CN107028686B - Pubis prosthesis assembly - Google Patents

Pubis prosthesis assembly Download PDF

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Publication number
CN107028686B
CN107028686B CN201710330587.6A CN201710330587A CN107028686B CN 107028686 B CN107028686 B CN 107028686B CN 201710330587 A CN201710330587 A CN 201710330587A CN 107028686 B CN107028686 B CN 107028686B
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China
Prior art keywords
pubis
prosthese
fastener
hipbone
connection structure
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CN201710330587.6A
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Chinese (zh)
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CN107028686A (en
Inventor
王彩梅
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BEIJING AIKANG YICHENG MEDICAL EQUIPMENT Co Ltd
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BEIJING AIKANG YICHENG MEDICAL EQUIPMENT Co Ltd
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Priority to CN201710330587.6A priority Critical patent/CN107028686B/en
Publication of CN107028686A publication Critical patent/CN107028686A/en
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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/28Bones
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/28Bones
    • A61F2002/2835Bone graft implants for filling a bony defect or an endoprosthesis cavity, e.g. by synthetic material or biological material

Abstract

The present invention provides a kind of pubis prosthesis assemblies, are arranged between left hipbone and right hipbone, comprising: the first pubis prosthese is arranged on right hipbone;Second pubis prosthese is arranged on left hipbone;First connection structure is arranged between the first pubis prosthese and the second pubis prosthese.Technical solution of the present invention efficiently solves in the prior art when tumour crosses pubic symphysis, it is difficult to solve the problems, such as needing for fine motion in pubic symphysis by bone grafting.

Description

Pubis prosthesis assembly
Technical field
The present invention relates to prosthetic replacement fields, in particular to a kind of pubis prosthesis assembly.
Background technique
Pelvis is made of rumpbone, ischium, pubis, ilium, and pelvic tumor accounts for about the 3%-4% of primary bone tumour.Wherein Cartilage system tumor is the most common, is secondly giant cell tumor of bone, osteogenic sarcoma etc., children's Ewing sarcoma is also apt to occur in pelvis.Bone The normal latency development of basin malignant tumour, it is clear sometimes for for a long time to diagnosis from occurring symptom for the first time.Due to pelvic position Relatively deep, tumour early stage is difficult to find, when there are clinical symptoms, gross tumor volume is larger, thus excision of performing the operation is extremely difficult.Shame Bone tumour is relatively fewer, but still can not be ignored to the threat to people living.The side of the treatment pubis tumour generallyd use at present Method has:
(1) tumour curettage and bone grafting operation.Suitable for benign bone tumour.
(2) resection and bone grafting operation.Suitable for benign and low potential malignancy bone tumour.
(3) amputation.Suitable for huge malignant bone tumor or have soft tissue person near extensive involve, but also needs cautiously to examine Consider.
Pubic symphysis (pubic symphysis) is formed by connecting by the symphysial surface of two sides by fibrocartilage.Above and below And there is ligament reinforcement in front, superior pubic ligament is in top, and arcuate ligament of pubis is in lower section.There is one to indulge among fibrocartilage Crack is called cavum symphyseos, but covers without synovial membrane, so pubic symphysis is considered semiarthrosis by someone.Pubic symphysis is transition Type bone connects (semiarthrosis), activity very little.Due to there is stringer crack in interpubic disc, make that there is certain resiliency herein.
Therefore, the anatomical features of pubic symphysis is known, the reconstruction of pubis prosthese needs to reach stability and fixes and control Side pubis is with respect to fine motion.For bone grafting operation, sclerotin source is to need key problems-solving.Even if solving sclerotin source, but work as When tumour crosses pubic symphysis, bone grafting is difficult to solve the needs of fine motion in pubic symphysis.
Summary of the invention
The present invention is intended to provide a kind of pubis prosthesis assembly, to solve in the prior art when tumour crosses pubic symphysis, It is difficult to solve the problems, such as needing for fine motion in pubic symphysis by bone grafting.
To achieve the goals above, the present invention provides a kind of pubis prosthesis assembly, setting left hipbone and right hipbone it Between, comprising: the first pubis prosthese is arranged on right hipbone;Second pubis prosthese is arranged on left hipbone;First connection structure, It is arranged between the first pubis prosthese and the second pubis prosthese.
Further, the first connection structure includes: the first connecting pin, is cooperated with the first pubis prosthese;Second connection end, with The cooperation of second pubis prosthese;Elastic component is arranged between the first connecting pin and second connection end.
Further, the first connecting pin is threaded through in the first pubis prosthese, and second connection end is threaded through the second pubis prosthese In.
Further, the first connecting pin includes being threaded through false intracorporal first attachment base of the first pubis and setting in the first company One end of joint chair and the first limiting section being connected on the first pubis prosthese, elastic component are connect with the first attachment base.
Further, the first attachment base is provided with translot far from one end of the first limiting section the first attachment base to be separated into Multiple first connections divide seat.
Further, second connection end include with multiple first connect one-to-one multiple second attachment bases of point seat and The first fastener connecting with multiple second attachment bases, elastic component are connect with the second attachment base.
Further, the second attachment base has screw hole, and the first fastener has the external screw thread cooperated with screw hole.
Further, the second connection structure connecting with right hipbone is provided on the first pubis prosthese, and/or, the second shame The third connection structure connecting with left hipbone is provided on bone prosthese.
Further, the second connection structure includes the first matrix and the second fastener, and the second fastener connects the first matrix With right hipbone, third connection structure includes the second matrix and third fastener, and third fastener connects the second matrix and left hipbone.
Further, the second fastener is multiple, and the angled setting of multiple second fasteners, third fastener is more It is a, the angled setting of multiple third fasteners.
It applies the technical scheme of the present invention, the first pubis prosthese and the second pubis prosthese are two separately positioned independent vacations Body, it is by the first connection structure that the first pubis prosthese being arranged on right hipbone and the second pubis being arranged on left hipbone is false Body links together, and enables the first pubis prosthese with respect to the second pubis prosthese activity.When the tumour of patient has crossed pubis connection When at conjunction, pubis prosthesis assembly of the invention as an alternative, and can meet the fine motion in daily routines at pubic symphysis It needs.
Detailed description of the invention
The accompanying drawings constituting a part of this application is used to provide further understanding of the present invention, and of the invention shows Examples and descriptions thereof are used to explain the present invention for meaning property, does not constitute improper limitations of the present invention.In the accompanying drawings:
Fig. 1 shows the positive structure diagram of the embodiment of pubis prosthesis assembly according to the present invention;
Fig. 2 shows the left view structural representations of the pubis prosthesis assembly of Fig. 1;
Fig. 3 shows the right side structural representation of the pubis prosthesis assembly of Fig. 1;
Fig. 4 shows the A-A of the pubis prosthesis assembly of Fig. 3 to schematic cross-sectional view;And
Fig. 5 shows the decomposition texture schematic diagram of the pubis prosthesis assembly of Fig. 4.
Wherein, the above drawings include the following reference numerals:
10, the first pubis prosthese;20, the second pubis prosthese;30, the first connection structure;31, the first connecting pin;311, One limiting section;312, translot;313, the first connection divides seat;32, second connection end;321, the second attachment base;322, the first fastening Part;33, elastic component;40, the second connection structure;41, the first matrix;42, the second fastener.
Specific embodiment
Following will be combined with the drawings in the embodiments of the present invention, and technical solution in the embodiment of the present invention carries out clear, complete Site preparation description, it is clear that described embodiments are only a part of the embodiments of the present invention, instead of all the embodiments.Below Description only actually at least one exemplary embodiment be it is illustrative, never as to the present invention and its application or make Any restrictions.Based on the embodiments of the present invention, those of ordinary skill in the art are not making the creative labor premise Under every other embodiment obtained, shall fall within the protection scope of the present invention.
It should be noted that term used herein above is merely to describe specific embodiment, and be not intended to restricted root According to the illustrative embodiments of the application.As used herein, unless the context clearly indicates otherwise, otherwise singular Also it is intended to include plural form, additionally, it should be understood that, when in the present specification using term "comprising" and/or " packet Include " when, indicate existing characteristics, step, operation, device, component and/or their combination.
Unless specifically stated otherwise, positioned opposite, the digital table of the component and step that otherwise illustrate in these embodiments It is not limited the scope of the invention up to formula and numerical value.Simultaneously, it should be appreciated that for ease of description, each portion shown in attached drawing The size divided not is to draw according to actual proportionate relationship.For technology, side known to person of ordinary skill in the relevant Method and equipment may be not discussed in detail, but in the appropriate case, and the technology, method and apparatus should be considered as authorizing explanation A part of book.In shown here and discussion all examples, any occurrence should be construed as merely illustratively, and Not by way of limitation.Therefore, the other examples of exemplary embodiment can have different values.It should also be noted that similar label Similar terms are indicated in following attached drawing with letter, therefore, once it is defined in a certain Xiang Yi attached drawing, then subsequent attached It does not need that it is further discussed in figure.
Fig. 1 shows the positive structure diagram of the embodiment of pubis prosthesis assembly according to the present invention.As shown in Figure 1, The pubis prosthesis assembly of the present embodiment is arranged between left hipbone and right hipbone, including the first pubis prosthese 10, the second pubis are false Body 20 and the first connection structure 30.Wherein the first pubis prosthese 10 is arranged on right hipbone, and the second pubis prosthese 20 is arranged on a left side On hipbone, the first connection structure 30 is arranged between the first pubis prosthese 10 and the second pubis prosthese 20.
Using the technical solution of the present embodiment, the first pubis prosthese 10 and the second pubis prosthese 20 are two separately positioned Independent prosthese by the first pubis prosthese 10 being arranged on right hipbone and is arranged on left hipbone by the first connection structure 30 Second pubis prosthese 20 links together, and enables opposite second pubis prosthese, 20 activity of the first pubis prosthese 10.When patient's When tumour has been crossed at pubic symphysis, the pubis prosthesis assembly of the present embodiment as an alternative, and can meet daily routines Fine motion at middle pubic symphysis needs.
Specifically, Fig. 2 shows the left view structural representations of the pubis prosthesis assembly of Fig. 1;Fig. 3 shows the pubis of Fig. 1 The right side structural representation of prosthesis assembly;Fig. 4 shows the A-A of the pubis prosthesis assembly of Fig. 3 to schematic cross-sectional view.Such as figure 1 to shown in Fig. 4, and the first connection structure 30 includes the first connecting pin 31, second connection end 32 and elastic component 33.Wherein, first connects It connects end 31 to cooperate with the first pubis prosthese 10, second connection end 32 and the cooperation of the second pubis prosthese 20, elastic component 33 are arranged the Between one connecting pin 31 and second connection end 32.
First connecting pin 31 and second connection end 32 are linked together by elastic component 33, and then by the first pubis prosthese 10 It is securely attached together with the second pubis prosthese 20.Elastic component 33 is being turned round in the first connecting pin 31 or second connection end 32 Power or to two sides pulling force when can correspondingly elongate, reverse or be bent to offset above-mentioned stress, and then make the first pubis Prosthese 10 and the second pubis prosthese 20 can adapt to the movement of left and right hipbone, so that the pubis prosthesis assembly of the present embodiment meets day Often activity.
Elastic component 33 can be spring, can choose other flexible structures, also to meet above-mentioned movement.
Specifically, as shown in Figures 2 to 4, the first connecting pin 31 is threaded through in the first pubis prosthese 10, second connection end 32 It is threaded through in the second pubis prosthese 20.Above structure can effectively reduce the volume of pubis prosthesis assembly.
Fig. 5 shows the decomposition texture schematic diagram of the pubis prosthesis assembly of Fig. 4.As shown in figure 5, the first of the present embodiment connects End 31 is connect to include the first attachment base being threaded through in the first pubis prosthese 10 and one end of the first attachment base is arranged in and is connected to The first limiting section 311 on first pubis prosthese 10, elastic component 33 are connect with the first attachment base.The edge of first limiting section 311 It protrudes from the edge of the first attachment base and is connected on the first pubis prosthese 10, the first pubis prosthese 10 of limitation is to far from the second shame The direction of bone prosthese is mobile, prevents the first pubis prosthese 10 from deviating from.
Further, as shown in figure 5, in the present embodiment, the first attachment base is arranged far from one end of the first limiting section 311 There is translot 312 to divide seat 313 so that the first attachment base is separated into multiple first connections.Second connection end 32 includes connecting with multiple first The first fastener for connecing one-to-one multiple second attachment bases 321 of point seat 313 and being connect with multiple second attachment bases 321 322, elastic component 33 is connect with the second attachment base 321.
First attachment base is divided into multiple first connections and divides seat 313 by translot 312, reduces the rigidity of the first attachment base.It is more A first connection, which divides seat 313 and multiple second attachment bases 321 to be arranged in a one-to-one correspondence, makes the first connection structure 30 when by torsion Movable amplitude deficiency or stress concentration will not be caused to cause to be broken because of rigidity is excessive, guarantee pubis prosthesis assembly uses the longevity Life.
Further, as shown in Figure 4 and Figure 5, in the present embodiment, the second attachment base 321 has screw hole, the first fastener 322 have the external screw thread cooperated with screw hole.The first fastener 322 and the second attachment base 321 being connected through a screw thread are in this implementation The elastic of elastic component 33 can be smoothly precisely adjusted when the pubis prosthesis assembly implantation of example, and then the first pubis prosthese 10 and the Distance between two pubis prostheses 20 makes pubis prosthesis assembly preferably be adapted to the actual skeletal status of patient and makes up operation The unconformable problem of the prosthesis size that osteotomy may cause.
Further, as shown in Figure 1 to Figure 3, in the present embodiment, it is provided on the first pubis prosthese 10 and connects with right hipbone The second connection structure 40 connect.It is set up on the contact surface of bone prosthesis and receptor bone and is equipped with the structures such as bone trabecula, so that postoperative The bone of patient can grow into bone prosthesis and be firmly attached with bone prosthesis, prevent bone prosthesis from contacting with receptor bone Face fracture, causes secondary injury to patient.Second connection structure 40 the present embodiment pubis prosthesis assembly implantation when from connect Fixed function limits the relative movement of pubis prosthese and hipbone after surgery, it is compatible with bone prosthesis component to be conducive to subjects bones Healing.
Specifically, as shown in Figure 1 to Figure 3, second connection structure 40 of the present embodiment includes that the first matrix 41 and second is tight Firmware 42, the second fastener 42 connect the first matrix 41 and right hipbone.First matrix 41 of preferred second connection structure 40 is Plate structure, the first matrix 41 of plate can encircle the bone broken ends of fractured bone when connecting with receptor bone, guarantee bigger contact surface Product, is connected to the second fastener 42 solid and reliablely in receptor bone.
Further, as shown in Figure 1 to Figure 3, the second fastener 42 is multiple, multiple second fasteners in the present embodiment 42 angled settings.Pubis prosthesis assembly and receptor bone can be effectively prevented in multiple second fasteners 42 of angled setting Occur to loosen or slip, further increases the reliability of the second connection structure 40.
Optionally, in other embodiments not shown in the figure, it also can be set on the second pubis prosthese and connect with left hipbone The third connection structure connect.Similar to the second connection structure, third connection structure includes the second matrix and third fastener, third Fastener connects the second matrix and left hipbone, and third fastener is multiple, the angled setting of multiple third fasteners.
Connect it should be noted that the second connection structure and third connection structure can be set in pubis prosthesis assembly and ischium The one end connect also can be set in the one end connecting with hipbone.Second connection structure and third connection structure are considered as sclerotin, peace The full factors such as property and cost are adaptively arranged.
It should be further noted that the visual angle of Fig. 1 is the visual angle towards patient, therefore, the first of left side is located in Fig. 1 Pubis prosthese 10 is actually to be connected with the right hipbone of patient.
It can be seen from the above description that the above embodiments of the present invention realized the following chievements:
First pubis prosthese and the second pubis prosthese are two separately positioned independent prostheses, will by the first connection structure The first pubis prosthese being arranged on right hipbone and the second pubis prosthese being arranged on left hipbone link together, and make the first shame Bone prosthese can be with respect to the second pubis prosthese activity.When the tumour of patient has been crossed at pubic symphysis, pubis of the invention is false Body component as an alternative, and can meet the fine motion needs in daily routines at pubic symphysis.
In the description of the present invention, it is to be understood that, the noun of locality such as " front, rear, top, and bottom, left and right ", " it is laterally, vertical, Vertically, orientation or positional relationship indicated by level " and " top, bottom " etc. is normally based on orientation or position shown in the drawings and closes System, is merely for convenience of description of the present invention and simplification of the description, in the absence of explanation to the contrary, these nouns of locality do not indicate that It must have a particular orientation or be constructed and operated in a specific orientation with the device or element for implying signified, therefore cannot manage Solution is limiting the scope of the invention;The noun of locality " inside and outside " refers to inside and outside the profile relative to each component itself.
For ease of description, spatially relative term can be used herein, as " ... on ", " ... top ", " ... upper surface ", " above " etc., for describing such as a device shown in the figure or feature and other devices or spy The spatial relation of sign.It should be understood that spatially relative term is intended to comprising the orientation in addition to device described in figure Except different direction in use or operation.For example, being described as if the device in attached drawing is squeezed " in other devices It will be positioned as " under other devices or construction after part or construction top " or the device of " on other devices or construction " Side " or " under other devices or construction ".Thus, exemplary term " ... top " may include " ... top " and " in ... lower section " two kinds of orientation.The device can also be positioned with other different modes and (is rotated by 90 ° or in other orientation), and And respective explanations are made to the opposite description in space used herein above.
In addition, it should be noted that, limiting components using the words such as " first ", " second ", it is only for be convenient for Corresponding components are distinguished, do not have Stated otherwise such as, there is no particular meanings for above-mentioned word, therefore should not be understood as to this The limitation of invention protection scope.
The foregoing is only a preferred embodiment of the present invention, is not intended to restrict the invention, for the skill of this field For art personnel, the invention may be variously modified and varied.All within the spirits and principles of the present invention, made any to repair Change, equivalent replacement, improvement etc., should all be included in the protection scope of the present invention.

Claims (6)

1. a kind of pubis prosthesis assembly is arranged between left hipbone and right hipbone characterized by comprising
First pubis prosthese (10) is arranged on the right hipbone;
Second pubis prosthese (20) is arranged on the left hipbone;
First connection structure (30) is arranged between the first pubis prosthese (10) and the second pubis prosthese (20), institute Stating the first connection structure (30) includes:
First connecting pin (31) cooperates with the first pubis prosthese (10), and first connecting pin (31) is threaded through described the In one pubis prosthese (10), first connecting pin (31) includes the first connection being threaded through in the first pubis prosthese (10) Seat and the first limiting section that one end of first attachment base is set and is connected on the first pubis prosthese (10) (311), first attachment base is provided with translot (312) far from one end of the first limiting section (311) to connect described first Seat is separated into multiple first connections and divides seat (313);
Second connection end (32) cooperates with the second pubis prosthese (20), and the second connection end (32) is threaded through described the In two pubis prostheses (20);
Elastic component (33) is arranged between first connecting pin (31) and the second connection end (32), the elastic component (33) it is connect with first attachment base.
2. pubis prosthesis assembly according to claim 1, which is characterized in that the second connection end (32) include with it is multiple First connection divide one-to-one multiple second attachment bases (321) of seat (313) and with multiple second attachment bases (321) the first fastener (322) connected, the elastic component (33) connect with second attachment base (321).
3. pubis prosthesis assembly according to claim 2, which is characterized in that second attachment base (321) has screw hole, First fastener (322) has the external screw thread cooperated with the screw hole.
4. pubis prosthesis assembly according to claim 1, which is characterized in that be provided on the first pubis prosthese (10) The second connection structure (40) being connect with the right hipbone, and/or, it is provided with and the left side on the second pubis prosthese (20) The third connection structure of hipbone connection.
5. pubis prosthesis assembly according to claim 4, which is characterized in that second connection structure (40) includes first Matrix (41) and the second fastener (42), second fastener (42) connect first matrix (41) and the right hipbone, Third connection structure includes the second matrix and third fastener, and the third fastener connects second matrix and the left hip Bone.
6. pubis prosthesis assembly according to claim 5, which is characterized in that second fastener (42) be it is multiple, it is more The angled setting of a second fastener (42), the third fastener are multiple, multiple third fastener angulations The setting of degree.
CN201710330587.6A 2017-05-11 2017-05-11 Pubis prosthesis assembly Active CN107028686B (en)

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109330745A (en) * 2018-11-27 2019-02-15 北京爱康宜诚医疗器材有限公司 Pubis prosthesis assembly

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2850538Y (en) * 2005-12-01 2006-12-27 黄儒收 Pubic symphysis fixing plate
CN204016455U (en) * 2014-08-29 2014-12-17 赵全明 Pubic symphysis separate shape memory internal fixation
CN204033468U (en) * 2014-08-30 2014-12-24 赵全明 Pubic symphysis diastasis Ultimum Ti inner fixer
CN206044707U (en) * 2016-06-29 2017-03-29 宫玉锁 Pubic symphysis diastasis inner fixer

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN202714905U (en) * 2012-06-08 2013-02-06 张英泽 Bionic elastic fixing device
CN207520240U (en) * 2017-05-11 2018-06-22 北京爱康宜诚医疗器材有限公司 pubis prosthesis assembly

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2850538Y (en) * 2005-12-01 2006-12-27 黄儒收 Pubic symphysis fixing plate
CN204016455U (en) * 2014-08-29 2014-12-17 赵全明 Pubic symphysis separate shape memory internal fixation
CN204033468U (en) * 2014-08-30 2014-12-24 赵全明 Pubic symphysis diastasis Ultimum Ti inner fixer
CN206044707U (en) * 2016-06-29 2017-03-29 宫玉锁 Pubic symphysis diastasis inner fixer

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