4, and a telescopic component 6, which is installed at the tail of the angle component 5, and the telescopic component 6 is used to change the insertion length of the stem 68 in the humerus.

本实施例中,所述肩盂球头1和肩盂内衬4使用钛合金材料,提高肩盂球头1和肩盂内衬4的耐磨性,降低磨损,固定螺钉3设置为三组,提高结构安装稳定性,固定螺钉3与肩盆背板2中轴线夹角为30~50°。In this embodiment, the glenosphere head 1 and the glenoid liner 4 are made of titanium alloy material to improve the wear resistance of the glenosphere head 1 and the glenoid liner 4 and reduce wear. The fixing screws 3 are set in three groups to improve the structural installation stability. The angle between the fixing screws 3 and the central axis of the shoulder-pelvic back plate 2 is 30~50°.

如图1至图5所示,所述角度组件5包括安装壳51,安装壳51安装在肩盂内衬4的外侧,安装壳51的底部设置有滑轨一52和滑轨二53;As shown in FIGS. 1 to 5 , the angle assembly 5 includes a mounting shell 51, which is mounted on the outside of the glenoid liner 4, and a slide rail 1 52 and a slide rail 2 53 are disposed at the bottom of the mounting shell 51;

在使用过程中,在关节活动时,肩盂球头1和肩盂内衬4在接触转动时,滑动杆54在滑轨一52和滑轨二53的内侧导向滑动,由于反肩肱骨体57与手拧环61和固定套69相连接,从而使滑动杆54始终垂直于固定板56的表面固定,肩盂内衬4跟随万向球头55进行转动,肩盂球头1和肩盂内衬4产生相对位移,滑轨一52和滑轨二53的两端分别安装在所述安装壳51外侧的转轴上,且可以在安装壳51外侧的转轴上进行转动,滑轨一52位于滑轨二53的底部,在滑动杆54进行滑动时,当在滑轨一52内侧可以顺畅滑动时,滑动杆54的侧壁与滑轨二53的侧壁相互接触,根据滑动杆54在滑轨一52内的滑动,推动滑轨二53的侧壁,使滑轨二53在安装壳51外侧的转轴上跟随转动,在滑轨二53内侧可以顺畅滑动时,同理操作,反肩肱骨体57固定在骨髓腔内,所以在上述操作过程中,万向球头55外侧套设的肩盂内衬4跟随滑轨一52和滑轨二53的转动进行转动,同时肩盂内衬4和肩盂球头1的圆弧面接触时,便可增大接触倾角,增加肩盂内衬4与肩盂球头1接触活动中的活动范围,提高了肩关节假体的灵活度,降低了肩盂内衬4与肩盂球头1接触转动中的磨损。During use, when the joint moves, the glenosphere head 1 and the glenoid liner 4 are in contact and rotated, and the sliding rod 54 slides on the inner side of the slide rail 1 52 and the slide rail 2 53. Since the anti-shoulder humeral body 57 is connected with the hand-tightening ring 61 and the fixing sleeve 69, the sliding rod 54 is always fixed perpendicular to the surface of the fixing plate 56, and the glenoid liner 4 rotates following the universal ball head 55. The glenosphere head 1 and the glenoid liner 4 produce relative displacement. The two ends of the slide rail 1 52 and the slide rail 2 53 are respectively mounted on the rotating shaft outside the mounting shell 51, and can rotate on the rotating shaft outside the mounting shell 51. The slide rail 1 52 is located at the bottom of the slide rail 2 53. When the sliding rod 54 slides, when it can slide smoothly on the inner side of the slide rail 1 52, the sliding rod 5 The side wall of 4 contacts with the side wall of the second slide rail 53, and according to the sliding of the sliding rod 54 in the first slide rail 52, the side wall of the second slide rail 53 is pushed, so that the second slide rail 53 rotates on the rotating shaft outside the mounting shell 51. When the inner side of the second slide rail 53 can slide smoothly, the same operation is performed, and the reverse shoulder humerus body 57 is fixed in the medullary cavity. Therefore, during the above operation, the shoulder liner 4 sleeved on the outer side of the universal ball head 55 rotates following the rotation of the first slide rail 52 and the second slide rail 53. At the same time, when the arc surface of the shoulder liner 4 and the shoulder glenosphere head 1 contacts, the contact inclination angle can be increased, and the range of activity of the shoulder liner 4 and the shoulder glenosphere head 1 in the contact activity is increased, thereby improving the flexibility of the shoulder joint prosthesis and reducing the wear of the shoulder liner 4 and the shoulder glenosphere head 1 in the contact rotation.

如图1至图5所示,所述滑轨一52和滑轨二53在安装壳51的端部转动,滑轨一52和滑轨二53的内侧滑动设置有滑动杆54,滑动杆54的一端连接有万向球头55,滑轨一52和滑轨二53的两端分别安装在所述安装壳51外侧的转轴上,且可以在安装壳51外侧的转轴上进行转动,滑轨一52位于滑轨二53的底部,在滑动杆54进行滑动时,当在滑轨一52内侧可以顺畅滑动时,滑动杆54的侧壁与滑轨二53的侧壁相互接触,根据滑动杆54在滑轨一52内的滑动,推动滑轨二53的侧壁,使滑轨二53在安装壳51外侧的转轴上跟随转动,在滑轨二53内侧可以顺畅滑动时同理。As shown in Figures 1 to 5, the slide rail 1 52 and the slide rail 2 53 rotate at the ends of the mounting shell 51, and a sliding rod 54 is provided on the inner side of the slide rail 1 52 and the slide rail 2 53 for sliding movement. One end of the sliding rod 54 is connected to a universal ball head 55. The two ends of the slide rail 1 52 and the slide rail 2 53 are respectively mounted on the rotating shaft on the outer side of the mounting shell 51, and can rotate on the rotating shaft on the outer side of the mounting shell 51. The slide rail 1 52 is located at the bottom of the slide rail 2 53. When the sliding rod 54 slides, when it can slide smoothly on the inner side of the slide rail 1 52, the side wall of the sliding rod 54 contacts with the side wall of the slide rail 2 53. According to the sliding of the sliding rod 54 in the slide rail 1 52, the side wall of the slide rail 2 53 is pushed, so that the slide rail 2 53 follows and rotates on the rotating shaft on the outer side of the mounting shell 51. The same applies when it can slide smoothly on the inner side of the slide rail 2 53.

如图1至图5所示,所述万向球头55的尾端安装在肩盂内衬4的底面,滑动杆54的底面连接有固定板56,固定板56的顶部连接有反肩肱骨体57,滑动杆54嵌套在滑轨一52和滑轨二53的内侧,且可以滑动,万向球头55嵌套在肩盂内衬4的底面上,且万向球头55在底面上可以活动,滑动杆54固定安装在万向球头55的外侧壁上,固定板56通过螺栓固定在反肩肱骨体57的端部。As shown in Figures 1 to 5, the tail end of the universal ball head 55 is installed on the bottom surface of the glenoid liner 4, the bottom surface of the sliding rod 54 is connected to a fixing plate 56, and the top of the fixing plate 56 is connected to an anti-shoulder humeral body 57. The sliding rod 54 is nested in the inner side of the slide rail 1 52 and the slide rail 2 53 and can slide. The universal ball head 55 is nested in the bottom surface of the glenoid liner 4, and the universal ball head 55 can move on the bottom surface. The sliding rod 54 is fixedly installed on the outer side wall of the universal ball head 55, and the fixing plate 56 is fixed to the end of the anti-shoulder humeral body 57 by bolts.

本实施例中,所述安装壳51表面设置有钽涂层,提高假体结构与人体的接触效果,能够促进骨生长,滑轨一52和滑轨二53设置为圆弧形,提高滑动杆54的转动稳定,滑轨一52位于滑轨二53的底部,滑轨一52与滑轨二53呈十字型设置,滑动杆54同时嵌套在滑轨一52和滑轨二53内侧。In this embodiment, a tantalum coating is provided on the surface of the mounting shell 51 to improve the contact effect between the prosthetic structure and the human body and promote bone growth. The slide rail 1 52 and the slide rail 2 53 are arranged in an arc shape to improve the rotation stability of the sliding rod 54. The slide rail 1 52 is located at the bottom of the slide rail 2 53. The slide rail 1 52 and the slide rail 2 53 are arranged in a cross shape. The sliding rod 54 is nested in the inner side of the slide rail 1 52 and the slide rail 2 53 at the same time.

如图1至图3和图6至图9所示,所述伸缩组件6包括手拧环61,手拧环61安装在反肩肱骨体57的底部,手拧环61的内侧嵌套安装有齿盘62;As shown in FIGS. 1 to 3 and 6 to 9 , the telescopic assembly 6 includes a hand-tightening ring 61 , which is mounted at the bottom of the anti-shoulder humeral body 57 , and a toothed disc 62 is nested and mounted inside the hand-tightening ring 61 ;

操作人员随后根据肱骨病变情况不同,切割不同的厚度和倾角,切割肱骨头一侧的病变骨头部分,在肱骨髓腔内填充骨水泥,根据剩余肱骨长度,计算最佳的假体骨柄68受力长度,手动旋转手拧环61,卡接块610跟随手拧环61的转动,卡接块610持续滑动进入手拧环61的外侧槽内,对卡接块610进行固定,防止手拧环61松动手拧环61带动齿盘62进行转动,使锥齿轮63通过传动杆64带动锥齿轮组65转动,从而使锥齿轮组65输出端相连接的螺杆66进行转动,通过螺杆66和螺纹块67的螺纹啮合,使螺纹块67带动骨柄68在固定套69内侧竖直向下滑动,从而使骨柄68进行伸长操作,提高了假体安装的通用性,可针对不同长度的肱骨进行安装,将骨柄68和固定套69整体插入填充骨水泥有肱骨髓腔内,直至安装壳51露出在肱骨头端部,随后将肩盂内衬4和肩盂球头1相互卡接,完成假体整体植入安装。The operator then cuts different thicknesses and inclinations according to the different conditions of the humeral lesions, cuts the diseased bone part on one side of the humeral head, fills the humeral medullary cavity with bone cement, calculates the optimal force-bearing length of the prosthetic stem 68 according to the remaining humeral length, manually rotates the hand-tightening ring 61, and the clamping block 610 follows the rotation of the hand-tightening ring 61. The clamping block 610 continuously slides into the outer groove of the hand-tightening ring 61 to fix the clamping block 610 to prevent the hand-tightening ring 61 from loosening. The hand-tightening ring 61 drives the toothed disc 62 to rotate, so that the bevel gear 63 drives the bevel gear set 66 through the transmission rod 64. 5 rotates, thereby rotating the screw rod 66 connected to the output end of the bevel gear set 65, and through the threaded engagement of the screw rod 66 and the threaded block 67, the threaded block 67 drives the bone stem 68 to slide vertically downward inside the fixing sleeve 69, so that the bone stem 68 is extended, thereby improving the versatility of prosthesis installation, and can be installed for humerus of different lengths. The bone stem 68 and the fixing sleeve 69 are inserted into the humeral medullary cavity filled with bone cement as a whole until the installation shell 51 is exposed at the end of the humeral head, and then the glenoid liner 4 and the glenosphere head 1 are clamped together to complete the overall implantation and installation of the prosthesis.

如图1至图3和图6至图9所示,所述齿盘62与锥齿轮63相互啮合,锥齿轮63在反肩肱骨体57的底部转动,锥齿轮63的尾端连接有传动杆64,传动杆64的尾端连接有锥齿轮组65,锥齿轮组65的输出端连接有螺杆66。As shown in Figures 1 to 3 and Figures 6 to 9, the toothed disc 62 is meshed with the bevel gear 63, and the bevel gear 63 rotates at the bottom of the anti-shoulder humeral body 57. The tail end of the bevel gear 63 is connected to a transmission rod 64, and the tail end of the transmission rod 64 is connected to a bevel gear set 65, and the output end of the bevel gear set 65 is connected to a screw 66.

本实施例中,手动按压卡接块610的尾部,使卡接块610的卡持部分从手拧环61的外侧槽中脱出,并手动旋转手拧环61,使手拧环61手拧环61带动齿盘62进行转动,使锥齿轮63通过传动杆64带动锥齿轮组65转动,从而使锥齿轮组65输出端相连接的螺杆66进行转动,通过螺杆66和螺纹块67的螺纹啮合,使螺纹块67带动骨柄68在固定套69内侧竖直向下滑动,从而使骨柄68进行伸长操作,提高了假体安装的通用性,可针对不同长度的肱骨进行安装,随后松开卡接块610的尾部,由于卡接块610通过扭簧连接在固定套69的侧壁支架上,在卡接块610尾端不受力时,卡接块610前端齿块部分向手拧环61的外侧槽方向转动,使卡接块610前端齿块部分卡接在手拧环61的外侧槽内部,防止手拧环61在静止状态下松动。In this embodiment, the tail of the clamping block 610 is manually pressed to make the clamping part of the clamping block 610 disengage from the outer groove of the hand-tightening ring 61, and the hand-tightening ring 61 is manually rotated to make the hand-tightening ring 61 drive the toothed disc 62 to rotate, so that the bevel gear 63 drives the bevel gear set 65 to rotate through the transmission rod 64, so that the screw rod 66 connected to the output end of the bevel gear set 65 rotates, and the screw rod 66 and the threaded block 67 are engaged with each other, so that the threaded block 67 drives the bone handle 68 to move vertically downward on the inner side of the fixing sleeve 69. Slide, thereby extending the bone handle 68, improving the versatility of the prosthesis installation, and can be installed for humeri of different lengths. Then, the tail end of the clamping block 610 is loosened. Since the clamping block 610 is connected to the side wall bracket of the fixing sleeve 69 through a torsion spring, when the tail end of the clamping block 610 is not under force, the front end tooth block part of the clamping block 610 rotates toward the outer groove direction of the hand-tightening ring 61, so that the front end tooth block part of the clamping block 610 is clamped in the outer groove of the hand-tightening ring 61 to prevent the hand-tightening ring 61 from loosening in a static state.

如图1至图3和图6至图9所示,所述螺杆66的外侧螺纹连接有螺纹块67,螺纹块67外侧套设有骨柄68,骨柄68的外侧套设有固定套69,手拧环61的一侧设置有卡接块610,卡接块610通过扭簧连接在固定套69的侧壁支架上。螺纹块67固定嵌套在骨柄68的内侧,如图6所示,螺纹块67通过固定套69内侧的限位块在骨柄68的内侧滑动,如图10和11所示,手拧环61在反肩肱骨体57的底部和固定套69的滑槽内转动,手拧环61和齿盘62相互固定连接,卡接块610的转轴上套设有扭簧。As shown in Figs. 1 to 3 and 6 to 9, the outer side of the screw rod 66 is threadedly connected with a threaded block 67, the outer side of the threaded block 67 is sleeved with a bone handle 68, the outer side of the bone handle 68 is sleeved with a fixing sleeve 69, and a clamping block 610 is provided on one side of the hand-tightening ring 61, and the clamping block 610 is connected to the side wall bracket of the fixing sleeve 69 through a torsion spring. The threaded block 67 is fixedly nested in the inner side of the bone handle 68, as shown in Fig. 6, the threaded block 67 slides on the inner side of the bone handle 68 through the limiting block on the inner side of the fixing sleeve 69, as shown in Figs. 10 and 11, the hand-tightening ring 61 rotates in the bottom of the anti-shoulder humeral body 57 and the sliding groove of the fixing sleeve 69, the hand-tightening ring 61 and the toothed disc 62 are fixedly connected to each other, and a torsion spring is sleeved on the rotating shaft of the clamping block 610.

本实施例中,所述手拧环61在反肩肱骨体57的底部转动,防止手拧环61卡塞,如图7所示,传动杆64安装在固定套69内壁支架上,且在固定套69内壁支架上转动,螺杆66垂直于手拧环61的底面设置,骨柄68在固定套69内侧滑动,提高结构伸缩稳定性。In this embodiment, the hand-tightening ring 61 rotates at the bottom of the reverse shoulder humerus body 57 to prevent the hand-tightening ring 61 from getting stuck. As shown in Figure 7, the transmission rod 64 is installed on the inner wall bracket of the fixed sleeve 69 and rotates on the inner wall bracket of the fixed sleeve 69. The screw 66 is arranged perpendicular to the bottom surface of the hand-tightening ring 61, and the bone handle 68 slides on the inner side of the fixed sleeve 69 to improve the telescopic stability of the structure.

本发明技术方案的工作过程如下:The working process of the technical solution of the present invention is as follows:

首先,操作人员对肩关节一侧切割骨头端部面,对已切割位置进行钻孔,将肩盆背板2安装放置其中,将固定螺钉3穿过肩盆背板2的安装孔拧入,使肩盆背板2固定在肩关节一侧的骨头内,将肩盂球头1安装在肩盆背板2的顶部,完成肩关节一侧的假体安装,操作人员随后根据肱骨病变情况不同,切割不同的厚度和倾角,切割肱骨头一侧的病变骨头部分,在肱骨髓腔内填充骨水泥,根据剩余肱骨长度,计算最佳的假体骨柄68受力长度,手动按压卡接块610的尾部,使卡接块610的卡持部分从手拧环61的外侧槽中脱出,并手动旋转手拧环61,使手拧环61手拧环61带动齿盘62进行转动,使锥齿轮63通过传动杆64带动锥齿轮组65转动,从而使锥齿轮组65输出端相连接的螺杆66进行转动,通过螺杆66和螺纹块67的螺纹啮合,使螺纹块67带动骨柄68在固定套69内侧竖直向下滑动,从而使骨柄68进行伸长操作,提高了假体安装的通用性,可针对不同长度的肱骨进行安装,随后松开卡接块610的尾部,由于卡接块610通过扭簧连接在固定套69的侧壁支架上,在卡接块610尾端不受力时,卡接块610前端齿块部分向手拧环61的外侧槽方向转动,使卡接块610前端齿块部分卡接在手拧环61的外侧槽内部,防止手拧环61在静止状态下松动,操作人员将骨柄68和固定套69整体插入填充骨水泥有肱骨髓腔内,直至安装壳51露出在肱骨头端部,随后将肩盂内衬4和肩盂球头1相互卡接,完成假体整体植入安装。First, the operator cuts the bone end surface on one side of the shoulder joint, drills the cut position, installs the shoulder pelvis back plate 2 therein, screws the fixing screw 3 through the installation hole of the shoulder pelvis back plate 2 to fix the shoulder pelvis back plate 2 in the bone on one side of the shoulder joint, installs the glenosphere head 1 on the top of the shoulder pelvis back plate 2 to complete the installation of the prosthesis on one side of the shoulder joint, and then the operator cuts different thicknesses and inclinations according to different humeral lesions, cuts the diseased bone part on one side of the humeral head, fills bone cement in the humeral medullary cavity, calculates the optimal force-bearing length of the prosthetic bone stem 68 according to the remaining humeral length, manually presses the tail of the clamping block 610 to make the clamping part of the clamping block 610 disengage from the outer groove of the hand-tightening ring 61, and manually rotates the hand-tightening ring 61 to make the hand-tightening ring 61 drive the toothed disc 62 to rotate, so that the bevel gear 63 drives the bevel gear set 65 to rotate through the transmission rod 64, thereby making the bevel gear set 65 output The screw rod 66 connected to the end is rotated, and the threaded engagement of the screw rod 66 and the threaded block 67 makes the threaded block 67 drive the bone stem 68 to slide vertically downward inside the fixing sleeve 69, so that the bone stem 68 is extended, which improves the versatility of the prosthesis installation and can be installed for humeri of different lengths. Then, the tail of the clamping block 610 is loosened. Since the clamping block 610 is connected to the side wall bracket of the fixing sleeve 69 through a torsion spring, when the tail end of the clamping block 610 is not subjected to force, the front tooth block part of the clamping block 610 rotates toward the outer groove direction of the hand-tightening ring 61, so that the front tooth block part of the clamping block 610 is clamped inside the outer groove of the hand-tightening ring 61 to prevent the hand-tightening ring 61 from loosening in a static state. The operator inserts the bone stem 68 and the fixing sleeve 69 as a whole into the humeral medullary cavity filled with bone cement until the installation shell 51 is exposed at the end of the humeral head, and then the glenoid liner 4 and the glenosphere head 1 are clamped to each other to complete the overall implantation and installation of the prosthesis.

在关节活动时,肩盂球头1和肩盂内衬4在接触转动时,滑动杆54在滑轨一52和滑轨二53的内侧导向滑动,由于反肩肱骨体57与手拧环61和固定套69相连接,从而使滑动杆54始终垂直于固定板56的表面固定,肩盂内衬4跟随万向球头55进行转动,肩盂球头1和肩盂内衬4产生相对位移,通过增大肩盂内衬4的活动角度,使肩盂内衬4在与肩盂球头1接触转动时,具备多个角度调节范围,增加肩盂内衬4与肩盂球头1接触活动中的活动范围,提高了肩关节假体的灵活度,降低了肩盂内衬4与肩盂球头1接触转动中的磨损。During joint movement, when the glenosphere head 1 and the glenoid liner 4 are in contact and rotate, the sliding rod 54 slides on the inner side of the slide rail 1 52 and the slide rail 2 53. Since the anti-shoulder humeral body 57 is connected with the hand-tightening ring 61 and the fixing sleeve 69, the sliding rod 54 is always fixed perpendicular to the surface of the fixing plate 56, and the glenoid liner 4 rotates following the universal ball head 55. The glenosphere head 1 and the glenoid liner 4 produce relative displacement. By increasing the movable angle of the glenoid liner 4, the glenoid liner 4 has multiple angle adjustment ranges when it is in contact and rotates with the glenosphere head 1, thereby increasing the movable range of the glenoid liner 4 in the contact activity with the glenosphere head 1, thereby improving the flexibility of the shoulder joint prosthesis and reducing the wear of the glenoid liner 4 in the contact and rotation with the glenosphere head 1.

本发明涵盖任何在本发明的精髓和范围上做的替代、修改、等效方法以及方案。为了使公众对本发明有彻底的了解,在以下本发明优选实施例中详细说明了具体的细节,而对本领域技术人员来说没有这些细节的描述也可以完全理解本发明。另外,为了避免对本发明的实质造成不必要的混淆,并没有详细说明众所周知的方法、过程、流程、元件和电路等。The present invention covers any substitution, modification, equivalent method and scheme made on the essence and scope of the present invention. In order to make the public have a thorough understanding of the present invention, specific details are described in detail in the following preferred embodiments of the present invention, but those skilled in the art can fully understand the present invention without the description of these details. In addition, in order to avoid unnecessary confusion about the essence of the present invention, well-known methods, processes, procedures, components and circuits are not described in detail.

以上所述仅是本发明的优选实施方式,应当指出,对于本技术领域的普通技术人员来说,在不脱离本发明原理的前提下,还可以作出若干改进和润饰,这些改进和润饰也应视为本发明的保护范围。The above is only a preferred embodiment of the present invention. It should be pointed out that for ordinary technicians in this technical field, several improvements and modifications can be made without departing from the principle of the present invention. These improvements and modifications should also be regarded as the scope of protection of the present invention.

Claims (10)

1. The artificial shoulder joint prosthesis with the high activity is characterized by comprising a glenoid bulb, wherein a glenoid backboard is arranged on one side of the glenoid bulb, fixing screws are distributed on the inner side of the glenoid backboard at equal angles, and a glenoid liner is sleeved on the outer side of the glenoid bulb;
the shoulder cup liner also comprises an angle assembly, wherein the angle assembly is arranged on the outer side of the shoulder cup liner and is used for improving the movable angle of the shoulder cup liner;
The telescopic assembly is arranged at the tail part of the angle assembly and is used for changing the insertion length of the bone handle in the humerus.
2. The high mobility artificial shoulder joint prosthesis of claim 1, wherein the glenoid ball head and the glenoid liner are made of titanium alloy materials, the set screws are arranged in three groups, and the set screws form an included angle of 30-50 degrees with the central axis of the glenoid backboard.
3. The high mobility artificial shoulder joint prosthesis of claim 2, wherein the angle assembly comprises a mounting shell mounted outside the glenoid liner, the bottom of the mounting shell being provided with a first rail and a second rail.
4. The artificial shoulder joint prosthesis with high mobility according to claim 3, wherein the first and second sliding rails rotate at the end of the installation shell, sliding rods are slidably arranged on the inner sides of the first and second sliding rails, and one end of each sliding rod is connected with a universal ball head.
5. The high mobility artificial shoulder joint prosthesis of claim 4, wherein the tail end of the universal ball head is mounted on the bottom surface of the glenoid liner, the bottom surface of the sliding rod is connected with a fixing plate, and the top of the fixing plate is connected with a reverse shoulder humerus body.
6. The high mobility artificial shoulder joint prosthesis of claim 5, wherein the surface of the mounting shell is provided with a tantalum coating, the first sliding rail and the second sliding rail are arc-shaped, the first sliding rail is positioned at the bottom of the second sliding rail, the first sliding rail and the second sliding rail are in cross-shaped arrangement, and the sliding rod is nested inside the first sliding rail and the second sliding rail at the same time.
7. The high mobility artificial shoulder joint prosthesis of claim 6, wherein the telescoping assembly comprises a hand-screwed ring mounted on the bottom of the reverse shoulder humerus body, the inner side of the hand-screwed ring being nested with a fluted disc.
8. The artificial shoulder joint prosthesis with high mobility according to claim 7, wherein the fluted disc is meshed with the bevel gear, the bevel gear rotates at the bottom of the reverse shoulder humerus body, the tail end of the bevel gear is connected with a transmission rod, the tail end of the transmission rod is connected with a bevel gear group, and the output end of the bevel gear group is connected with a screw rod.
9. The artificial shoulder joint prosthesis with high mobility according to claim 8, wherein the outer side of the screw is in threaded connection with a threaded block, a bone stem is sleeved outside the threaded block, a fixing sleeve is sleeved outside the bone stem, a clamping block is arranged on one side of the hand screwing ring, and the clamping block is connected to the side wall of the fixing sleeve through a torsion spring.
10. The high mobility artificial shoulder prosthesis of claim 9, wherein the hand-screw ring rotates at the bottom of the reverse shoulder humerus body, the driving rod is mounted on the inner wall of the fixation sleeve, the screw is perpendicular to the bottom surface of the hand-screw ring, and the bone stem slides inside the fixation sleeve.
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