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Hybrid interlocking fixation of fractures of the proximal femur
Hybrid interlocking fixation of fractures of the proximal femur
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机译:股骨近端骨折的混合连锁固定
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1.device for internal fixation of fracture of neck of femur u0434u043bu00a0 u0444u0438u043au0441u0438u0440u043eu0432u0430u043du0438u00a0 u0432u043du0443u0442u0440u0438u043au0430u043fu0441u0443u043bu044cu043du043eu0433u043e, the device contains a heating element with a sharp u043au043eu043du0446u043e m and a blunt end; at least one channel formed in the u0443u043fu043eu043cu00a0u043du0443u0442u043eu043c u0442u0440u0443u0431u0447u0430u0442u043eu043c element with at least one channel u0443u043fu043eu043cu00a0u043du0443u0442u044bu0439 u043fu0440u043eu0434u043eu043bu0436u0430u0435u0442u0441u00a0 from u0443u043fu043eu043cu00a0u043du0443u0442 wow is an end to u0443u043fu043eu043cu00a0u043du0443u0442u043eu0433u043e blunt end; at least one screwa possibility u0443u043fu043eu043cu00a0u043du0443u0442u043eu043cu0443 u043fu0440u043eu0445u043eu0436u0434u0435u043du0438u00a0 on at least one channel and the u043fu0440u043eu0434u043eu043bu0436u0435u043du0438u00a0 out for u0443u043fu043eu043cu00a0u043du0443u0442u044bu0439 sharp end, threads, educated at u0443u0447u0430u0441 u0442u043au0435 u0443u043fu043eu043cu00a0u043du0443u0442u043eu0433u043e of at least one of the screw, which is designed with the possibility of u043fu0440u043eu0434u043eu043bu0436u0435u043du0438u00a0 for u0443u043fu043eu043cu00a0u043du0443u0442u044bu0439 hot end; the head of the screw, educated at u0443u043fu043eu043cu00a0u043du0443u0442u043eu043c p on at least one computer to u0432u043eu0441u043fu0440u0435u043fu00a0u0442u0441u0442u0432u043eu0432u0430u0442u044c box u0443u043fu043eu043cu00a0u043du0443u0442u043eu0433u043e,at least one of the screw completely u0443u043fu043eu043cu00a0u043du0443u0442u044bu0439 on at least one channel; and, thereby, after u0443u043fu043eu043cu00a0u043du0443u0442u044bu0439 heating element embedded in the bone with p u0435u0440u0435u0441u0435u0447u0435u043du0438u0435u043c approximately at 1 or 2 mm u0443u043fu043eu043cu00a0u043du0443u0442u044bu0439 fracture line, at least one screw inserted through the u0443u043fu043eu043cu00a0u043du0443u0442u044bu0439 on at least one channel so that security u0432u0430u0435u0442u0441u00a0 u043au043eu043cu043fu0440u0435u0441u0441u0438u00a0 bone fragments u0434u043bu00a0 u0443u0441u043au043eu0440u0435u043du0438u00a0 process u0441u0440u0430u0441u0442u0430u043du0438u00a0.;2. internal fixation device for the heating element 1 in which u0443u043fu043eu043cu00a0u043du0443u0442u044bu0439 u043fu0440u0435u0434u0441u0442u0430u0432u043bu00a0u0435u0442 a hollow tube.;3. device for internal fixation in 2, in which u0443u043fu043eu043cu00a0u043du0443u0442u0430u00a0 u043fu043eu043bu0430u00a0 tube equipped with such a profile, such as round, oval, triangular or u043fu0440u00a0u043cu043eu0443u0433u043eu043bu044cu043du044bu0439 profile.;4. device for internal fixation in 1, in which u0443u043fu043eu043cu00a0u043du0443u0442u0430u00a0 u043fu043eu043bu0430u00a0 tube equipped with u043eu0442u0432u0435u0440u0441u0442u0438u00a0u043cu0438.;5. device for internal fixation in 1, in which u0443u043fu043eu043cu00a0u043du0443u0442u0430u00a0 u043fu043eu043bu0430u00a0 tube may be filled with a material u0434u043bu00a0 bone transplantation u0434u043bu00a0 u0441u0442u0438u043cu0443u043bu0438u0440u043eu0432u0430u043du0438u00a0 u0441u0440u0430u0441u0442u0430u043du0438u00a0 the bones.;6. device for internal fixation in 1, in which the heating element u0443u043fu043eu043cu00a0u043du0443u0442u044bu043c u0443u043fu043eu043cu00a0u043du0443u0442u044bu0439 in combination with at least one screw u0432u044bu043fu043eu043bu043du00a0u0435u0442 compression and u0441u043au043eu043bu044cu0437 u00a0u0449u0435u0435 movement.;7. device for internal fixation in 1, which are the three u0441u0442u00a0u0433u0438u0432u0430u044eu0449u0438u0445 screw u0434u043bu00a0 u0441u043eu043fu0440u00a0u0436u0435u043du0438u00a0 with u0442u0440u0435u043cu00a0 channels that are formed in the u0443u043fu043eu043cu00a0u043du0443u0442u043eu043c u0442u0440u0443u0431u0447u0430u0442u043eu043c u044du043bu0435u043cu0435 no.;8. device for internal fixation of p.7, in which the u0443u043fu043eu043cu00a0u043du0443u0442u044bu0439 heating element inserted in the neck of the femur from the angle of approximately 95 to 110 on the centreline of the body of the femur, so no u0436u043du0438u0439 screw of u0443u043fu043eu043cu00a0u043du0443u0442u044bu0445 three u0441u0442u00a0u0433u0438u0432u0430u044eu0449u0438u0445 screws located in the lower quadrant of femoral head bone to a u043au0430u0441u0430u0442u044cu0441u00a0 healthy u043au043eu0440u0442u0438u043au0430u043bu044cu043d wow u0441u043bu043eu00a0 spurs femur at the femur neck.;9. internal fixation device for p.6, in which three u0443u043fu043eu043cu00a0u043du0443u0442u044bu0445 screw met with opportunity u0432u043du0435u0434u0440u0435u043du0438u00a0 in the lower quadrant of femoral head bone u043fu0440u0435u0434u043fu043eu0447u0442u0438u0442u0435u043bu044cu043d on the u0434u0438u0441u0442u0430u043bu044cu043du043e from round u0441u0432u00a0u0437u043au0438 receptacles.;10. device for internal fixation in 1, in which the heating element is u0443u043fu043eu043cu00a0u043du0443u0442u044bu0439 u043au043eu0441u0442u043du044bu043cu0438 u0437u0430u043cu0435u043du0438u0442u0435u043bu00a0u043cu0438 enable bone transplantation in u0443u043fu043eu043cu00a0u043du0443u0442u044bu0439 heating element.;11. internal fixation device for the fixation u0443u043fu043eu043cu00a0u043du0443u0442u043eu0435 device 1, which further u0441u0432u00a0u0437u0430u043du043e with the external ring.;12.hybrid locking device locking u0434u043bu00a0 fixation in fracture neck femur or u0447u0440u0435u0437u0432u0435u0440u0442u0435u043bu044cu043du043eu043c station, the device contains heating ale kent with a sharp end and a blunt end; at least one channel formed in the u0443u043fu043eu043cu00a0u043du0443u0442u043eu043c u0442u0440u0443u0431u0447u0430u0442u043eu043c elementin this u0443u043fu043eu043cu00a0u043du0443u0442u044bu0439 on at least one channel u043fu0440u043eu0434u043eu043bu0436u0430u0435u0442u0441u00a0 from u0443u043fu043eu043cu00a0u043du0443u0442u043eu0433u043e sharp end to u0443u043fu043eu043cu00a0u043du0443u0442u043eu0433u043e blunt end; at least one screw, made with who the opportunity u0443u043fu043eu043cu00a0u043du0443u0442u043eu043cu0443 u043fu0440u043eu0445u043eu0436u0434u0435u043du0438u00a0 on at least one channel and the u043fu0440u043eu0434u043eu043bu0436u0435u043du0438u00a0 out for u0443u043fu043eu043cu00a0u043du0443u0442u044bu0439 sharp end; at least two u043eu0442u0432u0435u0440u0441u0442u0438u00a0 formed p u043eu043fu0435u0440u0435u043a u0443u043fu043eu043cu00a0u043du0443u0442u043eu0433u043e of pipe elementsin this u0443u043fu043eu043cu00a0u043du0443u0442u044bu0435 at least two u043eu0442u0432u0435u0440u0441u0442u0438u00a0 formed on opposite sides of u0443u043fu043eu043cu00a0u043du0443u0442u043eu0433u043e of pipe element; at least four u0448u0442u0438u0444u0442u043eu0432u044bu0445 propeller with at least two u0448u0442u0438u0444u0442u043eu0432u044bu0445 screws have the opportunity u0431u043bu043eu043au0438u0440u043eu0432u0430u043du0438u00a0 u0443u043fu043eu043cu00a0u043du0443u0442u043eu0433u043e of pipe elementsand u0443u043fu043eu043cu00a0u043du0443u0442u044bu0435 at least two u0448u0442u0438u0444u0442u043eu0432u044bu0445 screw and at least two u0448u0442u0438u0444u0442u043eu0432u044bu0445 propeller introduced in the distal bone fragment to ensure stability u0442u0440u0443u0431u0447 u0430u0442u043eu0433u043e element in bones; the connecting element is the possibility of u0441u043au0440u0435u043fu043bu0435u043du0438u00a0 u0443u043fu043eu043cu00a0u043du0443u0442u044bu0445 on at least two u0448u0442u0438u0444u0442u043eu0432u044bu0445 screws; and, thereby, u0443u043fu043eu043cu00a0u043du0443u0442u044bu0439 t u0440u0443u0431u0447u0430u0442u044bu0439 element embedded in the neck of the femur.u0443u043fu043eu043cu00a0u043du0443u0442u044bu0439 on at least one u0443u043fu043eu043cu00a0u043du0443u0442u044bu0439 screw inserted through at least one channel so that the u043eu0431u0435u0441u043fu0435u0447u0438u0432u0430u044eu0442u0441u00a0 u043au043eu043cu043fu0440u0435u0441u0441u0438u00a0 and sliding of bone fragments, m u0435u043du044cu0448u0435u0439 least one u0448u0442u0438u0444u0442u043eu0432u043eu0439 screw is introduced through u0443u043fu043eu043cu00a0u043du0443u0442u044bu0439 u0443u043fu043eu043cu00a0u043du0443u0442u044bu0435 heating element through at least two u043eu0442u0432u0435u0440u0441u0442u0438u00a0 and at least two u0448u0442u0438u0444u0442u043eu0432u044bu0445 propeller z u0430u043au0440u0435u043fu043bu0435u043du044b u0443u043fu043eu043cu00a0u043du0443u0442u043eu043c bone marrow in the distal fragment.in this u0448u0442u0438u0444u0442u043eu0432u044bu0435 screws u0441u0432u00a0u0437u0430u043du044b through u0443u043fu043eu043cu00a0u043du0443u0442u044bu0439 connecting element u0434u043bu00a0 u0443u0441u043au043eu0440u0435u043du0438u00a0 process u0441u0440u0430u0441u0442u0430u043du0438u00a0, and, in this connection u0441u043eu0435u0434u0438u043du0435u043du0438u00a0 u0443u043fu043eu043cu00a0u043du0443u0442u044bu043c ale u0435u043du0442u043eu043c can be adjusted after the operation.;13. device on p.12, which formed a three channel in u0443u043fu043eu043cu00a0u043du0443u0442u043eu043c u0442u0440u0443u0431u0447u0430u0442u043eu043c element.;14. device for the p.13, which achieved three screw u0434u043bu00a0 u0443u043fu043eu043cu00a0u043du0443u0442u044bu043c through three channels.;15. device on p.12, which provided with six holes in the u0443u043fu043eu043cu00a0u043du0443u0442u043eu0439 tube, with u0443u043fu043eu043cu00a0u043du0443u0442u044bu0435 six holes are arranged so that three of the six holes, the other three of the six u0437u043eu0432u0430u043du044b u0443u043fu043eu043cu00a0u043du0443u0442u044bu0445 holes and the three u0448u0442u0438u0444u0442u043eu0432u044bu0445 screw inserts through the u0443u043fu043eu043cu00a0u043du0443u0442u044bu0435 met with opportunity six u043eu0442u0432u0435u0440u0441u0442 s from one side to the other side of u0443u043fu043eu043cu00a0u043du0443u0442u043eu0433u043e of pipe element.;16. device on p.12, which u0443u043fu043eu043cu00a0u043du0443u0442u044bu0439 connecting element includes two clamping and rotating u0441u0432u0438u043du0447u0438u0432u0430u044eu0449u0438u0435 u0441u0442u00a0u0436u043au0438, and one clamp clips screw pin s, which are entered in the distal bone fragment, and a second clamp clips screw pins, which u0432u043au0440u0443u0447u0435u043du044b in u0443u043fu043eu043cu00a0u043du0443u0442u044bu0439 heating element.;17. device for u0443u043fu043eu043cu00a0u043du0443u0442u044bu043c p.16, which u0440u0430u0441u0441u0442u043eu00a0u043du0438u0435 between a clamp and the second clamp can be u0443u043fu043eu043cu00a0u043du0443u0442u044bu043c u0438u0437u043cu0435u043du00a0u0442u044c rotation u0443u043fu043eu043cu00a0u043du0443u0442u044bu0445 turning u0441u0432u0438u043du0447u0438u0432u0430u044eu0449u0438u0445 with u0442u00a0u0436u0435u043a which are connected with each u0434u0432u0443u043cu00a0 clamp bolts with the spherical head, the u0443u043fu043eu043cu00a0u043du0443u0442u044bu0435 turning u0441u0432u0438u043du0447u0438u0432u0430u044eu0449u0438u0435 u0441u0442u00a0u0436u043au0438 u043du0430u0432u0438u043du0447u0435u043du044b on u0443u043fu043eu043cu00a0u043du0443u0442u044b e two bolts.;18. device on p.12, in which the position of a locking device u043au043eu0440u0440u0435u043au0442u0438u0440u0443u0435u0442u0441u00a0 hybrid fixation for intra operative procedures and postoperative period.;19. device for u0443u043fu043eu043cu00a0u043du0443u0442u044bu0439 p.12, in which the heating element is equipped with a multitude of small holes in the wall.;20. device on p.12, in which the device is equipped with u0440u0435u043du0442u0433u0435u043du043eu043fu0440u043eu0437u0440u0430u0447u043du044bu043cu0438 materials or other metals.;21. device on p.12, in which the device can be disposable.;22. device for u0443u043fu043eu043cu00a0u043du0443u0442u044bu0439 p.12, in which the heating element is u043au043eu0441u0442u043du044bu043cu0438 u0437u0430u043cu0435u043du0438u0442u0435u043bu00a0u043cu0438 enable bone transplantation in u0443u043fu043eu043cu00a0u043du0443u0442u044bu0439 u0442u0440u0443u0431u0447u0430 nuts element.;23.method of fixing u0432u043du0443u0442u0440u0438u043au0430u043fu0441u0443u043bu044cu043du043eu0433u043e fracture neck femur, the method contains the following steps: providing an internal striker containing u0442u0440u0443u0431u0447u0430 nuts with a sharp end and a blunt end element; at least one channel formed in the u0443u043fu043eu043cu00a0u043du0443u0442u043eu043c u0442u0440u0443u0431u0447u0430u0442u043eu043c elementin this u0443u043fu043eu043cu00a0u043du0443u0442u044bu0439 on at least one channel u043fu0440u043eu0434u043eu043bu0436u0430u0435u0442u0441u00a0 from u0443u043fu043eu043cu00a0u043du0443u0442u043eu0433u043e sharp end to u0443u043fu043eu043cu00a0u043du0443u0442u043eu0433u043e blunt end; at least one screw, made with who the opportunity u0443u043fu043eu043cu00a0u043du0443u0442u043eu043cu0443 u043fu0440u043eu0445u043eu0436u0434u0435u043du0438u00a0 on at least one channel and the u043fu0440u043eu0434u043eu043bu0436u0435u043du0438u00a0 out for u0443u043fu043eu043cu00a0u043du0443u0442u044bu0439 sharp end, threads, educated at the u0443u043fu043eu043cu00a0u043du0443u0442u043eu0433u043e p on at least one of the screw.who has the opportunity u043fu0440u043eu0434u043eu043bu0436u0435u043du0438u00a0 for u0443u043fu043eu043cu00a0u043du0443u0442u044bu0439 hot end; the head of the screw, educated at u0443u043fu043eu043cu00a0u043du0443u0442u043eu043c, at least one computer.to u0432u043eu0441u043fu0440u0435u043fu00a0u0442u0441u0442u0432u043eu0432u0430u0442u044c box u0443u043fu043eu043cu00a0u043du0443u0442u043eu0433u043e of at least one of the screw completely u0443u043fu043eu043cu00a0u043du0443u0442u044bu0439 on at least one channel; u0432u044bu043fu043eu043bu043du00a0u044eu0442 skin incision, 2 to 3 cm in length. u0432u0435u0440u0442u0435u043bu044cu043du043eu043c station; u0432u0441u0442u0430u0432u043bu00a0u044eu0442 u0443u043fu043eu043cu00a0u043du0443u0442u044bu0439 heating element in the neck of the femur from the angle of approximately 95 to 110 on the centreline of the body of the femur.so the lower screw of u0443u043fu043eu043cu00a0u043du0443u0442u043eu0433u043e of at least one u0441u0442u00a0u0433u0438u0432u0430u044eu0449u0435u0433u043e screw adapted u0434u043bu00a0 u0440u0430u0441u043fu043eu043bu043eu0436u0435u043du0438u00a0 towards lower quadrant of femoral head kos t that a little u043au0430u0441u0430u0442u044cu0441u00a0 cortical u0441u043bu043eu00a0 spurs the healthy femur, with u0443u043fu043eu043cu00a0u043du0443u0442u044bu0439 heating element intersects approximately at 1 or 2 mm. fracture; u0432u043au0440u0443u0447u0438u0432u0430u044eu0442 u0443u043fu043eu043cu00a0u043du0443u0442u044bu0439 on at least one u0441u0442u00a0u0433u0438u0432u0430u044eu0449u0438u0439 screw.;24. method for p.23, in addition to containing the following steps: forming at least two u043eu0442u0432u0435u0440u0441u0442u0438u00a0 on u0443u043fu043eu043cu00a0u043du0443u0442u043eu043c u0442u0440u0443u0431u0447u0430u0442u043eu043c element with u0443u043fu043eu043cu00a0u043du0443u0442u044bu0435 at leasttwo u043eu0442u0432u0435u0440u0441u0442u0438u00a0 formed on opposite sides of the element u0432u0432u043eu0434u00a0u0442 u0443u043fu043eu043cu00a0u043du0443u0442u043eu0433u043e of pipe; at least two u0448u0442u0438u0444u0442u043eu0432u044bu0445 screw in connection with u0443u043fu043eu043cu00a0u043du0443u0442u044bu043cu0438 on m u0435u043du044cu0448u0435u0439 least u0434u0432u0443u043cu00a0 u0432u0432u043eu0434u00a0u0442 u043eu0442u0432u0435u0440u0441u0442u0438u00a0u043cu0438; at least two u0448u0442u0438u0444u0442u043eu0432u044bu0445 screws in the distal bone fragment; provide a connecting element with an oppor u0436u043du043eu0441u0442u044cu044e u0441u043au0440u0435u043fu043bu0435u043du0438u00a0 u0448u0442u0438u0444u0442u043eu0432u044bu0445 screws.;25. method for the p.23, further containing phases, u0437u0430u043au043bu044eu0447u0430u044eu0449u0438u0435u0441u00a0 is u043fu0440u043eu0438u0437u0432u043eu0434u00a0u0442 correction, u0440u0435u043fu043eu0437u0438u0446u0438u044e and fixation in the intra - and postoperative period.
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