CN106963448A - A kind of orthopaedics osteotomy instrument and its application method - Google Patents
A kind of orthopaedics osteotomy instrument and its application method Download PDFInfo
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- CN106963448A CN106963448A CN201710220864.8A CN201710220864A CN106963448A CN 106963448 A CN106963448 A CN 106963448A CN 201710220864 A CN201710220864 A CN 201710220864A CN 106963448 A CN106963448 A CN 106963448A
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- osteotomy
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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
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1657—Bone breaking devices
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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
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B17/295—Forceps for use in minimally invasive surgery combined with cutting implements
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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
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
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- Orthopedic Medicine & Surgery (AREA)
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Abstract
The present invention provides a kind of orthopaedics osteotomy instrument and its application method, the device is the pincer structure being hinged in the middle part of two and half wrench structures, and two and half be detachable structure between wrench structure, the jaw of two and half wrench structures is the arc jaw being oppositely arranged, middle part forms folder dead zone during two jaw clampings, the osteotomy hole with folder dead zone on the outside of at least two connection jaws is offered on side wall on rear side of each jaw, and the distance between at least two osteotomy holes are identical with being intended to osteotomy length on same jaw, soft tissue baffle plate is further fixedly arranged on the outer wall of the jaw of osteotomy hole front end.To solve existing osteotomy method, time-consuming, and precision is low, and the problem of there is larger potential safety hazard.The invention belongs to orthopaedics therapy field.
Description
Technical field
The present invention relates to a kind of osteotomy instrument and method, belong to orthopaedics therapy field.
Background technology
In existing orthopaedics therapy, osteotomy is a kind of more conventional treatment method, such as fibula osteotomy, but existing section
Bone method more falls behind, and bone-culting operation is time-consuming longer, and precision is relatively low, and easily hurts flesh and blood and nerve around bone during osteotomy,
There is larger potential safety hazard.
The content of the invention
It is an object of the invention to:A kind of orthopaedics osteotomy instrument and its application method are provided, to solve existing osteotomy method
Time-consuming, and precision is low, and the problem of there is larger potential safety hazard.
To solve the above problems, providing a kind of orthopaedics osteotomy instrument, the device is to be hinged in the middle part of two and half wrench structures
Pincer structure, and be detachable structure between two and half wrench structures, the jaws of two and half wrench structures is is oppositely arranged
Arc jaw, middle part forms on folder dead zone, the side wall on rear side of each jaw and offers at least two connections during two jaw clampings
With the osteotomy hole of folder dead zone on the outside of jaw, and the distance between at least two osteotomy holes and desire osteotomy length phase on same jaw
Together, it is further fixedly arranged on soft tissue baffle plate on the outer wall of the jaw of osteotomy hole front end.
In aforementioned osteotomy instrument, homogeneous a pair of osteotomy hole on two osteotomy holes, two jaws is provided with each jaw
It should set.
In aforementioned osteotomy instrument, osteotomy hole is that the osteotomy hole on bar hole, each jaw is arranged in parallel, it is preferable that
It is additionally provided with the drilling that diameter is more than bar shaped hole width, and each osteotomy hole and divides along its length on the bar hole in osteotomy hole
Cloth is provided with multiple drillings;
In aforementioned osteotomy instrument, osteotomy hole is to offer the osteotomy hole that two rows are parallel to each other, and two on drilling, each jaw
Arrange the distance between osteotomy hole identical with being intended to osteotomy length;
In aforementioned osteotomy instrument, jointed shaft is fixedly installed on one of them half wrench structure, it is right on another half wrench structure
Answer and jointed shaft link slot is provided with jointed shaft, two and half wrench structures can be used alone, and can also jointed shaft is slipped into jointed shaft
In link slot so that two and half wrench structures be combined into can be precise and stable when caliper structure is used be fixed on desire osteotomy position;
In aforementioned osteotomy instrument, it is hinged at the handle of one of them half wrench structure and is provided with gag lever post, another semi-clamp knot
Through hole is provided with the handle of structure, one end of gag lever post passes through through hole and extends the outside of another half wrench structure handle,
It is provided with gag lever post on the gag lever post on the outside of external screw thread, another described half wrench structure handle and is provided with adjusting nut, is passed through
Turn adjusting nut is to adjust the distance between two and half wrench structure handles;
In aforementioned osteotomy instrument, the outer wall of jaw and soft tissue baffle plate is smooth curved-surface structure;
In aforementioned osteotomy instrument, the outer wall of soft tissue baffle plate is concave structure, can mitigate the support to muscle and nerve etc.
Open-width degree, it is to avoid compressing flesh and blood and nerve cause damage;
In aforementioned osteotomy instrument, soft tissue baffle plate is obliquely installed by the front end rear end of jaw and outside, effectively by blood
Meat and nerve isolation, it is to avoid osteotomy injury blood vessel, muscle and nerve during osteotomy.
The method for carrying out osteotomy using said apparatus is as follows:
Step one, separates two and half wrench structures, respectively inserts the jaw of two and half wrench structures by the osteotomy edge of a knife and is intended to
At osteotomy, two jaws are oppositely arranged and are coated on the outside for being intended to osteotomy section, and two and half wrench structures are not being broken during insertion
Flesh and blood and nerve are separated in the outside of two jaws and dividing plate, flesh and blood refers mainly to muscle and blood on the premise of bad flesh and blood and nerve
Pipe, i.e., be intended to osteotomy section by two and half wrench structures and be partially separated with the flesh and blood such as muscle, blood vessel and nerve, jaw and soft tissue are kept off
The outer wall of the preferred smooth surface structure of plate, it is to avoid hurt flesh and blood, nerve;
Two and half wrench structures are hinged and are combined into one by step 2, the distance between two jaws of regulation, are intended to osteotomy portion
Divide and be snapped inside pliers;
Step 3 is being intended at the two ends of osteotomy section, by the osteotomy hole opened up on jaw, using goose saw or drill bit by two
Bone between jaw is blocked, or is sectioned after most of sclerotin and to be broken disconnected institute's osteotomy bone using pliers;
Step 4 takes two and half wrench structures apart, and is taken out by osteotomy, using instrument by osteotomy section two ends through hole
Place breaks disconnected, and osteotomy section is taken out.
Compared with prior art, the present invention can quickly be intended to the flesh and blood of osteotomy section and surrounding using combined type pincer structure
And nerve is partially separated, and when using goose saw or drill bit osteotomy, after insertion diaphysis, the front end of jaw can play stop goose saw
Or the effect of drill bit, it is prevented effectively from and injures other positions such as flesh and blood and nerve;In osteotomy, caliper is clamped after desire osteotomy section, and one
And complete, soft tissue is retracted, the fixation in osteotomy region and the planning of osteotomy line, veritably realizes small incision osteotomy, and
Osteotomy hole osteotomy is carried out along the two row's osteotomy holes set, it is ensured that the accuracy of osteotomy;The making and use of the device are all
It is very convenient, it can greatly shorten the osteotomy time, reduce the risk of injured blood vessel nerve, reduce partial surgical assistant, this hair
It is bright to be extremely suitable to fibula osteotomy.
Brief description of the drawings
Fig. 1 is structural representation of the invention in embodiment 1;
Fig. 2 is the side view (not considering baffle part) of osteotomy bore portion in Fig. 1;
Fig. 3 is the structural representation of single half wrench structure in embodiment 1;
Fig. 4 is the structural representation of second half wrench structure relative with Fig. 3;
Fig. 5 is structural representation of the invention in embodiment 2;
Fig. 6 is the side view (not considering baffle part) of osteotomy bore portion in Fig. 5;
Fig. 7 is the structural representation of single half wrench structure in embodiment 2;
Fig. 8 is the structural representation of second half wrench structure relative with Fig. 7;
Fig. 9 is structural representation of the invention in embodiment 3;
Figure 10 is the side view (not considering baffle part) of osteotomy bore portion in Fig. 9;
Figure 11 is the structural representation of single half wrench structure in embodiment 3;
Figure 12 is the structural representation of second half wrench structure relative with Figure 11.
Embodiment
To make the object, technical solutions and advantages of the present invention clearer, it will make further detailed to the present invention below
Description,
Embodiment 1:
Referring to figs. 1 to Fig. 4, the present embodiment provides a kind of orthopaedics osteotomy instrument, and the device is the middle part phase of two and half wrench structure 1
Jointed shaft 5 is fixedly installed on the pincer structure being mutually hinged, one of them half wrench structure 1, it is right on another half wrench structure 1
Answer and jointed shaft link slot 6 is provided with jointed shaft 5, two and half wrench structures 1 can be used alone, and also jointed shaft 5 can be made to slip into hinge
So that two and half wrench structures 1 are combined into caliper structure in spindle link slot 6, the jaw 2 of two and half wrench structures 1 is oppositely arranged
Arc jaw, middle part, which is formed, during two 2 clampings of jaw presss from both sides dead zone 3, and offering two on the side wall of each rear side of jaw 2 is parallel to each other
Osteotomy hole 4, and the distance between two osteotomy holes 4 are identical with being intended to osteotomy length on same jaw 2, cutting on two jaws 2
Bone hole 4 corresponds setting.
It is hinged at the handle of one of them half wrench structure 1 and is provided with gag lever post 7, is set at the handle of another half wrench structure 1
Through hole 8 is equipped with, one end of gag lever post 7 passes through through hole 8 and extended on the outside of another handle of half wrench structure 1, gag lever post 7
It is provided with the gag lever post 7 on the outside of external screw thread, another described handle of half wrench structure 1 and is provided with adjusting nut 9, is adjusted by turn
Nut 9 is saved to adjust the distance between handle of two and half wrench structure 1.
Soft tissue baffle plate 10, the outer wall of soft tissue baffle plate 10 are further fixedly arranged on the outer wall of the jaw 2 of the front end of osteotomy hole 4
For concave structure, the outer wall of jaw 2 and soft tissue baffle plate 10 is smooth curved-surface structure, and soft tissue baffle plate 10 is by jaw 2
Front end to the back-end and outside be obliquely installed.
The method for carrying out osteotomy using said apparatus is as follows:
First, two and half wrench structures 1 are separated, the jaw 2 of two and half wrench structures 1 is inserted by desire by the osteotomy edge of a knife respectively
At osteotomy, two jaws 2 are oppositely arranged and are coated on the outside for being intended to osteotomy section, and two and half wrench structures 1 are during insertion, not
Flesh and blood and nerve are separated in the outside of two jaws 2 and dividing plate 10, flesh and blood refers mainly to flesh on the premise of destruction flesh and blood and nerve
Meat and blood vessel, i.e., be intended to osteotomy section by two and half wrench structures 1 and be partially separated with the flesh and blood such as muscle, blood vessel and nerve, the He of jaw 2
The outer wall of the preferred smooth surface structure of soft tissue baffle plate 10, it is to avoid hurt flesh and blood, nerve;
Then, two and half wrench structures 1 are hinged and be combined into one, the distance between two jaws 2 of regulation are adjusted by adjusting
Nut 9 is saved to adjust the distance between two jaws 2;
Afterwards, it is being intended at the two ends of osteotomy section, by the osteotomy hole 4 opened up on jaw 2, using goose saw by two jaws 2
Between bone block;
Finally, two and half wrench structures 1 are taken apart, and taken out by osteotomy, taken out osteotomy section using instrument.
Embodiment 2
Referring to the drawings 5-8, the present embodiment provides a kind of orthopaedics osteotomy instrument, and the device is the middle part phase of two and half wrench structure 1
The mutual pincer structure that is hinged, and be detachable structure between two and half wrench structures 1, the jaw 2 of two and half wrench structures 1 is
The arc jaw being oppositely arranged, middle part forms on folder dead zone 3, the side wall of each rear side of jaw 2 and offers two during two 2 clampings of jaw
The osteotomy hole 4 in the outside of row's connection jaw 2 and folder dead zone 3, osteotomy hole 4 is that two row's osteotomy holes 4 on drilling, each jaw 2 are mutual
It is parallel, and the distance between two row's osteotomy holes 4 are identical with being intended to osteotomy length, two row's osteotomy hole on two jaws 24 homogeneous a pair
It should set, soft tissue baffle plate 10, jaw 2 and soft tissue baffle plate 10 are further fixedly arranged on the outer wall of the jaw 2 of the front end of osteotomy hole 4
Outer wall be smooth curved-surface structure, and the outer wall of soft tissue baffle plate 10 is concave structure, and soft tissue baffle plate 10 is by jaw 2
Front end to the back-end and outside be obliquely installed.
Jointed shaft 5 is fixedly installed on one of them half wrench structure 1, is set on another half wrench structure 1 at correspondence jointed shaft 5
Jointed shaft link slot 6 is equipped with, is hinged at the handle of one of them half wrench structure 1 and is provided with gag lever post 7, another half wrench structure 1
Handle at be provided with through hole 8, gag lever post 7 one end is through through hole 8 and extends the outer of another handle of half wrench structure 1
It is provided with side, gag lever post 7 on the gag lever post 7 on the outside of external screw thread, another described handle of half wrench structure 1 and is provided with adjusting nut
9, by turn adjusting nut 9 to adjust the distance between handle of two and half wrench structure 1.
Its osteotomy method is:
Step one, separates two and half wrench structures 1, is respectively inserted the jaw 2 of two and half wrench structures 1 by the osteotomy edge of a knife
Be intended to osteotomy at, two jaws 2 be oppositely arranged and be coated on be intended to osteotomy section outside, two and half wrench structures 1 during insertion,
Flesh and blood and nerve are separated in the outside of two jaws 2 and dividing plate 10 on the premise of not destroying flesh and blood and nerve;
Two and half wrench structures 1 are hinged and are combined into one by step 2, the distance between two jaws 2 of regulation, are intended to osteotomy
Part is snapped inside pliers;
Step 3 is being intended at the two ends of osteotomy section, by the osteotomy hole 4 opened up on jaw 2, using drill bit by two jaws
Bone between 2 is blocked, or is sectioned after most of sclerotin and to be broken disconnected institute's osteotomy bone using pliers;
Step 4 takes two and half wrench structures 1 apart, and is taken out by osteotomy, utilizes instrument running through osteotomy section two ends
Break disconnected at hole, osteotomy section is taken out.
Embodiment 3
Referring to the drawings 9-12, the present embodiment provides a kind of orthopaedics osteotomy instrument, and the device is the middle part phase of two and half wrench structure 1
The mutual pincer structure that is hinged, and be detachable structure between two and half wrench structures 1, the jaw 2 of two and half wrench structures 1 is
The arc jaw being oppositely arranged, middle part forms on folder dead zone 3, the side wall of each rear side of jaw 2 and offers two during two 2 clampings of jaw
The osteotomy hole 4 in the individual outside of connection jaw 2 and folder dead zone 3, osteotomy hole 4 is that the osteotomy hole 4 on bar hole, each jaw 2 is mutually flat
Row is set, and is additionally provided with the bar hole in osteotomy hole 4 in the drilling that diameter is more than bar shaped hole width, and each osteotomy hole 4 along it
Length direction distribution is provided with multiple drillings, and the distance between two osteotomy holes 4, two jaws 2 identical with being intended to osteotomy length
On osteotomy hole 4 correspond and be further fixedly arranged on soft tissue baffle plate 10 on setting, the outer wall of the jaw 2 of the front end of osteotomy hole 4,
The outer wall of jaw 2 and soft tissue baffle plate 10 is smooth curved-surface structure, and the outer wall of soft tissue baffle plate 10 is concave structure, and
Soft tissue baffle plate 10 is obliquely installed by the front end rear end of jaw 2 and outside.
Jointed shaft 5 is fixedly installed on one of them half wrench structure 1, is set on another half wrench structure 1 at correspondence jointed shaft 5
Jointed shaft link slot 6 is equipped with, is hinged at the handle of one of them half wrench structure 1 and is provided with gag lever post 7, another half wrench structure 1
Handle at be provided with through hole 8, gag lever post 7 one end is through through hole 8 and extends the outer of another handle of half wrench structure 1
It is provided with side, gag lever post 7 on the gag lever post 7 on the outside of external screw thread, another described handle of half wrench structure 1 and is provided with adjusting nut
9, by turn adjusting nut 9 to adjust the distance between handle of two and half wrench structure 1.
Its osteotomy method is:
Step one, separates two and half wrench structures 1, is respectively inserted the jaw 2 of two and half wrench structures 1 by the osteotomy edge of a knife
Be intended to osteotomy at, two jaws 2 be oppositely arranged and be coated on be intended to osteotomy section outside, two and half wrench structures 1 during insertion,
Flesh and blood and nerve are separated in the outside of two jaws 2 and dividing plate 10 on the premise of not destroying flesh and blood and nerve;
Two and half wrench structures 1 are hinged and are combined into one by step 2, the distance between two jaws 2 of regulation, are intended to osteotomy
Part is snapped inside pliers;
Step 3 is being intended at the two ends of osteotomy section, by the osteotomy hole 4 opened up on jaw 2, using goose saw or drill bit by two
Bone between individual jaw 2 is blocked, or is sectioned after most of sclerotin and to be broken disconnected institute's osteotomy bone using pliers;
Step 4 takes two and half wrench structures 1 apart, and is taken out by osteotomy, utilizes instrument running through osteotomy section two ends
Break disconnected at hole, osteotomy section is taken out.
Claims (10)
1. a kind of orthopaedics osteotomy instrument, it is characterised in that:The device is the pincers being hinged in the middle part of two and half wrench structures (1)
It is detachable structure between shape structure, and two and half wrench structures (1), the jaw (2) of two and half wrench structures (1) is to be oppositely arranged
Arc jaw, middle part forms folder dead zone (3) during two jaws (2) clamping, is offered at least on the side wall on rear side of each jaw (2)
Osteotomy hole (4) on the outside of two connections jaws (2) with folder dead zone (3), and on same jaw (2) at least two osteotomy holes (4) it
Between distance be intended to osteotomy length it is identical, be further fixedly arranged on soft tissue baffle plate on the outer wall of the jaw (2) of osteotomy hole (4) front end
(10)。
2. a kind of orthopaedics osteotomy instrument according to claim 1, it is characterised in that:Two are provided with each jaw (2) to cut
Osteotomy hole (4) on bone hole (4), two jaws (2) corresponds setting.
3. a kind of orthopaedics osteotomy instrument according to claim 1 or claim 2, it is characterised in that:Osteotomy hole (4) is bar hole, each
Osteotomy hole (4) on jaw (2) is arranged in parallel.
4. a kind of orthopaedics osteotomy instrument according to claim 3, it is characterised in that:Also set up on the bar hole in osteotomy hole (4)
Having diameter to be more than in the drilling of bar shaped hole width, and each osteotomy hole (4), distribution is provided with multiple drillings along its length.
5. a kind of orthopaedics osteotomy instrument according to claim 1, it is characterised in that:Osteotomy hole (4) is drilling, each jaw
(2) the distance between the osteotomy hole (4) that two rows are parallel to each other, and two row's osteotomy holes (4) are offered on identical with being intended to osteotomy length.
6. a kind of orthopaedics osteotomy instrument according to claim 1, it is characterised in that:It is fixed on one of them half wrench structure (1)
Jointed shaft (5) is provided with, correspondence jointed shaft (5) place is provided with jointed shaft link slot (6) on another half wrench structure (1).
7. a kind of orthopaedics osteotomy instrument according to claim 1, it is characterised in that:The handle of one of them half wrench structure (1)
Place, which is hinged, is provided with gag lever post (7), and through hole (8), one end of gag lever post (7) are provided with the handle of another half wrench structure (1)
Through through hole (8) and the outside of another described half wrench structure (1) handle is extended, gag lever post is provided with external screw thread on (7), described
Be provided with adjusting nut (9) on gag lever post (7) on the outside of another half wrench structure (1) handle, by turn adjusting nut (9) with
Adjust the distance between two and half wrench structures (1) handle.
8. a kind of orthopaedics osteotomy instrument according to claim 1, it is characterised in that:Jaw (2) and soft tissue baffle plate (10)
Outer wall is smooth curved-surface structure, and the outer wall of soft tissue baffle plate (10) is concave structure.
9. a kind of orthopaedics osteotomy instrument according to claim 1, it is characterised in that:Soft tissue baffle plate (10) is by jaw (2)
Front end is to the back-end and outside is obliquely installed.
10. the method for osteotomy is carried out using any claim described device in claim 1-9, it is characterised in that step is such as
Under:
Step one, separates two and half wrench structures (1), is respectively inserted the jaw (2) of two and half wrench structures (1) by the osteotomy edge of a knife
Enter to be intended at osteotomy, two jaws (2) are oppositely arranged and be coated on the outside for being intended to osteotomy section, mistake of two and half wrench structures (1) in insertion
Flesh and blood and nerve, are separated in the outside of two jaws (2) and dividing plate (10) by Cheng Zhong on the premise of flesh and blood and nerve is not destroyed;
Two and half wrench structures (1) are hinged and are combined into one by step 2, the distance between two jaws (2) of regulation, are intended to osteotomy
Part is snapped inside pliers;
Step 3 is being intended at the two ends of osteotomy section, by the osteotomy hole (4) opened up on jaw (2), using goose saw or drill bit by two
Bone between individual jaw (2) is blocked, or is sectioned after most of sclerotin and to be broken disconnected institute's osteotomy bone using pliers;
Step 4 takes two and half wrench structures (1) apart, and is taken out by osteotomy, is taken out osteotomy section using instrument.
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CN201710220864.8A CN106963448A (en) | 2017-04-06 | 2017-04-06 | A kind of orthopaedics osteotomy instrument and its application method |
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CN201710220864.8A CN106963448A (en) | 2017-04-06 | 2017-04-06 | A kind of orthopaedics osteotomy instrument and its application method |
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Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
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CN110801261A (en) * | 2019-11-22 | 2020-02-18 | 上海龙慧医疗科技有限公司 | Double-moving-piece fine cutting swing saw blade for orthopedic surgery |
CN113180812A (en) * | 2021-04-22 | 2021-07-30 | 中南大学湘雅医院 | Calcaneus fracture restorer |
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CN204890100U (en) * | 2015-08-20 | 2015-12-23 | 李西成 | Fibula cuts bone guider |
CN204931780U (en) * | 2015-09-10 | 2016-01-06 | 李西成 | A kind of fibula osteotomy protector |
CN207445002U (en) * | 2017-04-06 | 2018-06-05 | 范士洁 | A kind of orthopaedics osteotomy instrument |
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US20030083747A1 (en) * | 2001-10-30 | 2003-05-01 | Osteotech, Inc. | Bone implant and isertion tools |
US20120130384A1 (en) * | 2009-08-04 | 2012-05-24 | University Of South Florida | Apparatus for Osteotomy and Graft Preparation |
CN202920287U (en) * | 2012-10-11 | 2013-05-08 | 侯玉波 | Steel wire guide forceps used for orthopedic operations |
CN203424993U (en) * | 2013-08-26 | 2014-02-12 | 刘世峰 | Trunk-shaped bone cutting protector |
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Publication number | Priority date | Publication date | Assignee | Title |
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CN110801261A (en) * | 2019-11-22 | 2020-02-18 | 上海龙慧医疗科技有限公司 | Double-moving-piece fine cutting swing saw blade for orthopedic surgery |
CN113180812A (en) * | 2021-04-22 | 2021-07-30 | 中南大学湘雅医院 | Calcaneus fracture restorer |
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