EP3713523A1 - Partie de pied d'orthèse - Google Patents

Partie de pied d'orthèse

Info

Publication number
EP3713523A1
EP3713523A1 EP18803953.1A EP18803953A EP3713523A1 EP 3713523 A1 EP3713523 A1 EP 3713523A1 EP 18803953 A EP18803953 A EP 18803953A EP 3713523 A1 EP3713523 A1 EP 3713523A1
Authority
EP
European Patent Office
Prior art keywords
foot
strut
base plate
orthosis
plate
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
EP18803953.1A
Other languages
German (de)
English (en)
Inventor
Julia BIALOWONS
Klaus Lidolt
Guido Kahlmeyer
Johan Fredrik FLOOD
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Ottobock SE and Co KGaA
Original Assignee
Ottobock SE and Co KGaA
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Ottobock SE and Co KGaA filed Critical Ottobock SE and Co KGaA
Publication of EP3713523A1 publication Critical patent/EP3713523A1/fr
Withdrawn legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/01—Orthopaedic devices, e.g. splints, casts or braces
    • A61F5/0102—Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations
    • A61F5/0127—Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations for the feet
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/01—Orthopaedic devices, e.g. splints, casts or braces
    • A61F5/0102—Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations
    • A61F5/0104—Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations without articulation
    • A61F5/0111—Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations without articulation for the feet or ankles
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/01—Orthopaedic devices, e.g. splints, casts or braces
    • A61F5/0102—Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations
    • A61F5/0104—Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations without articulation
    • A61F5/0111—Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations without articulation for the feet or ankles
    • A61F5/0113—Drop-foot appliances
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/01—Orthopaedic devices, e.g. splints, casts or braces
    • A61F5/0102—Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations
    • A61F2005/0132—Additional features of the articulation
    • A61F2005/0165—Additional features of the articulation with limits of movement
    • A61F2005/0167—Additional features of the articulation with limits of movement adjustable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/01—Orthopaedic devices, e.g. splints, casts or braces
    • A61F5/0102—Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations
    • A61F2005/0132—Additional features of the articulation
    • A61F2005/0179—Additional features of the articulation with spring means

Definitions

  • the invention relates to a Orthesenfußteil with a base plate with a heel area and a forefoot area and at least one of the foot plate in the proximal direction extending strut.
  • lower limb orthoses have a footplate in which a more or less rigid strut extends perpendicularly from the footplate along the lower leg to hold the foot in a predetermined position relative to the lower leg.
  • the strut may be resilient in order, during the heel strike, to absorb the impulse during walking and to store it in deformation energy, to facilitate rolling over and then, during unwinding, to detach the forefoot area, the " toe-off "to provide a desired elastic resistance in dorsiflexion.
  • the energy stored during the rollover is converted back into a plantar flexion movement, so that a natural walking is supported.
  • the foot plates are either made individually for the respective patient or are prefabricated.
  • the problem here is the fact that for different shoe sizes different foot plates or entire orthoses must be made.
  • different orthoses must be provided for right and left feet, which results in increased costs in the production and storage of the different orthoses.
  • Object of the present invention is to provide a lower limb orthosis, which allows a cost-effective production and a low-cost care of the patient.
  • the orthotic foot part according to the invention with a foot plate with a heel area and a forefoot area and at least one strut extending from the foot plate in the proximal direction, ie in the direction of a lower leg, provides that the foot plate has a footplate contour consisting of superimposed, stylized contours of a right and a left foot is formed.
  • both contours are superimposed so that a foot plate contour results, on which both feet can be placed without losing the necessary support from the footplate. If two stylized contours of a right foot and a left foot or a foot plate for a left foot and a right foot in the heel area are superimposed on one another, in which the contours of the foot plates of a left and a right foot correspond, then the forefoot area has a flared foot plate contour widened to the left and right along the longitudinal axis, which can be easily adapted to the respective intended use.
  • the areas of the footplate which are not required in each case and which protrude beyond the actual contour of the attached foot are removed, for example cut or abraded, so that an individual adaptation to the respective foot to be supplied or to the respective shoe, in which the orthosis is to be worn with the orthosis foot part.
  • An orthopedic technician no longer has to stock a variety of orthotic or orthotic foot parts to care for patients with a variety of foot sizes, foot shapes, and the right one It is sufficient to be able to hold a single copy in stock with the orthotic foot part according to the invention, with which an orthosis of a lower extremity can be produced or at least adapted by individualization to the respective patient.
  • the footplate contour is preferably formed in a fold-symmetrical manner with respect to a longitudinal axis which extends from the heel area to the forefoot area.
  • the longitudinal axis preferably extends along a midline along the longitudinal direction of the foot from the heel region approximately at the level of the natural ankle joint forward in the direction of the forefoot region. This corresponds to the orientation from the heel to the natural walking direction.
  • a recess oriented in the direction of the heel region is formed in a front edge of the foot plate, ie at the front end of the foot plate contour, which has a lowest point or one which is directed farthest in the direction of the heel region Point may have.
  • the front edge of the foot plate preferably has a wavy or rounded contour, so that two projections on both sides of the recess symmetrical to a line of symmetry, which also simultaneously forms the longitudinal axis of the Orthesenfußteils extend. These projections correspond to the shape of a conventional shoe sole or foot contour, but without forming a tip directed to the heel area.
  • Markers may also be arranged in the heel area, representing different foot sizes, so that also the heel length and the distance of the rear end of the footplate contour to the strut located in the area of the metatarsus, ankle or just behind the ankle of the footplate extends upwards along the lower leg, can be adjusted.
  • the strut can be designed as a spring element and resiliently allow a displacement, in particular in the anterior / posterior direction. In principle, it is also possible to allow a medial / lateral spring movement in order to be able to absorb and forward corresponding forces or moments.
  • two struts are arranged on the base plate, one strut being arranged medially and one laterally on the foot plate. This makes it possible to guide two rails medially and laterally along the lower leg or, in the case of a one-sided arrangement of a rail, by removing one of the struts to be able to make the desired adaptation to the respective necessary supply.
  • a left or a right foot By arranging two struts medially and laterally on the foot plate, for example in the middle foot area or in the region of the natural ankle, in conjunction with a universal configuration of the footplate contour for a left and a right foot application, it is possible for either a left or a right foot to have either medial or lateral guidance of the strut or a lower leg splint attached to the strut. Otherwise, at least four orthoses or orthotic foot sections would be necessary for an individual restoration, each in the appropriate foot size.
  • the at least one strut may be integrally formed on the footplate so that an integral configuration of the footplate is realized together with the strut.
  • the strut is formed as a U-shaped or L-shaped bracket, which is fixed to the base plate.
  • the determination is particularly reversible, so that the bracket is adjustable and lockable attached to the base plate.
  • two brackets protrude laterally from the foot plate in the proximal direction and can be mounted, for example, rotatable and lockable about an attachment point.
  • the attachment point is preferably located centrally on the line of symmetry or centerline of the footplate in the area of the arch of the foot and makes it possible to turn the struts about an axis perpendicular to the main plane of the footplate. This makes it possible to align the struts to the ankle joint projections and thus to achieve an alignment of an ankle joint axis in a pivotable embodiment of the lower leg orthosis.
  • a receptacle for a joint may be formed, example, a bore or a plug-in device.
  • a receptacle for a rail may be formed, so that there directly a joint device is formed.
  • the receptacle is designed as a rail, which can be inserted into a rail box of a separate joint and fixed there.
  • a lower leg rail is then arranged or a lower leg shell, which is designed to rest on a lower leg.
  • a plant for a tibia or a calf in the applied state of the foot orthosis can be arranged on the strut, for example in order to form a footrest orthosis without a hinge device.
  • the system can either be integrally formed with the strut or attached to the strut.
  • the attachment may be reversible, so that different sizes can be coupled for installations with the respective strut.
  • a device for fixing to a lower extremity may be arranged, for example a belt, a belt or a clasp.
  • Figure 1 - a bottom view of a foot plate
  • Figure 2 - a side view of a foot plate
  • Figure 3 a perspective view of a base plate with integrally formed struts
  • Figure 5 - a variant of Figure 4; such as
  • Figure 6 two bottom views of a modular variant of the base plate.
  • FIG. 1 shows a bottom view of a foot plate 10 of an orthotic foot part with a heel area 11 and a forefoot area 12.
  • struts 20 are arranged medially and laterally of the foot plate 10, which extend into the plane of the page , ie in the proximal direction of the foot plate in the direction of a lower leg of an orthosis user.
  • the foot plate 10 has a Ragplattenkontur 13, which consists of superimposed contours 30, 40 of a stylized left and a right foot is formed.
  • the medial furthest extent is that the great toe then extends frontally and as a rule obliquely in the direction of the longitudinal axis 14 of the foot.
  • the maximum length of the foot is reached in the area of the first toe, from where the result is a rounded contour to the small toe-ground joint.
  • the stylized contours 30, 40 of a right foot and a left foot are drawn in each case, the broken lines show the contour 40 of the left foot, the solid lines the contour 30 of the right foot.
  • the outer border shows the solicitplattenkontur 13 of the two superimposed contours 30, 40th
  • markers 50 are arranged, which can be formed as N th and indicate different foot sizes both for the left foot contour and for the right foot contour.
  • the markings 50 on the underside of the base plate 10 may be formed as grooves, slots or only Farbmarkie- ments.
  • the material not required along the respective marking 50 is cut off to adapt the base plate 10 to the respective right or left foot. For example, if a footplate is needed for a small, right foot, the material is cut off outside the inner solid line.
  • markings 50 or grooves or cuts are also formed, via which a length adaptation of the heel region 11 can take place.
  • the material will be beyond the dashed outermost marking 50 removed.
  • a common contour for all foot sizes of a foot plate 10 for a right foot or for a left foot rises.
  • the forefoot region 12 the applicantplattenkontur 13 forms a front edge 15, which in the illustrated embodiment, two curved projections, between which a recess 16 or an incision is present, in which no material of the base plate 10 is present.
  • the foot plate 10 can be made of a plastic, a fiber-reinforced plastic or another material.
  • the vertex 160 is gebil det through the intersection of the two outer edges of the stylized contours 30, 40 for a right foot and a left foot.
  • the apex 160 lies further in the direction of the heel region 11 than the medially and laterally arranged projections or leading edges of the stylized contours 30, 40 and the footplate contour 13.
  • the apex 160 lies on a line of symmetry 14, which simultaneously also the longitudinal axis of the footplate 10 forms.
  • the symmetry line 14 is a folding symmetry plane, the shape on both sides of the line of symmetry 14 for the Orthesenfußteil is the same.
  • Struts 20 Togetulpt in the ankle area, so widens in the direction of the forefoot 12 outward in the medial and lateral direction with respect to the longitudinal axis 14.
  • the wheelchair 12 In the forefoot 12 the wheelchair may be rotated to form a recessed area or a recess 16 from.
  • FIG. 2 shows a representation of FIG. 1 folded downwards.
  • the orthotic foot part with the foot plate 10 with the heel region 11 and the forefoot region 12 provides the foot plate 10, which is substantially planar, from the essentially right-angled strut 20 in the proximal direction protrudes in the direction of a lower leg or the ankle area.
  • the strut 20 is formed integrally with the base plate 10 and has in the proximal end region a receptacle 21 for a hinge device or for the rotatable mounting of a lower leg rail.
  • the strut 20 may be resilient in the medial-lateral direction Because of the greater width than thickness, the strut 20 is more rigid in the anterior-posterior direction than in the medial-lateral direction.
  • the strut 20 from a different material from the base plate 20 o- to provide an insert in the form of a metal, so that the strut 20 has a metal insert or a liner made of a dimensionally stable material, which is overmolded by the material of the base plate 10. Thereby, a permanent determination in a unique orientation perpendicular to the orientation of the base plate 10 can be achieved.
  • a U-shaped bracket of a component for forming two struts 20 can be set to be adjustable and fixable in the area of the beginning arch of the foot 10.
  • Figure 3 shows an embodiment of the invention in a perspective view.
  • the two struts 20 can be seen, which extend perpendicularly in the proximal direction of the foot plate 20 in the area of the natural ankle joint.
  • the heel region 11 protrudes rearwards beyond the struts 20, the forefoot region 12 is set back in the region of the symmetry line 14.
  • FIG. 4 shows a variant of the invention in which the orthosis foot part 10 with the two struts 20 integrally formed thereon is combined with an abutment 60 in the form of a clasp, which can be pivotably coupled to one another via the receptacles 21 and 62.
  • FIG. 4 shows an exploded view with a system 60 which has not yet been mounted. Screws are carried through the receptacles 21 in the struts 20 as well as the bores 62 medially and laterally to the system 60 and fixed in place.
  • the strap 70 is a device for fixing the foot plate 10 together with the attachment 60 on the foot and the lower leg.
  • the strap 70 may also be elastic.
  • the strap 70 may be permanently attached or attached to the foot plate 10, particularly in the area of the midfoot or in the area of the arch of the foot, with a foot attached to the foot plate 10.
  • the strap 70 may be disposed medially or laterally on the foot plate, depending on which contour 30, 40 is used for the embodiment of an orthosis using the orthosis foot part.
  • FIG. 5 shows the variant of the invention according to FIG. 4 from a different perspective.
  • the strap 70 by means of which the foot plate 10 can be held on an attached foot, is arranged on the foot plate 10 on the other side as compared with the embodiment according to FIG.
  • the hook 61 on the installation 60 can be arranged or formed on the system 60 on both sides, that is to say laterally and medially; it is also possible to fix the hook 61 or another form-locking element releasably and on the medial or lateral side to the installation 60. legible train. If the footplate according to FIG. 4 were to be configured for the right foot, the belt would be laterally guided by the footplate 10 medially to the abutment 60, according to FIG. 5 from lateral to the footplate 10 medially to the abutment 60. In one embodiment of the footplate 10 for a left foot this is the other way round.
  • FIG. 6 is in a lower view, similar to that of Figure 1, a variant of
  • the strut 20 can be designed for different ankle heights and for different purposes, so that by a limited number of struts 20 both a one-sided and a double-sided guidance of the system 60 by, for example, superimposing thenacab- sections 22 of two L-shaped bracket or but can be achieved by abutting each other in the area of the receiving device 122. It is also possible for the strut 20, which extends in the vertical direction, to be adjoined by an arranged or formed spring, which provides different functionality via a separate or one-piece attachment to the tibia or calf. A pure joint guide can be carried out in an articulated configuration of the mounting of the system 60 according to Figures 4 and 5 to the struts 20.
  • the means 70 for fixing the base plate 10 and the Orthesenfußteils on the lower extremity can be a predominantlyheberorthese or a predominantlyplangian be corrected.
  • the system 60 is resiliently mounted or rigidly connected to a resilient strut 20, there is an energy storage effect and support while walking.

Landscapes

  • Health & Medical Sciences (AREA)
  • Nursing (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

L'invention concerne une partie de pied d'orthèse, pourvue d'une plaque de pied (10), présentant une zone de talon (11) et une zone d'avant-pied (12), et d'au moins une traverse (20) s'étendant dans la direction proximale à partir de la plaque de pied, la plaque de pied (10) présentant un contour (13) de plaque de pied, qui est formé par des contours (30, 40) stylisés superposés d'un pied droit et d'un pied gauche, un évidement (16) orienté vers la zone de talon étant réalisé dans un bord avant (15) de la plaque de pied, l'évidement présentant un apex (160) situé sur une ligne de symétrie (14).
EP18803953.1A 2017-11-24 2018-11-14 Partie de pied d'orthèse Withdrawn EP3713523A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE102017127889.3A DE102017127889A1 (de) 2017-11-24 2017-11-24 Orthesenfußteil
PCT/EP2018/081252 WO2019101602A1 (fr) 2017-11-24 2018-11-14 Partie de pied d'orthèse

Publications (1)

Publication Number Publication Date
EP3713523A1 true EP3713523A1 (fr) 2020-09-30

Family

ID=64332065

Family Applications (1)

Application Number Title Priority Date Filing Date
EP18803953.1A Withdrawn EP3713523A1 (fr) 2017-11-24 2018-11-14 Partie de pied d'orthèse

Country Status (4)

Country Link
US (1) US20200352771A1 (fr)
EP (1) EP3713523A1 (fr)
DE (1) DE102017127889A1 (fr)
WO (1) WO2019101602A1 (fr)

Families Citing this family (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11872151B2 (en) 2017-05-12 2024-01-16 Ast Design, Llc Method of manufacturing an ankle foot orthosis
CA3148700A1 (fr) * 2019-08-21 2021-02-25 Arni THOR Ortheses cheville-pied et methode de fabrication
CN117835940A (zh) * 2021-07-12 2024-04-05 奥索冰岛有限公司 踝足矫形器及其制造方法

Family Cites Families (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH0652505U (ja) * 1992-11-16 1994-07-19 卓朗 池田 靴中敷
US5897515A (en) * 1997-02-05 1999-04-27 Light Weight Support Ab Ankle-foot orthosis
US7572241B2 (en) * 2003-03-04 2009-08-11 Bsn Medical, Inc. Orthopedic night foot splint
US8591446B2 (en) * 2011-09-03 2013-11-26 Dwayne James Helm Ortho training device
DE102016108055B4 (de) * 2016-04-29 2019-12-24 Ottobock Se & Co. Kgaa Fußplatte und Orthese
CN106307793A (zh) * 2016-09-30 2017-01-11 裴学华 鞋底及鞋垫

Also Published As

Publication number Publication date
WO2019101602A1 (fr) 2019-05-31
US20200352771A1 (en) 2020-11-12
DE102017127889A1 (de) 2019-05-29

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