CN105455874A - Patella shaping file and use method thereof - Google Patents

Patella shaping file and use method thereof Download PDF

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Publication number
CN105455874A
CN105455874A CN201610018968.6A CN201610018968A CN105455874A CN 105455874 A CN105455874 A CN 105455874A CN 201610018968 A CN201610018968 A CN 201610018968A CN 105455874 A CN105455874 A CN 105455874A
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CN
China
Prior art keywords
patella
file
center
shaped
files
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Pending
Application number
CN201610018968.6A
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Chinese (zh)
Inventor
吴岳嵩
吴钟添
李文治
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People's Hospital Of Wanning
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People's Hospital Of Wanning
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Application filed by People's Hospital Of Wanning filed Critical People's Hospital Of Wanning
Priority to CN201610018968.6A priority Critical patent/CN105455874A/en
Publication of CN105455874A publication Critical patent/CN105455874A/en
Pending legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/1659Surgical rasps, files, planes, or scrapers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/1613Component parts
    • A61B17/1626Control means; Display units
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/1635Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for grafts, harvesting or transplants
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/1662Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
    • A61B17/1675Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the knee
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B2017/1602Mills
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B2017/564Methods for bone or joint treatment

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Dentistry (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Transplantation (AREA)
  • Prostheses (AREA)

Abstract

The invention discloses a patella shaping file and a use method thereof. The patella shaping file comprises a connecting piece, a base, grinding filing parts and a central shaft needle; the connecting piece is arranged on the top of the base, one end of the central shaft needle is arranged on the connecting piece, the other end of the central shaft needle perpendicularly extends downwards into a hollow structure, the grinding filing parts are arranged on the surface of the base, and the base can rotate around the central shaft needle so that unneeded bone tissue around patellas can be removed through the grinding filing parts. According to the patella shaping file and the use method thereof, an electric power tool is adopted to drive the patella shaping file to rapidly rotate on the surface of a patella needing to be shaped, patella hyperplastic bones and bone tissue unmatched with a prosthesis on the thighbone side are removed through the modes such as cutting and grinding filing, a smooth and regular surface can be formed in a short time, and the patella surface matched with the prosthesis on the thighbone side can partially or mostly replace the role of the patellar prosthesis. The patella shaping file is simple in structure, practical and feasible, and therefore the good application prospect is achieved.

Description

A kind of patella is shaped and files and using method
Technical field
The present invention relates to technical field of medical instruments, particularly relate to a kind of patella shaping file and using method thereof.
Background technology
At present, domestic each hospital is expert in total knee replacement, and generally adopt the manual mode row osteoplasty of patella such as hand-held rongeur, operating time is longer, and the patella surface after process is comparatively coarse.
For above-mentioned present situation, the present invention designs a kind of " patella is shaped and files " that be exclusively used in process patella, effectively can promote the quality after patella shaping, reduce operating time simultaneously, alleviate patient's misery, and likely alleviate the incidence rate of pain around postoperative patella.
Summary of the invention
For the problems referred to above, the invention provides a kind of patella shaping file and using method thereof, in the patella forming process of artificial knee replacement surgery, class hemispherical facies articularis patellae can be formed rapidly, reach shortening operating time, improve the object of surgical quality.
The technical scheme that the present invention adopts for its technical problem of solution is:
A kind of patella is shaped and files, and it is characterized in that comprising:
Connector, described connector is used for being connected with external motive device;
Pedestal, described pedestal is hollow structure inside, and its hollow structure inside has the shape matched with facies articularis patellae;
Burr parts, described burr parts are used for cutting or burr patella;
Center axonometer, described center axonometer is for inserting patella center to position;
Wherein, described connector is arranged at described pedestal top, axonometer one end, described center is arranged on described connector, its other end extends vertically downward and stretches in described hollow structure, described burr parts are arranged at the surface of described pedestal, described pedestal can rotate around described center axonometer, to remove unwanted osseous tissue around patella by described burr parts.
As further improvement of these options, described pedestal is the nonmetal stiff materials body of hemispherical hollow metallic object or hemispherical hollow.
Further, the shape of described pedestal for being formed behind horizontal excision hemispherical hollow metallic object or hemispherical hollow nonmetal stiff materials body top.
Further, described pedestal is for laterally excising the shape formed after bottom hemispherical hollow metallic object or the nonmetal stiff materials body of hemispherical hollow.
Further, also comprise limit file, described limit file is arranged on the sidewall of described base bottom.
Further, described limit file is provided with four groups, and four groups of limit files are uniformly distributed on its sidewall around the lower circumference of described pedestal.
Further, described burr parts comprise some file mouths, and the bossing of described some file mouths is towards interior, and the edge of described bossing is provided with blade.
In addition, described connector is a becket, is provided with a cross in described becket, and the center of described cross and the centre of sphere of described pedestal are all on longitudinal center's axis of described becket, and described center axonometer is arranged at the center of described cross.
A using method for patella shaping file, is characterized in that comprising the steps:
Step one: the approximate diameter first using the good patella of vernier dipstick metering;
Step 2: choose the patella shaping file that diameter is slightly large compared with patella diameter;
Step 3: be connected with connector with filing identical power connector with typical acetabular;
Step 4: before patella is shaped, patella center be determined, the central shaft pin of the file that is shaped by patella inserts center;
Step 5: slowly rotate patella shaping file, first hypertrophy sclerotin around patella is removed;
Step 6: get little patella shaping file again and again rotary cutting shaping is carried out to patella, until formed similar to patellar prosthesis profile, mate completely as well with femur side prosthesis.
The invention has the beneficial effects as follows: the present invention is shaped as a kind of patella and files, and comprise connector, pedestal, burr parts and center axonometer, pedestal can rotate around described center axonometer, to remove unwanted osseous tissue around patella by described burr parts; The present invention adopts electric tool to drive patella to be shaped file in the patella surface quick rotation needing to be shaped, cut by patella hypertrophy bone with the unmatched osseous tissue of femur side prosthesis, the mode such as burr removes, form smooth, regular surface within a short period of time, the patella face of comparatively mating with femur side prosthesis, part or major part can substitute the effect of patellar prosthesis; Structure of the present invention is simple, and practical, therefore possesses good application prospect.
Accompanying drawing explanation
Below in conjunction with drawings and Examples, the invention will be further described:
Fig. 1: patella of the present invention is shaped and files full kneecap type side view;
Fig. 2: patella of the present invention is shaped and files peripheral side view;
Fig. 3: patella of the present invention is shaped and files central type side view;
Fig. 4: patella of the present invention is shaped and files full kneecap type front view;
Fig. 5: patella of the present invention is shaped and files peripheral front view;
Fig. 6: patella of the present invention is shaped and files central type front view.
Detailed description of the invention
The design that the present invention realizes above-mentioned target is:
A kind of patella is shaped and files, and comprise connector 1, described connector 1 is for being connected with external motive device; Pedestal 2, described pedestal 2 is hollow structure inside, and its hollow structure inside has the shape matched with facies articularis patellae; Burr parts 3, described burr parts 3 are for cutting or burr patella; Center axonometer 5, described center axonometer 5 is for inserting patella center to position; Wherein, described connector 1 is arranged at described pedestal 2 top, axonometer 5 one end, described center is arranged on described connector 1, its other end extends vertically downward and stretches in described hollow structure, described burr parts 3 are arranged at the surface of described pedestal 2, described pedestal 2 can rotate around described center axonometer 5, to remove unwanted osseous tissue around patella by described burr parts 3.The present invention adopts electric tool to drive patella to be shaped file in the patella surface quick rotation needing to be shaped, cut by patella hypertrophy bone with the unmatched osseous tissue of femur side prosthesis, the mode such as burr removes, form smooth, regular surface within a short period of time, the patella face of comparatively mating with femur side prosthesis, can part or most of effect substituting patellar prosthesis.
With reference to figure 1-6, number in the figure 1 is becket and cross, is mainly used in being connected with power set; 2 is metal ball wall, wall is equipped with multiple file hole; 3 is file hole, and towards interior, there is blade at edge, cuts or burr patella; 4 is limit file, cuts or burr patella periphery bone; Axonometer centered by 5, cutting the stability will inserted in advance before patella when patella center is located and increases rotation.
The explanation of detailed description of the invention is made below for the patella of multiple type shaping file:
Embodiment one: patella is shaped and files full kneecap type
As shown in figs. 1 and 4, patella is shaped and files, and comprise connector 1, described connector 1 is for being connected with external motive device; Pedestal 2, described pedestal 2 is hollow structure inside, and its hollow structure inside has the shape matched with facies articularis patellae, and described pedestal 2 is the nonmetal stiff materials body of hemispherical hollow metallic object or hemispherical hollow; Burr parts 3, described burr parts 3 are for cutting or burr patella; Center axonometer 5, described center axonometer 5 is for inserting patella center to position; Also comprise limit file 4, described limit file 4 is arranged on the sidewall bottom described pedestal 2; Wherein, described connector 1 is arranged at described pedestal 2 top, axonometer 5 one end, described center is arranged on described connector 1, its other end extends vertically downward and stretches in described hollow structure, described burr parts 3 are arranged at the surface of described pedestal 2, described pedestal 2 can rotate around described center axonometer 5, to remove unwanted osseous tissue around patella by described burr parts 3.
Embodiment two: patella is shaped and files peripheral
As shown in figures 2 and 5, patella is shaped and files, and comprise connector 1, described connector 1 is for being connected with external motive device; Pedestal 2, described pedestal 2 is hollow structure inside, its hollow structure inside has the shape matched with facies articularis patellae, the shape of described pedestal 2 for being formed behind horizontal excision hemispherical hollow metallic object or hemispherical hollow nonmetal stiff materials body top, cut place is roughly the half position of hemisphere; Burr parts 3, described burr parts 3 are for cutting or burr patella; Center axonometer 5, described center axonometer 5 is for inserting patella center to position; Also comprise limit file 4, described limit file 4 is arranged on the sidewall bottom described pedestal 2; Wherein, described connector 1 is arranged at described pedestal 2 top, axonometer 5 one end, described center is arranged on described connector 1, its other end extends vertically downward and stretches in described hollow structure, described burr parts 3 are arranged at the surface of described pedestal 2, described pedestal 2 can rotate around described center axonometer 5, to remove unwanted osseous tissue around patella by described burr parts 3.
Embodiment three: patella is shaped and files central type
As shown in figs. 3 and 6, patella is shaped and files, and comprise connector 1, described connector 1 is for being connected with external motive device; Pedestal 2, described pedestal 2 is hollow structure inside, its hollow structure inside has the shape matched with facies articularis patellae, described pedestal 2 is for laterally excising the shape formed after bottom hemispherical hollow metallic object or the nonmetal stiff materials body of hemispherical hollow, and cut place is roughly the half position of hemisphere; Burr parts 3, described burr parts 3 are for cutting or burr patella; Center axonometer 5, described center axonometer 5 is for inserting patella center to position; Wherein, described connector 1 is arranged at described pedestal 2 top, axonometer 5 one end, described center is arranged on described connector 1, its other end extends vertically downward and stretches in described hollow structure, described burr parts 3 are arranged at the surface of described pedestal 2, described pedestal 2 can rotate around described center axonometer 5, to remove unwanted osseous tissue around patella by described burr parts 3.
Also it should be noted that, the present invention is based on following consideration:
One, " patella be shaped file " adopts and the structure that the clinical reamer for hip arthroplasty,acetabulum profile generally adopted is close at present, makes patient acceptant and use;
Two, patella shaping file is similar to the interface of existing reamer for hip arthroplasty,acetabulum to the interface of powered part, to reduce the total amount of apparatus in art, saves use cost;
Three, be not both with existing reamer for hip arthroplasty,acetabulum, the file mouth of reamer for hip arthroplasty,acetabulum is outside, and the file mouth of patella shaping file inwardly;
Four, patella is shaped to file and divides No. 1-6 totally six types, and is divided into the three major types such as " patella is shaped to file and files ", " the central file of patella shaping file " and " full kneecap file is filed in patella shaping " around;
Five, the center of patella shaping file arranges " center axonometer ", is convenient to locate and reduces rocking when rotating;
Six, metal ball wall is provided with several to hundreds of quantity file hole not etc., its bossing is towards interior, and there is the edge of a knife at protruding edge, is used as cutting sclerotin;
Seven, patella is shaped and files the peripheral portion that the file mouth filed is distributed in hemispherical metallic walls around; Patella is shaped and files the middle body that the central file mouth filed is distributed in hemispherical metallic walls; The file mouth of the full kneecap type of patella shaping file is distributed in whole metallic walls;
Eight, metal file top connects annulus and adds decussate texture, uses as electric saw etc. is connected as with power set.
For the using method of patella shaping file of the present invention, in total knee replacement, during row osteoplasty of patella, first use the approximate diameter of the good patella of vernier dipstick metering, choose and to be shaped file than slightly major diameter patella, file identical power connector by typical acetabular and be connected.Before being shaped to patella, determine patella center, the central shaft pin of patella shaping file is inserted center, and slowly rotation patella is shaped and files, and hypertrophy sclerotin around patella is removed by the first step.Get little patella shaping file again and again rotary cutting shaping is carried out to patella, until formed similar to patellar prosthesis profile, mate completely as well with femur side prosthesis.
Above better enforcement of the present invention is illustrated; certainly; the present invention can also adopt form different from the embodiment described above; and close field; these do not form any restriction to present embodiment; the equivalent conversion that those of ordinary skill in the art do under the prerequisite without prejudice to spirit of the present invention or change accordingly, all should belong in protection scope of the present invention.

Claims (9)

1. a patella is shaped and files, and it is characterized in that comprising:
Connector (1), described connector (1) is for being connected with external motive device;
Pedestal (2), described pedestal (2) is hollow structure inside, and its hollow structure inside has the shape matched with facies articularis patellae;
Burr parts (3), described burr parts (3) are for cutting or burr patella;
Center axonometer (5), described center axonometer (5) is for inserting patella center to position;
Wherein, described connector (1) is arranged at described pedestal (2) top, axonometer (5) one end, described center is arranged on described connector (1), its other end extends vertically downward and stretches in described hollow structure, described burr parts (3) are arranged at the surface of described pedestal (2), described pedestal (2) can rotate around described center axonometer (5), to remove unwanted osseous tissue around patella by described burr parts (3).
2. a kind of patella according to claim 1 is shaped and files, and it is characterized in that: described pedestal (2) is hemispherical hollow metallic object or the nonmetal stiff materials body of hemispherical hollow.
3. a kind of patella according to claim 2 is shaped and files, and it is characterized in that: the shape of described pedestal (2) for being formed behind horizontal excision hemispherical hollow metallic object or hemispherical hollow nonmetal stiff materials body top.
4. a kind of patella according to claim 2 is shaped and files, and it is characterized in that: described pedestal (2) is laterally excise the shape formed after bottom hemispherical hollow metallic object or the nonmetal stiff materials body of hemispherical hollow.
5. a kind of patella according to Claims 2 or 3 is shaped and files, and it is characterized in that: also comprise limit file (4), and described limit file (4) is arranged on the sidewall of described pedestal (2) bottom.
6. a kind of patella according to claim 5 is shaped and files, and it is characterized in that: described limit file (4) is provided with four groups, and four groups of limits file (4) are uniformly distributed on its sidewall around the lower circumference of described pedestal (2).
7. a kind of patella according to claim 1 or 2 or 3 or 4 is shaped and files, and it is characterized in that: described burr parts (3) comprise some file mouths, the bossing of described some file mouths is towards interior, and the edge of described bossing is provided with blade.
8. a kind of patella according to Claims 2 or 3 or 4 is shaped and files, it is characterized in that: described connector (1) is a becket, a cross is provided with in described becket, the center of described cross and the centre of sphere of described pedestal (2) are all on longitudinal center's axis of described becket, and described center axonometer (5) is arranged at the center of described cross.
9. a using method for patella shaping file according to claim 1, is characterized in that comprising the steps:
Step one: the approximate diameter first using the good patella of vernier dipstick metering;
Step 2: choose the patella shaping file that diameter is slightly large compared with patella diameter;
Step 3: be connected with connector with filing identical power connector with typical acetabular;
Step 4: before patella is shaped, patella center be determined, the central shaft pin of the file that is shaped by patella inserts center;
Step 5: slowly rotate patella shaping file, first hypertrophy sclerotin around patella is removed;
Step 6: get little patella shaping file again and again rotary cutting shaping is carried out to patella, until formed similar to patellar prosthesis profile, mate completely as well with femur side prosthesis.
CN201610018968.6A 2015-09-25 2016-01-13 Patella shaping file and use method thereof Pending CN105455874A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201610018968.6A CN105455874A (en) 2015-09-25 2016-01-13 Patella shaping file and use method thereof

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
CN201510616081.2A CN105167819A (en) 2015-09-25 2015-09-25 Patella forming file
CN2015106160812 2015-09-25
CN201610018968.6A CN105455874A (en) 2015-09-25 2016-01-13 Patella shaping file and use method thereof

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CN105455874A true CN105455874A (en) 2016-04-06

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CN201610018968.6A Pending CN105455874A (en) 2015-09-25 2016-01-13 Patella shaping file and use method thereof

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110799139A (en) * 2018-04-03 2020-02-14 株式会社宫谷 Osteotomy instrument

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110215260A (en) * 2019-06-03 2019-09-10 北京市春立正达医疗器械股份有限公司 Kneecap burr device

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5222955A (en) * 1991-02-08 1993-06-29 Mikhail Michael W E Method for implanting a patellar prosthesis
US5314482A (en) * 1988-02-05 1994-05-24 British Technology Group Ltd. Femoral component, tool and method
CN202235617U (en) * 2011-09-16 2012-05-30 黄彰 Positioning type acetabulum file used for artificial hip joint replacement
CN103230297A (en) * 2013-05-09 2013-08-07 陆声 Acetabulum file
CN104688297A (en) * 2015-03-26 2015-06-10 常州玛斯特精密工具有限公司 Acetabular bone file
CN205286460U (en) * 2015-09-25 2016-06-08 海南省万宁市人民医院 Kneecap takes shape and makes smooth with a file

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5314482A (en) * 1988-02-05 1994-05-24 British Technology Group Ltd. Femoral component, tool and method
US5222955A (en) * 1991-02-08 1993-06-29 Mikhail Michael W E Method for implanting a patellar prosthesis
CN202235617U (en) * 2011-09-16 2012-05-30 黄彰 Positioning type acetabulum file used for artificial hip joint replacement
CN103230297A (en) * 2013-05-09 2013-08-07 陆声 Acetabulum file
CN104688297A (en) * 2015-03-26 2015-06-10 常州玛斯特精密工具有限公司 Acetabular bone file
CN205286460U (en) * 2015-09-25 2016-06-08 海南省万宁市人民医院 Kneecap takes shape and makes smooth with a file

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110799139A (en) * 2018-04-03 2020-02-14 株式会社宫谷 Osteotomy instrument

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Application publication date: 20160406