CN109077794A - A kind of orthopaedics pre-fixes guiding device with coplanar fixed Kirschner wire - Google Patents

A kind of orthopaedics pre-fixes guiding device with coplanar fixed Kirschner wire Download PDF

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Publication number
CN109077794A
CN109077794A CN201810902682.3A CN201810902682A CN109077794A CN 109077794 A CN109077794 A CN 109077794A CN 201810902682 A CN201810902682 A CN 201810902682A CN 109077794 A CN109077794 A CN 109077794A
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CN
China
Prior art keywords
kirschner wire
slide unit
sliding support
rotary shaft
guiding device
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Granted
Application number
CN201810902682.3A
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Chinese (zh)
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CN109077794B (en
Inventor
张晨晨
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First Affiliated Hospital of Henan University of Science and Technology
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Individual
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Priority to CN201810902682.3A priority Critical patent/CN109077794B/en
Publication of CN109077794A publication Critical patent/CN109077794A/en
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Expired - Fee Related legal-status Critical Current
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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
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • 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
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/90Guides therefor

Abstract

The present invention relates to a kind of orthopaedics to pre-fix guiding device with coplanar fixed Kirschner wire, it include: cyclic annular fixing clamp, sliding support, cyclic annular fixing clamp hollow out is sliding rail, sliding support includes the first slide unit, second slide unit, sliding support connects the first slide unit and the second slide unit, sliding support is connected to hollow out sliding rail, the stent foot of first slide unit and sliding support passes through the first rotation axis connection, the stent foot of second slide unit and sliding support passes through the second rotation axis connection, second rotary shaft is horizontally set at stent foot, sliding support further includes rotary shaft body, Kirschner wire propeller, rotary shaft body is the middle section part of the crossbeam of sliding support, Kirschner wire propeller is set to rotary shaft body, rotary shaft body includes support shaft, first positioning lamp, second positioning lamp, first universal joint and the second universal joint , for the first positioning lamp by the first universal joint connecting bracket axis, the second positioning lamp passes through the second universal joint connecting bracket axis.

Description

A kind of orthopaedics pre-fixes guiding device with coplanar fixed Kirschner wire
Technical field
The present invention relates to medical instruments fields more particularly to a kind of orthopaedics to pre-fix guiding with coplanar fixed Kirschner wire Device.
Background technique
Fracture refers to a kind of disease for causing bone parts due to wound or pathology etc. or being broken completely, in treatment bone When folding, usually the end that fractures for the bone being displaced after fracture is first restored normal again or close to original normal position, fractured It after reset, because its is unstable, is easy to happen and shifts again, therefore satisfied position is fixed in using different methods On, so that it is gradually healed, fixed method has outer fixation and interior fixes two kinds.
Kirschner wire fixation is a kind of method of common interior fixation, and it is solid to generally use Kirschner wire to some unstable fractures It is fixed, clinically for short bone, irregular bone, close on articular fracture fix and trans-articular it is fixed using Kirschner wire fixation effect compared with It is good;In fixation Kel's needle, it is necessary first to one end of Kirschner wire is mounted on electric drill, be then turned on electric drill, by kirschner stylus printer Enter the bone that need to be fixed, Kirschner wire needs are accurately squeezed into position by a predetermined angle, during Kirschner wire is squeezed into, generally required In the same plane by two Kirschner wire fixations, and in operation, because medical staff can not keep electric drill not tremble completely It is dynamic, it will result in Kirschner wire at this time not in the same plane, the once success rate for resulting in Kirschner wire fixation operation is lower.
Summary of the invention
Goal of the invention:
For during Kirschner wire is squeezed into, generally requiring two Kirschner wire fixations in the same plane, and in operating process In, because medical staff can not keep electric drill not shake completely, it will result in Kirschner wire at this time not in the same plane, result in The lower problem of the once success rate of Kirschner wire fixation operation, the present invention provide a kind of orthopaedics coplanar fixed Kirschner wire Pre-fix guiding device.
Technical solution:
A kind of orthopaedics pre-fixes guiding device with coplanar fixed Kirschner wire, comprising: cyclic annular fixing clamp, sliding support, it is described Cyclic annular fixing clamp upper lateral hollow out is sliding rail, and the sliding support includes the first slide unit, the second slide unit, the cunning Dynamic bracket two stands foot is separately connected first slide unit and the second slide unit, and the sliding support passes through described the One slide unit and the second slide unit are connected to the hollow out sliding rail, first slide unit and the sliding support For one stent foot by the first rotation axis connection, first rotary shaft connects first slide unit and sliding branch vertically Another stent foot of frame, second slide unit and the sliding support passes through the second rotation axis connection, second rotation Shaft is horizontally set at the stent foot, and the sliding support further includes rotary shaft body, Kirschner wire propeller, the rotary shaft body For the middle section part of the crossbeam of the sliding support, the Kirschner wire propeller is set to the rotary shaft body, the rotary shaft Body includes support shaft, the first positioning lamp, the second positioning lamp, the first universal joint and the second universal joint, first positioning Lamp connects the support shaft by first universal joint, and second positioning lamp connects institute by second universal joint State support shaft.
As a kind of preferred embodiment of the invention, the support shaft is provided with swivel plate component, the swivel plate component packet The first swivel plate and the second swivel plate are included, first swivel plate and second swivel plate are combined into principal and subordinate's swivel plate.
As a kind of preferred embodiment of the invention, first slide unit and the second slide unit respectively include two pieces Baffle, the baffle spacing and the cyclic annular fixing clamp equivalent width, the opposite position of the baffle offers through-hole.
As a kind of preferred embodiment of the invention, the first bolt is provided in the through-hole of the baffle of first slide unit Axis, the first stud shaft diameter and the sliding rail equivalent width.
As a kind of preferred embodiment of the invention, the second bolt is provided in the through-hole of the baffle of second slide unit Axis, the second stud shaft diameter and the sliding rail equivalent width, second slide unit top are provided with axis hole, and described second Rotary shaft connects second rotary shaft and sliding support via the axis hole.
As a kind of preferred embodiment of the invention, the crossbeam of the sliding support further includes threaded hole and is screwed Bolt, the bolt that is screwed fix the position of the rotary shaft body via the threaded hole.
As a kind of preferred embodiment of the invention, the rotary shaft body middle section is cyclic structure, the cyclic structure hollow out Portion size is consistent with the Kirschner wire propeller external dimensions, and the cyclic structure inner wall is provided with several L-type grooves.
As a kind of preferred embodiment of the invention, the Kirschner wire propeller side is provided with several convex blocks, the convex block Quantity is consistent with the L connected in star quantity, and the bump size suits with the L connected in star.
As a kind of preferred embodiment of the invention, the Kirschner wire propeller further includes cylinder base, cylinder, telescopic shaft, rotation Through-hole axis, motor, the motor are separately connected the telescopic shaft and rotating through hole axis, and the motor is set to the cylinder base, Rotating through hole axis described in the flexible axis connection, the rotating through hole axis is for placing Kirschner wire.
The present invention realize it is following the utility model has the advantages that
Using the means analog physical mirror image of practical operation, so that the process that Kirschner wire is squeezed into is in same plane, to solve It has determined during Kirschner wire is squeezed into, has generally required two Kirschner wire fixations in the same plane, and in operation, because Electric drill can not be kept not shake completely for medical staff, will result in Kirschner wire at this time not in the same plane, result in kirschner The lower problem of the once success rate of the fixed operation of needle.
Detailed description of the invention
The drawings herein are incorporated into the specification and forms part of this specification, and shows the implementation for meeting the disclosure Example, and consistent with the instructions for explaining the principles of this disclosure.
Fig. 1 is guiding device schematic diagram;
Fig. 2 is rotary shaft body schematic diagram;
Fig. 3 rotary shaft body sectional view;
Fig. 4 is the first slide unit side view;
Fig. 5 is the second slide unit side view;
Fig. 6 is threaded hole and the bolt schematic diagram that is screwed;
Fig. 7 is L-type groove schematic diagram;
Fig. 8 is Kirschner wire propeller schematic diagram.
Specific embodiment
Following will be combined with the drawings in the embodiments of the present invention, and technical solution in the embodiment of the present invention carries out clear, complete Site preparation description, it is clear that described embodiments are only a part of the embodiments of the present invention, instead of all the embodiments.
Embodiment one:
It is Fig. 1-5 with reference to figure.A kind of orthopaedics pre-fixes guiding device with coplanar fixed Kirschner wire, comprising: cyclic annular fixing clamp 1, sliding support 2, the ring-type 1 upper lateral hollow out of fixing clamp are sliding rail 3, and the sliding support 2 includes the first slide unit 4, the second slide unit 5, the 2 two stands foot of sliding support are separately connected first slide unit 4 and the second sliding part Part 5, the sliding support 2 are connected to the hollow out sliding rail 3, institute by first slide unit 4 and the second slide unit 5 It states the first slide unit 4 and is connect with a stent foot of the sliding support 2 by the first rotary shaft 6, first rotary shaft 6 First slide unit 4 and sliding support 2 are connected vertically, and second slide unit 5 is another with the sliding support 2 A stent foot is connected by the second rotary shaft 7, and second rotary shaft 7 is horizontally set at the stent foot, the sliding support 2 It further include rotary shaft body 8, Kirschner wire propeller 9, the rotary shaft body 8 is the middle section part of the crossbeam of the sliding support 2, institute It states Kirschner wire propeller 9 and is set to the rotary shaft body 8, the rotary shaft body 8 includes support shaft 10, the first positioning lamp 11, the Two positioning lamps 12, the first universal joint 13 and the second universal joint 14, first positioning lamp 11 are universal by described first Connector 13 connects the support shaft 10, and second positioning lamp 12 connects the support shaft by second universal joint 14 10。
As a kind of preferred embodiment of the invention, the support shaft 10 is provided with swivel plate component, the swivel plate component Including the first swivel plate 15 and the second swivel plate 16, first swivel plate 15 is combined into principal and subordinate with second swivel plate 16 Swivel plate.
As a kind of preferred embodiment of the invention, first slide unit 4 and the second slide unit 5 respectively include two Block baffle 17,1 equivalent width of 17 spacing of baffle and the cyclic annular fixing clamp, the opposite position of the baffle 17 offers logical Hole 18.
As a kind of preferred embodiment of the invention, is provided in the through-hole 18 of the baffle 17 of first slide unit 4 One stud shaft 19,19 diameter of the first stud shaft and 3 equivalent width of sliding rail.
As a kind of preferred embodiment of the invention, is provided in the through-hole 18 of the baffle 17 of second slide unit 5 Two stud shafts 20,20 diameter of the second stud shaft and 3 equivalent width of sliding rail, 5 top of the second slide unit is provided with axis Hole 21, second rotary shaft 7 connect second rotary shaft 7 and sliding support 2 via the axis hole 21.
In the specific implementation process, it when Kirschner wire squeezes into fracture portions, generally requires so that two Kirschner wire fixations exist In same plane.Cyclic annular fixing clamp 1 is fixed to the position of patient's fracture by doctor, and utilizes the first slide unit 4 and second Sliding support 2 is slided along sliding rail 3 and slides into the corresponding position in direction for needing to squeeze into Kirschner wire by slide unit 5.First Positioning lamp 11 and the second positioning lamp 12 are pointed into the position for needing to squeeze into Kirschner wire, utilize the first universal joint 13 and the 20000th The position that the first positioning lamp 11 and the second positioning lamp 12 are adjusted to connector 14, when the first positioning lamp 11 and the second positioning lamp 12 When being irradiated to Kirschner wire and squeezing into the hot spot of position and be completely coincident, stop to the first universal joint 13 and the second universal joint 14 It controls and the first universal joint 13 and the second universal joint 14 is fixed so as to by the first positioning lamp 11 and the second positioning lamp 12 is fixed, it is worth mentioning at this point that, using the first universal joint 13 and the second universal joint 14 adjust the first positioning lamp 11 with And second positioning lamp 12 position when, the adjustment of position, the first swivel plate 15 or the second rotation can be carried out to swivel plate component simultaneously Rotating plate 16 carries out the restriction of lengthwise position to the first positioning lamp 11 and the second positioning lamp 12, when the first swivel plate 15 or the second rotation When rotating plate 16 is rotated, drives to be used as the first swivel plate 15 of current active rotation plate or the second swivel plate 16 and work as preshoot The second swivel plate 16 or the first swivel plate 15 of dynamic swivel plate rotate corresponding angle and position.Utilizing the first positioning lamp 11 And second positioning lamp 12 location confirmation is squeezed into Kirschner wire after, doctor controls rotary shaft body 8 for Kirschner wire propeller 9 towards grams Family name's stylus printer enters at the hot spot of position, and Kirschner wire is squeezed into the corresponding position of hot spot by Kirschner wire propeller 9.
After current Kirschner wire is squeezed into, by the second stud shaft 20 from the through-hole 18 of the baffle 17 of the second slide unit 5 It takes out, the junction of the second slide unit 5 and sliding rail 3 is in open state at this time, and by the second sliding part under open state Part 5 is rotated around the second rotary shaft 7, so that the second slide unit 5 is detached from sliding rail 3, at this point, the first slide unit 4 and first Stud shaft 19 is in stationary state, and entire sliding support 2 is rotated 180 ° around the first rotary shaft 6 by doctor, to drive sliding branch Component on frame 2 rotates 180 °, so control the first positioning lamp 11 and the second positioning lamp 12 around the first universal joint 13 with And second at the rotation to current corresponding driven swivel plate of universal joint 14 and be close to follower plate, it is worth mentioning at this point that, to the When one positioning lamp 11 and the second positioning lamp 12 are adjusted, only for the vertical of the first positioning lamp 11 and the second positioning lamp 12 It is changed to position without changing lateral position, since current driven swivel plate is consistent with the angle of active rotation plate, because This spatially sees that current driven swivel plate is in same plane with active rotation plate when not rotating, therefore, is close to First positioning lamp 11 of current driven swivel plate and the second positioning lamp 12 be close to the first of active rotation plate when not rotating Positioning lamp 11 and the second positioning lamp 12 are in same plane, therefore, along the first positioning lamp 11 in same plane And second positioning lamp 12 irradiate the Kirschner wire that the obtained direction of hot spot is squeezed into and be also in same plane.
Embodiment two:
It is Fig. 6-8 with reference to figure.As a kind of preferred embodiment of the invention, the crossbeam of the sliding support 2 further includes threaded hole 22 And the bolt 23 that is screwed, the bolt 23 that is screwed fix the position of the rotary shaft body 8 via the threaded hole 22.
As a kind of preferred embodiment of the invention, 8 middle section of rotary shaft body is cyclic structure, the cyclic structure hollow out Portion size is consistent with 9 external dimensions of Kirschner wire propeller, and the cyclic structure inner wall is provided with several L-type grooves 24.
As a kind of preferred embodiment of the invention, 9 side of Kirschner wire propeller is provided with several convex blocks 25, described convex 25 quantity of block is consistent with 24 quantity of L-type groove, and 25 size of convex block suits with the L-type groove 24.
As a kind of preferred embodiment of the invention, the Kirschner wire propeller 9 further includes cylinder base 26, cylinder 27, telescopic shaft 28, rotating through hole axis 29, motor 30, the motor 30 are separately connected the telescopic shaft 28 and rotating through hole axis 29, the electricity Machine 30 is set to the cylinder base 26, and the telescopic shaft 28 connects the rotating through hole axis 29, and the rotating through hole axis 29 is for putting Set Kirschner wire.
In the specific implementation process, after Kirschner wire is put into Kirschner wire propeller 9, by 9 outside of Kirschner wire propeller Convex block 25 be directed at the port of L-type groove 24, and promote in L-type groove 24, push away Kirschner wire when being pushed into L-type 24 bottom of groove It is rotated into device 9 to side, convex block 25 is caught in the side of L-type groove 24.When according to the first positioning lamp 11 and the second positioning lamp When the propulsion position of 12 confirmation Kirschner wire propellers 9, the bolt 23 that will be screwed is screwed in threaded hole 22, and is threaded to most tightly, thus Rotary shaft body 8 and the relative position of the crossbeam of sliding support 2 are fixed, prevent the feelings shifted occur when promoting Kirschner wire Condition.When Kirschner wire propeller 9, which reaches, squeezes into position, doctor control motor 30 open, motor 30 control telescopic shaft 28 stretch out with And rotating through hole axis 29 rotates, to drive Kirschner wire to rotate and stretch out along the direction of setting, to Kirschner wire be squeezed into pre- Fixed position.
The above embodiments merely illustrate the technical concept and features of the present invention, and the purpose is to allow the skill for being familiar with the technical field Art personnel can understand the content of the present invention and implement it accordingly, and can not be limited the scope of the invention with this.All bases Equivalent changes or modifications made by spirit of the invention, should be covered by the protection scope of the present invention.

Claims (9)

1. a kind of orthopaedics pre-fixes guiding device with coplanar fixed Kirschner wire, comprising: cyclic annular fixing clamp, sliding support, institute Stating cyclic annular fixing clamp upper lateral hollow out is sliding rail, and the sliding support includes the first slide unit, the second slide unit, described Sliding support two stands foot is separately connected first slide unit and the second slide unit, and the sliding support passes through described First slide unit and the second slide unit are connected to the hollow out sliding rail, it is characterised in that: first slide unit with For one stent foot of the sliding support by the first rotation axis connection, first rotary shaft connects first sliding vertically Another stent foot of component and sliding support, second slide unit and the sliding support is connected by the second rotary shaft It connects, second rotary shaft is horizontally set at the stent foot, and the sliding support further includes rotary shaft body, Kirschner wire propulsion Device, the rotary shaft body are the middle section part of the crossbeam of the sliding support, and the Kirschner wire propeller is set to the rotation Axis body, the rotary shaft body include support shaft, the first positioning lamp, the second positioning lamp, the first universal joint and the second Universal connector Head, first positioning lamp connect the support shaft by first universal joint, and second positioning lamp passes through described the Two universal joints connect the support shaft.
2. a kind of orthopaedics according to claim 1 pre-fixes guiding device with coplanar fixed Kirschner wire, feature exists In: the support shaft is provided with swivel plate component, and the swivel plate component includes the first swivel plate and the second swivel plate, described First swivel plate and second swivel plate are combined into principal and subordinate's swivel plate.
3. a kind of orthopaedics according to claim 1 pre-fixes guiding device with coplanar fixed Kirschner wire, feature exists In: first slide unit and the second slide unit respectively include two block baffles, and the baffle spacing and the ring-type are solid Clamp equivalent width, the opposite position of the baffle offer through-hole.
4. a kind of orthopaedics according to claim 3 pre-fixes guiding device with coplanar fixed Kirschner wire, feature exists In: the first stud shaft is provided in the through-hole of the baffle of first slide unit, the first stud shaft diameter and the sliding rail are wide Degree is consistent.
5. a kind of orthopaedics according to claim 3 pre-fixes guiding device with coplanar fixed Kirschner wire, feature exists In: the second stud shaft is provided in the through-hole of the baffle of second slide unit, the second stud shaft diameter and the sliding rail are wide Degree is consistent, and second slide unit top is provided with axis hole, and second rotary shaft is via axis hole connection described second Rotary shaft and sliding support.
6. a kind of orthopaedics according to claim 1 pre-fixes guiding device with coplanar fixed Kirschner wire, feature exists In: the crossbeam of the sliding support further includes threaded hole and the bolt that is screwed, and the bolt that is screwed is via the threaded hole The position of the fixed rotary shaft body.
7. a kind of orthopaedics according to claim 6 pre-fixes guiding device with coplanar fixed Kirschner wire, feature exists In: the rotary shaft body middle section be cyclic structure, outside the cyclic structure hollow-out part size and the Kirschner wire propeller Size is consistent, and the cyclic structure inner wall is provided with several L-type grooves.
8. a kind of orthopaedics according to claim 7 pre-fixes guiding device with coplanar fixed Kirschner wire, feature exists In: the Kirschner wire propeller side is provided with several convex blocks, and the number of slugs is consistent with the L connected in star quantity, described Bump size suits with the L connected in star.
9. a kind of orthopaedics according to claim 8 pre-fixes guiding device with coplanar fixed Kirschner wire, feature exists In: the Kirschner wire propeller further includes cylinder base, cylinder, telescopic shaft, rotating through hole axis, motor, and the motor is separately connected institute Telescopic shaft and rotating through hole axis are stated, the motor is set to the cylinder base, rotating through hole axis described in the flexible axis connection, institute Rotating through hole axis is stated for placing Kirschner wire.
CN201810902682.3A 2018-08-09 2018-08-09 Orthopedics is with fixed type kirschner wire of coplanar pre-fixing guider Expired - Fee Related CN109077794B (en)

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CN201810902682.3A CN109077794B (en) 2018-08-09 2018-08-09 Orthopedics is with fixed type kirschner wire of coplanar pre-fixing guider

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CN109077794B CN109077794B (en) 2020-07-31

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Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2465671Y (en) * 2001-01-21 2001-12-19 萧山市中医院 Universal aimer
WO2009013568A1 (en) * 2007-07-20 2009-01-29 Nilli Del Medico Surgical device for the connection of fractured bones
CN101366657A (en) * 2008-10-09 2009-02-18 中国人民解放军第三军医大学 Multifunctional intra-articular fracture guide apparatus
JP2013511353A (en) * 2009-11-20 2013-04-04 ニー・クリエイションズ・リミテッド・ライアビリティ・カンパニー Equipment for targeting joint abnormalities
US20130253526A1 (en) * 2012-03-20 2013-09-26 S. Charles Marshall System, method, and apparatus for an anterior portal guide for partial thickness rotator cuff repair
CN104000648A (en) * 2014-05-15 2014-08-27 南华大学 Positioning platform of sighting device positioning device
CN105748143A (en) * 2016-04-29 2016-07-13 谢小波 Femur neck guider
CN107280758A (en) * 2017-07-21 2017-10-24 湖南丹尼尔智能科技有限公司 A kind of orthopaedics Kirschner wire fixation device
CN107913099A (en) * 2017-11-24 2018-04-17 苏州市康力骨科器械有限公司 The adjustable sighting device of distal end positioned parallel platform

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2465671Y (en) * 2001-01-21 2001-12-19 萧山市中医院 Universal aimer
WO2009013568A1 (en) * 2007-07-20 2009-01-29 Nilli Del Medico Surgical device for the connection of fractured bones
CN101366657A (en) * 2008-10-09 2009-02-18 中国人民解放军第三军医大学 Multifunctional intra-articular fracture guide apparatus
JP2013511353A (en) * 2009-11-20 2013-04-04 ニー・クリエイションズ・リミテッド・ライアビリティ・カンパニー Equipment for targeting joint abnormalities
US20130253526A1 (en) * 2012-03-20 2013-09-26 S. Charles Marshall System, method, and apparatus for an anterior portal guide for partial thickness rotator cuff repair
CN104000648A (en) * 2014-05-15 2014-08-27 南华大学 Positioning platform of sighting device positioning device
CN105748143A (en) * 2016-04-29 2016-07-13 谢小波 Femur neck guider
CN107280758A (en) * 2017-07-21 2017-10-24 湖南丹尼尔智能科技有限公司 A kind of orthopaedics Kirschner wire fixation device
CN107913099A (en) * 2017-11-24 2018-04-17 苏州市康力骨科器械有限公司 The adjustable sighting device of distal end positioned parallel platform

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