Production method of 3D printing fibula reconstruction jaw surgical tool combining bone excision with titanium-plate positioning

A manufacturing method and technology of surgical tools, applied in surgery, bone drill guidance, additive processing, etc., can solve problems such as difficult preparation, manual operation errors, and high subjectivity, and achieve high efficiency in the placement process, improved stability, and surgical high precision effect

Active Publication Date: 2018-04-24
XIANGYA HOSPITAL CENT SOUTH UNIV
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Problems solved by technology

The operator has a lot of subjectivity when performing the operation, and it is often difficult to take into account the accurate restoration of the occlusal relationship and the position of the condyle
[0005] Although some studies tried to manually transfer the titanium plate nail holes on the mandibular osteotomy guide, it was still difficult to restore a good occlusion due to manual operation errors
And because the fibula segment will eventually heal wit

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  • Production method of 3D printing fibula reconstruction jaw surgical tool combining bone excision with titanium-plate positioning
  • Production method of 3D printing fibula reconstruction jaw surgical tool combining bone excision with titanium-plate positioning
  • Production method of 3D printing fibula reconstruction jaw surgical tool combining bone excision with titanium-plate positioning

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Embodiment Construction

[0038] The present invention will be further described below in conjunction with the accompanying drawings and specific embodiments.

[0039] A method for manufacturing a 3D printed fibular reconstruction jaw surgery tool combined with bone resection and titanium plate positioning, comprising the following steps:

[0040] Step 1. Personalized sampling and surgical simulation: Use CBCT or spiral CT to scan the patient's upper and lower jaw and fibula donor sites, import the imaging data into the surgical design simulation software in Dicom standard format, use threshold division, region growth and multi-layer lasso and other functions to segment images and reconstruct the 3D models of the upper and lower jaws and fibula, such as image 3 shown.

[0041] Step 2. Determine the jaw osteotomy plane according to the extent of the lesion, draw multiple spatial points in the defect area to form a spatial fold line, and simulate the fibula transplantation to the jaw defect area to form ...

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Abstract

The invention discloses a production method of a 3D printing fibula reconstruction jaw surgical tool combining bone excision with titanium-plate positioning. The method comprises the steps that a jawthree-dimensional model and a fibula three-dimensional model are reconstructed; according to the lesion range, the jaw osteotomy plane is determined, and an expected jaw model is designed; a preforming titanium plate is fixed to the target portion of an expected jaw model entity and subjected to secondary scanning; a titanium plate-expected jaw composite model and a titanium plate model are obtained; the titanium plate-expected jaw composite model, the titanium plate model and an STL file of the expected jaw model are subjected to rectification and alignment; a mandible osteotomy guide plate and a fibula osteotomy guide plate are designed, tack holes in the titanium plate model are correspondingly mapped to the mandible osteotomy guide plate and the fibula osteotomy guide plate, and a special quickly-formed guide plate is formed. According to the produced fibula osteotomy tool, the obtained fibula can be precisely positioned in the tack holes and can be accurately transferred to the jaw according to the design expectation, and the pre-bent titanium plate is used for directly and accurately positioning an acquired bone segment.

Description

technical field [0001] The invention relates to the technical field of jaw surgery tools and jaw functional reconstruction, in particular to a manufacturing method of a 3D printed fibula reconstruction jaw surgery tool combined with bone resection and titanium plate positioning. Background technique [0002] In recent years, digital surgical technology has been widely used in the repair and reconstruction of jaw defects. Through virtual surgery, surgeons can realistically simulate key steps such as lesion resection, graft bone flap preparation and shaping, and move time-consuming and laborious operations such as titanium plate bending to preoperative completion, thus improving surgical accuracy. At the same time, it also greatly improves the operation efficiency. At present, in order to achieve high-precision jaw reconstruction surgery, there are mainly navigation technology and 3D printing surgical guide technology. The former can guide the resection of the lesion and the...

Claims

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Application Information

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IPC IPC(8): A61B17/17A61B34/10B33Y80/00
CPCA61B17/1732A61B17/176A61B34/10A61B2017/564A61B2034/105B33Y80/00
Inventor 蒋灿华梁烨王文瑾陈洁吴立萌
Owner XIANGYA HOSPITAL CENT SOUTH UNIV
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