CN108523974B - Sports type adjustable fracture reduction external fixator - Google Patents

Sports type adjustable fracture reduction external fixator Download PDF

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Publication number
CN108523974B
CN108523974B CN201810333279.3A CN201810333279A CN108523974B CN 108523974 B CN108523974 B CN 108523974B CN 201810333279 A CN201810333279 A CN 201810333279A CN 108523974 B CN108523974 B CN 108523974B
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screw
adjusting
adjusting screw
needle
fracture
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CN108523974A (en
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左中男
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    • 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
    • A61B17/60Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like for external osteosynthesis, e.g. distractors, contractors
    • A61B17/66Alignment, compression or distraction mechanisms
    • 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
    • A61B2017/564Methods for bone or joint treatment

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Biomedical Technology (AREA)
  • Engineering & Computer Science (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses a movable fracture reduction external fixator which comprises a main adjusting rod with adjustable length, wherein two end parts of the main adjusting rod are respectively and rotatably connected with a first hinge post, the first hinge post is hinged to the middle part of a first adjusting frame, the end part of the first hinge post is rotatably provided with a first adjusting screw rod, the top thread part of the first adjusting screw rod is in threaded connection with one end of the first adjusting frame, the first adjusting frame is provided with a second hinge post which is perpendicular to the translation direction of the first adjusting screw rod, the second hinge post is hinged to the middle part of a second adjusting frame, the first adjusting frame is rotatably provided with a second adjusting screw rod, the top thread part of the second adjusting screw rod is in threaded connection with one end of the second adjusting frame, and a needle fixing block for fixing a plurality of fracture fixing needles is fixed on the second adjusting frame. The invention has the advantages of convenient disassembly and assembly, capability of carrying out three-dimensional space adjustment from the end part, high adjustment precision and capability of carrying out joint function exercise in early stage after operation.

Description

Sports type adjustable fracture reduction external fixator
Technical Field
The invention relates to a medical instrument, in particular to a movable adjustable fracture reduction external fixator which is convenient to assemble and disassemble, can respectively adjust three-dimensional space from the end part, has high adjusting precision and can exercise joint functions in early stage after operation.
Background
At present, the types of the fracture external fixing brackets capable of carrying out three-dimensional space fine adjustment are few, the single-arm fracture external fixing brackets only have fine adjustment stretching and shrinking functions, only can correct the separation or overlapping of fracture axes, after the fracture external fixing brackets are used for fixing, when the fracture has the angulation of the axes and the vertical and horizontal displacement of the axes, the fine adjustment and the reduction are difficult, so the existing single-arm fracture external fixing brackets have only the fixing function and have no reduction function, and the fracture is still not well aligned after the fracture external fixing brackets are used for fixing, so the requirements of accurate alignment and convenient adjustment of clinical fracture alignment are difficult to be met; meanwhile, the direction of the steel needle block is not flexibly adjusted, so that the external fixing support for fracture is inconvenient to install, and when the early function of the joint of the limb is exercised, the steel needle and the backbone move, so that the treatment effect is affected. In many cases, clinicians are faced with providing joint movement while ensuring fracture and joint stability, and the previous two treatments are sequential, i.e., ensuring fracture stabilization and healing, and then joint movement after a suitable period of time to prevent stiffness. The ideal fracture treatment is minimally invasive treatment, accurate reduction, convenient adjustment, reliable fixation and early exercise when the fracture is found to be dislocated, and reduces local blood circulation damage, especially when the fracture in the joint is treated, the fracture is stable, the function exercise is performed immediately after the operation, the joint stiffness can be prevented, and the early healing of the joint is promoted. The external fracture fixing support such as the fixing support of CN201210158414.8 is of a solid single-arm structure which cannot be assembled and disassembled, so that the size of the support is overlarge, different types of fracture are limited in treatment, and meanwhile, when fracture rotation displacement and early joint function exercise are adjusted, a steel needle and a diaphysis move, so that the fracture treatment effect is affected. Thus, accurate adjustment cannot be achieved, and thus the universality and the universality of the fixing brackets for treating fracture are poor.
Disclosure of Invention
In order to solve the problems, the invention aims to provide the movable adjustable fracture reduction external fixator which is convenient to assemble and disassemble, can respectively adjust the three-dimensional space from the end part, has high adjustment precision and can exercise joint functions in early stage after operation.
The invention is realized by the following technical measures, the movable fracture reduction external fixator comprises a main adjusting rod with adjustable length, wherein two end parts of the main adjusting rod are respectively and rotatably connected with a first hinge post, the first hinge post is hinged at the middle part of a first adjusting frame, the end part of the first hinge post is rotatably provided with a first adjusting screw rod, the top end thread part of the first adjusting screw rod is in threaded connection with one end of the first adjusting frame, the first adjusting screw rod is rotated to enable the first adjusting frame to translate, the first adjusting frame is provided with a second hinge post which is perpendicular to the translation direction of the first adjusting frame, the second hinge post is hinged at the middle part of a second adjusting frame, the first adjusting frame is rotatably provided with a second adjusting screw rod, the top end thread part of the second adjusting screw rod is in threaded connection with one end of the second adjusting frame, the second adjusting frame is rotated to enable the second adjusting frame to swing up and down, a needle fixing block is fixed on the second adjusting frame, and a plurality of fracture fixing needles are fixed on the needle fixing block.
As a preferable mode, the needle fixing block is provided with at least one rotating through hole, a needle sleeve is rotatably arranged in the rotating through hole, and a fracture fixing needle is fixed in the needle sleeve.
As a preferable mode, one side of the needle sleeve extending out of the needle fixing block is radially provided with a locking hole, and a locking screw penetrates through the locking hole to fix the fracture fixing needle in the needle sleeve.
Preferably, the first hinge post is provided with a circular snap-in mouth which is locked by a screw at its open end after surrounding the main adjustment lever.
In a preferred manner, the first and second adjusting screws are each provided with a hexagonal head.
As a preferable mode, the main adjusting rod comprises a moving rod and a sleeve sleeved at one end of the moving rod in a sliding mode, a third adjusting screw rod is arranged in the sleeve in a penetrating mode, and the top thread part of the third adjusting screw rod is in threaded connection and axially penetrates into the moving rod.
As a preferable mode, the main adjusting rod comprises a moving rod and a sleeve sleeved at one end of the moving rod in a sliding manner, a moving rod screw and a sleeve screw are respectively arranged at the upper ends of the moving rod and the sleeve in parallel, one ends of the moving rod screw and the sleeve screw are respectively connected in a bidirectional adjusting screw in a threaded manner, and the moving rod screw and the sleeve screw can synchronously extend out of or retract into the bidirectional adjusting screw simultaneously by rotating the bidirectional adjusting screw.
As a preferred way, the surface of the two-way adjustment screw is provided with knurling or with radial adjustment holes in the centre.
As a preferable mode, the needle fixing blocks are T-shaped, two fracture fixing needle clamping blocks are respectively arranged on one side of each needle fixing block, and two fracture fixing needles are parallelly fixed on each fracture fixing needle clamping block.
Preferably, the needle fixing block extends horizontally out of the connecting column.
The invention is suitable for the reduction of fracture of each joint and diaphysis of a human body, the two needle fixing blocks at the two ends of the main adjusting rod are respectively connected to the second adjusting frame, the second adjusting frame can translate and swing relative to the main adjusting rod, and the first hinge posts connected at the two ends of the main adjusting rod can rotate around the axis of the main adjusting rod during positioning, so that the two needle fixing blocks can be used for three-dimensional space adjustment, and the invention is suitable for the connection and reduction of joints of the vast majority of the human body. When the fracture fixing device is used, the fracture position is simply reset, at least three fracture fixing needles are inserted into two ends of a fracture line under X-ray perspective, the first hinge columns 2 at the two ends are rotated according to the fracture position to align the needle holes of the needle fixing blocks 7 with the directions of the needle heads of the fracture fixing needles, then the first hinge columns are locked, the fracture fixing needles are fixed by the needle fixing blocks, and then the first adjusting screw and the second adjusting screw are rotated, so that the needle fixing blocks 7 drive the fracture fixing needles to translate and swing up and down to adjust the axial positions of fractured bones, the distance between the joints is adjusted, accurate horizontal direction and vertical direction reset is realized, and fixation is completed after the fracture fixing is satisfied. The invention has flexible adjustment, reliable fixation, better universality and universality for treating fracture, small volume, high adjustment precision and capability of being adjusted from the end part respectively by utilizing the adjusting screw, and can perform joint function exercise in early stage after operation. Meanwhile, the fixing frame can promote the generation and healing of injured bones by adjusting and applying external force to the fracture part.
Drawings
FIG. 1 is a schematic diagram of a directional structure according to an embodiment of the present invention;
FIG. 2 is a schematic view of another direction of the embodiment of the present invention;
FIG. 3 is a top view of an embodiment of the present invention;
Fig. 4 is a schematic structural diagram of another embodiment of the present invention.
Detailed Description
The invention will be described in further detail below with reference to examples and with reference to the accompanying drawings.
Referring to fig. 1 to 3, the movable fracture reduction external fixator of the embodiment comprises a main adjusting rod with adjustable length, the main adjusting rod comprises a moving rod 9 and a sleeve 10 sleeved at one end of the moving rod 9 in a sliding mode, two end portions of the main adjusting rod are respectively connected with a first hinge post 2 in a rotating mode, the first hinge post 2 is hinged to the middle portion of a first adjusting frame 4, the end portion of the first hinge post 2 is rotatably provided with a first adjusting screw 1, the top end thread portion of the first adjusting screw 1 is in threaded connection with one end of the first adjusting frame 4, the first adjusting screw 1 is rotated to enable the first adjusting frame 4 to translate in a translational mode, the first adjusting frame 4 is provided with a second hinge post 3 perpendicular to the direction of the first adjusting frame 4, the second hinge post 3 is hinged to the middle portion of a second adjusting frame 6, the top end portion of the second adjusting screw 5 is rotatably arranged on the first adjusting frame 4, the top end portion of the second adjusting screw 5 is in threaded connection with one end of the second adjusting frame 6, the second adjusting screw 5 is rotatably arranged on the second adjusting frame 6, the second adjusting frame 6 is rotatably provided with a plurality of fixing needles 7, and the fixing needles 7 are fixed on the second adjusting frame 6.
The fixator is suitable for reduction of various joints and diaphysis fracture of a human body, two needle fixing blocks 7 at two ends of a main adjusting rod are respectively connected to a second adjusting frame 6, the second adjusting frame 6 can translate and swing relative to the main adjusting rod, and the first hinge post 2 connected at two ends of the main adjusting rod can rotate around the axis of the main adjusting rod during positioning, so that the two needle fixing blocks 7 can be used for three-dimensional space adjustment, and the fixator can be suitable for connection and reduction of joints of the vast majority of the human body. When the fracture fixing device is used, the fracture position is simply reset, at least three fracture fixing needles 8 are inserted into two ends of a fracture line under X-ray perspective, the first hinge columns 2 at the two ends are rotated according to the fracture position to align the needle holes of the needle fixing blocks 7 with the positions of the needle heads of the fracture fixing needles 8, then the first hinge columns 2 are locked, the fracture fixing needles 8 are fixed by the needle fixing blocks 7, and then the first adjusting screw 1 and the second adjusting screw 5 are rotated, so that the needle fixing blocks 7 drive the fracture fixing needles 8 to translate and swing up and down to adjust the axial positions of fractured bones, the distance of each joint is adjusted, accurate horizontal direction and vertical direction reset is realized, and fixation is completed after the fracture fixing is satisfied. The device has flexible adjustment, reliable fixation, better universality and universality for treating fracture, small volume, high adjustment precision and early stage after operation, and can be used for joint function exercise by utilizing the adjusting screw to adjust, and the structure of the device is designed according to the ball socket anatomical morphology of the joint, so that after the operation is fixed, the fracture parts such as the joint can immediately start to move. Meanwhile, the fixing frame can promote the generation and healing of injured bones by adjusting and applying external force to the fracture part; the fracture fixation needle 8 may be a k-wire or a screw-thread needle.
Referring to fig. 1 to 3, the movable adjustable fracture reduction external fixator of the present embodiment may specifically be that, based on the previous technical solutions, the needle fixing block 7 may be set to be a T-shaped needle fixing block 7a or a strip-shaped needle fixing block 7b, in order to help the joint position to start moving immediately after installation, a rotation through hole may also be provided on the strip-shaped needle fixing block 7b, and a needle sleeve 12 may be rotatably provided in the rotation through hole, and a fracture fixing needle 8 is fixed in the needle sleeve 12. In this embodiment, the needle sleeve 12 is a steel sleeve with a concave neck in the middle, and a convex ring capable of rotating in the concave neck in a matching manner is arranged in the through hole, so that the steel sleeve is rotatably fixed in the through hole, when the joint is bent and stretched, the correspondingly inserted fracture fixing needle 8 and the diaphysis do not move, and can also rotate, and the flexibility of joint movement is ensured through the rotation between the needle fixing block 7 and the needle sleeve 12.
Referring to fig. 1 to 3, in order to fix the fracture fixing needle 8 in the needle sleeve 12, a locking hole may be radially formed on a side of the needle sleeve 12 extending out of the needle fixing block 7, and a locking screw 13 may penetrate through the locking hole and press against the fracture fixing needle 8 side to fix the fracture fixing needle 8 in the needle sleeve 12.
Referring to fig. 1 to 3, for convenience in adjustment, the movable adjustable fracture reduction external fixator of the present embodiment may specifically be based on the foregoing technical solution, where the first adjusting screw 1 and the second adjusting screw 5 are respectively provided with a head portion having an inner hexagon.
Referring to fig. 1 to 3, in order to facilitate adjustment, the movable adjustable fracture reduction external fixator of this embodiment may specifically be that, on the basis of the foregoing technical solution, the first hinge post 2 is provided with a circular engagement mouth 17, the open end of the engagement mouth 17 is locked by a screw 18 after surrounding the main adjusting rod, and when the main adjusting rod is rotated to be aligned, the screw 18 is loosened first, so that the first hinge post 2 can freely rotate on the main adjusting rod, and after the main adjusting rod is rotated to be in place, the screw 18 is locked.
Referring to fig. 1 to 3, the movable adjustable fracture reduction external fixator of the present embodiment may specifically further include a main adjusting rod including a moving rod 9 and a sleeve 10 slidably sleeved at one end of the moving rod, wherein a third adjusting screw 11 is threaded in the sleeve 10, and a top threaded portion of the third adjusting screw 11 is threaded and axially penetrates into the moving rod 9. The length of the main adjusting rod is adjusted by rotating the third adjusting screw 11 in a direction-free manner so that the moving rod 9 extends into or out of the sleeve 10, and the distance between the two end needle fixing blocks 7 is adjusted, and the third adjusting screw 11 is provided with a head part with an inner hexagon for convenient adjustment.
Referring to fig. 1 to 3, the movable adjustable fracture reduction external fixator of the present embodiment may specifically be, based on the previous technical solution, a T-shaped needle fixing block 7a is provided with two fracture fixing needle clamping blocks on one side, and two fracture fixing needles 8 are fixed on each fracture fixing needle clamping block in parallel.
Referring to fig. 1 to 3, the movable adjustable fracture reduction external fixator of the present embodiment may specifically be that the needle fixing block 7 horizontally extends out of the connecting column on the basis of the previous technical solution.
Referring to fig. 4, the movable adjustable fracture reduction external fixator in another embodiment may specifically be further provided that the main adjusting rod includes a moving rod 9 and a sleeve 10 slidably sleeved at one end of the moving rod 9, the upper ends of the moving rod 9 and the sleeve 10 are respectively provided with a moving rod screw 17 and a sleeve screw 15 in parallel, one ends of the moving rod screw 17 and the sleeve screw 15 are respectively connected in a bidirectional adjusting screw 16 in a threaded manner, rotating the bidirectional adjusting screw 16 can simultaneously make the moving rod screw 17 and the sleeve screw 15 synchronously extend out of or retract into the bidirectional adjusting screw 16, and further drive the moving rod 9 to slide into or slide out of the sleeve 10 to adjust the length of the main adjusting rod, thereby adjusting the distance between the two-end needle fixing blocks 7, in this embodiment, a radial adjusting hole is provided at the center of the bidirectional adjusting screw 16, and an adjusting rod is inserted for rotation and in other embodiments, a rolling pattern for facilitating rotation is also provided on the surface of the bidirectional adjusting screw.
The movable adjustable fracture reduction external fixator of the present invention has been described above for aiding understanding of the present invention, but the embodiments of the present invention are not limited to the above examples, and any changes, modifications, substitutions, combinations, and simplifications made without departing from the principles of the present invention should be equivalent substitution, and are included in the scope of the present invention.

Claims (8)

1. An adjustable fracture reduction external fixator of motion type, characterized by: including the main control lever that can adjust length, main control lever both ends rotate respectively and are connected with first articulated column, first articulated column articulates the middle part at a first alignment jig, the tip rotation of first articulated column is provided with first adjusting screw, the top screw thread portion threaded connection of first adjusting screw is in the one end of first alignment jig, and rotatory first adjusting screw enables first alignment jig translation, be provided with the second articulated column rather than translation direction vertically on the first alignment jig, the articulated middle part at a second alignment jig of second, rotatory second adjusting screw that is provided with on the first alignment jig, the top screw thread portion threaded connection of second adjusting screw is in the one end of second alignment jig, rotatory second adjusting screw makes the second alignment jig swing from top to bottom, be fixed with the needle fixed block on the second alignment jig, be provided with at least one rotation through-hole on the needle fixed block, rotation through-hole is rotatable to be provided with the needle cover needle, a rotation through-hole is provided with the needle cover, a radial lock collar is arranged in the steel collar, and a knife collar is fixed to the inside the neck collar is reached in the rotation through-hole, and a knife collar is fixed to the inside the collar is reached.
2. The mobile adjustable fracture reduction external fixator of claim 1, wherein: the first hinge post is provided with a circular snap-in mouth, which is locked by a screw at its open end after surrounding the main adjusting lever.
3. The mobile adjustable fracture reduction external fixator of claim 1, wherein: the first adjusting screw and the second adjusting screw are respectively provided with a head part with an inner hexagon.
4. The mobile adjustable fracture reduction external fixator of claim 1, wherein: the main adjusting rod comprises a moving rod and a sleeve sleeved at one end of the moving rod in a sliding mode, a third adjusting screw rod is arranged in the sleeve in a penetrating mode, and the top end thread part of the third adjusting screw rod is in threaded connection and axially penetrates into the moving rod.
5. The mobile adjustable fracture reduction external fixator of claim 1, wherein: the main adjusting rod comprises a moving rod and a sleeve sleeved at one end of the moving rod in a sliding manner, a moving rod screw and a sleeve screw are respectively arranged at the upper ends of the moving rod and the sleeve in parallel, one ends of the moving rod screw and the sleeve screw are respectively connected in a bidirectional adjusting screw in a threaded manner, and the moving rod screw and the sleeve screw can synchronously extend out of or retract into the bidirectional adjusting screw by rotating the bidirectional adjusting screw.
6. The mobile adjustable fracture reduction external fixator of claim 5, wherein: the surface of the bidirectional regulating screw tube is provided with knurling or a radial regulating hole is arranged at the center.
7. The mobile adjustable fracture reduction external fixator of claim 1, wherein: the needle fixing block is T-shaped, two fracture fixing needle clamping blocks are respectively arranged on one side of the needle fixing block, and two fracture fixing needles are parallelly fixed on each fracture fixing needle clamping block.
8. The mobile adjustable fracture reduction external fixator of claim 1, wherein: the needle fixing block horizontally extends out of the connecting column.
CN201810333279.3A 2018-04-13 2018-04-13 Sports type adjustable fracture reduction external fixator Active CN108523974B (en)

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CN201810333279.3A CN108523974B (en) 2018-04-13 2018-04-13 Sports type adjustable fracture reduction external fixator

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CN108523974B true CN108523974B (en) 2024-05-28

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109717939A (en) * 2019-03-20 2019-05-07 高志书 A kind of multi-functional adjustable support

Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN86206924U (en) * 1986-09-14 1988-02-24 吉林手表厂 Multi-functional outer fixed support for renovating and repairing fracture of phalanx
CN2121213U (en) * 1992-04-21 1992-11-11 开滦矿务局医院 Outside fixed frame for external osteosynthesis
US5209750A (en) * 1990-10-12 1993-05-11 Compagnie General De Materiel Orthopedique External holding and reducing brace for bone fractures
CN2326198Y (en) * 1998-08-12 1999-06-30 杨文昌 External fixing device for bone fracture
JP2006141963A (en) * 2004-11-22 2006-06-08 Arata:Kk Auxiliary apparatus for wound outside fixing apparatus
CN201905991U (en) * 2010-11-26 2011-07-27 徐利江 Stretching, pressurizing and adjusting rod for external bone fixation
CN102670290A (en) * 2012-05-21 2012-09-19 左中男 Adjustable multipurpose fracture reduction outer fixing frame
CN106859748A (en) * 2015-12-14 2017-06-20 重庆首键医药包装股份公司 Miniature Metacarpus and phalanges exterior fixing rack
CN209269847U (en) * 2018-04-13 2019-08-20 左中男 Campaign-styled adjustable external fixer for reduction of fracture

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN86206924U (en) * 1986-09-14 1988-02-24 吉林手表厂 Multi-functional outer fixed support for renovating and repairing fracture of phalanx
US5209750A (en) * 1990-10-12 1993-05-11 Compagnie General De Materiel Orthopedique External holding and reducing brace for bone fractures
CN2121213U (en) * 1992-04-21 1992-11-11 开滦矿务局医院 Outside fixed frame for external osteosynthesis
CN2326198Y (en) * 1998-08-12 1999-06-30 杨文昌 External fixing device for bone fracture
JP2006141963A (en) * 2004-11-22 2006-06-08 Arata:Kk Auxiliary apparatus for wound outside fixing apparatus
CN201905991U (en) * 2010-11-26 2011-07-27 徐利江 Stretching, pressurizing and adjusting rod for external bone fixation
CN102670290A (en) * 2012-05-21 2012-09-19 左中男 Adjustable multipurpose fracture reduction outer fixing frame
CN106859748A (en) * 2015-12-14 2017-06-20 重庆首键医药包装股份公司 Miniature Metacarpus and phalanges exterior fixing rack
CN209269847U (en) * 2018-04-13 2019-08-20 左中男 Campaign-styled adjustable external fixer for reduction of fracture

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