FR2472373A1 - Epiphysis plate for osteosynthesis - has horizontal arm accommodating obliquely inserted screws - Google Patents
Epiphysis plate for osteosynthesis - has horizontal arm accommodating obliquely inserted screws Download PDFInfo
- Publication number
- FR2472373A1 FR2472373A1 FR7931901A FR7931901A FR2472373A1 FR 2472373 A1 FR2472373 A1 FR 2472373A1 FR 7931901 A FR7931901 A FR 7931901A FR 7931901 A FR7931901 A FR 7931901A FR 2472373 A1 FR2472373 A1 FR 2472373A1
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- France
- Prior art keywords
- tibia
- plate
- horizontal arm
- osteosynthesis
- branch
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- 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
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/8061—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones
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- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Neurology (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
Description
La présente invention est relative à des perfectionnements apportés aux plaques épiphysaires destinées aux ostéosynthèses de fracture des os des membres. Les plaques suivant l'invention sont plus particulièrement destinées aux ostéosynthèses ou ostéotomies épiphysaires ou métaphysaires. The present invention relates to improvements made to the epiphyseal plates intended for osteosynthesis of fracture of the bones of the limbs. The plates according to the invention are more particularly intended for osteosynthesis or epiphyseal or metaphyseal osteotomies.
Il existe de telles plaques mais leur mise en place est difficile du fait que le chirurgien doit lui-même les former de manière qu'elles épousent la forme de l'os. On comprend aisément que ce formage n est jamais parfait du fait d'abord de la résistance importante de la matière constitutive desdites plaques et d'autre part des efforts considérables qu'il faut développer pour effectuer ces déformations à froid. There are such plates but their installation is difficult because the surgeon must himself form them so that they follow the shape of the bone. It is easy to understand that this forming is never perfect because first of all of the high resistance of the material from which said plates are made and on the other hand of the considerable efforts that must be developed to carry out these cold deformations.
La présente invention vise à permettre la réalisation de plaques épiphysaires latéralisées préformées de manière qu'elles puissent coopérer avec les épiphyses de l'humérus, du radius ou du tibia des membres d'un être humain. L'invention vise encore à permettre la mise en oeuvre de plaques du genre en question susceptibles de s'adapter dans la grande majorité des cas à la forme des épiphyses considérées, leur utilisation dans certaines circonstances permettant la suppression de la contention plâtrée post-operatoire, si bien qu'en définitive elle assure une rééducation plus rapide du patient. The present invention aims to allow the production of preformed lateralized epiphyseal plates so that they can cooperate with the epiphyses of the humerus, radius or tibia of the limbs of a human being. The invention also aims to allow the implementation of plates of the kind in question capable of adapting in the vast majority of cases to the shape of the epiphyses considered, their use in certain circumstances allowing the removal of post-operative plaster compression. , so that ultimately it ensures faster rehabilitation of the patient.
Le dessin annexé, donné à titre d'exemple, permettra de mieux comprendre 11 invention, les caractéristiques qu'elle présente et les avantages qu'elle est susceptible de procurer
La figure unique du dessin illustre l'utilisation de deux plaques épiphysaires suivant l'invention appliquées à l'épiphyse supérieure du tibia. Sur cette figure certaines des vis de fixation n'ont pas été représentées pour ne pas surcharger le dessin.The appended drawing, given by way of example, will allow a better understanding of the invention, the characteristics which it presents and the advantages which it is capable of providing.
The single figure of the drawing illustrates the use of two epiphyseal plates according to the invention applied to the upper epiphysis of the tibia. In this figure, some of the fixing screws have not been shown so as not to overload the drawing.
Les plaques 1, 2 représentées sur la figure du dessin comprennent chacune une branche horizontale la, 2a et une branche verticale lb, 2b. Chacune des branches horizontales la, 2a coopère avec une partie de l'épiphyse 3a du tibia 3, laquelle constitue en fait le plateau tibial. La branche horizontale de la plaque externe 1 vient se placer derrière le tendon rotulien et ses trous permettent la mise en place de vis 4 qui viennent s'enfoncer dans l'épiphyse. Du fait de la forme arrondie de la branche considérée la fixation par les vis procure une excellente triangulation horizontale, c'est-à-dire que les forces d'appui de cette branche sur ltépiphyse sont concourantes.Les branches verticales des plaques considérées comportent chacune une ouverture oblongue Ic, 2c permettant l'introduction et la mise en place d'une vis 5, 6 qui peut etre orientée de manière oblique en vue de renforcer la solidité du montage l'utilisation des plaques considérées dans les fractures du plateau tibial extrême apporte un montage en forme de console qui augmente la solidité de l'assemblage. The plates 1, 2 shown in the figure of the drawing each include a horizontal branch la, 2a and a vertical branch lb, 2b. Each of the horizontal branches 1a, 2a cooperates with a part of the epiphysis 3a of the tibia 3, which in fact constitutes the tibial plateau. The horizontal branch of the external plate 1 is placed behind the patellar tendon and its holes allow the placement of screws 4 which are inserted into the epiphysis. Due to the rounded shape of the branch considered, fixing by screws provides excellent horizontal triangulation, that is to say that the bearing forces of this branch on the epiphysis are concurrent. The vertical branches of the plates considered each have an oblong opening Ic, 2c allowing the introduction and the installation of a screw 5, 6 which can be oriented obliquely in order to reinforce the solidity of the assembly the use of the plates considered in the fractures of the extreme tibial plateau provides a console-shaped assembly which increases the solidity of the assembly.
Dans les ostéotomies de tassement externe la réduction du déplacement peut se faire sur la plaque préformée. In external compression osteotomies, the displacement can be reduced on the preformed plate.
Les plaques internes sont utilisées pour la synthèse des fractures du plateau tibial interne, pour les ostéotomies de soustraction pour genu valgum, d'addition pour genu varum. Dans ce cas le greffon est maintenu par la présence de la plaque et par la vis oblique 6. La branche horizontale de la plaque 2 reçoit des vis 7 semblables à celles 4. The internal plates are used for the synthesis of fractures of the internal tibial plate, for the osteotomies of subtraction for genu valgum, of addition for genu varum. In this case the graft is held by the presence of the plate and by the oblique screw 6. The horizontal branch of the plate 2 receives screws 7 similar to those 4.
Les plaques supérieures du tibia offrent de plus la possibilité de réaliser une compression importante lors d'une ostéotomie
Des plaques semblables à celles prévues pour l'extrémité supérieure du tibia peuvent être réalisées en vue de coopérer avec son extrémité inférieure. La plaque repose alors par sa partie diaphysaire (branche verticale) sur la face antéro-interne du tibia et par sa branche horizontale sur la face antérieure de l'épiphyse. Elles permettent de traiter les fractures du quart inférieur de la jambe à condition que leurs branches verticales soient suffisamment longues. L'utilisation de telles plaques à ce niveau est particulièrement intéressante du fait que le montage bien que solide, laisse libre l'articulation tibio-tarsienne. On peut en outre supprimer comme indiqué plus haut la contention plâtrée post-opératoire. The upper plates of the tibia also offer the possibility of achieving significant compression during an osteotomy.
Plates similar to those provided for the upper end of the tibia can be produced in order to cooperate with its lower end. The plate then rests by its diaphyseal part (vertical branch) on the anterior-internal side of the tibia and by its horizontal branch on the anterior side of the epiphysis. They are used to treat fractures of the lower quarter of the leg provided that their vertical branches are long enough. The use of such plates at this level is particularly advantageous because the assembly, although solid, leaves the tibio-tarsal joint free. It is also possible to remove the post-operative plaster compression as indicated above.
Bien entendu les vis 5, 6 peuvent être orientées en vue de coopérer soit avec la diaphyse, soit avec ltepiphyse de chaque os. Of course the screws 5, 6 can be oriented in order to cooperate either with the diaphysis, or with the ltepiphysis of each bone.
On peut aussi réaliser des plaques d'extrémité inférieure d'humérus que lton utilise pour les ostéosynthèses des fractures supra, sus ou inter-condyliennes. Elles sont mises en place par voie postérieure transtricipitale ou transolecrannienne. It is also possible to produce lower humerus end plates which are used for osteosynthesis of supra, sus or inter-condylar fractures. They are put in place by the transtricipital or transolecranial posterior route.
On peut également réaliser des plaques d'extrémité inférieure de radius pour ostéosynthèses des fractures marginales antérieures, des os téotomies de cal vicieux ou des reprises de fractures. La réduction s'effectue par la plaque. Dans le cas du radius la plaque ne présente pas la forme d'une équerre mais celle d'un Y. One can also make plates of lower end of radius for osteosyntheses of the anterior marginal fractures, the bones teotomies of vicious cal or resumptions of fractures. The reduction is carried out by the plate. In the case of the radius the plate does not have the shape of a square but that of a Y.
On a ainsi réalisé des plaques épiphysaires préformées latéralisées qui sont peu encombrantes, donc qui n'amènent pas de gêne particulière pour le patient et qui permettent la réalisation d'une fixation très solide. Thus, lateralized preformed epiphyseal plates were produced which are compact, therefore which do not cause any particular discomfort for the patient and which allow the realization of a very solid fixation.
Il doit d'ailleurs être entendu que la description qui précède n'a été donnée qu'à titre d'exemple et qu'elle ne limite nullement le domaine de l'invention dont on ne sortirait pas en remplaçant les détails d'exécution décrits par tous autres équivalents. It should moreover be understood that the above description has been given only by way of example and that it in no way limits the field of the invention from which one would not depart by replacing the execution details described by all other equivalents.
Claims (4)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
FR7931901A FR2472373A1 (en) | 1979-12-24 | 1979-12-24 | Epiphysis plate for osteosynthesis - has horizontal arm accommodating obliquely inserted screws |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
FR7931901A FR2472373A1 (en) | 1979-12-24 | 1979-12-24 | Epiphysis plate for osteosynthesis - has horizontal arm accommodating obliquely inserted screws |
Publications (2)
Publication Number | Publication Date |
---|---|
FR2472373A1 true FR2472373A1 (en) | 1981-07-03 |
FR2472373B1 FR2472373B1 (en) | 1984-10-19 |
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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FR7931901A Granted FR2472373A1 (en) | 1979-12-24 | 1979-12-24 | Epiphysis plate for osteosynthesis - has horizontal arm accommodating obliquely inserted screws |
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FR (1) | FR2472373A1 (en) |
Cited By (26)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP0290138A2 (en) * | 1987-04-07 | 1988-11-09 | POLLOCK, Richard Allison | Method of manufacturing of anatomical precontoured plates |
US4905679A (en) * | 1988-02-22 | 1990-03-06 | M P Operation, Inc. | Bone fracture reduction device and method of internal fixation of bone fractures |
US4966599A (en) * | 1987-04-07 | 1990-10-30 | Pollock Richard A | Anatomical precontoured plating, instruments and methods |
GR1000131B (en) * | 1989-04-11 | 1991-07-31 | Ilias Panagiotopoulos | Metallic plate for fractures and osteotomies fixation. |
US5304180A (en) * | 1992-01-17 | 1994-04-19 | Slocum D Barclay | Tibial osteotomy fixation plate |
WO1996009012A1 (en) * | 1994-09-19 | 1996-03-28 | Handelman, Joseph, H. | Fixation plate for long bone fractures and method of use |
WO1996025118A1 (en) * | 1995-02-14 | 1996-08-22 | Collux Ab | L-plate |
EP0947176A3 (en) * | 1998-03-31 | 2000-02-09 | Bristol-Myers Squibb Company | Orthopaedic bone plant |
US6077266A (en) * | 1999-01-15 | 2000-06-20 | Medoff; Robert J. | Method of enabling bone screws to be installed at an angle in underlying bone |
WO2005048857A1 (en) | 2003-11-18 | 2005-06-02 | Synthes Gmbh | Set of osteosynthesis plates |
WO2005048888A1 (en) * | 2003-11-21 | 2005-06-02 | Enztec Limited | A surgical procedure |
US7695472B2 (en) | 2003-03-26 | 2010-04-13 | Swiss Orthopedic Solutions Sa | Locking bone plate |
US7722653B2 (en) | 2003-03-26 | 2010-05-25 | Greatbatch Medical S.A. | Locking bone plate |
US7905883B2 (en) | 2003-03-26 | 2011-03-15 | Greatbatch Medical S.A. | Locking triple pelvic osteotomy plate and method of use |
US8080010B2 (en) | 2004-03-25 | 2011-12-20 | Greatbatch Medical S.A. | Device and template for canine humeral slide osteotomy |
FR2965470A1 (en) * | 2010-10-05 | 2012-04-06 | Small Bone Innovations Internat | Osteosynthesis equipment for permitting osteosynthesis of distal end of left radial bone of hand, has bone plate including distal secondary branches implanted at level of distal part of bone on lateral side of bone |
US8568417B2 (en) | 2009-12-18 | 2013-10-29 | Charles River Engineering Solutions And Technologies, Llc | Articulating tool and methods of using |
US9237910B2 (en) | 2012-01-26 | 2016-01-19 | Acute Innovations Llc | Clip for rib stabilization |
US9775657B2 (en) | 2011-09-30 | 2017-10-03 | Acute Innovations Llc | Bone fixation system with opposed mounting portions |
EP3284427A1 (en) * | 2016-08-17 | 2018-02-21 | Globus Medical, Inc. | Volar distal radius stabilization system |
US9956015B2 (en) | 2014-07-03 | 2018-05-01 | Acumed Llc | Bone plate with movable joint |
EP3375391A1 (en) * | 2017-03-13 | 2018-09-19 | Globus Medical, Inc. | Volar distal radius stabilization system |
US10143503B2 (en) | 2014-03-26 | 2018-12-04 | Olympus Terumo Biomaterials Corp. | Bone plate and bone plate system |
US10456180B2 (en) | 2002-07-22 | 2019-10-29 | Acumed Llc | Adjustable bone plates |
US11141204B2 (en) | 2016-08-17 | 2021-10-12 | Globus Medical Inc. | Wrist stabilization systems |
US11331128B2 (en) | 2016-08-17 | 2022-05-17 | Globus Medical Inc. | Distal radius stabilization system |
Families Citing this family (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20050240187A1 (en) | 2004-04-22 | 2005-10-27 | Huebner Randall J | Expanded fixation of bones |
US7717945B2 (en) | 2002-07-22 | 2010-05-18 | Acumed Llc | Orthopedic systems |
US7635365B2 (en) | 2003-08-28 | 2009-12-22 | Ellis Thomas J | Bone plates |
Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
FR2405062A1 (en) * | 1977-10-10 | 1979-05-04 | Dayan Robert | Surgical repair plate for lower fractures of femur - has concave cross section and enlarged end with staggered countersunk screw holes |
FR2405706A1 (en) * | 1977-10-14 | 1979-05-11 | Dayan Robert | Surgical repair plate for humerus lower end fracture - has end with unequal curved branches and countersunk holes for fixing screws |
FR2405705A1 (en) * | 1977-10-14 | 1979-05-11 | Dayan Robert | Surgical repair plate for tibia upper end fracture - has elongated length with enlarged head and countersunk for fixing screws |
-
1979
- 1979-12-24 FR FR7931901A patent/FR2472373A1/en active Granted
Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
FR2405062A1 (en) * | 1977-10-10 | 1979-05-04 | Dayan Robert | Surgical repair plate for lower fractures of femur - has concave cross section and enlarged end with staggered countersunk screw holes |
FR2405706A1 (en) * | 1977-10-14 | 1979-05-11 | Dayan Robert | Surgical repair plate for humerus lower end fracture - has end with unequal curved branches and countersunk holes for fixing screws |
FR2405705A1 (en) * | 1977-10-14 | 1979-05-11 | Dayan Robert | Surgical repair plate for tibia upper end fracture - has elongated length with enlarged head and countersunk for fixing screws |
Cited By (45)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP0290138A2 (en) * | 1987-04-07 | 1988-11-09 | POLLOCK, Richard Allison | Method of manufacturing of anatomical precontoured plates |
EP0290138A3 (en) * | 1987-04-07 | 1989-01-25 | Richard Allison Pollock | Anatomical precontoured plating, instruments and method |
US4966599A (en) * | 1987-04-07 | 1990-10-30 | Pollock Richard A | Anatomical precontoured plating, instruments and methods |
US4905679A (en) * | 1988-02-22 | 1990-03-06 | M P Operation, Inc. | Bone fracture reduction device and method of internal fixation of bone fractures |
GR1000131B (en) * | 1989-04-11 | 1991-07-31 | Ilias Panagiotopoulos | Metallic plate for fractures and osteotomies fixation. |
US5304180A (en) * | 1992-01-17 | 1994-04-19 | Slocum D Barclay | Tibial osteotomy fixation plate |
WO1996009012A1 (en) * | 1994-09-19 | 1996-03-28 | Handelman, Joseph, H. | Fixation plate for long bone fractures and method of use |
WO1996025118A1 (en) * | 1995-02-14 | 1996-08-22 | Collux Ab | L-plate |
US5718704A (en) * | 1995-02-14 | 1998-02-17 | Medoff; Robert J. | L-shape surgical buttress plate |
EP0947176A3 (en) * | 1998-03-31 | 2000-02-09 | Bristol-Myers Squibb Company | Orthopaedic bone plant |
US6077266A (en) * | 1999-01-15 | 2000-06-20 | Medoff; Robert J. | Method of enabling bone screws to be installed at an angle in underlying bone |
US10456180B2 (en) | 2002-07-22 | 2019-10-29 | Acumed Llc | Adjustable bone plates |
US7905883B2 (en) | 2003-03-26 | 2011-03-15 | Greatbatch Medical S.A. | Locking triple pelvic osteotomy plate and method of use |
US7695472B2 (en) | 2003-03-26 | 2010-04-13 | Swiss Orthopedic Solutions Sa | Locking bone plate |
US7722653B2 (en) | 2003-03-26 | 2010-05-25 | Greatbatch Medical S.A. | Locking bone plate |
US7740648B2 (en) | 2003-03-26 | 2010-06-22 | Greatbatch Medical S.A. | Locking bone plate |
CN1878508B (en) * | 2003-11-18 | 2011-06-01 | 辛迪思有限公司 | Osteosynthesis plate set |
AU2003280078B2 (en) * | 2003-11-18 | 2010-07-01 | Synthes Gmbh | Set of osteosynthesis plates |
US8114081B2 (en) | 2003-11-18 | 2012-02-14 | Synthes Usa, Llc | Osteosynthesis plate set |
WO2005048857A1 (en) | 2003-11-18 | 2005-06-02 | Synthes Gmbh | Set of osteosynthesis plates |
WO2005048888A1 (en) * | 2003-11-21 | 2005-06-02 | Enztec Limited | A surgical procedure |
US8080010B2 (en) | 2004-03-25 | 2011-12-20 | Greatbatch Medical S.A. | Device and template for canine humeral slide osteotomy |
US9808297B2 (en) | 2008-10-10 | 2017-11-07 | Acute Innovations Llc | Bone fixation system with opposed mounting portions |
US11911083B2 (en) | 2008-10-10 | 2024-02-27 | Acumed Llc | Bone fixation system with opposed mounting portions |
US11083504B2 (en) | 2008-10-10 | 2021-08-10 | Acumed Llc | Bone fixation system with opposed mounting portions |
US8568417B2 (en) | 2009-12-18 | 2013-10-29 | Charles River Engineering Solutions And Technologies, Llc | Articulating tool and methods of using |
US9924986B2 (en) | 2009-12-18 | 2018-03-27 | Charles River Engineering Solutions And Technologies, Llc | Articulating tool and methods of using |
US11033306B2 (en) | 2009-12-18 | 2021-06-15 | Charles River Engineering Solutions And Technologies, Llc | Articulating tool and methods of using |
FR2965470A1 (en) * | 2010-10-05 | 2012-04-06 | Small Bone Innovations Internat | Osteosynthesis equipment for permitting osteosynthesis of distal end of left radial bone of hand, has bone plate including distal secondary branches implanted at level of distal part of bone on lateral side of bone |
US9775657B2 (en) | 2011-09-30 | 2017-10-03 | Acute Innovations Llc | Bone fixation system with opposed mounting portions |
US9237910B2 (en) | 2012-01-26 | 2016-01-19 | Acute Innovations Llc | Clip for rib stabilization |
US10143503B2 (en) | 2014-03-26 | 2018-12-04 | Olympus Terumo Biomaterials Corp. | Bone plate and bone plate system |
US10159515B2 (en) | 2014-07-03 | 2018-12-25 | Acumed Llc | Bone plate with movable joint |
US9956015B2 (en) | 2014-07-03 | 2018-05-01 | Acumed Llc | Bone plate with movable joint |
EP3284427A1 (en) * | 2016-08-17 | 2018-02-21 | Globus Medical, Inc. | Volar distal radius stabilization system |
US10383668B2 (en) | 2016-08-17 | 2019-08-20 | Globus Medical, Inc. | Volar distal radius stabilization system |
US11141204B2 (en) | 2016-08-17 | 2021-10-12 | Globus Medical Inc. | Wrist stabilization systems |
US11160590B2 (en) | 2016-08-17 | 2021-11-02 | Globus Medical, Inc. | Volar distal radius stabilization system |
US11278332B2 (en) | 2016-08-17 | 2022-03-22 | Globus Medical, Inc. | Distal radius stabilization system |
US11331128B2 (en) | 2016-08-17 | 2022-05-17 | Globus Medical Inc. | Distal radius stabilization system |
US10420596B2 (en) | 2016-08-17 | 2019-09-24 | Globus Medical, Inc. | Volar distal radius stabilization system |
US11986225B2 (en) | 2016-08-17 | 2024-05-21 | Globus Medical Inc. | Distal radius stabilization system |
US11992252B2 (en) | 2016-08-17 | 2024-05-28 | Globus Medical, Inc. | Distal radius stabilization system |
US12004790B2 (en) | 2016-08-17 | 2024-06-11 | Globus Medical, Inc | Volar distal radius stabilization system |
EP3375391A1 (en) * | 2017-03-13 | 2018-09-19 | Globus Medical, Inc. | Volar distal radius stabilization system |
Also Published As
Publication number | Publication date |
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FR2472373B1 (en) | 1984-10-19 |
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