CN113081409B - Back-pulling type hip joint resetting device - Google Patents

Back-pulling type hip joint resetting device Download PDF

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Publication number
CN113081409B
CN113081409B CN202110368716.7A CN202110368716A CN113081409B CN 113081409 B CN113081409 B CN 113081409B CN 202110368716 A CN202110368716 A CN 202110368716A CN 113081409 B CN113081409 B CN 113081409B
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China
Prior art keywords
supporting plate
positioning
main support
hole
femoral head
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CN202110368716.7A
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Chinese (zh)
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CN113081409A (en
Inventor
孔杰
张鹏
杜建春
林涛
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Qilu Hospital of Shandong University Qingdao
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Qilu Hospital of Shandong University Qingdao
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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
    • 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
    • A61F2/4603Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2/4609Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof of acetabular cups
    • 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
    • A61F2/4603Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2/4607Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof of hip femoral endoprostheses

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  • Health & Medical Sciences (AREA)
  • Transplantation (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Vascular Medicine (AREA)
  • Cardiology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)
  • Surgical Instruments (AREA)

Abstract

The application provides a back-pull type hip joint resetting device, which comprises: a main bracket having a certain length; the chute tracks are arranged below the main support in pairs and fixedly connected with the middle part of the main support; the drawing piece comprises a supporting plate and a drawing structure; the supporting plate is drawably arranged in the sliding groove track; the drawing structure is used for pushing and pulling the supporting plate. Compared with the cylindrical restorer in the prior art, the rear-pulling type hip joint restorer changes the force application direction, the conventional cylindrical restorer can only push forwards along the axial direction, so that the femoral head is propped against the rear edge of the acetabulum and is difficult to span, the restoring device firstly lifts the femoral head until the height of the femoral head is higher than that of the acetabulum, and then the pulling structure is used for pulling out the supporting plate, so that the femoral head falls into the acetabulum.

Description

Back-pulling type hip joint resetting device
Technical Field
The invention relates to the technical field of medical appliances, in particular to a back-pull type hip joint resetting device.
Background
Hip arthroplasty is currently the most effective method for clinically treating severe arthropathy, senile femoral neck fractures and partial intertrochanteric fractures. With the increasing of aging population, bone joint diseases are increasing, the hip joint replacement can reconstruct the functions of diseased joints, and can remarkably improve the working capacity and life quality of patients, and the hip joint replacement is widely applied at home and abroad as a mature treatment means.
The hip joint comprises a femoral head and an acetabulum, and the total hip joint replacement is to replace both the femoral head and the acetabulum, and then install the replaced femoral head into the replaced acetabulum, namely reset. Normal human anatomy, acetabulum and femoral neck are themselves anteverted with a degree; in order to reduce the dislocation of the hip joint after operation, the anteversion angle of the acetabulum and the femoral neck needs to be properly increased. Before reduction, the femoral head is positioned on the posterior superior medial side of the posterior acetabular rim, and if reduction is desired, the femoral head is passed over the superior posterior acetabular rim.
The existing restorer is cylindrical, and the front end is arc-shaped concave and is used for receiving the femoral head. Because the main flow path of the current total hip arthroplasty is the posterior lateral flow path of the hip joint, the direction of the force used in the resetting is the anterior inferior medial side, and the femoral head can be propped against the posterior edge of the acetabulum when the force is used forward, and the bone is difficult to pass the posterior edge of the acetabulum, thereby causing difficult operation. In particular, femoral head reduction can be very difficult when the hip joint is tighter or the acetabular anteversion is properly increased.
Disclosure of Invention
Therefore, the technical problem to be solved by the invention is to overcome the technical defect that the femoral head is difficult to pass through by directly abutting against the posterior edge of the acetabulum when the tool for resetting the femoral head is operated and applied, so that the posterior-pulling type hip joint resetting device is provided.
To this end, the invention provides a posterior pull-up hip joint reduction device comprising:
A main bracket having a certain length;
the chute tracks are arranged below the main support in pairs and fixedly connected with the middle part of the main support;
the drawing piece comprises a supporting plate and a drawing structure; the supporting plate is drawably arranged inside the chute track; the drawing structure is used for pushing and pulling the supporting plate.
As a preferred aspect, the chute rail extends along a length direction of the main support.
Preferably, the middle part of the supporting plate is recessed downwards to form an arc-shaped groove extending along the length direction of the main support.
As a preferred embodiment, the side of the arc-shaped groove facing the drawing structure is closed.
As a preferable scheme, the main bracket is provided with a long strip through hole extending along the length direction;
the chute track is fixedly connected with the main support through connecting plates respectively arranged at two sides of the strip through hole.
As a preferred aspect, the drawing structure includes:
One end of the connecting baffle is fixedly connected with the supporting plate, and the other end of the connecting baffle extends out of the strip through hole upwards;
the sliding flat plate is wider than the strip through hole and fixedly connected with the part of the connecting baffle plate extending out of the strip through hole;
the handle is fixedly arranged on the sliding flat plate.
As a preferred aspect, the present invention further includes a positioning structure, the positioning structure including:
positioning holes are formed in pairs on the main supports at two sides of the strip through holes;
the positioning through holes are formed in the sliding flat plate in pairs and are opposite to the positioning holes;
the positioning bolt penetrates through the positioning through hole and then is inserted into the positioning hole;
After the positioning bolt passes through the positioning through hole and is inserted into the positioning hole, the sliding flat plate is positioned, and then the supporting plate is positioned in the sliding groove track.
Preferably, a pair of the positioning bolts is fixedly arranged on one positioning rod.
As a preferable scheme, one ends of the two connecting plates facing the drawing piece are also respectively provided with an auxiliary baffle, one end of the auxiliary baffle is connected with the chute track, and the other end of the auxiliary baffle is connected with the main support.
Preferably, the distance between the two auxiliary baffles is substantially the same as the width of the arc-shaped groove arranged on the supporting plate.
As a preferred aspect, the main support includes:
A main support body;
a first hand-held portion provided at one end of the main stand main body;
The second hand-held part is arranged at the other end of the main support body.
The technical scheme provided by the invention has the following advantages:
1. The application relates to a back-pull type hip joint resetting device, which comprises a main bracket, a chute rail arranged below the main bracket and a pull-out piece arranged in the chute rail; the drawing piece comprises a supporting plate and a drawing structure, wherein the supporting plate is drawably arranged in the chute track and used for supporting the femoral head, and the drawing structure is used for pushing and pulling the supporting plate. When the back-pull type hip joint resetting device is used, the supporting plate is inserted under the femoral head, then the main support is lifted upwards, the femoral head is lifted through the supporting plate, the femoral head is moved to a proper position above the acetabulum after the height of the femoral head is higher than the rear edge of the acetabulum, the supporting plate is pulled out of the inside of the sliding groove track through the pulling structure, the supporting plate is lost from the femoral head, and the femoral head falls into the inside of the acetabulum, so that the resetting is completed. Compared with the cylindrical restorer in the prior art, the pull-back type hip joint restorer changes the force application direction, the conventional cylindrical restorer can only push forwards along the axial direction, so that the femoral head is propped against the rear edge of the acetabulum and is difficult to span, the restorer lifts the femoral head to a height higher than the rear edge of the acetabulum, moves the femoral head to a proper position above the acetabulum, then withdraws the supporting plate from the inside of the chute track through the pulling structure, and the femoral head falls into the inside of the acetabulum after losing the support of the supporting plate; compared with the prior art, the technical scheme of the application has the advantages of easier operation, higher resetting efficiency, reduced workload of medical staff and reduced pain of patients.
2. The back-pull type hip joint resetting device has the advantages that the middle part of the supporting plate is recessed downwards to form the arc-shaped groove extending along the length direction of the main support, the design of the arc-shaped groove can enable the supporting plate to be inserted below the femoral head more conveniently, and in particular, the arc-shaped groove part of the supporting plate can be inserted below the femoral head more conveniently; in addition, the arc-shaped groove also has a limiting effect on the femoral head, and the design of the arc-shaped groove increases the contact area between the support plate and the femoral head, so that the femoral head can be more conveniently forced, and the femoral head can be moved.
3. The back-pull type hip joint resetting device provided by the invention has the advantages that the arc-shaped groove is closed towards one side of the drawing structure, and the closed arrangement has the function of providing a barrier and preventing the femoral head from penetrating outwards.
4. The invention relates to a back-pull type hip joint resetting device, wherein a main bracket is provided with a long strip through hole extending along the length direction; the chute track is fixedly connected with the main support through connecting plates respectively arranged at two sides of the strip through hole. The space formed by the two connecting plates, the supporting plate and the main support can restrict the movable space of the femoral head, and the femoral head can be moved conveniently.
5. The invention relates to a back-pull type hip joint resetting device, wherein a pulling structure comprises a connecting baffle, a sliding flat plate and a pulling handle; one end of the connecting baffle is used for connecting the supporting plate, the other end of the connecting baffle is connected with the sliding flat plate, the width of the sliding flat plate is larger than that of the strip through hole, the cross arm is arranged on the main support at two sides of the strip through hole, and the position of the supporting plate is fixed in an auxiliary mode; after the handle is driven, the support plate can also slide on the main support to help to withdraw the support plate. In the invention, the sliding flat plate can not only play a role in assisting in fixing the supporting plate, but also play a role in assisting in drawing the supporting plate.
6. The invention relates to a back-pull type hip joint resetting device, which is also provided with a positioning structure, wherein the positioning structure comprises positioning holes which are formed in pairs on main brackets at two sides of a strip through hole, positioning through holes which are formed in pairs on a sliding flat plate opposite to the positioning holes, and positioning bolts which can pass through the positioning through holes and then be inserted into the positioning holes; after the positioning bolts penetrate through the positioning through holes and are inserted into the positioning holes, the sliding flat plate can be positioned, and then the supporting plate is positioned in the sliding groove track. In the process of inserting the supporting plate into the femoral head, acting force between the femoral head and the supporting plate can push the supporting plate to move in the sliding groove track, so that the supporting plate is difficult to insert; the positioning structure can avoid the occurrence of the situation. Further, the pair of locating bolts are fixedly arranged on the locating rod, so that the loss of the locating bolts can be avoided as much as possible, and the plugging efficiency can be improved.
7. The invention relates to a back-pull type hip joint resetting device, wherein two connecting plates face one end of a drawing piece, and are respectively provided with an auxiliary baffle, one end of each auxiliary baffle is connected with a chute rail, the other end of each auxiliary baffle is connected with a main support, and the interval distance between the two auxiliary baffles is basically the same as the width of an arc-shaped groove arranged on a supporting plate. Can prevent the femoral head from sliding out when moving on the supporting plate and restrict the movement space of the femoral head.
8. The invention relates to a back-pull type hip joint resetting device, wherein a main support comprises a main support main body; the first hand-held part is arranged at one end of the main bracket main body; the second hand-hold part is arranged at the other end of the main bracket main body. Two handheld parts are respectively arranged at two ends of the main support body and can be used for two hands of one doctor or two doctors to simultaneously operate to lift the femoral head.
Drawings
In order to more clearly illustrate the technical solutions in the prior art or in the embodiments of the present invention, the following brief description is given of the drawings used in the description of the prior art or the embodiments.
Fig. 1 is a schematic view of the overall structure of the posterior-pulling type hip-joint replacement device of the present invention.
Fig. 2 is another perspective view of fig. 1.
Fig. 3 is a schematic diagram of the explosive structure of fig. 1.
Reference numerals: 1. a main support; 11. a main support body; 12. a first hand-held portion; 13. a second hand-held portion; 14. a long through hole; 15. a connecting plate; 16. positioning holes; 17. a secondary baffle; 2. a chute track; 3. a supporting plate; 31. an arc-shaped groove; 4. a positioning bolt; 41. a connecting baffle; 42. a sliding plate; 43. a handle; 44. positioning the through hole; 5. and a positioning rod.
Detailed Description
The technical scheme of the invention is described in detail below with reference to the accompanying drawings.
Examples
This embodiment provides a posterior pull-back hip joint reduction device, as shown in fig. 1-2, comprising: main support 1, spout track 2 and pull piece, wherein:
The main stand 1 includes a main stand body 11, a first hand-held portion 12 provided at one end of the main stand body 11, and a second hand-held portion 13 provided at the other end of the main stand body 11. The main bracket main body 11 is used for connecting other components, and the first handheld part 12 and the second handheld part 13 are convenient for the same doctor or two or more doctors to hold so as to lift the main bracket 1; in some cases, one of the hand-held parts can be supported at a certain position, and the main bracket 1 can be lifted in an auxiliary manner by utilizing the lever principle.
The chute tracks 2 are arranged below the main support 1 in pairs and fixedly connected with the middle part of the main support 1 for the supporting plates 3 to slide in.
The drawing piece comprises a supporting plate 3 and a drawing structure; the supporting plate 3 is drawably arranged in the chute track 2 and is used for being inserted below a femoral head, and the drawing structure is used for pushing and pulling the supporting plate 3. When the main support 1 drives the supporting plate 3 to support the femoral head to the upper part of the acetabulum, the supporting plate 3 is pulled out of the chute track 2 by using the pulling structure, and the femoral head loses the support of the supporting plate 3 and falls into the acetabulum to finish the resetting.
As shown in fig. 3, the middle part of the supporting plate 3 is recessed downwards to form an arc-shaped groove 31 extending along the length direction of the main support 1, and the arc-shaped groove 31 can more conveniently insert the supporting plate 3 below the femoral head, in particular, the arc-shaped groove 31 of the supporting plate 3 can more conveniently be partially inserted below the femoral head; in addition, because the femoral head is spherical, the arc-shaped groove 31 also has a limiting effect on the femoral head, and the design of the arc-shaped groove 31 increases the contact area between the supporting plate 3 and the femoral head, thereby reducing the movement of the femoral head on the supporting plate 3.
Preferably, the arc-shaped groove 31 is closed towards one side of the drawing structure, and the function of the closed arrangement is to provide a stop to prevent the femoral head from penetrating out when the supporting plate 3 is inserted under the femoral head.
Preferably, the main bracket 1 is provided with a long through hole 14 extending along the length direction thereof, and the chute track 2 is fixedly connected with the main bracket 1 through connecting plates 15 respectively arranged at two sides of the long through hole 14. The space formed by the connecting plates 15 on two sides, the supporting plate 2 and the main support 1 can restrict the movable space of the femoral head, and the movement of the femoral head on the supporting plate 2 can be reduced.
Preferably, the drawing structure further comprises a connecting baffle 41, a sliding plate 42 and a handle 43; one end of the connecting baffle 41 is fixedly connected with the supporting plate 3, and the other end extends upwards out of the strip through hole 14; the sliding flat plate 42, the width of which is larger than that of the strip through hole 14, is fixedly connected with the part of the connecting baffle 41 extending out of the strip through hole 14; the handle 43 is fixedly provided on the slide plate 42. When the main support 1 drives the supporting plate 3 to support the femoral head to the position above the rear edge of the acetabulum, the pull handle 43 is driven, the pull handle 43 drives the sliding flat plate 42 and the connecting baffle 41 to move, the supporting plate 3 is driven to move, and the femoral head loses the support of the supporting plate 3 and falls into the acetabulum from the supporting plate 3 to finish resetting.
Preferably, a positioning structure is further provided in this embodiment, including a positioning hole 44, a positioning through hole 16 and a positioning bolt 4; the positioning holes 44 are formed in pairs on the main support 1 at two sides of the long strip through hole 14; the positioning through holes 16 are formed in pairs on the slideway flat plate 42 and are opposite to the positioning holes 44; the positioning pin 4 is inserted into the positioning hole 44 after passing through the positioning through hole 16. After the positioning bolts 4 are inserted into the positioning holes 44 through the positioning through holes 16, the sliding flat plate 42 and the connecting baffle 41 are fixed, and the supporting plate 3 is further fixed in the chute track 2. In the process of inserting the supporting plate 3 into the femoral head, acting force between the femoral head and the supporting plate 3 can push the supporting plate 3 to move in the chute track 2, so that the supporting plate 3 is difficult to insert, and the positioning structure is arranged, so that the situation can be avoided.
Further, the pair of positioning pins 4 are fixedly arranged on one positioning rod 5, so that the loss of the positioning pins 4 can be avoided as much as possible, and the plugging efficiency can be improved. The height of the positioning bolt 4 is higher than the sum of the depths of the positioning hole 44 and the positioning through hole 16, so that the positioning bolt is convenient to insert and pull out.
Preferably, two connection plates 15 are arranged at one end of the drawing piece, and are respectively provided with a secondary baffle 17, one end of each secondary baffle 17 is connected with the chute track 2, the other end of each secondary baffle 17 is connected with the main bracket 1, and the interval distance between the two secondary baffles 17 is basically the same as the width of the arc-shaped groove 31 arranged on the supporting plate 3. Can prevent the femoral head from sliding out when moving on the supporting plate 3, and restrict the movement space of the femoral head.
Preferably, the main support 1 includes a main support body 11, a first hand-held portion 12, and a second hand-held portion 13, the first hand-held portion 12 being provided at one end of the main support body 11; the second holding portion 13 is provided at the other end of the main stand main body 11. The two ends of the main support body 11 are respectively provided with a hand-holding part which can be used for two hands of one doctor or two doctors to simultaneously operate to lift the femoral head.
The use method of the back-pull type hip joint resetting device comprises the following steps:
When the patient needs the hip joint reduction, firstly, the supporting plate 3 is inserted below the femoral head, so that the femoral head enters the arc-shaped groove 31;
then holding the hand-held parts on two sides of the main support main body 11 by two hands, lifting the main support 1 upwards, and driving the supporting plate 3 to lift the femoral head through the connecting plate 15, so as to lift the femoral head above the acetabulum;
The positioning bolt 4 is taken down, the handle 43 is driven, the handle 43 drives the sliding flat plate 42 and the connecting baffle 41 to move, the supporting plate 3 is further pulled out from the inside of the chute track 2, the femoral head loses the support of the supporting plate 3, and the femoral head falls into the acetabulum from the supporting plate 3, so that the resetting is completed.
It is apparent that the above examples are given by way of illustration only and are not limiting of the embodiments. Other variations or modifications of the above teachings will be apparent to those of ordinary skill in the art. It is not necessary here nor is it exhaustive of all embodiments. While still being apparent from variations or modifications that may be made by those skilled in the art are within the scope of the invention.

Claims (7)

1. A posterior pull-back hip joint reduction device, comprising:
A main support (1) having a certain length;
the chute rails (2) are arranged below the main support (1) in pairs and fixedly connected with the middle part of the main support (1);
The drawing piece comprises a supporting plate (3) and a drawing structure; the supporting plate (3) is drawably arranged in the chute track (2); the drawing structure is used for pushing and pulling the supporting plate (3);
the main support (1) is provided with a long strip through hole (14) extending along the length direction;
The chute track (2) is fixedly connected with the main support (1) through connecting plates (15) which are respectively arranged at two sides of the strip through hole (14);
The pull structure includes:
A connecting baffle (41), one end of which is fixedly connected with the supporting plate (3) and the other end of which extends upwards out of the strip through hole (14);
The sliding flat plate (42) is wider than the strip through hole (14) and is fixedly connected with the part of the connecting baffle plate (41) extending out of the strip through hole (14);
a handle (43) fixedly arranged on the sliding flat plate (42);
the chute track (2) extends along the length direction of the main support (1).
2. The posterior pull-back hip reduction device of claim 1, wherein: the middle part of the supporting plate (3) is sunken downwards to form an arc-shaped groove (31) extending along the length direction of the main support (1).
3. The posterior pull-back hip reduction device of claim 2, wherein: one side of the arc-shaped groove (31) facing the drawing structure is closed.
4. The posterior pull-back type hip joint repositioning device according to claim 1, further comprising a positioning structure comprising:
positioning holes (16) are formed in pairs on the main support (1) at two sides of the strip through hole (14);
Positioning through holes (44) are formed in pairs on the sliding flat plate (42) and are arranged opposite to the positioning holes (16);
The positioning bolt (4) is inserted into the positioning hole (16) after passing through the positioning through hole (44);
after the positioning bolt (4) passes through the positioning through hole (44) and is inserted into the positioning hole (16), the sliding flat plate (42) is positioned, and then the supporting plate (3) is positioned in the sliding groove track (2).
5. The posterior pull-back hip joint repositioning device according to claim 4, wherein: the pair of positioning bolts (4) are fixedly arranged on one positioning rod (5).
6. The posterior pull-back hip reduction device of claim 1, wherein: one end of each connecting plate (15) facing the drawing piece is also provided with a secondary baffle (17), one end of each secondary baffle (17) is connected with the corresponding sliding groove track (2), and the other end of each secondary baffle is connected with the corresponding main support (1).
7. The posterior pull-back hip joint repositioning device according to claim 6, wherein: the distance between the two auxiliary baffles (17) is basically the same as the width of the arc-shaped groove (31) arranged on the supporting plate (3).
CN202110368716.7A 2021-04-06 2021-04-06 Back-pulling type hip joint resetting device Active CN113081409B (en)

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CN104302266A (en) * 2012-06-18 2015-01-21 迈柯唯有限公司 Device for fixing a femur in hip endoprosthetics
CN203341873U (en) * 2013-07-27 2013-12-18 吴方强 Sliding hip joint restorer
CN203885593U (en) * 2014-05-19 2014-10-22 中国人民解放军第二军医大学 Hip joint repositor
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