TW202124001A - Knee fixation device - Google Patents

Knee fixation device Download PDF

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TW202124001A
TW202124001A TW108148167A TW108148167A TW202124001A TW 202124001 A TW202124001 A TW 202124001A TW 108148167 A TW108148167 A TW 108148167A TW 108148167 A TW108148167 A TW 108148167A TW 202124001 A TW202124001 A TW 202124001A
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Taiwan
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bracket
knee joint
assistive device
patient
patent application
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TW108148167A
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Chinese (zh)
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TWI706800B (en
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陳姝希
李美誼
曾清祥
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輔英科技大學
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  • Orthopedics, Nursing, And Contraception (AREA)
  • Rehabilitation Tools (AREA)

Abstract

A knee fixation device is provided to overcome the problem where the conventional knee support cannot prevent the genu recurvatum of the patient. The knee fixation device includes a first support having an abutment portion at the bottom edge thereof, a first coupling member fixing the first support to the thigh of the patient, a second support having a bearing portion, a second coupling member fixing the second support to the lower leg of the patient, a buffering member located on the bearing portion of the second support, and two connecting members pivotally connected to the first support and the second support. The abutment portion of the first support abuts the buffering member.

Description

膝關節輔具 Knee joint assistive devices

本發明係關於一種復健器材,尤其是一種適用於膝蓋反屈患者矯正的膝關節輔具。 The invention relates to a rehabilitation equipment, in particular to a knee joint assistive device suitable for correction of patients with knee reflexion.

中樞神經損傷、周邊神經損傷及下肢肌肉功能缺損的患者,疾病急性期過後雖多數可恢復行走能力,卻仍因存有肌力不足、異常肌肉張力或異常動作模式,導致步態不協調(asymmetry gait)、平衡功能障礙及步行速度緩慢等問題,患者為達到行走的功能性活動能力,下肢常以站立期膝過度伸直方式,利用骨骼結構卡住(lock)或增加軟組織張力(increase tension)的方式拉住膝關節以維持站姿平衡與安全。然而,膝關節及其周邊組織則會因此種行走模式異常受力,日久產生關節肌肉攣縮變形、軟組織發炎疼痛等併發症,進而降低日常生活獨立能力。 In patients with central nerve injury, peripheral nerve injury, and lower limb muscle function defects, although most patients can recover their walking ability after the acute phase of the disease, they still have insufficient muscle strength, abnormal muscle tension, or abnormal movement patterns, resulting in uncoordinated gait (asymmetry). Problems such as gait), balance dysfunction and slow walking speed. In order to achieve the functional mobility of walking, patients often use skeletal structure to lock or increase soft tissue tension (increase tension) by over-extension of the knee during standing period. Pull the knee joint in a way to maintain balance and safety in your standing posture. However, the knee joint and its surrounding tissues will be abnormally stressed due to this walking pattern, resulting in complications such as joint muscle contracture and deformation, soft tissue inflammation and pain, which will reduce the independence of daily life.

為了改善站姿不良、步態不協調及避免患者的膝關節受到不可逆的損傷,多數的患者會藉由佩戴護具及復健的方式來矯正膝蓋反屈或過度伸直,惟,市面上並沒有適用於膝蓋反屈的護具,而習用的腿部護具大多是針對韌帶斷裂術後暫時性固定、扭傷、拉傷等運動傷害而設計,這類患者具有膝關節彎曲及伸直與角度的主動控制能力,且能夠完全承受身體的重量,但若讓膝蓋反屈的患者穿戴習用的腿部護具,不僅無法達到矯正的功效,還可能會因為膝蓋負擔過大而導致患者的膝蓋再次受傷等併發症。 In order to improve poor stance, uncoordinated gait and avoid irreversible damage to the knee joint of patients, most patients will correct knee flexion or excessive extension by wearing protective gear and rehabilitation methods. However, the market does not There is no protective gear suitable for knee reflexion, and most of the conventional leg protective gear is designed for temporary fixation, sprain, strain and other sports injuries after ligament rupture. Such patients have knee flexion and extension and angle It has active control ability and can fully bear the weight of the body, but if the patient with knee reflexion wears the conventional leg protector, not only the corrective effect cannot be achieved, but the patient’s knee may be injured again due to the excessive burden on the knee And other complications.

有鑑於此,習知的膝關節護具確實仍有加以改善之必要。 In view of this, it is indeed necessary to improve the conventional knee brace.

為解決上述問題,本發明的目的是提供一種膝關節輔具,係可以供膝蓋反屈患者矯正穿戴使用者。 In order to solve the above-mentioned problems, the purpose of the present invention is to provide a knee joint assistive device that can be worn by users who have knee flexion correction.

本發明的次一目的是提供一種膝關節輔具,係可以分散膝關節所受的應力,以減輕膝關節負擔者。 The second objective of the present invention is to provide a knee joint assistive device that can disperse the stress on the knee joint to reduce the burden on the knee joint.

本發明的又一目的是提供一種膝關節輔具,係能夠貼合於患肢,以促進周邊神經的感覺及回饋者。 Another object of the present invention is to provide a knee joint assistive device which can be attached to the affected limb to promote peripheral nerve sensation and feedback.

本發明全文所述方向性或其近似用語,例如「前」、「後」、「左」、「右」、「上(頂)」、「下(底)」、「內」、「外」、「側面」等,主要係參考附加圖式的方向,各方向性或其近似用語僅用以輔助說明及理解本發明的各實施例,非用以限制本發明。 The directionality described in the full text of the present invention or its similar terms, such as "front", "rear", "left", "right", "up (top)", "down (bottom)", "inner", "outer" , "Side", etc., mainly refer to the direction of the attached drawings. The terms of the directionality or similar terms are only used to assist in the description and understanding of the embodiments of the present invention, and are not used to limit the present invention.

本發明全文所記載的元件及構件使用「一」或「一個」之量詞,僅是為了方便使用且提供本發明範圍的通常意義;於本發明中應被解讀為包括一個或至少一個,且單一的概念也包括複數的情況,除非其明顯意指其他意思。 The elements and components described in the full text of the present invention use the quantifiers "one" or "one" for convenience and to provide the general meaning of the scope of the present invention; in the present invention, it should be construed as including one or at least one, and single The concept of also includes the plural, unless it clearly implies other meanings.

本發明全文所述「結合」、「組合」或「組裝」等近似用語,主要包含連接後仍可不破壞構件地分離,或是連接後使構件不可分離等型態,係本領域中具有通常知識者可以依據欲相連之構件材質或組裝需求予以選擇者。 Approximate terms such as "combination", "combination" or "assembly" mentioned in the full text of the present invention mainly include the types that can be separated without destroying the components after being connected, or the components cannot be separated after being connected, which are common knowledge in the field Those can be selected based on the materials of the components to be connected or assembly requirements.

本發明的膝關節輔具,包含:一第一支架,該第一支架的底緣具有一抵頂部,一第一結合件將該第一支架固定於患者的大腿部位;一第二支架,該第二支架具有一承載部,一第二結合件將該第二支架固定於患者的 小腿部位;一緩衝件,位於該第二支架的承載部,該第一支架的抵頂部抵頂於該緩衝件;及二連接件,成可樞轉地連接該第一支架與該第二支架。 The knee joint assistive device of the present invention includes: a first bracket, the bottom edge of the first bracket has an abutting top, a first coupling member fixes the first bracket to the patient's thigh; a second bracket, the The second stent has a bearing part, and a second connecting member fixes the second stent to the patient’s Calf part; a buffer member located on the bearing portion of the second bracket, the top of the first bracket abuts against the buffer member; and two connecting members pivotally connect the first bracket and the second bracket .

據此,本發明的膝關節輔具,係可以根據膝蓋反屈患者的腿部狀況分別製作而成,並藉由該第一結合件及該第二結合件將該第一支架及該第二支架固定於患肢,以分散膝關節所承受的應力,且該緩衝件位於該第一支架與該第二支架之間,係具有增加患肢的可活動度、提升穿戴舒適度、方便穿脫、增加膝關節支撐力及減輕膝關節負擔等功效。 Accordingly, the knee joint assistive device of the present invention can be separately manufactured according to the leg condition of the patient with knee reflexion, and the first bracket and the second bracket are made by the first coupling member and the second coupling member. The bracket is fixed on the affected limb to disperse the stress on the knee joint, and the buffer is located between the first bracket and the second bracket to increase the mobility of the affected limb, improve wearing comfort, and facilitate putting on and taking off , Increase the support of the knee joint and reduce the burden on the knee joint, etc.

其中,該第一支架具有至少二第一定位孔,該二第一定位孔分別位於該第一支架的二側及對位於股骨的內上髁及外上髁。如此,係可以增加周邊神經的感覺及回饋,係具有促進神經傳導的功效。 Wherein, the first bracket has at least two first positioning holes, and the two first positioning holes are respectively located on two sides of the first bracket and opposite to the medial epicondyle and the lateral epicondyle of the femur. In this way, the system can increase the sensation and feedback of peripheral nerves, and the system has the effect of promoting nerve conduction.

其中,該第二支架具有四個第二定位孔,對位於脛骨的內側髁及外側髁位置各有二個第二定位孔。如此,該膝關節輔具係具有增加膝窩部分的支撐力的功效。 Wherein, the second bracket has four second positioning holes, and each has two second positioning holes for the medial condyle and lateral condyle of the tibia. In this way, the knee joint assistive system has the effect of increasing the supporting force of the knee socket part.

其中,該第一結合件與該第二結合件係各具有一固定件及一結合帶,該固定件分別固定於該第一支架與該第二支架的表面,各該結合帶的二端成可分離地結合於各該固定件,使該結合帶與該固定件共同圈圍成一環狀。如此,該膝關節輔具係具有可調整及提升拆裝便利性的功效。 Wherein, the first joining member and the second joining member each have a fixing member and a joining belt, the fixing member is respectively fixed on the surface of the first bracket and the second bracket, and the two ends of each joining belt form It can be detachably combined with each of the fixing parts, so that the bonding belt and the fixing parts are encircled in a ring. In this way, the knee joint assistive system has the effect of being adjustable and improving the convenience of disassembly and assembly.

其中,該第一支架及該第二支架的表面分別具有數個透氣孔。如此,各該透氣孔可供患者的體溫散出,以避免患者的腿部皮膚因長期被覆蓋而導致過敏或發癢,係具有增加透氣性及避免患肢悶熱發癢的功效。 Wherein, the surfaces of the first bracket and the second bracket respectively have a plurality of ventilation holes. In this way, each of the ventilation holes can allow the patient's body temperature to escape, so as to prevent the patient's leg skin from being covered for a long time to cause allergies or itching, and has the effect of increasing air permeability and avoiding the sultry and itching of the affected limb.

其中,該抵頂部與該承載部之間具有一間距,該間距係介於0.1~5公分之間。如此,係具有調整患肢可活動角度及提升穿戴舒適度的功效。 Wherein, there is a distance between the top portion and the bearing portion, and the distance is between 0.1 and 5 cm. In this way, the system has the effect of adjusting the movable angle of the affected limb and improving the wearing comfort.

其中,該緩衝件係具有相對的一底平面及一傾斜面,該底平面可分離地結合於該承載部,該傾斜面相對於該底平面係具有一傾斜角,使該 傾斜面由腿部內側朝腿部外側傾斜成一內高外低的斜面。如此,醫者係可以根據患者的復原程度替換該緩衝件,係具有可替換及配合患者復原程度選用的功效。 Wherein, the buffer member has a bottom plane and an inclined plane opposite to each other. The bottom plane is detachably combined with the carrying portion, and the inclined plane has an inclination angle relative to the bottom plane so that the The inclined surface is inclined from the inner side of the leg to the outer side of the leg into an inclined surface with high inside and low outside. In this way, the doctor can replace the cushioning member according to the degree of recovery of the patient, which has the function of being replaceable and selected according to the degree of recovery of the patient.

其中,該連接件具有數個固定孔,該固定孔係貫穿該連接件,各該固定孔供定位元件將該連接件與該第一支架及該第二支架相連接。如此,係具有提升連接強度及增加樞紐關節活動度的功效。 Wherein, the connecting piece has a plurality of fixing holes, the fixing holes penetrate the connecting piece, and each fixing hole is used for the positioning element to connect the connecting piece with the first bracket and the second bracket. In this way, the system has the effect of increasing the strength of the connection and increasing the mobility of the pivot joint.

該膝關節輔具另包含一輔助連接件,該輔助連接件係具有一第一輔助連接件及一第二輔助連接件,該第一輔助連接件位於該第一支架,該第二輔助連接件位於該第二支架。如此,係具有增加對膝蓋的支撐力及提升膝關節包覆度的功效。 The knee joint assistive device further includes an auxiliary connecting piece, the auxiliary connecting piece has a first auxiliary connecting piece and a second auxiliary connecting piece, the first auxiliary connecting piece is located on the first bracket, and the second auxiliary connecting piece Located in the second bracket. In this way, the system has the effect of increasing the supporting force of the knee and improving the degree of coverage of the knee joint.

其中,該第一輔助連接件及該第二輔助連接件成相互交叉。如此,係具有避免膝關節輔具滑脫及移位的功效。 Wherein, the first auxiliary connecting piece and the second auxiliary connecting piece cross each other. In this way, the system has the effect of avoiding slippage and displacement of the knee joint assistive device.

〔本發明〕 〔this invention〕

1‧‧‧第一支架 1‧‧‧The first bracket

11‧‧‧第一定位孔 11‧‧‧First positioning hole

12‧‧‧抵頂部 12‧‧‧to the top

13‧‧‧第一結合件 13‧‧‧The first combination

13a‧‧‧固定件 13a‧‧‧Fixture

13b‧‧‧結合帶 13b‧‧‧Combination zone

14‧‧‧透氣孔 14‧‧‧Vent holes

2‧‧‧第二支架 2‧‧‧Second bracket

21‧‧‧第二定位孔 21‧‧‧Second positioning hole

22‧‧‧承載部 22‧‧‧Carrier Department

23‧‧‧第二結合件 23‧‧‧Second combination

23a‧‧‧固定件 23a‧‧‧Fixture

23b‧‧‧結合帶 23b‧‧‧Combination zone

24‧‧‧透氣孔 24‧‧‧Vent holes

3‧‧‧緩衝件 3‧‧‧Buffer

31‧‧‧底平面 31‧‧‧Bottom plane

32‧‧‧傾斜面 32‧‧‧inclined surface

4‧‧‧連接件 4‧‧‧Connector

41‧‧‧固定孔 41‧‧‧Fixed hole

42‧‧‧定位元件 42‧‧‧Positioning element

5‧‧‧輔助連接件 5‧‧‧Auxiliary connector

51‧‧‧第一輔助連接件 51‧‧‧First auxiliary connecting piece

51a‧‧‧固定件 51a‧‧‧Fixture

51b‧‧‧結合帶 51b‧‧‧Combination zone

52‧‧‧第二輔助連接件 52‧‧‧Second auxiliary connecting piece

52a‧‧‧固定件 52a‧‧‧Fixture

52b‧‧‧結合帶 52b‧‧‧Combination zone

G‧‧‧間距 G‧‧‧Pitch

〔第1圖〕本發明一較佳實施例的分解立體圖。 [Figure 1] An exploded perspective view of a preferred embodiment of the present invention.

〔第2圖〕本發明一較佳實施例的組合側面圖。 [Figure 2] A combined side view of a preferred embodiment of the present invention.

〔第3圖〕本發明一較佳實施例的組合正面圖。 [Figure 3] A front view of the assembly of a preferred embodiment of the present invention.

〔第4圖〕本發明一較佳實施例的使用狀態側面圖。 [Figure 4] A side view of a preferred embodiment of the present invention in use.

為讓本發明之上述及其他目的、特徵及優點能更明顯易懂,下文特舉本發明之較佳實施例,並配合所附圖式,作詳細說明如下: In order to make the above and other objectives, features and advantages of the present invention more comprehensible, the following describes the preferred embodiments of the present invention in conjunction with the accompanying drawings in detail as follows:

請參照第1、2圖所示,其係本發明膝關節輔具的一較佳實施 例,係包含一第一支架1、一第二支架2、一緩衝件3及二連接件4,該第一支架1及該第二支架2藉由該二連接件4相連接,該緩衝件3係位於該第一支架1與該第二支架2之間。 Please refer to Figures 1 and 2, which is a preferred implementation of the knee joint assistive device of the present invention For example, it includes a first bracket 1, a second bracket 2, a buffer member 3, and two connecting members 4. The first bracket 1 and the second bracket 2 are connected by the two connecting members 4. The buffer member The system 3 is located between the first bracket 1 and the second bracket 2.

需事先說明的是,本發明的膝關節輔具係根據每個患者的腿部狀況分別訂製而成,故該膝關節輔具的尺寸、形狀、長寬度、角度及包覆度均會因人而異,並依據患者的矯正進度替換及調整特定部件。 It should be noted in advance that the knee assistive device of the present invention is individually customized according to the condition of each patient’s leg, so the size, shape, length, width, angle and degree of coverage of the knee assistive device will vary according to It varies from person to person, and specific components are replaced and adjusted according to the patient's correction progress.

該第一支架1係根據患者的大腿部位來製成,較佳覆蓋大腿股骨的1/2~2/3,以分散應力及提升該第一支架1對大腿部位的支撐力,該第一支架1係具有至少二第一定位孔11。在本實施例中,該至少二第一定位孔11的數量係為二個,該二第一定位孔11係分別為於該第一支架1的二側,並分別對位於股骨的內上髁及外上髁,一抵頂部12形成於該第一支架1的底緣,該抵頂部12係可以抵頂於該緩衝件3。 The first bracket 1 is made according to the patient's thigh, and preferably covers 1/2 to 2/3 of the femur of the thigh, so as to disperse the stress and increase the supporting force of the first bracket 1 on the thigh. The first bracket The 1 series has at least two first positioning holes 11. In this embodiment, the number of the at least two first positioning holes 11 is two, and the two first positioning holes 11 are respectively located on the two sides of the first stent 1, and are respectively located on the medial epicondyle of the femur. And the outer epicondyle, an abutting top 12 is formed on the bottom edge of the first stent 1, and the abutting top 12 can be abutted against the buffer member 3.

該第一支架1係具有一第一結合件13,該第一結合件13係用來將該第一支架1固定於患者的大腿部位;較佳地,該第一結合件13係可以為一可調式束帶,以套設的方式由該第一結合件13將該第一支架1固定於患者的大腿。在本實施例中,該第一結合件13係具有一固定件13a及一結合帶13b,該固定件13a係固定於該第一支架1的表面,該結合帶13b的二端成可分離地結合於該固定件13a,使該結合帶13b與該固定件13a共同圈圍成一環狀,該結合帶13b係可以由透氣材質製成,以由該結合帶13b將該第一支架1固定於患者的大腿上,例如但不限制地,該固定件13a與該結合帶13b係可以以魔鬼氈相互結合及固定,以增加可調整性及提升拆裝便利性,又,在其他實施例中,該固定件13a與該結合帶13b的結合方式係可以為黏合、扣接、磁吸、嵌合或卡扣等,本發明不加以限制,以能夠穩固連接為原則即可。此外,該第一支架1的表面還可以具有數個透氣孔14,各該透氣孔14可 供患者的體溫散出,以避免患者的皮膚因長期被該第一支架1覆蓋而導致過敏或發癢。 The first bracket 1 has a first coupling member 13, and the first coupling member 13 is used to fix the first support 1 to the patient's thigh; preferably, the first coupling member 13 may be a The adjustable strap is used to fix the first bracket 1 to the patient's thigh by the first coupling member 13 in a sleeved manner. In this embodiment, the first coupling member 13 has a fixing member 13a and a coupling band 13b. The fixing member 13a is fixed to the surface of the first bracket 1, and the two ends of the coupling band 13b are detachably It is combined with the fixing member 13a, so that the joint belt 13b and the fixing member 13a are encircled in a ring shape. The joint belt 13b can be made of air-permeable material to fix the first bracket 1 by the joint belt 13b. On the patient’s thigh, for example, but not limited to, the fixing member 13a and the bonding belt 13b can be combined and fixed with devil felt to increase the adjustability and improve the convenience of disassembly and assembly. In addition, in other embodiments The coupling method of the fixing member 13a and the coupling band 13b can be bonding, buckling, magnetic attraction, fitting, or snapping, etc. The present invention is not limited, and can be firmly connected as the principle. In addition, the surface of the first bracket 1 may also have a plurality of vent holes 14, each of the vent holes 14 may The body temperature of the patient is dissipated to prevent the patient's skin from being covered by the first stent 1 for a long time and causing allergies or itching.

該第二支架2係根據患者膝下的小腿部位製成,較佳覆蓋小腿脛骨的1/2~2/3,以分散膝蓋的所承受之應力,該第二支架2係具有至少二第二定位孔21。在本實施例中,該至少二第二定位孔21的數量係為四個,該四第二定位孔21係分別位於脛骨的二側,即,其中二第二定位孔21可對位於患者脛骨的內側髁周邊,另外二第二定位孔21則可對於患者脛骨的外側髁位置附近;該第二支架2還可以具有一承載部22,該承載部22係位於該第二支架2的頂緣,並提供一平面以供該緩衝件3置放。 The second bracket 2 is made according to the position of the lower leg of the patient, and preferably covers 1/2~2/3 of the tibia of the lower leg to disperse the stress on the knee. The second bracket 2 has at least two second positions孔21. In this embodiment, the number of the at least two second positioning holes 21 is four, and the four second positioning holes 21 are respectively located on two sides of the tibia, that is, the two second positioning holes 21 can be located on the patient's tibia. Around the medial condyle of the patient, the other two second positioning holes 21 can be located near the lateral condyle of the patient’s tibia; the second stent 2 may also have a bearing portion 22 which is located at the top edge of the second stent 2 , And provide a flat surface for the buffer 3 to be placed.

該第二支架2係具有一第二結合件23,該第二結合件23係用來將該第二支架2固定於患者的小腿部位;較佳地,該第二結合件23係可以為一可調式束帶,以套設的方式將該第二支架2固定於患者的小腿。在本實施例中,該第二結合件23係具有一固定件23a及一結合帶23b,該固定件23a係固定於該第二支架2的表面,該結合帶23b的二端成可分離地結合於該固定件23a,使該結合帶23b與該固定件23a共同圈圍成一環狀,該結合帶23b係可以由透氣材質製成,以由該結合帶23b將該第二支架2固定於患者的小腿上,例如但不限制地,該固定件23a與該結合帶23b係可以同該固定件13a與該結合帶13b以魔鬼氈的方式相互結合及固定,以增加可調整性及提升拆裝便利性。又,該第二支架2的表面還可以具有數個透氣孔24,各該透氣孔24可供患者的體溫散出,以避免患者的皮膚因長期被該第二支架2覆蓋而導致過敏或發癢。 The second bracket 2 has a second connecting member 23, and the second connecting member 23 is used to fix the second bracket 2 to the lower leg of the patient; preferably, the second connecting member 23 may be a The adjustable strap fixes the second bracket 2 to the patient's calf in a sleeved manner. In this embodiment, the second coupling member 23 has a fixing member 23a and a coupling band 23b. The fixing member 23a is fixed to the surface of the second bracket 2, and the two ends of the coupling band 23b are detachably It is combined with the fixing member 23a, so that the joint belt 23b and the fixing member 23a are jointly encircled into a ring shape. The joint belt 23b may be made of air-permeable material to fix the second bracket 2 by the joint belt 23b On the patient’s calf, for example, but not limited to, the fixing member 23a and the bonding belt 23b can be combined and fixed with the fixing member 13a and the bonding belt 13b in the manner of devil felt to increase adjustability and lift Convenience of disassembly and assembly. In addition, the surface of the second stent 2 may also have several vent holes 24, each of the vent holes 24 can allow the patient's body temperature to escape, so as to prevent the patient's skin from being covered by the second stent 2 for a long time and causing allergies or irritation. itch.

請參照第1、3圖所示,該緩衝件3係可以置設於該承載部22上,於該第一支架1與該第二支架2連接時,將該緩衝件3可以位於該第一支架1與該第二支架2之間以供該抵頂部12抵頂,並使該抵頂部12與該承 載部22之間形成一間距G(如第2圖所示),該間距G較佳介於0.1~5公分之間。該緩衝件3還可以具有相對的一底平面31及一傾斜面32,該底平面31係成可分離地結合於該承載部22,以方便使用者替換該緩衝件3;該間距G係可以例如由該抵頂部12抵頂於該傾斜面32所形成,該傾斜面32相對於該底平面31係具有一傾斜角,使該傾斜面32由腿部內側朝腿部外側傾斜成一內高外低的斜面,而該傾斜角所傾斜的角度係可以由醫者根據患者的膝反屈角度及矯正的幅度而決定,於矯正期間,醫者係可以根據患者的復原程度替換該緩衝件3,以選用具有適當傾斜角的緩衝件3來配合患者的復健狀況。 Please refer to Figures 1 and 3, the buffer member 3 can be placed on the supporting portion 22. When the first bracket 1 and the second bracket 2 are connected, the buffer member 3 can be located on the first bracket. Between the support 1 and the second support 2 for the top 12 to be pressed, and the top 12 and the supporting A gap G (as shown in FIG. 2) is formed between the carrier portions 22, and the gap G is preferably between 0.1 and 5 cm. The buffer member 3 may also have a bottom plane 31 and an inclined surface 32 opposite to each other. The bottom plane 31 is detachably combined with the carrying portion 22 to facilitate the user to replace the buffer member 3; the gap G may be For example, it is formed by abutting the top portion 12 against the inclined surface 32. The inclined surface 32 has an inclination angle with respect to the bottom plane 31, so that the inclined surface 32 is inclined from the inner side of the leg to the outer side of the leg to form an inner height and outer height. Low slope, and the angle of the inclination angle can be determined by the doctor according to the patient’s knee reflexion angle and the correction range. During the correction, the doctor can replace the cushion 3 according to the patient’s degree of recovery. The cushion 3 with a proper angle of inclination is selected to match the patient's rehabilitation status.

請參照第1、2圖所示,該二連接件4係用來連接該第一支架1及該第二支架2,以將膝關節所承受的力分散至整個腿部,以減輕膝關節的負擔並協助患者矯正及復健。在本實施例中,該連接件4係可以例如為一矩形薄板並分別位於該第一支架1及該第二支架2的二側,該連接件4具有數個固定孔41,該固定孔41係貫穿該連接件4。該數個固定孔41讓醫者可以根據患者的腿部狀況調整該第一支架1與該第二支架2之間的間距,使該固定孔41分別對位於該第一定位孔11及該第二定位孔21,再由螺絲、螺帽及墊圈等定位元件42將該連接件4定位於該第一支架1及該第二支架2上,使該第一支架1與該第二支架2之間成可相對旋轉地連接,讓患者在使用時膝關節可以自由地彎曲及伸直。 Please refer to Figures 1 and 2, the two connecting members 4 are used to connect the first bracket 1 and the second bracket 2, so as to distribute the force of the knee joint to the entire leg, so as to reduce the knee joint Burden and assist patients in correction and rehabilitation. In this embodiment, the connecting member 4 may be, for example, a rectangular thin plate and located on two sides of the first bracket 1 and the second bracket 2, respectively, the connecting member 4 has a plurality of fixing holes 41, and the fixing holes 41系through the connecting piece 4. The plurality of fixing holes 41 allow the doctor to adjust the distance between the first bracket 1 and the second bracket 2 according to the patient's leg condition, so that the fixing holes 41 are located on the first positioning hole 11 and the first positioning hole 11 and the second bracket respectively. Two positioning holes 21, and positioning elements 42 such as screws, nuts, washers, etc., position the connecting piece 4 on the first bracket 1 and the second bracket 2, so that the first bracket 1 and the second bracket 2 are It is connected in a relatively rotatable manner, allowing the knee joint to bend and straighten freely when the patient is in use.

請參照第4圖所示,由於膝關節係為可動關節中的樞紐關節,需要經常性的轉動以配合人體的運動,但膝關節的頻繁運動可能會導致護具脫落,本發明的膝關節輔具還可以具有一輔助連接件5,該輔助連接件5係具有一第一輔助連接件51及一第二輔助連接件52,該第一輔助連接件51位於該第一支架1,該第二輔助連接件52位於該第二支架2,該第一輔助連接件51及該第二輔助連接件52分別使該第一支架1及該第二支架2可以更貼合 於患肢。在本實施例中,該第一輔助連接件51係具有一固定件51a及一結合帶51b,該固定件51a係固定於該第一支架1的表面,該固定件51a較該第一結合件13更鄰近於該第二支架2,即,該固定件51a係位於該第一結合件13及該抵頂部12之間,該結合帶51b係可以由透氣材質製成,該結合帶51b的其中一端成可分離地結合於該固定件51a,例如但不限制地,該固定件51a與該結合帶51b係可以同該固定件13a與該結合帶13b以魔鬼氈的方式相互結合及固定,以增加可調整性及提升拆裝便利性。 Please refer to Figure 4, since the knee joint is a pivot joint in the movable joint, it needs frequent rotation to match the movement of the human body. However, the frequent movement of the knee joint may cause the protective gear to fall off. The knee joint auxiliary of the present invention The tool can also have an auxiliary connecting piece 5, the auxiliary connecting piece 5 has a first auxiliary connecting piece 51 and a second auxiliary connecting piece 52, the first auxiliary connecting piece 51 is located in the first bracket 1, the second The auxiliary connecting member 52 is located on the second bracket 2, and the first auxiliary connecting member 51 and the second auxiliary connecting member 52 respectively enable the first bracket 1 and the second bracket 2 to fit more closely In the affected limb. In this embodiment, the first auxiliary connecting member 51 has a fixing member 51a and a joining belt 51b. The fixing member 51a is fixed to the surface of the first bracket 1, and the fixing member 51a is larger than the first joining member. 13 is more adjacent to the second bracket 2, that is, the fixing member 51a is located between the first coupling member 13 and the top 12, the coupling band 51b may be made of air-permeable material, and the coupling band 51b is One end is detachably coupled to the fixing member 51a. For example, but not limited, the fixing member 51a and the coupling band 51b can be combined and fixed with the fixing member 13a and the coupling band 13b in the manner of devil felt. Increase the adjustability and enhance the convenience of disassembly and assembly.

該第二輔助連接件52係具有一固定件52a及一結合帶52b,該固定件52a係固定於該第二支架2的表面,該固定件52a較該第二結合件23更鄰近於該第一支架1,即,該固定件52a係位於該承載部22及該第二結合件23之間,該結合帶52b係可以由透氣材質製成,該結合帶52b的其中一端成可分離地結合於該固定件52a,該結合帶52b的另外一端係結合於該固定件51a,且該結合帶51b的另外一端係結合於該固定件52a,使該第一輔助連接件51及該第二輔助連接件52成相互交叉設置,使該第一支架1能夠貼合於使用者的大腿,以刺激體骨周圍的神經傳導,及使該第二支架2可以貼合於使用者的小腿,將身體的重量分散至脛骨,以減輕膝關節所承受的應力,例如但不限制地,該固定件52a與該結合帶52b係可以同該固定件13a與該結合帶13b以魔鬼氈的方式相互結合及固定,以增加可調整性及提升拆裝便利性。較佳地,該結合帶51b與該結合帶52b係可以互相交錯,使該第一輔助連接件51及該第二輔助連接件52採相互交叉的方式設置,以增加膝關節輔具的包覆度並提供患者膝蓋更強的支撐力。 The second auxiliary connecting member 52 has a fixing member 52a and a bonding belt 52b. The fixing member 52a is fixed to the surface of the second bracket 2. The fixing member 52a is closer to the first connecting member 23 than the second connecting member 23. A bracket 1, that is, the fixing member 52a is located between the carrying portion 22 and the second coupling member 23, the coupling band 52b may be made of air-permeable material, and one end of the coupling band 52b is detachably coupled At the fixing member 52a, the other end of the connecting band 52b is connected to the fixing member 51a, and the other end of the connecting band 51b is connected to the fixing member 52a, so that the first auxiliary connecting member 51 and the second auxiliary connecting member 51 The connecting members 52 are arranged to cross each other, so that the first bracket 1 can fit the user's thighs to stimulate nerve conduction around the body bone, and the second bracket 2 can fit the user's calves to protect the body The weight is distributed to the tibia to reduce the stress on the knee joint. For example, but not limited, the fixing member 52a and the bonding belt 52b can be combined with the fixing member 13a and the bonding belt 13b in the manner of devil felt. Fixed to increase adjustability and enhance the convenience of disassembly and assembly. Preferably, the connecting belt 51b and the connecting belt 52b can be interlaced with each other, so that the first auxiliary connecting piece 51 and the second auxiliary connecting piece 52 are arranged in a crossing manner to increase the covering of the knee joint assistive device. It also provides stronger support for the patient’s knee.

據由前述結構,本發明的膝關節輔具於穿戴使用時,係可以將該第一支架1放置於患者的大腿部位,並將該第二支架2對位於患者的小腿部位,藉由該第一結合件13及第二結合件23將膝關節輔具固定於患肢上, 以減輕膝關節的負擔。又,該輔助連接件5係可以使該第一支架1及該第二支架2更貼合於患肢,以促進體表與本體感覺回饋,進而提升患者的復原速度。 According to the aforementioned structure, when the knee joint assistive device of the present invention is worn and used, the first bracket 1 can be placed on the patient's thigh, and the second bracket 2 can be positioned on the patient's lower leg. A connecting piece 13 and a second connecting piece 23 fix the knee joint assistive device on the affected limb, To reduce the burden on the knee joint. In addition, the auxiliary connecting member 5 can make the first stent 1 and the second stent 2 fit more closely to the affected limb, so as to promote body surface and proprioceptive feedback, thereby increasing the patient's recovery speed.

綜上所述,本發明的膝關節輔具,係可以根據膝蓋反屈患者的腿部狀況分別製作而成,並藉由該第一結合件及該第二結合件將該第一支架及該第二支架固定於患肢,以分散膝關節所承受的應力,且該緩衝件位於該第一支架與該第二支架之間,係具有增加患肢的可活動度、提升穿戴舒適度、方便穿脫、增加膝關節支撐力及減輕膝關節負擔等功效。又,該輔助連接件係可以使本發明的膝關節輔具更貼合於患者的膝蓋表面,係具有分散應力及促進體表與本體感覺回饋之功效。 To sum up, the knee joint assistive device of the present invention can be separately manufactured according to the leg condition of the patient with knee reflexion, and the first bracket and the The second bracket is fixed on the affected limb to disperse the stress on the knee joint, and the buffer is located between the first bracket and the second bracket, which can increase the mobility of the affected limb, improve wearing comfort, and facilitate Put on and take off, increase the support of the knee joint and reduce the burden on the knee joint. In addition, the auxiliary connector can make the knee joint assistive device of the present invention fit more closely to the surface of the patient's knee, and has the effects of dispersing stress and promoting body surface and proprioceptive feedback.

雖然本發明已利用上述較佳實施例揭示,然其並非用以限定本發明,任何熟習此技藝者在不脫離本發明之精神和範圍之內,相對上述實施例進行各種更動與修改仍屬本發明所保護之技術範疇,因此本發明之保護範圍當視後附之申請專利範圍所界定者為準。 Although the present invention has been disclosed using the above-mentioned preferred embodiments, it is not intended to limit the present invention. Anyone who is familiar with the art without departing from the spirit and scope of the present invention may make various changes and modifications relative to the above-mentioned embodiments. The technical scope of the invention is protected. Therefore, the scope of protection of the invention shall be subject to the scope of the attached patent application.

1‧‧‧第一支架 1‧‧‧The first bracket

11‧‧‧第一定位孔 11‧‧‧First positioning hole

12‧‧‧抵頂部 12‧‧‧to the top

13‧‧‧第一結合件 13‧‧‧The first combination

13a‧‧‧固定件 13a‧‧‧Fixture

13b‧‧‧結合帶 13b‧‧‧Combination zone

14‧‧‧透氣孔 14‧‧‧Vent holes

2‧‧‧第二支架 2‧‧‧Second bracket

21‧‧‧第二定位孔 21‧‧‧Second positioning hole

22‧‧‧承載部 22‧‧‧Carrier Department

23‧‧‧第二結合件 23‧‧‧Second combination

23a‧‧‧固定件 23a‧‧‧Fixture

23b‧‧‧結合帶 23b‧‧‧Combination zone

24‧‧‧透氣孔 24‧‧‧Vent holes

3‧‧‧緩衝件 3‧‧‧Buffer

31‧‧‧底平面 31‧‧‧Bottom plane

32‧‧‧傾斜面 32‧‧‧inclined surface

4‧‧‧連接件 4‧‧‧Connector

41‧‧‧固定孔 41‧‧‧Fixed hole

42‧‧‧定位元件 42‧‧‧Positioning element

5‧‧‧輔助連接件 5‧‧‧Auxiliary connector

51‧‧‧第一輔助連接件 51‧‧‧First auxiliary connecting piece

51a‧‧‧固定件 51a‧‧‧Fixture

51b‧‧‧結合帶 51b‧‧‧Combination zone

52‧‧‧第二輔助連接件 52‧‧‧Second auxiliary connecting piece

52a‧‧‧固定件 52a‧‧‧Fixture

52b‧‧‧結合帶 52b‧‧‧Combination zone

Claims (10)

一種膝關節輔具,包含: An assistive device for knee joints, including: 一第一支架,該第一支架的底緣具有一抵頂部,一第一結合件將該第一支架固定於患者的大腿部位; A first bracket, the bottom edge of the first bracket has a top abutment, and a first coupling member fixes the first bracket to the patient's thigh; 一第二支架,該第二支架具有一承載部,一第二結合件將該第二支架固定於患者的小腿部位; A second stent, the second stent has a bearing portion, and a second coupling member fixes the second stent to the patient's calf; 一緩衝件,位於該第二支架的承載部,該第一支架的抵頂部抵頂於該緩衝件;及 A buffer member located at the bearing portion of the second bracket, and the top of the first bracket abuts against the buffer member; and 二連接件,成可樞轉地連接該第一支架與該第二支架。 Two connecting pieces are configured to pivotally connect the first bracket and the second bracket. 如申請專利範圍第1項所述之膝關節輔具,其中,該第一支架具有至少二第一定位孔,該二第一定位孔分別位於該第一支架的二側及對位於股骨的內上髁及外上髁。 The knee joint assistive device according to claim 1, wherein the first bracket has at least two first positioning holes, and the two first positioning holes are respectively located on two sides of the first bracket and opposite to the femur Epicondyle and lateral epicondyle. 如申請專利範圍第1項所述之膝關節輔具,其中,該第二支架具有四個第二定位孔,對位於脛骨的內側髁及外側髁位置各有二個第二定位孔。 According to the knee joint assistive device described in item 1 of the scope of the patent application, the second bracket has four second positioning holes, and each has two second positioning holes for the medial condyle and the lateral condyle of the tibia. 如申請專利範圍第1項所述之膝關節輔具,其中,該第一結合件與該第二結合件係各具有一固定件及一結合帶,該固定件分別固定於該第一支架與該第二支架的表面,各該結合帶的二端成可分離地結合於各該固定件,使該結合帶與該固定件共同圈圍成一環狀。 The knee joint assistive device according to item 1 of the scope of patent application, wherein the first coupling member and the second coupling member each have a fixing member and a coupling belt, and the fixing member is respectively fixed to the first bracket and On the surface of the second bracket, the two ends of each coupling band are detachably coupled to each fixing member, so that the coupling band and the fixing member are encircled in a ring shape. 如申請專利範圍第1項所述之膝關節輔具,其中,該第一支架及該第二支架的表面分別具有數個透氣孔。 According to the knee joint assistive device described in item 1 of the scope of patent application, the surfaces of the first bracket and the second bracket respectively have a plurality of ventilation holes. 如申請專利範圍第1項所述之膝關節輔具,其中,該抵頂部與該承載部之間具有一間距,該間距係介於0.1~5公分之間。 According to the knee joint assistive device described in item 1 of the scope of patent application, there is a distance between the abutment portion and the bearing portion, and the distance is between 0.1 and 5 cm. 如申請專利範圍第1項所述之膝關節輔具,其中,該緩衝件係 具有相對的一底平面及一傾斜面,該底平面可分離地結合於該承載部,該傾斜面相對於該底平面係具有一傾斜角,使該傾斜面由腿部內側朝腿部外側傾斜成一內高外低的斜面。 Such as the knee joint assistive device described in item 1 of the scope of patent application, wherein the cushioning member is It has an opposite bottom plane and an inclined surface, the bottom plane is detachably combined with the bearing part, and the inclined surface has an inclination angle relative to the bottom plane, so that the inclined surface is inclined from the inner side of the leg to the outer side of the leg to form a Slope with high inside and low outside. 如申請專利範圍第1項所述之膝關節輔具,其中,該連接件具有數個固定孔,該固定孔係貫穿該連接件,各該固定孔供定位元件將該連接件與該第一支架及該第二支架相連接。 According to the knee joint assistive device described in item 1 of the scope of patent application, the connecting member has a plurality of fixing holes, the fixing holes pass through the connecting member, and each fixing hole is provided for the positioning element to connect the connecting member and the first The bracket is connected with the second bracket. 如申請專利範圍第1至8項中任一項所述之膝關節輔具,另包含一輔助連接件,該輔助連接件係具有一第一輔助連接件及一第二輔助連接件,該第一輔助連接件位於該第一支架,該第二輔助連接件位於該第二支架。 For example, the knee joint assistive device described in any one of items 1 to 8 of the scope of the patent application further includes an auxiliary connecting piece having a first auxiliary connecting piece and a second auxiliary connecting piece. An auxiliary connecting member is located on the first bracket, and the second auxiliary connecting member is located on the second bracket. 如申請專利範圍第9項所述之膝關節輔具,其中,該第一輔助連接件及該第二輔助連接件成相互交叉。 The knee joint assistive device according to item 9 of the scope of patent application, wherein the first auxiliary connecting member and the second auxiliary connecting member cross each other.
TW108148167A 2019-12-27 2019-12-27 Knee fixation device TWI706800B (en)

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