[go: up one dir, main page]

CN209574810U - A knee joint osteotomy system with calibration function - Google Patents

A knee joint osteotomy system with calibration function Download PDF

Info

Publication number
CN209574810U
CN209574810U CN201821848135.3U CN201821848135U CN209574810U CN 209574810 U CN209574810 U CN 209574810U CN 201821848135 U CN201821848135 U CN 201821848135U CN 209574810 U CN209574810 U CN 209574810U
Authority
CN
China
Prior art keywords
osteotomy
tibial
plate
rod
separating plate
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Fee Related
Application number
CN201821848135.3U
Other languages
Chinese (zh)
Inventor
李照文
李绪贵
谢维
樊帆
左昌俊
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Hubei 672 Orthopaedic Hospital Of Integrated Traditional Chinese And Western Medicine
Original Assignee
Hubei 672 Orthopaedic Hospital Of Integrated Traditional Chinese And Western Medicine
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Hubei 672 Orthopaedic Hospital Of Integrated Traditional Chinese And Western Medicine filed Critical Hubei 672 Orthopaedic Hospital Of Integrated Traditional Chinese And Western Medicine
Priority to CN201821848135.3U priority Critical patent/CN209574810U/en
Application granted granted Critical
Publication of CN209574810U publication Critical patent/CN209574810U/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Landscapes

  • Prostheses (AREA)

Abstract

本实用新型涉及骨科手术操作器械领域,提供一种带校验功能的膝关节截骨系统,包括左、右连接板,远、近端横连杆,胫骨力线杆,胫骨截骨体和股骨截骨体;左、右连接板通过远、近端横连杆平行连接,远、近端横连杆上标有刻度,胫骨力线杆通过滑块连接在远、近端横连杆上,胫骨截骨体和股骨截骨体择其一可拆卸连接于胫骨力线杆近端,所述左、右连接板近端设有角度盘,所述股骨截骨体包括分离平衡结构。本实用新型系统能直接完成后稳定型假体之膝关节置换术中的胫骨平台截骨、股骨后髁截骨、股骨远端截骨等关键步骤,提高胫骨截骨和股骨截骨的精准度。

The utility model relates to the field of orthopedic surgical operating instruments, and provides a knee joint osteotomy system with a calibration function, comprising left and right connecting plates, distal and proximal transverse connecting rods, a tibial force line rod, a tibial osteotomy body and a femur Osteotomy body; the left and right connecting plates are connected in parallel by the distal and proximal transverse rods, the scales are marked on the distal and proximal transverse rods, and the tibial force line rod is connected to the distal and proximal transverse rods through the slider, One of the tibial osteotomy body and the femoral osteotomy body is detachably connected to the proximal end of the tibial force line rod, the proximal ends of the left and right connecting plates are provided with angle plates, and the femoral osteotomy body includes a separation balance structure. The system of the utility model can directly complete the key steps of tibial plateau osteotomy, posterior femoral condyle osteotomy, distal femoral osteotomy and other key steps in the knee joint replacement of the posterior stabilized prosthesis, thereby improving the accuracy of tibial osteotomy and femoral osteotomy .

Description

一种带校验功能的膝关节截骨系统A knee joint osteotomy system with calibration function

技术领域technical field

本实用新型涉及骨科手术操作器械领域,具体的说是一种带校验功能的膝关节截骨系统。The utility model relates to the field of orthopedic surgical operating instruments, in particular to a knee joint osteotomy system with a calibration function.

背景技术Background technique

全膝关节置换术是治疗晚期膝关节骨性关节炎的有效方法。其主要包括:测量截骨技术和间隙平衡技术。无论采用何种技术行全膝关节置换术,膝关节屈伸间隙及内外侧间隙平衡是最终的目标。Total knee arthroplasty is an effective treatment for advanced knee osteoarthritis. It mainly includes: measurement osteotomy technique and gap balance technique. Regardless of the technique used for total knee arthroplasty, the balance of the knee flexion-extension gap and the medial-lateral gap is the ultimate goal.

测量截骨技术参照股骨后髁线外旋3°角、通髁线、股骨前后轴等行股骨的后髁关节面旋转截骨,因后髁线与通髁轴的夹角有差异性,并不是维持3°内旋不变,另外股骨髁发育不全、畸形以及术中辨认不准确等都会导致股骨旋转截骨不准确。To measure the osteotomy technique, the rotational osteotomy of the articular surface of the posterior femoral condyle was performed with reference to the 3° angle of external rotation of the posterior femoral condyle line, the transcondylar line, and the anterior-posterior axis of the femur. Instead of maintaining 3° of internal rotation, in addition to femoral condyle hypoplasia, deformity, and inaccurate intraoperative identification, femoral rotation osteotomy will be inaccurate.

间隙平衡技术的基本要求是先松解软组织再行股骨前后髁关节面截骨,术中按照胫骨、股骨截骨先后顺序又分为屈膝间隙优先法和伸膝间隙优先法,其中屈膝间隙优先法较为常用,即显露膝关节后,垂直胫骨力线行胫骨近端准确截骨,然后松解软组织并去除骨赘,屈膝90°,张力下尽量使胫骨平台截骨面与通髁线平行,并以此来确定股骨旋转,参照胫骨近端关节面行后髁截骨,获得内外侧相等的屈曲关节间隙;再伸直膝,参照屈膝时所获得的内外侧平衡的间隙去标记伸膝间隙,行股骨远端截骨,从而获得内外侧平衡的屈伸间隙。The basic requirement of the gap balance technique is to release the soft tissue first and then perform the osteotomy of the anterior and posterior condyle articular surfaces of the femur. During the operation, the tibial and femoral osteotomies are divided into the flexion-gap priority method and the knee-extender gap-first method. Among them, the flexion-gap gap priority method is more Commonly used, that is, after exposing the knee joint, perform accurate osteotomy of the proximal tibia perpendicular to the tibial line, then release the soft tissue and remove the osteophytes, bend the knee 90°, and try to make the osteotomy surface of the tibial plateau parallel to the transcondylar line under tension. To determine the rotation of the femur, perform posterior condylar osteotomy with reference to the proximal articular surface of the tibia to obtain an equal flexion joint space between the medial and lateral sides; then straighten the knee, mark the knee extension gap with reference to the medial-lateral balance obtained when the knee is flexed, and perform Osteotomy of the distal femur to obtain a balanced flexion-extension gap between the medial and lateral sides.

许多国内外临床研究证实,间隙平衡技术可提高膝关节屈曲稳定性和增加假体使用寿命。精确的内外侧软组织平衡和准确截骨是全膝关节置换技术的关键,不精确的截骨和软组织松解会导致髌股关节不稳、膝前疼痛等并发症。Many domestic and foreign clinical studies have confirmed that the gap balance technology can improve the stability of knee flexion and increase the service life of the prosthesis. Accurate medial and lateral soft tissue balance and accurate osteotomy are the keys to total knee arthroplasty. Imprecise osteotomy and soft tissue release can lead to complications such as patellofemoral joint instability and anterior knee pain.

但间隙平衡技术为获得屈伸间隙的平衡有时会增加股骨远端截骨,从而导致关节线上移及屈膝中期不稳,且对少数膝内翻严重,以及需广泛行软组织松解者等病例不适用。However, in order to achieve a balance between flexion and extension, the gap balance technique sometimes increases the osteotomy of the distal femur, which leads to joint line shift and mid-flexion instability, and is not suitable for a few cases with severe knee varus and extensive soft tissue release. Be applicable.

现国内外许多学者研究将测量截骨技术和间隙平衡技术相结合,以期减少手术操作误差,提高截骨的精准度,提升手术效果。相应的测间隙平衡的方法和工具层出不穷,但大多为独立设计,与现有的截骨模板不兼容,不配套,从而存在一定的人为操作误差,其操作也不太便利。At present, many scholars at home and abroad have studied the combination of measurement osteotomy technology and gap balance technology, in order to reduce the error of surgical operation, improve the accuracy of osteotomy, and improve the surgical effect. Corresponding methods and tools for measuring gap balance emerge in an endless stream, but most of them are designed independently, which are not compatible with the existing osteotomy template, and are not matched, so there is a certain human operation error, and the operation is not very convenient.

发明内容SUMMARY OF THE INVENTION

本实用新型的目的就是为了克服上述现有技术中的不足之处,提供一种带校验功能的膝关节截骨系统,在采用后稳定型假体之人工膝关节置换的过程中,提高胫骨截骨和股骨截骨的精准度。The purpose of this utility model is to overcome the above-mentioned deficiencies in the prior art, to provide a knee joint osteotomy system with a calibration function, in the process of artificial knee joint replacement using a posterior stable prosthesis, improve the tibia Accuracy of osteotomy and femoral osteotomy.

本实用新型的目的是通过如下技术措施来实现的。The purpose of the utility model is achieved through the following technical measures.

一种带校验功能的膝关节截骨系统,包括左连接板、右连接板、远端横连杆、近端横连杆、胫骨力线杆、胫骨截骨体和股骨截骨体;左、右连接板通过远、近端横连杆平行连接,远、近端横连杆活动套装在连接板上,两端通过调节螺栓固定,远、近端横连杆上标有刻度,胫骨力线杆通过滑块连接在远、近端横连杆上,胫骨截骨体和股骨截骨体择其一可拆卸连接于胫骨力线杆近端,所述左、右连接板近端设有角度盘,远端的滑块上设有调节杆,胫骨力线杆的远端套接在调节杆上,调节杆上设有调节螺母,所述胫骨截骨体上开有横向的胫骨截骨槽和纵向的胫骨力线杆穿孔,所述股骨截骨体包括分离平衡结构、股骨截骨槽板,所述分离平衡结构上设有胫骨力线杆穿孔,股骨截骨槽板上开有横向的股骨截骨槽和股骨定位杆穿孔。A knee joint osteotomy system with calibration function, comprising a left connecting plate, a right connecting plate, a distal transverse rod, a proximal transverse rod, a tibial force line rod, a tibial osteotomy body and a femoral osteotomy body; , The right connecting plate is connected in parallel by the distal and proximal transverse links. The distal and proximal transverse links are movably sleeved on the connecting plate, and the two ends are fixed by adjusting bolts. The distal and proximal transverse links are marked with scales. The wire rod is connected to the distal and proximal transverse connecting rods through the slider, and one of the tibial osteotomy body and the femoral osteotomy body is detachably connected to the proximal end of the tibial force wire rod, and the proximal ends of the left and right connecting plates are provided with Angle plate, the slider at the distal end is provided with an adjustment rod, the distal end of the tibial force line rod is sleeved on the adjustment rod, the adjustment rod is provided with an adjustment nut, and the tibial osteotomy body is provided with a transverse tibial osteotomy The groove and the longitudinal perforation of the tibial force line rod, the femoral osteotomy body includes a separation balance structure and a femoral osteotomy groove plate, the separation balance structure is provided with a tibial force line rod perforation, and the femoral osteotomy groove plate is provided with a transverse groove plate. The femoral osteotomy slot and femoral positioning rod perforation.

在上述技术方案中,所述分离平衡结构由上分离板和下分离板组成,上、下分离板在顶部的顶板处通过螺杆连接,螺杆穿过下下分离板的顶板上的螺孔后与上分离板的顶板螺纹连接,所述上分离板为可拆卸结构,包括与螺杆连接的顶板、竖直段和用于放置股骨截骨槽板的水平段,所述竖直段和水平段通过插销式结构相连,水平段可绕插销转动,所述下分离板一端穿套在胫骨力线杆上。使用时,旋转、调节螺杆即可带动上分离板提升或下降,从而使上、下分离板的水平段实现分离,所述股骨截骨槽板的远端面在上分离板与下分离板相分离的过程中逐渐与上分离板的近端面靠近。In the above technical solution, the separation balance structure is composed of an upper separation plate and a lower separation plate, the upper and lower separation plates are connected by screws at the top plate of the top, and the screws pass through the screw holes on the top plate of the lower and lower separation plates and then connect to the upper and lower separation plates. The top plate of the upper separation plate is threadedly connected, and the upper separation plate is a detachable structure, including a top plate connected with the screw, a vertical section and a horizontal section for placing the femoral osteotomy groove plate, the vertical section and the horizontal section pass through The plug-type structure is connected, the horizontal section can rotate around the plug, and one end of the lower separation plate is sleeved on the tibial force line rod. When in use, the upper separation plate can be lifted or lowered by rotating and adjusting the screw, so that the horizontal sections of the upper and lower separation plates can be separated. During the separation process, it gradually approaches the proximal surface of the upper separation plate.

在上述技术方案中,设置可伸缩的机械轴力线杆,机械轴力线杆的远端套接在调节杆上。In the above technical solution, a retractable mechanical axial line rod is provided, and the distal end of the mechanical axial line rod is sleeved on the adjustment rod.

在上述技术方案中,所述胫骨力线杆上设有至少三个用于骨圆针固定的穿孔,其中可经至少二孔固定至胫骨,至少一孔固定至股骨(拟套装股骨截骨槽板处)。调节好胫骨力线杆的位置后,用骨圆针将其临时固定在胫骨上,即可去掉左右连接板、远近端横连杆等。In the above technical solution, the tibial alignment rod is provided with at least three perforations for the fixation of bone pins, of which at least two holes can be fixed to the tibia, and at least one hole can be fixed to the femur (to be fitted with a femoral osteotomy groove). board). After adjusting the position of the tibial force line rod, it is temporarily fixed on the tibia with a bone needle, and the left and right connecting plates, the distal and proximal transverse rods, etc. can be removed.

在上述技术方案中,所述股骨截骨体的上分离板上设有天平指针,用于校验分离后上分离板的左、右受力是否一致。In the above technical solution, the upper separation plate of the femoral osteotomy body is provided with a balance pointer, which is used to check whether the left and right forces of the upper separation plate are consistent after separation.

在上述技术方案中,所述远端横连杆和近端横连杆上设有皮肤贴块。将皮肤贴块与皮肤相贴后,旋紧皮肤贴块上的螺栓固紧,结合术前影像确定膝关节、踝关节的中心到两侧皮肤的距离,再分别通过滑块调节胫骨力线杆的位置,至其远端对应于踝关节中心、近端对应于膝关节中心。In the above technical solution, a skin patch is provided on the distal transverse link and the proximal transverse link. After attaching the skin patch to the skin, tighten the bolts on the skin patch, and determine the distance from the center of the knee joint and ankle joint to the skin on both sides based on the preoperative images, and then adjust the tibial alignment rods through the sliders respectively. The position of the distal end corresponds to the center of the ankle joint, and the proximal end corresponds to the center of the knee joint.

本实用新型带校验功能的膝关节截骨系统,与现有技术相比具有以下优点:Compared with the prior art, the knee joint osteotomy system with calibration function of the utility model has the following advantages:

1,对胫骨力线杆的位置进行刻度调节,从而提高胫骨力线杆放置位置的精准度;对胫骨截骨体的后倾角度进行刻度调节,从而提高了胫骨截骨的精准度。1. Adjust the scale for the position of the tibial alignment rod, thereby improving the accuracy of the placement position of the tibial alignment rod; adjust the scale for the posterior inclination angle of the tibial osteotomy, thereby improving the accuracy of the tibial osteotomy.

2,在股骨截骨前即对拟截出的间隙进行便捷的预估及校验。2. The gap to be cut can be easily estimated and checked before the femoral osteotomy.

3,能对较多厂家的截骨模板系统(针对后稳定型假体而言)在截骨前进行较为便捷和相对准确的校验,减少人为评估和操作误差。3. The osteotomy template system of many manufacturers (for the post-stabilized prosthesis) can be checked conveniently and relatively accurately before osteotomy, reducing human evaluation and operation errors.

4,采用一套系统能直接完成后稳定型假体之膝关节置换术中的胫骨平台截骨、股骨后髁截骨、股骨远端截骨等关键步骤。4. A set of systems can directly complete the key steps of tibial plateau osteotomy, posterior femoral condyle osteotomy, and distal femoral osteotomy in knee arthroplasty with posterior stabilized prosthesis.

附图说明Description of drawings

图1为本实用新型装置安装胫骨截骨体的示意图。FIG. 1 is a schematic diagram of the device of the present invention for installing the tibial osteotomy.

图2为图1的主视图。FIG. 2 is a front view of FIG. 1 .

图3为本实用新型中胫骨力线杆套接在调节杆上的示意图。Figure 3 is a schematic diagram of the utility model in which the tibial force line rod is sleeved on the adjusting rod.

图4为本实用新型中近端横连杆上的滑块的示意图(俯视图)。FIG. 4 is a schematic diagram (top view) of the slider on the proximal transverse link in the utility model.

图5为本实用新型中胫骨截骨体的示意图。5 is a schematic diagram of the tibial osteotomy in the present invention.

图6为本实用新型中股骨截骨体的后视图。Figure 6 is a rear view of the femoral osteotomy body in the present invention.

图7为本实用新型中股骨截骨体的侧视图(上分离板与分离平衡结构分开)。Figure 7 is a side view of the femoral osteotomy body in the present invention (the upper separation plate is separated from the separation balance structure).

图8为本实用新型中股骨截骨体的侧视图(上分离板与分离平衡结构结合)。Figure 8 is a side view of the femoral osteotomy body in the utility model (the upper separation plate is combined with the separation balance structure).

图9为本实用新型装置安装股骨截骨体之后的示意图。FIG. 9 is a schematic diagram of the device of the present invention after the femoral osteotomy is installed.

图10为伸直0度位股骨截骨体上穿过股骨定位骨圆针后的示意图(为方便结构示意,省略了分离平衡结构中部分阻挡视线的结构)。Figure 10 is a schematic view of the femoral osteotomy body at 0 degrees of straightening after passing through the femoral positioning bone pin (for the convenience of structure illustration, the part of the structure that blocks the line of sight in the separation balance structure is omitted).

图11为本实用新型中上、下分离板之间设有液压或气压撑开装置的示意图。Figure 11 is a schematic diagram of a hydraulic or pneumatic spreading device between the upper and lower separating plates in the utility model.

图12为本实用新型中带压力显示器的气压撑开装置的示意图。FIG. 12 is a schematic diagram of a pneumatic expansion device with a pressure indicator in the present invention.

其中:1.左连接板、2.右连接板、3.远端横连杆、4.近端横连杆、5.胫骨力线杆、6.测量滑块、7.皮肤贴块、8.角度盘、9.骨圆针穿孔、10.机械轴力线杆、11.调节杆、12.调节螺母、13.卡环、14.胫骨截骨槽、15.胫骨力线杆穿孔、16.股骨截骨槽、17.股骨定位杆穿孔、18.上分离板、19.下分离板、20.螺杆、21.胫骨托骨附板、22.天平指针、23.骨圆针、24.上分离板、25.下分离板、26.导向杆、27.液压或气压平衡装置、28.气囊、29.充气橡胶球、30.压力显示器。Among them: 1. Left connecting plate, 2. Right connecting plate, 3. Distal transverse rod, 4. Proximal transverse rod, 5. Tibial force line rod, 6. Measuring slider, 7. Skin patch, 8 .Angle plate, 9. Bone needle perforation, 10. Mechanical axial line rod, 11. Adjusting rod, 12. Adjusting nut, 13. Snap ring, 14. Tibial osteotomy groove, 15. Tibial force line rod perforation, 16 .Femoral osteotomy slot, 17. Perforation of femoral positioning rod, 18. Upper separation plate, 19. Lower separation plate, 20. Screw, 21. Tibial tray attachment plate, 22. Balance pointer, 23. Bone needle, 24. Upper separation plate, 25. Lower separation plate, 26. Guide rod, 27. Hydraulic or air pressure balance device, 28. Airbag, 29. Inflatable rubber ball, 30. Pressure indicator.

具体实施方式Detailed ways

为使本实用新型的上述目的、特征和优点能够更加明显易懂,下面结合附图对本实用新型的具体实施方式做详细的说明。在下面的描述中阐述了很多具体细节以便于充分理解本实用新型。但是本实用新型能够以很多不同于在此描述的其它方式来实施,本领域技术人员可以在不违背本实用新型内涵的情况下做类似改进,因此本实用新型不受下面公开的具体实施的限制。In order to make the above objects, features and advantages of the present utility model more clearly understood, the specific embodiments of the present utility model are described in detail below with reference to the accompanying drawings. In the following description, numerous specific details are set forth in order to provide a thorough understanding of the present invention. However, the present utility model can be implemented in many other ways different from those described here, and those skilled in the art can make similar improvements without violating the connotation of the present utility model. Therefore, the present utility model is not limited by the specific implementation disclosed below. .

需要说明的是,当元件被称为“固定于”另一个元件,它可以直接在另一个元件上或者也可以存在居中的元件。当一个元件被认为是“连接”另一个元件,它可以是直接连接到另一个元件或者可能同吋存在居中元件。It should be noted that when an element is referred to as being "fixed to" another element, it can be directly on the other element or intervening elements may also be present. When an element is considered to be "connected" to another element, it can be directly connected to the other element or intervening elements may also be present.

除非另有定义,本文所使用的所有的技术和科学术语与属于本实用新型的技术领域的技术人员通常理解的含义相同。本文中在本实用新型的说明书中所使用的术语只是为了描述具体的实施例的目的,不是旨在于限制本实用新型。本文所使用的术语“及/ 或”包括一个或多个相关的所列项目的任意的和所有的组合。Unless otherwise defined, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the technical field to which the present invention belongs. The terms used in the description of the present invention herein are only for the purpose of describing specific embodiments, and are not intended to limit the present invention. As used herein, the term "and/or" includes any and all combinations of one or more of the associated listed items.

如图1至10所示,本实施例提供一种带校验功能的膝关节截骨系统,包括左连接板1、右连接板2、远端横连杆3、近端横连杆4、胫骨力线杆5、胫骨截骨体和股骨截骨体;左、右连接板通过远、近端横连杆平行连接,远、近端横连杆活动套装在连接板上,两端通过调节螺栓固定,远、近端横连杆上标有刻度,胫骨力线杆5通过测量滑块6连接在远、近端横连杆上,其中近端横连杆的测量滑块通过卡环13与胫骨力线杆5相连,方便胫骨力线杆连接或拆卸,所述胫骨截骨体和股骨截骨体择其一可拆卸连接于胫骨力线杆近端,所述左、右连接板近端设有角度盘8,远端的测量滑块上设有调节杆11,胫骨力线杆的远端套接在调节杆11上,调节杆11上设有调节螺母12,所述胫骨截骨体上开有横向的胫骨截骨槽14和纵向的胫骨力线杆穿孔15,所述股骨截骨体包括分离平衡结构、股骨截骨槽板,股骨截骨槽板上开有横向的股骨截骨槽16和股骨定位杆穿孔17。所述分离平衡结构由上分离板18和下分离板19组成,上、下分离板在顶部的顶板处通过螺杆20连接,螺杆20穿过下分离板的顶板上的螺孔后与上分离板的顶板螺纹连接,所述上分离板18为可拆卸结构,包括与螺杆连接的顶板、竖直段和用于放置股骨截骨槽板的水平段,所述竖直段和水平段通过插销式结构相连,水平段可绕插销自由转动,从而调节水平段位置,便于术中使上分离板的左、右受力一致,所述下分离板一端穿套在胫骨力线杆上。使用时,旋转、调节螺杆即可带动上分离板提升或下降,从而使上、下分离板的水平段实现分离,所述股骨截骨槽板的远端面在上分离板与下分离板相分离的过程中逐渐与上分离板的近端面靠近。As shown in Figures 1 to 10, this embodiment provides a knee joint osteotomy system with a calibration function, including a left connecting plate 1, a right connecting plate 2, a distal transverse link 3, a proximal transverse link 4, Tibial force line rod 5, tibial osteotomy body and femoral osteotomy body; the left and right connecting plates are connected in parallel by the distal and proximal transverse links, the distal and proximal transverse links are movably sleeved on the connecting plates, and the two ends are adjusted by adjusting Fixed with bolts, scales are marked on the distal and proximal transverse links, the tibial force line rod 5 is connected to the distal and proximal transverse links through the measuring slider 6, and the measuring slider of the proximal transverse link passes through the snap ring 13 It is connected with the tibial force line rod 5, which is convenient for the connection or disassembly of the tibial bone force line bar. The tibial osteotomy body and the femoral osteotomy body are selected to be detachably connected to the proximal end of the tibial force line bar, and the left and right connecting plates are near the An angle plate 8 is provided at the end, an adjusting rod 11 is provided on the measuring slider at the distal end, the distal end of the tibial force line rod is sleeved on the adjusting rod 11, and an adjusting nut 12 is provided on the adjusting rod 11. The tibia osteotomy A transverse tibial osteotomy groove 14 and a longitudinal tibial force line rod perforation 15 are opened on the body, and the femoral osteotomy body includes a separation balance structure, a femoral osteotomy groove plate, and a transverse femoral osteotomy groove plate is opened on the femoral osteotomy groove plate. Bone slot 16 and femoral positioning rod perforation 17. The separation balance structure is composed of an upper separation plate 18 and a lower separation plate 19. The upper and lower separation plates are connected at the top plate of the top by a screw 20, and the screw 20 passes through the screw hole on the top plate of the lower separation plate and is connected to the upper separation plate. The top plate is threadedly connected, and the upper separation plate 18 is a detachable structure, including a top plate connected with the screw, a vertical section and a horizontal section for placing the femoral osteotomy slot plate, the vertical section and the horizontal section are connected by a bolt type. The structure is connected, and the horizontal section can be freely rotated around the pin, so as to adjust the position of the horizontal section, so that the left and right forces of the upper separation plate are consistent during the operation, and one end of the lower separation plate is sleeved on the tibial force line rod. When in use, the upper separation plate can be lifted or lowered by rotating and adjusting the screw, so that the horizontal sections of the upper and lower separation plates can be separated. During the separation process, it gradually approaches the proximal surface of the upper separation plate.

在上述实施例中,在股骨截骨体的下分离板底部设有用于限位的胫骨托骨附板21,胫骨托骨附板21的弧度尺寸与胫骨截骨体弧度一致。In the above-mentioned embodiment, the bottom of the lower separation plate of the femoral osteotomy is provided with a tibial pedestal attachment plate 21 for positioning, and the arc size of the tibial pedestal attachment plate 21 is consistent with the radian of the tibial osteotomy.

在上述实施例中,设置可伸缩的机械轴力线杆10,机械轴力线杆10的远端套接在调节杆11上。术前可调节使机械轴力线杆的近端对应于股骨头的中心。In the above embodiment, a retractable mechanical axial force wire rod 10 is provided, and the distal end of the mechanical axial force wire rod 10 is sleeved on the adjustment rod 11 . Preoperatively, the proximal end of the mechanical axis rod can be adjusted to correspond to the center of the femoral head.

在上述实施例中,所述胫骨力线杆5上设有至少三个用于骨圆针固定的骨圆针穿孔9,其中可经至少二孔固定至胫骨,至少一孔固定至股骨(拟套装股骨截骨槽板处)。调节好胫骨力线杆的位置后,用骨圆针将其临时固定在胫骨上,即可去掉左右连接板、远近端横连杆等。进一步的,骨圆针上带有刻度,通过两根骨圆针上的刻度记录胫骨力线杆的后倾角度。In the above-mentioned embodiment, the tibial alignment rod 5 is provided with at least three perforations 9 for the tibial pin for fixation of the tibial pin, of which at least two holes can be fixed to the tibia, and at least one hole can be fixed to the femur (to be fixed to the femur). Set the femoral osteotomy groove plate). After adjusting the position of the tibial force line rod, it is temporarily fixed on the tibia with a bone needle, and the left and right connecting plates, the distal and proximal transverse rods, etc. can be removed. Further, there are scales on the round bone pins, and the back inclination angle of the tibial alignment rod is recorded through the scales on the two round bone pins.

在上述实施例中,所述股骨截骨体的上分离板上表面垂直设有天平指针22,或在上分离板上设有带刻度的液压或气压显示装置,用于校验平衡结构的两侧撑开力及撑开间距是否一致,从而校验两侧的软组织张力是否相等。In the above-mentioned embodiment, the upper surface of the upper separation plate of the femoral osteotomy body is vertically provided with a balance pointer 22, or a scaled hydraulic or pneumatic display device is provided on the upper separation plate, which is used to verify the two balances of the balance structure. Check whether the side distraction force and distraction distance are consistent, so as to check whether the soft tissue tension on both sides is equal.

在上述技术方案中,所述远端横连杆和近端横连杆上设有皮肤贴块7。将皮肤贴块7与皮肤相贴后,旋紧螺栓固紧,再结合术前影像确定膝关节、踝关节的中心到两侧皮肤的距离,通过远端横连杆和近端横连杆上的测量滑块分别调节胫骨力线杆的位置至其远端对应于踝关节中心、近端对应于膝关节中心。In the above technical solution, a skin patch 7 is provided on the distal end transverse link and the proximal end transverse link. After attaching the skin patch 7 to the skin, tighten the bolts to secure it, and then determine the distance from the center of the knee joint and ankle joint to the skin on both sides based on the preoperative images, and pass the distal and proximal transverse links on the The measuring sliders respectively adjust the positions of the tibial force line rods so that the distal end corresponds to the center of the ankle joint, and the proximal end corresponds to the center of the knee joint.

本实施例在使用时,分为两步骤:When this embodiment is used, it is divided into two steps:

1.胫骨截骨1. Tibial osteotomy

首先将连接板竖直置于小腿两侧,旋转横连杆端部的调节螺栓来调节远端横连杆和近端横连杆至合适位置,再将皮肤贴块7与皮肤相贴后,旋紧螺栓固紧。术前可利用X光透视等方法确定踝关节的中心及其与内外踝皮肤外表面的距离,从而确定踝关节的中心与远端横连杆上所对应的刻度,再将远端横连杆上的测量滑块6滑移至胫骨力线杆与踝关节的中心相对应,即对应调节胫骨力线杆的远端位置至其位于踝关节中心;同理,术前可利用X光透视等方法确定膝关节的中心及其与胫骨平台内外侧皮肤外表面的距离,从而确定膝关节的中心与近端横连杆上所对应的刻度,再滑移近端横连杆上的测量滑块至胫骨力线杆与膝关节的中心相对应,即可对应调节放置胫骨力线杆的近端位置至其位于膝关节中心,最后在胫骨力线杆上套设胫骨截骨体,通过调节杆11上的调节螺母12调节胫骨力线杆5远端在调节杆上的位置即可调节好胫骨力线杆的后倾角度,设置在连接板内表面的角度盘8与胫骨截骨体上的胫骨截骨槽相对应,在胫骨截骨槽14中插入检测板,检测板边缘对准角度盘8,即能通过此角度盘测出并校验胫骨截骨体所对应的后倾角度,校验无误后,用骨圆针将胫骨截骨体临时固定在胫骨上,取出检测板,去掉左右连接板、远近端横连杆等,实施胫骨截骨。First, place the connecting plate vertically on both sides of the calf, rotate the adjusting bolt at the end of the horizontal link to adjust the distal horizontal link and the proximal horizontal link to the appropriate position, and then stick the skin patch 7 to the skin, Tighten the bolts tightly. Before surgery, X-ray fluoroscopy and other methods can be used to determine the center of the ankle joint and its distance from the outer surface of the inner and outer ankle skins, so as to determine the center of the ankle joint and the scale corresponding to the distal transverse rod, and then the distal transverse rod. The measuring slider 6 above slides until the tibial alignment rod corresponds to the center of the ankle joint, that is, the distal position of the tibial alignment rod is correspondingly adjusted to the center of the ankle joint. Similarly, X-rays can be used before surgery. Methods Determine the center of the knee joint and its distance from the outer surface of the inner and outer skin of the tibial plateau, so as to determine the center of the knee joint and the scale corresponding to the proximal transverse link, and then slide the measuring slider on the proximal transverse link. When the tibial alignment rod corresponds to the center of the knee joint, the proximal position of the tibial alignment rod can be adjusted accordingly until it is located at the center of the knee joint. Finally, the tibial osteotomy is sleeved on the tibial alignment rod. The adjusting nut 12 on the 11 adjusts the position of the distal end of the tibial alignment rod 5 on the adjusting rod to adjust the posterior inclination angle of the tibial alignment rod. The angle plate 8 arranged on the inner surface of the connecting plate and the tibial osteotomy body Corresponding to the tibial osteotomy groove, insert a detection plate into the tibial osteotomy groove 14, and the edge of the detection plate is aligned with the angle plate 8, that is, the angle plate corresponding to the tibial osteotomy can be measured and verified. After the inspection is correct, the tibial osteotomy body is temporarily fixed on the tibia with a bone round needle, the detection plate is taken out, the left and right connecting plates, the distal and proximal transverse rods, etc. are removed, and the tibial osteotomy is performed.

2.股骨截骨 2. Femoral osteotomy

完成胫骨截骨后,取下胫骨截骨体,安装带有分离平衡结构的股骨截骨体于胫骨力线杆上。术中可在屈膝90度位置调节分离平衡结构,首先将分离平衡结构的上、下分离板调节至间隙较小,将分离平衡结构的下分离板贴在胫骨截骨面上,其上分离板位于股骨截骨槽板的远端,股骨截骨槽板穿过股骨定位杆,股骨截骨槽板上的圆矩形孔与股骨定位杆兼容,通过调节螺杆20使上、下分离板分离,从而使股骨与胫骨适度分离,在合适撑开力下(约20磅),使其股骨截骨槽板围绕上分离板竖直段上的插销旋转至两侧的撑开力相等,当天平指针22方向垂直于胫骨截骨面时,其两侧的间隙相等,两侧软组织张力相等,此时已调好股骨截骨槽板的旋转角度和两侧的软组织张力,可经固定孔置钉固定股骨截骨槽板,行股骨后髁截骨。对于偏爱测量截骨的术者,也可先按测量截骨的步骤固定股骨截骨槽板,然后用上述方法对其槽板的旋转角度进行评估、校验。同理,可在伸直0度位置完成对股骨远端的截骨,即在胫骨截骨及骨赘切除和软组织松解后,调整胫骨力线杆5至其与机械轴力线杆10的方向一致,即调节胫骨力线杆至其近端对准股骨头中心方向(其远端仍位于踝关节中心),在此方向上经胫骨力线杆的穿孔垂直股骨钻入骨圆针23,取下胫骨力线杆5,于此骨圆针23上套装股骨截骨槽板,此时股骨截骨槽板上的股骨定位杆穿孔17穿过骨圆针23,同上法利用分离平衡结构分离股骨与胫骨,在此方向上分离股骨与胫骨至合适位置后,再进行对股骨远端的截骨。After the tibial osteotomy was completed, the tibial osteotomy was removed, and the femoral osteotomy with a separate balance structure was installed on the tibial alignment rod. During the operation, the separation balance structure can be adjusted at the knee flexion position of 90 degrees. First, the upper and lower separation plates of the separation balance structure are adjusted to a smaller gap. The lower separation plate of the separation balance structure is attached to the tibial osteotomy surface, and the upper separation plate is Located at the distal end of the femoral osteotomy slot plate, the femoral osteotomy slot plate passes through the femoral positioning rod, and the round and rectangular holes on the femoral osteotomy slot plate are compatible with the femoral positioning rod. Moderately separate the femur from the tibia. Under a suitable distraction force (about 20 pounds), rotate the femoral osteotomy slot plate around the pin on the vertical section of the upper separating plate until the distraction force on both sides is equal, and the balance pointer is 22 When the direction is perpendicular to the tibial osteotomy surface, the gaps on both sides are equal, and the soft tissue tension on both sides is equal. At this time, the rotation angle of the femoral osteotomy groove plate and the soft tissue tension on both sides have been adjusted, and the femur can be fixed with screws through the fixing holes. Osteotomy slot plate, and osteotomy of the posterior condyle of the femur. For the operator who prefers to measure the osteotomy, the femoral osteotomy groove plate can also be fixed according to the steps of measuring the osteotomy, and then the rotation angle of the groove plate can be evaluated and verified by the above method. In the same way, the osteotomy of the distal femur can be completed at the position of 0 degrees of straightening, that is, after the tibial osteotomy, osteophyte resection and soft tissue release, the tibial alignment rod 5 is adjusted to be in line with the mechanical axial alignment rod 10. The direction is the same, that is, adjust the tibial alignment rod so that its proximal end is aligned with the center of the femoral head (the distal end is still in the center of the ankle joint), and in this direction, drill the bone needle 23 into the femur vertically through the perforation of the tibial alignment rod. The lower tibial force line rod 5, the femoral osteotomy groove plate is set on the bone circular pin 23, and the femoral positioning rod perforation 17 on the femoral osteotomy groove plate passes through the bone circular pin 23, and the same method as above uses the separation balance structure to separate the femur With the tibia, the femur and tibia are separated in this direction to the proper position, and then the osteotomy of the distal femur is performed.

在股骨截骨体的下分离板底部设有用于限位的胫骨托骨附板21,胫骨托骨附板的弧度尺寸与胫骨截骨体弧度一致。分离平衡结构的下分离板插入胫骨与股骨的缝隙中时,当胫骨托骨附板21紧挨在胫骨上时即表示插入到位,如此可防止插入过深而损伤后方结构。At the bottom of the lower separating plate of the femoral osteotomy, there is a tibial pedestal attachment plate 21 for limiting, and the radian dimension of the tibial pedestal attachment plate is consistent with the radian of the tibial osteotomy. When the lower separation plate of the separation balance structure is inserted into the gap between the tibia and the femur, the insertion is in place when the tibial tray attachment plate 21 is close to the tibia, which can prevent the rear structure from being damaged due to too deep insertion.

本实施例在不用自带的股骨截骨槽板时,可利用间隙平衡的原理对股骨已装配的股骨截骨板的方向或角度进行校验,或是对股骨远端截骨的外翻角、外旋角进行校验。In this embodiment, when the self-contained femoral osteotomy groove plate is not used, the principle of gap balance can be used to verify the direction or angle of the assembled femoral osteotomy plate, or to check the valgus angle of the distal femoral osteotomy. , External rotation angle to check.

术中根据术者的喜好,也可先在伸直0度位行股骨远端截骨,然后再于屈膝90度位行股骨后髁截骨。According to the surgeon's preference, the distal femoral osteotomy can also be performed at the 0-degree extension position, and then the posterior femoral condyle osteotomy can be performed at the 90-degree knee flexion position.

如图11所示,在另一实施例中,所述分离平衡结构由上分离板24和下分离板25组成,上、下分离板在顶部的顶板处通过导向杆26As shown in FIG. 11, in another embodiment, the separation balance structure is composed of an upper separation plate 24 and a lower separation plate 25, and the upper and lower separation plates pass through the guide rod 26 at the top plate of the top

连接,导向杆26穿过下分离板的顶板上的穿孔后与上分离板的顶板螺纹连接,所述上分离板24为可拆卸结构,包括与导向杆连接的顶板、竖直段和用于放置股骨截骨槽板的水平段,所述竖直段和水平段通过插销式结构相连,水平段可绕插销转动,所述下分离板25一端穿套在胫骨力线杆5上,所述上分离板24与下分离板25的水平段之间设有带刻度或压力显示器的液压或气压平衡装置27。使用时,启动液压或气压平衡装置即可带动上分离板提升或下降,从而使上、下分离板的水平段实现分离,其中,导向杆26起到导向限位作用,当上、下分离板分离至合适位置后,可使所述股骨截骨槽板的远端面在上分离板与下分离板相分离的过程中逐渐与上分离板的近端面靠近,并可通过液压或气压平衡装置上固接的压力显示器来使用合适的撑开力。connection, the guide rod 26 is screwed to the top plate of the upper separation plate after passing through the perforation on the top plate of the lower separation plate, and the upper separation plate 24 is a detachable structure, including a top plate connected with the guide rod, a vertical section and a The horizontal section of the femoral osteotomy slot plate is placed, the vertical section and the horizontal section are connected by a pin-type structure, the horizontal section can be rotated around the pin, and one end of the lower separation plate 25 is sleeved on the tibial force line rod 5, the said A hydraulic or pneumatic balancing device 27 with a scale or a pressure indicator is provided between the upper separation plate 24 and the horizontal section of the lower separation plate 25 . When in use, the hydraulic or air pressure balancing device can be activated to drive the upper separation plate to lift or lower, so that the horizontal sections of the upper and lower separation plates can be separated. After being separated to an appropriate position, the distal surface of the femoral osteotomy groove plate can be gradually approached with the proximal end surface of the upper separation plate during the separation process of the upper separation plate and the lower separation plate, and can be balanced by hydraulic pressure or air pressure. Use a pressure indicator attached to the device to use the appropriate distraction force.

如图12所示,所述上分离板24与下分离板25的水平段之间设有带压力显示器的气压平衡装置。气压平衡装置包括设于上分离板与下分离板的水平段之间的气囊28,与气囊连通的充气橡胶球29、排气阀等,同时还配有压力显示器30。As shown in FIG. 12 , an air pressure balancing device with a pressure indicator is arranged between the horizontal sections of the upper separation plate 24 and the lower separation plate 25 . The air pressure balancing device includes an air bag 28 arranged between the horizontal sections of the upper and lower separation plates, an inflatable rubber ball 29 communicating with the air bag, an exhaust valve, etc., and a pressure indicator 30 is also provided.

在又一实施例中,当术者不求精准调节两侧张力时,其上分离板的竖直段和水平段为固接在一体。In yet another embodiment, when the operator does not require precise adjustment of the tension on both sides, the vertical section and the horizontal section of the upper separation plate are fixed in one body.

本说明书中未作详细描述的内容,属于本专业技术人员公知的现有技术。The content not described in detail in this specification belongs to the prior art known to those skilled in the art.

以上所述仅是本实用新型的优选实施方式,应当指出,对于本技术领域的普通技术人员来说,在不脱离本实用新型原理的前提下,还可以做出若干改进或变形,这些改进或变形也应视为本实用新型的保护范围。The above are only the preferred embodiments of the present invention. It should be pointed out that for those skilled in the art, without departing from the principles of the present invention, several improvements or deformations can be made. These improvements or Deformation should also be regarded as the protection scope of the present invention.

Claims (7)

1. a kind of knee osteotomy system of tape verifying function, it is characterized in that: including left connection board, right connection board, the horizontal company in distal end Bar, proximal end tranverse connecting rod, shin bone line of force bar, Tibial osteotomy body and femur osteotomy body;Left and right connecting plate passes through remote, proximal end tranverse connecting rod Parallel connection, remote, proximal end tranverse connecting rod movable set on connecting plate, fixed by adjusting bolt by both ends, on remote, proximal end tranverse connecting rod Scale is indicated, shin bone line of force bar is connected on remote, proximal end tranverse connecting rod by sliding block, and Tibial osteotomy body and femur osteotomy body select one It is removably connected to shin bone line of force bar proximal end, the left and right connecting plate proximal end is equipped with angle scale, and the sliding block of distal end, which is equipped with, to be adjusted The distal end of bar, shin bone line of force bar is socketed on adjusting rod, and adjusting rod is equipped with adjusting nut, is provided with cross on the Tibial osteotomy body To Tibial osteotomy slot and longitudinal shin bone line of force bar perforation, the femur osteotomy body include separation balanced structure, femur osteotomy Frid, the separation balanced structure are perforated equipped with shin bone line of force bar, and the femur osteotomy frid is movably placed in separation balance knot On structure, lateral femur osteotomy slot and the perforation of femur locating rod are provided on femur osteotomy frid.
2. the knee osteotomy system of tape verifying function according to claim 1, it is characterized in that: the separation balanced structure It is made of upper separating plate and lower separating plate, upper and lower separating plate is connected at the top plate at top by screw rod, and screw rod passes through lower separation Be threadedly coupled after screw hole on the top plate of plate with the top plate of upper separating plate, the upper separating plate be detachable structure, including with spiral shell Top plate, vertical section and the horizontal segment for being fixedly connected with femur osteotomy frid that bar connects, the vertical section and horizontal segment pass through Socket type structural is connected, and horizontal segment can be rotated around bolt, and described lower separating plate one end is set on shin bone line of force bar.
3. the knee osteotomy system of tape verifying function according to claim 2, it is characterized in that: the separation balanced structure Upper separating plate on be vertically arranged balance indicator.
4. the knee osteotomy system of tape verifying function according to claim 1, it is characterized in that: the separation balanced structure It is made of upper separating plate and lower separating plate, upper and lower separating plate is connected at the top plate at top by guide rod, and guide rod passes through down It being threadedly coupled after perforation on the top plate of separating plate with the top plate of upper separating plate, the upper separating plate is detachable structure, including Top plate, vertical section and the horizontal segment for placing femur osteotomy frid connecting with guide rod, the vertical section and horizontal segment are logical Cross socket type structural be connected, horizontal segment can be rotated around bolt, and described lower separating plate one end is set on shin bone line of force bar, it is described on The hydraulic or air pressure device for spreading with pressure display unit is equipped between separating plate and the horizontal segment of lower separating plate.
5. the knee osteotomy system of tape verifying function according to claim 1, it is characterized in that: telescopic machinery is arranged The distal end of axle power line bar, mechanical axis line of force bar is socketed on adjusting rod.
6. the knee osteotomy system of tape verifying function according to claim 1, it is characterized in that: on the shin bone line of force bar Equipped at least three perforation fixed for thick steel needle, wherein shin bone can be fixed to through at least two holes, an at least hole is fixed to stock Bone.
7. the knee osteotomy system of tape verifying function according to claim 1, it is characterized in that: the distal end tranverse connecting rod and Proximal end tranverse connecting rod is equipped with skin paste block.
CN201821848135.3U 2018-11-11 2018-11-11 A knee joint osteotomy system with calibration function Expired - Fee Related CN209574810U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201821848135.3U CN209574810U (en) 2018-11-11 2018-11-11 A knee joint osteotomy system with calibration function

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201821848135.3U CN209574810U (en) 2018-11-11 2018-11-11 A knee joint osteotomy system with calibration function

Publications (1)

Publication Number Publication Date
CN209574810U true CN209574810U (en) 2019-11-05

Family

ID=68376497

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201821848135.3U Expired - Fee Related CN209574810U (en) 2018-11-11 2018-11-11 A knee joint osteotomy system with calibration function

Country Status (1)

Country Link
CN (1) CN209574810U (en)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109350176A (en) * 2018-11-11 2019-02-19 湖北六七二中西医结合骨科医院 A kind of knee osteotomy system of tape verifying function
CN115581500A (en) * 2022-11-07 2023-01-10 山东大学齐鲁医院(青岛) Ankle Arthritis Tibiofibular Supraklear Closing Osteotomy Guide

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109350176A (en) * 2018-11-11 2019-02-19 湖北六七二中西医结合骨科医院 A kind of knee osteotomy system of tape verifying function
CN109350176B (en) * 2018-11-11 2024-06-21 湖北六七二中西医结合骨科医院 Knee joint osteotomy system with verification function
CN115581500A (en) * 2022-11-07 2023-01-10 山东大学齐鲁医院(青岛) Ankle Arthritis Tibiofibular Supraklear Closing Osteotomy Guide

Similar Documents

Publication Publication Date Title
US8974459B1 (en) Natural alignment knee instruments
EP3383284B1 (en) Alignment device
US6859661B2 (en) Surgical system for use in the course of a knee replacement operation
CA2555283C (en) Dynamic knee balancer
US9138237B2 (en) Total joint instrumentation and method for use
US5720752A (en) Distal femoral cutting guide apparatus with anterior or posterior referencing for use in knee joint replacement surgery
US5569261A (en) Distal femoral cutting guide apparatus with anterior or posterior referencing for use in knee joint replacement surgery
US12161346B2 (en) Knee resection and gap balancing instruments and techniques for kinematic alignment
CN104394805B (en) Measuring instruments for plastic surgery
US20100179605A1 (en) Knee aligner for surgery
US20140228851A1 (en) Total knee arthroplasty methods, systems, and instruments
ES2341267T3 (en) MECHANICAL KNEE BALANCER WITH PRESSURE SENSOR.
CN111759397A (en) A kind of osteotomy locator for distal femoral condyle bone defect
US20190328409A1 (en) Patient-matched total knee arthroscopy
WO2012024306A2 (en) Surgical guides
US20170027588A1 (en) Combined Measured Resection Methods and Instruments for Knee Arthroplasty
CN110720962B (en) Osteotomy system for knee joint replacement
CN109350176B (en) Knee joint osteotomy system with verification function
CN209574810U (en) A knee joint osteotomy system with calibration function
CN214966280U (en) Tibia rotation alignment positioning device in total knee joint replacement
WO2010125474A2 (en) Device and method of determination of the knee flexion axis in computer assisted surgery
CN211131266U (en) Bone cutting system for knee joint replacement
CN119770239A (en) A load and gap balancing system for knee replacement surgery

Legal Events

Date Code Title Description
GR01 Patent grant
GR01 Patent grant
CF01 Termination of patent right due to non-payment of annual fee
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20191105

Termination date: 20211111