US3661150A - Splint for the treatment of fractured legs - Google Patents

Splint for the treatment of fractured legs Download PDF

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Publication number
US3661150A
US3661150A US879024A US3661150DA US3661150A US 3661150 A US3661150 A US 3661150A US 879024 A US879024 A US 879024A US 3661150D A US3661150D A US 3661150DA US 3661150 A US3661150 A US 3661150A
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United States
Prior art keywords
support
support means
splint
legs
extension
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Expired - Lifetime
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US879024A
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English (en)
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Curt Y G Peterssen
Goran A Widolf
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Individual
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Individual
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    • 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
    • A61F5/04—Devices for stretching or reducing fractured limbs; Devices for distractions; Splints

Definitions

  • leg splints of different kinds.
  • the known splints have numerous and serious disadvantages making their use limited or difficult.
  • the requirements of a splint which is acceptable from all viewpoints are numerous and very difficult to comply with.
  • the splint should be simple to build and apply, it should be independent of the bed design so that it can be used in any type of bed, and furthermore it should be possible to use the splint for treating both femoral and tibia-fibula fractures.
  • Another important requirement is that the splint should be applicable to both static and dynamic treatment, i.e. it must be possible both to 1 fix and to change the position of the extremity being treated in order to permit movement of the joints of the extremity without disturbing the extension.
  • the last-mentioned requirement is of very great importance, for when treating fractures by means of static splints a very difficult stiffening of the joints is very often obtained, which can be overcome only by means of considerable exertions and sometimes not at all.
  • a bar of the Thomas type is used which is suspended in the bed by means of cables and a very complicated equipment which is difficult to use.
  • Such a splint is exclusively dynamic and no static fixation of the fracture can be achieved by such splint structure.
  • a splint of this type is highly dependent on the bed design since the entire construction which carries the Thomas bar is applied with the aid of the bed posts and the other parts of the bed, and can only be used for the treatment of femoral fractures.
  • Another known splint which is often used is of the Bohler type. This type of splint operates only statically, i.e. no movement of the extremity in the joints during the treatment in the splint can be performed. Furthermore, for tibia-fibula fractures and femoral fractures it is necessary to use different kinds of splints, which is also an important drawback.
  • the object of this invention is therefore to provide a splint intended for use in treating fractured legs which lacks all the drawbacks of the splints previously known and largely fulfils the demands which must be placed on an acceptable splint of this kind.
  • a splint comprising a frame, a first support for the femur having one end pivotally connected to the frame, a first support for the tibiafibula pivotally connected to said femur support at a point spaced from the connection between said frame and said femur support, and means connected to said supports for moving said supports independently of each other and optionally fixing each of said supports in relation to said frame and balancing said supports and the leg resting thereon by means of traction producing means, such as weights.
  • a splint of this kind may be used independently of the bed design, for it can be placed on the bottom of the bed and will permit both a dynamic and a static position for the extremity since the ends of the cables may on one hand be secured to the splint so that the position of the support for the tibia-fibula and of the support for the femur is fixed, and on the other hand it may be loosened from the splint, in which connection it is possible to bring about a movement both in the knee joint and in the hip joint by pulling the cables, and in that way it is possible to let the pulling of the cables simulate the movement performed by the leg when the patient walks.
  • the splint may be used for treating both femoral fractures and tibia-fibula fractures.
  • the cable from an extension yoke the wire of which extends through the leg immediately above the knee joint, is allowed to extend over the friction-reducing means of the holding device and loads the cable with a weight at that end which is opposite to the extension yoke.
  • the support for the tibia-fibula or an extension thereof is provided with friction-reducing means over which there extends a cable which is fixed to an extension yoke having a wire extending through the heel portion, and at its end opposite to the extension yoke the cable is loaded witha weight.
  • the first support for the femur is connected with one end to the frame by means of small arms, which are pivotally connected with the frame and can be adjusted with respect thereto by means of a self braking worm gear mechanism so that the level of the support for the femur at that end of the frame may be adjusted in order to adapt it to the position of the support for the femur with respect to different patients.
  • FIG. 1 shows a synergical splint according to the invention in a first position
  • FIG. 2 shows the synergical splint in a second position
  • FIG. 3 shows the use of the synergical splint for extension of the tibia-fibula
  • FIG. 4 shows a detail of an adjusting device in the splint.
  • a synergical splint according to the invention comprises a frame 1 on which the splint is meant to rest and which carries the other parts of the splint. Furthermore, the splint has an angular or segmented support 2 for the femur with which a support 3 for the tibia-fibula is pivotally connected at pivot 4.
  • the two supports are designed as frames covered with cloth.
  • the frame 1 carries by means of two uprights 5 a holding member 6 which is provided i.a. with pulleys over which cables extend for carrying the support 2 for the femur and the support 3 for the tibia-fibula.
  • the femur support 2 consists of relatively long support legs 2a and relatively short support legs 211, said support Zbeing pivotally connected with the frame 1 by means of. a pair of arms 7 which are fixedly connected at one of its ends with a shaft 8 pivotally mounted in the frame and are pivotally connected at their other end with the femur support 2.
  • the shaft 8 has a worm gear 9 (FIG. 4) which is fixedly connected therewith and is in engagement with a worm wheel 10 which is fixedly connected with a rod 13 rotatably mounted in a holding member 11 and provided with a handle 12.
  • the femur support 2 consists of two portions fixedly connected with each other and forming an angle of about to each other.
  • a yoke 14 is pivotally connected at its ends to the support 3 for the tibia-fibula and is also connected via a cable 15 extending upwardly over a pulley 16 and a pulley 17. At the end of the cable 15 which is opposite to the yoke 14 there is suspended a weight 18 in order to balance the support 3. At the end of the femur support 2 which is opposed to the end thereof which is pivotally connected with the frame there is fixed a cable 19 extending over a pulley 20 and a pulley 21.
  • FIGS. 1 and 2 show an extension yoke 23 having a wire extending through the lower portion of the femur and in which a pulling force is exerted by means of a cable 25 extending over pulleys 26 and 27 and is provided with a weight 28 at its end opposite to the extension yoke 23.
  • the holding member for the pulleys consists of a T-shaped bar 29 which by means of a clamping device 30 is adjustably connected with a traverse 31 extending between the upper portion of the uprights 5.
  • the holding member of the pulleys is also pivotal in the horizontal plane in a manner not shown in detail in order to render it possible to adjust the direction of the pulling force exertedby the cable 25.
  • the pulleys 17, 21, 27 for these cables are suspended from the end transverse portion 32 of the T-shaped bar 29, and the cable pulleys 16, 20, 26 of the cables are carried by a clamping device 33 which is adjustably connected with the longitudinal portion 34 of the T-shaped bar 29.
  • the height of the uprights is adjustable due to the fact that their lower portions project into sleeves 36 on the frame 1 which are provided with clamping means 35.
  • the support for the tibia-fibula and the femur support are movable and it is consequently possible to let a pulling force in the cables cause the femur support 2 and the tibia-fibula support 3 to be raised and lowered independently of each other so that a movement in the hip-joint and the knee-joint of the leg may be performed.
  • Two different positions of the tibia-fibula support and the femur support are shown in FIGS. 1 and 2.
  • the splint according to the invention may also be used for extension of the tibia-fibula.
  • the outer end of the support 3 is provided with a projecting portion 38 which is provided with pulleys 39 at its end, and furthermore a yoke 40 is provided at the point where the femur support 2 forms an angle with the support for the tibiafibula, said yoke 40 being provided at its sides with pulleys 41.
  • An extension yoke 42 has a wire 43 extending through the heel-portion of the leg and is connected with a cable 44 extending via a guiding aperture provided in a connecting upright portion 45 on projecting portion 38 and extending around the pulleys 39 and back around the pulleys 41, where the cable 44 is provided with a weight 46.
  • the direction of the traction force may be controlled by changing the position of the portion 45 having the guiding aperture in a manner which is not shown in detail.
  • the splint like the embodiments shown in FIGS. 1 and 2 is provided with the uprights 5 and the holding member 6, to the pulleys of which those cables extend which carry the support for the tibia-fibula and the support for the femur.
  • a splint device which is characterized by a base frame 1, a plurality of traction producing means 18, 22, 28 and 46, first support means 2 having one end joined to the base frame 1 and having the opposite end suspended by means of a first traction producing means 22 to balance said first support means, said first su port means being se mented and ineluding two angularly a ustable support legs a, 2b, relatively short support legs 2b and relatively long support legs 2a, respectively, said relatively short support legs 2b being connected to the base frame by first pivot means and said relatively long support legs 2a being connected with said first traction producing means 22, second support means 3 articulated with one end to second pivot means 4 provided on said first support means 2, said second support means 3 being shorter in length than said long support legs 2a of said first support means 2 and being connected with its opposite end to a second traction producing means 18 to balance said second support means, and means 7-13 to move both said support means 2, 3 centrally, as well as relatively to each other
  • a splint device for the treatment of a fractured leg comprising a base frame, a plurality of traction producing means, first support means having one end joined to said base frame and having the opposite end suspended by means of a first traction producing means to balance said first support means, said first support means being segmented and including two angularly adjustable support legs, relatively short support legs and relatively long support legs, respectively, said relatively short support legs being connected to the base frame by first pivot means and said relatively long support legs being connected with said first traction producing means, second support means articulated with one end to second pivot means provided on said first support means, said second support means being shorter in length than said long support legs of said first support means and being connected with its opposite end to a second traction producing means to balance said second support means, and means to move both said support means centrally, as well as relatively to each other into a position affording displacement of said first support means for engaging the femur independently of said second support means, which is engageable with the tibia-fibula of the leg to be treated
  • a splint device including arm means, and a worm-gear mechanism carried by said base frame and operatively connected via said arm means with said first support means to regulate the position of the latter.
  • said worm gear mechanism including shaft means interconnecting parts of said base frame and carrying said arm means to facilitate adjustment of the support legs of said first support means to each other and to said second support means, respectively.
  • a splint device said second support means being equipped with an extension, and two sets of roller means mounted, respectively on said extension and on said first support means near said second pivot means, said roller means accommodating a cable connection between a further traction producing means and said first support means.
  • one set of said roller means including friction-reducing means located adjacent said second pivot means and carried by said first support means, said cable connection having one end attached to an extension yoke positionable with said tibia-fibula on said second support means and having another end joined to weight means in the proximity of said friction-reducing means.
  • a device including cable guide means affixed to said extension and positioned between said other set of roller means and said extension yoke.

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  • Health & Medical Sciences (AREA)
  • Vascular Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nursing (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
  • Details Of Measuring And Other Instruments (AREA)
  • Prostheses (AREA)
US879024A 1968-11-26 1969-11-24 Splint for the treatment of fractured legs Expired - Lifetime US3661150A (en)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
SE16065/68A SE336427B (no) 1968-11-26 1968-11-26

Publications (1)

Publication Number Publication Date
US3661150A true US3661150A (en) 1972-05-09

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US879024A Expired - Lifetime US3661150A (en) 1968-11-26 1969-11-24 Splint for the treatment of fractured legs

Country Status (12)

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US (1) US3661150A (no)
AT (1) AT300181B (no)
BE (1) BE742243A (no)
CA (1) CA920901A (no)
CH (1) CH501406A (no)
DE (1) DE1959450A1 (no)
DK (1) DK125518B (no)
FR (1) FR2024297A1 (no)
GB (1) GB1271580A (no)
NL (1) NL6917774A (no)
NO (1) NO127172B (no)
SE (1) SE336427B (no)

Cited By (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3878842A (en) * 1973-09-10 1975-04-22 David P Goldberg Traction appliance permitting mobility
US4323060A (en) * 1979-04-23 1982-04-06 Pecheux Jean Claude R Splint
US4566440A (en) * 1984-02-09 1986-01-28 Empi, Inc. Orthosis for leg movement with virtual hip pivot
US4905677A (en) * 1985-01-17 1990-03-06 Compagnie Generale De Materiel Orthopedique Apparatus for the mobilization of a lower limb
US20070021702A1 (en) * 2005-07-21 2007-01-25 Gerald Cotton Portable splint system
US20080255491A1 (en) * 2007-04-11 2008-10-16 Scott James W Medical aid having a standalone femur traction mode and a leg support mode
USD779073S1 (en) * 2015-09-11 2017-02-14 Medica-Medizintechnik Gmbh Medical apparatus and equipment
WO2020198378A1 (en) * 2019-03-25 2020-10-01 ScoliWRx Inc. Systems and methods for relieving nerve tension in scoliosis
CN115054471A (zh) * 2022-05-17 2022-09-16 甘孜藏族自治州人民医院 一种胫骨骨折闭合复位手术架

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
AT388287B (de) * 1986-01-21 1989-05-26 Soevegjarto Harald Einrichtung zur gestuetzten bewegung des beines eines patienten

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CH63701A (de) * 1913-01-16 1914-02-16 Armin Dr Med Ziegler Apparat zur aktiven und passiven Bewegung gebrochener, in Muskelentspannung zu extendierender Beinglieder
FR708624A (fr) * 1930-12-31 1931-07-27 Appareil à tendre les jambes
US2034680A (en) * 1933-02-24 1936-03-17 Harry Herschel Leiter Surgical splint
DE688225C (de) * 1936-08-16 1940-02-17 Heinrich C Ulrich h zwei mittels Gewindespindel und Mutter gegeneinander verschiebbare Befestigungsklauen zu befestigenden Rahmengestell
DE747051C (de) * 1941-01-03 1944-09-06 Heinrich C Ulrich Vorrichtung zur Streckbehandlung von Knochenbruechen mit einer aus aneinandergelenkten, in jeder Winkellage zueinander feststellbaren Lagern fuer Ober- und Unterschenkel bestehenden Beinlagerungsschiene und einem der Hoehe nach einstellbaren Traeger fuer diese
FR1057532A (fr) * 1952-05-30 1954-03-09 Bouillat & Cie Perfectionnements aux attelles pour traitements chirurgicaux
US3461864A (en) * 1966-08-01 1969-08-19 Raymond L Coss Traction device

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CH63701A (de) * 1913-01-16 1914-02-16 Armin Dr Med Ziegler Apparat zur aktiven und passiven Bewegung gebrochener, in Muskelentspannung zu extendierender Beinglieder
FR708624A (fr) * 1930-12-31 1931-07-27 Appareil à tendre les jambes
US2034680A (en) * 1933-02-24 1936-03-17 Harry Herschel Leiter Surgical splint
DE688225C (de) * 1936-08-16 1940-02-17 Heinrich C Ulrich h zwei mittels Gewindespindel und Mutter gegeneinander verschiebbare Befestigungsklauen zu befestigenden Rahmengestell
DE747051C (de) * 1941-01-03 1944-09-06 Heinrich C Ulrich Vorrichtung zur Streckbehandlung von Knochenbruechen mit einer aus aneinandergelenkten, in jeder Winkellage zueinander feststellbaren Lagern fuer Ober- und Unterschenkel bestehenden Beinlagerungsschiene und einem der Hoehe nach einstellbaren Traeger fuer diese
FR1057532A (fr) * 1952-05-30 1954-03-09 Bouillat & Cie Perfectionnements aux attelles pour traitements chirurgicaux
US3461864A (en) * 1966-08-01 1969-08-19 Raymond L Coss Traction device

Cited By (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3878842A (en) * 1973-09-10 1975-04-22 David P Goldberg Traction appliance permitting mobility
US4323060A (en) * 1979-04-23 1982-04-06 Pecheux Jean Claude R Splint
US4566440A (en) * 1984-02-09 1986-01-28 Empi, Inc. Orthosis for leg movement with virtual hip pivot
US4905677A (en) * 1985-01-17 1990-03-06 Compagnie Generale De Materiel Orthopedique Apparatus for the mobilization of a lower limb
US20070021702A1 (en) * 2005-07-21 2007-01-25 Gerald Cotton Portable splint system
US8852134B2 (en) 2005-07-21 2014-10-07 Gerald Cotton Portable splint system
US20080255491A1 (en) * 2007-04-11 2008-10-16 Scott James W Medical aid having a standalone femur traction mode and a leg support mode
US7556609B2 (en) 2007-04-11 2009-07-07 Scott James W Medical aid having a standalone femur traction mode and a leg support mode
USD779073S1 (en) * 2015-09-11 2017-02-14 Medica-Medizintechnik Gmbh Medical apparatus and equipment
WO2020198378A1 (en) * 2019-03-25 2020-10-01 ScoliWRx Inc. Systems and methods for relieving nerve tension in scoliosis
CN115054471A (zh) * 2022-05-17 2022-09-16 甘孜藏族自治州人民医院 一种胫骨骨折闭合复位手术架

Also Published As

Publication number Publication date
GB1271580A (en) 1972-04-19
DE1959450A1 (de) 1970-09-10
AT300181B (de) 1972-07-10
FR2024297A1 (no) 1970-08-28
BE742243A (no) 1970-05-04
CH501406A (de) 1971-01-15
SE336427B (no) 1971-07-05
NL6917774A (no) 1970-05-28
DK125518B (da) 1973-03-05
CA920901A (en) 1973-02-13
NO127172B (no) 1973-05-21

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