Method for digitalized pre-bending and navigation embedding of acetabulum internal fracture fixation locking reconstruction bone fracture plate

A bone plate and acetabulum technology, applied in the medical field, can solve the problems of unreliable fracture fixation, increased health hazards, bone destruction, etc., to reduce soft tissue damage and important structural damage, reduce bleeding and operation time, and reduce trauma. Effect

Active Publication Date: 2017-07-28
THE AFFILIATED HOSPITAL OF PUTIAN UNIV (THE SECOND HOSPITAL OF PUTIAN CITY)
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

The limited operating window of traditional empirical surgery is often difficult to judge the adjoining relationship of anterior and posterior columns, quadrilaterals, articular surfaces and other anatomical structures, resulting in indirect and non-intuitive surgical operations that often require extensive exposure
In addition, there are many difficulties in the placement of the bone plate, whether the screws in all directions touch or break into the joint cavity, and whether the fracture block can be fixed in all directions, etc., often make the clinician bend and adjust the bone many times during the operation. The position of the plate; whether the direction and length of the screw are optimal for multiple X-ray fluoroscopy observations, repeated screw placement will lead to bone destruction, extensive soft tissue incision and periosteum stripping, prolonged operation time and unstable fracture fixation, etc., which will affect the surgical effect and Prognosis
Although the commonly used CT three-dimensional reconstruction images can improve the surgeon's knowledge and understanding of acetabular fractures for surgical reference, their disadvantages are static and planar images, which cannot allow the surgeon to perform fracture reduction and fixation before surgery. simulated operation
In actual work, clinicians often simulate fracture reduction in their minds and imagine a series of surgical steps based on imaging studies such as CT examinations combined with their own understanding of the norm...

Method used

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  • Method for digitalized pre-bending and navigation embedding of acetabulum internal fracture fixation locking reconstruction bone fracture plate
  • Method for digitalized pre-bending and navigation embedding of acetabulum internal fracture fixation locking reconstruction bone fracture plate
  • Method for digitalized pre-bending and navigation embedding of acetabulum internal fracture fixation locking reconstruction bone fracture plate

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Embodiment 1

[0063] Example 1: A case of comminuted acetabular fracture of AO type C1.3 (posterior column fracture combined with posterior wall fracture, multiple fractures of anterior column, high fracture line) illustrates that the present invention is used for internal fixation, locking, reconstruction and osteosynthesis of acetabular fractures The design method of board digital pre-bending and navigation implantation is specifically carried out through the following steps.

[0064] 1. Fabrication of bone plate for virtual acetabular locking reconstruction; see figure 1 ;

[0065] 2. Preoperative data collection, virtual fracture reduction; see figure 2 ;

[0066] 3. Mimics software multi-segment cutting combination to construct a virtual acetabular locking reconstruction bone plate; see image 3 and Figure 4 ;

[0067] 4. The 3D model of the virtual bone plate is output to the 3D printer for physical printing to guide pre-bending; see Figure 5 ;

[0068] 5. Navigation templat...

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Abstract

The invention discloses a method for digitalized pre-bending and navigation embedding of an acetabulum internal fracture fixation locking reconstruction bone fracture plate, and relates to the technical field of medical treatment. The method comprises the following steps that 1, a virtual acetabulum locking reconstruction bone fracture plate and a nail path are manufactured; 2, pre-operation data is collected, and virtual bone fracture reduction is performed; 3, Mimics software multi-section cutting combination is performed to construct a virtual locking acetabulum reconstruction bone fracture plate; 4, a 3D printing virtual bone fracture plate is used for guiding pre-bending; 5, Mimics software is adopted for designing and locking navigation templates at the two ends of the reconstruction bone fracture plate; 6, 3D printing of the navigation templates and implementation are performed. The steps of the virtual design operation plan are simplified, pre-bending of the bone fracture plate is precisely guided, the navigation templates with the high surgical operation feasibility are designed, and the internal fixation surgery can be more precisely implemented; the operation difficulty is expected to be lowered, soft tissue damage, periosteum stripping and important structure damage are reduced, the bleeding and surgical time is shortened, X-ray perspective radiation injuries are relieved, and surgical complications are reduced.

Description

technical field [0001] The invention relates to the field of medical technology, in particular to a method for digital pre-bending and navigation implantation of an acetabular fracture internal fixation locking reconstruction bone plate. Background technique [0002] Acetabular fractures are mostly high-energy injuries, severe injuries, deep positions, irregular shapes, complex anatomical relationships, ever-changing surgical methods, and high surgical technical requirements, which make clinical orthopedic surgeons face many challenges, including the choice of surgical approach, related anatomical Familiarity, reduction techniques, fracture fixation techniques, etc. The limited operating window of traditional empirical surgery often makes it difficult to judge the adjacency relationship of anterior and posterior columns of the acetabulum, quadrilateral, articular surface and other anatomical structures, resulting in indirect and non-intuitive surgical operations that often r...

Claims

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Application Information

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IPC IPC(8): A61B34/10A61B34/20A61B17/80B33Y10/00
CPCA61B17/80B33Y10/00
Inventor 陈宣煌张国栋林海滨陈旭吴长福余正希戴玉林
Owner THE AFFILIATED HOSPITAL OF PUTIAN UNIV (THE SECOND HOSPITAL OF PUTIAN CITY)
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