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Mandible reduction device

A repositioning device and mandible technology, applied in the field of medical devices, can solve problems such as interfering with the life, work, masticatory function of patients, degenerative joint disease, etc. low incidence of symptoms

Active Publication Date: 2020-07-17
THE SECOND HOSPITAL OF HEBEI MEDICAL UNIV
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

Although it can meet the requirements of reduction treatment, it has the following disadvantages in the clinical application process: the placement of the dental arch splint and the ligation of the steel wire are relatively complicated, and the periodontal tissue will inevitably be damaged; the hook end and a large number of steel wires carried by the dental arch splint are exposed to the oral cavity. Internally, patients have obvious foreign body sensation, poor comfort, and are not conducive to oral hygiene and cleaning; this operation takes a long time and is difficult, especially for patients with deep coverage, crowded dentition, and limited mouth opening , the clinical difficulty is relatively large, and some patients even find it difficult to perform the procedure to meet the clinical requirements; the stability is poor, and the fracture site will be in a state of micro-motion for a long time to stimulate cartilage osteogenesis, which will adversely affect the healing of the fracture and the recovery of the bite relationship; It cannot provide enough support, and it is prone to displacement or torsion due to the influence of surrounding muscle traction or mandibular movement, which affects the growth of capillaries at the stump end and the differentiation of bone cells, and delays healing. Temporomandibular joint immobilization is required during the overall treatment. The patient's eating, speech, and oral hygiene are all affected, which not only interferes with the patient's life and work, but also seriously affects the patient's intake of nutrients, resulting in osteoporosis and reduced healing ability. Long-term restriction of joint movement can also cause muscle pain. Atrophy or even degenerative joint disease
[0004] The mandible is the only large bone that can move in the maxillofacial region and participates in the formation of the temporomandibular joint. Therefore, the masticatory function is greatly affected after injury. At present, there is a lack of a fracture fixation and reduction device with a wide range of applications and low manufacturing cost for related treatment.

Method used

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Examples

Experimental program
Comparison scheme
Effect test

Embodiment 1

[0041] to combine figure 1 and figure 2 , a mandible reduction device, comprising a fracture connection part 1 matching the radian of the lower edge of the mandible 4, a bone joint part 2 arranged on the upper end of the fracture connection part 1 and matching with the radian of the lip-buccal groove, and a fracture connection part 2 arranged on the connection part 1 On the traction part 3 on both sides of the bone set 2, the connecting part 1 is a small titanium plate obtained by printing according to the patient's postoperative mandible 4 model through additive manufacturing technology 3, and the bone set 2 and the traction part Part 3 is a titanium mesh structure obtained by 3D printing based on the patient's postoperative mandible 4 model through additive manufacturing technology.

[0042] A positioning hole 11 is set on the connecting part 1, a mounting hole 21 is set on the bone-setting part 2, a pulling hole 31 is set on the end of the pulling part 3 away from the conne...

Embodiment 2

[0046] to combine image 3 , a mandible reduction device, comprising a fracture connection part 1 matching the radian of the lower edge of the mandible 4, a bone joint part 2 arranged on the upper end of the fracture connection part 1 and matching with the radian of the lip-buccal groove, and a fracture connection part 2 arranged on the connection part 1 On the traction part 3 on both sides of the bone set 2, the connecting part 1 is a small titanium plate obtained by printing according to the patient's postoperative mandible 4 model through additive manufacturing technology 3, and the bone set 2 and the traction part Part 3 is a titanium mesh structure obtained by 3D printing according to the postoperative mandible 4 model of the patient through additive manufacturing technology. The thickness of the titanium mesh is 0.5mm, and the aperture of the titanium mesh is 3mm. The thickness of the titanium plate is 2mm.

[0047] The connecting part 1, the traction part 3 and the ost...

Embodiment 3

[0052] The tensile strength F1 of the titanium plate at the connection part is 80-100MPa, the stress F2 of the titanium plate satisfies 45-120Mpa, and F1 · F2 is greater than or equal to 3860Mpa and less than or equal to 11280MPa.

[0053] The elastic modulus E of the titanium mesh of the osteosynthesis is 95063-11841Mpa, the Poisson's ratio υ of the titanium mesh is 0.25-0.56, the yield strength F of the titanium mesh is 780-950Mpa, the elastic modulus E, The yield strength F and Poisson's ratio υ satisfy (E+F) / υ not less than 20855 and not greater than 48964, the maximum load S of the titanium mesh is 41.38-43.71N, and the bending strength σ of the titanium mesh is 486.22-520.58 MPa.

[0054] The strain value of the connecting part satisfies: F = [(F1·F1)+(e-115)] / υ·ρ 1.36 , where ρ is density, e is Young's modulus, and 40≤e≤19561MPa.

[0055] The bending strength σ of the osteosynthesis satisfies: σ=3FL / 2bh 2 , where L represents the span of the osteosynthesis (mm), b re...

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Abstract

The invention relates to a mandible reduction device. The device comprises a fracture connecting part matched with the radian of the lower edge of a mandible, a bone-setting part arranged at the upperend of the fracture connecting part and matched with the radian of a labiobuccal sulcus, and traction parts arranged on the upper portion of the connecting part and on two sides of the bone-setting part. Positioning holes are formed in the connecting part, mounting holes are formed in the bone-setting part, traction holes are formed in the end, away from the connecting part, of the traction parts, the bone-setting part is arranged in the middle of the connecting part, and the connecting part, the traction parts and the bone-setting part are all connected to the mandible through traction nails. The mandible reduction device achieves fracture reduction and effective fixation, recovers the anatomical structure of the mandible to the maximum extent, promotes fracture healing, improves clinical symptoms of a patient, and improves the clinical treatment effect.

Description

technical field [0001] The invention belongs to the technical field of medical devices, and in particular relates to a mandible reduction device. Background technique [0002] Mandibular fracture is a common disease in oral and maxillofacial surgery, and it is also one of the main forms of fracture. Clinically, surgical treatment is mainly used to reduce and heal the broken end of the fracture and restore the anatomical structure, so that the relationship between masticatory function and bite can be restored to normal, and Restoring the shape of the face to protect the physical and mental health of patients and improve their quality of life. Due to the special anatomical structure of the jaw bone, which participates in various functions of oral chewing, swallowing, pronunciation and breathing, its physiological requirements are relatively high, and the blood supply is rich in this place, and the fracture ends heal quickly. If there is no good reduction and fixation in the i...

Claims

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Application Information

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IPC IPC(8): A61B17/80A61B17/84A61B17/86
CPCA61B17/80A61B17/8071A61B17/808A61B17/8085A61B17/846A61B17/86
Inventor 刘吉伦刘耀强
Owner THE SECOND HOSPITAL OF HEBEI MEDICAL UNIV
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