KR100423699B1 - nail for the treatment of bone fractures - Google Patents
nail for the treatment of bone fractures Download PDFInfo
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- KR100423699B1 KR100423699B1 KR10-2000-0082928A KR20000082928A KR100423699B1 KR 100423699 B1 KR100423699 B1 KR 100423699B1 KR 20000082928 A KR20000082928 A KR 20000082928A KR 100423699 B1 KR100423699 B1 KR 100423699B1
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- bone
- bone marrow
- metal
- metal tablet
- marrow cavity
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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
- A61B17/7208—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
-
- 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
-
- 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
- A61B17/7283—Intramedullary pins, nails or other devices with special cross-section of the nail
-
- 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
- A61B17/74—Devices for the head or neck or trochanter of the femur
- A61B17/742—Devices for the head or neck or trochanter of the femur having one or more longitudinal elements oriented along or parallel to the axis of the neck
- A61B17/744—Devices for the head or neck or trochanter of the femur having one or more longitudinal elements oriented along or parallel to the axis of the neck the longitudinal elements coupled to an intramedullary nail
Abstract
본 발명에 의한 골절 치료용 금속정은, 골절된 뼈의 골수강에 삽입되는 금속정에 있어서, 상기 금속정(10)은 뼈의 골수강에서 쉽게 빠지지 않도록 그 단부에 구부려진 도입부(12)가 형성된 로드로 이루어지되, 상기 로드는 탄성재로 되어 있으므로, 골수강에 간단히 삽입하여 골유합을 이루게 하여 시술을 간단히 하고 환자의 불편을 줄인다는 효과가 있다.In the metal tablet for fracture treatment according to the present invention, in the metal tablet inserted into the bone marrow cavity of the fractured bone, the metal tablet 10 is formed with an introduction portion 12 bent at its end so as not to easily fall out of the bone marrow cavity of the bone. Although the rod is made of an elastic material, the rod is simply inserted into the bone marrow cavity to achieve bone union, thereby simplifying the procedure and reducing the inconvenience of the patient.
Description
본 발명은 골절 치료용 금속정에 관한 것으로서, 보다 상세하게는 골절된 뼈의 골수강에 삽입하여 골유합이 될 때까지 유지시키는 골절 치료용 금속정에 관한것이다.The present invention relates to a metal tablet for fracture treatment, and more particularly, to a metal tablet for fracture treatment to be inserted into the bone marrow cavity of the fractured bone and maintained until union.
종래 골절이 일어나면 석고 고정을 하거나 별도의 체외 고정장치를 사용하여 골절부위의 해부학적인 정복과 골유합이 될 때까지 유지시킨다.When a fracture occurs in the related art, a plaster fixation or a separate extracorporeal fixation device is used to maintain anatomical reduction and bone union of the fracture site.
상기 석고 고정은 골절부위의 외측을 석고로 감싸서 통을 형성하여 골절부위를 고정하게 되는데, 골절상태에 따른 조정이 불가능하고 떼어 내기가 불편하므로, 상기 체외 고정장치를 많이 사용한다.The gypsum fixation is to wrap the outer side of the fracture site with a plaster to form a barrel to fix the fracture site, it is impossible to adjust according to the fracture state and inconvenient to remove, so use the in vitro fixation device a lot.
상기 체외 고정장치는, 원주방향을 따라 다수의 구멍이 형성된 다수의 링이 높이방향으로 소정의 간격으로 배열되고, 상기 링과 링사이에는, 상기 구멍에 그 양단이 끼워져 고정되는 다수의 나사봉으로 된 일반로드나, 중간에서 길이를 조정가능하게 된 텔레스코픽 로드가 설치된 구조이다.The in vitro fastening device includes a plurality of rings having a plurality of holes formed in a circumferential direction at predetermined intervals in a height direction, and between the rings and the rings, a plurality of screw rods whose ends are fitted and fixed in the holes. Ordinary rods or telescopic rods with adjustable lengths are installed.
또한, 체외 고정장치는, 골절부위의 양측 뼈에 각각 핀이 비스듬히 박히게 고정되고, 상기 각 핀에는 연결로드가 걸쳐져 핀 클램프에 의해 고정된 구조도 개시되어 있다.In addition, the in vitro fastening device has a structure in which pins are fixed to the bones on both sides of the fractured portion at an angle, and the pins are connected to the pins to fix the pins.
그런데, 상기 체외고정장치는 그 구조 및 설치가 복잡하고, 간단한 골절 환자나 소아 환자들에게는 적용하기가 거추장스러울 뿐만 아니라, 환자를 불편하게 한다는 문제점이 있었다.However, the IVF device has a problem in that its structure and installation are complicated, and it is not only difficult to apply to simple fracture patients or pediatric patients, but also inconveniences patients.
따라서, 본 발명은 상기 문제점을 해결하기 위해 이루어진 것으로서, 본 발명의 목적은 골수강에 간단히 삽입하여 골유합을 이루게 하는 골절 치료용 금속정을 제공하는 데 있다.Accordingly, the present invention has been made to solve the above problems, an object of the present invention is to provide a metal tablet for fracture treatment to achieve a bone union by simply inserted into the bone marrow cavity.
도1은 본 발명의 골절 치료용 금속정의 제1실시예를 나타내는 입면도,1 is an elevation view showing a first embodiment of the metal tablet for fracture treatment of the present invention,
도2는 본 발명의 골절 치료용 금속정의 제2실시예를 나타내는 입면도,Figure 2 is an elevation view showing a second embodiment of the metal tablet for fracture treatment of the present invention,
도3은 본 발명의 골절 치료용 금속정의 제3실시예를 나타내는 입면도,Figure 3 is an elevation view showing a third embodiment of the metal tablet for fracture treatment of the present invention,
도4는 본 발명의 골절 치료용 금속정의 제4실시예를 나타내는 입면도,Figure 4 is an elevation view showing a fourth embodiment of the metal tablet for fracture treatment of the present invention,
도5는 본 발명의 골절 치료용 금속정의 제5실시예를 나타내는 입면도,Figure 5 is an elevation view showing a fifth embodiment of the metal tablet for fracture treatment of the present invention,
도6a 내지 도6d는 본 발명의 골절 치료용 금속정을 골절된 뼈의 골수강에 삽입하는 상태도이다.6a to 6d is a state diagram in which the metal tablet for fracture treatment of the present invention is inserted into the bone marrow cavity of fractured bone.
<도면의 주요부분에 대한 부호의 설명><Description of the symbols for the main parts of the drawings>
10, 20, 30, 40, 50 : 금속정 12, 22, 32 : 도입부10, 20, 30, 40, 50: metal tablets 12, 22, 32: inlet
24, 34 : 제1띠 36 : 제2띠24, 34: 1st strip 36: 2nd strip
48, 58 : 구멍48, 58: hole
본 발명에 의한 골절 치료용 금속정은, 골절된 뼈의 골수강에 삽입되는 금속정에 있어서, 상기 금속정은 뼈의 골수강에서 쉽게 빠지지 않도록 그 단부에 구부려진 도입부가 형성된 로드로 이루어지되, 상기 로드는 탄성재로 된 것을 특징으로 한다.The metal tablet for fracture treatment according to the present invention, in the metal tablet inserted into the bone marrow cavity of the fractured bone, the metal tablet is made of a rod formed with an introduction portion bent at its end so as not to easily fall out of the bone marrow cavity of the bone, the rod Is characterized in that the elastic material.
상기 금속정에는 골수강에 삽입된 깊이를 알 수 있도록 로드의 원주방향을 따라 형성된 제1띠가 로드의 길이방향을 따라 소정간격으로 형성된 것이 바람직하다.In the metal well, it is preferable that the first strips formed along the circumferential direction of the rod are formed at predetermined intervals along the length direction of the rod so as to know the depth inserted into the bone marrow cavity.
상기 금속정에는 삽입방향을 알 수 있도록 로드의 길이방향을 따라 제2띠가 형성된 것이 바람직하다.It is preferable that the metal strip is formed with a second strip along the longitudinal direction of the rod so that the insertion direction is known.
이하, 본 발명의 실시예에 대하여 첨부도면을 참조하여 상세히 설명한다.Hereinafter, exemplary embodiments of the present invention will be described in detail with reference to the accompanying drawings.
도1은 본 발명의 골절 치료용 금속정의 제1실시예를 나타낸다. 도시한 바와 같이, 본 실시예의 금속정(nail)(10)은 탄력성을 가진 탄성재로 이루어지며, 뼈의 골수강에서 쉽게 빠지지 않도록 그 단부에는 구부려진 도입부(12)가 형성된 로드이다.1 shows a first embodiment of a metal tablet for fracture treatment of the present invention. As shown in the drawing, the metal nail 10 of the present embodiment is made of an elastic material having elasticity, and is a rod formed with an inlet 12 bent at an end thereof so as not to easily fall out of the bone marrow cavity of the bone.
상기 금속정(10)은, 도6a에 도시한 바와 같이, 골절된 뼈의 일측 골편(B1)에 구멍을 뚫고, 금속정의 도입부(12)를 이 구멍에 끼워, 금속정의 도입부(12)의 반대편 단부에 공구(14)를 끼워 손(H)으로 좌우방향으로 돌리면서 골편 내부의 골수강(medullary canal)에 삽입하여 사용한다. 상기 골수강은 뼈의 내부 중앙을 따라 형성된 구멍이다. 이 구멍에는 결체질의 물질이 충전되어 있다.As shown in Fig. 6A, the metal tablet 10 drills a hole in one side bone fragment B1 of the fractured bone, inserts the metal tablet inlet 12 into the hole, and opposes the metal tablet inlet 12. The tool 14 is inserted into the end portion of the bone marrow (medullary canal) inside the bone fragment while turning left and right with the hand (H). The bone marrow cavity is a hole formed along the inner center of the bone. This hole is filled with a substance of constitution.
한편, 금속정은 도6b 내지 도6d에 도시한 바와 같이, 골수강 내에 다수개(2개이상)(10, 10')삽입하는 것이 바람직한데, 각 금속정(10)(10')은 서로 마주보는 곡선을 이루게 삽입하는 것이 바람직하다. 이는 골수강 내에서 금속정(10)(10')이 서로 대향되게 위치하므로 그 탄성에 의해 유지되는 안정된 구조체를 이루기 때문이다.On the other hand, as shown in Figures 6b to 6d, it is preferable to insert a plurality (two or more) (10, 10 ') into the bone marrow cavity, each metal tablet 10, 10' facing each other It is desirable to insert a curved line. This is because the metal tablets 10 and 10 'are positioned opposite each other in the bone marrow cavity to form a stable structure maintained by the elasticity.
이와 같이 금속정을 곡선으로 삽입하기 위해서는 금속정(10)(10')을 미리 굽혀 사용한다. 이는 금속정이 골수강에 삽입되었을 때 골수강의 벽에 의해 구속되면 미리 굽혀 놓은 형태로 되돌아 가려는 성질 때문에 골(bone)에 안정한 3점 지지 고정이 이루어 지게 한다.In order to insert the metal tablets in this way, the metal tablets 10 and 10 'are bent and used in advance. This ensures a stable three-point support fixation to the bone because the metal tablet is inserted into the bone marrow by the wall of the bone marrow to return to its pre-curved shape.
도6b 및 도6c와 같이 화살표 방향으로 금속정(10)(10')을 밀어 넣으면, 금속정이 구부려지면서 골수강의 내벽에 접촉하게 되는데, 최종적으로 도6d에 도시한 바와 같이 두개의 금속정(10)(10')가 서로 반대방향으로 마주보고 위치하면, 양쪽의 골절편(B1)(B2)은 그 골절부에서 금속정(10)(10')이 서로 반대방향으로 밀려 부풀려 지는 힘과 골절편 주위에 부착된 근육의 힘에 의해 서로 상하로 마주보며 접촉하게 된다.6B and 6C, when the metal tablets 10 and 10 'are pushed in the direction of the arrow, the metal tablets are bent and come into contact with the inner wall of the bone marrow cavity. Finally, as shown in FIG. 6D, the two metal tablets 10 When 10 'is facing each other in opposite directions, both fracture fragments B1 and B2 are fractured with the force that the metal nail 10, 10' is pushed in the opposite direction and swelled at the fracture. The force of the muscles attached around the side is in contact with each other up and down.
도2은 본 발명의 골절 치료용 금속정의 제2실시예를 나타낸다. 도시한 바와 같이 본 실시예의 금속정(20)에는 골수강에 삽입된 깊이를 알 수 있도록 로드의 원주방향을 따라 형성된 제1띠(24)가 로드의 길이방향을 따라 소정간격으로 형성되며, 그 단부에 도입부(22)가 형성된다. 상기 제1띠(24)는 원주방향 전체에 대해 형성되지 않아도 되며, 눈금이 새겨진 형상으로 이루어질 수도 있다.Figure 2 shows a second embodiment of the metal tablet for fracture treatment of the present invention. As shown, in the metal tablet 20 of the present embodiment, the first strip 24 formed along the circumferential direction of the rod so as to know the depth inserted into the bone marrow cavity is formed at predetermined intervals along the longitudinal direction of the rod. An introduction portion 22 is formed at the end. The first strip 24 does not have to be formed in the entire circumferential direction, and may be formed in a shape engraved with a scale.
본 실시예의 구성은 금속정(20)을 골수강내에 삽입할 시에 상기 제1띠(24)에 의해 그 삽입깊이를 용이하게 알 수 있으므로, 골수강 내에 삽입하는 작업이 편리하다.In this embodiment, when the metal tablet 20 is inserted into the bone marrow cavity, the insertion depth can be easily known by the first band 24. Therefore, the insertion of the metal tablet 20 into the bone marrow cavity is convenient.
도3은 본 발명의 골절 치료용 금속정의 제3실시예를 나타낸다. 도시한 바와 같이 본 실시예의 금속정(30)에는, 골수강에 삽입된 깊이를 알 수 있도록 로드의 원주방향을 따라 형성된 제1띠(34)가 로드의 길이방향을 따라 소정간격으로 형성될 뿐만 아니라, 삽입방향을 알 수 있도록 로드의 길이방향을 따라 제2띠(36)가 형성되며, 그 단부에 도입부(32)가 형성된다.Figure 3 shows a third embodiment of the metal tablet for fracture treatment of the present invention. As shown, in the metal tablet 30 of the present embodiment, the first strip 34 formed along the circumferential direction of the rod so as to know the depth inserted into the bone marrow cavity is formed at predetermined intervals along the longitudinal direction of the rod. Rather, the second strip 36 is formed along the longitudinal direction of the rod so that the insertion direction is known, and an introduction portion 32 is formed at an end thereof.
본 실시예의 구성은 2개 이상의 금속정이 골수강내에 삽입되는 곳에서, 제2띠(36)를 보고 삽입방향을 용이하게 알 수 있으므로, 다수의 금속정이 서로 마주보는 곡선을 이루게 삽입하기에 적합하다.The configuration of the present embodiment is suitable for inserting a plurality of metal tablets to form a curve facing each other, since the second strip 36 can easily know the insertion direction where two or more metal tablets are inserted into the bone marrow cavity. .
도4는 본 발명의 골절 치료용 금속정의 제4실시예를 나타낸다. 도시한 바와 같이, 본 실시예의 금속정(40)은 제3실시예의 구성에 금속정을 고정하기 위한 구멍(48)을 추가 형성한 구조이다. 상기 구멍(48)은 도입부(32)의 반대편 단부에 형성되어 있다. 상기 구멍(48)은 금속정을 골수강내에 삽입한 후 골 밖에 남아 있는 금속정의 부분이 골수강내로 함입되거나 뒤로 빠져나오지 않도록 볼트나 강선을 삽입하여 금속정의 부분을 피하조직에 고정하기 위한 것이다. 나머지 구성은 제3실시예와 동일하다.Figure 4 shows a fourth embodiment of the metal tablet for fracture treatment of the present invention. As shown in the drawing, the metal tablet 40 of this embodiment has a structure in which a hole 48 for fixing the metal tablet is further formed in the configuration of the third embodiment. The hole 48 is formed at the opposite end of the introduction portion 32. The hole 48 is used to fix the portion of the metal well to the subcutaneous tissue by inserting a bolt or steel wire so that the portion of the metal well remaining outside the bone after being inserted into the bone marrow into the bone marrow cavity after being inserted into the bone marrow cavity. The rest of the configuration is the same as in the third embodiment.
도5는 본 발명의 골절 치료용 금속정의 제5실시예를 나타낸다. 도시한 바와 같은 본 실시예의 금속정(50)은 그 도입부(32)의 반대편 단부를 금속정의 직경보다얇고 넓은 판 형상의 평면으로 형성하여, 이 평면에 구멍(58)을 형성한 구조이다. 상기 구멍(58)은 형성되지 않을 수도 있다. 상기 나머지 구성은 제3실시예와 동일하다.Figure 5 shows a fifth embodiment of the metal tablet for fracture treatment of the present invention. The metal tablet 50 of this embodiment as shown in the figure has a structure in which the opposite end of the introduction part 32 is formed in the flat plate shape which is thinner and wider than the diameter of the metal tablet, and the hole 58 was formed in this plane. The hole 58 may not be formed. The rest of the configuration is the same as in the third embodiment.
한편, 상기 실시예들의 금속정은 원형단면의 로드로 되어 있으나, 다각형 단면, 타원형 단면 등의 로드로 이루어 질 수도 있다.On the other hand, the metal tablet of the embodiments is a rod of a circular cross section, it may be made of a rod such as a polygonal cross section, elliptical cross section.
이와 같이 구성된 본 발명에 의한 금속정은, 장골(long bone)의 간부 골절(diaphyseal fracture) 고정시 골수강이 좁거나 체내 고정물(implant)의 유연성이 요구되는 경우, 장골(long bone)의 골간단 골절(metaphyseal fracture), 소아 환자(pediatric patients)의 하지 골절(lower extremity fracture), 소아 장골(child's long bone)의 간부 골절(diaphyseal fracture), 신장(stature)이 작은 환자의 하지 골절(lower extremity fracture), 소아(pediatrics) 및 성인(adult)의 상지 골절( upper extremity fracture)등에 적용될 수 있다.The metal tablet according to the present invention configured as described above has a long intermedullary fracture of the long bone when the bone marrow cavity is narrow when the diaphyseal fracture of the long bone is fixed or the flexibility of the implant is required. metaphyseal fractures, lower extremity fractures in pediatric patients, diaphyseal fractures in children's long bones, and lower extremity fractures in patients with small stature , Upper extremity fractures in pediatrics and adults.
상기 장골(long bone)은 대퇴골(femur), 경골(tibia), 상완골(humerus), 요골(radius) 및 척골(ulna)등이 포함된다.The long bone includes femur, tibia, humerus, radius and ulna.
본 발명의 상기 실시예에 한정되지 않으며 다양하게 변형하여 실시할 수 있다.Not limited to the above embodiment of the present invention can be carried out in various modifications.
본 발명에 의한 골절 치료용 금속정은 골수강에 간단히 삽입하여 골유합을 이루게 하여, 시술을 간편히 하고 환자의 불편을 줄인다는 효과가 있다.The metal tablet for fracture treatment according to the present invention has an effect of simplifying the procedure and reducing the discomfort of the patient by simply inserting the bone marrow into the bone marrow.
Claims (6)
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KR10-2000-0082928A KR100423699B1 (en) | 2000-12-27 | 2000-12-27 | nail for the treatment of bone fractures |
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KR10-2000-0082928A KR100423699B1 (en) | 2000-12-27 | 2000-12-27 | nail for the treatment of bone fractures |
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Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
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US4473069A (en) * | 1981-07-17 | 1984-09-25 | Lars Kolmert | Device for interconnecting an elastic nail and a cross screw |
US4503847A (en) * | 1982-01-15 | 1985-03-12 | Howmedica, Inc. | Prosthetic nail |
US6010506A (en) * | 1998-09-14 | 2000-01-04 | Smith & Nephew, Inc. | Intramedullary nail hybrid bow |
KR20020001179A (en) * | 2000-06-27 | 2002-01-09 | 박일형 | Intramedullary nail and interlocking method of distal screw through the nail |
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2000
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Patent Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4473069A (en) * | 1981-07-17 | 1984-09-25 | Lars Kolmert | Device for interconnecting an elastic nail and a cross screw |
US4503847A (en) * | 1982-01-15 | 1985-03-12 | Howmedica, Inc. | Prosthetic nail |
US6010506A (en) * | 1998-09-14 | 2000-01-04 | Smith & Nephew, Inc. | Intramedullary nail hybrid bow |
KR20020001179A (en) * | 2000-06-27 | 2002-01-09 | 박일형 | Intramedullary nail and interlocking method of distal screw through the nail |
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