CN106859757B - 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
- Publication number
- CN106859757B CN106859757B CN201510925429.6A CN201510925429A CN106859757B CN 106859757 B CN106859757 B CN 106859757B CN 201510925429 A CN201510925429 A CN 201510925429A CN 106859757 B CN106859757 B CN 106859757B
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- bone
- marrow
- needle
- carrying
- fixing
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Classifications
-
- 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
-
- 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
-
- 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
-
- 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
Abstract
The invention discloses a kind of bone handling devices for shin bone large segmental bone defect, including being used to axially squeeze into main nail in the marrow of sclerotin, for main nail with the amplitude to match with human tibia anatomical structure, both ends are provided with the lock hole for coordinating with common fixing screws in the marrow;Main nail both ends are provided with fixing threaded hole in the marrow;Further include a fixing bracket and several fixing screws;The fixing screws rear end is connect with fixing bracket, and front end is connected with the fixing threaded hole nailed on main in marrow;Further include it is several can main nail is axially moved along marrow carrying needle, described to carry the implantation of needle one end and need the bone block slid, the other end is connected on fixing bracket.
Description
Technical field
The present invention relates to a kind of devices that art treatment shin bone large segmental bone defect is carried with 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 bone defect of regeneration 10%, is generally involved
2-3 times of long bone diameter.Large segmental bone defect is usually caused by reasons such as High energy trauma, infection, tumours, and it is short to be often accompanied by limbs
Contracting, deformity, osteomyelitis, muscular atrophy and adjacent joints are stiff, and repairing and treating is always one of the biggest problem of field of orthopaedics.
Show according to statistics, German bone collection operation be patient most often receive before 50 kinds treatment one of;Bone shifting need to be carried out every year in the U.S.
Plant the patient about 800,000 of operation;Annual in China has been more than singly just 3,000,000 because wound needs the operation of row bone collection;Big section bone lacks
Damage gives patient and brings the injury of huge body and mind and financial burden, therefore how to solve this problem and become the weight of field of orthopaedics
Want subject.
At present the main method of clinical treatment long bone large segmental bone defect have autologous bone transplanting, Masquelet technologies and
Ilizarov technologies.Autologous bone transplanting has best osteoacusis, self-bone grafting and ostosis effect, is the mark for treating bone defect
It is accurate.However self, bone amount is limited, bone strength is not good enough, it is difficult to meet the needs of large segmental bone defect.Although the bone collection of anastomosis of blood vessel
(Such as fibula, ilium, rib cage)It is also the effective ways for the treatment of large segmental bone defect, but the operation wound is big, district complication
More, bone graft completion moulding and thickening time is long, and patient is unable to early loading, and stress fracture, flesh easily occurs in the later stage
Meat atrophy etc..In addition, the technological learning curve is long, patient is required relatively high, it is impossible to be widely used in clinic, therefore not
It is the main stream approach for treating large segmental bone defect.The appearance of Masquelet technologies provides a kind of new way for the treatment of large segmental bone defect
Diameter.The technology is the autologous bone transplanting treatment section bone defect using film auxiliary.The technology is specifically divided into two stages.The
One stage:Thoroughly clear rear implantation PMMA bone cement spacers, are fixed using interior fixation or outer fixation, are closed the surface of a wound, shape
Into induction film.Second stage:Induction film is cut after 6-8w, bone cement spacer is removed, gets through pulp cavity, is filled certainly in film
Then body cancellous bone is closed induction film and notch.The induction film not only have avoid transplanting bone information, maintain bone graft position and
The effects that soft tissue is prevented to invade, and can secrete growth factor and bone-inducing factor promotion bone tissue growth, such as blood vessel endothelium
The factor, TGF-β 1, BMP-2 etc..It is certain that although multinomial clinical research proves that Masquelet technologies treatment bone defect can obtain
Clinical effectiveness, but there is also significant limitations.The defects of technology is maximum is to need largely during repairing bone defect
Autologous bone transplanting increases operation wound and district complication;And the technology cannot 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.In addition, patient cannot bear in early days after surgery
It takes exercise again, is susceptible to the complication such as stress fracture, bone information and bone nonunion, and this method needs progress even more twice
Secondary operation, length of patient stay is long, it is high to spend.
The appearance that bone carries technology is considered as the milestone of 20th century orthopaedic srugery, and the treatment for bone defect is started
One new era.Bone, which carries technology, to be created by Russian orthopedist Ilizarov, it then follows the tension of regeneration-should
Force method then, meets " bone Natural Reconstruction " theory, is the goldstandard of current clinical treatment long bone large segmental bone defect.Bone carries technology
Core is the distraction osteogenesis of Ilizarov stents, is specifically divided into three steps:1. suffering limb is fixed using Ilizarov stents,
Stability is provided, maintains limbs length and the line of force;2. the metaphysis of pair close bone defect carries out low energy cortex osteotomy;3. it adjusts
Active bone section according to appropriate speed with frequency to bone defect stump is slid, drawn close by Ilizarov stents, and
Ilizarov stents fix lower completion bone defect healing.Compared with autologous bone transplanting art and Masquelet technologies, bone carries skill
Art has the advantage that:1) repairing bone defect length is unrestricted, does not need to autologous bone transplanting, avoid autologous bone transplanting and
The defects of Masquelet technologies " with wound repair wound ";2) technology can same period stretching soft tissue regeneration, be not required to using skin
Valve skin grafing and mending skin tissue defects;3) cacomelia of various complexity can be corrected by the support arm same period.4) belong to minimally invasive
Operation, curative effect is reliable, low-cost.
Although bone carries technology treatment, various complicated bone defects are curative for effect, there is also more complication, and these
Complication and the use of Ilizarov stents are closely related.The Ilizarov stents that technology is carried 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 equal
It is even.The stent needs to squeeze into several pieces of draw points on the both ends metaphysis of long bone and sliding bone block, to provide stable, maintenance limbs
The effect of length and the line of force.However wearing more draw points in more planes can cause sclerotin to cut, and reduce local bone strength, it may
Lead to iatrogenic fracture;And operating technology is required when more planes penetrate draw point high, it damages and severely injured wants neurovascular wind
It is dangerous.The Ilizarov stent fixed cycles are long, and clinical care is difficult, therefore pin site infection, needle track loosen, fracture and soft tissue are cut
Complication is cut often to occur.And some patientss tolerance is poor, is susceptible to anxiety, depression or even the psychic problems such as bigoted,
Also there are some patientss because the senses of discomfort such as limbs pain, swelling refuse the weight training of lower ground, the later stage is likely to occur to give up and be dredged with property sclerotin
Pine, refracture, the bone delay in healing even complication such as disunion.Single pole exterior fixing rack has easy to operate, easy to carry, needle
The advantages that road infection is less and patient is easily resistant to, is suitable for the smaller bone defect of length.However single pole exterior fixing rack mechanics
Stability is poor, can not adjust the line of force, and suffering limb is unable to early loading, and the later stage may occur in which the bad line of force, again disuse osteoporosis, bone
Folding, the bone delay in healing even complication such as disunion.
Invention content
For above-mentioned technical problem, the present invention provides a kind of bone handling device for shin bone large segmental bone defect,
Sclerotin inserting needle is few, and stability is good.
In order to solve the above-mentioned technical problem, the technical solution adopted by the present invention is:It is a kind of for shin bone large segmental bone defect
Bone handling device, including be used for it is axial squeeze into main nail in the marrow of sclerotin, main nail has and human tibia anatomical structure in the marrow
The amplitude to match, both ends are provided with the lock hole for coordinating with common fixing screws;Main nail both ends are provided with fixation in the marrow
Screw hole;Further include a fixing bracket and several fixing screws;The fixing screws rear end is connect with fixing bracket, front end and marrow
The fixing threaded hole that interior master nails on is connected;Further include it is several can along marrow it is main nail be axially moved carrying needle, the carrying
The implantation of needle one end needs the bone block slid, and the other end is connected on fixing bracket.
As an improvement axially disposed carrying slot hole is provided in the middle part of main nail in the marrow;The carrying needle passes through
The main carrying slot hole implantation nailed on needs the bone block slid in perforation of pulp chamber.Advantage is to carry needle to squeeze into double cortex, and hold is strong,
It is small to there is the probability that needle track loosening is cut out, is suitable for the patient of osteoporosis.
As an improvement axially disposed carrying elongated slot is provided in the middle part of main nail in the marrow;The carrying needle is planted
Entering needs the bone block slid, and one end is inserted into and carries elongated slot.Main nail on opens up elongated slot in marrow, and needle easy to carry is inserted into, can
Ensure to carry the hold for bone block, and can guarantee the intensity of main nail in marrow.
As an improvement the fixed frame is three-stage, including two save fixed section to be connect with fixing screws and
The intermediate carrying section for being used to connect with carrying needle;It is connected between the fixed section and carrying section by universal joint.Due to bone
External anatomical structure is slightly different, and the stent of existing straight rod-shaped coordinates bad with it.Fixing bracket is set as three-stage, section
It is connect between section by universal joint, the radian of fixed frame can be adjusted by universal joint to adapt in this way.
As an improvement be provided on the fixed section for fixing screws by hole;Fixing screws rear end is through described
Hole, and fastened by bolt.Fixing screws are passed through to the hole on fixed section first, then inserting needle screws in the main fixation spiral shell nailed in marrow
Hole, last screwing bolts are fastened.Its stability is good, facilitates adjusting.Certainly also there is other connection fastening means, such as directly
It is connected on fixed section and opens up screw hole, fixing screws are first screwed in when use the screw hole on fixed section, are then being screwed in marrow
The main fixing threaded hole nailed on.Fixing screws both ends are all threaded connection, have both played the role of main nail in fixed marrow, itself
It is locked again with fixing bracket, has arrived the effect of locking.
As an improvement the carrying section is nested by several section sleeves;Position pair is both provided on adjacent sleeve
The slot hole answered, and fixed using the bolt through slot hole.Human body long bone length is different, and identical bone between Different Individual
Length also differs, and the carrying section on fixing bracket is set as adjustable in length, suitable for the long bone of different length so that whole
A device wide adaptability.
As a kind of further improvement, scale is provided on the sleeve.Length sleeve is indicated, is conducive to accurately adjust
Section.
As an improvement further including a needle stand that can be slided up and down along fixing bracket, the carrying needle is fixed on needle
On seat.Carrying the implantation of needle front end needs the bone block carried, and its rear end is fixed on needle stand.When needing to carry bone block, metering needle
Position of the seat on fixing bracket.
It is further improved as one kind, there is the scale of mark needle stand displacement distance on the fixing bracket.Convenient for accurate
The position of needle stand is adjusted, and the distance of bone block carrying can be recorded.
As an improvement the fixing bracket is axially provided with rack, it is provided with what is coordinated with rack in the needle stand
Gear;The adjusting bolt for driving gear rotation is provided with outside needle stand.Main nail in marrow is axially squeezed into due to long bone to be fixed, it
The power carried needed for bone block is larger, is not easy to move.Coordinated using rack-and-pinion, only need to rotate adjusting bolt, it just can be so that needle
Seat is axially moved along fixing bracket, while is driven and carried needle carrying bone block.
As a preferred embodiment, main nail both ends are each provided with two fixing screws in the marrow;The carrying needle is two.Two
Hold two fixing screws of each setting so that whole system is more firm.Similarly, two carrying needles also can guarantee steady when bone is carried
It is qualitative.And local sclerotin can be caused to cut if fixing same bone plane using more pieces of draw points, local sclerotin intensity is reduced, is had
Iatrogenic risk of bone fracture, and metaphysis neural blood vessel is more, when operation, easily damage.
The invention has the beneficial effects that:1. the present apparatus whole can maintain the backbone line of force and length, bone handling process is avoided
In there is the bad line of force, shortened deformity and lateral displacement;2. the present apparatus fixes reliable, the postoperative i.e. feasible exercise of joint function of patient
And lower ground loaded exercise, reduce disuse osteoporosis, the postoperative refracture incidence of anchylosis agent;3. the steel of present apparatus implantation
Needle quantity is few, reduces pin site infection, iatrogenic fracture and Soft tissue cutting incidence;4. present apparatus operating technology is relatively simple
Single, learning curve is short, and situation of all-level hospitals popularity is suitble to carry out;5. the present apparatus is light, clinical care is convenient, and does not influence patient
Daily life, patient compliance is good, reduces the mental symptoms such as patient anxiety, depression.
Description of the drawings
Fig. 1-Fig. 3 is the structure diagram of the embodiment of the present invention 1, while illustrates the agglutination of tibial bone defect.
Fig. 4 is that main pin structure schematic diagram in the marrow for carrying slot hole is provided in embodiment 1.
Fig. 5 is that main pin structure schematic diagram in the marrow for carrying elongated slot is provided in embodiment 1.
It is to carry the carrying needle of main nail cooperation in elongated slot marrow with being provided with to enter needle situation schematic diagram in Fig. 6 embodiments 1.
Fig. 7 is main pin structure schematic diagram in the marrow for being not provided with carrying slot hole or carrying elongated slot in embodiment 1.
Fig. 8 is the carrying needle with being not provided with main nail cooperation in the marrow of carrying slot hole or carrying elongated slot in embodiment 1
Enter needle situation schematic diagram.
Fig. 9 is that shin bone, special large segmental bone defect carries out the schematic diagram of two-way bone carrying in embodiment 1.
It is marked in figure:Slot hole, 13 lock holes, 2 fixing screws, 3 carrying needles, 4 are carried in main nail, 11 fixing threaded holes, 12 in 1 marrow
Section, 43 bolts, 44 slot holes, 45 adjusting bolts, 46 needle stands, 47 universal joints are carried in fixing bracket, 41 fixed sections, 42.
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, with reference to the accompanying drawings and embodiments, it is right
The present invention is further elaborated.It should be appreciated that the specific embodiments described herein are merely illustrative of the present invention, and
It is not used in the restriction present invention.
As shown in Figures 1 to 9, art is carried suitable for shin bone large segmental bone defect, for the different sclerotin situation of patient, and can
Nail main in marrow is arranged to three types.
It is the patient for osteoporosis first, as shown in Figures 1 to 4, the present invention includes squeezing into sclerotin for axial
Main nail 1 in marrow, main nail 1 has an amplitude to match with human tibia anatomical structure in the marrow, both ends be provided with for it is common
The lock hole 13 of fixing screws cooperation.1 both ends of main nail are provided with fixing threaded hole 11 in the marrow, and the middle part is provided with axially disposed
Carrying slot hole 12;Further include a fixing bracket 4 and several fixing screws 2;2 rear end of fixing screws and fixing bracket 4
Connection, front end are connected with the fixing threaded hole 11 on nail 1 main in marrow;Further include it is several can along marrow it is main nail 1 be axially moved
Carrying needle 3, the bone block that the carryings slot hole 12 implantation needs for carrying needle 3 one end in marrow on main nail 1 slide, the other end
It is connected on fixing bracket 4.Needle 3 is carried in this way runs through entire bone block.1 both ends of main nail are each provided with two fixing screws 2 in marrow;
The carrying needle 3 is two.
For the relatively good patient of cortex of bone, as shown in Figure 7, Figure 8, carrying slot hole is not opened up on main nail 1 in the marrow
12, due to patient's sclerotin consolidation, carrying needle is only implanted to a part of bone block and also ensures that carrying 3 hold of needle.And due to not having
There is the limitation for carrying slot hole 12, carrying needle diameter can be made relatively thick, proof strength.
With reference to the advantages of upper two kinds of structures, as shown in Figure 5, Figure 6, main 1 middle part of nail is provided with axially disposed in the marrow
Carrying elongated slot 16;The bone block carried the implantation needs of needle 3 and slid, and one end is inserted into and carries elongated slot 16.Carry 3 one end edge of needle
Fixing bracket 4 moves up and down, and the other end is carrying slip in elongated slot 16, not only can guarantee and carries hold of the needle 3 to bone block, but also energy
Ensure the intensity of main nail in 1 marrow.Meanwhile 3 needle front ends of carrying can be fabricated to the tip coordinated with carrying elongated slot 16, and its bar
Portion's diameter can be made relatively thick so as to proof strength by the limitation of elongated slot 16 is carried.
Fixing bracket 4 is three-stage, saved including two fixed section 41 connect with fixing screws 2 and it is intermediate for
Carry the carrying section 42 that needle 3 connects;Connect 47 by universal joint between the fixed section 41 and carrying section 42 to connect.It is opened on fixed section 42
Have for fixing screws 2 by hole;The hole is run through in fixing screws rear end, and is fastened by bolt.Section 42 is carried to be covered by several sections
Cylinder is nested;The corresponding slot hole 44 in position is both provided on adjacent sleeve, and is fixed using the bolt 43 through slot hole 44.Set
Scale is provided on cylinder.Length sleeve is indicated, is conducive to accurately adjust.
A needle stand 46 that can be slided up and down along fixing bracket 4 is further included, the carrying needle 3 is fixed on needle stand 46.Institute
It states fixing bracket 4 and is axially provided with rack, the gear coordinated with rack is provided in the needle stand 46;Band is provided with outside needle stand 46
The adjusting bolt 45 of moving gear rotation.There is the scale of mark 46 displacement distance of needle stand on the fixing bracket 4.Convenient for accurately adjusting
The position of markingoff pin seat 46, and the distance of bone block carrying can be recorded.
It locks 13 holes and often holds and be preferably provided two, and be arranged on 11 outside of fixing threaded hole.
Fig. 1-Fig. 3 illustrates the agglutination of tibial bone defect.
It is more than the patient of more than 6cm for defect of tibial, as shown in figure 9, the needle stand 46 is upper and lower two, carries needle 3
Also it is two groups, is saved respectively with two 46 liang of needle stands.Two groups of carrying needles 3 are respectively implanted two bone blocks for needing to carry, two bone blocks
Respectively at the both ends at bone defect position.Bone defect both ends are grown simultaneously, accelerate healing rate.
It is as follows using step:1. main in implantation marrow in advance follow closely 1 and locked, restore length, the line of force of backbone;
2. fixing screws 2 are passed through the hole on fixed section 41 by mounting and fixing bracket 4 first, then inserting needle screws in main in marrow
Fixing threaded hole 11 on nail 1, last screwing bolts are fastened.
3. in metaphysis target site osteotomy, will then carry needle 3 and pass through to carry slot hole 12 and be implanted into needs to slide in bone block;
4. the needle stand 46 slid on fixing bracket 4 by rotating adjusting bolt 45, which drives, carries the sliding sclerite of needle 3, according to
Fixing bracket high scale carries out precise flow, until slide onto docking site, finally takes out fixing bracket 4, and main nail 1 is always in marrow
Retain to healing completely of fracturing.
The foregoing is merely illustrative of the preferred embodiments of the present invention, is not intended to limit the invention, all essences in the present invention
All any modification, equivalent and improvement made within refreshing and principle etc., should all be included in the protection scope of the present invention.
Claims (8)
1. a kind of bone handling device for shin bone large segmental bone defect axially squeezes into main nail in the marrow of sclerotin including being used for, described
For main nail with the amplitude to match with human tibia anatomical structure, both ends are provided with the lock for coordinating with common fixing screws in marrow
Determine hole;It is characterized in that:Main nail both ends are provided with fixing threaded hole in the marrow;Further include a fixing bracket and several fixed spiral shells
Nail;The fixing screws rear end is connect with fixing bracket, and front end is connected with the fixing threaded hole nailed on main in marrow;If it further includes
Dry main along marrow to follow closely the carrying needle being axially moved, described needle one end of carrying is implanted into the bone block for needing to slide, and the other end connects
In on fixing bracket;In the marrow axially disposed carrying elongated slot is provided in the middle part of main nail;The carrying needle implantation needs to slide
The bone block of shifting, and one end is inserted into and carries elongated slot.
2. a kind of bone handling device for shin bone large segmental bone defect according to claim 1, it is characterised in that:It is described solid
Frame is determined for three-stage, and the fixed section to be connect with fixing screws and the carrying for being used to connect with carrying needle of centre are saved including two
Section;It is connected between the fixed section and carrying section by universal joint.
3. a kind of bone handling device for shin bone large segmental bone defect according to claim 2, it is characterised in that:It is described solid
Determine to be provided in section for fixing screws by hole;The hole is run through in fixing screws rear end, and is fastened by bolt.
4. a kind of bone handling device for shin bone large segmental bone defect according to claim 3, it is characterised in that:It is described to remove
Fortune section is nested by several section sleeves;The corresponding slot hole in position is both provided on adjacent sleeve, and utilizes the spiral shell through slot hole
Bolt is fixed.
5. a kind of bone handling device for shin bone large segmental bone defect according to claim 4, it is characterised in that:The set
Scale is provided on cylinder.
6. a kind of bone handling device for shin bone large segmental bone defect according to claim 1, it is characterised in that:It further includes
One needle stand that can be slided up and down along fixing bracket, the carrying needle are fixed on needle stand.
7. a kind of bone handling device for shin bone large segmental bone defect according to claim 6, it is characterised in that:It is described solid
There is the scale of mark needle stand displacement distance on fixed rack.
8. a kind of bone handling device for shin bone large segmental bone defect according to claim 6, it is characterised in that:It is described solid
Fixed rack is axially provided with rack, and the gear coordinated with rack is provided in the needle stand;It is provided with outside needle stand and drives gear rotation
The adjusting bolt turned.
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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 |
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 |
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