JPH07100159A - External artificial joint - Google Patents
External artificial jointInfo
- Publication number
- JPH07100159A JPH07100159A JP5254454A JP25445493A JPH07100159A JP H07100159 A JPH07100159 A JP H07100159A JP 5254454 A JP5254454 A JP 5254454A JP 25445493 A JP25445493 A JP 25445493A JP H07100159 A JPH07100159 A JP H07100159A
- Authority
- JP
- Japan
- Prior art keywords
- joint
- clamper
- artificial joint
- knee
- hinge
- 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.)
- Granted
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/60—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like for external osteosynthesis, e.g. distractors, contractors
- A61B17/64—Devices extending alongside the bones to be positioned
- A61B17/6425—Devices extending alongside the bones to be positioned specially adapted to be fitted across a bone joint
Landscapes
- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Medical Informatics (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
- Surgical Instruments (AREA)
Abstract
Description
【0001】[0001]
【産業上の利用分野】本発明は、人体又は動物の関節疾
患を治療するために、関節に加わる荷重を軽減する装置
に関する。BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a device for reducing the load applied to joints for treating joint diseases in humans or animals.
【0002】[0002]
【従来の技術】関節に加わる負荷を軽減する手段として
は、杖、松葉杖などにより思惟的に荷重を制限する手
段、関節が動かないように支持体を創外固定する手段な
どが用いられている。この支持体を用いる手段において
は、関節に加わる荷重は軽減されるが、関節の運動が制
限されるため、日常的な動作を行うことができず、不便
である。2. Description of the Related Art As a means for reducing the load applied to a joint, a means for deliberately limiting the load with a cane or a crutch, a means for externally fixing a support so that the joint does not move, and the like are used. . In the means using this support, the load applied to the joint is reduced, but since the movement of the joint is limited, it is inconvenient that daily movement cannot be performed.
【0003】[0003]
【発明が解決しようとする課題】本発明は、関節の運動
を制限することなく関節に加わる荷重を軽減する装置を
得ることを課題とする。SUMMARY OF THE INVENTION An object of the present invention is to obtain a device for reducing the load applied to a joint without limiting the movement of the joint.
【0004】[0004]
【課題を解決するための手段】前記課題を解決するため
の第1の手段は、請求項1に記載したとおり、ヒンジ結
合した一対の支持体の各端部に、骨格に結合したピンを
保持するためのクランパを連設したことを特徴とする。[Means for Solving the Problems] A first means for solving the above problems is, as described in claim 1, to hold a pin connected to a skeleton at each end of a pair of hinged supports. It is characterized in that a clamper for performing the operation is provided in series.
【0005】また、第2の手段は、請求項2に記載した
とおり、前記第1の手段において、前記支持体の少なく
とも一方に弾性をもつ緩衝体を介設したことを特徴とす
る。Further, as described in claim 2, the second means is characterized in that, in the first means, at least one of the supports is provided with an elastic buffer body.
【0006】[0006]
【作用】請求項1の手段によれば、装置は、関節に牽引
力を与えた状態で装着され、関節に荷重がかかるのを防
止すると共に、ヒンジによって関節の運動を許容する。
また、請求項2の手段によれば、人工関節を介して骨格
に伝わる衝撃が緩衝体で緩和される。According to the first aspect of the present invention, the device is mounted in a state in which a traction force is applied to the joint, prevents the joint from being loaded, and allows the joint to move by the hinge.
According to the means of claim 2, the shock transmitted to the skeleton through the artificial joint is mitigated by the buffer.
【0007】[0007]
【実施例】以下、図面を参照して本発明の実施例を説明
する。図1、2において、1は人体の膝関節、2は大腿
骨、3は脛骨、4は腓骨である。5は本発明の人工関節
で脚部を貫通した貫通ピン6〜9の両側に体外で取付け
られる。該貫通ピン6〜9は、従来、骨折部に副える体
外副管の連結に用いられているものと同一物である。Embodiments of the present invention will be described below with reference to the drawings. 1 and 2, 1 is a human knee joint, 2 is a femur, 3 is a tibia, and 4 is a fibula. Reference numeral 5 is an artificial joint of the present invention, which is attached to both sides of penetrating pins 6 to 9 penetrating a leg portion outside the body. The penetrating pins 6 to 9 are the same as those used in the past for connecting an extracorporeal auxiliary tube subordinate to a fractured part.
【0008】人工関節5は、軸10aをもつヒンジ10
で回動自在に連結された支持体11、12を備える。支
持体11は、ロッド13、14からなり、両ロッド1
3、14は、角度調節部15で調節自在に結合されてい
る。該角度調節部15は、ロッド13、14からの突出
部13a、14aを重ね合わせてねじ15aで締結した
もので、突出部13a、14aの重なり面には、滑り止
めのために菊座15bを形成して噛み合わせている。The artificial joint 5 has a hinge 10 having an axis 10a.
Supports 11 and 12 rotatably connected to each other are provided. The support body 11 is composed of rods 13 and 14, and both rods 1
Angles 3 and 14 are connected by an angle adjuster 15 so as to be adjustable. The angle adjusting portion 15 is formed by stacking protruding portions 13a and 14a from the rods 13 and 14 and fastening them with screws 15a. Form and engage.
【0009】ロッド14の端部側の部分は、クランパ1
6に調節自在に固定されている。クランパ16は、従
来、骨折部に副える創外固定用のパイプを、骨格を貫く
貫通ピンに固定するためのものと同種のもので、ロッド
クランパ17、回転板18、ピンクランパ19からな
る。The end portion of the rod 14 is the clamper 1
6 is adjustable and fixed. Conventionally, the clamper 16 is of the same type as that for fixing an external fixation pipe subordinate to a fractured part to a penetrating pin that penetrates the skeleton, and includes a rod clamper 17, a rotating plate 18, and a pink ramper 19.
【0010】ロッドクランパ17は、ロッド14に嵌合
する孔と該孔に達するスリット17aをもち、該スリッ
ト17aを締めねじ17bで縮めることによりロッド1
4の適所に固定される。回転板18は、外端の円弧面1
8aと、図外のスリットと締めねじ18bをもち、ロッ
ドクランパ17から伸びる突出部17cに回動自在に嵌
合し、矢印20の方向に調節され固定される。また、ピ
ンクランパ19は、ピン6、7を挟持するクランプ片1
9a、19bと締めねじ19cをもち、該クランプ片1
9aは、前記円弧面18aに重ねられる。締めねじ19
cは、回転板18内に揺動自在に保持された雌ねじにね
じ込まれており、ピンクランパ19を円弧面18aに沿
って矢印21の方向に調節して締めねじ19cを締めつ
けると、ピンクランパ19は、貫通ピン6、7を挟持し
た状態で回転板18に固定される。The rod clamper 17 has a hole to be fitted into the rod 14 and a slit 17a reaching the hole, and the slit 17a is contracted with a tightening screw 17b so that the rod 1
Fixed in place of 4. The rotary plate 18 has a circular arc surface 1 at the outer end.
8a, a slit (not shown), and a tightening screw 18b are rotatably fitted to a protruding portion 17c extending from the rod clamper 17, and are adjusted and fixed in the direction of arrow 20. The pink ramper 19 is a clamp piece 1 that holds the pins 6 and 7.
9a, 19b and a tightening screw 19c, the clamp piece 1
9a is superposed on the circular arc surface 18a. Tightening screw 19
c is screwed into a female screw swingably held in the rotary plate 18, and when the pink ramper 19 is adjusted in the direction of the arrow 21 along the arc surface 18a and the tightening screw 19c is tightened, the pink ramper 19 is The penetrating pins 6 and 7 are fixed to the rotary plate 18 while being sandwiched therebetween.
【0011】他方の支持体12は、ロッド23と該ロッ
ド23が挿入される筒部24とを備え、ロッド23には
段部23aが設けられ、筒部24には調節リング25の
ねじ部25aがねじ込まれており、段部23aと調節リ
ング25の間に緩衝用のスプリング26が介設されてい
る。The other support 12 comprises a rod 23 and a tubular portion 24 into which the rod 23 is inserted. The rod 23 is provided with a step portion 23a. The tubular portion 24 has a threaded portion 25a of the adjusting ring 25. Is screwed in, and a buffer spring 26 is interposed between the step portion 23a and the adjusting ring 25.
【0012】筒部24から下方に伸びる接続部24aに
はクランパ27が連設され、貫通ピン8、9の両端が該
クランパ27で挟持される。該クランパ27は、クラン
プ片27a、27bと締めねじ27cからなる。A clamper 27 is connected to the connecting portion 24a extending downward from the cylindrical portion 24, and both ends of the penetrating pins 8 and 9 are clamped by the clamper 27. The clamper 27 includes clamp pieces 27a and 27b and a tightening screw 27c.
【0013】以上の構成を備えるから、下部の貫通ピン
8、9にクランパ27を固定し、上部のクランパ16の
回転板18の締めねじ18bを緩め、ロッドクランパ1
7とピンクランパ19にロッド14と貫通ピン6、7を
仮止めし、固定位置及び固定角度を調節しながら締めね
じ17b、18b、19cを締めつけて、関節1を開く
牽引を与えると共に、ヒンジ10が関節1の屈伸を阻害
しない状態で固定する。With the above-described structure, the clamper 27 is fixed to the lower through pins 8 and 9, and the tightening screw 18b of the rotary plate 18 of the upper clamper 16 is loosened to remove the rod clamper 1.
7 and the pink ramper 19, the rod 14 and the penetrating pins 6 and 7 are temporarily fixed, the tightening screws 17b, 18b and 19c are tightened while adjusting the fixed position and the fixed angle, and the joint 10 is pulled. Fix joint 1 in a state where it does not hinder flexion and extension.
【0014】この際、角度調節部15でロッド13、1
4の角度を調節して支持体11の形状を調節し、調節リ
ング25を回転してスプリング26の弾発力を調節する
と共にヒンジ10の上下位置を微調節する。At this time, the rods 1 and 1 are moved by the angle adjusting unit 15.
The angle of 4 is adjusted to adjust the shape of the support 11, the adjustment ring 25 is rotated to adjust the resilience of the spring 26, and the vertical position of the hinge 10 is finely adjusted.
【0015】このように装着することにより、体重の大
部分は、大腿骨2から貫通ピン6、7、人工関節5、貫
通ピン8、9を介して脛骨3に伝わり、関節1に作用す
る体重は僅かになる。そして、膝を屈伸するときは、人
工関節5はヒンジ10を中心として膝と共に屈伸するか
ら、歩行その他の日常動作を支障なく行うことができ
る。With this mounting, most of the body weight is transmitted from the femur 2 to the tibia 3 through the penetrating pins 6 and 7, the artificial joint 5, and the penetrating pins 8 and 9, and acts on the joint 1. Becomes a little. When the knee is bent and stretched, the artificial joint 5 bends and extends around the hinge 10 together with the knee, so that walking and other daily activities can be performed without any hindrance.
【0016】なお、上記実施例においては、人工関節5
を脚の両側に用いているが、貫通ピン6〜9を脚の一側
方のみから突出させ、1個の人工関節5を介設して片持
ち式にしてもよい。また、該実施例で下部のクランパ2
7と筒部24が接続部24aで一体とされているが、該
接続部24aに代えて調節自在の位置調節機構を設ける
ことができ、更にクランパ16又は27を上下に交換し
て配置することができ、上下を同じ形式のクランパとす
ることもできる。In the above embodiment, the artificial joint 5
Although it is used on both sides of the leg, the penetrating pins 6 to 9 may be projected from only one side of the leg and one artificial joint 5 may be interposed to make it a cantilever type. Also, in the embodiment, the lower clamper 2
7 and the cylindrical portion 24 are integrated at the connecting portion 24a, but an adjustable position adjusting mechanism can be provided in place of the connecting portion 24a, and the clamper 16 or 27 can be replaced vertically. The upper and lower parts can be the same type of clamper.
【0017】また、ヒンジ10の構造は、図示のものに
限らず、軸10aを受ける穴に余裕を持たせることがで
き、例えば大径の穴、横長の楕円形の穴、略ハート形の
円弧状の穴等にしてもよい。The structure of the hinge 10 is not limited to that shown in the figure, but a hole for receiving the shaft 10a can be provided with a margin, for example, a large-diameter hole, a horizontally long elliptical hole, or a substantially heart-shaped circle. It may be an arcuate hole or the like.
【0018】以上、膝関節に用いる場合について説明し
たが肘関節にも使用でき、ペット、家畜類にも使用でき
る。Although the case of using the knee joint has been described above, the invention can also be used for the elbow joint and also for pets and livestock.
【0019】[0019]
【発明の効果】以上のように、請求項1の発明において
は、ヒンジによって屈伸できる一対の支持体を、関節に
沿って創外固定できるようにしたから、その関節に加わ
る荷重を軽減できて治療に役立ち、かつ該関節が自由に
屈伸できて行動に不便が生じない効果を有する。As described above, according to the first aspect of the present invention, since the pair of supports that can be bent and extended by the hinge can be externally fixed along the joint, the load applied to the joint can be reduced. It has an effect of being useful for treatment, and allowing the joint to flex and extend freely so that there is no inconvenience in behavior.
【0020】また、請求項2の発明においては、人工関
節を介して伝わる衝撃が緩衝体で緩和され不快感を少な
くする効果を有する。According to the second aspect of the invention, the shock transmitted through the artificial joint is mitigated by the cushioning body, which has the effect of reducing discomfort.
【図1】 本発明の実施例の使用態様を示す正面図FIG. 1 is a front view showing a mode of use of an embodiment of the present invention.
【図2】 同じく側面図[Fig. 2] Similarly, a side view
5 人工関節 6〜9 貫通ピン
10 ヒンジ 11、12 支持体 13、14、23 ロッド
15 角度調節部 16、27 クランパ 17b、18b、19c、27
c 締めねじ 24 筒部 25 調節リング
26 スプリング5 Artificial joint 6-9 Penetration pin
10 Hinge 11, 12 Support 13, 14, 23 Rod
15 Angle adjuster 16, 27 Clamper 17b, 18b, 19c, 27
c Tightening screw 24 Tube 25 Adjustment ring
26 spring
Claims (2)
に、骨格に結合したピンを保持するためのクランパを連
設したことを特徴とする、体外式人工関節。1. An extracorporeal artificial joint characterized in that a clamper for holding a pin coupled to a skeleton is connected to each end of a pair of hinge-supported supports.
もつ緩衝体を介設したことを特徴とする、請求項1の体
外式人工関節。2. The extracorporeal artificial joint according to claim 1, wherein an elastic cushioning body is provided on at least one of the supporting bodies.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP5254454A JP2532346B2 (en) | 1993-10-12 | 1993-10-12 | Extracorporeal artificial joint |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP5254454A JP2532346B2 (en) | 1993-10-12 | 1993-10-12 | Extracorporeal artificial joint |
Publications (2)
Publication Number | Publication Date |
---|---|
JPH07100159A true JPH07100159A (en) | 1995-04-18 |
JP2532346B2 JP2532346B2 (en) | 1996-09-11 |
Family
ID=17265245
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP5254454A Expired - Lifetime JP2532346B2 (en) | 1993-10-12 | 1993-10-12 | Extracorporeal artificial joint |
Country Status (1)
Country | Link |
---|---|
JP (1) | JP2532346B2 (en) |
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US7632310B2 (en) | 2007-07-09 | 2009-12-15 | Moximed, Inc. | Surgical implantation method and devices for an extra-articular mechanical energy absorbing apparatus |
JP2010525893A (en) * | 2007-05-01 | 2010-07-29 | エクスプロラメッド エヌシー4 インコーポレイテッド | Mechanical energy absorption system implantable outside the joint |
JP2010533041A (en) * | 2007-07-09 | 2010-10-21 | モキシメッド インコーポレイテッド | Mechanical energy absorption system implantable outside joint and implantation method |
US7846211B2 (en) | 2007-07-09 | 2010-12-07 | Moximed, Inc. | Surgical implantation method and devices for an extra-articular mechanical energy absorbing apparatus |
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JP2011519303A (en) * | 2008-04-30 | 2011-07-07 | モキシメッド インコーポレイテッド | Base component for femur and tibia |
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US9655648B2 (en) | 2007-05-01 | 2017-05-23 | Moximed, Inc. | Femoral and tibial base components |
US9668868B2 (en) | 2009-08-27 | 2017-06-06 | Cotera, Inc. | Apparatus and methods for treatment of patellofemoral conditions |
US9795410B2 (en) | 2009-08-27 | 2017-10-24 | Cotera, Inc. | Method and apparatus for force redistribution in articular joints |
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US10383736B2 (en) | 2007-05-01 | 2019-08-20 | Moximed, Inc. | Femoral and tibial base components |
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