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    • 52. 发明公开
    • Patient-specific surgical guide for intra-operative production of patient-specific augment
    • 病人手术手术
    • EP2845547A1
    • 2015-03-11
    • EP14183632.0
    • 2014-09-04
    • Zimmer Inc.
    • Couture, Pierre
    • A61B17/17A61F2/40A61F2/30A61C13/00
    • A61B17/1739A61B17/17A61B17/1778A61F2/30942A61F2/4081A61F2002/30736
    • A patient-specific surgical guide (30) for intra-operatively producing a patient-specific augment is provided. A method using the same includes planning a patient-specific augment (22) using obtained patient imagery of a bone such as the scapula (24) adapted to receive a prosthesis such as a glenoid implant (26) to determine a size and shape of the patient-specific augment corresponding to the bone, creating a model of the patient-specific augment having the determined size and shape, and providing a patient-specific surgical guide, for example a semi-spherical shell-shaped milling guide (34) having cutting guide surfaces such as intersecting slots (46) which are customized in position and orientation and configured to guide a surgical implement such as a bone milling burr (52) to form the patient-specific augment corresponding to the 3D model. The patient-specific surgical guide is then used intra-operatively to create the augment corresponding to the 3D model.
    • 提供了用于手术中产生患者特异性增加的患者特异性手术引导件(30)。 使用该方法的方法包括使用获得的诸如肩胛骨(24)的骨骼的患者图像来规划患者特异性增大(22),所述骨架适于接收假体,例如关节盂植入物(26),以确定 针对与骨骼相对应的患者特异性扩张,产生具有确定的尺寸和形状的患者特异性增强的模型,以及提供患者特异性手术引导件,例如具有切割的半球形壳形铣削引导件(34) 引导表面,例如在位置和方向上定制的相交槽(46),并且被配置为引导诸如骨铣削毛刺(52)的外科手术器械,以形成对应于3D模型的患者特定扩张。 然后在手术中使用患者特异性手术指南以创建对应于3D模型的增强。