CN103126753A - Femoral calcar osteotomy positioning guide platform - Google Patents

Femoral calcar osteotomy positioning guide platform Download PDF

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Publication number
CN103126753A
CN103126753A CN2013100672396A CN201310067239A CN103126753A CN 103126753 A CN103126753 A CN 103126753A CN 2013100672396 A CN2013100672396 A CN 2013100672396A CN 201310067239 A CN201310067239 A CN 201310067239A CN 103126753 A CN103126753 A CN 103126753A
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osteotomy
positioning
positioning seat
guiding face
bigelow
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CN2013100672396A
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CN103126753B (en
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张英泽
郑占乐
杨磊
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Abstract

The invention discloses a femoral calcar osteotomy positioning guide platform, belongs to the technical field of orthopedic surgical instruments, and plays an auxiliary positioning role of femoral neck osteotomy in an orthopedic hip replacement surgery. The technical scheme includes that the upper portion of the femoral calcar osteotomy positioning guide platform is a guide surface, and the lower portion of the femoral calcar osteotomy positioning guide platform is a positioning seat. The upper end of the guide surface is a plane, and a circular-arc positioning groove is reserved on the inner side of the plane. The circumferential shape of the positioning groove is matched with the circumference of the femoral calcar, and the inner side surface of the positioning seat is matched with the circumference of the femoral calcar. A locking slot is reserved on the lower portion of the positioning seat, and the circumference of the locking slot is matched with the circumference of the upper portion of a small rotator. A doctor uses a goose saw to perform the osteotomy along the guide surface, so that an osteotomy surface is smooth and is matched with a mounting angle of an orthopedic hip replacement prosthesis, and the long-existing problem that the osteotomy surface and the angle of the femur cannot meet an ideal requirement in the orthopedic hip replacement surgery is solved. The femoral calcar osteotomy positioning guide platform is simple in structure and convenient to use, good in effect of the osteotomy, capable of shortening time of the surgery, valuable in popularization and application, and is an ideal auxiliary instrument to perform the osteotomy on the femur in the orthopedic hip replacement surgery.

Description

A kind of bigelow's septum osteotomy positioning and guiding platform
Technical field
The present invention relates to a kind of auxiliary implement that neck of femur is carried out osteotomy in the orthopaedics hip replacement surgery, belong to bone surgery utensil technical field.
Background technology
Along with China enters aging society comprehensively, the senile osteoporosis fracture of femoral neck of over-65s is more and more common, and complete/hemiarthroplasty becomes the first-selected Therapeutic Method of the patients with fracture of neck of displacement.In hip replacement surgery, need to carry out osteotomy to find suitable hip prosthesis mounting plane to residual neck of femur, there is more harsh requirement on this plane on flatness and Plane Angle.At first, the flatness on plane is straight, can not have raised or sunkenly, so that hip prosthesis contacts closely with mounting plane, postoperative is connected firmly; Secondly, the plane will form suitable angle with femur axis, makes the position of hip prosthesis and the physiological requirement that direction meets postoperative, and this point is particularly important, and this is also the assurance that makes the hip replacement surgery success.But because the neck of femur exposure to the need osteotomy in art is limited, the position exists deeply, and lacks the osteotomy positioning and guiding platform tool of suitable special use, has brought very large inconvenience for the operation of this class operation.The clinician can only the dependence experience perform the operation, and this has very large difficulty with regard to making the hip prosthesis mounting plane reach desirable requirements of operation, not only often therefore extends operating time, the more important thing is to have influence on surgical effect, is unfavorable for patient's rehabilitation.Up to the present this situation does not obtain basic change, becomes the principal element that restriction orthopaedics hip replacement surgery is obtained ideal effect, and necessary taking measures solved.
Summary of the invention
Technical problem to be solved by this invention is to provide a kind of bigelow's septum osteotomy positioning and guiding platform, use this positioning and guiding platform to position osteotomy to neck of femur, make Osteotomy all reach the requirement that hip prosthesis is installed on flatness and Plane Angle, shorten operating time, guarantee that operation reaches desirable effect.
The technical scheme that solves the problems of the technologies described above is:
a kind of bigelow's septum osteotomy positioning and guiding platform, its top is guiding face, the bottom is positioning seat, the upper end of guiding face is the plane, there is detent the inboard, plane, detent is circular arc, the peripheral shape of detent and bigelow's septum periphery are complementary, the lateral surface of positioning seat outward flange along guiding face vertical with the plane of guiding face is to downward-extension, the detent edge of the medial surface of positioning seat and guiding face inboard is connected and along the detent edge to downward-extension, the medial surface of positioning seat and femur periphery are complementary, draw-in groove is arranged at the bottom of positioning seat, the periphery of draw-in groove and lesser trochanter top circumference are complementary.
Above-mentioned bigelow's septum osteotomy positioning and guiding platform, on the lateral surface of described positioning seat, locating rod is installed, locating rod is comprised of screw shell and stock, screw shell is fixedly connected on the lateral surface of positioning seat, the front end of stock has external screw thread, and the female thread of stock front end external screw thread and screw shell is complementary.
Above-mentioned bigelow's septum osteotomy positioning and guiding platform has fixing threaded hole on the lateral surface of described positioning seat, and fixing threaded hole is 2-4, and fixing threaded hole is relative with the femur outer wall.
Above-mentioned bigelow's septum osteotomy positioning and guiding platform, the guiding face of described detent both sides is clamped in respectively the periphery both sides of bigelow's septum, and wherein the front end away from the guiding face of lesser trochanter one side is wedge angle, is rectangular surfaces near the front end of the guiding face of lesser trochanter one side.
Above-mentioned bigelow's septum osteotomy positioning and guiding platform, the both sides of the bottom draw-in groove of described positioning seat are around trochantinian fixing feet, the length of the fixing feet of close wedge angle guiding face one side is less than the length of the fixing feet of close rectangle guiding face one side.
Usefulness of the present invention is:
The present invention passes through the detent of guiding face to the bigelow's septum circumferential registration, draw-in groove by positioning seat is located up and down to femur, behind the location, the angle of guiding face is identical with Osteotomy, operator uses goose saw to carry out osteotomy along guiding face, makes Osteotomy smooth and satisfy the setting angle of hip prosthesis.The present invention is simple in structure, easy to use, osteotomy is respond well, solved that in long-term puzzlement hip replacement surgery, femur Osteotomy and angle can not reach a desirable difficult problem that requires, the present invention has also obviously shortened operating time, guarantee that operation reaches desirable effect, for patient's rehabilitation provides technical guarantee, be in hip replacement surgery, femur to be carried out the desirable auxiliary implement of osteotomy, very large application value is arranged.
Description of drawings
Fig. 1 is structural representation of the present invention;
Fig. 2 is the front view of Fig. 1;
Fig. 3 is the right view of Fig. 1;
Fig. 4 is the left view of Fig. 1;
Fig. 5 is the top view of Fig. 1.
In figure, labelling is as follows: guiding face 1, positioning seat 2, detent 3, draw-in groove 4, locating rod 5, screw shell 6, stock 7, fixing threaded hole 8, wedge angle 9, rectangular surfaces 10, short fixing feet 11, long fixing feet 12.
The specific embodiment
The top of bigelow's septum osteotomy positioning and guiding platform of the present invention is guiding face 1, and the bottom is positioning seat 2.
Show in figure, the upper end of guiding face 1 is the plane, and there is detent 3 inboard, plane, and detent 3 is circular arc, and the peripheral shape of detent 3 and bigelow's septum periphery are complementary.During use, detent 3 is looped around the periphery of bigelow's septum, and because peripheral shape and the neck of femur periphery of detent 3 is complementary, guiding face 1 can not rotate with bigelow's septum, makes guiding face 1 and bigelow's septum realize circumferential registration.
Show in figure, the lateral surface of positioning seat 2 outward flange along guiding face vertical with the plane of guiding face 1 is to downward-extension, detent 3 edges of the medial surface of positioning seat 2 and guiding face 1 inboard are connected and along detent 3 edges to downward-extension, the medial surface of positioning seat 2 and femur periphery are complementary.This structure is to make positioning seat 2 and femur realize circumferential registration equally, and is consistent with the effect of the detent 3 of guiding face 1, and top and the bottom of the present invention can not swung, more firm with the femur location.
Draw-in groove 4 is arranged at the bottom of positioning seat 2, and the periphery of draw-in groove 4 and lesser trochanter top circumference are complementary.Draw-in groove 4 is looped around trochantinian top, and positioning seat 2 can not move down, and makes positioning seat 2 realize the location of upper-lower position together with guiding face 1.
Show in figure, locating rod 5 is installed on the lateral surface of positioning seat 2, locating rod 5 is comprised of screw shell 6 and stock 7, screw shell 6 is fixedly connected on the lateral surface of positioning seat 2, the front end of stock 7 has external screw thread, and stock 7 front ends are spun on screw shell, can dismantle and be connected.The effect of locating rod 5 is to make the convenient osteotomy positioning and guiding platform of placing of operator, and dismounting stock 7 after fixing after placing is convenient to carry out bone-culting operation.
Show in figure that fixing threaded hole 8 is arranged on the lateral surface of positioning seat 2, fixing threaded hole 8 is 2-4, and fixing threaded hole 8 is relative with the femur outer wall.After operator uses locating rod 5 that osteotomy positioning and guiding platform is in place, osteotomy positioning and guiding platform and femur are fixed by fixing threaded hole 8 with bolt, then dismantle the stock 7 of locating rod 5.
Show in figure, the guiding face 1 of detent 3 both sides is clamped in respectively the periphery both sides of bigelow's septum, and wherein the front end away from the guiding face 1 of lesser trochanter one side is wedge angle 9, is rectangular surfaces 10 near the front end of the guiding face 1 of lesser trochanter one side.It is to organize morely due to the tendon on this side femur wall and blood vessel etc. that the front end of guiding face 1 adopts the reason of wedge angle 9, adopts wedge angle 9 can be inserted into easily in the gap of tendon and goes.
Show in figure, in order to place easily osteotomy positioning and guiding platform, the both sides of the bottom draw-in groove of positioning seat be respectively short fixing feet 11, long fixing feet 12 around trochantinian fixing feet, near the length of the fixing feet of wedge angle 9 guiding face 1 one sides less than the length near the fixing feet of rectangle 10 guiding face 1 one sides.
Using method of the present invention is as follows:
The hand-held locating rod 5 of operator, osteotomy positioning and guiding platform is placed on the femur side, make detent 3 on guiding face 1 be looped around the periphery of bigelow's septum during placement, make simultaneously positioning seat 2 medial surface be looped around the femur periphery, allow guiding face 1 and positioning seat 2 realize circumferential registration with femur.Meanwhile, operator will make draw-in groove 4 be looped around trochantinian top, and positioning seat 2 can not move down, and makes positioning seat 2 realize the location of upper-lower position together with guiding face 1.
Behind the location, osteotomy positioning and guiding platform and femur are fixed by fixing threaded hole 8 with bolt, then the stock 7 of the lower locating rod 5 of dismounting.Behind the location, the angle of guiding face 1 is identical with Osteotomy, and operator carries out osteotomy with the upper surface that goose saw is adjacent at guiding face 1, makes Osteotomy smooth and satisfy the setting angle of hip prosthesis.

Claims (5)

1. bigelow's septum osteotomy positioning and guiding platform, it is characterized in that: its top is guiding face (1), the bottom is positioning seat (2), the upper end of guiding face (1) is the plane, there is detent (3) inboard, plane, detent (3) is circular arc, peripheral shape and the bigelow's septum periphery of detent (3) are complementary, the lateral surface of positioning seat (2) outward flange along guiding face (1) vertical with the plane of guiding face (1) is to downward-extension, inboard detent (3) edge of the medial surface of positioning seat (2) and guiding face (1) is connected and along detent (3) edge to downward-extension, medial surface and the femur periphery of positioning seat (2) are complementary, draw-in groove (4) is arranged at the bottom of positioning seat (2), the periphery of draw-in groove (4) and lesser trochanter top circumference are complementary.
2. bigelow's septum osteotomy positioning and guiding platform according to claim 1, it is characterized in that: locating rod (5) is installed on the lateral surface of described positioning seat (2), locating rod (5) is comprised of screw shell (6) and stock (7), screw shell (6) is fixedly connected on the lateral surface of positioning seat (2), the front end of stock (7) has external screw thread, and the female thread of stock (7) front end external screw thread and screw shell (6) is complementary.
3. bigelow's septum osteotomy positioning and guiding platform according to claim 1 and 2 is characterized in that: fixing threaded hole (8) is arranged on the lateral surface of described positioning seat (2), and fixing threaded hole (8) is 2-4, and fixing threaded hole (8) is relative with the femur outer wall.
4. bigelow's septum osteotomy positioning and guiding platform according to claim 3, it is characterized in that: the guiding face (1) of described detent (3) both sides is clamped in respectively the periphery both sides of bigelow's septum, wherein the front end away from the guiding face (1) of lesser trochanter one side is wedge angle (9), is rectangular surfaces (10) near the front end of the guiding face (1) of lesser trochanter one side.
5. bigelow's septum osteotomy positioning and guiding platform according to claim 4, it is characterized in that: the both sides of the bottom draw-in groove (4) of described positioning seat (2) are around trochantinian fixing feet, and the length of the fixing feet of close wedge angle guiding face (1) one side is less than the length of the fixing feet of close rectangle guiding face (1) one side.
CN201310067239.6A 2013-03-04 2013-03-04 Femoral calcar osteotomy positioning guide platform Active CN103126753B (en)

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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104546060A (en) * 2015-01-26 2015-04-29 北京大学第三医院 Patella osteotomy navigation template for knee arthroplasty and manufacture method
CN104825214A (en) * 2015-05-22 2015-08-12 北京爱康宜诚医疗器材股份有限公司 Bone-cutting positioning guider
CN105455891A (en) * 2015-11-27 2016-04-06 广东工业大学 Two-way rotating type orthopedic positioning guide needle guiding device
CN110584741A (en) * 2019-09-24 2019-12-20 北京长木谷医疗科技有限公司 Bone cutting guide plate

Citations (7)

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Publication number Priority date Publication date Assignee Title
US5035717A (en) * 1988-05-12 1991-07-30 Brooks Peter J Insert and method of using same
US20070083214A1 (en) * 2005-09-19 2007-04-12 Duncan Clive P Osteotomy guide
CN201168001Y (en) * 2008-01-24 2008-12-24 马卫华 Guider for cutting neck of femur
US20110015639A1 (en) * 2006-02-27 2011-01-20 Biomet Manufacturing Corp. Femoral Acetabular Impingement Guide
US20120123423A1 (en) * 2010-11-11 2012-05-17 Zimmer, Inc. Patient-specific instruments for total hip arthroplasty
US20120130382A1 (en) * 2010-09-07 2012-05-24 The Cleveland Clinic Foundation Positioning apparatus and method for a prosthetic implant
CN203089327U (en) * 2013-03-04 2013-07-31 张英泽 Calcar femorale bone cutting locating and guiding platform

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5035717A (en) * 1988-05-12 1991-07-30 Brooks Peter J Insert and method of using same
US20070083214A1 (en) * 2005-09-19 2007-04-12 Duncan Clive P Osteotomy guide
US20110015639A1 (en) * 2006-02-27 2011-01-20 Biomet Manufacturing Corp. Femoral Acetabular Impingement Guide
CN201168001Y (en) * 2008-01-24 2008-12-24 马卫华 Guider for cutting neck of femur
US20120130382A1 (en) * 2010-09-07 2012-05-24 The Cleveland Clinic Foundation Positioning apparatus and method for a prosthetic implant
US20120123423A1 (en) * 2010-11-11 2012-05-17 Zimmer, Inc. Patient-specific instruments for total hip arthroplasty
CN203089327U (en) * 2013-03-04 2013-07-31 张英泽 Calcar femorale bone cutting locating and guiding platform

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104546060A (en) * 2015-01-26 2015-04-29 北京大学第三医院 Patella osteotomy navigation template for knee arthroplasty and manufacture method
CN104825214A (en) * 2015-05-22 2015-08-12 北京爱康宜诚医疗器材股份有限公司 Bone-cutting positioning guider
CN105455891A (en) * 2015-11-27 2016-04-06 广东工业大学 Two-way rotating type orthopedic positioning guide needle guiding device
CN105455891B (en) * 2015-11-27 2017-08-11 广东工业大学 Bidirectional rotating type orthopaedics positions guide pin guider
CN110584741A (en) * 2019-09-24 2019-12-20 北京长木谷医疗科技有限公司 Bone cutting guide plate

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