WO2014030143A2 - Dispositif orthopédique pour la correction d'un hallux valgus - Google Patents

Dispositif orthopédique pour la correction d'un hallux valgus Download PDF

Info

Publication number
WO2014030143A2
WO2014030143A2 PCT/IB2013/056826 IB2013056826W WO2014030143A2 WO 2014030143 A2 WO2014030143 A2 WO 2014030143A2 IB 2013056826 W IB2013056826 W IB 2013056826W WO 2014030143 A2 WO2014030143 A2 WO 2014030143A2
Authority
WO
WIPO (PCT)
Prior art keywords
base
metatarsus
fastening
big toe
fastening band
Prior art date
Application number
PCT/IB2013/056826
Other languages
English (en)
Other versions
WO2014030143A3 (fr
Inventor
Albert CIESIELSKI
Original Assignee
Ciesielski Albert
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 Ciesielski Albert filed Critical Ciesielski Albert
Publication of WO2014030143A2 publication Critical patent/WO2014030143A2/fr
Publication of WO2014030143A3 publication Critical patent/WO2014030143A3/fr

Links

Classifications

    • 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
    • A61F5/019—Toe correcting or spreading devices

Definitions

  • the invention concerns an orthopaedic device for the correction of incorrectly positioned big toes designed for people affected by deformities such as hallux valgus..
  • Some simple separating devices are known and used for the treatment of deformities such as hallux valgus, having the form of a wedge inserted between the big toe and the second toe. In this way the big toe is pushed away from the incorrect position.
  • One disadvantage of such devices is the fact that in order to apply the force needed to straighten the big toe out, the wedge supports itself against the neighbouring toes. As a result, a misalignment of the toes may occur.
  • a device designed for bending back and holding fingers in a fixed position is known from a Chinese utility model application CN202060935. What distinguishes the solution is a plate for the palm with through grooves on it with finger rings arranged in the through grooves.
  • the finger rings are fastened around them. In this way the fingers are fixed in the required position. With the device it is possible to keep deformed fingers in a correct position in order to apply treatment.
  • One disadvantage of the device is that it makes even a minimal use of the immobilized palm impossible.
  • a device for the correction of hallux valgus is known from the German patent application DE 02009041180, having an insole and straps, one of which holds the insole under the foot and the other pulls the big toe in the horizontal plane towards a correct position.
  • the insole is flexible and can be bent in the vertical plane. As a result it is possible to walk with the device on.
  • the straps holding the insole and the big toe have adjustable tension force which makes it possible to control how much the big toe is pulled.
  • a disadvantage of the solution is the big size of the insole which extends along the entire foot. Consequently, it is impossible to wear everyday footwear on the orthopaedic device. In this case the whole device is considered as footwear. As a result the number of options where the device can be worn is limited.
  • Another disadvantage of this solution is that the adjustment of the extent to which the big toe can be pulled in the horizontal plane is limited.
  • the strap around the big toe provides for only minimal possibility to pull the big toe away from the incorrect position.
  • the purpose of the invention is to develop an orthopaedic device for the correction of displacement of toes, which will be helpful in the treatment of the condition. Furthermore, the device is also to be comfortable for the patients in use and suitable for wearing during everyday activities. It is also to provide for the broadest possible adjustment of the extent to which the big toe can be pulled in the horizontal plane.
  • the essence of the solution according to the invention is an orthopaedic device for the correction of the position of big toes consisting of a splint as one element, which bends only in the vertical plane and to which fastening elements are attached which fasten the splint to the inner side of the toe and the inner side of the foot.
  • the solution is characterized in that the splint consists of the base of the big toe positioned under the toe connected, moving in the vertical plane, to the base of the metatarsus positioned under the metatarsus.
  • the base of the metatarsus is fitted with a fastening element which fastens it to the metatarsus
  • the base of the big toe is fitted with a fastening element which fastens it to the big toe.
  • the base of the big toe has an inner fold and an outer fold, which are turned upwards in relation to the base of the big toe creating side walls.
  • the inner fold and the outer fold are advantageously bent perpendicularly to the base of the big toe.
  • the outer fold is higher and longer than the inner fold.
  • the fastening element of the metatarsus is a fastening band with a pocket with the base of the metatarsus inside.
  • the base of the metatarsus positioned in the pocket on the fastening band has at least one opening with the two opposite walls of the pocket stitched through it. The stitching is shorter than the length of the opening.
  • the fastening element of the metatarsus is a fastening band connected with the base of the metatarsus with at least one stitching.
  • the fastening element of the metatarsus is a fastening band connected with the base of the metatarsus by means of an adhesive.
  • the fastening element of the metatarsus is a fastening band connected with the base of the metatarsus by means of pressure welding.
  • the fastening element of the metatarsus advantageously constitutes a single element with the base of the metatarsus.
  • the fastening element of the big toe is a fastening band.
  • the inner fold and the outer fold each has at least one opening through which goes the fastening band.
  • the fastening band can be connected with the base of the big toe with at least one stitching.
  • the fastening band is connected with the base of the big toe by means of an adhesive.
  • the fastening band is connected with the base of the big toe by means of pressure welding.
  • the fastening element of the big toe advantageously constitutes a single element with the base of the big toe.
  • the shape of the base of the big toe with the inner fold and the outer fold bent upwards advantageously corresponds to the anatomic shape of the big toe.
  • the base of the metatarsus is quadrangle, advantageously rectangle or trapezium in shape with the corners at a free end of the quadrangle rounded off.
  • the base of the big toe is inclined upwards in the vertical plane at angle a ranging from 0° to 20°.
  • the splint is made of plastic.
  • the plastic is polyethylene terephtalate glycol modified (PETG) or polycarbonate.
  • the fastening bands are advantageously made of velour or of plastic.
  • the fastening bands are made of straps of material fitted with fasteners.
  • the fastener is Velcro material.
  • the fastener can also be a ratchet.
  • the fastening band has a securing strap attached to it.
  • the securing strap is made of the same material as the fastening band.
  • the device is fitted with a pad which is advantageously fixed to the fastening band.
  • the pad can be fixed to the base of the metatarsus.
  • the fastening element of the metatarsus is fitted with a non-slip layer.
  • the non-slip layer is a silicone coating.
  • fig. 1 depicts the first embodiment of the device according to the invention viewed from above with the inner fold and the outer fold not folded upwards
  • fig. 2 depicts the first embodiment viewed from the side on which it is worn on the foot
  • fig. 3 shows the splint of the first embodiment viewed from above with the inner fold and the outer fold folded upwards
  • fig. 4 depicts the first embodiment viewed from below and worn on the foot
  • Fig. 5 shows the second embodiment if the device according to the invention viewed from above just as in fig.1.
  • the orthopaedic device has a splint 1 constituting one element bending only in the vertical plane. Owing to this the splint 1 bends in the vertical plane in the region of bending of the metatarsophaierial articulation of the big toe at the same time remaining fixed horizontally.
  • the splint 1 consists of the base of the big toe 2 and the base of the metatarsus 3 connected with it, with both bases lined along a single axis of symmetry.
  • the base of the metatarsus 3 is rectangular in shape with the two corners at a free end of the rectangle rounded off.
  • the relatively small width of the base of the metatarsus 3 provides for a possibility to move the base horizontally under the foot within a broad range.
  • the base of the big toe 2 includes the inner fold 4 and the outer fold 5, which are bent upwards so that they are perpendicular to the base of the big toe 2.
  • the outer fold 5 is higher and longer than the inner fold 4.
  • the big toe is better immobilized and supported by the base of the big toe 2.
  • the relatively small height and length of the inner fold 4 prevents undesired skin irritation between the big toe and the second toe, especially when the base of the big toe 2 is inclined upwards.
  • the base of the big toe 2 viewed from above takes the shape of an isosceles trapezium whose bottom base corresponds to the width of the shorter sides of the rectangular base of the metatarsus 3.
  • the base of the big toe 2 is inclined upwards in relation to the base of the metatarsus 3 at angle a of 15°. Thanks to this the big toe is bent upwards, which gives an advantageous therapeutic effect.
  • the base of the metatarsus 3 is fitted with a fastening element 6 fastening it to the metatarsus, whereas the base of the big toe 2 is fitted with a fastening element 7 fastening it to the big toe.
  • the fastening element 6 is a fastening band 8 fitted with a pocket 9 with the base of the metatarsus 3 inside.
  • the fastening band 8 fixes the base of the metatarsus 3 at the inner side of the metatarsus.
  • the fastening band 8 makes it possible to horizontally adjust the base of the metatarsus 3 across the foot by shifting the base and fixing it in the required position. It is thus possible to adjust the extent of the horizontal inclination of the big toe.
  • the fastening element 7 of the big toe is a fastening band 10 which fixes the base of the big toe 2 at the big toe.
  • the bands 8 and 10 are made of velour straps of material.
  • the base of the metatarsus 3 positioned in the pocket 9 has an opening 1 in its central part which is rectangular in shape with the corners rounded off.
  • a stitching 12 goes through the opening connecting the two opposite walls of the pocket 9.
  • the stitching 2 is shorter than the length of the opening 11. Owing to this the splint 1 can move within a limited range forward and backwards when the foot is bent. At the same time the stitching 12 prevents the splint 1 from slipping off the foot.
  • the inner fold 4 and the outer fold 5 each has an opening 13, both rectangular in shape with the corners rounded off.
  • the band 10 goes through the openings 13.
  • the bands 8 and 10 are fitted with fasteners 14, in this embodiment - with Velcro fasteners.
  • the fastening band 8 has a securing strap 15 sewn to it, which goes round the heel when the device is worn.
  • the securing strap 5 is made of velour.
  • the orthopaedic device is fitted with a pad 16, which is fixed by means of Velcro material to the fastening band 8.
  • the pad 16 supports the transverse arch of the foot.
  • the fastening element 6, which in this embodiment is the fastening band 8, is fitted with a non-slip layer 17.
  • the non-slip layer 17 is a silicone coating. With this layer the fastening band 8 adheres to the foot better.
  • the splint 1 is made of polyethylene terephtalate glycol modified (PETG) or polycarbonate.
  • the orthopaedic device When worn, the orthopaedic device exerts three forces on the foot: F1 , F2 and F3.
  • the force F1 is exerted on the big toe by the base of the big toe 2 and the inner fold 4.
  • the force F2, of a vector opposite to the force F1 is exerted by the fastening band 8.
  • the fastening band 8 By tightening or loosening the fastening band 8, it is possible to shift the base of the metatarsus 3.
  • the third force F3, applied in the same direction as the force F2 is exerted in the region of bending of the metatarsophaierial articulation of the big toe.
  • This embodiment is concerned with a version of the orthopaedic device for the right foot.
  • the device can also be made in a version for the left foot.
  • the orthopaedic device can also be made in a universal version. In such case the dimensions of the outer fold 5 are identical as the dimensions of the inner fold 4.
  • the second embodiment of the invention differs from the first embodiment in the shape of the splint , where part 3 constituting the base of the metatarsus has the shape of a trapezium and as a result of that part 2, constituting the base of the big toe is positioned at an angle to the base of the metatarsus 3.

Landscapes

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

Abstract

La présente invention concerne un dispositif qui comprend une attelle (1) constituant un élément, qui ne se plie que dans le plan vertical et à laquelle des éléments de fixation sont attachés. L'attelle (1) est constituée de la base du gros orteil (2) située sous le gros orteil et raccordée, amovible dans le plan vertical, à la base du métatarse (3) positionnée sous la métatarse. La base du métatarse (3) est dotée d'un élément de fixation (6) la fixant au métatarse, alors que la base du gros orteil (2) est dotée d'un élément de fixation (7) la fixant au gros orteil. La base du gros orteil (2) a un pli intérieur (4) et un pli extérieur (5), qui sont tournés vers le haut relativement à la base du gros orteil (2) créant ainsi des parois latérales.
PCT/IB2013/056826 2012-08-23 2013-08-23 Dispositif orthopédique pour la correction d'un hallux valgus WO2014030143A2 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
PLP.400482 2012-08-23
PL400482A PL400482A1 (pl) 2012-08-23 2012-08-23 Urzadzenie ortopedyczne do korekty ustawienia palucha

Publications (2)

Publication Number Publication Date
WO2014030143A2 true WO2014030143A2 (fr) 2014-02-27
WO2014030143A3 WO2014030143A3 (fr) 2014-05-15

Family

ID=49956252

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/IB2013/056826 WO2014030143A2 (fr) 2012-08-23 2013-08-23 Dispositif orthopédique pour la correction d'un hallux valgus

Country Status (2)

Country Link
PL (1) PL400482A1 (fr)
WO (1) WO2014030143A2 (fr)

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2018104940A1 (fr) * 2016-12-05 2018-06-14 CASSIT ORTHOPEDICS Ltd. Dispositifs orthopédiques thermoplastiques
JP2018118012A (ja) * 2017-01-27 2018-08-02 ダイヤ工業株式会社 外反母趾用サポーター
USD848626S1 (en) 2017-08-29 2019-05-14 Orthèse Hallux Valgus, Inc. Orthosis
CN111436716A (zh) * 2020-04-28 2020-07-24 中国医学科学院北京协和医院 一种根据缺失脚趾患者脚掌制定的专用鞋

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE102009041180A1 (de) 2009-09-11 2011-03-24 Hallufix Ag Korrektureinlegesohle zur Behandlung von Fehlstellungen im Mittel- und Vorderfußbereich
CN202060935U (zh) 2011-05-10 2011-12-07 上海长征医院 一种手指活动量控制板

Family Cites Families (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3049120A (en) * 1959-09-24 1962-08-14 Marcus Edith Toe straightening device
DE8532303U1 (de) * 1985-11-15 1986-01-23 C. Nicolai GmbH & Co KG, 3000 Hannover Orthopädische Richtschiene
US20060069334A1 (en) * 2004-09-24 2006-03-30 Moskowitz Barry M Compact universal splint apparatus for focused immobilization such as of a single digit of the foot or hand, and method
US20060276737A1 (en) * 2005-06-02 2006-12-07 Christopher Rose Functional toe brace
DE102011051083A1 (de) * 2011-06-15 2012-12-20 Vitus Maria Huber Orthopädische Vorrichtung, insbesondere zur Korrektur von Zehenfehlstellungen

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE102009041180A1 (de) 2009-09-11 2011-03-24 Hallufix Ag Korrektureinlegesohle zur Behandlung von Fehlstellungen im Mittel- und Vorderfußbereich
CN202060935U (zh) 2011-05-10 2011-12-07 上海长征医院 一种手指活动量控制板

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2018104940A1 (fr) * 2016-12-05 2018-06-14 CASSIT ORTHOPEDICS Ltd. Dispositifs orthopédiques thermoplastiques
CN110225730A (zh) * 2016-12-05 2019-09-10 卡西特骨科有限公司 热塑性矫形装置
JP2018118012A (ja) * 2017-01-27 2018-08-02 ダイヤ工業株式会社 外反母趾用サポーター
USD848626S1 (en) 2017-08-29 2019-05-14 Orthèse Hallux Valgus, Inc. Orthosis
CN111436716A (zh) * 2020-04-28 2020-07-24 中国医学科学院北京协和医院 一种根据缺失脚趾患者脚掌制定的专用鞋

Also Published As

Publication number Publication date
PL400482A1 (pl) 2014-03-03
WO2014030143A3 (fr) 2014-05-15

Similar Documents

Publication Publication Date Title
JP6306051B2 (ja) 足底筋膜支持システム
JP6161292B2 (ja) 外反母趾の機械的治療のための整形外科デバイス
US8413349B2 (en) Corrective insole for treating defective positioning in the metatarsal and forefoot area
US9387111B2 (en) Wrist brace and method and components for securing the same
US9265642B2 (en) Bootless ankle brace
US9393145B2 (en) Ankle support
US20060004311A1 (en) Ankle brace
CN111511315B (zh) 用于使关节固定的矫形器
RU2636900C2 (ru) Ортез
WO2014030143A2 (fr) Dispositif orthopédique pour la correction d'un hallux valgus
US6142967A (en) Heel pain relief method and brace
US20160242944A1 (en) Orthopedic device for the correction of hallux valgus
US20140330190A1 (en) Adjustable Wrist Orthotic
JP5963989B1 (ja) 踵足首サポーター
DK2838478T3 (en) Dynamic joint stabilizer
JP5750396B2 (ja) 脊椎変形矯正装具
US20200375777A1 (en) Flexible foot abduction apparatus
US20190015234A1 (en) Brace for Posterior Tibial Tendon Dysfunction
US10045876B2 (en) Wrist orthotic including adjustable ulna gap
JP3179553U (ja) 外反母趾及び偏平足の矯正具
RU2438624C1 (ru) Корригирующее приспособление при вальгусном отклонении первого пальца стопы
JP2003339408A (ja) 靴
US10307282B1 (en) Apparatus and methods for treatment of plantar fasciitis
KR102047331B1 (ko) 엄지 발가락 교정구
KR20220033263A (ko) 종아리 스트레칭 밴드

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 13821151

Country of ref document: EP

Kind code of ref document: A2

122 Ep: pct app. not ent. europ. phase

Ref document number: 13821151

Country of ref document: EP

Kind code of ref document: A2