CN110432962A - Fracture traction resetting apparatus - Google Patents

Fracture traction resetting apparatus Download PDF

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Publication number
CN110432962A
CN110432962A CN201910889482.3A CN201910889482A CN110432962A CN 110432962 A CN110432962 A CN 110432962A CN 201910889482 A CN201910889482 A CN 201910889482A CN 110432962 A CN110432962 A CN 110432962A
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China
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rotation
rod piece
kirschner wire
kirschner
regulating mechanism
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CN201910889482.3A
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Chinese (zh)
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陈聚伍
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Individual
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Individual
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Priority to CN201910889482.3A priority Critical patent/CN110432962A/en
Publication of CN110432962A publication Critical patent/CN110432962A/en
Priority to CN201911244994.0A priority patent/CN111329566B/en
Priority to CN201911244941.9A priority patent/CN110833448B/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • 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, setting implements or the like
    • A61B17/60Surgical 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 for external osteosynthesis, e.g. distractors, contractors
    • A61B17/66Alignment, compression or distraction mechanisms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • 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, setting implements or the like
    • A61B17/60Surgical 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 for external osteosynthesis, e.g. distractors, contractors
    • A61B17/64Devices extending alongside the bones to be positioned
    • A61B17/6425Devices extending alongside the bones to be positioned specially adapted to be fitted across a bone joint

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Medical Informatics (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
  • Mutual Connection Of Rods And Tubes (AREA)

Abstract

The invention discloses a kind of fracture traction resetting apparatuses, including active regulating mechanism and passive regulating mechanism, Kirschner wire one and Kirschner wire two is fixedly mounted in the adjustable side of two regulating mechanisms respectively, Kirschner wire one and Kirschner wire two are separately fixed at fracture site proximally and distally, fracture site is set proximally and distally to match docking Kirschner wire one and the adjusting of Kirschner wire two respectively by active regulating mechanism and/or passive regulating mechanism, it is mobile to keep the suture site of fracture proximally and distally corresponding with angular adjustment, and then realize to promote and reset docking and fix.Regulative mode of the present invention is easy to learn, and precision is very high, reduces surgical procedure difficulty and docking inaccuracy, each level doctor is suitble to operate with after simple training, also provides foundation for fracture positioning standardized operation.

Description

Fracture traction resetting apparatus
Technical field
The invention belongs to fracture positioning fixator tool technical fields, and in particular to it is multiple that one kind can accurately carry out multi-step Close the fracture site resetting apparatus for adjusting and fixing.
Background technique
Fracture of femoral shaft and Methods for Distal Femoral Fractures are clinical common fracture.Operative treatment is its preferred treatment method, into Before row Intramedullary nailing and plate fixation, it is necessary first to carry out resetting docking and fixation to the both ends of fracture site.Traction It is the important means for resetting femoral fracture, restoring Leg length.Currently, each hospital is used for the tractor that patients with lower limbs fracture resets It mainly include traction rope and pulley, one end of traction rope connects the bracket of fracture, and the other end hangs counterweight after bypassing pulley, and Tractive force is controlled by manually increasing the quantity of counterweight or replacing the weight of counterweight.It can move, make since patient lies in hospital bed It obtains tractive force to change, once tractive force changes, should just adjust the weight of counterweight.For existing manual control method For, frequently replacement counterweight is extremely inconvenient, and not only the work to hospital nurse personnel increases burden, but also answers fracture patient Position makes troubles.On the other hand, it due to one end connection fracture site distal end of traction rope, and needs traction dynamics larger, causes The trailed direction in fracture distal end can only fracture after fracturing along traction rope direction and proximally and distally usually there is alternation sum torsion Situation belongs to rigid traction in such a way that distal end is fractured in traction in the prior art, is not easy to rotate fracture and swung, from And it is unable to reach optimal reset effect.
Summary of the invention
For current fracture device for positioning and securing multi-angle regulation flexibility difference or it cannot achieve any angle and position tune Mobile problem is saved, the present invention provides a kind of resetting apparatus that any fracture situation can be suitble to carry out the compound adjusting of multi-step, reaches To quick and Dock With Precision Position fracture site, there is higher binding character to fracture site, in favor of suitable to fracture site subsequent procedures Benefit carries out.
The present invention solves scheme used by its technical problem: a kind of fracture traction resetting apparatus, including actively adjusts Kirschner wire one and Kirschner wire two, Kirschner wire one is fixedly mounted in mechanism and passive regulating mechanism, the adjustable side of two regulating mechanisms respectively Fracture site is separately fixed at proximally and distally with Kirschner wire two, passes through active regulating mechanism and/or passive regulating mechanism point It is other so that fracture site is proximally and distally matched docking Kirschner wire one and the adjusting of Kirschner wire two.The active regulating mechanism is to lead Draw component A, traction component A includes three-dimensional adjusting mechanism one, and the bottom of the three-dimensional adjusting mechanism one is fixed, the three-dimensional regulation The fixed Kirschner wire one in the control end of mechanism one;Passive regulating mechanism is traction component A or traction component B or draw groups Part C or traction component D.The traction component B includes upright bar, and upright bar upper end is horizontally connected with flat bar, and flat bar end is provided with Angle adjusting mechanism, the fixed Kirschner wire two of the regulating member of the angle at the end regulating mechanism.The traction component C includes Upright bar, upright bar upper end are horizontally connected with flat bar, and there is one section of anti-rotation inserted link in flat bar end, are additionally provided with the kirschner needle stand of strip, should Strip kirschner needle stand, which contains lateral jack and can match, to be inserted on anti-rotation inserted link, has respectively on the strip kirschner needle stand a series of Vertical pin hole answers Kirschner wire two for covering solid phase.The traction component D includes three-dimensional adjusting mechanism two, the three-dimensional adjusting mechanism Two bottom is fixed, and the control end of the three-dimensional adjusting mechanism two is fixed with upright bar, and upright bar upper end is horizontally connected with flat bar, is put down There is one section of anti-rotation inserted link in bar end, is additionally provided with the kirschner needle stand of strip, the strip kirschner needle stand contain lateral jack can With being inserted on anti-rotation inserted link, there are a series of vertical pin holes to answer Kirschner wire two for covering solid phase on the strip kirschner needle stand respectively.
Furthermore it is also possible to be provided with angle at the end regulating mechanism in the end of traction component A.
Wherein, the angle adjusting mechanism is that corresponding rod piece end is provided with rotation kirschner needle stand, rotates kirschner needle stand packet The rotary body for being fixed on corresponding rod piece end, rotation lid and sliding swingle are included, rotary body and rotation lid are mutually fastened, In There is resigning card hole and Matching installation has sliding swingle along axially vertical between rotary body and rotation lid, is provided with pair in rotation lid The rotation lock silk or clip of sliding rotation rod lock, the both ends for sliding swingle are respectively arranged with vertical pilot hole and match peace Equipped with Kirschner wire, silk or clip is locked by Kirschner wire, Kirschner wire is locked.
Alternatively, the angle adjusting mechanism is to be provided with that rotation kirschner needle stand can be rotated in corresponding rod piece end, it can Sliding rotation kirschner needle stand includes rotary body, rotation lid and the sliding swingle that is sleeved on corresponding rod piece end and can rotate, Rotary body and rotation lid are mutually fastened, and have resigning card hole and Matching installation along axially vertical between rotary body and rotation lid There is sliding swingle, rotation lid is provided with the rotation lock silk or clip to sliding rotation rod lock, slides the both ends of swingle It is respectively arranged with vertical pilot hole and Matching installation has Kirschner wire, silk or clip are locked by Kirschner wire, Kirschner wire is locked.
The axis of the sliding swingle is vertical with the axis of corresponding rod piece but non-intersecting.
Wherein, three-dimensional adjusting mechanism one includes the upright bar of level-one rod piece, the second level rod piece longitudinal axis, three-level rod piece vertical pivot and level four bars Part horizontal axis, wherein upright bar fixture is fixed on bedstead or bracket, and upright bar upper end is connected with the longitudinal axis, the longitudinal axis by horizontal threeway seat End connects vertical pivot by lifting threeway seat, and vertical pivot upper end connects horizontal axis by vertical threeway seat;The angle adjusting mechanism is located at Horizontal axis end;Each threeway seat includes pedestal, and axially extending bore is provided in the middle part of pedestal for being socketed junior's rod piece and locking, seat Body sidewall is fixed with radially connected seat for connecting higher level's rod piece and locking.
Wherein, three-dimensional adjusting mechanism two includes the upright bar of level-one rod piece, second level rod piece horizontal hair thick stick, the vertical lead screw and four of three-level rod piece Grade rod piece elevating lever, wherein upright bar fixture is fixed on bedstead or bracket, and upright bar upper end is connected with cross by vertical threeway seat Lead screw, horizontal hair thick stick end connect vertical lead screw by horizontal threeway seat, indulge lead screw upper end by lifting threeway seat and connect elevating lever;It is described Angle adjusting mechanism is located at horizontal axis end;Each threeway seat includes pedestal, and axially extending bore is provided in the middle part of pedestal for being socketed Junior's rod piece simultaneously locks, and pedestal side wall is fixed with radially connected seat for connecting higher level's rod piece and locking.
The inner end of pedestal described above is set with into rotation control cap and can rotate, and passes through the lock that slides axially into rotation control cap Silk or clip are fixed together with pedestal inner end to prevent from sliding axially, and are fixed into rotation control cap by rotation lock silk or clip Junior's rod piece is to prevent junior's rod piece from rotating, alternatively, being provided through inner end radial direction jack, inner end diameter into rotation control cap side wall Run through into jack and be fitted with rotation control panel, while junior's rod piece is provided with axial card slot be radially recessed or perforative, Rotation control panel is located in axial card slot simultaneously.
Further, the outer end of the pedestal is fixedly connected with propulsion device, which includes being connected to outside pedestal The nut of side about collar, outer end wall be provided centrally with screw outlet, junior's rod piece is located at the terminal part in pedestal axially extending bore Setting up separately and is equipped with external screw thread formation thread segment, thread segment can be drawn from the screw outlet, it is set with adjusting nut in thread segment, The nut about collar side be provided with can side opening can make adjusting nut exposed in order to adjusting nut rotation process.
A kind of fracture traction resetting apparatus, which is characterized in that adjusted including active regulating mechanism and passive regulating mechanism, two Kirschner wire one and Kirschner wire two is fixedly mounted in the adjustable side of mechanism respectively, and Kirschner wire one and Kirschner wire two are separately fixed at fractures Position proximally and distally, is respectively adjusted Kirschner wire one and Kirschner wire two by active regulating mechanism and/or passive regulating mechanism Fracture site is set proximally and distally to match docking, the active regulating mechanism is traction component D, and traction component D includes three Regulating mechanism two is tieed up, the bottom of the three-dimensional adjusting mechanism two is fixed, and the control end of the three-dimensional adjusting mechanism two is fixed with vertical Bar, upright bar upper end are horizontally connected with flat bar, and there is one section of anti-rotation inserted link in flat bar end, are additionally provided with the kirschner needle stand of strip, this Shape kirschner needle stand, which contains lateral jack and can match, to be inserted on anti-rotation inserted link, has respectively on the strip kirschner needle stand a series of perpendicular Kirschner wire one is answered for covering solid phase to pin hole;Passive regulating mechanism is traction component C, and traction component C includes upright bar, in upright bar End is horizontally connected with flat bar, and there is one section of anti-rotation inserted link in flat bar end, is additionally provided with the kirschner needle stand of strip, the strip kirschner needle stand It can match and be inserted on anti-rotation inserted link containing lateral jack, there are a series of vertical pin holes to be used for respectively on the strip kirschner needle stand Set solid phase answers Kirschner wire two.
Beneficial effects of the present invention: the present invention by the adjustable sides of two regulating mechanisms be fixedly mounted respectively Kirschner wire one and gram Family name's needle two recycles Kirschner wire one and Kirschner wire two to be separately fixed at fracture site proximally and distally, by adjusting to two Mechanism or a regulating mechanism, which carry out mobile (traversing, vertical shift and lifting moving) and angular adjustment, to be made to fracture proximally and distally Suture site corresponds to, and then realizes to promote and reset docking and fix.Its regulative mode can be realized the stretching of fracture, rotation (corner), up and down translation alignment and the function of resetting docking, it is high by each steel part supporting & stablizing degree after sutura docking, it is convenient for Subsequent procedures operation.Regulative mode of the present invention is easy to learn, and precision is very high, reduces surgical procedure difficulty and docking inaccuracy Property, it is suitble to each level doctor to operate with after simple training, also provides foundation for fracture positioning standardized operation.
Apparatus of the present invention can be operated under Perspective Conditions, be provided strong support for non-invasive procedures.Two adjusting machines In structure, two independent regulating mechanisms can be not only used, but also can simplify one of regulating mechanism is only fixed mechanism, And another is multidimensional regulating mechanism, so as to rationally hide X-ray line on perspective direction, reaches best and realizes effect.
Detailed description of the invention
Fig. 1 is application state schematic diagram of the present invention.
Fig. 2 is comparison diagram of the present invention using each traction component.
Fig. 3 is the structural schematic diagram of traction component A of the present invention.
Fig. 4 is the structural schematic diagram of traction component B of the present invention.
Fig. 5 is the structural schematic diagram of traction component C of the present invention.
Fig. 6 is the structural schematic diagram of traction component D of the present invention.
Fig. 7 is one of the portion E enlarged structure schematic diagram in Fig. 3.
Fig. 8 is the end structure illustration of Fig. 7.
Fig. 9 is the side structure schematic diagram of Fig. 7.
Figure 10 is A-A the schematic diagram of the section structure in Fig. 8.
Figure 11 is B-B the schematic diagram of the section structure in Fig. 9.
Figure 12 is the schematic diagram of the section structure of rotary body in Fig. 7.
Figure 13 is the semi-section structural schematic diagram that swingle is slided in Fig. 7.
Figure 14 is the portion F enlarged structure schematic diagram in Fig. 6.
Figure 15 is the side structure schematic diagram of Figure 14.
Figure 16 is the vertical section structural schematic diagram of Figure 15.
Figure 17 is slidably kirschner needle stand structure schematic diagram.
Figure 18 is the portion E second structural representation in Fig. 3.
Figure 19 is the structural schematic diagram of disjunctor clip in Figure 18.
Figure label: 1 is upright bar, and 2 be lifting threeway seat, and 31 is indulge lead screw, and 32 be horizontal hair thick stick, and 321 be thread segment, and 4 are Horizontal threeway seat, 41 be pedestal, and 42 be axially extending bore, and 43 be radially connected seat, and 44 be inner end radial direction jack, and 45 be annular groove, 46 It is rotation lockhole for the lockhole that slides axially, 47,5 be the longitudinal axis, and 6 be vertical threeway seat, and 7 be elevating lever, and 71 be flat bar one, and 72 be anti-rotation Inserted link one, 8 be kirschner needle stand one, 9 be kirschner needle stand two, 10 be upright bar one, 101 be flat bar two, 102 be anti-rotation inserted link two, 11 It is flat bar three for upright bar two, 111,12 be rotation kirschner needle stand, and 121 be rotary body, and 122 be rotation lid, and 123 be sliding rotation Bar, 124 be fixed wire, and 125 be rotation lock silk, and 126 lock silk for Kirschner wire, and 127 be resigning card hole, and 13 be propulsion device, and 131 are Nut about collar, 132 be adjusting nut, and 133 be lock set silk, and 134 be screw outlet, and 14 is, into rotation control cap, 15 are rotation control Making sheet, 16 be pressing plate, and 17 be horizontal axis (rotary shaft), and 18 be slidably kirschner needle stand, and 19 be vertical pivot, and 20 be axial card slot, and 21 are Kirschner wire, 23 be clip, and 24 be clip lockhole.M1 and M2 is active regulating mechanism and passive regulating mechanism respectively, and P1 and P2 divide It is not three-dimensional adjusting mechanism one and three-dimensional adjusting mechanism two.
Specific embodiment
After fracture, it may appear that fracture proximally and distally mutual dislocation and rotation and swing the case where occur, what will be fractured It proximally and distally docks in reseting procedure, using a kind of fracture traction resetting apparatus, including active regulating mechanism M1 and passive tune Mechanism M2 is saved, as shown in Figure 1, Kirschner wire one and Kirschner wire two, Kirschner wire one is fixedly mounted in the adjustable side of two regulating mechanisms respectively Fracture site is separately fixed at proximally and distally with Kirschner wire two, it is necessary first to which adjusting traction fracture proximally and distally makes the two Then separation makes to fracture to Kirschner wire one and the adjusting of Kirschner wire two respectively by active regulating mechanism and/or passive regulating mechanism Proximally and distally, mobile (traversing, vertical shift and lifting moving) keeps the suture site of the two corresponding with angular adjustment at position, then exists Inside promote realizes reset docking, finally fixes to reset position.
Wherein, active regulating mechanism and passive regulating mechanism can choose what traction component A, B, C, D can be looked good with Two combinations.
Embodiment 1: in the present embodiment, using active regulating mechanism for traction component A, use passive regulating mechanism also for Traction component A.
As shown in figure 3, traction component A includes one P1 of three-dimensional adjusting mechanism, the bottom of the three-dimensional adjusting mechanism one is consolidated It is fixed, the fixed Kirschner wire one in the control end of the three-dimensional adjusting mechanism one.Specifically, three-dimensional adjusting mechanism one includes level-one bar Part, that is, upright bar 1, the second level rod piece, that is, longitudinal axis 5, three-level rod piece, that is, vertical pivot 19 and level Four rod piece, that is, horizontal axis 17.Wherein upright bar fixture It is fixed on bedstead or bracket (carrier), fixation member is the common lock buckling part in this field, or crosses spiral shell for two or more Bolt fixation etc..In Fig. 3,1 upper end of upright bar is connected with the longitudinal axis 5 by horizontal threeway seat 4, and 5 end of the longitudinal axis is connected by lifting threeway seat 2 Vertical pivot 19 is connect, 19 upper end of vertical pivot connects horizontal axis 17 by vertical threeway seat 6.
Further, as illustrated in figures 14-16, each threeway seat (i.e. horizontal threeway seat 4, lifting threeway seat 2 and vertical threeway seat 6) 41 inner end of pedestal is set with into rotation control cap 14 and can rotate, and is locked in silk and pedestal 41 into rotation control cap 14 by sliding axially End is fixed together to prevent from sliding axially.Being also used to prevent the rotation of junior's rod piece into rotation control cap 14, (longitudinal axis 5 is relative to vertical Bar 1 is junior's rod piece, and vertical pivot 19 is junior's rod piece relative to the longitudinal axis 5, and horizontal axis 17 is junior's rod piece relative to vertical pivot 19), pass through The fixed junior's rod piece of rotation lock silk is to prevent junior's rod piece from rotating, if having annular groove 45 in 41 inner end of pedestal in Figure 16, rotation It locks silk inner end and is inserted into annular groove 45, thus can prevent from falling off into rotation control cap 14 from 41 inner end of pedestal using rotation lock silk, it is right It can prevent from rotating into rotation control cap 14 after the locking of rotation lock silk.Which can be realized each threeway seat, and (i.e. horizontal threeway seat 4 rises Threeway seat 2 and vertical threeway seat 6 drop) valve body in the rotation of junior's rod piece and locking, that is, realize the whole three-dimensional perspective to Kirschner wire It adjusts.In addition, being provided through inner end radial direction jack 44 into rotation 14 side wall of control cap, runs through in inner end radial direction jack 44 and be fitted with Control panel 15 is rotated, while junior's rod piece is provided with axial card slot be radially recessed or perforative, rotation control panel 15 is simultaneously In axial card slot;Which can be after being locked no longer rotation into rotation control cap 14, by each threeway seat (i.e. horizontal threeway seat 4, threeway seat 2 and vertical threeway seat 6 are gone up and down) valve body in junior's bar can only move axially.Still further, can also be on valve seat A pressing plate 16 is fixed, for preventing rotation control panel 15 that from capable of passing through spiral shell that is, after rotation control panel 15 is bonded with pressing plate 16 Bolt fixes the two, to limit rotation of junior's rod piece relative to threeway seat.
The mode that control junior's rod piece moves axially in corresponding threeway seat can be man-driven control, can also be into one Step setting axial regulating mechanism is provided with the mechanism that control junior's rod piece moves axially in corresponding threeway seat, which can By be as shown in Figure 14-Figure 16 in a manner of, be fixedly connected with propulsion device 13 in the outer end of pedestal 41, which includes It is connected to the nut about collar 131 in 41 outside of pedestal, the outer end wall of nut about collar 131 is provided centrally with screw outlet, junior The end section that rod piece is located in 41 axially extending bore 42 of pedestal is provided with external screw thread and forms thread segment 321, and thread segment 321 can be from The screw outlet is drawn, and is set with adjusting nut 132 in thread segment 321.Moreover, being provided in nut about 131 side of collar Can side opening adjusting nut 132 can be made exposed in order to 132 rotation process of adjusting nut.By screwing adjusting nut 132, It can be realized junior's rod piece to move forward and backward along axial direction.
Embodiment 2: it in the present embodiment, uses active regulating mechanism to be fixedly mounted Kirschner wire one for traction component A, adopts Kirschner wire two is fixedly mounted with passive regulating mechanism is also traction component B.
Wherein traction component A is identical in the structure with embodiment 1 of traction component A, is not described in detail, and traction component B includes upright bar, Upright bar upper end is horizontally connected with flat bar, and flat bar end is provided with angle adjusting mechanism, the adjustment portion of the angle at the end regulating mechanism The fixed Kirschner wire two of part.
Angle adjusting mechanism is located at horizontal axis end, and as shown in Fig. 7-Figure 13, angle adjusting mechanism is (i.e. horizontal in corresponding rod piece Axis) end be provided with rotation kirschner needle stand 12, for installing Kirschner wire.Rotation kirschner needle stand 12 includes being fixed on corresponding rod piece end Rotary body 121, rotation lid 122 and the sliding swingle 123 at end, rotary body 121 and rotation lid 122 are mutually fastened, are revolving Swivel 121 and rotation lid 122 between along it is axially vertical have resigning card hole and Matching installation have sliding swingle 123, rotation cover 122 are provided with the rotation lock silk locked to sliding swingle 123, and the both ends of sliding swingle 123 are respectively arranged with vertical dress Simultaneously Matching installation has Kirschner wire to distribution, locks silk by Kirschner wire and locks to Kirschner wire.The axis and phase of the sliding swingle 123 Answer the axis of rod piece vertical, but non-intersecting.
Embodiment 3: it in the present embodiment, uses active regulating mechanism to be fixedly mounted Kirschner wire one for traction component A, adopts Kirschner wire two is fixedly mounted with passive regulating mechanism is also traction component B.
Wherein traction component A is identical in the structure with embodiment 1 of traction component A, is not described in detail, and traction component B includes upright bar, Upright bar upper end is horizontally connected with flat bar, and flat bar end is provided with angle adjusting mechanism, the adjustment portion of the angle at the end regulating mechanism The fixed Kirschner wire two of part.
Angle adjusting mechanism is located at horizontal axis end, and angle adjusting mechanism is to be provided with that rotation can be rotated in corresponding rod piece end Turn kirschner needle stand 12, as shown in figure 17, sliding rotation kirschner needle stand 12 includes being sleeved on corresponding rod piece end and capable of rotating Rotary body 121, rotation lid 122 and sliding swingle 123, rotary body 121 and rotation lid 122 be mutually fastened, rotating Body 121 and rotation lid 122 between along it is axially vertical have resigning card hole and Matching installation have sliding swingle 123, rotation lid 122 It is provided with the rotation lock silk locked to sliding swingle 123, the both ends of sliding swingle 123 are respectively arranged with vertical pilot hole And Matching installation has Kirschner wire, locks silk by Kirschner wire and locks to Kirschner wire.
Embodiment 4: in the present embodiment, active regulating mechanism is used to be fixedly mounted Kirschner wire one for traction component A, using quilt Dynamic regulating mechanism is also traction component C Kirschner wire two is fixedly mounted.
Wherein traction component A is identical in the structure with embodiment 1 of traction component A, is not described in detail, and traction component C includes upright bar, Upright bar upper end is horizontally connected with flat bar, and there is one section of anti-rotation inserted link in flat bar end, is additionally provided with the kirschner needle stand of strip, the strip gram Family name's needle stand, which contains lateral jack and can match, to be inserted on anti-rotation inserted link, has a series of vertical needles respectively on the strip kirschner needle stand Kirschner wire two is answered for covering solid phase in hole.
As shown in fig. 6, the kirschner needle stand of strip can be there are many model, the length of different model is different, the jack of distribution Quantity is different, according to the position above fracture site locating for the kirschner needle stand of strip, selects best jack corresponding for inserting Kirschner wire.
Embodiment 5: it in the present embodiment, uses active regulating mechanism to be fixedly mounted Kirschner wire one for traction component A, adopts Kirschner wire two is fixedly mounted with passive regulating mechanism is also traction component D.
Wherein traction component A is identical in the structure with embodiment 1 of traction component A, is not described in detail, and traction component D includes three-dimensional Two P2 of regulating mechanism, as shown in fig. 6, the bottom of the three-dimensional adjusting mechanism two is fixed, the control end of the three-dimensional adjusting mechanism two End is fixed with upright bar, and upright bar upper end is horizontally connected with flat bar, and there is one section of anti-rotation inserted link in flat bar end, is additionally provided with the kirschner of strip Needle stand, which, which contains lateral jack and can match, is inserted on anti-rotation inserted link, on the strip kirschner needle stand respectively There are a series of vertical pin holes to answer Kirschner wire two for covering solid phase.The kirschner needle stand of strip can there are many model, different model Length is different, and the jack quantity of distribution is different, and according to the position above fracture site locating for the kirschner needle stand of strip, selection is best Jack is for inserting corresponding Kirschner wire.
Three-dimensional adjusting mechanism two in the present embodiment as shown in fig. 6, include the upright bar of level-one rod piece, second level rod piece horizontal hair thick stick, Three-level rod piece indulges lead screw and level Four rod piece elevating lever, and wherein upright bar fixture is fixed on bedstead or bracket, and upright bar upper end is logical It crosses vertical threeway seat 6 and is connected with horizontal hair thick stick, horizontal hair thick stick end connects vertical lead screw by horizontal threeway seat 4, and vertical lead screw upper end passes through lifting Threeway seat connects elevating lever;The angle adjusting mechanism is located at horizontal axis end;Each threeway seat includes pedestal 41, in pedestal 41 Portion is provided with axially extending bore 42 for being socketed junior's rod piece and locking, and 41 side wall of pedestal is fixed with radially connected seat 43 for connecting Higher level's rod piece simultaneously locks.
Further, as illustrated in figures 14-16, each threeway seat (i.e. horizontal threeway seat 4, lifting threeway seat 2 and vertical threeway seat 6) 41 inner end of pedestal is set with into rotation control cap 14 and can rotate, and is locked in silk and pedestal 41 into rotation control cap 14 by sliding axially End is fixed together to prevent from sliding axially.It is also used to prevent junior's rod piece from rotating into rotation control cap 14, passes through rotation lock silk Fixed junior's rod piece is to prevent junior's rod piece from rotating;Which can be realized each threeway seat (i.e. horizontal threeway seat 4, lifting threeway Seat 2 and vertical threeway seat 6) valve body in the rotation of junior's rod piece and locking, that is, realize that the whole three-dimensional perspective to Kirschner wire is adjusted.Separately Outside, it is provided through inner end radial direction jack 44 into rotation 14 side wall of control cap, runs through in inner end radial direction jack 44 and is fitted with rotation control Making sheet 15, while junior's rod piece is provided with axial card slot be radially recessed or perforative, rotation control panel 15 is located at axis simultaneously Into card slot;Which can be after being locked no longer rotation into rotation control cap 14, by each threeway seat (i.e. horizontal threeway seat 4, lifting Threeway seat 2 and vertical threeway seat 6) valve body in junior's bar can only move axially.Still further, one can also be fixed on valve seat A pressing plate 16, can be by bolt by two that is, after rotating control panel 15 and being bonded with pressing plate 16 for preventing rotation control panel 15 Person fixes, to limit rotation of junior's rod piece relative to threeway seat.
The mode that control junior's rod piece moves axially in corresponding threeway seat can be man-driven control, can also be into one Step setting axial regulating mechanism is provided with the mechanism that control junior's rod piece moves axially in corresponding threeway seat, which can By be as shown in Figure 14-Figure 16 in a manner of, be fixedly connected with propulsion device 13 in the outer end of pedestal 41, which includes It is connected to the nut about collar 131 in 41 outside of pedestal, the outer end wall of nut about collar 131 is provided centrally with screw outlet, junior The end section that rod piece is located in 41 axially extending bore 42 of pedestal is provided with external screw thread and forms thread segment, and thread segment can be from the spiral shell Bar outlet is drawn, and is set with adjusting nut 132 in thread segment.It being capable of side opening energy moreover, being provided in nut about 131 side of collar Make adjusting nut 132 exposed enough in order to 132 rotation process of adjusting nut.By screwing adjusting nut 132, can be realized down Grade rod piece is moved forward and backward along axial direction.
Embodiment 6: a kind of fracture traction resetting apparatus, including active regulating mechanism and passive regulating mechanism, two adjust machine Kirschner wire one and Kirschner wire two is fixedly mounted in the adjustable side of structure respectively.Kirschner wire one and Kirschner wire two are separately fixed at fracture site Proximally and distally, Kirschner wire one and the adjusting of Kirschner wire two are made respectively by active regulating mechanism and/or passive regulating mechanism Fracture site proximally and distally matches docking.
The active regulating mechanism is the traction component D in such as Fig. 2, and traction component D includes three-dimensional adjusting mechanism two, The bottom of the three-dimensional adjusting mechanism two is fixed, and the control end of the three-dimensional adjusting mechanism two is fixed with upright bar, and upright bar upper end is horizontal To flat bar is connected with, there is one section of anti-rotation inserted link in flat bar end, is additionally provided with the kirschner needle stand of strip, which contains Lateral jack, which can match, to be inserted on anti-rotation inserted link, has a series of vertical pin holes solid for covering on the strip kirschner needle stand respectively Corresponding Kirschner wire one.
Further, as illustrated in figures 14-16, each threeway seat (i.e. horizontal threeway seat 4, lifting threeway seat 2 and vertical threeway seat 6) 41 inner end of pedestal is set with into rotation control cap 14 and can rotate, and is locked in silk and pedestal 41 into rotation control cap 14 by sliding axially End is fixed together to prevent from sliding axially.It is also used to prevent junior's rod piece from rotating into rotation control cap 14, passes through rotation lock silk Fixed junior's rod piece is to prevent junior's rod piece from rotating;Which can be realized each threeway seat (i.e. horizontal threeway seat 4, lifting threeway Seat 2 and vertical threeway seat 6) valve body in the rotation of junior's rod piece and locking, that is, realize that the whole three-dimensional perspective to Kirschner wire is adjusted.Separately Outside, it is provided through inner end radial direction jack 44 into rotation 14 side wall of control cap, runs through in inner end radial direction jack 44 and is fitted with rotation control Making sheet 15, while junior's rod piece is provided with axial card slot be radially recessed or perforative, rotation control panel 15 is located at axis simultaneously Into card slot;Which can be after being locked no longer rotation into rotation control cap 14, by each threeway seat (i.e. horizontal threeway seat 4, lifting Threeway seat 2 and vertical threeway seat 6) valve body in junior's bar can only move axially.Still further, one can also be fixed on valve seat A pressing plate 16, can be by bolt by two that is, after rotating control panel 15 and being bonded with pressing plate 16 for preventing rotation control panel 15 Person fixes, to limit rotation of junior's rod piece relative to threeway seat.
The mode that control junior's rod piece moves axially in corresponding threeway seat can be man-driven control, can also be into one Step setting axial regulating mechanism is provided with the mechanism that control junior's rod piece moves axially in corresponding threeway seat, which can By be as shown in Figure 14-Figure 16 in a manner of, be fixedly connected with propulsion device 13 in the outer end of pedestal 41, which includes It is connected to the nut about collar 131 in 41 outside of pedestal, the outer end wall of nut about collar 131 is provided centrally with screw outlet, junior The end section that rod piece is located in 41 axially extending bore 42 of pedestal is provided with external screw thread and forms thread segment, and thread segment can be from the spiral shell Bar outlet is drawn, and is set with adjusting nut 132 in thread segment.It being capable of side opening energy moreover, being provided in nut about 131 side of collar Make adjusting nut 132 exposed enough in order to 132 rotation process of adjusting nut.By screwing adjusting nut 132, can be realized down Grade rod piece is moved forward and backward along axial direction.
Angle adjusting mechanism is located at horizontal axis end, and as shown in Fig. 7-Figure 13, angle adjusting mechanism is (i.e. horizontal in corresponding rod piece Axis) end be provided with rotation kirschner needle stand 12, for installing Kirschner wire.Rotation kirschner needle stand 12 includes being fixed on corresponding rod piece end Rotary body 121, rotation lid 122 and the sliding swingle 123 at end, rotary body 121 and rotation lid 122 are mutually fastened, are revolving Swivel 121 and rotation lid 122 between along it is axially vertical have resigning card hole and Matching installation have sliding swingle 123, rotation cover 122 are provided with the rotation lock silk locked to sliding swingle 123, and the both ends of sliding swingle 123 are respectively arranged with vertical dress Simultaneously Matching installation has Kirschner wire to distribution, locks silk by Kirschner wire and locks to Kirschner wire.The axis and phase of the sliding swingle 123 Answer the axis of rod piece vertical, but non-intersecting.
Passive regulating mechanism is the traction component C in such as Fig. 2, and traction component C includes upright bar, upright bar upper end lateral connection There is flat bar, there is one section of anti-rotation inserted link in flat bar end, is additionally provided with the kirschner needle stand of strip, which, which contains, laterally inserts Hole, which can match, to be inserted on anti-rotation inserted link, has a series of vertical pin holes for covering solid phase Ying Ke on the strip kirschner needle stand respectively Family name's needle two.As shown in fig. 6, the kirschner needle stand of strip can be there are many model, the length of different model is different, the jack number of distribution Amount is different, according to the position above fracture site locating for the kirschner needle stand of strip, selects best jack for inserting corresponding gram Family name's needle.
Embodiment 7: on the basis of above scheme, accordingly described clip will be revised as.Individual clip can be used, or The clip that person uses domain main body to link together, such as a kind of Contiuum type clip are as shown in figure 19, which includes pedestal 41, 41 two sides of pedestal are respectively fixed with clip 23, and the opening of each clip has connection sheet, has lockhole 24 in connection sheet, by running through Lockhole is fixed together by screw, and it is fixed with above-mentioned locking wire lock to achieve the purpose that.Such as figure can become in the portion E in Fig. 3 such as Figure 18 Shown in structure, be to be fixed by clip and through screw instead of original locked and fixed.
In the above various embodiments, three-dimensional adjusting mechanism one and three-dimensional adjusting mechanism two can also replace implementation.To three-dimensional It, can be by phase when the column of regulating mechanism one or three-dimensional adjusting mechanism two is fixed, or when upright bar one or upright bar two are fixed Answering column or upright bar, fixing piece is fixed on bedstead or bracket (carrier) respectively, or corresponding column or upright bar are fixed as one Afterwards, then fixture is fixed on bedstead or bracket.

Claims (10)

1. a kind of fracture traction resetting apparatus, which is characterized in that adjust machine including active regulating mechanism and passive regulating mechanism, two Kirschner wire one and Kirschner wire two is fixedly mounted in the adjustable side of structure respectively, and Kirschner wire one and Kirschner wire two are separately fixed at fracture site Proximally and distally, Kirschner wire one and the adjusting of Kirschner wire two are made respectively by active regulating mechanism and/or passive regulating mechanism Fracture site proximally and distally matches docking, and the active regulating mechanism is traction component A, and traction component A includes three-dimensional The bottom of regulating mechanism one, the three-dimensional adjusting mechanism one is fixed, fixed described gram of the control end of the three-dimensional adjusting mechanism one Family name's needle one;Passive regulating mechanism is traction component A or traction component B or traction component C or traction component D, the traction Component B includes upright bar, and upright bar upper end is horizontally connected with flat bar, and flat bar end is provided with angle adjusting mechanism, the angle at the end tune Save the fixed Kirschner wire two of regulating member of mechanism;The traction component C includes upright bar, and upright bar upper end is horizontally connected with flat There are one section of anti-rotation inserted link in bar, flat bar end, are additionally provided with the kirschner needle stand of strip, which contains lateral jack energy Enough matchings are inserted on anti-rotation inserted link, have a series of vertical pin holes to answer Kirschner wire for covering solid phase on the strip kirschner needle stand respectively Two;The traction component D includes three-dimensional adjusting mechanism two, and the bottom of the three-dimensional adjusting mechanism two is fixed, the three-dimensional regulation The control end of mechanism two is fixed with upright bar, and upright bar upper end is horizontally connected with flat bar, and there is one section of anti-rotation inserted link in flat bar end, also sets It is equipped with the kirschner needle stand of strip, which, which contains lateral jack and can match, is inserted on anti-rotation inserted link, the strip There are a series of vertical pin holes to answer Kirschner wire two for covering solid phase on kirschner needle stand respectively.
2. a kind of fracture traction resetting apparatus, which is characterized in that adjust machine including active regulating mechanism and passive regulating mechanism, two Kirschner wire one and Kirschner wire two is fixedly mounted in the adjustable side of structure respectively, and Kirschner wire one and Kirschner wire two are separately fixed at fracture site Proximally and distally, Kirschner wire one and the adjusting of Kirschner wire two are made respectively by active regulating mechanism and/or passive regulating mechanism Fracture site proximally and distally matches docking, and the active regulating mechanism is traction component D, and traction component D includes three-dimensional The bottom of regulating mechanism two, the three-dimensional adjusting mechanism two is fixed, and the control end of the three-dimensional adjusting mechanism two is fixed with upright bar, Upright bar upper end is horizontally connected with flat bar, and there is one section of anti-rotation inserted link in flat bar end, is additionally provided with the kirschner needle stand of strip, the strip gram Family name's needle stand, which contains lateral jack and can match, to be inserted on anti-rotation inserted link, has a series of vertical needles respectively on the strip kirschner needle stand Kirschner wire one is answered for covering solid phase in hole;Passive regulating mechanism is traction component C, and traction component C includes upright bar, and upright bar upper end is horizontal To flat bar is connected with, there is one section of anti-rotation inserted link in flat bar end, is additionally provided with the kirschner needle stand of strip, which contains Lateral jack, which can match, to be inserted on anti-rotation inserted link, has a series of vertical pin holes solid for covering on the strip kirschner needle stand respectively Corresponding Kirschner wire two.
3. fracture traction resetting apparatus according to claim 1 or 2, which is characterized in that the end of the traction component A is set It is equipped with angle at the end regulating mechanism;The angle adjusting mechanism is that corresponding rod piece end is provided with rotation kirschner needle stand, rotation Turn kirschner needle stand to include the rotary body for being fixed on corresponding rod piece end, rotation lid and slide swingle, rotary body and rotation lid phase It is mutually fastened, has resigning card hole and Matching installation has sliding swingle, In along axially vertical between rotary body and rotation lid Rotation lid be provided with to sliding rotation rod lock rotation lock silk or clip, slide swingle both ends be respectively arranged with it is vertical Simultaneously Matching installation has Kirschner wire to pilot hole, locks silk or clip by Kirschner wire and locks to Kirschner wire;Alternatively, the angular adjustment Mechanism is to be provided with that rotation kirschner needle stand can be rotated in corresponding rod piece end, and sliding rotation kirschner needle stand includes being sleeved on phase Rotary body, rotation lid and the sliding swingle answering rod piece end and capable of rotating, rotary body and rotation lid are mutually fastened, In There is resigning card hole and Matching installation has sliding swingle along axially vertical between rotary body and rotation lid, is provided with pair in rotation lid The rotation lock silk or clip of sliding rotation rod lock, the both ends for sliding swingle are respectively arranged with vertical pilot hole and match peace Equipped with Kirschner wire, silk or clip is locked by Kirschner wire, Kirschner wire is locked.
4. fracture traction resetting apparatus according to claim 3, which is characterized in that the axis and phase of the sliding swingle Answer the axis of rod piece vertical, but non-intersecting.
5. fracture traction resetting apparatus according to claim 1 or 2, which is characterized in that three-dimensional adjusting mechanism one includes one The upright bar of grade rod piece, the second level rod piece longitudinal axis, three-level rod piece vertical pivot and level Four rod piece horizontal axis, wherein upright bar fixture is fixed on bedstead Or on bracket, upright bar upper end is connected with the longitudinal axis by horizontal threeway seat, and longitudinal axis end, which passes through, goes up and down threeway seat connection vertical pivot, on vertical pivot End connects horizontal axis by vertical threeway seat;The angle adjusting mechanism is located at horizontal axis end;Each threeway seat includes pedestal, pedestal Middle part is provided with axially extending bore for being socketed junior's rod piece and locking, and pedestal side wall is fixed with radially connected seat for connecting higher level Rod piece simultaneously locks.
6. fracture traction resetting apparatus according to claim 5, which is characterized in that the inner end of the pedestal is set with into rotation It control cap and can rotate, lock silk or clip by sliding axially into rotation control cap and be fixed together with pedestal inner end to prevent It slides axially, into rotation control cap by rotation lock silk or the fixed junior's rod piece of clip to prevent junior's rod piece from rotating, alternatively, into Rotation control cap side wall is provided through inner end radial direction jack, runs through in the radial direction jack of inner end and is fitted with rotation control panel, at present Grade rod piece is provided with axial card slot be radially recessed or perforative, and rotation control panel is located in axial card slot simultaneously.
7. fracture traction resetting apparatus according to claim 6, which is characterized in that the outer end of the pedestal is fixedly connected with Propulsion device, the propulsion device include the nut about collar being connected on the outside of pedestal, the outer end wall center setting of nut about collar There is screw outlet, the end section that junior's rod piece is located in pedestal axially extending bore is provided with external screw thread and forms thread segment, thread segment It can be drawn from the screw outlet, be set with adjusting nut in thread segment, the nut about collar side is provided with being capable of side Hole can make adjusting nut exposed in order to adjusting nut rotation process.
8. fracture traction resetting apparatus according to claim 1 or 2, which is characterized in that three-dimensional adjusting mechanism two includes one The upright bar of grade rod piece, second level rod piece horizontal hair thick stick, three-level rod piece indulge lead screw and level Four rod piece elevating lever, and wherein upright bar fixture is fixed On bedstead or bracket, upright bar upper end is connected with horizontal hair thick stick by vertical threeway seat, and horizontal hair thick stick end is connected vertical by horizontal threeway seat Lead screw indulges lead screw upper end by lifting threeway seat and connects elevating lever;The angle adjusting mechanism is located at horizontal axis end;Described each three Logical seat includes pedestal, axially extending bore is provided in the middle part of pedestal for being socketed junior's rod piece and locking, pedestal side wall is fixed with radial direction Attachment base is for connecting higher level's rod piece and locking.
9. fracture traction resetting apparatus according to claim 8, which is characterized in that the inner end of the pedestal is set with into rotation It control cap and can rotate, lock silk or clip by sliding axially into rotation control cap and be fixed together with pedestal inner end to prevent It slides axially, into rotation control cap by rotation lock silk or the fixed junior's rod piece of clip to prevent junior's rod piece from rotating, alternatively, into Rotation control cap side wall is provided through inner end radial direction jack, runs through in the radial direction jack of inner end and is fitted with rotation control panel, at present Grade rod piece is provided with axial card slot be radially recessed or perforative, and rotation control panel is located in axial card slot simultaneously.
10. fracture traction resetting apparatus according to claim 9, which is characterized in that the outer end of the pedestal is fixedly connected There is propulsion device, which includes the nut about collar being connected on the outside of pedestal, and the outer end wall center of nut about collar is set It is equipped with screw outlet, the end section that junior's rod piece is located in pedestal axially extending bore is provided with external screw thread and forms thread segment, screw thread Section can be drawn from the screw outlet, be set with adjusting nut in thread segment, the nut about collar side is provided with can Side opening can make adjusting nut exposed in order to adjusting nut rotation process.
CN201910889482.3A 2019-09-20 2019-09-20 Fracture traction resetting apparatus Pending CN110432962A (en)

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CN201910889482.3A CN110432962A (en) 2019-09-20 2019-09-20 Fracture traction resetting apparatus
CN201911244994.0A CN111329566B (en) 2019-09-20 2019-12-06 Two-dimensional control mechanism for respectively locking and unlocking axial movement and circumferential rotation
CN201911244941.9A CN110833448B (en) 2019-09-20 2019-12-06 Fracture traction reduction device

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CN201911244941.9A Active CN110833448B (en) 2019-09-20 2019-12-06 Fracture traction reduction device
CN201911244994.0A Active CN111329566B (en) 2019-09-20 2019-12-06 Two-dimensional control mechanism for respectively locking and unlocking axial movement and circumferential rotation

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CN201911244994.0A Active CN111329566B (en) 2019-09-20 2019-12-06 Two-dimensional control mechanism for respectively locking and unlocking axial movement and circumferential rotation

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CN110833448A (en) * 2019-09-20 2020-02-25 陈聚伍 Fracture traction reduction device
CN110960312A (en) * 2019-12-06 2020-04-07 陈聚伍 Kirschner wire deviation rectifying system and universal nut adjusting assembly for correcting Kirschner wire deviation

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CN112022480B (en) * 2020-09-28 2022-05-31 上海交通大学 Traction type personalized bone fracture medical splint and using method

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CN110432962A (en) * 2019-09-20 2019-11-12 陈聚伍 Fracture traction resetting apparatus
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CN110833448A (en) * 2019-09-20 2020-02-25 陈聚伍 Fracture traction reduction device
CN110960312A (en) * 2019-12-06 2020-04-07 陈聚伍 Kirschner wire deviation rectifying system and universal nut adjusting assembly for correcting Kirschner wire deviation
CN110960312B (en) * 2019-12-06 2023-04-25 陈聚伍 Kirschner wire deviation correcting system and universal nut adjusting assembly for Kirschner wire deviation correcting

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CN111329566B (en) 2023-02-07
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CN110833448A (en) 2020-02-25

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Application publication date: 20191112