JP4897791B2 - 2つの骨部分、特に手及び/又は足の髄内人工骨デバイス - Google Patents
2つの骨部分、特に手及び/又は足の髄内人工骨デバイス Download PDFInfo
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- JP4897791B2 JP4897791B2 JP2008505944A JP2008505944A JP4897791B2 JP 4897791 B2 JP4897791 B2 JP 4897791B2 JP 2008505944 A JP2008505944 A JP 2008505944A JP 2008505944 A JP2008505944 A JP 2008505944A JP 4897791 B2 JP4897791 B2 JP 4897791B2
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- 210000000988 bone and bone Anatomy 0.000 title claims abstract description 31
- 238000005452 bending Methods 0.000 claims description 4
- 230000000694 effects Effects 0.000 claims description 4
- 230000000149 penetrating effect Effects 0.000 claims 1
- 229910001285 shape-memory alloy Inorganic materials 0.000 claims 1
- 239000000463 material Substances 0.000 abstract description 4
- 238000003780 insertion Methods 0.000 abstract description 2
- 230000037431 insertion Effects 0.000 abstract description 2
- 238000004873 anchoring Methods 0.000 abstract 1
- 238000010008 shearing Methods 0.000 abstract 1
- 230000006835 compression Effects 0.000 description 10
- 238000007906 compression Methods 0.000 description 10
- 208000037873 arthrodesis Diseases 0.000 description 8
- 238000002513 implantation Methods 0.000 description 5
- 210000001503 joint Anatomy 0.000 description 5
- 210000002683 foot Anatomy 0.000 description 3
- 230000036760 body temperature Effects 0.000 description 2
- 230000008602 contraction Effects 0.000 description 2
- 239000012634 fragment Substances 0.000 description 2
- 210000004247 hand Anatomy 0.000 description 2
- 239000007943 implant Substances 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 230000035515 penetration Effects 0.000 description 2
- 239000012781 shape memory material Substances 0.000 description 2
- 241000593357 Austroderia fulvida Species 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 238000011882 arthroplasty Methods 0.000 description 1
- 210000000078 claw Anatomy 0.000 description 1
- 239000000470 constituent Substances 0.000 description 1
- 210000003275 diaphysis Anatomy 0.000 description 1
- 238000010438 heat treatment Methods 0.000 description 1
- 230000003446 memory effect Effects 0.000 description 1
- 210000000811 metacarpophalangeal joint Anatomy 0.000 description 1
- 230000000399 orthopedic effect Effects 0.000 description 1
- 230000007170 pathology Effects 0.000 description 1
- 238000002360 preparation method Methods 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 238000004904 shortening Methods 0.000 description 1
- 230000008961 swelling Effects 0.000 description 1
- 210000003371 toe Anatomy 0.000 description 1
- 210000000707 wrist Anatomy 0.000 description 1
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/72—Intramedullary pins, nails or other devices
- A61B17/7291—Intramedullary pins, nails or other devices for small bones, e.g. in the foot, ankle, hand or wrist
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/72—Intramedullary pins, nails or other devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/72—Intramedullary pins, nails or other devices
- A61B17/7208—Flexible pins, e.g. ENDER pins
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/72—Intramedullary pins, nails or other devices
- A61B17/7216—Intramedullary pins, nails or other devices for bone lengthening or compression
- A61B17/7225—Intramedullary pins, nails or other devices for bone lengthening or compression for bone compression
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/72—Intramedullary pins, nails or other devices
- A61B17/7233—Intramedullary pins, nails or other devices with special means of locking the nail to the bone
- A61B17/7258—Intramedullary pins, nails or other devices with special means of locking the nail to the bone with laterally expanding parts, e.g. for gripping the bone
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/72—Intramedullary pins, nails or other devices
- A61B17/7233—Intramedullary pins, nails or other devices with special means of locking the nail to the bone
- A61B17/7258—Intramedullary pins, nails or other devices with special means of locking the nail to the bone with laterally expanding parts, e.g. for gripping the bone
- A61B17/7266—Intramedullary pins, nails or other devices with special means of locking the nail to the bone with laterally expanding parts, e.g. for gripping the bone with fingers moving radially outwardly
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/844—Fasteners therefor or fasteners being internal fixation devices with expandable anchors or anchors having movable parts
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00831—Material properties
- A61B2017/00867—Material properties shape memory effect
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B2017/681—Alignment, compression, or distraction mechanisms
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30003—Material related properties of the prosthesis or of a coating on the prosthesis
- A61F2002/3006—Properties of materials and coating materials
- A61F2002/30092—Properties of materials and coating materials using shape memory or superelastic materials, e.g. nitinol
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30621—Features concerning the anatomical functioning or articulation of the prosthetic joint
- A61F2002/30622—Implant for fusing a joint or bone material
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/42—Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes
- A61F2/4241—Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes for hands, e.g. fingers
- A61F2002/4243—Joints for wrists or ankles; for hands, e.g. fingers; for feet, e.g. toes for hands, e.g. fingers for interphalangeal joints, i.e. IP joints
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2210/00—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2210/0014—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof using shape memory or superelastic materials, e.g. nitinol
- A61F2210/0019—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof using shape memory or superelastic materials, e.g. nitinol operated at only one temperature whilst inside or touching the human body, e.g. constrained in a non-operative shape during surgery, another temperature only occurring before the operation
Landscapes
- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Neurology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
Description
−固定ゾーンの一方は、形状記憶の作用のもとで分離することのできる、2つのタブ、又はフィンを有している;
−固定ゾーンの一方は、形状記憶の作用のもとで湾曲することのできる、1つの爪タブあるいはロッドを有している;
−固定ゾーンの一方は、形状記憶の作用のもとで、弾性、又は復元力によって変形可能となる、スロットを厚さ方向に有している。
−篩骨内のより良好な固定のための側面のうち一方のタブにある切り込み;
−簡単な固定に比較して、関節固定部位の短縮と、それによる更なる圧縮を可能とするための(埋め込み前は直線状である)埋め込まれた波状のタブ;
−部位が閉じられたときインプラントの望ましくない貫通を避けるための、テーパ状をなす中央ゾーン。
1a 固定ゾーン
1b 固定ゾーン
1c 中央ゾーン
1d 接続ゾーン
Claims (3)
- 手及び足のうちの少なくとも一方の骨の2つの部分のための髄内人工骨デバイスであって、
細長い形状の本体(1)から構成され、該本体(1)が、その一方の端部から連続的に、前記骨の一方の部分と協働して固定される固定ゾーン(1a)と、せん断応力及び曲げ応力に耐え得る中央ゾーン(1c)と、前記骨の他方の部分における、固定される固定ゾーン(1b)と、を有する断面を持つ、髄内人工骨デバイスにおいて、
前記固定ゾーン(1a)及び(1b)の各々は、前記骨の部分の中に挿入され、それから、いかなる回転動作も防止し、引張力に抵抗し、圧縮応力を維持しながら、前記骨の部分の中で固定させられるための固定ゾーンの変形を可能にするのに適した形状記憶合金から作られており、
前記骨の一方の部分と協働して固定される固定ゾーン(1a)は、形状記憶による変形の効果の下で分離可能な2つのタブ又はフィン(1a1)及び(1a2)を有しており、
前記骨の他方の部分における、固定される固定ゾーン(1b)は、形状記憶の効果に基づく弾性によって変形させ、膨張によって固定させる、厚さ方向のスロット(1b1)を有していることを特徴とする、髄内人工骨デバイス。 - 前記中央ゾーン(1c)が、縮小部分の接続ゾーン(1d)によって、前記固定ゾーン(1b)に連結されていることを特徴とした、請求項1に記載のデバイス。
- 前記中央ゾーン(1c)が、平面視において略三角形状をしており、骨折部位が再び閉じられるときに貫通が妨げられることを特徴とした、請求項1に記載のデバイス。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
FR0550957A FR2884406B1 (fr) | 2005-04-14 | 2005-04-14 | Dispositif d'osteosynthese intramedullaire de deux parties d'os, notamment de la main et/ou du pied |
FR0550957 | 2005-04-14 | ||
PCT/FR2006/050345 WO2006109004A1 (fr) | 2005-04-14 | 2006-04-12 | Dispositif d'osteosynthese intramedullaire de deux parties d'os, notamment de la main et/ou du pied |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2008537696A JP2008537696A (ja) | 2008-09-25 |
JP4897791B2 true JP4897791B2 (ja) | 2012-03-14 |
Family
ID=35197831
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2008505944A Active JP4897791B2 (ja) | 2005-04-14 | 2006-04-12 | 2つの骨部分、特に手及び/又は足の髄内人工骨デバイス |
Country Status (10)
Country | Link |
---|---|
US (6) | US8475456B2 (ja) |
EP (4) | EP2275055B1 (ja) |
JP (1) | JP4897791B2 (ja) |
AT (1) | ATE488204T1 (ja) |
AU (1) | AU2006234593B2 (ja) |
CA (1) | CA2604526C (ja) |
DE (1) | DE602006018273D1 (ja) |
ES (4) | ES2399591T3 (ja) |
FR (1) | FR2884406B1 (ja) |
WO (1) | WO2006109004A1 (ja) |
Families Citing this family (57)
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FR2884406B1 (fr) | 2005-04-14 | 2008-10-17 | Memometal Technologies Soc Par | Dispositif d'osteosynthese intramedullaire de deux parties d'os, notamment de la main et/ou du pied |
FR2908626B1 (fr) * | 2006-11-16 | 2010-01-15 | Newdeal | Implant d'arthrodese inter-phalangienne,kit chirurgical et procede de fabrication correspondants |
FR2913876B1 (fr) | 2007-03-20 | 2009-06-05 | Memometal Technologies Soc Par | Dispositif d'osteosynthese |
DE102007045886B4 (de) * | 2007-09-25 | 2016-05-19 | Zimmer Gmbh | Fußchirurgie-Knochenplatte, ein Einschlagsystem sowie Fixiersystem |
US8915916B2 (en) * | 2008-05-05 | 2014-12-23 | Mayo Foundation For Medical Education And Research | Intramedullary fixation device for small bone fractures |
US20110009912A1 (en) | 2008-08-07 | 2011-01-13 | Eduardo Gonzalez-Hernandez | Fixed angle dual prong pin fixation system |
FR2935601B1 (fr) | 2008-09-09 | 2010-10-01 | Memometal Technologies | Implant intramedullaire resorbable entre deux os ou deux fragments osseux |
FR2940760B1 (fr) | 2009-01-08 | 2010-12-31 | Memometal Technologies | Implant orthopedique pour arthroplastie digitale |
FR2957244B1 (fr) * | 2010-03-09 | 2012-04-13 | Synchro Medical | Implant d'arthrodese |
US10349987B2 (en) | 2010-04-14 | 2019-07-16 | Arrowhead Medical Device Technologies, Llc | Intramedullary fixation devices |
US8685024B2 (en) | 2010-04-14 | 2014-04-01 | Arrowhead Medical Device Technologies, Llc | Intramedullary fixation device and methods for bone fixation and stabilization |
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FR2980097B1 (fr) * | 2011-09-16 | 2014-01-10 | Georges Kehyayan | Dispositif d'osteosynthese |
US9283006B2 (en) | 2011-09-22 | 2016-03-15 | Mx Orthopedics, Corp. | Osteosynthetic shape memory material intramedullary bone stent and method for treating a bone fracture using the same |
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US9138274B1 (en) | 2012-05-04 | 2015-09-22 | Xtraverse, LLC | Fasteners with shape changing bellows and methods using same |
US10405903B1 (en) | 2012-05-04 | 2019-09-10 | Xtraverse, LLC | Fasteners with shape changing zigzag structures and methods using same |
WO2013177252A1 (en) | 2012-05-22 | 2013-11-28 | Lifenet Health | Cortical bone pin |
US8764842B2 (en) * | 2012-05-31 | 2014-07-01 | Michael Graham | Interphalangeal joint implant methods and apparatus |
CN102772240B (zh) * | 2012-08-21 | 2014-07-09 | 徐永清 | 一种骨内自复形高效骨折复位与固定装置 |
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US9724139B2 (en) | 2013-10-01 | 2017-08-08 | Wright Medical Technology, Inc. | Hammer toe implant and method |
US20150112341A1 (en) | 2013-10-23 | 2015-04-23 | Extremity Medical Llc | Devices for bone fixation using an intramedullary fixation implant |
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