CN107049461A - A kind of fracture of scapula dissection locking internal fixation system - Google Patents
A kind of fracture of scapula dissection locking internal fixation system Download PDFInfo
- Publication number
- CN107049461A CN107049461A CN201710390214.8A CN201710390214A CN107049461A CN 107049461 A CN107049461 A CN 107049461A CN 201710390214 A CN201710390214 A CN 201710390214A CN 107049461 A CN107049461 A CN 107049461A
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- China
- Prior art keywords
- scapula
- steel plate
- side edge
- fracture
- screw hole
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
- 238000002224 dissection Methods 0.000 title claims abstract description 27
- 206010039579 Scapula fracture Diseases 0.000 title claims abstract description 26
- 229910000831 Steel Inorganic materials 0.000 claims abstract description 75
- 239000010959 steel Substances 0.000 claims abstract description 75
- 210000001991 scapula Anatomy 0.000 claims abstract description 68
- 241001653121 Glenoides Species 0.000 claims abstract description 33
- 241000150100 Margo Species 0.000 claims abstract description 28
- 210000000988 bone and bone Anatomy 0.000 claims abstract description 16
- 239000007788 liquid Substances 0.000 claims description 3
- 210000003484 anatomy Anatomy 0.000 claims description 2
- 206010017076 Fracture Diseases 0.000 abstract description 15
- 238000011084 recovery Methods 0.000 abstract description 4
- 208000010392 Bone Fractures Diseases 0.000 description 15
- 238000000465 moulding Methods 0.000 description 4
- 238000010586 diagram Methods 0.000 description 3
- 210000003323 beak Anatomy 0.000 description 2
- 238000005452 bending Methods 0.000 description 2
- 230000007423 decrease Effects 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 210000003205 muscle Anatomy 0.000 description 2
- 208000024779 Comminuted Fractures Diseases 0.000 description 1
- 206010017081 Fracture delayed union Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 210000002659 acromion Anatomy 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 230000001788 irregular Effects 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 239000000203 mixture Substances 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
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
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/8061—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones
-
- 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 fracture of scapula dissection locking internal fixation system, it includes axillary margin of scapula steel plate and margo medialis scapulae steel plate, axillary margin of scapula steel plate includes Scapula glenoid portion, outside edge, margo medialis scapulae steel plate includes mesoscapula portion, interior side edge part, the outer/inner side edge part of steel plate and the outer/inner lateral margin phase docile of human body shoulder blade, mesoscapula portion and human body shoulder blade mesoscapula portion phase docile, Scapula glenoid portion are the curved plate matched with the Scapula glenoid portion of human body；Scapula glenoid portion, outside edge and mesoscapula portion, the fixture portion of interior side edge part are respectively provided with multiple screw holes.The present invention more preferably can carry out docile and fixation to the fracture site of shoulder blade medial and lateral, can avoid adjusting steel plate in art or slight adjustment can reach and be fitted with bone face, reduce operating time and operation risk, contribute to good recovery of fracturing.Axillary margin of scapula steel plate, margo medialis scapulae steel plate according to state of an illness independence or can be used in combination, it is to avoid cut out and cause the wasting of resources.
Description
Technical field
The invention belongs to technical field of medical instruments, and in particular to a kind of fracture of scapula dissection locking internal fixation system.
Background technology
Shoulder blade is located at the outer top at back, and its form is irregular, including two faces, three angles and three edge, wherein being above
Fossa subscapularis, is a big and shallow nest;Have one below to outside upper bone ridge, claim mesoscapula, the upper and lower shallow nest in ridge is referred to as
Supraspinous fossa and infraspinous fossa, the outboard end of mesoscapula claim acromion, are the peaks of shoulder；Lateral angle is plump, there is pyriform articular surface, claims
Glenoid cavity, upper angle and inferior horn are located at the top and bottom of interior lateral margin, put down respectively to the 2nd rib and the 7th rib, can be used as counting rib
Mark；There is the digitation on the outside of scapular notch, scapular notch on the outside of margin of scapula,superior, because exactly liking beak, therefore claim beak
Prominent, interior lateral margin is long and thin, to backbone, lateral border is plump, to armpit.
According to Hardegger partings, fracture of scapula can be divided into fracture of scapular body, Scapula glenoid edge fracture, Scapula glenoid nest
Fracture, dissection fracture of cervical vertebra, fracture of surgical neck, acromial fracture, fracture of spina scapulae and fracture of coracoid process of scapula are clinical more using in open reduction
Ligamentopexis is treated.Fracture of scapula more after, it is on the other hand good with operation on the one hand depending on the degree of injury of fracture
Reset and be fixed with substantial connection, the optional material category of traditional internal fixation treatment is relatively more, such as:Calcaneal steel plate, reconstruction steel
Plate, T, Y shape steel plate, miniature steel plate and Kirschner wire, steel wire, absorbable and nonabsorable screw etc..Muscle group around shoulder blade
Attachment is close, and surgical exposure is difficult, larger to the intractability of the reduction of the fracture particularly comminuted fracture piece, it is difficult to reach that dissection is multiple
Position, and conventional fasteners tool need to be carried out in art it is moulding, could with bone face more docile, on the one hand extension operating time, increase
Intraoperative blood loss and infection risk, another aspect bending, cut out etc. it is moulding internal fixation device stiffness can be caused to decline, stability
Decline, fixed effect is not firm, and then the multiple complications such as malunion, fracture delayed union occurs.
In summary, this area is badly in need of a kind of more conforming to shoulder blade anatomical features, more efficient, safe being used for omoplate
The inner fixing device of bone fractures.
The content of the invention
The technical problem to be solved in the present invention is to provide a kind of fracture of scapula dissection locking internal fixation system, can more managed
Docile and fixation are carried out to the fracture sites of shoulder blade medial and lateral with thinking.Axillary margin of scapula steel plate, margo medialis scapulae steel plate
It according to state of an illness independence or can be used in combination, it is to avoid cut out and cause the wasting of resources, reduce operating time and operation risk, it is ensured that fracture
The security of operation.To solve above technical problem, the present invention is adopted the following technical scheme that：
A kind of fracture of scapula dissection locking internal fixation system, including with axillary margin of scapula and interior lateral margin anatomical structure phase
The dissection locking steel plate matched somebody with somebody, the dissection locking steel plate is axillary margin of scapula steel plate and margo medialis scapulae steel plate；The omoplate
Bone lateral border steel plate includes Scapula glenoid portion, outside edge, and the margo medialis scapulae steel plate includes mesoscapula portion, interior side edge part,
Described outside edge and human body axillary margin of scapula portion phase docile, described interior side edge part and human body margo medialis scapulae portion phase
Docile, the mesoscapula portion and human body shoulder blade mesoscapula portion phase docile, the Scapula glenoid portion are the Scapula glenoid portion phase with human body
The curved plate of matching, Scapula glenoid portion, outside edge and the margo medialis scapulae steel plate of the axillary margin of scapula steel plate
Mesoscapula portion, the fixture portion of interior side edge part are respectively provided with multiple screws.
Preferably, the Scapula glenoid portion is provided with several first screw holes；The mesoscapula portion is provided with several four
Screw hole；Outside edge near-end is provided with several second screw holes, and the interior side edge part near-end is provided with several 5th screw holes,
The outside edge distal end is provided with several 3rd screw holes, and the interior side edge part distal end is provided with several 6th screw holes.
Preferably, first screw hole is 2；4th screw hole is 3；Second screw hole is 2；
5th screw hole is 3；3rd screw hole is 7；6th screw hole is 4.
Preferably, the 4th screw hole set by the first screw hole set by the Scapula glenoid portion and the mesoscapula portion is ten thousand
To screw hole.
Preferably, the 5th screw set by the second screw hole set by the near-end of the outside edge and the interior side edge part near-end
Hole is universal lock screw hole, set 3rd screw hole in outside edge distal end and the interior side edge part distal end the set 6th
Screw hole is LCP combined holes, is needed to select locking and plain screw to fix according to operation.
Preferably, the outside edge near-end of the axillary margin of scapula steel plate and the margo medialis scapulae steel plate
Interior side edge part near-end is non-notch design structure；The outside edge distal end of the axillary margin of scapula steel plate and the omoplate
The interior side edge part distal end of balsh plate is breach design structure on the inside of bone, the Scapula glenoid portion of the axillary margin of scapula steel plate and
The mesoscapula portion of the margo medialis scapulae steel plate is breach design structure.
Preferably, the length of the outside edge near-end of the axillary margin of scapula steel plate is 25.0-30.0mm；The shoulder
The length of the interior side edge part near-end of balsh plate is 26.0-35.0mm on the inside of shoulder blade.
Preferably, the angle in the Scapula glenoid portion of the axillary margin of scapula steel plate and outside edge is 100~140 °, institute
It is 90~105 ° that the mesoscapula portion of margo medialis scapulae steel plate, which is stated, with the angle of interior side edge part.
Preferably, the length in the Scapula glenoid portion of the axillary margin of scapula steel plate is 22.0-25.5mm.
Preferably, the length in the mesoscapula portion of the margo medialis scapulae steel plate is 22.0-26.0mm.
Compared with prior art, the invention has the advantages that：In a kind of fracture of scapula dissection locking of the present invention
Fixed system carries out docile and fixation to fracture of scapula position ideally, the outer interior lateral margin of the shoulder blade that the present invention is provided,
The many places such as ridge portion, broad-mouthed receptacle for holding liquid portion are fixed, and the geometry of space form of inner fixing device and the outer interior lateral margin contact surface of shoulder blade matches, energy
With bone face carry out it is good fit, can avoid adjusting steel plate in art, or slight adjustment can reach and fit with bone face, reduces and performs the operation
Time and operation risk, contribute to good recovery of fracturing；Axillary margin of scapula steel plate, margo medialis scapulae steel plate can be according to diseases
Feelings independence is used in combination, it is to avoid cuts out and causes the wasting of resources；Steel plate is without carrying out whole parcels to shoulder blade, it is to avoid causing should
Power is blocked excessive；Muscle is peeled off without large area during placement, operating time and operation risk is reduced, it is ensured that the safety of fracture operation
Property, the probability of related complication generation is reduced, contributes to good recovery of fracturing.
Brief description of the drawings
The present invention is further described with reference to the accompanying drawings and examples.
Fig. 1 is a kind of positive dimensional structure diagram of fracture of scapula dissection locking internal fixation system of the present invention；
Fig. 2 is use state of the present invention applied to a kind of fracture of scapula dissection locking internal fixation system on omoplate bone specimen
Schematic diagram.
In figure：1. axillary margin of scapula steel plate, 11. Scapula glenoid portions, 111. first screw holes, 12. outside edges, 121.
Second screw hole, 122. outside edge near-ends, 123. the 3rd screw holes, 2. margo medialis scapulae steel plates, 21. mesoscapula portions,
211. the 4th screw holes, side edge part in 22., 221. the 5th screw holes, side edge part near-end, 223 the 6th screw holes in 222..
Embodiment
In conjunction with the accompanying drawings, the present invention is further explained in detail.These accompanying drawings are simplified schematic diagram, only with signal
Mode illustrates the basic structure of the present invention, therefore it only shows the composition relevant with the present invention.
Shown in reference picture 1, a kind of fracture of scapula dissection locking internal fixation system of the invention, including：Axillary margin of scapula
Steel plate 1, margo medialis scapulae steel plate 2, the axillary margin of scapula steel plate 1 includes Scapula glenoid portion 11, outside edge 12, the shoulder
Balsh plate 2 includes mesoscapula portion 21, interior side edge part 22 on the inside of shoulder blade.The Scapula glenoid portion 11 is the Scapula glenoid portion phase with human body
The curved plate matched somebody with somebody, the mesoscapula portion 21 and human body shoulder blade mesoscapula portion phase docile, described outside edge 12 and human body
Axillary margin of scapula portion phase docile.Interior side edge part 22 and human body margo medialis scapulae portion phase docile.
Shown in reference picture 2, the Scapula glenoid portion 11 is the curved plate matched with the Scapula glenoid portion of human body, the omoplate
Side edge part 22 and human body shoulder blade are outer/inner in ridge portion 21 and human body shoulder blade mesoscapula portion phase docile, described outside edge 12/
Side edge part phase docile.So in surgical procedure, it can avoid adjusting steel plate in art, or slight adjustment can reach and be fitted with bone face,
Time and the operation risk of operation are reduced, the probability of related complication generation is reduced, contributes to good recovery of fracturing.This hair
It is bright to can be used in the operation of orthopaedics fracture of scapula.
As shown in figure 1, the shoulder in the Scapula glenoid portion 11 of axillary margin of scapula steel plate 1, outside edge 12 and margo medialis scapulae steel plate 2
Shoulder blade ridge portion 21, the fixture portion of interior side edge part 22 are respectively provided with multiple screw holes.Set first screw hole wherein in Scapula glenoid portion 11
111（It is preferred that 2）And set 4th screw hole 211 in mesoscapula portion 21（It is preferred that 3）It is universal lock screw hole, it is ensured that spiral shell
Follow closely the alternative into nail direction.Second screw hole 121 set by the near-end of outside edge 12（It is preferred that 2）And the interior near-end of side edge part 22
Set 5th screw hole 221（It is preferred that 3）For some universal lock screw holes, set 3rd screw hole in the distal end of outside edge 12
123（It is preferred that 7）And interior set 6th screw hole 223 in the distal end of side edge part 22（It is preferred that 4）For some LCP combined holes（Locking adds
Press combined hole）, needed to select locking and plain screw to fix according to operation.
Preferably, outside edge near-end 122 (length is 25.0-30.0mm), the shoulder blade of axillary margin of scapula steel plate 1
The interior side edge part near-end 222 (length is 26.0-35.0mm) of inner side balsh plate 2 designs for non-notch, adapts to respective regions complicated
Anatomical features, strengthens fixing intensity.The distal end of outside edge 12 of axillary margin of scapula steel plate 1, margo medialis scapulae steel plate 2 it is interior
The distal end of side edge part 22 is designed for breach, the Scapula glenoid portion 11 (length is 22.0-25.5mm) of axillary margin of scapula steel plate 1, omoplate
The mesoscapula portion 21 (length is 22.0-26.0mm) of balsh plate 2 designs for breach on the inside of bone, can be further moulding as needed.
The distal end of outside edge 12 of axillary margin of scapula steel plate 1, the interior side edge part 22 of margo medialis scapulae steel plate 2 can distally extend, can
To increase screw hole, different size is designed to.
Preferably, the angle of the Scapula glenoid portion 11 of the axillary margin of scapula steel plate 1 and outside edge 12 be 100~
140 °, the mesoscapula portion 21 of the margo medialis scapulae steel plate 2 and the angle of interior side edge part 22 are 90~105 °, it is to avoid according to bone
The further bending of face form, moulding adjustment could more fit with bone face.
A kind of fracture of scapula dissection of the present invention locks internal fixation system when in use, first by axillary margin of scapula steel plate
1 and/or margo medialis scapulae steel plate 2 fitted with the outer/inner lateral margin bone face of shoulder blade, screw is fixed, and perspective is shown in that steel plate position is good,
Then direction, the length of lock screw are adjusted according to the actual conditions of operation, successively pedicle screw.The steel plate is ideal
Ground carries out docile and fixation to fracture of scapula position, reduces operating time and operation risk, it is ensured that the security of fracture operation.
Using the above-mentioned desirable embodiment according to the present invention as enlightenment, by above-mentioned description, relevant staff is complete
Various changes and amendments can be carried out without departing from the scope of the technological thought of the present invention' entirely.The technology of this invention
Property scope is not limited to the content on specification, it is necessary to its technical scope is determined according to right.
Claims (10)
1. a kind of fracture of scapula dissection locking internal fixation system, it is characterised in that:Including with axillary margin of scapula and interior lateral margin
The dissection locking steel plate that anatomical structure matches, the dissection locking steel plate is axillary margin of scapula steel plate and margo medialis scapulae
Steel plate；The axillary margin of scapula steel plate includes Scapula glenoid portion, outside edge, and the margo medialis scapulae steel plate includes mesoscapula
Portion, interior side edge part, described outside edge and human body axillary margin of scapula portion phase docile, described interior side edge part and human body omoplate
Side edge part is affixed clothes, the mesoscapula portion and human body shoulder blade mesoscapula portion phase docile in bone, and the Scapula glenoid portion is and human body
The curved plate that matches of Scapula glenoid portion, Scapula glenoid portion, outside edge and the omoplate of the axillary margin of scapula steel plate
The mesoscapula portion of balsh plate, the fixture portion of interior side edge part are respectively provided with multiple screw holes on the inside of bone.
2. a kind of fracture of scapula dissection locking internal fixation system according to claim 1, it is characterised in that:The omoplate
Broad-mouthed receptacle for holding liquid portion is provided with several first screw holes；The mesoscapula portion is provided with several 4th screw holes；Outside edge near-end is set
There are several second screw holes, the interior side edge part near-end is provided with several 5th screw holes, and the outside edge distal end is provided with several
3rd screw hole, the interior side edge part distal end is provided with several 6th screw holes.
3. a kind of fracture of scapula dissection locking internal fixation system according to claim 2, it is characterised in that:Described first
Screw hole is 2；4th screw hole is 3；Second screw hole is 2；5th screw hole is 3；It is described
3rd screw hole is 7；6th screw hole is 4.
4. a kind of fracture of scapula dissection locking internal fixation system according to claim 2, it is characterised in that:The shoulder
4th screw hole set by first screw hole set by shoulder blade broad-mouthed receptacle for holding liquid portion and the mesoscapula portion is universal lock screw hole.
5. a kind of fracture of scapula dissection locking internal fixation system according to claim 2, it is characterised in that:It is described outer
5th screw hole set by second screw hole set by side edge part near-end and the interior side edge part near-end is universal lock screw hole, institute
It is LCP combined holes to state set 3rd screw hole in outside edge distal end and interior set 6th screw hole in side edge part distal end, root
Need to select locking and plain screw to fix according to operation.
6. a kind of fracture of scapula dissection locking internal fixation system according to claim 1, it is characterised in that:The shoulder
The interior side edge part near-end of the outside edge near-end of shoulder blade lateral border steel plate and the margo medialis scapulae steel plate is non-notch
Design structure；The outside edge distal end of the axillary margin of scapula steel plate and the interior side edge part of the margo medialis scapulae steel plate
Distal end is breach design structure, the Scapula glenoid portion of the axillary margin of scapula steel plate and the margo medialis scapulae steel plate
Mesoscapula portion is breach design structure.
7. a kind of fracture of scapula dissection locking internal fixation system according to claim any one of 2-6, it is characterised in that:
The length of the outside edge near-end of the axillary margin of scapula steel plate is 25.0-30.0mm；The margo medialis scapulae steel plate
The length of interior side edge part near-end is 26.0-35.0mm.
8. a kind of fracture of scapula dissection locking internal fixation system according to claim 1, it is characterised in that:The shoulder
The Scapula glenoid portion of shoulder blade lateral border steel plate and the angle of outside edge are 100~140 °, the shoulder of the margo medialis scapulae steel plate
The angle of shoulder blade ridge portion and interior side edge part is 90~105 °.
9. a kind of fracture of scapula dissection locking internal fixation system according to claim 1, it is characterised in that:The omoplate
The length in the Scapula glenoid portion of bone lateral border steel plate is 22.0-25.5mm.
10. a kind of fracture of scapula dissection locking internal fixation system according to claim 1, it is characterised in that:The shoulder
The length in the mesoscapula portion of balsh plate is 22.0-26.0mm on the inside of shoulder blade.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710390214.8A CN107049461A (en) | 2017-05-27 | 2017-05-27 | A kind of fracture of scapula dissection locking internal fixation system |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710390214.8A CN107049461A (en) | 2017-05-27 | 2017-05-27 | A kind of fracture of scapula dissection locking internal fixation system |
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| Publication Number | Publication Date |
|---|---|
| CN107049461A true CN107049461A (en) | 2017-08-18 |
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ID=59617425
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201710390214.8A Pending CN107049461A (en) | 2017-05-27 | 2017-05-27 | A kind of fracture of scapula dissection locking internal fixation system |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108175494A (en) * | 2018-01-24 | 2018-06-19 | 史会明 | A kind of shoulder blade anatomical type locking plate |
| CN111631789A (en) * | 2020-06-09 | 2020-09-08 | 遵义医科大学附属医院 | Locking steel plate for scapula fracture treatment |
Citations (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN205359609U (en) * | 2016-01-20 | 2016-07-06 | 刘观燚 | Shoulder blade neck steel sheet |
| CN106473799A (en) * | 2016-11-30 | 2017-03-08 | 郭颖彬 | Fracture fixation part inside a kind of modified model scapula |
-
2017
- 2017-05-27 CN CN201710390214.8A patent/CN107049461A/en active Pending
Patent Citations (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN205359609U (en) * | 2016-01-20 | 2016-07-06 | 刘观燚 | Shoulder blade neck steel sheet |
| CN106473799A (en) * | 2016-11-30 | 2017-03-08 | 郭颖彬 | Fracture fixation part inside a kind of modified model scapula |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108175494A (en) * | 2018-01-24 | 2018-06-19 | 史会明 | A kind of shoulder blade anatomical type locking plate |
| CN111631789A (en) * | 2020-06-09 | 2020-09-08 | 遵义医科大学附属医院 | Locking steel plate for scapula fracture treatment |
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Application publication date: 20170818 |