CN107280727B - Tibia intramedullary director - Google Patents

Tibia intramedullary director Download PDF

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Publication number
CN107280727B
CN107280727B CN201710577654.4A CN201710577654A CN107280727B CN 107280727 B CN107280727 B CN 107280727B CN 201710577654 A CN201710577654 A CN 201710577654A CN 107280727 B CN107280727 B CN 107280727B
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China
Prior art keywords
main body
adjusting plate
angle
tibia
transverse frame
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Active
Application number
CN201710577654.4A
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Chinese (zh)
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CN107280727A (en
Inventor
周嘉宏
郑东桂
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Changzhou Orthmed Medical Instrument Co Ltd
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Changzhou Orthmed Medical Instrument Co Ltd
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Priority to CN201710577654.4A priority Critical patent/CN107280727B/en
Publication of CN107280727A publication Critical patent/CN107280727A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17Guides or aligning means for drills, mills, pins or wires
    • A61B17/1732Guides or aligning means for drills, mills, pins or wires for bone breaking devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17Guides or aligning means for drills, mills, pins or wires
    • A61B17/1739Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • A61B17/1764Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the knee
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06Measuring instruments not otherwise provided for
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B2017/564Methods for bone or joint treatment
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06Measuring instruments not otherwise provided for
    • A61B2090/067Measuring instruments not otherwise provided for for measuring angles

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

Abstract

The invention provides a tibia intramedullary director which comprises a main body, a transverse frame and a rotary adjusting plate, wherein long nail holes and directional rod holes penetrating through the upper end face and the lower end face are formed in the main body, the rotary adjusting plate is arranged on the side face of the main body, the lower end of the rotary adjusting plate is fixedly connected with one end of the transverse frame to form an L-shaped structure, the joint of the rotary adjusting plate and the transverse frame is rotationally connected to the main body through a pin shaft, and angle indicating score lines are arranged on the main body corresponding to the upper end of the rotary adjusting plate. The invention obtains the tibia force line by adjusting the placement position of the director; the varus angle, the valgus angle and the back dip angle required by osteotomy are obtained by adjusting different angles of the orienter, so that the problems of osteotomy positioning and osteotomy quantity determination in knee joint replacement are effectively solved, and the device is simple in structure and convenient to operate.

Description

Tibia intramedullary director
Technical Field
The invention relates to the technical field of medical appliances, in particular to a tibia intramedullary director.
Background
Knee joints are the largest and most complex joints in the human body. Knee replacements are used on severely damaged knee joints. As knee replacement becomes the most popular procedure for severe knee injuries, research on knee replacement has also been increasingly emphasized.
Prosthetic knee surface replacement surgery involves the implantation of femoral and tibial prosthetic components between the distal femur and proximal tibia to replace a damaged knee. When the tibia is cut, the accurate bone cutting amount, the accurate bone cutting position and the accurate inclination angle of the bone cutting surface need to be determined.
There are a number of clamps or instruments known in the art for determining the amount of osteotomies, such as: the determination of the osteotomy amount, the osteotomy position and the inclination angle of the osteotomy face is realized by a tibia sounder, but the positions of the clamps or instruments are required to be positioned, and the existing positioner has the defects of difficult positioning, inconvenient adjustment and the like.
Disclosure of Invention
The technical problems to be solved by the invention are as follows: in order to overcome the defects in the prior art, the invention provides a tibia intramedullary director.
The technical scheme adopted for solving the technical problems is as follows: the utility model provides a tibia intramedullary director, includes main part, crossbearer, cross axle and rotation control board, be equipped with long nail hole and the directional pole hole of penetrating upper and lower both ends face in the main part, rotation control board sets up the side of main part, just rotation control board's lower extreme with cross axle one end fixed connection forms L shape structure, rotation control board and the junction of cross axle are in through round pin axle swivelling joint in the main part, be equipped with the angle indication score line in the main part that rotation control board upper end corresponds, the crossbearer cover is established on the cross axle, just the crossbearer is in the position axial adjustable on the cross axle, the crossbearer below is equipped with the montant that is used for fixed tibia osteotome, montant with crossbearer body coupling.
The directional rod hole is used for installing an intramedullary directional rod and used for adjusting the position of the directional device to determine a tibia force line, wherein the tibia force line refers to the mechanical axis of tibia, and the mechanical axis of lower limb usually passes through the center of knee joint; the long nail hole is used for installing and knocking in a long nail used for fixing the locator in the tibia, and the long nail is knocked in for fixing after the tibia force line is adjusted. The transverse shaft and the rotary adjusting plate are rotationally connected with the main body, and the angle of the main body in the axis direction of the tibia can be adjusted, so that the adjustment of the angle of the working surface of the tibia osteotome fixed on the vertical rod at the lower end of the transverse frame is realized, and the required back dip angle is adjusted.
The upper end of the vertical rod is fixedly connected with the transverse frame, the lower end of the vertical rod extends downwards freely, the transverse frame drives the vertical rod to be adjustable in axial position along the transverse frame, and the transverse frame can axially rotate on the transverse shaft. The vertical rod is driven to axially move along the transverse shaft by adjusting the position of the transverse frame on the transverse shaft so as to adjust the distance between the tibia osteotomy device and the front end of the tibia, so that the device is suitable for osteotomy operations of the tibia with different sizes, and the varus angle or valgus angle adjustment is realized by rotating the angle of the transverse frame on the transverse shaft.
Further, in order to ensure the fixing of the adjusted position of the cross frame, a first locking screw for fastening the cross frame on the cross shaft is further arranged on the cross frame. The structure of the first locking screw and the cross frame is similar to that of a jackscrew, and when the position of the cross frame is adjusted to a proper distance between the tibia osteotome and the tibia, the first locking screw is screwed down and is propped against the cross shaft, so that the position is fixed.
In order to realize the quick adjustment of back dip angle, be equipped with the spring locating pin in the main part of angle indication dividing below, rotatory regulating plate is close to be equipped with on the side of the one end of angle indication dividing with a plurality of locating holes that the spring locating pin corresponds, the quantity of locating hole with the angle one-to-one that the angle indication dividing indicated. The spring locating pin can stretch out and draw back inside and outside, has the locating hole with angle indication line one-to-one on the rotation regulating plate, when which angle is needed, only need rotate the crossbearer, drive rotation regulating plate rotate, make the spring locating pin correspond get into corresponding locating hole can, when needs the adjustment again, rotate the crossbearer again, make the spring locating pin retract, until rotate to corresponding position again pop out to corresponding locating hole in, realize quick angle adjustment.
When the angle of the working face of the tibia osteotomy device is adjusted through the rotation adjusting plate, the fixing of the position cannot be kept only by adopting the positioning of the spring positioning pin and the positioning hole, so that the angle deviation of the working face of the tibia osteotomy device is caused by the change of the position of the rotation adjusting plate, and the deviation of the osteotomy quantity is caused, an arc-shaped through hole is formed in one end, close to the angle indication scribing line, of the rotation adjusting plate, and a second locking screw used for locking the rotation adjusting plate is arranged in the arc-shaped through hole. The position of the rotary adjusting plate is fixed through the second locking screw, so that the stability of the position of the tibia osteotomy device is ensured, and the accuracy of the osteotomy quantity is improved.
Further, a spring washer is further arranged between the rotation adjusting plate and the second locking screw. The spring washer can avoid lifting of the locking screw caused by sliding of the threads, and locking can be realized more effectively.
Further, after the spike is knocked into the tibia, the position between the spike and the main body needs to be fixed, so that a cylindrical pin for locking the spike is further arranged on the main body. After the long nails are installed in the main body, the cylindrical pins are pressed into corresponding positions, and two end faces of the cylindrical pins are riveted, so that the removal force is ensured to be not smaller than 20LBS.
Further, a third locking screw used for locking the intramedullary directional rod is arranged at the position of the main body corresponding to the directional rod hole. And the locking of the intramedullary directional rod is realized by adopting a third locking screw.
The beneficial effects of the invention are as follows: the invention provides a tibia intramedullary director, which is used for acquiring a tibia force line by adjusting the placement position of the director; the varus angle, the valgus angle and the back dip angle required by osteotomy are obtained by adjusting different angles of the orienter, so that the problems of osteotomy positioning and osteotomy quantity determination in knee joint replacement are effectively solved, and the device is simple in structure and convenient to operate.
Drawings
The invention is further described below with reference to the drawings and examples.
FIG. 1 is a schematic view of a preferred embodiment of the present invention;
FIG. 2 is a schematic view of the structure of the direction A in FIG. 1;
FIG. 3 is a schematic view of the B-direction structure of FIG. 1;
FIG. 4 is a schematic diagram of the connection structure of the horizontal axis and the rotation adjustment plate;
FIG. 5 is a state of use diagram of the present invention;
FIG. 6 is a schematic side elevational view of FIG. 5;
fig. 7 is another state of use of the present invention.
In the figure: 1. the device comprises a long nail, 2, a transverse frame, 3, a first locking screw, 4, a main body, 5, a transverse shaft, 6, a cylindrical pin, 7, a second locking screw, 8, a spring positioning pin, 9, a rotation adjusting plate, 10, a third locking screw, 11, a positioning hole, 12, a vertical rod, 13, a tibia bone cutter, 14, an intramedullary directional rod, 15, an angle indicating score line, 16, an arc through hole, 17, a pin shaft, 18, a spring washer, 19, a long nail hole, 20, a directional rod hole, 21, tibia, 22 and a working surface.
Detailed Description
The present invention will now be described in detail with reference to the accompanying drawings. The figure is a simplified schematic diagram illustrating the basic structure of the invention only by way of illustration, and therefore it shows only the constitution related to the invention.
As shown in fig. 1 to 7, the tibia intramedullary director of the present invention includes a main body 4, a cross-frame 2, a cross-shaft 5, and a rotation adjustment plate 9.
A long nail hole 19 and a directional rod hole 20 which penetrate through the upper end face and the lower end face are arranged in the main body 4, the directional rod hole 20 is used for installing an intramedullary directional rod 14, the position of a directional device is adjusted to determine a tibia 21 force line, the tibia 21 force line refers to a mechanical axis of the tibia 21, and the mechanical axis of a lower limb usually passes through the center of a knee joint; the long nail hole 19 is used for installing and knocking in the long nail 1 used for fixing the locator in the tibia 21, and when the tibia 21 force line is adjusted, the long nail 1 is knocked in to be fixed, the long nail hole 19 is obliquely arranged, and the upper end is far away from the directional rod hole 20. After the spike 1 is knocked into the tibia 21, the position between the spike 1 and the main body 4 needs to be fixed, and therefore, the main body 4 is further provided with a cylindrical pin 6 for locking the spike 1. After the long nails 1 are installed in the main body 4, the cylindrical pins 6 are pressed into corresponding positions, and two end faces of the cylindrical pins 6 are riveted, so that the removal force is ensured to be not smaller than 20LBS.
The transverse frame 2 is sleeved on the transverse shaft 5, the position of the transverse frame 2 on the transverse shaft 5 is axially adjustable, a vertical rod 12 for fixing a tibia osteotomy device 13 is arranged below the transverse frame 2, and the vertical rod 12 is integrally connected with the transverse frame 2. The upper end of the vertical rod 12 is fixedly connected with the transverse frame 2, the lower end of the vertical rod extends downwards freely, and the transverse frame 2 drives the vertical rod 12 to be adjustable along the axial position of the transverse frame 2. The vertical rod 12 is driven to axially move along the transverse shaft 5 by adjusting the position of the transverse frame 2 on the transverse shaft 5, so that the distance between the tibia osteotome 13 and the front end of the tibia 21 is adjusted, the device can also be suitable for osteotomy of the tibia 21 with different sizes, and the varus angle or valgus angle adjustment can be realized by rotating the angle of the transverse frame 2 on the transverse shaft 5. In order to ensure the fixing of the adjusted position of the cross frame 2, the cross frame 2 is further provided with a first locking screw 3 for fastening the cross frame 2 to the cross shaft 5.
The rotary adjusting plate 9 is arranged on the side surface of the main body 4, the lower end of the rotary adjusting plate 9 is fixedly connected with one end of the transverse shaft 5 to form an L-shaped structure, and the rotary adjusting plate 9 and the transverse shaft 5 are screwed tightly firstly and then welded by argon arc welding; the joint of the rotation adjusting plate 9 and the transverse shaft 5 is rotationally connected to the main body 4 through a pin shaft 17, the transverse shaft 5 and the rotation adjusting plate 9 are rotationally connected to the main body 4, and the angle in the axial direction of the tibia 21 can be adjusted, so that the adjustment of the angle of the working surface 22 of the tibia cutter 13 fixed on the vertical rod 12 at the lower end of the transverse frame 2 is realized, and the required back tilt angle alpha is adjusted. The main body 4 corresponding to the upper end of the rotation adjusting plate 9 is provided with an angle indicating line 15, in order to realize the rapid adjustment of the back inclination angle alpha, the main body 4 below the angle indicating line 15 is internally provided with a spring locating pin 8, the side surface of the rotation adjusting plate 9, which is close to one end of the angle indicating line 15, is provided with a plurality of locating holes 11 corresponding to the spring locating pin 8, and the number of the locating holes 11 corresponds to the angle indicated by the angle indicating line 15 one by one. In order to fix the position of the rotation adjusting plate 9, an arc-shaped through hole 16 is formed in one end, close to the angle indicating score line 15, of the rotation adjusting plate 9, a second locking screw 7 used for locking the rotation adjusting plate 9 is arranged in the arc-shaped through hole 16, a spring washer 18 is further arranged between the rotation adjusting plate 9 and the second locking screw 7, and the spring washer 18 is a belleville spring washer 18.
After the position of the director on the intramedullary directional rod 14 is adjusted, the position between the two needs to be fixed, so that a third locking screw 10 for locking the intramedullary directional rod 14 is further arranged on the main body 4 at a position corresponding to the directional rod hole 20.
The first locking screw 3, the second locking screw 7 and the third locking screw 10 are wing-shaped screws, the three locking screws are similar to jackscrews, the screws are screwed down, the end part is abutted against a locked component to realize locking, the screws are loosened, and the end part is separated from the component to be loosened.
Working principle:
a) Inserting the intramedullary directional rod 14 into the intramedullary cavity of the tibia 21, obtaining the correct tibia 21 force line, and then installing the director on the intramedullary directional rod 14;
b) Rotating and aligning the tibia with the tibial tuberosity of the tibia 21 as a reference, aligning the axis of the director with the line of force of the tibia 21, and fixing the knocking spike 1 after aligning;
c) The tibia osteotomy device 13 is arranged on the vertical rod 12 below the transverse frame 2, the required varus angle, valgus angle or back tilt angle alpha is adjusted, the third locking screw 10 is locked at a proper position to fix the orienter on the intramedullary orientation rod 14, and the osteotomy quantity is determined;
d) In the step c, when the internal turning angle or the external turning angle is adjusted, the first locking screw 3 is loosened, the transverse frame 2 is moved towards the direction of an operator and rotated to obtain the required internal turning angle or the external turning angle, and the first locking screw 3 is locked after the required angle is obtained;
e) In the step c, when the back tilt angle alpha is adjusted, the second locking screw 7 is firstly loosened, the transverse frame 2 is rotated, the angle between the transverse frame 2 and the main body 4 is adjusted, and the second locking screw 7 is locked after the required back tilt angle alpha is obtained. As shown in fig. 5 and 7, the back tilt angle α is different from the back tilt angle α in fig. 5 to be 0 ° and the back tilt angle α in fig. 7 to be 5 °.
While the foregoing is directed to the preferred embodiment of the present invention, other and further embodiments of the invention may be devised without departing from the basic scope thereof, and the scope thereof is determined by the claims that follow. The technical scope of the present invention is not limited to the description, but must be determined according to the scope of claims.

Claims (2)

1. A tibial intramedullary director, characterized by: the novel tibia cutting device comprises a main body (4), a transverse frame (2), a transverse shaft (5) and a rotary adjusting plate (9), wherein a spike hole (19) and a directional rod hole (20) penetrating through the upper end face and the lower end face are formed in the main body (4), the rotary adjusting plate (9) is arranged on the side face of the main body (4), the lower end of the rotary adjusting plate (9) is fixedly connected with one end of the transverse shaft (5) to form an L-shaped structure, the connecting part of the rotary adjusting plate (9) and the transverse shaft (5) is rotationally connected onto the main body (4), an angle indicating score line (15) is arranged on the main body (4) corresponding to the upper end of the rotary adjusting plate (9), the transverse frame (2) is sleeved on the transverse shaft (5) and is rotationally connected, the position of the transverse frame (2) on the transverse shaft (5) is axially adjustable, a tibia (12) used for fixing a bone cutter (13) is arranged below the transverse frame (2), and the vertical rod (12) is integrally connected with the transverse frame (2).
The transverse frame (2) is also provided with a first locking screw (3) for fastening the transverse frame (2) on the transverse shaft (5);
a spring positioning pin (8) is arranged in the main body (4) below the angle indicating scribing line (15), a plurality of positioning holes (11) corresponding to the spring positioning pin (8) are formed in the side surface of the rotating adjusting plate (9) close to one end of the angle indicating scribing line (15), and the number of the positioning holes (11) corresponds to the angle indicated by the angle indicating scribing line (15) one by one;
an arc-shaped through hole (16) is formed in one end, close to the angle indication score line (15), of the rotation adjusting plate (9), and a second locking screw (7) used for locking the rotation adjusting plate (9) is arranged in the arc-shaped through hole (16);
the main body (4) is also provided with a cylindrical pin (6) for locking the spike (1);
and a third locking screw (10) for locking the intramedullary directional rod (14) is further arranged on the main body (4) at a position corresponding to the directional rod hole (20).
2. The tibial intramedullary director of claim 1, wherein: and a spring washer (18) is arranged between the rotation adjusting plate (9) and the second locking screw (7).
CN201710577654.4A 2017-07-15 2017-07-15 Tibia intramedullary director Active CN107280727B (en)

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Application Number Priority Date Filing Date Title
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CN107280727B true CN107280727B (en) 2023-10-27

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Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109171878B (en) * 2018-09-19 2023-08-04 北京新星靓京广医疗美容医院有限公司 Thumb everting substrate closed wedge-shaped osteotomy guider
CN113520518B (en) * 2020-04-21 2023-09-05 孙晓明 Tibia high-position guiding osteotomy orthopedic internal fixing device
CN111839823B (en) * 2020-09-01 2022-12-23 天衍医疗器材有限公司 Tibia test operation tool system with multiple verification functions
CN113729839B (en) * 2021-09-13 2023-04-07 张洪美 Distal femur extramedullary positioning bone cutter in knee joint replacement operation

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FR2943528A1 (en) * 2009-03-27 2010-10-01 Tornier Sa Surgical instrumentation for resecting longitudinal ends of long bone i.e. tibia of human during surgical operation i.e. prosthesis of knee, has tibial cutting guide located at longitudinal level of tibia in service positions
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CN204072393U (en) * 2014-09-02 2015-01-07 北京纳通科技集团有限公司 A kind of guide post positioner
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CN104546087A (en) * 2015-01-07 2015-04-29 北京爱康宜诚医疗器材股份有限公司 Preartis osteotomy device
CN205234503U (en) * 2015-12-22 2016-05-18 北京积水潭医院 A shin bone section bone auxiliary device that is used for accurate demonstration to cut surface of bone hypsokinesis angle
CN208371847U (en) * 2017-07-15 2019-01-15 常州奥斯迈医疗器械有限公司 Shin bone marrow interior orientation device

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US4952213A (en) * 1989-02-03 1990-08-28 Boehringer Mannheim Corporation Tibial cutting guide
EP0709062A1 (en) * 1994-10-27 1996-05-01 Merck Biomaterial France Tibial cutting instrument
FR2943528A1 (en) * 2009-03-27 2010-10-01 Tornier Sa Surgical instrumentation for resecting longitudinal ends of long bone i.e. tibia of human during surgical operation i.e. prosthesis of knee, has tibial cutting guide located at longitudinal level of tibia in service positions
CN201822904U (en) * 2010-10-12 2011-05-11 北京爱康宜诚医疗器材股份有限公司 Intramedullary positioner for knee-joint replacement operation
CN103705246A (en) * 2013-12-27 2014-04-09 北京爱康宜诚医疗器材股份有限公司 Knee-joint internal and external rotating angle measurer
CN204072393U (en) * 2014-09-02 2015-01-07 北京纳通科技集团有限公司 A kind of guide post positioner
CN204260842U (en) * 2014-11-24 2015-04-15 王晓猛 A kind of positioner of total knee replacement Tibial osteotomy device
CN104546087A (en) * 2015-01-07 2015-04-29 北京爱康宜诚医疗器材股份有限公司 Preartis osteotomy device
CN205234503U (en) * 2015-12-22 2016-05-18 北京积水潭医院 A shin bone section bone auxiliary device that is used for accurate demonstration to cut surface of bone hypsokinesis angle
CN208371847U (en) * 2017-07-15 2019-01-15 常州奥斯迈医疗器械有限公司 Shin bone marrow interior orientation device

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