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CN116019612B - Semi-elbow joint prosthesis - Google Patents

Semi-elbow joint prosthesis
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Publication number
CN116019612B
CN116019612BCN202310326925.4ACN202310326925ACN116019612BCN 116019612 BCN116019612 BCN 116019612BCN 202310326925 ACN202310326925 ACN 202310326925ACN 116019612 BCN116019612 BCN 116019612B
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hole
connecting arm
arm
side wall
rack
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CN116019612A (en
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蒋协远
查晔军
公茂琪
刘敏
霍亚平
李健
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Beijing Jishuitan Hospital Affiliated To Capital Medical University
Beijing AK Medical Co Ltd
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Beijing Jishuitan Hospital
Beijing AK Medical Co Ltd
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Abstract

Translated fromChinese

本发明提供了一种半肘关节假体,包括:连接柄;连接架,与连接柄连接,连接架包括基体以及与基体连接且间隔设置的第一连接臂和第二连接臂;滑车部,滑车部上设置有连接孔,第一连接臂和滑车部的侧部连接,第二连接臂插入至连接孔内;调节结构,设置在连接孔和第二连接臂之间,以调节第二连接臂插入至连接孔内的深度。本申请的技术方案有效地解决了相关技术中的肘关节假体的肱骨柄和解剖颈之间的位置和角度固定,存在无法植入的问题。

Figure 202310326925

The invention provides a semi-elbow joint prosthesis, comprising: a connecting handle; a connecting frame connected to the connecting handle, the connecting frame including a base body and a first connecting arm and a second connecting arm connected to the base body and arranged at intervals; a pulley part, A connecting hole is provided on the tackle part, the first connecting arm is connected to the side of the tackle part, and the second connecting arm is inserted into the connecting hole; the adjusting structure is arranged between the connecting hole and the second connecting arm to adjust the second connecting arm The depth to which the arm is inserted into the connection hole. The technical solution of the present application effectively solves the problem that the position and angle between the humerus stem and the anatomical neck of the elbow joint prosthesis in the related art are fixed, and there is a problem that it cannot be implanted.

Figure 202310326925

Description

Translated fromChinese
半肘关节假体half elbow prosthesis

技术领域technical field

本发明涉及医疗器械技术领域,具体而言,涉及一种半肘关节假体。The invention relates to the technical field of medical devices, in particular to a half elbow joint prosthesis.

背景技术Background technique

在相关技术中,肘关节是重要关节部件,其负责协调肩关节、前臂以及腕关节的活动,为了能够发挥肩和手的功能,需要使肘关节具有良好的活动范围和稳定性。肘关节因活动量较大导致容易产生关节疾病,或者骨折等外伤情况均需要进行肘关节假体进行置换。In related technologies, the elbow joint is an important joint component, which is responsible for coordinating the activities of the shoulder joint, forearm and wrist joint. In order to be able to perform the functions of the shoulder and hand, the elbow joint needs to have a good range of motion and stability. Elbow joints are prone to joint diseases due to a large amount of activity, or trauma such as fractures requires elbow joint prosthesis replacement.

在相关技术中,由于患者的骨骼位置和尺寸有所不同,但是肘关节假体的肱骨柄和解剖颈之间的位置和角度固定,存在无法植入的情况。In the related art, since the position and size of the patient's bones are different, but the position and angle between the humeral stem and the anatomical neck of the elbow joint prosthesis are fixed, there are cases where it cannot be implanted.

发明内容Contents of the invention

本发明的主要目的在于提供一种半肘关节假体,以解决相关技术中的肘关节假体的肱骨柄和解剖颈之间的位置和角度固定,存在无法植入的问题。The main purpose of the present invention is to provide a semi-elbow joint prosthesis to solve the problem that the position and angle between the humeral stem and the anatomical neck of the elbow joint prosthesis in the related art are fixed and cannot be implanted.

为了实现上述目的,本发明提供了一种半肘关节假体,包括:连接柄;连接架,与连接柄连接,连接架包括基体以及与基体连接且间隔设置的第一连接臂和第二连接臂;滑车部,滑车部上设置有连接孔,第一连接臂和滑车部的侧部连接,第二连接臂插入至连接孔内;调节结构,设置在连接孔和第二连接臂之间,以调节第二连接臂插入至连接孔内的深度。In order to achieve the above object, the present invention provides a semi-elbow joint prosthesis, comprising: a connecting handle; a connecting frame connected to the connecting handle, the connecting frame includes a base body and a first connecting arm and a second connecting arm connected to the base body and arranged at intervals The arm; the pulley part, the pulley part is provided with a connecting hole, the first connecting arm is connected to the side of the pulley part, and the second connecting arm is inserted into the connecting hole; the adjustment structure is arranged between the connecting hole and the second connecting arm, to adjust the insertion depth of the second connecting arm into the connecting hole.

进一步地,调节结构包括齿槽和齿条,齿槽和齿条中的一个设置在第二连接臂上,齿槽和齿条中的另一个设置在连接孔内,齿条和齿槽啮合设置。Further, the adjustment structure includes a tooth groove and a rack, one of the tooth groove and the tooth rack is arranged on the second connecting arm, the other of the tooth groove and the tooth rack is arranged in the connecting hole, and the tooth groove and the tooth groove are engaged with each other. .

进一步地,第二连接臂包括第一侧壁和第二侧壁,第一侧壁和第二侧壁的连线垂直于由第一连接臂至第二连接臂的方向,齿条设置在第一侧壁和/或第二侧壁上,齿槽设置在连接孔内。Further, the second connecting arm includes a first side wall and a second side wall, the line connecting the first side wall and the second side wall is perpendicular to the direction from the first connecting arm to the second connecting arm, and the rack is arranged at the second On one side wall and/or on the second side wall, tooth grooves are arranged in the connecting holes.

进一步地,第二连接臂内设置有容纳空间,第一侧壁上间隔设置有多个通孔,齿条设置在容纳空间内,齿条可伸缩回地设置在通孔内,并具有向外伸出的锁定位置和向内缩回的避让位置。Further, a receiving space is provided in the second connecting arm, a plurality of through holes are arranged at intervals on the first side wall, and the rack is arranged in the receiving space, and the rack is telescopically arranged in the through hole, and has an outward An extended locked position and an inward retracted out of the way position.

进一步地,调节结构还包括连接杆和齿轮,连接杆和齿条的端部连接,连接杆上间隔设置有多个凸齿,齿轮和连接杆均设置在容纳空间内,齿轮与凸齿啮合,并通过连接杆驱动齿条在锁定位置和避让位置之间切换。Further, the adjustment structure also includes a connecting rod and a gear, the connecting rod is connected to the end of the rack, a plurality of convex teeth are arranged at intervals on the connecting rod, the gear and the connecting rod are both arranged in the accommodation space, and the gear meshes with the convex teeth. And drive the rack through the connecting rod to switch between the locking position and the avoidance position.

进一步地,调节结构还包括锁定件,锁定件连接在齿轮和第二连接臂之间。Further, the adjusting structure further includes a locking piece connected between the gear and the second connecting arm.

进一步地,齿轮上设置有调节槽和安装孔,安装孔位于调节槽的底壁上,锁定件位于安装孔内,锁定件与调节槽的槽口之间具有距离。Further, the gear is provided with an adjusting groove and a mounting hole, the mounting hole is located on the bottom wall of the adjusting groove, the locking piece is located in the mounting hole, and there is a distance between the locking piece and the notch of the adjusting groove.

进一步地,第二连接臂的侧壁上设置有避让孔,避让孔和容纳空间连通,齿轮设置在避让孔内。Further, an escape hole is provided on the side wall of the second connecting arm, the escape hole communicates with the accommodation space, and the gear is arranged in the escape hole.

进一步地,齿条为两个,两个齿条分别设置在第一侧壁和第二侧壁上。Further, there are two racks, and the two racks are respectively arranged on the first side wall and the second side wall.

进一步地,第一连接臂的远离连接柄的一侧设置有止挡块,止挡块朝向第二连接臂延伸,止挡块上设置有限位块,限位块竖直设置,限位块和第二连接臂以及止挡块连接,滑车部的端部设置有内凹部,内凹部内设置有限位槽,止挡块插入至内凹部,限位块插入至限位槽内。Further, a stop block is provided on the side of the first connecting arm away from the connecting handle, the stop block extends toward the second connecting arm, a limit block is arranged on the stop block, the limit block is vertically arranged, the limit block and The second connecting arm is connected to the stop block, and the end of the pulley part is provided with an inner concave part, and a limiting groove is arranged in the inner concave part, and the stop block is inserted into the inner concave part, and the limiting block is inserted into the limiting groove.

进一步地,连接柄包括第一杆体、第二杆体以及连接块,第一杆体和第二杆体间隔设置且均设置在连接块的同一表面,第一杆体的长度大于第二杆体的长度。Further, the connecting handle includes a first rod body, a second rod body and a connecting block, the first rod body and the second rod body are arranged at intervals and are all arranged on the same surface of the connecting block, and the length of the first rod body is greater than that of the second rod body.

进一步地,第二杆体朝向第一杆体的一侧间隔设置有多个植骨仓。Further, a plurality of bone graft chambers are arranged at intervals on one side of the second rod body facing the first rod body.

进一步地,基体上设置有插接柱,连接块上设置有插接孔,插接柱插入至插接孔内,插接柱和基体之间设置有锁定件。Further, the base body is provided with a plug-in post, the connection block is provided with a plug-in hole, the plug-in post is inserted into the plug-in hole, and a locking piece is provided between the plug-in post and the base body.

应用本发明的技术方案,连接架和连接柄连接,连接架包括基体以及与基体连接且间隔设置的第一连接臂和第二连接臂。滑车部上设置有连接孔,第一连接臂和滑车部的侧部连接,第二连接臂插入至连接孔内。调节结构设置在连接孔和第二连接臂之间,调节结构能够调节第二连接臂插入至连接孔内的深度。通过上述的设置,在植入之前,对人体骨骼进行测量,再将连接柄连接在连接架上,将第二连接臂插入至连接孔内,再通过调节结构调节第二连接臂插入至连接孔内的深度,这样使得连接架和滑车部的角度与人体适配。即半肘关节假体能够满足不同患者的骨骼尺寸和位置,因此本申请的技术方案有效地解决了相关技术中的肘关节假体的肱骨柄和解剖颈之间的位置和角度固定,存在无法植入的问题。Applying the technical solution of the present invention, the connecting frame is connected to the connecting handle, and the connecting frame includes a base body and a first connecting arm and a second connecting arm connected with the base body and arranged at intervals. A connection hole is provided on the pulley part, the first connection arm is connected to the side part of the pulley part, and the second connection arm is inserted into the connection hole. The adjustment structure is arranged between the connection hole and the second connection arm, and the adjustment structure can adjust the insertion depth of the second connection arm into the connection hole. Through the above-mentioned settings, before implantation, the human skeleton is measured, and then the connecting handle is connected to the connecting frame, the second connecting arm is inserted into the connecting hole, and the second connecting arm is inserted into the connecting hole through the adjustment structure The inner depth makes the angle of the connecting frame and the trolley adapt to the human body. That is, the semi-elbow joint prosthesis can meet the bone size and position of different patients, so the technical solution of the present application effectively solves the problem of fixing the position and angle between the humerus stem and the anatomical neck of the elbow joint prosthesis in the related art, which cannot Implantation issues.

附图说明Description of drawings

构成本申请的一部分的说明书附图用来提供对本发明的进一步理解,本发明的示意性实施例及其说明用于解释本发明,并不构成对本发明的不当限定。在附图中:The accompanying drawings constituting a part of the present application are used to provide a further understanding of the present invention, and the schematic embodiments and descriptions of the present invention are used to explain the present invention, and do not constitute an improper limitation of the present invention. In the attached picture:

图1示出了根据本发明的半肘关节假体的实施例的分解结构示意;Fig. 1 shows the schematic diagram of the exploded structure of the embodiment of the half-elbow joint prosthesis according to the present invention;

图2示出了图1的半肘关节假体的立体结构示意图;Fig. 2 shows the schematic diagram of the three-dimensional structure of the half elbow joint prosthesis of Fig. 1;

图3示出了图2的半肘关节假体的连接架的立体结构示意图;Fig. 3 shows the three-dimensional schematic diagram of the connecting frame of the half elbow joint prosthesis of Fig. 2;

图4示出了图3的连接架的A处局部放大图;Fig. 4 shows a partial enlarged view of A place of the connecting frame of Fig. 3;

图5示出了图3的连接架的剖视示意图;Fig. 5 shows a schematic cross-sectional view of the connecting frame of Fig. 3;

图6示出了图1的半肘关节假体的调节结构的立体结构示意图;Fig. 6 shows a schematic perspective view of the three-dimensional structure of the adjustment structure of the half-elbow joint prosthesis of Fig. 1;

图7示出了图1的半肘关节假体的滑车部的立体结构示意图;Fig. 7 shows a schematic perspective view of the three-dimensional structure of the trochlear portion of the half elbow prosthesis of Fig. 1;

图8示出了图7的滑车部的另一视角的立体结构示意图;Fig. 8 shows a schematic perspective view of the three-dimensional structure of the pulley part in Fig. 7;

图9示出了图1的半肘关节假体的连接柄的立体结构示意图。Fig. 9 shows a schematic perspective view of the connecting handle of the half elbow joint prosthesis in Fig. 1 .

其中,上述附图包括以下附图标记:Wherein, the above-mentioned accompanying drawings include the following reference signs:

10、连接柄;11、第一杆体;12、第二杆体;121、植骨仓;13、连接块;131、插接孔;20、连接架;21、基体;211、插接柱;22、第一连接臂;221、止挡块;222、限位块;23、第二连接臂;231、第一侧壁;2311、通孔;232、第二侧壁;233、容纳空间;234、避让孔;30、滑车部;31、连接孔;32、内凹部;321、限位槽;40、调节结构;41、齿槽;42、齿条;43、连接杆;431、凸齿;44、齿轮;441、调节槽;442、安装孔;50、锁定件;10. Connecting handle; 11. First rod body; 12. Second rod body; 121. Bone graft chamber; 13. Connecting block; 131. Inserting hole; 20. Connecting frame; 21. Base body; , the first connecting arm; 221, the stop block; 222, the limit block; 23, the second connecting arm; 231, the first side wall; 2311, the through hole; 232, the second side wall; 233, the accommodation space; 234 , avoidance hole; 30, pulley part; 31, connecting hole; 32, inner concave part; 321, limit groove; 40, adjustment structure; 41, tooth groove; 42, rack; 43, connecting rod; 431, convex tooth; 44, gear; 441, adjustment slot; 442, mounting hole; 50, locking piece;

具体实施方式Detailed ways

下面将结合本发明实施例中的附图,对本发明实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本发明一部分实施例,而不是全部的实施例。以下对至少一个示例性实施例的描述实际上仅仅是说明性的,决不作为对本发明及其应用或使用的任何限制。基于本发明中的实施例,本领域普通技术人员在没有作出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。The following will clearly and completely describe the technical solutions in the embodiments of the present invention with reference to the accompanying drawings in the embodiments of the present invention. Obviously, the described embodiments are only some, not all, embodiments of the present invention. The following description of at least one exemplary embodiment is merely illustrative in nature and in no way taken as limiting the invention, its application or uses. Based on the embodiments of the present invention, all other embodiments obtained by persons of ordinary skill in the art without creative efforts fall within the protection scope of the present invention.

需要注意的是,这里所使用的术语仅是为了描述具体实施方式,而非意图限制根据本申请的示例性实施方式。如在这里所使用的,除非上下文另外明确指出,否则单数形式也意图包括复数形式,此外,还应当理解的是,当在本说明书中使用术语“包含”和/或“包括”时,其指明存在特征、步骤、操作、器件、组件和/或它们的组合。It should be noted that the terminology used here is only for describing specific implementations, and is not intended to limit the exemplary implementations according to the present application. As used herein, unless the context clearly dictates otherwise, the singular is intended to include the plural, and it should also be understood that when the terms "comprising" and/or "comprising" are used in this specification, they mean There are features, steps, operations, means, components and/or combinations thereof.

除非另外具体说明,否则在这些实施例中阐述的部件和步骤的相对布置、数字表达式和数值不限制本发明的范围。同时,应当明白,为了便于描述,附图中所示出的各个部分的尺寸并不是按照实际的比例关系绘制的。对于相关领域普通技术人员已知的技术、方法和设备可能不作详细讨论,但在适当情况下,所述技术、方法和设备应当被视为授权说明书的一部分。在这里示出和讨论的所有示例中,任何具体值应被解释为仅仅是示例性的,而不是作为限制。因此,示例性实施例的其它示例可以具有不同的值。应注意到 :相似的标号和字母在下面的附图中表示类似项,因此,一旦某一项在一个附图中被定义,则在随后的附图中不需要对其进行进一步讨论。The relative arrangements of components and steps, numerical expressions and numerical values set forth in these embodiments do not limit the scope of the present invention unless specifically stated otherwise. At the same time, it should be understood that, for the convenience of description, the sizes of the various parts shown in the drawings are not drawn according to the actual proportional relationship. Techniques, methods and devices known to those of ordinary skill in the relevant art may not be discussed in detail, but where appropriate, such techniques, methods and devices should be considered part of the Authorized Specification. In all examples shown and discussed herein, any specific values should be construed as illustrative only, and not as limiting. Therefore, other examples of the exemplary embodiment may have different values. It should be noted that similar numbers and letters denote similar items in the following figures, therefore, once an item is defined in one figure, it does not require further discussion in subsequent figures.

如图1至图3以及图7至图9所示,在本实施例中,半肘关节假体包括:连接柄10、连接架20、滑车部30以及调节结构40。连接架20与连接柄10连接,连接架20包括基体21以及与基体21连接且间隔设置的第一连接臂22和第二连接臂23。滑车部30上设置有连接孔31,第一连接臂22和滑车部30的侧部连接,第二连接臂23插入至连接孔31内。调节结构40设置在连接孔31和第二连接臂23之间,以调节第二连接臂23插入至连接孔31内的深度。As shown in FIG. 1 to FIG. 3 and FIG. 7 to FIG. 9 , in this embodiment, the half elbow joint prosthesis includes: aconnecting handle 10 , a connectingframe 20 , apulley part 30 and anadjustment structure 40 . The connectingframe 20 is connected to the connectinghandle 10 , and the connectingframe 20 includes abase body 21 and a first connectingarm 22 and a second connectingarm 23 connected to thebase body 21 and arranged at intervals. Thepulley part 30 is provided with aconnection hole 31 , thefirst connection arm 22 is connected to the side of thepulley part 30 , and thesecond connection arm 23 is inserted into theconnection hole 31 . The adjustingstructure 40 is disposed between the connectinghole 31 and the second connectingarm 23 to adjust the insertion depth of the second connectingarm 23 into the connectinghole 31 .

应用本实施例的技术方案,连接架20和连接柄10连接,连接架20包括基体21以及与基体21连接且间隔设置的第一连接臂22和第二连接臂23。滑车部30上设置有连接孔31,第一连接臂22和滑车部30的侧部连接,第二连接臂23插入至连接孔31内。调节结构40设置在连接孔31和第二连接臂23之间,调节结构40能够调节第二连接臂23插入至连接孔31内的深度。通过上述的设置,在植入之前,对人体骨骼进行测量,再将连接柄10连接在连接架20上,将第二连接臂23插入至连接孔31内,再通过调节结构40调节第二连接臂23插入至连接孔31内的深度,这样使得连接架20和滑车部30的角度与人体适配。即半肘关节假体能够满足不同患者的骨骼尺寸和位置,因此本实施例的技术方案有效地解决了相关技术中的肘关节假体的肱骨柄和解剖颈之间的位置和角度固定,存在无法植入的问题。Applying the technical solution of this embodiment, the connectingframe 20 is connected to the connectinghandle 10 , and the connectingframe 20 includes abase body 21 and a first connectingarm 22 and a second connectingarm 23 connected to thebase body 21 and arranged at intervals. Thepulley part 30 is provided with aconnection hole 31 , thefirst connection arm 22 is connected to the side of thepulley part 30 , and thesecond connection arm 23 is inserted into theconnection hole 31 . Theadjustment structure 40 is disposed between theconnection hole 31 and thesecond connection arm 23 , and theadjustment structure 40 can adjust the insertion depth of thesecond connection arm 23 into theconnection hole 31 . Through the above-mentioned settings, before implantation, the human skeleton is measured, and then the connectinghandle 10 is connected to the connectingframe 20, the second connectingarm 23 is inserted into the connectinghole 31, and the second connectingarm 23 is adjusted through the adjustingstructure 40. Thearm 23 is inserted into the connectinghole 31 to a depth such that the angle of the connectingframe 20 and thepulley part 30 is adapted to the human body. That is, the semi-elbow joint prosthesis can meet the bone size and position of different patients, so the technical solution of this embodiment effectively solves the problem of fixing the position and angle between the humeral stem and the anatomical neck of the elbow joint prosthesis in the related art. Problems that cannot be implanted.

连接柄10的材料为钴铬钼合金,可为钛合金。The material of the connectinghandle 10 is cobalt-chromium-molybdenum alloy, which may be titanium alloy.

如图1至图7所示,在本实施例中,调节结构40包括齿槽41和齿条42,齿槽41和齿条42中的一个设置在第二连接臂23上,齿槽41和齿条42中的另一个设置在连接孔31内,齿条42和齿槽41啮合设置。齿条42能够和齿槽41啮合,这样能够有效地实现固定第二连接臂23。具体地,在调节时,可以让一部分齿条42和一部分齿槽41啮合。As shown in Figures 1 to 7, in this embodiment, theadjustment structure 40 includes atooth groove 41 and arack 42, one of thetooth groove 41 and thetooth rack 42 is arranged on the second connectingarm 23, thetooth groove 41 and thetooth rack 42 The other of theracks 42 is disposed in the connectinghole 31 , and therack 42 is engaged with thetooth groove 41 . Therack 42 can engage with thetooth groove 41 , so that the second connectingarm 23 can be effectively fixed. Specifically, during adjustment, a part of therack 42 can be engaged with a part of thetooth groove 41 .

如图5和图6所示,在本实施例中,第二连接臂23包括第一侧壁231和第二侧壁232,第一侧壁231和第二侧壁232的连线垂直于由第一连接臂22至第二连接臂23的方向,齿条42设置在第一侧壁231和/或第二侧壁232上,齿槽41设置在连接孔31内。上述的设置的能够有效地实现固定。具体地,在本实施例中,齿条42设置在第一侧壁231和第二侧壁232上。5 and 6, in this embodiment, the second connectingarm 23 includes afirst side wall 231 and asecond side wall 232, and the line connecting thefirst side wall 231 and thesecond side wall 232 is perpendicular to the In the direction from the first connectingarm 22 to the second connectingarm 23 , therack 42 is disposed on thefirst side wall 231 and/or thesecond side wall 232 , and thetooth groove 41 is disposed in the connectinghole 31 . The above arrangement can effectively realize the fixation. Specifically, in this embodiment, therack 42 is disposed on thefirst side wall 231 and thesecond side wall 232 .

在图中未示出的实施例中,齿条设置在第一侧壁上,或者齿条设置在第二侧壁上。In an embodiment not shown in the figure, the rack is arranged on the first side wall, or the rack is arranged on the second side wall.

如图5和图6所示,在本实施例中,第二连接臂23内设置有容纳空间233,第一侧壁231上间隔设置有多个通孔2311,齿条42设置在容纳空间233内,齿条42可伸缩回地设置在通孔2311内,并具有向外伸出的锁定位置和向内缩回的避让位置。容纳空间233的设置能够有效地容纳齿条42,这样能够使得的位置更加合理,齿条42上的齿部能够通过通孔2311伸出。As shown in FIG. 5 and FIG. 6 , in this embodiment, a receivingspace 233 is provided in the second connectingarm 23 , a plurality of throughholes 2311 are arranged at intervals on thefirst side wall 231 , and therack 42 is arranged in the receivingspace 233 Inside, therack 42 is telescopically disposed in the throughhole 2311, and has an outwardly protruding locking position and an inwardly retracting escape position. Theaccommodating space 233 can effectively accommodate therack 42 , which can make the position of therack 42 more reasonable, and the teeth on therack 42 can protrude through the throughhole 2311 .

如图5和图6所示,在本实施例中,调节结构40还包括连接杆43和齿轮44,连接杆43和齿条42的端部连接,连接杆43上间隔设置有多个凸齿431,齿轮44和连接杆43均设置在容纳空间233内,齿轮44与凸齿431啮合,并通过连接杆43驱动齿条42在锁定位置和避让位置之间切换。上述的齿轮44能够驱动连接杆43移动,进而带动齿条42在锁定位置和避让位置移动。As shown in Figures 5 and 6, in this embodiment, theadjustment structure 40 also includes a connectingrod 43 and agear 44, the connectingrod 43 is connected to the end of therack 42, and a plurality of protruding teeth are arranged at intervals on the connectingrod 43 431 , thegear 44 and the connectingrod 43 are both disposed in theaccommodating space 233 , thegear 44 meshes with the protrudingtooth 431 , and drives therack 42 to switch between the locking position and the escape position through the connectingrod 43 . The above-mentionedgear 44 can drive the connectingrod 43 to move, and then drive therack 42 to move between the locking position and the avoiding position.

具体地,在本实施例中,容纳空间233为“7”字型,连接杆43和齿条42能够在容纳空间233内移动。Specifically, in this embodiment, theaccommodating space 233 is in the shape of a "7", and the connectingrod 43 and therack 42 can move in theaccommodating space 233 .

如图5和图6所示,在本实施例中,调节结构40还包括锁定件50,锁定件50连接在齿轮44和第二连接臂23之间。锁定件50的设置能够有效地锁定齿轮44的位置,即当转动齿轮44,调节齿条42的位置后,通过锁定件50锁定齿轮44的位置。As shown in FIGS. 5 and 6 , in this embodiment, the adjustingstructure 40 further includes a lockingmember 50 connected between thegear 44 and the second connectingarm 23 . The setting of the lockingmember 50 can effectively lock the position of thegear 44 , that is, when thegear 44 is rotated to adjust the position of therack 42 , the position of thegear 44 is locked by the lockingmember 50 .

如图5和图6所示,在本实施例中,齿轮44上设置有调节槽441和安装孔442,安装孔442位于调节槽441的底壁上,锁定件50位于安装孔442内,锁定件50与调节槽441的槽口之间具有距离。调节槽441的设置能够实现调节齿轮44的转动,具体地,调节槽441为“一”字型,可以通过一字型螺丝刀驱动齿轮44转动,进而带动齿条42移动。As shown in Figures 5 and 6, in this embodiment, thegear 44 is provided with anadjustment groove 441 and aninstallation hole 442, theinstallation hole 442 is located on the bottom wall of theadjustment groove 441, and the lockingmember 50 is located in theinstallation hole 442, locking There is a distance between thepiece 50 and the notch of theadjustment groove 441 . The setting of the adjustinggroove 441 can realize the rotation of theadjusting gear 44. Specifically, the adjustinggroove 441 is in the shape of a "one", and thegear 44 can be driven to rotate by a flat-shaped screwdriver, thereby driving therack 42 to move.

如图5和图6所示,在本实施例中,第二连接臂23的侧壁上设置有避让孔234,避让孔234和容纳空间233连通,齿轮44设置在避让孔234内。避让孔234的设置能够使得齿轮44外露,这样便于医疗人员操作齿轮44转动。As shown in FIG. 5 and FIG. 6 , in this embodiment, anavoidance hole 234 is provided on the side wall of the second connectingarm 23 , and theavoidance hole 234 communicates with theaccommodation space 233 , and thegear 44 is disposed in theavoidance hole 234 . The setting of theavoidance hole 234 can make thegear 44 exposed, which is convenient for medical personnel to operate thegear 44 to rotate.

如图5和图6所示,在本实施例中,齿条42为两个,两个齿条42分别设置在第一侧壁231和第二侧壁232上。上述的设置能够保证锁定的效果。As shown in FIG. 5 and FIG. 6 , in this embodiment, there are tworacks 42 , and the tworacks 42 are respectively arranged on thefirst side wall 231 and thesecond side wall 232 . The above settings can guarantee the locking effect.

如图3和图8所示,在本实施例中,第一连接臂22的远离连接柄10的一侧设置有止挡块221,止挡块221朝向第二连接臂23延伸,止挡块221上设置有限位块222,限位块222竖直设置,限位块222和第二连接臂23以及止挡块221连接,滑车部30的端部设置有内凹部32,内凹部32内设置有限位槽321,止挡块221插入至内凹部32,限位块222插入至限位槽321内。上述的设置能够使得第一连接臂22和滑车部30的连接稳定性较好,限位块222的中心面的延伸方向和连接柄10的延伸方向相同,并且这样使得限位块222能够在限位槽321内移动。As shown in Figures 3 and 8, in this embodiment, astop block 221 is provided on the side of the first connectingarm 22 away from the connectinghandle 10, and thestop block 221 extends toward the second connectingarm 23, and the stop block 221 221 is provided with alimit block 222, thelimit block 222 is vertically arranged, thelimit block 222 is connected with the second connectingarm 23 and thestop block 221, the end of thetackle part 30 is provided with aninner recess 32, and theinner recess 32 is provided with The limitingslot 321 is defined, thestop block 221 is inserted into theinner recess 32 , and the limitingblock 222 is inserted into the limitingslot 321 . The above-mentioned setting can make the connection stability between the first connectingarm 22 and thepulley part 30 better, and the extending direction of the central plane of the limitingblock 222 is the same as the extending direction of the connectinghandle 10, and thus the limitingblock 222 can be limited Move inbit slot 321.

如图9所示,在本实施例中,连接柄10包括第一杆体11、第二杆体12以及连接块13,第一杆体11和第二杆体12间隔设置且均设置在连接块13的同一表面,第一杆体11的长度大于第二杆体12的长度。上述的第一杆体11插入至肱骨髓腔内,第二杆体12位于肱骨的外侧,在通过紧固件连接在第一杆体11、第二杆体12以及肱骨,这样能够保证连接的稳定性。As shown in FIG. 9 , in this embodiment, the connectinghandle 10 includes afirst rod body 11 , asecond rod body 12 and a connectingblock 13 , and thefirst rod body 11 and thesecond rod body 12 are arranged at intervals and are all arranged on the same side of the connectingblock 13 . On the surface, the length of thefirst rod body 11 is greater than the length of thesecond rod body 12 . The above-mentionedfirst rod body 11 is inserted into the medullary cavity of the humerus, and thesecond rod body 12 is located on the outside of the humerus, and is connected to thefirst rod body 11, thesecond rod body 12 and the humerus through fasteners, which can ensure the stability of the connection.

如图9所示,在本实施例中,第一杆体11插入肱骨髓腔部分可带有网格结构,便于骨整合;也可用于水泥固定,第一杆体11的截面呈梯形,起到防旋的作用,且在第一杆体11远离第二杆体12的一侧上设计有凹槽,增加防旋功能;第二杆体12上带有网格结构,允许与植入骨的骨整合,增加长期稳定性;且植骨仓121的存在可允许填充骨的高度调整,使得第二杆体、填充骨以及肱骨皮质之间更好的贴附。As shown in Figure 9, in this embodiment, the part of thefirst rod body 11 inserted into the medullary cavity of the humerus can have a grid structure to facilitate osseointegration; it can also be used for cement fixation, and the cross section of thefirst rod body 11 is trapezoidal to prevent The role of rotation, and a groove is designed on the side of thefirst rod body 11 away from thesecond rod body 12, which increases the anti-rotation function; thesecond rod body 12 has a grid structure, allowing osseointegration with the implanted bone, increasing Long-term stability; and the presence of thebone graft chamber 121 can allow the height adjustment of the filling bone, making better attachment between the second rod, filling bone and humeral cortex.

如图9所示,在本实施例中,第二杆体12朝向第一杆体11的一侧间隔设置有多个植骨仓121。植骨仓121的内部填充自体骨或者异体骨,这样能够与肱骨长合在一起,进而能够提高连接的效果。As shown in FIG. 9 , in this embodiment, a plurality ofbone graft chambers 121 are arranged at intervals on one side of thesecond rod body 12 facing thefirst rod body 11 . The interior of thebone graft chamber 121 is filled with autologous bone or allogeneic bone, so that it can grow together with the humerus, thereby improving the connection effect.

如图1至图3以及图9所示,在本实施例中,基体21上设置有插接柱211,连接块13上设置有插接孔131,插接柱211插入至插接孔131内,插接柱211和基体21之间设置有锁定件50。 上述的插接柱211插入至插接孔131内,并且基体21能够相对于连接块13发生转动,这样能够进一步实现调节。As shown in Fig. 1 to Fig. 3 and Fig. 9, in this embodiment, thebase body 21 is provided with a plug-inpost 211, and theconnection block 13 is provided with a plug-inhole 131, and the plug-inpost 211 is inserted into the plug-inhole 131 , A lockingmember 50 is provided between theinsertion post 211 and thebase body 21 . The above-mentionedinsertion post 211 is inserted into theinsertion hole 131 , and thebase body 21 can rotate relative to theconnection block 13 , so that further adjustment can be realized.

如图1至图3以及图9所示,在本实施例中,插接柱211为半球形结构,插接孔131为半球形凹部,半球形结构的直径等于半球形凹部的直径。半球形结构和半球形凹部的结构较为简单,并且能够实现摆动。具体地,在进行植入时,先通过插接柱211和插接孔131调节连接柄10和连接架20之间的角度,再通过螺钉锁定。这样使得半肘关节假体能够适配不同尺寸的骨骼。并且这样的调节方式较为简单,便于设置。半球形结构的直径等于半球形凹部的直径。As shown in FIG. 1 to FIG. 3 and FIG. 9 , in this embodiment, theinsertion post 211 is a hemispherical structure, theinsertion hole 131 is a hemispherical recess, and the diameter of the hemispherical structure is equal to the diameter of the hemispherical recess. The structures of the hemispherical structure and the hemispherical recess are relatively simple, and can realize swinging. Specifically, when implanting, the angle between the connectinghandle 10 and the connectingframe 20 is firstly adjusted through theinsertion post 211 and theinsertion hole 131, and then locked by screws. This allows the half-elbow prosthesis to fit bones of different sizes. Moreover, such an adjustment method is relatively simple and convenient for setting. The diameter of the hemispherical structure is equal to the diameter of the hemispherical recess.

连接块13上设置有多个第一连接孔,多个第一连接孔围设在插接孔131的外周,基体21上设置有多个第二连接孔,多个第二连接孔围设在插接柱211的外周,多个第一连接孔和多个第二连接孔对应设置,多个螺钉一一对应地插入至对应的第一连接孔和第二连接孔内。上述的多个第一连接孔和多个第二连接孔的设置能够实现固定基体21和连接块13。Theconnection block 13 is provided with a plurality of first connection holes, the plurality of first connection holes are arranged around the outer periphery of theinsertion hole 131, and thebase body 21 is provided with a plurality of second connection holes, and the plurality of second connection holes are arranged in the A plurality of first connection holes and a plurality of second connection holes are correspondingly arranged on the outer periphery of theinsertion post 211 , and a plurality of screws are inserted into the corresponding first connection holes and the second connection holes one by one. The arrangement of the above-mentioned multiple first connection holes and multiple second connection holes can realize the fixing of thebase body 21 and theconnection block 13 .

具体地,通过插接柱211和插接孔131实现角度调节后,通过多个螺钉依次连接在对应的第一连接孔和第二连接孔内,这样则实现了固定。Specifically, after the angle adjustment is realized through theinsertion post 211 and theinsertion hole 131 , a plurality of screws are sequentially connected in the corresponding first connection hole and the second connection hole, thus realizing the fixation.

需要说明的是,当角度调节后,存在对应的第一连接孔和第二连接孔错位,这样需要先通过多个螺钉穿入至不错位的对应的第一连接孔和第二连接孔内,即先实现粗连接,再通过螺钉将其余的对应的第一连接孔和第二连接孔连接。It should be noted that after the angle is adjusted, the corresponding first connection hole and the second connection hole are misaligned, so it is necessary to first pass a plurality of screws into the corresponding first connection hole and the second connection hole that are not misaligned. That is, the coarse connection is realized first, and then the remaining corresponding first connection holes and second connection holes are connected by screws.

错位的第一连接孔和第二连接孔的存在一定的重合部分。There is a certain overlap between the dislocated first connection hole and the second connection hole.

具体地,滑车部30与连接柄10之间实现微调是通过插接柱211和插接孔131:当需要调整左右方向时,调整左右2个螺钉的配合程度,当需要调整上下方向时,调整上下2个螺钉的配合程度,插接柱211能够插接孔131里转动,允许其上下左右调整位置,达到滑车部30微调的目的。Specifically, the fine adjustment between thepulley part 30 and the connectinghandle 10 is achieved through theinsertion post 211 and the insertion hole 131: when the left and right directions need to be adjusted, adjust the degree of cooperation between the left and right screws, and when the up and down directions need to be adjusted, adjust the According to the cooperation degree of the upper and lower 2 screws, theinsertion post 211 can rotate in theinsertion hole 131, allowing it to adjust its position up, down, left, and right, so as to achieve the purpose of fine-tuning thetackle portion 30.

在本发明的描述中,需要理解的是,方位词如“前、后、上、下、左、右”、“横向、竖向、垂直、水平”和“顶、底”等所指示的方位或位置关系通常是基于附图所示的方位或位置关系,仅是为了便于描述本发明和简化描述,在未作相反说明的情况下,这些方位词并不指示和暗示所指的装置或元件必须具有特定的方位或者以特定的方位构造和操作,因此不能理解为对本发明保护范围的限制;方位词“内、外”是指相对于各部件本身的轮廓的内外。In the description of the present invention, it should be understood that orientation words such as "front, back, up, down, left, right", "horizontal, vertical, vertical, horizontal" and "top, bottom" etc. indicate the orientation Or positional relationship is generally based on the orientation or positional relationship shown in the drawings, and is only for the convenience of describing the present invention and simplifying the description. In the absence of a contrary statement, these orientation words do not indicate or imply the device or element referred to. It must have a specific orientation or be constructed and operated in a specific orientation, so it should not be construed as limiting the protection scope of the present invention; the orientation words "inner and outer" refer to the inner and outer relative to the outline of each component itself.

为了便于描述,在这里可以使用空间相对术语,如“在……之上”、“在……上方”、“在……上表面”、“上面的”等,用来描述如在图中所示的一个器件或特征与其他器件或特征的空间位置关系。应当理解的是,空间相对术语旨在包含除了器件在图中所描述的方位之外的在使用或操作中的不同方位。例如,如果附图中的器件被倒置,则描述为“在其他器件或构造上方”或“在其他器件或构造之上”的器件之后将被定位为“在其他器件或构造下方”或“在其他器件或构造之下”。因而,示例性术语“在……上方”可以包括“在……上方”和“在……下方”两种方位。该器件也可以其他不同方式定位 ( 旋转 90 度或处于其他方位 ),并且对这里所使用的空间相对描述作出相应解释。For the convenience of description, spatially relative terms may be used here, such as "on ...", "over ...", "on the surface of ...", "above", etc., to describe The spatial positional relationship between one device or feature shown and other devices or features. It will be understood that the spatially relative terms are intended to encompass different orientations of the device in use or operation in addition to the orientation depicted in the figures. For example, if the device in the figures is turned over, devices described as "above" or "above" other devices or configurations would then be oriented "beneath" or "above" the other devices or configurations. under other devices or configurations”. Thus, the exemplary term "above" can encompass both an orientation of "above" and "beneath". The device may be oriented differently (rotated 90 degrees or at other orientations) and the spatially relative descriptions used herein interpreted accordingly.

此外,需要说明的是,使用“第一”、“第二”等词语来限定零部件,仅仅是为了便于对相应零部件进行区别,如没有另行声明,上述词语并没有特殊含义,因此不能理解为对本发明保护范围的限制。In addition, it should be noted that the use of words such as "first" and "second" to define components is only for the convenience of distinguishing corresponding components. To limit the protection scope of the present invention.

以上所述仅为本发明的优选实施例而已,并不用于限制本发明,对于本领域的技术人员来说,本发明可以有各种更改和变化。凡在本发明的精神和原则之内,所作的任何修改、等同替换、改进等,均应包含在本发明的保护范围之内。The above descriptions are only preferred embodiments of the present invention, and are not intended to limit the present invention. For those skilled in the art, the present invention may have various modifications and changes. Any modifications, equivalent replacements, improvements, etc. made within the spirit and principles of the present invention shall be included within the protection scope of the present invention.

Claims (9)

Translated fromChinese
1.一种半肘关节假体,其特征在于,包括:1. A half elbow prosthesis, characterized in that it comprises:连接柄(10);connection handle (10);连接架(20),与所述连接柄(10)连接,所述连接架(20)包括基体(21)以及与所述基体(21)连接且间隔设置的第一连接臂(22)和第二连接臂(23);A connecting frame (20), connected with the connecting handle (10), the connecting frame (20) includes a base (21) and a first connecting arm (22) and a first connecting arm (22) connected to the base (21) and arranged at intervals Two connecting arms (23);滑车部(30),所述滑车部(30)上设置有连接孔(31),所述第一连接臂(22)和所述滑车部(30)的侧部连接,所述第二连接臂(23)插入至所述连接孔(31)内;A pulley part (30), the pulley part (30) is provided with a connecting hole (31), the first connecting arm (22) is connected to the side of the pulley part (30), and the second connecting arm (23) inserted into the connection hole (31);调节结构(40),设置在所述连接孔(31)和所述第二连接臂(23)之间,以调节所述第二连接臂(23)插入至所述连接孔(31)内的深度;An adjustment structure (40), arranged between the connection hole (31) and the second connection arm (23), to adjust the insertion of the second connection arm (23) into the connection hole (31) depth;所述调节结构(40)包括齿槽(41)和齿条(42),所述齿槽(41)和所述齿条(42)中的一个设置在所述第二连接臂(23)上,所述齿槽(41)和所述齿条(42)中的另一个设置在所述连接孔(31)内,所述齿条(42)和所述齿槽(41)啮合设置;The adjustment structure (40) includes a tooth groove (41) and a rack (42), and one of the tooth groove (41) and the rack (42) is arranged on the second connecting arm (23) , the other of the tooth groove (41) and the tooth groove (42) is arranged in the connecting hole (31), and the tooth rack (42) and the tooth groove (41) are meshed;所述第二连接臂(23)包括第一侧壁(231)和第二侧壁(232),所述第一侧壁(231)和所述第二侧壁(232)的连线垂直于由所述第一连接臂(22)至所述第二连接臂(23)的方向,所述齿条(42)设置在所述第一侧壁(231)和/或所述第二侧壁(232)上,所述齿槽(41)设置在所述连接孔(31)内;The second connecting arm (23) includes a first side wall (231) and a second side wall (232), and the connecting line between the first side wall (231) and the second side wall (232) is perpendicular to In the direction from the first connecting arm (22) to the second connecting arm (23), the rack (42) is arranged on the first side wall (231) and/or the second side wall (232), the tooth groove (41) is set in the connecting hole (31);所述第二连接臂(23)内设置有容纳空间(233),所述第一侧壁(231)上间隔设置有多个通孔(2311),所述齿条(42)设置在所述容纳空间(233)内,所述齿条(42)可伸缩地设置在所述通孔(2311)内,并具有向外伸出的锁定位置和向内缩回的避让位置;An accommodating space (233) is arranged in the second connecting arm (23), a plurality of through holes (2311) are arranged at intervals on the first side wall (231), and the rack (42) is arranged on the In the accommodation space (233), the rack (42) is telescopically arranged in the through hole (2311), and has an outwardly protruding locking position and an inwardly retracting escape position;所述调节结构(40)还包括连接杆(43)和齿轮(44),所述连接杆(43)和所述齿条(42)的端部连接,所述连接杆(43)上间隔设置有多个凸齿(431),所述齿轮(44)和所述连接杆(43)均设置在所述容纳空间(233)内,所述齿轮(44)与所述凸齿(431)啮合,并通过所述连接杆(43)驱动所述齿条(42)在所述锁定位置和所述避让位置之间切换。The adjustment structure (40) also includes a connecting rod (43) and a gear (44), the connecting rod (43) is connected to the end of the rack (42), and the connecting rod (43) is arranged at intervals There are a plurality of convex teeth (431), the gear (44) and the connecting rod (43) are both arranged in the accommodation space (233), and the gear (44) meshes with the convex teeth (431) , and drive the rack (42) to switch between the locking position and the avoidance position through the connecting rod (43).2.根据权利要求1所述的半肘关节假体,其特征在于,所述调节结构(40)还包括锁定件(50),所述锁定件(50)连接在所述齿轮(44)和所述第二连接臂(23)之间。2. The half-elbow joint prosthesis according to claim 1, characterized in that, the adjustment structure (40) further includes a locking piece (50), and the locking piece (50) is connected between the gear (44) and between the second connecting arms (23).3.根据权利要求2所述的半肘关节假体,其特征在于,所述齿轮(44)上设置有调节槽(441)和安装孔(442),所述安装孔(442)位于所述调节槽(441)的底壁上,所述锁定件(50)位于所述安装孔(442)内,所述锁定件(50)与所述调节槽(441)的槽口之间具有距离。3. The half-elbow joint prosthesis according to claim 2, characterized in that, the gear (44) is provided with an adjustment groove (441) and a mounting hole (442), and the mounting hole (442) is located on the On the bottom wall of the adjustment slot (441), the locking piece (50) is located in the installation hole (442), and there is a distance between the locking piece (50) and the notch of the adjustment slot (441).4.根据权利要求1所述的半肘关节假体,其特征在于,所述第二连接臂(23)的侧壁上设置有避让孔(234),所述避让孔(234)和所述容纳空间(233)连通,所述齿轮(44)设置在所述避让孔(234)内。4. The half-elbow joint prosthesis according to claim 1, characterized in that, an avoidance hole (234) is provided on the side wall of the second connecting arm (23), and the avoidance hole (234) and the The accommodating space (233) communicates, and the gear (44) is arranged in the escape hole (234).5.根据权利要求4所述的半肘关节假体,其特征在于,所述齿条(42)为两个,两个齿条(42)分别设置在所述第一侧壁(231)和所述第二侧壁(232)上。5. The half-elbow joint prosthesis according to claim 4, characterized in that there are two racks (42), and the two racks (42) are respectively arranged on the first side wall (231) and the on the second side wall (232).6.根据权利要求1所述的半肘关节假体,其特征在于,所述第一连接臂(22)的远离所述连接柄(10)的一侧设置有止挡块(221),所述止挡块(221)朝向所述第二连接臂(23)延伸,所述止挡块(221)上设置有限位块(222),所述限位块(222)竖直设置,所述限位块(222)和所述第二连接臂(23)以及所述止挡块(221)连接,所述滑车部(30)的端部设置有内凹部(32),所述内凹部(32)内设置有限位槽(321),所述止挡块(221)插入至所述内凹部(32),所述限位块(222)插入至所述限位槽(321)内。6. The half-elbow joint prosthesis according to claim 1, characterized in that, a stop block (221) is provided on the side of the first connecting arm (22) away from the connecting handle (10), so that The stop block (221) extends toward the second connecting arm (23), the stop block (221) is provided with a limit block (222), the limit block (222) is vertically arranged, and the The limit block (222) is connected with the second connecting arm (23) and the stop block (221), and the end of the pulley part (30) is provided with an inner recess (32), and the inner recess ( 32) A limiting slot (321) is provided inside, the stop block (221) is inserted into the inner recess (32), and the limiting block (222) is inserted into the limiting slot (321).7.根据权利要求1所述的半肘关节假体,其特征在于,所述连接柄(10)包括第一杆体(11)、第二杆体(12)以及连接块(13),所述第一杆体(11)和所述第二杆体(12)间隔设置且均设置在所述连接块(13)的同一表面,所述第一杆体(11)的长度大于所述第二杆体(12)的长度。7. The half elbow joint prosthesis according to claim 1, characterized in that, the connecting handle (10) includes a first rod body (11), a second rod body (12) and a connecting block (13), and the first A rod body (11) and the second rod body (12) are arranged at intervals and are both arranged on the same surface of the connecting block (13), and the length of the first rod body (11) is longer than that of the second rod body (12) length.8.根据权利要求7所述的半肘关节假体,其特征在于,所述第二杆体(12)朝向所述第一杆体(11)的一侧间隔设置有多个植骨仓(121)。8. The half elbow joint prosthesis according to claim 7, characterized in that, a plurality of bone graft chambers (121) are arranged at intervals on one side of the second rod body (12) facing the first rod body (11) .9.根据权利要求7所述的半肘关节假体,其特征在于,所述基体(21)上设置有插接柱(211),所述连接块(13)上设置有插接孔(131),所述插接柱(211)插入至所述插接孔(131)内,所述插接柱(211)和所述基体(21)之间设置有锁定件(50)。9. The half-elbow joint prosthesis according to claim 7, characterized in that, the base (21) is provided with an insertion post (211), and the connection block (13) is provided with an insertion hole (131) ), the insertion post (211) is inserted into the insertion hole (131), and a locking piece (50) is arranged between the insertion post (211) and the base (21).
CN202310326925.4A2023-03-302023-03-30Semi-elbow joint prosthesisActiveCN116019612B (en)

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CN113749829A (en)*2021-09-242021-12-07北京爱康宜诚医疗器材有限公司 shoulder prosthesis

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