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CN110013361A - A Durable Bionic Alloy Knuckle Replacement - Google Patents

A Durable Bionic Alloy Knuckle Replacement
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Publication number
CN110013361A
CN110013361ACN201910353185.7ACN201910353185ACN110013361ACN 110013361 ACN110013361 ACN 110013361ACN 201910353185 ACN201910353185 ACN 201910353185ACN 110013361 ACN110013361 ACN 110013361A
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China
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bionic
durable
intramedullary
joint
replacement part
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CN201910353185.7A
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Chinese (zh)
Inventor
姚玲
李军
李川
卜鹏飞
万植颖
郭孝菊
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92nd Hospital Of Joint Logistics Support Force Of Chinese People's Liberation Army
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92nd Hospital Of Joint Logistics Support Force Of Chinese People's Liberation Army
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Priority to CN201910353185.7ApriorityCriticalpatent/CN110013361A/en
Publication of CN110013361ApublicationCriticalpatent/CN110013361A/en
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Abstract

The invention discloses a kind of bionical alloy articulations digitorum manus refill-units of durable type, the articulations digitorum manus refill-unit includes connector (2) in joint ontology (1) and marrow, the joint ontology (1) is the Bionic fingers joint component designed by body biomechanics, connector (2) in the bottom end setting marrow of the joint ontology (1), connector (2) is that monoblock type imitates pulp cavity structure in the marrow, and with intramedullary cavity is biological merges cooperation, the joint ontology (1) includes proximal joint body and joint ontology, fin or groove fit structure is respectively set in the top surface of the two, the cooperation of the two function of joint.The present invention is based on body biomechanics principle, the conformal performance of the bionical metacarpophalangeal joints replacement component of exploitation is more preferable, and faying face is stronger in conjunction with osteotomy surface.The present invention more meets body biomechanics structure, and mechanical engagement is good, low in cost, and clinical applicability is good, and the postoperative function of patient restores good, and the safe trial period greatly extends.

Description

Translated fromChinese
一种耐用型仿生合金指关节替换件A Durable Bionic Alloy Knuckle Replacement

技术领域technical field

本发明属于骨科器械技术领域,具体涉及一种结构合理、配装简便的耐用型仿生合金指关节替换件。The invention belongs to the technical field of orthopedic instruments, in particular to a durable bionic alloy finger joint replacement part with reasonable structure and simple assembly.

背景技术Background technique

人们在日常生产与生活过程,难免会受到意外造成手掌及手指骨折伤害,或者因为风湿等疾病导致手掌指关节活动受限,甚至失去正常的生理功能。常规技术手段就是人工假体进行关节替换,但是,用现有技术的可替换假体进行修复,不仅初始稳定性不好,而且长期骨生长也不好,长期稳定性也不好。尤其全关节替换之情形,用现有技术人工关节则前述弊端更加凸显出来。究其原因在于假体关节面的适形性差,结合面的连接结构不合理,导致上述不良效果的发生。本发明人以为针对现有技术之不足,开发更符合人体生物力学结构,机械配合性好,成本低廉,适形性好且耐固接的仿生指关节替换部件,代替现有技术之假体,是克服现有技术缺陷的有效方式。In the process of daily production and life, people will inevitably suffer from accidental fractures of the palm and fingers, or because of diseases such as rheumatism, the activities of the palm and finger joints are limited, or even lose their normal physiological functions. The conventional technical means is to replace the joint with an artificial prosthesis. However, using the replaceable prosthesis in the prior art for repair not only has poor initial stability, but also has poor long-term bone growth and long-term stability. Especially in the case of full joint replacement, the aforementioned drawbacks are more prominent when using the existing artificial joint. The reason is that the conformability of the articular surface of the prosthesis is poor, and the connection structure of the joint surface is unreasonable, which leads to the occurrence of the above-mentioned adverse effects. The inventors of the present invention believe that aiming at the shortcomings of the prior art, to develop a bionic finger joint replacement part that is more in line with the human body's biomechanical structure, has good mechanical compatibility, low cost, good conformability and resistance to fixation, instead of the prosthesis in the prior art, It is an effective way to overcome the defects of the prior art.

发明内容SUMMARY OF THE INVENTION

本发明的目的在于提供一种更符合人体生物力学结构,机械配合性好,成本低廉的耐用型仿生合金指关节替换件。The purpose of the present invention is to provide a durable biomimetic alloy finger joint replacement part which is more in line with the human body's biomechanical structure, has good mechanical compatibility and is low in cost.

本发明的目的是这样实现的,所述的指关节替换件包括关节本体和髓内连接体,所述的关节本体为按人体生物力学设计的仿生指关节部件,所述的关节本体之底端设置髓内连接体,所述的髓内连接体为整体式仿髓腔结构,且与髓内腔生物性融合配合,所述的关节本体包括近端关节体和关节本体,两者之顶面分别设置鳍或沟槽配合结构,两者关节功能性配合。The purpose of the present invention is to achieve the following: the finger joint replacement part includes a joint body and an intramedullary connecting body, the joint body is a bionic finger joint part designed according to human biomechanics, and the bottom end of the joint body is An intramedullary connecting body is provided, the intramedullary connecting body is an integral imitation medullary cavity structure, and is biologically fused with the intramedullary cavity, and the joint body includes a proximal joint body and a joint body, and the top surface of the two is Fins or grooves are respectively provided with matching structures, and the joints of the two are functionally matched.

本发明基于人体生物力学原理,开发的仿生掌指关节替换部件的适形性更好,结合面与截骨面结合更牢固。本发明更符合人体生物力学结构,机械配合性好,成本低廉,临床适用性好,患者的术后功能恢复良好,安全试用期大为延长。Based on the principle of human biomechanics, the bionic metacarpophalangeal joint replacement part developed by the invention has better conformability, and the combination surface and the osteotomy surface are more firmly combined. The invention is more in line with the biomechanical structure of the human body, has good mechanical compatibility, low cost, good clinical applicability, good postoperative functional recovery of patients, and greatly prolonged safe trial period.

附图说明Description of drawings

图1为本发明整体结构示意图;Fig. 1 is the overall structure schematic diagram of the present invention;

图2为图1之AA视图;Fig. 2 is the AA view of Fig. 1;

图3为图1之B向视图;Fig. 3 is the B direction view of Fig. 1;

图4为本发明另一种实施方式结构视图;4 is a structural view of another embodiment of the present invention;

图中标号:1~关节本体,2~髓内连接体,3~V形沟槽,4~V形鳍,5~固定孔,6~固定钉,7~固定倒刺,C部外圆弧。Labels in the figure: 1-joint body, 2-intramedullary connector, 3-V-shaped groove, 4-V-shaped fin, 5-fixed hole, 6-fixed nail, 7-fixed barb, outer arc of C part .

具体实施方式Detailed ways

下面结合附图对本发明作进一步的说明,但不以任何方式对本发明加以限制,基于本发明教导所作的任何变换或替换,均属于本发明的保护范围。The present invention is further described below in conjunction with the accompanying drawings, but the present invention is not limited in any way, and any transformation or replacement based on the teachings of the present invention belongs to the protection scope of the present invention.

如附图1~2所示,本发明一种耐用型仿生合金指关节替换件,所述的指关节替换件包括关节本体1和髓内连接体2,所述的关节本体1为按人体生物力学设计的仿生指关节部件,所述的关节本体1之底端设置髓内连接体2,所述的髓内连接体2为整体式仿髓腔结构,且与髓内腔生物性融合配合,所述的关节本体1包括近端关节体和关节本体,两者之顶面分别设置鳍或沟槽配合结构,两者关节功能性配合。As shown in Figures 1-2, a durable bionic alloy finger joint replacement part of the present invention, the finger joint replacement part comprises a joint body 1 and an intramedullary connecting body 2, and the joint body 1 is designed according to human biological Mechanically designed bionic finger joint parts, the bottom end of the joint body 1 is provided with an intramedullary connector 2, the intramedullary connector 2 is an integral imitation medullary cavity structure, and is biologically fused with the intramedullary cavity, The joint body 1 includes a proximal joint body and a joint body, and the top surfaces of the two are respectively provided with fins or groove matching structures, and the two joints are functionally matched.

所述的近端关节本体或远端关节本体分别设置的鳍型或沟槽均呈V形,两者关节功能性配合。The fins or grooves respectively provided on the proximal joint body or the distal joint body are V-shaped, and the joints of the two are functionally matched.

所述的关节本体1顶面之V形鳍两翼各自呈前后弧面,弧面曲率半径为30~200mm;V形鳍4两翼分别呈外展之弧面,弧面曲率半径为20~70mm。The two wings of the V-shaped fin on the top surface of the joint body 1 are respectively front and rear arc surfaces, and the radius of curvature of the arc surface is 30-200mm;

所述的V形沟槽3与V形鳍4相互关节功能性配合,两翼分别呈前后弧面,弧面曲率半径为30~200mm;V形沟槽3左右两翼呈外展之弧面,弧面曲率半径为20~70mm。The V-shaped groove 3 and the V-shaped fin 4 are jointed functionally with each other. The radius of curvature of the surface is 20 to 70 mm.

所述的V形鳍4或V形沟槽3的横截面夹角为15~40°。The cross-sectional angle of the V-shaped fin 4 or the V-shaped groove 3 is 15-40°.

所述的髓内连接体2之整体组合式锥形结构,从关节本体1沿纵轴延伸呈收缩锥形,末端呈圆润的无棱边结构;髓内连接体2横截面呈半圆形。The integral combined conical structure of the intramedullary connector 2 extends from the joint body 1 along the longitudinal axis to form a constricted cone, and the end is a rounded edgeless structure; the cross section of the intramedullary connector 2 is semicircular.

所述的髓内连接体2之中后段横向设置固定孔5,相应地配合设置固定钉6,以便髓内连接体2于指截骨的固定。The middle and rear section of the intramedullary connecting body 2 is provided with fixing holes 5 transversely, and correspondingly, fixing nails 6 are arranged to facilitate the fixing of the intramedullary connecting body 2 to the finger osteotomy.

所述的髓内连接体2之表面设置粗糙结构设计,即星点凸起结构设计或雨点坑型机构设计。The surface of the intramedullary connector 2 is provided with a rough structure design, that is, a star point convex structure design or a raindrop pit type mechanism design.

所述的关节本体1与髓内连接体2之间呈过渡性外圆弧锥形结构设计,即C部外圆弧之曲率半径为100~350mm。The joint body 1 and the intramedullary connecting body 2 are designed in a transitional outer arc conical structure, that is, the curvature radius of the outer arc of the C part is 100-350 mm.

所述的髓内连接体2之锥体末段外侧设置固定倒刺7。A fixed barb 7 is provided on the outer side of the distal end of the cone of the intramedullary connector 2 .

所述的关节本体1表面设置纯钛涂层,且经过抛光处理;所述的髓内连接体2由镍钛记忆合金制作。The surface of the joint body 1 is provided with a pure titanium coating and is polished; the intramedullary connecting body 2 is made of nickel-titanium memory alloy.

本发明工作原理和工作过程:The working principle and working process of the present invention:

本发明基于人体生物力学原理,使得合金指关节替换部件之整体及配合面更符合原骨结构特征,同时保证替换部件与截骨面结合更牢固,初始稳定性更好,更便于骨生长,保持部件固接的长期稳定与牢固,减少受术者的痛苦。The invention is based on the principle of human biomechanics, so that the whole body and the matching surface of the alloy finger joint replacement part are more in line with the structural characteristics of the original bone, and at the same time, the combination of the replacement part and the osteotomy surface is guaranteed to be firmer, the initial stability is better, and it is more convenient for bone growth and maintenance. The long-term stability and firmness of the component fixing reduces the pain of the recipient.

对于指关节骨折缺损或风湿病患者,使用本发明替换部件时,首先选配合适的型号,尤其针对手指关节进行配型。将创面进行修复,反复修正、适配,髓内连接体插入髓腔内,推至尽头并保证连接体与截骨配合紧密、稳定,然后将固定钉拧入截骨和髓内连接体使两者固定牢固。使用本发明既可以半指关节的替换,也可以全指关节的替换。For patients with fractures and defects of finger joints or rheumatism, when using the replacement parts of the present invention, a suitable model should be selected first, especially for finger joints. The wound is repaired, revised and adapted repeatedly, the intramedullary connector is inserted into the medullary cavity, pushed to the end to ensure that the connector and the osteotomy are tightly and stably matched, and then the fixation nail is screwed into the osteotomy and the intramedullary connector to make the two ends. are fixed firmly. By using the present invention, it is possible to replace the half-knuckle joints as well as the full-knuckle joints.

Claims (10)

Translated fromChinese
1.一种耐用型仿生合金指关节替换件,所述的指关节替换件包括关节本体(1)和髓内连接体(2),其特征在于所述的关节本体(1)为按人体生物力学设计的仿生指关节部件,所述的关节本体(1)之底端设置髓内连接体(2),所述的髓内连接体(2)为整体式仿髓腔结构,且与髓内腔生物性融合配合,所述的关节本体(1)包括近端关节体和远端关节本体,两者之顶面分别设置鳍或沟槽配合结构,两者关节功能性配合。1. A durable bionic alloy finger joint replacement part, the finger joint replacement part comprises a joint body (1) and an intramedullary connecting body (2), characterized in that the joint body (1) is based on human biological A mechanically designed bionic finger joint component, an intramedullary connecting body (2) is arranged at the bottom end of the joint body (1), and the intramedullary connecting body (2) is an integral type imitating medullary cavity structure, and is connected with the intramedullary In the cavity biological fusion and cooperation, the joint body (1) includes a proximal joint body and a distal joint body, and the top surfaces of the two are respectively provided with fins or groove matching structures, and the two joints are functionally matched.2.根据权利要求1所述的耐用型仿生合金指关节替换件,其特征在于所述的近端关节本体和/或远端关节本体分别设置的鳍或沟槽均呈V形,两者关节功能性配合(8)。2. The durable bionic alloy finger joint replacement part according to claim 1, characterized in that the fins or grooves respectively provided on the proximal joint body and/or the distal joint body are V-shaped, and the joints of both are V-shaped. Functional fit (8).3.根据权利要求1或2所述的耐用型仿生合金指关节替换件,其特征在于所述的关节本体(1)顶面之V形鳍(4)两翼各自呈前后弧面,弧面曲率半径为30~200mm;V形鳍(4)两翼分别呈外展之弧面,弧面曲率半径为20~70mm。3. The durable bionic alloy finger joint replacement part according to claim 1 or 2, characterized in that the two wings of the V-shaped fin (4) on the top surface of the joint body (1) are respectively front and rear arc surfaces, and the arc surface curvature The radius is 30-200mm; the two wings of the V-shaped fins (4) are respectively abducted arcs, and the radius of curvature of the arcs is 20-70mm.4.根据权利要求3所述的耐用型仿生合金指关节替换件,其特征在于所述的V形沟槽(3)与V形鳍(4)相互关节功能性配合,两翼分别呈前后弧面,弧面曲率半径为30~200mm;V形沟槽(3)左右两翼呈外展之弧面,弧面曲率半径为20~70mm。4. The durable bionic alloy finger joint replacement part according to claim 3, characterized in that the V-shaped groove (3) and the V-shaped fin (4) are functionally coordinated with each other, and the two wings are respectively front and rear arc surfaces. , the radius of curvature of the arc surface is 30-200mm; the left and right wings of the V-shaped groove (3) are curved surfaces with abduction, and the radius of curvature of the arc surface is 20-70mm.5.根据权利要求3或4所述的耐用型仿生合金指关节替换件,其特征在于所述的V形鳍(4)或V形沟槽(3)的横截面夹角为15~40°。5. The durable bionic alloy finger joint replacement part according to claim 3 or 4, characterized in that the cross-sectional angle of the V-shaped fin (4) or the V-shaped groove (3) is 15-40° .6.根据权利要求1所述的耐用型仿生合金指关节替换件,其特征在于所述的髓内连接体(2)之整体组合式锥形结构,从关节本体(1)沿纵轴延伸呈收缩锥形,末端呈圆润的无棱边结构;髓内连接体(2)横截面呈半圆形。6. The durable bionic alloy finger joint replacement part according to claim 1, characterized in that the integral combined conical structure of the intramedullary connecting body (2) extends from the joint body (1) along the longitudinal axis to form a It is constricted and tapered, with a rounded edgeless structure at the end; the cross-section of the intramedullary connector (2) is semicircular.7.根据权利要求1或6所述的耐用型仿生合金指关节替换件,其特征在于所述的髓内连接体(2)之表面设置粗糙结构设计,即星点凸起结构设计或雨点坑型机构设计。7. The durable bionic alloy finger joint replacement part according to claim 1 or 6, characterized in that the surface of the intramedullary connector (2) is provided with a rough structure design, that is, a star point raised structure design or a raindrop pit type institutional design.8.根据权利要求1或2所述的耐用型仿生合金指关节替换件,其特征在于所述的关节本体(1)与髓内连接体(2)之间呈过渡性外圆弧锥形结构设计,外圆弧之曲率半径为100~350mm。8. The durable bionic alloy finger joint replacement part according to claim 1 or 2, characterized in that the joint body (1) and the intramedullary connecting body (2) are in a transitional outer arc conical structure Design, the radius of curvature of the outer arc is 100 ~ 350mm.9.根据权利要求1或6所述的耐用型仿生合金指关节替换件,其特征在于所述的髓内连接体(2)之锥体末段外侧设置固定倒刺(7)。9. The durable bionic alloy finger joint replacement part according to claim 1 or 6, characterized in that a fixed barb (7) is provided on the outer side of the distal end of the cone of the intramedullary connector (2).10.根据权利要求1或2所述的耐用型仿生合金指关节替换件,其特征在于所述的关节本体(1)表面设置纯钛涂层,且经过抛光处理;所述的髓内连接体(2)由镍钛记忆合金制作。10. The durable bionic alloy finger joint replacement part according to claim 1 or 2, characterized in that the surface of the joint body (1) is provided with a pure titanium coating and is polished; the intramedullary connector (2) Made of nickel-titanium memory alloy.
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