GB2228201A - A self-suspending prosthesis for a long below-knee stump - Google Patents

A self-suspending prosthesis for a long below-knee stump Download PDF

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Publication number
GB2228201A
GB2228201A GB8901552A GB8901552A GB2228201A GB 2228201 A GB2228201 A GB 2228201A GB 8901552 A GB8901552 A GB 8901552A GB 8901552 A GB8901552 A GB 8901552A GB 2228201 A GB2228201 A GB 2228201A
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United Kingdom
Prior art keywords
prosthesis
stump
prosthesis according
calf
sole 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Withdrawn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
GB8901552A
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GB8901552D0 (en
Inventor
Robin Anthony Cooper
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.)
Hugh Steeper Ltd
Original Assignee
Hugh Steeper Ltd
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 Hugh Steeper Ltd filed Critical Hugh Steeper Ltd
Priority to GB8901552A priority Critical patent/GB2228201A/en
Publication of GB8901552D0 publication Critical patent/GB8901552D0/en
Publication of GB2228201A publication Critical patent/GB2228201A/en
Withdrawn legal-status Critical Current

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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
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/50Prostheses not implantable in the body
    • A61F2/60Artificial legs or feet or parts thereof
    • A61F2/66Feet; Ankle joints
    • 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
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/50Prostheses not implantable in the body
    • A61F2/78Means for protecting prostheses or for attaching them to the body, e.g. bandages, harnesses, straps, or stockings for the limb stump
    • A61F2002/7862Harnesses or straps

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  • Health & Medical Sciences (AREA)
  • Transplantation (AREA)
  • Biomedical Technology (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Orthopedic Medicine & Surgery (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)
  • Prostheses (AREA)

Abstract

The invention concerns a prosthesis for use by amputees who have a long below-knee stump, the prosthesis being constructed to include retention means in the form of a flexible container (A) which fits snugly on the stump, a rigid support structure (B) connected to a sole plate (C) whereby forces across the prosthesis-stump interface are effectively transmitted so as to allow the user to stand and walk, and cosmetic covering means (H) for giving the prosthesis pleasing external cosmetic characteristics. <IMAGE>

Description

A self-susDendina Prosthesis for a long below-knee Stump Prostheses for amputees with long below-knee stumps and, in particular, for those who have been amputated using the Symes technique, are constructed with a socket which encloses the lower portion of the leg from the knee downwards. Where the distal portions of the long bones remain intact, the stump has a distal expansion. It is necessary that the design of the prosthesis accommodates this expansion. This is usually done by means of a removable panel in the socket wall or by the use of a compressible stump liner. Although long amputation stumps have certain desirable characteristics, viz. excellent weight-bearing, good suspension capability and low energy propulsion requirements, the prosthesis provided is often bulky and heavy, making it unacceptable to amputees who value appearance.Amputation may therefore be carried out at a higher level than is medically necessary purely on cosmetic grounds.
The aim of the present invention is to devise a prosthesis for distal levels of leg amputation - as well as a method of making it - which overcomes these problems.
With this aim in view, the invention is directed to a self-suspending prosthesis for a long below-knee stump which comprises means for retaining the prosthesis on the stump, means for transmitting forces across the prosthesis-stump interface, means for assisting propulsion, optional means for restoration or adjustment of leg length, and means for giving the prosthesis adequate cosmetic characteristics.
An example of a prosthesis in accordance with the invention is shown in the accompanying drawings, in which: Fig. 1 is a perspective view from above of the prosthesis; and Fig. 2 is a vertical section through the prosthesis with height-maintenance means added.
The illustrated prosthesis is designed for a long below-knee stump. As such, it should ideally perform five major functions as follows: (1) Retention of the prosthesis to the stump; (2) Adequate transmission of forces across the prosthesis - stump interface, in particular those generated by walking and standing; (3) Adequate cosmesis; (4) The assistance of propulsion; and (5) Restoration of leg length.
The invention addresses these five requirements in the following way (1) Retention A flexible container (A) is provided which fits snugly to the shape of the lower portion of the stump. It covers and encloses any bulbous and bony prominence, and it may contain indentations or have internal surface texture features which will enhance its performance.
Ventilation may also be provided as necessary. The container is preferably made of fabric which is reinforced to prevent damage during donning and doffing. Typically the container is made from a woven natural fabricreinforced silicon polymer. This may be integrated into the cosmesis or be separable but attached during use.
(2) Transmission of Forces The stump container (A) is seated within a rigid support structure (B) which partially encloses it. This structure extends downwards into the sole portion of the prosthesis. It is connected to a sole plate (C) by means of a rigid or semi-flexible mounting (D) or by a continuation of the structure (B) into the sole plate.
The sole plate (C) transmits loads over the under-surface of the prosthetic foot and thus to the ground, allowing the user to stand and walk.
Additional support and stability is provided by a prosthetic calf-support (E). This is a rigid structure which is fastened at (P) to the support structure (B).
Alternatively, a pocket (F) (see Fig. 1) is formed in the posterior aspect of the support structure (B) which locates the lower portion of the calf-support and prevents unwanted movement. It extends up the calf typically, although not necessarily, for one-third the length of the calf and is held in place by a strap fastening (G) which passes around the stump. This support serves to maintain the position of the prosthesis with respect to the end of the stump, particularly in the medio-lateral plane.
(3) Cosmesis The whole structure as described above is enclosed in a foot-shaped moulding (H). This may be of a standardised shape as known to practitioners of the existing art but is preferably individually matched to the surface anatomy, colour and size of the wearer. The cosmesis can be moulded in silicone polymers or in other suitable synthetic plastics material(s). In order to enhance the weight and flexure characteristics, lightweight elements (J), typically made of silicone foams or other lightweight materials, may be incorporated within the structure - in particular within the forefoot and in voids within the load transmission structure.
(4) Assistance of Propulsion The sole plate (C) is fitted within the foot portion (H) of the prosthesis. It may be constructed from a standardized shape or individually fabricated to the prosthetic requirements of the wearer. Typically, the sole plate will extend from under the metatarsal heads posteriorly to the posterior border of the calcaneous (as compared with the normal anatomy of the human foot). It has a broad portion which narrows at the instep and is reinforced in this area to accommodate torsional and bending loads. It may also be locally reinforced in a manner and in materials determined by the practitioner in the art. It is then broadened posteriorly to accept a connector for the support structure (B) and has a short final portion (N) which is curved upwards.The connector may be a simple screwed arrangement or it may have allowance for adjustment by means of an adjustment plate (K) in the anterior-posterior, medial lateral and rotational planes by means of slots formed in the sole plate (C) itself or in a supporting plate. In addition, the connector may hinge or pivot by means of a flexible plate to allow for uneven walking surfaces to be accommodated and to allow a heel height adjuster to be incorporated. Alternatively, as stated above, the sole plate (C) and the support structure (B) may be fabricated together to form an integral unit.
(5) Height Maintenance Clearly, for normal gait it is necessary for the stump plus prosthesis length to match the sound leg, or in the case of bilateral amputees to provide for both stumps plus their respective prostheses to match in length. This is accepted practice.
However, it is also important to recognise the part that the shoe plays as a component of the prosthetic system. Some amputees would wish to alter their heel height so that a range of shoes can be worn. As an addition to the device described above, therefore, a strut (L) extends in Fig. 2 from the posterior portion (N) of the sole plate (C) to meet the posterior calf support (E).
A slot in its upper portion channel or a series of holes in the calf support (E) allows a fixture on the upper portion of the strut to lock into it, thus changing the angle of the foot and therefore accommodating moderate changes in heel height and allowing a range of shoes to be worn. Safety is important in such a device and it should therefore be capable of locking positively. Therefore the incorporation of non-slip devices, such as rack tooth forms, or flexible liners within the channel or slot may be desirable. In the non-adjustable variant of this prosthesis, the posterior calf support (E) is fixed rigidly into the support structure. However, in the adjustable device limited anterior-posterior tilting is necessary at the junction of the support structure and calf support.
Bonding the sole plate (C) and other hard structural members to silicone is very difficult. This method therefore includes a technique in which, after fabrication, such members are covered with a woven fabric (usually a natural fibre material such as cotton). This is adhered to the hard surface. The silicone is forced into the fabric during the moulding process and thereby forms a stable interface.

Claims (18)

1. A self-suspending prosthesis for a long belowknee stump, comprising retaining means for retaining the prosthesis on the stump, force-transmitting means for transmitting forces across an interface between the prosthesis and the stump, propulsion-assisting means for assisting propulsion of the person with the stump during walking movement, and cosmetic covering means to give the prosthesis pleasing external cosmetic characteristics.
2. A prosthesis according to claim 1, wherein leg length adjustment means are provided for adjusting or restoring the effective length of the leg formed by the stump and the prosthesis.
3. A prosthesis according to claim 1 or claim 2, wherein the retaining means comprise a flexible container adapted to fit snugly on the lower portion of the stump.
4. A prosthesis according to claim 3, wherein the flexible container is made of fabric which is reinforced to prevent damage during donning and doffing of the prosthesis on the stump.
5. A prosthesis according to claim 4, wherein the fabric out of which the flexible container is made is woven from a natural fabric-reinforced silicone polymer.
6. A prosthesis according to any one of claims 3-5, wherein the flexible container is seated within a rigid support structure which partially encloses the container, the rigid support structure extending downwards into a sole portion of the prosthesis.
7. A prosthesis according to claim 6, wherein the rigid support structure is connected to a sole plate whereby the sole plate transmits loads over the undersurface of a foot portion of the prosthesis and thus to the ground so as to allow the person with the stump to stand and walk.
8. A prosthesis according to claim 6 or claim 7, wherein a prosthetic calf-support is fastened to the rigid support structure so as to extend at least partially up the length of the calf, the calf-support being provided with a strap fastening adapted to pass round the stump.
9. A prosthesis according to any one of claims 6-8, wherein a prosthetic calf-support has a lower portion thereof located in a pocket formed in the rigid support structure whereby unwanted movement of the calf-support is prevented, the calf-support being provided at an upper portion thereof with a strap fastening adapted to pass round the stump.
10. A prosthesis according to any preceding claim, wherein the cosmetic covering means comprise a foot-shaped moulding.
11. A prosthesis according to claim 10, wherein the foot-shaped moulding is a moulded silicone polymer.
12. A prosthesis according to claim 10 or claim 11, wherein the foot-shaped moulding includes lightweight elements incorporated within the moulding in order to enhance the weight and flexure characteristics of the moulding.
13. A prosthesis according to claim 7 or any claim appendant thereto, wherein the sole plate includes a broad portion which narrows at the instep and is reinforced in this area to accommodate torsional and bending loads.
14. A prosthesis according to claim 13, wherein the narrower instep portion of the sole plate leads into a broadened portion adapted to accept a connector for a rigid support structure, the sole plate having a short final portion which is curved upwards.
15. A prosthesis according to claim 14, wherein the connector is adapted for pivotal movement by means of a flexible plate in order to allow for uneven walking surfaces and to allow a heel height adjuster to be provided.
16. A prosthesis according to claim 2 or any claim appendant thereto, wherein the leg length adjustment means comprise a strut arranged to extend from a posterior portion of a sole plate in the prosthesis to meet a posterior calf-support, there being means for locking the strut to the calf-support in a variable manner to change the angle of a foot portion of the prosthesis, thereby accommodating moderate changes in heel height and allowing a range of shoes to be worn.
17. A prosthesis according to claim 16, wherein positive locking means are provided to lock the strut to the calfsupport.
18. A self-suspending prosthesis according to claim 1 substantially as described herein with reference to Figure 1 or Figure 2 of the accompanying drawings.
GB8901552A 1989-01-25 1989-01-25 A self-suspending prosthesis for a long below-knee stump Withdrawn GB2228201A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
GB8901552A GB2228201A (en) 1989-01-25 1989-01-25 A self-suspending prosthesis for a long below-knee stump

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
GB8901552A GB2228201A (en) 1989-01-25 1989-01-25 A self-suspending prosthesis for a long below-knee stump

Publications (2)

Publication Number Publication Date
GB8901552D0 GB8901552D0 (en) 1989-03-15
GB2228201A true GB2228201A (en) 1990-08-22

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Cited By (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2433443A (en) * 2005-12-20 2007-06-27 Robert John Watts Prosthesis
US20140039643A1 (en) * 2012-01-31 2014-02-06 Michael E. Tompkins Systems and methods for prosthetic suspension system
US20150328020A1 (en) * 2014-04-11 2015-11-19 össur hf. Prosthetic foot with removable flexible members
US9895240B2 (en) 2012-03-29 2018-02-20 Ösur hf Powered prosthetic hip joint
US9949850B2 (en) 2015-09-18 2018-04-24 Össur Iceland Ehf Magnetic locking mechanism for prosthetic or orthotic joints
US10195057B2 (en) 2004-02-12 2019-02-05 össur hf. Transfemoral prosthetic systems and methods for operating the same
US10251762B2 (en) 2011-05-03 2019-04-09 Victhom Laboratory Inc. Impedance simulating motion controller for orthotic and prosthetic applications
US10369019B2 (en) 2013-02-26 2019-08-06 Ossur Hf Prosthetic foot with enhanced stability and elastic energy return
US10405996B2 (en) 2007-01-19 2019-09-10 Victhom Laboratory Inc. Reactive layer control system for prosthetic and orthotic devices
US10543109B2 (en) 2011-11-11 2020-01-28 Össur Iceland Ehf Prosthetic device and method with compliant linking member and actuating linking member
US10575970B2 (en) 2011-11-11 2020-03-03 Össur Iceland Ehf Robotic device and method of using a parallel mechanism
US10695197B2 (en) 2013-03-14 2020-06-30 Össur Iceland Ehf Prosthetic ankle and method of controlling same based on weight-shifting
US11007072B2 (en) 2007-01-05 2021-05-18 Victhom Laboratory Inc. Leg orthotic device

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4128903A (en) * 1976-04-28 1978-12-12 Landstingens Inkopscentral Lic, Ekonomisk Forening Temporary walking aid for use after lower leg amputations
GB2032281A (en) * 1978-10-12 1980-05-08 Landstingens Inkopscentral Artificial lower leg
US4225982A (en) * 1978-12-04 1980-10-07 Cochrane Ian W Molded syme foot with attached stump socket
GB2187102A (en) * 1986-02-28 1987-09-03 Hanger & Co Ltd J E Artificial foot
WO1988000815A1 (en) * 1986-07-28 1988-02-11 The Ohio Willow Wood Company, Inc. Prosthetic foot
GB2202448A (en) * 1987-03-26 1988-09-28 Van Lehn Phillips Lower leg prosthesis

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4128903A (en) * 1976-04-28 1978-12-12 Landstingens Inkopscentral Lic, Ekonomisk Forening Temporary walking aid for use after lower leg amputations
GB2032281A (en) * 1978-10-12 1980-05-08 Landstingens Inkopscentral Artificial lower leg
US4268922A (en) * 1978-10-12 1981-05-26 Landstingens Inkopscentral, Lic, Ekonomisk Forening Prefabricatable, artificial lower leg
US4225982A (en) * 1978-12-04 1980-10-07 Cochrane Ian W Molded syme foot with attached stump socket
GB2187102A (en) * 1986-02-28 1987-09-03 Hanger & Co Ltd J E Artificial foot
WO1988000815A1 (en) * 1986-07-28 1988-02-11 The Ohio Willow Wood Company, Inc. Prosthetic foot
GB2202448A (en) * 1987-03-26 1988-09-28 Van Lehn Phillips Lower leg prosthesis

Cited By (28)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10195057B2 (en) 2004-02-12 2019-02-05 össur hf. Transfemoral prosthetic systems and methods for operating the same
GB2433443A (en) * 2005-12-20 2007-06-27 Robert John Watts Prosthesis
WO2007071993A2 (en) * 2005-12-20 2007-06-28 Robert John Watts Foot prosthesis
WO2007071993A3 (en) * 2005-12-20 2007-08-23 Robert John Watts Foot prosthesis
GB2433443B (en) * 2005-12-20 2011-01-12 Robert John Watts Prosthesis
US11007072B2 (en) 2007-01-05 2021-05-18 Victhom Laboratory Inc. Leg orthotic device
US10405996B2 (en) 2007-01-19 2019-09-10 Victhom Laboratory Inc. Reactive layer control system for prosthetic and orthotic devices
US11607326B2 (en) 2007-01-19 2023-03-21 Victhom Laboratory Inc. Reactive layer control system for prosthetic devices
US10299943B2 (en) 2008-03-24 2019-05-28 össur hf Transfemoral prosthetic systems and methods for operating the same
US11185429B2 (en) 2011-05-03 2021-11-30 Victhom Laboratory Inc. Impedance simulating motion controller for orthotic and prosthetic applications
US10251762B2 (en) 2011-05-03 2019-04-09 Victhom Laboratory Inc. Impedance simulating motion controller for orthotic and prosthetic applications
US10543109B2 (en) 2011-11-11 2020-01-28 Össur Iceland Ehf Prosthetic device and method with compliant linking member and actuating linking member
US10575970B2 (en) 2011-11-11 2020-03-03 Össur Iceland Ehf Robotic device and method of using a parallel mechanism
US9161848B2 (en) * 2012-01-31 2015-10-20 Hanger, Inc. Systems and methods for prosthetic suspension system
US20140039643A1 (en) * 2012-01-31 2014-02-06 Michael E. Tompkins Systems and methods for prosthetic suspension system
US9895240B2 (en) 2012-03-29 2018-02-20 Ösur hf Powered prosthetic hip joint
US10940027B2 (en) 2012-03-29 2021-03-09 Össur Iceland Ehf Powered prosthetic hip joint
US11285024B2 (en) 2013-02-26 2022-03-29 Össur Iceland Ehf Prosthetic foot with enhanced stability and elastic energy return
US10369019B2 (en) 2013-02-26 2019-08-06 Ossur Hf Prosthetic foot with enhanced stability and elastic energy return
US11576795B2 (en) 2013-03-14 2023-02-14 össur hf Prosthetic ankle and method of controlling same based on decreased loads
US10695197B2 (en) 2013-03-14 2020-06-30 Össur Iceland Ehf Prosthetic ankle and method of controlling same based on weight-shifting
CN106456339A (en) * 2014-04-11 2017-02-22 奥索有限责任公司 Prosthetic foot with removable flexible members
US10390974B2 (en) * 2014-04-11 2019-08-27 össur hf. Prosthetic foot with removable flexible members
US11446166B2 (en) 2014-04-11 2022-09-20 Össur Iceland Ehf Prosthetic foot with removable flexible members
US20150328020A1 (en) * 2014-04-11 2015-11-19 össur hf. Prosthetic foot with removable flexible members
US10722386B2 (en) 2015-09-18 2020-07-28 Össur Iceland Ehf Magnetic locking mechanism for prosthetic or orthotic joints
US9949850B2 (en) 2015-09-18 2018-04-24 Össur Iceland Ehf Magnetic locking mechanism for prosthetic or orthotic joints
US11707365B2 (en) 2015-09-18 2023-07-25 Össur Iceland Ehf Magnetic locking mechanism for prosthetic or orthotic joints

Also Published As

Publication number Publication date
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