CN110522544A - Modularized combination type ankle-foot orthosis and manufacture craft - Google Patents

Modularized combination type ankle-foot orthosis and manufacture craft Download PDF

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Publication number
CN110522544A
CN110522544A CN201910923696.8A CN201910923696A CN110522544A CN 110522544 A CN110522544 A CN 110522544A CN 201910923696 A CN201910923696 A CN 201910923696A CN 110522544 A CN110522544 A CN 110522544A
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China
Prior art keywords
ankle
shell
load cover
orthoses
modular
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CN201910923696.8A
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CN110522544B (en
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李伟
刘夕东
康晓东
何光晓
王文平
白翔
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Sichuan Bayi Rehabilitation Center (sichuan Rehabilitation Hospital)
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Sichuan Bayi Rehabilitation Center (sichuan Rehabilitation Hospital)
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    • 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
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/01Orthopaedic devices, e.g. splints, casts or braces
    • A61F5/0102Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations
    • A61F5/0104Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations without articulation
    • A61F5/0111Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations without articulation for the feet or ankles

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  • Health & Medical Sciences (AREA)
  • Nursing (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
  • Rehabilitation Tools (AREA)

Abstract

The invention discloses a kind of modularized combination type ankle-foot orthosis and manufacture craft, which includes modular load cover, modular receive shell, ankle joint, latch closure, gluing fastener-type band, exempts to press soft protection pad, Antiskid sole, heat preservation flap etc..Load cover and receive shell several specifications are formed using mould process production by human dimension size by high-temperature thermoplastic plate, low temperature thermoplastic plate material respectively, receiving shell can be put into load cover body, and assembles and be integral.New technology has given full play to the respective excellent feature of high and low temperature thermoplastic plate, the popularization and application of new technology, the working efficiency of service centre will be greatly improved, patient is allowed to be worn by orthoses in the shortest time to cooperate its rehabilitation, it can also increase economic efficiency, and the condition of the career safety & health of employee can be improved, energy amplitude peak reduces influence of the solid waste to environment.

Description

Modularized combination type ankle-foot orthosis and manufacture craft
Technical field
It is specifically that a kind of modularized combination type ankle is strong enough the present invention relates to rehabilitation project auxiliary implement technical field Shape device and manufacture craft.
Background technique
In rehabilitation, orthoses is the important ancillary technique of one of them.By installation position, orthoses can be divided into: Ankle-foot orthosis, body orthosis, upper limb orthoses.It is counted according to usage quantity, ankle-foot orthosis accounts for entire orthoses type 80%.Ankle-foot orthosis, which has, to be corrected, protects, exempting from the basic roles such as lotus: the development of correction deformity or prevention deformity, limitation are closed Abnormal movement is saved, limb function is improved, mitigates neurothlipsis using traction device, releases muscle cramp;Also it is capable of fixing lesion Backbone and extremities joint, alleviate spasm, analgesic at prevention contracture;And the load-bearing of limb part can be exempted, promote inflammatory resolution, Lesion or union.And the overwhelming majority is accounted for ankle-foot orthosis in lower limb orthosis.
It is found by retrieval, patent No. CN201910393692.3 discloses a kind of integrally formed ankle foot distortion rectification of 3D printing Device, it is characterised in that: part, lateral branch support, the orthopedic part of medial support frame and vola, the outside is coated and fixed including shank Support frame and medial support frame respectively close at small leg outer side and medial leg, the upper end of lateral branch support and medial support frame with Part connection is coated and fixed in shank, and lower end is connect with the orthopedic part in vola;The lateral branch support connect punishment with the orthopedic part in vola It opens, forms lateral malleolus front end fixing piece and lateral malleolus rear end fixing piece, lateral malleolus front end fixing piece and lateral malleolus rear end fixing piece Between be provided with lateral malleolus putting hole;The orthopedic part in the vola further includes the orthopedic area of arch of foot, heel guard plot and vola protection Area, the medial support frame and the orthopedic part junction in vola medial support frame and are arranged on the orthopedic part in vola close to arch of foot The orthopedic area's connection of arch of foot.
Patent No. CN201910170016.X has disclosed a kind of manufacture craft of full carbon fiber AFO ankle foot formula artificial limb, including Following steps: A: type is taken;B: male form is recorded;C: resin forming;D: polishing;E: installation carbon fiber pedal plate: F: secondary vacuum;G: finished product Polishing.The full carbon fiber AFO ankle foot formula prosthetic structure of this technique production is simple, easy to wear, and walking is comfortable, cheap, and energy Enough auxiliary walkings well, avoid turn up in the foot in the sufficient use process of trouble from now on, the bad lesion such as drop foot, use Full connected designs, and average pressure reduces on unit area, so that the skin of some excess loads is obtained part and exempts from lotus.And containment area is got over Greatly, weight bearing ability is also bigger.Deformed limb is prevented the generation of stump swelling by uniform, and the sliding between stump and receptive cavity reduces, skin Skin is stimulated and also reduces the case where being hurt.
The manufacture craft of a kind of artificial limb of the disclosure of the invention of patent No. CN201811025638.5, orthoses, including it is following Step: the deformed limb of disability patient or abnormal trouble correction position are carried out taking type using medical modulus instrument, obtain the 3-D scanning figure of 1:1 As data D1;It is repaired a die software using artificial limb or orthoses, simulation is carried out to 3-D scanning image data D1 and is repaired a die processing, obtains three Tie up scan image data D2;3-D scanning image data D2 is transferred in the dedicated 3D printer of rehabilitation medical and is printed, is obtained To prosthetic socket or orthoses ontology.Production process of the invention is all made of digitized processing, has preparation flow simple, all The advantages that phase is short, at low cost substantially increases the producing efficiency and accuracy of artificial limb, orthoses;Using environmentally friendly 3D printing material It is printed, prevented environmental pollution and damages the problem of technological body health;Artificial limb, orthoses and disability patient body are complete U.S. fitting, correction force and force size are moderately reasonable, meet body biomechanics principle.
The complete fabrication processing of conventional ankle-foot orthosis are as follows: according to see and treat patients doctor or accessory adaptation teacher issue it is orthopedic Device prescription, orthoses production teacher measure and record related ankle full size cun --- it is taken after important node carries out mark with plaster bandage Type --- records gypsum male form and --- repairs male form and laser to line --- putting on yarn set to male form --- under high-temperature thermoplastic plate Material --- plate thermal forming --- cutting --- polishing deburring --- drilling --- assembling --- sample --- adjustment --- guidance With delivery.And service is paid a return visit in tracking.From seeing and treating patients to delivery, a skilled orthoses production teacher just at least needs to spend a work Make day.Nowadays need the paraplegia, hemiplegia, patients with cerebral palsy of adaptation ankle-foot orthosis more and more, usual patient oneself and family members, doctor Orthoses can be worn by once to cooperate rehabilitation as early as possible by being intended to patient with rehabilitation therapist, in actual operation, by In the amount of seeing and treating patients, the reasons such as manpower is inadequate, the economic benefit is not high, orthoses service centre are actually subjected to more than ten days even two months greatly After could deliver orthoses, seriously affected doctor-patient relationship.So how to improve the producing efficiency of orthoses and improve economic effect How benefit improves the condition of the career safety & health of employee, this challenge problem is just put in orthoses technical training School, student and production teacher, accessory are adapted in face of the professional technicians such as teacher and scientific and technological fan.
Summary of the invention
Therefore, in order to overcome the shortcomings of conventional ankle-foot orthosis technology, innovation of the invention is to give full play to and combine The advantage of low temperature thermoplastic plate material, thus provide a kind of technique is simplified, producing efficiency can be improved and economic benefit, structure it is simple Reliable novel modularized combined type ankle-foot orthosis and manufacture craft.
The invention is realized in this way constructing a kind of modularized combination type ankle-foot orthosis, it is characterised in that: including module The load cover of change, modular shell, gluing fastener-type band, heat preservation flap, protection pad against pressure, Antiskid sole, latch closure, the ankle of receiving are cut with scissors Chain;Ankle joint, for static orthoses, does not need ankle hinge for being connected the top half of Dynamizable orthopedic device with lower half portion Chain;Latch closure, gluing fastener-type band can facilitate patient's orthosis;Exempt from that soft protection pad is pressed to be bonded in the inner wall for receiving the foot point of shell On, the buffering decompression of the correction pressure spot for patient;Antiskid sole is followed closely with tubular rivet or is securely pasted into seccotine strong On the plantar surfaces of toe of shape device;Movable heat preservation flap can be conveniently bonded on the instep of orthoses, can allow trouble when for microthermal climate The instep of person is not suffered from cold.
A kind of modularized combination type ankle-foot orthosis according to the present invention, it is characterised in that;It is described modular to hold Weight shell, using mould process production molding, divides several specifications by human dimension size by high-temperature thermoplastic plate.
A kind of modularized combination type ankle-foot orthosis according to the present invention, it is characterised in that;It is described modular to connect Mould process production molding is used by low temperature thermoplastic plate by shell, by the several specifications of human dimension size point, with load cover with rule The apparent size for receiving shell of lattice, which is subject to, to be easily put into load cover body.
A kind of modularized combination type ankle-foot orthosis according to the present invention, it is characterised in that;Modular load cover Semi-finished product use mould process by material supplier in advance, and the high-temperature thermoplastic plate of 3-5mm thickness is fabricated to by human dimension size Several specifications such as type S, M, L, XL, XXL;The same modular shell semi-finished product that receive are in advance by material supplier using mold work Skill, by the low temperature thermoplastic plate of 1-2mm thickness by several specifications such as the production molding of human dimension size S, M, L, XL, XXL;Same specification The apparent size for receiving shell is subject to and can be easily put into load cover, and the larger gap between two shells is soft with EPE foam class Property material filling, and with rivet by two housings assembling be integral.
A kind of manufacture craft of modularized combination type ankle-foot orthosis, it is characterised in that;Process are as follows: according at orthoses Side, orthoses production teacher measure and record specification of the related main ankle full size cun to select and determine load cover He receive shell, To yarn set in patient's ankle foot cover, receive shell with constant-temperature water heating tank heating, the shell that receives of softening is abutted directly on and is enough in patient's ankle Moulding is removed and is put into shell is received in load cover after shell cooling to be subjected is hardened to function digit, soft with EPE foam class Property material filling two housings between larger gap gap, and with rivet by two housings assembling be integral, for Dynamizable orthopedic Device is cut into upper and lower two half part along ankle-joint horizontal plane, then two separate sections is linked together with ankle joint again, are beaten Mill deburring, drilling, assembling are (i.e. in place to install latch closure, gluing fastener-type band, exempt to press soft protection pad, Antiskid sole, heat-insulating shoe Tongue), it is patient specimens, adjustment, technological guidance and delivery, and service is paid a return visit in tracking.
Low temperature thermoplastic plate is a kind of macromolecule polyester of special synthesis, through made of a series of physical and chemical method processing New medical material, since the material has good plastotype effect and specific with not absorbing after ray, heating and softening The outstanding properties such as shape memory function (when plastotype is unsatisfied with can reheating, again plastotype or local heating again shape), And it is easy to operate quickly, be fixed conveniently, good toughness without cracky or fracture, good permeability and it is not afraid of water, will not be to patient Skin generates the advantages that allergic reaction, environmental protection (being buried in the earth after discarded, can be voluntarily biodegradable after 8 to 16 months), and succeeds Applied to withstand forces low orthoses, the outer fixation outside orthopaedics in fixed, optimal radiotherapy localization.
The present invention has the advantage that the invention discloses a kind of novel modularized combined type ankle-foot orthosis and production works Skill, the orthoses include modular load cover, it is modular receive shell, ankle joint, latch closure, gluing fastener-type band, exempt to press it is soft Protection pad, Antiskid sole, heat preservation flap etc..Load cover and receive shell respectively by high-temperature thermoplastic plate, low temperature thermoplastic plate material by people Body size forms several specifications using mould process production, and receiving shell can be put into load cover body, and it is whole to be assembled into one Body.New technology has given full play to the respective excellent feature of high and low temperature thermoplastic plate, and clothes will be greatly improved in the popularization and application of new technology The working efficiency at business center allows patient to be worn by orthoses in the shortest time to cooperate its rehabilitation, moreover it is possible to improve economical Benefit, and the condition of the career safety & health of employee can be improved, energy amplitude peak reduces solid waste to the shadow of environment It rings.
Detailed description of the invention
The schematic diagram of Fig. 1 modularized combination type ankle-foot orthosis of the present invention;
The schematic diagram of the modular load cover of Fig. 2 present invention;
The modular schematic diagram for receiving shell of Fig. 3 present invention;
The sectional view of Fig. 4 modularized combination type ankle-foot orthosis of the present invention.
Wherein: modular load cover 1, modular to receive shell 2, gluing fastener-type band 3 keeps the temperature flap 4, exempts to press soft shield Pad 5, Antiskid sole 6, latch closure 7, ankle joint 8.
Specific embodiment
Below in conjunction with attached drawing 1- Fig. 4, the present invention is described in detail, technical solution in the embodiment of the present invention into Row clearly and completely describes, it is clear that described embodiments are only a part of the embodiments of the present invention, rather than whole realities Apply example.Based on the embodiments of the present invention, those of ordinary skill in the art are obtained without making creative work Every other embodiment, shall fall within the protection scope of the present invention.
The present invention provides a kind of manufacture craft of modularized combination type ankle-foot orthosis by improving herein;Wound of the invention Newly it is to give full play to and combine the advantage of low temperature thermoplastic plate material, to provide, a kind of technique is simplified, can improve producing efficiency With novel modularized combined type ankle-foot orthosis economic benefit, simple and reliable for structure.
Novel modularized combined type ankle-foot orthosis of the present invention, including modular load cover 1, it is modular to connect By shell 2, gluing fastener-type band 3 keeps the temperature flap 4, exempts to press soft protection pad 5, Antiskid sole 6, latch closure 7, ankle joint 8.Modular load-bearing Shell semi-finished product use mould process by material supplier in advance, and the high-temperature thermoplastic plate of 3-5mm thickness is pressed human dimension size system Make several specifications such as molding S, M, L, XL, XXL;The same modular shell semi-finished product that receive are in advance by material supplier using mold Technique, by the low temperature thermoplastic plate of 1-2mm thickness by several specifications such as the production molding of human dimension size S, M, L, XL, XXL;Same specification The apparent size for receiving shell be subject to and can easily be put into load cover, the larger gap EPE foam class between two shells Flexible material filling, and be integral two housings assembling with rivet.Ankle joint be used for the top half of Dynamizable orthopedic device and Lower half portion is connected, and for static orthoses, does not need ankle joint;Latch closure, gluing fastener-type band can facilitate patient's wearing orthopedic Device.Exempt from the inner wall for pressing soft protection pad to be bonded in the foot point for receiving shell, the buffering decompression of the correction pressure spot for patient.It is anti-skidding Sole is followed closely with tubular rivet or is securely pasted on the plantar surfaces of toe of orthoses with seccotine.Movable heat preservation flap can facilitate bonding On the instep of orthoses, the instep for microthermal climate Shi Nengrang patient is not suffered from cold.
Whole fabrication processings of novel modularized combined type ankle-foot orthosis are as follows: according to orthosis prescription, orthoses Production teacher measures and records specification of the related main ankle full size cun to select and determine load cover He receive shell, gives patient's ankle foot Yarn set is put on, receives shell with constant-temperature water heating tank heating, the shell that receives of softening is abutted directly on and is enough moulding to function in patient's ankle It removes and is put into shell is received in load cover, filled with EPE foam class flexible material after shell cooling to be subjected is hardened in position Larger gap gap between two housings, and be integral two housings assembling with rivet, for Dynamizable orthopedic device, along ankle-joint Horizontal plane is cut into upper and lower two half part, and then two separate sections are linked together with ankle joint again, polishing deburring, drilling, Assembling (i.e. in place to install latch closure, gluing fastener-type band, exempt to press soft protection pad, Antiskid sole, heat preservation flap), is tried for patient Service is paid a return visit in sample, adjustment, technological guidance and delivery, and tracking.It is tentatively calculated, from seeing and treating patients to delivery, one common orthopedic Device production teacher only needs to spend 2-3 hours, and thus the working efficiency of orthoses has obtained quick raising.The time cost of manpower subtracts Few, that can accordingly increase economic efficiency.
Due to taking type without plaster bandage and recording gypsum male form, gypsum male form is accordingly no longer arduously repaired, to thoroughly shut out A large amount of gypsum waste after generation Gypsum dust and production absolutely, then fundamentally improves the career safety & health of employee Condition, and significantly reduce influence of the solid waste to environment, and obtain very big social benefit.
By innovation, this new technology has the advantage that simple process, low manufacture cost, to the skill of orthoses production teacher Art requires career safety & health environment that is not bery high, improving employee etc..
The foregoing description of the disclosed embodiments enables those skilled in the art to implement or use the present invention. Various modifications to these embodiments will be readily apparent to those skilled in the art, as defined herein General Principle can be realized in other embodiments without departing from the spirit or scope of the present invention.Therefore, of the invention It is not intended to be limited to the embodiments shown herein, and is to fit to and the principles and novel features disclosed herein phase one The widest scope of cause.

Claims (5)

1. a kind of modularized combination type ankle-foot orthosis, it is characterised in that: including modular load cover (1), modular Receive shell (2), gluing fastener-type band (3), heat preservation flap (4), protection pad against pressure (5), Antiskid sole (6), latch closure (7), ankle joint (8);Ankle joint (8), for static orthoses, is not needed for being connected the top half of Dynamizable orthopedic device with lower half portion Ankle joint;Latch closure (7), gluing fastener-type band (3) can facilitate patient's orthosis;Exempt from soft protection pad (5) is pressed to be bonded in and receives shell (2) Foot point inner wall on, the buffering decompression of the correction pressure spot for patient;Antiskid sole (6) is followed closely with tubular rivet or with by force Power glue is securely pasted on the plantar surfaces of toe of orthoses;Movable heat preservation flap (4) can conveniently be bonded on the instep of orthoses, use It does not suffer from cold in the instep of microthermal climate Shi Nengrang patient.
2. a kind of modularized combination type ankle-foot orthosis according to claim 1, it is characterised in that;It is described modular to hold Weight shell (1), using mould process production molding, divides several specifications by human dimension size by high-temperature thermoplastic plate.
3. a kind of modularized combination type ankle-foot orthosis according to claim 1, it is characterised in that;It is described modular to connect By shell (2) by low temperature thermoplastic plate using mould process production molding, by the several specifications of human dimension size point, with load cover (1) apparent size for receiving shell (2) of same specification, which is subject to, can easily be put into load cover (1) in vivo.
4. a kind of modularized combination type ankle-foot orthosis according to claim 1, it is characterised in that;Modular load cover Semi-finished product use mould process by material supplier in advance, and the high-temperature thermoplastic plate of 3-5mm thickness is fabricated to by human dimension size Several specifications such as type S, M, L, XL, XXL;Same modular shell (2) semi-finished product that receive are in advance by material supplier using mold Technique, by the low temperature thermoplastic plate of 1-2mm thickness by several specifications such as the production molding of human dimension size S, M, L, XL, XXL;Same specification The apparent size for receiving shell be subject to and can easily be put into load cover, the larger gap EPE foam class between two shells Flexible material filling, and be integral two housings assembling with rivet.
5. a kind of manufacture craft of modularized combination type ankle-foot orthosis, it is characterised in that;Process are as follows: foundation orthosis prescription, Orthoses production teacher measures and records specification of the related main ankle full size cun to select and determine load cover He receive shell, gives and suffers from Yarn set in person's ankle foot cover receives shell with constant-temperature water heating tank heating, abuts directly on and be enough moulding in patient's ankle the shell that receives of softening To function digit, after shell cooling to be subjected is hardened, removes and be put into shell is received in load cover, with the soft material of EPE foam class Larger gap gap between material filling two housings, and be integral two housings assembling with rivet, for Dynamizable orthopedic device, edge Ankle-joint horizontal plane is cut into upper and lower two half part, then two separate sections is linked together with ankle joint again, polishing is repaired Side, drilling, assembling (i.e. in place to install latch closure, gluing fastener-type band, exempt to press soft protection pad, Antiskid sole, heat preservation flap), Service is paid a return visit for patient specimens, adjustment, technological guidance and delivery, and tracking.
CN201910923696.8A 2019-09-27 2019-09-27 Modular combined ankle and foot orthosis and manufacturing process Active CN110522544B (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114392020A (en) * 2022-01-17 2022-04-26 贵港市人民医院 Ankle-foot orthosis for children and manufacturing method thereof

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US8512269B1 (en) * 2010-03-09 2013-08-20 William Scott Stano Molded ankle-foot orthoses and methods of construction
CN203169367U (en) * 2013-04-14 2013-09-04 肖乐 Ankle-foot orthopedic device for patients suffering from stroke and cerebral paralysis
CN204181754U (en) * 2014-06-25 2015-03-04 湖北医药学院附属太和医院 A kind of ankle-foot orthosis
CN109806038A (en) * 2019-03-07 2019-05-28 河南瑞禾医疗器械有限责任公司 The manufacture craft of full carbon fiber AFO ankle foot formula artificial limb
CN210962495U (en) * 2019-09-27 2020-07-10 四川省八一康复中心(四川省康复医院) Modular combined ankle-foot orthosis

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Publication number Priority date Publication date Assignee Title
US20040236259A1 (en) * 2003-05-23 2004-11-25 Pressman Martin M. Modular ankle-foot orthosis
US8512269B1 (en) * 2010-03-09 2013-08-20 William Scott Stano Molded ankle-foot orthoses and methods of construction
CN202235811U (en) * 2011-09-28 2012-05-30 亚卡文投资有限公司 Ankle-foot orthosis
CN203169367U (en) * 2013-04-14 2013-09-04 肖乐 Ankle-foot orthopedic device for patients suffering from stroke and cerebral paralysis
CN204181754U (en) * 2014-06-25 2015-03-04 湖北医药学院附属太和医院 A kind of ankle-foot orthosis
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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114392020A (en) * 2022-01-17 2022-04-26 贵港市人民医院 Ankle-foot orthosis for children and manufacturing method thereof

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