CN113876411B - Radius distal end coaptation steel sheet that can assist to strut and reset - Google Patents
Radius distal end coaptation steel sheet that can assist to strut and reset Download PDFInfo
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- CN113876411B CN113876411B CN202110999972.6A CN202110999972A CN113876411B CN 113876411 B CN113876411 B CN 113876411B CN 202110999972 A CN202110999972 A CN 202110999972A CN 113876411 B CN113876411 B CN 113876411B
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/8004—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates with means for distracting or compressing the bone or bones
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/8004—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates with means for distracting or compressing the bone or bones
- A61B17/8019—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates with means for distracting or compressing the bone or bones where the means are a separate tool rather than being part of the plate
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8866—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices for gripping or pushing bones, e.g. approximators
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- Orthopedic Medicine & Surgery (AREA)
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- Surgical Instruments (AREA)
Abstract
The invention relates to a radius distal end bone-knitting steel plate capable of assisting distraction reduction, which has the technical scheme that the bone-knitting steel plate comprises a head part and a body part, wherein a radius distal end anatomical bend is arranged between the head part and the body part, the front shapes of the head part and the body part correspond to the physiological anatomical shape of a radius distal end, a plurality of conical flower holes are arranged on the head part, an observation window convenient for observation and bone grafting is arranged in the middle of the head part, a distraction mechanism is arranged on one side of the body part close to the head part and used for distracting a radius fracture block and a radius backbone to restore the original height of the radius fracture block and the radius backbone, and a locking hole is arranged on the other side of the body part and can distract the radius height in an operation, so that the radius height is effectively restored, manpower is saved, and accurate and effective reduction can be carried out.
Description
Technical Field
The invention relates to a radius far-end bone-setting steel plate capable of assisting distraction reduction.
Background
Distal radius fractures are one of the most common fractures in clinic, and surgical treatment is the choice of most patients for young people and old people with higher functional requirements. Incision reduction and internal fixation of a bone plate screw are the most common surgical modes, and the recovery of the radius height is very important for prognosis in the surgical process. At present, the radius height is recovered in the operation, and generally, an assistant pulls a far-end limb, so that the radius height reduction to a certain degree is realized. However, this original manual reduction has certain drawbacks: manpower is wasted, and an assistant is required to maintain traction all the time; the reduction effect is not exact, and the bone blocks are not directly dragged by pulling the far-end limbs, so the reduction effect is not exact and the operation time is increased. The height is easy to lose after the operation, and the operation effect is influenced. Therefore, the invention designs the bone-knitting steel plate which can assist in reduction in the operation and can prop open the height of the radius in the operation, thereby recovering the height of the radius, saving labor and also realizing accurate and effective reduction.
Disclosure of Invention
Aiming at the defects in the prior art, the invention aims to provide a radius distal end bone-knitting steel plate capable of assisting in distraction reduction, which can distract the radius height in an operation, thereby effectively recovering the radius height, saving labor and realizing accurate and effective reduction.
In order to achieve the above purpose, the invention provides the following technical scheme: the utility model provides a can assist and strut radius coaptation steel sheet that resets, includes the coaptation steel sheet, the coaptation steel sheet includes head and somatic part, it is crooked to have radius distal end dissection type between head and the somatic part, the positive shape of head and somatic part corresponds with the physiology dissection type shape of radius distal end, be provided with a plurality of toper flower holes on the head, the head middle part is provided with the observation window of being convenient for observe and bone grafting, and one side that the somatic part is close to the head is provided with struts the mechanism, strut the mechanism and be used for strutting radius fracture piece and radius and prop futilely, resume radius fracture piece and radius prop futilely original height, and the somatic part opposite side is provided with the locking hole.
Further, it includes pressure tank and pressure parts to strut the mechanism, the pressure tank is curved rectangle form for both ends, pressure tank inner wall one side is provided with the bar tooth, the bar tooth can be rotatory with the cooperation of pressure parts, and one end that is close to the radius distal end in the pressure tank is provided with set screw, pressure parts one end and screwhead joint, the rotatory somatic part that drives of pressure parts moves toward the head, drives the fracture of radius piece and removes, removes and accomplishes the back, puts into other screw reinforcing steel plate positions.
Furthermore, the upper end face of the pressurizing groove is provided with scales, and the length of the scales is the same as that of the strip-shaped teeth.
Further, still include the guiding piece, the guiding piece includes base, first sliding sleeve, second sliding sleeve, first sliding sleeve and second sliding sleeve set up on the base relatively, first sliding sleeve is fixed to be set up on the base, first sliding sleeve is used for fixed arm, the second sliding sleeve slides through the slide rail with the base and is connected, be provided with the extension rod on the second sliding sleeve, the extension rod can be dismantled with the second sliding sleeve and be connected, be provided with the pressurization piece on the extension rod perpendicularly.
Further, the pressurization piece includes the sleeve, sleeve one end is provided with the cavity, the cavity and the shape looks adaptation of fixed screwhead, the other end has set firmly the handle, the handle is the L style of calligraphy with the sleeve, the sleeve outside is provided with the gear with the bar tooth adaptation.
Furthermore, the opening mechanism comprises a sliding groove, a plurality of through holes and a guide piece, wherein a fixing screw is arranged on one side, close to the far end of the radius, in the sliding groove, the guide piece is clamped with the through holes, and the guide piece guides the body part to move towards the head to drive the radius fracture block to move.
Further, the guiding piece includes base, first sliding sleeve, second sliding sleeve, first sliding sleeve and second sliding sleeve set up on the base relatively, first sliding sleeve is fixed to be set up on the base, first sliding sleeve is used for fixed arm, the second sliding sleeve slides through the slide rail with the base and is connected, be provided with the extension rod on the second sliding sleeve, the extension rod can be dismantled with the second sliding sleeve and be connected.
Further, the extension rod is provided with a plurality of grapple, the grapple can be fixed at the through-hole, and when the second sliding sleeve removed toward radius distal end direction, the grapple took the somatic part to remove toward the head, and the head takes the radius fracture piece toward original high removal, removes the back of accomplishing, puts into other screw reinforcing steel plate positions.
The invention has the beneficial effects that:
1. through the setting of pressurization groove and pressurization piece to and be provided with the scale at the pressurization groove up end, can realize that the coaptation steel sheet progressively removes toward the radius distal end at the rotatory in-process in pressurization piece and pressurization groove, thereby drive the radius fracture piece and strut, resume the radius height, including the scale, realize the accurate removal.
2. Through the setting of a plurality of through-hole and guide piece, the guide piece is fixed with the through-hole, and the guide piece has the guide effect, can realize when the guide piece removes that the coaptation steel sheet moves toward the right direction, drives the radius fracture piece and struts, realizes restoreing.
Drawings
FIG. 1 is a schematic view of example 1;
FIG. 2 is a schematic view of example 2;
FIG. 3 is a schematic view of example 3;
FIG. 4 is a side view of a bone plate;
FIG. 5 is an elevation view of the compression element of FIGS. 1 and 2;
FIG. 6 is a front view of the guide of FIG. 2;
fig. 7 is a top view of the guide of fig. 3.
Reference numerals: 1. a bone-setting steel plate; 2. a head portion; 3. a body portion; 4. a conical flower hole; 6. a locking hole; 7. a pressurizing groove; 71. a bar-shaped tooth; 72. calibration; 8. a pressing member; 81. a sleeve; 82. a handle; 83. a cavity; 84. a gear; 9. a sliding groove; 10. a through hole; 11. a guide; 111. a base; 112. a first sliding sleeve; 113. a second sliding sleeve; 12. an extension rod; 13. a grapple; 14. an observation window; 15. a slide rail.
Detailed Description
To further illustrate the technical means and effects of the present invention adopted to achieve the predetermined objects, the following detailed description of the embodiments, structures, features and effects according to the present invention will be made with reference to the accompanying drawings and preferred embodiments.
Referring to fig. 1, 4 and 5, a radius distal end bone fracture plate 1 capable of assisting distraction reduction according to an embodiment of the present invention includes a bone fracture plate 1, the bone fracture plate 1 includes a head portion 2 and a body portion 3, a radius distal end anatomical curve is provided between the head portion 2 and the body portion 3, the front shapes of the head portion 2 and the body portion 3 correspond to the physiological anatomical shape of the radius distal end, a plurality of conical flower holes 4 are provided on the head portion 2, an observation window 14 facilitating observation and bone grafting is provided in the middle of the head portion 2, a distraction mechanism is provided on one side of the body portion 3 close to the head portion 2, the distraction mechanism is configured to distract a radius fracture and a radius strut, the original heights of the radius fracture and the radius strut are restored, and a locking hole 6 is provided on the other side of the body portion 3.
On the basis of above-mentioned embodiment, opening mechanism includes pressurized groove 7 and pressurization piece 8, pressurized groove 7 is curved rectangle form for both ends, pressurized groove 7 inner wall one side is provided with bar tooth 71, bar tooth 71 can be rotatory with the cooperation of pressurization piece 8, and the one end that is close to the radius distal end in the pressurized groove 7 is provided with set screw, 8 one end and screwhead joint of pressurization piece, 8 rotatory drive somatic part 3 of pressurization piece move toward head 2, drive the fracture piece of radius and remove, remove the completion back, put into other screw reinforcing steel plate positions.
On the basis of the above embodiment, the upper end surface of the pressure groove 7 is provided with a scale 72, and the length of the scale 72 is the same as that of the strip-shaped teeth 71.
On the basis of the above embodiment, the pressurizing member 8 includes a sleeve 81, one end of the sleeve 81 is provided with a cavity 83, the cavity 83 is matched with the shape of the head of the fixing screw, the other end of the sleeve 81 is fixedly provided with a handle 82, the handle 82 and the sleeve 81 are in an L shape, and the sleeve 81 is externally provided with a gear 84 matched with the strip-shaped teeth 71.
The improvement is as follows: as shown in fig. 1, 4 and 5: the reduction of the distal articular surface of the radius is firstly carried out, the conical flower hole 4 arranged on the head 2 is fixed on the fracture of the radius by penetrating the conical flower hole 4 through a screw, a fixing screw is arranged on one side, close to the distal end of the radius, in a pressurizing groove 7, the pressurizing part 8 is sleeved into a fixing screw head, the pressurizing part 8 is L-shaped and comprises a sleeve 81, a handle 82 is arranged at the upper end of the sleeve 81, a cavity 83 is arranged at the bottom end of the sleeve 81, the cavity 83 is clamped with the fixing screw head, a gear 84 outside the sleeve 81 is matched with a strip-shaped tooth 71, in the process of rotating the sleeve 81, the bone-setting steel plate 1 gradually moves towards the distal end, the moving condition can be observed through an observation window 14, after the fracture of the radius and the branch stem of the radius are completely unfolded, other normal nail hole screws are arranged, the bone-setting steel plate 1 is strengthened to be fixed, then the pressurizing part 8 is taken out, and the height of the radius can be unfolded in the operation by arranging the pressurizing part 8 and the pressurizing groove 7, so as to effectively recover the height of the radius.
The second embodiment of the present invention is a radial distal bone plate 1 capable of assisting distraction reduction, which is substantially the same as the above embodiment 1, and the differences are: still include guide 11, guide 11 includes base 111, first sliding sleeve 112, second sliding sleeve 113, first sliding sleeve 112 and second sliding sleeve 113 set up on base 111 relatively, first sliding sleeve 112 is fixed to be set up on base 111, first sliding sleeve 112 is used for fixed arm, second sliding sleeve 113 slides through slide rail 15 with base 111 and is connected, be provided with extension rod 12 on the second sliding sleeve 113, extension rod 12 can dismantle with second sliding sleeve 113 and be connected, be provided with on the extension rod 12 perpendicularly and add the pressure piece 8.
The improvement is as follows: as shown in fig. 2 and 6: first sliding sleeve 112 joint is on base 111, open at first sliding sleeve 112 and second sliding sleeve 113, place patient's arm on base 111, it is good to place, it is fixed with first sliding sleeve 112 and second sliding sleeve 113, be equipped with slide rail 15 on base 111, second sliding sleeve 113 can slide on slide rail 15, be provided with extension rod 12 on the second sliding sleeve 113, be provided with on the extension rod 12 and add the pressure piece 8, through the setting to guide piece 11, can remove the guide effect to the steel sheet, prevent the skew.
Referring to fig. 3, 4 and 7, a radius distal end bone fracture plate 1 capable of assisting distraction reduction according to a third embodiment of the present invention includes a bone fracture plate 1, the bone fracture plate 1 includes a head portion 2 and a body portion 3, a radius distal end anatomical curvature is provided between the head portion 2 and the body portion 3, the front shapes of the head portion 2 and the body portion 3 correspond to the physiological anatomical shape of the radius distal end, a plurality of conical flower holes 4 are provided on the head portion 2, an observation window 14 facilitating observation and bone grafting is provided in the middle of the head portion 2, a distraction mechanism is provided on one side of the body portion 3 close to the head portion 2, the distraction mechanism is configured to distract a radius fracture and a radius strut, the original heights of the radius fracture and the radius strut are restored, and a locking hole 6 is provided on the other side of the body portion 3.
On the basis of the above embodiment, the distraction mechanism includes a sliding groove 9, a plurality of through holes 10 and a guide piece 11, a fixing screw is arranged at one side of the sliding groove 9 close to the distal end of the radius, the guide piece 11 is clamped with the through holes 10, and the guide piece 11 guides the body portion 3 to move towards the head 2 to drive the radius fracture block to move.
On the basis of the above embodiment, the guide 11 includes a base 111, a first sliding sleeve 112 and a second sliding sleeve 113, the first sliding sleeve 112 and the second sliding sleeve 113 are relatively disposed on the base 111, the first sliding sleeve 112 is fixedly disposed on the base 111, the first sliding sleeve 112 is used for fixing the arm, the second sliding sleeve 113 and the base 111 are slidably connected through a sliding rail 15, an extension rod 12 is disposed on the second sliding sleeve 113, and the extension rod 12 is detachably connected with the second sliding sleeve 113.
On the basis of the above embodiment, the extension rod 12 is provided with a plurality of grapple 13, the grapple 13 can be fixed in the through-hole 10, when the second sliding sleeve 113 moves towards the distal radius end, the grapple 13 drives the body 3 to move towards the head 2, the head 2 drives the radius fracture piece to move towards the original height, and after the movement is completed, other screws are placed into the position of the reinforcing steel plate.
The improvement is as follows: as shown in fig. 3, 4 and 7: the first sliding sleeve 112 is clamped on the base 111, the first sliding sleeve 112 and the second sliding sleeve 113 are opened, the arm of a patient is placed on the base 111, the first sliding sleeve 112 and the second sliding sleeve 113 are fixed, the base 111 is provided with a sliding rail 15, the second sliding sleeve 113 can slide on the sliding rail 15, the first sliding sleeve 112 is provided with a grabbing hook 13, the grabbing hook 13 is fixed on a corresponding through hole 10 on a bone fracture steel plate 1, the head 2 of the bone fracture steel plate 1 is fixed on a fracture block of a radius bone first, the fracture block of the radius bone fracture plate 1 penetrates through a conical flower hole 4 for fixing through a screw, one end, close to the fracture block of the radius bone, in a sliding groove 9 is fixed with a screw and fixed on a radius backbone, when a worker moves the second sliding sleeve 113 in the palm direction, the grabbing hook 13 drives the bone fracture steel plate 1 to move towards the far end step by step, the condition of movement can be observed through an observation window 14, after the original height of the radius bone fracture block is restored, the grabbing hook 13 is dismounted, screws in other positions are put in, the bone fracture steel plate 1 is reinforced, the bone fracture steel plate 1 can be moved correctly in the far end direction, and the guide of the radius bone fracture guide 11 can be unfolded correctly.
Although the present invention has been described with reference to the preferred embodiments, it should be understood that various changes, substitutions and alterations can be made herein without departing from the spirit and scope of the invention as defined by the appended claims.
Claims (6)
1. The utility model provides a can assist radius distal end coaptation steel sheet that struts reduction which characterized in that: including coaptation steel sheet (1), coaptation steel sheet (1) includes head (2) and somatic part (3), it is crooked to have radius distal end dissection type between head (2) and somatic part (3), head (2) and somatic part (3) are openly the shape and are corresponding with the physiology dissection type shape of radius distal end, be provided with a plurality of toper flower holes (4) on head (2), head (2) middle part is provided with observation window (14) convenient to observe and bone grafting, and one side that somatic part (3) are close to head (2) is provided with distraction mechanism, distraction mechanism is used for propping open radius fracture piece and radius branch to do, resumes radius fracture piece and radius branch to do original height, and somatic part (3) opposite side is provided with locking hole (6), distraction mechanism is including pressurization groove (7) and pressurization spare (8), pressurization groove (7) are curved rectangular form for both ends, pressurization groove (7) inner wall one side is provided with bar tooth (71), bar tooth (71) can with pressurization spare (8), still include on the cooperation of second sliding sleeve (112), second base (112) and rotatory sliding sleeve (111), first guide spare (112) set up first base (112), first sliding sleeve (112) are used for fixed arm, second sliding sleeve (113) and base (111) are passed through slide rail (15) and are slided and be connected, be provided with extension rod (12) on second sliding sleeve (113), extension rod (12) can be dismantled with second sliding sleeve (113) and be connected, add pressure member (8) and set up perpendicularly on extension rod (12).
2. The radially distal osteosynthesis plate for assisting distraction reduction according to claim 1, wherein: one end of the pressurizing groove (7) close to the far end of the radius is provided with a fixing screw, one end of the pressurizing piece (8) is connected with the head of the screw in a clamping mode, the pressurizing piece (8) rotates to drive the body part (3) to move towards the head part (2) to drive the fracture of the radius to move, and after the fracture of the radius is moved, other screws are placed into the pressurizing groove to reinforce the position of the steel plate.
3. The radial distal osteosynthesis steel plate capable of assisting distraction reduction according to claim 2, wherein: the pressurizing part (8) comprises a sleeve (81), one end of the sleeve (81) is provided with a cavity (83), the cavity (83) is matched with the shape of a head of the fixing screw, the other end of the fixing screw is fixedly provided with a handle (82), the handle (82) and the sleeve (81) are L-shaped, and a gear (84) matched with the strip-shaped teeth (71) is arranged outside the sleeve (81).
4. A radial distal osteosynthesis steel plate capable of assisting distraction reduction according to claim 3, wherein: the upper end face of the pressurizing groove (7) is provided with scales (72), and the length of the scales (72) is the same as that of the strip-shaped teeth (71).
5. The utility model provides a can assist radius distal end coaptation steel sheet that struts reduction which characterized in that: including coaptation steel sheet (1), coaptation steel sheet (1) includes head (2) and somatic part (3), it is crooked to have radius distal end dissection type between head (2) and somatic part (3), head (2) and somatic part (3) are openly the shape and are corresponding with the physiology dissection type shape of radius distal end, be provided with a plurality of toper flower holes (4) on head (2), head (2) middle part is provided with observation window (14) convenient to observe and bone grafting, and one side that somatic part (3) are close to head (2) is provided with struts mechanism (5), strut mechanism (5) are used for strutting the radius fracture piece and radius branch and do, restore radius fracture piece and radius branch and do original height, and somatic part (3) opposite side is provided with locking hole (6), strut mechanism (5) including sliding groove (9), a plurality of through-hole (10) and guide piece (11), one side that is close to radius distal end in sliding groove (9) is provided with set up fixed screw, guide piece (11) and through-hole (10), sliding sleeve (11) block body (3), sliding sleeve (11) and second guide piece (112) move first base (112) and second guide piece (113) and second guide piece (112) are set up and second guide piece (112), first sliding sleeve (112) are fixed to be set up on base (111), first sliding sleeve (112) are used for fixed arm, second sliding sleeve (113) and base (111) are connected through slide rail (15) slip, be provided with extension rod (12) on second sliding sleeve (113), extension rod (12) can be dismantled with second sliding sleeve (113) and be connected.
6. The distal radius bone plate capable of assisting distraction reduction according to claim 5, wherein: extension rod (12) are provided with a plurality of grapple (13), grapple (13) can be fixed at through-hole (10), and when second sliding sleeve (113) removed toward radius distal end direction, grapple (13) were taken somatic part (3) to move toward head (2), and head (2) were taken the radius fracture piece toward original high removal, removed the completion back, put into other screws and consolidate the steel sheet position.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202110999972.6A CN113876411B (en) | 2021-08-27 | 2021-08-27 | Radius distal end coaptation steel sheet that can assist to strut and reset |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202110999972.6A CN113876411B (en) | 2021-08-27 | 2021-08-27 | Radius distal end coaptation steel sheet that can assist to strut and reset |
Publications (2)
| Publication Number | Publication Date |
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| CN113876411A CN113876411A (en) | 2022-01-04 |
| CN113876411B true CN113876411B (en) | 2023-03-24 |
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| CN202110999972.6A Active CN113876411B (en) | 2021-08-27 | 2021-08-27 | Radius distal end coaptation steel sheet that can assist to strut and reset |
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Family Cites Families (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| GB0914673D0 (en) * | 2009-08-24 | 2009-09-30 | Kumar Deepak | Fracture buttress fixation system |
| CN202146356U (en) * | 2011-07-01 | 2012-02-22 | 瞿玉兴 | Distal radial palmar bone fracture plate |
| CN206453842U (en) * | 2016-11-04 | 2017-09-01 | 姜跃国 | A kind of band flank distal radius locking steel plate |
| CN108309424A (en) * | 2018-01-18 | 2018-07-24 | 江苏百易得医疗科技有限公司 | A kind of distal radial palmar lockplate |
| CN209074836U (en) * | 2018-01-29 | 2019-07-09 | 中国医学科学院北京协和医院 | Biodegradation material fracture of distal radius fixed system |
| US10285742B1 (en) * | 2018-06-22 | 2019-05-14 | Avanti Orthopaedics Llc | Bone manipulator system and method |
| CN113243981A (en) * | 2021-04-27 | 2021-08-13 | 上海市东方医院（同济大学附属东方医院） | Distal radius palmar bone fracture plate |
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