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CN109171844A - It is a kind of with the osteotomy device for strutting and fixing sutura function - Google Patents

It is a kind of with the osteotomy device for strutting and fixing sutura function Download PDF

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Publication number
CN109171844A
CN109171844A CN201811076404.3A CN201811076404A CN109171844A CN 109171844 A CN109171844 A CN 109171844A CN 201811076404 A CN201811076404 A CN 201811076404A CN 109171844 A CN109171844 A CN 109171844A
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CN
China
Prior art keywords
osteotomy
tablet
curing fracture
gap
linking arm
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
CN201811076404.3A
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Chinese (zh)
Inventor
陈伟
张英泽
王娟
侯志勇
尹英超
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Third Hospital of Hebei Medical University
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Third Hospital of Hebei Medical University
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Filing date
Publication date
Application filed by Third Hospital of Hebei Medical University filed Critical Third Hospital of Hebei Medical University
Priority to CN201811076404.3A priority Critical patent/CN109171844A/en
Publication of CN109171844A publication Critical patent/CN109171844A/en
Withdrawn legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/02Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
    • A61B17/025Joint distractors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/16Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/1657Bone breaking devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/16Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/1662Instruments for performing osteoclasis; Drills or chisels for bones; Trepans for particular parts of the body
    • A61B17/1675Instruments for performing osteoclasis; Drills or chisels for bones; Trepans for particular parts of the body for the knee
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/16Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/17Guides or aligning means for drills, mills, pins or wires
    • A61B17/171Guides or aligning means for drills, mills, pins or wires for external fixation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/16Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/17Guides or aligning means for drills, mills, pins or wires
    • A61B17/1732Guides or aligning means for drills, mills, pins or wires for bone breaking devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/16Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/17Guides or aligning means for drills, mills, pins or wires
    • A61B17/1739Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • A61B17/1764Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the knee
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/02Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
    • A61B17/025Joint distractors
    • A61B2017/0268Joint distractors for the knee

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Medical Informatics (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Dentistry (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Surgical Instruments (AREA)

Abstract

本发明公开了一种具有撑开和固定骨缝功能的截骨装置,其包括两个接骨片,每个接骨片包括连接臂和固定臂,两个接骨片的连接臂并列贴放在被治疗的胫骨或股骨的截骨缝隙上并与截骨缝隙垂直,二者的对应边通过倾斜锯齿相啮合,两个接骨片的固定臂分别布置于截骨缝隙的两侧并分别与对应的连接臂端部连接,每个接骨片的连接臂两端和固定臂均通过螺钉与被治疗的胫骨或股骨连接。本发明不仅可将截骨可靠固定,而且由于连接臂上的倾斜锯齿具有定位作用,截骨缝隙调好后会自动保持,不再依赖于撑开器,这样不仅便于后续操作,而且消除了螺钉孔间隙、截骨回弹等对截骨缝隙调节精度的影响,从而有效提高了手术质量,保证了骨性关节炎的治疗效果。

The invention discloses an osteotomy device with functions of spreading and fixing bone sutures. The tibia or femur is on the osteotomy gap and is perpendicular to the osteotomy gap, the corresponding sides of the two are meshed with inclined saw teeth, and the fixed arms of the two osteotomy pieces are respectively arranged on both sides of the osteotomy gap and are respectively connected with the corresponding connecting arms End connection, both ends of the connecting arm of each bone piece and the fixation arm are connected with the tibia or femur to be treated by screws. The invention can not only reliably fix the osteotomy, but also because the inclined serrations on the connecting arm have a positioning function, the osteotomy gap will be automatically maintained after being adjusted, and no longer depends on the spreader, which is not only convenient for subsequent operations, but also eliminates the need for screws The effect of hole clearance and osteotomy rebound on the adjustment accuracy of the osteotomy gap can effectively improve the quality of surgery and ensure the therapeutic effect of osteoarthritis.

Description

It is a kind of with the osteotomy device for strutting and fixing sutura function
Technical field
The present invention relates to one kind to have the function of to strut and fix sutura used in the Tibial osteotomy art and femoral osteotomies Osteotomy device, belong to orthopedic medical device technical field.
Background technique
Knee joint osseous arthritis is the elderly's one of the most common type joint disease, and causes the elderly's lower limb disability Main cause drastically influences the daily routines and quality of life of the elderly.Knee joint osseous arthritis refers to due to knee joint A kind of chronic Bones and joints illness caused by cartilage degeneration, osteoproliferation is clinically mainly shown as gonalgia and not With the dysfunction of degree, partially there are arthroncus, hydrops, joint space narrows, joint margins spur is formed for x-ray performance, soft Osteosclerosis and cystis degeneration under bone.X-ray film has knee joint osseous arthritis shower about 60% in 55 years old or more crowds, wherein 35%-- 50% has clinical manifestation.When gerontal patient's gonitis knee joint varus (turning up), stress concentrates on kneed inside (outside) Part, and accelerate the degenerative change progress that on the inside of knee (outside) occurs, in this case, proximal ends of tibia osteotomy Art is common therapeutic method of surgery, and this method opens up osteotomy gap (referring to Fig. 1) in proximal ends of tibia side first, then uses Osteotomy gap is strutted and is fixed after width appropriate using bone plate by dilator, smooth with the posterior articular surface that ensures to heal, Restore the lower limb line of force, avoid the occurrence of postoperative traumatic arthritis.It is found by a large amount of clinical practice, at present High Tibial Osteotomy Existing main problem is: bone plate is generally monoblock type, and structure is simple, has a single function, and will be cut when operation using dilator Sutura gap struts width appropriate, and plate fixation in osteotomy and then is removed dilator by stand-by screw.With screw During fixation bone fracture plate, osteotomy gap needs to be kept by dilator, and the presence of dilator can not only cause subsequent operation Adverse effect, and during removing dilator, it is easy to because the reasons such as screw interporal lacuna is big, osteotomy rebound lead to osteotomy Gap changes, to reduce surgical quality.Thus, it is quite necessary to which existing bone plate is improved.
Summary of the invention
It is a kind of with section for strutting and fixing sutura function it is an object of the invention to aiming at the disadvantages of the prior art, provide Bone device guarantees the therapeutic effect of Osteoarthritis to improve surgical quality.
To achieve the above object, the present invention adopts the following technical scheme:
A kind of includes two tablet for curing fracture in composition with the osteotomy device for strutting and fixing sutura function, and each tablet for curing fracture includes Linking arm and fixed arm, the linking arm of two tablet for curing fracture be placed on the osteotomy gap of treated shin bone or femur side by side and with Osteotomy gap is vertical, and the corresponding sides of the two are meshed by inclined teeth, and the fixed arm of two tablet for curing fracture is respectively arranged in osteotomy The two sides in gap are simultaneously connected with corresponding linking arm end respectively, and the linking arm both ends of each tablet for curing fracture and fixed arm pass through spiral shell It follows closely and is connect with treated shin bone or femur.
It is above-mentioned have strut and fix the osteotomy device of sutura function, the linking arm of each tablet for curing fracture and treated shin bone or The corresponding position in osteotomy gap of femur is equipped with support bone piece, in support bone piece insertion osteotomy gap and with corresponding linking arm It is fixedly connected.
Above-mentioned to have the osteotomy device for strutting and fixing sutura function, the linking arm and fixed arm of each tablet for curing fracture connect into L shape, the fixed arm of each tablet for curing fracture are located at the side equipped with inclined teeth of linking arm.
Above-mentioned to have the osteotomy device for strutting and fixing sutura function, the shape of two tablet for curing fracture of the osteotomy device is not Together, one of tablet for curing fracture is the T shape tablet for curing fracture connected by a linking arm and a fixed arm, another tablet for curing fracture is two Two linking arms of the U-shaped tablet for curing fracture that a linking arm and a fixed arm connect into, U-shaped tablet for curing fracture are located at T shape tablet for curing fracture Linking arm two sides.
Above-mentioned to have the osteotomy device for strutting and fixing sutura function, two linking arms of the U-shaped tablet for curing fracture share same One support bone piece.
Above-mentioned to have the osteotomy device for strutting and fixing sutura function, the depth in support bone piece insertion osteotomy gap is 3 ~5 millimeters.
The present invention adopts a split structure, and the fixed arm of two tablet for curing fracture first passes through screw and is fixed in osteotomy, dilator Using the screw hole on two tablet for curing fracture as the point of application, the width in osteotomy gap is adjusted by adjusting the position of engagement of two linking arms Degree, removes dilator, then linking arm and osteotomy are fixed together after width is suitable.
Osteotomy can be not only reliably fixed by the present invention, but also since the inclined teeth on linking arm has positioning action, be cut Sutura gap can be automatically kept after mixing up, and be no longer dependent on dilator, be not only convenient for subsequent operation in this way, and eliminate screw hole The influence to osteotomy gap degree of regulation such as gap, osteotomy rebound ensure that bone joint to effectively increase surgical quality Scorching therapeutic effect.
Detailed description of the invention
The present invention will be further described in detail below with reference to the accompanying drawings and specific embodiments.
Fig. 1 is Tibial osteotomy gap schematic diagram;
Fig. 2 is the osteotomy device (no support bone piece) being made of two L shape tablet for curing fracture;
Fig. 3 is the osteotomy device (no support bone piece) being made of T shape tablet for curing fracture and U-shaped tablet for curing fracture;
Fig. 4 is the osteotomy device (having support bone piece) being made of two L shape tablet for curing fracture;
Fig. 5 and Fig. 6 is two kinds of osteotomy devices being made of T shape tablet for curing fracture and U-shaped tablet for curing fracture (having support bone piece);
Fig. 7 is the structural schematic diagram of L shape tablet for curing fracture in Fig. 4;
Fig. 8 is the structural schematic diagram of T shape tablet for curing fracture in Fig. 5;
Fig. 9 is the left view of Fig. 7 and Fig. 8;
Figure 10 is the structural schematic diagram of U-shaped tablet for curing fracture in Fig. 5.
Figure 11 is the left view of Figure 10;
Figure 12 is state of the osteotomy device when osteotomy gap does not strut in Fig. 5;
Figure 13 is the left view of Figure 12;
Figure 14 is state of the osteotomy device when osteotomy gap has strutted in Fig. 5;
Figure 15 is the left view of Figure 14;
Figure 16 be the osteotomy device with reversed dip sawtooth that is made of T shape tablet for curing fracture and U-shaped tablet for curing fracture osteotomy gap not State (it is assumed that the inclined teeth in Fig. 5 is positive inclined teeth) when strutting;
Figure 17 is state of osteotomy device shown in Figure 16 when osteotomy gap has strutted.
It is marked in figure as follows: 1, shin bone;2, osteotomy gap;3, L shape tablet for curing fracture;4, T shape tablet for curing fracture;5, U-shaped tablet for curing fracture;6, Support bone piece;7, fixed arm;8, linking arm;9, inclined teeth;10, screw hole.
Specific embodiment
The present invention provides a kind of split type osteotomy device, which not only has the function of fixed osteotomy, but also can To assist dilator that osteotomy gap is strutted suitable width, and remain unchanged osteotomy gap.
Referring to Fig. 2~Figure 11, the present invention includes two tablet for curing fracture, and each tablet for curing fracture includes linking arm 8 and fixed arm 7.
In Fig. 2 and Fig. 4, two synthetism plate shapes of osteotomy device are identical, are all by a linking arm 8 and a fixation The L shape tablet for curing fracture 3 that arm 7 is constituted is meshed between the linking arm 8 of two L shape tablet for curing fracture 3 by inclined teeth 9.L shape in Fig. 4 8 side of linking arm of tablet for curing fracture 3 is additionally provided with support bone piece 6.
In Fig. 3, Fig. 5 and Fig. 6, two synthetism plate shapes of osteotomy device are different, and one of tablet for curing fracture is by one The T shape tablet for curing fracture 4 that linking arm 8 and a fixed arm 7 are constituted, the other is be made of two linking arms 8 and a fixed arm 7 U-shaped tablet for curing fracture 5, two linking arms of U-shaped tablet for curing fracture 5 are located at the linking arm two sides of T shape tablet for curing fracture 4, two tablet for curing fracture It is meshed between linking arm 8 by inclined teeth 9.Independent support is additionally provided on each linking arm of each tablet for curing fracture in Fig. 5 Osteocomma 6.Two linking arms of the U-shaped tablet for curing fracture 5 in Fig. 6 are equipped with shared support bone piece 6.
Fig. 2~osteotomy shown in fig. 6 device application method is essentially identical, now carries out by taking osteotomy device shown in fig. 5 as an example Explanation.Referring to Figure 12~Figure 15, osteotomy device is placed at the osteotomy gap 2 of treated shin bone or femur and is made each first Linking arm 8 is vertical with osteotomy gap 2, is meshed between the linking arm 8 of two tablet for curing fracture by inclined teeth 9, if on linking arm 8 Equipped with support bone piece 6, then support bone piece 6 is inserted into osteotomy gap 2;Then with screw that the fixed arm 7 of two tablet for curing fracture is solid respectively It is scheduled on the shin bone or femur of 2 two sides of osteotomy gap;Recycle dilator make two tablet for curing fracture along linking arm length direction to Direction far from other side is mobile, and osteotomy gap 2 gradually broadens at this time, when osteotomy gap 2 reaches suitable width, removes and struts Device, the relative position between two tablet for curing fracture are maintained by the inclined teeth 9 engaged, if removing after dilator osteotomy gap 2 because of spiral shell The reasons such as big, the osteotomy rebound in nail hole gap narrow, and can again be supportted in osteotomy gap 2 greatly using dilator;Finally utilize screw Each linking arm 8 is fixed on shin bone or femur.
The effect of support bone piece 6 is to tangle shin bone or femur, prevents from generating micro-displacement between tablet for curing fracture and shin bone or femur, Mitigate nail hole gap to adverse effect caused by osteotomy gap 2.Two linking arms of U-shaped tablet for curing fracture 5 share a support bone in Fig. 6 Piece 6 can increase the intensity of entire U-shaped tablet for curing fracture 5 in this way.
Fig. 2 and the osteotomy device shown in Fig. 4 being made of two L shape tablet for curing fracture 3 are suitable for the lesser osteotomy of size, and scheme 3, Fig. 5 and the osteotomy device shown in fig. 6 being made of T shape tablet for curing fracture 4 and U-shaped tablet for curing fracture 5 are then suitable for larger-size osteotomy.
It should be noted that in Fig. 2~osteotomy shown in fig. 6 device, the inclined teeth 9 on each linking arm 8 be to The characteristics of direction far from fixed arm 7 is inclined, these osteotomy devices is that two tablet for curing fracture can only be to far from right during strutting The direction of side is mobile.If changing the inclined direction of inclined teeth 9, osteotomy can be equally fixed.Such as osteotomy dress shown in fig. 5 Just at osteotomy device shown in Figure 16, two tablet for curing fracture of the osteotomy device after the change inclined direction of inclined teeth 9 set It can only move towards, due to there is relative displacement during strutting between each tablet for curing fracture and osteotomy, when use need to first be adjusted Whole good osteotomy gap 2 recycles the fixed tablet for curing fracture of screw.

Claims (6)

1. a kind of with the osteotomy device for strutting and fixing sutura function, characterized in that include two tablet for curing fracture in composition, each Tablet for curing fracture includes linking arm (8) and fixed arm (7), the linking arm (8) of two tablet for curing fracture be placed with side by side in treated shin bone or On the osteotomy gap (2) of femur and vertical with osteotomy gap (2), the corresponding sides of the two are meshed by inclined teeth (9), and two The fixed arm (7) of tablet for curing fracture is respectively arranged the two sides in osteotomy gap (2) and connects respectively with corresponding linking arm (8) end, Linking arm (8) both ends of each tablet for curing fracture and fixed arm (7) are connect by screw with treated shin bone or femur.
2. according to claim 1 a kind of with the osteotomy device for strutting and fixing sutura function, characterized in that Mei Gejie Linking arm (8) position corresponding with osteotomy gap (2) of treated shin bone or femur of osteocomma is equipped with support bone piece (6), described It is fixedly connected in support bone piece (6) insertion osteotomy gap (2) and with corresponding linking arm (8).
3. according to claim 1 or 2 a kind of with the osteotomy device for strutting and fixing sutura function, characterized in that every The linking arm (8) and fixed arm (7) of a tablet for curing fracture connect into L shape, and the fixed arm (7) of each tablet for curing fracture is located at linking arm (8) The side equipped with inclined teeth (9).
4. according to claim 1 or 2 a kind of with the osteotomy device for strutting and fixing sutura function, characterized in that institute The shape for stating two tablet for curing fracture of osteotomy device is different, and one of tablet for curing fracture is by a linking arm (8) and a fixed arm (7) the T shape tablet for curing fracture (4) connected into, another tablet for curing fracture are the U-shapeds that two linking arms (8) and a fixed arm (7) connect into Two linking arms (8) of tablet for curing fracture (5), U-shaped tablet for curing fracture (5) are located at linking arm (8) two sides of T shape tablet for curing fracture (4).
5. according to claim 4 a kind of with the osteotomy device for strutting and fixing sutura function, characterized in that the U Two linking arms (8) of shape tablet for curing fracture (5) share same support bone piece (6).
6. according to claim 5 a kind of with the osteotomy device for strutting and fixing sutura function, characterized in that the support The depth that osteocomma (6) is inserted into osteotomy gap (2) is 3~5 millimeters.
CN201811076404.3A 2018-09-14 2018-09-14 It is a kind of with the osteotomy device for strutting and fixing sutura function Withdrawn CN109171844A (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112914705A (en) * 2021-02-25 2021-06-08 蒋二波 Tibia high-position osteotomy separated bone plate
GB2598482A (en) * 2021-09-07 2022-03-02 Kings Tree Innovations Ltd External fixator and kit comprising the same

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0773004A1 (en) * 1995-11-07 1997-05-14 IMPLANTS ORTHOPEDIQUES TOUTES APPLICATIONS, S.A.R.L. dite: Osteotomy plate for angle correction
FR2796829A1 (en) * 1999-07-30 2001-02-02 Georges Kehyayan System for temporary fixing of two part of bone comprises a guide bar with teeth working together with teeth of slide block
CN202776522U (en) * 2012-07-16 2013-03-13 苏州吉美瑞医疗器械有限公司 Proximal tibia osteotomy supporting plate
US20160135850A1 (en) * 2014-11-19 2016-05-19 Kyungpook National University Industry-Academic Cooperation Foundation System for fixing cervical vertebrae, an apparatus for fixing cervical vertebrae and a driver used for an apparatus for fixing cervical vertebrae
CN107684455A (en) * 2017-09-25 2018-02-13 苏州优贝特医疗器械有限公司 A kind of adjustable lock shaped metal bone plate system
CN209107439U (en) * 2018-09-14 2019-07-16 河北医科大学第三医院 It is a kind of with the osteotomy device for strutting and fixing sutura function

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0773004A1 (en) * 1995-11-07 1997-05-14 IMPLANTS ORTHOPEDIQUES TOUTES APPLICATIONS, S.A.R.L. dite: Osteotomy plate for angle correction
FR2796829A1 (en) * 1999-07-30 2001-02-02 Georges Kehyayan System for temporary fixing of two part of bone comprises a guide bar with teeth working together with teeth of slide block
CN202776522U (en) * 2012-07-16 2013-03-13 苏州吉美瑞医疗器械有限公司 Proximal tibia osteotomy supporting plate
US20160135850A1 (en) * 2014-11-19 2016-05-19 Kyungpook National University Industry-Academic Cooperation Foundation System for fixing cervical vertebrae, an apparatus for fixing cervical vertebrae and a driver used for an apparatus for fixing cervical vertebrae
CN107684455A (en) * 2017-09-25 2018-02-13 苏州优贝特医疗器械有限公司 A kind of adjustable lock shaped metal bone plate system
CN209107439U (en) * 2018-09-14 2019-07-16 河北医科大学第三医院 It is a kind of with the osteotomy device for strutting and fixing sutura function

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112914705A (en) * 2021-02-25 2021-06-08 蒋二波 Tibia high-position osteotomy separated bone plate
GB2598482A (en) * 2021-09-07 2022-03-02 Kings Tree Innovations Ltd External fixator and kit comprising the same
GB2598482B (en) * 2021-09-07 2022-12-21 Kings Tree Innovations Ltd External fixator and kit comprising the same
WO2023037169A1 (en) 2021-09-07 2023-03-16 Kings Tree Innovations Limited External fixator, kit comprising the same, and method of fixation

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