+

CN105997219A - Multidirectional locking intramedullary interlocking nail - Google Patents

Multidirectional locking intramedullary interlocking nail Download PDF

Info

Publication number
CN105997219A
CN105997219A CN201610503617.4A CN201610503617A CN105997219A CN 105997219 A CN105997219 A CN 105997219A CN 201610503617 A CN201610503617 A CN 201610503617A CN 105997219 A CN105997219 A CN 105997219A
Authority
CN
China
Prior art keywords
locking
nail
nail hole
pinning
lock
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CN201610503617.4A
Other languages
Chinese (zh)
Other versions
CN105997219B (en
Inventor
王永清
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Priority to CN201610503617.4A priority Critical patent/CN105997219B/en
Publication of CN105997219A publication Critical patent/CN105997219A/en
Application granted granted Critical
Publication of CN105997219B publication Critical patent/CN105997219B/en
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/72Intramedullary devices, e.g. pins or nails
    • A61B17/7233Intramedullary devices, e.g. pins or nails with special means of locking the nail to the bone
    • A61B17/725Intramedullary devices, e.g. pins or nails with special means of locking the nail to the bone with locking pins or screws of special form
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B2017/564Methods for bone or joint treatment

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)

Abstract

The invention discloses a multidirectional locking intramedullary interlocking nail, and belongs to medical apparatuses and instruments. The far end of a main nail is provided with a front-back direction lock pin straight-passing lock nail hole A, an internal-external direction lock pin internal and external transverse pass lock nail hole B, and two internal-external direction internal and external transverse pass or 45-degree internal and external inclined pass lock nail holes C, the near end of the main nail is provided with a front-back direction lock nail front-back straight pass lock nail hole A, two 90-degree intersection, two 90-degree intersection lock nail front-internal, front-external to back-external and back-internal transverse pass lock nail holes D, two internal-external direction internal-external transverse pass or 45-degree internal-external inclined pass lock nail holes C and an internal-external direction internal-external transverse pass lock nail hole B. The multidirectional locking intramedullary interlocking nail has the advantages that the stability of the angle between the main nail and the lock nail is stronger; the near end and the far end have multidirectional locking; the high-thread cancellous bone lock pin has the surrounding, extrusion and fixing effect on a fracture of distal radius.

Description

Lock multidirectional intramedullary nail with lock
Technical field
The invention belongs to a kind of medical apparatus and instruments, lock multidirectional intramedullary nail with lock particularly to one.
Background technology
Tibia is near, fracture of distal, particularly relates to IA Platform Fracture and pilon fracture is common joint internal skeleton Folding, operation is treatment tibial plateau and the main method of pilon fracture, frequently with open reduction steel plate screw internal fixation, by Fixing in non-locking steel screw being off property marrow outer support, steel plate and the fracture of offside are difficult to obtain symmetrical fixing.So it is clinical Encircle support frequently with double steel plate or three steel plates to fix, but local soft tissue can be caused major injury by this fixed form. The appearance of locking steel plate is a progress for the treatment of for tibial plateau fracture, its provide outside marrow relative to symmetric support fix, special Not being complexity fracture, curative effect is reliable.But it is required to cut and separate large range of soft tissue, institute owing to steel plate screw is fixing The soft tissue damaged is increased the weight of beyond doubt damage and brings the risk of higher postoperative infection.
Current intramedullary nail with lock is only applicable to the fracture of tibial shaft, and fracture remote for tibia, near-end is contraindication, former Because of be the 1. at present tibia marrow nail of Clinical practice main nail and pinning between without " angle is stable " function, do not have the most each other There is lock function;2. tibia marrow nail is near, distal locking nail hole is few, and without the multidirectional lock function of science;3. pinning itself Not there is cancellous bone screw function, Platform Fracture is not encircled effect;4. intra-articular fracture is related to, solid in restricted locking On the basis of Ding, still need and want non-limiting lag-screw of cancellous bone auxiliary fixing, i.e. " raft nail " fixing, make intra-articular fracture turn For extra-articular fracture.
Summary of the invention
It is an object of the invention to overcome above-mentioned defect, it is provided that a kind of lock multidirectional intramedullary nail with lock, its main nail with Having lock function between pinning, angle stability is higher;Closely, far-end has multidirectional locking;High screw thread spongy bone pinning opposite end bone Folding encircles extruding fixation;Reducing soft tissue to cut and dissection scope, the blood supply outside protection marrow, correspondingly protection is subject to The soft tissue dampened, reduces complication.
It is an object of the invention to be achieved through the following technical solutions: a kind of lock multidirectional intramedullary nail with lock, including main nail And pinning, described main nail is shaft-like, main nail proximally and distally between be provided with bent angle forward, it is characterised in that: described master The far-end of nail is provided with four locking nail holes, is one fore-and-aft direction locking nail hole A of distalmost end respectively, and before and after pinning, direct puncture enters locking nail hole A, One inward-outward direction locking nail hole B of nearside, crosses locking nail hole B, middle two inward-outward direction locking nail hole Ca and Cb, pinning inside and outside pinning Hole Ca and Cb is respectively positive water-drop-shaped and anti-water-drop-shaped, and locking nail hole Ca with Cb is oblique in main nail to be connected, the droplet-shaped that structure is at 45 ° Passage, crosses locking nail hole Ca and Cb, or tiltedly wears locking nail hole Ca and Cb in 45 ° inside and outside droplet-shaped passage inside and outside pinning;Described The near-end of main nail is provided with eight locking nail holes, is most proximal end one fore-and-aft direction locking nail hole A, direct puncture locking nail hole A before and after pinning respectively, Two-layer locking nail hole D thereunder, every layer of locking nail hole D include two mutual intersections in 90 ° and at 45 ° with most proximal end locking nail hole A Locking nail hole D, pinning in the past in backward outer or front outer the most backward in direct puncture each locking nail hole D, the Liang Genei foreign side below locking nail hole D Being respectively positive water-drop-shaped and anti-water-drop-shaped to locking nail hole Ca and Cb, locking nail hole Ca and Cb, locking nail hole Ca and Cb is oblique in main nail Connection, the droplet-shaped passage that structure is at 45 °, crosses locking nail hole Ca and Cb, or passes inside and outside droplet-shaped passage oblique in 45 ° inside and outside pinning Wear locking nail hole Ca and Cb;One inward-outward direction locking nail hole B of farthest side, crosses locking nail hole B inside and outside pinning.
Described proximal diameter is more than mobile jib diameter.
Described bent angle is 8 ± 3 °.
It is provided with screw thread in described locking nail hole, does not set screw thread or be partly provided with screw thread.
Described pinning is high screw thread spongy bone pinning, and rivet nut is provided with cancellous threads, and cancellous threads height is 0.2- 2.5mm, for circle shoulder pole type at the bottom of cancellous threads silk.
Pitch 1.0-4.0mm of described cancellous threads.
Diameter 2.0-6.0mm at the bottom of described cancellous threads silk, high screw thread spongy bone pinning external diameter 4.5-6.5mm.
Advantages of the present invention and providing the benefit that:
1, use spongy bone pinning, be designed as circle shoulder pole type at the bottom of it, make to have between main nail and pinning lock function, angle Stability is higher, increases the fatigue resistance of pinning simultaneously, reduces the complication of fracture;
2, the multidirectional locking of pinning, can direct puncture, cross or tiltedly penetrate locking nail hole, form solid fixing, near, far-end locking direction Design by the anatomic form feature of proximal tibial platform, far-end articular surface of ankle, there is the multidirectional lock function of science;
3, high screw thread spongy bone pinning opposite end fracture encircles extruding fixation;
4, lock multidirectional intramedullary nail with lock and reduce soft tissue incision and dissection scope, protect the blood supply outside marrow, accordingly The soft tissue that ground protection is dampened, reduces complication.
5, the axle center locking multidirectional intramedullary nail with lock supports fixing, makes interior outside platform accept symmetric support power.
Accompanying drawing explanation
Fig. 1 is the schematic front view of main nail.
Fig. 2 is the schematic side view of main nail.
Fig. 3 is the A-A section enlarged diagram of the Fig. 1 with pinning.
Fig. 4 is the B-B section enlarged diagram of the Fig. 1 with pinning.
Fig. 5 is pinning structural representation.
Fig. 6 is the left view of Fig. 5.
Fig. 7 is the right view of Fig. 5.
Fig. 8 a is that model case one preoperative X-ray sheet, CT add three-dimensional reconstruction image film.
Fig. 8 b is model case one postoperative X-ray sheet, and upper three is restricted locking, nethermost for Poller nail technology.
Fig. 8 c is that model case one takes out TLMIIN postoperative X-ray sheet in postoperative 15 months.
Fig. 8 d is that model case one takes out 2 weeks knee articulation situations after TLMIIN.
Fig. 9 a is position, model case two preoperative positive side X-ray sheet.
Fig. 9 b is model case two CT and MRI sheet.
Fig. 9 c is model case two postoperative X-ray sheet, and uppermost three lag-screw of cancellous bone are " raft " nail technology, Overall fixing defines Jail technology.
Fig. 9 d is that postoperative 7 weeks knee joint functions of model case two are excellent, does not hold up and turns walking.
Wherein: the main nail of 1-, 2-pinning, 3-bent angle, 4-locking nail hole A, 5-locking nail hole D, 6-locking nail hole Ca, 6 '-locking nail hole Cb, 7-locking nail hole B, 8-water-drop-shaped passage, 9-passes locking nail hole through the pinning of locking nail hole A, 10-through the pinning of locking nail hole D, 11- The pinning of Ca-Cb water-drop-shaped passage, 12-rivet nut, the 13-head of a nail, 14-cancellous threads, at the bottom of 15-silk.
Detailed description of the invention
Embodiment: locking multidirectional intramedullary nail with lock as it can be seen, a kind of, including main nail 1 and pinning 2, described main nail 1 is bar Shape, material is titanium alloy or 317L rustless steel, and a diameter of 8-12mm of main nail is provided with 8 forward at the near-end 5-11cm of main nail 1 ± 3 ° of bent angles 3, a diameter of 10-14mm of this bending point to near-end, in near-end 60mm, it is provided with eight locking nail holes, is away from closely respectively A fore-and-aft direction threaded locking nail hole A 4 at end 10mm, before and after high screw thread spongy bone pinning 2, direct puncture enters locking nail hole A 4, The thread depth of high screw thread spongy bone pinning is 0.2-2.5mm, pitch 1.0-4.0mm, for circle shoulder pole type, diameter at the bottom of silk at the bottom of silk 2.0-6.0mm, pinning external diameter 4.5-6.5mm, the lower section of locking nail hole A arranges the threaded pinning of two-layer at near-end 18mm and 28mm Hole D 5, every layer of locking nail hole D 5 include two locking nail hole D 5, two mutual intersections in 90 ° of locking nail hole D 5 and with most proximal end pinning Hole A is at 45 °, and in high screw thread spongy bone pinning 2 the past, outer or front outer interior putting down backward penetrates each locking nail hole D 5 backward, fixes flat Platform sclerite, locking nail hole D 5 distally two inward-outward direction threaded locking nail hole Ca 6 and Cb at near-end 35mm and 47mm 6 ', locking nail hole Ca 6 and Cb 6 ' is respectively positive water-drop-shaped and anti-water-drop-shaped, and locking nail hole Ca 6 and Cb 6 ' is oblique company in main nail 1 Logical, the droplet-shaped passage 8 that structure is at 45 °, crosses locking nail hole Ca 6 and Cb 6 ' inside and outside high screw thread spongy bone pinning 1, or wears in 45 ° Cross and inside and outside droplet-shaped passage 8, tiltedly wear locking nail hole Ca 6 and Cb 6 ';At near-end 60mm, farthest side one is that inward-outward direction is threaded Locking nail hole B 7, high screw thread spongy bone pinning 2 traverses into locking nail hole B 7 from Inside To Outside;Treatment fracture of tibia or near-end platform Time, near-end plays the effect of horizontal support tibial plateau.
The far-end of described main nail is provided with four locking nail holes, is one the non-spiral shell of fore-and-aft direction of distalmost end away from far-end 5mm respectively Stricture of vagina locking nail hole A 4, direct puncture locking nail hole A 4 before and after high screw thread spongy bone pinning 2, away from mono-non-threaded lock of inward-outward direction of far-end 35mm Nail B 7, high screw thread spongy bone pinning 2 from inside to outside crosses locking nail hole B 7, non-threaded away from far-end 15mm and 23mm inward-outward direction Locking nail hole Ca 6 and Cb 6 ', locking nail hole Ca 6 and Cb 6 ' is respectively positive water-drop-shaped and anti-water-drop-shaped, locking nail hole Ca 6 and Cb 6 ' Oblique connection in main nail, the droplet-shaped passage 8 that structure is at 45 °, crosses locking nail hole Ca 6 and Cb inside and outside high screw thread spongy bone pinning 2 6 ', or inside and outside droplet-shaped passage 8, tiltedly wear locking nail hole Ca 6 and Cb 6 ' in 45 °.
The rivet nut 12 of high screw thread spongy bone pinning 2 is provided with cancellous threads 14, and cancellous threads 14 height is 0.2- 2.5mm, pitch 1.0-4.0mm, at the bottom of the silk of cancellous threads, 15 lock for circle shoulder pole type, diameter 2.0-6.0mm, high screw thread spongy bone Nail external diameter 4.5-6.5mm..
Use and lock multidirectional intramedullary nail with lock and can, the fracture of near-end remote to the fracture of tibial shaft, tibia treat.
In October, 2008 in May, 2012, use and lock multidirectional intramedullary nail with lock technique for fixing and treat and obtain and follow up a case by regular visits to 38 example closure patients with tibial plateau fractures data, male 22 examples, female 16 example;Age 28~67 years old, average 48.7 years old;Left side 24 Example, right side 14 example;It is fresh fracture.Fracture of the tibial plateau employing AO/OTA typing: B1 type 4 example, B2 type 1 example, B3 type 14 example; C1 type 8 example, C2 type 5 example, C3 type 6 example.Wherein use closed reduction to lock multidirectional intramedullary nail with lock immobilized patients 4 example, account for 10.5%;Fixing in selecting approach row Limited open reduction according to fracture line and sclerite distribution situation, row open reduction is fixed Patient 34 example, accounts for 89.5%, and postoperative employing improvement Hohl-Luck fracture of the tibial plateau is evaluated system and is estimated.
38 example patients all obtain and follow up a case by regular visits to as a result, follow up time 11~23 months, average 18.1 months, and fracture all obtains bone more Close, average bony union time 87.4d, the average 108.9d of complete weight carrying swimming.Last follows up a case by regular visits to put down by improvement Hohl-Luck tibia Platform fracture evaluation system, wherein radiological evaluation: excellent 23 examples, good 9 examples, can 6 examples, acceptance rate 84.2%.Functional evaluation: excellent 28 Example, good 8 examples, can 2 examples, acceptance rate 94.7%.During Follow-up After, there is infection, screw loosening and fracture, deformity more in none example The complication such as conjunction, disunion.
Conclusion for different fracture of the tibial plateau types, by knee joint mini-invasive incision, inside and outside skew back shape otch and Hit exactly straight cut before knee joint and can obtain satisfied reset effect;Utilize lock multidirectional intramedullary nail with lock marrow inner support, restricted and The satisfactory effect of non-limiting Multi-directional three-dimensional technique for fixing treatment fracture of the tibial plateau, using and locking multidirectional intramedullary nail with lock is one Plant the alternative therapeutic scheme of safety, have early postoperation functional exercise, less complication.
Fig. 8 is model case one, man, 52 years old left tibias Platform Fracture C3 type, companion's fibular head fracture.
Fig. 9 is model case two: man, 47 years old right tibial plateau B3 type fracture, accompanies posterior cruciate ligament attachment point part avulsion Fracture and lateral meniscus tear damage.

Claims (7)

1. locking a multidirectional intramedullary nail with lock, including main nail and pinning, described main nail is shaft-like, at main nail proximally and distally Between be provided with bent angle forward, it is characterised in that: the far-end of described main nail is provided with four locking nail holes, before being distalmost end one respectively Rear is to locking nail hole A, and before and after pinning, direct puncture enters locking nail hole A, one inward-outward direction locking nail hole B of nearside, crosses pinning inside and outside pinning Hole B, middle two inward-outward direction locking nail hole Ca and Cb, locking nail hole Ca and Cb is respectively positive water-drop-shaped and anti-water-drop-shaped, locking nail hole Ca with Cb is oblique in main nail to be connected, and the droplet-shaped passage that structure is at 45 ° crosses locking nail hole Ca and Cb, or wears in 45 ° inside and outside pinning Cross and inside and outside droplet-shaped passage, tiltedly wear locking nail hole Ca and Cb;The near-end of described main nail is provided with eight locking nail holes, is most proximal end one respectively Individual fore-and-aft direction locking nail hole A, direct puncture locking nail hole A before and after pinning, two-layer locking nail hole D thereunder, every layer of locking nail hole D include two Individual mutual intersection in 90 ° and the locking nail hole D at 45 ° with most proximal end locking nail hole A are outer or front outer interior straight backward backward in pinning the past Wearing each locking nail hole D, two inward-outward direction locking nail hole Ca and Cb below locking nail hole D, locking nail hole Ca and Cb is respectively positive water droplet Shape and anti-water-drop-shaped, locking nail hole Ca with Cb is oblique in main nail to be connected, and the droplet-shaped passage that structure is at 45 ° crosses lock inside and outside pinning Nail Ca and Cb, or inside and outside droplet-shaped passage, tiltedly wear locking nail hole Ca and Cb in 45 °;One inward-outward direction locking nail hole of farthest side B, crosses locking nail hole B inside and outside pinning.
The multidirectional intramedullary nail with lock of a kind of locking the most according to claim 1, it is characterised in that: described proximal diameter is more than main Shank diameter.
The multidirectional intramedullary nail with lock of a kind of locking the most according to claim 1, it is characterised in that: described bent angle is 8 ± 3 °.
The multidirectional intramedullary nail with lock of a kind of locking the most according to claim 1, it is characterised in that: it is provided with spiral shell in described locking nail hole Stricture of vagina, do not set screw thread or part be provided with screw thread.
The multidirectional intramedullary nail with lock of a kind of locking the most according to claim 1, it is characterised in that: described pinning is high screw thread pine Matter bone pinning, rivet nut is provided with cancellous threads, and cancellous threads height is 0.2 2.5mm, is round flat at the bottom of cancellous threads silk Load shape.
The multidirectional intramedullary nail with lock of a kind of locking the most according to claim 5, it is characterised in that: described high screw thread spongiosa murices Pitch 1.0 4.0mm of stricture of vagina.
The multidirectional intramedullary nail with lock of a kind of locking the most according to claim 5, it is characterised in that: described high screw thread spongiosa murices Diameter 2.0 6.0mm at the bottom of stricture of vagina silk, high screw thread spongy bone pinning external diameter 4.5-6.5mm.
CN201610503617.4A 2016-06-30 2016-06-30 Lock multidirectional intramedullary nail with lock Active CN105997219B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201610503617.4A CN105997219B (en) 2016-06-30 2016-06-30 Lock multidirectional intramedullary nail with lock

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201610503617.4A CN105997219B (en) 2016-06-30 2016-06-30 Lock multidirectional intramedullary nail with lock

Publications (2)

Publication Number Publication Date
CN105997219A true CN105997219A (en) 2016-10-12
CN105997219B CN105997219B (en) 2018-06-22

Family

ID=57104733

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201610503617.4A Active CN105997219B (en) 2016-06-30 2016-06-30 Lock multidirectional intramedullary nail with lock

Country Status (1)

Country Link
CN (1) CN105997219B (en)

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106974716A (en) * 2017-03-21 2017-07-25 承德医学院附属医院 One kind determines fixing device with marrow internal lock
CN107961067A (en) * 2018-01-12 2018-04-27 四川大学华西医院 Lateral inlet tibiobone marrow internal needle
CN116570359A (en) * 2023-06-21 2023-08-11 王洁莹 Minimally invasive and micro-stress shielding and fixing device for long tubular fractures of limbs in plastic surgery robot

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2609515Y (en) * 2002-07-28 2004-04-07 王永清 Compound intramedullary nail with lock for femur
CN200998305Y (en) * 2007-01-19 2008-01-02 王永清 Multifunctional tibia marrow nail
US7410488B2 (en) * 2005-02-18 2008-08-12 Smith & Nephew, Inc. Hindfoot nail
CN201379640Y (en) * 2009-04-16 2010-01-13 王永清 Novel femur composite interlocking intramedullary nail
US7670340B2 (en) * 2004-09-27 2010-03-02 Orthofix International B.V. Endomedullary nail for the treatment of proximal femur fractures
CN205913384U (en) * 2016-06-30 2017-02-01 王永清 Lock multidirectional area lock intramedullary nail

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2609515Y (en) * 2002-07-28 2004-04-07 王永清 Compound intramedullary nail with lock for femur
US7670340B2 (en) * 2004-09-27 2010-03-02 Orthofix International B.V. Endomedullary nail for the treatment of proximal femur fractures
US7410488B2 (en) * 2005-02-18 2008-08-12 Smith & Nephew, Inc. Hindfoot nail
CN200998305Y (en) * 2007-01-19 2008-01-02 王永清 Multifunctional tibia marrow nail
CN201379640Y (en) * 2009-04-16 2010-01-13 王永清 Novel femur composite interlocking intramedullary nail
CN205913384U (en) * 2016-06-30 2017-02-01 王永清 Lock multidirectional area lock intramedullary nail

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106974716A (en) * 2017-03-21 2017-07-25 承德医学院附属医院 One kind determines fixing device with marrow internal lock
CN107961067A (en) * 2018-01-12 2018-04-27 四川大学华西医院 Lateral inlet tibiobone marrow internal needle
CN116570359A (en) * 2023-06-21 2023-08-11 王洁莹 Minimally invasive and micro-stress shielding and fixing device for long tubular fractures of limbs in plastic surgery robot

Also Published As

Publication number Publication date
CN105997219B (en) 2018-06-22

Similar Documents

Publication Publication Date Title
Singer et al. Reconstruction of the sternoclavicular joint in active patients with the figure-of-eight technique using hamstrings
CN103169534B (en) Outside anatomical type locking plate after tibial plateau
CN105078559B (en) A kind of universal posterior wall of acetabulum dissects locking bone fracture plate
CN201042458Y (en) Rear and internal side tibia far-end dissection type titanium plate
CN205913384U (en) Lock multidirectional area lock intramedullary nail
CN105997219A (en) Multidirectional locking intramedullary interlocking nail
CN105520777B (en) Implantation hone lamella in inner side before a kind of distal femur
Pogliacomi et al. Surgical treatment of anterior iliac spines fractures: our experience
CN107789099A (en) Retain bone amount simple joint displacement knee-joint prosthesis
CN202843768U (en) Novel calcaneus percutaneous inserting locking steel plate
CN103494637A (en) Clipping and locking bone fracture plate
CN101507653A (en) Tibial plateau rear-side anatomical-form bone fracture plate
CN108095814A (en) Bone plate on the outside of a kind of distal humerus
CN109700520A (en) A kind of tibial insertion of posterior cruciate ligament fracture self-control internal fixation steel plate
CN205107863U (en) Locking bone plate is dissected to wall behind general type acetabular bone
CN201365972Y (en) Tibial plateau back-side dissection bone fracture plate
CN201040014Y (en) Double-nail locking nail-plate device for treating femur neck fracture
CN105769321A (en) Novel internal fixing device for acetabulum square-area fracture
CN206414332U (en) A kind of greater tubercles of humerus fixation steel plate
CN110432969A (en) Acromioclavicular joint extremitas acromialis locking limitation steel plate
RU2629628C2 (en) Method for experimental anatomical and surgical justification of operative access to hip joint in case of acetabular pelvic fracture
CN204971546U (en) Inboard lockplate of dissecting of upper arm bone near -end
CN214966500U (en) Front locking plate for proximal comminuted fracture of humerus
CN205458990U (en) Elastic webbing lock intramedullary nail
CN209018902U (en) A kind of orthopaedics steel plate system for external fixation

Legal Events

Date Code Title Description
C06 Publication
PB01 Publication
C10 Entry into substantive examination
SE01 Entry into force of request for substantive examination
GR01 Patent grant
GR01 Patent grant
点击 这是indexloc提供的php浏览器服务,不要输入任何密码和下载