CN102525606B - Medullary core decompression navigator and medullary core decompression method - Google Patents
Medullary core decompression navigator and medullary core decompression method Download PDFInfo
- Publication number
- CN102525606B CN102525606B CN201210004387.9A CN201210004387A CN102525606B CN 102525606 B CN102525606 B CN 102525606B CN 201210004387 A CN201210004387 A CN 201210004387A CN 102525606 B CN102525606 B CN 102525606B
- Authority
- CN
- China
- Prior art keywords
- core decompression
- pieces
- kirschner wires
- decompression
- hole
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Fee Related
Links
Abstract
The invention discloses a medullary core decompression navigator and a medullary core decompression method. The medullary core decompression navigator comprises a guiding plate, three positioning Kirschner wires and a medullary core decompression guiding needle. The guiding plate is provided with three perpendicular positioning holes and an inclined through hole, the three positioning Kirschner wires are perpendicularly fixed in the positioning holes on the guiding plate, and the medullary core decompression guiding needle is disposed in the inclined through hole. The accurate medullary core decompression navigator and the medullary core decompression method thereof realize accurate medullary core decompression for treatment of femoral head necrosis in early and middle stages, and can achieve following four purposes of (1) realizing accurate medullary core decompression; (2) shortening surgery time; (3) reducing amount of bleeding; and (4) reducing radiation injury.
Description
Technical field:
The invention belongs to medical instruments field, relate to a kind of core decompression guider, especially a kind of precisely core decompression omniselector and core decompression method thereof.
Background technology:
Previously treat the core decompression art of early metaphase femur head necrosis, mostly rely in patient's experience and art X-ray examination repeatedly, need to repeatedly puncture, cannot accurately locate capsule and become region, and this process will be followed and repeatedly thrust and radiation injury.By computer-aided design-rapid shaping technique, can obtain three-dimensional accurately location, and calculate the size in capsule change region and demonstrate capsule the shape that becomes region; In virtual operation environment, design relief passage, calculated diameter and the degree of depth.Then complete the making of navigation panel by rapid shaping technique.
Summary of the invention:
The object of the invention is to overcome the shortcoming of above-mentioned prior art, a kind of core decompression omniselector and core decompression method thereof are provided, the accurate core decompression of having realized treatment early metaphase femur head necrosis, can reach following four aspects: (1) is core decompression precisely; (2) shorten operating time; (3) reduce amount of bleeding; (4) reduce radiation injury.
The object of the invention is to solve by the following technical programs:
A kind of core decompression omniselector, comprises guide plate, three pieces of location Kirschner wires and core decompression guide needle; On described guide plate, be provided with three vertical locating holes and an inclined via-hole, three pieces of location Kirschner wires are vertically fixed in the locating hole on guide plate, and one piece of core decompression guide needle is set in inclined via-hole; By three pieces of location Kirschner wires are pierced behind the about 50mm place of patient's greater trochanter summit and below perpendicular to human body sagittal plane, reconstruction patient Ipsilateral femoral head demonstrates volume and the shape in capsule change region, calculate relief passage, simulation arranges one piece of core decompression guide needle, the position relationship of the core decompression guide needle arranging according to simulation and three pieces of location Kirschner wires, on calculative determination guide plate for fixing position and the angle of inclination of inclined via-hole of core decompression guide needle.
Described guide plate thickness is 35mm, and locating hole diameter is 3mm, and three pieces of location Kirschner wires are parallel to each other, and wherein following two pieces of location Kirschner wires distances are 15mm.Described three pieces of location Kirschner wire diameters are 3mm, and one piece of core decompression guide needle diameter is 2mm.
The core decompression method of described core decompression omniselector, carry out according to following step:
(1) first patient's greater trochanter summit and below about 50mm place respectively pierce the Kirschner wire of 3 diameter 30mm perpendicular to human body sagittal plane, wherein following two pieces of about 15mm of needle gage, respectively Kirschner wire is penetrated to a side seam cortex, be fixed on proximal femur, apart from skin 50mm place, Kirschner wire cut off; Then row hip joint CT scan;
(2) by hip joint CT scan data importing Mimics software, rebuild Ipsilateral femoral head, demonstrate volume and the shape in capsule change region; By the best relief passage of Mimics computed in software, it is 2mm core decompression guide needle that simulation arranges one piece of diameter;
(3), by above data importing Pro/e software, draw and three pieces of Kirschner wires of proximal femur and the navigation panel of one piece of core decompression guide needle adaptation; Make navigation panel by rapid shaping technique;
(4) preoperatively send the sterilization of sterilization the supplies section by accurate core decompression navigation panel and core decompression guide needle routine, in art, accurate core decompression navigation panel is installed and be fixed to Kirschner wire far-end 35mm place, three pieces of location, core decompression guide needle is pierced to femur head necrosis Nang Bian district through the angling hole of navigation panel, and inserting needle distance becomes the zone position degree of depth with Mimics computed in software capsule and is as the criterion.Complete the preoperative guiding of accurate core decompression art.
Accurate core decompression omniselector of the present invention and core decompression method thereof, realized the accurate core decompression for the treatment of early metaphase femur head necrosis, can reach following four aspects: (1) is core decompression precisely; (2) shorten operating time; (3) reduce amount of bleeding; (4) reduce radiation injury.
Brief description of the drawings:
Fig. 1 is the front view of core decompression omniselector of the present invention;
Fig. 2 is the rearview of core decompression omniselector of the present invention;
Fig. 3 is the side sectional view of core decompression omniselector of the present invention;
Wherein: 1 is locating hole; 2 is guide plate; 3 is inclined via-hole.
Detailed description of the invention:
Below in conjunction with accompanying drawing, the present invention is described in further detail:
Referring to Fig. 1,2,3, a kind of core decompression omniselector, comprises guide plate, three pieces of location Kirschner wires and one piece of core decompression guide needle; On described guide plate, be provided with three vertical locating holes and an inclined via-hole, three pieces of location Kirschner wires are vertically fixed in the locating hole on guide plate, and one piece of core decompression guide needle is set in inclined via-hole.
Described guide plate thickness is 35mm, and locating hole diameter is 3mm, and three pieces of location Kirschner wires are parallel to each other, and wherein following two pieces of location Kirschner wires distances are 15mm.
The core decompression method of described core decompression omniselector, carry out according to following step:
(1) first patient's greater trochanter summit and below about 50mm place respectively pierce the Kirschner wire of 3 pieces of diameter 3mm perpendicular to human body sagittal plane, wherein following two pieces of about 15mm of needle gage, respectively Kirschner wire is penetrated to a side seam cortex, be fixed on proximal femur, apart from skin 50mm place, Kirschner wire is being cut off; Then row hip joint CT scan;
(2) by hip joint CT scan data importing Mimics software, rebuild Ipsilateral femoral head, demonstrate volume and the shape in capsule change region; By the best relief passage of Mimics computed in software, it is 2mm core decompression guide needle that simulation arranges one piece of diameter;
(3), by above data importing Pro/e software, draw and three pieces of Kirschner wires of proximal femur and the navigation panel of one piece of core decompression guide needle adaptation; Make navigation panel by rapid shaping technique;
(4) preoperatively send the sterilization of sterilization the supplies section by accurate core decompression navigation panel and core decompression guide needle routine, in art, accurate core decompression navigation panel is installed and be fixed to Kirschner wire far-end 35mm place, three pieces of location, core decompression guide needle is pierced to femur head necrosis Nang Bian district through the angling hole of navigation panel, and inserting needle distance becomes the zone position degree of depth with Mimics computed in software capsule and is as the criterion.Complete the preoperative guiding of accurate core decompression art.
The above, it is only preferred embodiment of the present invention, not the present invention is done to any pro forma restriction, although the present invention discloses as above with preferred embodiment, but not in order to limit the present invention, any those skilled in the art, do not departing within the scope of technical solution of the present invention, when can utilizing the method for above-mentioned announcement and technology contents to make a little change or being modified to the equivalent embodiment of equivalent variations, in every case be the content that does not depart from technical solution of the present invention, any simple modification of above embodiment being done according to technical spirit of the present invention, equivalent variations and modification, still belong in the scope of technical solution of the present invention.
Claims (2)
1. a core decompression omniselector, is characterized in that: comprise guide plate, three pieces of location Kirschner wires and one piece of core decompression guide needle; On described guide plate, be provided with three vertical locating holes and an inclined via-hole, three pieces of location Kirschner wires are vertically fixed in the locating hole on guide plate, and one piece of core decompression guide needle is set in inclined via-hole; By three pieces of location Kirschner wires are pierced behind the about 50mm place of patient's greater trochanter summit and below perpendicular to human body sagittal plane, reconstruction patient Ipsilateral femoral head demonstrates volume and the shape in capsule change region, calculate relief passage, simulation arranges one piece of core decompression guide needle, the position relationship of the core decompression guide needle arranging according to simulation and three pieces of location Kirschner wires, on calculative determination guide plate for fixing position and the angle of inclination of inclined via-hole of core decompression guide needle.
2. accurate core decompression omniselector as claimed in claim 1, is characterized in that: described guide plate thickness is 35mm, locating hole diameter is 3mm, and three pieces of location Kirschner wires are parallel to each other, and wherein following two pieces of location Kirschner wires are apart from being 15mm.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201210004387.9A CN102525606B (en) | 2012-01-09 | 2012-01-09 | Medullary core decompression navigator and medullary core decompression method |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201210004387.9A CN102525606B (en) | 2012-01-09 | 2012-01-09 | Medullary core decompression navigator and medullary core decompression method |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN102525606A CN102525606A (en) | 2012-07-04 |
| CN102525606B true CN102525606B (en) | 2014-08-06 |
Family
ID=46334490
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201210004387.9A Expired - Fee Related CN102525606B (en) | 2012-01-09 | 2012-01-09 | Medullary core decompression navigator and medullary core decompression method |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN102525606B (en) |
Families Citing this family (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106618673B (en) * | 2017-03-17 | 2019-01-15 | 西南医科大学附属医院 | A kind of preparation and test method of femoral head ischemic necrosis marrow core solid decompressor |
| CN111407390A (en) * | 2020-04-02 | 2020-07-14 | 马驰蛟 | Percutaneous 3D printing femoral head necrosis medullary core decompression channel guide plate and preparation method thereof |
| CN114176800B (en) * | 2022-01-04 | 2024-01-30 | 上海交通大学 | Femoral head marrow core decompression operation positioner and decompression method thereof |
| CN114404042B (en) * | 2022-03-31 | 2022-07-08 | 珠海维尔康生物科技有限公司 | Surgical robot navigation board and navigation method |
Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5312408A (en) * | 1992-10-21 | 1994-05-17 | Brown Byron L | Apparatus and method of cutting and suctioning the medullary canal of long bones prior to insertion of an endoprosthesis |
| GB2324967A (en) * | 1997-05-06 | 1998-11-11 | Thomas Gauspohl | Marrow space awl |
| CN200948146Y (en) * | 2006-09-27 | 2007-09-19 | 四川大学华西医院 | Surgery appliance for reducing pressure of ischemic necrosis core of femoral head |
| CN201668477U (en) * | 2009-12-30 | 2010-12-15 | 王飞 | Caput femoris core decompression device |
| CN201727569U (en) * | 2010-07-21 | 2011-02-02 | 张纯朴 | Femoral head necrosis pressure reduction guider |
| CN201939475U (en) * | 2011-01-18 | 2011-08-24 | 黄峰 | Marrow core decompression tool for femoral head necrosis |
-
2012
- 2012-01-09 CN CN201210004387.9A patent/CN102525606B/en not_active Expired - Fee Related
Patent Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5312408A (en) * | 1992-10-21 | 1994-05-17 | Brown Byron L | Apparatus and method of cutting and suctioning the medullary canal of long bones prior to insertion of an endoprosthesis |
| GB2324967A (en) * | 1997-05-06 | 1998-11-11 | Thomas Gauspohl | Marrow space awl |
| CN200948146Y (en) * | 2006-09-27 | 2007-09-19 | 四川大学华西医院 | Surgery appliance for reducing pressure of ischemic necrosis core of femoral head |
| CN201668477U (en) * | 2009-12-30 | 2010-12-15 | 王飞 | Caput femoris core decompression device |
| CN201727569U (en) * | 2010-07-21 | 2011-02-02 | 张纯朴 | Femoral head necrosis pressure reduction guider |
| CN201939475U (en) * | 2011-01-18 | 2011-08-24 | 黄峰 | Marrow core decompression tool for femoral head necrosis |
Also Published As
| Publication number | Publication date |
|---|---|
| CN102525606A (en) | 2012-07-04 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| Scarbrough et al. | Comparison of ultrasound and implanted seed marker prostate localization methods: Implications for image-guided radiotherapy | |
| CN104287840B (en) | A kind of navigation template for nervi trigeminus navigation puncture and navigation puncture method | |
| TW201834626A (en) | 3 apparatus and method for mapping 3 dimensional acupoint | |
| CN105963002A (en) | Three-dimensional printed minimally invasive guide template and making method thereof | |
| CN102525606B (en) | Medullary core decompression navigator and medullary core decompression method | |
| CN106137373A (en) | Combination type spinal column puts nail guide plate and preparation method thereof | |
| CN109173087A (en) | A method of radioactive prospecting instrument is realized using laser aiming | |
| CN107157580A (en) | A kind of Digital location minimally invasive spine surgical 3D printing guide plate and preparation method | |
| CN106408652B (en) | Screw path positioning method and system for acetabulum anterior column forward screw | |
| CN103892912A (en) | X-ray-assisted puncture positioning method and system | |
| CN104146775A (en) | Locator used before and during spinal operation | |
| Tseng et al. | Perforator flaps in breast reconstruction | |
| KR102292701B1 (en) | Medical device for radiotherapy treatment | |
| ATE485874T1 (en) | RADIATION THERAPY SYSTEM FOR PLANNING RADIATION THERAPY | |
| Kamrava | Potential role of ultrasound imaging in interstitial image based cervical cancer brachytherapy | |
| CN112336437A (en) | Auxiliary device based on intracranial tumor puncture treatment and preparation method | |
| CN109247976A (en) | A kind of surgical guide producing device and production method based on three-dimensional modeling | |
| CN206587021U (en) | A kind of minimally invasive guide plate for Caput femoris core decompression | |
| CN105662585B (en) | A kind of percutaneous infratemporal fossa Lateral Orbital Walls endoscope puncture guide plate and its application method | |
| CN108670395A (en) | A kind of sacroiliac screw digitlization method for posting of 3D printing | |
| CN205658975U (en) | Percutaneous infratemporal fossa eye socket outer wall endoscope puncture baffle | |
| CN202568453U (en) | Medullary core decompression navigation system | |
| CN105640646A (en) | Screw implantation guide device for closed reduction of pelvic anterior ring fracture and manufacturing method thereof | |
| CN207708144U (en) | A kind of 3D printing spinal operation prone position gesture rack | |
| CN206630673U (en) | Operating robot operating theater instruments clamps guiding device |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C06 | Publication | ||
| PB01 | Publication | ||
| C10 | Entry into substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| C14 | Grant of patent or utility model | ||
| GR01 | Patent grant | ||
| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20140806 Termination date: 20170109 |
|
| CF01 | Termination of patent right due to non-payment of annual fee |