CN208926473U - Dynamic pressing suture anchor - Google Patents

Dynamic pressing suture anchor Download PDF

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Publication number
CN208926473U
CN208926473U CN201820502259.XU CN201820502259U CN208926473U CN 208926473 U CN208926473 U CN 208926473U CN 201820502259 U CN201820502259 U CN 201820502259U CN 208926473 U CN208926473 U CN 208926473U
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CN
China
Prior art keywords
holdfast
main body
dynamic
height
dynamic pressurization
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Expired - Fee Related
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CN201820502259.XU
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Chinese (zh)
Inventor
柴益民
陈道运
何耀华
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Shanghai Sixth Peoples Hospital
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Shanghai Sixth Peoples Hospital
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Priority to CN201820502259.XU priority Critical patent/CN208926473U/en
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Abstract

The utility model discloses a kind of dynamic pressing suture anchors, including two parts of holdfast main body and dynamic pressurization bolt.Holdfast main part includes holdfast head, body portion, tail portion, dynamic pressurization slot and threaded portion;Dynamic pressurization bolt, including dynamic pressurization bolt main body and suture fixation hole.The dynamic pressurization holdfast of the utility model is when tendon suture is fixed by dynamic pressurization bolt by distally proximally sliding, make holdfast main body to Lateral Compaction, strengthen fixing intensity of the holdfast in bone, and in joint motion, holdfast is converted to the compression of bone tissue by the tensile stress of tendon, can effectively prevent occurring the adverse events such as loosening, transfer to when holdfast is fixed.The dynamic pressurization holdfast of the utility model is suitble to the bone tissue of all tendon injuries to suture fixation, and the tendon suture for being particularly suitable for sufferers of osteoporosis face is fixed.

Description

Dynamic pressing suture anchor
Technical field
The utility model belongs to orthopedic medical device technical field, and in particular to a kind of minimally invasive suture of tendon injury reparation Holdfast, the tendon repair for being particularly suitable for bone amount reduction or sufferers of osteoporosis face are fixed.
Background technique
Periarticular tendon, ligament injury are common sick and wounded of orthopaedics, clinically commonly use suture anchor for the tendon of damage Stump is fixed to bone tissue, to restore the normal configuration and function of joint of tendon, reaches finally fixed mesh by tendon-bone healing 's.
The process of tendon-bone healing needs tendon to have certain contact area with the rough surface of epiphysis and has firm contact surely It is qualitative.Therefore, fixing intensity of the holdfast in bone is the key that successful surgery and basis.
The existing suture anchor majority of existing market is the main body in holdfast equipped with helicitic texture, passes through one diameter of preboring It is slightly less than the channel of holdfast diameter, then is screwed into or directly squeezes into bone by rotation, achievees the purpose that fixed.However holdfast is mostly Diameter 3.5mm micro arc bone anchor below, the pressure stability generated by screw thread and bone tissue are limited.After clinically holdfast is fixed There is the phenomenon that holdfast loosens, transfers to, lead to solid failure, operative failure to often occur, is especially reduced in bone amount or sclerotin is dredged The case of pine, and be easier to occur in joint parts such as big, the tendon strong shoulder elbows of range of motion.
Utility model content
For there is no reliable, stable technology to prevent suture anchor from loosening, transfering in bone at present, cause solid failure. The main purpose of the utility model is: a kind of dynamic pressing suture anchor of completely new fixed form is provided, in fixed just steps Section when tightening suture, reaches incipient stability of the holdfast in bone by the sliding pressurization of dynamic pressurization bolt.In joint motion, The tensile stress that tendon, ligament are shunk is converted into holdfast main body to the extrusion stress of surrounding bone, further enhances holdfast in bone Interior stability promotes tendon-bone healing.
To achieve the above object, the utility model the following technical schemes are provided:
A kind of dynamic pressing suture anchor, including holdfast main body and holdfast dynamic pressurization bolt two parts, the holdfast master Body is structure as a whole, including holdfast head, holdfast body portion, holdfast tail portion, holdfast dynamic pressurization slot and threaded portion;The holdfast body Between holdfast head and holdfast tail portion, the bottom edge on the holdfast head is rounded structure in portion, and the holdfast tail portion is polygon Body structure offers the holdfast power for stretching to holdfast head from the center of holdfast tail portion upper surface along the radial direction of holdfast main body The area of pressurized tank, the holdfast dynamic pressurization slot cross section is gradually increased from holdfast tail portion to holdfast head;
The holdfast dynamic pressurization bolt is structure as a whole, and the holdfast dynamic pressurization bolt includes dynamic pressurization bolt main body and seam Line fixation hole, the structure of the holdfast dynamic pressurization bolt and the structure of the holdfast dynamic pressurization slot match, and the holdfast is dynamic The height of power pressurization bolt, which is less than the height of holdfast dynamic pressurization slot and is contained in holdfast dynamic pressurization slot, to be slided, the seam Line fixation hole is the circular through hole for being positioned close to the dynamic pressurization bolt main body one end on holdfast head, with the suture fixation hole phase Pair the outer surface of holdfast main body radially offer a pair of notch being connected with holdfast dynamic pressurization slot, a pair notch Form it is consistent with the form of the dynamic pressurization bolt and expose the suture fixation hole, a pair of notch and the seam Line fixation hole, which is connected to, to be formed suture and penetrates channel;The threaded portion is symmetricly set on the plane to be connected to a pair of notches as the plane of symmetry The holdfast main body lateral surface on.
Further, the height on the holdfast head accounts for the 1/5-1/3 of holdfast body height, the holdfast head it is cross-section The major diameter in face is less than the cross section major diameter of the holdfast main body comprising threaded portion;The height in holdfast body portion accounts for holdfast body height 1/3-3/5;The height of the holdfast tail portion accounts for the 1/5-1/3 of holdfast body height, the holdfast tail portion be the side 4-6 body etc. Side gengon structure.
Preferably, the height on the holdfast head accounts for the 1/4 of holdfast body height, and the height in holdfast body portion accounts for holdfast The 1/2 of body height, the height of the holdfast tail portion account for the 1/4 of holdfast body height, and the holdfast tail portion is to wait 6 Bian Tijie Structure.
A kind of technical solution: rectangle dynamic pressing suture anchor
The holdfast main body and holdfast body portion are rectangular configuration, and the holdfast dynamic pressurization slot is from holdfast tail portion to anchor The trapezium structure that nail head cross sectional area is gradually increased, trapezoidal holdfast dynamic pressurization slot open up at holdfast tail portion upper surface center Slot be rectangular configuration;The holdfast dynamic pressurization bolt is the trapezium structure to match with trapezoidal holdfast dynamic pressurization slot, one It is the trapezium structure consistent with the form of trapezoidal holdfast dynamic pressurization bolt to notch, the single screw thread of the threaded portion is triangle Body structure simultaneously extends along rectangle holdfast body portion outward.
Further, the height of the rectangle holdfast main body is greater than the maximum major diameter in rectangle holdfast main body cross section, described The height of rectangle holdfast main body is 8-12mm, and the cross section maximum major diameter of the rectangle holdfast main body is 1.8-3.5mm;The square The major diameter in the cross section of shape holdfast main body is greater than the minor axis in cross section, and the minor axis length in the cross section of the rectangle holdfast main body is 1.2-2.5mm。
Preferably, the height of the rectangle holdfast main body is 10mm, the cross section maximum major diameter of the rectangle holdfast main body For 2.5mm, the minor axis length in the cross section of the rectangle holdfast main body is 2.0mm.
Another technical solution: cylindrical dynamic pressing suture anchor
The holdfast main body and holdfast body portion are cylindrical structure, the holdfast dynamic pressurization slot be from holdfast tail portion to The cylindrical structure that holdfast head cross sectional area is gradually increased, cylindrical holdfast dynamic pressurization slot is in the upper surface of holdfast tail portion The slot that the heart opens up is circular configuration;The holdfast dynamic pressurization bolt is the circle to match with cylindrical holdfast dynamic pressurization slot Column construction, a pair of notches are the cylindrical structure consistent with the form of cylindrical holdfast dynamic pressurization bolt, the threaded portion For the external thread structure to extend outside from cylindrical holdfast body portion.
Further, the diameter of the cylindrical holdfast main body is 1.8-3.5mm, the height of the cylinder holdfast main body For 8-12mm.
Preferably, the diameter of the cylindrical holdfast main body is 2.5mm, and the height of the cylinder holdfast main body is 10mm。
The utility model has the advantages that the utility model provides a kind of fixed form of completely new tendon suture holdfast, in tightening suture When, being pressurizeed by sliding enhances the contact stress of holdfast main body and bone tissue, can effectively prevent the loosening and slippage of holdfast.It is closing When section activity, by dynamic pressurization bolt and holdfast main body, the tensile stress that tendon is shunk is converted into holdfast to the pressure of bone tissue Stress further enhances stability of the holdfast in bone, is conducive to tendon-bone healing by dynamic pressurization.The utility model structure Simply, can effectively prevent the appearance in holdfast fixation procedure holdfast loosen and transfer to phenomenon, be particularly suitable for bone amount reduce or The tendon suture of sufferers of osteoporosis face is fixed, and clinical promotion and application are worth.
Detailed description of the invention
Fig. 1 is the axis side view of the utility model rectangle dynamic pressing suture anchor.
Fig. 2 is the main view of the utility model rectangle dynamic pressing suture anchor.
Fig. 3 is the top view of the utility model rectangle dynamic pressing suture anchor.
Fig. 4 is the axis side view of the utility model cylinder dynamic pressing suture anchor.
Fig. 5 is the main view of the utility model cylinder dynamic pressing suture anchor.
Fig. 6 is the top view of the utility model cylinder dynamic pressing suture anchor.
In figure: 1, rectangle holdfast main body;11, rectangle holdfast tail portion;12, rectangle holdfast body portion;13, rectangle holdfast head; 14, rectangle holdfast threaded portion;15, rectangle dynamic pressurization slot;2, rectangle dynamic pressurization bolt;21, rectangle dynamic pressurization bolt main body; 22, rectangle dynamic pressurization bolt suture fixation hole;3, cylindrical holdfast main body;31, cylindrical holdfast head;32, cylindrical holdfast Body portion;33, cylindrical holdfast tail portion;34, cylindrical dynamic pressurization slot;35, cylindrical holdfast threaded portion;4, cylindrical power adds Press bolt;41, cylindrical dynamic pressurization bolt main body;42 cylindrical dynamic pressurization bolt suture fixation holes.
Specific embodiment
Further describe the utility model combined with specific embodiments below, but examples are merely exemplary, it is not right The scope of the utility model constitutes any restrictions.It will be understood by those skilled in the art that without departing from the utility model Under spirit and scope can details to technical solutions of the utility model and form modify or replace, but these modifications and replace It changes and each falls in the protection scope of the utility model.
Material used in the rivet nut and dynamic pressurization bolt of the dynamic pressing suture anchor of the utility model can be medical gold Belong to material, can also be resorbable polymeric materials, such as PLA such as titanium and titanium-base alloy.According to dynamic pressurization fixation principle, originally Utility model provides the embodiment of the dynamic pressurization suture anchor of two kinds of forms.
1 rectangle dynamic pressing suture anchor of embodiment
As shown in Figure 1, rectangle dynamic pressing suture anchor includes 2 liang of rectangle holdfast main body 1 and rectangle dynamic pressurization bolt Part.The rectangle holdfast main body 1 is structure as a whole, and main view and top view are rectangular configuration.As shown in Fig. 2, rectangle anchor Body height a > rectangle holdfast main body cross section major diameter b is followed closely, rectangle holdfast body height is 8-12mm, preferably 10mm;Square The cross section major diameter of shape holdfast main body is 1.8-3.5mm, preferably 2.5mm.As shown in figure 3, rectangle holdfast main body in top view Cross section major diameter b > cross section minor axis c, minor axis the length 1.2-2.5mm, preferably 2.0mm in cross section.Cross section Rectangle form, on the one hand convenient for holdfast merging bone in, be on the one hand conducive to suture when suture can in bone it is free to slide without It is cut by bone tissue and generates fractureing for suture.
The rectangle holdfast main body 1 includes: rectangle holdfast head 13, rectangle holdfast body portion 12, rectangle holdfast tail portion 11, square Shape holdfast threaded portion 14 and rectangle dynamic pressurization slot 15.Shown in Fig. 1, rectangle holdfast head 13 is located at rectangle holdfast main body 1 Lower section, highly account for the 1/5-1/3 of 1 height of rectangle holdfast main body, preferably 1/4, the major diameter in cross section, which is less than, includes rectangle anchor The major diameter in the rectangle holdfast main body cross section including threaded portion 14 is followed closely, end rounded structure is conducive to the merging and fixation of holdfast. Rectangle holdfast body portion 12 is located at the middle part of rectangle holdfast main body 1, highly accounts for the 1/3-3/5 of 1 height of rectangle holdfast main body, preferably 1/2.Rectangle holdfast tail portion 11 is located at the top of rectangle holdfast main body 1, highly accounts for the 1/5-1/ of 1 height of rectangle holdfast main body 3, preferably 1/4, rectangle holdfast tail portion 11 is the equilateral side 4-6 body structure, and preferably 6 side bodies can be placed in external holdfast Handle is connected, and holdfast is facilitated to be placed in.Rectangle holdfast threaded portion 14 is multiple triangle body structures, from rectangle holdfast body portion 12 to side Fang Yanshen, distal end angle (angle d) are acute angle, are smoothly placed in convenient for holdfast.Proximal end angle (angle e), be greater than or equal to 90 °, triangle body to The distance that side extends is 0.2-0.5mm, preferably 0.4mm.The rectangle dynamic pressurization slot 15, first with rectangle holdfast tail portion Rectangular channel, width 0.5-1mm are opened centered on the central point of 11 upper surface, then are with 1 cross section central point of rectangle holdfast main body Dovetail groove is opened along 1 radial direction of rectangle holdfast main body in center, and the top area of dovetail groove is less than lower part area, this dovetail groove and rectangle The form of dynamic pressurization bolt 2 is consistent, and accommodates rectangle dynamic pressurization bolt 2.
The rectangle dynamic pressurization bolt 2 is an integral structure, including rectangle dynamic pressurization bolt main body 21 and rectangle power add Press bolt suture fixation hole 22.The rectangle dynamic pressurization bolt main body 21 is the trapezoidal knot that upper bottom edge area is less than bottom area Structure, form are consistent with rectangle dynamic pressurization 15 forms of slot.The rectangle dynamic pressurization bolt suture fixation hole 22 is arranged in rectangle The lower part of dynamic pressurization bolt main body 21 opens up a pair of and rectangle along the radial direction of rectangle holdfast main body 1 with the center of cross section major diameter The form of the notch that dynamic pressurization slot 15 is connected, a pair of notch is consistent with the form of the dynamic pressurization bolt and exposes The rectangle dynamic pressurization bolt suture fixation hole 22 out, a pair of notch and the rectangle dynamic pressurization bolt suture fixation hole 22 Connection forms suture and penetrates channel, for the entrance of the fixed suture of holdfast.
The cylindrical dynamic pressing suture anchor of embodiment 2
As shown in figure 4, cylindrical dynamic pressing suture anchor includes: that cylindrical holdfast main body 3 and cylindrical power add Press 4 two parts of bolt.
The cylinder holdfast main body 3 is an integral structure, including cylindrical holdfast head 31, cylindrical holdfast body portion 32, cylindrical holdfast tail portion 33, cylindrical dynamic pressurization slot 34, cylindrical holdfast threaded portion 35.The cylinder holdfast main body 3 Shaft diameter be 1.8-3.5mm, preferably 2.5mm, be highly 8-12mm, preferably 10mm.
As shown in figure 4, the cylinder holdfast head 31 is located at the lower section of cylindrical holdfast main body 3, cylindrical power is accounted for The 1/5-1/3 for suture anchor body height of pressurizeing, preferably 1/4.The cylinder holdfast body portion 32 is located at cylindrical holdfast head Between portion and tail portion, the 1/3-3/5 of cylindrical 3 height of holdfast main body is highly accounted for, preferably 1/2.The cylinder holdfast tail portion 33 are located at the top of cylindrical holdfast main body 3, highly account for the 1/3-1/5 of cylindrical 3 height of holdfast main body, and preferably 1/4, for etc. The gengon structure on side can be the side 4-6 body, preferably 6 side bodies.
The cylinder dynamic pressurization slot 34 is located at the center of cylindrical holdfast main body 3, from cylindrical holdfast tail portion The 33 cylindrical dynamic pressurization slots opened up to cylindrical holdfast head 31, the top area of cylindrical dynamic pressurization slot 34 are less than Lower part area.The form of cylindrical dynamic pressurization slot 34 is consistent with the form of the cylindrical dynamic pressurization bolt 4.
The cylinder holdfast threaded portion 35 is the external thread structure to extend outside from cylindrical holdfast body portion 32, outer spiral shell Line diameter is 1.8-3.5mm, and screw pitch is not done specifically limited.
The cylinder dynamic pressurization bolt 4 is an integral structure, including cylindrical dynamic pressurization bolt main body 41 and cylinder Dynamic pressurization bolt suture fixation hole 42.The cylinder dynamic pressurization bolt main body 41 is that upper bottom edge area is less than bottom area Cylindrical structure, consistent with cylindrical 34 form of dynamic pressurization slot, cylindrical dynamic pressurization bolt 4 is located at cylindrical dynamic pressurization slot In 34.The cylinder dynamic pressurization bolt suture fixation hole 42 is located at the lower part of cylindrical dynamic pressurization bolt 4, passes through from center The channel worn, for the channel of fixed suture, diameter 0.5-1mm, preferably 0.8mm.After holdfast is placed in bone, when tightening suture When, dynamic pressurization bolt is slided along dynamic pressurization slot to nail tail portion, and holdfast main body is pressurizeed to bone tissue, is increased holdfast and is fixed Incipient stability.When joint motion, tendon, ligament can be shunk the tensile stress generated and be converted into holdfast main body to bone tissue Compression, further enhance the kinetic stability of bone and tendon tissue, promote tendon-bone healing.

Claims (9)

1. a kind of dynamic pressing suture anchor, which is characterized in that including holdfast main body and holdfast dynamic pressurization bolt two parts, institute It states holdfast main body to be structure as a whole, including holdfast head, holdfast body portion, holdfast tail portion, holdfast dynamic pressurization slot and threaded portion;Institute Holdfast body region is stated between holdfast head and holdfast tail portion, the bottom edge on the holdfast head is rounded structure, the holdfast tail Portion is gengon structure, offers from the center of holdfast tail portion upper surface along the radial direction of holdfast main body and stretches to holdfast head The area of holdfast dynamic pressurization slot, the holdfast dynamic pressurization slot cross section is gradually increased from holdfast tail portion to holdfast head;
The holdfast dynamic pressurization bolt is structure as a whole, and the holdfast dynamic pressurization bolt includes that dynamic pressurization bolt main body and suture are solid Determine hole, the structure of the holdfast dynamic pressurization bolt and the structure of the holdfast dynamic pressurization slot match, and the holdfast power adds The height of pressure bolt, which is less than the height of holdfast dynamic pressurization slot and is contained in holdfast dynamic pressurization slot, to be slided, and the suture is solid Determining hole is the circular through hole for being positioned close to the dynamic pressurization bolt main body one end on holdfast head, opposite with the suture fixation hole The outer surface of holdfast main body radially offers a pair of notch being connected with holdfast dynamic pressurization slot, the shape of a pair of notch State is consistent with the form of the dynamic pressurization bolt and exposes the suture fixation hole, and a pair of notch and the suture are solid Determine hole and is connected to form suture and penetrate channel;The threaded portion is symmetricly set on the plane to be connected to a pair of notches as the institute of the plane of symmetry On the lateral surface for stating holdfast main body.
2. a kind of dynamic pressing suture anchor according to claim 1, which is characterized in that the height on the holdfast head The 1/5-1/3 of holdfast body height is accounted for, the major diameter in the cross section on the holdfast head is less than the holdfast main body comprising threaded portion Cross section major diameter;The height in holdfast body portion accounts for the 1/3-3/5 of holdfast body height;The height of the holdfast tail portion accounts for holdfast The 1/5-1/3 of body height, the holdfast tail portion are the equilateral gengon structure of the side 4-6 body.
3. a kind of dynamic pressing suture anchor according to claim 2, which is characterized in that the height on the holdfast head The 1/4 of holdfast body height is accounted for, the height in holdfast body portion accounts for the 1/2 of holdfast body height, the height of the holdfast tail portion The 1/4 of holdfast body height is accounted for, the holdfast tail portion is to wait 6 side body structures.
4. a kind of dynamic pressing suture anchor according to claim 1,2 or 3, which is characterized in that the holdfast main body Be rectangular configuration with holdfast body portion, the holdfast dynamic pressurization slot be from holdfast tail portion to holdfast head cross sectional area gradually The trapezium structure of increase, trapezoidal holdfast dynamic pressurization slot are rectangular configuration in the slot that holdfast tail portion upper surface center opens up;Institute Stating holdfast dynamic pressurization bolt is the trapezium structure to match with trapezoidal holdfast dynamic pressurization slot, and a pair of notches is dynamic with trapezoidal holdfast The consistent trapezium structure of the form of power pressurization bolt, the single screw thread of the threaded portion is for triangle body structure and along rectangle holdfast body Portion extends outward.
5. a kind of dynamic pressing suture anchor according to claim 1,2 or 3, which is characterized in that the holdfast main body Be cylindrical structure with holdfast body portion, the holdfast dynamic pressurization slot be from holdfast tail portion to holdfast head cross sectional area by Cumulative big cylindrical structure, cylindrical holdfast dynamic pressurization slot are round in the slot that holdfast tail portion upper surface center opens up Structure;The holdfast dynamic pressurization bolt is the cylindrical structure to match with cylindrical holdfast dynamic pressurization slot, and a pair of notches is The cylindrical structure consistent with the form of cylindrical holdfast dynamic pressurization bolt, the threaded portion be from cylindrical holdfast body portion to The external thread structure that periphery extends.
6. a kind of dynamic pressing suture anchor according to claim 4, which is characterized in that the rectangle holdfast main body Height is greater than the maximum major diameter in rectangle holdfast main body cross section, and the height of the rectangle holdfast main body is 8-12mm, the rectangle The cross section maximum major diameter of holdfast main body is 1.8-3.5mm;The major diameter in the cross section of the rectangle holdfast main body is greater than cross section Minor axis, the minor axis length in the cross section of the rectangle holdfast main body is 1.2-2.5mm.
7. a kind of dynamic pressing suture anchor according to claim 6, which is characterized in that the rectangle holdfast main body Height is 10mm, and the cross section maximum major diameter of the rectangle holdfast main body is 2.5mm, the cross section of the rectangle holdfast main body Minor axis length is 2.0mm.
8. a kind of dynamic pressing suture anchor according to claim 5, which is characterized in that the cylinder holdfast main body Diameter be 1.8-3.5mm, the height of the cylinder holdfast main body is 8-12mm.
9. a kind of dynamic pressing suture anchor according to claim 8, which is characterized in that the cylinder holdfast main body Diameter be 2.5mm, the height of the cylinder holdfast main body is 10mm.
CN201820502259.XU 2018-04-10 2018-04-10 Dynamic pressing suture anchor Expired - Fee Related CN208926473U (en)

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Application Number Priority Date Filing Date Title
CN201820502259.XU CN208926473U (en) 2018-04-10 2018-04-10 Dynamic pressing suture anchor

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Application Number Priority Date Filing Date Title
CN201820502259.XU CN208926473U (en) 2018-04-10 2018-04-10 Dynamic pressing suture anchor

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CN208926473U true CN208926473U (en) 2019-06-04

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Country Status (1)

Country Link
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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108784764A (en) * 2018-04-10 2018-11-13 上海市第六人民医院 Dynamic pressing suture anchor

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108784764A (en) * 2018-04-10 2018-11-13 上海市第六人民医院 Dynamic pressing suture anchor
CN108784764B (en) * 2018-04-10 2024-06-28 上海市第六人民医院 Power pressurizing type suture anchor

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