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3D printing personalized talus surface replacement prosthesis

A 3D printing and prosthesis technology, applied in 3D printing, prosthesis, additive manufacturing, etc., can solve problems such as prosthesis loosening, long-term prognosis concerns, failure, etc., to reduce the probability of brittle failure, increase connection stability, The effect of prolonging the service life

Pending Publication Date: 2018-09-14
南方医科大学第三附属医院(广东省骨科研究院)
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

However, the prosthesis has a handle that extends into the neck of the talus for fixation. The stress on the shank of the prosthesis is relatively concentrated, which is likely to cause the prosthesis to loosen, move forward, sink, and fail, and the rate of talar head necrosis is high.
[0007] In talar replacement surgery, another way is total talar prosthesis replacement, however, total talar replacement cannot repair the anterior talofibular ligament, triangular ligament, tibiotalar ligament, intertalareal ligament, cervical ligament, etc. to maintain the ankle joint and subtalar An important ligament for joint stability, the long-term prognosis is worrying
[0008] It can be seen from the above that for such patients with relatively intact articular surface of the distal tibia and only damaged articular surface of the dome of the talus, none of the above methods can achieve ideal results.

Method used

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  • 3D printing personalized talus surface replacement prosthesis
  • 3D printing personalized talus surface replacement prosthesis
  • 3D printing personalized talus surface replacement prosthesis

Examples

Experimental program
Comparison scheme
Effect test

Embodiment 1

[0035] Specific embodiments of the present invention are as follows Figure 1 to Figure 5 As shown, a 3D printed personalized talus surface replacement prosthesis, including a prosthesis 1 made by 3D printing technology, the prosthesis 1 includes a smooth connecting surface 11 for matching with the lower articular surface of the tibia 6 and a 3. The rough contact surface 12 adapted to the excised part, the prosthesis 1 also includes a body 13 between the smooth connecting surface 11 and the rough contact surface 12, and the rough contact surface 12 is provided with a new growth bone through the talus 3. The prosthesis 1 is provided with connecting pieces for connecting the talus 3 with the prosthesis 1 . The resected part of the talus 3 is in contact with the rough contact surface 12 on the prosthesis 1, and the talus 3 and the prosthesis 1 are fixed to each other through the connector. During the healing stage, the newly grown bone of the resected part of the talus 3 can prot...

Embodiment 2

[0042] like Image 6 and Figure 7 As shown, the difference from Embodiment 1 is that the rough contact surface 12 is flat, and the part of the talus 3 that fits with the rough contact surface 12 is also flat, and the two are in contact with each other. The screw 2 passes through the countersunk hole 14 and is inserted obliquely into the flat surface of the talus 3 in contact with the rough contact surface 12.

Embodiment 3

[0044] like Figure 8 As shown, the difference from Embodiment 1 is that the connecting piece includes matching bolts 4 and nuts 5, the countersunk holes 14 are paired in pairs, and the two countersunk holes 14 in each pair are opposite and identical to each other. The shaft is arranged, the groove 15 is located between each pair of two countersunk holes 14, the bolt head of the bolt 4 and the nut 5 are respectively located in the two pairs of countersunk holes 14, and the screw rod of the bolt 4 passes through the pair of countersunk holes 14. Counterbore 14.

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Abstract

The invention discloses a 3D printing personalized talus surface replacement prosthesis, comprising a prosthesis made by 3D printing technology. The prosthesis includes a smooth joint surface for fitting to the subtalar articular surface and a part to cut away from the talus. The prosthesis further comprises a body between the smooth connecting surface and the rough contact surface, and the roughcontact surface is provided with a plurality of micropores which are fixedly connected to the talus by allowing the newly growing bone of the talus to protrude. The prosthesis is provided with a connecting piece for connecting it to the talus. The 3D printing personalized talus surface replacement prosthesis provided by the invention has talus surface replacement retaining all ligaments around thetalus, which not only maintains the stability of the ankle joint and the posterior foot, but also preserves the normal body sensation of the patient, and the clinical prognosis is predictable and good.

Description

technical field [0001] The invention relates to the field of ankle joint treatment, in particular to a 3D printed personalized talus surface replacement prosthesis. Background technique [0002] The ankle joint is the most vulnerable weight-bearing joint in the human body. Ankle sprain alone accounts for 20% of sports injuries, and is a common reason for emergency department visits in my country. Unlike the knee joint, post-traumatic arthritis is the most common cause of end-stage ankle arthritis. Due to the poor blood supply of the talus itself, necrosis and articular surface collapse are prone to occur. Therefore, the injury of the articular surface of the talus of the ankle joint is often more common than that of the articular surface of the tibia. Up to 50% of ankle sprains will cause talus osteochondral damage. [0003] Osteochondral defects of the talus alter the biomechanical state of ankle weight bearing, eventually leading to severe ankle arthritis, making it diffi...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): A61F2/42A61F2/30
CPCA61F2/4202A61F2002/4207A61F2002/30985A61F2002/30321
Inventor 曾参军郭浩黄华军黄伟奇谭新宇
Owner 南方医科大学第三附属医院(广东省骨科研究院)
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