CN110236747B - Measuring device and measuring method for facilitating installation of humeral head prosthesis to correct position - Google Patents

Measuring device and measuring method for facilitating installation of humeral head prosthesis to correct position Download PDF

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Publication number
CN110236747B
CN110236747B CN201910592318.6A CN201910592318A CN110236747B CN 110236747 B CN110236747 B CN 110236747B CN 201910592318 A CN201910592318 A CN 201910592318A CN 110236747 B CN110236747 B CN 110236747B
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CN
China
Prior art keywords
humerus
prosthesis
humeral head
detection needle
head prosthesis
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CN201910592318.6A
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CN110236747A (en
Inventor
顾军
冯晓军
吴建跃
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Wuxi Xishan People's Hospital
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Wuxi Xishan People's Hospital
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Publication of CN110236747A publication Critical patent/CN110236747A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06Measuring instruments not otherwise provided for
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4657Measuring instruments used for implanting artificial joints
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06Measuring instruments not otherwise provided for
    • A61B2090/061Measuring instruments not otherwise provided for for measuring dimensions, e.g. length
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06Measuring instruments not otherwise provided for
    • A61B2090/062Measuring instruments not otherwise provided for penetration depth
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4657Measuring instruments used for implanting artificial joints
    • A61F2002/4658Measuring instruments used for implanting artificial joints for measuring dimensions, e.g. length
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4657Measuring instruments used for implanting artificial joints
    • A61F2002/4662Measuring instruments used for implanting artificial joints for measuring penetration depth

Abstract

A measuring device and a measuring method thereof which are convenient for installing a humeral head prosthesis to a correct position comprise a humeral head prosthesis, wherein the humeral head prosthesis is inserted into the top of the humeral head prosthesis, and the lower end of the humeral head prosthesis is fixed with a marrow cavity in the humerus body through bone cement; the utility model discloses a bone fracture detection device, including the upper arm bone prosthesis, the upper surface of upper arm bone prosthesis, the flat board has still been placed to the level, the flat board bottom surface is smooth plane, and the sleeve is installed to the top surface intermediate position of flat board, still installs horizontal measuring tube on the flat board at sleeve both ends, the sleeve becomes hollow cylinder structure, the backup pad is installed to telescopic internal face cooperation, the backup pad becomes ring-shaped structure, the retainer plate is installed to the middle part cooperation of backup pad, the inside sliding connection of retainer plate has the dust removal board, the inside detection needle that has inserted of dust removal board, pass flat board center, the inside to the humerus body distal end of humerus body in proper order after the detection needle passes the dust removal board center, the surface of detection needle is provided with the scale mark. Ensuring the success rate of the operation.

Description

Measuring device and measuring method for facilitating installation of humeral head prosthesis to correct position
Technical Field
The application relates to the technical field of medical equipment, in particular to a measuring device and a measuring method for facilitating installation of a humeral head prosthesis to a correct position.
Background
The artificial humeral head replacement is one of effective means for treating the fracture of the proximal end of the complex humerus, is suitable for patients with the fracture of the proximal end of the humerus, osteoarthritis and rotator cuff lacerated joint, the fracture of the proximal end of the humerus is crushed, the fracture of the proximal end of the humerus is difficult to reposition, and due to the interruption of blood supply, some free bone blocks are necrotized, and the artificial humeral head replacement is required, and the osteoarthritis all need to be treated by the humeral head replacement.
The depth of prosthesis placement is difficult to accurately measure in humerus bone replacement operation, so that the length of the humerus after operation and the tension of soft tissues cannot be restored to the original state, the depth to be fixed is difficult to determine in the operation of the injured humerus, so that the two arms after operation are ensured to be as long, the method adopted in the prior art is to fix by the experience of medical staff, and the success rate of operation cannot be ensured in the mode.
Disclosure of Invention
The present inventors have provided a measuring device and a measuring method thereof which facilitate the installation of a humeral head prosthesis to a correct position, so that the installation position of the humeral head prosthesis can be precisely obtained, and the success rate of the operation can be ensured, aiming at the disadvantages in the prior art.
The technical scheme adopted by the application is as follows:
a measuring device for facilitating the installation of a humeral head prosthesis to a correct position, comprising a humeral body, the humeral head prosthesis being inserted at the top of the humeral body, the lower end of the humeral head prosthesis being secured to the intramedullary canal of the humeral body by bone cement; the utility model discloses a bone fracture detection device, including the upper arm bone prosthesis, the upper surface of upper arm bone prosthesis, the flat board has still been placed to the upper surface level, the flat board bottom surface is smooth plane, and the sleeve is installed to the top surface intermediate position of flat board, still installs horizontal measuring tube on the flat board at sleeve both ends, the sleeve becomes hollow cylinder structure, the backup pad is installed to telescopic internal face cooperation, the backup pad becomes ring-shaped structure, the retainer plate is installed to the middle part cooperation of backup pad, the inside sliding connection of retainer plate has the dust removal board, the inside detection needle that has inserted of dust removal board, pass flat board center, the inside to the most distal end of humerus body in proper order after the detection needle passes the dust removal board center, the surface of detection needle is provided with the scale mark.
As a further improvement of the above technical scheme:
the humeral head prosthesis adopts an integral structure or a split structure.
The humeral head prosthesis has the structure that: the bone prosthesis comprises a hemispherical structure, wherein the hemispherical structure is obliquely arranged, a spike handle-shaped structure is arranged at the bottom of the hemispherical structure through a connecting body, the inside of the whole humeral head prosthesis is hollow, and the spike handle-shaped structure is inserted into a medullary cavity of a humeral body.
The sleeve and the flat plate are made of transparent materials.
The number of the horizontal measuring tubes is two, the horizontal measuring tubes are symmetrically distributed on the upper surface of the flat plate, the horizontal measuring tubes are made of glass blocks made of transparent materials, and water drops are arranged in the horizontal measuring tubes.
The lower end of the detection needle is pointed, and the outer diameter of the detection needle is 2-2.5mm.
The humeral head prosthesis is provided with a detection hole passing through the detection needle in the vertical direction.
The dust removing plate is made of antibacterial fiber blocks, and the diameter of an inner hole of the dust removing plate is the same as the outer diameter of the detection needle.
A method of measuring a measuring device for facilitating the installation of a humeral head prosthesis to a correct position, comprising the following operative steps:
the first step: preoperative lateral humeral X-ray film;
and a second step of: measuring the distance between the most distal end of the humerus body and the most top end of the humerus head according to the X-ray film;
and a third step of: intraoperatively, removing the damaged humeral head;
fourth step: expanding the medullary cavity of the humerus body, injecting bone cement into the medullary cavity, inserting the humerus prosthesis, simultaneously, tangent the bottom surface of the flat plate with the arc position of the head of the humerus prosthesis, always ensuring the horizontal state of the flat plate, inserting a detection needle, penetrating the flat plate and the humerus prosthesis to the farthest end of the humerus body, and continuously inserting the humerus prosthesis downwards according to the C-arm perspective confirmation position in operation until the reading of the detection needle at the bottom surface of the flat plate is the same as the numerical value obtained in the second step, namely, the installation position of the humerus prosthesis is the optimal position;
fifth step: the humeral head prosthesis is fixed in the medullary cavity of the humerus body by curing of the bone cement;
sixth step: taking out the flat plate and all parts on the upper part of the flat plate, and extracting the detection needle;
seventh step: and (3) finishing.
The beneficial effects of the application are as follows:
the application has compact and reasonable structure and convenient operation, and can accurately measure the placement depth of the humerus prosthesis by the cooperation of the humerus prosthesis, the flat plate, the horizontal measuring tube, the sleeve and other parts, the measuring needle can accurately measure the placement depth of the humerus prosthesis, so as to ensure the length of the humerus and the tension of soft tissues after operation to restore the original state, solve the problem in the prior art that the humerus prosthesis is fixed by experience during operation, have good practical value and ensure the success rate of the operation.
According to the application, through the detection needle, the support plate, the limit ring and the dust removal plate, the detection needle can be kept horizontal during measurement, then the dust removal plate can clean dust and bacteria on the surface of the detection needle, the operation is ensured to be in a sterile environment, the health of people is ensured, meanwhile, the dust removal plate is convenient to replace, and the dust removal plate has a bacteriostasis function and can avoid bacterial infection.
Drawings
Fig. 1 is a schematic structural view of the present application.
Fig. 2 is a partial enlarged view of the portion a in fig. 1.
Fig. 3 is a schematic installation view of the dust removing plate of the present application.
Fig. 4 is a schematic view of the structure of the humeral head prosthesis of the present application.
Wherein: 1. humeral body; 2. a humeral head prosthesis; 3. a flat plate; 4. a horizontal measuring tube; 5. a sleeve; 6. a detection needle; 7. a support plate; 8. a limit ring; 9. a dust removal plate; 10. scale marks; 201. a hemispherical structure; 202. a connecting body; 203. a pointed handle-like structure.
Detailed Description
The following describes specific embodiments of the present application with reference to the drawings.
As shown in fig. 1, 2, 3 and 4, the measuring device of the present embodiment for facilitating the installation of a humeral head prosthesis to a correct position includes a humerus body 1, a humeral head prosthesis 2 is inserted into the top of the humerus body 1, and the lower end of the humeral head prosthesis 2 is fixed with the intramedullary cavity of the humerus body 1 by bone cement; the top surface of humerus bone prosthesis 2 has still horizontally placed dull and stereotyped 3, the dull and stereotyped 3 bottom surface is smooth plane, sleeve 5 is installed to the top surface intermediate position of dull and stereotyped 3, still install horizontal measuring tube 4 on the dull and stereotyped 3 at sleeve 5 both ends, sleeve 5 becomes hollow cylinder structure, backup pad 7 is installed in the interior wall cooperation of sleeve 5, backup pad 7 becomes ring-shaped structure, spacing collar 8 is installed in the middle part cooperation of backup pad 7, the inside sliding connection of spacing collar 8 has dust collecting plate 9, detection needle 6 has been inserted to dust collecting plate 9 inside, detection needle 6 passes dull and stereotyped 3 center in proper order after passing dust collecting plate 9 center, humerus head prosthesis 2 is inside to the most distal end of humerus body 1, the surface of detection needle 6 is provided with scale mark 10.
The humeral head prosthesis 2 adopts an integral structure or a split structure.
The humeral head prosthesis 2 has the structure: comprises a hemispherical structure 201, wherein the hemispherical structure 201 is obliquely arranged, a pointed handle-shaped structure 203 is arranged at the bottom of the hemispherical structure 201 through a connecting body 202, the whole humeral head prosthesis 2 is hollow, and the pointed handle-shaped structure 203 is inserted into the medullary cavity of the humeral body 1.
The sleeve 5 and the flat plate 3 are made of transparent materials.
The number of the horizontal measuring tubes 4 is two, the horizontal measuring tubes 4 are symmetrically distributed on the upper surface of the flat plate 3, the horizontal measuring tubes 4 are made of glass blocks made of transparent materials, and water drops are arranged inside the horizontal measuring tubes.
The lower end of the detection needle 6 is pointed, and the outer diameter of the detection needle 6 is 2-2.5mm.
The humeral head prosthesis 2 is vertically perforated with a detection hole passing through the detection needle 6.
The dust removing plate 9 is made of antibacterial fiber blocks, and the diameter of an inner hole of the dust removing plate 9 is the same as the outer diameter of the detection needle 6.
The measuring method of the measuring device for facilitating the installation of the humeral head prosthesis to the correct position of the embodiment comprises the following operation steps:
the first step: preoperative lateral humeral X-ray film;
and a second step of: measuring the distance (30 cm) from the most distal end of the humerus body 1 to the most distal end of the humerus head according to the X-ray;
and a third step of: intraoperatively, removing the damaged humeral head;
fourth step: expanding the medullary cavity of the humerus body 1, injecting bone cement into the medullary cavity, inserting the humerus prosthesis 2, simultaneously, tangent the bottom surface of the flat plate 3 with the arc position of the head of the humerus prosthesis 2, always ensuring the flat plate 3 to be in a horizontal state, inserting a detection needle 6, enabling the detection needle 6 to pass through the flat plate 3 and the humerus prosthesis 2 to the furthest end of the humerus body 1, continuously inserting the humerus prosthesis 2 downwards according to the C-arm perspective confirmation position in operation until the reading of the detection needle 6 at the bottom surface of the flat plate 3 is the same as the value (30 cm) obtained in the second step, namely, the installation position of the humerus prosthesis 2 is the optimal position;
fifth step: the humeral head prosthesis 2 is fixed in the intramedullary cavity of the humeral body 1 by curing of the bone cement;
sixth step: taking out the flat plate 3 and all parts on the upper part of the flat plate 3, and extracting the detection needle 6;
seventh step: and (3) finishing.
The design of the dust removing plate 9 can facilitate the medical staff to replace the dust removing plate 9 for disinfection.
The dust removing plate 9 is internally provided with the detection needle 6, and the outer side of the detection needle 6 is provided with the scale marks 10, so that the depth of the placement of the prosthesis humerus can be accurately measured, the length of the humerus after operation and the tension of soft tissues are ensured to restore to the original state, the problem that the prior operation is fixed by experience is solved, and the dust removing plate has good practical value.
According to the design of the horizontal measuring tube 4, water drops are arranged in the horizontal measuring tube 4, and the water drops in the horizontal measuring tube 4 are positioned in the center of the horizontal measuring tube 4, namely, the flat plate 3 is horizontal, so that whether the flat plate 3 is horizontal or not can be more easily seen through the arrangement, and the measuring precision is ensured.
The application can effectively ensure the surface of the detection needle 6 to be clean and sterile and ensure the physical health of people.
In the actual use process, when the detection needle 6 moves downwards, the detection needle is always in contact with the dust removal plate 9, and the dust removal plate 9 has a good antibacterial effect, so that the human body is prevented from being infected by external bacteria.
The measuring method can conveniently realize the correct installation of the humerus bone prosthesis 2, has high installation precision and ensures the success rate of the operation.
The above description is intended to illustrate the application and not to limit it, the scope of which is defined by the claims, and any modifications can be made within the scope of the application.

Claims (4)

1. A measurement device for facilitating the installation of a humeral head prosthesis in a correct position, characterized in that: comprises a humerus body (1), wherein a humerus head prosthesis (2) is inserted into the top of the humerus body (1), and the lower end of the humerus head prosthesis (2) is fixed with the marrow cavity of the humerus body (1) through bone cement; the top surface of humerus bone prosthesis (2) has still horizontally placed flat board (3), flat board (3) bottom surface is smooth plane, and sleeve (5) are installed to top surface intermediate position of flat board (3), still install horizontal measuring tube (4) on flat board (3) at sleeve (5) both ends, sleeve (5) become hollow cylinder structure, backup pad (7) are installed in the interior wall cooperation of sleeve (5), backup pad (7) are into ring structure, spacing collar (8) are installed in the middle part cooperation of backup pad (7), spacing collar (8) inside sliding connection has dust removal board (9), detection needle (6) have been inserted to dust removal board (9) inside, detection needle (6) pass in proper order behind dust removal board (9) center, the inside distal end to humerus body (1) of flat board (3), the surface of detection needle (6) is provided with scale mark (10); the humerus head prosthesis (2) adopts an integral structure or a split structure; the humeral head prosthesis (2) has the structure that: the bone prosthesis comprises a hemispherical structure (201), wherein the hemispherical structure (201) is obliquely arranged, a pointed handle-shaped structure (203) is arranged at the bottom of the hemispherical structure through a connecting body (202), the inside of the whole humeral head prosthesis (2) is hollow, and the pointed handle-shaped structure (203) is inserted into a medullary cavity of a humeral body (1);
the lower end of the detection needle (6) is in a pointed shape, and the outer diameter of the detection needle (6) is 2-2.5mm;
the humerus bone prosthesis (2) is provided with a detection hole which penetrates through the detection needle (6) in the vertical direction;
the dust removing plate (9) is made of antibacterial fiber blocks, and the diameter of an inner hole of the dust removing plate (9) is the same as the outer diameter of the detection needle (6).
2. A measuring device for facilitating the mounting of a humeral head prosthesis in the correct position as claimed in claim 1, characterised in that: the sleeve (5) and the flat plate (3) are made of transparent materials.
3. A measuring device for facilitating the mounting of a humeral head prosthesis in the correct position as claimed in claim 1, characterised in that: the number of the horizontal measuring tubes (4) is two, the horizontal measuring tubes (4) are symmetrically distributed on the upper surface of the flat plate (3), the horizontal measuring tubes (4) are made of glass blocks made of transparent materials, and water drops are arranged inside the horizontal measuring tubes.
4. A measurement method using the measurement device of claim 1 for facilitating the installation of a humeral head prosthesis in the correct position, characterized in that: the method comprises the following operation steps:
the first step: preoperative lateral humeral X-ray film;
and a second step of: measuring the distance from the most distal end of the humerus body (1) to the most top end of the humerus head according to the X-ray film;
and a third step of: intraoperatively, removing the damaged humeral head;
fourth step: expanding the medullary cavity of the humerus body (1), injecting bone cement into the medullary cavity, then inserting the humerus prosthesis (2), simultaneously, tangent the bottom surface of the flat plate (3) with the arc position of the head of the humerus prosthesis (2), always ensuring the horizontal state of the flat plate (3), inserting a detection needle (6), enabling the detection needle (6) to penetrate through the flat plate (3) and the humerus prosthesis (2) to the farthest end of the humerus body (1), continuously inserting the humerus prosthesis (2) downwards according to the C-arm perspective confirmation position in operation until the reading of the detection needle (6) at the bottom surface of the flat plate (3) is the same as the numerical value obtained in the second step, namely, the installation position of the humerus prosthesis (2) is the optimal position;
fifth step: the humeral head prosthesis (2) is fixed in the medullary cavity of the humeral body (1) by curing of bone cement;
sixth step: taking out the flat plate (3) and all parts on the upper part of the flat plate (3), and extracting a detection needle (6);
seventh step: and (3) finishing.
CN201910592318.6A 2019-07-03 2019-07-03 Measuring device and measuring method for facilitating installation of humeral head prosthesis to correct position Active CN110236747B (en)

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CN201910592318.6A CN110236747B (en) 2019-07-03 2019-07-03 Measuring device and measuring method for facilitating installation of humeral head prosthesis to correct position

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CN110236747B true CN110236747B (en) 2023-12-08

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Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP2145590A1 (en) * 2008-07-18 2010-01-20 Societa'Azionaria Materiale Ospedaliero - S.A.M.O. S.p.A. Kit for implanting modular knee prostheses
CN202892149U (en) * 2012-05-18 2013-04-24 南京大学医学院附属鼓楼医院 Antibiotic bone cement prosthesis mold in operation after proximal humerus tumor-type prosthesis is infected
CN103519921A (en) * 2013-09-30 2014-01-22 暨南大学 Reconstruction device of humerus or thighbone near end
CN210582761U (en) * 2019-07-03 2020-05-22 无锡市锡山人民医院 Measuring device for facilitating the mounting of a humeral head prosthesis in the correct position

Family Cites Families (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2826256B1 (en) * 2001-06-21 2004-07-16 Depuy France PROSTHESIS FOR TRAUMATIC SHOULDER
WO2005070345A1 (en) * 2004-01-22 2005-08-04 Sq Developments Ag Humeral head prosthesis
US9220612B2 (en) * 2013-12-29 2015-12-29 Kambiz Behzadi Prosthesis positioning systems and methods

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP2145590A1 (en) * 2008-07-18 2010-01-20 Societa'Azionaria Materiale Ospedaliero - S.A.M.O. S.p.A. Kit for implanting modular knee prostheses
CN202892149U (en) * 2012-05-18 2013-04-24 南京大学医学院附属鼓楼医院 Antibiotic bone cement prosthesis mold in operation after proximal humerus tumor-type prosthesis is infected
CN103519921A (en) * 2013-09-30 2014-01-22 暨南大学 Reconstruction device of humerus or thighbone near end
CN210582761U (en) * 2019-07-03 2020-05-22 无锡市锡山人民医院 Measuring device for facilitating the mounting of a humeral head prosthesis in the correct position

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