CN109864810B - Bone fracture plate for proximal femur fracture - Google Patents

Bone fracture plate for proximal femur fracture Download PDF

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Publication number
CN109864810B
CN109864810B CN201910269474.9A CN201910269474A CN109864810B CN 109864810 B CN109864810 B CN 109864810B CN 201910269474 A CN201910269474 A CN 201910269474A CN 109864810 B CN109864810 B CN 109864810B
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connecting plate
plate
bone
fracture
femur
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CN109864810A (en
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严飞
朱现玮
黄群
陈永兵
曹刚
陆军
陆伟
石碧
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Suzhou Kangli Orthopaedics Instrument Co ltd
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Suzhou Kangli Orthopaedics Instrument Co ltd
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Abstract

The invention discloses a bone fracture plate for proximal femur fracture, which comprises a first connecting plate, a second connecting plate, a third connecting plate and a fourth connecting plate which are connected end to end, wherein the first connecting plate is parallel to the third connecting plate, and the second connecting plate is parallel to the fourth connecting plate; an opening part is arranged in the middle of the bone fracture plate body; the joint of the first connecting plate, the second connecting plate, the third connecting plate and the fourth connecting plate is provided with a convex part protruding outwards, and a threaded hole is arranged in the convex part; a plurality of screw mounting parts are arranged on the first connecting plate and the third connecting plate, and threaded holes are arranged in the screw mounting parts. The invention has the advantages of simple structure, self-plasticity and convenience for pre-bending into an anatomical radian to fit the femur in operation; an opening part is arranged on the bone fracture plate and is used as a functional skylight for observing the proximal condition of the femur, and simultaneously, a screw can be screwed into the opening part to fix the intramedullary nail; the screw holes are matched with the locking screws to fix the femur, so that the fracture block is in an absolute stable state, and cartilage repair and bone shape reconstruction are facilitated.

Description

Bone fracture plate for proximal femur fracture
Technical Field
The invention belongs to the field of medical instruments, and particularly relates to a bone fracture plate for proximal femur fracture.
Background
Femur, also called femur, is the biggest bone of the whole body, and proximal femur fractures such as femoral neck fractures, intertrochanteric fractures and subgreater trochanter fractures of the femur are all common serious injuries of the femur. Because of the anatomical specificity of the femoral neck, once fracture occurs, the reduction and fixation of the femoral neck are very difficult, and fracture nonunion and ischemic necrosis of the femoral head often occur, so that the disability rate is high. Fracture of the femoral trochanter can be caused by direct impact of violence, falling from a high place, vehicle impact, rolling and the like. When the femur fracture occurs, the lower limb can not move, the fracture is severely swollen and painful, deformities such as torsion or angulation can also occur, and sometimes the length of the lower limb can be shortened. If there is an open wound, the condition is more serious, and the patient is often shocked. If not treated in time after fracture, severe complications such as hemorrhage and nerve injury of patients can be caused. There are many current methods of treatment and internal fixation devices for proximal femur fractures.
Chinese patent application, application number CN201120263945.4, filing date 20110725, grant bulletin number CN202198662U, grant bulletin date 20120425, disclose a "proximal outer locking device of femur", including locking the steel sheet, the locking steel sheet includes the spoon portion of upper end and the stalk portion of lower extreme, locking device is still including being used for stretching into three tuberosity locking screw in the tuberosity of femur, three tuberosity locking screw install on the spoon portion of locking steel sheet and alternately set up. The femur proximal end outside locking device can effectively fix the femur proximal end outside, is firm in fixation and not easy to loosen, and therefore healing of fracture is promoted.
Chinese patent application, application number CN201510522320.8, filing date 20150824, grant bulletin number CN105030317B, grant bulletin date 20170620, discloses "a proximal femur positioning locking steel plate fixing structure", comprising: steel sheet, first screw, second screw, gland and rivet, the steel sheet includes: rectangular shape body portion and portion of bending, be equipped with second k nail fixed orifices, second screw hole, third screw hole and gland mounting hole on the portion of bending, be equipped with the fourth screw hole in the gland mounting hole, first screw is installed in second screw hole, the second screw is installed in third screw hole, the gland includes: the rivet mounting hole is formed in the mounting portion, the rivet penetrates through the rivet mounting hole and is fixedly held in the fourth threaded hole, the second screw comprises a main body portion, a head portion and a tail portion, a groove which is buckled with the gland protruding portion is formed in the head portion of the second screw, an inclined hole is formed in the main body portion of the second screw, and the first screw penetrates through the inclined hole, so that mounting space is saved, and fixing stability is greatly improved.
The above-mentioned patent technology discloses that fixing a steel plate on the outer side of the proximal femur and matching with a locking screw extending into the tuberosity of the femur realizes the fixation of the fracture site, and at the same time, an intramedullary fixation device is also used as a research direction for the treatment of proximal femur fracture.
Chinese patent application, application number CN201521129260.5, filing date 20151228, grant bulletin number CN205729490U, grant bulletin date 20161130, discloses an "intramedullary fixation device and intramedullary nail", the intramedullary fixation device comprising a first intramedullary nail body, a first intramedullary nail front end and a first intramedullary nail end opposite to the first intramedullary nail front end, the first intramedullary nail axially disposed in the femoral neck along the femoral neck; the second intramedullary nail is provided with a second intramedullary nail intramedullary body, the front end of the second intramedullary nail and the tail end of the second intramedullary nail opposite to the front end of the second intramedullary nail, and the second intramedullary nail is axially arranged in the femur body along the femur body; the locking device is arranged at the tail end part of the first intramedullary nail; the first intramedullary nail body is provided with a locking hole so that the second intramedullary nail longitudinally penetrates through the through hole from the front end of the second intramedullary nail to the tail end of the second intramedullary nail to enter the femur intramedullary, and the penetrating part of the second intramedullary nail penetrating through the first intramedullary nail is radially fixed by the locking device. The invention utilizes the fact that the first intramedullary nail can only longitudinally slide along the second intramedullary nail to generate a longitudinal pressurizing effect, avoids stress concentration and shielding, and furthest reduces the occurrence of complications such as hip varus, head cutting, withdrawal and the like.
Chinese patent application, application number CN201720119913.4, filing date 20170209, grant bulletin number CN207024106U, grant bulletin date 20180223, discloses an "internal fixation device for femoral neck fracture", comprising an intramedullary nail main nail screwed into femoral medullary cavity from the tip of tuberosity of femur and two sets of sleeves screwed into and obliquely placed on the intramedullary nail main nail from the tuberosity of femur, the sleeves are internally provided with hollow compression screws with front threads and rear non-threads, the front threaded parts are fixed in the femoral head, and the rear non-threaded parts are slidably connected with the femoral neck and the sleeves; the distal end of the main intramedullary nail is provided with two groups of locking screw holes, and the lower part of the main intramedullary nail is fixed on the femoral shaft by fixing the distal end locking nail. The invention uses the intramedullary nail main nail and the sleeve, and the sleeve pipe is internally provided with the hollow pressurizing screw to fix the fracture of the femoral neck, and the hollow pressurizing screw has the characteristics of stable angle and movable pressurizing, and the intramedullary fixation can achieve the purpose of minimally invasive implantation, minimize the damage to the blood circulation of the femoral head, reduce the possibility of ischemic necrosis of the femoral head and has good clinical application effect.
The intramedullary fixation is the most of the current treatment methods used clinically, but the intramedullary fixation still has certain defects, and in clinical operation, because the conventional products such as intramedullary nails or external fixation structures cannot meet the fracture types due to different fracture types, for example, when the fracture at the neck end of the femur and the fracture under the greater trochanter of the femur occur simultaneously, the intramedullary fixation is the common clinical treatment method, and although the intramedullary fixation can play a role in fixation, the shearing force and the rotating torsion stress between the fracture ends after the fracture at the proximal end of the femur cannot be effectively overcome, so that the fracture ends are difficult to maintain reduction and pressurization fixation, and the fracture ends are often accompanied with the loss of cartilage on the head of the femur due to the fracture, the connection dislocation at the fracture parts, even the loss of fracture blocks, the cartilage repair after the loss of the residual cartilage at the neck end of the femur and the reconstruction of the bone shape are difficult, and the patient is slow to recover.
Therefore, how to design a femur fixing technology capable of taking into account a plurality of clinical operation sites is a technical problem that needs to be solved by those skilled in the art.
Disclosure of Invention
In order to overcome the defects of the prior art, the invention aims to provide the bone fracture plate for proximal femur fracture, which has simple structure and self-plasticity and is convenient for pre-bending into anatomical radian in operation; the bone fracture plate is provided with the functional skylight for observing the femur state and screwing the intramedullary nail in from the functional skylight, is matched with the locking screw, is used for fixing the femur, avoids the loss of a fracture block, ensures the absolute stability of the fracture block, is favorable for cartilage repair and bone shape reconstruction after the cartilage of the femoral neck stump is lost, can be designed into various specifications to adapt to the needs of different bones, and shortens the rehabilitation time of patients.
In order to achieve the above purpose, the present invention adopts the following technical scheme:
the bone fracture plate for proximal femur fracture comprises a bone fracture plate body, and is characterized in that the bone fracture plate body comprises a first connecting plate, a second connecting plate, a third connecting plate and a fourth connecting plate which are connected end to end in sequence, wherein the first connecting plate is parallel to the third connecting plate, and the second connecting plate is parallel to the fourth connecting plate; the middle part of the bone fracture plate body is provided with an opening part which is used as a functional skylight for observing the proximal condition of the femur, and simultaneously, screws can be screwed into the opening part to fix the intramedullary nail; the first connecting plate, the second connecting plate, the third connecting plate and the fourth connecting plate are provided with convex parts which extend outwards at the end-to-end connection positions, namely a first convex part, a second convex part, a third convex part and a fourth convex part, and threaded holes are formed in the convex parts; the first connecting plate and the third connecting plate are provided with a plurality of screw installation parts, and screw holes are formed in the screw installation parts.
Further, the first connecting plate is provided with a wide body part and a narrow body part, n pieces of the wide body parts are arranged, n-1 pieces of the narrow body parts are arranged, n is a natural number, and n is more than or equal to 1; the narrow body part is arranged between the two wide body parts, the narrow body part is close to the opening part, and one end of the narrow body part far away from the opening part is connected with the screw mounting part outwards; the third connecting plate and the first connecting plate are identical in structure.
Further, the screw mounting portion and the protruding portion are in a circular ring shape, and a hollow circle of the circular ring shape is provided with a threaded hole.
Further, the width of the wide body is set to a, the width of the narrow body is set to b, and the annular ring width is equal to the width of the narrow body, that is, the narrow body is a part of the screw mounting part, a=2b; the design of the size relation is mainly used for avoiding stress concentration, when a doctor bends and rebuilds the bone fracture plate, if a is not equal to 2b, the fourth convex part and the screw mounting part on the first connecting plate, and the third convex part and the screw mounting part on the third connecting plate are easy to break due to stress concentration; when the ring widths of the narrow body portion and the screw mounting portion are not equal, the screw mounting portion and the narrow body portion on the first connection plate and the third connection plate are easily broken.
Further, one side surface of the second connecting plate and the fourth connecting plate, which are attached to the femur, is an inward concave arc surface, and the arc surface is attached to the anatomical radian of the femur.
Further, the front projection of the bone fracture plate body formed by the first connecting plate, the second connecting plate, the third connecting plate and the fourth connecting plate which are sequentially connected end to end is rectangular with an opening in the middle.
Further, the front projection of the opening is rectangular.
Further, the bone plate is made of titanium alloy, the titanium alloy material has self-plasticity, and as the bone sizes of all people are different, one bone plate cannot be suitable for all people, so that the bone plate needs to be self-plastic (rebuilding), that is, after the bone plate is installed on a human body, the bone plate needs to be folded and finely adjusted according to the specific bone shape of each person.
Furthermore, the screw used by the bone fracture plate is a locking screw, so that the bone fracture plate and the femur fracture block are absolutely stable, and the bone shape can be better reconstructed due to the stabilizing effect, so that a patient walks and recovers as early as possible.
The invention can be used as auxiliary equipment, and plays an auxiliary role when the conventional products can not meet the fracture types due to different fracture types in clinical operations. The bone plate of the present invention is used to fix fractured bone block, the intramedullary nail fixing device is used to fix bone, and the intramedullary nail product is used to penetrate through the opening of the steel plate to fix bone, so as to reach the absolute stability fixation of the product.
Compared with the prior art, the invention has the advantages that the structure is simple, the titanium alloy is adopted to manufacture the femur with self-plasticity, and the femur can be conveniently pre-bent into an anatomical radian in operation to be attached to the femur; an opening part is arranged on the bone fracture plate and is used as a functional skylight for observing the proximal condition of the femur, and simultaneously, a screw can be screwed into the opening part to fix the intramedullary nail; the screw holes and the locking screws are matched to fix the femur, so that the fracture block is in an absolute stable state, the connection position of the fracture part is improved to be correct, and the cartilage repair and the bone shape reconstruction after the cartilage of the residual end of the femur neck is lost are facilitated; the bone fracture plate can be designed into various specifications to meet the requirements of different bone treatments.
Drawings
In order to more clearly illustrate the embodiments of the invention or the technical solutions in the prior art, the drawings that are needed in the description of the embodiments or the prior art will be briefly described, it being obvious that the drawings in the description below are some embodiments of the invention and that other drawings can be obtained from them without inventive effort for a person skilled in the art.
Fig. 1 is a schematic diagram of the front view structure of the present invention.
Fig. 2 is a schematic top view of the present invention.
Fig. 3 is a left-hand structural schematic of the present invention.
In the figure: 1-first connecting plate 2-second connecting plate 3-third connecting plate 4-fourth connecting plate 5-opening part 6-convex part 61-first convex part 62-second convex part 63-third convex part 64-fourth convex part 65-threaded hole 7-screw mounting part 8-wide body part 9-narrow body part 10-arc surface.
Detailed Description
The following description of the embodiments of the invention will be made apparent and complete in conjunction with the accompanying drawings, in which it is evident that the embodiments described are some, but not all embodiments of the invention. All other embodiments, based on the embodiments of the invention, which would be apparent to one of ordinary skill in the art without making any inventive effort are intended to be within the scope of the invention.
In the description of the present invention, it should be noted that the directions or positional relationships indicated by the terms "center", "upper", "lower", "left", "right", "vertical", "horizontal", "inner", "outer", etc. are based on the directions or positional relationships shown in the drawings, are merely for convenience of describing the invention and simplifying the description, and do not indicate or imply that the apparatus or elements referred to must have a specific orientation, be constructed and operated in a specific orientation, and thus should not be construed as limiting the invention.
In the description of the invention, it should be noted that, unless explicitly stated and limited otherwise, the terms "mounted," "connected," and "connected" are to be construed broadly, and may be, for example, fixedly connected, detachably connected, or integrally connected; can be mechanically or electrically connected; can be directly connected or indirectly connected through an intermediate medium, and can be communication between two elements. The specific meaning of the terms in the invention will be understood by those of ordinary skill in the art in a specific context.
As shown in fig. 1, 2 and 3, the bone fracture plate for proximal femur fracture comprises a bone fracture plate body, and is characterized in that the bone fracture plate body comprises a first connecting plate 1, a second connecting plate 2, a third connecting plate 3 and a fourth connecting plate 4 which are connected end to end in sequence, wherein the first connecting plate 1 is parallel to the third connecting plate 3, and the second connecting plate 2 is parallel to the fourth connecting plate 4; the middle part of the bone fracture plate body is provided with an opening part 5, the opening part 5 is used as a functional skylight for observing the proximal condition of the femur, and simultaneously, a screw can be screwed into the opening part 5 for fixing an intramedullary nail; the joint of the first connecting plate 1, the second connecting plate 2, the third connecting plate 3 and the fourth connecting plate 4 is provided with convex parts 6 which extend outwards, namely a first convex part 61, a second convex part 62, a third convex part 63 and a fourth convex part 64, and threaded holes 65 are arranged in the convex parts 6; the first connecting plate 1 and the third connecting plate 3 are provided with a plurality of screw mounting parts 7, and screw holes 65 are arranged in the screw mounting parts 7.
As shown in fig. 1 and 3, the first connecting plate 1 is provided with a wide body 8 and a narrow body 9, n wide bodies 8 and n-1 narrow bodies are provided, n is a natural number, and n is more than or equal to 1; the narrow body part 9 is arranged between the two wide body parts 8, the narrow body part 9 is close to the opening part 5, and one end of the narrow body part 9 far away from the opening part 5 is connected with the screw mounting part 7 outwards; the third connecting plate 3 has the same structure as the first connecting plate 1.
As shown in fig. 1 and 3, the screw attachment portion 7 and the protruding portion 6 are formed in a circular ring shape, and a hollow circular ring shape is formed as a screw hole 65.
The width of the wide body 8 is set to a, the width of the narrow body 9 is set to b, and the annular ring width is equal to the width of the narrow body, that is, the narrow body 9 is a part of the screw mounting portion 7, a=2b; the design of the size relation is mainly to avoid stress concentration, when a doctor bends and rebuilds the bone fracture plate, if a is not equal to 2b, the fourth convex part 64 and the screw mounting part 7 on the first connecting plate 1, the third convex part 63 and the screw mounting part 7 on the third connecting plate 3 are easily broken due to stress concentration; when the ring widths of the narrow body 9 and the screw mounting portion 7 are not equal, the screw mounting portion 7 and the narrow body 9 on the first and third connection plates 1 and 3 are easily broken. The definition of "loop width" is explained in the prior art as: the ring corresponds to a hollow circle, the hollow circle has a small radius (r), the whole circle has a large radius (r), and the whole circle is the ring width minus the hollow circle radius.
As shown in fig. 2, a side surface of the second connecting plate 2 and the fourth connecting plate 4, which is attached to the femur, is a concave arc surface 10, and the arc surface 10 is attached to the anatomical radian of the femur. The first connecting plate 1 and the third connecting plate 3 are connected with the second connecting plate 2 and the fourth connecting plate 4 and then extend in an anatomical radian fitting with the femur as shown in fig. 2, so that the invention is in a three-dimensional structure, the width a of the wide body 8 and the width b of the narrow body 9 shown in fig. 1 are only used as position illustrations, so that the technical personnel can conveniently understand the invention, and the invention is not limited as a practical proportion.
As shown in fig. 1, the front projection of the bone plate body formed by the first connecting plate 1, the second connecting plate 2, the third connecting plate 3 and the fourth connecting plate 4 which are sequentially connected from head to tail is rectangular with an opening part 5 in the middle.
The front projection of the opening 5 is rectangular.
The bone plate is made of titanium alloy, the titanium alloy material has self-plasticity, and as the bone sizes of all people have certain difference, one bone plate cannot be suitable for all people, so that the material used for the bone plate is required to have self-plasticity (reconstruction), namely, after the bone plate is installed on a human body, the bone plate is required to be bent and finely adjusted according to the specific bone shape of each person.
The screw used for the bone fracture plate is a locking screw (not labeled in the figure), so that the bone fracture plate and the femur fracture block are absolutely stable, and the bone shape can be better reconstructed due to the stabilizing effect, so that a patient walks and recovers as early as possible.
The invention can be used as auxiliary equipment, and plays an auxiliary role when the conventional products can not meet the fracture types due to different fracture types in clinical operations. The bone plate of the present invention is used to fix fractured bone block, the intramedullary nail fixing device is used to fix bone, and the intramedullary nail product is used to penetrate through the opening of the steel plate to fix bone, so as to reach the absolute stability fixation of the product.
It is noted that relational terms such as first and second, and the like are used solely to distinguish one entity or action from another entity or action without necessarily requiring or implying any actual such relationship or order between such entities or actions. Moreover, the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus. Without further limitation, an element defined by the phrase "comprising one … …" does not exclude the presence of other like elements in a process, method, article, or apparatus that comprises the element.
The previous description of the disclosed embodiments is provided to enable any person skilled in the art to make or use the present invention. Various modifications to these embodiments will be readily apparent to those skilled in the art, and the generic principles defined herein may be applied to other embodiments without departing from the spirit or scope of the invention. Thus, the present invention is not intended to be limited to the embodiments shown herein but is to be accorded the widest scope consistent with the principles and novel features disclosed herein.

Claims (7)

1. The utility model provides a bone plate for proximal femur fracture, includes bone plate body, its characterized in that: the bone fracture plate body comprises a first connecting plate, a second connecting plate, a third connecting plate and a fourth connecting plate which are connected end to end in sequence, wherein the first connecting plate is parallel to the third connecting plate, and the second connecting plate is parallel to the fourth connecting plate; an opening part is arranged in the middle of the bone fracture plate body; the first connecting plate, the second connecting plate, the third connecting plate and the fourth connecting plate are provided with convex parts which extend outwards at the end-to-end connection positions, namely a first convex part, a second convex part, a third convex part and a fourth convex part, and threaded holes are formed in the convex parts; a plurality of screw mounting parts are arranged on the first connecting plate and the third connecting plate, and threaded holes are arranged in the screw mounting parts;
the first connecting plate is provided with a wide body part and a narrow body part, n wide body parts are provided, n-1 narrow body parts are provided, n is a natural number, and n is more than or equal to 1; the narrow body part is arranged between the two wide body parts, the narrow body part is close to the opening part, and one end of the narrow body part far away from the opening part is connected with the screw mounting part outwards; the third connecting plate has the same structure as the first connecting plate;
one side surface of the second connecting plate and the fourth connecting plate, which are attached to the femur, is an inward concave arc surface, and the arc surface is attached to the anatomical radian of the femur.
2. The bone plate for proximal femur fracture of claim 1, wherein: the screw mounting part and the convex part are in a circular ring shape, and a hollow circle of the circular ring shape is provided with a threaded hole.
3. A bone plate for proximal femoral fractures according to claim 2, wherein: the width of the wide body is set to a, the width of the narrow body is set to b, and the annular ring width is equal to the width of the narrow body, that is, the narrow body is a part of the screw mounting portion, and a=2b.
4. The bone plate for proximal femur fracture of claim 1, wherein: the front projection of the bone fracture plate body formed by the first connecting plate, the second connecting plate, the third connecting plate and the fourth connecting plate which are sequentially connected end to end is rectangular with an opening in the middle.
5. The bone plate for proximal femur fracture as claimed in claim 4, wherein: the front projection of the opening part is rectangular.
6. The bone plate for proximal femur fracture of claim 1, wherein: the bone plate is made of titanium alloy.
7. The bone plate for proximal femur fracture of claim 1, wherein: the screw used for the bone fracture plate is a locking screw.
CN201910269474.9A 2019-04-04 2019-04-04 Bone fracture plate for proximal femur fracture Active CN109864810B (en)

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Application Number Priority Date Filing Date Title
CN201910269474.9A CN109864810B (en) 2019-04-04 2019-04-04 Bone fracture plate for proximal femur fracture

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Application Number Priority Date Filing Date Title
CN201910269474.9A CN109864810B (en) 2019-04-04 2019-04-04 Bone fracture plate for proximal femur fracture

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CN109864810B true CN109864810B (en) 2024-02-09

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5356410A (en) * 1991-12-13 1994-10-18 Dietmar Pennig Adjuvant for osteosynthesis in the case of pertrochanteric fracture of the neck of the femur
CN103860249A (en) * 2014-03-11 2014-06-18 杨雷刚 Proximal femoral anti-rotation locking device
CN204092153U (en) * 2014-08-25 2015-01-14 天津市威曼生物材料有限公司 Locking near end of thighbone blade plate nail system
CN204814148U (en) * 2015-08-24 2015-12-02 苏州市康力骨科器械有限公司 Thighbone near -end location locking plate fixed structure
CN209864018U (en) * 2019-04-04 2019-12-31 苏州市康力骨科器械有限公司 Bone fracture plate for proximal femoral fracture

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5356410A (en) * 1991-12-13 1994-10-18 Dietmar Pennig Adjuvant for osteosynthesis in the case of pertrochanteric fracture of the neck of the femur
CN103860249A (en) * 2014-03-11 2014-06-18 杨雷刚 Proximal femoral anti-rotation locking device
CN204092153U (en) * 2014-08-25 2015-01-14 天津市威曼生物材料有限公司 Locking near end of thighbone blade plate nail system
CN204814148U (en) * 2015-08-24 2015-12-02 苏州市康力骨科器械有限公司 Thighbone near -end location locking plate fixed structure
CN209864018U (en) * 2019-04-04 2019-12-31 苏州市康力骨科器械有限公司 Bone fracture plate for proximal femoral fracture

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