CN106859757A - A kind of bone Handling device for shin bone large segmental bone defect - Google Patents
A kind of bone Handling device for shin bone large segmental bone defect Download PDFInfo
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- CN106859757A CN106859757A CN201510925429.6A CN201510925429A CN106859757A CN 106859757 A CN106859757 A CN 106859757A CN 201510925429 A CN201510925429 A CN 201510925429A CN 106859757 A CN106859757 A CN 106859757A
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- 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
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/72—Intramedullary pins, nails or other devices
- A61B17/7233—Intramedullary pins, nails or other devices with special means of locking the nail to the bone
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- 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
- A61B17/60—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 for external osteosynthesis, e.g. distractors, contractors
- A61B17/66—Alignment, compression or distraction mechanisms
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- 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
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/72—Intramedullary pins, nails or other devices
- A61B17/7233—Intramedullary pins, nails or other devices with special means of locking the nail to the bone
- A61B17/7241—Intramedullary pins, nails or other devices with special means of locking the nail to the bone the nail having separate elements through which screws pass
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- 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
- A61B2017/564—Methods for bone or joint treatment
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Abstract
The invention discloses a kind of bone Handling device for shin bone large segmental bone defect, including for axially squeezing into main nail in the marrow of sclerotin, main nail has the amplitude matched with human tibia anatomical structure in the marrow, and two ends are provided with the lock hole for coordinating with common fixing screws；Main nail two ends are provided with fixing threaded hole in the marrow；Also include a fixed support and some fixing screws；The fixing screws rear end is connected with fixed support, and the fixing threaded hole that front end nails on master in marrow is connected；Also main along marrow the carrying pin being axially moved can be followed closely including some, carrying pin one end implantation needs the bone piece for sliding, and the other end is connected on fixed support.
Description
Technical field
The device that art treats shin bone large segmental bone defect is carried the present invention relates to a kind of utilization bone.
Background technology
Long bone large segmental bone defect is that fracture of finger is unable to self-heal or is only capable of the Cranial defect of regeneration 10%, generally involve long bone diameter 2-3 times.Large segmental bone defect is generally caused by reasons such as High energy trauma, infection, tumours, is often accompanied by that limb shortening, deformity, osteomyelitis, muscular atrophy and adjacent joints are stiff, and its repairing and treating is always one of the biggest problem of field of orthopaedics.
Show according to statistics, be that patient most often receives one of preceding 50 kinds of treatments in the operation of German bone collection；The patient about 800,000 of bone collection operation need to be carried out every year in the U.S.；Chinese annual single because wound needs the operation of row bone collection just to exceed 3,000,000；Large segmental bone defect gives patient and brings the injury of huge body and mind and financial burden, therefore how to solve this problem and turned into the important topic of field of orthopaedics.
The main method of current clinical treatment long bone large segmental bone defect has autologous bone transplanting, Masquelet technologies and Ilizarov technologies.There is autologous bone transplanting optimal osteoacusis, self-bone grafting and ostosis to act on, and be the standard for treating Cranial defect.But autologous bone amount is limited, bone strength is not good enough, it is difficult to meet the demand of large segmental bone defect.Although the bone collection of anastomosis of blood vessel（Such as fibula, ilium, rib）It is also the effective ways for treating large segmental bone defect, but the operation wound is big, and many for area's complication, the time that bone graft completion is moulding and increasing is thick is long, and patient is unable to early loading, and stress fracture, muscular atrophy etc. easily occurs in the later stage.Additionally, the technological learning curve is long, patient is required of a relatively high, it is impossible to be widely used in clinic, therefore be not the main stream approach for treating large segmental bone defect.The treatment for appearing as large segmental bone defect of Masquelet technologies provides a kind of new way.The technology is using the autologous bone transplanting treatment Segmental Bone Defect of film auxiliary.The technology is specifically divided into two stages.First stage：Thoroughly clear rear implantation PMMA bone cement spacers, are fixed using interior fixation or outer fixation, close the surface of a wound, formation induction film.Second stage：6
Induction film is cut after -8w, bone cement spacer is removed, pulp cavity is got through, autologous spongiosa bone is filled in film, then closure induction film and otch.The induction film not only has the effects such as avoid transplanting bone information, maintenance bone graft position and prevent soft tissue from invading, and can secrete growth factor and bone-inducing factor promotion bone tissue growth, such as blood vessel endothelial factor, TGF-β 1, BMP-2 etc..Although multinomial clinical research proves Masquelet technologies, treatment Cranial defect can obtain certain clinical effectiveness, there is also significant limitations.The maximum defect of the technology is to need substantial amounts of autologous bone transplanting during repairing bone defect, increased operation wound and supplies area's complication；And the technology can not effectively correct limb shortening and the line of force, if merge large area skin soft tissue defects to also need to combine micro- flap technology.Additionally, patient is unable to early loading exercise after surgery, easily there are the complication such as stress fracture, bone information and bone nonunion, and the method needs to carry out twice even Repeated Operation, and length of patient stay is long, cost is high.
The appearance that bone carries technology is considered as the milestone of 20th century orthopaedic srugery, is that a New Times has been started in the treatment of Cranial defect.Bone carries technology to be created by Russian orthopedist Ilizarov, it then follows the tension force of regeneration-stress rule, meets " bone Natural Reconstruction " theory, is the goldstandard of current clinical treatment long bone large segmental bone defect.The core that bone carries technology is the distraction osteogenesis of Ilizarov supports, is specifically divided into three steps：1. suffering limb is fixed using Ilizarov supports, there is provided stability, maintenance limbs length and the line of force；2. pair the metaphysis near Cranial defect carries out low energy cortex osteotomy；3. active bone section is slid, drawn close by regulation Ilizarov supports according to appropriate speed and frequency to Cranial defect stump, and completes bone defect healing under the fixation of Ilizarov supports.Compared with autologous bone transplanting art and Masquelet technologies, bone is carried technology and is had the advantage that：1) repairing bone defect length is unrestricted, it is not necessary to autologous bone transplanting, it is to avoid the defect of autologous bone transplanting and Masquelet technologies " with wound repair wound "；2) technology can same period stretching soft tissue regeneration, be not required to using skin flap transplantation repair skin tissue defects；3) various complicated cacomelias can be corrected by the support arm same period.4) Minimally Invasive Surgery is belonged to, curative effect reliability is low-cost.
Although bone carries technology and treats various complicated Cranial defect determined curative effects, more complication is there is also, and these complication are closely related with the use of Ilizarov supports.The Ilizarov supports for carrying technology currently used for bone are mainly ring type exterior fixing rack and single pole exterior fixing rack.Ring type exterior fixing rack is three dimensions configuration, and fixed, stress distribution is uniform.The support needs to squeeze into several pieces of draw points on the two ends metaphysis and sliding bone piece of long bone, with the effect for providing stabilization, maintaining limbs length and the line of force.But wearing many draw points in many planes can cause sclerotin to cut, and reduce local bone strength, may result in iatrogenic fracture；And it is high to operating technology requirement when many planes penetrate draw point, damage and severely injured want neurovascular risk.The Ilizarov support fixed cycles are long, and clinical care is difficult, therefore pin site infection, needle track loosen, fracture and Soft tissue cutting complication often occur.And some patientss tolerance is poor, easily there are the psychic problems such as anxiety, depressed or even bigoted, also have some patientss because of the lower ground weight training of the senses of discomfort such as limbs pain, swelling refusal, the later stage be likely to occur disuse osteoporosis, fracture again, the bone delay in healing even complication such as disunion.The advantages of single pole exterior fixing rack has simple to operate, easy to carry, pin site infection is few and patient easily tolerates, is suitable for the less Cranial defect of length.But single pole exterior fixing rack mechanical stability is poor, it is impossible to adjust the line of force, suffering limb is unable to early loading, the later stage may occur in which the bad line of force, disuse osteoporosis, fracture again, the bone delay in healing even complication such as disunion.
The content of the invention
For above-mentioned technical problem, the present invention provides a kind of bone Handling device for shin bone large segmental bone defect, and sclerotin inserting needle is few, good stability.
In order to solve the above-mentioned technical problem, the technical solution adopted by the present invention is：A kind of bone Handling device for shin bone large segmental bone defect, including for axially squeezing into main nail in the marrow of sclerotin, main nail has the amplitude matched with human tibia anatomical structure in the marrow, and two ends are provided with the lock hole for coordinating with common fixing screws；Main nail two ends are provided with fixing threaded hole in the marrow；Also include a fixed support and some fixing screws；The fixing screws rear end is connected with fixed support, and the fixing threaded hole that front end nails on master in marrow is connected；Also main along marrow the carrying pin being axially moved can be followed closely including some, carrying pin one end implantation needs the bone piece for sliding, and the other end is connected on fixed support.
Improved as one kind, main nail middle part is provided with axially disposed carrying elongated hole in the marrow；Pin main elongated hole of carrying for nailing in marrow of carrying is implanted into the bone piece for needing sliding.Advantage is to carry pin to squeeze into double cortex, and hold is strong, and needle track occur, to loosen the probability for cutting out small, is suitable for the patient of osteoporosis.
Improved as one kind, main nail middle part is provided with axially disposed carrying elongated slot in the marrow；It is described to carry the bone piece that pin implantation needs to slide, and elongated slot is carried in one end insertion.Master is nailed on and opens up elongated slot in marrow, is easy to carry pin insertion, both can guarantee that the hold carried for bone piece, and the intensity of main nail in marrow is can guarantee that again.
Improved as one kind, the fixed mount is three-stage, including two save canned paragraph to be connected with fixing screws and centre for carry the carrying section that pin is connected；Connected by universal joint between the canned paragraph and carrying section.Because bone outside anatomical structure is slightly different, the support of existing straight rod-shaped coordinates bad with it.Fixed support is set to three-stage, is connected by universal joint between section and section, so the radian of fixed mount can be adjusted to adapt to by universal joint.
Improved as one kind, the hole passed through for fixing screws is provided with the canned paragraph；The hole is run through in fixing screws rear end, and is fastened by bolt.First by fixing screws through the hole on canned paragraph, then inserting needle screws in the fixing threaded hole that master nails in marrow, and last screwing bolts are fastened.Its good stability, convenient regulation.Certainly also there is other connection fastening means, such as screw is directly opened up on canned paragraph, fixing screws are first screwed in into the screw on canned paragraph when use, then screwing in the fixing threaded hole that master nails in marrow.Fixing screws two ends are all threaded connection, have both served the effect of main nail in fixed marrow, and itself is locked with fixed support again, its effect for having arrived locking.
Improved as one kind, the carrying section is nested by some section sleeves and formed；The corresponding elongated hole in position is provided with adjacent sleeve, and is fixed using the bolt through elongated hole.Human body long bone length is different, and the length of identical bone is also differed between Different Individual, the carrying section on fixed support is set into adjustable in length, it is adaptable to the long bone of different length so that whole device wide adaptability.
As a kind of further improvement, scale is provided with the sleeve.Sign length sleeve, is conducive to accurate adjustment.
Improved as one kind, also including a needle stand that can be slided up and down along fixed support, the carrying pin is fixed on needle stand.The bone piece that the implantation of pin front end needs to carry is carried, its rear end is fixed on needle stand.When needing to carry bone piece, position of the regulation needle stand on fixed support.
Further improved as a kind of, there is the scale of sign needle stand displacement on the fixed support.It is easy to the position of accurate adjustment needle stand, the distance of bone piece carrying can be recorded again.
Improved as one kind, the fixed support is axially arranged tooth bar, the gear coordinated with tooth bar is provided with the needle stand；The regulating bolt for driving gear rotation is provided with outside needle stand.Axially squeeze into main nail in marrow due to long bone to be fixed, the power needed for carrying bone piece is larger, is difficult to move.Coordinated using rack-and-pinion, only need to rotate regulating bolt, can just cause that needle stand is axially moved along fixed support, bone piece is carried while driving and carrying pin.
As one kind preferably, main nail two ends are each provided with two fixing screws in the marrow；The carrying pin is two.Two ends respectively set two fixing screws so that whole system is more consolidated.Similarly, two stability carried when pin also can guarantee that bone is carried.And local sclerotin can be caused to cut if fixing same bone plane using many pieces of draw points, and local sclerotin intensity is reduced, there is iatrogenic risk of bone fracture, and also metaphysis neural blood vessel is more, is easily damaged during operation.
The present invention is advantageous in that：1. the present apparatus whole can maintain the key line of force and length, it is to avoid occur the bad line of force, shortened deformity and lateral displacement in bone handling process；2. the present apparatus fixes reliable, patient postoperative i.e. feasible exercise of joint function and lower ground loaded exercise, reduces disuse osteoporosis, the postoperative incidence of fracture again of anchylosis agent；3. the draw point quantity of present apparatus implantation is few, reduces pin site infection, iatrogenic fracture and Soft tissue cutting incidence；4. present apparatus operating technology is relatively easy, and learning curve is short, is adapted to situation of all-level hospitals popularity and carries out；5. the present apparatus is light, and clinical care is convenient, and does not influence patient's daily life, and patient compliance is good, reduces the mental symptoms such as patient anxiety, depression.
Brief description of the drawings
Fig. 1-Fig. 3 is the structural representation of embodiments of the invention 1, while illustrating the agglutination of tibial bone defect.
Fig. 4 carries main pin structure schematic diagram in the marrow of elongated hole to be provided with embodiment 1.
Fig. 5 carries main pin structure schematic diagram in the marrow of elongated slot to be provided with embodiment 1.
It is to carry the carrying pin that main nail coordinates in elongated slot marrow and enter pin situation schematic diagram with being provided with Fig. 6 embodiments 1.
Fig. 7 be embodiment 1 in be not provided with carry elongated hole or carry elongated slot marrow in main pin structure schematic diagram.
Fig. 8 is to enter pin situation schematic diagram with being not provided with carrying elongated hole or carry the carrying pin that main nail coordinates in the marrow of elongated slot in embodiment 1.
Fig. 9 is that the schematic diagram of two-way bone carrying is carried out to the special large segmental bone defect of shin bone in embodiment 1.
Marked in figure：Elongated hole, 13 lock holes, 2 fixing screws, 3 carrying pins, 4 fixed supports, 41 canned paragraphs, 42 carrying sections, 43 bolts, 44 elongated holes, 45 regulating bolts, 46 needle stands, 47 universal joints are carried in main nail, 11 fixing threaded holes, 12 in 1 marrow.
Specific embodiment
Below in conjunction with the accompanying drawings, the present invention is described in detail.
In order to make the purpose , technical scheme and advantage of the present invention be clearer, below in conjunction with drawings and Examples, the present invention will be described in further detail.It should be appreciated that the specific embodiments described herein are merely illustrative of the present invention, it is not intended to limit the present invention.
As shown in Figures 1 to 9, it is adaptable to which shin bone large segmental bone defect carries art, for the different sclerotin situation of patient, main nail in marrow can be arranged to three types again.
It is directed to the patient of osteoporosis first, as shown in Figures 1 to 4, the present invention includes that main nail 1 has the amplitude matched with human tibia anatomical structure in the marrow, and two ends are provided with the lock hole 13 for coordinating with common fixing screws for axially squeezing into main nail 1 in the marrow of sclerotin.1 two ends of main nail are provided with fixing threaded hole 11 in the marrow, and its middle part is provided with axially disposed carrying elongated hole 12；Also include a fixed support 4 and some fixing screws 2；The rear end of the fixing screws 2 is connected with fixed support 4, and fixing threaded hole 11 of the front end with marrow on main nail 1 is connected；Also main along marrow the 1 carrying pin 3 being axially moved can be followed closely including some, the bone piece of described carrying pin 3 one end main carrying implantation needs sliding of elongated hole 12 followed closely on 1 in marrow, the other end is connected on fixed support 4.So carry pin 3 and run through whole bone piece.1 two ends of main nail are each provided with two fixing screws 2 in marrow；The carrying pin 3 is two.
For the relatively good patient of cortex of bone, as shown in Figure 7, Figure 8, carrying elongated hole 12 is not opened up in the marrow on main nail 1, due to patient's sclerotin consolidation, carrying pin is only implanted to a part of bone piece and also ensures that the carrying hold of pin 3.And because without the limitation for carrying elongated hole 12, carrying pin diameter can be made thicker, it is ensured that intensity.
With reference to the advantage of upper two kinds of structures, as shown in Figure 5, Figure 6, the main middle part of nail 1 is provided with axially disposed carrying elongated slot 16 in the marrow；It is described to carry the bone piece that the implantation of pin 3 needs to slide, and elongated slot 16 is carried in one end insertion.Carry the one end of pin 3 to be moved up and down along fixed support 4, the other end is carrying slip in elongated slot 16, both can guarantee that carrying pin 3, to the hold of bone piece, can guarantee that the intensity of main nail in 1 marrow again.Meanwhile, 3 pin front ends can be carried and be fabricated to and carry the tip that coordinates of elongated slot 16, and its gauge diameter by carry the limitation of elongated slot 16 can be made it is relatively thick so as to proof strength.
Fixed support 4 is three-stage, including two save canned paragraph 41 be connected with fixing screws 2 and centre for the carrying section 42 that is connected with carrying pin 3；Connect 47 by universal joint between the canned paragraph 41 and carrying section 42 to connect.The hole passed through for fixing screws 2 is provided with canned paragraph 42；The hole is run through in fixing screws rear end, and is fastened by bolt.Carrying section 42 is nested by some section sleeves and formed；The corresponding elongated hole 44 in position is provided with adjacent sleeve, and is fixed using the bolt 43 through elongated hole 44.Scale is provided with sleeve.Sign length sleeve, is conducive to accurate adjustment.
Also include a needle stand 46 that can be slided up and down along fixed support 4, the carrying pin 3 is fixed on needle stand 46.The fixed support 4 is axially arranged the gear for being provided with tooth bar, the needle stand 46 and being coordinated with tooth bar；The regulating bolt 45 for driving gear rotation is provided with outside needle stand 46.There is the scale of the sign displacement of needle stand 46 on the fixed support 4.It is easy to the position of accurate adjustment needle stand 46, the distance of bone piece carrying can be recorded again.
Lock 13 holes and often hold and be preferably provided two, and be arranged on the outside of fixing threaded hole 11.
Fig. 1-Fig. 3 illustrates the agglutination of tibial bone defect.
Patient for defect of tibial more than more than 6cm, as shown in figure 9, the needle stand 46 is upper and lower two, it is also two groups to carry pin 3, respectively with two needle stands, 46 liang of sections.Two groups of carrying pins 3 are respectively implanted two bone pieces for needing to carry, and two bone pieces are respectively at the two ends at Cranial defect position.Cranial defect two ends grow simultaneously, accelerate healing rate.
It is as follows using step：1. it is main in implantation marrow in advance to follow closely 1 and locked, recover key length, the line of force；
2. fixing screws 2 are passed through the hole on canned paragraph 41 by mounting and fixing bracket 4 first, and then inserting needle screws in the fixing threaded hole 11 on main nail 1 in marrow, and last screwing bolts are fastened.
3. in metaphysis target site osteotomy, then will carry pin 3 through carry elongated hole 12 implantation need sliding bone piece in；
4. the needle stand 46 for being slid on fixed support 4 by rotating regulating bolt 45 drives carries the sliding sclerite of pin 3, precise flow is carried out according to fixed support high scale, until sliding onto docking site, fixed support 4 is finally taken out, main nail 1 retains to fracture heal completely always in marrow.
Presently preferred embodiments of the present invention is the foregoing is only, is not intended to limit the invention, all any modification, equivalent and improvement made within the spirit and principles in the present invention etc. should be included within the scope of the present invention.
Claims (10)
1. a kind of bone Handling device for shin bone large segmental bone defect, including for axially squeezing into main nail in the marrow of sclerotin, main nail has the amplitude matched with human tibia anatomical structure in the marrow, and two ends are provided with the lock hole for coordinating with common fixing screws；It is characterized in that：Main nail two ends are provided with fixing threaded hole in the marrow；Also include a fixed support and some fixing screws；The fixing screws rear end is connected with fixed support, and the fixing threaded hole that front end nails on master in marrow is connected；Also main along marrow the carrying pin being axially moved can be followed closely including some, carrying pin one end implantation needs the bone piece for sliding, and the other end is connected on fixed support.
2. a kind of bone Handling device for shin bone large segmental bone defect according to claim 1, it is characterised in that：Main nail middle part is provided with axially disposed carrying elongated hole in the marrow；Pin main elongated hole of carrying for nailing in marrow of carrying is implanted into the bone piece for needing sliding.
3. a kind of bone Handling device for shin bone large segmental bone defect according to claim 1, it is characterised in that：Main nail middle part is provided with axially disposed carrying elongated slot in the marrow；It is described to carry the bone piece that pin implantation needs to slide, and elongated slot is carried in one end insertion.
4. a kind of bone Handling device for shin bone large segmental bone defect according to claim 1-3 any one, it is characterised in that：The fixed mount is three-stage, including two save canned paragraph to be connected with fixing screws and centre for carry the carrying section that pin is connected；Connected by universal joint between the canned paragraph and carrying section.
5. a kind of bone Handling device for shin bone large segmental bone defect according to claim 4, it is characterised in that：The hole passed through for fixing screws is provided with the canned paragraph；The hole is run through in fixing screws rear end, and is fastened by bolt.
6. a kind of bone Handling device for shin bone large segmental bone defect according to claim 4, it is characterised in that：The carrying section is nested by some section sleeves and formed；The corresponding elongated hole in position is provided with adjacent sleeve, and is fixed using the bolt through elongated hole.
7. a kind of bone Handling device for shin bone large segmental bone defect according to claim 6, it is characterised in that：Scale is provided with the sleeve.
8. a kind of bone Handling device for shin bone large segmental bone defect according to claim 1-3 any one, it is characterised in that：Also include a needle stand that can be slided up and down along fixed support, the carrying pin is fixed on needle stand.
9. a kind of bone Handling device for shin bone large segmental bone defect according to claim 8, it is characterised in that：There is the scale of sign needle stand displacement on the fixed support.
10. a kind of bone Handling device for shin bone large segmental bone defect according to claim 8, it is characterised in that：The fixed support is axially arranged tooth bar, and the gear coordinated with tooth bar is provided with the needle stand；The regulating bolt for driving gear rotation is provided with outside needle stand.
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| CN201510925429.6A CN106859757B (en) | 2015-12-14 | 2015-12-14 | A kind of bone handling device for shin bone large segmental bone defect |
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| CN201510925429.6A CN106859757B (en) | 2015-12-14 | 2015-12-14 | A kind of bone handling device for shin bone large segmental bone defect |
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| CN106859757B CN106859757B (en) | 2018-07-06 |
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Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109276298A (en) * | 2018-08-09 | 2019-01-29 | 盐城日升月恒智能科技有限公司 | A kind of novel marrow combination of inner and outside rope sheave Limb lengthening device |
| CN109276299A (en) * | 2018-08-09 | 2019-01-29 | 盐城日升月恒智能科技有限公司 | A kind of belt sheave Limb lengthening device |
| CN109276300A (en) * | 2018-08-09 | 2019-01-29 | 盐城日升月恒智能科技有限公司 | A kind of novel marrow combination of inner and outside bevel gear Limb lengthening device |
| CN110353760A (en) * | 2019-07-26 | 2019-10-22 | 盛珺 | A kind of directing plate for carrying Tibial osteotomy for bone |
| EP3820389A4 (en) * | 2018-07-09 | 2022-03-23 | Tobb Ekonomi Ve Teknoloji Universitesi | An external fixator having an alignment device |
Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2074171U (en) * | 1990-08-08 | 1991-04-03 | 吴道荣 | Extracorporeal bone fracture fixer |
| EP0639352A1 (en) * | 1993-08-20 | 1995-02-22 | Alumedica Aluminium-Bearbeitung Medizintechnik GmbH | Bone treating device |
| EP0696441A2 (en) * | 1994-08-10 | 1996-02-14 | Howmedica GmbH | Means for the stabilization of long bones, especially for the osteotomy |
| CN2429127Y (en) * | 2000-01-11 | 2001-05-09 | 汤福刚 | Bone transport implementation device |
| CN2691503Y (en) * | 2004-03-13 | 2005-04-13 | 王卫东 | External fixer for bone |
| CN1694650A (en) * | 2002-10-29 | 2005-11-09 | 马斯医药技术股份公司 | Device for the treatment of fractures of the femur |
| CN201119904Y (en) * | 2007-12-06 | 2008-09-24 | 解放军第四五五医院 | Bone external fixer of permeable X-ray |
| CN205458987U (en) * | 2015-12-14 | 2016-08-17 | 重庆医科大学附属永川医院 | Compromise shin bone bone handling device of transport needle power of controlling and intensity |
-
2015
- 2015-12-14 CN CN201510925429.6A patent/CN106859757B/en not_active Expired - Fee Related
Patent Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2074171U (en) * | 1990-08-08 | 1991-04-03 | 吴道荣 | Extracorporeal bone fracture fixer |
| EP0639352A1 (en) * | 1993-08-20 | 1995-02-22 | Alumedica Aluminium-Bearbeitung Medizintechnik GmbH | Bone treating device |
| EP0696441A2 (en) * | 1994-08-10 | 1996-02-14 | Howmedica GmbH | Means for the stabilization of long bones, especially for the osteotomy |
| CN2429127Y (en) * | 2000-01-11 | 2001-05-09 | 汤福刚 | Bone transport implementation device |
| CN1694650A (en) * | 2002-10-29 | 2005-11-09 | 马斯医药技术股份公司 | Device for the treatment of fractures of the femur |
| CN2691503Y (en) * | 2004-03-13 | 2005-04-13 | 王卫东 | External fixer for bone |
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