Personalized prosthesis for accurate resection pelvic tumor by computer aided design and manufacturing method of personalized prosthesis

A computer-aided pelvic technology, applied in prosthesis, application, medical science, etc., can solve the problems of inaccurate measurement of osteotomy, high number of X-ray exposures, and uncontrollable position and angle of prosthesis, so as to improve the accuracy of surgery degree, increased prosthesis stability, and simplified manipulation

Pending Publication Date: 2019-11-22
TIANJIN HOSPITAL
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

[0004] In order to solve the problems of the inability to accurately measure the amount of osteotomy and the uncontrollable spatial angle of the position of the prosthesis in traditional surgical techniques, and the number of X-ray exposures during the operation, the present invention provides a computer-aided design guide plate for precise resection of pelvic tumors and a personalized prosthesis and Its production method, this method is based on the contralateral or normal structural and functional parameters as the standard, if the replacement of the hip joint is not required, the prosthesis at the tumor site can be designed directly according to the mechanical properti

Method used

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  • Personalized prosthesis for accurate resection pelvic tumor by computer aided design and manufacturing method of personalized prosthesis
  • Personalized prosthesis for accurate resection pelvic tumor by computer aided design and manufacturing method of personalized prosthesis
  • Personalized prosthesis for accurate resection pelvic tumor by computer aided design and manufacturing method of personalized prosthesis

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Embodiment 1

[0044] The computer-aided design method for making a personalized prosthesis for precise resection of pelvic tumors includes the following steps:

[0045] Step 1. Collect tomographic CT data of the patient's complete pelvis, store it in DICOM image format, and establish a three-dimensional pelvic tumor model through three-dimensional reconstruction software;

[0046] Step 2, determine the three-dimensional range and tumor position of the pelvis on the three-dimensional pelvic tumor model; (such as figure 2 )

[0047] Step 3. Determine the osteotomy position and angle on the three-dimensional pelvic tumor model, and perform osteotomy on the tumor;

[0048] Step 4. Draw a pelvic prosthesis that completely matches the osteotomy surface in the three-dimensional pelvic tumor model after osteotomy, correct the model after osteotomy, and simulate the implanted screw model to determine the pelvic prosthesis and screw fixation position;

[0049] Step 5. Implanting the Kirschner wire...

Embodiment 2

[0055] The computer-aided design method for making a personalized prosthesis for precise resection of pelvic tumors includes the following steps:

[0056] Step 1. Collect tomographic CT data of the patient's complete pelvis, store it in DICOM image format, and establish a three-dimensional pelvic tumor model through three-dimensional reconstruction software;

[0057] Step 2, determine the three-dimensional range and tumor position of the pelvis on the three-dimensional pelvic tumor model; (such as figure 2 )

[0058] Specific steps for determining the three-dimensional range of the pelvis and tumor location on the 3D pelvic tumor model in step 2: judge the tumor location comprehensively based on MRI, CT, and X-ray films, mark it in the 3D model, and mark it on the MRI or CT The outline of the tumor, the boundary of the outer edge of the tumor, and the boundary of the outer edge of the pelvis determine the three-dimensional range of the pelvis and the location of the tumor. ...

Embodiment 3

[0073] The computer-aided design method for making a personalized prosthesis for precise resection of pelvic tumors includes the following steps:

[0074] Step 1. Collect tomographic CT data of the patient's complete pelvis, store it in DICOM image format, and establish a three-dimensional pelvic tumor model through three-dimensional reconstruction software;

[0075] Step 2, determine the three-dimensional range and tumor position of the pelvis on the three-dimensional pelvic tumor model; (such as figure 2 )

[0076] Specific steps for determining the three-dimensional range of the pelvis and tumor location on the 3D pelvic tumor model in step 2: judge the tumor location comprehensively based on MRI, CT, and X-ray films, mark it in the 3D model, and mark it on the MRI or CT The outline of the tumor, the boundary of the outer edge of the tumor, and the boundary of the outer edge of the pelvis determine the three-dimensional range of the pelvis and the location of the tumor. ...

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Abstract

The invention belongs to the field of orthopedic surgery osteotomyorthoses, and particularly relates to a personalized prosthesis for accurate resection pelvic tumor by computer aided design and a manufacturing method of the personalized prosthesis.The manufacturing method includes the following steps that complete pelvic data is collected, a three-dimensional model of a pelvis is established, ifno hip joint replacement is required, an osteotomy position can be directly determined,the personalized prosthesis is designed, if hip joint replacement is required, when an acetabulum is designed onthe personalized prosthesis, when an opposite acetabulum is normal, a prosthesis acetabulum can be designed according to parameters of the opposite acetabulum; when the opposite acetabulum is abnormal, a prosthesis is designed according to normal parameters; and the prosthesis ismanufactured by combining position and directions of fixing nails and an osteotomy knife. The manufacturing method has the beneficial effects that accurate tumor resection and personalized prosthesis positioning are achieved, an autogenous bone of a patient is retained by the prosthesis to the greatest extent, stability of the prosthesis is increased, rapid growth of the interface between the prosthesis and the bone is facilitated, at the same time, the function of the pelvis is ensured to the greatest extent, operation of orthopedic tumor resection and prosthesis replacement operation is simplified, and accuracy of the operation is improved.

Description

technical field [0001] The invention belongs to the field of osteotomy orthopedic equipment for orthopedic surgery, in particular to a computer-aided design of a personalized prosthesis for precise excision of pelvic tumors and a manufacturing method thereof. Background technique [0002] With the increasing rise of computer-assisted orthopedics, 3D printing-assisted orthopedic precision surgery technology is also gradually increasing. This technology is mainly used in fracture malunion, congenital bone deformity or dysplasia, joint replacement, bone tumor resection, etc. Due to the complexity of the mechanism and anatomical features, the resection of pelvic tumors has always been a difficult point in orthopedic surgery. It is necessary to ensure complete resection of the tumor and restore the patient’s postoperative mobility as much as possible. Therefore, the angle of osteotomy and The direction is very demanding, and the inaccurate range and angle of osteotomy will direct...

Claims

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Application Information

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IPC IPC(8): A61F2/30A61F2/32
CPCA61F2/30942A61F2/32A61F2002/30948A61F2240/002A61F2240/007
Inventor 马信龙马剑雄王颖柏豪豪孙磊卢斌王岩田爱现董本超杜育任韩彪赵兴文郭超韡滕延斌范峥睿杨宝成何伟伟邢飞陈恒亭
Owner TIANJIN HOSPITAL
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