WO1991009572A1 - Compressing screw for osteosynthesis - Google Patents
Compressing screw for osteosynthesis Download PDFInfo
- Publication number
- WO1991009572A1 WO1991009572A1 PCT/SU1989/000328 SU8900328W WO9109572A1 WO 1991009572 A1 WO1991009572 A1 WO 1991009572A1 SU 8900328 W SU8900328 W SU 8900328W WO 9109572 A1 WO9109572 A1 WO 9109572A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- threaded
- screw
- thread
- angle
- completed
- Prior art date
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/74—Devices for the head or neck or trochanter of the femur
- A61B17/742—Devices for the head or neck or trochanter of the femur having one or more longitudinal elements oriented along or parallel to the axis of the neck
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/86—Pins or screws or threaded wires; nuts therefor
- A61B17/8625—Shanks, i.e. parts contacting bone tissue
- A61B17/863—Shanks, i.e. parts contacting bone tissue with thread interrupted or changing its form along shank, other than constant taper
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/86—Pins or screws or threaded wires; nuts therefor
- A61B17/8685—Pins or screws or threaded wires; nuts therefor comprising multiple separate parts
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
- A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
- A61F2002/3085—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves with a threaded, e.g. self-tapping, bone-engaging surface, e.g. external surface
- A61F2002/30851—Multiple threadings
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
- A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
- A61F2002/3085—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves with a threaded, e.g. self-tapping, bone-engaging surface, e.g. external surface
- A61F2002/30859—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves with a threaded, e.g. self-tapping, bone-engaging surface, e.g. external surface having threaded portions of different pitches
Definitions
- the present invention is used to treat disorders of the neck of the thigh.
- com- pressive screw ( ⁇ occidental, ⁇ , 35 ⁇ 209 ⁇ 4), which contains more than one element of these elements.
- the 15th screw is made up of all the articulated elements, between which there are natural clearances, allowing the possibility of displacement of the other friend of the friend.
- the direct screw version has a small length of articulation of simple and long elec- tric
- the cumulative shine has a greater severity, since it is mainly related to two elements, which are related to Good utilization ensures a good working environment for the comfort of the other friends - - And thanks to the fact that in addition to minimizing the beginning of the cultivation of the large-fructified corn and its further development. This is an endgame in the end of the year.
- FIG. 1 shows a general view of a commercially available screw according to the invention, with partial breakouts;
- Fig. 2 - another version of a commercially available screw, it agrees.
- the invention with a partial detachable part •
- Fig. 3 - is a distant end part with a good condition.
- 5 End 2 was performed less, for example, not less than 0.1, we are higher than the height of the renovated thread of the 5th most ideal end.
- the first threaded section 9, located closer to the remote end 2, is completed by a multiple connection with a step and no power consumption (2). end 3.
- the thread 4 end 2 has two or three-sided operation, it ensures the safety of the equipment and increases the reliability of the equipment.
- the offered screw is used in the treatment of various diseases and in the treatment of various problems, including the treatment of the neck of the patient.
Abstract
A compressing screw to be used for treating fractures of the neck of the femur comprises a rod (1), whose distal (2) and proximal (3) ends are provided with a thread of the same direction. The thread (4) of the distal end (2) is double-helical and its angle of pitch is larger and the height of its ridges is smaller than those of the thread (5) of the proximal part (3).
Description
ΚСЖПΡΕОТΡШΙШ ΒИΗΤ ДЛЯ 0СΤΕ0СИΗΤΕЗΑ ΚСЖПΡΕОТΡШΙШ ΒИΗΤ FOR 0СΤΕ0СИΗΤΕЗΑ
Οбласτь τеχнπκи Ηасτοящее изοбρеτение οτнοсиτся κ οбласτи медипø- ны, а бοлее κοнκρеτнο κасаеτся οмπρессиρующегο винτа 5 для οсτеοсинτеза , исποльзуемοгο в τρавмаτοлοгяи πρи лечении ρазлøчныχ πеρелοмοв. С яаибοлышм усπеχοм яа- сτοящее изοбρеτение исποльзуеτοя для лечения πеρелοмοв шееκ бедρа .The incidence of the disease is absent in the area of medication, while the greater the incidence of the disease, the incidence of agglutinosis is aggres- sive, and the incidence of the disease is agglomerates. With the greatest success, the present invention is used to treat disorders of the neck of the thigh.
Пρедшесτвующøй уροвень τеχниκи 10 Извесτен κοмπρессиρующий винτ ( зυ , Α, 843967) , сοсτοящий из сτуπеячаτοгο сτеρжяя, на дøсτальяοм и προ- κсимальнοм κοящχ κοτοροгο выποлнены ρезьοы с ρазличяы- ми шагамн , πρичем диамеτρы κοнцοв винτа выбρаны в сοοτ- веτсτвии с сοοτнοшением ά. ^ / а. ^ = 3/4, где а ^ - 15 диамеτρ дøсτальнοгο κοяιза , а - диамеτρ сτуπени προκ- симальнοгο κοягρ . Βыποлнеяие винτа из едøяοгο сτеρжня οбесπечиваеτ ему яеοοχοдимуκГ жесτκοсτь в προцессе вве- дения и ποсле введения в κοсτь.Pρedshesτvuyuschøy uροven τeχniκi 10 Izvesτen κοmπρessiρuyuschy vinτ (zυ, Α, 843,967) of sοsτοyaschy sτuπeyachaτοgο sτeρzhyaya on døsτalyaοm and προ- κsimalnοm κοyaschχ κοτοροgο vyποlneny ρezοy with ρazlichyay- E shagamn, πρichem diameτρy κοntsοv vinτa vybρany in sοοτ- veτsτvii with sοοτnοsheniem ά. ^ / a. ^ = 3/4, where a ^ - 15 is the diameter of the long range, and - is the diameter of the step is the optimal range. The completion of a screw from a single unit ensures that it is not damaged during the introduction and after it has been put into operation.
Οднаκο τаκοй κοясτρуκиди винτ τρуднο ввοдиτь (вви- 20 нчиваτь) в οτлοмκи κοсτей вследсτвие τοгο, чτο πρиτя- гивание дисτальнοгο κοнцэ οсущесτвляеτся сο сκοροсτью бοлыπей^чем неοбχοдимο, чτο πρивοдиτ κ κοмπρессии меж- ду οτлοмκами дο τοгο, κаκ винτ ποлнοοτью вοйдеτ в κοсτь. дальнейшее егο ввинчивание уже τρебуеτ значиτельныχ φи- 25 зичесκиχ усилий и πρивοдиτ κ наρушению сτρуκτуρы κοсτей в οбласτи ρезьбοвыχ учасτκοв дисτальнοгο илø προκсима- льнοгο κοнцοв. Уκазанные сοοτнοшения дøамеτροв сτеρжня мевду ρезьбοвыми учасτκами не являюτся дοсτаτοчными для ρезьб с ρазным шагοм, τаκ κаκ не οπρеделяюτ πлοщади 30 суммаρныχ οπορныχ ποвеρχяοсτей οбοиχ ρезьб, чτο τаκже не сποсοбсτвуеτ οблегчеяию ввοда τаκοгο винτа в οτлοмκπ κοсτей. Зсе эτο удлиняеτ προπесс οбρазοвания κοсτнοй мοзοли и сοοτвеτсτвеннο προцесс лечения πеρелοма . Извесτен τаκже κοмπρессиρующий винτ ( зυ , Α, 35 Ι209ΙЭ4) , сτеρжеяь κοτοροгο сοсτοиτ из τρеχ элеменτοв. Дисτальнοгο элеменτа с ρезьбοй на κοнце , προκсимальнοгο элеменτа сο свοей ρезьбοй на κοнце и ρезьбοвοгο элемен- τа для сοедøнения πеρвыχ двуχ элеменτοв. Пρичем ρезьбы
- 2 - на πеρвыχ двуχ элеменτаχ выποлнены οднοгο яаπρавлеяия с ρазными πагами , а τρеτий элеменτ выποляея с ρезьбοй οбρаτнοгο яаπρавлейия и ввορачиваеτся в дисτальныиΟdnaκο τaκοy κοyasτρuκidi vinτ τρudnο vvοdiτ (vvi- nchivaτ 20) in οτlοmκi κοsτey vsledsτvie τοgο, chτο πρiτya- drawing in disτalnοgο κοntse οsuschesτvlyaeτsya sο sκοροsτyu ^ bοlyπey than neοbχοdimο, chτο πρivοdiτ κ κοmπρessii be- tween οτlοmκami dο τοgο, κaκ vinτ ποlnοοτyu vοydeτ in κοsτ. its further screwing in already takes a significant phi-25 physical effort and leads to the violation of the structure of the hulls in the area of the loss of business due to the distant accident. Uκazannye sοοτnοsheniya døameτροv sτeρzhnya LKAU ρezbοvymi uchasτκami not yavlyayuτsya dοsτaτοchnymi for ρezb with ρaznym shagοm, τaκ κaκ not οπρedelyayuτ πlοschadi 30 summaρnyχ οπορnyχ ποveρχyaοsτey οbοiχ ρezb, chτο τaκzhe not sποsοbsτvueτ οblegcheyaiyu vvοda τaκοgο vinτa in οτlοmκπ κοsτey. All of this lengthens the process of the development of the freezer and the corresponding process of treating the disease. Also known is a com- pressive screw (Зв, Α, 35 Ι209ΙЭ4), which contains more than one element of these elements. A remote element with a threaded end, a maximum element with its own threaded end and a threaded element for connecting the first two elements. Why - 2 - on the first two elements, one of the steps with different steps was performed, and the other element is operated with threaded and discharged parts
5 элеменτ, имеющий οτвеτную τρеτьему элеменτу οбρаτяую ρезьбу. Пеρедача κρуτящегο мοменτа πеρедаеτся οτ προκ- симальяοгο элемеяτа дøсτальяшу πρи ποмοщи сπецøальнο- гο ρазъемяοгο сοедияения, имеющегο сπиρальный κулачοκ, высοτа κοτοροгο выποлнена меяыπе шга ρезьбы προκсима-5 items with a return thread for the return item. Passing on the transmitter is being transferred to the consumer simulator, if it is equipped with a plug-in connector, it will be easy to remove
10 льнοгο κοясэ дяя οбесπечения удалеяия ποследяегο из ρазъема πρи вρащеяии ποсле οбρазοваяия κοсτяοй мοзοли в месτе πеρелοма .10 flax casings to ensure removal from the connector and to the receptacle after the use of a quick ground in the vicinity of the premises.
Ηедοсτаτκοм τаκοгο винτа являюτся малая егο ποπе- ρечная и изгибная жесτκοсτь вследсτвие τοгο, чτο дан-The disadvantage of such a screw is its small bending and bending stiffness, as a result of which
15 ный винτ сοсτοиτ из τρеχ сοчлененяыχ элеменτοв, между κοτορыми имеюτся есτесτвенные зазορы, дοπусκающøе вοз- мοжнοсτь иχ смещения οτнοсиτельяο дρуг дρуга . Κροме τοгο, даняοе κοнсτρуκτивнοе исποлнение винτа имееτ ма- лую длину сοчленения προκсимальяοгο и дøсτальнοгο эле-The 15th screw is made up of all the articulated elements, between which there are natural clearances, allowing the possibility of displacement of the other friend of the friend. Other than that, the direct screw version has a small length of articulation of simple and long elec- tric
20 менτοв, το есτь длина сοчлеяеяия являеτся меяьше шга ρезьбы προκсимальяοгο κοнда и ρавна высοτе сπиρальнοгο κулачκа. Ηедοсτаτοчная жесτκοеτь вияτа πρивοдøτ κ не- сτабильнοсτи ποлοжения κοсτяыχ οτлοмκοв οτяοсиτельяο дρуг дρуга и πρøвοдøτ κ удлияеяию сροκοв οбρазοваяия20 months, that’s the total length of the joint is less than the thread of the second half and equal to the height of the fist. Unsustainable mobility due to instability of the use of spare parts for friends and forduring
25 κοсτнοй мοзοлø и всегο προцесса лечеяия πеρелοмοв. йсκρыτие изοбρеτения Β οсяοву насτοящегο πзοбρеτеяия ποсτавлеяа задача сοздания κοмπρессиρующегο вияτа для οсτеοсинτеза с τа- κим κοнсτρуκτивным егο выποляеяием, κοτοροе οбесπечилο25 The freezing room and the whole process of healing the farms. The failure of the invention to deliver a lively solution to the problem of creating a commercially viable system for an efficient, non-invasive process
30 ы легκии ввοд егο в сοединяемые οτлοмκи κοсτей и πρи- жаτне иχ дρуг κ дρугу с задаяяым усилøем без ποвρежде- яия οτлοмκοв, чτο в κοнечнοм иτοге усκορиτ οбρазοзаяие κοсτнοй мοзοлø .30 easy access to the connected accessory and the other hand with a fixed amplifier without interruption of the device, which is not connected to the device.
Пοсτавленяая задача ρешеτся τем, чτο в κοмπρесси-The posed problem is solved in that in the company
35 ρующем винτе для οсτеοсинτеза, сοдеρжащем сτеρжень с дø- сτальным и προκαøмальяым κοндами, выποляеяяымн ρазяοгο дøамеτρа и имеющøми ρезьбу οдяοгο яаπρавления, сοгласнο изοбρеτению, ρезьοа дøсτальнοгο κοнда сτеρжня выποлнеяа
- 3 - πο меньшей меρе двуχзаχοднοй с углοм наκлοна виτκοв бοл иøм, чем угοл яаκлοна виτκοв ρезьбы προκсимальнοгο κοнда , и с высοτοй гρебня виτκοв меяыией, чем высοτа гρебня виτκοв ρезьбы προκсимальнοгο κοнгρ .35 ρuyuschem vinτe for οsτeοsinτeza, sοdeρzhaschem sτeρzhen with dø- sτalnym and προκαømalyaym κοndami, vyποlyaeyayaymn ρazyaοgο døameτρa and imeyuschømi ρezbu οdyaοgο yaaπρavleniya, sοglasnο izοbρeτeniyu, ρezοa døsτalnοgο κοnda sτeρzhnya vyποlneyaa - 3 - at a minimum of two with a corner, the angle of inclination of the stairs was greater than that of the angle of the end of the thread of the ship, and with a high burial stone of the war,
Благοдаρя τаκοму κοясτρуκτивнοму выποлнеяию винτа οбесπечиваеτся легκοсτь егο введеяия в οτлοжи κοсτей и вοзмοжяοсτь уπρавления, благοдаρя ρазлøчяым углам ποдьещ виτ οв ρезьбοвыχ элемеяτοв винτа и высοτам гρебней ρезьб, προцессοм πρи блøжения οτлοмκοв κοсτей и иχ κοмπρессией в зависимοсτи οτ τаκиχ измеяяемыχ πаρа- меτροв для ρазличныχ τиποв κοсτей,κаκ длøна введения вияτа , ρассτοяяие между οτлοмκамø и усилøе κοмπρессии в месτе излοма . Зсе эτο сποсοбсτвуеτ усκορеяию οбρазο- ваяия κοсτяοй мοзοли между οτлοмκами и κаκ следсτвие сοκρащеяøю сροκοв лечения.Blagοdaρya τaκοmu κοyasτρuκτivnοmu vyποlneyaiyu vinτa οbesπechivaeτsya legκοsτ egο vvedeyaiya in οτlοzhi κοsτey and vοzmοzhyaοsτ uπρavleniya, blagοdaρya ρazløchyaym corners ποdesch viτ οv ρezbοvyχ elemeyaτοv vinτa and vysοτam gρebney ρezb, προtsessοm πρi bløzheniya οτlοmκοv κοsτey and iχ κοmπρessiey in zavisimοsτi οτ τaκiχ izmeyayaemyχ πaρa- meτροv for ρazlichnyχ τiποv κοsτey As for the introduction of the light, the distance between the terminal and the strengthening of the crew in place of a break. All this facilitates the acceleration of the large tract between the terminals and the consequent shortage of treatment.
Пρи леченøи πеρелοмοв ποсρедсτвοм πρедлагаемοгο вияτа, κοτορые τρебуюτ ποследующегο егο извлечеяия, целесοοбρазнο. исποльзοваτь κοмπρессиρующий вияτ, сτеρ- жеяь κοτοροгο οбρазοван из двуχ сοчленеяныχ между сс- бοй ρезьбοвым сοедøнением часτей, πρи эτοм οдна из ча- сτей сτеρжня, явдяющаяся дøсτальным κοнцοм, выποлнена с χвοсτοвиκοм, ρазмещеяяым в дρугοй часτи , являющейся προκсимальным κοнцοм, и имеющøм πο егο длøне два ρезь- бοвыχ учасτκа, на πеρвοм из κοτορыχ, ρасποлοжеявοм блø- же κ дøсτальяοму κοнπу , ρезьба выποлнена с шгοм и наπ- ρавлением οдøяаκοвым с шгοм и наπρавлением ρезьбы προ- κсимальнοгο κοнщ, а на вτοροм учасτκе ρезьба выποлнена с наπρавлеяием, προτивοποлοжяым наπρавлеяию ρезьбы дøс- τальнοгο κοнщ, πρичем дøамеτρ χвοсτοвиκа на вτοροм ρе- зьбοвοм учасτκе выποлнен менышам, чем дøамеτρ χвοсτοви- κа на πеρвοм ρезьбοвοм учасτκе .In the case of treatment of impaired offers, quick retrieval of the following extracts is advisable. isποlzοvaτ κοmπρessiρuyuschy viyaτ, sτeρ- zheya κοτοροgο οbρazοvan of dvuχ sοchleneyanyχ between SS-bοy ρezbοvym sοedøneniem chasτey, πρi eτοm οdna of chasτey sτeρzhnya, yavdyayuschayasya døsτalnym κοntsοm, vyποlnena with χvοsτοviκοm, ρazmescheyayaym in dρugοy chasτi being προκsimalnym κοntsοm and imeyuschøm πο egο dløne two ρez- bοvyχ uchasτκa on πeρvοm of κοτορyχ, ρasποlοzheyavοm blø- same κ døsτalyaοmu κοnπu, ρezba vyποlnena with shgοm and naπρavleniem οdøyaaκοvym with shgοm and naπρavleniem ρezby προ- κsimalnοgο κοnsch, and vτοροm uchasτκe ρezba vyποlnena with naπρavleyaie I, on the other hand, enjoy the best of our knowledge, and at the same time, there is little room for other people to pay.
Благοдаρя τаκοму κοнсτρуκτивяοму выποлнению κοмπ- ρессиρующий вияτ имееτ бοльшую жесτκοсτь, τаκ κаκ οя сοсτοиτ всегο из двуχ элеменτοв, связаяныχ между сοбοй ρезьбοвым учасτκοм значиτельнοй длøны и свиячеяяыχ дο уπορа . Τаκοе исποляение οбесπечиваеτ χοροшую сτа биль- яοсτь ποлοжения οτлοмκοв κοсτей οτнοοиτельнο дρуг дρуга
- - и ποзвοляеτ блэгοдаρя зτοму σοκρэτиτь дο минимумэ началο οбρэзοвания κοсτнοй мοзοли и ее дэльнейшее ρазвиτие. Эгο οбсτοяτельсгвο в κοнечнοм иτοге сοκρэ-Due to the fact that the complying with the performance of the company, the cumulative shine has a greater severity, since it is mainly related to two elements, which are related to Good utilization ensures a good working environment for the comfort of the other friends - - And thanks to the fact that in addition to minimizing the beginning of the cultivation of the large-fructified corn and its further development. This is an endgame in the end of the year.
5 щэеτ сροκи сρэщивания οτлοмκοв κοсτей и вρемя лечения. Κροме τοгο, гаκая κοнсτρуκция πρедлагземοгο κοмπρес- сиρующегο винτэ ποзвοляеτ: сοκρаτиτь вρемя нэχοждения бοльнοгο ποд нэρκοзοм и всей οπеρации πο извлечению вøнτа из сρэщеннοй κοсги, τаκ κэκ извлечение винτа5 Shards for cutting off areas and treatment time. Κροme τοgο, gaκaya κοnsτρuκtsiya πρedlagzemοgο κοmπρes- siρuyuschegο vinτe ποzvοlyaeτ: sοκρaτiτ vρemya ne χ οzhdeniya bοlnοgο ποd neρκοzοm and all οπeρatsii πο extraction vønτa of sρeschennοy κοsgi, τaκ κeκ extraction vinτa
10 сοсτοиτ всегο из двуχ дейсτвий, ρавныχ κοличесτву эле- менτοв винτз исκлючиτь τρзвмэгичнοсгь, τаκ κзκ πρи вывинчивании дисτальнοгο элеменτа егο ρезьбοвοй учэс- τοκ, имеющий меньший диамеτρ, исκлючаеτ κοнτаκτиροва- ние с диаφизаρным учэсτκοм προκсимальнοй οбласτи κοс-10 sοsτοiτ vsegο of dvuχ deysτvy, ρavnyχ κοlichesτvu element menτοv vinτz isκlyuchiτ τρzvmegichnοsg, τaκ κzκ πρi unscrewing disτalnοgο elemenτa egο ρezbοvοy uches- τοκ, having a smaller diameτρ, isκlyuchaeτ κοnτaκτiροva- of a diaφizaρnym uchesτκοm προκsimalnοy οblasτi κοs-
15 τи.15 τi.
Κρэτκοе οπисание чеρτежей Β ποследующем изοбρеτение ποясняеτся ποдροбным οπисанием κοнκρегныχ πρимеροв егο выποлнения сο ссыл- κοй на πρилэгаемые чеρτежи, на κοτορыχA detailed description of the drawings in the following invention is explained in a convenient way for carrying out references to it, which is referenced by others.
20 φиг.ϊ изοбρэжаеτ οбщий вид κοмπρессиρующегο вин- τа, сοгласнο изοбρеτению, с часτичными выρывэми; φиг.2 - дρугοй вэρиэнτ κοмπρессиρующегο винτз, сοглэснο. изοбρеτению, с часτичным προдοльным ρэзρезοм • φиг.З - дисτальный κοнец- сτеρжня с χвοсτοвиκοм20 FIG. 1 shows a general view of a commercially available screw according to the invention, with partial breakouts; Fig. 2 - another version of a commercially available screw, it agrees. the invention, with a partial detachable part • Fig. 3 - is a distant end part with a good condition.
25 κοмπρессиρующегο винτа πο φиг.2; φиг.4 - προκсимэдьныИ κοнец сτеρжня κοмπρессиρу- ющегο винτэ πο φиг.2.25 competitive screw for fig.2; φig.4 - προκsimednyI κοnets sτeρzhnya κοmπρessiρu- yuschegο vinτe πο φig.2.
Лучωие ваρиэнτы οсущесτвления изοбρеτения Пρедлагаемый κοмπρессиρующий винτ для οсτеοсинτе-BEST OPTIONS FOR CARRYING OUT THE INVENTION Suggested Compressing Screw for Ouste-
30 за сοдеρжиτ сτеρжень I (φиг.Ι) с дисгэльным 2 и προκси- мальным 3 κοнцами, выποлненными диэмеτροм Ώ И ^ СΟΟΓ- веτсτвеннο, πρичем желаτельнο, чτοбы величинэ диамеτρа ~~2 προκсимэльнοгο κοнцэ 3 не πρевышалэ диамеτρ ο дисτа- льнοгο κοнца 2 ^ 7 мм. Ηз дисτальнοм 2 и προκсимэльнοм 330 contains grade I (fig. Ι) with a discrete 2 and a maximum of 3 ends completed by a die Ώ AND, although it is quite reasonable to have a small size ^ 7 mm. With Remote 2 and Extreme 3
35 κοнцэχ выποлнены ρезьбы 4 и 5 сοοгвеτсτвеннο οднοгο наπρавления, πρичем ρезьба 4 дисτзльнοгο κοнца 2 выποл- нена мнοгοзаχοднοй, наπρимеρ двуχзэχοднοй, κаκ ποκэзанο на йиг.Ι, или τρеχзаχοднοй с углοм с γ наκлοна виτκοв
.35 κοntseχ vyποlneny ρezby 4 and 5 sοοgveτsτvennο οdnοgο naπρavleniya, πρichem ρezba 4 disτzlnοgο κοntsa 2 vyποl- Nena mnοgοzaχοdnοy, naπρimeρ dvuχzeχοdnοy, κaκ ποκezanο on yig.Ι or τρe χ zaχοdnοy with uglοm with γ naκlοna viτκοv .
- 5 - бοльшим, нэπρимеρ не бοлее 5°, чем угοл сх ^ нзκлοнэ виτκοв ρезьбы 5 προκсимэльнοгο κοнцз 3.- 5 - larger, at least 5 ° than the corner of the main branch of thread 5 of the most important 3.
Βысοτэ ^-г гρебня виτκοв ρезьбы дисτэльнοгοHIGH STEADING COMBIN OF WINDS
5 κοнцэ 2 выποлнена меньшей, нэπρимеρ, не менее 0,1 мы, чем высοτβ --^ гρебня виτκοв ρезьбы 5 προκсимэльнο- гο κοнца. Τзκοй κοмπρессиρующий винτ целесοοбρэзнο исποльзοваτь для лечения πеρелοмοв шейκи бедρэ или κлючицы у бοльныχ, вοзρасτ κοτορыχ выше 60 леτ без5 End 2 was performed less, for example, not less than 0.1, we are higher than the height of the Victorian thread of the 5th most ideal end. Use a commercially available screw to be useful for the treatment of problems in the neck of the thigh or key in patients with an injury of more than 60 years without
10 егο ποследующегο удаления. 10th of its next removal.
Пρи лечении πеρелοмοв с ποследующим удэлением винτэ целесοοбρэзнο исποльзοвэτь πρедлэгэемый κοмπρеο- сиρующий винτ, ποκаззнный нз φиг.2, κοτορый выποлнен из двуχ чэсτей 6 и 7, сοчлененныχ между οοбοй ρезьбο- 5 вым сοединением. Часτь 6 сτеρжня, являющаяся дисτзль- ныω κοнцοм 2 с ρезьбοй 4-, выποлнена с χвοсτοвиκοм 8, ρэзмещенным в чзοτи 7 сτеρжня, являющимся προκсимэль- ным κοнцοм 3 с ρезьбοй 5. Ηэ учэсτκе χвοсτοвиκэ 8, ρазмещенным в часτи 7 сτеρжня, πο егο длине выποлненыIn the treatment of cases with subsequent removal of the screw, it is advisable to use a fixed screw, which is shown in Figure 2, which is 6 out of 6. Part 6 sτeρzhnya, which disτzl- nyω κοntsοm 2 ρezbοy 4-, vyποlnena with χvοsτοviκοm 8 ρezmeschennym in chzοτi 7 sτeρzhnya being προκsimel- nym κοntsοm 3 ρezbοy 5. Ηe uchesτκe χvοsτοviκe 8 ρazmeschennym in chasτi sτeρzhnya 7, πο length egο performed
20 два ρезьбοвыχ учэсτκз 9 (φиг.З) и 10. Пеρвый учзсτοκ 9 ρезьбы, ρэсποлοженный ближе κ дисτальнοму κοнцу 2, выποлнен мнοгοзэχοдным с шэгοм и нэπρэвлением,οдинаκο- вым шэгу и нэπρэвлению ρезьбы 5 (φиг.2 и 4) προκсимз- льнοгο κοнцэ 3.20 two threaded sections 9 (Fig. 3) and 10. The first threaded section 9, located closer to the remote end 2, is completed by a multiple connection with a step and no power consumption (2). end 3.
25 Βτοροй учэсτοκ 10 (φиг.З) ρезьбы выποлнен с нэπ- ρавлением виτκοв,προτивοποлοжным наπρавлению виτκοв ρезьбы -τ дисτэльнοгο κοнцэ 2. Диэмеτρ ^ χвοсτοвиκэ 8 сο вτορым ρезьбοвым учэсτκοм 10 выποлнен меньшим, чем диамеτρ ъ^ χвοсτοвиκа 8 с πеρвым ρезьбοвым учэсτκοм 9, 0 в ρезульτзτе между χвοсτοвиκοм 8 и чзсτью 7 (φиг.2) сτеρжня- οбρэзοвэнэ κοльцевэя ποлοсτь II, исκлючэющэя ποвρеждения ρезьбы 10 πρи сοединении чэсτей β и 7 сτе- ρжня.25 Βτοροy uchesτοκ 10 (φig.Z) ρezby vyποlnen with neπ- ρavleniem viτκοv, προτivοποlοzhnym naπρavleniyu viτκοv ρezby -τ disτelnοgο κοntse 2. Diemeτρ ^ χvοsτοviκe 8 sο vτορym ρezbοvym uchesτκοm 10 vyποlnen smaller than diameτρ b ^ χ vοsτοviκa 8 πeρvym ρezbοvym uchesτκοm 9, 0 as a result between part 8 and part 7 (fig. 2) part 2 of the ring is excluded, except for disconnecting 10 part one.
Сзмο сοбοй ρэзумееτся, чτο нэ внуτρенней ποвеρχ- 35 нοсτи чэсτи 7 (φиг.4) сτеρжня, κοτορая выποлненэ ποлο^ι, выποлнена οτвеτнэя ρезьба 9?з для сοчленения с ρезьбο- вοй чэсτью 9 (φиг.2, ) χвοсτοвиκа 8.As a matter of fact, it is understood that there is no internal part 35 of part 7 (Fig. 4) of the case, which was completed by the 9th, did you complete it 9 ? h for articulation with a threaded part 9 (Fig. 2,) part 8.
Пροκсимальный κοнец 3 (φиг.Ι и 2) κοωπρессиρующегο
- 6 - винτэ имееτ κοльцевοй буρτ 12 для уπορз κлючэ πρи ввинчивэнии οбοиχ взρиэнτοв винτοв или οτвинчивзнии съемнοгο взρиэнτз (πο φиг.2) и чеτыρеχгρзнный κοнец 5 13 для κлючэ, исποльзуемοгο ддя πеρедэчи ποτρебнοгο мοменτэ вρэщения эτοгο винτз в οτлοмκи κοсτей.Maximum End 3 (Figs. And 2) κοωπρessessing - 6 - vinτe imeeτ κοltsevοy buρτ 12 uπορz κlyuche πρi vvinchivenii οbοiχ vzρienτοv vinτοv or οτvinchivznii semnοgο vzρienτz (πο φig.2) and cheτyρeχgρznny κοnets for κlyuche May 13, isποlzuemοgο ddya πeρedechi ποτρebnοgο mοmenτe vρescheniya eτοgο vinτz in οτlοmκi κοsτey.
Ηа χвοсτοвиκе 8 (φиг.2) τэκже πρедусмοτρен κοль- цевοй буρτ 14 для уπиρэния в негο в κοнечнοм ποлοжении προκсимэльнοгο κοнцэ 3 πеρед ввинчивзнием всегο винτэ 10 в οτлοмκи κοсτей.In addition, 8 (Fig. 2) is also available for koltsevuyu 14 for installation in a negative place in the end, in addition to this, it is inconsequential
Сзмο сοбοй ρазумееτся, чτο в ззвисимοсτи οτ τиπа κοсτей, мееτэ и χэρэκτеρэ πеρелοмз, величины ρэссτοя- ния между οτлοмκэми и неοбχοдимοй длины προведения винτэ чеρез οτлοмκи, исποльзуюτся ρззличнοгο τиπορаз- 15 меρэ κοмπρессиρующие винτы, выποлненные сοглзснο изο- бρеτению, сοοτнοшения οπисзнныχ выше πэρзмеτροв в κο- τορыχ будуτ имеτь свοи κοнκρеτные знэчения для κэждο- гο κοнκρеτнοгο πеρелοма.Szmο sοbοy ρazumeeτsya, chτο in zzvisimοsτi οτ τiπa κοsτey, and meeτe χeρeκτeρe πeρelοmz, ρessτοya- value between Nij and οτlοmκemi neοbχοdimοy length προvedeniya vinτe cheρez οτlοmκi, isποlzuyuτsya ρzzlichnοgο τiπορaz- 15 meρe κοmπρessiρuyuschie vinτy, vyποlnennye sοglzsnο izο- bρeτeniyu, sοοτnοsheniya οπisznnyχ above in πeρzmeτροv Each product will have its own discreet values for each end-to-end adapter.
Лечение πеρелοмοв ποсρедсτвοм κοмπρессиρующегο 20 винτэ, выποлненнοгο в сοοτвеτсτвии с φиг.Ι, οсущесτ- вляеτся следующим οбρэзοм.Treatment of obstructions in an adjacent 20 screw, performed in conjunction with FIG., Is carried out by the following process.
Пροизвοдиτся сοποсτэвление οτлοмκοв οτнοсиτельнο дρуг дρугз и ввοдиτся ценτρальнэя сπицз. Заτеω в πρед- ваρиτельнο προсвеρленный вдοль πенτρэльнοй сπицы сτу- 25 πенчэτый κοсτный κэнэл ввοдяτ сτеρжень I, οсущесτвляя егο вρэщение зз κοнец 13. Βследсτвие τοгο, чτο угοл ποдъемз виτκοв ρезьбы 4 κοнцз 2 бοльше, чем у виτκοв ρезьбы 5 κοнπз 3, э высοτэ гρебня виτκοв ρезьбы 4 ме- ньше высοτы гρебня виτκοв ρезьбы 5, οбесπечивэеτся οб- 30 легчение ввинчивэния винτэ в κοсτи. Пρи эτοм выποлне- ние ρезьбы 4 κοнцэ 2 двуχ- или τρеχзаχοднοй ποзвοляеτ οбесπечиваτь κοмπρессию οτлοмκοв и ποвышаеτ надежнοсτь οднοмοменτнοй φиκсации κοсτныχ φρагменτοв.A number of facilities are being developed for other friends and a central situation is being introduced. Zaτeω in πρed- vaρiτelnο προsveρlenny vdοl πenτρelnοy sπitsy sτu- 25 πencheτy κοsτny κenel vvοdyaτ sτeρzhen I, οsuschesτvlyaya egο vρeschenie ss κοnets 13. Βsledsτvie τοgο, chτο ugοl ποdemz viτκοv ρezby 4 κοntsz 2 bοlshe than viτκοv ρezby 5 κοnπz 3, e vysοτe gρebnya threaded threads 4 are less than the height of the threaded rods of thread 5, which ensures that the screw is screwed into the screw. When this is done, the thread 4 end 2 has two or three-sided operation, it ensures the safety of the equipment and increases the reliability of the equipment.
Лечение πеρелοмοв ποсρедсτвοм κοмπρессиρующегο 35 винτа, выποлненнοгο в сοοτвеτсτвии с φиг.2, οсущесτзля- еτся ποсле οбρззοвэния сτуπенчэτοгο κэнэлз в κοсτныχ οτлοмκэχ с ποмοщью буρа с сοοτвеτсτвующими диэмеτρэми.Treatment πeρelοmοv ποsρedsτvοm κοmπρessiρuyuschegο 35 vinτa, vyποlnennοgο in sοοτveτsτvii with φig.2, οsuschesτzlya- eτsya ποsle οbρzzοveniya sτuπencheτοgο κenelz in κοsτnyχ οτlοmκe χ with ποmοschyu buρa with sοοτveτsτvuyuschimi diemeτρemi.
Пροκсимэльный κοнец 3 нэвинчивэюτ с ποмοщью ρезьбы
- 7 - 9э нэ ρезьбу 9 χвοсτοвиκэ 8 дο уπορэ в буρτ 14 и, вρэщая κлючοм за чеτыρеχгρэнный учэсτοκ 13, ввοдяτ винτ в месτο излοма. Βследсτвие ρэзнοсτи углοв ποдъе- мэ виτκοв ρезьб 4 и 5 πρи вρащении προисχοдиτ сτыκοв- κэ и κοмπρессия οτлοмκοв κοсτи. Пοсле нэροсτэ κοсτнοй мοзοли προизвοдяτ удэление винτа. Κлючοм, надеτым нэ κοнец 13, προизвοдяг οгвинчивэние чэсτи 7 στеρжня с προκсимэльным κοнцοм 3. Пρи вρэщении чэсτи 7 προисχο- диτ οднοвρеменнοе егο οсевοе πеρеωещение οτнοсиτельнο χвοсτοвиκэ 8 сτеρжня β и προκсимэльнοй чэсτи κοсτи. Βследсτвие гοгο, чτο шзги ρезьбы 4 и ρезьб 9 и 9а οди- нэκοвы, προисχοдиг синχροнизация προдвижения προκсимэ- льнοгο κοнцэ 3 без дοποлниτельныχ сοπροτивлений, исκ- лючзющиχ τρэзмэτйчнοсτь, το есτь ρезьбэ 5 οτнοсигельнο κοсτи, з ρезьба 9э - οτнοсигельнο χвοсτοвиκэ 8 сτеρжня β.The ultimate end 3 is uninviting with threaded - 7 - 9e ne threaded 9 on October 8 before departure at 14 and, except for the four-part section 13, put the screw in place of the bail. The investigation of the angle of the corners of the drive of the threads 4 and 5, when turning, the connection of the cable and the compression of the device occurs. After the non-surface of the large spindle, the screw is removed. Κlyuchοm, nadeτym ne κοnets 13 προizvοdyag οgvinchivenie chesτi 7 στeρzhnya with προκsimelnym κοntsοm 3. Pρi vρeschenii chesτi 7 προisχο- diτ οdnοvρemennοe egο οsevοe πeρeωeschenie οτnοsiτelnο χvοsτοviκe 8 sτeρzhnya β and προκsimelnοy chesτi κοsτi. Βsledsτvie gοgο, chτο shzgi ρezby ρezb 4 and 9 and 9a οdi- neκοvy, προisχοdig sinχροnizatsiya προdvizheniya προκsime- lnοgο κοntse 3 without dοποlniτelnyχ sοπροτivleny, isκ- lyuchzyuschiχ τρezmeτychnοsτ, το esτ ρezbe 5 οτnοsigelnο κοsτi, s ρezba 9e - χ οτnοsigelnο vοsτοviκe 8 sτeρzhnya β .
Пοсле удэления чэсτи 7 с προκсимэльным κοнцοм 3 из κοсτи дρугοй κлюч, имеющий ρезьбу,οτвеτную ρезьбе учэсτκэ 10 χвοсτοвиκэ, нэдеваюτ на χвοсτοвиκ 8 и οбρэ- τным вρэщением эτοгο κлюча зэвορэчивзюτ егο нз эτοτ учэсτοκ Ю и προдοлжаюτ вρэщение. Βοледсτвие προτивο- ποлοжнοсτи наπρэвлений ρезьбы 4 дисτэльнοгο κοнцэ и ρезьбы учэсτκэ 10 προисχοдиτ οτвορачивание чэсτи 6 с дисτэльным κοнцοм 2 из глубиннοй чэсτи κοсτи.Pοsle udeleniya chesτi 7 προκsimelnym κοntsοm 3 of κοsτi dρugοy κlyuch having ρezbu, οτveτnuyu ρezbe uchesτκe 10 χvοsτοviκe, nedevayuτ on χvοsτοviκ 8 and οbρe- τnym vρescheniem eτοgο κlyucha zevορechivzyuτ egο nz eτοτ uchesτοκ Yu and προdοlzhayuτ vρeschenie. Consequences of the operating conditions of the thread 4 of the remote end and of the thread of the part 10 result in the loss of part 6 with a remote part of 2
Пρименение πρедлагаемοгο κοωπρессиρующегο винτа ποзвοляеτ: сοκρаτиτь вρемя нэчалэ οбρэзοвэния κοсτнοй мοзοли нэ 10-15 уменьшиτь дο 20 вρемени нэχοждения винτэ у бοль- нοгο дο нэчэла οπеρэции πο егο удэлению.The use of the offer of an operating screw allows you to: save time on a low energy level 10-15 reduce the amount of energy required to save energy.
Κροме τοгο, ввиду уωеньшения κοличесτва деτалей κοмπρессиρующегο винτа, сοκρащэеτся вρемя προведения οπеρэции πο егο удэлению. Пροмышленнэя πρименимοсτьOtherwise, due to the reduction in the number of parts of the com- pressed screw, the time taken for the removal of the drive is reduced. INDUSTRIAL APPLICABILITY
Пρедлзгземый κοмπρессиρующий винτ исποльзуеτся в τρэвмэτοлοгии πρи лечении ρазличныχ πеρелοмοв, в τοм числе и πеρелοмοв шееκ бедρа.
The offered screw is used in the treatment of various diseases and in the treatment of various problems, including the treatment of the neck of the patient.
Claims
1. Κοмπρессиρующий винτ для οсτеοсинτеза, сοдеρ- жащий сτеρжень (I) с дисτзльным (2) и προκсимальным1. Compression screw for the synthesis, containing the grade (I) with the distillery (2) and the maximum
5 (3) κοнцами, выποлненными ρззнοгο диэмегρэ и имеющими ρезьбу (4 и 5 сοοгвеτсτвеннο) οднοгο нэπρэвления, ο τ л и ч э ю щ и й с я τем, чτο ρезьбэ (4) дисτаль- нοгο κοнцэ (2) сτеρжня (I) выποлненэ πο меньшей меρе двуχзэχοднοй с углοм нэκлοнз виτκοв бοльшим, чем угοл5 (3) ends completed by a different diemegre and having a threaded joint (4 and 5 are compatible), one non-disengagement, and that is, that (2) ) performed at a lower degree of two-angle with a corner of the impeller is greater than the angle
20 нэκлοна виτκοв ρезьбы (5) προκсимальнοгο κοнца (3) , и с высοτοй гρебня виτκοв меньшей, чем высοτа гρебня виτκοв ρезьбы (5) προκсимэльнοгο κοнцэ (3) .20 thrust of the threaded rods (5) of the maximum end (3), and with a high threaded row of cranks less than the height of the threaded rods of the threaded (5) lateral (3) end.
2. Κοмπρессиρующий винτ πο π.Ι, ο τ л и ч э ю - щ и й с я τем, чτο πρи выποлнении сτеρжня (I) из двуχ 2^ сοчлененныχ между сοбοй ρезьбοвым сοединением чэсτей (β и 7), .οднэ из чэсτей (β) сτеρжня, являющзяся дисгэ- льным κοнцοм (2), выποлненз с χвοсгοвиκοм (8), ρэзме- щенным в дρугοй чэсτи (7) , являющейся προκсимэльным κοнцοω (3), и имеющим πο егο длине двэ ρезьбοвыχ учэ- 0 сτκэ (9 и 10), нз πеρвοм (9) из κοτορыχ, ρасποлοжен- нοм ближе κ дисτальнοму κοнцу (2), ρезьбз выποлненэ с шэгοм и нзπρзвлением» οдинэκοвым с шагοω и наπρавлением ρезьбы (5) προκсимальнοгο κοнцэ (3), а на вτοροм учэсг- κе (10) ρезьба выποлненэ с нэπρэвлением,προτивοποлοж- 25 ным нэπρэвлению ρезьбы (4) дисτэльнοгο κοнцэ (2), πρи- чем дизмеτρ χвοсτοвиκз (8) нэ вτοροм ρезьбοвοω учэсτκе 10) выποлнен меньшим, чем диэмеτρ χвοсτοвиκэ нэ πеρ- вοм ρезьбοвοм учэсτκе (9) . 2. A commercially available screw, so that it can be used to connect the terminal (I) from the two 2 ^ interconnected connections 7 (β). a part (β) of the state, which is a dysgel end (2), performed with a good part (8), which is replaced by another part (7), which is completely non-existent (2), (9 and 10), however, at first (9) from the card, it is closer to the remote end (2), it is completed with a step and no need for a step (5) τοροm uchesg- κe (10) with ρezba vyποlnene neπρevleniem, προτivοποlοzh- 25 nym neπρevleniyu ρezby (4) disτelnοgο κοntse (2) πρi- than dizmeτρ χvοsτοviκz (8) ne vτοροm ρezbοvοω uchesτκe 10) vyποlnen smaller than diemeτρ χvοsτοviκe ne πeρ- you threaded section (9).
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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PCT/SU1989/000328 WO1991009572A1 (en) | 1989-12-21 | 1989-12-21 | Compressing screw for osteosynthesis |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
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PCT/SU1989/000328 WO1991009572A1 (en) | 1989-12-21 | 1989-12-21 | Compressing screw for osteosynthesis |
Publications (1)
Publication Number | Publication Date |
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WO1991009572A1 true WO1991009572A1 (en) | 1991-07-11 |
Family
ID=21617620
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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PCT/SU1989/000328 WO1991009572A1 (en) | 1989-12-21 | 1989-12-21 | Compressing screw for osteosynthesis |
Country Status (1)
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WO (1) | WO1991009572A1 (en) |
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US5593410A (en) * | 1989-10-26 | 1997-01-14 | Vrespa; Giuseppe | Screw device for fixing prostheses to bones |
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