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CN106580411B - A tibial external fixation device - Google Patents

A tibial external fixation device Download PDF

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Publication number
CN106580411B
CN106580411B CN201611159886.XA CN201611159886A CN106580411B CN 106580411 B CN106580411 B CN 106580411B CN 201611159886 A CN201611159886 A CN 201611159886A CN 106580411 B CN106580411 B CN 106580411B
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changing
tibial
hole
screw hole
direction changing
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CN106580411A (en
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郑联合
李国臣
卢斌
李伟
沙浩
李阳
韩超
毕文超
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Fourth Military Medical University FMMU
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    • 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
    • A61B17/60Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements for external osteosynthesis, e.g. distractors, contractors
    • A61B17/64Devices extending alongside the bones to be positioned
    • A61B17/6441Bilateral fixators, i.e. with both ends of pins or wires clamped
    • 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

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Biomedical Technology (AREA)
  • Engineering & Computer Science (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Heart & Thoracic Surgery (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

本发明具体公开了一种胫骨外固定装置,包括胫骨固定板条,其内侧面与人体小腿外侧上对应胫骨的部位纵向贴合;胫骨固定板条的近端和远端分别设置有第一横贴板和第二横贴板,且其分别与小腿外侧上对应胫骨的近端部位和远端部位横向贴合;胫骨固定板条、第一横贴板和第二横贴板上设置有多个变向通孔,变向通孔的内侧壁上设置有内圆弧面;还包括装配在变向通孔中的多个变向螺孔体,变向螺孔体的外侧壁上设置有与变向通孔的内圆弧面滑动配合的外圆弧面;还包括螺钉,螺钉的尾端螺纹端与变向螺孔体上的螺纹通孔相配合。本发明的胫骨外固定装置与小腿外形匹配度高,配合的螺钉具有多种固定角度,非常适合对胫骨骨折部位进行应急或长久的外固定治疗。

The invention specifically discloses a tibial external fixation device, comprising a tibial fixation strip, the inner side of which is longitudinally fitted with the part corresponding to the tibia on the outer side of the human calf; the proximal end and the distal end of the tibial fixation strip are respectively provided with a first transverse The veneer and the second transverse veneer are respectively fitted laterally with the proximal and distal parts of the corresponding tibia on the outer side of the calf; the tibial fixing slats, the first transverse veneer and the second transverse veneer are provided with multiple A direction-changing through hole, the inner side wall of the direction-changing through hole is provided with an inner arc surface; it also includes a plurality of direction-changing screw hole bodies assembled in the direction-changing through hole, and the outer side wall of the direction-changing screw hole body is provided with The outer circular arc surface is slidingly matched with the inner circular arc surface of the direction-changing through hole; it also includes a screw, and the threaded end of the screw is matched with the threaded through hole on the direction-changing screw hole body. The tibial external fixation device of the present invention has a high degree of matching with the shape of the calf, and the matched screws have various fixation angles, which are very suitable for emergency or long-term external fixation treatment of the tibial fracture.

Description

一种胫骨外固定装置A tibial external fixation device

技术领域technical field

本发明涉及骨折固定板技术领域,具体涉及一种胫骨外固定装置。The invention relates to the technical field of fracture fixation plates, in particular to a tibia external fixation device.

背景技术Background technique

胫骨骨折按皮肤的完整性可分为闭合骨折和开放骨折。对于闭合骨折,可在肢体消肿后行切开复位钛板固定或髓内钉固定,骨折愈合后二次手术取出内固定;对于开放骨折,可行清创、复位、外固定架固定,待软组织条件改善后可更换钛板固定或髓内钉固定(或不更换固定),后期根据骨折愈合情况去除固定。目前可选择的外固定架包括:单臂外固定架、组合外固定架等。这些外固定架的特点可总结为:1、累及胫骨平台和胫骨远端关节面的开放性骨折,需跨关节进行固定;2、干骺端可置钉数量有限,固定不确切,骨折断端不稳定;3、需要等软组织由开放变为闭合后更换内固定。有学者报道用锁定钛板外置治疗胫腓骨骨折,但也存在以下不足:1、由于所用螺钉为全螺纹,对皮肤及其他软组织刺激剧烈,易感染;2、钛板及螺钉原为内固定设计,单薄小巧,钛板厚度、宽度不足,螺钉较细力学强度不足;3、非专门外用设计,有时需要多块钛板固定;4、所用钛板为内固定设计,与骨的外形匹配较好,但与小腿的外形匹配较差。Tibial fractures can be divided into closed and open fractures according to the integrity of the skin. For closed fractures, open reduction and titanium plate fixation or intramedullary nailing can be performed after the limb is detumescent, and the internal fixation can be removed by a second operation after the fracture has healed. For open fractures, debridement, reduction, and external fixation can be performed. After the condition improves, titanium plate fixation or intramedullary nail fixation can be replaced (or no fixation is replaced), and the fixation can be removed later according to the fracture healing. At present, the external fixator that can be selected includes: a single-arm external fixator, a combined external fixator, and the like. The characteristics of these external fixators can be summarized as follows: 1. Open fractures involving the tibial plateau and the articular surface of the distal tibia require cross-joint fixation; 2. The number of nails that can be placed in the metaphysis is limited, the fixation is inaccurate, and the fracture ends Instability; 3. It is necessary to replace the internal fixation after the soft tissue changes from open to closed. Some scholars have reported the use of locking titanium plate to treat tibia and fibula fractures, but there are also the following shortcomings: 1. Since the screws used are fully threaded, the skin and other soft tissues are severely irritated and susceptible to infection; 2. Titanium plates and screws were originally internal fixation Design, thin and compact, the thickness and width of the titanium plate are insufficient, and the mechanical strength of the screw is insufficient; 3. It is not specially designed for external use, and sometimes requires multiple titanium plates for fixation; 4. The titanium plate used is designed for internal fixation, which matches the shape of the bone. Good, but poorly matched to the shape of the calf.

发明内容SUMMARY OF THE INVENTION

针对现有技术中存在的问题,本发明的目的在于提供一种与小腿外形匹配度高、固定方便且固定效果良好的胫骨外固定装置,该胫骨外固定装置可以用于对成人、青少年、儿童的胫骨闭合骨折或开放骨折的体外固定,同时可以克服累及关节面的开放性骨折需跨关节固定的弊端。In view of the problems existing in the prior art, the purpose of the present invention is to provide a tibial external fixation device with a high degree of matching with the shape of the calf, convenient fixation and good fixation effect, which can be used for adults, adolescents and children. External fixation of closed or open fractures of the tibia can overcome the disadvantage of trans-articular fixation for open fractures involving the articular surface.

为了达到上述目的,本发明采用以下技术方案予以实现。In order to achieve the above objects, the present invention adopts the following technical solutions to achieve.

一种胫骨外固定装置,包括:胫骨固定板条,所述胫骨固定板条纵向设置,所述胫骨固定板条的内侧面与人的小腿外侧上对应胫骨的部位纵向贴合;所述胫骨固定板条的近端设置有第一横贴板,所述第一横贴板与人体的小腿外侧上对应胫骨的近端部位横向贴合;所述胫骨固定板条的远端设置有第二横贴板,所述第二横贴板与人的小腿外侧上靠近胫骨远端的部位横向贴合;所述胫骨固定板条、第一横贴板和第二横贴板上设置有多个变向通孔,所述变向通孔的内侧壁上设置有内圆弧面;多个变向螺孔体,所述变向螺孔体上设置有螺纹通孔,所述变向螺孔体的外侧壁上设置有外圆弧面,所述变向螺孔体装配在所述变向通孔中,所述变向螺孔体的外圆弧面与所述变向通孔的内圆弧面滑动配合;螺钉,所述螺钉上设置有前端螺纹端、光杆段和尾端螺纹段,所述尾端螺纹端与所述变向螺孔体上的螺纹通孔相配合,所述螺钉的尾端螺纹段的端面上设置有扭槽。A tibial external fixation device, comprising: a tibial fixation strip, the tibial fixation strip is longitudinally arranged, and the inner side of the tibial fixation strip is longitudinally fitted with a part corresponding to the tibia on the outer side of a human calf; the tibial fixation The proximal end of the slat is provided with a first transverse sticker, and the first transverse sticker is laterally fitted with the proximal portion of the tibia on the outer side of the human body; the distal end of the tibial fixing slat is provided with a second transverse sticker. A sticker, the second transverse sticker is laterally fitted with the part on the outer side of the human calf close to the distal end of the tibia; a plurality of variable slats are provided on the tibial fixation strip, the first transverse sticker and the second transverse sticker. A through-hole, the inner side wall of the through-hole is provided with an inner arc surface; a plurality of screw-hole bodies are provided with threaded through holes on the screw-hole body, and the screw-hole body is provided with a threaded through hole. An outer circular arc surface is provided on the outer side wall of the screw hole, the direction changing screw hole body is assembled in the direction changing through hole, and the outer arc surface of the direction changing screw hole body is connected with the inner circle of the direction changing through hole. Arc surface sliding fit; screw, the screw is provided with a front threaded end, a polished rod section and a tail threaded section, the tail threaded end is matched with the threaded through hole on the direction changing screw hole body, the screw A twist groove is provided on the end face of the threaded section of the tail end.

根据本发明的胫骨外固定装置,胫骨固定板条的外形呈“J”、“∏”或“Ⅱ”形,第一横贴板与人体的小腿外侧上对应胫骨的近端部位的形状相匹配,为1/2~3/4半环形,与人体胫骨近端部位横向贴合;第二横贴板与人的小腿外侧上靠近胫骨远端部位的形状相匹配,为1/4~1/2半环形,与人体胫骨远端部位横向贴合。本发明的胫骨固定板条、第一横贴板和第二横贴板上设置有多个变向通孔,多个变向通孔内装配有变向螺孔体,变向螺孔体的外圆弧面与变向通孔的内圆弧面滑动配合,变向螺孔体可在变向通孔内自由旋转,从而使得螺钉可以具有多种固定角度,进而使得胫骨固定板条、第一横贴板和第二横贴板能更好的与人体小腿胫骨相贴合,促进骨折部位的固定与愈合。螺钉包括前端螺纹端、光杆段和尾端螺纹段,其中前端螺纹端旋入骨头内部,光杆段减小了螺钉对小腿肌肉和软组织的刺激和损伤,尾端螺纹端与变向螺孔体内的螺纹相匹配,使螺钉也能在多种方向上对胫骨和胫骨固定板条进行连接,从而达到使用螺钉将本发明的胫骨外固定装置固定在人体小腿上的作用。螺钉的尾端螺纹段的断面上的扭槽可方便工作人员用螺丝刀将螺钉拧紧。本发明的胫骨外固定装置与小腿外形匹配度高,配合的螺钉具有多种固定角度,非常适合对胫骨骨折部位进行应急或长久的外固定治疗。According to the tibial external fixation device of the present invention, the shape of the tibial fixation strip is "J", "∏" or "II" shape, and the first transverse veneer matches the shape of the proximal part of the tibia corresponding to the outer side of the calf of the human body , which is a 1/2 to 3/4 semi-circular shape, which fits laterally with the proximal tibia of the human body; the second transverse veneer matches the shape of the outer part of the human calf near the distal end of the tibia, and is 1/4 to 1/4 2 semi-circular shapes that fit laterally with the distal part of the human tibia. The tibial fixation strip, the first transverse sticker and the second transverse sticker of the present invention are provided with a plurality of direction-changing through holes, and the plurality of direction-changing through holes are equipped with a direction-changing screw hole body, and the direction-changing screw hole body is provided with The outer arc surface is slidingly matched with the inner arc surface of the change direction through hole, and the direction change screw hole body can rotate freely in the direction change through hole, so that the screw can have various fixing angles, and then the tibial fixing strip, the first The first transverse veneer and the second transverse veneer can better fit the tibia of the human calf and promote the fixation and healing of the fractured part. The screw includes a front threaded end, a polished rod section and a tail threaded section. The front threaded end is screwed into the bone, and the polished rod section reduces the stimulation and damage to the calf muscle and soft tissue by the screw. The threads are matched, so that the screw can also connect the tibia and the tibial fixation slats in various directions, so as to achieve the effect of using the screw to fix the tibial external fixation device of the present invention on the human calf. The twist groove on the section of the thread section at the end of the screw makes it convenient for the staff to tighten the screw with a screwdriver. The external fixation device of the tibia of the present invention has a high degree of matching with the shape of the calf, and the matched screws have various fixation angles, which are very suitable for emergency or long-term external fixation treatment of the fractured part of the tibia.

作为优选地,所述内圆弧面设置在所述变向通孔的内侧壁的中部,所述变向螺孔体为鼓桶形,所述变向螺孔体装配在所述变向通孔内。Preferably, the inner circular arc surface is disposed in the middle of the inner side wall of the direction-changing through hole, the direction-changing screw hole body is in the shape of a drum, and the direction-changing screw hole body is assembled on the direction-changing through hole. inside the hole.

根据本发明的胫骨外固定装置,变向螺孔体的鼓桶形的外表面可以和变向通孔的内圆弧面滑动转向配合,又不会从变向通孔中脱落,很适合作为螺钉与胫骨固定板条之间的连接载体。According to the tibial external fixation device of the present invention, the barrel-shaped outer surface of the direction-changing screw hole body can slide and steer with the inner arc surface of the direction-changing through hole, and will not fall off from the direction-changing through hole, which is very suitable as a Connection carrier between screws and tibial fixation slats.

作为优选地,所述变向通孔的边沿设置有锁定螺孔,所述锁定螺孔通向所述变向通孔的内侧。Preferably, the edge of the direction-changing through hole is provided with a locking screw hole, and the locking screw hole leads to the inner side of the direction-changing through hole.

根据本发明的胫骨外固定装置,变向通孔的边沿可以设置锁定螺孔,给锁定螺孔内旋入与之匹配的锁定螺钉,使锁定螺钉的端部抵在变向螺孔体的表面,用于锁定变向螺孔体在变向通孔内的旋转角度,方便医生使用螺钉连接胫骨和胫骨固定板条、第一横贴板和第二横贴板。According to the tibial external fixation device of the present invention, a locking screw hole can be set on the edge of the direction-changing through hole, and a matching locking screw is screwed into the locking screw hole, so that the end of the locking screw is pressed against the surface of the direction-changing screw hole body. , which is used to lock the rotation angle of the direction-changing screw hole body in the direction-changing through hole, so that the doctor can use screws to connect the tibia and the tibial fixation slats, the first transverse veneer and the second transverse veneer.

作为优选地,所述胫骨固定板条、所述第一横贴板和所述第二横贴板上设置有多个凸台,所述变向通孔的外端口设置在所述凸台上,所述锁定螺孔设置在所述凸台的侧壁上。Preferably, a plurality of bosses are arranged on the tibial fixation strip, the first transverse veneer and the second transverse veneer, and the outer port of the direction changing through hole is arranged on the bosses , the locking screw hole is arranged on the side wall of the boss.

根据本发明的胫骨外固定装置,当胫骨固定板条、第一横贴板和第二横贴板的厚度较小时,可在胫骨固定板条、第一横贴板和第二横贴板上设置多个凸台,凸台加厚了胫骨固定板条上局部部位的厚度,将变向通孔设置在凸台位置,变向通孔的外端通出凸台的端部,锁定螺孔设置在凸台的侧壁上,凸台增加了胫骨外固定板条上变向通孔部位的厚度,使变向通孔具有足够的内圆弧面与变向螺孔体相配合,也为锁定螺孔提供了打孔位置,使变向螺孔体容易固定。According to the tibial external fixation device of the present invention, when the thicknesses of the tibial fixation strip, the first transverse plate and the second transverse plate are small, the tibial fixation strip, the first transverse plate and the second transverse plate can be Set a plurality of bosses, the bosses thicken the thickness of the local part of the tibial fixation slat, the direction changing through hole is set at the position of the boss, the outer end of the direction changing through hole passes through the end of the boss, and the screw hole is locked. It is arranged on the side wall of the boss, and the boss increases the thickness of the direction-changing through hole on the tibial external fixation slat, so that the direction-changing through hole has enough inner arc surface to match the direction-changing screw hole body, which is also for the purpose of Locking screw holes provide punched positions for easy fixing of the direction changing screw hole body.

作为优选地,所述内圆弧面偏向所述变向通孔的外端口,所述变向螺孔体为半球形,所述变向螺孔体装配在所述变向通孔的外端口上。Preferably, the inner circular arc surface is biased toward the outer port of the direction changing through hole, the direction changing screw hole body is hemispherical, and the direction changing screw hole body is assembled on the outer port of the direction changing through hole superior.

根据本发明的胫骨外固定装置,在不增加胫骨外固定板条的厚度的情况下,使变向通孔的内圆弧面偏向其外端口,并将变向螺孔体设计为半球形,变向螺孔体的弧形侧壁在胫骨外固定装置的外侧与变向通孔的内圆弧面滑动配合,也可实现变向螺孔体的变向功能,使与之连接的螺钉具有多个可选的固定连接方向。According to the tibial external fixation device of the present invention, without increasing the thickness of the tibial external fixation slats, the inner arc surface of the direction-changing through hole is deflected toward its outer port, and the direction-changing screw hole body is designed as a hemispherical shape, The arc-shaped side wall of the direction-changing screw hole body is slidingly matched with the inner arc surface of the direction-changing through hole on the outside of the tibial external fixation device, and the direction-changing function of the direction-changing screw hole body can also be realized, so that the screw connected with it has Multiple optional fixed connection orientations.

作为优选地,所述胫骨固定板条上的变向通孔之间设置有克式针孔。Preferably, a gram-type pinhole is provided between the direction-changing through holes on the tibial fixation strip.

作为优选地,所述胫骨固定板条上的变向通孔之间设置有加压螺孔。Preferably, compression screw holes are provided between the direction-changing through holes on the tibial fixation strip.

根据本发明的胫骨外固定装置,在本发明的胫骨固定板条上的变向通孔之间设置有克式针孔和加压螺孔,可以使医生在对骨折患者使用胫骨外固定装置的同时不影响其使用克氏针或加压螺钉对骨折部位的固定,从而使患者的骨折部位能得到充分固定。According to the tibial external fixation device of the present invention, between the direction-changing through holes on the tibial fixation plate of the present invention, there are gram-type pin holes and compression screw holes, so that doctors can use the tibial external fixation device for fracture patients. At the same time, it does not affect the use of Kirschner wires or compression screws to fix the fracture site, so that the patient's fracture site can be fully fixed.

作为优选地,所述胫骨固定板条包括近端板条和远端板条,所述变向通孔分布在所述近端板条和所述远端板条上,所述近端板条和所述远端板条上还分布有多个定位孔,所述近端板条与所述远端板条通过所述定位孔及与所述定位孔相匹配的连接件固定连接。Preferably, the tibial fixation plank includes a proximal end plank and a distal end plank, the direction changing through holes are distributed on the proximal end plank and the distal end plank, and the proximal end plank And the distal slats are also distributed with a plurality of positioning holes, and the proximal slats and the distal slats are fixedly connected through the positioning holes and the connecting pieces matched with the positioning holes.

根据本发明的胫骨外固定装置,由于人体胫骨长度因人而异,固定尺寸规格的胫骨固定板条并不能适合所有人,因此,有必要将胫骨固定板条分为近端板条和远端板条,近端板条和远端板条上都分布有多个定位孔,近端板条和远端板条的连接端部交叠后通过定位孔和与之匹配的连接件固定连接,这样就可以根据胫骨不定板条的近端板条和远端板条之间的交叠部位的长度来对胫骨固定板条进行长度上的调节。According to the tibial external fixation device of the present invention, since the length of the human tibia varies from person to person, the tibial fixation slats of fixed size are not suitable for everyone. Therefore, it is necessary to divide the tibial fixation slats into proximal slats and distal slats. The slats, the proximal slats and the distal slats are distributed with a plurality of positioning holes, and the connecting ends of the proximal and distal slats are overlapped and fixedly connected through the positioning holes and the matching connecting pieces. This allows for the length adjustment of the tibial fixation slats according to the length of the overlap between the proximal and distal slats of the tibial indeterminate slats.

作为优选地,所述近端板条的端面上设置有插槽,所述远端板条的一端伸入所述插槽中并与所述插槽滑动配合。Preferably, a slot is provided on the end surface of the proximal slat, and one end of the distal slat extends into the slot and is slidably matched with the slot.

根据本发明的胫骨外固定装置,为了使胫骨固定板条的长度容易调节和方便固定,也可以通过设置在近端板条上设置插槽,使远端板条的连接端插入近端板条上的插槽中,并与之滑动配合,需要将胫骨固定板条调节到一定的长度时,先调整远端板条在近端板条上的插槽中的滑动位置,然后再使用固定连接件配合固定孔进行固定连接,两种连接方式均能实现本发明的胫骨外固定装置的纵向长度的调节,实现了对于不同腿长的患者的有效固定。According to the tibial external fixation device of the present invention, in order to make the length of the tibial fixation slats easy to adjust and fix, a slot can also be provided on the proximal slat, so that the connecting end of the distal slat can be inserted into the proximal slat. When the tibial fixation slat needs to be adjusted to a certain length, first adjust the sliding position of the distal slat in the slot on the proximal slat, and then use the fixed connection The two connection methods can realize the adjustment of the longitudinal length of the tibial external fixation device of the present invention, and realize the effective fixation for patients with different leg lengths.

附图说明Description of drawings

下面结合附图和具体实施例对本发明做进一步详细说明。The present invention will be further described in detail below with reference to the accompanying drawings and specific embodiments.

图1为本发明的胫骨外固定装置的正视结构示意图;Fig. 1 is the front view structure schematic diagram of the tibial external fixation device of the present invention;

图2为图1中A-A处的外形为鼓桶形的变向螺孔体的剖面结构示意图;Fig. 2 is the sectional structure schematic diagram of the direction-changing screw hole body with the shape of a drum barrel at the A-A place in Fig. 1;

图3为图1中A-A处的变向通孔的外端口设置在凸台上的剖面结构示意图;3 is a schematic cross-sectional structure diagram of the outer port of the direction-changing through hole at A-A in FIG. 1 being arranged on the boss;

图4为图1中A-A处的外形为半圆形的变向螺孔体的剖面结构示意图;Fig. 4 is the sectional structure schematic diagram of the direction-changing screw hole body whose shape is semicircle at A-A in Fig. 1;

图5为本发明的胫骨外固定装置中的近端板条和远端板条通过定位孔连接的结构示意图;5 is a schematic structural diagram of the connection of the proximal slats and the distal slats through the positioning holes in the tibial external fixation device of the present invention;

图6为本发明的胫骨外固定装置中的近端板条和远端板条通过插槽滑动连接的结构示意图;6 is a schematic structural diagram of the proximal slat and the distal slat in the tibial external fixation device of the present invention being slidably connected through a slot;

图中:1、胫骨固定板条;2、第一横贴板;3、第二横贴板;4、变向通孔;5、变向螺孔体;6、锁定螺孔;7、凸台;101、近端板条;102、远端板条;103、定位孔。In the figure: 1. Tibial fixation slat; 2. The first transverse veneer; 3. The second transverse veneer; 4. The direction-changing through hole; 5. The direction-changing screw hole body; stage; 101, proximal slats; 102, distal slats; 103, positioning holes.

具体实施方式Detailed ways

下面将结合实施例对本发明的实施方案进行详细描述,但是本领域的技术人员将会理解,下列实施例仅用于说明本发明,而不应视为限制本发明的范围。The embodiments of the present invention will be described in detail below in conjunction with the examples, but those skilled in the art will understand that the following examples are only used to illustrate the present invention and should not be regarded as limiting the scope of the present invention.

如图1,根据本发明提供的胫骨外固定装置,包括:胫骨固定板条1,所述胫骨固定板条1纵向设置,所述胫骨固定板条1的内侧面与人的小腿外侧上对应胫骨的部位纵向贴合;所述胫骨固定板条1的近端设置有第一横贴板2,所述第一横贴板2与人体的小腿外侧上对应胫骨的近端部位横向贴合;所述胫骨固定板条1的远端设置有第二横贴板3,所述第二横贴板3与人的小腿外侧上靠近胫骨远端的部位横向贴合;所述胫骨固定板条1、第一横贴板2和第二横贴板3上设置有多个变向通孔4,所述变向通孔4的内侧壁上设置有内圆弧面;多个变向螺孔体5,所述变向螺孔体5上设置有螺纹通孔,所述变向螺孔体5的外侧壁上设置有外圆弧面,所述变向螺孔体5装配在所述变向通孔4中,所述变向螺孔体5的外圆弧面与所述变向通孔4的内圆弧面滑动配合;螺钉,所述螺钉上设置有前端螺纹端、光杆段和尾端螺纹段,所述尾端螺纹端与所述变向螺孔体上的螺纹通孔相配合,所述螺钉的尾端螺纹段的端面上设置有扭槽。1, according to the tibial external fixation device provided by the present invention, it includes: a tibial fixation strip 1, the tibial fixation strip 1 is longitudinally arranged, and the inner side of the tibial fixation strip 1 corresponds to the tibia on the outer side of the human calf. The position of the tibia is longitudinally fitted; the proximal end of the tibial fixation strip 1 is provided with a first transverse sticker 2, and the first transverse sticker 2 is transversely fitted with the proximal end portion of the corresponding tibia on the outer side of the calf of the human body; The distal end of the tibial fixation plank 1 is provided with a second transverse sticker 3, and the second transverse sticker 3 is laterally fitted with the position close to the distal end of the tibia on the outer side of the human calf; the tibial fixation plank 1, The first horizontal sticker 2 and the second horizontal sticker 3 are provided with a plurality of direction changing through holes 4, and the inner side wall of the direction changing through hole 4 is provided with an inner arc surface; a plurality of direction changing screw hole bodies 5 , the direction-changing screw hole body 5 is provided with a threaded through hole, the outer side wall of the direction-changing screw hole body 5 is provided with an outer arc surface, and the direction-changing screw hole body 5 is assembled in the direction-changing screw hole body 5 In the hole 4, the outer arc surface of the direction-changing screw hole body 5 is slidingly matched with the inner arc surface of the direction-changing through hole 4; the screw is provided with a front threaded end, a polished rod segment and a tail end. A threaded segment, the threaded end of the tail end is matched with a threaded through hole on the direction-changing screw hole body, and a twist groove is provided on the end surface of the threaded segment of the tail end of the screw.

在以上实施例中,胫骨固定板条的外形呈“J”、“∏”或“Ⅱ”形,第一横贴板2与人体的小腿外侧上对应胫骨的近端部位的形状相匹配,为1/2~3/4半环形,直径为5~25cm,宽度为0.1~6cm,厚度为0.1~4.5cm,与人体胫骨近端部位横向贴合;第二横贴板3与人的小腿外侧上靠近胫骨远端部位的形状相匹配,为1/4~1/2半环形,直径为5~25cm,宽度为0.1~6cm,厚度为0.1~4.5cm,与人体胫骨远端部位横向贴合。本发明的胫骨固定板条1、第一横贴板2和第二横贴板3上设置有多个变向通孔4,多个变向通孔4内装配有变向螺孔体5,变向螺孔体5的外圆弧面与变向通孔4的内圆弧面滑动配合,变向螺孔体5可在变向通孔4内自由旋转,从而使得螺钉可以具有多种固定角度,进而使得胫骨固定板条1、第一横贴板2和第二横贴板3能更好的与人体小腿胫骨相贴合,促进骨折部位的固定与愈合。螺钉包括前端螺纹端、光杆段和尾端螺纹段,其中前端螺纹端旋入骨头内部,光杆段减小了螺钉对小腿肌肉和软组织的刺激和损伤,尾端螺纹端与变向螺孔体5内的螺纹相匹配,使螺钉也能在多种方向上对胫骨和胫骨固定板条1进行连接,从而达到使用螺钉将本发明的胫骨外固定装置固定在人体小腿上的作用。螺钉的尾端螺纹段的断面上的扭槽可方便工作人员用螺丝刀将螺钉拧紧。本发明的胫骨外固定装置与小腿外形匹配度高,配合的螺钉具有多种固定角度,非常适合对胫骨骨折部位进行应急或长久的外固定治疗。In the above embodiment, the shape of the tibial fixation strip is "J", "∏" or "II", and the first transverse veneer 2 matches the shape of the proximal part of the tibia on the outer side of the calf of the human body, and is 1/2 to 3/4 semi-circular shape, with a diameter of 5 to 25 cm, a width of 0.1 to 6 cm, and a thickness of 0.1 to 4.5 cm, which fit laterally with the proximal tibia of the human body; The shape of the upper part near the distal end of the tibia is matched, and it is a 1/4 to 1/2 semi-circular shape, with a diameter of 5 to 25 cm, a width of 0.1 to 6 cm, and a thickness of 0.1 to 4.5 cm. It fits laterally with the distal part of the human tibia. . The tibial fixing strip 1, the first transverse sticker 2 and the second transverse sticker 3 of the present invention are provided with a plurality of direction-changing through holes 4, and the plurality of direction-changing through holes 4 are equipped with a direction-changing screw hole body 5, The outer circular arc surface of the direction-changing screw hole body 5 is slidingly matched with the inner circular arc surface of the direction-changing through hole 4, and the direction-changing screw hole body 5 can rotate freely in the direction-changing through hole 4, so that the screw can be fixed in various ways. Therefore, the tibial fixation strip 1, the first transverse veneer 2 and the second transverse veneer 3 can better fit the tibia of the human calf and promote the fixation and healing of the fractured part. The screw includes a front threaded end, a polished rod section and a tail threaded section. The front threaded end is screwed into the bone, and the polished rod section reduces the stimulation and damage to the calf muscle and soft tissue by the screw. The internal threads are matched, so that the screw can also connect the tibia and the tibial fixation strip 1 in various directions, so as to achieve the effect of using the screw to fix the tibial external fixation device of the present invention on the human calf. The twist groove on the section of the thread section at the end of the screw makes it convenient for the staff to tighten the screw with a screwdriver. The external fixation device of the tibia of the present invention has a high degree of matching with the shape of the calf, and the matched screws have various fixation angles, which are very suitable for emergency or long-term external fixation treatment of the fractured part of the tibia.

如图2所示,根据本发明的一种实施例,所述内圆弧面设置在所述变向通孔4的内侧壁的中部,所述变向螺孔体5为鼓桶形,所述变向螺孔体5装配在所述变向通孔4内。As shown in FIG. 2 , according to an embodiment of the present invention, the inner circular arc surface is disposed in the middle of the inner side wall of the direction-changing through hole 4 , and the direction-changing screw hole body 5 is in the shape of a drum, so The direction changing screw hole body 5 is assembled in the direction changing through hole 4 .

在以上实施例中,变向螺孔体5的鼓桶形的外表面可以和变向通孔4的内圆弧面滑动转向配合,又不会从变向通孔4中脱落,很适合作为螺钉与胫骨固定板条1之间的连接载体。In the above embodiment, the barrel-shaped outer surface of the direction-changing screw hole body 5 can be slidably matched with the inner arc surface of the direction-changing through hole 4, and will not fall off from the direction-changing through hole 4, which is very suitable for The connection carrier between the screw and the tibial fixation plank 1.

如图2所示,根据本发明的一种实施例,所述变向通孔4的边沿设置有锁定螺孔6,所述锁定螺孔6通向所述变向通孔4的内侧。As shown in FIG. 2 , according to an embodiment of the present invention, the edge of the direction changing through hole 4 is provided with a locking screw hole 6 , and the locking screw hole 6 leads to the inner side of the direction changing through hole 4 .

在以上实施例中,变向通孔4的边沿可以设置锁定螺孔6,给锁定螺孔6内旋入与之匹配的锁定螺钉,使锁定螺钉的端部抵在变向螺孔体的表面,用于锁定变向螺孔体5在变向通孔4内的旋转角度,方便医生使用螺钉连接胫骨和胫骨固定板条1、第一横贴板2和第二横贴板3。In the above embodiment, a locking screw hole 6 can be provided on the edge of the direction-changing through hole 4, and a matching locking screw is screwed into the locking screw hole 6, so that the end of the locking screw is pressed against the surface of the direction-changing screw hole body. , used to lock the rotation angle of the direction-changing screw hole body 5 in the direction-changing through hole 4, so that the doctor can use screws to connect the tibia and the tibial fixation strip 1, the first transverse veneer 2 and the second transverse veneer 3.

如图3所示,根据本发明的一种实施例,所述胫骨固定板条1、所述第一横贴板2和所述第二横贴板3上设置有多个凸台7,所述变向通孔4的外端口设置在所述凸台7上,所述锁定螺孔6设置在所述凸台7的侧壁上。As shown in FIG. 3 , according to an embodiment of the present invention, a plurality of bosses 7 are provided on the tibial fixation strip 1 , the first transverse veneer 2 and the second transverse veneer 3 . The outer port of the direction changing through hole 4 is arranged on the boss 7 , and the locking screw hole 6 is arranged on the side wall of the boss 7 .

在以上实施例中,当胫骨固定板条1、第一横贴板2和第二横贴板3的厚度较小时,可在胫骨固定板条1、第一横贴板2和第二横贴板3上设置多个凸台7,凸台7加厚了胫骨固定板条1上局部部位的厚度,将变向通孔4设置在凸台7位置,变向通孔4的外端通出凸台7的端部,锁定螺孔6设置在凸台7的侧壁上,凸台7增加了胫骨外固定板条1上变向通孔4部位的厚度,使变向通孔4具有足够的内圆弧面与变向螺孔体5相配合,也为锁定螺孔6提供了打孔位置,使变向螺孔体5容易固定。In the above embodiment, when the thicknesses of the tibial fixation strip 1 , the first transverse plate 2 and the second transverse plate 3 are small, the tibial fixation strip 1 , the first transverse plate 2 and the second transverse plate can be A plurality of bosses 7 are arranged on the plate 3, and the bosses 7 thicken the thickness of the local parts on the tibial fixation strip 1, and the direction-changing through holes 4 are arranged at the position of the bosses 7, and the outer ends of the direction-changing through holes 4 pass out. At the end of the boss 7, the locking screw hole 6 is arranged on the side wall of the boss 7, and the boss 7 increases the thickness of the direction-changing through hole 4 on the tibial external fixation strip 1, so that the direction-changing through hole 4 has sufficient The inner arc surface of the screw hole matches the direction changing screw hole body 5, and also provides a punching position for the locking screw hole 6, so that the direction changing screw hole body 5 can be easily fixed.

如图4所示,根据本发明的一种实施例,所述内圆弧面偏向所述变向通孔4的外端口,所述变向螺孔体5为半圆形,所述变向螺孔体5装配在所述变向通孔4的外端口上。As shown in FIG. 4 , according to an embodiment of the present invention, the inner circular arc surface is biased toward the outer port of the direction-changing through hole 4 , the direction-changing screw hole body 5 is semicircular, and the direction-changing through hole 5 is semicircular. The screw hole body 5 is assembled on the outer port of the direction changing through hole 4 .

在以上实施例中,在不增加胫骨外固定板条1的厚度的情况下,使变向通孔4的内圆弧面偏向其外端口,并将变向螺孔体5设计为半球形,变向螺孔体5的弧形侧壁在胫骨外固定装置的外侧与变向通孔4的内圆弧面滑动配合,也可实现变向螺孔体5的变向功能,使与之连接的螺钉具有多个可选的固定连接方向。In the above embodiment, without increasing the thickness of the tibial external fixation strip 1, the inner arc surface of the direction-changing through hole 4 is biased toward its outer port, and the direction-changing screw hole body 5 is designed as a hemispherical shape, The arc-shaped side wall of the direction-changing screw hole body 5 is slidingly matched with the inner arc surface of the direction-changing through hole 4 on the outside of the tibial external fixation device, and the direction-changing function of the direction-changing screw hole body 5 can also be realized, so that it can be connected with it. The screws have several optional fixed connection directions.

如图1所示,根据本发明的一种实施例,所述胫骨固定板条1上的变向通孔4之间设置有克式针孔。As shown in FIG. 1 , according to an embodiment of the present invention, gram-type pin holes are provided between the direction changing through holes 4 on the tibial fixation strip 1 .

如图1所示,根据本发明的一种实施例,所述胫骨固定板条1上的变向通孔4之间设置有加压螺孔。As shown in FIG. 1 , according to an embodiment of the present invention, compression screw holes are provided between the direction changing through holes 4 on the tibial fixation strip 1 .

在以上实施例中,在本发明的胫骨固定板条1上的变向通孔4之间设置有克式针孔和加压螺孔,可以使医生在对骨折患者使用胫骨外固定装置的同时不影响其使用克氏针或加压螺钉对骨折部位的固定,从而使患者的骨折部位更快更好的愈合。In the above embodiment, the tibial fixation strip 1 of the present invention is provided with a gram-type pin hole and a compression screw hole between the direction changing through holes 4, so that the doctor can use the tibial external fixation device for fracture patients at the same time. It does not affect the use of Kirschner wires or compression screws to fix the fracture site, so that the patient's fracture site can heal faster and better.

如图5所示,根据本发明的一种实施例,所述胫骨固定板条1包括近端板条101和远端板条102,所述变向通孔4分布在所述近端板条101和所述远端板条102上,所述近端板条101和所述远端板条102上还分布有多个定位孔103,所述近端板条101与所述远端板条102通过所述定位孔103及与所述定位孔103相匹配的连接件固定连接。As shown in FIG. 5 , according to an embodiment of the present invention, the tibial fixation strip 1 includes a proximal strip 101 and a distal strip 102 , and the direction changing through holes 4 are distributed in the proximal strip 101 and the distal slats 102, the proximal slats 101 and the distal slats 102 are further distributed with a plurality of positioning holes 103, and the proximal slats 101 and the distal slats 102 is fixedly connected through the positioning hole 103 and the connecting piece matched with the positioning hole 103 .

在以上实施例中,由于人体胫骨长度因人而异,固定尺寸规格的胫骨固定板条并不能适合所有人,因此,有必要将胫骨固定板条1分为近端板条101和远端板条102,近端板条101和远端板条102上都分布有多个定位孔103,近端板条101和远端板条102的连接端部交叠后通过定位孔103和与之匹配的连接件固定连接,这样就可以根据胫骨固定板条1的近端板条101和远端板条102之间的交叠部位的长度来对胫骨固定板条1进行长度上的调节。In the above embodiment, since the length of the tibia varies from person to person, the tibial fixation plank with a fixed size specification is not suitable for everyone. Therefore, it is necessary to divide the tibial fixation plank 1 into a proximal end plank 101 and a distal end plate The strip 102, the proximal strip 101 and the distal strip 102 are distributed with a plurality of positioning holes 103, and the connecting ends of the proximal strip 101 and the distal strip 102 are overlapped and passed through the positioning holes 103 and matched with it. The connector is fixedly connected, so that the length of the tibial fixation strip 1 can be adjusted according to the length of the overlapping portion between the proximal end strip 101 and the distal end strip 102 of the tibial fixation strip 1 .

如图6所示,根据本发明的一种实施例,所述近端板条101的端面上设置有插槽,所述远端板条102的一端伸入所述插槽中并与所述插槽滑动配合。As shown in FIG. 6, according to an embodiment of the present invention, a slot is provided on the end surface of the proximal slat 101, and one end of the distal slat 102 extends into the slot and communicates with the slot. Slot slip fit.

在以上实施例中,为了使胫骨固定板条的长度容易调节和方便固定,也可以通过设置在近端板条101上设置插槽,使远端板条102的连接端插入近端板条101上的插槽中,并与之滑动配合,需要将胫骨固定板条1调节到一定的长度时,先调整远端板条102在近端板条101上的插槽中的滑动位置,然后再使用固定连接件配合固定孔进行固定连接,两种连接方式均能实现本发明的胫骨外固定装置的纵向长度的调节,实现了对于不同腿长的患者的有效固定。In the above embodiment, in order to make the length of the tibial fixation slats easy to adjust and fix, a slot can also be provided on the proximal slat 101 so that the connecting end of the distal slat 102 can be inserted into the proximal slat 101 When the tibial fixation slat 1 needs to be adjusted to a certain length, first adjust the sliding position of the distal slat 102 in the slot on the proximal slat 101, and then Using the fixed connection piece and the fixed hole for fixed connection, both connection methods can realize the adjustment of the longitudinal length of the tibial external fixation device of the present invention, and realize the effective fixation for patients with different leg lengths.

虽然,本说明书中已经用一般性说明及具体实施方案对本发明作了详尽的描述,但在本发明基础上,可以对之作一些修改或改进,这对本领域技术人员而言是显而易见的。因此,在不偏离本发明精神的基础上所做的这些修改或改进,均属于本发明要求保护的范围。Although the present invention has been described in detail with general description and specific embodiments in this specification, some modifications or improvements can be made on the basis of the present invention, which will be obvious to those skilled in the art. Therefore, these modifications or improvements made without departing from the spirit of the present invention fall within the scope of the claimed protection of the present invention.

Claims (6)

1.一种胫骨外固定装置,其特征在于,包括:1. a tibia external fixation device, is characterized in that, comprises: 胫骨固定板条(1),所述胫骨固定板条纵向设置,所述胫骨固定板条的内侧面与人的小腿外侧上对应胫骨的部位纵向贴合;所述胫骨固定板条的近端设置有第一横贴板(2),所述第一横贴板(2)与人体的小腿外侧上对应胫骨的近端部位的形状相匹配,且横向贴合;所述胫骨固定板条的远端设置有第二横贴板(3),所述第二横贴板(3)与人的小腿外侧上靠近胫骨远端的部位的形状相匹配,且横向贴合;所述胫骨固定板条(1)、第一横贴板(2)和第二横贴板(3)上设置有多个变向通孔(4),所述变向通孔(4)的内侧壁上设置有内圆弧面;Tibial fixation plank (1), the tibial fixation plank is longitudinally arranged, and the inner side of the tibial fixation plank is longitudinally fitted with the part corresponding to the tibia on the outer side of the human calf; the proximal end of the tibial fixation plank is arranged There is a first transverse sticker (2), and the first transverse sticker (2) matches the shape of the proximal part of the corresponding tibia on the outer side of the calf of the human body, and fits horizontally; The end is provided with a second transverse sticker (3), and the second transverse sticker (3) matches the shape of the position on the outer side of the human calf close to the distal end of the tibia, and fits laterally; the tibial fixation slats (1) A plurality of direction-changing through holes (4) are provided on the first horizontal veneer (2) and the second horizontal veneer (3), and inner side walls of the direction-changing through holes (4) are provided with inner arc surface; 多个变向螺孔体(5),所述变向螺孔体(5)上设置有螺纹通孔,所述变向螺孔体(5)的外侧壁上设置有外圆弧面,所述变向螺孔体(5)装配在所述变向通孔(4)中,所述变向螺孔体(5)的外圆弧面与所述变向通孔(4)的内圆弧面滑动配合;A plurality of direction changing screw hole bodies (5), the direction changing screw hole body (5) is provided with threaded through holes, and the outer side wall of the direction changing screw hole body (5) is provided with an outer circular arc surface, so The direction changing screw hole body (5) is assembled in the direction changing through hole (4), and the outer circular arc surface of the direction changing screw hole body (5) and the inner circle of the direction changing through hole (4) Arc sliding fit; 所述内圆弧面设置在所述变向通孔(4)的内侧壁的中部,所述变向螺孔体(5)为鼓桶形,所述变向螺孔体(5)装配在所述变向通孔(4)内;所述变向通孔(4)的边沿的设置有锁定螺孔(6),所述锁定螺孔(6)通向所述变向通孔(4)的内侧;The inner circular arc surface is arranged in the middle of the inner side wall of the direction changing through hole (4), the direction changing screw hole body (5) is in the shape of a drum, and the direction changing screw hole body (5) is assembled on the Inside the direction changing through hole (4); a locking screw hole (6) is provided on the edge of the direction changing through hole (4), and the locking screw hole (6) leads to the direction changing through hole (4) ) inside; 螺钉,所述螺钉上设置有前端螺纹端、光杆段和尾端螺纹端,所述尾端螺纹端与所述变向螺孔体(5)上的螺纹通孔相配合,所述螺钉的尾端螺纹端的端面上设置有扭槽;A screw, the screw is provided with a front threaded end, a polished rod section and a tail threaded end, the tail threaded end is matched with the threaded through hole on the direction changing screw hole body (5), and the tail of the screw The end face of the end threaded end is provided with a twist groove; 所述胫骨固定板条(1)包括近端板条(101)和远端板条(102),所述变向通孔(4)分布在所述近端板条(101)和所述远端板条(102)上,所述近端板条(101)和所述远端板条(102)上还分布有多个定位孔(103),所述近端板条(101)与所述远端板条(102)通过所述定位孔(103)及与所述定位孔(103)相匹配的连接件固定连接。The tibial fixation strip (1) includes a proximal strip (101) and a distal strip (102), and the direction-changing through holes (4) are distributed in the proximal strip (101) and the distal strip (102). On the end slat (102), a plurality of positioning holes (103) are further distributed on the proximal slat (101) and the distal slat (102), and the proximal slat (101) is connected to the The distal slats (102) are fixedly connected through the positioning holes (103) and connecting pieces matched with the positioning holes (103). 2.根据权利要求1所述的胫骨外固定装置,其特征在于,所述胫骨固定板条(1)、所述第一横贴板(2)和所述第二横贴板(3)上设置有多个凸台(7),所述变向通孔(4)的外端口设置在所述凸台(7)上,所述锁定螺孔(6)设置在所述凸台(7)的侧壁上。2. The tibial external fixation device according to claim 1, characterized in that, on the tibial fixation strip (1), the first transverse veneer (2) and the second transverse veneer (3) A plurality of bosses (7) are provided, the outer ports of the direction changing through holes (4) are arranged on the bosses (7), and the locking screw holes (6) are arranged on the bosses (7) on the side wall. 3.根据权利要求1所述的胫骨外固定装置,其特征在于,所述内圆弧面偏向所述变向通孔(4)的外端口,所述变向螺孔体(5)为半圆形,所述变向螺孔体(5)装配在所述变向通孔(4)的外端口上。3. The tibial external fixation device according to claim 1, wherein the inner arc surface is biased toward the outer port of the direction-changing through hole (4), and the direction-changing screw hole body (5) is a half In a circular shape, the direction changing screw hole body (5) is assembled on the outer port of the direction changing through hole (4). 4.根据权利要求1所述的胫骨外固定装置,其特征在于,所述胫骨固定板条(1)上的变向通孔(4)之间设置有克式针孔。4 . The tibial external fixation device according to claim 1 , wherein a Gram-type pin hole is provided between the direction changing through holes ( 4 ) on the tibial fixation strip ( 1 ). 5 . 5.根据权利要求1所述的胫骨外固定装置,其特征在于,所述胫骨固定板条(1)上的变向通孔(4)之间设置有加压螺孔。5 . The tibial external fixation device according to claim 1 , wherein a compression screw hole is provided between the direction changing through holes ( 4 ) on the tibial fixation strip ( 1 ). 6 . 6.根据权利要求1所述的胫骨外固定装置,其特征在于,所述近端板条(101)的端面上设置有插槽,所述远端板条(102)的一端伸入所述插槽中并与所述插槽滑动配合。6. The tibial external fixation device according to claim 1, wherein a slot is provided on the end surface of the proximal slat (101), and one end of the distal slat (102) extends into the into the slot and slidingly fit with the slot.
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