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Femoral extramedullary positioning device for knee joint replacement

A knee joint replacement and positioning device technology, applied in joint implants, joint implants, etc., can solve the problems of increasing the risk of surgical infection, prolonging the operation time, inoperability, etc., and achieving large-scale promotion and use, overall Ingenious structural design, the effect of shortening the operation time

Active Publication Date: 2014-09-10
THE AFFILIATED DRUM TOWER HOSPITAL MEDICAL SCHOOL OF NANJING UNIV
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

[0003] Traditional femoral intramedullary positioning increases intramedullary hemorrhage, and is closely related to the needle entry point, the insertion depth of the intramedullary rod, the thickness of the femoral medullary cavity itself, and the anterior arch or outer arch of the femoral shaft. Most domestic physicians choose 5°, 6° ° or 7° valgus angle for positioning, most of which are selected according to the preoperative measurement angle, but clinical cases with extremely large measurement angles, such as cases of femoral malunion, are limited by the positioners of various prosthesis companies. The grasp of the bone angle is often not accurate enough or even impossible to operate, and is affected by preoperative X-rays. For example, there are often large errors in the preoperative measurement of non-standard position X-rays, and this measurement method only focuses on the positioning of the coronal position, ignoring positioning accuracy in the sagittal position
[0004] The advantage of navigation positioning is that there is no need for reaming, which reduces the bleeding of the medullary cavity. Although navigation positioning reduces the error, the operation time is greatly prolonged. Although clinical control studies have found that it has a significant improvement in the line of force, it also increases The risk of surgical infection, and due to the long learning curve of surgery and the high cost of navigators, it has not been widely used until now
[0005] Knee joint prosthesis companies are equipped with some measuring instruments for extramedullary positioning. However, due to the design constraints of different companies, the positioning rods only point the positioning pins to the femoral head to judge the osteotomy surface. Whether the positioning is rough or not depends on the knee joint. Influenced by the internal and external rotation of the joint, and the osteotomy surface cannot be adjusted quickly
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Method used

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  • Femoral extramedullary positioning device for knee joint replacement
  • Femoral extramedullary positioning device for knee joint replacement
  • Femoral extramedullary positioning device for knee joint replacement

Examples

Experimental program
Comparison scheme
Effect test

Embodiment 1

[0028] Example 1 : see Figure 9 , a femoral extramedullary positioning device for knee joint replacement, the positioning device comprises anterior superior iliac spine fixed arch 1, a first connecting rod 2, the first connecting rod 1 is vertically connected to the anterior superior iliac spine fixed arch 1, The other end of the first connecting rod is connected with the osteotomy locator 3 , and the positioning device further includes a measuring rod 4 , and the measuring rod 4 is connected with the osteotomy locator 3 . The overall design of the positioning device is ingenious. The femoral head is positioned by referring to the anterior superior iliac spine on the preoperative plain pelvis. The extramedullary positioning device is composed of a rigid structure. The tool can perform multiple measurements, which further improves the positioning accuracy.

Embodiment 2

[0029] Example 2 : see Figure 9 , as an improvement of the present invention, the positioning device further includes a fixing part 5 , which fixedly connects the first connecting rod 2 and the osteotomy locator 3 . And make sure that the first connecting rod 2 and the osteotomy locator 3 are perpendicular to each other. The rest of the structure and advantages are exactly the same as in Embodiment 1.

Embodiment 3

[0030] Example 3 : see figure 1 , 2 , as an improvement of the present invention, the anterior superior iliac spine fixed arch 1 is composed of an L-shaped column and a T-shaped column, the T-shaped column is sleeved on the cross bar of the L-shaped column, and can be adjusted to the iliac The length of the anterior superior spine, the position of the center of the femoral head and the foot of the L-shaped cross bar was calculated according to the distance of the connecting line of the anterior superior iliac spine measured by the preoperative pelvic plain film. During the operation, fluoroscopy can also be used to ensure the accuracy of the force line, and the horizontal bar is marked There are scales to prevent displacement of the connecting rod during surgery. The rest of the structure and advantages are exactly the same as in Embodiment 1.

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Abstract

The invention relates to a femoral extramedullary positioning device for knee joint replacement, which is characterized by comprising an anterior superior spine fixing bow (1) and a first connecting rod (2), wherein the first connecting rod (1) is perpendicularly connected onto the anterior superior spine fixing bow (1); the other end of the first connecting rod is connected with an osteotomy positioner (3); the positioning device further comprises a measurement rod (4); and the measurement rod (4) is connected with the osteotomy positioner (3).The device has the advantages that: 1) the device is ingenious in overall structure design and convenient to mount, 2) with the adoption of the osteotomy positioner in a precise right angle connecting design and capable of carrying out multiple measurements in the technical scheme, the precision of the device is further guaranteed; and 3) a handle of the osteotomy positioner is designed with complicated and refined bifurcation shapes, groove shapes, scales and small holes.The bifurcation shape design can limit the connecting rod in the positioner and allow the connecting rod to be matched with the positioner in size, and a coronal can be parallel to the connecting rod.

Description

technical field [0001] The invention relates to a positioning device, in particular to a femoral extramedullary positioning device for knee joint replacement, belonging to the field of medical devices. Background technique [0002] Knee replacement is currently widely used clinically. It is a mature surgical technique in joint surgery, and it has an absolute surgical effect on relieving knee joint pain and deformity in elderly patients. However, surgery also brings many risks. Due to the relatively large surgical trauma, post-operative infection, bleeding, and pulmonary embolism have also brought many problems. With the rapid development of knee prostheses today, the key to the efficacy of knee surgery is still the surgical technique, and the accuracy of the force line of knee replacement is closely related to the long-term life of the prosthesis. The tibial positioning system is currently recognized as extramedullary positioning. Because the tibial shaft is relatively supe...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): A61F2/46
Inventor 徐志宏蒋青陈东阳
Owner THE AFFILIATED DRUM TOWER HOSPITAL MEDICAL SCHOOL OF NANJING UNIV
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