WO2014006917A1 - Attelle pour articulation du genou - Google Patents

Attelle pour articulation du genou Download PDF

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Publication number
WO2014006917A1
WO2014006917A1 PCT/JP2013/004179 JP2013004179W WO2014006917A1 WO 2014006917 A1 WO2014006917 A1 WO 2014006917A1 JP 2013004179 W JP2013004179 W JP 2013004179W WO 2014006917 A1 WO2014006917 A1 WO 2014006917A1
Authority
WO
WIPO (PCT)
Prior art keywords
cuff
knee joint
arm
band
support plate
Prior art date
Application number
PCT/JP2013/004179
Other languages
English (en)
Japanese (ja)
Inventor
保 佐喜眞
Original Assignee
株式会社佐喜眞義肢
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 株式会社佐喜眞義肢 filed Critical 株式会社佐喜眞義肢
Priority to BR112014002698A priority Critical patent/BR112014002698A8/pt
Priority to JP2014523612A priority patent/JP6172717B2/ja
Publication of WO2014006917A1 publication Critical patent/WO2014006917A1/fr

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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
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/01Orthopaedic devices, e.g. splints, casts or braces
    • A61F5/0102Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations
    • A61F5/0123Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations for the knees
    • 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
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/01Orthopaedic devices, e.g. splints, casts or braces
    • A61F5/0102Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations
    • A61F2005/0132Additional features of the articulation
    • A61F2005/0137Additional features of the articulation with two parallel pivots

Definitions

  • the present invention relates to a knee joint orthosis that can be attached to a knee joint to assist walking.
  • the knee joint orthosis has been considered to protect the damaged part by applying the splint principle, fixing the knee joint, which is an obstacle, to the splint, and correcting the knee deformation.
  • the knee brace cuff is generally applied by adjusting the number of cuffs according to the level of injury of the patient.
  • a conventional multi-cuff structure orthosis protects an obstacle site by strengthening support force / correction force more than a single cuff orthosis. That is, in order to suppress the shaking of the knee joint, the first cuff and the other cuffs are coupled to the appliance arm, and the cuff does not rotate with respect to the appliance arm. Therefore, the patient corrects the knee deformation and reduces knee pain by fixing the disabled leg in a sturdy box-like brace.
  • Patent Document 1 discloses a suspension device (a suspension arm, a suspension pad, and a suspension belt) for a device having a connecting member. The method adopted in Patent Document 1 is also effective in a conventional knee joint device having a multi-cuff structure with respect to prevention of device displacement.
  • Patent Document 1 proposes to arrange a lower leg lower band above the peroneal muscle, that is, above the maximum swollen portion of the calf.
  • the suspension device does not function sufficiently and only the lower leg lower band prevents the orthosis from falling off, it is necessary to tighten the lower leg lower band strongly.
  • the radial nerve is excessively tightened, the feeling of wearing becomes worse due to the feeling of pressure, and the effect of preventing the device from falling off is not sufficient.
  • the belt width of the lower leg lower band is widened and the tightening force is eased, the lower leg lower band reaches below the maximum swollen part of the calf, and the orthosis shifts with expansion and contraction of the calf. Therefore, there has been a demand for a knee joint orthosis that can be worn for a long time without discomfort with the orthosis.
  • the apparent visibility when wearing the brace is anxious.
  • the orthosis can be slightly improved by adjusting the shape of the arm along the leg line.
  • it is difficult to adjust the shape of the arm because the supporting force and the correcting force are increased. It was difficult to achieve adjustments along leg lines that would not be recognized by others by wearing trousers or skirts, simply by adjusting the shape of the arm.
  • the present invention is a knee joint orthosis that can be worn for a long time, with an improved fitting property that does not cause discomfort and does not feel uncomfortable without lowering the support force / correction force. Even if it exists, it aims at providing the orthosis for knee joints which can carry out daily life like a healthy subject.
  • a knee joint orthosis wherein an inner support plate disposed inside the knee joint, an outer support plate disposed outside the knee joint, and an upper end side of the inner support plate.
  • An inner upper arm that is movably provided, an inner lower arm that is pivotally provided on the lower end side of the inner support plate, an outer upper arm that is pivotally provided on the upper end side of the outer support plate, and the outer side
  • An outer lower arm rotatably provided at the lower end side of the support plate, a connecting member for connecting the inner support plate and the outer support plate on the rear knee side, an end of the inner upper arm and the outer upper side A thigh band attached to the end of the arm, a lower leg lower band attached to the end of the inner lower arm and the end of the outer lower arm, a suspension arm connected to the inner upper end of the inner upper arm, and the suspension arm A suspension pad attached to the other end of the suspension and assembled to the suspension pad
  • the mounting positions of the first cuff and the first cuff band with respect to the inner lower arm and the outer lower arm are defined as the inner support plate and It is characterized by being 7 cm to 11 cm below the attachment position of the connecting member with respect to the outer support plate.
  • the first cuff and the first cuff band can be rotated to the inner lower arm and the outer lower arm. It is characterized by being provided in.
  • the thigh band includes a second cuff disposed on the rear thigh, and the front thigh. And the second cuff band and the second cuff band are rotatably provided on the inner upper arm and the outer upper arm.
  • a knee joint orthosis that can be worn for a long period of time and has improved fitting properties that do not cause discomfort and do not feel uncomfortable without lowering the support force / correction force. Even so, it is possible to provide a knee joint orthosis that can be used in daily life like a healthy person.
  • the knee joint orthosis according to the first embodiment of the present invention includes a first cuff disposed on the calf side above the maximum swollen portion of the calf, and a first cuff band disposed on the tibia side, One cuff and a first cuff band are provided on the inner lower arm and the outer lower arm.
  • the first cuff and the first cuff band together with the suspension belt, have a great effect of preventing the displacement of the appliance.
  • the first cuff can be provided with a wide first cuff rest, and the calf portion is softly held by the first cuff rest and the first cuff band. Therefore, it is possible to wear for a long time while reducing a sense of discomfort with the wearing.
  • the attachment positions of the first cuff and the first cuff band with respect to the inner lower arm and the outer lower arm are determined by the inner support plate and the outer support. 7 cm to 11 cm below the attachment position of the connecting member to the plate. According to the present embodiment, it is possible to relieve the sense of discomfort with respect to the restraint and wearing of the legs by the first cuff, and to prevent the displacement of the brace without reducing the support force / correction force. Therefore, since fitting property can be improved, it can be mounted for a long time.
  • the first cuff and the first cuff band are rotatably provided on the inner lower arm and the outer lower arm. It is a thing. According to the present embodiment, the expansion and contraction of the calf caused by the knee flexion and extension movement such as walking motion can be absorbed, and the orthosis does not occur. Therefore, it can be worn for a long time without a sense of incongruity or binding.
  • the thigh band is arranged in the second cuff arranged in the rear thigh and the front thigh.
  • the second cuff and the second cuff band are rotatably provided on the inner upper arm and the outer upper arm.
  • the support force / correction force of the orthosis is enhanced. Therefore, there is no deviation of the brace, it can be worn for a long time, and daily life similar to a healthy person is possible. This can simplify the series according to the dimensional size of the brace and lead to an improvement in appearance visibility.
  • FIG. 1 is a perspective view of a knee joint orthosis according to a first embodiment
  • FIG. 2 is a perspective view of the device viewed from the other side.
  • the knee joint orthosis according to the first embodiment includes an outer support plate 1a, an inner support plate 1b, and a connecting member 30.
  • the outer support plate 1a is disposed outside the knee joint.
  • the inner support plate 1b is disposed inside the knee joint.
  • the connecting member 30 connects the outer support plate 1a and the inner support plate 1b on the back knee side.
  • An outer pad 50a is provided inside the outer support plate 1a.
  • the outer support plate 1a is provided with an upper end side rotation fulcrum 11a and a lower end side rotation fulcrum 21a.
  • One end of the outer upper arm 10a is rotatably provided at the upper end side rotation fulcrum 11a.
  • One end of the outer lower arm 20a is rotatably provided at the lower end side rotation fulcrum 21a.
  • the inner support plate 1b is provided with an upper end side rotation fulcrum 11b and a lower end side rotation fulcrum 21b.
  • One end of the inner upper arm 10b is rotatably provided at the upper end side rotation fulcrum 11b.
  • One end of the inner lower arm 20b is rotatably provided at the lower end side rotation fulcrum 21b.
  • the outer lower arm 20a is longer than the outer upper arm 10a, and the inner lower arm 20b is longer than the inner upper arm 10b.
  • the inner support plate 1b, the inner upper arm 10b, and the inner lower arm 20b constitute an inner arm block.
  • the inner upper arm 10b is rotatably provided on the upper end side of the inner support plate 1b.
  • the inner lower arm 20b is rotatably provided on the lower end side of the inner support plate 1b.
  • the outer support plate 1a, the outer upper arm 10a, and the outer lower arm 20a constitute an outer arm block.
  • the outer upper arm 10a is rotatably provided on the upper end side of the outer support plate 1a.
  • the outer lower arm 20a is rotatably provided on the lower end side of the outer support plate 1a.
  • the thigh band 41 wound around the thigh is attached to the end of the inner upper arm 10b and the end of the outer upper arm 10a.
  • the lower leg lower band 42 wound around the lower leg is attached to the end of the inner lower arm 20b and the end of the outer lower arm 20a.
  • the other end side of the outer upper arm 10a has a pin 12a, and the other end side of the inner upper arm 10b has a pin 12b.
  • One end of the thigh band 41 is attached to the outer upper arm 10a by a pin 12a, and the other end of the thigh band 41 is attached to the inner upper arm 10b by a pin 12b.
  • the other end side of the outer lower arm 20a has a pin 22a
  • the other end side of the inner lower arm 20b has a pin 22b
  • One end of the lower leg lower band 42 is attached to the outer lower arm 20a by a pin 22a
  • the other end of the lower leg lower band 42 is attached to the inner lower arm 20b by a pin 22b.
  • the thigh band 41 is rotatably provided by pins 12a and 12b.
  • the lower leg lower band 42 is rotatably provided by pins 22a and 22b.
  • a crus inner pad 50c is provided which is arranged inside the radius muscle.
  • the lower leg inner pad 50c is attached by a pin 22b.
  • the suspension belt 43 is disposed so as to be wound between the thigh band 41 and the knee joint.
  • One end of the suspension arm 60b is attached to the inner upper arm 10b by a pin 12b.
  • An inner thigh pad 50d is disposed at one end of the suspension arm 60b.
  • a suspension belt 43 is attached to the other end of the suspension arm 60b, and a suspension pad 50b is disposed.
  • the suspension arm 60b is made of a spring material such as a leaf spring, and is elastically deformed between the inner upper arm 10b and the body.
  • the suspension belt 43 is located outside the knee joint and is connected to the outer upper arm 10a via the connection portion 60a.
  • the first cuff 44 is disposed on the calf side above the maximum swollen portion of the calf.
  • One end of the first cuff 44 is provided on the inner lower arm 20b, and the other end of the first cuff 44 is provided on the outer lower arm 20a.
  • the first cuff band 45 is disposed on the tibia side.
  • One end of the first cuff band 45 is provided on the inner lower arm 20b, and the other end of the first cuff band 45 is provided on the outer lower arm 20a.
  • the outer lower arm 20a has a pin 23a above the pin 22a
  • the inner lower arm 20b has a pin 23b above the pin 22b.
  • Both the pin 23 a and the pin 23 b are attached with the first cuff 44 and the first cuff band 45.
  • the first cuff 44 and the first cuff band 45 are rotatably provided by pins 23a and 23b.
  • the attachment positions of the first cuff 44 and the first cuff band 45 with respect to the inner lower arm 20b and the outer lower arm 20a, that is, the positions of the pins 23a and 23b are the attachment positions 30a of the connecting member 30 with respect to the inner support plate 1b and the outer support plate 1a. 7 cm to 11 cm below 30b.
  • the first cuff 44 is made of a metal or resin having a predetermined width and has a rigidity that does not easily deform. It is preferable to provide a first cuff pad 44 a on the body side of the first cuff 44.
  • the first cuff contact 44 a is the same width as the first cuff band 45 and wider than the first cuff 44.
  • the length of the outer lower arm 20a and the inner lower arm 20b and the positions of the pins 23a and 23b are set so that the first cuff 44 is disposed on the upper part of the gastrocnemius.
  • the 1st cuff 44 and the 1st cuff band 45 are rotatably provided with the pins 23a and 23b, the position adjustment with respect to the largest swelling part of a calf can be performed.
  • the first cuff band 45 is tightened between the tibia and the calf, and the side portions of the calf are held apart by the rigidity of the first cuff 44. Therefore, it can be worn for a long time without tightening the radial nerve.
  • the knee joint orthosis regulates the knee joint to an appropriate position by three-point support.
  • the restriction by the three-point support is a restriction from the outside of the knee joint by the outer pad 50a, a restriction from the thigh inner pad 50d of the knee joint by the thigh band 41, and a restriction from the inner lower part of the knee joint by the inner leg pad 50c.
  • These regulations can alleviate the pain of knee osteoarthritis, and can walk without restraining the knee joint. As a result, it is possible to walk without wearing orthosis by attaching appropriate muscles.
  • the knee joint orthosis according to the first embodiment is provided with the first cuff 44 and the first cuff band 45 on the inner lower arm 20b and the outer lower arm 20a, so that the effect of preventing the shift of the orthosis along with the suspension belt 43 is achieved.
  • the first cuff 44 can be provided with a wide first cuff pad 44a, and the first cuff pad 44a and the first cuff band 45 softly hold the calf part. Therefore, it is possible to wear for a long time while reducing a sense of discomfort with the wearing.
  • the first cuff 44 and the first cuff band 45 are rotatably provided on the inner lower arm 20b and the outer lower arm 20a. It can absorb the expansion and contraction of the calves caused by the above, and does not cause the displacement of the brace. Therefore, it can be worn for a long time without a sense of incongruity or binding.
  • FIG. 3 is a perspective view of the knee joint orthosis according to the second embodiment
  • FIG. 4 is a perspective view of the device viewed from the other side.
  • the thigh band 41 in the first embodiment includes a second cuff 46 disposed in the rear thigh and a second cuff band 47 disposed in the front thigh.
  • the second cuff 46 and the second cuff band 47 are provided at the ends of the inner upper arm 10b and the outer upper arm 10a.
  • the second cuff 46 and the second cuff band 47 are rotatably provided by pins 12a and 12b.
  • the second cuff 46 is made of a metal or resin having a predetermined width and has a rigidity that does not easily deform. It is preferable to provide a second cuff pad 46 a on the body side of the second cuff 46.
  • the second cuff pad 46 a is the same width as the second cuff band 47 and wider than the second cuff 46. Since the second cuff 46 and the second cuff band 47 are rotatably provided by the pins 12a and 12b, the position of the second cuff 46 and the second cuff band 47 can be adjusted with respect to the thigh.
  • the second cuff 46 and the second cuff band 47 are rotatably provided on the inner upper arm 10b and the outer upper arm 10a, so that the support force / correction force of the orthosis is enhanced. Is done. Therefore, the appliance can be worn for a long time without being displaced, and a daily life similar to a healthy person is possible.
  • the present invention is not only used for reflexive knees such as rehabilitation of hemiplegia and polio, for deformable joints such as O-legs, X-legs and rheumatoid arthritis, and for sports such as ligament damage and meniscus damage, It can be widely used even for such workers.

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

Abstract

La présente invention concerne une attelle pour articulation du genou qui comprend une première embrasse (44), disposée sur le côté du mollet au-dessus de la région de galbe maximal du mollet, et une première bande d'embrasse (45) qui est disposée du côté tibial. La première embrasse (44) et la première bande d'embrasse (45) sont fournies sur le bras inférieur médial (20b) et sur le bras inférieur latéral (20a). La présente invention concerne une attelle pour articulation du genou qui, sans réduire une capacité de support de charge/de correction, ne se déplace pas, n'est pas inconfortable à l'utilisation, est mieux ajustée, peut être portée pendant de longues périodes et avec laquelle la vie quotidienne d'un individu souffrant d'un problème du genou peut être similaire à celle d'un individu sain.
PCT/JP2013/004179 2012-07-05 2013-07-04 Attelle pour articulation du genou WO2014006917A1 (fr)

Priority Applications (2)

Application Number Priority Date Filing Date Title
BR112014002698A BR112014002698A8 (pt) 2012-07-05 2013-07-04 cinta de articulação de joelho
JP2014523612A JP6172717B2 (ja) 2012-07-05 2013-07-04 膝関節用装具

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
JP2012151030 2012-07-05
JP2012-151030 2012-07-05

Publications (1)

Publication Number Publication Date
WO2014006917A1 true WO2014006917A1 (fr) 2014-01-09

Family

ID=49881684

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/JP2013/004179 WO2014006917A1 (fr) 2012-07-05 2013-07-04 Attelle pour articulation du genou

Country Status (4)

Country Link
JP (1) JP6172717B2 (fr)
BR (1) BR112014002698A8 (fr)
PE (1) PE20141913A1 (fr)
WO (1) WO2014006917A1 (fr)

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2016013039A1 (fr) * 2014-07-22 2016-01-28 保 佐喜眞 Orthèse d'articulation du genou
CN105560017A (zh) * 2016-01-12 2016-05-11 陈烁 铰轴式助力器
KR20200090845A (ko) * 2017-11-23 2020-07-29 바우어파인트 아게 사지 보조기, 특히 무릎 보조기
CN112107460A (zh) * 2020-10-19 2020-12-22 广东职业技术学院 助力支撑型无障碍裤装

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR102300108B1 (ko) * 2019-07-18 2021-09-09 윤성우 송아지 발굽 굴곡 교정기 및 그 교정기를 이용한 송아지 발굽 교정방법

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2000005247A (ja) * 1998-06-19 2000-01-11 Tamotsu Sakishin 膝装具
JP2007117645A (ja) * 2005-10-31 2007-05-17 Tamotsu Sakishin 関節支持装具
JP2008272312A (ja) * 2007-05-02 2008-11-13 Tanren:Kk 膝装着具
JP2011167369A (ja) * 2010-02-19 2011-09-01 Tamotsu Sakishin 歩行補助装置

Family Cites Families (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7967765B2 (en) * 2004-01-06 2011-06-28 Djo, Llc Orthopedic brace suspension system
US6981957B2 (en) * 2004-02-27 2006-01-03 Townsend Industries, Inc. Knee brace medial/lateral shift compensation
KR100834074B1 (ko) * 2008-01-11 2008-06-02 다빈치메디텍주식회사 무릎관절 정형용 보조기구

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2000005247A (ja) * 1998-06-19 2000-01-11 Tamotsu Sakishin 膝装具
JP2007117645A (ja) * 2005-10-31 2007-05-17 Tamotsu Sakishin 関節支持装具
JP2008272312A (ja) * 2007-05-02 2008-11-13 Tanren:Kk 膝装着具
JP2011167369A (ja) * 2010-02-19 2011-09-01 Tamotsu Sakishin 歩行補助装置

Cited By (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2016013039A1 (fr) * 2014-07-22 2016-01-28 保 佐喜眞 Orthèse d'articulation du genou
JPWO2016013039A1 (ja) * 2014-07-22 2017-04-27 保 佐喜眞 膝関節用装具
CN105560017A (zh) * 2016-01-12 2016-05-11 陈烁 铰轴式助力器
KR20200090845A (ko) * 2017-11-23 2020-07-29 바우어파인트 아게 사지 보조기, 특히 무릎 보조기
CN111601574A (zh) * 2017-11-23 2020-08-28 鲍尔法因德股份有限公司 肢体矫形器,特别是膝部矫形器
JP2021504015A (ja) * 2017-11-23 2021-02-15 バウアーファインド アーゲー 肢装具、特に膝装具
JP7127124B2 (ja) 2017-11-23 2022-08-29 バウアーファインド アーゲー 肢装具、特に膝装具
KR102518097B1 (ko) 2017-11-23 2023-04-04 바우어파인트 아게 사지 보조기, 특히 무릎 보조기
CN112107460A (zh) * 2020-10-19 2020-12-22 广东职业技术学院 助力支撑型无障碍裤装

Also Published As

Publication number Publication date
PE20141913A1 (es) 2014-12-19
JPWO2014006917A1 (ja) 2016-06-02
BR112014002698A2 (pt) 2017-06-13
JP6172717B2 (ja) 2017-08-02
BR112014002698A8 (pt) 2017-06-20

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