CN216675735U - A system for measuring the angle of the lower limb force line - Google Patents
A system for measuring the angle of the lower limb force line Download PDFInfo
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Abstract
本实用新型涉及骨科临床中下肢力线的检测领域,公开了一种下肢力线角度的测量系统,包括膝关节固定架、踝关节固定架、数据处理中心和显示模块;膝关节固定架包括膝关节弹性固定本体,在膝关节弹性固定本体两侧分别设有一个传感单元;踝关节固定架包括踝关节弹性固定本体,在踝关节弹性固定本体两侧分别设有一个传感单元;四个传感单元分别与数据处理中心连接,数据处理中心用于确定下肢力线及下肢力线的夹角;显示模块与数据处理中心连接,用于显示下肢力线。解决了现有装置操作步骤繁琐、需要侵入性的将传感器固定于骨骼,不适于术中进行力线的实时确定的问题。
The utility model relates to the field of lower limb force line detection in orthopaedic clinics, and discloses a lower limb force line angle measurement system, comprising a knee joint fixing frame, an ankle joint fixing frame, a data processing center and a display module; the knee joint fixing frame comprises a knee joint fixing frame The joint elastic fixing body is provided with a sensing unit on both sides of the knee joint elastic fixing body; the ankle joint fixing frame includes an ankle joint elastic fixing body, and a sensing unit is respectively arranged on both sides of the ankle joint elastic fixing body; four The sensing units are respectively connected with the data processing center, and the data processing center is used for determining the lower limb force line and the included angle of the lower limb force line; the display module is connected with the data processing center for displaying the lower limb force line. It solves the problems that the existing device has complicated operation steps, needs to invasively fix the sensor to the bone, and is not suitable for the real-time determination of the force line during the operation.
Description
技术领域technical field
本实用新型涉及骨科临床中下肢力线的检测领域,公开了一种下肢力线角度的测量系统。The utility model relates to the field of detection of lower limb force line in orthopaedic clinic, and discloses a measurement system for the angle of lower limb force line.
背景技术Background technique
膝骨关节炎是一种以膝关节软骨变性和丢失及关节边缘和软骨下骨骨质再生为特征的慢行关节疾病,临床表现以膝关节疼痛、畸形、功能障碍为主,严重者则需要通过人工膝关节置换、胫骨高位截骨术等临床手术进行治疗。Knee osteoarthritis is a chronic joint disease characterized by degeneration and loss of knee cartilage and bone regeneration of the joint edge and subchondral bone. The clinical manifestations are mainly knee joint pain, deformity, and dysfunction. It is treated by clinical surgery such as artificial knee replacement and high tibial osteotomy.
无论是膝关节置换还是胫骨高位截骨手术的规划、实施以及后期手术效果评估,下肢力线的精准判断是必不可少的过程。下肢力线是指股骨头中心点至踝关节中心点的连线,正常的下肢力线应经过膝关节的中心点。手术过程中,常需要不断定位人体的下肢力线,从而调整人体膝盖关节内翻角度。现有技术中,通常由手术医生手持金属力线测量杆的两端,使力线测量件的一端对准股骨头中心点,另一端对准踝关节中心点,再经过X光射线透视观察人体下肢力线是否经过膝关节的中心点,从而判断关节置换的角度或截骨角度是否恰当。Whether it is the planning and implementation of knee replacement or high tibial osteotomy, as well as the evaluation of the later surgical effect, accurate judgment of lower limb alignment is an essential process. The lower limb force line refers to the line connecting the center point of the femoral head to the center point of the ankle joint. The normal force line of the lower limb should pass through the center point of the knee joint. During the operation, it is often necessary to constantly locate the lower limb force line of the human body, so as to adjust the varus angle of the knee joint of the human body. In the prior art, the surgeon usually holds both ends of the metal force line measuring rod, so that one end of the force line measuring member is aligned with the center point of the femoral head, and the other end is aligned with the center point of the ankle joint, and then the human body is observed through X-ray fluoroscopy. Whether the lower limb force line passes through the center point of the knee joint, so as to judge whether the angle of joint replacement or osteotomy is appropriate.
然而,这种医生手持力线测量件的测量定位方式,受医生手部抖动等人为因素的影响,可能降低测量的准确性。使用固定装置将力线测量杆固定在人体或手术台上,可提高测量准确性,但术中实时透视大大增加医生和患者受到的辐射剂量,影响其身体健康。However, the measurement and positioning method of the doctor's hand-held force line measuring piece is affected by human factors such as the doctor's hand shaking, which may reduce the accuracy of the measurement. Using a fixed device to fix the force line measuring rod on the human body or operating table can improve the measurement accuracy, but intraoperative real-time fluoroscopy greatly increases the radiation dose received by doctors and patients, which affects their health.
为了解决上述问题,专利201910599596公开了一种基于加速度和陀螺仪的下肢力线角度评估和截骨装置,通过固定在骨骼上的导航装置监测下肢运动,将导航装置所指示的方向转换为下肢力线的角度,进一步通过激光指示确定目标截骨的角度。该类实用新型在一定程度上解决了通过手持金属测量杆或固定杆的问题带来的辐射剂量问题,但需要通过钢钉将传感器固定于骨骼,仅可应用于术中,具有侵入性,此外,该方法需要多次测量才能够完成下肢力线的角度,步骤繁琐,增加了手术时长。最关键的是,此类方法无法精确确定膝关节和踝关节的中心点位置。专利201910884469则公布了一种利用CT影像数据建立下肢骨骼模型的方法,通过图像重建三维模型确定下肢力线,该方法可能较为精确,但操作过程较为繁琐,需要占用CT等资源,且不适用于术中进行力线的实时确定。In order to solve the above problems, the patent 201910599596 discloses a lower limb force line angle assessment and osteotomy device based on acceleration and gyroscope. The lower limb movement is monitored by the navigation device fixed on the bone, and the direction indicated by the navigation device is converted into the lower limb force. The angle of the line is further determined by the laser pointer to determine the angle of the target osteotomy. This kind of utility model solves the radiation dose problem caused by the problem of holding a metal measuring rod or a fixing rod to a certain extent, but it needs to fix the sensor to the bone with a steel nail, which can only be used in surgery and is invasive. , this method requires multiple measurements to complete the angle of the lower limb force line, the steps are cumbersome, and the operation time is increased. Crucially, such methods cannot precisely determine the center point location of the knee and ankle joints. Patent 201910884469 discloses a method of using CT image data to build a lower extremity skeletal model, and reconstructing a 3D model to determine the lower extremity force line. This method may be more accurate, but the operation process is cumbersome, requires resources such as CT, and is not suitable for Intraoperative real-time determination of the force line.
实用新型内容Utility model content
本实用新型的目的在于提供一种下肢力线角度的测量系统,解决了现有装置操作步骤繁琐、需要侵入性的将传感器固定于骨骼,不适于术中进行力线的实时确定的问题。The purpose of the utility model is to provide a measurement system for the angle of the force line of the lower limb, which solves the problems that the existing device has complicated operation steps, needs to invasively fix the sensor to the bone, and is not suitable for the real-time determination of the force line during the operation.
本实用新型是通过以下技术方案来实现:The utility model is realized through the following technical solutions:
一种下肢力线角度的测量系统,包括膝关节固定架、踝关节固定架、数据处理中心和显示模块;A measuring system for the angle of the lower limb line of force, comprising a knee joint fixation frame, an ankle joint fixation frame, a data processing center and a display module;
膝关节固定架包括膝关节弹性固定本体,在膝关节弹性固定本体的一侧设有膝关节内侧传感单元,另一侧设有膝关节外侧传感单元;The knee joint fixing frame includes a knee joint elastic fixing body, one side of the knee joint elastic fixing body is provided with a knee joint inner sensing unit, and the other side is provided with a knee joint outer sensing unit;
踝关节固定架包括踝关节弹性固定本体,在踝关节弹性固定本体的一侧设有踝关节内侧传感单元,另一侧设有踝关节外侧传感单元;The ankle joint fixing frame includes an ankle joint elastic fixing body, one side of the ankle joint elastic fixing body is provided with an ankle joint inner side sensing unit, and the other side is provided with an ankle joint outer side sensing unit;
膝关节内侧传感单元、膝关节外侧传感单元、踝关节内侧传感单元和踝关节外侧传感单元分别与数据处理中心连接,数据处理中心用于确定下肢力线及下肢力线的夹角;The knee joint medial sensing unit, the knee lateral sensing unit, the ankle joint medial sensing unit and the ankle lateral sensing unit are respectively connected with the data processing center, and the data processing center is used to determine the lower limb force line and the included angle of the lower limb force line ;
显示模块与数据处理中心连接,用于显示下肢力线。The display module is connected with the data processing center for displaying the lower limb force line.
进一步,膝关节固定架还包括膝关节内护体和膝关节外护体,膝关节内护体连接在膝关节弹性固定本体的一侧,膝关节外护体连接在膝关节弹性固定本体的另一侧;Further, the knee joint fixing frame also includes a knee joint inner body guard and a knee joint outer body guard, the knee joint inner body guard is connected to one side of the knee joint elastic fixing body, and the knee joint outer body guard is connected to the other side of the knee joint elastic fixing body. one side;
膝关节内侧传感单元固定在膝关节内护体上,膝关节外侧传感单元固定在膝关节外护体上。The knee joint inner side sensing unit is fixed on the knee joint inner protective body, and the knee joint outer side sensing unit is fixed on the knee joint outer protective body.
进一步,踝关节固定架还包括踝关节内护体和踝关节外护体,踝关节内护体连接在踝关节弹性固定本体的一侧,踝关节外护体连接在踝关节弹性固定本体的另一侧;Further, the ankle joint fixing frame also includes an ankle joint inner protective body and an ankle joint outer protective body, the ankle joint inner protective body is connected to one side of the ankle joint elastic fixing body, and the ankle joint outer protective body is connected to the other side of the ankle joint elastic fixing body. one side;
踝关节内侧传感单元固定在踝关节内护体上,踝关节外侧传感单元固定在踝关节外护体上。The inner ankle joint sensing unit is fixed on the ankle joint inner protective body, and the ankle joint outer sensing unit is fixed on the ankle joint outer protective body.
进一步,膝关节内侧传感单元、膝关节外侧传感单元、踝关节内侧传感单元和踝关节外侧传感单元均内置有无线通讯模块,无线通讯模块与数据处理中心连接。Further, the sensing unit inside the knee joint, the sensing unit outside the knee joint, the sensing unit inside the ankle joint and the sensing unit outside the ankle joint all have built-in wireless communication modules, and the wireless communication modules are connected to the data processing center.
进一步,无线通讯模块采用SPI无线模块。Further, the wireless communication module adopts an SPI wireless module.
进一步,膝关节内侧传感单元、膝关节外侧传感单元、踝关节内侧传感单元和踝关节外侧传感单元的型号为MPU9250。Further, the models of the knee joint medial sensing unit, the knee joint lateral sensing unit, the ankle joint medial sensing unit and the ankle lateral sensing unit are MPU9250.
与现有技术相比,本实用新型具有以下有益的技术效果:Compared with the prior art, the utility model has the following beneficial technical effects:
本实用新型公开了一种下肢力线角度的测量系统,包括膝关节固定架、踝关节固定架和数据处理中心,在膝关节固定架两侧设有传感单元,在踝关节固定架两侧设有传感单元,4个传感单元与数据处理中心连接,数据处理中心对接收的传感单元数据并进行融合计算,得出股骨髋臼窝-膝关节中心连线和髋臼窝-踝关节中心连线,得到下肢力线的角度及偏移程度;采用膝关节固定架固定于人体膝关节,采用踝关节固定架固定于人体踝关节,医务人员无需手持力线测量件对下肢力线定位,提高了下肢力线定位的准确性,并且避免了医务人员在手持力线测量件中需要承受高剂量X光辐射的问题了;本实用新型的下肢力线角度的测量系统,采用成对传感器固定于膝关节和踝关节,便于运动过程中精确测量人体股骨头中心点、膝关节中心点和踝关节中心点,解决了现有设备无法精确确定膝关节和踝关节中心点的问题;采用小型传感单元进行无线数据传输,消除了临床上传统的复杂测量装置,操作简单,易于使用;传感单元固定于关节外侧,无需通过手术将传感器固定于骨骼,解决了此前装置的侵入性问题;数据处理中心可实时接收各定位装置的运动数据,计算出所需要的目标关节中心,进而计算出实时下肢力线及下肢力线偏移角度,得出需要通过手术矫正的角度,具有术前、术中及术后实时监测下肢力线的优点。The utility model discloses a measuring system for the angle of the lower limb line of force, which comprises a knee joint fixing frame, an ankle joint fixing frame and a data processing center. There are sensing units, 4 sensing units are connected to the data processing center, and the data processing center performs fusion calculation on the received sensing unit data to obtain the femoral acetabular fossa-knee joint center line and the acetabular fossa-ankle The joint center is connected to obtain the angle and offset degree of the lower limb force line; the knee joint is fixed to the human knee joint, and the ankle joint is fixed to the human ankle joint. The positioning method improves the accuracy of the positioning of the lower limb force line, and avoids the problem that medical personnel need to bear high doses of X-ray radiation in the hand-held force line measuring piece; the lower limb force line angle measurement system of the present invention adopts paired The sensor is fixed on the knee joint and ankle joint, which facilitates accurate measurement of the center point of the human femoral head, the center point of the knee joint and the center point of the ankle joint during the movement process, which solves the problem that the existing equipment cannot accurately determine the center point of the knee joint and the ankle joint. The small sensing unit performs wireless data transmission, which eliminates the traditional complex measurement devices in the clinic, and is simple to operate and easy to use; the sensing unit is fixed on the outside of the joint, and the sensor does not need to be fixed to the bone by surgery, which solves the invasive problem of the previous device. ; The data processing center can receive the motion data of each positioning device in real time, calculate the required target joint center, and then calculate the real-time lower limb force line and lower limb force line offset angle, and obtain the angle that needs to be corrected by surgery. Advantages of real-time monitoring of lower extremity alignment during and after surgery.
进一步,固定传感器的装置分别为膝关节和踝关节的内外护体,膝关节与踝关节的内外护体通过膝关节和踝关节的骨性突起固定于下肢。固定支架的弹性固定本体可通过人为控制调节支架的大小,使支架能够自由匹配不同病人的下肢尺寸,具有穿戴轻松、操作简单、实用方便的优点。Further, the devices for fixing the sensors are respectively the inner and outer protective bodies of the knee joint and the ankle joint, and the inner and outer protective bodies of the knee joint and the ankle joint are fixed to the lower limb through the bony protrusions of the knee joint and the ankle joint. The elastic fixing body of the fixing bracket can adjust the size of the bracket through manual control, so that the bracket can freely match the size of the lower limbs of different patients, and has the advantages of easy wearing, simple operation, and practical convenience.
附图说明Description of drawings
图1为本实用新型的下肢力线角度的测量系统的结构示意图;Fig. 1 is the structural representation of the measuring system of the lower limb force line angle of the present invention;
图2为本实用新型的下肢力线角度的测量系统中膝关节固定架示意图;Fig. 2 is the schematic diagram of the knee joint fixing frame in the measuring system of the lower limb force line angle of the present invention;
图3为图2的侧视图;Fig. 3 is the side view of Fig. 2;
图4为本实用新型的下肢力线角度的测量系统中踝关节固定架示意图;Fig. 4 is the schematic diagram of the ankle joint fixing frame in the measuring system of the lower limb force line angle of the present invention;
图5为图4的侧视图;Fig. 5 is the side view of Fig. 4;
图6为本实用新型的下肢力线角度示意图;6 is a schematic diagram of the angle of the lower limb force line of the present invention;
图7为本实用新型的下肢晃动过程中力线角度检测示意图;7 is a schematic diagram of the detection of the angle of the force line in the lower limb shaking process of the present invention;
图8为本实用新型的下肢力线计算流程原理示意图。FIG. 8 is a schematic diagram of the principle of the calculation flow of the lower limb force line of the present invention.
其中:1为膝关节弹性固定本体,2为踝关节弹性固定本体,3为膝关节内侧传感单元,4为膝关节外侧传感单元,5为踝关节内侧传感单元,6为踝关节外侧传感单元,7为弹簧,8为膝关节内护体,9为膝关节外护体,10为股骨头中心,11为膝关节中心,12为踝关节中心;13为踝关节内护体,14为踝关节外护体。Among them: 1 is the knee joint elastic fixing body, 2 is the ankle joint elastic fixing body, 3 is the knee joint inner side sensing unit, 4 is the knee joint outer side sensing unit, 5 is the ankle joint inner side sensing unit, 6 is the outer side of the ankle joint Sensing unit, 7 is the spring, 8 is the knee joint inner protector, 9 is the knee joint outer protector, 10 is the center of the femoral head, 11 is the knee joint center, 12 is the ankle joint center; 13 is the ankle joint inner protector, 14 is the ankle joint outer protector.
具体实施方式Detailed ways
下面结合具体的实施例对本实用新型做进一步的详细说明,所述是对本实用新型的解释而不是限定。The present utility model will be further described in detail below with reference to specific embodiments, which are to explain rather than limit the present utility model.
如图1所示,本实用新型公开了一种下肢力线角度的测量系统,包括传感单元、膝关节固定架、踝关节固定架、数据处理中心及显示模块。As shown in FIG. 1 , the utility model discloses a measurement system for the angle of the lower limb force line, which includes a sensing unit, a knee joint fixing frame, an ankle joint fixing frame, a data processing center and a display module.
传感单元,用于监测下肢大腿、小腿及关节处的运动情况,输出加速度、角度等原始数据,并通过集成于传感单元的无线传输模块将数据输出至数据处理中心;The sensing unit is used to monitor the motion of the thighs, calves and joints of the lower limbs, output raw data such as acceleration and angle, and output the data to the data processing center through the wireless transmission module integrated in the sensing unit;
膝关节固定架,包括自带弹性的膝关节半包裹弹性支架即膝关节弹性固定本体1,用于将两个传感单元精准固定在膝关节两侧的高位。医务人员晃动下肢时,可以通过融合两个传感单元的数据,定位股骨头中心10以及膝关节中心11;The knee joint fixing frame includes a knee joint semi-wrapped elastic bracket with its own elasticity, namely the knee joint
踝关节固定架,包括自带弹性的踝关节半包裹弹性支架即踝关节弹性固定本体2,用于将两个传感单元精准固定在关节两侧的高位。医务人员晃动下肢时,可以通过融合两个传感单元的数据,定位股骨头中心10以及踝关节中心12;The ankle joint fixation frame includes an ankle joint semi-wrapped elastic support with its own elasticity, namely the ankle joint
数据处理中心,无线接收传感单元的数据并进行融合计算,得出股骨髋臼窝-膝关节中心连线,髋臼窝-踝关节中心连线,计算下肢力线的角度及偏移程度;The data processing center wirelessly receives the data of the sensing unit and performs fusion calculation to obtain the connection between the femoral acetabular fossa and the center of the knee joint, and the connection between the acetabular fossa and the center of the ankle joint, and calculate the angle and offset degree of the lower limb force line;
显示端界面,用于实时显示下肢力线,便于手术中实时进行调整。The display interface is used to display the lower limb force line in real time, which is convenient for real-time adjustment during surgery.
如图2-3所示,膝关节固定架包括膝关节弹性固定本体1,在膝关节弹性固定本体1的一侧设有膝关节内侧传感单元3,另一侧设有膝关节外侧传感单元4;膝关节固定架还包括膝关节内护体8和膝关节外护体9,膝关节内护体8连接在膝关节弹性固定本体1的一侧,膝关节外护体9连接在膝关节弹性固定本体1的另一侧;膝关节内侧传感单元3固定在膝关节内护体8上,膝关节外侧传感单元4固定在膝关节外护体9上。As shown in Fig. 2-3, the knee joint fixing frame includes a knee joint
如图4-5所示,踝关节固定架包括踝关节弹性固定本体2,在踝关节弹性固定本体2的一侧设有踝关节内侧传感单元5,另一侧设有踝关节外侧传感单元6。踝关节固定架还包括踝关节内护体13和踝关节外护体14,踝关节内护体13连接在踝关节弹性固定本体2的一侧,踝关节外护体14连接在踝关节弹性固定本体2的另一侧;踝关节内侧传感单元5固定在踝关节内护体13上,踝关节外侧传感单元6固定在踝关节外护体14上。As shown in Figures 4-5, the ankle joint fixation frame includes an ankle joint
如图3和图5所示,膝关节弹性固定本体1和踝关节弹性固定本体2内设有弹簧7,保证了两固定本体的长度可调节,可根据不同患者腿部的粗细进行调整。As shown in FIGS. 3 and 5 , the
所述传感单元固定于膝关节固定架和踝关节固定架,膝关节固定架卡在膝关节处,将传感单元固定于膝关节和踝关节的内外高点,通过手持患者下肢从静止加速运动,传感单元采集关节运动数据,通过无线传输模块将数据传送至处理中心,分别确定、计算两条连线夹角,确定下肢力线。The sensing unit is fixed on the knee joint fixing frame and the ankle joint fixing frame, the knee joint fixing frame is clamped at the knee joint, the sensing unit is fixed on the inner and outer high points of the knee joint and the ankle joint, and the lower limb of the patient is accelerated from rest by holding the patient. Movement, the sensing unit collects joint motion data, transmits the data to the processing center through the wireless transmission module, determines and calculates the angle between the two connecting lines, and determines the lower limb force line.
测定下肢力线时,患者膝关节伸直状态,测试人员手持患者下肢从静止加速运动,四个传感单元采集关节运动数据,无线传送至数据处理中心,分别确定股骨髋臼窝-膝关节中心连线、髋臼窝-踝关节中心连线,计算两条连线夹角,评估力线状态,可用于关节置换等骨科术前术后评估或术中矫正力线。该系统采用小型传感单元进行无线数据传输,消除了临床上传统的复杂测量装置,操作简单,易于使用。When measuring the alignment of the lower extremity, the patient's knee joint is in a straight state. The tester holds the patient's lower extremity and accelerates the motion from rest. The four sensing units collect the joint motion data and wirelessly transmit it to the data processing center to determine the femoral acetabular fossa-knee joint center respectively. The connection line, the acetabular fossa-ankle center connection line, calculate the angle between the two connection lines, and evaluate the force line state. It can be used for pre- and post-operative evaluation of orthopaedic surgery such as joint replacement or intraoperative correction of the force line. The system uses a small sensing unit for wireless data transmission, which eliminates the traditional complex measurement devices in the clinic, and is simple to operate and easy to use.
通过分别在膝关节和踝关节成对布置传感器,精确检测关节的中心点和股骨髋臼窝的中心点,通过计算股骨髋臼窝-膝关节中心连线,髋臼窝-踝关节中心连线,计算下肢力线的角度及偏移程度;多点布置传感单元,避免了必须将传感器直接固定于骨骼的问题。By arranging sensors in pairs on the knee joint and ankle joint respectively, the center point of the joint and the center point of the femoroacetabular fossa are accurately detected, and the line between the center of the femoral acetabular fossa and the knee joint and the line between the acetabular fossa and the center of the ankle joint are calculated. , calculate the angle and offset degree of lower limb line of force; multi-point arrangement of sensing units avoids the problem that the sensor must be directly fixed to the bone.
膝关节内侧传感单元3和膝关节外侧传感单元4将采集到的膝关节运动数据发送给数据处理中心,数据处理中心计算出膝关节中心11;踝关节内侧传感单元5和踝关节外侧传感单元6将采集到的踝关节运动数据发送给数据处理中心,数据处理中心计算出踝关节中心12。The knee joint
数据处理中心确定膝关节中心11和踝关节中心12的具体过程为:The specific process for the data processing center to determine the knee
首先计算4个传感器的旋转半径;First calculate the rotation radius of the 4 sensors;
然后以旋转中心为原点建立一个统一的坐标系,确定每个传感器在该坐标系下的位置。根据膝关节内侧传感单元3和膝关节外侧传感单元4在该坐标下的位置得到膝关节中心11;根据踝关节内侧传感单元5和踝关节外侧传感单元6在该坐标下的位置得到踝关节中心12。Then a unified coordinate system is established with the rotation center as the origin, and the position of each sensor in this coordinate system is determined. The knee
如图6-8所示,膝关节中心11到股骨头中心10的连线为股骨髋臼窝-踝关节中心连线,记为第一连线,计算出第一连线的距离L1;踝关节中心12到股骨头中心10的连线为髋臼窝-踝关节中心连线,记为第二连线,计算出第二连线的距离L2。As shown in Figure 6-8, the line connecting the center of the knee joint 11 to the center of the
将膝关节中心11投影至第二连线上,股骨头中心10、膝关节中心11的投影点、踝关节中心12可确定一个三角形,计算膝关节中心11投影点到第二连线的距离L3。Projecting the knee
根据L1和L3计算出第一连线和第二连线的夹角β。Calculate the angle β between the first connecting line and the second connecting line according to L1 and L3.
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