CN110097978A - Fracture and joint replacement patient fixation steel plate use subsequent Monitoring Rehabilitation method - Google Patents

Fracture and joint replacement patient fixation steel plate use subsequent Monitoring Rehabilitation method Download PDF

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Publication number
CN110097978A
CN110097978A CN201910456081.9A CN201910456081A CN110097978A CN 110097978 A CN110097978 A CN 110097978A CN 201910456081 A CN201910456081 A CN 201910456081A CN 110097978 A CN110097978 A CN 110097978A
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patient
steel plate
fracture
platform
sensor
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CN201910456081.9A
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Chinese (zh)
Inventor
章浩伟
吕琳
刘颖
黄鹏杰
徐晓丽
余莹
李占齐
陈静聪
孙丽丽
莫艳红
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University of Shanghai for Science and Technology
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University of Shanghai for Science and Technology
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Priority to CN201910456081.9A priority Critical patent/CN110097978A/en
Publication of CN110097978A publication Critical patent/CN110097978A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/026Measuring blood flow
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/103Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
    • A61B5/1116Determining posture transitions
    • A61B5/1117Fall detection
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/22Ergometry; Measuring muscular strength or the force of a muscular blow
    • A61B5/224Measuring muscular strength
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/40Detecting, measuring or recording for evaluating the nervous system
    • A61B5/4005Detecting, measuring or recording for evaluating the nervous system for evaluating the sensory system
    • A61B5/4023Evaluating sense of balance
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/45For evaluating or diagnosing the musculoskeletal system or teeth
    • A61B5/4504Bones
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H80/00ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Medical Informatics (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Pathology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Biophysics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Physiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Dentistry (AREA)
  • Primary Health Care (AREA)
  • Epidemiology (AREA)
  • Neurology (AREA)
  • Neurosurgery (AREA)
  • Hematology (AREA)
  • Cardiology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Rheumatology (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)

Abstract

The present invention relates to a kind of fracture and joint replacement patient fixation steel plate to use subsequent Monitoring Rehabilitation method, and monitoring system includes the wearable flexible apparatus user terminal being provided on fixation steel plate with biocompatibility and external wearable flexible apparatus user terminal;Two wearable flexible apparatus user terminals are communicated by wireless transmitting system and cloud service platform, and cloud service platform is connect by wireless network with mobile terminal;Mobile terminal includes emergency contact's client app, signing doctor terminal app;Cloud service platform includes monitor center platform, personal information management platform, the online diagnosis and treatment platform of doctor and data-storage system.Effectively tracking real time monitoring is carried out to fixed cadre, avoids the occurrence of the case where steel plate, bolt fracture or disengaging etc. are unfavorable for rehabilitation.The rehabilitation scheme of a safety is provided to patient.

Description

Fracture and joint replacement patient fixation steel plate use subsequent Monitoring Rehabilitation method
Technical field
The present invention relates to a kind of medical supplementary instrument monitoring technology, in particular to a kind of fracture and joint replacement patient fix Steel plate uses subsequent Monitoring Rehabilitation method.
Background technique
The compression steel plate that fracture patient and joint replacement patient need is common medical supplementary instrument.But it uses at present Fixation steel plate has the following problems:
Steel plate needed for fracture and joint replacement surgery is also classified into long periods of wear and wears two kinds of situations in short term, for difference Requirement of the situation to steel plate is also different.Plate size is improper during steel plate occasional currently on the market is performed the operation, screw Situations such as bolt falling, fracture occur for stress raiser or postoperative a period of time.Perform the operation, it is new to re-replace Implant plate.For needing the case where taking out steel plate over time, such as the fracture of thigh femur etc., it is also desirable to implantation Steel plate carry out strength check, avoid that steel plate, bolt fracture or disengaging etc. occur during operation or after a period of use Situation.
The standard of none specific service life of steel plate at present, and due to everyone using the case where and encounter prominent Situations such as hair-like condition is different, encounters shock are not also identical to the extent of deterioration of steel plate therefore a kind of according to trouble there is an urgent need to formulate Person judges the service life of compression steel plate using time and real-time stress situation, customizes personalized steel plate, can be according to patient Different service conditions estimate the service life of steel plate, when encountering serious conditions, such as bolt falling can also provide replacement and build View, it is ensured that the safety of patient.
The rehabilitation course in later period cannot be tracked effectively, also need to monitor internal blood flow and velocity of blood flow and measurement muscle Power, interior lateral collateral ligament tension etc. judge the rehabilitation situation of patient, and the valid data measured are sent to doctor's behaviours reference Foundation.
Summary of the invention
The present invention be directed to the problem of fracture patient and joint replacement Rehabilitation safety, a kind of fracture and joint are proposed It replaces patient's fixation steel plate and uses subsequent Monitoring Rehabilitation method, effectively tracking real time monitoring is carried out to fixed cadre, is avoided the occurrence of The case where steel plate, bolt fracture or disengaging etc. are unfavorable for rehabilitation.
The technical solution of the present invention is as follows: a kind of fracture and joint replacement patient fixation steel plate use subsequent Monitoring Rehabilitation side Method, monitoring system include the wearable flexible apparatus user terminal being provided on fixation steel plate with biocompatibility and External wearable flexible apparatus user terminal;Two wearable flexible apparatus user terminals by wireless transmitting system with Cloud service platform communication, cloud service platform are connect by wireless network with mobile terminal;Mobile terminal includes emergency contact People's client app, signing doctor terminal app;Cloud service platform includes monitor center platform, personal information management platform, doctor Online diagnosis and treatment platform and data-storage system.
The wearable flexible apparatus user terminal with biocompatibility is several with bio-compatible equipped with integrating Property sensor processor chip, sensor processor chip by integration mode be equipped with pressure sensor, blood flow quantity sensor, Vibrating sensor, to measure joint replacement or fracture patient vital sign;External flexible wearable equipment user terminal passes through Integration mode is equipped with 3-axis acceleration sensor, GPS positioning system, infrared probe sensor and amount of exercise prompt system.
The pressure sensor measures compression situation at patients with fractures, part in the blood flow sensors measure biological body Blood flow and Hemodynamic environment monitor the rehabilitation situation of fracture, and the vibrating sensor monitors muscle tone, interior lateral collateral ligament The rehabilitation situation of tension signal data monitoring fracture;The data that sensor processor chip will test pass through wireless transmission system System is transmitted to personal information management platform in cloud service platform, and 3-axis acceleration sensor exports organism equilibrium data to a People's information management platform, Cloud Server use medical information algorithm process data, judge that organism health status and steel plate use State.
The amount of exercise prompt system is intended by using infrared probe sensor according to the exercise program of customization to patient's Walking activity is monitored, and observes whether patient hyperkinesia occurs to patient's sending by the data of pressure sensor Prompt information reminds patient that appropriateness is needed to do rehabilitation exercise when patient muscle's rehabilitation exercise amount is unqualified.
The described pressure sensor by with biocompatibility and external 3-axis acceleration sensor determine trouble Person hits degree, when sensor measurement data and inconsistent monitoring center management platform health indicator, passes through external GPS positioning System includes emergency contact's client app, signing doctor terminal app and monitoring to mobile terminal by wirelessly or non-wirelessly transmitting Central platform carries out alert process, and the monitor center platform selects hospital to be assigned to patient's GPS system position nearby.
The beneficial effects of the present invention are: present invention fracture and joint replacement patient fixation steel plate use subsequent Monitoring Rehabilitation Method, to the rehabilitation course of one safety of patient.
Detailed description of the invention
Fig. 1 is that present invention fracture and joint replacement patient fixation steel plate use subsequent Monitoring Rehabilitation method flow diagram;
Fig. 2 is the structure chart of mobile terminal of the present invention.
Specific embodiment
It is special that the invention patent is carried out in conjunction with attached drawing for the ease of understanding the realization means and structure feature of the invention patent It further explains:
Fracture and joint replacement patient fixation steel plate use subsequent Monitoring Rehabilitation method flow diagram, including cloud as shown in Figure 1 It holds service platform, data radio transmission system, wearable flexible apparatus user terminal, mobile terminal and integrates several sensors Processing chip.
The health monitoring system based on cloud platform include be provided on steel plate it is wearable with biocompatibility Formula flexible apparatus user terminal, the user terminal are equipped with and integrate several sensor processor chips with biocompatibility, The processor chips are equipped with needed for pressure sensor, blood flow quantity sensor, vibrating sensor etc. by integration mode and measure bone Roll over the sensor of vital sign patient.Health supervision subsystem based on cloud platform further includes that external flexible wearable equipment is used Family terminal.The external flexible wearable equipment user terminal of patient is equipped with processor chips and is added by system integration mode equipped with three axis Velocity sensor, GPS positioning system, infrared probe sensor and amount of exercise prompt system.
The cloud service platform include monitor center platform, personal information management platform, the online diagnosis and treatment platform of doctor and Data storing platform.The monitor center platform passes through the pressure sensor with biocompatibility for realizing long distance monitoring Patient's tumble shock degree is determined with external 3-axis acceleration sensor, it is logical by external GPS system when situation is serious Cross that wirelessly or non-wirelessly to transmit to mobile terminal include that emergency contact's client app, signing doctor terminal app and monitor center are flat Platform carries out alert process, and the monitor center platform selects hospital to be assigned to patient's GPS system position nearby, and when load Lotus impact is excessive, it is contemplated that for secondary fracture or joint injury it is serious when, external wearable flexible apparatus carries out voice reporting Warn such as: " asking not move patient " has a forewarning function to the masses around;Personal information management platform, including it is personal strong Health situation, the storage and use of the information such as the data of sensor feedback and passing medical history in flexible wearable equipment;Doctor exists Line diagnosis and treatment platform is answerred questions on online medical treatment, rehabilitation follow-up service and patient's line for providing;Data storing platform stores steel Slab data, and newest academic research content is compared.
The personal information management platform, for storing above-mentioned all vital sign datas, and in time and external data It compares, it is for statistical analysis, judge its health status and energy Real-time Feedback is to the mobile phone etc. equipped with emergency contact's client app Equipment and equipment such as mobile phone equipped with signing doctor terminal app.
The health supervision subsystem based on cloud platform includes the wearing with biocompatibility being provided on steel plate Wear formula flexible apparatus user terminal and external wearable flexible apparatus user terminal, the user terminal can be with patient's mobile phone etc. Communication apparatus is connected, and the user terminal is equipped with and integrates several processor chips with biocompatible sensor, described Processor chips by integration mode be equipped with biocompatibility pressure sensor, blood flow quantity sensor, vibrating sensor with And the sensing of joint injury position relevant information is measured needed for external 3-axis acceleration sensor, infrared probe sensor etc. Device.
Compression situation at the pressure sensor measurement patients with fractures, the 3-axis acceleration sensor judge equilibrium-like Condition, local blood flow and Hemodynamic environment monitor the rehabilitation situation of fracture in the blood flow sensors measure biological body, described Vibrating sensor monitors the rehabilitation situation of the signal datas such as muscle tone, interior lateral collateral ligament tension monitoring fracture, and will inspection The data measured are transmitted to the Cloud Server of personal information management platform in cloud service platform, cloud clothes by wireless transmitting system Device be engaged in distinctive medical information algorithm process data, judges organism health status and steel plate use state.The processing Device chip, which is equipped with GPS positioning system by system integration mode, can obtain the geographical location of patient, finally be good for the body of judgement Health situation result and location information are timely feedbacked to equipment such as the mobile phones that emergency contact's client app is housed and equipped with signing doctor It causes trouble the equipment such as mobile phone of app.
The 3-axis acceleration sensor and pressure sensor judge the walking situation of patient, judge whether it falls down, The states such as imbalance, and when situation is serious, the monitor center platform selects hospital to be assigned to patient's GPS system institute nearby In position, external wearable flexible apparatus carries out audio alert such as: " asking not move patient " to the masses around have one it is pre- Alert effect simultaneously sends being equipped with for the mobile terminal for alarm signal and the wireless transmission of patient geo-location information in time The equipment such as the mobile phone of emergency contact's client app and equipment such as mobile phone equipped with signing doctor terminal app.
The processor chips are additionally provided with amount of exercise prompt system by system integration mode.Phase is formulated according to patient profiles The rehabilitation programme answered, the amount of exercise prompt system it is quasi- by using infrared probe sensor to the amounts of exercise such as the walking of patient into Row monitoring, and observe whether patient over fatigue occurs to patient's alert by the data of pressure sensor, it keeps away Exempt from hyperkinesia and adverse effect is caused to fracture recovering.Alarm is triggered when amount of exercise reaches threshold value, is prompted Patient can rest, and facilitate the rehabilitation of patient.When patient muscle's rehabilitation exercise amount is not up to standard, prompt patient's needs are also had Appropriateness does rehabilitation exercise, which can also be sent to the mobile phone equipped with emergency contact's client app by wireless transmitting system Etc. in equipment, so that relatives is supervised rehabilitation course jointly, reach rehabilitation optimum efficiency.The infrared probe sensor can also detect Blood oxygen saturation, patient temperature monitor Rehabilitation situation.
The structure chart of mobile terminal as shown in Figure 2, including emergency contact's client app, signing doctor terminal app.
In order to further illustrate Fig. 2, above-mentioned wearable flexible apparatus user terminal and mobile terminal pass through wireless transmission System is connected.The equipment such as the mobile phone equipped with emergency contact's client app, the doctor terminal app that contracts can pass through accessing wirelessly Cloud service platform is checked patient information at any time and is monitored in real time, takes relief to arrange in time patient by alarm signal and positioning It applies.
The series steel plate for being suitable for fracture proposed by the invention is equipped with wearable flexible apparatus user terminal, and passes through Transmission system is connect with contract doctor terminal app, emergency contact's client app, cloud service platform etc., it is ensured that patient is in benign Monitoring, comparison and update, healthy differentiation, alarm system, signing doctor including data etc., so that the rehabilitation schedule of patient is significantly It reduces and can have with families of patients and timely feed back.
It is to be described in conjunction with the accompanying to manufacture system to a kind of steel plate series for fracture proposed by the present invention above And the principle and implementation method of health monitoring system, thus establish one it is perfect flat with biomechanical analysis and based on cloud The steel plate series for two kinds of fracture modes of platform monitoring manufacture system and health monitoring system.The explanation of above embodiments Method and its core concept of the invention are merely used to help understand, but the present invention is not limited to described embodiment, with Upper listed situation is merely illustrative, and the present invention is not limited to this, without departing from the principles and spirit of the present invention this Variation, modification, replacement and the deformation carried out a bit to embodiment is still fallen in protection scope of the present invention.

Claims (5)

1. a kind of fracture and joint replacement patient fixation steel plate use subsequent Monitoring Rehabilitation method, which is characterized in that monitoring system Including being provided with wearable flexible apparatus user terminal with biocompatibility on fixation steel plate and external wearing Wear formula flexible apparatus user terminal;Two wearable flexible apparatus user terminals are flat by wireless transmitting system and cloud service Platform communication, cloud service platform are connect by wireless network with mobile terminal;Mobile terminal includes emergency contact's client App, signing doctor terminal app;Cloud service platform includes monitor center platform, personal information management platform, the online diagnosis and treatment of doctor Platform and data-storage system.
2. fracture and joint replacement patient fixation steel plate use subsequent Monitoring Rehabilitation method, feature according to claim 1 Be, the wearable flexible apparatus user terminal with biocompatibility be equipped with integrate it is several with biocompatibility Sensor processor chip, sensor processor chip are equipped with pressure sensor, blood flow quantity sensor, vibration by integration mode Sensor, to measure joint replacement or fracture patient vital sign;External flexible wearable equipment user terminal passes through integrated Mode is equipped with 3-axis acceleration sensor, GPS positioning system, infrared probe sensor and amount of exercise prompt system.
3. fracture and joint replacement patient fixation steel plate use subsequent Monitoring Rehabilitation method, feature according to claim 1 It is, compression situation at the pressure sensor measurement patients with fractures, local blood in the blood flow sensors measure biological body Flow and Hemodynamic environment monitor the rehabilitation situation of fracture, the vibrating sensor monitoring muscle tone, interior lateral collateral ligament The rehabilitation situation of force signal data monitoring fracture;The data that sensor processor chip will test pass through wireless transmitting system It is transmitted to personal information management platform in cloud service platform, 3-axis acceleration sensor exports organism equilibrium data to individual Information management platform, Cloud Server use medical information algorithm process data, judge that organism health status and steel plate use shape State.
4. fracture and joint replacement patient fixation steel plate use subsequent Monitoring Rehabilitation method, feature according to claim 1 It is, the amount of exercise prompt system is according to the quasi- walking by using infrared probe sensor to patient of the exercise program of customization Amount of exercise is monitored, and observes whether patient hyperkinesia occurs to patient's sending prompt by the data of pressure sensor Information reminds patient that appropriateness is needed to do rehabilitation exercise when patient muscle's rehabilitation exercise amount is unqualified.
5. fracture and joint replacement patient fixation steel plate use subsequent Monitoring Rehabilitation method, feature according to claim 1 It is, the pressure sensor by with biocompatibility and external 3-axis acceleration sensor determine patient and hit Degree is hit, when sensor measurement data and inconsistent monitoring center management platform health indicator, passes through external GPS positioning system It include emergency contact's client app, signing doctor terminal app and monitor center to mobile terminal by wirelessly or non-wirelessly transmitting Platform carries out alert process, and the monitor center platform selects hospital to be assigned to patient's GPS system position nearby.
CN201910456081.9A 2019-05-29 2019-05-29 Fracture and joint replacement patient fixation steel plate use subsequent Monitoring Rehabilitation method Pending CN110097978A (en)

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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111768835A (en) * 2020-07-06 2020-10-13 中科芯未来微电子科技成都有限公司 Wearable intelligent motion detection and joint wear evaluation equipment
CN111956226A (en) * 2020-09-16 2020-11-20 无锡市中医医院 Hip-knee joint postoperative rehabilitation system
CN112309578A (en) * 2020-11-03 2021-02-02 南通市第一人民医院 Method and system for improving recovery efficiency of osteoporotic vertebral fracture patient
CN113230544A (en) * 2021-06-10 2021-08-10 昌乐县人民医院 Finger fracture intelligent auxiliary recovery system, method and equipment for orthopedics department

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CN205411298U (en) * 2016-03-09 2016-08-03 陈荣伟 Warning prompt facility orthopedics coaptation steel sheet
CN106487898A (en) * 2016-10-14 2017-03-08 智爱亿慈(北京)科技有限公司 Physiology and behavioural information collection monitoring system and method
CN107169297A (en) * 2017-05-26 2017-09-15 上海理工大学 A kind of health monitoring system based on home and community
CN108511086A (en) * 2018-04-13 2018-09-07 广州红象医疗科技有限公司 Medical monitoring method and system, computer storage media and equipment
CN109067873A (en) * 2018-08-02 2018-12-21 上海锐岑计算机科技有限公司 A kind of Internet of Things remote monitoring system

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CN102184312A (en) * 2011-03-15 2011-09-14 温州医学院眼视光研究院 Internet-of-things based medical management monitoring system
CN103942402A (en) * 2013-01-18 2014-07-23 江苏睿博信息科技有限公司 Telemedicine service system based on cloud platform and telemedicine service control method
CN105678098A (en) * 2016-02-23 2016-06-15 济宁中科大象医疗电子科技有限公司 Cloud platform based remote electrocardiogram monitoring and health management system and realization method
CN205411298U (en) * 2016-03-09 2016-08-03 陈荣伟 Warning prompt facility orthopedics coaptation steel sheet
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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111768835A (en) * 2020-07-06 2020-10-13 中科芯未来微电子科技成都有限公司 Wearable intelligent motion detection and joint wear evaluation equipment
CN111956226A (en) * 2020-09-16 2020-11-20 无锡市中医医院 Hip-knee joint postoperative rehabilitation system
CN112309578A (en) * 2020-11-03 2021-02-02 南通市第一人民医院 Method and system for improving recovery efficiency of osteoporotic vertebral fracture patient
CN113230544A (en) * 2021-06-10 2021-08-10 昌乐县人民医院 Finger fracture intelligent auxiliary recovery system, method and equipment for orthopedics department

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