TWM459840U - Bracket structure for external fixation - Google Patents

Bracket structure for external fixation Download PDF

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Publication number
TWM459840U
TWM459840U TW102202434U TW102202434U TWM459840U TW M459840 U TWM459840 U TW M459840U TW 102202434 U TW102202434 U TW 102202434U TW 102202434 U TW102202434 U TW 102202434U TW M459840 U TWM459840 U TW M459840U
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Taiwan
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bracket
fixing
fracture
skin
present
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TW102202434U
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Chinese (zh)
Inventor
zhi-hui Chen
Kui-Zhou Huang
zheng-hong Li
Kun-Hui Chen
sheng-long Huang
Xiang-Wei Luo
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Plus Biotechnology Co Ltd A
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Priority to TW102202434U priority Critical patent/TWM459840U/en
Publication of TWM459840U publication Critical patent/TWM459840U/en

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Description

外固定用支架之結構 Structure of external fixing bracket

本創作係有關於一種支架結構,其尤指一種應用外部固定骨折之外固定用支架之結構。 The present invention relates to a stent structure, and more particularly to a structure for fixing a stent other than an external fixation fracture.

人體的架構是非常複雜,分工也相當的精細,而身體能夠做出各式各樣的姿勢與動作,大致是靠著骨骼、肌肉與各種關節的相互配合來達成。人體主要構造可分為四肢及軀幹,以可動關節來說,在上肢的部分,有肩關節、肘關節、腕關節及手指關節。在下肢的部分,有髖關節、膝關節及踝關節。 The structure of the human body is very complicated, the division of labor is also quite fine, and the body can make a variety of postures and movements, which are roughly achieved by the cooperation of bones, muscles and various joints. The main structure of the human body can be divided into limbs and trunks. For the movable joints, in the upper limbs, there are shoulder joints, elbow joints, wrist joints and finger joints. In the lower limbs, there are hip joints, knee joints and ankle joints.

什麼是骨折?骨之連續性出現中斷,不只是單純骨頭斷裂,也會牽涉到損傷區域中所有的軟組織和骨頭,就是骨折的定義。一般骨折多泛指硬骨的傷害,骨折的分類根據受傷原因與情況判定;例如外傷引起的創傷性骨折(traumatic fracture),疾病所引發的自發性骨折(spontaneous fracture)或病理性骨折(pathologicfracture)。假若破損的骨骼穿出皮膚而暴露於外界,此種情況則稱複合性骨折(compound fracture)。這種骨折因外界有害微生物易由破損的皮膚進入而造成額外的感染,所以危險性較高,若 是骨折區依然完整被完好的皮膚保護著,則稱單純性骨折(simple fracture)。 What is a fracture? The continuity of the bone is interrupted, not only the simple bone fracture, but also all the soft tissues and bones in the injured area, which is the definition of the fracture. Generally, the fracture refers to the damage of the hard bone. The classification of the fracture is determined according to the cause and condition of the injury; for example, a traumatic fracture caused by trauma, a spontaneous fracture caused by the disease or a pathologic fracture. If a broken bone passes through the skin and is exposed to the outside world, this condition is called a compound fracture. This type of fracture is caused by external harmful microorganisms that are easily invaded by damaged skin, resulting in a higher risk. If the fracture area is still intact and protected by intact skin, it is called simple fracture.

在創傷性骨折中有許多不同的分類,其中根據骨折的情況,可分封閉性骨折(close fracture)和開放性骨折(open fracture),而兩者的差別在於是否有造成皮膚的傷害與破裂。根據骨折線的方向可分為:1.旁彎性骨折;2.溝裂性骨折;3.粉碎性骨折;4.橫裂性骨折;5.斜裂性骨折;6.螺旋性骨折。 There are many different classifications in traumatic fractures, according to which the fracture can be divided into a close fracture and an open fracture, and the difference between the two is whether it causes skin damage and rupture. According to the direction of the fracture line can be divided into: 1. side bend fracture; 2. rupture fracture; 3. comminuted fracture; 4. transverse fracture; 5. oblique fracture; 6. spiral fracture.

一般而言骨折固定的方式較常見為石膏固定,以石膏固定時需先將石膏帶浸入水中使其軟化,接著仔細對石膏塑形以符合肢體外型輪廓並且維持肢體在整復位置而不會產生不當的扭力,如此直至石膏硬化為止。但使用石膏有許多的缺點,例如需要等待石膏硬化的時間、容易造成受傷部位的血液不流通,因此目前是以骨外固定支架來取代傳統的石膏固定術。 In general, the method of fracture fixation is more commonly used for plaster fixation. When plaster is fixed, the plaster belt should be immersed in water to soften it. Then the plaster is carefully shaped to conform to the contour of the limb and maintain the limb in the reposition position without generating Improper torque, so until the plaster hardens. However, the use of gypsum has many disadvantages, such as the time required to wait for the plaster to harden, and the blood of the injured part to be circulated. Therefore, the conventional external fixation is replaced by an external fixation stent.

骨外固定支架是將骨折兩端用針或釘鑽入,後在皮外將穿入骨折之針固定在外固定架上。此法非一種內固定,也不是外固定,但起到了過去內固定和外固定所不能達到的效果。 The external fixation stent is used to drill the needles or nails at both ends of the fracture, and then the needle that penetrates the fracture outside the skin is fixed on the external fixation frame. This method is not an internal fixation, nor is it an external fixation, but it has the effect that it cannot be achieved by internal fixation and external fixation in the past.

1.作用:(1)能保持骨折端的良好對位;(2)可牽開骨折兩端以延長肢體; (3)可利用加壓技術,促進骨折癒合;(4)可以糾正早期的成角畸形與旋轉畸形。 1. Role: (1) can maintain a good alignment of the fracture end; (2) can retract the ends of the fracture to extend the limb; (3) can use compression technology to promote fracture healing; (4) can correct early angular deformity and rotational deformity.

2.種類 目前常用的外固定架有下列幾種:單臂型外固定架:貫穿骨針4支,骨針外端固定於一側,鋼針穿破一側皮膚,經皮質骨固定,針平行排列,外固定器帶方向調整固定(Bastian架);半環型外固定架:多鋼針突破一側皮膚,任意方向穿針,方向調節半環固定架(夏和桃型)固定;全環型外固定架:多種平面,兩鋼針交叉通過骨質,穿通雙側皮膚,外固定支架環形固定(ilizarov)型。 2. Types of commonly used external fixators are as follows: Single-arm external fixator: 4 through-the-needle needles, the outer end of the bone needle is fixed to one side, the steel needle penetrates one side of the skin, and is fixed by cortical bone. Parallel arrangement, external fixator with direction adjustment and fixation (Bastian frame); semi-ring type external fixator: multi-steel needle breaks through one side of the skin, needles are inserted in any direction, and the direction adjustment half ring holder (summer and peach type) is fixed; Ring-type external fixator: a variety of planes, two steel needles cross through the bone, through the bilateral skin, the outer fixed bracket ring fixed (ilizarov) type.

3.外固定支架的優點: 3. Advantages of external fixing bracket:

(1)能保持對位,創傷小。 (1) It can maintain the alignment and the trauma is small.

(2)既能對骨骼牽引延長,又能對骨折端加壓,促進骨質的癒合。 (2) It can not only prolong the traction of the bone, but also pressurize the fracture end and promote the healing of the bone.

(3)開放性骨折中,可以在不影響骨折制動下處理傷口。 (3) In open fractures, the wound can be treated without affecting the fracture brake.

(4)可以糾正早期成角和旋轉畸形。 (4) It is possible to correct early angulation and rotational deformities.

4.缺點: 4. Shortcomings:

(1)針孔感染,較多見,尤其是粗針的針。 (1) Pinhole infection is more common, especially for needles with thick needles.

(2)鋼針以及鋼針固定夾與連杆容易鬆動,影響效果。 (2) The steel needle and the steel needle fixing clip and the connecting rod are easy to loose, which affects the effect.

(3)固定架結構複雜,裝卸不便。 (3) The structure of the fixing frame is complicated, and the loading and unloading is inconvenient.

(4)體外裝置會影響患者的一些日常活動。 (4) Extracorporeal devices can affect some of the patient's daily activities.

本創作之主要目的,係提供一種外固定用支架之結構, 其係透過一支架及複數固定件,將一支架使用於外固定,使其具有固定的效果,避開傷口進行手術,可達到不影響傷口癒合,同時降低傷口感染的可能性。 The main purpose of this creation is to provide a structure for an external fixing bracket. Through a bracket and a plurality of fixing members, a bracket is used for external fixation to have a fixed effect, and the operation is avoided by avoiding the wound, thereby achieving the possibility of not affecting wound healing and reducing wound infection.

本創作之次要目的,係提供一種外固定用支架之結構,更進一步包含一至少一支撐件,該支撐件設置於支撐該些固定件與皮膚之間,提升該支架之支撐力。 A secondary object of the present invention is to provide a structure for an external fixation bracket, and further comprising at least one support member disposed between the support member and the skin to enhance the supporting force of the bracket.

為了達到上述所指稱之各目的與功效,本創作係揭示了一種外固定用支架之結構,本創作即以固定支架作為外固定架作為設計考量,並且結合微創手術,針對骨折病患,可以再處理好表層傷口後,隨即進行骨頭固定,減少病人接受開刀手術的負擔,以期能在最短的時間內恢復正常之功能。 In order to achieve the above-mentioned various purposes and effects, the author of this work reveals a structure of an external fixation stent. This creation is based on the design of a fixed stent as an external fixation frame, and combined with minimally invasive surgery, for fracture patients, After the surface wound is treated again, the bone fixation is performed to reduce the burden on the patient to undergo surgery, in order to restore normal function in the shortest time.

10‧‧‧支架 10‧‧‧ bracket

110‧‧‧T型頭支架 110‧‧‧T-head bracket

120‧‧‧直線型支架 120‧‧‧Linear bracket

130‧‧‧穿孔 130‧‧‧Perforation

20‧‧‧固定件 20‧‧‧Fixed parts

30‧‧‧支撐件 30‧‧‧Support

40‧‧‧骨頭 40‧‧‧ bones

50‧‧‧皮膚 50‧‧‧ skin

D‧‧‧間距 D‧‧‧ spacing

θ‧‧‧夾角 Θ‧‧‧ angle

L‧‧‧軸線 L‧‧‧ axis

第一A圖:其為本創作之一較佳實施例之結構示意圖;第一B圖:本創作之一較佳實施例之結構示意圖與剖視圖;第二A圖:其係為本創作之一較佳實施例之實施示意圖;第二B圖:其係為本創作之一較佳實施例之實施示意圖;第二C圖:其係為本創作之一較佳實施例之實施示意圖;第二D圖:其係為本創作之一較佳實施例之實施示意圖;第三圖:其係為本創作之一較佳實施例之固定件夾角示意圖;及第四圖,其係為本創作之另一較佳實施例之支撐件之結構示意圖。 FIG. 1A is a schematic structural view of a preferred embodiment of the present invention; FIG. 1B is a schematic structural view and a cross-sectional view of a preferred embodiment of the present invention; A schematic diagram of a preferred embodiment of the present invention; a second schematic view of a preferred embodiment of the present invention; a second schematic view of the preferred embodiment of the present invention; Figure D is a schematic view of the implementation of a preferred embodiment of the present invention; the third figure is a schematic view of the angle of the fixing member of a preferred embodiment of the present invention; and the fourth figure is the creation of the present invention. A schematic structural view of a support member of another preferred embodiment.

為使 貴審查委員對本創作之特徵及所達成之功效有更進一步之瞭解與認識,謹佐以較佳之實施例及配合詳細之說明,說明如後: 本創作為解決習知使用外固定支架之缺點,例如:影響日常生活、生理衛生、結構複雜,以及以及組裝與維護保養等之種種缺點,本創作透過板形構建取代傳統外固定,使達成日常生活便利、能夠衛生清潔、結構相對單純,以及組裝簡易可簡單進行維護或無須特意維護等。藉以做為固定骨折之為用者。 In order to give your reviewers a better understanding and understanding of the characteristics of the creation and the efficacies achieved, please provide a better example and a detailed description of the following: This work is to solve the shortcomings of the conventional use of external fixation brackets, such as: affecting daily life, physical hygiene, structural complexity, as well as assembly and maintenance and other shortcomings, this creation replaces the traditional external fixation through the shape of the plate, so that daily Easy to live, clean and hygienic, relatively simple in structure, easy to assemble, easy to maintain or no need for special maintenance. It is used as a fixed fracture.

首先,請同時參閱第一A圖及第一B圖,其係為本創作之一較佳實施例之結構示意圖與剖視圖;如圖所示,本創作之外固定用支架之結構,係包含一支架10及複數個固定件20,該支架10之形狀可依據橈骨、肱骨或尺骨骨折以使用不同形狀,本實施例以T型支架做一說明,該支架10係包含一T型頭支架110以及一直線型支架120,該直線型支架120係連接於該T型頭支架110上,該支架10上係設置複數個穿孔130,以容該些固定件20穿設,該些穿孔130可具有螺紋或只為穿孔皆可,該些固定件20可以螺合或釘合之方式穿設於該些130,該直線型支架120與該T型頭支架110之該些穿孔130係為非直線型設置,其中該T型頭支架110之該些穿孔130係為立體環繞設置,穿射於該T型頭支架110之該些固定件20係指向一軸線L,該軸線L為固定之骨頭之軸線,藉此以強固該支架10 與骨頭之固定;其中進一步設置至少一支撐件30,該支撐件30係套設於該固定件20。 First of all, please refer to the first A figure and the first B picture, which are a schematic structural view and a cross-sectional view of a preferred embodiment of the present invention; as shown in the figure, the structure of the fixing bracket other than the present invention includes one The stent 10 and the plurality of fixing members 20 are shaped according to the shape of the humerus, the tibia or the ulna. The present embodiment is described by a T-shaped bracket, and the stent 10 includes a T-shaped head bracket 110 and A linear bracket 120 is connected to the T-shaped head bracket 110. The bracket 10 is provided with a plurality of through holes 130 for receiving the fixing members 20, and the through holes 130 can be threaded or The fixing members 20 can be screwed or stapled to the 130s. The linear brackets 120 and the through holes 130 of the T-shaped head brackets 110 are non-linear. The plurality of through holes 130 of the T-shaped head bracket 110 are arranged in a three-dimensional manner. The fixing members 20 that are incident on the T-shaped head bracket 110 are directed to an axis L, and the axis L is an axis of the fixed bone. This to strengthen the bracket 10 Fixing with the bone; wherein at least one support member 30 is further disposed, and the support member 30 is sleeved on the fixing member 20.

該些固定件20透過穿設該些穿孔130而將該支架10固定於骨頭40之上,以將該支架10固定於皮膚50外側,透過該支架10可將骨折之部分予以固定,由於人體之四肢部分並非完全平整,於將該支架10固定於骨頭40上時,雖有部分支架與皮膚50接觸,然尚有部分支架無法與皮膚50接觸,會造成該支架10與皮膚50之間具有間距D,使該支架10之固定失去原有之效果,本創作係揭露該支撐件30,將該支撐件10套設於該支架10與皮膚50之間,以增加固定之效果,該支撐件30可具有螺紋以搭配該些螺釘20之螺紋,或不具螺紋,該支撐件30之材料也可選擇彈性材料,透過彈性材料之特性使其更具有固定之效果。 The fixing member 20 fixes the bracket 10 to the bone 40 by penetrating the through holes 130 to fix the bracket 10 to the outside of the skin 50, and the portion of the fracture can be fixed through the bracket 10, due to the human body. The limb portion is not completely flat. When the stent 10 is fixed to the bone 40, although some of the stents are in contact with the skin 50, some of the stents are not in contact with the skin 50, which may cause a gap between the stent 10 and the skin 50. D, the fixing of the bracket 10 loses the original effect. The present invention discloses the support member 30, and the support member 10 is sleeved between the bracket 10 and the skin 50 to increase the fixing effect. The support member 30 The thread may be threaded to match the threads of the screws 20, or may be non-threaded. The material of the support member 30 may also be selected from an elastic material, which is more fixed by the characteristics of the elastic material.

又,由於人體骨折非常多樣,可為車禍、運動或人為等等,請參閱第二A圖至第二D圖所示,其係為本創作之一較佳實施例之實施示意圖;如圖所示,所以本創作之該支架10可依據骨折之部分可以將該支架前後倒置(如第二A圖以及第二B圖)或於使用不同骨折位置(如第二C圖以及第二D圖),或可將該支架設計成不同形狀。 Moreover, since the human body fracture is very diverse, it can be a car accident, exercise or artificial, etc., please refer to the second A to the second D, which is a schematic diagram of a preferred embodiment of the present invention; Therefore, the stent 10 of the present invention can be used to invert the stent back and forth according to the fracture portion (such as the second A map and the second B graph) or to use different fracture positions (such as the second C map and the second D map). Or the bracket can be designed in different shapes.

再者,請參閱第三圖,其係為本創作之一較佳實施例之固定件夾角示意圖;如圖所示,本創作透過該些固定件20將該支架10固定於皮膚50之外,以做為固定骨折之用,該些固定件20於該T型頭支架110時其兩側之該些固定件20打入骨頭 40時,其夾角θ為2-180度,可依據臨床時,使用不同長度之固定件或支架或固定之角度或骨頭之位置,而予以調整該些固定件20打入之角度。 Furthermore, please refer to the third figure, which is a schematic view of the angle of the fixing member according to a preferred embodiment of the present invention; as shown in the figure, the present invention fixes the bracket 10 outside the skin 50 through the fixing members 20, For fixing the fractures, the fixing members 20 are inserted into the bones of the fixing members 20 on both sides of the T-shaped head bracket 110. At 40 o'clock, the angle θ is 2-180 degrees, and the angle at which the fixing members 20 are driven can be adjusted according to clinical time, using fixing members or brackets of different lengths or fixed angles or positions of bones.

本創作將固定用之該支架10設置於人體皮膚50之外側以取代傳統之外固定用支架,外固定用支架具有價格昂貴、組裝步驟繁瑣、體積較大、病患活動自由度受到限制、支架消毒等缺點,本創作可應用目前所設計使用不同形狀支架,以固定人體不同位置之骨折,因為支架之體積小,進一步可解決病人生理衛生、病人活動自由度等等之問題。 In the present invention, the bracket 10 for fixing is disposed on the outer side of the human skin 50 to replace the conventional external fixing bracket. The outer fixing bracket has high cost, complicated assembly steps, large volume, limited freedom of movement of the patient, and the bracket Disadvantages such as disinfection, this creation can be applied to the current design of different shape brackets to fix the fractures of different positions of the human body, because the small size of the stent can further solve the problems of patient's physiological sanitation, patient freedom of movement and so on.

又,請參閱第四圖,其係為本創作之另一較佳實施例之支撐件之結構示意圖;如圖所示,本創作之支撐件30之結構可於之一側設置一開口32,透過該開口32可將其設置於皮膚50與該支架40下方之間,其可將該支架10固定於骨頭40後,再將該支撐件30進行設置,可依據該支架10與皮膚50之間距予以設置適當長度之該支撐件30,以達固定之為用者。 In addition, please refer to the fourth figure, which is a schematic structural view of a support member according to another preferred embodiment of the present invention; as shown in the figure, the structure of the support member 30 of the present invention can be provided with an opening 32 on one side. Through the opening 32, it can be disposed between the skin 50 and the lower side of the bracket 40. After the bracket 10 is fixed to the bone 40, the support member 30 can be disposed according to the distance between the bracket 10 and the skin 50. The support member 30 of an appropriate length is provided to be fixed for the user.

惟以上所述者,僅為本創作之較佳實施例而已,並非用來限定本創作實施之範圍,舉凡依本創作申請專利範圍所述之形狀、構造、特徵及精神所為之均等變化與修飾,均應包括於本創作之申請專利範圍內。 However, the above description is only for the preferred embodiment of the present invention, and is not intended to limit the scope of the present invention, and the variations, modifications, and modifications of the shapes, structures, features, and spirits described in the scope of the patent application. , should be included in the scope of the patent application of this creation.

本創作係實為一具有新穎性、進步性及可供產業利用者,應符合我國專利法所規定之專利申請要件無疑,爰依法提出創作專利申請,祈 鈞局早日賜准專利,至感為禱。 This creative department is a novelty, progressive and available for industrial use. It should meet the requirements of patent applications stipulated in China's Patent Law. It is undoubtedly proposed to create patents according to law, and the Prayer Bureau will grant patents as soon as possible. prayer.

10‧‧‧支架 10‧‧‧ bracket

20‧‧‧固定件 20‧‧‧Fixed parts

30‧‧‧支撐件 30‧‧‧Support

40‧‧‧骨頭 40‧‧‧ bones

50‧‧‧皮膚 50‧‧‧ skin

D‧‧‧間距 D‧‧‧ spacing

Claims (9)

一種外固定用支架之結構,其係包含:一支架,其係包含一本體,該本體設置複數個穿孔;以及複數個固定件,係穿設於該些穿孔;其中,該些穿孔為非直線設置,該些固定件之穿設於該支架時,至少二固定件指向一軸線。 A structure for an external fixing bracket, comprising: a bracket comprising a body, the body is provided with a plurality of perforations; and a plurality of fixing members are disposed through the perforations; wherein the perforations are non-linear The at least two fixing members are directed to an axis when the fixing members are disposed on the bracket. 如申請專利範圍第1項所述之外固定用支架之結構,其中該支架係包含一T型頭支架與一直線型支架,該直線型支架連接該T型頭支架。 The structure of the fixing bracket according to the first aspect of the invention, wherein the bracket comprises a T-shaped head bracket and a straight-line bracket, and the linear bracket is connected to the T-shaped head bracket. 如申請專利範圍第2項所述之外固定用支架之結構,其中該T型頭支架之兩側係穿設該些固定件,該些固定件係呈2至180度。 The structure of the fixing bracket according to the second aspect of the patent application, wherein the fixing members are disposed on both sides of the T-shaped head bracket, and the fixing members are 2 to 180 degrees. 如申請專利範圍第1項所述之外固定用支架之結構,其中該等固定件係與該等穿孔相互螺合。 The structure of the fixing bracket according to the first aspect of the invention, wherein the fixing members are screwed to the perforations. 如申請專利範圍第1項所述之外固定用支架之結構,更進一步包含至少一支撐件,係套設於該些固定件之其中之一。 The structure of the fixing bracket according to the first aspect of the patent application, further comprising at least one supporting member disposed on one of the fixing members. 如申請專利範圍第5項所述之外固定用支架之結構,其中該支撐件係具有螺紋。 The structure of the fixing bracket as described in claim 5, wherein the support member has a thread. 如申請專利範圍第5項所述之外固定用支架之結構,其中該支撐件之材質係為彈性材質。 The structure of the fixing bracket as described in claim 5, wherein the material of the supporting member is an elastic material. 如申請專利範圍第5項所述之外固定用支架之結構,其中該支撐件之側邊具有一開口。 The structure of the fixing bracket as described in claim 5, wherein the side of the support member has an opening. 如申請專利範圍第1項所述之外固定用支架之結構,其中該軸線係為該固定用支架欲固定物體之軸線。 The structure of the fixing bracket according to the first aspect of the patent application, wherein the axis is an axis of the fixing bracket to be fixed.
TW102202434U 2013-02-05 2013-02-05 Bracket structure for external fixation TWM459840U (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113100894A (en) * 2020-01-13 2021-07-13 爱派司生技股份有限公司 Elbow joint external fixation device

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113100894A (en) * 2020-01-13 2021-07-13 爱派司生技股份有限公司 Elbow joint external fixation device

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