TWI837043B - Mandible reconstruction guide set - Google Patents

Abstract

Translated fromChinese

本發明係揭露一種下顎骨重建導板套組及其使用方法，係包括：將切割導板設置於患者之下顎骨，並令下顎骨之患部位於切割導板之簍空區域內；沿著切割導板之導引部將患部切除，以令下顎骨具有重建區域；將截骨導板設置於患者之腓骨，並藉由截骨導板之引導切除患者之欲植入腓骨；以及將重建定位骨板對應重建區域而設置於患者之下顎骨，且令欲植入腓骨設置於重建區域並與重建定位骨板結合固定，由於切割導板、截骨導板及重建定位骨板皆是術前依照患者各部位形狀所製成，且重建定位骨板係利用生物相容性高的材質所製成而無須移除，因此，本發明不僅能提升手術所應具備之準確性及精密度而減少術後的咬合誤差，還能縮短手術時程。The invention discloses a mandibular reconstruction guide plate set and its use method, which includes: setting the cutting guide plate on the patient's mandible, and making the affected part of the mandibular bone located in the hollow area of the cutting guide plate; cutting along the The leading part of the guide plate is used to resect the affected part so that the mandible has a reconstruction area; the osteotomy guide plate is placed on the patient's fibula, and the patient's fibula to be implanted is resected under the guidance of the osteotomy guide plate; and the reconstruction is positioned The bone plate is placed on the patient's mandible corresponding to the reconstruction area, and the fibula to be implanted is placed in the reconstruction area and fixed with the reconstruction positioning bone plate. Since the cutting guide plate, osteotomy guide plate and reconstruction positioning bone plate are all preoperative It is made according to the shape of each part of the patient, and the reconstruction positioning bone plate is made of highly biocompatible materials and does not need to be removed. Therefore, the present invention can not only improve the accuracy and precision of the surgery but also reduce the cost. Postoperative bite errors can also shorten the duration of surgery.

Description

Translated fromChinese

下顎骨重建導板套組Mandible reconstruction guide set

本發明係關於下顎骨重建之導板套組之技術領域，特別係指一種能減少術後咬合誤差且可縮短手術時程之下顎骨重建導板套組。The present invention relates to the technical field of a guide plate set for mandibular reconstruction, and in particular to a mandibular reconstruction guide plate set that can reduce postoperative occlusal errors and shorten the surgical duration.

按，一直以來進行顱顏面手術或是頭頸部腫瘤切除之重建手術時，都是由醫師於手術進行時依照患者顱顏部破損處或腫瘤切除後的空間位置，將預定規格之骨板凹折成適用的角度及構型以進行定位。Press, when performing craniofacial surgery or reconstructive surgery for head and neck tumor resection, the doctor has always bent the bone plate of predetermined specifications according to the patient's craniofacial damage or the spatial position after tumor resection during the surgery. into suitable angles and configurations for positioning.

然，習知骨板並無法精確符合每個患者顱顏部破損處或腫瘤切除後之形狀，於手術過程中，該習知骨板必須根據醫師所具有的經驗法則隨手凹折塑形，由於該習知骨板與患者之顱顏部破損處或腫瘤切除後的大小及形狀上並不對應，而造成使用上的不便利性，且該習知骨板的定位位置也難以準確配合顱顏部破損處或腫瘤切除後的骨骼環境，進而嚴重影響重建手術所應具備之準確性及精密度，同時，還容易拉長手術時程。However, the conventional bone plate cannot accurately fit the shape of each patient's craniofacial damage or tumor resection. During the operation, the conventional bone plate must be bent and shaped according to the doctor's rules of thumb. This conventional bone plate does not correspond to the size and shape of the patient's craniofacial damage or tumor after resection, which causes inconvenience in use, and it is also difficult to position the conventional bone plate to accurately match the craniofacial region. The skeletal environment at the damaged site or after tumor resection will seriously affect the accuracy and precision of reconstructive surgery. At the same time, it will also easily lengthen the duration of the surgery.

因此，綜觀以上所述，本發明之發明人經多年苦心潛心研究、思索並設計出一種下顎骨重建導板套組，以期針對習知技術之缺失加以改善，進而增進產業上之實施及利用。Therefore, in summary, the inventor of the present invention has spent many years of painstaking research, thinking and design of a mandibular reconstruction guide plate set in order to improve the shortcomings of the conventional technology and thereby enhance industrial implementation and utilization.

本發明的主要目的，在於提供一種下顎骨重建導板套組，醫師可先後透過切割導板與截骨導板分別將患者的患部與欲植入腓骨切除，並將重建定位骨板設置於患者之下顎骨並令欲植入腓骨設置於重建區域並與重建定位骨板結合固定，由於切割導板、截骨導板及重建定位骨板皆是術前依照患者各部位形狀所製成，且重建定位骨板係利用生物相容性高的材質所製成而無須移除，如此一來，不僅能提升手術所應具備之準確性及精密度而減少術後的咬合誤差，還能縮短手術時程。The main purpose of the present invention is to provide a mandibular reconstruction guide plate set. The doctor can use the cutting guide plate and the osteotomy guide plate to separate the patient's affected part and the desired implantation respectively.The fibula is removed and the reconstruction positioning bone plate is placed on the patient's mandible. The fibula to be implanted is placed in the reconstruction area and fixed with the reconstruction positioning bone plate. Since the cutting guide plate, osteotomy guide plate and reconstruction positioning bone plate are all It is made according to the shape of each part of the patient before surgery, and the reconstruction positioning bone plate is made of highly biocompatible materials and does not need to be removed. This not only improves the accuracy and precision of the surgery. It can reduce postoperative occlusion errors and shorten the duration of surgery.

因此，為達上述目的，本發明提供一種下顎骨重建導板套組，係為進行下顎骨重建手術之輔助裝置，其包括：一切割導板，該切割導板係具有至少一第一孔洞、一簍空區域及至少一導引部，藉由第一鎖固件穿過該第一孔洞將該切割導板鎖固於一患者之下顎骨，並使該下顎骨之患部位於該簍空區域內，且該導引部係用以引導一醫師切割該患部之方向；一截骨導板，該截骨導板係具有複數導槽及至少一第二孔洞，該些導槽係設置於該截骨導板之兩端，且藉由第二鎖固件穿過該第二孔洞將該截骨導板鎖固於該患者之腓骨，並透過該些導槽引導該醫師切割一欲植入腓骨；以及一重建定位骨板，該重建定位骨板係具有至少一與該第一孔洞相對應之第三孔洞及至少一與該第二孔洞相對應之第四孔洞，藉由該第三鎖固件穿過該第三孔洞將該重建定位骨板鎖固於該患者之下顎骨，並藉由該第四鎖固件穿過該第四孔洞而將該重建定位骨板鎖固於該欲植入腓骨。Therefore, in order to achieve the above-mentioned purpose, the present invention provides a mandibular reconstruction guide plate set, which is an auxiliary device for mandibular reconstruction surgery, comprising: a cutting guide plate, the cutting guide plate having at least one first hole, a hollow area and at least one guide portion, the cutting guide plate is locked to a patient's mandibular bone by passing a first locking piece through the first hole, and the affected part of the mandibular bone is placed in the hollow area, and the guide portion is used to guide a doctor to cut the affected part; an osteotomy guide plate, the osteotomy guide plate having a plurality of guide grooves and at least one second hole, the guide grooves are arranged At both ends of the osteotomy guide, the osteotomy guide is fixed to the patient's fibula by passing the second locking piece through the second hole, and the doctor is guided to cut a fibula to be implanted through the guide grooves; and a reconstruction positioning bone plate, the reconstruction positioning bone plate has at least one third hole corresponding to the first hole and at least one fourth hole corresponding to the second hole, the reconstruction positioning bone plate is fixed to the patient's mandible by passing the third locking piece through the third hole, and the reconstruction positioning bone plate is fixed to the fibula to be implanted by passing the fourth locking piece through the fourth hole.

承上所述之下顎骨重建導板套組，其中該導引部係為一導槽或一凸沿。The above-mentioned jaw reconstruction guide plate set, wherein the guide portion is a guide groove or a convex edge.

承上所述之下顎骨重建導板套組，其中該切割導板、該截骨導板係為尼龍材質。Continuing with the above-mentioned mandibular reconstruction guide plate set, the cutting guide plate and the osteotomy guide plate are made of nylon.

承上所述之下顎骨重建導板套組，其中該第一孔洞、該第二孔洞、該第三孔洞與該第四孔洞之孔洞直徑約為2mm。Continuing with the mandibular reconstruction guide plate set described above, the hole diameters of the first hole, the second hole, the third hole and the fourth hole are approximately 2 mm.

承上所述之下顎骨重建導板套組，其中該重建定位骨板之厚度約為2~3mm。Based on the mandibular reconstruction guide plate set described above, the thickness of the reconstruction positioning bone plate is about 2~3mm.

承上所述之下顎骨重建導板套組，其中該重建定位骨板係利用生物相容性高的材質所製成。The above-mentioned jaw reconstruction guide plate set, wherein the reconstruction positioning bone plate is made of a material with high biocompatibility.

承上所述之下顎骨重建導板套組，其中該重建定位骨板係為鈦合金材質。Continuing with the mandibular reconstruction guide plate set described above, the reconstruction positioning bone plate is made of titanium alloy.

此外，本發明更提供一種下顎骨重建導板套組之使用方法，係包括：將一切割導板設置於一患者之下顎骨，並令該下顎骨之患部位於該切割導板之簍空區域內；沿著該切割導板之導引部將該患部切除，以令該下顎骨具有一重建區域；將一截骨導板設置於該患者之腓骨，並藉由該截骨導板之引導切除該患者之欲植入腓骨；以及將一重建定位骨板對應該重建區域而設置於該患者之下顎骨，且令該欲植入腓骨設置於該重建區域並與該重建定位骨板結合固定。In addition, the present invention further provides a method of using a mandibular reconstruction guide plate set, which includes: disposing a cutting guide plate on a patient's mandible, and positioning the affected part of the mandible bone in the hollow area of the cutting guide plate. inside; resect the affected part along the guide part of the cutting guide so that the mandible has a reconstruction area; place an osteotomy guide plate on the patient's fibula and use the guidance of the osteotomy guide plate The patient's fibula to be implanted is removed; and a reconstruction positioning bone plate is placed on the patient's mandible corresponding to the reconstruction area, and the fibula to be implanted is placed in the reconstruction area and fixed with the reconstruction positioning bone plate .

承上所述之下顎骨重建導板套組之使用方法，其中該切割導板、該截骨導板及該重建定位骨板係經由一3D列印程序製造而成。Continuing with the method of using the mandibular reconstruction guide plate set described above, the cutting guide plate, the osteotomy guide plate and the reconstruction positioning bone plate are manufactured through a 3D printing process.

承上所述之下顎骨重建導板套組之使用方法，其中該3D列印程序係包括：一影像擷取步驟，取得該患者之下顎骨及腓骨之影像資料；一影像重建步驟，自該影像資料中取得一3D資訊，該3D資訊包括該下顎骨及腓骨之形狀資訊；一設計步驟，依照該3D資訊設計該切割導板、該截骨導板與該重建定位骨板，並將設計完成之該切割導板、該截骨導板與該重建定位骨板轉換為一列印指令；一列印成型步驟，依據該列印指令，分別列印成型出該切割導板、該截骨導板與該重建定位骨板。Following the above-mentioned method of using the mandibular reconstruction guide plate set, the 3D printing process includes: an image acquisition step to obtain image data of the patient's mandible and fibula; and an image reconstruction step to obtain the image data from the patient's mandible and fibula. A 3D information is obtained from the image data, and the 3D information includes the shape information of the mandible and fibula; a design step is to design the cutting guide plate, the osteotomy guide plate and the reconstruction positioning bone plate according to the 3D information, and then designThe completed cutting guide plate, the osteotomy guide plate and the reconstructed positioning bone plate are converted into a printing command; a printing and molding step is to print and shape the cutting guide plate and the osteotomy guide plate respectively according to the printing command. Position the bone plate with this reconstruction.

承上所述之下顎骨重建導板套組之使用方法，其中該列印成型步驟係利用選擇性雷射燒結(Selective Laser Sintering，SLS)之方式列印成型。Continuing with the method of using the mandibular reconstruction guide plate set described above, the printing and molding step uses selective laser sintering (SLS) to print and mold.

綜上所述，本發明將以特定實施例詳述於下。以下實施例僅為舉例之用，而非限定本發明之保護範圍。熟諳此技藝者，將可輕易理解各種非關鍵參數，其可改變或調整而產生實質相同的結果。In summary, the present invention will be described in detail below with specific embodiments. The following examples are for illustration only and do not limit the scope of the present invention. Those skilled in the art will readily understand that various non-critical parameters can be changed or adjusted to produce substantially the same results.

10:切割導板10: Cutting guide

11:第一孔洞11:The first hole

12:簍空區域12: Empty area

13:導引部13: Guidance Department

20:截骨導板20:Osteotomy guide plate

21:導槽21:Guide groove

22:第二孔洞22: Second hole

30:重建定位骨板30: Reconstruction positioning bone plate

31:第三孔洞31: The third hole

32:第四孔洞32:The fourth hole

M:下顎骨M: mandible

MA:重建區域MA: Reconstruction Area

T:患部T: affected area

F:腓骨F: Fibula

FA:欲植入腓骨FA: To be implanted into the fibula

S1~S4:步驟S1~S4: Steps

第1圖為本發明之下顎骨重建導板套組使用時之第一流程示意圖。Figure 1 is a schematic diagram of the first process of using the palatal reconstruction guide kit according to the present invention.

第2圖為本發明之下顎骨重建導板套組之切割導板之立體示意圖。Figure 2 is a three-dimensional schematic diagram of the cutting guide of the palatal reconstruction guide set according to the present invention.

第3圖為本發明之下顎骨重建導板套組之截骨導板之立體示意圖。Figure 3 is a three-dimensional schematic view of the osteotomy guide plate of the mandibular reconstruction guide plate set of the present invention.

第4圖為本發明之下顎骨重建導板套組之重建定位骨板之立體示意圖。Figure 4 is a three-dimensional schematic diagram of the reconstruction positioning bone plate of the palatal reconstruction guide plate set according to the present invention.

第5圖為本發明之下顎骨重建導板套組之實施狀態示意圖。Figure 5 is a schematic diagram of the implementation status of the palatal reconstruction guide plate set according to the present invention.

第6圖為本發明之下顎骨重建導板套組使用時之第二流程示意圖。Figure 6 is a schematic diagram of the second process of using the palatal reconstruction guide kit according to the present invention.

以下根據第1至6圖所示，而說明本發明的實施方式。該說明並非為限制本發明的實施方式，而為本發明之實施例的一種。The following describes the implementation of the present invention based on Figures 1 to 6. The description is not intended to limit the implementation of the present invention, but is an example of the implementation of the present invention.

首先，請同時參閱第1至5圖所示，本發明係提供一種下顎骨重建導板套組，其中本發明之下顎骨重建導板套組，係為進行下顎骨重建手術之輔助裝置，其包括：一切割導板10，該切割導板10係具有至少一第一孔洞11、一簍空區域12及至少一導引部13，藉由第一鎖固件(圖未示)穿過該第一孔洞11將該切割導板10鎖固於一患者之下顎骨M，並使該下顎骨M之患部T位於該簍空區域12內，且該導引部13係用以引導一醫師切割該患部T之方向；一截骨導板20，該截骨導板20係具有複數導槽21及至少一第二孔洞22，該些導槽21係設置於該截骨導板20之兩端，且藉由第二鎖固件(圖未示)穿過該第二孔洞22將該截骨導板20鎖固於該患者之腓骨F，並透過該些導槽21引導該醫師切割一欲植入腓骨FA；以及一重建定位骨板30，該重建定位骨板30係具有至少一與該第一孔洞11相對應之第三孔洞31及至少一與該第二孔洞22相對應之第四孔洞32，藉由該第三鎖固件(圖未示)穿過該第三孔洞31將該重建定位骨板鎖固於該患者之下顎骨，並藉由該第四鎖固件(圖未示)穿過該第四孔洞32而將該重建定位骨板30鎖固於該欲植入腓骨FA。因此，由於該重建定位骨板30分別設有與該切割導板10及該截骨導板20相對應的孔洞，以確保該切割導板10與該重建定位骨板30設置於該患者之下顎骨M的位置相同、及確保經由該截骨導板20所切除之欲植入腓骨FA能夠準確地與該重建定位骨板30結合，而減少術後的誤差產生。First, please refer to Figures 1 to 5. The present invention provides a mandibular reconstruction guide plate set. The mandibular reconstruction guide plate set of the present invention is an auxiliary device for mandibular reconstruction surgery. It includes: acutting guide plate 10. Thecutting guide plate 10 has at least afirst hole 11, ahollow area 12 and at least aguide portion 13. A first fastener (not shown) passes through thefirst hole 11, ahollow area 12 and at least aguide portion 13. Ahole 11 locks thecutting guide 10 to a patient's mandible M, so that the affected part T of the mandible M is located in thehollow area 12, and theguide part 13 is used to guide a doctor to cut the patient's mandible M. The direction of the affected part T; anosteotomy guide plate 20, theosteotomy guide plate 20 has a plurality ofguide grooves 21 and at least onesecond hole 22, and theseguide grooves 21 are provided at both ends of theosteotomy guide plate 20, Theosteotomy guide plate 20 is locked to the patient's fibula F by a second fastener (not shown) passing through thesecond hole 22, and guiding the doctor to cut an implant to be implanted through theguide grooves 21. Fibula FA; and a reconstructionpositioning bone plate 30. The reconstructionpositioning bone plate 30 has at least onethird hole 31 corresponding to thefirst hole 11 and at least onefourth hole 32 corresponding to thesecond hole 22. , the third locking piece (not shown) passes through thethird hole 31 to lock the reconstructed positioning bone plate to the patient's mandible, and the fourth locking piece (not shown) passes through Thefourth hole 32 locks the reconstructionpositioning bone plate 30 to the fibula FA to be implanted. Therefore, since the reconstructionpositioning bone plate 30 is respectively provided with holes corresponding to the cuttingguide plate 10 and theosteotomy guide plate 20, it is ensured that the cuttingguide plate 10 and the reconstructionpositioning bone plate 30 are placed under the patient. The position of the jawbone M is the same, and it is ensured that the fibula FA to be implanted that is removed through theosteotomy guide plate 20 can be accurately combined with the reconstructedpositioning bone plate 30, thereby reducing postoperative errors.

接著，如第2至4圖所示，該切割導板10之導引部13係可為一導槽或一凸沿，而可供醫師沿著該導槽或該凸沿形式的導引部13切除該患部T，但該導引部13之形式並不以此些為限，較佳地，該切割導板10、該截骨導板20係為尼龍材質；不僅如此，該第一孔洞11、該第二孔洞22、該第三孔洞31與該第四孔洞32之孔洞直徑約為2mm。Next, as shown in Figures 2 to 4, theguide portion 13 of the cuttingguide plate 10 can be a guide groove or a convex edge, and the doctor can follow the guide portion in the form of the guide groove or the convex edge. 13 to remove the affected part T, but the form of theguide part 13 is not limited to these. Preferably, the cuttingguide plate 10 and theosteotomy guide plate 20 are made of nylon material; not only that, thefirst hole 11. The diameters of thesecond hole 22, thethird hole 31 and thefourth hole 32 are approximately 2 mm.

然而不論是上述何種實施例，該重建定位骨板之厚度約為2~3mm，而為使該重建定位骨板30術後無須移除，該重建定位骨板30係利用生物相容性高的材質所製成，例如：鈦合金材質。However, regardless of the above embodiment, the thickness of the reconstruction positioning bone plate is about 2~3 mm. In order to prevent the reconstructionpositioning bone plate 30 from being removed after surgery, the reconstructionpositioning bone plate 30 is made of high biocompatibility. Made of materials, such as titanium alloy.

另外，本發明之下顎骨重建導板套組之使用方法係包括：步驟S1：將一切割導板10設置於一患者之下顎骨M，並令該下顎骨M之患部T位於該切割導板10之簍空區域12內(如第5(a)圖所示)；步驟S2：沿著該切割導板10之導引部13將該患部T切除，以令該下顎骨M具有一重建區域MA(如第5(b)圖所示)；步驟S3：將一截骨導板20設置於該患者之腓骨F，並藉由該截骨導板20之引導切除該患者之欲植入腓骨FA(如第5(c)圖所示)；以及步驟S4：將一重建定位骨板30對應該重建區域MA而設置於該患者之下顎骨M(如第5(d)圖所示)，且令該欲植入腓骨FA設置於該重建區域MA並與該重建定位骨板30結合固定(如第5(e)圖所示)。In addition, the method for using the mandibular reconstruction guide kit of the present invention includes: step S1: placing a cuttingguide 10 on a patient's mandibular bone M, and positioning the affected part T of the mandibular bone M in thehollow area 12 of the cutting guide 10 (as shown in FIG. 5(a)); step S2: removing the affected part T along theguide portion 13 of the cuttingguide 10 so that the mandibular bone M has a reconstruction area MA (as shown in FIG. 5(b)); step S3: placing a Theosteotomy guide plate 20 is set on the patient's fibula F, and the patient's fibula FA to be implanted is removed under the guidance of the osteotomy guide plate 20 (as shown in Figure 5(c)); and step S4: a reconstructionpositioning bone plate 30 is set on the patient's mandibular bone M corresponding to the reconstruction area MA (as shown in Figure 5(d)), and the fibula FA to be implanted is set in the reconstruction area MA and fixed with the reconstruction positioning bone plate 30 (as shown in Figure 5(e)).

再者，為提升手術之準確性及精密度而減少術後咬合錯位之誤差，上述之該切割導板10、該截骨導板20及該重建定位骨板30係經由一3D列印程序製造而成，且是術前依照該患者各部位(下顎骨M及腓骨F)的形狀所製成。然而，該3D列印程序係包括：一影像擷取步驟，取得該患者之下顎骨M及腓骨F之影像資料；一影像重建步驟，自該影像資料中取得一3D資訊，該3D資訊包括該下顎骨M及該腓骨F之形狀資訊；一設計步驟，依照該3D資訊設計該切割導板10、該截骨導板20與該重建定位骨板30，並將設計完成之該切割導板10、該截骨導板20與該重建定位骨板30轉換為一列印指令；一列印成型步驟，依據該列印指令，分別列印成型出該切割導板10、該截骨導板20與該重建定位骨板30。如此一來，可透過該3D列印程序製造與該患者之下顎骨M、腓骨F相匹配的該切割導板10、該截骨導板20及該重建定位骨板30。其中，該列印成型步驟係利用選擇性雷射燒結(Selective Laser Sintering，SLS)之方式列印成型。Furthermore, in order to improve the accuracy and precision of the operation and reduce the error of postoperative occlusal malocclusion, the above-mentionedcutting guide 10, theosteotomy guide 20 and the reconstructionpositioning bone plate 30 are manufactured through a 3D printing process and are made according to the shapes of the patient's various parts (mandibular bone M and fibula F) before the operation. However, the 3D printing process includes: an image capture step, obtaining image data of the mandible M and fibula F of the patient; an image reconstruction step, obtaining 3D information from the image data, the 3D information including shape information of the mandible M and fibula F; a design step, designing the cuttingguide 10, theosteotomy guide 20 and the reconstructionpositioning bone plate 30 according to the 3D information, and converting the designed cuttingguide 10, theosteotomy guide 20 and the reconstructionpositioning bone plate 30 into a printing instruction; a printing and molding step, printing and molding the cuttingguide 10, theosteotomy guide 20 and the reconstructionpositioning bone plate 30 according to the printing instruction. In this way, the cuttingguide 10, theosteotomy guide 20 and the reconstructionpositioning bone plate 30 that match the mandibular bone M and fibula F of the patient can be manufactured through the 3D printing process. Among them, the printing and molding step is to use the selective laser sintering (SLS) method to print and mold.

最後，該下顎骨重建導板套組之使用方法除了可依照第1圖所示，先後分別將該患部T及該欲植入腓骨FA切除，還可依照第6圖所示，在將該患部T切除時，也同時將該欲植入腓骨FA切除，並未限定該些步驟的先後順序。Finally, the method of using the mandibular reconstruction guide kit can be as shown in Figure 1, where the affected part T and the fibula FA to be implanted are removed in sequence, or as shown in Figure 6, where the fibula FA to be implanted is removed at the same time as the affected part T is removed. The order of these steps is not limited.

故本發明確實提供一種下顎骨重建導板套組，醫師可先後透過切割導板與截骨導板分別將患者的患部與欲植入腓骨切除，並將重建定位骨板設置於患者之下顎骨並令欲植入腓骨設置於重建區域並與重建定位骨板結合固定，由於切割導板、截骨導板及重建定位骨板皆是術前依照患者各部位形狀所製成，且重建定位骨板係利用生物相容性高的材質所製成而無須移除，如此一來，不僅能提升手術所應具備之準確性及精密度而減少術後的咬合誤差，還能縮短手術時程。Therefore, the present invention does provide a mandibular reconstruction guide set. The doctor can use the cutting guide and the osteotomy guide to respectively remove the patient's affected part and the fibula to be implanted, and then place the reconstruction positioning bone plate on the patient's mandibular bone and place the fibula to be implanted in the reconstruction area and fix it with the reconstruction positioning bone plate. Since the cutting guide, the osteotomy guide and the reconstruction positioning bone plate are all made according to the shape of the patient's various parts before the operation, and the reconstruction positioning bone plate is made of a highly biocompatible material and does not need to be removed, this can not only improve the accuracy and precision of the operation and reduce the postoperative occlusal error, but also shorten the operation time.

惟以上所述者，僅為本發明之較佳實施例而已，當不能以此限定本發明實施之範圍，即凡依本發明申請專利範圍及發明說明內容所作簡單的等效變化與修飾，皆仍屬本發明專利涵蓋之範圍內。However, the above is only a preferred embodiment of the present invention, and it cannot be used to limit the scope of implementation of the present invention. That is, all simple equivalent changes and modifications made according to the scope of the patent application of the present invention and the content of the invention description are still within the scope of the present invention patent.

10:切割導板10: Cutting guide

20:截骨導板20:Osteotomy guide plate

30:重建定位骨板30: Reconstruction and positioning bone plate

M:下顎骨M: mandible

MA:重建區域MA: Reconstruction area

T:患部T: affected area

F:腓骨F: Fibula

FA:欲植入腓骨FA: Want to implant fibula

Claims (7)

Translated fromChinese

一種下顎骨重建導板套組，係為進行下顎骨重建手術之輔助裝置，其包括：一切割導板，該切割導板係具有至少一第一孔洞、一簍空區域及至少一導引部，藉由第一鎖固件穿過該第一孔洞將該切割導板鎖固於一患者之下顎骨，並使該下顎骨之患部位於該簍空區域內，且該導引部係用以引導一醫師切割該患部之方向；一截骨導板，該截骨導板係具有複數導槽及至少一第二孔洞，該些導槽係設置於該截骨導板之兩端，且藉由第二鎖固件穿過該第二孔洞將該截骨導板鎖固於該患者之腓骨，並透過該些導槽引導該醫師切割一欲植入腓骨；以及一重建定位骨板，該重建定位骨板係具有至少一與該第一孔洞相對應之第三孔洞及至少一與該第二孔洞相對應之第四孔洞，藉由第三鎖固件穿過該第三孔洞將該重建定位骨板鎖固於該患者之下顎骨，並藉由第四鎖固件穿過該第四孔洞而將該重建定位骨板鎖固於該欲植入腓骨。A mandibular reconstruction guide plate set, which is an auxiliary device for mandibular reconstruction surgery, includes: a cutting guide plate, the cutting guide plate has at least a first hole, a hollow area and at least a guide part , the cutting guide plate is locked to a patient's mandible by the first fastener passing through the first hole, so that the affected part of the mandible is located in the hollow area, and the guide part is used to guide The direction in which a doctor cuts the affected part; an osteotomy guide plate, the osteotomy guide plate has a plurality of guide grooves and at least one second hole, and these guide grooves are arranged at both ends of the osteotomy guide plate, and through The second locking member passes through the second hole to lock the osteotomy guide plate to the patient's fibula, and guides the doctor through the guide grooves to cut a fibula to be implanted; and a reconstruction positioning bone plate, the reconstruction positioning bone plate The bone plate has at least one third hole corresponding to the first hole and at least one fourth hole corresponding to the second hole. The reconstructed positioning bone plate is fixed by a third fastener passing through the third hole. The reconstructed positioning bone plate is locked to the patient's mandible, and the reconstructed positioning bone plate is locked to the fibula to be implanted by passing the fourth locking member through the fourth hole.如請求項1所述之下顎骨重建導板套組，其中該導引部係為一導槽或一凸沿。The lower jaw reconstruction guide plate set as described in claim 1, wherein the guide portion is a guide groove or a convex edge.如請求項1所述之下顎骨重建導板套組，其中該切割導板、該截骨導板係為尼龍材質。The jaw reconstruction guide set as described in claim 1, wherein the cutting guide and the osteotomy guide are made of nylon.如請求項1所述之下顎骨重建導板套組，其中該第一孔洞、該第二孔洞、該第三孔洞與該第四孔洞之孔洞直徑約為2mm。The mandibular reconstruction guide plate set of claim 1, wherein the diameter of the first hole, the second hole, the third hole and the fourth hole is approximately 2 mm.如請求項1所述之下顎骨重建導板套組，其中該重建定位骨板之厚度約為2~3mm。The jaw reconstruction guide plate set as described in claim 1, wherein the thickness of the reconstruction positioning bone plate is approximately 2~3mm.如請求項1所述之下顎骨重建導板套組，其中該重建定位骨板係利用生物相容性高的材質所製成。The jaw reconstruction guide plate set as described in claim 1, wherein the reconstruction positioning bone plate is made of a material with high biocompatibility.如請求項6所述之下顎骨重建導板套組，其中該重建定位骨板係為鈦合金材質。The mandibular reconstruction guide plate set as described in claim 6, wherein the reconstruction positioning bone plate is made of titanium alloy.

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