CN109998663A - Bone fixation system and its strainer for Distal tibiofibular diastasis " 8 " word cerclage - Google Patents

Bone fixation system and its strainer for Distal tibiofibular diastasis " 8 " word cerclage Download PDF

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Publication number
CN109998663A
CN109998663A CN201910342114.7A CN201910342114A CN109998663A CN 109998663 A CN109998663 A CN 109998663A CN 201910342114 A CN201910342114 A CN 201910342114A CN 109998663 A CN109998663 A CN 109998663A
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cerclage
wirerope
bone
hinge bar
word
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孟令兴
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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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/82Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin for bone cerclage
    • 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
    • A61B17/8861Apparatus for manipulating flexible wires or straps

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

Abstract

The present invention relates to field of medical technology, disclose a kind of bone fixation system and its strainer for being used for Distal tibiofibular diastasis " 8 " word cerclage, and bone fixation system includes the hard tubing that bone plate, cerclage wirerope and two forks are arranged in shin bone;Plate fixation is on fibula;Cerclage wirerope entangles the bone plate on fibula, and the both ends of cerclage wirerope are passed through respectively at hard tubing hollow cavity makes cerclage wirerope be crossed as " 8 " word.The present invention is intersected in the hard tubing in shin bone by cerclage wirerope makes cerclage wirerope form " 8 " word, the tension of cerclage wirerope is realized using strainer, it is easy to operate, medical worker is also beneficial to control the pulling force of cerclage wirerope, guarantee that cerclage wirerope is not allowed to be also easy to produce loosening sliding, Distal tibiofibular diastasis replacement and fixation is reliable;In the case where fracture stability allows can early stage weight-bearing walking on ground, the problem of walking with load be easy to cause screw breakage before screw takes out when having evaded fixed using position screw, avoid second operation.

Description

Bone fixation system and its strainer for Distal tibiofibular diastasis " 8 " word cerclage
Technical field
The present invention relates to field of medical technology, and in particular to for Distal tibiofibular diastasis " 8 " word cerclage bone fixation system and Its strainer.
Background technique
Ankle-joint all subjects very big load under the postures such as walking, standing, race jump as a weight-bearing joints, under Shin calf, which is combined, is of great significance to the integrality and stability that maintain ankle cave.Fracture of ankle joint divides according to Lauge-Hansen's Class, wherein before supination outward turning, rotation there is the damage of different degrees of Inferior tibiofibular joint in abduction type fracture, and this kind of damage accounts for about ankle 60% or more articular fracture.The stability of ankle-joint is destroyed after Inferior tibiofibular syndesmosis split, ankle cave is broadening, moves outside astragalus, then single Plane product pressure obviously increases, and 1mm is moved outside astragalus, and pollex contact surface decline 42% adds, is such as not treated in time, and advanced stage occurs Pain, swelling and wound sexual intercourse inflammation change, and lead to patient's disability, seriously affect life, are operated so that influence society Meeting, family.
Because sprained ankle is often accompanied by Distal tibiofibular diastasis, the fixation of such damage is mainly used lower tibiofibula screw, Bolt, such fixed device is by drivescrew lateral on tibiofibula or drilling installation bolt, but its disadvantage is to reset not Reliably, it is easy to produce loosening stripped thread, postoperative there are still dislocations.
Summary of the invention
Based on problem above, the present invention is provided to the bone fixation system and its strainer of Distal tibiofibular diastasis " 8 " word cerclage, Inferior tibiofibular joint reset is carried out by cerclage wirerope, and cerclage wirerope intersects in the hard tubing in shin bone makes cerclage wirerope shape At " 8 " word, the tension of cerclage wirerope is realized using strainer, it is easy to operate, it is also beneficial to drawing of the medical worker to cerclage wirerope Power control guarantees that cerclage wirerope is not allowed to be also easy to produce loosening sliding, and Distal tibiofibular diastasis replacement and fixation is reliable;Allow in fracture stability In the case where can early stage weight-bearing walking on ground, walking with load is easy before screw takes out when having evaded fixed using position screw The problem of causing screw breakage avoids second operation.
In order to solve the above technical problems, the present invention provides following technical schemes:
For the bone fixation system of Distal tibiofibular diastasis " 8 " word cerclage, including bone plate, the cerclage steel for fixing lower tibiofibula Cable and two hard tubing being set in shin bone, two hard tubing intersections are arranged in shin bone, and cerclage wirerope diameter is less than The internal diameter of hard tubing;Multiple nail hole are provided on bone plate, bone plate is fixed on fibula by lock screw;Cerclage wirerope The bone plate on fibula is entangled, the both ends of cerclage wirerope are passed through respectively at hard tubing hollow cavity is crossed as cerclage wirerope After " 8 " word, in the lock locking of the shin bone side backwards to fibula.
Further, hard tubing is channel screw, and channel screw includes the head of a nail and nail rod, and nail rod distal end outer wall is provided with Screw thread is provided with the edge of a knife for rotating channel screw on the head of a nail;Channel screw is provided with along central axes through the head of a nail and nail rod Through-hole.
Further, the through-hole diameter of channel screw is 1.5mm.
Further, the end for being fixed on the bone plate of distal fibular is horizontally arranged with multiple limiting slots, and limiting slot is located at Synthetism plate surface far from fibula.
In order to solve the above technical problems, the strainer the present invention also provides one kind for Distal tibiofibular diastasis " 8 " word cerclage, Including the first hinge bar and adjusting screw rod, it is characterised in that: the first hinge bar medium position is provided with to match with adjusting screw rod Threaded hole, threaded hole is arranged in threaded hole perpendicular to the first hinge bar length direction, adjusting screw rod;The two of first hinge bar A end is symmetrically hinged with tensioning piece, and two tensioning pieces are generally aligned in the same plane with adjusting screw rod;One end of adjusting screw rod is set It is equipped with the second hinge bar, the second hinge bar medium position is provided with the through-hole that diameter is greater than adjusting screw rod diameter, on adjusting screw rod Fixed there are two locating pieces, and the second hinge bar is between two locating pieces;The end of second hinge bar it is symmetrical it is hinged there are two Connecting rod, two connecting rods are hingedly connected to two tensioning on pieces;Two tensioning pieces it is opposite to be provided with can be by cerclage for side The fixed card line mechanism of wirerope.
Further, metallic channel is provided between the end of tensioning head and card line mechanism.
Further, card line mechanism includes the bolt for being fixed on tensioning on piece, and bolt medium position is provided with for cerclage The threading hole that wirerope passes through is threaded with knob clamp on bolt.
Further, the end of the adjusting screw rod far from the second hinge bar is provided with rotating handles.
Compared with prior art, the beneficial effects of the present invention are: the present invention is multiple by cerclage wirerope progress Inferior tibiofibular joint Position, and cerclage wirerope intersects in the hard tubing in shin bone make cerclage wirerope formation " 8 " word, Distal tibiofibular diastasis replacement and fixation can It leans on;In the case where fracture stability allows can early stage weight-bearing walking on ground, in spiral shell when having evaded fixed using position screw The problem of walking with load be easy to cause screw breakage before nail takes out, avoids second operation.When being tensed to cerclage wirerope, utilize The card line mechanism of tensioning on piece passes through rotation adjusting screw rod for after the both ends cross-fixing of fixed tibial and the cerclage wirerope of fibula The opening degree of tensioning piece is controlled, realizes the tension of cerclage wirerope, it is easy to operate, it is also beneficial to drawing of the medical worker to cerclage wirerope Power control, meet Inferior tibiofibular joint it is fixed while, guarantee that cerclage wirerope is not allowed to be also easy to produce loosening sliding.
Detailed description of the invention
Fig. 1 is the overlooking structure figure in embodiment 1 for the bone fixation system of Distal tibiofibular diastasis " 8 " word cerclage;
Fig. 2 is the side block diagram in embodiment 1 for the bone fixation system of Distal tibiofibular diastasis " 8 " word cerclage;
Fig. 3 is channel screw in embodiment 1 along the sectional structure chart of central axes;
Fig. 4 is the structural schematic diagram of bone plate in embodiment 1;
Fig. 5 is the structural schematic diagram in embodiment 2 for the strainer of Distal tibiofibular diastasis cerclage;
Fig. 6 is the side view of tensioning piece in Fig. 5;
Fig. 7 is the structural schematic diagram of card line mechanism in embodiment 2;
Fig. 8 is structural schematic diagram when strainer tenses cerclage wirerope in embodiment 2;
Wherein: 1, bone plate;2, cerclage wirerope;3, hard tubing;4, lock screw;5, it latches;6, the head of a nail;7, nail rod; 8, limiting slot;9, shin bone;10, fibula;11, the first hinge bar;12, adjusting screw rod;13, tensioning piece;14, the second hinge bar;15, Locating piece;16, connecting rod;17, metallic channel;18, bolt;19, threading hole;20, knob clamp;21, rotating handles.
Specific embodiment
To make the objectives, technical solutions, and advantages of the present invention clearer, below with reference to embodiment and attached drawing, to this Invention is described in further detail, and exemplary embodiment of the invention and its explanation for explaining only the invention, are not made For limitation of the invention.
Embodiment 1:
Referring to Fig. 1 and Fig. 2, be used for Distal tibiofibular diastasis " 8 " word cerclage bone fixation system, including bone plate 1, for fixing The cerclage wirerope 2 of lower tibiofibula and two hard tubing 3 being set in shin bone 9, two intersections of hard tubing 3 are arranged in shin bone 9 Interior, 2 diameter of cerclage wirerope is less than the internal diameter of hard tubing 3;Multiple nail hole are provided on bone plate 1, bone plate 1 passes through locking spiral shell Nail 4 is fixed on fibula 10;Cerclage wirerope 2 entangles the bone plate 1 on fibula 10, and the both ends of cerclage wirerope 2 are respectively at stereoplasm tube 3 hollow cavity of material passes through after so that cerclage wirerope 2 is crossed as " 8 " word, in 9 side of shin bone backwards to fibula 10,5 locking of lock.
In the present embodiment, after patient generates Distal tibiofibular diastasis, bone plate 1 is fixed on fibula 10 by lock screw 4, Then 9 fibular notch of shin bone (9 distal end of shin bone is expanded, and cross section is in square, and outside has the articular surface of a recess to claim fibular notch) Two sides i.e. volkman tubercle and chaput tuberal part cross borehole, two bore positions are abutted but are not connected to mutually, then exist Hard tubing 3 is installed in hole;Inferior tibiofibular joint reset is carried out again, is bonded 2 medium position of cerclage wirerope with bone plate 1, Two ends of cerclage wirerope 2 are penetrated from two 3 ends of hard tubing of volkman tubercle and chaput tuberal part respectively, ring It pricks wirerope 2 to be pierced by by two intersections of hard tubing 3, is pierced by two ends of the cerclage wirerope 2 of hard tubing 3 backwards to fibula 10 9 side of shin bone is tensed by strainer, is locked with lock 5, and " 8 " word is formed, and it is extra finally to be wiped out with wirerope pincers Cerclage wirerope.The present invention carries out Inferior tibiofibular joint reset, and hard tubing of the cerclage wirerope 2 in shin bone 9 by cerclage wirerope 2 Intersecting in 3 makes cerclage wirerope 2 form " 8 " word, and replacement and fixation is reliable, reaches good functional rehabilitation;And permit in fracture stability It perhaps can early stage weight-bearing walking on ground in the case where;Evaded the operation of existing Distal tibiofibular diastasis it is fixed using position screw when The problem of walking with load be easy to cause screw breakage before screw takes out, avoids second operation.
Lock 5 is using the steel casing that can be inserted into two sections of cerclage wireropes 2 simultaneously in the present embodiment, by 2 liang of cerclage wirerope Before a end cross-fixing, two ends of cerclage wirerope 2 are crossed through into steel casing in advance, are then tensed again with strainer And pulling force is controlled, it after being shriveled steel casing with clamp after tension, is engaged steel casing by cerclage wirerope 2, realizes cerclage steel Cable 2 is locked.
Referring to Fig. 1 and Fig. 3, for the hard tubing 3 that the present embodiment uses for channel screw, channel screw includes the head of a nail 6 and nail Bar 7,7 distal end outer wall of nail rod are provided with screw thread, the edge of a knife for rotating channel screw are provided on the head of a nail 6;Channel screw is in Axis is provided with the through-hole through the head of a nail 6 and nail rod 7.The screw thread of the distal end outer wall setting of channel screw, can be between shin bone 9 Active force is generated, channel screw will not be made to skid off shin bone 9.Before squeezing into channel screw, drill bit corresponding position on shin bone 9 is first used The hole for drilling out and being slightly less than channel screw outer diameter is set, is then screwed in channel screw in shin bone 9 with screwdriver;The present embodiment uses logical The through-hole diameter of road screw is 1.5mm, the diameter 1.2mm of corresponding cerclage wirerope 2.
Referring to Fig. 3 and Fig. 4, the end for the bone plate 1 for being fixed on 10 distal end of fibula is horizontally arranged with multiple limiting slots 8, limit Position slot 8 is located remotely from 1 surface of bone plate of fibula 10.The corresponding bone plate 1 in 10 distal end of fibula is used away from the outside of fibula 10 Lateral limiting slot 8 designs, and can prevent 2 excessive slip of cerclage wirerope, can also allow between cerclage wirerope 2 and bone plate 1 has one Determine physiological fine motion, the screw or bolt fixation for having evaded use and rigidity are unfavorable for repairing for ligament physiological healing characteristic itself It is multiple.
Embodiment 2:
Referring to Fig. 5 and Fig. 8, it to be used for the strainer of Distal tibiofibular diastasis " 8 " word cerclage, including the first hinge bar 11 and adjusting spiral shell Bar 12,11 medium position of the first hinge bar are provided with the threaded hole to match with adjusting screw rod 12, and threaded hole is perpendicular to the first hinge 11 length direction of extension bar, adjusting screw rod 12 are arranged in threaded hole;Two ends of the first hinge bar 11 are symmetrically hinged with tensioning Piece 13, two tensioning pieces 13 are generally aligned in the same plane with adjusting screw rod 12;It is hinged that one end of adjusting screw rod 12 is provided with second Bar 14,14 medium position of the second hinge bar are provided with the through-hole that diameter is greater than 12 diameter of adjusting screw rod, fix on adjusting screw rod 12 There are two locating piece 15, the second hinge bar 14 is located between two locating pieces 15;The end of second hinge bar 14 is symmetrically hinged with Two connecting rods 16, two connecting rods 16 are hingedly connected on two tensioning pieces 13;Two tensioning pieces 13 it is opposite to side be all provided with It is equipped with card line mechanism that can be fixed by cerclage wirerope 2.
In the present embodiment, after Inferior tibiofibular joint resets, shin bone 9 and fibula 10 are bypassed with cerclage wirerope 2, then by cerclage Two end cross-fixings of wirerope 2 are in Liang Ge card line mechanism;Because tensioning piece 13 is articulated on the first hinge bar 11, pass through rotation Turning adjusting screw rod 12 drives the second hinge bar 14 flexible, to be articulated with the connecting rod 16 between the second hinge bar 14 and tensioning piece 13 Drive tensioning piece 13 to open and close, realize to the tension of cerclage wirerope 2 with loosen.Medical worker can pass through the first hinge bar 11 and second Spacing variation between hinge bar 14 judges the pulling force of cerclage wirerope 2, or can also use range by rotation adjusting screw rod 12 Degree judge the pulling force of cerclage wirerope 2, while making stabilization cerclage of its satisfaction to lower tibiofibula, the case where being not in drawing.It draws It is next that the cerclage wirerope 2 mutually to coincide between two tensioning pieces 13 is locked into cyclization with lock 5.The present invention utilizes tensioning piece 13 On card line mechanism by after the both ends cross-fixing of fixed tibial 9 and the cerclage wirerope 2 of fibula 10, pass through rotation adjusting screw rod 12 The opening degree of tensioning piece 13 is controlled, realizes the tension of cerclage wirerope 2, it is easy to operate, medical worker is also beneficial to cerclage wirerope 2 Pulling force control, meet Inferior tibiofibular joint it is fixed while, guarantee that cerclage wirerope 2 is not allowed to be also easy to produce loosening sliding.
Referring to Fig. 5, Fig. 6 and Fig. 8, it is provided with metallic channel 17 between the end and card line mechanism of tensioning head, can tensed Cerclage wirerope 2 is stuck in metallic channel 17 in the process, has evaded in 2 cinching process of cerclage wirerope cerclage wirerope 2 in tensioning piece 13 Outside skid, further ensure the pulling force of cerclage wirerope 2.
Referring to figs. 5 and 6, the card line mechanism of the present embodiment includes the bolt 18 being fixed on tensioning piece 13, in bolt 18 Position installs the threading hole 19 for being equipped with and passing through for cerclage wirerope 2, is threaded with knob clamp 20 on bolt 18.In practical behaviour During work, first two ends of cerclage wirerope 2 are crossed through in the threading hole 19 of two bolts 18, adjust cerclage wirerope 2 Size, then by rotate knob clamp 20 cerclage wirerope 2 is fixed in the threading hole 19 of bolt 18, cinching process middle ring It pricks wirerope 2 and is not likely to produce sliding.
The end of Fig. 5, the adjusting screw rod 12 far from the second hinge bar 14 are provided with rotating handles 21, by rotating handle Hand 21 controls to adjust the rotation of screw rod 12, and the rotation of adjusting screw rod 12 is more laborsaving, is also convenient for the operation of medical worker.
It as above is the embodiment of the present invention.Design parameter in above-described embodiment and embodiment is merely to understand table Invention verification process is stated, the scope of patent protection being not intended to limit the invention, scope of patent protection of the invention is still with it It is all to change with equivalent structure made by specification and accompanying drawing content of the invention subject to claims, it should all similarly wrap Containing within the scope of the present invention.

Claims (8)

1. being used for the bone fixation system of Distal tibiofibular diastasis " 8 " word cerclage, it is characterised in that: including bone plate (1), under fixation The cerclage wirerope (2) of shin calf and two hard tubing (3) being set in shin bone (9), two hard tubing (3), which are intersected, wears In shin bone (9), cerclage wirerope (2) diameter is less than the internal diameter of hard tubing (3);It is provided on the bone plate (1) Multiple nail hole, the bone plate (1) are fixed on fibula (10) by lock screw (4);The cerclage wirerope (2) entangles fibula (10) bone plate (1) on, the both ends of the cerclage wirerope (2) are passed through respectively at hard tubing (3) hollow cavity makes cerclage steel After cable (2) is crossed as " 8 " word, locked in shin bone (9) side backwards to fibula (10) with lock (5).
2. bone fixation system according to claim 1, it is characterised in that: the hard tubing (3) is channel screw, described Channel screw includes the head of a nail (6) and nail rod (7), and nail rod (7) distal end outer wall is provided with screw thread, is arranged on the head of a nail (6) There is the edge of a knife for rotating channel screw;The channel screw is provided with along central axes through the logical of the head of a nail (6) and nail rod (7) Hole.
3. bone fixation system according to claim 2, it is characterised in that: the through-hole diameter of the channel screw is 1.5mm.
4. bone fixation system according to claim 1, it is characterised in that: be fixed on the bone plate of fibula (10) distal end (1) end is horizontally arranged with multiple limiting slots (8), and the limiting slot (8) is located remotely from bone plate (1) table of fibula (10) Face.
5. being used for the strainer of Distal tibiofibular diastasis " 8 " word cerclage, including the first hinge bar (11) and adjusting screw rod (12), feature Be: the first hinge bar (11) medium position is provided with the threaded hole to match with adjusting screw rod (12), the threaded hole Perpendicular to the first hinge bar (11) length direction, the adjusting screw rod (12) is arranged in threaded hole;First hinge bar (11) two ends are symmetrically hinged with tensioning piece (13), and two tensioning pieces (13) and adjusting screw rod (12) are located at same put down Face;One end of the adjusting screw rod (12) is provided with the second hinge bar (14), the second hinge bar (14) medium position It is provided with the through-hole that diameter is greater than adjusting screw rod (12) diameter, is fixed on the adjusting screw rod (12) there are two locating piece (15), Second hinge bar (14) is located between two locating pieces (15);The end of second hinge bar (14) is symmetrically hinged There are two connecting rod (16), two connecting rods (16) are hingedly connected on two tensioning pieces (13);Two tensioning pieces (13) it is opposite to side be provided with can be fixed by cerclage wirerope (2) card line mechanism.
6. strainer according to claim 5, it is characterised in that: be arranged between the end and card line mechanism of the tensioning head There are metallic channel (17).
7. strainer according to claim 5, it is characterised in that: the card line mechanism includes being fixed on the tensioning piece (13) bolt (18) on, bolt (18) medium position are provided with the threading hole (19) passed through for cerclage wirerope (2), institute It states and is threaded with knob clamp (20) on bolt (18).
8. strainer according to claim 5, it is characterised in that: the adjusting spiral shell far from second hinge bar (14) The end of bar (12) is provided with rotating handles (21).
CN201910342114.7A 2019-04-26 2019-04-26 Bone fixation system and its strainer for Distal tibiofibular diastasis " 8 " word cerclage Pending CN109998663A (en)

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CN201910342114.7A CN109998663A (en) 2019-04-26 2019-04-26 Bone fixation system and its strainer for Distal tibiofibular diastasis " 8 " word cerclage

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201910342114.7A CN109998663A (en) 2019-04-26 2019-04-26 Bone fixation system and its strainer for Distal tibiofibular diastasis " 8 " word cerclage

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CN109998663A true CN109998663A (en) 2019-07-12

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Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1390525A (en) * 2002-07-01 2003-01-15 王静成 Internal fixer of hook plate for treating distal tibiofibula separation
RU2252721C2 (en) * 2003-06-06 2005-05-27 Хорошков Сергей Николаевич Functional operative method for treating suprasyndesmodic fibular fractures
CN104323839A (en) * 2014-10-24 2015-02-04 苏州仁捷瑞自动化科技有限公司 Straight cylinder type bone external fixation device
CN210354880U (en) * 2019-04-26 2020-04-21 孟令兴 Bone fixing system for 8-shaped cerclage for inferior tibiofibular separation

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1390525A (en) * 2002-07-01 2003-01-15 王静成 Internal fixer of hook plate for treating distal tibiofibula separation
RU2252721C2 (en) * 2003-06-06 2005-05-27 Хорошков Сергей Николаевич Functional operative method for treating suprasyndesmodic fibular fractures
CN104323839A (en) * 2014-10-24 2015-02-04 苏州仁捷瑞自动化科技有限公司 Straight cylinder type bone external fixation device
CN210354880U (en) * 2019-04-26 2020-04-21 孟令兴 Bone fixing system for 8-shaped cerclage for inferior tibiofibular separation

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