CN107822700A - Adjusting means, passive type growing rod and the active growing rod of growing rod - Google Patents
Adjusting means, passive type growing rod and the active growing rod of growing rod Download PDFInfo
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- CN107822700A CN107822700A CN201711131231.6A CN201711131231A CN107822700A CN 107822700 A CN107822700 A CN 107822700A CN 201711131231 A CN201711131231 A CN 201711131231A CN 107822700 A CN107822700 A CN 107822700A
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- press part
- regulating block
- rod
- growing rod
- movable rod
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- 230000001105 regulatory effect Effects 0.000 claims abstract description 96
- 238000009434 installation Methods 0.000 claims description 16
- 230000013011 mating Effects 0.000 claims description 10
- 230000000694 effects Effects 0.000 claims description 6
- 230000033228 biological regulation Effects 0.000 claims description 5
- 241000222712 Kinetoplastida Species 0.000 claims description 3
- 230000002980 postoperative effect Effects 0.000 abstract description 2
- 238000000034 method Methods 0.000 description 18
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 15
- 206010050694 Congenital scoliosis Diseases 0.000 description 14
- 230000018109 developmental process Effects 0.000 description 12
- 230000001225 therapeutic effect Effects 0.000 description 10
- 238000005481 NMR spectroscopy Methods 0.000 description 8
- 239000000696 magnetic material Substances 0.000 description 8
- 238000010586 diagram Methods 0.000 description 7
- 238000007689 inspection Methods 0.000 description 7
- 238000005452 bending Methods 0.000 description 5
- 230000012010 growth Effects 0.000 description 5
- 239000000463 material Substances 0.000 description 5
- 230000004118 muscle contraction Effects 0.000 description 5
- 230000033001 locomotion Effects 0.000 description 4
- 238000005266 casting Methods 0.000 description 3
- 238000003825 pressing Methods 0.000 description 3
- 238000001356 surgical procedure Methods 0.000 description 3
- 229910001069 Ti alloy Inorganic materials 0.000 description 2
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 description 2
- 238000011437 continuous method Methods 0.000 description 2
- 230000008602 contraction Effects 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 238000004519 manufacturing process Methods 0.000 description 2
- 206010039722 scoliosis Diseases 0.000 description 2
- 239000007787 solid Substances 0.000 description 2
- 229910052719 titanium Inorganic materials 0.000 description 2
- 239000010936 titanium Substances 0.000 description 2
- 206010010356 Congenital anomaly Diseases 0.000 description 1
- 208000000875 Spinal Curvatures Diseases 0.000 description 1
- 230000009471 action Effects 0.000 description 1
- 230000006978 adaptation Effects 0.000 description 1
- 230000014461 bone development Effects 0.000 description 1
- 230000008468 bone growth Effects 0.000 description 1
- 210000000038 chest Anatomy 0.000 description 1
- 230000034994 death Effects 0.000 description 1
- 230000004069 differentiation Effects 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 230000005489 elastic deformation Effects 0.000 description 1
- 230000005284 excitation Effects 0.000 description 1
- 238000001727 in vivo Methods 0.000 description 1
- 230000035800 maturation Effects 0.000 description 1
- 230000007246 mechanism Effects 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000005311 nuclear magnetism Effects 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
- 210000001835 viscera Anatomy 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers, e.g. stabilisers comprising fluid filler in an implant
- A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
- A61B17/7002—Longitudinal elements, e.g. rods
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers, e.g. stabilisers comprising fluid filler in an implant
- A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
- A61B17/7002—Longitudinal elements, e.g. rods
- A61B17/7019—Longitudinal elements having flexible parts, or parts connected together, such that after implantation the elements can move relative to each other
- A61B17/7025—Longitudinal elements having flexible parts, or parts connected together, such that after implantation the elements can move relative to each other with a sliding joint
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00831—Material properties
- A61B2017/00902—Material properties transparent or translucent
- A61B2017/00911—Material properties transparent or translucent for fields applied by a magnetic resonance imaging system
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- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Neurology (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
The invention discloses a kind of adjusting means of growing rod, passive type growing rod and active growing rod, the adjusting means of the growing rod, including regulating block and movable rod, one end of the regulating block and the movable rod is slidably connected, the movable rod is moved relative to the regulating block;The regulating block be provided with can elastic reset press part, one end of the movable rod, which is provided with, is used for unidirectional spacing limiting section;Wherein, when the press part in the raw when, the press part and the spacing cooperation of the limiting section, the movable rod is only moved along the direction away from the regulating block;When the press part and the limit part from or when staggering, the movable rod can move back and forth relative to the regulating block.Adjusting means, passive type growing rod and the active growing rod of the growing rod, patient need to only carry out once mounting operation, and postoperative adjustment is convenient, reduces patient suffering.
Description
Technical field
The present invention relates to technical field of medical instruments, is grown more particularly to a kind of adjusting means of growing rod, passive type
Rod and active growing rod.
Background technology
For the patient of congenital scoliosis, the crooked radian progress to backbone is needed before its bone growth and development maturation
Control, being otherwise possible to their lateral bending degree can become very serious, have influence on the development of thorax or even important internal organs,
Even result in death.The method of expectant treatment can be implemented for lesser extent and the good patient of backbone pliability, such as wear branch
Tool etc., but to a big chunk patient, then need to carry out operation intervention, reduce or slow down the progress of lateral bending angle, make patient
Scoliosis angle development complete before control within the specific limits.
Currently used therapeutic method of surgery is that it is mainly characterized by having two circular holes to be used for respectively up and down using growth valve
Two pitmans up and down are accommodated, and its both ends is respectively provided with one or two plug screws, fixes two pitmans up and down respectively.Upper company
The upper end taken over the baton is fixed to some or two centrums of backbone head end by one or more pedicle screw, and lower connection
Rod is then fixed to one or two centrum of backbone tail end by another or two pedicle screws, and tail end fixes vertebra
The selection of body will typically determine according to the type of lateral bending and position., will be upper after growth valve is installed into the concave side of lateral bending radian
Lower two pitmans strut can along longitudinal direction and support spinal curvature section directly.After first operation, due to the growth of patient
Development, backbone is elongated, at regular intervals, such as or so half a year, it is necessary to which re-operation, the fixation plug screw of side is unclamped, uses
Strutting tool struts upper pitman or lower pitman along longitudinal direction, is then locked again with plug screw.Receive such operation mostly
Patient is both less than 14 years old, thus at most need receive ten several times strut operation, so it is high-frequency perform the operation not only give patient
Great pain is brought, heavy financial burden is also brought to family numbers of patients.
There is a kind of growing rod realized and strutted by magnetic force at present, growing rod is provided with the motor of magnetic material manufacture, its
Cardinal principle is that the motor for applying magnetic field excitation growing rod outside patient body rotates, and by screw thread by convert rotational motion
For straight line distracting action.Although this kind of growing rod can not perform the operation, realization struts in vivo, and the size of its distracting force is by disease
Human posture influences, and the phenomenon that can not be strutted easily occurs, internal magnetic material causes patient can not receive nuclear magnetic resonance image
Check, simultaneously because equipment is extremely complex and expensive, can not realize and be widely applied.
The content of the invention
Based on this, it is necessary to provide a kind of adjusting means of growing rod, passive type growing rod and active growing rod, be easy to
Installation, when subsequently needing to strut growing rod, the method or rotation adjustment gear that need to only be stretched by drawing position, you can make growth
Rod is flared out, and postoperative adjustment is convenient, reduces patient suffering.
Its technical scheme is as follows:
A kind of adjusting means of growing rod, including regulating block and movable rod, one end of the regulating block and the movable rod
It is slidably connected, the movable rod is moved relative to the regulating block;The regulating block be provided with can elastic reset press part,
One end of the movable rod, which is provided with, is used for unidirectional spacing limiting section;Wherein, when the press part in the raw when, it is described
Press part and the spacing cooperation of the limiting section, make the movable rod only be moved along the direction away from the regulating block;When described
Press part and the limit part from or when staggering, the movable rod can move back and forth relative to the regulating block.
When the adjusting means of above-mentioned growing rod is applied to congenital scoliosis disease treatment, by performing the operation pedicle of vertebral arch screw
Nail is fixed on the backbone of patient according to default position, first force make press part and limit part from or stagger, make movable rod
It is contracted to extreme position or predeterminated position, cancels active force, press part is automatically reset, press part and the spacing cooperation of limiting section,
Movable rod is set only to be moved along the direction away from regulating block;Then will be adjusted by the first hold-down bars, movable rod or other fixtures
Locking nub fixes, while adjusts the collapsing length of movable rod and be fixed on corresponding pedicle of vertebral arch screw and nail on, and completes passive type growth
The installation operation of rod;Now, press part in the raw, press part cooperation spacing with limiting section, makes movable rod only along remote
Direction from regulating block is moved, i.e., can only be stretched along the direction for the length for extending passive type growing rod;Patient subsequently needs to strut
During passive type growing rod, only the elongation of the length of passive type growing rod need to be made by the method for specifically drawing position stretching, with
Adapt to patient spine development needs.When the adjusting means of the growing rod is applied to passive type growing rod, patient need to only be carried out once
Installation operation, when subsequently needing to strut passive type growing rod, only passive type growing rod need to be made by the method for drawing position stretching
It is flared out, operation is repeatedly strutted without receiving, reduces patient and treat pain and treatment burden;It is simultaneously no to use magnetic material
Material, does not influence patient and receives nuclear magnetic resonance image inspection.
Technical scheme is illustrated further below:
In one of the embodiments, the regulating block is provided with the first mounting hole, and the side wall of first mounting hole is provided with
Stopper slot, the movable rod are provided with the slide mass being slidably matched with first mounting hole, and the slide mass is provided with and the limit
The guide protrusions that position groove is slidably matched.Regulating block and movable rod are thus realized by the cooperation of the first mounting hole and slide mass
It is slidably connected, while realizes that movable rod moves along default glide direction using the cooperation of stopper slot and guide protrusions, it is ensured that institute
When stating press part in the raw, the press part and the spacing cooperation of the limiting section.
In one of the embodiments, first mounting hole is through hole, set through the both ends of the regulating block, described
Stopper slot is set through the side wall of first mounting hole, and the guide protrusions are guide finger, and the slide mass is provided with installation institute
State the connecting hole of guide finger.One end of the guide finger may pass through stopper slot on the connecting hole, the other end can limit with stopper slot
Position, which is oriented to, to be coordinated, and movable rod is moved in the same direction, is avoided, because external force is overturn, making press part or limiting section stagger, leading
Cause movable rod effect of contraction therapeutic effect.
In one of the embodiments, the regulating block is provided with the mounting groove for being used for installing the press part, the installation
The side of groove is provided with the mating holes communicated with first mounting hole, and the slide mass is provided with the limiting section, the limiting section
A side wall be provided with the limiting tooth that the mating holes is set, one end of the press part may pass through the mating holes with it is described
Limiting tooth compresses cooperation.Cooperations thus is compressed by press part and limiting tooth, makes side of the movable rod only along remote regulating block
To movement;Only press part stress, when separating or stagger with the limiting tooth, the movable rod just can back and forth move relative to regulating block
It is dynamic;Press part is arranged in mounting groove simultaneously, when can avoid the passive type growing rod from being installed on patient's body, because of contraction of muscle or
External force makes press part separate or stagger with limiting tooth, causes movable rod to shrink and influence therapeutic effect.
In one of the embodiments, the regulating block is additionally provided with the regulation of the side wall setting through the mounting groove
Hole, and the adjustment hole is arranged at the one side of regulating block, the press part is provided with the force body corresponding with the adjustment hole.
Thus it is easy to act on force body to exert a force by adjustment hole, such as rotates force body or pressing force body, make press part and institute
State limiting tooth separation or stagger.
In one of the embodiments, one end of the press part is provided with compresses cooperation with the limiting tooth of the limiting section
Tooth is compressed, the other end of the press part is provided with the force body, the rotation centerline of the force body and the press part
The bearing of trend for compressing tooth is perpendicular.Thus can rotate press part by rotating force body, with the limit part from being easy to
Control the force body to rotate by adjustment hole, make the structure of regulating block compacter.
In one of the embodiments, the press part is rotatably arranged in the mounting groove, and the press part with
Be provided with elastic component between the side wall of the mounting groove, the press part by the elastic component can elastic reset be arranged at the peace
In tankage;The Impact direction of the elastic component with it is described compress tooth and compress with limiting tooth the reaction force direction of cooperation be staggered.
The elastic component is installed when passive type growing rod in mounting groove, can be avoided to be installed on patient's body, because contraction of muscle or it is outside by
Power makes elastic component deform, and causes press part to be separated with limiting tooth, movable rod is shunk and is influenceed therapeutic effect;In patient's body
It is interior strut passive type growing rod during, the scoliotic spine has a convergent force, makes to compress tooth and limiting tooth coordinates phase
Compress, and the reaction force direction that the Impact direction of the elastic component compresses cooperation with compressing tooth and limiting tooth is staggered, and can avoid
Compressing tooth and limiting tooth and compressing the reaction force direction of cooperation makes elastic component that elastic deformation occur and makes press part and limiting tooth point
From influenceing therapeutic effect.
In one of the embodiments, the elastic component compresses section including first, second compresses section and be arranged at described
One compresses section and described second compresses stretch section between section, described first compress section and the side wall of the press part be mutually close to
Pressure, described second compresses section is mutually close to compress with the side wall of the mounting groove.Elastic component is set to be reliably mounted at press part and peace
Between tankage side wall, it is ensured that the elastic reset of press part is functional.
The technical program additionally provides a kind of passive type growing rod, includes the adjusting means of above-mentioned growing rod, in addition to
First hold-down bars, one end of first hold-down bars be fixedly connected with the regulating block and be engaged with movable rod to be formed it is flexible
Rod structure.
When the passive type growing rod is applied to congenital scoliosis disease treatment, by operation by pedicle screw according to
Default position is fixed on the backbone of patient, first force make press part and limit part from or stagger, be contracted to movable rod
Extreme position or predeterminated position, active force is cancelled, press part is automatically reset, press part and the spacing cooperation of limiting section, make activity
Rod only moves along the direction away from regulating block;Then the first hold-down bars is fixed on into corresponding pedicle of vertebral arch screw to nail on, adjustment is lived
Move the collapsing length of rod and be fixed on another corresponding pedicle of vertebral arch screw and nail on, complete the installation operation of passive type growing rod;This
When, press part in the raw, press part cooperation spacing with limiting section, makes movable rod only be moved along the direction away from regulating block
It is dynamic, i.e., it can only be stretched along the direction for the length for extending passive type growing rod;When patient subsequently needs to strut passive type growing rod, only
The method that need to be stretched by specifically drawing position, makes the elongation of the length of passive type growing rod, to adapt to patient spine development
Need.When the passive type growing rod is applied to congenital scoliosis disease treatment, patient need to only carry out once mounting operation, after
The continuous method that when needing to strut passive type growing rod, need to be only stretched by drawing position, is flared out passive type growing rod, nothing
It need to receive and repeatedly strut operation, reduce patient and treat pain and treatment burden;Simultaneously without magnetic material is used, patient is not influenceed
Receive nuclear magnetic resonance image inspection.
Technical scheme is illustrated further below:
In one of the embodiments, the regulating block is additionally provided with the second installation for installing first hold-down bars
Hole, through second mounting hole side wall screwed hole and with the screwed hole screw thread coordinate fixture, the fixation
One end of part may pass through the screwed hole, be offseted with first hold-down bars.And then realize regulating block and the first hold-down bars
Connection is detachably fixed, varying strength and the hold-down bars of size first can be installed as needed, is required with adapting to various operations.
In one of the embodiments, first hold-down bars is in cylindrical structural, and second mounting hole is cylinder
Hole.Thus it is easy to when installing the first hold-down bars, because of the first hold-down bars and the rotatable cooperation of the second mounting hole so that regulating block energy
The still angle rotatable after the first hold-down bars is fixed on pedicle screw tail cap, regulating block and movable rod is preferably arranged on and suffer from
With person.
The technical program additionally provides a kind of passive type growing rod, includes the adjusting means of above-mentioned growing rod, the work
Dynamic rod is two, and two described movable rod one end are slidably connected to form extension stem structure with the regulating block both ends respectively, described
Regulating block is provided with two press parts one-to-one with the movable rod.
When the passive type growing rod is applied to congenital scoliosis disease treatment, by operation by pedicle screw according to
Default position is fixed on the backbone of patient, first force make press part and limit part from or stagger, make two movable rods receipts
It is reduced to extreme position or predeterminated position, cancels active force, press part is automatically reset, press part and the spacing cooperation of limiting section, make
Movable rod only moves along the direction away from regulating block;Then a movable rod first is fixed on into corresponding pedicle of vertebral arch screw to nail on,
The collapsing length of the movable rod is adjusted, regulating block is in predeterminated position (making the more comfortable position of patient), then adjust another
With movable rod and another pedicle of vertebral arch screw corresponding to being fixed on nails on, and completes the installation operation of passive type growing rod;Now, support
Casting die in the raw, press part cooperation spacing with limiting section, makes movable rod only be moved along the direction away from regulating block, i.e.,
It can only be stretched along the direction for the length for extending passive type growing rod;When patient subsequently needs to strut passive type growing rod, it need to only lead to
The method for crossing specific traction position stretching, makes the elongation of the length of passive type growing rod, to adapt to patient spine development needs.
When the passive type growing rod is applied to congenital scoliosis disease treatment, the convenient position for adjusting regulating block, and patient only needs
Once mounting operation is carried out, only need to be by the method for drawing position stretching when subsequently needing to strut passive type growing rod, it is passive to make
Formula growing rod is flared out, and operation is repeatedly strutted without receiving, and is reduced patient and is treated pain and treatment burden;Do not use simultaneously
Magnetic material, patient is not influenceed and receives nuclear magnetic resonance image inspection.
The technical program also provides a kind of active growing rod, includes the adjusting means of above-mentioned growing rod, described spacing
Portion is rack structure, in addition to:Second hold-down bars, one end of second hold-down bars be fixedly connected with the regulating block and with
Movable rod is engaged to form extension stem structure;And adjustment gear, the adjustment gear be rotatably arranged on the regulating block and
The adjustment gear is meshed with the rack structure.
When the active growing rod is applied to congenital scoliosis disease treatment, by operation by pedicle screw according to
Default position is fixed on the backbone of patient, first force make press part and limit part from or stagger, be contracted to movable rod
Extreme position or predeterminated position, active force is cancelled, press part is automatically reset, press part and the spacing cooperation of limiting section, make activity
Rod only moves along the direction away from regulating block;Then the second hold-down bars is fixed on into corresponding pedicle of vertebral arch screw to nail on, adjustment is lived
Move the collapsing length of rod and be fixed on another corresponding pedicle of vertebral arch screw and nail on, complete the installation operation of active growing rod;This
When, press part in the raw, press part cooperation spacing with limiting section, makes movable rod only be moved along the direction away from regulating block
Dynamic, i.e., now rotating adjustment gear driving movable rod can only stretch along the direction for the length for extending active growing rod;After patient
The continuous method for when needing to strut active growing rod, first passing through specific traction position stretching, make the length of active growing rod
Elongation, with adapt to patient spine development needs;Such as can not be active to elongate by specifically drawing the method for position stretching
During growing rod, only need to opening osculum in the drive axle position of adjustment gear, (operation wound is small, can mitigate corrective surgery cost and operation
Pain), by particular tool drive adjustment gear rotation to drive movable rod outwards to extend, become the length of active growing rod
It is long, to adapt to patient spine development needs.When the active growing rod is applied to congenital scoliosis disease treatment, patient is only
Once mounting operation need to be carried out, can be by drawing the method for position stretching or passing through when subsequently needing to strut active growing rod
The mode of opening operation osculum driving adjustment gear rotation, is flared out active growing rod, reduces patient and treats pain and control
Treat burden;Simultaneously without magnetic material is used, patient is not influenceed and receives nuclear magnetic resonance image inspection.
Brief description of the drawings
Fig. 1 is the structural blast schematic diagram of the adjusting means of the growing rod of the present invention;
Fig. 2 is the assembling schematic diagram of the adjusting means of the growing rod of the present invention;
Fig. 3 is the structural representation of regulating block of the present invention;
Fig. 4 is the structural representation of movable rod of the present invention;
Fig. 5 is press part of the present invention and the assembling schematic diagram of the spacing cooperation of limiting section;
Fig. 6 is press part of the present invention and the adjustment gear assembling schematic diagram with the spacing cooperation of limiting section respectively;
Fig. 7 is the structural blast schematic diagram of passive type growing rod of the present invention;
Fig. 8 is the assembling schematic diagram of passive type growing rod of the present invention;
Fig. 9 is the assembling schematic diagram of active growing rod of the present invention.
Description of reference numerals:
100th, regulating block, the 110, first mounting hole, 120, stopper slot, 130, mounting groove, 132, mating holes, 140, regulation
Hole, 150, cover plate, the 160, second mounting hole, 170, screwed hole, 200, movable rod, 210, limiting section, 212, limiting tooth, 220, sliding
Kinetoplast, 221, guide protrusions, 223, connecting hole, 300, press part, 310, force body, 320, compress tooth, 400, elastic component, 410,
First compresses section, and 420, second compresses section, and 430, stretch section, the 500, first hold-down bars, 600, fixture, 700, second fixes
Rod, 800, adjustment gear.
Embodiment
For the objects, technical solutions and advantages of the present invention are more clearly understood, below in conjunction with accompanying drawing and specific embodiment party
Formula, the present invention is described in further detail.It should be appreciated that embodiment described herein is only solving
The present invention is released, does not limit protection scope of the present invention.
It should be noted that when element is referred to as " being fixed on " another element, it can be directly on another element
Or there may also be element placed in the middle.When an element is considered as " connection " another element, it can be directly connected to
To another element or it may be simultaneously present centering elements.Term as used herein " vertical ", " horizontal ", " left side ",
For illustrative purposes only, it is unique embodiment to be not offered as, and nisi position for " right side " and similar statement
Put relation, it is allowed to certain error (manufacture and assembling unavoidably certain error be present) be present, can solve the problems, such as it is corresponding,
As long as its inventive concept as the application, belongs to the protection domain of the application.
Unless otherwise defined, all of technologies and scientific terms used here by the article is with belonging to technical field of the invention
The implication that technical staff is generally understood that is identical.Term used in the description of the invention herein is intended merely to description tool
The purpose of the embodiment of body, it is not intended that in the limitation present invention.Term as used herein " and/or " include one or more
The arbitrary and all combination of related Listed Items.
Heretofore described " first ", " second " do not represent specific quantity and order, are only used for the differentiation of title.
As shown in Figure 1, Figure 2, shown in Fig. 5 and Fig. 8, a kind of adjusting means of growing rod of the present invention, including regulating block 100
And movable rod 200, one end of regulating block 100 and movable rod 200 are slidably connected, movable rod 200 is moved relative to regulating block 100
It is dynamic;Regulating block 100 be provided with can elastic reset press part 300, one end of movable rod 200, which is provided with, is used for unidirectional spacing limiting section
210;Wherein, when press part 300 in the raw when, press part 300 and 210 spacing cooperation of limiting section make movable rod 200
It can be moved along the direction away from regulating block 100;When press part 300 is separated or staggered with limiting section 210, movable rod 200 can phase
Moved back and forth for regulating block 100.
Referring to shown in Fig. 1, Fig. 2, Fig. 5 and Fig. 8, the adjusting means of above-mentioned growing rod is applied to congenital scoliosis disease
During treatment, pedicle screw is fixed on the backbone of patient according to default position by performing the operation, first force makes press part 300
Separate or stagger with limiting section 210, movable rod 200 is contracted to extreme position or predeterminated position, cancel active force, make press part
300 automatically reset, press part 300 and 210 spacing cooperation of limiting section, make movable rod 200 only along the direction away from regulating block 100
It is mobile;Then regulating block 100 is fixed by the first hold-down bars 500, movable rod 200 or other fixtures 600, adjusted simultaneously
The collapsing length of movable rod 200 and pedicle of vertebral arch screw corresponding to being fixed on nails on, completes the installation operation of passive type growing rod;This
When, press part 300 in the raw, the cooperation spacing with limiting section 210 of press part 300, makes movable rod 200 only along away from tune
The direction movement of locking nub 100, i.e., can only stretch along the direction for the length for extending passive type growing rod;Patient subsequently need strut by
During dynamic formula growing rod, only the elongation of the length of passive type growing rod need to be made, with suitable by the method for specifically drawing position stretching
Patient spine is answered to develop needs.When the adjusting means of the growing rod is applied to passive type growing rod, patient only need to once be pacified
Dress operation, when subsequently needing to strut passive type growing rod, only need to by draw position stretch method, make passive type growing rod to
Outer opening, operation is repeatedly strutted without receiving, reduce patient and treat pain and treatment burden;It is simultaneously no to use magnetic material,
Patient is not influenceed receives nuclear magnetic resonance image inspection.
On the basis of above-described embodiment, press part 300 compresses the reaction force direction of cooperation with compressing with limiting section 210
The Impact direction of the elastic reset of part 300 is staggered.Patient's body strut passive type growing rod during, the lateral bending ridge
Post has a convergent force, makes to compress tooth 320 and coordinates with limiting section 210 and mutually compresses the direction for producing reaction force and the press part
The Impact direction of 300 elastic reset is staggered, and can avoid compressing tooth 320 and limiting tooth 212 compresses the reaction force side of cooperation
To making press part 300 separate or stagger with limiting tooth 212, therapeutic effect is influenceed.In addition, press part 300 compresses with limiting section 210
The implementation of cooperation have it is a variety of, as press part 300 for can elastic reset projection, but limiting section 210 is the raised limiting card
Close and spacing hole;The rack structure of limiting section 210, one end of press part 300 compresses with the limiting tooth 212 of the rack structure matches somebody with somebody
Close;Or limiting section 210 is provided with multiple length directions along movable rod 200 and sets limited impression, press part 300 limits with limited impression
Position compresses cooperation;Or press part 300 for it is rotatable and can elastic reset ratchet, limiting section 210 is provided with multiple along movable rod
What 200 length direction was set compresses tooth 320, compresses tooth 320 and compresses cooperations with ratchet, makes movable rod 200 only along remote the
The direction movement of one hold-down bars 500.The force mechanism of the press part 300 can also have it is a variety of, such as pressing or drawing make its upset
Or it is mobile, or rotating makes it stagger with limiting section.
Referring to shown in Fig. 1, Fig. 3 and Fig. 8, shown on the basis of above-described embodiment, regulating block 100 is provided with the first mounting hole
110, the side wall of the first mounting hole 110 is provided with stopper slot 120, and movable rod 200 is provided with the cunning being slidably matched with the first mounting hole 110
Kinetoplast 220, slide mass 220 are provided with the guide protrusions 221 being slidably matched with stopper slot 120.Thus by the first mounting hole 110 with
The cooperation of slide mass 220 realizes being slidably connected for regulating block 100 and movable rod 200, while convex using stopper slot 120 and guiding
Rise 221 cooperation realize that movable rod 200 moves along default glide direction, it is ensured that press part 300 in the raw when, compress
Part 300 and 210 spacing cooperation of limiting section.Further, the first mounting hole 110 is through hole, set through the both ends of regulating block 100
Put, stopper slot 120 is set through the side wall of the first mounting hole 110, and guide protrusions 221 are guide finger, and slide mass 220 is provided with installation
The connecting hole 223 of guide finger.One end of the guide finger may pass through stopper slot 120 on the connecting hole 223, the other end can be with limit
The position limition orientation of groove 120 coordinates, and movable rod 200 is moved in the same direction, avoids, because external force is overturn, making press part 300
Or limiting section 210 staggers, cause the effect of contraction therapeutic effect of movable rod 200.Further, stopper slot 120 is two and divided
It is not arranged at the two side of the first mounting hole 110, guide finger is installed in connecting hole 223 and the both ends of guide finger are respectively with two
The individual limition orientation of stopper slot 120 coordinates, and is further ensured that movable rod 200 will not be overturn.First mounting hole 110 it is transversal
The rectangular adaptation in face, the cross section of slide mass 220 are adapted with polygonal hole (such as quadrilateral hole, pentagon hole), make movable rod
200 during being moved relative to regulating block 100, do not overturn, make press part 300 will not be with limiting section 210 as far as possible
Separate or stagger.
Referring to shown in Fig. 1 to Fig. 8, in addition, regulating block 100 is provided with the mounting groove 130 for being used for installing press part 300, install
The side of groove 130 is provided with the mating holes 132 communicated with the first mounting hole 110, and slide mass 220 is provided with limiting section 210, limiting section
210 side wall is provided with the limiting tooth 212 of the setting of mating holes 132, and length direction of the limiting tooth 212 along slide mass 220 prolongs
Stretch, one end of press part 300 may pass through mating holes 132 and compress cooperation with limiting tooth 212;Thus by press part 300 with it is spacing
Tooth 212 compresses cooperation, movable rod 200 is only moved along the direction away from regulating block 100;Only the stress of press part 300, with
When limiting tooth 212 is separated or staggered, the movable rod 200 can just move back and forth relative to regulating block 100;Simultaneously by press part 300
Be arranged in mounting groove 130, when can avoid the passive type growing rod from being installed on patient's body, because contraction of muscle or external force make to
Casting die 300 is separated or staggered with limiting tooth 212, causes movable rod 200 to shrink and influence therapeutic effect;The other regulating block 100
The cover plate 150 for closing mounting groove 130 is additionally provided with, is easy to installation press part 300, elastic component 400 in mounting groove 130, then
Mounting groove 130 is closed with cover plate 150, press part 300 and elastic component 400 is not arbitrarily moved, internal structure is compacter, together
When prevented also from contraction of muscle or external force press part 300 is separated or is staggered with limiting tooth 212, cause movable rod 200 to be received
Contract and influence therapeutic effect.Further, regulating block 100 is additionally provided with the adjustment hole 140 of the side wall setting through mounting groove 130
(easy to operation), and adjustment hole 140 is arranged at the one side of regulating block 100, press part 300 is provided with corresponding with adjustment hole 140
Force body 310.Thus part (such as spanner, handle) easy to operation acts on force body 310 by adjustment hole 140 to exert a force
On, force body 310 or pressing force body 310 are such as rotated, press part 300 is separated or is staggered with limiting tooth 212.Further
, one end of press part 300 is provided with compresses tooth 320 with what the limiting tooth 212 of limiting section 210 compressed cooperation, press part 300 it is another
One end is provided with force body 310, and the rotation centerline of force body 310 mutually hangs down with the bearing of trend for compressing tooth 320 of press part 300
Directly.Thus can rotate press part 300 by rotating force body 310, be separated with limiting section 210, be easy to by adjustment hole 140 come
Control the force body 310 to rotate, make the structure of regulating block 100 compacter.The force body 310 is provided with quadrilateral structure, interior six
The shapes such as corner structure, outer-hexagonal structure, interior anistree structure or plum blossom structure, it is easy to control force body 310 to rotate by spanner.Should
Limiting tooth 212 with compress the tooth form of tooth 320 can have it is a variety of, such as polygonized structure, including angularly disposed rectangular teeth, oblique triangle
Tooth etc., or tiltedly " U " font tooth etc..When deserving press part 300 in the raw, limiting tooth 212 and tooth 320 is compressed in engaging
Compress state.
Moreover, press part 300 is rotatably arranged in mounting groove 130, and the side wall of press part 300 and mounting groove 130 it
Between be provided with elastic component 400, press part 300 by elastic component 400 can elastic reset be arranged in mounting groove 130;Elastic component 400
The reaction force direction that Impact direction compresses cooperation with compressing tooth 320 and limiting tooth 212 is staggered.The elastic component 400 install in
In mounting groove 130, when can avoid the passive type growing rod from being installed on patient's body, because contraction of muscle or external force make elastic component
400 deform, and cause press part 300 to be separated with limiting tooth 212, movable rod 200 is shunk and is influenceed therapeutic effect;In patient
It is internal strut passive type growing rod during, the scoliotic spine has a convergent force, makes to compress tooth 320 and limiting tooth
212 cooperations mutually compress, and the Impact direction of the elastic component 400 compresses the reaction force of cooperation with compressing tooth 320 with limiting tooth 212
Direction is staggered, and can avoid compressing tooth 320 the reaction force direction of cooperation is compressed with limiting tooth 212 makes elastic component 400 that bullet occur
Property deformation and press part 300 is separated with limiting tooth 212, influence therapeutic effect.
The elastic component 400 can be the flexible member that back-moving spring, plectrum etc. obtain larger elastic force in less space.Enter
One step, shown in Figure 4, elastic component 400 compresses section 410 including first, second compresses section 420 and be arranged at first and compress section
410 and second stretch section 430 between section 420 is compressed, first compresses section is mutually close to compress with the side wall of press part 300, and second
Section 420 is compressed mutually to be close to compress with the side wall of mounting groove 130.Elastic component 400 is set to be reliably mounted at press part 300 and mounting groove
Between 130 side walls, it is ensured that the elastic reset of press part 300 is functional.
As shown in Figures 7 and 8, present invention also offers a kind of passive type growing rod, the regulation of above-mentioned growing rod is included
Device, in addition to the first hold-down bars 500, one end of the first hold-down bars 500 be fixedly connected with regulating block 100 and with movable rod 200
It is engaged to form extension stem structure.
As shown in Figures 7 and 8, when the passive type growing rod is applied to congenital scoliosis disease treatment, operation is passed through
Pedicle screw is fixed on the backbone of patient according to default position, first force makes press part 300 be separated with limiting section 210
Or stagger, movable rod 200 is contracted to extreme position or predeterminated position, cancel active force, press part 300 automatically reset, supported
Casting die 300 and 210 spacing cooperation of limiting section, make movable rod 200 only be moved along the direction away from regulating block 100;Then by
One hold-down bars 500 be fixed on corresponding to pedicle of vertebral arch screw nail on, adjust movable rod 200 collapsing length be simultaneously fixed on corresponding to it is another
One pedicle of vertebral arch screw nails on, and completes the installation operation of passive type growing rod;Now, press part 300 in the raw, press part
300 cooperations spacing with limiting section 210, movable rod 200 is only moved along the direction away from regulating block 100, i.e., can only be along extension
The direction stretching of the length of passive type growing rod;, only need to be by specifically leading when patient subsequently needs to strut passive type growing rod
Draw the method for position stretching, make the elongation of the length of passive type growing rod, to adapt to patient spine development needs.The passive type is given birth to
When long rod is applied to congenital scoliosis disease treatment, patient need to only carry out once mounting operation, follow-up to need to strut passively
During formula growing rod, it need to only be flared out passive type growing rod by the method for drawing position stretching, repeatedly strutted without receiving
Operation, reduce patient and treat pain and treatment burden;All parts of passive type growing rod use and are free of any magnetic simultaneously
The material of property, preferably using titanium, titanium alloy etc. and the preferable material of human compatibility, thus do not influence patient and receive nuclear-magnetism to be total to
Shake image check.
It should be noted that regulating block 100 and the first hold-down bars 500 are fixedly connected with mode, can be non-removable
Mode is fixedly connected with, such as welds, be integrally formed fixed, riveting;Can also be the fixed form being detachably connected, such as socket,
It is buckled to fix, is threadedly coupled.Specifically, as shown in Figures 5 and 6, regulating block 100 is additionally provided with to be fixed for installing first
Second mounting hole 160 of rod 500, through the second mounting hole 160 side wall screwed hole 170 and match somebody with somebody with the screw thread of screwed hole 170
The fixture 600 of conjunction, one end of fixture 600 may pass through screwed hole 170, offseted with the first hold-down bars 500.And then realize tune
Locking nub 100 is connected with the first being detachably fixed for hold-down bars 500, can install varying strength as needed and size first is solid
Determine rod 500, required with adapting to various operations.First hold-down bars can be rotated relative to regulating block, fixed again.Further, first
Hold-down bars 500 is in cylindrical structural, and the second mounting hole 160 is cylindrical hole.Thus it is easy to when installing the first hold-down bars 500,
Because of the 160 rotatable cooperation of the first hold-down bars 500 and the second mounting hole so that regulating block 100 can be fixed in the first hold-down bars 500
Still angle rotatable after pedicle screw tail cap, regulating block 100 and movable rod 200 is set preferably to be arranged on patient.This is solid
It is bolt, screw or screw of autotomying to determine part 600, it is preferred to use autotomy screw or hexagon socket head cap screw.
Present invention also offers a kind of passive type growing rod, include the adjusting means of above-mentioned growing rod, movable rod 200 is
Two, two one end of movable rod 200 are slidably connected to form extension stem structure with the both ends of regulating block 100 respectively, and regulating block 100 is provided with
With 200 one-to-one two press parts 300 of movable rod.
When the passive type growing rod is applied to congenital scoliosis disease treatment, by operation by pedicle screw according to
Default position is fixed on the backbone of patient, and first force makes press part 300 separate or stagger with limiting section 210, makes two work
Dynamic rod 200 is contracted to extreme position or predeterminated position, cancels active force, press part 300 is automatically reset, press part 300 and limit
The 210 spacing cooperation of position portion, movable rod 200 is set only to be moved along the direction away from regulating block 100;Then first by a movable rod
200, which are fixed on corresponding pedicle of vertebral arch screw, nails on, and adjusts the collapsing length of the movable rod 200, regulating block 100 is in predeterminated position
(making the more comfortable position of patient), then adjust another with movable rod 200 and another pedicle screw corresponding to being fixed on
On, complete the installation operation of passive type growing rod;Now, press part 300 in the raw, press part 300 and limiting section 210
It is spacing to coordinate, movable rod 200 is only moved along the direction away from regulating block 100, i.e., can only be along extension passive type growing rod
The direction stretching of length;When patient subsequently needs to strut passive type growing rod, a side that need to be stretched by specifically drawing position
Method, make the elongation of the length of passive type growing rod, to adapt to patient spine development needs.The passive type growing rod is applied to congenital
Property scoliosis disease treatment when, the convenient position for adjusting regulating block 100, and patient need to only carry out once mounting operation, subsequently
When needing to strut passive type growing rod, only it need to be flared out passive type growing rod by the method for drawing position stretching, without
Receive and repeatedly strut operation, reduce patient and treat pain and treatment burden;All parts of passive type growing rod are adopted simultaneously
With the material without any magnetic, preferably using titanium, titanium alloy etc. and the preferable material of human compatibility, thus do not influence to suffer from
Person receives nuclear magnetic resonance image inspection.
As shown in Fig. 1, Fig. 6 and Fig. 9, the present invention also provides a kind of active growing rod, includes the tune of above-mentioned growing rod
Regulating device, limiting section 210 are rack structure, in addition to:Second hold-down bars 700, one end of the second hold-down bars 700 and regulating block
100 are fixedly connected and are engaged to form extension stem structure with movable rod 200;And adjustment gear 800, adjustment gear 800 are rotatable
It is arranged on regulating block 100 and adjustment gear 800 is meshed with rack structure.
When the active growing rod is applied to congenital scoliosis disease treatment, by operation by pedicle screw according to
Default position is fixed on the backbone of patient, and first force makes press part 300 separate or stagger with limiting section 210, makes movable rod
200 are contracted to extreme position or predeterminated position, cancel active force, press part 300 is automatically reset, press part 300 and limiting section
210 spacing cooperations, movable rod 200 is set only to be moved along the direction away from regulating block 100;Then the second hold-down bars 700 is fixed
Nailed in corresponding pedicle of vertebral arch screw, adjust the collapsing length of movable rod 200 and be fixed on another corresponding pedicle screw
On, complete the installation operation of active growing rod;Now, press part 300 in the raw, press part 300 and limiting section 210
It is spacing to coordinate, movable rod 200 is only moved along the direction away from regulating block 100, i.e., now rotate the driving of adjustment gear 800 and live
Dynamic rod 200 can only stretch along the direction for the length for extending active growing rod;When patient subsequently needs to strut active growing rod,
The method for first passing through specific traction position stretching, makes the elongation of the length of active growing rod, to adapt to patient spine development
Need;, only need to be in adjustment gear 800 when such as can not be by specifically drawing the method for position stretching to elongate active growing rod
Drive axle position open osculum (operation wound is small, corrective surgery cost can be mitigated and operation pain), driven by particular tool
Adjustment gear 800 is rotated to drive movable rod 200 outwards to extend, and makes the length of active growing rod, to adapt to patient's ridge
Post development needs.When the active growing rod is applied to congenital scoliosis disease treatment, patient need to only carry out once mounting
Operation, when subsequently needing to strut active growing rod, it can be driven by drawing the method for position stretching or by opening operation osculum
The mode that adjustment gear 800 rotates, is flared out active growing rod, reduces patient and treats pain and treatment burden;Simultaneously
Magnetic material is not used, patient is not influenceed and receives nuclear magnetic resonance image inspection.
It should be noted that regulating block 100 and the second hold-down bars 700 are fixedly connected with mode, can be non-removable
Mode is fixedly connected with, such as welds, be integrally formed fixed, riveting;Can also be the fixed form being detachably connected, such as socket,
It is buckled to fix, is threadedly coupled.The specific implementation for referring to the hold-down bars 500 of regulating block 100 and first, herein not
Repeat again.
Each technical characteristic of embodiment described above can be combined arbitrarily, to make description succinct, not to above-mentioned reality
Apply all possible combination of each technical characteristic in example to be all described, as long as however, the combination of these technical characteristics is not deposited
In contradiction, the scope that this specification is recorded all is considered to be.
Embodiment described above only expresses the several embodiments of the present invention, and its description is more specific and detailed, but simultaneously
Can not therefore it be construed as limiting the scope of the patent.It should be pointed out that come for one of ordinary skill in the art
Say, without departing from the inventive concept of the premise, various modifications and improvements can be made, these belong to the protection of the present invention
Scope.Therefore, the protection domain of patent of the present invention should be determined by the appended claims.
Claims (10)
- A kind of 1. adjusting means of growing rod, it is characterised in that including regulating block and movable rod, the regulating block and the activity One end of rod is slidably connected, the movable rod is moved relative to the regulating block;The regulating block is provided with can elastic reset Press part, one end of the movable rod, which is provided with, is used for unidirectional spacing limiting section;Wherein, when the press part in the raw when, the press part and the spacing cooperation of the limiting section make the activity Rod only moves along the direction away from the regulating block;When the press part and the limit part from or when staggering, the movable rod can back and forth move relative to the regulating block It is dynamic.
- 2. the adjusting means of growing rod according to claim 1, it is characterised in that the regulating block is provided with the first installation Hole, the side wall of first mounting hole are provided with stopper slot, and the movable rod is provided with the cunning being slidably matched with first mounting hole Kinetoplast, the slide mass are provided with the guide protrusions being slidably matched with the stopper slot.
- 3. the adjusting means of growing rod according to claim 2, it is characterised in that first mounting hole is through hole, passed through The both ends for wearing the regulating block are set, and the stopper slot is set through the side wall of first mounting hole, and the guide protrusions are Guide finger, the slide mass are provided with the connecting hole for installing the guide finger.
- 4. the adjusting means of the growing rod according to any one of Claims 2 or 3, it is characterised in that the regulating block is provided with For installing the mounting groove of the press part, the side of the mounting groove is provided with the mating holes communicated with first mounting hole, The slide mass is provided with the limiting section, and a side wall of the limiting section is provided with the limiting tooth that the mating holes is set, institute The one end for stating press part may pass through the mating holes and the limiting tooth and compress cooperation.
- 5. the adjusting means of growing rod according to claim 4, it is characterised in that the regulating block is additionally provided with through described The adjustment hole that one side wall of mounting groove is set, and the adjustment hole is arranged at the one side of regulating block, the press part be provided with The corresponding force body of the adjustment hole.
- 6. the adjusting means of growing rod according to claim 5, it is characterised in that one end of the press part is provided with and institute The limiting tooth for stating limiting section compresses the tooth that compresses of cooperation, and the other end of the press part is provided with the force body, the force body Rotation centerline and the press part the bearing of trend for compressing tooth it is perpendicular.
- 7. the adjusting means of growing rod according to claim 6, it is characterised in that the press part is rotatably arranged at institute State in mounting groove, and elastic component is provided between the side wall of the press part and the mounting groove, the press part passes through the bullet Property part can elastic reset be arranged in the mounting groove;The Impact direction of the elastic component compresses with the tooth that compresses with limiting tooth The reaction force direction of cooperation is staggered.
- 8. the adjusting means of growing rod according to claim 7, it is characterised in that the elastic component compresses including first Section, second, which compress section and be arranged at described first, to be compressed section and described second compresses stretch section between section, and described first compresses Section is mutually close to compress with the side wall of the press part, and described second compresses section is mutually close to compress with the side wall of the mounting groove.
- 9. a kind of passive type growing rod, it is characterised in that include the regulation of the growing rod as described in any one of claim 1 to 8 Device, in addition to the first hold-down bars, one end of first hold-down bars are fixedly connected with the regulating block and matched with movable rod Conjunction forms extension stem structure.
- 10. a kind of active growing rod, it is characterised in that include the regulation of the growing rod as described in any one of claim 1 to 8 Device, the limiting section are rack structure, in addition to:Second hold-down bars, one end of second hold-down bars are fixedly connected and are engaged with movable rod with the regulating block to be formed Extension stem structure;AndAdjustment gear, the adjustment gear is rotatably arranged on the regulating block and the adjustment gear and the rack knot Structure is meshed.
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Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
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CN109341794A (en) * | 2018-12-24 | 2019-02-15 | 南京光声超构材料研究院有限公司 | Ultrasonic flowmeter and method of adjusting transducer |
CN112914701A (en) * | 2021-02-23 | 2021-06-08 | 蒋二波 | Minimally invasive spine correction growth rod |
CN112932638A (en) * | 2021-02-03 | 2021-06-11 | 陈泽群 | Dynamic growth auxiliary support rod for treating orthopedic diseases of children |
CN114259290A (en) * | 2021-12-22 | 2022-04-01 | 山东第一医科大学附属省立医院(山东省立医院) | A self-opening growing rod |
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CN114259290A (en) * | 2021-12-22 | 2022-04-01 | 山东第一医科大学附属省立医院(山东省立医院) | A self-opening growing rod |
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