CN201822901U - External fixation apparatus for minimally-invasive correction of foot drop and strephenopodia - Google Patents

External fixation apparatus for minimally-invasive correction of foot drop and strephenopodia Download PDF

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Publication number
CN201822901U
CN201822901U CN201020546584XU CN201020546584U CN201822901U CN 201822901 U CN201822901 U CN 201822901U CN 201020546584X U CN201020546584X U CN 201020546584XU CN 201020546584 U CN201020546584 U CN 201020546584U CN 201822901 U CN201822901 U CN 201822901U
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China
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spicule
bone
folder
calcaneus
far
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汤福刚
李云峰
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SUZHOU CHINA BONE MEDICAL TECHNOLOGY DEVELOPMENT CO., LTD.
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汤福刚
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Abstract

Disclosed is an external fixation apparatus for minimally-invasive correction of foot drop and strephenopodia. The external fixation apparatus comprises a toe clinodactyly prevention frame, a metatarsus nail adjuster, a calcaneus nail adjuster, a calcaneus nail adjuster support, a metatarsus nail adjuster support, a foot-shaped frame, a far-end bone nail clamp, an adjusting and fixing nut, a bone transport nail clamp, a near-end bone nail clamp, a guide track, a far-end bone nail, a bone transport nail, a near-end bone nail, a calcaneus nail and a metatarsus nail. The guide track is used as a gathering part of the minimally-invasive external bone fixing apparatus, the toe clinodactyly prevention frame and the metatarsus nail adjuster are connected with the metatarsus nail adjuster support clamped on the guide track, the calcaneus bone nail adjuster is connected with the calcaneus bone nail adjuster support clamped on the guide track, the far-end bone nail clamp, the bone transport nail clamp and the near-end bone nail clamp penetrate on the guide track and fixedly clamp the corresponding bone nails, and the foot-shaped frame is fixedly clamped on the guide track. The external fixation apparatus not only can correct foot drop and strephenopodia, but also can be used for one-step treatment for a patient with all illnesses including foot drop, strephenopodia, strephexopodia, bone extraction, bone transport and the like, and can also be used for treating a patient with only one of the illnesses.

Description

Wicresoft's intersection point, the corrigent bone external fixation device of strephenopodia
Technical field
This utility model relates to the orthopaedics field.Relate in particular to intersection point, pigeon-toed rectification and be attended by that the tibia cripetura need prolong or be attended by a kind of Wicresoft intersection point, the pigeon-toed bone external fixation device that the damaged need of bone are moved.
Background technology
Cause intersection point or strephenopodia, strephexopodia because wound or operative treatment process be undesirable; What have also can cause spot, tendon atrophy; Even more serious also have cause the tibia cripetura, make and suffer from lower limb bone to occur damaged than one section of another short legs or owing to reason tibias such as infection.These phenomenons a kind of morbid state only occurs what the patient had on one's body, and the possible several morbid state that have appear on same patient's the same one leg simultaneously.Have a strong impact on patient's life quality, make patient's moving difficulty, even make the patient lose certain work capacity.
Cause the reason of intersection point, strephenopodia, strephexopodia to be mostly that rehabilitation is undesirable, makes joints of foot peripheral part tendon, shortens as heel string owing in the therapeutic process, suffer from the posture that is in of foot length time; Spot is an operation back common phenomena, the stiff atrophy of the spot that has; The patient's tibia operation recovery from illness back length that also has causes patient's lame than other one leg weak point, and bone does not connect even infect owing to mishandling behind the corrective surgery more seriously causes tibia osteomyelitis, bone damaged.
The treatment intersection point operations of adopting the heel string of loosening at present more, strephenopodia, strephexopodia are then adopted the operation of musculus lateralis externi tendon in the foot of loosening, loosen by operation for the tendon atrophy of spot type is also many, these methods are not only given patient's build-up of pressure economically, hit heavy mentally, cause very big misery, but also can cause secondary spot or atrophy, perhaps osseous tissue to occur damaged because of reason tibias such as infection, the normal excision infection sclerotin that adopts carries out bone grafting, implantable bone is different bone after all, often owing to rejection causes the bone grafting failure.If the phenomenon of intersection point, strephenopodia, strephexopodia, the tendon atrophy of spot place, tibia cripetura and tibial bone defect appears on same patient's the same one leg, it is very complicated adopting operation in the past, often need to finish through repeatedly performing the operation, this just causes very large economy loss to the patient, and the rehabilitation of performing the operation simultaneously needs time and the effect in several years very undesirable again.
Summary of the invention
In order to solve the misery that the operation of loosening brings to the patient, especially be subjected to many times to loosen with the patient of one leg and wait the puzzlement of performing the operation for a plurality of morbid state being concentrated on same patient, adopt disposable way to come relieve patient ' s burden and misery, shorten the time of patient treatment rehabilitation greatly.This utility model provides a kind of and adapts to theory based on human body, be compact conformation, the loading and unloading of tissue regeneration theory easy, regulate flexibly, wound is small, can correct intersection point, strephenopodia, strephexopodia, the spot type tendon atrophy of loosening simultaneously again, can do simultaneously the bone prolongation and solve bone cripetura phenomenon, extending length can be finished by ideal, for the damaged corrigent bone external fixation device of Wicresoft's intersection point, strephenopodia that all can treat simultaneously of bone.It is applicable to that also the patient who needs independent bone to prolong is used for long, and also being applicable to needs bone to move to solve the damaged patient of bone to use separately.
This utility model be the technical scheme that adopted of its technical barrier of solution by the curved frame of anti-toe, hide bone spicule actuator, calcaneus spicule actuator, calcaneus spicule regulator bracket, hide bone spicule regulator bracket, segmental support, far-end spicule folder, transfer solid nut to move spicule folder, near-end spicule folder, guide rail, far-end spicule, move spicule, near-end spicule, calcaneus spicule, screening bone spicule form.Guide rail is a set part of the present utility model, is the rod member of a full thread.The curved frame of anti-toe links to each other with screening bone spicule regulator bracket, hides bone spicule regulator bracket clamping at the guide rail far-end, and screening bone spicule actuator also is connected with screw and hides on the bone spicule regulator bracket, hides the bone spicule and is installed on the screening bone spicule actuator; The calcaneus spicule actuator that is installing the calcaneus spicule is connected on the calcaneus spicule regulator bracket, and calcaneus spicule regulator bracket clamping is at the guide rail far-end; The far-end spicule presss from both sides, moves the spicule folder, near-end spicule folder is installed on the guide rail relevant position respectively, and both sides are screwed with respectively transfers solid nut; The far-end spicule, move spicule, near-end spicule and be installed on far-end spicule folder respectively, move on spicule folder and the near-end spicule folder; Segmental support as required clamping in the guide rail position.
The curved frame of anti-toe is made up of toe holder, pull bar, setting nut, backbone block.The toe holder is a plate that two ends are with holes, penetrates the configuration pull bar in the hole, and the pull rod screw end passes the through hole of backbone block, and is screwed with the setting nut at two ends, and the backbone block side is processed with screwed hole so that link to each other with screening bone spicule regulator bracket.
Hiding bone spicule actuator is that a bar piece molectron is made up of trip bolt, ear piece, bearing pin, adjusting screw(rod), adjusting nut, guide block.The ear piece is the rectangular block spare of band ears, the opposite of ear mouth is processed with screwed hole so that be screwed into trip bolt, the side is opened a through hole and is hidden the bone spicule so that penetrate, open a diameter above and be 2.5 millimeters through hole, bearing pin therefrom passes and passes adjusting screw(rod) and the riveted that inserts in the ear mouth, and the ear piece is hinge with adjusting screw(rod) and combines.Adjusting screw(rod) is the screw thread member of one one end band ear, and threaded shank portion penetrates in the guide block, have in the middle of the both sides adjusting nut of screwing on, guide block a through hole, side process a screwed hole in case with hide bone spicule regulator bracket and link to each other.
Hiding bone spicule regulator bracket presses holder to form by clamp-screw, support holder, screw and support.It all is the rectangle plate that support holder and support are pressed holder, and the two opposite position is processed a through hole and used and guide rail clamping mutually, has two through hole in the support holder and links to each other with curved frame of anti-toe and screening bone spicule actuator respectively with screw.
Calcaneus spicule actuator is close with screening bone spicule controller structure, and an end is worn and clipped the calcaneus spicule, and the other end links to each other with calcaneus spicule regulator bracket.Calcaneus spicule regulator bracket is made up of cheese head screw, support riser, support pressing plate, clamp-screw.Processing one through hole is in order to link to each other with calcaneus spicule actuator on the support riser.
Segmental support is made up of arc support body, fixture block, hold-down nut, hold-down screw.Arc support body is made up of left side bow, the solid screw of accent, right bow.Left side bow is made up of left shelf, rivet, sliding guide card.Left side shelf and sliding guide card are with the rivet riveting and be in the same place, and sliding guide card inserts in the groove of right bow with transferring solid screw combination, and left side bow curves L shapedly with right the bow by channel-section steel formula section bar, and the fixture block made from hold-down nut and hold-down screw and channel-section steel formula section bar links to each other respectively.
Near-end spicule folder is made up of spicule folder lid, hold-down screw, spicule clamp.Spicule folder lid and spicule clamp are the rectangle block, involutory one side has four half slot combination backs relatively and becomes four through holes, the side of spicule clamp is processed with through hole so that be through on the guide rail, the spicule folder covers face processing two through hole, processing two screwed holes in spicule clamp corresponding position are spicule folder lid and the combination of spicule clamp together with hold-down screw.
Near-end spicule folder is identical with far-end spicule clamping structure.
Move spicule folder by hold-down screw, move spicule folder lid, move the spicule clamp and form.Move spicule folder lid and move the spicule clamp and be the rectangle block, opposite position has two half slots on the dough-making powder relatively, the combination back becomes two holes, move spicule folder lid above open a through hole, move spicule clamp corresponding position and process a screwed hole and will move spicule folder lid with hold-down screw and move the spicule clamp and combine.
When (one) being used for the rectification of intersection point, strephenopodia (strephexopodia):
At first hiding bone, a spicule is respectively worn at the calcaneus place, respectively wear a spicule at distal tibial and near-end, the two cover guide rails that are coated with far-end spicule folder and near-end spicule folder are placed far-end spicule and near-end spicule below, and place the shank both sides respectively, again with far-end spicule clamping on far-end spicule folder, with near-end spicule clamping on near-end spicule folder, suitably adjust the distance of two guide rails during clamping, then segmental support is installed in the appropriate location of two guide rails, to hide bone spicule regulator bracket and calcaneus spicule regulator bracket clamping respectively in the corresponding position of guide rail at the far-end of guide rail, to hide bone spicule actuator one end is installed on the screening bone spicule, the other end is connected and hides on the bone spicule regulator bracket, calcaneus spicule actuator one end is installed on the calcaneus spicule, the other end is connected on the calcaneus spicule regulator bracket, the toe holder of the curved frame of anti-toe is enclosed within on the toe, and backbone block is connected to and hides on the bone spicule regulator bracket.The curved frame of regulating on the curved frame of anti-toe of the anti-toe of setting nut pulling then drives toe to proximal movement; Regulate the adjusting nut pulling screening bone spicule that hides bone spicule actuator and then drive and hide bone to proximal movement; The adjusting nut of regulating calcaneus spicule actuator simultaneously promotes the calcaneus spicule and then drives calcaneus to move to distal direction, makes cripetura tendon (as heel string) be subjected to pulling force like this, and adapting to theory tension tendon according to human body will increase, and make that the intersection point phenomenon is corrected.If the strephenopodia phenomenon is arranged, when regulating adjusting nut, the screening bone spicule actuator and the inboard leg calcaneus spicule actuator of inboard leg are moved to distal direction simultaneously, at this moment, the screening bone spicule actuator of leg outer side and the calcaneus spicule actuator of leg outer side are drawn to proximal direction simultaneously, make the inboard cripetura tendon of foot increased by pulling force, reach and correct pigeon-toed purpose, (if strephexopodia need be corrected, can adopt the opposite operation of rectification strephenopodia to finish) removed this utility model and taken out each spicule after reaching the rectification purpose fully.
When (two) being used for patient that intersection point, strephenopodia (strephexopodia) and short legs need carry out tibia lengthening and using this utility model:
At first hiding bone, a spicule is respectively worn at the calcaneus place, wear two far-end spicules in the tibia appropriate location, two near-end spicules, and the tibia between far-end spicule and near-end spicule interrupted, the two cover guide rails that are coated with far-end spicule folder and near-end spicule folder are placed two far-end spicules and two near-end spicule belows, and place the shank both sides respectively, again with two far-end spicule clampings on far-end spicule folder, with two near-end spicule clampings on near-end spicule folder, then segmental support is installed in the appropriate location of two guide rails, to hide bone spicule regulator bracket and calcaneus spicule regulator bracket clamping respectively in the corresponding position of guide rail at the far-end of guide rail, to hide bone spicule actuator one end is installed on the screening bone spicule, the other end is connected and hides on the bone spicule regulator bracket, calcaneus spicule actuator one end is installed on the calcaneus spicule, the other end is connected on the calcaneus spicule regulator bracket, the toe holder of the curved frame of anti-toe is enclosed within on the toe, and backbone block is connected to and hides on the bone spicule regulator bracket.The curved frame of regulating on the curved frame of anti-toe of the anti-toe of setting nut pulling then drives toe to proximal movement; Regulate the adjusting nut pulling screening bone spicule that hides bone spicule actuator and then drive and hide bone to proximal movement; The adjusting nut of regulating calcaneus spicule actuator simultaneously promotes the calcaneus spicule and then drives calcaneus to move to distal direction, makes cripetura tendon (as heel string) be subjected to pulling force like this, and adapting to theory tension tendon according to human body will increase, and make that the intersection point phenomenon is corrected.If the strephenopodia phenomenon is arranged, when regulating adjusting nut, the screening bone spicule actuator and the inboard leg calcaneus spicule actuator of inboard leg are moved to distal direction simultaneously, at this moment, the screening bone spicule actuator of leg outer side and the calcaneus spicule actuator of leg outer side are drawn to proximal direction simultaneously, make the inboard cripetura tendon of foot increased by pulling force, reach and correct pigeon-toed purpose (, can adopt the opposite operation of rectification strephenopodia to finish) if strephexopodia need be corrected; After the standby phase, unclamp the solid nut of accent of near-end spicule folder both sides, turn transfer solid nut make near-end spicule folder with every day one millimeter speed to the direction motion of leaving far-end spicule folder, and then drive proximal tibia bone section and make tibia lengthening.Correct to reach requirement and make shank length reach ideal length until intersection point, strephenopodia (strephexopodia) and finish and remove this utility model after prolonging purpose and take out each spicule.
(3) be used for intersection point, strephenopodia (strephexopodia) and tibia owing to reasons such as infection cause the damaged patient of bone:
At first hide bone, a spicule is respectively worn at the calcaneus place, wears two far-end spicules, two in the tibia appropriate location and moves spicule, two near-end spicules, and will move the focus bone amputation between spicule and near-end spicule, the tibia of moving between spicule and far-end spicule is interrupted.To be coated with far-end spicule folder, the two cover guide rails of moving spicule folder and near-end spicule folder place two far-end spicules, move spicule and two near-end spicule belows for two, and place the shank both sides respectively, again with two far-end spicule clampings on far-end spicule folder, moving the spicule clamping for two is moving on the spicule folder, again with two near-end spicule clampings on near-end spicule folder, then segmental support is installed in the appropriate location of two guide rails, to hide bone spicule regulator bracket and fracture of calcaneus regulator bracket clamping respectively in the corresponding position of guide rail at the far-end of guide rail, to hide bone spicule actuator one end is installed on the screening bone spicule, the other end is connected and hides on the bone spicule regulator bracket, calcaneus spicule actuator one end is installed on the calcaneus spicule, the other end is connected on the calcaneus spicule regulator bracket, the toe holder of the curved frame of anti-toe is enclosed within on the toe, and backbone block is connected to and hides on the bone spicule regulator bracket.The curved frame of regulating on the curved frame of anti-toe of the anti-toe of setting nut pulling then drives toe to proximal movement; Regulate the adjusting nut pulling screening bone spicule that hides bone spicule actuator and then drive and hide bone to proximal movement; The adjusting nut of regulating calcaneus spicule actuator simultaneously promotes the calcaneus spicule and then drives calcaneus to move to distal direction, makes cripetura tendon (as heel string) be subjected to pulling force like this, and adapting to theory tension tendon according to human body will increase, and make that the intersection point phenomenon is corrected.If the strephenopodia phenomenon is arranged, when regulating adjusting nut, the screening bone spicule actuator and the inboard leg calcaneus spicule actuator of inboard leg are moved to distal direction simultaneously, at this moment, the screening bone spicule actuator of leg outer side and the calcaneus spicule actuator of leg outer side are drawn to proximal direction simultaneously, make the inboard cripetura tendon of foot increased by pulling force, reach and correct pigeon-toed purpose (, can adopt the opposite operation of rectification strephenopodia to finish) if strephexopodia need be corrected; After the standby phase, in intersection point, strephenopodia (strephexopodia) operation, turn the solid nut of the accent of moving spicule folder both sides make move the spicule folder with every day one millimeter speed promptly drive and move the bone piece and leave far-end spicule folder and draw close to near-end spicule folder, till the proximal tibia bone section of moving bone piece and near-end spicule folder place is collided, will transfer admittedly nut to fix.After intersection point, strephenopodia (strephexopodia) rectification reach requirement and make the damaged part of tibia generate new bone, remove this utility model and take out each spicule.
When (four) patient who only needs bone to move uses this utility model:
At first wear two far-end spicules, two and move spicule, two near-end spicules, and will move the focus bone amputation between spicule and near-end spicule, the tibia of moving between spicule and far-end spicule is interrupted in the tibia appropriate location.To be coated with far-end spicule folder, move the spicule folder, two cover guide rails of near-end spicule folder place two far-end spicules, move spicule and two near-end spicule belows for two, and place the shank both sides respectively, again with two far-end spicule clampings on far-end spicule folder, moving the spicule clamping for two is moving on the spicule folder, again with two near-end spicule clampings on near-end spicule folder, then segmental support is installed in the appropriate location of two guide rails, (other assemblies need not) standby after date turn the solid nut of accent of moving spicule folder both sides make move the spicule folder with every day one millimeter speed promptly drive and move the bone piece and leave far-end spicule folder and draw close to near-end spicule folder, till the proximal tibia bone section of moving bone piece and near-end spicule folder place is collided, will transfer admittedly nut to fix.Dismounting this utility model takes out each spicule after making the damaged part of tibia generate new bone.
When (five) being used for patient that short legs lacks needs prolongation and using:
At first wear a spicule at the calcaneus place, wear two far-end spicules, two near-end spicules in the tibia appropriate location, and the tibia between far-end spicule and near-end spicule interrupted, the two cover guide rails that are coated with far-end spicule folder and near-end spicule folder are placed two far-end spicules and two near-end spicule belows, and place the shank both sides respectively, again with two far-end spicule clampings on far-end spicule folder, two near-end spicule clampings on near-end spicule folder, then are installed in segmental support the appropriate location of two guide rails.At the far-end of guide rail respectively with calcaneus spicule regulator bracket clamping in the corresponding position of guide rail, calcaneus spicule actuator one end is installed on the other end is connected on the calcaneus spicule regulator bracket on the calcaneus spicule, after the standby phase, unclamp the solid nut of accent of near-end spicule folder both sides, turn transfer solid nut make near-end spicule folder with every day one millimeter speed to the direction motion of leaving far-end spicule folder, and then the drive tibia makes its prolongation, the solid nut of fastening accent.Make shank length reach ideal length, finish to prolong and remove this utility model after the purpose and take out each spicule.
When (six) patient who is used for fracture of tibia makes external fixation:
Wear two far-end spicules, two near-end spicules in the tibia appropriate location, the two cover guide rails that are coated with far-end spicule folder and near-end spicule folder are placed two far-end spicules and two near-end spicule belows, and place the shank both sides respectively, again with two far-end spicule clampings on far-end spicule folder, with two near-end spicule clampings on near-end spicule folder, then segmental support is installed in the appropriate location of two guide rails, unclamp the solid nut of accent of near-end spicule folder both sides, turn transfers solid nut that near-end spicule folder is moved along guide rail, makes to tighten up all after the fracture para-position and transfer solid nut.Remove this utility model after bone is fullyed recover from an illness and exceeded and take out each spicule.
Good effect of the present utility model is:
1. wound is little, simple in structure, easy to operate, use this utility model after the patient needn't lie in bed, but ambulation at any time;
2. can disposablely finish for intersection point and with the rectification of strephenopodia (strephexopodia), reduced the repeatedly misery of operation;
3. especially to promptly having intersection point, strephenopodia (strephexopodia) to go back the patient that short legs need prolong, this utility model is finished the purpose of prolongation when correcting intersection point, strephenopodia (strephexopodia);
4. for intersection point, strephenopodia (strephexopodia) promptly being arranged and owing to reasons such as infection cause bone damaged, especially can be when correcting intersection point, strephenopodia (strephexopodia) for patient's this utility model of large segmental bone defect, the technology of moving with bone is augmented defective bone and is made it become complete tibia to have shortened treatment time greatly;
5. this utility model can also be the crowd of the need prolongation of short legs to independent bone cripetura, and is simple to operate;
6. this utility model also can be used for moving treatment because of reasons such as infection cause the damaged patient of bone to carry out bone separately, its fixing-stable, move easy and simple to handle;
7, this utility model also can only be used to the external fixation of fracturing, and fixing-stable is reliable.
8, this utility model is that very strong the having of a human integrates that rectification, bone are moved, bone prolongs, the multi-function device of the Wicresoft of bone external fixation.
Description of drawings
Below in conjunction with width of cloth figure and embodiment this utility model is described further.
Fig. 1 is a structural representation of the present utility model
Fig. 2 is the structural representation of the curved frame of anti-toe of the present utility model
Fig. 3 is a backbone block structural representation of the present utility model
Fig. 4 is a screening bone spicule controller structure sketch map of the present utility model
Fig. 5 is an ear block structure sketch map of the present utility model
Fig. 6 is an adjusting rod structural representation of the present utility model
Fig. 7 is a screening bone spicule regulator bracket structure sketch map of the present utility model
Fig. 8 is a support holder structure sketch map of the present utility model
Fig. 9 is a calcaneus spicule regulator bracket structure sketch map of the present utility model
Figure 10 is a support riser structural representation of the present utility model
Figure 11 is a segmental support structural representation of the present utility model
Figure 12 is a segmental support body structure sketch map of the present utility model
Figure 13 is an a left side of the present utility model bow structural representation
Figure 14 is a right bow structural representation of the present utility model
Figure 15 is a far-end spicule clamping structure sketch map of the present utility model
Figure 16 is the spicule clamping structure sketch map of moving of the present utility model
Figure 17 is that this utility model is used for intersection point, strephenopodia (strephexopodia) user mode figure
Figure 18 is that this utility model is used for intersection point, strephenopodia (strephexopodia) and tibia lengthening user mode figure
Figure 19 is that this utility model is used for intersection point, strephenopodia (strephexopodia) and bone and moves user mode figure
Figure 20 is that this utility model is used for bone and moves user mode figure
Figure 21 is that this utility model is used for bone prolongation user mode figure
Figure 22 is that this utility model is used for external fixation of fracture user mode figure
The specific embodiment:
Wicresoft's intersection point as shown in Figure 1, it bends frame (1) by anti-toe the corrigent bone external fixation device of strephenopodia, hide bone spicule actuator (2), calcaneus spicule actuator (3), calcaneus spicule regulator bracket (4), hide bone spicule regulator bracket (5), segmental support (6), far-end spicule folder (7), transfer solid nut (8), move spicule folder (9), near-end spicule folder (10), guide rail (11), far-end spicule (14), move spicule (13), near-end spicule (12), calcaneus spicule (15), hiding bone spicule (16) forms.Guide rail (11) is a set part of the present utility model, is the rod member of a full thread.The curved frame (1) of anti-toe links to each other with screening bone spicule regulator bracket (5), certain rotating function is arranged relatively, hide bone spicule regulator bracket (5) clamping and fix on guide rail (11) far-end, hide bone spicule actuator (2) and also be connected on the screening bone spicule regulator bracket (5), certain function that relatively rotates is also arranged.Hide bone spicule (16) and be installed on another termination of screening bone spicule actuator (2); Calcaneus spicule (15) is installed on an end of calcaneus spicule actuator (3), and the other end is done the relative connection that rotating function is arranged with calcaneus spicule regulator bracket (4), and calcaneus spicule regulator bracket (4) clamping is on the far-end of guide rail (11); Far-end spicule folder (7), move spicule folder (9), near-end spicule folder (10), be installed on the relevant position of guide rail (11) respectively, and be screwed with the solid nut (8) of accent on their both sides respectively, turn respectively and transfer solid nut (8) can make corresponding spicule folder mobile along guide rail (11).Far-end spicule folder (7) clamping far-end spicule (14), move spicule folder (9) clamping and moves spicule (13), and near-end spicule folder (10) clamping near-end spicule (12).Segmental support (6) clamping as required can place the top of guide rail (11) in certain position of guide rail (11), also can place the below of guide rail (11).
Form by toe holder (1-1), pull bar (1-2), setting nut (1-3), backbone block (1-4) as Fig. 2, the curved frame (1) of anti-toe shown in Figure 3.Toe holder (1-1) is a plate that two ends are with holes, penetrate configuration pull bar (1-2) in the hole, the end of thread of pull bar (1-2) passes the through hole of backbone block (1-4), and be screwed with at two ends and set up nut (1-3), setting up nut (1-3) can make pull bar (1-2) and backbone block (1-4) make relative motion, and then make toe holder (1-1) near or away from backbone block (1-4), the side of backbone block (1-4) be processed with screwed hole in case with hide bone spicule regulator bracket (5) and link to each other.
Hiding bone spicule actuator (2) is a bar piece molectron, and it is made up of trip bolt (2-1), ear piece (2-2), bearing pin (2-3), adjusting screw(rod) (2-4), adjusting nut (2-5), guide block (2-6) as shown in Figure 4.Ear piece (2-2) is hinge with adjusting screw(rod) (2-4) with bearing pin (2-3) riveted and combines, and adjusting screw(rod) (2-4) other end penetrates in the guide block (2-6), and is screwed with adjusting nut (2-5) in guide block (2-6) both sides and on adjusting screw(rod) (2-4).As shown in Figure 5, ear piece (2-2) is the rectangular block spare of band ears, the opposite of ear mouth is processed with screwed hole, ear oral-lateral face is opened the through hole of 4 millimeters of diameters and is hidden bone spicule (16) so that pass, open a diameter above and be 2.5 millimeters through hole, bearing pin (2-3) therefrom passes and passes adjusting screw(rod) (2-4) and the riveted that inserts in the ear mouth.As shown in Figure 6, adjusting screw(rod) (2-4) is the screw thread member of one one end band ear, and threaded shank portion penetrates in the guide block (2-6), the both sides adjusting nut (2-5) of screwing on, there are a through hole, side to process a screwed hole in the middle of the guide block (2-6) so that link to each other with screening bone spicule regulator bracket (5).
As shown in Figure 7, hiding bone spicule regulator bracket (5) presses holder (5-4) to form by clamp-screw (5-1), support holder (5-2), screw (5-3) and support.It all is rectangle plates that support holder (5-2) is pressed holder (5-4) with support, and the two opposite position synthetic circular hole of processing one half slot is used for and guide rail (11) clamping mutually.As shown in Figure 8, have four through holes in the support holder (5-2), two holes link to each other with curved frame (1) of anti-toe and screening bone spicule actuator (2) respectively with screw (5-3).Other two holes penetrate clamp-screw (5-1) and press holder (5-4) to link to each other with support.
Calcaneus spicule actuator (3) is close with screening bone spicule actuator (2) structure, and as shown in Figure 1, an end is worn and clipped calcaneus spicule (15), and the other end links to each other with calcaneus spicule regulator bracket (4).
Calcaneus spicule regulator bracket (4) is as Fig. 9, shown in Figure 10, and ((4-2), support pressing plate (4-3), clamp-screw (4-4) are formed by cheese head screw (4-1), support riser for it.Support riser (4-2) is the rectangle plate with support pressing plate (4-3).The synthetic through hole of processing one half slot on the opposite face so as clamping on guide rail (11), support riser (4-2) is gone up processing two screwed holes, combine with support pressing plate (4-3) with clamp-screw (4-4), other processes a through hole and penetrates cheese head screw (4-1) and link to each other with calcaneus spicule actuator (3).
As shown in figure 11, segmental support (6) is made up of arc support body (6-1), fixture block (6-2), hold-down nut (6-3), hold-down screw (6-4), with hold-down nut (6-3), hold-down screw (6-4) arc support body (6-1) and fixture block (6-2) is connected together.As shown in figure 12, arc support body (6-1) is made up of left side bow (6-1-1), the solid screw (6-1-2) of accent, right bow (6-1-3), and screw (6-1-2) is combined into one with transferring admittedly.As shown in figure 13, left side bow (6-1-1) is made up of left shelf (6-1-1-1), rivet (6-1-1-2), sliding guide card (6-1-1-3), left side shelf (6-1-1-1) be with channel-section steel formula section bar curve L shaped one side insert the rectangle plate sliding guide card (6-1-1-3) with rivet (6-1-1-2) riveting be in the same place, cunning guide card (6-1-1-3) another side is processed a screwed hole.As shown in figure 14, right bow (6-1-3) also be curve by channel-section steel formula section bar L shaped, on one side on have elongated slot, be used for and left side bow (6-1-1) combination.
As shown in figure 15, far-end spicule folder (7) is made up of spicule folder lid (7-1), hold-down screw (7-2), spicule clamp (7-3).Spicule folder lid (7-1) and spicule clamp (7-3) are the rectangle block, involutory one side has four half slots relatively, the combination back becomes four through holes, the side of spicule clamp (7-3) is processed with through hole so that be through on the guide rail (11), processing two through hole above the spicule folder lid (7-1), processing two screwed holes in spicule clamp (7-3) corresponding position are spicule folder lid (7-1) and spicule clamp (7-3) combination together with hold-down screw (7-2).
Near-end spicule folder (10) is identical with far-end spicule folder (7) structure.
As shown in figure 16, move spicule folder (9) by hold-down screw (9-1), move spicule folder lid (9-2), move spicule clamp (9-3) and form.Move spicule folder lid (9-2) and move spicule clamp (9-3) and be the rectangle block, have two half slots relatively on the dough-making powder relatively, the combination back becomes two through hole, move spicule folder lid (9-2) above open a through hole, move spicule clamp (9-3) corresponding position and process a screwed hole and will move spicule folder lid (9-2) with hold-down screw (9-1) and move spicule clamp (9-3) and combine, move the length direction of spicule clamp (9-3) and process a through hole in order to be through on the guide rail (11).
When making use-case () be used for the rectification of intersection point, strephenopodia (strephexopodia):
As shown in figure 17, at first wear one and hide bone spicule (16) at the screening bone, calcaneus is worn a calcaneus spicule (15), wear a far-end spicule (14) and near-end is worn a near-end spicule (12) at distal tibial, the two cover guide rails (11) that will be coated with far-end spicule folder (7) and near-end spicule folder (10) place the below of far-end spicule (14) and near-end spicule (12) respectively, and place the shank both sides, again far-end spicule (14) clamping is pressed from both sides on (7) at the far-end spicule, near-end spicule (12) clamping is pressed from both sides on (10) at the near-end spicule, suitably adjust the distance of two guide rails (11) during clamping, then segmental support (6) is installed in the appropriate location of two guide rails (11), to hide bone spicule regulator bracket (5) and fracture of calcaneus regulator bracket (4) clamping respectively in the corresponding position of guide rail (11) at the far-end of guide rail (11), to hide bone spicule actuator (2) one end ear pieces (2-1) is installed on the screening bone spicule (16), the other end is connected with screw (5-3) and hides on the bone spicule regulator bracket (5), calcaneus spicule actuator (3) one ends are installed on the calcaneus spicule (15), the other end is connected on the calcaneus spicule regulator bracket (4), to prevent that toe bends the toe holder (1-1) of frame (1) and be enclosed within on the toe, backbone block (1-4) is connected to screw (5-3) and hides on the bone spicule regulator bracket (5).The curved frame of regulating on the curved frame (1) of anti-toe (1) of the anti-toe of setting nut (1-3) pulling then drives toe to proximal movement; Regulate adjusting nut (2-5) the pulling screening bone spicule (16) that hides bone spicule actuator (2) and then drive and hide bone to proximal movement; The adjusting nut (2-5) of regulating calcaneus spicule actuator (3) simultaneously promotes calcaneus spicule (15) and then drives calcaneus to move to distal direction, make cripetura tendon (as heel string) be subjected to pulling force like this, adapting to theory tension tendon according to human body will increase, and make that the intersection point phenomenon is corrected.If the strephenopodia phenomenon is arranged, when regulating adjusting nut (2-5), the screening bone spicule actuator (2) and the inboard leg calcaneus spicule actuator (3) of inboard leg are moved to distal direction simultaneously, at this moment, the screening bone spicule actuator (2) of leg outer side and the calcaneus spicule actuator (3) of leg outer side are drawn to proximal direction simultaneously, make the inboard cripetura tendon of foot increased by pulling force, reach and correct pigeon-toed purpose, (if strephexopodia need be corrected, can adopt the opposite operation of rectification strephenopodia to finish) removed this utility model and taken out each spicule after reaching the rectification purpose fully.
When (two) being used for patient that intersection point, strephenopodia (strephexopodia) and short legs need carry out tibia lengthening and using this utility model:
As shown in figure 18, at first wear one and hide bone spicule (16), calcaneus and wear a calcaneus spicule (15), wear two far-end spicules (14) and near-end is worn two near-end spicules (12) hiding bone, then the tibia between far-end spicule (14) and the near-end spicule (12) is interrupted at distal tibial.(two cover guide rails (11) of (7) and near-end spicule folder (10) place the below of far-end spicule (14) and near-end spicule (12) respectively will to be coated with far-end spicule folder, and place the shank both sides, again far-end spicule (14) clamping is pressed from both sides on (7) at the far-end spicule, near-end spicule (12) clamping is pressed from both sides on (10) at the near-end spicule, suitably adjust the distance of two guide rails (11) during clamping, then segmental support (6) is installed in the appropriate location of two guide rails (11), to hide bone spicule regulator bracket (5) and fracture of calcaneus regulator bracket (4) clamping respectively in the corresponding position of guide rail (11) at the far-end of guide rail (11), sugarcane bone spicule actuator (2) one end ear pieces (2-1) are installed on the screening bone spicule (16), the other end is connected with screw (5-3) and hides on the bone spicule regulator bracket (5), calcaneus spicule actuator (3) one ends are installed on the calcaneus spicule (15), the other end is connected on the calcaneus spicule regulator bracket (4), to prevent that toe bends the toe holder (1-1) of frame (1) and be enclosed within on the toe, backbone block (1-4) is connected to screw (5-3) and hides on the bone spicule regulator bracket (5).The curved frame of regulating on the curved frame (1) of anti-toe (1) of the anti-toe of setting nut (1-3) pulling then drives toe to proximal movement; Regulate adjusting nut (2-5) the pulling screening bone spicule (16) that hides bone spicule actuator (2) and then drive and hide bone to proximal movement; The adjusting nut (2-5) of regulating calcaneus spicule actuator (3) simultaneously promotes calcaneus spicule (15) and then drives calcaneus to move to distal direction, make cripetura tendon (as heel string) be subjected to pulling force like this, adapting to theory tension tendon according to human body will increase, and make that the intersection point phenomenon is corrected.If the strephenopodia phenomenon is arranged, when regulating adjusting nut (2-5), the screening bone spicule actuator (2) and the inboard leg calcaneus spicule actuator (3) of inboard leg are moved to distal direction simultaneously, at this moment, the screening bone spicule actuator (2) of leg outer side and the calcaneus spicule actuator (3) of leg outer side are drawn to proximal direction simultaneously, make the inboard cripetura tendon of foot increased by pulling force, reach and correct pigeon-toed purpose, (if strephexopodia need be corrected, can adopt the opposite operation of rectification strephenopodia to finish), correcting intersection point, in the time of strephenopodia (strephexopodia), the solid nut (8) of the accent of standby after date turn near-end spicule folder (10) both sides make near-end spicule folder (10) with every day one millimeter speed to the direction motion of leaving far-end spicule folder (7), and then drive the nearly section of tibia shank prolonged.After reaching the rectification purpose fully and making the shank prolongation also reach ideal length, remove this utility model and take out each spicule.
(3) be used for intersection point, strephenopodia (strephexopodia) and tibia owing to reasons such as infection cause the damaged patient of bone:
As shown in figure 19, at first wear one and hide bone spicule (16), calcaneus and wear a calcaneus spicule (15), wear at distal tibial that two far-end spicules (14), two are moved spicule (13) and near-end is worn two near-end spicules (12) hiding bone, interrupt then with two near-end spicules (12) and two focus bone amputation of moving between the spicule (13), and with two tibias of moving between spicule (13) and the two far-end spicules (14).To be coated with far-end spicule folder ((7), the two cover guide rails (11) of moving spicule folder (9) and near-end spicule folder (10) place far-end spicule (14) respectively, move the below of spicule (13) and near-end spicule (12), and place the shank both sides, again two far-end spicules (14) clamping is pressed from both sides on (7) at the far-end spicule, moving spicule (13) clamping with two is moving on the spicule folder (9), two near-end spicules (12) clamping is pressed from both sides on (10) at the near-end spicule, suitably adjust the distance of two guide rails (11) during clamping, then segmental support (6) is installed in the appropriate location of two guide rails (11), to hide bone spicule regulator bracket (5) and fracture of calcaneus regulator bracket (4) clamping respectively in the corresponding position of guide rail (11) at the far-end of guide rail (11), sugarcane bone spicule actuator (2) one end ear pieces (2-1) are installed on the screening bone spicule (16), the other end is connected with screw (5-3) and hides on the bone spicule regulator bracket (5), calcaneus spicule actuator (3) one ends are installed on the calcaneus spicule (15), the other end is connected on the calcaneus spicule regulator bracket (4), to prevent that toe bends the toe holder (1-1) of frame (1) and be enclosed within on the toe, backbone block (1-4) is connected to screw (5-3) and hides on the bone spicule regulator bracket (5).The curved frame of regulating on the curved frame (1) of anti-toe (1) of the anti-toe of setting nut (1-3) pulling then drives toe to proximal movement; Regulate adjusting nut (2-5) the pulling screening bone spicule (16) that hides bone spicule actuator (2) and then drive and hide bone to proximal movement; The adjusting nut (2-5) of regulating calcaneus spicule actuator (3) simultaneously promotes calcaneus spicule (15) and then drives calcaneus to move to distal direction, make cripetura tendon (as heel string) be subjected to pulling force like this, adapting to theory tension tendon according to human body will increase, and make that the intersection point phenomenon is corrected.If the strephenopodia phenomenon is arranged, when regulating adjusting nut (2-5), the screening bone spicule actuator (2) and the inboard leg calcaneus spicule actuator (3) of inboard leg are moved to distal direction simultaneously, at this moment, the screening bone spicule actuator (2) of leg outer side and the calcaneus spicule actuator (3) of leg outer side are drawn to proximal direction simultaneously, make the inboard cripetura tendon of foot increased by pulling force, reach and correct pigeon-toed purpose, (if strephexopodia need be corrected, can adopt the opposite operation of rectification strephenopodia to finish), at intersection point, the corrigent while of strephenopodia (strephexopodia), the solid nut (8) of accent that spicule folder (9) both sides are moved in the turn of standby after date makes to be moved spicule folder (9) and moves to the direction away from far-end spicule folder (14), and then drive and to move the bone piece and leave the distal tibia section and draw close to the proximal tibia section, move until colliding to finish, treat intersection point with the proximal tibia section, strephenopodia (strephexopodia) is corrected and is reached requirement, and dismounting this utility model takes out each spicule after making the damaged part of tibia generate new bone.
When (four) patient who only needs bone to move uses this utility model:
As shown in figure 20, at first wear two far-end spicules (14) in the tibia appropriate location, move spicule (13) for two, two near-end spicules (12), with two near-end spicules (12) and move focus bone amputation between the spicule (13), and two tibias of moving between spicule (13) and two far-end spicules (14) are interrupted, to be coated with far-end spicule folder ((7), the two cover guide rails (11) of moving spicule folder (9) and near-end spicule folder (10) place far-end spicule (14) respectively, move the below of spicule (13) and near-end spicule (12), and place the shank both sides, again two far-end spicules (14) clamping is pressed from both sides on (7) at the far-end spicule, moving spicule (13) clamping with two is moving on the spicule folder (9), two near-end spicules (12) clamping is pressed from both sides on (10) at the near-end spicule, suitably adjust the distance of two guide rails (11) during clamping, then segmental support (6) is installed in the appropriate location of two guide rails (11), the solid nut (8) of accent that spicule folder (9) both sides are moved in the turn of standby after date makes to be moved spicule folder (9) and moves to the direction away from far-end spicule folder (14), and then drive and to move the bone piece and leave the distal tibia section and draw close to the proximal tibia section, move until colliding to finish with the proximal tibia section, to transfer solid nut (8) fixing, and treat that the damaged part of tibia generates to remove this utility model behind the new bone and take out each spicule.
When (five) being used for patient that short legs lacks needs prolongation and using:
As shown in figure 21, at first wear a calcaneus spicule (15) at calcaneus, wear two far-end spicules (14) at the distal tibia place, two near-end spicules (12) at the proximal tibia place interrupt the tibia between two far-end spicules (14) and the two near-end spicules (12) then.(two cover guide rails (11) of (7) and near-end spicule folder (10) place the below of two far-end spicules (14) and two near-end spicules (12) respectively will to be coated with far-end spicule folder, and place the shank both sides, again two far-end spicules (14) clamping is pressed from both sides on (7) at the far-end spicule, two near-end spicules (12) clamping is pressed from both sides on (10) at the near-end spicule, suitably adjust the distance of two guide rails (11) during clamping, then segmental support (6) is installed in the appropriate location of two guide rails (11), at the far-end of guide rail (11) with calcaneus spicule regulator bracket (4) clamping in the corresponding position of guide rail (11), calcaneus spicule actuator (3) one ends are installed on the calcaneus spicule (15), the other end is connected on the calcaneus spicule regulator bracket (4), the solid nut (8) of the accent of standby after date turn near-end spicule folder (10) both sides make near-end spicule folder (10) with every day one millimeter speed to the direction motion of leaving far-end spicule folder (7), and then drive the proximal tibia section and shank prolonged away from the distal tibia section.Take out each spicule until making the shank prolongation reach ideal length recovery from illness back dismounting this utility model.
When (six) patient who is used for fracture of tibia makes external fixation:
As shown in figure 22, at first wear two far-end spicules (14) and the proximal tibia section is worn two near-end spicules (12) in the distal tibia section, (two cover guide rails (11) of (7) and near-end spicule folder (10) place the below of far-end spicule (14) and near-end spicule (12) respectively will to be coated with far-end spicule folder then, and place the shank both sides, again far-end spicule (14) clamping is pressed from both sides on (7) at the far-end spicule, near-end spicule (12) clamping is pressed from both sides on (10) at the near-end spicule, suitably adjust the distance of two guide rails (11) during clamping, then segmental support (6) is installed in the appropriate location of two guide rails (11), fixes after the solid nut (8) of accent at adjusting near-end spicule folder (10) two ends makes the gap suitable.Treat that fracture recovery from illness back dismounting this utility model takes out each spicule.

Claims (7)

1. Wicresoft's intersection point, the corrigent bone external fixation device of strephenopodia, by the curved frame of anti-toe, hide bone spicule actuator, calcaneus spicule actuator, calcaneus spicule regulator bracket, hide bone spicule regulator bracket, segmental support, far-end spicule folder, transfer solid nut, move the spicule folder, near-end spicule folder, guide rail, the far-end spicule, move spicule, the near-end spicule, the calcaneus spicule, hiding the bone spicule forms, it is characterized in that: guide rail is the rod member of a full thread, the curved frame of anti-toe links to each other with screening bone spicule regulator bracket, hide bone spicule regulator bracket clamping at the guide rail far-end, hiding bone spicule actuator also is connected on the screening bone spicule regulator bracket with screw, hiding the bone spicule is installed on the screening bone spicule actuator, the calcaneus spicule actuator that is installing the calcaneus spicule is connected on the calcaneus spicule regulator bracket, calcaneus spicule regulator bracket clamping is at the guide rail far-end, far-end spicule folder, move the spicule folder, near-end spicule folder is installed on the guide rail relevant position respectively, both sides are screwed with transfers solid nut, the far-end spicule, move spicule, the near-end spicule is worn respectively and is pressed in far-end spicule folder, move on spicule folder and the near-end spicule folder, the segmental support clamping is in the guide rail position.
2. Wicresoft according to claim 1 intersection point, the corrigent bone external fixation device of strephenopodia, it is characterized in that: the curved frame of anti-toe is made up of toe holder, pull bar, setting nut, backbone block, the toe holder is a plate that two ends are with holes, and backbone block simultaneously is processed with through hole, and the side is processed with screwed hole.
3. Wicresoft according to claim 1 intersection point, the corrigent bone external fixation device of strephenopodia, it is characterized in that: hiding bone spicule actuator is a bar piece molectron, by trip bolt, the ear piece, bearing pin, adjusting screw(rod), adjusting nut, guide block is formed, the ear piece is the rectangular block spare of band ears, the opposite of ear mouth is processed with screwed hole, a through hole is opened in the side, penetrate and hide the bone spicule, opening a diameter above is 2,5 millimeters through hole, bearing pin therefrom passes and passes the adjusting screw(rod) that inserts in the ear mouth, and riveted is the hinge combination, and adjusting screw(rod) is one one screw thread member that end is with holes, threaded shank portion penetrates in the guide block, in the middle of the both sides adjusting nut of screwing on, guide block a through hole is arranged, the side processes a screwed hole.
4. Wicresoft according to claim 1 intersection point, the corrigent bone external fixation device of strephenopodia, it is characterized in that: hide bone spicule regulator bracket and press holder to form by trip bolt, support holder, screw and support, it all is the rectangle plate that support holder and support are pressed holder, the two opposite position is processed a through hole, in the support holder, have two through hole, link to each other with curved frame of anti-toe and screening bone spicule actuator.
5. Wicresoft according to claim 1 intersection point, the corrigent bone external fixation device of strephenopodia, it is characterized in that: segmental support is made up of arc support body, fixture block, hold-down nut, hold-down screw, arc support body is made up of left side bow, the solid screw of accent, right bow, left side bow is made up of left shelf, rivet, sliding guide card, left side shelf rivets together with sliding guide card, sliding guide card inserts to use in the groove that bends on the right side transfers solid screw combination, and left the bow curves L shaped with right bow by channel-section steel formula section bar.
6. Wicresoft according to claim 1 intersection point, the corrigent bone external fixation device of strephenopodia, it is characterized in that: near-end spicule folder is made up of spicule folder lid, hold-down screw, spicule clamp, spicule folder lid and spicule clamp are the rectangle block, to with relative four and half grooves that have of one side, the combination back becomes four through holes, the side of spicule clamp processes a through hole, the spicule folder covers face processing two through hole, process two screwed holes in spicule clamp corresponding position, spicule folder lid and spicule clamp are combined with hold-down screw.
7. Wicresoft according to claim 1 intersection point, the corrigent bone external fixation device of strephenopodia, it is characterized in that: move spicule folder by hold-down screw, move spicule folder lid, move the spicule clamp and form, move spicule folder lid and move the spicule clamp and be the rectangle block, process the synthetic two through hole of two half slots relatively on the dough-making powder relatively, move the spicule folder and cover out a through hole, move spicule clamp corresponding position and process a screw thread, will move the spicule folder with hold-down screw and cover and move the spicule clamp and combine.
CN201020546584XU 2010-09-29 2010-09-29 External fixation apparatus for minimally-invasive correction of foot drop and strephenopodia Expired - Lifetime CN201822901U (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102429713A (en) * 2010-09-29 2012-05-02 汤福刚 Minimally invasive skeletal external fixation device for correcting foot accelerator drop and talipes varus
CN103099659A (en) * 2011-11-14 2013-05-15 杨爱龙 L-shaped outer fixing frame
CN103637839A (en) * 2013-11-28 2014-03-19 张英泽 Rapid restorer for treating fracture of long tubular bones of limbs

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102429713A (en) * 2010-09-29 2012-05-02 汤福刚 Minimally invasive skeletal external fixation device for correcting foot accelerator drop and talipes varus
CN102429713B (en) * 2010-09-29 2013-12-04 汤福刚 Minimally invasive skeletal external fixation device for correcting foot accelerator drop and talipes varus
CN103099659A (en) * 2011-11-14 2013-05-15 杨爱龙 L-shaped outer fixing frame
CN103637839A (en) * 2013-11-28 2014-03-19 张英泽 Rapid restorer for treating fracture of long tubular bones of limbs
CN103637839B (en) * 2013-11-28 2015-04-01 张英泽 Rapid restorer for treating fracture of long tubular bones of limbs

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