CN207118913U - A kind of shoulder sleeve prosthesis device and hollow stop drill - Google Patents

A kind of shoulder sleeve prosthesis device and hollow stop drill Download PDF

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Publication number
CN207118913U
CN207118913U CN201720119766.0U CN201720119766U CN207118913U CN 207118913 U CN207118913 U CN 207118913U CN 201720119766 U CN201720119766 U CN 201720119766U CN 207118913 U CN207118913 U CN 207118913U
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sleeve
sighting bar
hole
shoulder
diameter
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CN201720119766.0U
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吴宇峰
高大伟
陈亮
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Zhongshan Hospital Of Traditional Chinese Medicine (zhongshan Hospital Of Traditional Chinese Medicine Affiliated To Guangzhou University Of Chinese Medicine)
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Zhongshan Hospital Of Traditional Chinese Medicine (zhongshan Hospital Of Traditional Chinese Medicine Affiliated To Guangzhou University Of Chinese Medicine)
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Abstract

A kind of shoulder sleeve prosthesis device and hollow stop drill, shoulder sleeve prosthesis device, which includes, aims at arm, Wrapping implement, sleeve, sighting bar and locking buckle;Hollow stop drill includes the drilling rod for being provided with axial drilling.When being operated, PDS lines are first reserved on arm is aimed at, then positioned using Wrapping implement and sighting bar, then spudded in bone road with hollow stop drill, PDS lines are penetrated again to Wrapping implement, finally taken out of using the PDS lines in reserved PDS Xian Jianggu roads out of groove that aim at arm, recycle this root PDS lines to take the suture for suturing shoulder sleeve out of, across bone road row " mouth " formula can complete shoulder sleeve prosthesis operation after knotting.The structure of the device and drill bit is extremely simple, suture taking-up is simple and efficient, and operating method is completed under Arthroscopy, not only convenient but also reduction operating difficulty and learning cost, material cost, mitigate patient and social security financial burden, and such operation can be enable greatly to be promoted.

Description

A kind of shoulder sleeve prosthesis device and hollow stop drill
Technical field
Rotator cuff tear surgical medical apparatus is the utility model is related to, is used more particularly to one kind using Minimally Invasive Surgery through bone Tunnel approach carries out the operation device that shoulder sleeve is repaired, and the hollow stop drill for the device.
Background technology
Shoulder sleeve is called rotation sleeve, is to surround one group of tendon complex around the head of humerus.Rotator cuff tear is by the journey damaged Degree can be divided into partially and fully two kinds of tears, and mostly indirect violence causes.Rotator cuff tear is to cause shoulder arthralgia, shoulder joint work( The patient of the main reason for weakening, especially shoulder sleeve holostrome tear, if row shoulder sleeve repairing operation not in time, it tears area will It can be stepped up, tendon retraction and muscle irreversibility atrophy may finally be caused.
In terms of current rotator cuff tear treatment, arthroscope is widely used as treatment supplementary means.Arthroscope is a kind of The diameter 5mm of intra articular structure or so bar-shaped optical instrument is observed, is the endoscope for doctor's diagnosis and treatment joint diseases.Close Saving the technical operation under mirror will be beneficial to promote shoulder sleeve tendon and the healing in bone face.First have to the particular type of clear and definite rotator cuff tear (Crescent shape, L-shaped, U-shaped or compound), then captured with holding forceps and pull rotator cuff tear edge, it is residual to detect assessment shoulder sleeve The quality and mobility at end.If crescent tear, bone bed is directly sutured in holdfast and is relatively easy to;Torn if L-shaped, that Stop is fixed in the firm suture of the horizontal segment holdfast of tear, then longitudinal sections are sutured using edge-to-edge;If U-shaped or multiple Mould assembly is torn, and degree of these tears are generally larger, and, it is necessary to be transformed into tear through edge-to-edge's suture, area is small and edge tension Stop is fixed on again after low crescent tear.
The suture fixing means of rotator cuff tear mainly includes single suture, double suture, suture bridge under common arthroscope Technology.Wherein, double suture can increase the contact area of tendon and bone bed than single suture, but its clinical efficacy have no it is aobvious Write sex differernce;And the anatomical structure and biomechanical strength of shoulder sleeve can then be recovered to greatest extent by suturing bridge technology, effectively carry High postoperative curative effect.But either which kind of method, the repair materials price involved by it is all prohibitively expensive, and operation technique difficulty Greatly, it is higher to the individual skill level requirement of surgical doctor;Meanwhile the technology growth cycle of arthroscopic shoulder surgery doctor is longer, It will appreciate that the doctor of such operation focuses mostly on large-scale and have the medical institutions of special Sport Medicine, cause such hand Art popularity is low, the totally unfavorable development in medical treatment.
Utility model content
The utility model aims to provide the convenient shoulder sleeve prosthesis device of a kind of simple in construction and operation and for this The hollow stop drill of device, to reduce the operation difficulty and learning cost, material cost of rotator cuff tear operation, make such operation Can greatly it be promoted.
Shoulder sleeve prosthesis device described in the utility model, include the aiming arm of U-shaped, aim at the U-shaped of arm wherein side Top is provided with the groove for being communicated to U-shaped bottom, and Wrapping implement is housed on the U-shaped top, cable-through hole is provided with Wrapping implement and with leading to The crossed beam trunking that groove is connected, the sleeve that tubular is housed on the U-shaped top of arm opposite side being aimed at, sleeve is provided with endoporus along axis, and The axis of the axis of endoporus and Wrapping implement cable-through hole overlaps;Separately there is the columned sighting bar that can be penetrated in hub internal bore, Sighting bar is provided with threading hole along axis, and compartment of terrain is provided with several cards to cave inward in the axial direction on the shaft of sighting bar Groove, towards the side of Wrapping implement with axially vertical in neck, the side of Wrapping implement is inclined plane backwards in neck;Aim on arm also Be hinged that locking buckle is housed, the one end for locking buckle is stuck in the neck of sighting bar.
Hollow stop drill described in the utility model for shoulder sleeve prosthesis device, including cylindric drilling rod, are bored Namely for the sophisticated of cutting and the card-tight part being engaged with electric drill, the length of drilling rod is more than the length of sighting bar at the both ends of bar Degree, and can also cross the threading hole of sighting bar and the cable-through hole of Wrapping implement, be provided with the axial direction on drilling rod connection tip and The drilling of card-tight part.
Shoulder sleeve prosthesis device described in the utility model and hollow stop drill, first reserved in aiming arm groove PDS lines or general surgery suture, and the end of PDS lines is curvedly embedded in the crossed beam trunking of Wrapping implement, then by band The center of circle alignment shoulder sleeve avulsion part footmark area of line device cable-through hole;Then, before by sighting bar insertion sleeve, the shoulder on human body Open an otch at the flat major tubercle in outside below horizontal level, or in sighting bar and the direct notch of skin touching position, The end in sighting bar insertion sleeve, then making sighting bar is pushed against into greater tubercles of humerus lower edge cortex of bone again, and utilizes locking card Sighting bar is locked in current location by button;Then, the threading hole that the tip of hollow stop drill is aimed to bar penetrates, and clamping Portion is connected with electric drill, restarts electric drill, is no more than in greater tubercles of humerus lower edge in the range of 5CM, is drilled out and be communicated at Wrapping implement Bone road, until the tip of hollow stop drill passes through the cable-through hole of Wrapping implement, then remove electric drill;And then, from hollow stop drill Core drilling penetrate PDS lines, until PDS lines pass the cable-through hole of Wrapping implement;Subsequently, hollow stop drill was exited into line Kong Hou, pull and reserve the leading to from aiming arm in the PDS lines in PDS lines or operation suture thread in aiming arm groove, Bing Jianggu roads Taken out of in groove;The above-mentioned step in addition to electric drill is drilled is repeated in, to penetrate another PDS line;Finally, shoulder sleeve stitching unstrument is utilized After tucking inside the sleeve the conventional suture of row through shoulder, suture is taken out of using the PDS lines in bone road, across bone road row " mouth " word knots.
Shoulder sleeve prosthesis device described in the utility model and hollow stop drill, its is simple in construction and makes easily; Because PDS lines etc. are respectively provided with certain thickness with line, and the internal diameter for aiming at arm groove is smaller, by groove to the spacing of PDS lines And guide effect, it can to reserve and easily go out the PDS tapes in bone road in the PDS lines in groove, without two The structure of any relative limit is set between root PDS lines, and this make it that operation is extremely simple and efficient;Said process is in Arthroscopy Lower completion, operation difficulty and learning cost not only convenient but also that can greatly reduce rotator cuff tear operation under arthroscope, drops simultaneously Low material cost, mitigate patient and social security financial burden, and such operation can be enable greatly to be promoted.
Brief description of the drawings
Fig. 1 is the structural representation of shoulder sleeve prosthesis device.
Fig. 2 is the planar structure schematic diagram of the sleeve prosthesis device of shoulder shown in Fig. 1.
Fig. 3 is the partial sectional view of the sleeve prosthesis device of shoulder shown in Fig. 2.
Fig. 4 is the structural representation of the Wrapping implement of the sleeve prosthesis device of shoulder shown in Fig. 1.
Fig. 5,6 be Wrapping implement shown in Fig. 4 threading work view.
Fig. 7 is the structural representation of the sleeve of the sleeve prosthesis device of shoulder shown in Fig. 1.
Fig. 8,9 be shoulder shown in Fig. 1 sleeve prosthesis device sighting bar structural representation.
Figure 10 is the partial enlarged drawing of sighting bar shown in Fig. 9.
Figure 11 is the left view of sighting bar shown in Fig. 9.
Figure 12 is the structural representation for the hollow stop drill of shoulder sleeve prosthesis device.
Figure 13 is the sophisticated structural representation of hollow stop drill shown in Figure 12.
Figure 14 is the cross section structure diagram of hollow stop drill shown in Figure 12.
Figure 15,16 be sighting bar insertion diverse location structural representation.
Figure 17,18 be the insertion of hollow stop drill diverse location structural representation.
The structural representation of diverse location when Figure 19,20 are sighting bar taking-ups.
Embodiment
A kind of shoulder sleeve prosthesis device, include the aiming arm 1 of U-shaped, the U-shaped top for aiming at arm wherein side is provided with connection To the groove 11 of U-shaped bottom, and Wrapping implement 2 is housed on the U-shaped top, is provided with cable-through hole 21 on Wrapping implement and is connected with groove Crossed beam trunking 22, aim at the sleeve 3 that tubular is housed on the U-shaped top of arm opposite side, sleeve is provided with endoporus 31, and endoporus along axis The axis of axis and Wrapping implement cable-through hole overlap;Separately there is the columned sighting bar 4 that can be penetrated in hub internal bore, aim at Bar is provided with threading hole 41 along axis, and compartment of terrain is provided with several necks to cave inward in the axial direction on the shaft of sighting bar 42, towards the side of Wrapping implement with axially vertical in neck, the side of Wrapping implement is inclined plane backwards in neck;Aim on arm also Be hinged that locking buckle 5 is housed, the one end for locking buckle is stuck in the neck of sighting bar.As Figure 1-3.
Described shoulder sleeve prosthesis device, it is arc to aim at U-shaped side of the arm 1 provided with groove 11, and opposite side is straight Bar.The side of arc is relatively easy to stretch into human body, and straight-bar is located at outside human body, then easily facilitates operation.
As shown in figure 4, Wrapping implement 2 includes two disks 23 being oppositely arranged, the top of disk, which is connected to, aims at the logical of arm 1 Groove exit, the middle part of two disks is relative to be provided with cable-through hole 21, and the middle part of disk and the side wall of bottom are intilted oblique Face, and the diameter of disk medial surface is less than the size for aiming at the entrance of arm groove 11;The thickness on disk top is less than the middle part of disk And bottom, the middle part and bottom of disk medial surface are provided with the arc concave station 24 to lower recess, and the two of arc concave station around cable-through hole Individual arcuate end is communicated to the medial surface on disk top;Crossed beam trunking 22 is the gap between bottom in the middle part of two disks;Arc is recessed Platform 24 is intilted inclined-plane close to the interior sidewall surface of cable-through hole 21, and the gap length of crossed beam trunking 22 is less than the diameter of PDS lines. When to the groove pre-buried PDS lines for aiming at arm, as shown in Fig. 5 arrows A, first by the both ends of PDS lines 100 from two disk lower sides The groove for aiming at arm is penetrated between face, until the both ends of PDS lines pass from another opening of groove so that the stage casing set of PDS lines Between the side wall of two disks, now, it is positioned at because of the gap that the diameter of PDS lines is more than two disks at this;Then, pull Pre-buried PDS lines simultaneously make it that extruding occur with two disks and are pressed into arc concave station, and it is same because the size relationship of diameter and It is positioned in the arc concave station, as shown in Figure 6;After PDS lines in Dai Gu roads penetrate, pull pre-buried PDS lines and make its press-in Cable-through hole, pull on pre-buried PDS lines so that the PDS lines in the PDS Xian Jianggu roads pull off, and the spacing work for passing through groove With and make to be relatively fixed between two PDS lines, until the PDS lines in pre-buried PDS Xian Jianggu roads pull out out of groove completely, you can suitable PDS tapes in Li Dijianggu roads go out.The operating process can either improve place PDS lines fastness, be easy to again its positioning and Take out, drastically increase the simplicity of operation.
As shown in fig. 7, the bottom of sleeve 3 is provided with the sleeve groove 32 of connection both ends and endoporus 31, the width of sleeve groove is less than The diameter of the shaft of sighting bar 4.The drilling rod used with the matched with devices, in one end of drilling rod shaft diameter can be set to be more than The end of hub internal bore, goes out to prevent anti-avulsion, and now, drilling rod first must take out from the endoporus of sighting bar;And if one end of drilling rod is not The diameter of end or end is set to be less than sighting bar diameter of bore, then sleeve can be taken out in advance in operation, and drilling rod is then Directly it can be taken away from sleeve groove, without reversely being taken out along endoporus.The setting of the structure can make device be adapted to different hands Art situation, its adaptability is improved, be very easy to the progress of operation.
As illustrated in figs. 8-11, sighting bar 4 is to intercept the round table-like of gained through inclined plane close to one end of Wrapping implement 2, and should Inclined plane points to the middle part of opposite side round platform bus by the junction of round platform bus and the inwall of threading hole 41;Sighting bar 4 is backwards One end of Wrapping implement 2 is equipped with handle 43, is provided with the through hole of connection sighting bar threading hole 41 on handle, and the external diameter of handle is more than and worn The diameter of string holes;The round platform top of sighting bar 4 is arranged at the same side aimed on club body with neck 42.The end of sighting bar leads to The round table-like of inclined-plane interception gained is crossed, forms prong structure, and threading hole is pointed on the top of the tip so that the energy in threading It is enough that guide effect is produced to suture, so as to improve the convenience of positioning precision and operation.
A kind of hollow stop drill for shoulder sleeve prosthesis device, including cylindric drilling rod 6, the both ends difference of drilling rod It is the tip 7 for cutting and the card-tight part 8 that is engaged with electric drill, the length of drilling rod is more than the length of sighting bar 4, and can be simultaneously Through the threading hole 41 of sighting bar and the cable-through hole 21 of Wrapping implement 2, connection tip and card-tight part are provided with drilling rod in the axial direction Drilling 9;The diameter of card-tight part 8 is more than the diameter of the threading hole 41 of sighting bar 4.As shown in Figure 12,13.
The described hollow stop drill for being used for shoulder sleeve prosthesis device, tip 7 includes two symmetrically arranged V-shaped Breach 71, the top of the adjacent side of two breach overlap with a certain diameter of drilling rod end face, the top difference position of two breach phase dorsal parts In on two end points of another diameter, and above-mentioned two diameter is mutually perpendicular to.As shown in Figure 11,12, it is between two V-shaped breach Inverted v-shaped is raised, and the outside of V-shaped breach is then the side vertically inclined V-arrangement projection in side, and its inclined side forms Inclined U-shaped cutting edge so that drill bit has higher sharpness, the drilling operation being also more suitable on bone.
A kind of operating method of tucked inside the sleeve using shoulder prosthesis device and hollow stop drill, is comprised the following steps:
A, reserved PDS lines or general surgery suture in arm groove are being aimed at, and the end of PDS lines is curvedly pre-buried In the crossed beam trunking of Wrapping implement, then by the center of circle alignment shoulder sleeve avulsion part footmark area of Wrapping implement cable-through hole;
B, one will be opened below horizontal level before sighting bar insertion sleeve, at the flat major tubercle on human body on the outside of shoulder to cut Mouthful, or in sighting bar and the direct notch of skin touching position, then by sighting bar insertion sleeve, then make the end of sighting bar Portion pushes against greater tubercles of humerus lower edge cortex of bone, and sighting bar is locked in into current location using buckle is locked;
The threading hole that the tip of hollow stop drill is aimed to bar penetrates C,;
D, the card-tight part of hollow stop drill is connected with electric drill, then starts electric drill, connection is drilled out in human body bone To Wrapping implement Chu Gu roads, until the tip of hollow stop drill passes through the cable-through hole certain distance of Wrapping implement, then electric drill is removed;
E, PDS lines are penetrated from the drilling of hollow stop drill, until PDS lines pass the cable-through hole of Wrapping implement;
F, after hollow stop drill being exited into cable-through hole, pull and reserve in PDS lines or operation stitching in aiming arm groove Line, the PDS lines in Bing Jianggu roads are taken out of out of groove that aim at arm;
G, above-mentioned steps A, B, C, E, F are repeated in, penetrates another PDS line;
H, after two PDS lines in human body are sutured through shoulder sleeve row routine using shoulder sleeve stitching unstrument, using in bone road PDS tapes go out, and across bone road row " mouth " word knots.
As shown in Figure 15,16, sighting bar is positioned along sleeve insertion;As shown in Figure 17,18, by hollow stop drill The bone road that spuds in is inserted along sighting bar;After the completion of until, as shown in Figure 19,20, taken out after sighting bar is rotated to an angle.
Described operating method, it is first that the both ends of PDS lines are round table-like from two when to the groove pre-buried PDS lines for aiming at arm Groove is penetrated between the outer side edges of disk, until the both ends of PDS lines are passed from another opening of groove and the stage casing of PDS lines is placed on Between the outer side edges of two disks, then, pull pre-buried PDS lines and make it that extruding occur with two disks and be pressed into arc concave station It is interior, and be equally positioned at because of the size relationship of diameter in the arc concave station, after the PDS lines in Dai Gu roads penetrate, pull pre- The PDS lines that bury simultaneously make its be pressed into cable-through hole, pull on pre-buried PDS lines so that and the PDS lines in the PDS Xian Jianggu roads pull off, And make to be relatively fixed between two PDS lines by the position-limiting action of groove, until the PDS lines in pre-buried PDS Xian Jianggu roads are complete Pulled out out of groove, you can successfully go out the PDS tapes in bone road.The operating process can either improve the jail for placing PDS lines Solidity, it is easy to it to position and take out again, drastically increases the simplicity of operation.Before by sighting bar insertion sleeve, in people An otch is opened on body at the anterolateral horizontal direction of acromion;Specially apart from the anterolateral horizontal direction of acromion Within 6.32cm, length about 0.5cm otch is opened.The position of otch is set to the anterolateral horizontal direction 6.32cm of acromion Within, axillary nerve can be avoided damage to;And the length of otch is extremely tiny, operation is used minimally invasive completion, larger drop Low operating difficulty, also allows for the recovery of patient.After step G or step H, sighting bar and hollow stop drill are taken out, And when taking out sighting bar, sighting bar is circumferentially rotated, until the neck of sighting bar is mutually disengaged with locking the end of buckle, Then sighting bar is taken out along sleeve again.Because the neck of locking buckle and sighting bar is mutually clamped, and because of the shape facility of neck, make Obtaining sighting bar may only move along the direction for pointing to Wrapping implement, and this is in order that it is more accurately positioned, until needing When taking out sighting bar, it need to only be rotated and neck thereon is departed from locking buckle, you can be easily removed sighting bar.Separately Outside, PDS lines can use PDS lines absorbed by the body, and aforesaid operations process is completed under Arthroscopy.

Claims (10)

  1. The prosthesis device 1. a kind of shoulder is tucked inside the sleeve, it is characterised in that:Aiming arm including U-shaped(1), the U-shaped of aiming arm wherein side Top is provided with the groove for being communicated to U-shaped bottom(11), and Wrapping implement is housed on the U-shaped top(2), cable-through hole is provided with Wrapping implement (21)The crossed beam trunking being connected with groove(22), aim at the sleeve that tubular is housed on the U-shaped top of arm opposite side(3), sleeve Endoporus is provided with along axis(31), and the axis of the axis of endoporus and Wrapping implement cable-through hole overlaps;Separately have and can penetrate in sleeve Columned sighting bar in hole(4), sighting bar is provided with threading hole along axis(41), on the shaft of sighting bar in the axial direction between Several necks to cave inward are provided with every ground(42), towards the side of Wrapping implement with axially vertical in neck, in neck backwards The side of Wrapping implement is inclined plane;Aim at also be hinged equipped with locking buckle on arm(5), the one end for locking buckle is stuck in sighting bar In neck.
  2. The prosthesis device 2. shoulder according to claim 1 is tucked inside the sleeve, it is characterised in that:Wrapping implement(2)Set relatively including two The disk put(23), the top of disk is connected to aiming arm(1)Groove exit, the middle parts of two disks is relative to be provided with cable-through hole (21), the middle part of disk and the side wall of bottom are intilted inclined-plane, and the diameter of disk medial surface is less than aiming arm and led to Groove(11)The size of entrance;The thickness on disk top is less than the middle part and bottom of disk, the middle part and bottom of disk medial surface around Cable-through hole is provided with the arc concave station to lower recess(24), and two arcuate ends of arc concave station are communicated to the inner side on disk top Face;Crossed beam trunking(22)For the gap between in the middle part of two disks and bottom.
  3. The prosthesis device 3. shoulder according to claim 2 is tucked inside the sleeve, it is characterised in that:Arc concave station(24)Close to cable-through hole (21)Interior sidewall surface be intilted inclined-plane, crossed beam trunking(22)Gap length be less than PDS lines diameter.
  4. The prosthesis device 4. shoulder according to claim 1 is tucked inside the sleeve, it is characterised in that:Sleeve(3)Bottom be provided with connection two End and endoporus(31)Sleeve groove(32), the width of sleeve groove is less than sighting bar(4)The diameter of shaft.
  5. The prosthesis device 5. shoulder according to claim 1 is tucked inside the sleeve, it is characterised in that:Sighting bar(4)Close to Wrapping implement(2)'s One end is to intercept the round table-like of gained through inclined plane, and the inclined plane passes through round platform bus and threading hole(41)The junction of inwall Point to the middle part of opposite side round platform bus.
  6. The prosthesis device 6. shoulder according to claim 5 is tucked inside the sleeve, it is characterised in that:Sighting bar(4)Backwards to Wrapping implement(2)'s One end is equipped with handle(43), connection sighting bar threading hole is provided with handle(41)Through hole, and the external diameter of handle is more than threading hole Diameter.
  7. 7. the shoulder sleeve prosthesis device according to claim 5 or 6, it is characterised in that:Sighting bar(4)Round platform top with Neck(42)It is arranged at the same side aimed on club body.
  8. A kind of 8. hollow spacing brill that shoulder sleeve prosthesis device with as described in claim 1-7 any one is used cooperatively Head, it is characterised in that:Including cylindric drilling rod(6), the tip of the both ends of drilling rod namely for cutting(7)Match with electric drill The card-tight part of conjunction(8), the length of drilling rod is more than sighting bar(4)Length, and can be also cross the threading hole of sighting bar(41)With Wrapping implement(2)Cable-through hole(21), the drilling of connection tip and card-tight part is provided with drilling rod in the axial direction(9).
  9. 9. hollow stop drill according to claim 8, it is characterised in that:Card-tight part(8)Diameter be more than sighting bar(4) Threading hole(41)Diameter.
  10. 10. hollow stop drill according to claim 8, it is characterised in that:Tip(7)Including two symmetrically arranged V Font breach(71), the top of the adjacent side of two breach overlaps with a certain diameter of drilling rod end face, the top of two breach phase dorsal parts Respectively on two end points of another diameter, and above-mentioned two diameter is mutually perpendicular to.
CN201720119766.0U 2017-02-09 2017-02-09 A kind of shoulder sleeve prosthesis device and hollow stop drill Active CN207118913U (en)

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Application Number Priority Date Filing Date Title
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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107041768A (en) * 2017-02-09 2017-08-15 中山市中医院(广州中医药大学附属中山中医院) A kind of shoulder sleeve prosthesis device and hollow stop drill and operating method

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107041768A (en) * 2017-02-09 2017-08-15 中山市中医院(广州中医药大学附属中山中医院) A kind of shoulder sleeve prosthesis device and hollow stop drill and operating method

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