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All-trans wrist joint prosthesis retaining function of distal radioulnar joint

A wrist joint prosthesis, all-trans technology, applied in ankle joints, joint implants, joint implants, etc. Problems such as the function of the radioulnar joint, to achieve the effect of correcting the limited rotation function, reducing the cost, and increasing the fault tolerance rate

Pending Publication Date: 2021-11-12
SHANGHAI CITY PUDONG NEW AREA GONGLI HOSPITAL
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

However, in clinical work, the existing wrist prosthesis mainly has the following problems: 1. The adjustment of palmar inclination and ulnar deviation angle when the wrist prosthesis is installed can only be realized by the amount of osteotomy
2. The prosthesis that simulates the normal wrist joint structure will reduce the range of motion to a certain extent after being implanted in the human body
3. Existing prostheses ignore the function of the DRUJ
The contact movement between the prosthesis and the ulna will lead to a more limited range of motion of the wrist joint; although some scholars have solved this problem by cutting off part of the distal ulna, they have basically abandoned the function of the DRUJ
4. The traditional two-part carpal joint prosthesis, on the one hand, cannot realize the circular movement of the radiocarpal joint, and on the other hand, it is difficult to repair the joint in the later stage

Method used

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  • All-trans wrist joint prosthesis retaining function of distal radioulnar joint
  • All-trans wrist joint prosthesis retaining function of distal radioulnar joint
  • All-trans wrist joint prosthesis retaining function of distal radioulnar joint

Examples

Experimental program
Comparison scheme
Effect test

Embodiment 1

[0025] Embodiment one, such as Figure 1-7 As shown, an all-trans wrist prosthesis retaining the function of the inferior radioulnar joint, including the carpal base 1, the carpal socket 2, the movable ball 3 and the radial stem 4, and the upper surface of the carpal base 1 is provided with a carpal medullary needle 5. The lower surface of the carpal base 1 is provided with a first connecting hole 6; the upper surface of the carpal joint fossa 2 is provided with a connecting plate 7, the carpal joint fossa 2 is connected with the first connecting hole 6 through the connecting plate 7, and the carpal joint fossa 2 is The surface is a concave spherical structure; the movable sphere 3 is an elliptical hemispherical structure matched with the lower surface of the carpal glenoid 2, the lower surface of the movable sphere 3 is provided with a radial connecting plate 8; the upper surface of the radial stem 4 is provided with a second connecting hole 9 , the movable sphere 3 is connec...

Embodiment 2

[0030] Embodiment two, such as Figure 3-4 As shown, as a further preferred solution of the first embodiment, the side surface of the carpal bone base 1 is provided with a first connection port 14, the first connection port 14 communicates with the first connection hole 6, and the first connection port 14 is internally threaded with a second A limit screw 15; a through hole is opened on the surface of the connecting plate 7, and the end of the first limit screw 15 passes through the first connection port 14 and corresponds to the through hole. The first stop screw 15 is connected to the through hole on the surface of the connecting plate 7 to realize a strong connection between the carpal base 1 and the carpal glenoid 2 ; thereby ensuring the stability of the connection.

Embodiment 3

[0031]Embodiment 3, as a further preferred solution of Embodiment 1, the diameter of the carpal medullary needle 5 changes stepwise, and gradually decreases stepwise from the position near the base 1 of the carpal bone to the position away from the base 1 of the carpal bone. In order to effectively improve the firmness of the fixation of the carpal base 1 .

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Abstract

An all-trans wrist joint prosthesis retaining the function of a distal radioulnar joint comprises a carpal bone base, a carpal bone joint fossa, a movable ball and a radial handle, and a wrist bone marrow needle is arranged on the carpal bone base; the carpal joint fossa is connected with the carpal base through a connecting plate; the movable ball body is of an elliptical hemispheroid structure matched with the lower surface of the carpal joint fossa; the movable ball body is connected with the radius handle through the radius connecting plate, the radial bone marrow needle and the ulna bone marrow needle are arranged below the radius handle, a lock hole is formed in the upper surface of the ulna bone marrow needle, a limiting lock catch is arranged below the radius handle, and the ulna bone marrow needle is connected to the limiting lock catch through the lock hole. The defects in the prior art are overcome, and a larger movement range is obtained through the design of the reverse wrist joint; and through the detachable design of the carpal joint fossa and the movable ball body, the material cost for rebuilding is greatly reduced, and meanwhile, the angle of the prosthesis joint surface can be adjusted, so that the optimal palmar inclination angle and the optimal ulnar deflection angle can be conveniently adjusted, and the error-tolerant rate of osteotomy in an operation is improved.

Description

technical field [0001] The invention relates to daily necessities for human beings, in particular to medical equipment, in particular to an all-trans wrist joint prosthesis retaining the function of the inferior radioulnar joint. Background technique [0002] The wrist joint is one of the most flexible and complex joints in the human body. It mainly consists of four interrelated joints, the radiocarpal joint, the inferior radioulnar joint, the intercarpal joint, and the carpus metacarpal joint. At present, factors such as trauma, infection, rheumatism, and tumors can cause severe damage to the wrist joint clinically, ranging from pain and functional limitation to severe cases of complete loss of wrist joint function. The main treatment methods for such diseases are arthrodesis and artificial wrist replacement. [0003] Wrist joint replacement is the use of artificial joint prosthesis to replace the diseased joint. While solving the patient's pain, joint stiffness or deformi...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): A61F2/42
CPCA61F2/4261A61F2002/4264A61F2002/4271A61F2002/4266
Inventor 陈天宁邵进霍凯伦
Owner SHANGHAI CITY PUDONG NEW AREA GONGLI HOSPITAL
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