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CN102846408B - Metallic granular body for bone-grafting filling - Google Patents

Metallic granular body for bone-grafting filling Download PDF

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CN102846408B
CN102846408B CN201110178167.3A CN201110178167A CN102846408B CN 102846408 B CN102846408 B CN 102846408B CN 201110178167 A CN201110178167 A CN 201110178167A CN 102846408 B CN102846408 B CN 102846408B
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bone
bone graft
filling metal
hole
filling
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CN102846408A (en
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蔡宏
张卫平
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Beijing AK Medical Co Ltd
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Peking University Third Hospital
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/28Bones
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)
  • Materials For Medical Uses (AREA)

Abstract

The present invention relates to a kind of metallic granular body for bone-grafting filling of filling for Cranial defect, this metallic granular body for bone-grafting filling is provided with the bone grafting hole holding and implant broken osseous granules or bone mud, mutual through connected between each bone grafting hole, outer surface and the bone grafting internal surface of hole of granule are distributed with the micropore be interconnected, can as required by the bone block of the metallic granular body for bone-grafting filling of some and autologous bone or allograph bone during operation, osseous granules, bone mud mix and blend is used for Cranial defect and fills, with the autologous bone of occupy-place form Some substitute or allograph bone implant, in Rehabilitation process, osteocyte and capillary vessel are grown into metallic granular body for bone-grafting filling inside, can be formed and merge Embedded biological activity bone repair.

Description

植骨填充金属颗粒体Bone graft filling metal granules

技术领域 technical field

本发明涉及骨科手术植入体,特别是一种用于骨缺损填充的植骨填充金属颗粒体。The invention relates to an orthopedic surgical implant, in particular to a bone graft filling metal granule used for bone defect filling.

背景技术 Background technique

在各种骨科切除治疗、人工关节置换、正畸手术等会遇到不同程度的骨缺损的问题,以往常规的解决方法是使用自体骨或异体骨的骨块、骨颗粒、骨泥等将缺损部位进行填充塑形,再植入相应的假体或固定用器械以完成手术,但由于自体骨来源有限,异体骨价格昂贵且有生物学方面的风险,因此并不是每一位需要进行骨缺损填充的患者都能够得到满意的治疗。In various orthopedic resections, artificial joint replacements, orthodontic surgeries, various degrees of bone defects are encountered. In the past, the conventional solution was to use autologous or allogeneic bone blocks, bone granules, and bone paste to remove the defects. However, due to the limited source of autologous bone, the price of allogeneic bone is expensive and there are biological risks, so not everyone needs bone defect Filled patients can get satisfactory treatment.

发明内容 Contents of the invention

本发明的目的是提供一种植骨填充金属颗粒体,手术时可根据需要将一定数量的植骨填充金属颗粒体与自体骨或异体骨的骨块、骨颗粒、骨泥混合搅拌用于骨缺损填充,以占位形式部分替代自体骨或异体骨填充物,患者康复过程中骨细胞与微细血管向植骨填充金属颗粒体内部长入,可以形成融合嵌入式的生物活性骨修复体。The purpose of the present invention is to provide a bone graft filling metal granule body. During the operation, a certain amount of bone graft filling metal granule body can be mixed and stirred with autologous bone or allogeneic bone bone block, bone granule and bone paste for bone defect. Filling, which partially replaces autologous bone or allogeneic bone filler in the form of a space-occupying, bone cells and tiny blood vessels grow into the bone graft filling metal particles during the patient's rehabilitation process, and can form a fusion-embedded bioactive bone restoration.

为实现上述目的,本发明采取以下设计方案:To achieve the above object, the present invention takes the following design scheme:

植骨填充金属颗粒体,其特征在于,该颗粒体形状为球体、圆柱体、多面体、螺旋体、网状体、以及前述各种形状体的组合体,该颗粒体外形尺寸为2~15mm,使用时将适当数量的植骨填充金属颗粒体与自体骨或异体骨的骨块、骨颗粒、骨泥混合搅拌后填充于骨缺损部位。Bone graft filling metal granules, characterized in that the granules are in the shape of spheres, cylinders, polyhedrons, helices, meshes, and combinations of the aforementioned various shapes, and the outer dimensions of the granules are 2 to 15mm. When mixing and stirring an appropriate amount of bone graft filling metal granules with autologous or allogeneic bone, bone granules, and bone paste, they are filled in the bone defect.

所述植骨填充金属颗粒体其特征在于,在植骨填充金属颗粒体上设有容纳植入碎骨颗粒或骨泥的植骨孔,植骨孔由植骨填充金属颗粒体的外表面向内延伸,植骨孔孔径1~10mm,各个植骨孔之间相互贯通相连。The bone graft filling metal granule is characterized in that a bone graft hole is provided on the bone graft filling metal granule to accommodate implanted bone crushed particles or bone paste, and the bone graft hole extends inwardly from the outer surface of the bone graft filling metal granule. The hole diameter of the bone grafting hole is 1-10mm, and each bone grafting hole is connected with each other.

所述植骨填充金属颗粒体其特征在于,该颗粒体的金属实体部分外表面及植骨孔内表面分布有相互连通的微孔隙,该微孔隙的孔径为50μm~900μm。The bone graft filling metal granule is characterized in that interconnected micropores are distributed on the outer surface of the metal entity part of the granule and the inner surface of the bone graft hole, and the diameter of the micropores is 50 μm to 900 μm.

所述植骨填充金属颗粒体其特征在于它采用医用金属制成,所述医用金属包括钛及钛合金、钴合金、不锈钢以及钽金属、镁合金。The bone graft filling metal granule is characterized in that it is made of medical metals, and the medical metals include titanium and titanium alloys, cobalt alloys, stainless steel, tantalum metals, and magnesium alloys.

所述植骨填充金属颗粒体表面全部或局部具有羟基磷灰石涂层,该羟基磷灰石涂层有诱导骨细胞生长的功能。The whole or part of the surface of the bone graft filling metal particles has a hydroxyapatite coating, and the hydroxyapatite coating has the function of inducing bone cell growth.

所述植骨填充金属颗粒体的加工方法是:锻造、铸造、机械切削钻孔、放电加工成型等;其他的加工方法还包括采用激光或高能电子束快速成型技术、高温烧结、化学腐蚀、电化学沉积等技术,特别是激光或高能电子束快速成型技术、高温烧结、化学腐蚀、电化学沉积等技术除可以制作植骨填充金属颗粒体的金属实体外同时还能够在该实体表面及植骨孔内表面生成相互连通的微孔隙;羟基磷灰石涂层则通过高温喷涂或电化学沉积得到。The processing methods of the bone graft filling metal particles are: forging, casting, mechanical cutting and drilling, electrical discharge machining, etc.; other processing methods also include laser or high-energy electron beam rapid prototyping technology, high-temperature sintering, chemical corrosion, electric Chemical deposition and other technologies, especially laser or high-energy electron beam rapid prototyping technology, high-temperature sintering, chemical corrosion, electrochemical deposition and other technologies can not only make metal entities filled with bone graft metal particles, but also can be used on the surface of the entity and bone graft. Interconnected micropores are formed on the inner surface of the pores; the hydroxyapatite coating is obtained by high-temperature spraying or electrochemical deposition.

本发明的优点是:The advantages of the present invention are:

1.本发明植骨填充金属颗粒体,该颗粒体形状为球体、圆柱体、多面体、螺旋体、网状体、以及前述各种形状体的组合体,该颗粒体外部尺寸为2~15mm,在使用时形状、大小和数量有多种选择,配以自体骨或异体骨的骨块、骨颗粒、骨泥混合搅拌后能有效填充并充盈于各种形状的骨缺损部位。1. The bone graft of the present invention is filled with metal granules, the granules are in the form of spheres, cylinders, polyhedrons, spirals, reticular bodies, and combinations of the aforementioned various shapes, and the outer dimensions of the granules are 2 to 15 mm. There are many choices of shape, size and quantity when used. After mixing with autologous bone or allogeneic bone, bone granules, and bone paste, it can effectively fill and fill bone defects of various shapes.

2.本发明植骨填充金属颗粒体,在该颗粒体上设有容纳植入碎骨颗粒或骨泥的植骨孔,植骨孔由植骨填充金属颗粒体外轮廓向内延伸,植骨孔孔径1~10mm,各个植骨孔之间相互贯通相连;植骨填充金属颗粒体的植入方法是:手术中医生根据需要选择适当数量、大小和形状的植骨填充金属颗粒体与患者自体或异体碎骨颗粒及骨泥混合搅拌成混合植入物,必要时将碎骨颗粒及骨泥直接植入植骨填充金属颗粒体的植骨孔,然后将搅拌好的混合植入物装填于骨缺损处加压捣实以获得填充体的初始稳定,术后恢复期时缺损周围的骨质与植骨填充金属颗粒体植骨孔内的骨泥、碎骨颗粒融合生长成一体后即可达到长久有效地防止该植骨填充金属颗粒体发生松动的作用。由于使用植骨填充金属颗粒体部分替代自体骨和异体骨,可大大降低患者的经济负担并一定程度上克服了获取自体骨和异体骨的数量上的困难与不足;患者自体碎骨颗粒及骨泥可以在手术中通过必要的截骨、钻骨、破碎等操作过程得到。2. The bone graft filling metal particle body of the present invention is provided with a bone graft hole for implanting crushed bone particles or bone mud on the particle body. The bone graft hole extends inward from the outer contour of the bone graft filler metal particle, and the bone graft hole has an aperture diameter of 1 The implantation method of bone graft filling metal particles is as follows: the doctor selects appropriate quantity, size and shape of bone graft filling metal particles and the patient's autologous or allogeneic fragments according to the needs during the operation. Bone granules and bone paste are mixed and stirred to form a hybrid implant. If necessary, the crushed bone granules and bone paste are directly implanted into the bone graft hole of the bone graft to fill the metal particle body, and then the mixed implant is filled in the bone defect Pressurize and tamp to obtain the initial stability of the filling body. During the postoperative recovery period, the bone around the defect is fused with the bone paste and broken bone particles in the bone graft hole of the bone graft filling metal particles to achieve long-term effectiveness. It can effectively prevent the bone graft filling metal particles from loosening. Because the use of bone grafting to fill metal particles partially replaces autologous bone and allogeneic bone, it can greatly reduce the economic burden of patients and overcome the difficulties and shortages in the quantity of autologous bone and allogeneic bone to a certain extent; Mud can be obtained through necessary operations such as osteotomy, bone drilling, and crushing during the operation.

3.本发明植骨填充金属颗粒体,其特征在于,该颗粒体的金属实体部分外表面及植骨孔内表面分布有相互连通的微孔隙,该微孔隙与骨质紧密接触有利于骨细胞及血管的长入以获得长期稳定,该微孔隙的孔径为50μm~900μm,此种尺度的微孔隙有利于骨细胞与微细血管向植骨填充金属颗粒体内部爬行长入,可以形成融合嵌入式的生物活性骨修复体。3. The bone graft filling metal granule body of the present invention is characterized in that, the outer surface of the metal entity part of the granule body and the inner surface of the bone graft hole are distributed with interconnected micropores, and the close contact between the micropores and the bone is beneficial to bone cells. and the growth of blood vessels to obtain long-term stability. The pore size of the micropores is 50 μm to 900 μm. Micropores of this scale are conducive to the crawling and growth of bone cells and micro blood vessels into the bone graft filling metal particles, which can form fusion embedded bioactive bone restorations.

4.本发明植骨填充金属颗粒体,其特征在于,颗粒体表面全部或局部具有羟基磷灰石涂层,该羟基磷灰石涂层具有诱导骨细胞生长的功能。4. The bone graft filling metal granule of the present invention is characterized in that the surface of the granule is entirely or partially coated with hydroxyapatite, and the hydroxyapatite coating has the function of inducing bone cell growth.

5、本发明植骨填充金属颗粒体,其特征在于,颗粒体采用可用于植入人体的医用金属制成,包括钛及钛合金、钻合金、不锈钢以及钽金属、镁合金,此类金属材料的生物相容性已经得到国内外多年骨科植入应用的实践证实;所述植骨填充金属颗粒体的加工方法是:锻造、铸造、机械切削钻孔、放电加工成型等;其他的加工方法还包括采用激光或高能电子束快速成型技术、高温烧结、化学腐蚀、电化学沉积等技术,特别是激光或高能电子束快速成型技术、高温烧结、化学腐蚀、电化学沉积等技术除可以制作植骨填充金属颗粒体的金属实体外同时还能够在该实体表面及植骨空内表面生成相互连通的微孔隙;羟基磷灰石涂层则通过高温喷涂或电化学沉积得到;上述各种加工方法均已为金属加工行业公知的成熟技术,故本说明书中不做更多阐述。5. The bone graft filling metal granules of the present invention are characterized in that the granules are made of medical metals that can be implanted into the human body, including titanium and titanium alloys, diamond alloys, stainless steel, tantalum metals, and magnesium alloys. The biocompatibility of the biocompatibility has been confirmed by the practice of orthopedic implant applications at home and abroad for many years; the processing methods of the bone graft filling metal particles are: forging, casting, mechanical cutting and drilling, electric discharge machining, etc.; other processing methods are also Including laser or high-energy electron beam rapid prototyping technology, high-temperature sintering, chemical corrosion, electrochemical deposition and other technologies, especially laser or high-energy electron beam rapid prototyping technology, high-temperature sintering, chemical corrosion, electrochemical deposition and other technologies can make bone grafts The metal body filled with metal particles can also generate interconnected micropores on the surface of the body and the inner surface of the bone graft cavity; the hydroxyapatite coating is obtained by high-temperature spraying or electrochemical deposition; the above-mentioned various processing methods can be It is a well-known mature technology in the metal processing industry, so no further elaboration will be made in this specification.

附图说明 Description of drawings

图1为本发明实施例球体结构示意图Fig. 1 is the schematic diagram of the sphere structure of the embodiment of the present invention

图2为本发明实施例圆柱体结构示意图Fig. 2 is the schematic diagram of the cylinder structure of the embodiment of the present invention

图3为本发明实施例螺旋体结构示意图Fig. 3 is the schematic diagram of the structure of the spirochete of the embodiment of the present invention

图4为本发明实施例网状体结构示意图Figure 4 is a schematic diagram of the structure of the mesh body of the embodiment of the present invention

图5为本发明实施例多面体结构示意图Fig. 5 is the polyhedron structure schematic diagram of the embodiment of the present invention

图6、图7为本发明实施例各种形状体的组合体结构示意图Fig. 6 and Fig. 7 are schematic diagrams of the structure of the combination of various shapes in the embodiment of the present invention

图8为本发明实施例微孔隙放大示意图Figure 8 is an enlarged schematic diagram of the micropores of the embodiment of the present invention

图9为本发明实施例填充于骨缺损部位示意图Fig. 9 is a schematic diagram of the embodiment of the present invention filling bone defects

具体实施方式 Detailed ways

以下结合附图对本发明的具体实施做进一步详细说明。The specific implementation of the present invention will be described in further detail below in conjunction with the accompanying drawings.

如图1、图2、图3、图4、图5、图6、图7、所示,本发明植骨填充金属颗粒体(1),其形状为球体、圆柱体、多面体、螺旋体、网状体、以及前述各种形状体的组合体,该颗粒体外部尺寸为2~15mm,在植骨填充金属颗粒体(1)上设有容纳植入碎骨颗粒或骨泥的植骨孔(2),植骨孔(2)由植骨填充金属颗粒体(1)的外表面向内延伸,植骨孔(2)孔径1~10mm,各个植骨孔(2)之间相互贯通相连,如图8所示植骨填充金属颗粒体(1)金属实体部分的外表面及植骨孔(2)的内表面分布有相互连通的微孔隙(3),该微孔隙(3)的孔径为50μm~900μm。As shown in Fig. 1, Fig. 2, Fig. 3, Fig. 4, Fig. 5, Fig. 6, Fig. 7, the bone graft of the present invention is filled with metal particles (1), and its shape is sphere, cylinder, polyhedron, helix, net Shaped body, and the combination of the above-mentioned various shapes, the outer size of the granular body is 2-15 mm, and the bone grafting hole (1) is provided with a bone grafting hole ( 2), the bone graft hole (2) extends inwardly from the outer surface of the bone graft filling metal granule (1), the bone graft hole (2) has a diameter of 1-10mm, and the bone graft holes (2) are connected to each other, as shown in As shown in Figure 8, there are interconnected micropores (3) distributed on the outer surface of the metal solid part of the bone graft filling metal particle body (1) and the inner surface of the bone graft hole (2), and the pore diameter of the micropores (3) is 50 μm ~900 μm.

本发明植骨填充金属颗粒体(1)采用可用于植入人体的医用金属制成,包括钛及钛合金、钴合金、不锈钢以及钽金属、镁合金,其加工制作的方法是:锻造、铸造、机械切削钻孔、放电加工成型等;其他的加工方法还包括采用激光或高能电子束快速成型技术、高温烧结、化学腐蚀、电化学沉积等技术,微孔隙(3)可以由激光或高能电子束快速成型技术、高温烧结、化学腐蚀、电化学沉积等技术加工得到,羟基磷灰石涂层则通过高温喷涂或电化学沉积得到;所述各种加工方法均已为金属加工行业公知的成熟技术。The bone graft filling metal granules (1) of the present invention are made of medical metals that can be implanted into the human body, including titanium and titanium alloys, cobalt alloys, stainless steel, tantalum metals, and magnesium alloys. The processing methods are: forging, casting , mechanical cutting and drilling, electrical discharge machining, etc.; other processing methods include the use of laser or high-energy electron beam rapid prototyping technology, high-temperature sintering, chemical corrosion, electrochemical deposition and other technologies, micropores (3) can be formed by laser or high-energy electron beam Beam rapid prototyping technology, high-temperature sintering, chemical corrosion, electrochemical deposition and other technologies are processed, and the hydroxyapatite coating is obtained by high-temperature spraying or electrochemical deposition; the various processing methods are well-known and mature in the metal processing industry. technology.

如图9所示本发明植骨填充金属颗粒体使用时医生可以根据需要选择适当大小和形状的植骨填充金属颗粒体(1)安置在骨缺损处并通过打压将其固定在骨床上以获得该植骨填充金属颗粒体(1)的早期稳定;植骨填充金属颗粒体(1)在适当位置设有容纳植骨碎骨颗粒或骨泥的植骨孔(2)用于填充自体或异体的碎骨颗粒,此外在金属实体部分的外表面及植骨孔(2)的内表面分布有相互连通的微孔隙(3),手术植入后待到外部骨组织渗透长入微孔隙(3)并与植骨孔(2)中填充的碎骨颗粒或骨泥融合生长成一体后即可达到长久有效地防止该植骨填充金属颗粒体(1)发生松动的目的。As shown in Figure 9, when the bone graft filling metal granule of the present invention is used, the doctor can select the bone graft filling metal granule (1) of appropriate size and shape according to the needs and place it on the bone defect and fix it on the bone bed by pressing to obtain The early stability of the bone graft filling metal particle body (1); the bone graft filling metal particle body (1) is provided with a bone graft hole (2) at an appropriate position for accommodating bone graft crushed bone particles or bone paste for filling autograft or allograft In addition, there are interconnected micropores (3) distributed on the outer surface of the metal solid part and the inner surface of the bone graft hole (2). After the operation is implanted, the external bone tissue penetrates and grows into the micropores (3). And after being fused and grown together with the broken bone particles or bone cement filled in the bone graft hole (2), the purpose of effectively preventing the bone graft filling metal particle body (1) from loosening can be achieved for a long time.

Claims (6)

1.一种植骨填充金属颗粒体,其特征在于,该植骨填充金属颗粒体(1)形状为球体与多面体的组合体,所述球体与所述多面体的顶点相连接,该植骨填充金属颗粒体(1)外形尺寸为2~15mm;1. A bone graft filling metal particle body, characterized in that, the bone graft filling metal particle body (1) is shaped as a combination of a sphere and a polyhedron, the sphere is connected with the vertices of the polyhedron, and the bone graft filling metal particle body The outer dimensions of the granules (1) are 2 to 15 mm; 在植骨填充金属颗粒体(1)上设有容纳植入碎骨颗粒或骨泥的植骨孔(2),植骨孔(2)内表面分布有相互连通的微孔隙(3)。A bone graft hole (2) for accommodating implanted bone crushed particles or bone mud is provided on the bone graft filling metal particle body (1), and interconnected micropores (3) are distributed on the inner surface of the bone graft hole (2). 2.根据权利要求1所述的植骨填充金属颗粒体,其特征在于,植骨孔(2)由植骨填充金属颗粒体(1)的外表面向内延伸,植骨孔(2)孔径1~10mm。2. The bone graft filling metal particle body according to claim 1, characterized in that, the bone graft hole (2) extends inwardly from the outer surface of the bone graft filling metal particle body (1), and the bone graft hole (2) has an aperture diameter of 1 ~10mm. 3.根据权利要求1或权利要求2所述的植骨填充金属颗粒体,其特征在于,各个植骨孔(2)之间相互贯通相连。3. The bone graft filling metal particle body according to claim 1 or claim 2, characterized in that the bone graft holes (2) are connected to each other. 4.根据权利要求1或权利要求2所述的植骨填充金属颗粒体,其特征在于,该植骨填充金属颗粒体(1)的金属实体部分外表面有相互连通的微孔隙(3),该微孔隙(3)的孔径为50μm~900μm。4. The bone graft filling metal particle body according to claim 1 or claim 2, characterized in that, the outer surface of the metal entity part of the bone graft filling metal particle body (1) has interconnected micropores (3), The pore diameter of the micropore (3) is 50 μm-900 μm. 5.根据权利要求1或权利要求2所述的植骨填充金属颗粒体,其特征在于,植骨填充金属颗粒体(1)外表面和植骨孔(2)的内表面具有羟基磷灰石涂层。5. The bone graft filling metal granule body according to claim 1 or claim 2, characterized in that the bone graft filling metal granule body (1) outer surface and the inner surface of the bone graft hole (2) have hydroxyapatite coating. 6.根据权利要求1所述的植骨填充金属颗粒体,其特征在于,该植骨填充金属颗粒体(1)采用医用金属制成,所述医用金属包括钛及钛合金、钴合金、不锈钢以及钽金属、镁合金。6. The bone graft filler metal granule according to claim 1, characterized in that the bone graft filler metal granule (1) is made of medical metal, and the medical metal includes titanium and titanium alloy, cobalt alloy, stainless steel And tantalum metal, magnesium alloy.
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