CN107280750A - Bone plate locking hook - Google Patents

Bone plate locking hook Download PDF

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Publication number
CN107280750A
CN107280750A CN201610414710.8A CN201610414710A CN107280750A CN 107280750 A CN107280750 A CN 107280750A CN 201610414710 A CN201610414710 A CN 201610414710A CN 107280750 A CN107280750 A CN 107280750A
Authority
CN
China
Prior art keywords
hone lamella
clavicle
main body
hole
lock
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
Application number
CN201610414710.8A
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Chinese (zh)
Inventor
付中国
吴开兴
罗翔炜
黄胜隆
廖健雄
陈文全
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
A Plus Biotechnology Co ltd
Original Assignee
A Plus Biotechnology Co ltd
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by A Plus Biotechnology Co ltd filed Critical A Plus Biotechnology Co ltd
Publication of CN107280750A publication Critical patent/CN107280750A/en
Pending legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8061Cortical 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

Abstract

The invention discloses a clavicle locking bone plate, which comprises: the device comprises a main body, a bending part, a hook part, a winding part, a first side surface and a second side surface, wherein the main body further comprises a front end and a rear end and is provided with a first pressurizing hole, a second pressurizing hole and a locking hole; one end of the bending part is connected with the front end of the main body; the hook part is connected with the other end of the bending part; the winding part is connected with the rear end of the main body, and the hook part, the bending part, the main body and the winding part are integrally formed in sequence; the first side surface and the second side surface are respectively positioned at the outer side and the inner side of the bone plate, wherein the first pressurizing hole, the second pressurizing hole and the locking hole penetrate from the first side surface to the second side surface of the bone plate.

Description

Clavicle hook lock determines hone lamella
Technical field
The present invention relates to the hone lamella for fixing clavicle, refer in particular to a kind of clavicle hook lock and determine hone lamella.
Background technology
The skeletal shape of partes corporis humani position is not quite similar and constructs complexity, if occurring the injury such as fracture, medically provides The mode for the treatment of and rehabilitation need to generally give appropriate treatment according to the skeletal structure of injury, when the position of fracture is close During joint, less suitable for plaster fixing is used, then hone lamella and nail would generally be taken as the fixture for the treatment of fracture.
By taking clavicle as an example, clavicle is located at the position that human body connects shoulder blade and breastbone, clavicle for connection upper limbs and trunk it Between unique bony framework;Clavicle external form is elongated and S-type, when more close to shoulder blade, then clavicle distal end is then more flat, and due to The external form of clavicle is elongated, therefore, and one of bone of fracture or dislocation also most easily occurs for human body for clavicle;When patient is by high-energy Wound, such as traffic accident, strong collision or by high falling;Or the wound of low energy, such as slip or fall down, be likely to result in Clavicle is fractured or dislocated by setback, it is therefore desirable to which impaired clavicle is fixed, and currently used for treatment fracture of clavicle Or the mode of dislocation, impaired clavicle is fixed using different fixed forms, and above-mentioned fixed form is available Eight shoulder bands, steel pawl, steel nail, exter-nal fixer, straight trip steel plate and bending shape steel plate etc. utensil are fixed, wherein, bending Shape steel plate is treatment fracture of clavicle at present or the common fixed form of dislocation.
General common clavicle fixator is a kind of bending shape steel plate, and the structure of the clavicle fixator is big with one The hone lamella and the bending segment that from a side edge bending of the hone lamella extends parallel with clavicle is caused, the bending segment has one away from the bone The hook portion of plate, and the hook portion substantially can be parallel with the hone lamella articular surface and human body, when using the clavicle fixator, the bending segment It can bend into the joint gap of clavicle and shoulder blade, and rely on by the hook portion inner surface of shoulder blade, and to solid Lock Bones and joints dislocate.Such a Parallel Design (hook portion is parallel with hone lamella) although can solve clavicle joint dislocation problem, however, The locking screw quantity that foregoing institute's bone anchor is locked is excessive, causes the hook portion top tug for being resisted against shoulder blade inner surface should The stress of shoulder blade is excessive so that the omoplate reduction is incorrect and causes other complication to occur, for example, fixed failure, shoulder The abrasion of peak bone, shoulder discomfort etc., passed what is more from acromion bone for hone lamella and hone lamella/nail fracture.
In order to solve foregoing because the tug of hook portion top causes the incorrect problem of omoplate reduction, the mode solved at present is order The hook portion is in an angle with the hone lamella, although however, an angle is presented between hook portion and the hone lamella is addressed hook portion for this The top tug of shoulder blade, but how to mitigate stress that hone lamella applies for bone and routinely rub and reduce clavicle or omoplate The abrasion of bone, is still the problem of need solving at present.
The content of the invention
In view of the above-mentioned problems, it is an object of the invention to provide a kind of clavicle locking bone for mitigating and being rubbed for bone Plate, and the fixation of this locking hone lamella need not depend on the frictional force between hone lamella and bone unduly, and the locking of its own can be relied on And winding arrangement reaches fixed effect.When reducing contact of the hone lamella of the present invention with bone, then will have between hone lamella and bone Space, except that can eliminate hone lamella or hook portion, to possible syndrome caused by the pressurization of bone, (such as courses of infection, union delay Slowly, fixed failure etc.), it can also improve the recovery and growth of the blood transportation and periosteum of affected part.
The another object of this case is the clavicle locking hone lamella for providing a kind of hone lamella type different from the past, of the invention Hone lamella assigns nail appropriate fine motion (micro-motion), except that can slow down the active force that hook portion is applied for shoulder blade, The fine motion of nail can also stimulate the healing of bone.In one embodiment, clavicle of the invention locking hone lamella is applicable to multiple locking The indication of damaged bone is (for example:Distal clavicle fracture etc.);In addition, the end of hone lamella of the present invention also bends and a folder is presented Angle, therefore the present invention can be also solved because the tug of hook portion top causes the incorrect problem of omoplate reduction.And the present invention hone lamella except Prior pre-bending can be not required to, its biggest advantage is to reduce the use of nail to reduce the stress that hone lamella is applied for bone.
In the first viewpoint of the present invention, a kind of clavicle locking hone lamella of the invention, it is included:One main body, a kink, One hook portion, a wound portion, a first side and a second side, wherein main body further comprising a front end and a rear end and are provided with First pressurization hole (compression hole), the second pressurization hole and a lock hole;And above-mentioned kink, its one end with it is foregoing The front end of main body be connected;The hook portion is then connected to the other end of above-mentioned kink;Wound portion is connected with the rear end of the main body Connect, and above-mentioned hook portion, kink, main body and wound portion are sequentially integrally formed;First side is then located at upper respectively with second side State the outside and inner side of hone lamella, the wherein first side of the first pressurization hole, the second pressurization hole and the lock hole from the hone lamella It is through to the second side;On the other hand, first and second above-mentioned pressurization Kong Kewei cortex nail is worn, and makes foregoing cortex Nail is through to second side from the first side of the hone lamella and dug into clavicle.In one embodiment, the main body of this hone lamella is One cambered surface plate body;In another embodiment, the wound portion is in a spiral plate body.
In certain embodiments, the second side between this plate body and kink has the first curvature (ρ 1), and bends First side 113 between portion and hook portion has the second curvature (ρ 2).From the foregoing it will be appreciated that the present invention utilizes aforementioned body, bending The curvature design of portion and hook portion each other, when the locking hone lamella is fixed on clavicle joint, shoulder blade will not be by hook portion top It is sincere and shift, therefore can effectively fix the stremma or fracture of clavicle distal end.
In another embodiment, hone lamella of the invention can wear above-mentioned pressurization using cortex nail (cortex screw) Hole (compression hole), and allow cortex nail to do some micro- rotation (micro-motion);In some embodiments, Because the hone lamella of the present invention assigns cortex nail appropriate fine motion (micro-motion), except hook portion can be slowed down for shoulder blade The stress applied, and reduce hone lamella clavicle or shoulder blade are routinely rubbed to cause the abrasion of clavicle or shoulder blade;Separately On the one hand, the fine motion of cortex nail can also stimulate the healing of bone.
Brief description of the drawings
Fig. 1 (A) shows that clavicle hook lock determines a stereogram of hone lamella.
Fig. 1 (B) shows the side view of hone lamella of the present invention.
Part-structure one embodiments of the Fig. 2 to show hone lamella of the present invention.
Fig. 3 shows the side view for the hone lamella of the present invention for being fixed on clavicle according to an embodiment.
Fig. 4 (A) display present invention is fixed on another embodiment of clavicle distal end.
Fig. 4 (B) display present invention is fixed on another embodiment of clavicle distal end.
Primary clustering symbol description:
100 hone lamellas
102 main bodys
104 kinks
106 hook portions
108 wound portions
The pressurizations of 110a first hole
The pressurizations of 110b second hole
112 lock holes
114 open-works
116 first sides
118 second sides
302 cortex nails
402 locking nails
C1 clavicles are key
C2 clavicles distal end
The curvatures of ρ 1 first
The curvatures of ρ 2 second
Embodiment
Embodiments of the present invention are illustrated by particular specific embodiment below, those skilled in the art can be by this explanation Content disclosed in book understands both effectiveness and its advantage of the present invention easily.And the present invention can also be added by other specific embodiments To use and implement, every details that this specification is illustrated can also be applied based on different demands, and not depart from the present invention Spirit under carry out a variety of modifications or change.
The present invention will be described with preferred embodiment and viewpoint, such thin structure for explaining the present invention of narration, be only used to Illustrate and be not used to the claim of the limitation present invention.Therefore, in addition to the preferred embodiment in specification, the present invention is also It can carry out extensively in other embodiments.
The present invention determines hone lamella 100 for a clavicle hook lock, and such as shown in Fig. 1 (A)-Fig. 1 (B), above-mentioned clavicle hook lock determines hone lamella 100 further include:One main body 102, a kink 104, a hook portion 106, a wound portion 108, a first side 116 and one Two side faces 118, wherein main body 102 are further comprising a front end 1021 and a rear end 1022 and provided with a pressurization hole 110a (compression hole), the second pressurization hole 110b and a lock hole 112;And above-mentioned kink 104, its one end with it is foregoing The front end 1021 of main body 102 is connected;The hook portion 106 is then connected to the other end of above-mentioned kink 104;Wound portion 108 is with being somebody's turn to do The rear end 1022 of main body 102 is connected, and above-mentioned hook portion 106, kink 104, main body 102 and wound portion 108 sequentially one into Type;First side 116 is then located at the outside and inner side of above-mentioned hone lamella with second side 118 respectively, wherein the first foregoing pressurization Hole 110a, the second pressurization hole 110b and lock hole 112 are through to second side 118 from the first side 116 of hone lamella.Implement one In example, the main body 102 of this hone lamella is a cambered surface plate body;In another embodiment, above-mentioned wound portion 108 is in a spiral plate body. In one embodiment, wear above-mentioned first and second pressurization hole (110a, 110b) and lock hole 112 using nail, further and Speech, using cortex nail wear first and second pressurization hole, and using locking nail can then wear the second pressurization hole 110b and Lock hole 112.
In one embodiment, the first pressurization hole 110a sets neighbouring in wound portion 108;In another embodiment, lock hole 112 set neighbouring in kink 104.In another embodiment, the end of wound portion 108 and hook portion 106 is obtuse;Implement one In example, the second pressurization hole 110b is arranged between the first pressurization hole 110a and lock hole 112.
In certain embodiments, because the main body 102 is cambered surface plate body, therefore, the second side 118 of the main body 102 is entered One step is corresponding with gradually flat clavicle distal end, therefore the second side 118 of main body 102 can be attached to clavicle distal end, and twines Then with spiral winding and the key surface of clavicle can be attached to around portion 108.And make material used in this hone lamella further Can be steel, titanium or the vanadium (Ti6Al4V) of 6 aluminium of titanium 4;In one embodiment, the surface of above-mentioned hone lamella has one layer of wear-resisting antioxygen again Change layer.
As shown in Fig. 2 and combine Fig. 1, its embodiment of part-structure one to show hone lamella of the present invention.In an embodiment In, this hone lamella is directly implanted in clavicle distal end, is finally resetted again with being fixed;In order to make hone lamella of the present invention be attached to Each position of clavicle distal end, the surface of first curvature (ρ 1) and the second curvature (ρ 2) and clavicle distal end each position of this hone lamella is bent Degree is corresponding, and above-mentioned kink further gos deep into the gap between clavicle and shoulder blade, hook portion is resisted against shoulder blade, And the second side 118 between this plate body 102 and kink 104 has the first curvature (ρ 1), and kink 104 and hook portion First side 116 between 106 then has the second curvature (ρ 2).
In one embodiment, above-mentioned first pressurization hole 110a (compression hole), the second pressurization hole 110b hole Wall is provided with screw thread, and above-mentioned pressurization Kong Kewei nails are worn, and enables nail through the first side 116 of the hone lamella of the present invention And second side 118;In one embodiment, above-mentioned nail may further be cortex nail (cortex screw) again.At certain In a little embodiments, hone lamella of the invention is further provided with the first side 116 and second side that multiple open-works 114 are applied in hone lamella 118, multiple open-works 114 are available for steel wire to be run through, and this hone lamella is temporarily fixed into clavicle distal end.In one embodiment, it is above-mentioned Multiple open-works 114 are distributed in the main body of this hone lamella;In one embodiment, above-mentioned multiple open-works are further distributed among the second pressurization Hole 110b and lock hole 112 both sides.In one embodiment, this hone lamella has at least six open-work 114.
In one embodiment, reference picture 3, it shows that the lock stock hook lock for being fixed on clavicle distal end determines the schematic diagram of hone lamella, this The second side curvature of the main body of hone lamella is corresponding with gradually flat clavicle distal end C2, therefore the second side 118 of main body 102 Clavicle distal end C2, and the spiral winding of wound portion 108 and the surface for being attached to clavicle backbone C1 can be attached to;As the master of above-mentioned hone lamella Body, wound portion are corresponding with clavicle distal end and the key surface of clavicle respectively and confirm that kink has goed deep between clavicle and shoulder blade In gap, and hook portion has also been resisted against posts, you can simply to be fixed hone lamella of the present invention and utilize cortex nail (cortex screw) 302 wears above-mentioned first pressurization hole and Drilling is in clavicle distal end, and carries out reset adjustment, according to cortex The position of the hone lamella of the present invention and angle are adjusted with further will by the position in the second fixed pressurization hole again needed for nail Cortex nail 302 wears the second pressurization hole and fixed above-mentioned hone lamella is in clavicle distal joint face.When the fixation for completing above-mentioned hone lamella Afterwards, then hone lamella of the present invention just effectively can fix fracture site and avoid the structural instability of clavicle distal end.
In certain embodiments, when hone lamella of the present invention fixes fracture site, because cortex nail 302 wears above-mentioned the One pressurization hole 110a and the second pressurization hole 110b, enables cortex nail to make rotation (micro-motion) slightly;Some In embodiment, because the hone lamella of the present invention assigns cortex nail appropriate fine motion (micro-motion), therefore hone lamella can be slowed down The stress that is applied for shoulder blade of hook portion, and reduce hone lamella clavicle or shoulder blade are routinely rubbed with cause clavicle or The abrasion of shoulder blade;On the other hand, the fine motion of cortex nail can also stimulate the healing of bone;In one embodiment, wound portion Spiral plate body structure can be used in the structure at the key use with above-mentioned cortex nail of arranging in pairs or groups of winding lock bone and stable fracture position.Separately On the one hand, because hone lamella of the present invention assigns cortex nail appropriate fine motion (micro-motion), therefore hone lamella can be reduced made Into spike pass the problem of.
In another embodiment, if hone lamella to be strengthened is in SC stationarity, nail can be locked and substitute cortex bone Follow closely to wear the second pressurization hole 110b and clavicle distal end.In one embodiment, nail can also be locked and wears lock hole and clavicle Distally.
In one embodiment, it is that other embodiment shows that the present invention is fixed on clavicle with reference to shown in Fig. 4 (A)-Fig. 4 (B) figure The schematic diagram of distal end, in one embodiment, if the clavicle distal end of sufferer crushes that situation is serious or sufferer clavicle bone in itself Matter is not good, then in operation, then cortex nail 302 and locking nail 402 can be used to wear the first pressurization hole 110a and lock respectively Determine hole 112 to fix (such as Fig. 4 (A)), or wear the first pressurization hole 110a using only single cortex nail 302 can (such as Fig. 4 (B)), this mode fixed is not singly the fixation using hone lamella and nail, is also relied on the ligament group that patient has in itself Knit and participate in spacing and strengthen fixed effect.In one embodiment, locking hone lamella of the invention is applicable to a variety of clavicle distal ends Indication (such as dislocation of acromioclavicular joint, clavicle dry outside fracture).
In one embodiment, because the curvature of the clavicle distal surface of every sufferer may be different, so can be directed to above-mentioned Situation is bent to meet the curvature of actual bone for hone lamella of the present invention, allows kink and hook portion to be able to smoothly enter lock Gap between bone, shoulder blade.
Described above is presently preferred embodiments of the present invention.The those skilled in the art in this field is deserved to understand it to illustrate the present invention And be not used to limit the patent right scope that the present invention is advocated.Its scope of patent protection when regarding appended claims and Depending on the same domain such as its.All those skilled in the art for being familiar with this field, are not departing from this patent spirit or scope, the change made or profit Decorations, belong to the lower equivalent change or design completed of disclosed spirit, and it is special to be included in the application of claim In sharp scope.

Claims (10)

1. a kind of clavicle hook lock determines hone lamella, it is characterised in that including:
One main body, the main body is provided with one first pressurization hole, one second pressurization hole and a lock hole;
One kink, its one end is connected with the front end of the main body;
One hook portion, it is connected from the other end of the kink;
One wound portion, it is connected with the rear end of the main body, and the hook portion, the kink, the main body are twined with described Sequentially it is integrally formed around portion;
One first side, it is in the outside of the hone lamella;And
One second side, in the inner side of the hone lamella;Wherein described first pressurization hole, the second pressurization hole and the lock hole The second side is through to from the first side of the hone lamella.
2. clavicle hook lock as claimed in claim 1 determines hone lamella, it is characterised in that:The main body is a cambered surface plate body.
3. clavicle hook lock as claimed in claim 1 determines hone lamella, it is characterised in that:The wound portion is in a spiral plate body.
4. clavicle hook lock as claimed in claim 1 determines hone lamella, it is characterised in that:It is described between the main body and the kink Second side has one first curvature.
5. clavicle hook lock as claimed in claim 1 determines hone lamella, it is characterised in that:It is described between the kink and the hook portion First side has one second curvature.
6. clavicle hook lock as claimed in claim 1 determines hone lamella, it is characterised in that:The main body is further provided with multiple open-works It is applied in the first side and second side of the hone lamella.
7. clavicle hook lock as claimed in claim 1 determines hone lamella, it is characterised in that:The first pressurization hole sets neighbouring described Wound portion.
8. clavicle hook lock as claimed in claim 1 determines hone lamella, it is characterised in that:The lock hole sets neighbouring in the bending Portion.
9. clavicle hook lock as claimed in claim 1 determines hone lamella, it is characterised in that:The end of the wound portion and the hook portion is It is obtuse.
10. clavicle hook lock as claimed in claim 1 determines hone lamella, it is characterised in that:The second pressurization hole is arranged on described the Between one pressurization hole and the lock hole.
CN201610414710.8A 2016-03-31 2016-06-12 Bone plate locking hook Pending CN107280750A (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
TW105110316A TW201733532A (en) 2016-03-31 2016-03-31 Clavicle locking plate with a hook
TW105110316 2016-03-31

Publications (1)

Publication Number Publication Date
CN107280750A true CN107280750A (en) 2017-10-24

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Family Applications (1)

Application Number Title Priority Date Filing Date
CN201610414710.8A Pending CN107280750A (en) 2016-03-31 2016-06-12 Bone plate locking hook

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TW (1) TW201733532A (en)

Citations (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2357693Y (en) * 1997-08-15 2000-01-12 鲁木 Bridge pressure series bone fracture plate
CN101296663A (en) * 2005-10-25 2008-10-29 圣歌整形外科有限责任公司 Bone fastening assembly and bushing and screw for use therewith
CN201692037U (en) * 2010-06-03 2011-01-05 谢辉晋 Bone fracture plate with wave-shaped flanks
CN203280477U (en) * 2013-05-20 2013-11-13 谢友军 Clavicle far-end hook-shaped steel plate
CN103610493A (en) * 2013-12-13 2014-03-05 李照文 Acromioclavicular joint elastic micro-motion fixing plate
CN203598031U (en) * 2013-10-09 2014-05-21 天津正天医疗器械有限公司 Bone plate with double-thread locking and pressurization holes shaped like Chinese character 'ba'
CN203815563U (en) * 2014-04-29 2014-09-10 爱派司生技股份有限公司 Clavicle fixator with anti-oxidation layer on surface
CN203970523U (en) * 2014-05-14 2014-12-03 常州市康辉医疗器械有限公司 A kind of locking compress hole
CN104224293A (en) * 2014-08-31 2014-12-24 中国人民解放军广州军区武汉总医院 Combined internal fixator for fixing laparoscopic gastric banding
CN204121153U (en) * 2014-09-24 2015-01-28 苏州欣荣博尔特医疗器械有限公司 Band flank claw type greater trochanter locking bone fracture plate
CN105078560A (en) * 2015-10-10 2015-11-25 陈伟 Spiral bone plate

Patent Citations (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2357693Y (en) * 1997-08-15 2000-01-12 鲁木 Bridge pressure series bone fracture plate
CN101296663A (en) * 2005-10-25 2008-10-29 圣歌整形外科有限责任公司 Bone fastening assembly and bushing and screw for use therewith
CN201692037U (en) * 2010-06-03 2011-01-05 谢辉晋 Bone fracture plate with wave-shaped flanks
CN203280477U (en) * 2013-05-20 2013-11-13 谢友军 Clavicle far-end hook-shaped steel plate
CN203598031U (en) * 2013-10-09 2014-05-21 天津正天医疗器械有限公司 Bone plate with double-thread locking and pressurization holes shaped like Chinese character 'ba'
CN103610493A (en) * 2013-12-13 2014-03-05 李照文 Acromioclavicular joint elastic micro-motion fixing plate
CN203815563U (en) * 2014-04-29 2014-09-10 爱派司生技股份有限公司 Clavicle fixator with anti-oxidation layer on surface
CN203970523U (en) * 2014-05-14 2014-12-03 常州市康辉医疗器械有限公司 A kind of locking compress hole
CN104224293A (en) * 2014-08-31 2014-12-24 中国人民解放军广州军区武汉总医院 Combined internal fixator for fixing laparoscopic gastric banding
CN204121153U (en) * 2014-09-24 2015-01-28 苏州欣荣博尔特医疗器械有限公司 Band flank claw type greater trochanter locking bone fracture plate
CN105078560A (en) * 2015-10-10 2015-11-25 陈伟 Spiral bone plate

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Application publication date: 20171024