[發明專利]多軸向組配式抗感染半骨盆假體

有效

• 申請號: 200710199276.7
• 申請日: 2007-12-18
• 公開（公告）號: CN101268970A
• 公開（公告）日: 2008-09-24
• 發明（設計）人: 郭征;王臻;李靖;栗向東
• 申請（專利權）人: 中國人民解放軍第四軍醫大學
• 主分類號: A61F2/28
• 分類號: A61F2/28;A61F2/32
• 代理公司: 西安通大專利代理有限責任公司
• 代理人: 張震國

技術領域

本明屬于醫學領域，具體涉及一種多軸向組配式抗感染半骨盆假體。

背景技術

髖臼周圍原發或轉移性腫瘤切除后需要重建骨盆環的穩定及髖關節的功能。如果不進行重建患者將無法獨立行走并且遺留畸形和肢體短縮。骨盆的重建手術復雜而困難。其中恢復髖部的解剖，維持肢體的長度，保留肌肉的功能比在其它解剖部位的重建需要更多的時間和智慧(Apffelstaedt?JP，Zhang?PJ，Driscoll?DL，Karakousis?CP.Various?types?of?hemipelvectomy?for?softtissue?sarcomas：complications，survival?and?prognostic?factors.SurgOncol.1995?Aug；4(4)：217-22.；Campanacci?M，Capanna?R.Pelvic?resections：the?Rizzoli?Institute?experience.Orthop?Clin?North?Am.1991Jan；22(1)：65-86.；Fahey?M，Spanier?SS，Vander?Griend?RA.Osteosarcomaof?the?pelvis.A?clinical?and?histopathological?study?of?twenty-fivepatients.J?Bone?Joint?Surg?Am.1992Mar；74(3)：321-30.；Mankin?HJ.Acomputerized?system?for?orthopaedic?oncology.Clin?Orthop?Relat?Res.2002?May；(398)：252-61.；Masterson?EL，Davis?AM，Wunder?JS，BellRS.Hindquarter?amputation?for?pelvic?tumors.The?importance?of?patientselection.Clin?Orthop?Relat?Res.1998May；(350)：187-94.；O’Connor?MI，Sim?FH.Salvage?of?the?limb?in?the?treatment?of?malignant?pelvic?tumors.J?Bone?Joint?Surg?Am.1989?Apr；71(4)：481-94.；Patterson?FR，Peabody?TD.Operative?management?of?metastases?to?the?pelvis?and?acetabulum.OrthopClin?North?Am.2000?Oct；31(4)：623-31.；Prewitt?TW，Alexander?HR，Sindelar?WF.Hemipelvectomy?for?soft?tissue?sarcoma：clinical?resultsin?fifty-three?patients.Surg?Oncol.1995；4(5)：261-9.；Shin?KH，RougraffBT，Simon?MA.Oncologic?outcomes?of?primary?bone?sarcomas?of?the?pelvis.Clin?Orthop?Relat?Res.1994?Jul；(304)：207-17.；Windhager?R，Karner?J，Kutschera?HP，Polterauer?P，Salzer-Kuntschik?M，Kotz?R.Limb?salvage?inperiacetabular?sarcomas：review?of?21?consecutive?cases.Clin?OrthopRelat?Res.1996?Oct；(331)：265-76.；Yoshida?Y，Osaka?S，MankinHJ.Hemipelvic?allograft?reconstruction?after?periacetabular?bone?tumorresection.J?Orthop?Sci.2000；5(3)：198-204.；Aboulafia?AJ，Buch?R，Mathews?J，Li?W，Malawer?MM.Reconstruction?using?the?saddle?prosthesisfollowing?excision?of?primary?and?metastatic?periacetabular?tumors.Clin?Orthop?Relat?Res.1995May；(314)：203-13.)。目前有多種髖臼周圍切除后的重建方法：馬鞍狀假體的插入(Cottias?P，Jeanrot?C，Vinh?TS，TomenoB，Anract?P.Complications?and?functional?evaluation?of?17?saddleprostheses?for?resection?of?periacetabular?tumors.J?Surg?Oncol.2001Oct；78(2)：90-100.；Gradinger?R，Rechl?H，Hipp?E.Pelvic?osteosarcoma.Resection，reconstruction，local?control，and?survival?statistics.ClinOrthop?Relat?Res.1991?Sep；(270)：149-58.)；計算機輔助設計的假體橋接切除空缺(Abudu?A，Grimer?RJ，Cannon?SR，Carter?SR，SneathRS.Reconstruction?of?the?hemipelvis?after?the?excision?of?malignanttumours.Complications?and?functional?outcome?of?prostheses.J?BoneJoint?Surg?Br.1997?Sep；79(5)：773-9.；Uchida?A，Myoui?A，Araki?N，Yoshikawa?H，Ueda?T，Aoki?Y.Prosthetic?reconstruction?forperiacetabular?malignant?tumors.Clin?Orthop?Relat?Res.1996May；(326)：238-45.)；骨水泥假體聯合自體(Satcher?Jr?RL，O’Donnell?RJ，Johnston?JO.Reconstruction?of?the?pelvis?after?resection?of?tumors?aboutthe?acetabulum.Clin?Orthop?Relat?Res.2003?Apr；(409)：209-17.；Harrington?KD.The?use?of?hemipelvic?allografts?or?autoclaved?grafts?forreconstruction?after?wide?resections?of?malignant?tumors?of?the?pelvis.J?Bone?Joint?Surg?Am.1992Mar；74(3)：331-41.)或者異體骨(HarringtonKD.The?use?of?hemipelvic?allografts?or?autoclaved?grafts?forreconstruction?after?wide?resections?of?mal?ignant?tumors?of?the?pelvis.J?Bone?Joint?Surg?Am.1992?Mar；74(3)：331-41.；Bell?RS，Davis?AM，WunderJS，Buconjic?T，McGoveran?B，Gross?AE.Allograft?reconstruction?of?theacetabulum?after?resection?of?stage-IIB?sarcoma.Intermediate-termresults.J?Bone?Joint?Surg?Am.1997?Nov；79(11)：1663-74.；Langlais?F，Lambotte?JC，Thomazeau?H.Long-term?results?of?hemipelvis?reconstructionwith?al?lografts.Clin?Orthop?Relat?Res.2001?Jul；(388)：178-86.；OzakiT，Hillmann?A，Bettin?D，Wuisman?P，Winkelmann?W.High?complication?rateswith?pelvic?allografts.Experience?of?22?sarcoma?resections.Acta?OrthopScand.1996?Aug；67(4)：333-8.)的支撐；斯氏針合并骨水泥加強自體骨高壓滅菌并全髖成形(Satcher?Jr?RL，O’Donnell?RJ，Johnston?JO.Reconstructionof?the?pelvis?after?resection?of?tumors?about?the?acetabulum.Clin?OrthopRelat?Res.2003?Apr；(409)：209-17.)；異體骨結構性重建(Delloye?C，BanseX，Brichard?B，Docquier?PL，Cornu?O.Pelvic?reconstruction?with?astructural?pelvic?allograft?after?resection?of?a?malignant?bone?tumor.J?Bone?Joint?Surg?Am.2007?Mar；89(3)：579-87.)。