Novel bone taking method and bone taking device

文档序号:1851926 发布日期:2021-11-19 浏览:8次 中文

阅读说明:本技术 一种新型取骨方法及取骨装置 (Novel bone taking method and bone taking device ) 是由 汪小华 谢肇 王舒琳 沈杰 孙东 于 2021-08-10 设计创作,主要内容包括:本发明属于取骨技术领域,现公开了一种新型取骨方法及取骨装置,所述新型取骨方法包括:患者取侧卧位;同时对四肢及取骨区部位进行消毒铺巾,采用一个体位进行两个手术;采用新型撑开器暴露取骨区;采用新型取骨凿将髂骨外板完整凿开;采用刮匙刮取松质骨;取骨完毕后将外板填回;缝合切口,进行植骨手术。所述新型取骨装置包括:头部、连接部及花纹柄。所述新型取骨装置的头部尾端为中空状,头部与连接部之间空白处为中空,方便将嵌入其中的骨块顶出来,侧面观为实心。本发明避免术中频繁更换体位及消毒等繁琐过程,减少术中耗材成本;大大减少手术时间,减少出血量,降低患者麻醉风险及手术并发症。(The invention belongs to the technical field of bone taking, and discloses a novel bone taking method and a bone taking device, wherein the novel bone taking method comprises the following steps: taking the patient in lateral decubitus; meanwhile, the four limbs and the bone taking area are disinfected and paved, and two operations are carried out by adopting one body position; a novel spreader is adopted to expose a bone taking area; the outer plate of the ilium is completely chiseled by adopting a novel bone chisel; scraping cancellous bone by using a curette; filling the outer plate back after the bone is taken out; the incision is sutured and bone grafting is performed. The novel get bone device includes: head, connecting portion and decorative pattern handle. The head tail end of the novel bone taking device is hollow, the blank between the head and the connecting part is hollow, a bone block embedded into the head is conveniently ejected out, and the side face of the head is solid. The invention avoids the complex processes of frequently changing body positions and sterilizing in the operation, and reduces the material cost in the operation; greatly reduces the operation time, reduces the amount of bleeding, and reduces the anesthesia risk and the operation complication of the patient.)

1. The utility model provides a novel get bone device which characterized in that, novel get bone device includes: head, connecting part and pattern handle;

the tail end of the head of the novel bone taking device is hollow, and the blank between the head and the connecting part is hollow.

2. A novel bone harvesting method using the novel bone harvesting device of claim 1, wherein the novel bone harvesting method comprises the steps of:

firstly, taking a patient in a lateral position, and fixing the patient in a front-back manner;

step two, disinfecting and paving the limbs and the bone taking area at the same time, and performing two operations by adopting one body position;

thirdly, a novel spreader is adopted to expose the bone taking area;

fourthly, completely chiseling the external iliac plate by using a novel bone taking chisel;

fifthly, scraping cancellous bone by using a curette;

sixthly, filling the outer plate back after the bone is taken out;

and step seven, suturing the incision and carrying out bone grafting operation.

Technical Field

The invention belongs to the technical field of bone harvesting, and particularly relates to a novel bone harvesting method and a novel bone harvesting device.

Background

Currently, the closest prior art: the repair and reconstruction of the large-section bone defect of the four limbs usually needs to take autologous bones for bone grafting, and for patients with large bone defect amount, the autologous bones behind the ilium need to be taken. The traditional method comprises the steps of firstly carrying out prone position, disinfecting and paving, taking bones, binding and fixing the bone taking area after the completion of the operation, changing the position to be a supine position, and then carrying out disinfecting and paving and bone grafting operation on the bone defect position. This art formula need carry out twice disinfection and spread piece of cloth, need change the operation position simultaneously, not only complex operation increases operation, anesthesia time simultaneously, greatly increased patient's anesthesia risk and complication such as operation incision infection.

In addition, what expose the incision when getting the bone adopts is that backbone way of escape braking drag hook, lacks special equipment, because of the ilium district is an inclined plane, so can appear the incision and expose inadequately, influence and get the bone and adopt, the extension is got the bone time, leads to the complication to increase, secondly get the bone at present and take out ilium planking together with cancellous bone, complication such as pain takes place to the postoperative to the ilium can't regenerate.

In summary, the problems of the prior art are as follows:

(1) the change of the operation body position is needed, and the towel is needed to be disinfected and spread twice, so that the operation is complex, the operation and anesthesia time is increased, and the anesthesia risk and the operation complications of the patient are greatly increased.

(2) Inadequate exposure of the bone harvesting area results in prolonged bone harvesting time and increased bleeding.

(3) The form of the ilium cannot be completely kept after the bone is taken, and the pain complications are more.

The difficulty of solving the technical problems is as follows: aiming at the problem (1), some students adopt allogeneic bones or artificial bones as substitute materials, but the bone defects of the two materials after bone grafting have extremely low healing rate and low healing speed, thereby greatly increasing the risk of nonunion of the bones of patients and increasing the incidence rate of medical disputes, so that the current technical proposal except the application has no direct solution, and the current technical proposal aiming at the problems (2) and (3) has no direct solution.

The significance of solving the technical problems is as follows: the technical problem can be successfully solved, the operation steps are greatly reduced, the operation is simple and easy to operate, the operation time is greatly saved, the operation and anesthesia risks of a patient are reduced, the medical cost is saved, the medical expense is reduced, bleeding is reduced, the form of the ilium is kept, and complications such as pain are reduced.

Disclosure of Invention

Aiming at the problems in the prior art, the invention provides a novel bone taking method and a novel bone taking device.

The invention is realized in such a way that a novel bone harvesting method comprises the following steps:

first, the patient is in lateral decubitus.

And step two, simultaneously disinfecting and paving the four limbs and the bone taking area, and performing two operations by adopting one body position.

And thirdly, exposing the bone taking area by adopting a novel spreader.

Fourthly, a novel bone taking chisel is adopted to completely chisel the external iliac plate.

Fifthly, scraping cancellous bone by using a curette.

And sixthly, filling the outer plate back after the bone is taken out.

And step seven, suturing the incision and carrying out bone grafting operation.

Another object of the present invention is to provide a novel bone harvesting device, comprising: head, connecting portion and decorative pattern handle.

The head tail end of the novel bone taking device is hollow, the blank between the head and the connecting part is hollow, a bone block embedded into the head is conveniently ejected out, and the side face of the head is solid.

In summary, the advantages and positive effects of the invention are: at present, no related technology exists for bone taking after ilium, the previous operation needs to take bone in prone position first, then the operation is carried out by laying a sterilized towel again in supine position, the operation time is long, the operation is complicated, and more complications exist; the patient takes the lateral position in the method of the invention; meanwhile, the four limbs and the bone taking area are disinfected and paved, and two operations are carried out by adopting one body position; a novel spreader is adopted to expose a bone taking area; the outer plate of the ilium is completely chiseled by adopting a novel bone chisel; scraping cancellous bone by using a curette; filling the outer plate back after the bone is taken out; the incision is sutured and bone grafting is performed. The novel get bone device includes: head, connecting portion and decorative pattern handle. The head tail end of the novel bone taking device is hollow, the blank between the head and the connecting part is hollow, a bone block embedded into the head is conveniently ejected out, and the side face of the head is solid. The invention avoids the complex processes of frequently changing body positions and sterilizing in the operation, and reduces the material cost in the operation; greatly reduces the operation time, reduces the amount of bleeding, and reduces the anesthesia risk and the operation complication of the patient. The invention avoids the complex processes of frequently changing body positions and sterilizing in the operation, and reduces the material cost in the operation; greatly reduces the operation time, reduces the amount of bleeding, and reduces the anesthesia risk and the operation complication of the patient.

Drawings

Fig. 1 is a flow chart of a novel bone harvesting method provided by an embodiment of the invention.

FIG. 2 is a schematic structural view of the novel bone harvesting device provided by the embodiment of the present invention;

in the figure: 1. a head portion; 2. a connecting portion; 3. a patterned handle.

Fig. 3 is a diagram of the effects of the operation provided by the embodiment of the present invention.

Detailed Description

In order to make the objects, technical solutions and advantages of the present invention more apparent, the present invention is further described in detail with reference to the following embodiments. It should be understood that the specific embodiments described herein are merely illustrative of the invention and are not intended to limit the invention.

Aiming at the problems in the prior art, the invention provides a novel bone taking method and a bone taking device, and the invention is described in detail with reference to the accompanying drawings.

As shown in fig. 1, the novel bone grafting method provided by the embodiment of the invention comprises the following steps:

s101: the patient was in lateral decubitus.

S102: meanwhile, the four limbs and the bone taking area are disinfected and paved, and two operations are carried out by adopting one body position.

S103: and a novel spreader is adopted to expose the bone taking area.

S104: the novel bone chisel is adopted to completely chisel the external iliac bone plate.

S105: the cancellous bone is scraped by a curette.

S106: and after the bone is taken out, the outer plate is filled back.

S107: the incision is sutured and bone grafting is performed.

As shown in fig. 2, the novel bone-taking device provided by the embodiment of the present invention includes: head 1, connecting portion 2 and decorative pattern handle 3.

The tail end of the head of the novel bone taking device provided by the embodiment of the invention is hollow, the blank between the head and the connecting part is hollow, so that a bone block embedded in the head is conveniently ejected out, and the side surface of the novel bone taking device is solid.

The operation effect graph provided by the embodiment of the invention is shown in fig. 3.

The above description is only for the purpose of illustrating the preferred embodiments of the present invention and is not to be construed as limiting the invention, and any modifications, equivalents and improvements made within the spirit and principle of the present invention are intended to be included within the scope of the present invention.

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