CN109864842A - A kind of TKA postoperative ankle shakiness correction trousers - Google Patents

A kind of TKA postoperative ankle shakiness correction trousers Download PDF

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Publication number
CN109864842A
CN109864842A CN201811551681.5A CN201811551681A CN109864842A CN 109864842 A CN109864842 A CN 109864842A CN 201811551681 A CN201811551681 A CN 201811551681A CN 109864842 A CN109864842 A CN 109864842A
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CN
China
Prior art keywords
restraint zone
knee
elastic force
thigh
trousers
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Granted
Application number
CN201811551681.5A
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Chinese (zh)
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CN109864842B (en
Inventor
张春秋
张兰
张涛
叶金铎
刘璐
王鑫
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Tianjin University of Technology
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Tianjin University of Technology
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Priority to CN201811551681.5A priority Critical patent/CN109864842B/en
Publication of CN109864842A publication Critical patent/CN109864842A/en
Priority to PCT/CN2019/114845 priority patent/WO2020125231A1/en
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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/01Orthopaedic devices, e.g. splints, casts or braces

Abstract

The present invention provides a kind of postoperative buckling shakinesses of TKA to correct trousers comprising: elastic force restraint zone, the knee-pad of the elastic force restraint zone (each one of leg medial and lateral), thigh and loins that can step between the elastic force restraint zone between foot stretch pants, small leg restraint webbing, thigh fixed belt, fixing strap of waist, shank and foot, shank and thigh reinforce band;Foot stretch pants can wherein be stepped on as matrix, fixing belt passes through trousers loop and is connected with diaper body, and the end of fixing belt is equipped with lantern ring and nylon tower button, both ends and can fix to form set;The both ends of elastic force restraint zone are equipped with nylon tower button, are connected between two fixing belts, restraint zone can by fixing belt it is with holes come adjusting elasticity, change the pulling force between fixing belt, maintain the normal physiological gap between knee joint femoral and shin bone.The present invention can improve knee space with the correction trousers of body frame, and can be to knee articulation when the case where buckling is unstable and knee hyperextension have correcting, and it is simple to operate, practical.

Description

A kind of TKA postoperative ankle shakiness correction trousers
Technical field
The present invention relates to a kind of instability of knee to correct trousers, and in particular to a kind of improvement knee prosthesis postoperative ankle is unstable Correction trousers.
Background technique
Total knee arthroplasty (TKA) is one of numerous successful surgical operations, which can improve patient's knee Function of joint and the good prosthese survival rate of acquisition.Good surgical effect depends on appropriate osteotomy and soft tissue balance, and In most cases operative doctor needs complete the balance between osteotomy, soft tissue and liner three in art.The reason of the operation Think that target is to obtain rectangular gap stretching the 90 ° of positions in position or buckling after osteotomy and balance soft tissue.Although can be used several Method loosens to soft tissue, but any method all relies on the experience of operative doctor, in serious Patient is turned over, soft tissue balance is very difficult, and soft tissue of excessively loosening will affect surgical effect.Studies have shown that nineteen ninety extremely During 2002, the number for receiving total knee arthroplasty increases 50%, and predicts to increase during 2005 to 2030 174%.Total knee arthroplasty solves the problems, such as many patients, achieves good curative effect.Meanwhile TKA is postoperative simultaneously Hair disease also brings puzzlement and challenge to joint surgery doctor.Postoperative knee stiffness/shakiness is most distinct issues. Knee stiffness influences range of motion, influences to walk and squat down.In case of joint instability, patient early stage main suit pain Bitterly, swelling and dysbasia, medium-term and long-term secondary infection, prosthetic loosening and abrasion probability obviously increase repeatedly, account for revision procedure original The 10%~22% of cause.
Having many researchs to be intended to proposition helps operative doctor flat to condyle of femur and shin bone in total knee replacement operation The method that the position of platform prosthese is accurately positioned, to reduce the generation of postoperative dislocation, still, these methods are all merely able to reach To rough accuracy.Knee after Total Knee Arthroplasty shakiness refer to Knee after Total Knee Arthroplasty inside turn up, mistake It stretches or is more than normal angled when buckling or leaves original normal position or multi-direction shakiness.Knee joint is when stretching, side pair Ligament is more nervous, knee joint it is stable and without lateral and rotary moveable;When knee joint is in semi-flexed position, collateral ligaments relaxation is closed Section is unstable, there is slight lateral activity, subject to damage.One big factor of the postoperative buckling shakiness of TKA is, due in condyle of femur rotation The change of the heart, there is joint instability caused by relaxation in medial collateral ligament during buckling.Patient's mistake of knee sprung contracture Degree is loosened medial collateral ligament, and posterior condylar capsule fails to loosen very well, will lead to during knee sprung that (30 °~60 ° even 90 °) shakiness.
The unstable early stage of postoperative generation is expected to fix by knee-guarding support, waits soft tissue scar to be adhered, reaches stable.It is right Mid-term occurs unstable, if brace seriously can also not worn and enhance contraction of muscle movement, is also expected to gradually adapt to daily life It is living.When for persistent pain, swelling, limping and moving obstacle, wears brace estimation and be difficult to obtain promising result, need to carry out It overhauls.For joint instability caused by this factor of medial collateral ligament relaxation during the postoperative buckling of TKA, the present invention provides one kind The postoperative buckling shakiness of TKA corrects trousers, and unstable early metaphase occurs after surgery, can be by dressing the correction trousers, during buckling Fastening effect is played, the relaxation of medial collateral ligament appearance during buckling is compensated, waits soft tissue scar to be adhered, reach stable; It can reduce kneed load using frame and elastic band simultaneously.
Summary of the invention
The main object of the present invention: in the postoperative early metaphase that shakiness occurs of TKA, it is unstable that a kind of orthotic joint is provided to patient About basquine, band body frame knee articulation can be limited in a particular range, stretched and buckling process in knee joint In play fastening effect, compensation knee joint stretches the relaxation occurred with ligament during buckling, and soft tissue scar is waited to be adhered, long Phase wearing has correcting, and knee joint is made to reach stable.Wearer of the invention can be according to own situation, in the position that needs fasten It sets and is stained with corresponding restraint zone, unwanted restraint zone can also be taken, it is simple to operate, it is very useful.
A kind of technical solution of the present invention: about basquine for correcting TKA postoperative ankle shakiness, comprising: foot stretch pants, small can be stepped on The elastic force between elastic force restraint zone, shank and thigh between leg restraint webbing, thigh fixed belt, fixing strap of waist, shank and foot is tightly same Band (each one of leg medial and lateral), the elastic force restraint zone of thigh and loins, knee-pad reinforce band;Foot stretch pants can wherein be stepped on as base Body, small leg restraint webbing, thigh fixed belt and fixing strap of waist pass through trousers loop and are connected with diaper body;One end of fixing belt is equipped with set Ring, the other end are equipped with nylon tower button at two, can fix to form set, and to be equipped with strip with holes with nylon tower for the band body of fixing belt Button is used to be connected with elastic force restraint zone and knee-pad reinforcing band;The both ends of elastic force restraint zone are equipped with nylon tower button, and it is solid to be connected to two Between fixed band, and can by fixing belt on body it is with holes come adjusting elasticity;Knee-pad reinforces band and is used for thigh fixed belt and shank Between fixing belt, upper and lower ends, which are equipped with nylon tower button, to be connected with fixing belt with the nylon tower button on body, and two of one side Nylon tower button also is provided with for itself lateral fastening uses around taking.
The utility model has the advantages that when the present invention can be required according to wearer's state of an illness and doctor to knee articulation joint instability feelings Condition is constrained, and wearer voluntarily can need the position fastened to be stained with corresponding restraint zone or take according to own situation Unwanted restraint zone, and the length that can adjust restraint zone at any time according to their needs reaches knee joint medial and lateral One suitable elasticity, compensation knee joint stretches the relaxation occurred with ligament during buckling, simple to operate, very in fact With.Knee articulation can be limited in a particular range by the entire band body frame of about basquine, and worn for long periods has correcting.
Detailed description of the invention
Fig. 1 is the whole wearing effect picture that the TKA postoperative ankle shakiness corrects trousers.
Fig. 2 steps on foot stretch pants structural schematic diagram for TKA postoperative ankle shakiness correction trousers.
Fig. 3 is the small leg restraint webbing structural schematic diagram that the TKA postoperative ankle shakiness corrects trousers.
Fig. 4 is the thigh fixed belt structural schematic diagram that the TKA postoperative ankle shakiness corrects trousers.
Fig. 5 is the fixing strap of waist structural schematic diagram that the TKA postoperative ankle shakiness corrects trousers.
Fig. 6 is the structural schematic diagram of the elastic force restraint zone between the shank and foot of TKA postoperative ankle shakiness correction trousers.
Fig. 7 is the elastic force restraint zone structural schematic diagram between the shank and thigh of TKA postoperative ankle shakiness correction trousers, the hair Elastic force restraint zone (each one of leg medial and lateral), thigh between the bright shank and thigh mentioned and the elastic force restraint zone of loins are same Kind structure.
Fig. 8 is the knee-pad reinforcing band structure schematic diagram that the TKA postoperative ankle shakiness corrects trousers.
1: foot stretch pants can be stepped on
11: waist trousers loop 12: trousers loop 13 at thigh: trousers loop 14 at shank: foot's trousers loop
2: small leg restraint webbing
21: lantern ring 22: end nylon tower button 23: band body nylon tower button 24: with holes
3: thigh fixed belt
31: lantern ring 32: end nylon tower button 33: band body nylon tower button 34: with holes
4: fixing strap of waist
41: lantern ring 42: end nylon tower button 43: with holes
5: the restraint zone between shank and foot
51: end nylon tower button (one) 52: end nylon tower button (two)
6: the restraint zone between shank and thigh
61: top nylon tower button 62: bottom nylon tower button
8: knee-pad reinforces band
81: end nylon tower button 82: around band nylon tower button 83: band body nylon tower button
Specific embodiment
For the purpose of the present invention, application method and effect is more clearly understood, below with reference to embodiment and attached drawing, to this Invention is described in further detail, and exemplary embodiment of the invention and its explanation for explaining only the invention, are not made For limitation of the invention.
A kind of TKA postoperative ankle shakiness correction trousers, as shown in Figure 1, comprising: foot stretch pants diaper body 1, small leg restraint webbing can be stepped on 2, the elastic force restraint zone 6 between the elastic force restraint zone 5 between thigh fixed belt 3, fixing strap of waist 4, shank and foot, shank and thigh, Thigh and the elastic force restraint zone 7 and knee-pad of loins reinforce band 8.
Wearer puts on first can step on foot stretch pants 1, and fixing strap of waist 4 is successively arranged in six trousers of 1 waist of diaper body In loop 11, there is one end of nylon tower button that can penetrate outside the 41 Kong Houcong lantern ring 41 of lantern ring of the other end and reversely turn back, make this one end The fitting of nylon tower button 42 is fixed at two forms set;Three trousers loops 12 thigh fixed belt 3 being successively arranged at 1 thigh of diaper body In, small leg restraint webbing 2 is successively arranged in three trousers loops 13 at 1 shank of diaper body, it is fixed in the same way to form set.
Elastic force restraint zone 5 between shank and foot is worn out from the sole trousers loop 14 that can be stepped on foot stretch pants, two End both passes through with holes 24 of small leg restraint webbing 2 with corresponding position on body, then by two nylon of end nylon tower button (one) 51 The fitting of tower buckle side is fixed, and two nylon tower buckle sides of other end end nylon tower button (two) 52 are bonded and are fixed, in walking process In if feeling that the improper i.e. openable restraint zone of elasticity wherein the nylon tower button of one end and is adjusted by the way that fixing belt is with holes It is elastic.By the bottom nylon tower button 62 of the elastic force restraint zone 6 between shank and thigh and small leg restraint webbing 2 with corresponding position on body Nylon tower button fitting fix, top from thigh fixed belt 3 on body to position it is with holes wear out after, by top nylon Two nylon tower buttons of tower button 61 are bonded fixes, and can adjust the elastic of restraint zone by with holes in fixing belt;Leg inside and outside two The elastic force restraint zone 6 of side is connected in the same way between small leg restraint webbing 2 and thigh fixed belt 3;Thigh and loins Elastic force restraint zone 7 is also connected between thigh fixed belt 3 and fixing strap of waist 4 in the same way, and the one of elastic force restraint zone 7 End can by fixing strap of waist 4 on body it is with holes come adjusting elasticity.
It, can be by the elastic force restraint zone between leg outer side shank and thigh for the wearer of knee joint lateral collateral ligament relaxation 6 top nylon tower button 61 is opened, and is tightened by with holes the 34 of thigh fixed belt 3, shortens the active length of restraint zone 6, Then two nylon tower buckle sides of its top nylon tower button 61 are bonded again and are fixed;Can also with same method tighten shank with Elastic force restraint zone 5 between foot;The power proposed upwards on the outside of knee joint has thus up integrally been given from sole, reduces knee joint Gap between lateral femur and shin bone makes up knee joint lateral collateral ligament relaxation bring joint instability.
The above is only one embodiment of the present of invention, and wearer can be according to own situation, in the position that needs fasten It is stained with corresponding restraint zone, unwanted restraint zone can also be taken, it is simple to operate, it is very useful.

Claims (3)

1. a kind of TKA postoperative ankle shakiness corrects trousers, it is characterised in that comprising: foot stretch pants diaper body (1) can be stepped on, shank is fixed Elastic force restraint zone (5), shank between band (2), thigh fixed belt (3), fixing strap of waist (4), shank and foot and the bullet between thigh The elastic force restraint zone (7) and knee-pad of power restraint zone (6), thigh and loins reinforce band (8);The constraint of the correction instability of knee Trousers, knee articulation can be limited in a particular range by band body frame, during knee joint straightening procedure and buckling Fastening effect is played, elastic force restraint zone can adjust the pulling force between fixing belt, guarantee kneed normal physiological gap;It can be mended The relaxation that ligament occurs during buckling is repaid, waits soft tissue scar to be adhered, makes to reach joint stability.The present invention is with body frame Correction trousers can improve knee space, and can be to knee articulation when the case where buckling is unstable and knee hyperextension have correcting, Wearer can need the position fastened to be stained with corresponding restraint zone, can also take unwanted restraint zone according to the actual situation, And it is simple to operate, practical.
2. TKA postoperative ankle shakiness according to claim 1 corrects trousers, it is characterised in that step on foot elastic force described in wherein Trousers (1) can be used polyester-cotton blend material and be made, and can step on rear side of foot i.e. trousers and be equipped with circular hole in bottom, trousers length is long slightly larger than leg, after putting on Just heel exposes circular hole, and foot can slam trousers bottom margin part, elastic force when this design can effectively prevent leg extensions activity It contracts on trousers and bring is uncomfortable;This can step on foot stretch pants (1) as matrix, be all provided at shank and thigh there are three trousers loop it is (preceding Side one, rear side two), it sets in waist there are six trousers loop (front side two, rear side four), is equipped with a trousers loop in sole, Its width is not less than sole board width, steps on foot more comfortable;It is characterized in that one of the small leg restraint webbing (2) described in wherein End is equipped with lantern ring, and the other end is equipped with nylon tower button at two, and small leg restraint webbing (2) is successively arranged in three trousers loops at diaper body shank In, it reversely turns back outside lantern ring after having one end of nylon tower button that can penetrate the set annular distance of the other end, makes nylon at the two of this one end The fitting of tower buckle side is fixed to form set;The thigh fixed belt (3) and fixing strap of waist (4) forms set, institute in the same way Small leg restraint webbing (2), thigh fixed belt (3) and the fixing strap of waist (4) stated are all made of suede fiber material and are made;Its feature exists It is with holes that strip is also additionally provided in the wherein described small leg restraint webbing (2) in addition to nylon tower button at the two of one end, on band body With nylon tower button, thigh fixed belt (3) is also such;Elastic force restraint zone (leg medial and lateral each one between the shank and thigh Item) one end of (6) is equipped with nylon tower button at one and can fix with corresponding nylon tower button fitting on small leg restraint webbing (2) band body, separately One end be equipped at two nylon tower button can by this end corresponding strip is with holes wears out from thigh fixed belt (3) band body, make The fitting of nylon tower button is fixed at the two of this end, and can be by this end come adjusting tightness;Elastic force between the shank and foot Restraint zone (5), shank and elastic force restraint zone (6), thigh and the elastic force restraint zone (7) of loins and the corresponding shank between thigh Fixing belt (2), thigh fixed belt (3), being connected and fixed between fixing strap of waist (4) are by same mode;Described Elastic force restraint zone (each one of leg medial and lateral) (6) and thigh between elastic force restraint zone (5), shank and thigh between shank and foot Polyester fiber can be used with the elastic force restraint zone (7) of loins to be made;
It is characterized in that the top nylon tower of the elastic force restraint zone (6) between leg two sides shank and thigh can be cramped out, by big With holes being tightened of leg restraint webbing (3), shortens the active length of elastic force restraint zone (6), then again by two Buddhist nuns at the top of it The fitting of imperial tower buckle side is fixed, and is tightened the elastic force restraint zone (5) between shank and foot with same method and is tightened thigh and loins Elastic force restraint zone (7) has thus up integrally given the power proposed upwards of knee joint two sides one from sole, has made up knee sprung The collateral ligaments relaxation bring joint instability of (30 °~60 °) in the process;
It is characterized in that the restraint zone of inboard leg can individually be tightened for wearer's state of an illness, knee joint medial femoral and shin bone are reduced Gap make up medial collateral ligament relaxation bring joint instability during knee sprung;Or individually tighten leg outer side Restraint zone reduces the gap of knee joint lateral femur and shin bone to make up lateral collateral ligament Relaxation Zone during knee sprung and come Joint instability;
It is characterized in that the top nylon tower of thigh and the elastic force restraint zone (7) of loins can be cramped out, by fixing strap of waist (3) with holes is tightened, and the active length of elastic force restraint zone (7) is shortened, then again by two nylon tower buckle sides at the top of it Fitting is fixed, and can also play certain improvement result to the arthrochalasis of hip replacement in this way.
3. TKA postoperative ankle shakiness according to claim 1 corrects trousers, it is characterised in that wherein the knee-pad reinforces band (8) suede fiber material can be used to be made, upper and lower ends are equipped with nylon tower button, respectively with thigh fixed belt (3) and shank Being bonded with the nylon tower button on body for fixing belt (2) is fixed;Knee-pad reinforces two of side of band (8) and also is provided with nylon around taking Tower button can be wrapped over to be bonded fixation with the nylon tower button being correspondingly arranged in main body section with reinforcing on rear side of leg;
It is characterized in that nylon tower buckle side set by the upper and lower ends of knee-pad reinforcing band (8) is longer, it can be by nylon tower button come real Existing adjusting elasticity;If wearer knee hyperextension (5 °~10 °) occurs in walking and standing process, band can be reinforced by tightening knee-pad (8) and restraint zone inside and outside tightening leg is cooperated to correct;
It reinforces band (8) it is characterized in that tightening knee-pad can be passed through and restraint zone inside and outside tightening leg is cooperated to limit shin bone forward Excessively displacement makes up the relaxation of anterior cruciate ligament appearance, to maintain the stability of joint of the wearer of anterior cruciate ligament laxity.
CN201811551681.5A 2018-12-17 2018-12-17 Unstable trousers of correcting of TKA postoperative joint Active CN109864842B (en)

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CN201811551681.5A CN109864842B (en) 2018-12-17 2018-12-17 Unstable trousers of correcting of TKA postoperative joint
PCT/CN2019/114845 WO2020125231A1 (en) 2018-12-17 2019-10-31 Tka post-operative unstable joint correction trousers

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Application Number Priority Date Filing Date Title
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WO2020125231A1 (en) * 2018-12-17 2020-06-25 天津理工大学 Tka post-operative unstable joint correction trousers
CN114848252A (en) * 2022-04-29 2022-08-05 北京大学 Dynamic waistband and dynamic compensation method and preparation method thereof

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Publication number Priority date Publication date Assignee Title
WO2020125231A1 (en) * 2018-12-17 2020-06-25 天津理工大学 Tka post-operative unstable joint correction trousers
KR102095762B1 (en) * 2019-07-29 2020-04-01 (주)두드림크리에이티브 Compressed clothing for lower body type correction and walking correction for leg deformation
WO2021020641A1 (en) * 2019-07-29 2021-02-04 (주)두드림크리에이티브 Compression garment for correcting lower body shape and walking gait for angular deformity of legs
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CN114848252A (en) * 2022-04-29 2022-08-05 北京大学 Dynamic waistband and dynamic compensation method and preparation method thereof
CN114848252B (en) * 2022-04-29 2023-07-07 北京大学 Dynamic waistband and dynamic compensation method and preparation method thereof

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