CN108523982B - Retraction and reduction device used in radius complex fracture reduction operation - Google Patents
Retraction and reduction device used in radius complex fracture reduction operation Download PDFInfo
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- CN108523982B CN108523982B CN201810216160.8A CN201810216160A CN108523982B CN 108523982 B CN108523982 B CN 108523982B CN 201810216160 A CN201810216160 A CN 201810216160A CN 108523982 B CN108523982 B CN 108523982B
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- traction
- connecting rod
- rod
- radius
- sleeve
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- 230000009467 reduction Effects 0.000 title claims description 22
- 230000007246 mechanism Effects 0.000 claims abstract description 32
- 238000001356 surgical procedure Methods 0.000 claims 4
- 208000010392 Bone Fractures Diseases 0.000 claims 3
- 206010017076 Fracture Diseases 0.000 claims 3
- 206010037802 Radius fracture Diseases 0.000 claims 3
- 238000000034 method Methods 0.000 claims 1
- 210000003414 extremity Anatomy 0.000 description 3
- 238000006243 chemical reaction Methods 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 230000001105 regulatory effect Effects 0.000 description 2
- 210000002268 wool Anatomy 0.000 description 2
- 230000003042 antagnostic effect Effects 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 239000000835 fiber Substances 0.000 description 1
- 230000006870 function Effects 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 230000008407 joint function Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 238000004804 winding Methods 0.000 description 1
- 210000003857 wrist joint Anatomy 0.000 description 1
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8866—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices for gripping or pushing bones, e.g. approximators
-
- 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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8869—Tensioning devices
-
- 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 relates to a retracting and resetting device used in a radius complex fracture resetting operation, which comprises a first connecting rod, a second connecting rod, a fingerstall, upright posts, a fine adjustment mechanism and an adjusting mechanism, wherein the two upright posts are arranged, the tops of the two upright posts are connected by a cross post, the fine adjustment mechanism is arranged on the cross post, the first connecting rod is hinged with the second connecting rod, the adjusting mechanism is arranged at the hinged end of the first connecting rod, the fine adjustment mechanism and the adjusting mechanism can adjust the retracting force, and the retracting and resetting device is provided with a lifting ring which can be hung at a high place for vertical use.
Description
Technical Field
The invention provides a fracture retractor, in particular to a retractor-reducing device used in a radius complex fracture reduction operation, belonging to the technical field of medical appliances.
Background
With the development of internal fixation technology and the improvement of requirements of people on wrist joint function recovery, in recent years, patients with complex fracture at the distal radius often tend to cut open reduction internal fixation treatment so as to obtain strong fixation of fracture and early functional exercise. In order to facilitate the reduction, fixation and other operations of fracture by the operator during the operation, at least two assistants are often required to conduct antagonistic traction on the affected limb. In addition, because of the difficulty in holding the distal end of the affected limb, effective traction is difficult for an assistant and the duration of traction is limited. The above factors increase the operation difficulty, easily cause poor fracture reduction and greatly influence the function of affected limbs after operation. In order to save manpower and improve traction effect, the traction restorer is designed.
Disclosure of Invention
Aiming at the defects of the prior art, the invention provides a radius distal end complex fracture traction restorer which has a simple structure, can continuously traction the radius distal end and can accurately adjust traction force; in addition, the device can be used in horizontal or vertical directions according to the operation direction.
The technical problems of the invention are solved by the following technical scheme:
a retraction device used in a radius complex fracture reduction operation, the retraction device comprises a radius positioning part, a finger end positioning part and a retraction force adjusting part, the radius positioning part comprises a sleeve and a Kirschner wire, the Kirschner wire is arranged in the sleeve, and a fastening nut used for fastening the Kirschner wire is arranged on the sleeve; the retraction force adjusting part comprises a first connecting rod, a second connecting rod, two upright posts and a fine adjustment mechanism, wherein the two upright posts are arranged, and the tops of the two upright posts are connected into a whole through a transverse post; the lower half parts of the two upright posts are respectively hinged with a second connecting rod, the two second connecting rods are arranged in parallel, and the other ends of the second connecting rods are hinged with the first connecting rods; the end part of the first connecting rod is connected with the sleeve, and the fine adjustment mechanism is arranged on the cross column; the finger tip positioning part comprises a finger sleeve and a traction rope, one end of the traction rope is connected with the finger sleeve, and the other end of the traction rope is connected with the fine adjustment mechanism.
The retraction device used in the radius complex fracture reduction operation comprises the retraction force adjusting part and further comprises an adjusting mechanism, wherein the adjusting mechanism comprises a sliding sleeve and a fixed bolt, the sliding sleeve is arranged on a first connecting rod, a second connecting rod is hinged to the sliding sleeve sleeved on the first connecting rod, a plurality of through holes are formed in the first connecting rod, and the fixed bolt with matched size is arranged in each through hole.
The retraction device used in the radius complex fracture reduction operation comprises the rotating rod, the traction column and the sliding block, wherein the rotating rod penetrates through the transverse column to be fixedly connected with the traction column, the traction column is provided with the spiral groove, and the sliding block with the matched size is arranged in the spiral groove.
Above-mentioned retracting and resetting device who uses in radius complex fracture reduction operation adds the mount, the mount includes dead lever and fixed horizontal pole, the dead lever sets up two, and two dead lever parallel arrangement are on the diaphragm, and the dead lever passes through the fixed column and connects fixed horizontal pole, and fixed horizontal pole is perpendicular to two dead levers respectively, and fixed horizontal pole passes through the spliced pole and connects the slider.
The retracting and resetting device used in the radius complex fracture resetting operation is characterized in that two magic tapes are arranged on the fingerstall, are arranged side by side and can rotate around the fingerstall, and the length of each magic tape is 3-5cm.
Above-mentioned retractor that uses in radius complex fracture reduction operation sets up the traction lever, traction lever and dead lever sliding connection, and the inboard of dead lever is equipped with the slide, and the traction lever setting is in the slide, matches with the slide size, the outside terminal surface of traction column is equipped with the recess, be equipped with the rotating head in the recess, rotating head and traction lever fixed connection
The retraction device used in the radius complex fracture reduction operation is characterized in that the spiral groove winds the traction column for one circle to form a spiral closed continuous curve.
The retraction device used in the radius complex fracture reduction operation is characterized in that the middle parts of the two upright posts are additionally provided with the transverse posts, and the bottoms of the two upright posts are respectively provided with the base.
According to the retraction device used in the radius complex fracture reduction operation, the hanging ring is arranged at the intersection point of the upright post and the transverse post.
The traction rope is divided into three sections, one middle section and four strands at one side of the fingerstall, the four strands are respectively connected with 4 fingerstalls, the other end of the traction rope is divided into two strands, and the two ends of the traction rope are respectively connected with two ends of the traction rod.
The invention has the following advantages:
the invention comprises a radius positioning part, a finger tip positioning part and a retraction force adjusting part, and provides a firm force application point for the fine adjustment mechanism through the radius positioning and the finger tip positioning. When the force for retracting the radius needs to be adjusted, the force fine adjustment mechanism is utilized for adjustment. The invention is provided with two mechanisms of coarse adjustment and fine adjustment, the coarse adjustment can be fast in place, and the fine adjustment provides a doctor with more accurate choice, so that the traction effect can reach the optimal state fast and accurately. The invention sets the hanging ring and the base, when the arm of the patient needs to be placed horizontally in the operation, the base is placed on the operation table, and the restorer can be used horizontally; when the arm of a patient is required to be placed vertically in an operation, the hanging ring is hung at a high position, and the restorer can be used vertically, so that the operation of doctors is facilitated. In short, the invention can realize conversion use in both horizontal and vertical directions.
Drawings
FIG. 1 is a schematic view of the structure of the present invention in use;
FIG. 2 is a schematic perspective view of the present invention;
FIG. 3 is a schematic top view of the fine tuning mechanism of the present invention;
FIG. 4 is a schematic view of a fine tuning mechanism A-A according to the present invention;
FIG. 5 is a schematic view of a B-B direction structure of the fine adjustment mechanism of the present invention;
FIG. 6 is a schematic illustration of a tractor column tiling according to the present invention;
FIG. 7 is a schematic diagram of the finger sleeve structure of the present invention;
FIG. 8 is a schematic view of an adjustment mechanism according to the present invention.
The reference numerals in the drawings are respectively expressed as: 1. the K-wire comprises a K-wire, 2, a sleeve, 3, a first connecting rod, 4, a second connecting rod, 5, a fine adjustment mechanism, 6, a finger stall, 7, a traction rope, 8, an adjustment mechanism, 9, a fixed latch, 10, a sliding sleeve, 11, a fastening nut, 12, a stand column, 13, a base, 14, a transverse column, 15, a rotating rod, 16, a traction column, 17, a spiral groove, 18, a sliding block, 19, a fixed rod, 20, a fixed transverse rod, 21, a fixed column, 22, a connecting column, 23, a hanging ring, 24, a magic tape, 25, a through hole, 26, a slideway, 27, a traction rod, 28, a groove, 29 and a rotating head.
Detailed Description
Referring to fig. 1 and 2, the restorer of the invention comprises a radius positioning part, a finger end positioning part and a retraction force adjusting part, wherein the radius positioning part comprises a sleeve 2 and a kirschner wire 1, the kirschner wire 1 is arranged in the sleeve 2, and a fastening nut 11 for fastening the kirschner wire 1 is arranged on the sleeve 2; the retraction force adjusting part comprises a first connecting rod 3, a second connecting rod 4, upright posts 12 and a fine adjustment mechanism 5, two upright posts 12 are arranged, and the tops of the two upright posts 12 are connected into a whole through a transverse post 14; the lower half parts of the two upright posts 12 are respectively hinged with a second connecting rod 4, the two second connecting rods 4 are arranged in parallel, and the other ends of the second connecting rods 4 are hinged with the first connecting rods 3; the end part of the first connecting rod 3 is connected with the sleeve 2, and the fine adjustment mechanism 5 is arranged on the transverse column 14; the finger tip positioning part comprises a finger sleeve and a traction rope, one end of the traction rope is connected with the finger sleeve, and the other end of the traction rope is connected with the fine adjustment mechanism.
Referring to fig. 2 and 8, the traction force adjusting part further comprises an adjusting mechanism 8, the adjusting mechanism 8 comprises a sliding sleeve 10 and a fixed latch 9, the sliding sleeve 10 is arranged on the first connecting rod 3, the second connecting rod 4 is hinged to the sliding sleeve 10 sleeved on the first connecting rod 3, a plurality of through holes 25 are formed in the first connecting rod 3, and the fixed latch 9 with matched sizes is arranged in the through holes 25. After the included angle between the first connecting rod 3 and the second connecting rod 4 is adjusted to a proper position, the fixed latch 9 is inserted into the through hole, and the positions of the first connecting rod 3 and the second connecting rod 4 are fixed, so that the retracting movement of the fingerstall 6 is realized, and the retracting length of the tractor is adjusted.
Referring to fig. 3, the fine adjustment mechanism 5 includes a rotating rod 15, a traction column 16 and a sliding block 18, the rotating rod 15 passes through the transverse column 14 and is fixedly connected with the traction column 16, a spiral groove 17 is formed in the traction column, the sliding block 18 with a matched size is arranged in the spiral groove 17, and the ground of the sliding block 18 is hemispherical, so that friction between the sliding block and the spiral groove 17 is reduced. The spiral groove 17 is wound around the traction column 16 for one circle to form a spiral closed continuous curve. The rotating rod 15 is rotated, the sliding block 18 moves along the track of the spiral groove 17, and because the position of the sliding block 18 is fixed, after the rotating rod 15 rotates, the traction column 16 moves left and right, the pitch of the traction column 16 is large, when the rotating rod is rotated, the moving distance of the traction column 16 is small, the pulling speed is uniform, and the observation of the moving speed is amplified through manual rotation, so that the accurate fine adjustment of the device is completed.
The traction rod 27 is additionally arranged, the traction rod 27 is in sliding connection with the fixed rod 19, a slide way 26 is arranged on the inner side of the fixed rod 19, the traction rod 27 is arranged in the slide way 26 and matched with the slide way 26 in size, a groove 28 is formed in the outer side end face of the traction column 16, a rotating head 29 is arranged in the groove 28, and the rotating head 29 is fixedly connected with the traction rod 27. The traction rod 27 is additionally arranged to prevent the traction rope 7 from knotting along with the rotation when the traction column 16 moves in the rotation.
Referring to fig. 3, 4 and 5, a fixing frame is additionally arranged, the fixing frame is used for fixing the position of the sliding block 18, the fixing frame comprises two fixing rods 19 and two fixing cross rods 20, the two fixing rods 19 are arranged on the transverse column 14 in parallel, the fixing rods 19 are connected with the fixing cross rods 20 through fixing columns 21, the fixing cross rods 20 are respectively perpendicular to the two fixing rods 19, the fixing cross rods 20 are connected with the sliding block 18 through connecting columns 22, and the fixing cross rods 20 are in threaded connection with the connecting columns 22.
Referring to fig. 7, two velcro strips 26 are provided on the fingerstall 6, one side of the velcro strip is made of fine and soft fiber and round wool, the other side of the velcro strip is made of relatively hard barbed wool, and the two sides are buckled, so that under the condition of a certain transverse force, the elastic hooks are straightened, loosened from the loop and opened, and then the original hooks are restored, so that the hook strips can be repeatedly opened and closed for as many as ten thousands of times. The two magic tapes 26 are arranged side by side up and down, respectively wind the two phalanges of the finger, and the two magic tapes 26 can rotate around the finger stall 6, the length of the magic tapes 26 is 3 cm to 5cm, the magic tapes are used for winding the finger stall 6, so that the finger stall 6 tightly wraps the finger,
referring to fig. 2, a transverse column is added to the middle of the two upright columns 12 to make the base of the invention more stable, and bases 13 are respectively arranged at the bottoms of the two upright columns 12. The intersection point of the upright post 12 and the transverse post 14 is provided with a hanging ring 23, when the palm is required to be vertically placed by fingers and pulled upwards, the hanging ring 23 is hung at a high position, so that the palm can be vertically placed and pulled upwards.
Referring to fig. 1 and 2, the traction rope 7 is divided into three sections, one middle section, one side of the finger stall 6 is divided into four strands, the four strands are respectively connected with the 4 finger stalls, the other end of the finger stall is divided into two strands, and the two ends of the traction rod 27 are respectively connected.
When the invention is used, two Kirschner wires 1 are respectively inserted into two ends of a radius, the two Kirschner wires 1 are arranged in parallel, a base 13 is placed on an operation plate, the Kirschner wires are sleeved on a sleeve 2, the included angle between a first connecting rod 3 and a second connecting rod 4 is regulated, after the included angle is regulated to a proper position, a fixed latch 9 is inserted into a through hole, and then a fingerstall 6 is well sleeved and tightly wound; then, the rotary rod 15 is rotated, the traction column 16 moves left and right, the traction rope 7 is tensioned to a proper position, and the sliding block 18 is screwed to fix the position of the traction column 16, so that the fracture end is effectively and continuously pulled. When the finger is required to be lifted vertically, the lifting ring 23 is hung at a high position, and the invention can be used in a horizontal and vertical direction conversion manner.
Claims (6)
1. The retraction device used in the complex radius fracture reduction operation is characterized by comprising a radius positioning part, a finger tip positioning part and a retraction force adjusting part, wherein the radius positioning part comprises a sleeve (2) and a Kirschner wire (1), the Kirschner wire (1) is arranged in the sleeve (2), and a fastening nut (11) for fastening the Kirschner wire (1) is arranged on the sleeve (2); the retraction force adjusting part comprises a first connecting rod (3), a second connecting rod (4), upright posts (12) and a fine adjustment mechanism (5), wherein two upright posts (12) are arranged, and the tops of the two upright posts (12) are connected into a whole through a transverse post (14); the lower half parts of the two upright posts (12) are respectively hinged with a second connecting rod (4), the two second connecting rods (4) are arranged in parallel, and the other ends of the second connecting rods (4) are hinged with the first connecting rods (3); the end part of the first connecting rod (3) is connected with the sleeve (2), and the fine adjustment mechanism (5) is arranged on the transverse column (14); the finger tip positioning part comprises a finger sleeve (6) and a traction rope (7), one end of the traction rope (7) is connected with the finger sleeve (6), and the other end is connected with the fine adjustment mechanism (5);
the fine adjustment mechanism (5) comprises a rotating rod (15), a traction column (16) and a sliding block (18), wherein the rotating rod (15) penetrates through the transverse column (14) to be fixedly connected with the traction column (16), a spiral groove (17) is formed in the traction column, and the sliding block (18) with matched size is arranged in the spiral groove (17); the bottom surface of the sliding block (18) is hemispherical;
the fixing frame is additionally arranged, the fixing frame comprises two fixing rods (19) and two fixing cross rods (20), the two fixing rods (19) are arranged on the transverse columns (14) in parallel, the fixing rods (19) are connected with the fixing cross rods (20) through fixing columns (21), the fixing cross rods (20) are respectively perpendicular to the two fixing rods (19), and the fixing cross rods (20) are connected with the sliding blocks (18) through connecting columns (22);
the traction rod (27) is additionally arranged, the traction rod (27) is in sliding connection with the fixed rod (19), a slide way (26) is arranged on the inner side of the fixed rod (19), the traction rod (27) is arranged in the slide way (26) and matched with the slide way (26) in size, a groove (28) is formed in the outer side end face of the traction column (16), a rotating head (29) is arranged in the groove (28), and the rotating head (29) is fixedly connected with the traction rod (27);
the spiral groove (17) winds around the traction column (16) for one circle to form a spiral closed continuous curve.
2. The retraction device used in the complex radius fracture reduction surgery according to claim 1, wherein the retraction force adjusting part further comprises an adjusting mechanism (8), the adjusting mechanism (8) comprises a sliding sleeve (10) and a fixed latch (9), the sliding sleeve (10) is arranged on the first connecting rod (3), the second connecting rod (4) is hinged on the sliding sleeve (10) sleeved on the first connecting rod (3), a plurality of through holes (25) are arranged on the first connecting rod (3), and the fixed latch (9) with matched size is arranged in the through holes (25).
3. The retracting and resetting device for use in radius complex fracture reduction surgery according to claim 2, wherein two velcro (24) are arranged on the fingerstall (6), the two velcro (24) are arranged side by side and can rotate around the fingerstall (6), and the length of the velcro (24) is 3-5cm.
4. A retraction device for use in a radius complex fracture reduction surgery according to claim 3, wherein a cross column is additionally provided at the middle of the two upright columns (12), and bases (13) are respectively provided at the bottoms of the two upright columns (12).
5. A retraction device for use in a complex radius fracture reduction procedure according to claim 4, wherein the intersection of the upright (12) and the cross-post (14) is provided with a lifting ring (23).
6. The retracting and resetting device for radius complex fracture reduction surgery according to claim 5, wherein the traction rope (7) is divided into three sections, one middle section and one strand, one side of the finger stall (6) is divided into four strands, 4 finger stalls are respectively connected, and the other end is divided into two strands, and two ends of the traction rod (27) are respectively connected.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN201810216160.8A CN108523982B (en) | 2018-03-16 | 2018-03-16 | Retraction and reduction device used in radius complex fracture reduction operation |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
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CN201810216160.8A CN108523982B (en) | 2018-03-16 | 2018-03-16 | Retraction and reduction device used in radius complex fracture reduction operation |
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CN108523982A CN108523982A (en) | 2018-09-14 |
CN108523982B true CN108523982B (en) | 2023-12-22 |
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CN201810216160.8A Active CN108523982B (en) | 2018-03-16 | 2018-03-16 | Retraction and reduction device used in radius complex fracture reduction operation |
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Families Citing this family (1)
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CN108451624B (en) * | 2018-03-16 | 2024-03-15 | 河北医科大学第三医院 | A kind of retractor reset device used for radius distal end complex fracture |
Citations (8)
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CN101015480A (en) * | 2007-02-28 | 2007-08-15 | 梁斌 | Tractor for radius far-end fracture reset and shoulder joint dislocation |
EP1819286A2 (en) * | 2004-10-26 | 2007-08-22 | U.S. Spinal Technologies, LLC | Bone fixation implant system and method |
CN102281829A (en) * | 2008-11-19 | 2011-12-14 | 安杜奥斯皮迪克公司 | Intramedullary repair system for bone fractures |
CN106473797A (en) * | 2015-08-24 | 2017-03-08 | 十堰市人民医院 | A kind of phalanges traction apparatuss |
CN106691660A (en) * | 2017-02-08 | 2017-05-24 | 谢志进 | Finger traction reduction fixation splint |
CN108451624A (en) * | 2018-03-16 | 2018-08-28 | 河北医科大学第三医院 | A kind of traction restorer for distal radius complicated fracture |
CN209136847U (en) * | 2018-03-16 | 2019-07-23 | 河北医科大学第三医院 | One kind pull device used in distal radius complicated fracture reattachment surgery |
CN209253089U (en) * | 2018-03-16 | 2019-08-16 | 河北医科大学第三医院 | A kind of traction restorer in radius complicated operation |
-
2018
- 2018-03-16 CN CN201810216160.8A patent/CN108523982B/en active Active
Patent Citations (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP1819286A2 (en) * | 2004-10-26 | 2007-08-22 | U.S. Spinal Technologies, LLC | Bone fixation implant system and method |
CN101015480A (en) * | 2007-02-28 | 2007-08-15 | 梁斌 | Tractor for radius far-end fracture reset and shoulder joint dislocation |
CN102281829A (en) * | 2008-11-19 | 2011-12-14 | 安杜奥斯皮迪克公司 | Intramedullary repair system for bone fractures |
CN106473797A (en) * | 2015-08-24 | 2017-03-08 | 十堰市人民医院 | A kind of phalanges traction apparatuss |
CN106691660A (en) * | 2017-02-08 | 2017-05-24 | 谢志进 | Finger traction reduction fixation splint |
CN108451624A (en) * | 2018-03-16 | 2018-08-28 | 河北医科大学第三医院 | A kind of traction restorer for distal radius complicated fracture |
CN209136847U (en) * | 2018-03-16 | 2019-07-23 | 河北医科大学第三医院 | One kind pull device used in distal radius complicated fracture reattachment surgery |
CN209253089U (en) * | 2018-03-16 | 2019-08-16 | 河北医科大学第三医院 | A kind of traction restorer in radius complicated operation |
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