CN104203134A - 使用患者特异性器械的关节盂植入手术 - Google Patents

使用患者特异性器械的关节盂植入手术 Download PDF

Info

Publication number
CN104203134A
CN104203134A CN201380016223.0A CN201380016223A CN104203134A CN 104203134 A CN104203134 A CN 104203134A CN 201380016223 A CN201380016223 A CN 201380016223A CN 104203134 A CN104203134 A CN 104203134A
Authority
CN
China
Prior art keywords
pin
patient
specific apparatus
guiding
axle
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.)
Granted
Application number
CN201380016223.0A
Other languages
English (en)
Other versions
CN104203134B (zh
Inventor
P·卡顿尔
J-S·梅蕾特
A·理查德
J-G·阿比旺
T·古尔贡
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.)
Allsofft unlimited liability company
Original Assignee
Orthosoft ULC
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 Orthosoft ULC filed Critical Orthosoft ULC
Publication of CN104203134A publication Critical patent/CN104203134A/zh
Application granted granted Critical
Publication of CN104203134B publication Critical patent/CN104203134B/zh
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/40—Joints for shoulders
    • A61F2/4081—Glenoid components, e.g. cups
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8897—Guide wires or guide pins
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/1662—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
    • A61B17/1684—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the shoulder
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/90—Guides therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/92—Impactors or extractors, e.g. for removing intramedullary devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/40—Joints for shoulders
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4603—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2/4612—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof of shoulders
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • A61B17/1778—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the shoulder
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B2017/568—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor produced with shape and dimensions specific for an individual patient
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/101—Computer-aided simulation of surgical operations
    • A61B2034/105—Modelling of the patient, e.g. for ligaments or bones
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/30721—Accessories
    • A61F2/30734—Modular inserts, sleeves or augments, e.g. placed on proximal part of stem for fixation purposes or wedges for bridging a bone defect
    • A61F2002/30736—Augments or augmentation pieces, e.g. wedges or blocks for bridging a bone defect
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/40—Joints for shoulders
    • A61F2002/4011—Joints for shoulders including proximal or total replacement of the humerus
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/40—Joints for shoulders
    • A61F2/4081—Glenoid components, e.g. cups
    • A61F2002/4085—Glenoid components, e.g. cups having a convex shape, e.g. hemispherical heads

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Dentistry (AREA)
  • Transplantation (AREA)
  • Vascular Medicine (AREA)
  • Cardiology (AREA)
  • Robotics (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Surgical Instruments (AREA)
  • Prostheses (AREA)

Abstract

用于将销放置在骨骼中的销放置器械包括：具有钩状部的解剖学交界部，所述钩状部在所述器械的侧向上开口以将骨骼接纳于其内规划的位置。钻孔引导件与所述解剖学交界部连接并且在所述器械的纵向上限定至少一个引导槽。在所述钻孔引导件中，所述引导槽在其整个长度上具有侧向开口，以便在放置于所述骨骼中的所述销穿过所述侧向开口的情况下允许在所述侧向上侧向地撤走所述器械。衬套经由所述纵向以规划的配合可移除地放置在所述引导槽中，所述衬套限定通孔，当所述衬套位于所述引导槽中用于进行销放置时，所述通孔与所述引导槽对准并且适于接纳在所述纵向上延伸的所述销。

Description

使用患者特异性器械的关节盂植入手术
技术领域
本发明涉及肩关节置换术，更具体地说涉及例如肩关节置换术中的关节盂植入肩关节手术，以及因此使用的患者特异性器械(PSI)。
背景技术
肩关节手术中植体的使用是众所周知的。在这样的肩关节手术中，植体部件被安装在肩胛骨(即肩胛)的关节盂部分上和/或肱骨部上，以复现肩关节。当植体被安装在肩胛骨上时，植体通常被安装在关节腔(也称为关节盂或关节窝)内。关节盂是接纳解剖学肩关节中肱骨的头部的空腔。当植体与关节盂使用时，植体的基部位于关节盂内部，并且可以通过诸如螺钉等紧固件、或者使用粘合剂和/或固定栓或龙骨固定于此。
当在关节盂中安装植体时碰到的一个挑战涉及植体的定位。因为韧带及类似软组织的存在，必须规划植体的定位以尽可能多地复现肱骨相对于肩胛骨的正常生物机械运动。另一个挑战涉及将植体紧固于肩胛骨的紧固件的定位。实际上，肩胛骨是相对薄的并且被软组织包围。为了使植体能够被牢固地紧固于肩胛骨，螺钉必须在骨骼材料内足够深。然而，除非外科医生期望如此，否则螺钉一定不能刺穿骨骼表面，从而不会损坏诸如神经韧带、肌腱等软组织。
患者特异性器械(本文中称为“PSI”)涉及专门为患者制作的器械的制造。PSI通常由使用影像建模骨骼几何形状的数据来制造。因此，PSI具有能够以可预测的方式与骨骼接触的表面，因为这样的接触表面是专门制造的以匹配骨骼的表面。因此，期望的是在肩关节手术中使用PSI技术。
发明内容
因此，本发明的一个目的是提供一种使用患者特异性器械执行关节盂植入手术的方法。
本发明的另一个目的是提供一种用于关节盂植入手术的患者特异性器械。
因此，根据本发明的一个方面，提供一种用于将销放置在骨骼中的销放置器械，包括：解剖学交界部，其具有钩状部，所述钩状部在所述器械的侧向上开口以将骨骼接纳于其内规划的位置；钻孔引导件，其与所述解剖学交界部连接并且在所述器械的纵向上限定至少一个引导槽，在所述钻孔引导件中，所述至少一个引导槽在其整个长度上具有侧向开口，以便在放置于所述骨骼中的所述销穿过所述侧向开口的情况下允许在所述侧向上侧向地撤走所述器械；以及至少一个衬套，其经由所述纵向以规划的配合可移除地放置在所述引导槽中，所述衬套限定通孔，当所述衬套位于所述引导槽中用于进行销放置时，所述通孔与所述引导槽对准并且适于接纳在所述纵向上延伸的所述销。
此外，根据本发明的一个方面，其特征在于，所述钻孔引导件包括两个所述引导槽。
此外，根据本发明的一个方面，两个所述引导槽彼此平行。
此外，根据本发明的一个方面，所述至少一个衬套具有抵接端，所述抵接端用于在所述衬套被放入所述引导槽中时限制衬套在所述纵向上的移动。
此外，根据本发明的一个方面，所述钻孔引导件中的插孔适于接纳用于远端操纵的手柄。
此外，根据本发明的一个方面，为每个由所述引导槽和所述衬套构成的组提供至少一个所述销，所述衬套与所述销滑动接合。
此外，根据本发明的一个方面，所述钩状部的表面大致横向于所述纵向。
此外，根据本发明的一个方面，所述钩状部具有基于患者的解剖学模型的至少一个患者特异性表面。
此外，根据本发明的一个方面，患者的解剖学模型是肩胛骨的模型，所述至少一个患者特异性表面与所述肩胛骨的头部和关节盂的颈部之中的至少一者的形状互补。
此外，根据本发明的一个方面，所述至少一个引导槽与下列位置中的一者纵向对准：植体的规划中心、邻近与喙突对准的上盂缘的位置以及喙突的基部。
根据本发明的另一个方面，还提供一种对关节盂修整表面的方法，包括：获得具有至少两个销槽的患者特异性器械；将所述患者特异性器械的销槽安装在固定于肩胛骨的第一销上；将管状扩孔器安装在固定于关节盂的第二销上；将所述患者特异性器械的轴槽安装在管状扩孔器的轴上，以在所述轴槽和所述管状扩孔器的轴之间形成结合部，允许所述管状扩孔器沿着第二销进行平移移动；以及在被所述患者特异性器械和所述销引导的同时，利用所述管状扩孔器对关节盂进行扩孔。
此外，根据本发明的一个方面，获得所述患者特异性器械包括获得如下患者特异性器械，即其轴槽的远离所述关节盂的端部与所述关节盂相距患者特异性距离，还包括一旦所述管状扩孔器的轴上的止动器抵接所述轴槽的端部就停止扩孔。
此外，根据本发明的一个方面，所述方法还包括获得如下管状扩孔器，即所述轴上的止动器位于的患者特异性距离处，所述患者特异性距离是规划扩孔深度的函数。
此外，根据本发明的一个方面，将所述患者特异性器械的轴槽安装在所述管状扩孔器的轴上包括：围绕所述第一销旋转所述患者特异性器械，用于使所述管状扩孔器的轴经由所述轴槽中的侧向开口接纳在所述轴槽中。
根据本发明的另一个方面，提供一种在已修整表面的关节腔中定位植体的方法，包括：获得具有至少一个销槽的患者特异性器械；将所述患者特异性器械的销槽安装在固定于肩胛骨的销上；将冲击器的轴安装在所述患者特异性器械的引导支架中，使得所述轴与已修整表面的关节腔对准，在所述轴和所述引导支架之间形成平移结合部，允许所述轴沿着所述引导支架平移移动；将所述植体安装在所述冲击器的自由端；以及在被所述患者特异性器械和所述销引导的同时，迫使所述植体进入已修整表面的关节腔。
此外，根据本发明的一个方面，获得所述患者特异性器械包括获得所述引导支架的患者特异性取向，使得所述植体中的通孔相对于已修整表面的关节腔的取向与接纳在所述植体的通孔中的螺钉的规划定位有关。
此外，根据本发明的一个方面，所述方法还包括在被迫进入已修整表面的关节腔中的植体中定位钻孔引导件，所述钻孔引导件包括定位为指向所述销的视觉指示器。
此外，根据本发明的一个方面，在被所述患者特异性器械和所述销引导的同时迫使所述植体进入已修整表面的关节腔包括在单一平移自由度中移动所述植体。
附图说明
图1是使用患者特异性器械将关节盂植体紧固于肩胛骨上的方法的流程图；
图2是在虚拟规划中带有关节盂植体的肩胛骨的透视图；
图3是根据本发明实施例的销放置PSI的一对透视图；
图4是在放置销的过程中带有图3的销放置PSI的肩胛骨的透视图；
图5是在移除销放置PSI的过程中图4的肩胛骨的透视图；
图6是根据本发明另一实施例的深度钻孔PSI的透视图；
图7是带有图6的深度钻孔PSI的肩胛骨的透视图；
图8是带有管状扩孔器的肩胛骨和深度钻孔PSI的透视图；
图9是带有扩孔关节盂的肩胛骨的透视图；
图10是根据本发明另一实施例的冲击引导PSI的透视图；
图11是带有冲击器引导PSI和冲击工具的肩胛骨的透视图；
图12是根据本发明另一实施例的钻孔引导PSI的透视图；
图13是带有钻孔引导PSI和钻头的肩胛骨的透视图；
图14是关节盂半球形植体的组装图；
图15是带有关节盂植体和转接部的肩胛骨的透视图；以及
图16是肩胛骨上的图4的销放置PSI的侧视图。
具体实施方式
参考附图，特别是参考图1，图中附图标记10示出将关节盂植体紧固于肩胛骨(即肩胛骨)上的方法。为了执行该方法，参考图2至图13，各种患者特异性器械被使用，下面将被称为PSI。作为例子，图2示出在反置式全肩关节手术中在肩胛骨上定位关节盂半球形头植体基部。然而，作为替代，方法10可以如在解剖学全肩关节置换术中所实施的那样用于将杯状植体紧固于关节盂中。
根据图1的步骤11，执行虚拟肩关节手术规划。在该规划步骤中，各种肩关节结构与模型植体及其部件一起被显示为三维模型。这些三维模型典型地是处理术前成像术(例如CT扫描、MRI等)的结果，因此是患者骨骼的精确且准确的表现。
在规划步骤中，操作者可以选择各种类型和尺寸的植体并且交互地规划植体及其部件将定位在肩胛骨和肱骨上的哪里。在关节盂植体的情况下，其位置和取向可以包括将关节盂植体紧固于肩胛骨的螺钉的位置和取向的虚拟表现。由于螺钉的长度和关节盂内侧肩胛骨的厚度，关节盂植体的位置的虚拟规划典型地旨在获得螺钉的取向和深度，使得螺钉不会刺穿骨骼材料。
例如，图2中示出带有一部分植体20(另外如图14所示)的患者肩胛骨A的模型，植体20是球头型(即半球形头部20A)。植体20包括基板21。基板21是由粘合并配合到已修整表面的关节腔C(图9)中的金属制成的类型。例如，可以将梁状医用级金属用于基板21。栓22从基板21的底侧突出并且将容纳于在关节腔B中钻出的孔中。螺钉23也从基板21的底侧突出并且将植体20锚固于肩胛骨A。本体25被紧固于基板21，就如同这些部分是基本上一体的。本体25是植体20与半球形球头之间的交界部，该球头限定与肱骨或其上的植体接触的表面。通孔26因此同时被限定于本体25和基板21中，螺钉23穿过这些通孔26。
方法10的步骤12至17被用来在执行骨骼替换时引导外科医生或操作者，从而复现步骤11的虚拟肩关节手术规划。因此，方法10的步骤12至17被执行以确保关节盂植体基本上与虚拟规划相似地被安装。
根据步骤12，利用从虚拟规划获得的数据制成PSI。PSI将在后面更详细地描述。任何合适的制造方法和材料都可以用于PSI，只要PSI是作为虚拟规划的结果而需要的PSI的精确而准确的表现。利用影像数据在术前进行根据步骤12制成PSI，该影像数据还用于虚拟肩关节手术规划的步骤11。还可以使用术前获得的任何其它解剖学数据源，例如人体骨骼测量结果。可以经由规划步骤获得的另一信息是所需转接部的制成。可能需要在植体与肩胛骨之间使用转接楔B1，规划步骤因此可以限定如图15所示的所需转接部的模型，以及PSI工具，该工具用于将转接楔B1成形为在虚拟规划中计算的预定几何形状。转接楔B1将被定位在植体20和经加工的关节腔C之间。对于受限于浅关节腔C的肩胛骨，即没有完全的扩孔形状的肩胛骨而言可能需要使用转接部。因此，如图15所示，转接楔B1将与腔C同时地形成，植体20施加于转接楔B1的表面上。
步骤13至17在手术进行时被执行。一旦肩关节已经暴露出来并且肱骨已经脱位、切除和/或从肩胛骨A(图2)分离之后，执行这些步骤。
根据步骤13(图1)，利用PSI将一对销放在肩胛骨A中。同时参考图3和图4，附图标记30大致地示出销放置PSI。销放置PSI 30包括解剖学交界部31。解剖学交界部31具有侧向开口的钩状形状，以便在内部容纳肩胛骨的头部和/或关节盂B的颈部的两侧。根据PSI，解剖学交界部31具有(一个或多个)接触面32，接触面制造成匹配患者肩胛骨上的对应表面。因此，销放置PSI 30的定位将受接触面32引导，从而找到其在肩胛骨A上的对应匹配表面。
销放置PSI 30还包括钻孔引导件33。钻孔引导件33根据步骤11(图1)的虚拟规划而相对于解剖学交界部31定位。钻孔引导件33具有一对圆柱形的切口或槽34，槽34特别地定位和取向为引导销在关节盂B中的钻入，也就是说，槽34在PSI 30的纵向上延伸。根据一个实施例，侧向开口35允许侧向地触及槽34，使得销可以在侧向上***槽34中。也可以在钻孔引导件33中限定插孔36或类似的连接件，以便于操纵销放置PSI 30。例如，可以借助于插孔36将细长形的工具连接于销放置PSI 30，用于进行其远端操纵。
如图4和图5同时地显示，销40被钻入肩胛骨A中。销40可以设置有以规划配合(即精确配合)接纳的套筒41(即衬套)，由于套筒41具有在槽34中居中的通孔，该配合将确保销40轴向地在槽34中居中。此外，套筒41可以包括抵接端42以控制销40在关节盂中***的深度。还可以考虑任何合适的方法来控制销40的***深度，例如以某一比率使销40渐变等。
在操作中，手柄43与插孔36(图3和图4)连接，通过将销放置PSI 30侧向地移动到骨骼上的规划位置，销放置PSI 30被安装在关节盂B上，而解剖学交界部31确保销放置PSI 30被正确地定位在肩胛骨A上。上面带有套筒41的销40经由侧向开口35被***销放置PSI的槽34中，并且因此可以被钻入关节盂B中，或者可以在将销40旋入之前将套筒/衬套41放在槽34中。一旦销40被适当地***肩胛骨A中，可以通过将套筒41滑动离开图5所示的销40的端部来撤走套筒41，从而允许通过侧向移动来从肩胛骨A移除销放置PSI 30。解剖学交界部31的钩状部分的表面大致横向于钻孔引导件33的纵向。侧向开口35的存在允许解剖学交界部31的钩状部分之间的良好接触表面，不会由于销40穿过侧向开口35而在侧向撤走PSI30时存在困难。
根据图示实施例，一个销40位于预期的已修整表面关节腔C的中心，另一个销40的位置邻近与喙突对准的上盂缘或位于喙突基部。其它位置也是可以考虑的。出于示例的目的，销放置PSI 30的可想到的位置在图16中相对于肩胛骨A大致地示出。
参考图1，利用销40和合适的PSI执行在关节盂B上的深度钻孔和/或表面扩孔的步骤14。同时参考图6和图7，扩孔PSI大致以附图标记60示出。扩孔PSI 60具有带销槽62的第一管61，销槽62的尺寸设定为使其能够滑动到一个销40上，从而与销40形成圆柱结合部。第一管61的端部限定与肩胛骨A抵接的抵接部63。间隔臂64从第一管61侧向地延伸并且在其自由端具有第二管65。第二管65也包括轴槽66，轴槽66可以经由侧向开口67侧向地触及，侧向开口67被用于旋转扩孔PSI 60使得销40进入轴槽66。由于扩孔PSI 60是患者特异性的，销槽62和轴槽66以预定距离间隔开以匹配销40之间的间距。因此，如图7所示，当第一管61被滑动到一个销40上时，另一个销40可以取向为位于第二管65的轴槽66内。
要指出的是步骤14可以包括验证销40的位置。由于扩孔PSI 60被制造来接纳销40，位于中心的销40应该轴向地在第二管65中居中。任何偏心都指示销40的非正确定位，并且这样的指示可以导致复查步骤13以再次定位销40。
参考图8，管状扩孔器80因此可以被安装在位于轴槽66内部的销40上，从而被销40同轴地平移引导。扩孔器80具有扩孔器端部81，该扩孔器端部被选择为执行关节盂B中的规划直径的表面修整。扩孔器端部81位于轴82的端部。轴82的尺寸设定为其能够接纳在扩孔PSI 60的轴槽66中，以形成平移结合部。此外，扩孔器端部81还可以将孔钻至通过抵接扩孔PSI60而限定的深度，孔的直径使其内部足以接纳植体20的栓22(图2)。作为替代，钻栓孔的步骤也可以单独地执行。因此，管状扩孔器80中的销40以及轴82与轴槽66之间的协作这样的组合确保关节盂B特别地在期望的部位被扩孔至期望的深度。轴82通过滑到或咬扣到轴槽66中而进入轴槽66。仍然参考图8，止动器83可以安装在轴82的端部上。止动器83与扩孔PSI 60协作以限制扩孔器80在关节盂B中的穿入深度，从而确保表面扩孔和可选的深度钻入(如果为图2的栓22单独执行的话)具有规划的深度。
可以观察到，两个销40被用来支撑扩孔PSI 60和引导管状扩孔器80的移动。利用两个销40，与单一销40相比提高了销40/PSI 60组件的结构完整性。然而，可以考虑任何其它的构造与管状扩孔器80一起使用对关节盂B进行扩孔，例如使用单一销40与管状扩孔器80一起。
如图9所示，一旦关节盂B已经被扩孔而限定具有栓孔D的已修整表面的关节腔C，可以与销40一起移除深度钻孔PSI 60。尽管没有示出，但是期望的是，如下面更详细地解释，保留不位于已修整表面的关节腔C中的销40。在使用转接楔B1(图15)的情况下，转接楔B1邻近已修整表面的关节腔C地被安装在关节盂B上的适当位置上。喙突上的销40可以被用来在使转接楔B1正确地取向中引导操作者。转接楔B1可以被融合到关节盂B上，并且螺钉23将植体20和转接楔B1这两者紧固于关节盂B。
参考图1，利用其中一个销和用于使植体20正确地取向的PSI执行冲击植体20的步骤15。更具体地说，植体20的取向将对螺钉23(图2)的定位具有影响。因此，为了复现步骤11的虚拟规划，植体20必须被正确地取向从而使得通孔26与螺钉23的规划***位置对准。
同时参考图10和图11，冲击引导PSI大致地以附图标记100示出。冲击引导PSI 100包括带有销槽102的管101。销槽102的尺寸设定为使其内部接纳留下的销40并且与销形成圆柱结合部。管的抵接端(具有任何合适的形状/几何形状)103可以具有患者特异性接触表面，该接触表面成形为当管101抵接骨骼时靠在周围的骨骼表面上并因此阻止PSI 100旋转。臂104从管101侧向地突出。引导支架105位于臂104的自由端并且被用来引导冲击工具110的移动。更具体地说，引导支架105具有侧向开口，该开口用于在内部接纳冲击工具110的轴111以便与轴111形成滑动结合部。
冲击工具110可以是常规的冲击工具，具有一对间隔开的、将接纳在植体20(图2)的通孔26中的栓。引导支架105特别地与这些栓位于冲击工具110的轴111端部处的位置相关地取向，以根据虚拟规划步骤11(图1)控制植体20的通孔26的定位。
因此，利用图11的组件，植体20可以被***已修整表面的关节腔C中。植体20与已修整表面的关节腔C的匹配形状可以使得在冲击过程中植体20自居中(因此不需要在抵接端103处设置患者特异性表面来执行对准)。然而，PSI 100和冲击工具110基本上确保植体20被完全地***已修整表面的关节腔C中，并且通孔26位于规划的位置。此时，PSI 100可以与冲击工具110一起被移除，而将植体20留在已修整表面的关节腔C中。
根据图1的步骤16，可以如规划那样在关节盂中钻锚固孔，用于接下来***螺钉23。参考图12和图13，钻孔引导PSI 120具有本体121，本体121的尺寸设定为使其被接纳在植体本体25中的对应空腔中。一对钻引导孔122被限定于钻孔引导PSI 120的本体121中。钻引导孔122特别地定位和取向为在植体20(图2)中的通孔26的轴向延伸上具有引导圆柱体122A。此外，引导圆柱体122A的直径大致为渐缩的，以便使钻头123在其内部居中，以减少钻头123与钻引导孔122之间的任何可能的间隙。用于钻孔引导PSI 120的本体121的材料还可以选择为不受钻头123损坏。如图13所示，止动器124可以设置在钻头123上以控制钻孔深度到达锚固孔的规划深度。也可以考虑替代的方法，例如以某一比率使钻头123渐缩，以控制深度。一旦已经钻出锚固孔，可以移除钻孔引导PSI 120。如图12所示，钻孔引导PSI 120还可以包括视觉指示器125。视觉指示器125可以患者特异性地形成于钻孔引导PSI 120中以指向留下的销。因此，这表示附加的验证步骤以确保在期望的位置钻出孔。
根据图1的步骤17，螺钉23(或类似的紧固件)可以将植体20紧固于肩胛骨A，从而复现图1的虚拟规划。然后执行常规步骤来完成肩关节手术。
这里指出，方法10可以包括制作图15的转接部B1的步骤。方法10的步骤还可以包括提供用于例如从肱骨移除骨骼材料的PSI工具，这是因为肱骨必须被修整表面。然而，从肱骨或其它骨骼移除的转接部B1可以简单地具有圆柱形状，并且因此可以使用具有适当直径的标准圆柱形扩孔器。由于转接部B1在图15中显示为具有楔形，因此可以制作合适的PSI工具来加工转接部B1的斜面。
虽然上面已经结合以特定顺序执行的特定步骤描述和显示了上述方法和***，但是在不脱离本发明的教导的情况下这些步骤可以进行组合、分割或重新排序以形成等同方法。因此，步骤的顺序和组合不受限于本公开。

Claims (18)

1.一种用于将销放置在骨骼中的销放置器械，包括：
解剖学交界部，其具有钩状部，所述钩状部在所述器械的侧向上开口以将骨骼接纳于其内规划的位置；
钻孔引导件，其与所述解剖学交界部连接并且在所述器械的纵向上限定至少一个引导槽，在所述钻孔引导件中，所述至少一个引导槽在其整个长度上具有侧向开口，以便在放置于所述骨骼中的所述销穿过所述侧向开口的情况下允许在所述侧向上侧向地撤走所述器械；以及
至少一个衬套，其经由所述纵向以规划的配合可移除地放置在所述引导槽中，所述衬套限定通孔，当所述衬套位于所述引导槽中用于进行销放置时，所述通孔与所述引导槽对准并且适于接纳在所述纵向上延伸的所述销。
2.根据权利要求1所述的销放置器械，其中，所述钻孔引导件包括两个所述引导槽。
3.根据权利要求2所述的销放置器械，其中，两个所述引导槽彼此平行。
4.根据权利要求1至3中任一项所述的销放置器械，其中，所述至少一个衬套具有抵接端，所述抵接端用于在所述衬套被放入所述引导槽中时限制衬套在所述纵向上的移动。
5.根据权利要求1至4中任一项所述的销放置器械，还包括所述钻孔引导件中的插孔，所述插孔适于接纳用于远端操纵的手柄。
6.根据权利要求1至5中任一项所述的销放置器械，还包括用于每个由所述引导槽和所述衬套构成的组的至少一个所述销，所述衬套与所述销滑动接合。
7.根据权利要求1至6中任一项所述的销放置器械，其中，所述钩状部的表面大致横向于所述纵向。
8.根据权利要求1至7中任一项所述的销放置器械，其中，所述钩状部具有基于患者的解剖学模型的至少一个患者特异性表面。
9.根据权利要求8所述的销放置器械，其中，患者的解剖学模型是肩胛骨的模型，所述至少一个患者特异性表面与所述肩胛骨的头部和关节盂的颈部之中的至少一者的形状互补。
10.根据权利要求9所述的销放置器械，其中，所述至少一个引导槽与下列位置中的至少一者纵向对准：植体的规划中心、邻近与喙突对准的上盂缘的位置、以及喙突的基部。
11.一种对关节盂修整表面的方法，包括：
获得具有至少两个销槽的患者特异性器械；
将所述患者特异性器械的销槽安装在固定于肩胛骨的第一销上；
将管状扩孔器安装在固定于关节盂的第二销上；
将所述患者特异性器械的轴槽安装在管状扩孔器的轴上，以在所述轴槽和所述管状扩孔器的轴之间形成结合部，允许所述管状扩孔器沿着第二销进行平移移动；以及
在被所述患者特异性器械和所述销引导的同时，利用所述管状扩孔器对关节盂进行扩孔。
12.根据权利要求11所述的方法，其中，获得所述患者特异性器械包括获得如下患者特异性器械，即其轴槽的远离所述关节盂的端部与所述关节盂相距患者特异性距离，还包括一旦所述管状扩孔器的轴上的止动器抵接所述轴槽的端部就停止扩孔。
13.根据权利要求12所述的方法，还包括获得如下管状扩孔器，即所述轴上的止动器位于患者特异性距离处，所述患者特异性距离是规划扩孔深度的函数。
14.根据权利要求12和13中任一项所述的方法，其中，将所述患者特异性器械的轴槽安装在所述管状扩孔器的轴上包括：围绕所述第一销旋转所述患者特异性器械，使所述管状扩孔器的轴经由所述轴槽中的侧向开口接纳在所述轴槽中。
15.一种在已修整表面的关节腔中定位植体的方法，包括：
获得具有至少一个销槽的患者特异性器械；
将所述患者特异性器械的销槽安装在固定于肩胛骨的销上；
将冲击器的轴安装在所述患者特异性器械的引导支架中，使得所述轴与已修整表面的关节腔对准，在所述轴和所述引导支架之间形成平移结合部，允许所述轴沿着所述引导支架平移移动；
将所述植体安装在所述冲击器的自由端；以及
在被所述患者特异性器械和所述销引导的同时，迫使所述植体进入已修整表面的关节腔。
16.根据权利要求15所述的方法，其中，获得所述患者特异性器械包括获得所述引导支架的患者特异性取向，使得所述植体中的通孔相对于已修整表面的关节腔的取向与接纳在所述植体的通孔中的螺钉的规划定位有关。
17.根据权利要求15和16中任一项所述的方法，还包括在被迫进入已修整表面的关节腔中的植体中定位钻孔引导件，所述钻孔引导件包括定位为指向所述销的视觉指示器。
18.根据权利要求15至17中任一项所述的方法，其中，在被所述患者特异性器械和所述销引导的同时迫使所述植体进入已修整表面的关节腔包括在单一平移自由度中移动所述植体。
CN201380016223.0A 2012-03-28 2013-03-28 使用患者特异性器械的关节盂植入手术 Active CN104203134B (zh)

Applications Claiming Priority (7)

Application Number Priority Date Filing Date Title
US201261616623P 2012-03-28 2012-03-28
US61/616,623 2012-03-28
US201261659272P 2012-06-13 2012-06-13
US61/659,272 2012-06-13
US201261675955P 2012-07-26 2012-07-26
US61/675,955 2012-07-26
PCT/CA2013/050253 WO2013142998A1 (en) 2012-03-28 2013-03-28 Glenoid implant surgery using patient specific instrumentation

Publications (2)

Publication Number Publication Date
CN104203134A true CN104203134A (zh) 2014-12-10
CN104203134B CN104203134B (zh) 2017-06-20

Family

ID=49258018

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201380016223.0A Active CN104203134B (zh) 2012-03-28 2013-03-28 使用患者特异性器械的关节盂植入手术

Country Status (7)

Country Link
US (3) US10543100B2 (zh)
EP (2) EP3251620B1 (zh)
JP (3) JP6166775B2 (zh)
CN (1) CN104203134B (zh)
CA (3) CA3072704C (zh)
ES (1) ES2637823T3 (zh)
WO (1) WO2013142998A1 (zh)

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107405169A (zh) * 2015-03-25 2017-11-28 奥尔索夫特公司 用于帮助在诸如肩胛骨之类的薄骨骼中的植入物放置的方法以及***
CN107405109A (zh) * 2015-03-10 2017-11-28 史密夫和内修有限公司 用于矫治前下部关节盂骨损失的开放式latarjet术
CN107427372A (zh) * 2015-03-25 2017-12-01 奥尔索夫特公司 关节盂球移植体定位装置和方法
CN107847204A (zh) * 2015-07-08 2018-03-27 捷迈有限公司 用于植入物翻修术的患者特定器械
CN107924709A (zh) * 2015-05-28 2018-04-17 捷迈有限公司 患者特异性骨移植***和方法
CN111493972A (zh) * 2019-01-30 2020-08-07 北京大学第三医院（北京大学第三临床医学院） 骨钻瞄准器

Families Citing this family (48)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8361159B2 (en) 2002-12-03 2013-01-29 Arthrosurface, Inc. System for articular surface replacement
US8388624B2 (en) 2003-02-24 2013-03-05 Arthrosurface Incorporated Trochlear resurfacing system and method
EP2136717B1 (en) 2006-12-11 2013-10-16 Arthrosurface Incorporated Retrograde resection apparatus
FR2932674B1 (fr) 2008-06-20 2011-11-18 Tornier Sa Procede de modelisation d'une surface glenoidienne d'une omoplate, dispositif d'implantation d'un composant glenoidien d'une prothese d'epaule, et procede de fabrication d'un tel compose.
GB0819635D0 (en) * 2008-10-27 2008-12-03 Auron Invest Ltd A composition for the treatment of hypertension
US10945743B2 (en) 2009-04-17 2021-03-16 Arthrosurface Incorporated Glenoid repair system and methods of use thereof
US9662126B2 (en) 2009-04-17 2017-05-30 Arthrosurface Incorporated Glenoid resurfacing system and method
FR2955247B1 (fr) 2010-01-21 2013-04-26 Tornier Sa Composant glenoidien de prothese d'epaule
AU2011222404A1 (en) 2010-03-05 2012-09-27 Arthrosurface Incorporated Tibial resurfacing system and method
FR2971144A1 (fr) 2011-02-08 2012-08-10 Tornier Sa Implant glenoidien pour prothese d'epaule et kit chirurgical
US9301812B2 (en) 2011-10-27 2016-04-05 Biomet Manufacturing, Llc Methods for patient-specific shoulder arthroplasty
US9451973B2 (en) 2011-10-27 2016-09-27 Biomet Manufacturing, Llc Patient specific glenoid guide
EP3384858A1 (en) 2011-10-27 2018-10-10 Biomet Manufacturing, LLC Patient-specific glenoid guides
EP2804565B1 (en) 2011-12-22 2018-03-07 Arthrosurface Incorporated System for bone fixation
DE112013003358T5 (de) 2012-07-03 2015-03-19 Arthrosurface, Inc. System und Verfahren für Gelenkoberflächenersatz und -reparatur
US9839438B2 (en) * 2013-03-11 2017-12-12 Biomet Manufacturing, Llc Patient-specific glenoid guide with a reusable guide holder
US9492200B2 (en) 2013-04-16 2016-11-15 Arthrosurface Incorporated Suture system and method
US9173665B2 (en) * 2013-09-06 2015-11-03 Zimmer, Inc. Patient-specific surgical guide for intra-operative production of patient-specific augment
WO2015052586A2 (en) * 2013-10-10 2015-04-16 Imascap Methods, systems and devices for pre-operatively planned shoulder surgery guides and implants
WO2015056097A1 (en) * 2013-10-17 2015-04-23 Imascap Methods, systems and devices for pre-operatively planned glenoid placement guides and uses thereof
EP3417816B1 (en) 2013-11-13 2024-05-29 Tornier Patient specific glenoid guide for attachment to a scapula of a patient
EP3777777B1 (en) 2014-01-03 2023-04-05 Howmedica Osteonics Corp. Glenoid implant for a shoulder prosthesis
US9962265B2 (en) 2014-03-07 2018-05-08 Arthrosurface Incorporated System and method for repairing articular surfaces
US10624748B2 (en) 2014-03-07 2020-04-21 Arthrosurface Incorporated System and method for repairing articular surfaces
US11607319B2 (en) 2014-03-07 2023-03-21 Arthrosurface Incorporated System and method for repairing articular surfaces
US9681960B2 (en) 2014-05-16 2017-06-20 Howmedica Osteonics Corp. Guides for fracture system
US10575968B2 (en) 2014-05-16 2020-03-03 Howmedica Osteonics Corp. Guides for fracture system
US10070873B2 (en) * 2014-06-30 2018-09-11 Tornier, Inc. Device for maintaining alignment of a cannulated shaft over a guide pin
GB201504122D0 (en) * 2015-03-11 2015-04-22 Imp Innovations Ltd Patient-specific surgical guide
AU2016235118A1 (en) * 2015-03-24 2017-10-12 Arthrosurface Incorporated Glenoid repair system and methods of use thereof
US10034757B2 (en) * 2015-04-24 2018-07-31 Biomet Manufacturing, Llc Patient-specific augmented glenoid systems and methods
US10722374B2 (en) 2015-05-05 2020-07-28 Tornier, Inc. Convertible glenoid implant
US10426624B2 (en) 2015-06-02 2019-10-01 Zimmer, Inc. Glenosphere guide tool
AU2016371425B2 (en) 2015-12-16 2021-09-02 Howmedica Osteonics Corp. Patient specific instruments and methods for joint prosthesis
EP3481318B1 (en) 2016-07-08 2022-09-14 Biomet Manufacturing, LLC Reverse shoulder pre-operative planning
US9737313B1 (en) 2016-11-07 2017-08-22 Roger C. Sohn Shoulder reamer devices, systems including the same, and related methods
EP3624737B1 (en) * 2017-05-19 2021-08-04 Biomet Manufacturing, LLC Implant assembly tools
US11278299B2 (en) 2017-07-11 2022-03-22 Howmedica Osteonics Corp Guides and instruments for improving accuracy of glenoid implant placement
US10959742B2 (en) 2017-07-11 2021-03-30 Tornier, Inc. Patient specific humeral cutting guides
CA3108761A1 (en) 2017-08-04 2019-02-07 Arthrosurface Incorporated Multicomponent articular surface implant
US11564802B2 (en) 2017-10-16 2023-01-31 Imascap Sas Shoulder implants and assembly
AU2018389761B2 (en) * 2017-12-22 2021-04-22 Medacta International Sa Cutting guide for periacetabular osteotomy and kit for periacetabular osteotomy
GB2609338B (en) 2019-03-12 2023-06-14 Arthrosurface Inc Humeral and glenoid articular surface implant systems and methods
JP7434365B2 (ja) * 2019-05-20 2024-02-20 ホウメディカ・オステオニクス・コーポレイション 肩安定性向上手術の自動計画
JP7478810B2 (ja) * 2019-08-09 2024-05-07 ハウメディカ オステオニクス コーポレイション 肩の手術用のキット
CN112315581B (zh) * 2020-09-29 2022-05-06 上海霖晏医疗科技有限公司 一种椎弓根螺钉进钉点的确定方法及装置
KR102558805B1 (ko) * 2021-07-29 2023-07-25 애니메디솔루션 주식회사 인공 견관절 수술용 핀 가이드 및 스크류 가이드
KR102624485B1 (ko) * 2023-07-12 2024-01-15 (주)시안솔루션 환자 맞춤형 가이던스를 설계하는 방법, 이를 위한 프로그램 및 서버

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20080262624A1 (en) * 2007-04-17 2008-10-23 Biomet Manufacturing Corp. Patient-Modified Implant And Associated Method
CN201227321Y (zh) * 2008-06-27 2009-04-29 魏朋建 简易钢丝固定引导器
CN201453365U (zh) * 2009-07-31 2010-05-12 张英泽 一种肩锁关节固定导向器
CN101965157A (zh) * 2007-11-02 2011-02-02 德普伊产品公司 肘骨折固定***

Family Cites Families (182)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4841975A (en) 1987-04-15 1989-06-27 Cemax, Inc. Preoperative planning of bone cuts and joint replacement using radiant energy scan imaging
US5030219A (en) * 1990-01-22 1991-07-09 Boehringer Mannheim Corporation Glenoid component installation tools
US5098383A (en) 1990-02-08 1992-03-24 Artifax Ltd. Device for orienting appliances, prostheses, and instrumentation in medical procedures and methods of making same
WO1993016647A1 (en) 1992-02-20 1993-09-02 Synvasive Technology, Inc. Surgical cutting block and method of use
US5342369A (en) * 1992-09-11 1994-08-30 The Board Of Regents Of The University Of Washington System for repair of bankart lesions
US5354300A (en) 1993-01-15 1994-10-11 Depuy Inc. Drill guide apparatus for installing a transverse pin
BE1008372A3 (nl) 1994-04-19 1996-04-02 Materialise Nv Werkwijze voor het vervaardigen van een geperfektioneerd medisch model uitgaande van digitale beeldinformatie van een lichaamsdeel.
US5489310A (en) * 1994-06-27 1996-02-06 Mikhail; W. E. Michael Universal glenoid shoulder prosthesis and method for implanting
US5682886A (en) 1995-12-26 1997-11-04 Musculographics Inc Computer-assisted surgical system
US5769856A (en) 1996-06-24 1998-06-23 Osteonics Corp. Drill guide and implant method
US8083745B2 (en) 2001-05-25 2011-12-27 Conformis, Inc. Surgical tools for arthroplasty
US8480754B2 (en) 2001-05-25 2013-07-09 Conformis, Inc. Patient-adapted and improved articular implants, designs and related guide tools
US9603711B2 (en) 2001-05-25 2017-03-28 Conformis, Inc. Patient-adapted and improved articular implants, designs and related guide tools
US8234097B2 (en) 2001-05-25 2012-07-31 Conformis, Inc. Automated systems for manufacturing patient-specific orthopedic implants and instrumentation
US20110071802A1 (en) 2009-02-25 2011-03-24 Ray Bojarski Patient-adapted and improved articular implants, designs and related guide tools
US8882847B2 (en) 2001-05-25 2014-11-11 Conformis, Inc. Patient selectable knee joint arthroplasty devices
US9020788B2 (en) 1997-01-08 2015-04-28 Conformis, Inc. Patient-adapted and improved articular implants, designs and related guide tools
US7634119B2 (en) 2002-12-04 2009-12-15 Conformis, Inc. Fusion of multiple imaging planes for isotropic imaging in MRI and quantitative image analysis using isotropic or near-isotropic imaging
US7468075B2 (en) 2001-05-25 2008-12-23 Conformis, Inc. Methods and compositions for articular repair
US7618451B2 (en) 2001-05-25 2009-11-17 Conformis, Inc. Patient selectable joint arthroplasty devices and surgical tools facilitating increased accuracy, speed and simplicity in performing total and partial joint arthroplasty
US8771365B2 (en) 2009-02-25 2014-07-08 Conformis, Inc. Patient-adapted and improved orthopedic implants, designs, and related tools
US20110071645A1 (en) 2009-02-25 2011-03-24 Ray Bojarski Patient-adapted and improved articular implants, designs and related guide tools
US20070233269A1 (en) 2001-05-25 2007-10-04 Conformis, Inc. Interpositional Joint Implant
US8556983B2 (en) 2001-05-25 2013-10-15 Conformis, Inc. Patient-adapted and improved orthopedic implants, designs and related tools
US8735773B2 (en) 2007-02-14 2014-05-27 Conformis, Inc. Implant device and method for manufacture
US7534263B2 (en) 2001-05-25 2009-05-19 Conformis, Inc. Surgical tools facilitating increased accuracy, speed and simplicity in performing joint arthroplasty
US20090222103A1 (en) 2001-05-25 2009-09-03 Conformis, Inc. Articular Implants Providing Lower Adjacent Cartilage Wear
US8545569B2 (en) 2001-05-25 2013-10-01 Conformis, Inc. Patient selectable knee arthroplasty devices
US5916219A (en) 1997-02-10 1999-06-29 Matsuno; Shigeo Tibial plateau resection guide
US6379386B1 (en) * 1997-09-09 2002-04-30 Stryker Technologies Corporation Anatomic glenoid shoulder prosthesis together with methods and tools for implanting same
US6428541B1 (en) 1998-04-09 2002-08-06 Sdgi Holdings, Inc. Method and instrumentation for vertebral interbody fusion
WO1999052453A2 (en) 1998-04-09 1999-10-21 Sdgi Holdings, Inc. Method and instrumentation for vertebral interbody fusion
US7635390B1 (en) 2000-01-14 2009-12-22 Marctec, Llc Joint replacement component having a modular articulating surface
US7896883B2 (en) * 2000-05-01 2011-03-01 Arthrosurface, Inc. Bone resurfacing system and method
JP2005504563A (ja) 2001-05-25 2005-02-17 イメージング セラピューティクス，インコーポレーテッド 関節を再表面化する方法および組成物
US20130211531A1 (en) 2001-05-25 2013-08-15 Conformis, Inc. Patient-adapted and improved articular implants, designs and related guide tools
US8439926B2 (en) 2001-05-25 2013-05-14 Conformis, Inc. Patient selectable joint arthroplasty devices and surgical tools
US9308091B2 (en) 2001-05-25 2016-04-12 Conformis, Inc. Devices and methods for treatment of facet and other joints
AU2007202573A1 (en) 2001-05-25 2007-06-28 Conformis, Inc. Methods and compositions for articular resurfacing
WO2013155501A1 (en) 2012-04-13 2013-10-17 Conformis, Inc. Patient adapted joint arthroplasty devices, surgical tools and methods of use
US6364910B1 (en) * 2001-07-11 2002-04-02 Biomet, Inc. Method and apparatus for use of a glenoid component
US8801720B2 (en) 2002-05-15 2014-08-12 Otismed Corporation Total joint arthroplasty system
US8965075B2 (en) 2002-09-16 2015-02-24 Imatx, Inc. System and method for predicting future fractures
CN1728976A (zh) 2002-10-07 2006-02-01 康复米斯公司 具有与关节表面相匹配的三维几何结构的微创关节植入物
DE60336002D1 (de) 2002-10-07 2011-03-24 Conformis Inc Minimal invasives gelenkimplantat mit einer den gelenkflächen angepassten dreidimensionalen geometrie
EP3075356B1 (en) 2002-11-07 2023-07-05 ConforMIS, Inc. Method of selecting a meniscal implant
US7201756B2 (en) * 2003-03-24 2007-04-10 Herbert Earl Ross Device and method to assist in arthroscopic repair of detached connective tissue
US20050043805A1 (en) * 2003-08-11 2005-02-24 Chudik Steven C. Devices and methods used for shoulder replacement
AU2011203237B2 (en) 2003-11-25 2012-06-14 Conformis, Inc. Patient selectable knee joint arthroplasty devices
US8175683B2 (en) 2003-12-30 2012-05-08 Depuy Products, Inc. System and method of designing and manufacturing customized instrumentation for accurate implantation of prosthesis by utilizing computed tomography data
US20060079963A1 (en) 2004-10-07 2006-04-13 Regan Hansen Semiconstrained shoulder prosthetic for treatment of rotator cuff arthropathy
US20060111722A1 (en) 2004-11-19 2006-05-25 Hacene Bouadi Surgical cutting tool
AU2006297137A1 (en) 2005-09-30 2007-04-12 Conformis Inc. Joint arthroplasty devices
WO2007062079A2 (en) 2005-11-21 2007-05-31 Philipp Lang Devices and methods for treating facet joints, uncovertebral joints, costovertebral joints and other joints
WO2007062103A1 (en) 2005-11-23 2007-05-31 Conformis, Inc. Implant grasper
US7357057B2 (en) 2006-01-06 2008-04-15 Tung-Lung Chiang Paper cutter
US8623026B2 (en) 2006-02-06 2014-01-07 Conformis, Inc. Patient selectable joint arthroplasty devices and surgical tools incorporating anatomical relief
WO2007092841A2 (en) 2006-02-06 2007-08-16 Conformis, Inc. Patient selectable joint arthroplasty devices and surgical tools
US9808262B2 (en) 2006-02-15 2017-11-07 Howmedica Osteonics Corporation Arthroplasty devices and related methods
EP2007291A2 (en) 2006-02-15 2008-12-31 Otismed Corp. Arthroplasty jigs and related methods
US10278711B2 (en) 2006-02-27 2019-05-07 Biomet Manufacturing, Llc Patient-specific femoral guide
US8864769B2 (en) 2006-02-27 2014-10-21 Biomet Manufacturing, Llc Alignment guides with patient-specific anchoring elements
US8133234B2 (en) 2006-02-27 2012-03-13 Biomet Manufacturing Corp. Patient specific acetabular guide and method
US8591516B2 (en) 2006-02-27 2013-11-26 Biomet Manufacturing, Llc Patient-specific orthopedic instruments
US8070752B2 (en) 2006-02-27 2011-12-06 Biomet Manufacturing Corp. Patient specific alignment guide and inter-operative adjustment
US9173661B2 (en) 2006-02-27 2015-11-03 Biomet Manufacturing, Llc Patient specific alignment guide with cutting surface and laser indicator
US9289253B2 (en) 2006-02-27 2016-03-22 Biomet Manufacturing, Llc Patient-specific shoulder guide
US8535387B2 (en) 2006-02-27 2013-09-17 Biomet Manufacturing, Llc Patient-specific tools and implants
US8377066B2 (en) 2006-02-27 2013-02-19 Biomet Manufacturing Corp. Patient-specific elbow guides and associated methods
US8241293B2 (en) 2006-02-27 2012-08-14 Biomet Manufacturing Corp. Patient specific high tibia osteotomy
US9113971B2 (en) 2006-02-27 2015-08-25 Biomet Manufacturing, Llc Femoral acetabular impingement guide
US8608749B2 (en) 2006-02-27 2013-12-17 Biomet Manufacturing, Llc Patient-specific acetabular guides and associated instruments
US8282646B2 (en) 2006-02-27 2012-10-09 Biomet Manufacturing Corp. Patient specific knee alignment guide and associated method
US8092465B2 (en) * 2006-06-09 2012-01-10 Biomet Manufacturing Corp. Patient specific knee alignment guide and associated method
US9339278B2 (en) 2006-02-27 2016-05-17 Biomet Manufacturing, Llc Patient-specific acetabular guides and associated instruments
US20110172672A1 (en) 2006-02-27 2011-07-14 Biomet Manufacturing Corp. Instrument with transparent portion for use with patient-specific alignment guide
US8298237B2 (en) 2006-06-09 2012-10-30 Biomet Manufacturing Corp. Patient-specific alignment guide for multiple incisions
US8603180B2 (en) 2006-02-27 2013-12-10 Biomet Manufacturing, Llc Patient-specific acetabular alignment guides
US8858561B2 (en) 2006-06-09 2014-10-14 Blomet Manufacturing, LLC Patient-specific alignment guide
US8608748B2 (en) 2006-02-27 2013-12-17 Biomet Manufacturing, Llc Patient specific guides
WO2007109641A2 (en) 2006-03-21 2007-09-27 Conformis, Inc. Interpositional joint implant
US8460302B2 (en) 2006-12-18 2013-06-11 Otismed Corporation Arthroplasty devices and related methods
WO2008101090A2 (en) 2007-02-14 2008-08-21 Conformis, Inc. Implant device and method for manufacture
WO2008112996A1 (en) 2007-03-14 2008-09-18 Conformis, Inc. Surgical tools for arthroplasty
GB2447702A (en) 2007-03-23 2008-09-24 Univ Leeds Surgical bone cutting template
CA2687116C (en) 2007-05-14 2015-05-26 Queen's University At Kingston Patient-specific surgical guidance tool and method of use
WO2008157412A2 (en) 2007-06-13 2008-12-24 Conformis, Inc. Surgical cutting guide
GB0712290D0 (en) 2007-06-25 2007-08-01 Depuy Orthopaedie Gmbh Surgical instrument
ES2800031T3 (es) 2007-09-30 2020-12-23 Depuy Products Inc Método para generar una instrumentación quirúrgica ortopédica específica para un paciente personalizada
US8460303B2 (en) 2007-10-25 2013-06-11 Otismed Corporation Arthroplasty systems and devices, and related methods
US10582934B2 (en) 2007-11-27 2020-03-10 Howmedica Osteonics Corporation Generating MRI images usable for the creation of 3D bone models employed to make customized arthroplasty jigs
US8777875B2 (en) 2008-07-23 2014-07-15 Otismed Corporation System and method for manufacturing arthroplasty jigs having improved mating accuracy
US8480679B2 (en) 2008-04-29 2013-07-09 Otismed Corporation Generation of a computerized bone model representative of a pre-degenerated state and useable in the design and manufacture of arthroplasty devices
US8715291B2 (en) 2007-12-18 2014-05-06 Otismed Corporation Arthroplasty system and related methods
US8160345B2 (en) 2008-04-30 2012-04-17 Otismed Corporation System and method for image segmentation in generating computer models of a joint to undergo arthroplasty
US8221430B2 (en) 2007-12-18 2012-07-17 Otismed Corporation System and method for manufacturing arthroplasty jigs
US8617171B2 (en) 2007-12-18 2013-12-31 Otismed Corporation Preoperatively planning an arthroplasty procedure and generating a corresponding patient specific arthroplasty resection guide
US8545509B2 (en) 2007-12-18 2013-10-01 Otismed Corporation Arthroplasty system and related methods
US8737700B2 (en) 2007-12-18 2014-05-27 Otismed Corporation Preoperatively planning an arthroplasty procedure and generating a corresponding patient specific arthroplasty resection guide
GB0803514D0 (en) 2008-02-27 2008-04-02 Depuy Int Ltd Customised surgical apparatus
US9408618B2 (en) 2008-02-29 2016-08-09 Howmedica Osteonics Corporation Total hip replacement surgical guide tool
JP6143999B2 (ja) 2008-03-03 2017-06-07 スミス アンド ネフュー インコーポレイテッド 膝関節用低背型患者特異的カッティングブロック
AU2009221773B2 (en) 2008-03-05 2015-03-05 Conformis, Inc. Edge-matched articular implant
WO2009111626A2 (en) 2008-03-05 2009-09-11 Conformis, Inc. Implants for altering wear patterns of articular surfaces
EP2265199A4 (en) 2008-03-05 2012-03-07 Conformis Inc PATIENT-SELECTABLE JOINT ARTHROPLASTY DEVICES AND OPERATING TOOLS
US8617175B2 (en) 2008-12-16 2013-12-31 Otismed Corporation Unicompartmental customized arthroplasty cutting jigs and methods of making the same
US8078440B2 (en) 2008-09-19 2011-12-13 Smith & Nephew, Inc. Operatively tuning implants for increased performance
US8992538B2 (en) 2008-09-30 2015-03-31 DePuy Synthes Products, Inc. Customized patient-specific acetabular orthopaedic surgical instrument and method of use and fabrication
US20100185202A1 (en) 2009-01-16 2010-07-22 Lester Mark B Customized patient-specific patella resectioning guide
US9017334B2 (en) 2009-02-24 2015-04-28 Microport Orthopedics Holdings Inc. Patient specific surgical guide locator and mount
US20100217270A1 (en) 2009-02-25 2010-08-26 Conformis, Inc. Integrated Production of Patient-Specific Implants and Instrumentation
WO2010099353A1 (en) 2009-02-25 2010-09-02 Conformis, Inc. Patient-adapted and improved orthopedic implants, designs and related tools
WO2010120346A1 (en) 2009-04-13 2010-10-21 George John Lian Custom radiographically designed cutting guides and instruments for use in total ankle replacement surgery
SG175229A1 (en) 2009-04-16 2011-11-28 Conformis Inc Patient-specific joint arthroplasty devices for ligament repair
US9561041B2 (en) 2009-05-07 2017-02-07 Smith & Nephew, Inc. Patient specific alignment guide for a proximal femur
US8449552B2 (en) 2009-06-04 2013-05-28 Quantum Surgical Surgical drill guide with awl and method of use
US9889023B2 (en) 2009-06-17 2018-02-13 University Of Bern Methods and devices for patient-specific acetabular component alignment in total hip arthroplasty
RU2011149965A (ru) 2009-06-24 2013-07-27 Кастом Мед Ортопэдикс (Проприетери) Лимитед Направляющая позиционирования и система направляющей для разрезания на бедренной кости
US8414591B2 (en) 2009-07-17 2013-04-09 Materialise N.V. Surgical guiding tool, methods for manufacture and uses thereof
US8702717B2 (en) * 2009-07-31 2014-04-22 Zimmer Gmbh Glenoid alignment tool
DE102009028503B4 (de) 2009-08-13 2013-11-14 Biomet Manufacturing Corp. Resektionsschablone zur Resektion von Knochen, Verfahren zur Herstellung einer solchen Resektionsschablone und Operationsset zur Durchführung von Kniegelenk-Operationen
US8876830B2 (en) 2009-08-13 2014-11-04 Zimmer, Inc. Virtual implant placement in the OR
JP5719368B2 (ja) 2009-08-26 2015-05-20 コンフォーミス・インコーポレイテッドＣｏｎｆｏｒＭＩＳ， Ｉｎｃ． 患者特異的整形外科用インプラント及びモデル
ES2588231T3 (es) 2009-09-10 2016-10-31 Exactech Inc. Guías de alineación para uso en cirugía ortopédica asistida por ordenador para preparar un elemento de hueso para un implante
CA2778057C (en) 2009-10-29 2019-02-19 Zimmer, Inc. Patient-specific mill guide
AU2010315099B2 (en) 2009-11-04 2014-08-21 Conformis, Inc. Patient-adapted and improved orthopedic implants, designs and related tools
CA2780826C (en) 2009-11-17 2018-05-29 Queen's University At Kingston Patient-specific guide for acetabular cup placement
WO2011072235A2 (en) 2009-12-11 2011-06-16 Conformis, Inc. Patient-specific and patient-engineered orthopedic implants
WO2011075697A2 (en) 2009-12-18 2011-06-23 Conformis, Inc. Patient-adapted and improved orthopedic implants, designs and related tools
US8556901B2 (en) * 2009-12-31 2013-10-15 DePuy Synthes Products, LLC Reciprocating rasps for use in an orthopaedic surgical procedure
US8506569B2 (en) * 2009-12-31 2013-08-13 DePuy Synthes Products, LLC Reciprocating rasps for use in an orthopaedic surgical procedure
US8632547B2 (en) 2010-02-26 2014-01-21 Biomet Sports Medicine, Llc Patient-specific osteotomy devices and methods
US9066727B2 (en) 2010-03-04 2015-06-30 Materialise Nv Patient-specific computed tomography guides
GB201003921D0 (en) * 2010-03-10 2010-04-21 Depuy Orthopaedie Gmbh Orthopaedic instrument
US9579106B2 (en) 2010-03-31 2017-02-28 New York Society For The Relief Of The Ruptured And Crippled, Maintaining The Hospital For Special Surgery Shoulder arthroplasty instrumentation
CA2802190A1 (en) 2010-06-11 2011-12-15 Smith & Nephew, Inc. Patient-matched instruments
US8974535B2 (en) 2010-06-11 2015-03-10 Sunnybrook Health Sciences Centre Method of forming patient-specific implant
US8932299B2 (en) 2010-06-18 2015-01-13 Howmedica Osteonics Corp. Patient-specific total hip arthroplasty
US8808302B2 (en) 2010-08-12 2014-08-19 DePuy Synthes Products, LLC Customized patient-specific acetabular orthopaedic surgical instrument and method of use and fabrication
WO2012024281A2 (en) 2010-08-16 2012-02-23 Smith & Nephew, Inc. Patient-matched tissue guide for placing a surgical device
US8821499B2 (en) 2010-09-07 2014-09-02 The Cleveland Clinic Foundation Positioning apparatus and method for a prosthetic implant
US8617170B2 (en) 2010-09-29 2013-12-31 DePuy Synthes Products, LLC Customized patient-specific computer controlled cutting system and method
US9271744B2 (en) 2010-09-29 2016-03-01 Biomet Manufacturing, Llc Patient-specific guide for partial acetabular socket replacement
US9717508B2 (en) 2010-10-29 2017-08-01 The Cleveland Clinic Foundation System of preoperative planning and provision of patient-specific surgical aids
US20120276509A1 (en) 2010-10-29 2012-11-01 The Cleveland Clinic Foundation System of preoperative planning and provision of patient-specific surgical aids
EP2632348B1 (en) * 2010-10-29 2019-07-17 The Cleveland Clinic Foundation System and method for association of a guiding aid with a patient tissue
FR2967047B1 (fr) * 2010-11-05 2013-09-20 Aston Medical Gabarit de pose d'une prothese d'epaule sur une glene
BE1019572A5 (nl) 2010-11-10 2012-08-07 Materialise Nv Geoptimaliseerde methoden voor de productie van patientspecifieke medische hulpmiddelen.
WO2012064513A1 (en) 2010-11-11 2012-05-18 Zimmer, Inc. Patient-specific instruments for total hip arthroplasty
US8486076B2 (en) * 2011-01-28 2013-07-16 DePuy Synthes Products, LLC Oscillating rasp for use in an orthopaedic surgical procedure
US9186154B2 (en) 2011-03-17 2015-11-17 Zimmer, Inc. Patient-specific instruments for total ankle arthroplasty
US9820758B2 (en) 2011-03-18 2017-11-21 DePuy Synthes Products, Inc. Combination reamer/drill bit for shoulder arthoplasty
US8715289B2 (en) 2011-04-15 2014-05-06 Biomet Manufacturing, Llc Patient-specific numerically controlled instrument
US9675400B2 (en) 2011-04-19 2017-06-13 Biomet Manufacturing, Llc Patient-specific fracture fixation instrumentation and method
US8668700B2 (en) 2011-04-29 2014-03-11 Biomet Manufacturing, Llc Patient-specific convertible guides
US20140142578A1 (en) * 2011-07-12 2014-05-22 Materialise N.V. Surgical instrument for the positioning of an alignment element
US20140228860A1 (en) 2011-08-03 2014-08-14 Conformis, Inc. Automated Design, Selection, Manufacturing and Implantation of Patient-Adapted and Improved Articular Implants, Designs and Related Guide Tools
SG10201601021YA (en) 2011-08-15 2016-03-30 Conformis Inc Revision systems, tools and methods for revising joint arthroplasty implants
EP2757978B1 (en) 2011-09-21 2016-08-17 Materialise N.V. Patient-specific surgical guide
CN103987342B (zh) 2011-10-14 2016-05-04 康复米斯公司 用于关节置换中解剖结构差异的识别、评价、建模和修复的方法和***
KR20130046337A (ko) * 2011-10-27 2013-05-07 삼성전자주식회사 멀티뷰 디바이스 및 그 제어방법과, 디스플레이장치 및 그 제어방법과, 디스플레이 시스템
US9451973B2 (en) * 2011-10-27 2016-09-27 Biomet Manufacturing, Llc Patient specific glenoid guide
EP3248553B1 (en) 2011-10-28 2021-03-10 Materialise N.V. Shoulder guides
US20130338673A1 (en) 2011-10-28 2013-12-19 Louis Keppler Shoulder base plate coverage and stability
US20130184713A1 (en) 2011-12-23 2013-07-18 Conformis, Inc. Anatomical Alignment Systems and Methods
US20140371866A1 (en) 2012-02-07 2014-12-18 Conformis, Inc. Tibial implant devices, systems, and methods
US20130211410A1 (en) 2012-02-07 2013-08-15 Conformis, Inc. Patella Resection Instrument Guide Having Optional Patient-Specific Features
WO2013119865A1 (en) 2012-02-07 2013-08-15 Conformis Inc Joint arthroplasty devices, systems, and methods
CN104271078A (zh) 2012-03-02 2015-01-07 康复米斯公司 适用于患者的后侧稳定型膝植入物、设计及相关方法和工具
US20150081029A1 (en) 2012-04-06 2015-03-19 Conformis, Inc. Advanced Methods, Techniques, Devices, and Systems for Cruciate Retaining Knee Implants
EP2836168B1 (en) 2012-04-13 2016-09-28 ConforMIS, Inc. Methods for additive manufacturing of implant components
US9486226B2 (en) 2012-04-18 2016-11-08 Conformis, Inc. Tibial guides, tools, and techniques for resecting the tibial plateau
US20130289570A1 (en) 2012-04-27 2013-10-31 Conformis, Inc. Tibial Template and Punch System, Tools and Methods for Preparing the Tibia
US20130297031A1 (en) 2012-05-02 2013-11-07 Conformis, Inc. Patient specific instruments and related methods for joint replacement
US9675471B2 (en) 2012-06-11 2017-06-13 Conformis, Inc. Devices, techniques and methods for assessing joint spacing, balancing soft tissues and obtaining desired kinematics for joint implant components
WO2014008444A1 (en) 2012-07-03 2014-01-09 Conformis, Inc. Devices, systems, and methods for impacting joint implant components
WO2014035991A1 (en) 2012-08-27 2014-03-06 Conformis, Inc. Methods, devices and techniques for improved placement and fixation of shoulder implant components
JP2015532858A (ja) 2012-09-21 2015-11-16 コンフォーミス・インコーポレイテッドＣｏｎｆｏｒＭＩＳ， Ｉｎｃ． 固体自由造形製造を使用してインプラント構成要素の設計および製造を最適化するための方法およびシステム
US9839438B2 (en) * 2013-03-11 2017-12-12 Biomet Manufacturing, Llc Patient-specific glenoid guide with a reusable guide holder
AU2013384369C1 (en) * 2013-03-27 2019-03-07 Materialise N.V. Customized surgical guide
US9615839B2 (en) * 2014-03-18 2017-04-11 Howmedica Osteonics Corp. Shape-fit glenoid reaming systems and methods
US10959742B2 (en) * 2017-07-11 2021-03-30 Tornier, Inc. Patient specific humeral cutting guides

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20080262624A1 (en) * 2007-04-17 2008-10-23 Biomet Manufacturing Corp. Patient-Modified Implant And Associated Method
CN101965157A (zh) * 2007-11-02 2011-02-02 德普伊产品公司 肘骨折固定***
CN201227321Y (zh) * 2008-06-27 2009-04-29 魏朋建 简易钢丝固定引导器
CN201453365U (zh) * 2009-07-31 2010-05-12 张英泽 一种肩锁关节固定导向器

Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107405109A (zh) * 2015-03-10 2017-11-28 史密夫和内修有限公司 用于矫治前下部关节盂骨损失的开放式latarjet术
CN107405109B (zh) * 2015-03-10 2021-07-16 史密夫和内修有限公司 用于矫治前下部关节盂骨损失的开放式latarjet术
CN107405169A (zh) * 2015-03-25 2017-11-28 奥尔索夫特公司 用于帮助在诸如肩胛骨之类的薄骨骼中的植入物放置的方法以及***
CN107427372A (zh) * 2015-03-25 2017-12-01 奥尔索夫特公司 关节盂球移植体定位装置和方法
CN107405169B (zh) * 2015-03-25 2021-01-26 奥尔索夫特无限责任公司 用于帮助在诸如肩胛骨之类的薄骨骼中的植入物放置的***
CN107924709A (zh) * 2015-05-28 2018-04-17 捷迈有限公司 患者特异性骨移植***和方法
CN107924709B (zh) * 2015-05-28 2022-05-17 捷迈有限公司 患者特异性骨移植***和方法
CN107847204A (zh) * 2015-07-08 2018-03-27 捷迈有限公司 用于植入物翻修术的患者特定器械
CN107847204B (zh) * 2015-07-08 2022-06-07 捷迈有限公司 用于植入物翻修术的患者特定器械
CN111493972A (zh) * 2019-01-30 2020-08-07 北京大学第三医院（北京大学第三临床医学院） 骨钻瞄准器

Also Published As

Publication number Publication date
CA2866395A1 (en) 2013-10-03
CA2866395C (en) 2020-11-10
US20200138586A1 (en) 2020-05-07
JP2019084381A (ja) 2019-06-06
US10543100B2 (en) 2020-01-28
JP2017159151A (ja) 2017-09-14
CA3072704A1 (en) 2013-10-03
EP2830521B1 (en) 2017-08-02
ES2637823T3 (es) 2017-10-17
JP6166775B2 (ja) 2017-07-19
WO2013142998A1 (en) 2013-10-03
CN104203134B (zh) 2017-06-20
EP2830521A4 (en) 2015-11-25
US20230061695A1 (en) 2023-03-02
CA3072716C (en) 2022-03-22
US11432934B2 (en) 2022-09-06
CA3072716A1 (en) 2013-10-03
CA3072704C (en) 2022-03-22
JP2015511511A (ja) 2015-04-20
EP2830521A1 (en) 2015-02-04
EP3251620B1 (en) 2021-04-14
JP6483758B2 (ja) 2019-03-13
EP3251620A1 (en) 2017-12-06
US20150073424A1 (en) 2015-03-12

Similar Documents

Publication Publication Date Title
CN104203134A (zh) 使用患者特异性器械的关节盂植入手术
US11020128B2 (en) Patient-specific bone grafting system and method
US9211128B2 (en) Devices and methods for hip replacement
US9615839B2 (en) Shape-fit glenoid reaming systems and methods
US20110190775A1 (en) Device and method for achieving accurate positioning of acetabular cup during total hip replacement
US20080208201A1 (en) Apparatus for preparing a femur
US20140180430A1 (en) Devices and methods for hip replacement
US9629642B2 (en) Hip resurfacing drill guide device
US20140243831A1 (en) Acetabular drill pin
US20210128179A1 (en) System and method for positioning of augment in glenoid surgery
WO2021026029A1 (en) Shoulder reaming guide with checking feature

Legal Events

Date Code Title Description
C06 Publication
PB01 Publication
C10 Entry into substantive examination
SE01 Entry into force of request for substantive examination
GR01 Patent grant
GR01 Patent grant
CP01 Change in the name or title of a patent holder

Address after: Quebec, Canada

Patentee after: Allsofft unlimited liability company

Address before: Quebec, Canada

Patentee before: Alsoft Corporation

CP01 Change in the name or title of a patent holder