AT15130U1 - BELT FOR A SYSTEM FOR THE DISTRACTION AND / OR POSITIONING OF A JUMP JOINT - Google Patents

Abstract

A joint belt (1) for a system for distraction and / or positioning of an ankle of a patient, the joint belt (1) comprising a first band (2), which in a working position of the joint belt (1) for engagement with an instep (22) of the patient is provided, and one with the first band (2) connected to the second band (3) which is provided in the working position to rest over a heel (23) and an Achilles tendon of the patient. In order to ensure a secure fit of the articulated belt (1), it is provided according to the invention that the articulated belt (1) has a third band (4) which is connected to the first band (2) and / or the second band (3) and is provided in the working position for engagement with a foot arch (24) of the patient.

Description

description

BELT FOR A DISTRIBUTION AND / OR POSITIONING SYSTEM El-NES JUMPING JOINT

FIELD OF THE INVENTION

The present invention relates to a joint belt for a system for distraction and / or positioning of an ankle of a patient, the wrist belt comprising a first band, which is provided in a working position of the wrist strap for engaging an instep of the patient, and one with the first band connected, second band, which is provided in the working position to rest over a heel and an Achilles tendon of the patient.

STATE OF THE ART

The distraction of a particular upper ankle of a patient allows performing an arthroscopy of the joint for diagnostic and / or therapeutic purposes.

Systems for distraction are known from the prior art, which have a joint belt, which is arranged or applied to the instep and heel of the patient and subsequently loaded on train, so that a tensile force or distraction force acts on the ankle. A disadvantage of these systems is that the seat of the articulated belt is not very safe. In particular, in the event of a change, especially when the tensile or distraction force subsides, the sling may slip, which may have a detrimental effect on further distraction.

Dariiberhinaus is also the way in which the tensile or distraction force is applied in be-known systems to be considered disadvantageous. In particular, systems are known in which the force is generated by means of a permanently fixed to an operating table mechanism. An adjustment of the tensile or distraction force is thus relatively complicated or complicated, so that it often comes to permanent tensile loads, which in turn can lead to nerve damage.

OBJECT OF THE INVENTION

It is therefore an object of the present invention to provide means for ankle distraction or positioning available that avoid the above-mentioned disadvantages. In particular, a secure seat belt should be realized.

PRESENTATION OF THE INVENTION

In order to realize a securely seated wrist strap, in a wrist strap for a system for distraction and / or positioning of an ankle of a patient, the wrist strap comprises a first strap which, in a working position of the wrist strap, abuts an instep of the patient is provided, and provided with the first band, a second band, which is provided in the working position to rest on a heel and an Achilles tendon of the patient, according to the invention provided that the joint belt has a third band, which with the first band and / or connected to the second band and is provided in the working position for engagement with a foot arch of the patient.

Thus, the joint belt according to the invention in the working position surrounds the foot of the patient and is on this, in particular at instep, over the heel or Achilles tendon and the arch of the foot, preferably so that the foot can be fixed by means of the Gelenkgurts. In this way, it is ensured for a secure fit of the wrist strap on the foot, regardless of whether the wrist strap is loaded on train or not. Preferably, the third band runs along the transverse arch of the foot or transversely to the longitudinal arch of the foot.

The first band, the second band and the third band are flexible to allow a perfect adaptation to the anatomy of the foot of the patient.

The connection of the first band to the second band may be direct or indirect, i. E. with at least one intermediate element, be realized. For example, the first band may be connected to the second band via one or more loops, e.g. between the one eyelet and the first band or between the plurality of eyelets another piece of tape may be arranged, which piece of tape in particular a band loop ausbil-the.

Similarly, the connection of the third band to the first band and / or the second band may be direct or indirect, i. E. with at least one intermediate element, be realized. For example, the third band may be connected to the first and / or second band via one or more loops, wherein between the plurality of loops e.g. a further piece of tape may be arranged, which may in particular form a belt loop. In this case, the third band may for example be sewn to the band piece forming the band loop.

In order to enable a perfect adaptation of the first strap to the anatomy of the patient's foot or instep, it is provided in a preferred embodiment of the inventive belt that the first strap is adjustable in length.

To sicherzustel len a structurally simple and easy-to-use length adjustment, it is provided in a preferred embodiment of the invention Gelenkgurts that for length adjustment of the first band a hook and loop and an eyelet are provided, the eyelet is preferably made of plastic. The Velcro closure is resealable, so that the length of the first band can be adjusted or readjusted as often as desired.

In order to enable a perfect adaptation of the second band to the anatomy of the foot or the heel of the patient, it is provided in a preferred embodiment of the inventive joint strap that the second band is adjustable in length.

To sicherzustel len a structurally simple and easy-to-use length adjustment, it is provided in a preferred embodiment of the invention Gelenkgurts that for length adjustment of the second band a hook and loop and an eyelet are provided, the eyelet is preferably made of plastic. The Velcro is resealable, so that the length of the second band can be adjusted or readjusted as often as desired.

In order to enable an optimal fit or hold of the second band over the heel or over the Achilles tendon, it is provided in a preferred embodiment of the inventive Gurtgurts that the second band has two sections having an angle of 120 ° to 170 °, preferably from 130 ° to 160 °, wherein in the working position an angle vertex is disposed over the Achilles tendon of the patient. The latter guarantees a perfect centering of the second band over the heel.

Preferably, the angle opens in the direction of the sole of the foot when the articulated belt is in the working position. As a result, a course of the second band under the ankle can be realized in a particularly simple manner, which further increases the secure fit of the articulated belt. In addition, the functionality of the joint belt is improved with respect to the distraction of the ankle, since when tensile load of the joint belt, the train or. Distraction force targeted to the lower part of the ankle, in particular the upper ankle can transmit.

The said angle can be measured in particular then or is given in particular when the second band or the two sections just rest on a flat surface.

The two portions of the second band arranged at an angle to one another are preferably realized in such a way that they are formed by individual band pieces which are sewn together. In this way, the angle can be specified or witnessed very easily. Of course, however, embodiments are possible in which the two sections of the second band are made in one piece.

In order to allow a particularly accurate adaptation of the second band with two sections to the anatomy of the foot or the heel of the patient, it is provided in a particularly preferred embodiment of the invention the belt that for length adjustment of the second band for each of the two Sections Velcro and eyelet are provided, the eyelets are preferably made of plastic. The Velcro closures are resealable, so that the length of the second band can be adjusted or readjusted as often as desired.

Preferably, the second band extends between the two eyelets. Preferably, each end of the second band or the free end of the respective portion of the second band is guided through an eyelet and reclosed by means of the Velcro fastener with the respective section or releasably connected.

Preferably, this can be effected in addition to the length adjustment and a detachable connection between the second band and the first band. Likewise, this may preferably cause a releasable connection between the second band and the third band.

In order to allow a perfect adaptation of the third band to the anatomy of the foot or the arch of the patient, it is provided in a preferred embodiment of the invention the belt that the third band is adjustable in length.

In order to ensure a structurally simple and easy-to-use length adjustment, it is provided in a preferred embodiment of the inventive joint belt that a hook-and-loop fastener is provided for length adjustment of the third band. The Velcro is resealable, so that the length of the third band can be adjusted or readjusted as often as desired. The hook-and-loop fastener of the third strap may have a hook strap or loop strap arranged on the third strap, wherein the corresponding strap (ie a loop strap or hook strap) may be arranged for connection to another element of the wrist strap, in particular on a strap loop Bandstiick to fix the third volume or its length.

To IJbertragung the tensile or distraction force generated on the joint belt traction means are provided, wherein it is known in particular from the prior art to generate the tensile force by means of a mechanism. In order to enable a problem-free transmission of the tensile or distraction force to the articulated belt in its working position and thus to be able to perform the distraction, it is provided in a preferred embodiment of the inventive articulated belt that connecting means for connecting the articulated belt to traction means are provided. As attachment means, e.g. Eyelets or hooks made of a mechanically stable material, e.g. made of metal or plastic.

In order to enable a structurally and manufacturing technically particularly simple realization of the connection means, it is provided in a particularly preferred embodiment of the invention the belt that the attachment means are designed as belt loops, wherein the belt loops preferably at least partially made of micro-fiber and / or woven Cotton material are made. The belt loops allow a comfortable coupling with the traction means, for example by hooks can be guided through the belt loops. By using microfiber and / or woven cotton material, high flexibility of the belt loops can be ensured. At the same time, it can be ensured by this choice of material that the belt loops are substantially unstretchable, which enables optimum transmission of the tensile or distraction force. Finally, by using microfiber and / or woven cotton material, latex freedom of the belt loops can be guaranteed.

In a preferred embodiment of the invention Gelenkgurts it is provided that the first band and / or the second band and / or the third band are at least partially made of microfiber and / or woven cotton material. By using microfiber and / or woven cotton material, a high flexibility of the respective band can be ensured.

At the same time can be ensured by this choice of materials that the respective band is substantially ineptable, which allows optimal transmission of the train or distraction-onskraft. Finally, by using microfiber and / or woven cotton material, latex freedom of the particular band can be guaranteed.

In order to facilitate the application of the wrist strap to a user or surgeon, it is provided in a preferred embodiment of the wrist strap according to the invention that the first band and / or the second band and / or the third band have at least one optical indicator. The optical indicators may e.g. consist of graphic symbols and / or alphanumeric characters applied at certain points of the respective band, e.g. printed or embroidered. Likewise, labels provided with graphic symbols and / or alphanumeric characters may be applied as optical indicators at particular locations of the particular band, e.g. glued or sewn on.

For example, the optical indicator for the first band may have the string "FRONT", the optical indicator for the second band the string "BACK" and the optical indicator for the third band the string "LARGE".

Furthermore, it can be provided that at the beginning of the application of the Gelenkgurts all or only certain optical indicators must be in the field of vision of the user, whereby a correct application is facilitated.

Finally, the optical indicators can allow the user to quickly check the correct fit of the wrist strap after donning, by e.g. All or only certain visual indicators should be visible when seated correctly.

In order to apply the tensile and distraction force to the highest degree controllable and change, it is inventively provided that the user applies the traction immedi-applicable through his body. For Clbertragung the tensile force of the user on the Ge-steering belt according to the invention a Hiiftgurt is provided which has a specific investment section for comfortable investment on the user's hip, without applying the tensile force of the user through the hip belt an unpleasant or even painful pressure or Cutting is exposed. According to the invention, a system for distracting and / or positioning an ankle of a patient is provided, the system comprising a joint belt according to the invention and a hip belt with an abutment portion, which abutment portion is provided in an application position of the hip belt to rest against a user's hip.

In order to be able to connect the hip belt comfortably, quickly and securely to the joint belt, it is provided in a preferred embodiment of the system according to the invention that the hip belt has attachment means for connection with attachment means of the joint belt to the hirth belt in the application position as a traction means to use the joint belt in its working position. Thus, in the case of the hip belt connected to the joint belt, the tensile force applied and metered by the user can be transmitted to the joint belt in its working position in order to effect the distraction of the ankle.

In a particularly preferred embodiment of the system according to the invention, it is provided that the attachment means of the hip belt comprise hooks and / or carabiners. These allow a particularly fast, simple and secure connection of the hip belt with the joint belt or with its connection means.

In order to enable a perfect adaptation of the hip belt on the one hand to the anatomy of the user or to the hip of the user and on the other hand to the user-desired distance between the user and the patient, it is provided in a preferred embodiment of the system according to the invention, that the hip belt is adjustable in length.

To sicherzustel len a structurally simple and easy-to-use length adjustment, it is provided in a preferred embodiment of the system according to the invention that at least one hook and loop and at least one eyelet are provided for length adjustment of the hip belt. The Velcro closure is resealable, so that the length of the hip belt can be adjusted as often as necessary or readjusted.

Preferably, the hip belt on two arms, each connecting to the contact section and have the Velcro closure for length adjustment. In this case, e.g. one end of the respective arm is fixedly connected to the abutment portion, e.g. be sewn. The free end of the respective arm can be guided through an associated eyelet and be reclosed or detachably connected by means of the Velcro closure with the respective arm and / or the abutment portion. The eyelet is preferably connected to the respective attachment means of the hip belt.

In a particularly preferred embodiment of the system according to the invention, it is provided that the at least one eyelet is formed by the connecting means of the hip belt. In particular, each hook or each carabiner form a corresponding eyelet, whereby a particularly simple and compact construction is realized.

In order to allow the user or surgeon during the application of the system, which may typically take between 30 min and 60 min to allow a particularly comfortable wearing or applying the hipbelt and at least to avoid cutting the hipbelt, it is in a preferred embodiment of the system according to the invention that the contact section has a width of at least 4 cm, preferably of at least 6 cm, preferably of at least 7 cm, particularly preferably of at least 8 cm. Typically, a length of the contact section is at least 25 cm, preferably at least 35 cm, particularly preferably at least 40 cm. By these dimensioning, in particular by the dimensioning of the width of the hip belt, a pressure distribution is achieved on the hip when the tensile force is applied by the user, which is not unpleasant for the user and at all events avoids cutting the hip belt or contact section.

In order to further increase the ease of use for the user, it is provided in a preferred embodiment of the system according to the invention that the contact section is padded.

Finally, it is provided in a preferred embodiment of the system according to the invention that the waist belt is at least partially made of microfiber and / or woven cotton material, in particular the contact section at least partially made of microfiber and / or woven cotton material. By using microfiber and / or woven cotton material, high flexibility of the hip belt can be ensured. At the same time, it can be ensured by this choice of material that the hip belt is substantially inextensible, which allows optimum transmission of the tensile or distraction force. Finally, the use of microfiber and / or woven cotton material guarantees latex freedom of the hip belt.

BRIEF DESCRIPTION OF THE FIGURES

The invention will now be explained in more detail with reference to an exemplary embodiment. The drawings are exemplary and are intended to explain the idea of the invention, but in no case restrict it or even render it conclusively.

1 is a schematic front view of a wrist strap according to the invention; FIG. 2 is a schematic rear view of the wrist strap according to the invention; FIG. 3 is a schematic axonometric view of a hip belt according to the invention; [0047] FIG schematic representation of the application of a first band and a second band of the inventive articular belt to a foot of a patient FIG. 5 a schematic representation of the application of a third band of the inventive articular belt to the foot of the patient FIG. Figure 6 is a schematic representation of the fixation of the third band. Figure 7 is a schematic plan view of a foot arch of the patient's foot, with the wrist belt of the invention applied and in a working position. Figure 8 is a schematic representation the application of the hip belt according to the invention to a hip of a user Fig. 9 is a schematic Representation of the Connection of the Hip Belt According to the Invention with the Articulated Belt According to the Invention [0053] FIG. 10 is a schematic representation of the application of a device according to the invention

System for distraction of an ankle of the patient

WAYS FOR CARRYING OUT THE INVENTION

In the schematic front view of Fig. 1 is a joint hinge 1 according to the invention for a system for distraction of an ankle of a patient, which e.g. performing arthroscopy. Here, the joint belt 1 is in an initial state, wherein the joint belt 1 is spread in a plane.

The articulated belt 1 comprises a first band 2, which is provided in a working position of the articulated belt 1 for engaging an instep 22 of the patient, and a second band 3, which in the working position to rest over a heel 23 and an Achilles tendon of the Patient is provided. In the exemplary embodiment shown, the first band 2 and the second band 3 are connected to one another via an eyelet 8 ', the eyelet 8' being sewn to a first band piece 29, which in turn is sewn to the first band 2. Furthermore, in the illustrated embodiment, a second piece of tape 29 ', which forms a belt loop 13, sewn to the first piece of tape 29 and / or the first tape 2.

In order to exclude slippage of the articulated belt 1 and to ensure a secure fit of the articulated belt 1, it is provided according to the invention that the articulated belt 1 has a third band 4, which in the working position for engagement with a foot arch 24 of the patient, in particular whose Fußquergewölbe 27 is provided. The third band 4 and the second band 3 are connected together in the embodiment shown via an eyelet 8, the eyelet 8 being sewn to a third band piece 29 ", which in turn is sewn to the third band 4. Indirectly, the third band 4 is thus also connected to the first volume 2

Furthermore, in the embodiment shown by the third band 4, a belt loop 13 'is formed by one end of the third band 4 is folded and sewn to a portion of the third band 4 and the third band piece 29 ".

The first band 2 is adjustable in length by means of a hook-and-loop fastener 5. The hook and loop fastener 5 is arranged by a hook band 20 which is arranged in a portion of the first band 2 comprising a free end of the first band 2, and by a fleece band 21 which is arranged on the first band 2 between the hook band 20 and the band loop 13 is arranged, realized. In this case, the hook tape 20 and the loop tape 21 of the hook and loop fastener 5 are arranged on a back side of the first tape 2. Fig. 2 shows the back of the first tape 2 - in contrast to Fig. 1, where a front side of the first tape 2 is shown.

Furthermore, an eyelet 6 is provided for length adjustment of the first band 2. This is with a fourth piece of tape 29 'sewn ", which in turn with the third piece of tape 29" and with the third band 4 and with the belt loop 13' is sewn. In the working position of the articulated belt 1, the first band 2 with its free end or with its portion having the hook band 20 of the hook and loop fastener 5 through the eyelet 6 as far as desired to set the length of the first band 2. To close the hook and loop fastener 5, the hook tape 20 of the hook and loop fastener 5 is connected to the loop tape 21 of the hook and loop fastener 5.

In the exemplary embodiment shown, the second band 3 is designed for optimum fit over the heel 23 or over the Achilles tendon of the patient with two sections 9, 9 'having an angle 10 of 120 ° to 170 °, preferably from 130 ° to 160 ° with each other. In the working position, an angle peak 11 is arranged above the Achilles tendon in order to guarantee a perfect centering of the second band 3 over the heel 23. The angle 10 opens in the direction of the sole of the foot or arch 24 of the patient, when the joint belt 1 is in the working position. The sections 9, 9 'are formed in the illustrated exemplary embodiment as individual band pieces, which are arranged at an angle 10 to one another and sewn together in the region of the angle vertex 11.

For length adjustment of the second band 3, a hook-and-loop fastener 7, 7 'and one of the eyelets 8, 8' are provided for each of the two sections 9, 9 '. The Velcro straps 7, 7 'each comprise a hook band 20 and a loop tape 21, which are arranged on a back side of the second band 3. In the exemplary embodiment shown, the loop tape 21 of the hook and loop fastener 7 is arranged in the area of the free end of the section 9 and subsequently the hook tape 20 of the hook-and-loop fastener 7 in the area between the loop tape 21 and the angle peak 11. In the area of the free end of the section 9 ' the hook tape 20 of the hook and loop fastener 7 'is arranged and thereafter or in the area between the hook tape 20 and the angle peak 11, the loop tape 21 of the hook and loop fastener T. The free ends of the sections 9, 9' as far as through the eyelets 8, 8 ' desired to set the length of the second band 3. To close the Velcro straps 7, 7 ', the free ends of the sections 9, 9' turned over to connect the hook tape 20 and the loop tape 21 of each hook and loop fastener 7, 7 'with each other. Accordingly, in Fig. 2, a portion of the hook band 20 of the hook and loop fastener 7 and a part of the Velcro-bands 21 of the hook and loop fastener 7 'visible.

Also, the third band 4 is adjustable in length in the exemplary embodiment shown, wherein a Velcro closure 12 is provided for length adjustment. The loop tape 21 of the hook and loop fastener 12 is disposed on a front side of the third tape 4 in a region extending from a free end of the third tape 4 to the tape loop 13 ', see. Fig. 1. In this case, the loop tape 21 covers 25% to 100%, preferably 75% to 85% of the range. The corresponding hook tape 20 of the hook-and-loop fastener 12, with which the loop tape 21 of the hook-and-loop fastener 12 is brought into engagement in the working position of the wrist strap 1, is arranged on a back side of the tape loop 13, cf. Fig. 2.

As can be seen in Fig. 1, an optical indicator 14 is mounted on the front side of the first band 2 and an optical indicator 14 'on the front side of the second band 3. Furthermore, an optical indicator 14 "is mounted on the rear side of the third band 4, see Fig. 2. In the exemplary embodiment shown, the optical indicators 14, 14 ', 14" are labels sewn on, which in turn are printed with different letters - "F" in the case of the optical indicator 14, "B" in the case of the optical indicator 14 'and "L" in the case of the optical indicator 14 ".

The optical indicators 14, 14 ', 14 "facilitate the correct application of the wrist strap 1 to a user 25, ie the transfer of the wrist strap 1 to the correct working position, in the latter the optical indicator 14 points away from the run 22 and is therefore typically, whereas the optical indicator 14 'faces the heel 23 and is typically invisible, the optical indicator 14 ", in the working position of the wrist strap 1, faces the arch of the foot 24 and is typically not visible. Accordingly, the user 25 can control the correct seat of the wrist strap 1 at a glance.

The bands 2, 3, 4 and the band pieces 29, 29 ', 29 ", 29'" and tape loops 13, 13 'are in the exemplary embodiment shown made of at least partially made of woven cotton wool material, the eyelets 6, 8, 8 'made of plastic.

The band loops 13, 13 'of the articulated belt 1 act as attachment means for attachment of the articulated belt 1 to a hip belt 15, which is illustrated in FIG. 3. The hip belt 15 re-acts as a traction means to transmit a tensile force or distraction force applied and metered by the user 25 to the articulation belt 1 in its working position.

In this case, the hip belt 15 has a contact section 16 which is provided in an application position of the hip belt 15 for engagement with a hip of the user 25. In order to avoid an unpleasant pressure or even a cutting of the hip belt 15 during the application of the tensile force, the contact section 16 in the exemplary embodiment shown has a width 22 of 7 cm to 10 cm. Preferably, the abutment portion 16 is padded out gefihrt.

Attached to the abutment portion 16 are arms 28, 28 'connected to the abutment portion 16, e.g. sewn.

In the exemplary embodiment shown, the arms 28, 28 'are adjustable in length by means of Velcro straps 18, 18'. The Velcro straps 18, 18 'each have a hook tape 20 and a loop tape 21 which are arranged on one side of the respective arm 28, 28'. In this case, the hook band 20 is preferably arranged in the region of a free end of the respective arm 28, 28 '. The free ends of the arms 28, 28 'are passed through eyelets 19, 19' as far as desired to define the length of the arms 28, 28 '. To close the Velcro straps 18, 18 ', the free ends of the arms 28, 28' turned over to connect the hook tape 20 and the loop tape 21 of each hook and loop fastener 18, 18 'together. Accordingly, in Fig. 3, a portion of the hook band 20 of the hook and loop fastener 18 and a portion of the loop tape 21 of the hook and loop fastener 18 'visible.

The eyelets 19, 19 'are in the exemplary embodiment shown in carabiners 17, 17' ausgebil det, which act as a connection means of the hip belt 15 and a quick, simple and si-cheres connecting the Hiiftgurts 15 with the joint belt 1 and enable its connection means. Specifically, for connection each of the belt loops 13, 13 'in one of the two carabiners 17, 17' are added.

A length of the abutment portion 16 is typically 35 cm to 50 cm. A length of the arms 28, 28 'may typically be varied in a range of 10 cm to 50 cm, preferably in a range of 15 cm to 40 cm. A length of the carabiner 17, 17 'is typically 5 cm to 12 cm.

In the exemplary embodiment shown, the arms 28, 28 'are at least partially made of a woven tree wall material, the contact section 16 at least partially made of microfiber and the carabiner 17, 17' made of metal, preferably light metal, in particular at least partially made of aluminum or an aluminum alloy.

The use of the articulated belt 1 and the hip belt 15 or a system for distraction comprising the joint belt 1 and the hip belt 15 will be described below with reference to FIGS. 4 to 10.

Starting from the initial state of the wrist strap 1 shown in FIG. 1 and FIG. 2, the user 25 applies the wrist strap 1 with the second strap 3 to the heel 23 and the Achilles tendon of the patient at the foot thereof, that the second strap 3 runs under the ankle or under the ankle of the patient. Possibly. For example, the length of the second band 3 can be adapted to the dimensions of the heel 23 of the patient by means of the Velcro straps 7, 7 '.

Thereafter, the first band 2 is applied to the instep 22, with the free end of the first band 2 being passed through the eyelet 6. In order to bring about an optimal contact of the first band 2 on the instep 22, the band 2 is tightened before the closure of the hook-and-loop fastener 5, which is illustrated in FIG.

Fig. 5 shows how in the next step, the third band 4 is performed under the foot or under the arch of the foot 24. Then, the free end of the third band 4 is guided between the joint belt 1 in the region of the band loop 13 and the patient's foot upwards, ie in the direction of the ankle of the patient, whereupon the third band 4 is tightened.

Fig. 6 shows how then the free end of the third band 4 is folded to close the hook and loop fastener 12 of the third band 4 by the loop tape 21 of the hook and loop fastener 12 ge with the arranged on the loop 13 hook band 20 in engagement is delivered.

The joint belt 1 is now in the working position and surrounds the foot of the patient and is applied to this. In Fig. 7, which shows a schematic plan view of a sole of the foot or on the arch of the foot 24 of the patient, it can be seen that the third band 4 extends transversely to a Fußlängsgewölbe 26 in the working position. In essence, the course of the third band 4 follows the course of the transverse arch 27. The band loops 13, 13 'point away from the sole of the foot, preferably in the direction of the user 25.

Before the carabiners 17, 17 'of the hip belt 15 are suspended in the strap loops 13, 13', the user 25 puts the hip belt 15 on his hip and brings the Anlageab-section 16 with the hip in the area of the back to the plant so that the arms 28, 28 'point forwards, away from the user 25, cf. Fig. 8.

Fig. 9 shows how the carabiners 17, 17 'are guided by the belt loops 13, 13', so that the hip belt 15 can act as a traction means in its application position.

The user 25 can now apply the desired traction or distraction force in a metered manner by moving his hip away from the foot of the patient, which is illustrated in the side view of FIG. 10. Regardless of the applied tensile force a secure fit of the Ge-steering belt 1 is always guaranteed by the third band 4.

REFERENCE LIST 1 Wrist strap 2 First strap 3 Second strap 4 Third strap 5 First strap Velcro 6 Eyelet for first strap 7, 7 'Velcro strap for second strap 8, 8' Eyelet for second strap 9, 9 'Second strap section 10 Angle between the sections of the second band 11 angle crest 12 Velcro fastener of the third band 13, 13 'band loop 14, 14', 14 "optical indicator 15 hip belt 16 abutment portion of the hip belt 17, 17 'carabiner 18, 18' Velcro closure of the hip belt 19, 19 'Ösefürden Waist belt 20 Velcro fastener 21 Velcro fastener Velcro 22 Patient's instep 23 Heel of patient 24 Patient's arch of foot 25 User 26 Foot arch 27 Foot arch 28, 28 'Hip belt 29, 29', 29 ", 29 '" Band piece

Claims (22)

claims 1. A joint belt (1) for a system for distraction and / or positioning of an ankle of a patient, the joint belt (1) comprising a first band (2), which in an operating position of the joint belt (1) for engaging an instep ( 22) of the patient, and a second band (3) connected to the first band (2), which in the working position is provided for fitting over a heel (23) and an Achilles tendon of the patient, characterized in that the joint belt (1) has a third band (4) which is connected to the first band (2) and / or the second band (3) and is provided in the working position for engagement with a foot arch (24) of the patient , 2. joint belt (1) according to claim 1, characterized in that the first band (2) is adjustable in length. 3. joint belt (1) according to claim 2, characterized in that for length adjustment of the first band (2) a hook and loop fastener (5) and an eyelet (6) are provided, wherein the eyelet (6) is preferably made of plastic. 4. joint belt (1) according to one of claims 1 to 3, characterized in that the second band (3) is adjustable in length. 5. joint belt (1) according to claim 4, characterized in that for length adjustment of the second band (3) a hook and loop fastener (7) and an eyelet (8) are provided, wherein the eyelet (8) is preferably made of plastic. 6. joint belt (1) according to one of claims 1 to 5, characterized in that the second band (3) has two sections (9, 9 ') having an angle (10) of 120 ° to 170 °, preferably of 130 Enclose ° to 160 °, wherein in the working position a Winkelschei-tel (11) over the Achilles tendon of the patient is arranged. 7. joint belt (1) according to claim 6, characterized in that for length adjustment of the second band (3) for each of the two sections (9, 9 ') a hook and loop fastener (7, 7') and an eyelet (8, 8 ') are provided, wherein the eyelets (8, 8 ') are preferably made of plastic. 8. joint belt (1) according to one of claims 1 to 7, characterized in that the third band (4) is adjustable in length. 9. joint belt (1) according to claim 8, characterized in that for length adjustment of the third band (2) a hook and loop fastener (12) is provided. 10. Articulated belt (1) according to one of claims 1 to 9, characterized in that Anbin-tion means (13, 13 ') for connection of the articulated belt (1) are provided on traction means. 11. joint belt (1) according to claim 10, characterized in that the attachment means are designed as belt loops (13, 13 '), wherein the belt loops (13, 13') are preferably at least partially made of microfiber and / or woven cotton material. 12. joint belt (1) according to one of claims 1 to 11, characterized in that the first band (2) and / or the second band (3) and / or the third band (4) at least partially made of microfiber and / or woven Cotton material are made. 13. joint belt (1) according to one of claims 1 to 12, characterized in that the first band (2) and / or the second band (3) and / or the third band (4) at least one optical indicator (14, 14 ', 14 "). 14. System for distraction and / or positioning of an ankle of a patient comprising a joint belt (1) according to one of claims 1 to 13 and a hip belt (15) with a contact portion (16), which abutment portion (16) in an application position of Hip straps (15) for engagement with a hip of a user (25) is provided. 15. System according to claim 14, characterized in that the hip belt (15) attachment means (17, 17 ') for connection with connection means (13, 13') of the articulated belt (1) to the hip belt (15) in the Use position as traction means for the joint belt (1) in its working position to use. 16. System according to claim 15, characterized in that the attachment means of the hip belt (15) hooks and / or carabiners (17, 17 '). 17. System according to one of claims 14 to 16, characterized in that the hip belt (15) is adjustable in length. 18. System according to claim 17, characterized in that for the length adjustment of the hip belt (15) at least one hook and loop fastener (18, 18 ') and at least one eyelet (19, 19') are provided. 19. System according to claim 18, if dependent on claim 15, characterized in that the at least one eyelet (19, 19 ') of the connection means (17, 17') of the Hiiftgurts (15) is formed. 20. System according to any one of claims 14 to 19, characterized in that the Anla-geabschnitt (16) has a width (22) of at least 4 cm, preferably at least 6 cm, preferably at least 7 cm, more preferably at least 8 cm having. 21. System according to any one of claims 14 to 20, characterized in that the Anla-geabschnitt (16) is executed upholstered. 22. System according to any one of claims 14 to 21, characterized in that the hip belt (15) at least partially made of microfiber and / or woven cotton material, in particular the contact portion is at least partially made of microfiber and / or woven cotton material. For this 6 sheets of drawings