CN105491979B - With the orthopaedic device for knee for exempting from lotus function - Google Patents

With the orthopaedic device for knee for exempting from lotus function Download PDF

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Publication number
CN105491979B
CN105491979B CN201480043832.XA CN201480043832A CN105491979B CN 105491979 B CN105491979 B CN 105491979B CN 201480043832 A CN201480043832 A CN 201480043832A CN 105491979 B CN105491979 B CN 105491979B
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China
Prior art keywords
knee
shank
thigh
orthopaedic device
state
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CN201480043832.XA
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Chinese (zh)
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CN105491979A (en
Inventor
罗云
徐敏
甘云
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Yee Wei medical instruments (Shanghai) Co., Ltd.
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Yee Wei Medical Instruments (shanghai) Co Ltd
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Priority claimed from CN201420149171.6U external-priority patent/CN204072404U/en
Application filed by Yee Wei Medical Instruments (shanghai) Co Ltd filed Critical Yee Wei Medical Instruments (shanghai) Co Ltd
Priority to CN201480043832.XA priority Critical patent/CN105491979B/en
Publication of CN105491979A publication Critical patent/CN105491979A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H3/00Appliances for aiding patients or disabled persons to walk about
    • 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. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces
    • 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. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces
    • A61F5/0102Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as 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. long-term immobilising or pressure directing devices for treating broken or deformed bones such as 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
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H1/00Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • A61H1/02Stretching or bending or torsioning apparatus for exercising
    • A61H1/0237Stretching or bending or torsioning apparatus for exercising for the lower limbs
    • A61H1/024Knee
    • 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. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces
    • A61F5/0102Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as 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
    • A61F2005/0134Additional features of the articulation with two orthogonal pivots
    • 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. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces
    • A61F5/0102Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as 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
    • A61F2005/0146Additional features of the articulation combining rotational and sliding movements, e.g. simulating movements of a natural joint
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/12Driving means
    • A61H2201/1207Driving means with electric or magnetic drive
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16Physical interface with patient
    • A61H2201/1602Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
    • A61H2201/164Feet or leg, e.g. pedal
    • A61H2201/1642Holding means therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16Physical interface with patient
    • A61H2201/1602Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
    • A61H2201/165Wearable interfaces
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/50Control means thereof
    • A61H2201/5058Sensors or detectors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/50Control means thereof
    • A61H2201/5058Sensors or detectors
    • A61H2201/5061Force sensors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/50Control means thereof
    • A61H2201/5058Sensors or detectors
    • A61H2201/5071Pressure sensors

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

Abstract

A kind of orthopaedic device for knee, including thigh skeleton, shank skeleton and regulating mechanism (31,32).Regulating mechanism (31,32) makes orthopaedic device for knee be in first state;The thigh skeleton tight-binding thigh of orthopaedic device for knee in first state, shank skeleton tight-binding shank, thigh skeleton applies the power along femur mechanical axis and away from the direction of shank to thigh, and shank skeleton applies the power along shin bone mechanical axis and away from the direction of thigh to shank.Regulating mechanism (31,32) can also make orthopaedic device for knee be in the second state;The thigh skeleton of orthopaedic device for knee in the second state does not apply the power along femur mechanical axis and away from the direction of shank to thigh, and shank skeleton does not apply the power along shin bone mechanical axis and away from the direction of thigh to shank;And thigh skeleton pine fetters thigh, and shank skeleton pine fetters shank.Orthopaedic device for knee driven from human body lower limbs, it can be achieved that with gait with human body automatically from the second state to first state then from first state to the conversion of the second state.

Description

With the orthopaedic device for knee for exempting from lotus function
Technical field
The present invention relates to a kind of orthoses more particularly to a kind of with the orthopaedic device for knee for exempting from lotus function.
Background technique
Human body lower limbs refer to human abdomen or less part, including buttocks, thigh, knee, calf and foot, have branch Support body stand, the critical function of walking, body can also be made in seat, squatted, a variety of postures such as clinostatism.Wherein, main to make With the bone to support the lower limb of weight, i.e. leg bone, it is divided into lower limb girdle and bones of free lower limb two parts.Lower limb girdle, that is, hip Bone, bones of free lower limb include femur, kneecap, shin bone, fibula and 7 pieces of shanks, 5 pieces of metatarsals and 14 pieces of phalanxes.Connect between bone and bone The place connect is known as joint, and human body lower limbs include three large joints: hip joint, knee joint and ankle-joint are all weight-bearing joint.
Due to aging, sick or unexpected, lesion or degeneration can occur for the bone of human body or joint, and human body lower limbs bone or lower limb The lesion of Bones and joints or degeneration may seriously affect its weight-bearing function, and then influence the standing of human body, walk and jump of running. In this regard, generalling use drug therapy, traditional physical therapy and rehabilitation, operative treatment is used when serious to restore leg bone or joint Function.In rehabilitation, orthoses is usually used.
Orthoses (orthosis) is also known as brace (brace), is abnormal to prevent, correct for human limb or other positions Shape, treatment bone, joint, nerve, muscle illness and the device outside for compensating its function, it is by limitation or assists body kinematics, Or change the body line of force the effects of, with mitigate four limbs, backbone, Musculoskeletal dysfunction.It is different according to applicable position, Upper limb orthoses, spinal orthosis and lower limb orthosis can be divided into.Wherein, upper limb orthoses are mainly used for what compensation lost Muscular strength, limbs, holding or the fixed limb of helping paralysis and function digit provide tractive force to prevent contracture and/or prevention or rectify Positive deformity;Spinal orthosis is mainly used for the flesh for mitigating local pain, protecting diseased region from further damaging, supporting paralysis Meat and/or prevention, correction deformity;Lower limb orthosis is mainly used for fixed lesion joint, prevention or correction deformity, compensatory loses Muscle function improves gait, avoids limbs load-bearing, union and early function is promoted to restore.
Knee joint is one of important weight-bearing joint of human body lower limbs, as shown in Figure 1, it is connected to thigh femur 1 and shank Between shin bone 2 comprising articular cartilage 4, medial meniscus 5 and lateral meniscus 6.Kneecap 3 is also shown in Fig. 1 and shin bone is thick Grand 7.
When lesion occurs for knee cartilage, such as Osteoarthritis (OA), will lead to articular cartilage gradually be denaturalized, is downright bad, It wears, starts mutual direct friction between subsequent bone (i.e. femur and shin bone), thus cause gonalgia, and influence patient Daily life.In addition, knee joint aging, injury of knee joint, heredity, obesity or the overexercise also volume caused by knee joint Outer weight bearing.For these knee joint problems, provides to provide in rehabilitation and avoid or mitigate the limbs of knee joint part and hold Weight, that is, having the lower limb orthosis for exempting from lotus (or exempting to carry) function is the recovery for being conducive to mitigate the pain of sufferer and help patient 's.
The target for exempting from lotus orthoses (Load-free orthosis) is the axis for mitigating limbs segment bone and/or joint To weight bearing, it can be part and exempt from lotus, be also possible to exempt from lotus completely, mainly appear in lower limb orthosis.Currently used for It reduces or exempts middle tibia hereinafter, the lotus orthoses of exempting from of the weight load including ankle-joint and foot has kneecap ligament load-bearing (PTB) orthoses (Fig. 2), the lotus orthoses of exempting from for exempt from lotus to femur, knee joint, shin bone etc. have ischium load-bearing knee ankle sufficient All there is orthoses (Fig. 3) foot to pedal part (being all console mode orthoses), therefore inconvenient to use, and unsightly.And That includes ankle-joint, the inflexible unhealthful model of human ankle of accessory ankle-joint is brought greatly handicapped and auxiliary Lamps structure is complicated, and size is too long, not easy donning.
Anlu moral of OSSUR disclosed in United States Patent (USP) US8292838B2 exempts from lotus No.1 orthoses (Fig. 4) and Otto Bock Genu Arthro 28K20/21 orthoses there is no design foot pedal part, these non-console mode knee joints, which exempt from lotus accessory, is all Apply varus or the power turned up by 3 mechanics principles to pull open the gap of an impaired lateral joint, joint surface pressure is unloaded It carries, so that knee joint be prevented to be further worn out the exacerbation with local symptom.But the knee joint that human body generates during gait The load at place is born together by bilateral articular surface and accessory, since the lateral large and small leg splint of the accessory of the type does not divide It is not fixed on thigh and shank, clamping plate cannot be limited and moved along leg axis, i.e., clamping plate cannot help to transmit edge at knee joint The power in line of force direction, so the carrying of the articular surface of healthy side can accordingly increase when the carrying of impaired side articular surface reduces It is big to guarantee that the carrying summation of bilateral articular surface is constant.Thus, it could be seen that it but increases simultaneously in the load for mitigating impaired side The load for having added other side articular surface to be born accelerates the abrasion of the thin-skinned bone of healthy joint instead in this way, finally results in knee pass Save the osteoarthritis of two condyles.Therefore, they be neither truly exempt from lotus orthoses.
Therefore, those skilled in the art is dedicated to developing a kind of with the orthopaedic device for knee for exempting from lotus function, does not wrap Include foot pedal part, and be able to achieve truly exempt from lotus function.
Summary of the invention
In view of the above drawbacks of the prior art, technical problem to be solved by the invention is to provide a kind of orthopaedic knees Device, passing through tight-binding thigh and shank and applying active force makes to possess gap between femur and the bone of shin bone, realizes non-landing Is exempted to knee joint by lotus for ground.
To achieve the above object, the present invention provides a kind of orthopaedic device for knee, which is characterized in that including being worn on thigh Thigh skeleton and be worn on the shank skeleton of shank;
The working condition of the orthopaedic device for knee includes first state;
Thigh described in the thigh skeleton tight-binding of the orthopaedic device for knee in the first state is described small Shank described in thigh bone frame tight-binding, the thigh skeleton apply along femur mechanical axis and away from the direction of shank the thigh Power, the shank skeleton apply the power along shin bone mechanical axis and away from the direction of thigh to the shank;The thigh skeleton with Spacing between the shank skeleton is the first spacing.
Further, the working condition of the orthopaedic device for knee further includes the second state;
The thigh skeleton of the orthopaedic device for knee in second state does not apply along stock the thigh Bone mechanical axis and power away from the direction of shank, the shank skeleton do not apply along shin bone mechanical axis and away from big the shank The power in the direction of leg;Spacing between the thigh skeleton and the shank skeleton is the second spacing;
Second spacing is less than first spacing.
Further, the thigh skeleton pine constraint of the orthopaedic device for knee in second state is described big Leg, the shank skeleton pine fetter the shank.
Further, the orthopaedic device for knee further includes regulating mechanism, and the regulating mechanism is arranged in the thigh On frame and/or the shank skeleton, or it is arranged between the thigh skeleton and the shank skeleton, makes the knee joint Orthoses is in the first state or second state.
Further, described when the difference at hip knee ankle angle and standing normotopia hip knee ankle angle is less than first state conversion angle Regulating mechanism makes the orthopaedic device for knee be in the first state;When the hip knee ankle angle and the standing normotopia hip knee ankle When the difference at angle is greater than the second state conversion angle, the regulating mechanism makes the orthopaedic device for knee be in second state; The second state conversion angle is greater than or equal to the first state conversion angle.
Further, the shank skeleton includes small leg support;The orthopaedic device for knee in the first state The small leg support of the shank skeleton laterally constraint shank at the recess portion between kneecap and tuberosity of tibia.
Further, the regulating mechanism is arranged between the thigh skeleton and the shank skeleton, with the thigh Skeleton and the shank skeleton are respectively connected with.
Further, the thigh skeleton can be rotated by the regulating mechanism relative to the shank skeleton.
Optionally, by regulating mechanism described in manual actuation, enter the orthopaedic device for knee from the first state Second state, and the orthopaedic device for knee is made to enter the first state from second state.
Optionally, by being driven by electricity the regulating mechanism, enter the orthopaedic device for knee from the first state Second state, and the orthopaedic device for knee is made to enter the first state from second state.
Further, the orthopaedic device for knee further includes power supply, sensor, motor and control unit.
Optionally, the regulating mechanism is driven by lower limb, enters the orthopaedic device for knee from the first state Second state, and the orthopaedic device for knee is made to enter the first state from second state.
Further, including two regulating mechanisms, the kneed two sides of the lower limb are distributed in.
Further, the rotation axis of the rotation is parallel with kneed first rotation axis.
Further, the shank skeleton further includes two shank clamping plates and shank bandage;
Described two shank clamping plates are fitted in the two sides of the shank, the first end difference of described two shank clamping plates respectively It is connected to described two regulating mechanisms;
The shank bandage is laterally fitted in the middle and upper part at the back side of the shank, and both ends are connected to described two On a shank clamping plate;
The small leg support is strip structure, has the inner surface that can be bonded the recess portion, the both ends point of the small leg support It is not fixedly attached to described two shank clamping plates;
On the shank clamping plate, link position between the small leg support and the shank clamping plate than the shank bandage with The first end of link position between the shank clamping plate closer to the shank clamping plate.
Further, the thigh skeleton includes big leg support, two big leg splint and thigh bandage;
Described two big leg splints are respectively distributed to thigh two sides, and the second end of described two big leg splints is connected respectively to Described two regulating mechanisms;
The big leg support is strip structure, has the positive inner surface that can be laterally bonded the thigh, described big The both ends of leg support are connected respectively to described two big leg splints;
The thigh bandage can laterally be fitted in the back side of the thigh, and both ends are connected to described two thighs On clamping plate;
On the big leg splint, link position between the big leg support and the big leg splint than the thigh bandage with The first end of link position between the big leg splint closer to the big leg splint.
Further, the big leg support can be rotated around the tie point of itself and the big leg splint.
Further, the regulating mechanism include between the slotted disk and sliding block that mutually can rotate and be translatable, on the slotted disk With curved slot, there is lug boss on the sliding block, the lug boss can slide in the slot;
The slotted disk is connected with the first end of the shank clamping plate, and described the of the sliding block and the big leg splint Two ends are connected;Alternatively, the sliding block is connected with the first end of the shank clamping plate, the slotted disk and the big leg splint The second end is connected.
Further, the sliding block is connected in the edge of the sliding block with the second end of the big leg splint.
Optionally, the sliding block is connected by a hinge the second end of the big leg splint, the sliding block and the hinge The link position of chain is in the edge of the sliding block.
Optionally, the sliding block and the big leg splint are integrally formed.
Further, the slotted disk is connected in the edge of the slotted disk with the first end of the shank clamping plate.
Optionally, the slotted disk is riveted on the first end of the shank clamping plate.
Optionally, the slotted disk and the shank clamping plate are integrally formed.
Further, the slot has the first bending section and the second bending section;
Under the gait driving of the lower limb, when the lug boss is curved from first bending section into described second When pars convoluta, the orthopaedic device for knee enters the second state from the first state;When the lug boss is bent from described second When portion enters first bending section, the orthopaedic device for knee enters first state from second state.
Further, the slot includes the first slot and the second slot, and the lug boss includes the first lug boss and the second protrusion Portion, first lug boss can slide in first slot, and second lug boss can slide in second slot;
Under the gait driving of the lower limb, when first lug boss is bent from described the first of first slot Portion enters second bending section of first slot and second lug boss from first bending section of second slot When into second bending section of second slot, the orthopaedic device for knee enters the second state from the first state; When first lug boss from second bending section of first slot enter first slot first bending section and When second lug boss enters first bending section of second slot from second bending section of second slot, institute It states orthopaedic device for knee and enters first state from second state.
Optionally, the slotted disk includes the first slotted disk and the second slotted disk being fixed to each other, and the sliding block is clipped in described first Between slotted disk and second slotted disk;The sliding block has on the face in face of first slotted disk can be in first slotted disk The lug boss slided in the slot, the sliding block has on the face in face of second slotted disk can be in second slotted disk The slot in the lug boss that slides;Second slotted disk than first slotted disk closer to the knee joint, described Two slotted disks are connected with the first end of the shank clamping plate.
Optionally, the sliding block includes the first sliding block and the second sliding block being fixed to each other, and the slotted disk is clipped in described first Between sliding block and second sliding block;The slotted disk in face of first sliding block face on have can accommodate first sliding block The lug boss in the slot wherein slided;The slotted disk is described with that can accommodate on the face in face of second sliding block The lug boss of second sliding block is in the slot wherein slided;Second sliding block is than first sliding block closer to the knee Joint, second sliding block are connected with the second end of the big leg splint.
Further, the orthopaedic device for knee further includes the shank for putting after preventing described two shank clamping plates from occurring Clamping plate rock-steady structure, the shank clamping plate rock-steady structure are strip, are laterally fitted in the front of the shank and its both ends It is connected respectively to the second end of described two shank clamping plates.
Further, the shank clamping plate rock-steady structure is the second shank bandage, and the second shank bandage laterally pastes It closes in the front of the shank, both ends are connected respectively to the second end of described two shank clamping plates.
Further, the thigh skeleton further includes the second thigh bandage, and the second thigh bandage is laterally fitted in The back side of the thigh, both ends are connected respectively to described two big leg splints, and the second thigh bandage and the thigh press from both sides Link position and the thigh bandage and the thigh of the link position between the big leg support and the big leg splint between plate Between link position between clamping plate.
Further, the shank bandage and the second shank bandage are all by snapping attached to the shank clamping plate; The thigh bandage and the second thigh bandage are all by snapping attached to the big leg splint.
Further, the thigh bandage and/or shank bandage further include elastic webbing and inelastic straps, the elastic webbing Both ends are connected respectively to the both ends of the inelastic straps, and the inelastic straps are equipped with length adjustment device to adjust the non-ballistic Property is with the distance between both ends.
Further, the thigh bandage and/or shank bandage further include elastic webbing and inelastic straps, the elastic webbing Both ends are connected respectively to the both ends of the inelastic straps, and the inelastic straps are equipped with length adjustment device to adjust the non-ballistic Property is with the distance between both ends.
Further, the length adjustment device is in first state, and the length of the bandage can stretch, the length Regulating device is in the second state, and the length of the bandage can not stretch.
Further, the length adjustment device is hasp, and the hasp includes detaining and detaining under hasp on hasp, described to take It buckles and is connected by a hinge with button under the hasp, can be rotated around rotary shaft, detain on the hasp and detained under the hasp It is not overlapped, the hasp is in the first state;Button is overlapped and fixes, the hasp with button under the hasp on the hasp In second state.
Further, the hasp is fixed by magnetic sticky buckle.
Further, button is raised towards button setting buckle under the hasp on the hasp, button setting phase under the hasp The card hole answered, the hasp are fixed by the buckle protrusion with the card hole.
Further, opposite direction is detained under the hasp from the rotary shaft and extends elastic sheet, so that described It is generated at rotary shaft and the pressure of fixed human body limb is evenly distributed with by the elastic sheet.
In better embodiment of the invention, a kind of orthopaedic device for knee is provided comprising thigh skeleton, focile Frame and two regulating mechanisms being connected between thigh skeleton and shank skeleton.Thigh skeleton includes be distributed in thigh two sides two A big leg splint and big leg support, thigh bandage and the second thigh bandage being connected between two big leg splint, shank skeleton packet Include small leg support, the shank bandage and second for being distributed in two shank clamping plates of shank two sides and being connected between two shank clamping plates Shank bandage.Wherein, small leg support is laterally at the recess portion between kneecap and tuberosity of tibia.Two regulating mechanisms are respectively distributed to Kneed two sides, are connected to two pairs big between leg splint and shank clamping plate, all include sliding block and two slotted disks.Sliding block folder Between two slotted disks, wherein sliding block is connected to big leg splint, and slotted disk is connected to shank clamping plate.There is lug boss on sliding block, It is slided in the slot of slotted disk by lug boss, realizes movement of the sliding block relative to slotted disk of regulating mechanism, which includes flat Dynamic and rotation.As the lower limb for the user for having worn orthopaedic device for knee of the invention are from flexion to straight configuration, adjust Section mechanism makes orthopaedic device for knee enter first state from the second state, the thigh of the orthopaedic device for knee in first state Frame tight-binding thigh, shank skeleton tight-binding shank, thigh skeleton apply along femur mechanical axis thigh and deviate from the side of shank To power, shank skeleton to shank apply along shin bone mechanical axis and away from thigh direction power.And with having worn the present invention Orthopaedic device for knee user lower limb from straight configuration to flexion, regulating mechanism makes orthopaedic device for knee from first State enters the second state, and the thigh skeleton pine of the orthopaedic device for knee in the second state fetters thigh, shank skeleton pine beam Shank is tied up, thigh skeleton does not apply the power along femur mechanical axis and away from the direction of shank to thigh, and shank skeleton is not to shank Apply the power along shin bone mechanical axis and away from the direction of thigh.
It can be seen that the user for having worn orthopaedic device for knee of the invention occurs in walking due to its lower limb It is the then process from straight configuration to flexion from flexion to straight configuration, orthopaedic device for knee of the invention is by this Lower limb driving, correspondingly from the second state to first state then from first state to the second state, this is one and human-step The automatic conversion process of capable gait cooperation.Also, when due to human locomotion, the lower limb in straight configuration need to carry weight Load and in flexion lower limb do not need carrying weight load.For being in the lower limb of straight configuration, knee of the invention Articular orthotast is in first state, and tight-binding lower limb simultaneously make between possessing between the femur of thigh and the bone of the shin bone of shank Gap, thus weight load is transmitted to shank skeleton from thigh skeleton, regulating mechanism, and effectively substitution human body knee joint carries negative Lotus.For being in the lower limb of flexion, orthopaedic device for knee of the invention is in the second state, not bearing load and pine Lower limb are fettered, thus do not influence the blood vessels operation of the lower limb of user.The present invention is by existing the small leg support setting of shank skeleton At recess portion between kneecap and tuberosity of tibia, make in first state orthopaedic device for knee shank skeleton small leg support Shank is fettered at the recess portion, with effectively transmission force, reduces the compressing to shank gastrocnemius part, and accessory can be prevented whole Body glides this generally existing phenomenon.In addition, orthopaedic device for knee of the invention can be to entire knee when being in first state The double condyle unloadings in joint, therefore it may be not only suitable for single Osteoarthritis, can be used for double condyle Osteoarthritis.
It is described further below with reference to technical effect of the attached drawing to design of the invention, specific structure and generation, with It is fully understood from the purpose of the present invention, feature and effect.
Detailed description of the invention
Fig. 1 is the anatomical structure schematic diagram of human body knee joint.
Fig. 2 shows kneecap ligament load-bearing orthoses.
Fig. 3 shows ischium load-bearing knee-ankle-foot orthosis.
Anlu moral that Fig. 4 shows OSSUR exempts from lotus No.1 orthoses.
Fig. 5 is the side view of orthopaedic device for knee of the invention in a preferred embodiment.
Fig. 6 is the front view of orthopaedic device for knee shown in fig. 5.
Fig. 7 is the rearview of orthopaedic device for knee shown in fig. 5.
Fig. 8 shows the small leg support with inclined inner surface.
Fig. 9 shows the connection realized between big leg support and big leg splint by master and slave dowel.
Figure 10 is the structural exploded view of the regulating mechanism of orthopaedic device for knee shown in fig. 5.
Figure 11 is the front view of the first slotted disk of regulating mechanism shown in Fig. 9.
Figure 12 is the perspective view of orthopaedic device for knee shown in fig. 5.
Figure 13 shows a kind of form of thigh bandage.
Figure 14 shows another form of thigh bandage.
Figure 15 shows another form of thigh bandage.
Figure 16 is the fixed connection end structural schematic diagram of thigh bandage shown in figure 15.
Figure 17 is the side view at the flexible connection end of thigh bandage shown in figure 15.
Figure 18 is the structural schematic diagram at the flexible connection end of thigh bandage shown in figure 15.
Figure 19 shows the structure of the thigh bandage in Figure 15.
Figure 20 shows the structure of the fixing buckle in Figure 19.
Figure 21 shows the structure of the hasp in Figure 19.
Figure 22 shows the connection of two elastic webbings and hasp of another form of thigh bandage.
Figure 23 shows the connection of two elastic webbings and hasp of another form of thigh bandage.
Specific embodiment
It is described, is defined as follows using the term of part radiology line of force fields of measurement in this specification:
Femur mechanical axis: the line of late-segmental collapse and knee joint center;
Shin bone mechanical axis: the line at knee joint center and ankle-joint center;
Late-segmental collapse: since femoral head is a relatively regular circle, stock is determined using Mose circle or compasses Bone center;
Knee joint center: soft tissue midpoint, tibial plateau upper limb midpoint, fossa intercondyloidea by determining knee space level The midpoint of apex condyle of femur, tibial intercondylar eminence center and bone fossa intercondyloidea center, the center of this 5 points is determined as knee joint Center;
Ankle-joint center: by determining the soft tissue midpoint of ankle-joint gap level, the inside and outside ankle of ankle-joint gap level The midpoint and astragalus center of surface spacing, are determined as ankle-joint center for the center of this 3 points;
Hip knee ankle angle: the angle of femur mechanical axis and shin bone mechanical axis, the present invention in hip knee ankle angle be only limitted to femur machine Projected angle of the angle of tool axis and shin bone mechanical axis on human body bilateral symmetry face;
Standing normotopia hip knee ankle angle: human body is in hip knee ankle angle when standing normotopia.
Orthopaedic device for knee of the invention, including thigh skeleton and shank skeleton, wherein thigh skeleton is worn on thigh, Shank skeleton is worn on shank.The working condition of orthopaedic device for knee includes first state, at this time the thigh of orthopaedic device for knee Skeleton tight-binding thigh, shank skeleton tight-binding shank, and thigh skeleton apply along femur mechanical axis and away from small thigh The power in the direction of leg, shank skeleton apply the power along shin bone mechanical axis and away from the direction of thigh to shank.Thigh skeleton as a result, And shank skeleton makes to possess gap between the femur of thigh and the bone of the shin bone of shank, to exempt directly rubbing between bone It wipes.At this point, the spacing between thigh skeleton and shank skeleton is the first spacing.Herein between thigh skeleton and shank skeleton between A selected position being defined as on thigh skeleton away from S to knee joint center projection of the line on femur mechanical axis length Spend S1With the length S of the projection of the line of a selected position on shank skeleton to knee joint center on shin bone mechanical axis2 The sum of, i.e. S=S1+S2.Wherein, the selected position on thigh skeleton can be selected as the contact position of thigh skeleton and thigh The middle contact position nearest or farthest apart from knee joint center, the selected position on shank skeleton can be selected as shank Apart from the contact position that knee joint center is nearest or farthest in the contact position of skeleton and shank.It should be noted that big Selected position on thigh bone frame (or shank skeleton) to knee joint center line at femur mechanical axis (or shin bone mechanical axis) On projection may fall on the extended line of femur mechanical axis (or shin bone mechanical axis), the length for setting projection at this time is negative Value;And for the line of the selected position on thigh skeleton (or shank skeleton) to knee joint center femur mechanical axis (or Shin bone mechanical axis) on projection fall in the situation on femur mechanical axis (or shin bone mechanical axis), the length for setting the projection is positive Value.
Thigh skeleton tight-binding thigh and shank skeleton tight-binding shank herein refers to the knee joint in first state Power and shank skeleton of the thigh skeleton of orthoses to thigh application along femur mechanical axis and away from the direction of shank are to shank When applying along shin bone mechanical axis and deviating from the power in direction of thigh, the sliding of opposite thigh and focile will not occur for thigh skeleton The sliding of opposite shank will not occur for frame.Therefore, the user for wearing orthopaedic device for knee of the invention is carrying out daily routines When, can guarantee the orthopaedic device for knee in the positioning of lower limb, with this guarantee thigh skeleton and shank skeleton make thigh femur and Possess gap between the bone of the shin bone of shank.
The working condition of orthopaedic device for knee further includes the second state, and the thigh skeleton of orthopaedic device for knee is not to big at this time Leg applies the power along femur mechanical axis and away from the direction of shank, and shank skeleton does not apply along shin bone mechanical axis and deviates to shank The power in the direction of thigh.Do not guarantee that at this time thigh skeleton and shank skeleton make the bone of the femur of thigh and the shin bone of shank it Between possess gap, for example, can be state when user just completes to wear orthopaedic device for knee of the invention at this time.This When, the spacing between thigh skeleton and shank skeleton is the second spacing.The same wearer is worn same of the invention When orthopaedic device for knee, the second spacing is less than the first spacing.
Orthopaedic device for knee of the invention further includes regulating mechanism, which is arranged in thigh skeleton and/or shank On skeleton;Or be arranged between thigh skeleton and shank skeleton, it is respectively connected with thigh skeleton and shank skeleton.Regulating mechanism Can by manual actuation, be driven by electricity or lower limb driving, so that orthopaedic device for knee is in first state or second as needed State.For example, when knee joint is when user is in erect position and needs load weight, can by manual actuation regulating mechanism with Orthopaedic device for knee of the invention is set to be in first state;And load weight is not needed when knee joint is in seat in user When, by manual actuation regulating mechanism so that orthopaedic device for knee of the invention is in the second state.Alternatively, when knee joint makes It, can be by electric drive regulating mechanism so that orthopaedic device for knee of the invention when user is in erect position and needs load weight In first state;And when knee joint is when user is in seat and does not need load weight, pass through electric drive regulating mechanism So that orthopaedic device for knee of the invention is in the second state;It is the case where for passing through electric drive regulating mechanism, of the invention Orthopaedic device for knee can also include power supply, the motor of driving, sensor and control unit.When sensor measures knee joint Load weight is needed, or has load to pass through knee joint transmitting (including be transmitted to shank from thigh and be transmitted to thigh from shank) When, control unit drives regulating mechanism that orthopaedic device for knee is made to be in first state, is otherwise then in orthopaedic device for knee Second state.
In a preferred embodiment of the invention, regulating mechanism is driven by lower limb, in particular by under human body Limb drives regulating mechanism, when the difference at hip knee ankle angle and standing normotopia hip knee ankle angle is less than first state conversion angle, adjusts machine Structure makes orthopaedic device for knee be in first state;When the difference at hip knee ankle angle and standing normotopia hip knee ankle angle is converted greater than the second state When angle, regulating mechanism makes orthopaedic device for knee be in the second state, and the second condition conversion angle is greater than or equal to first state Conversion angle.Such as normal person, standing normotopia hip knee ankle angle is 0 °, sets first state conversion angle as 20 °, sets Second state conversion angle is 90 °, then the hip knee ankle angle for having worn the lower limb of orthopaedic device for knee of the invention as user is small When 20 °, which is in first state;And when user has worn the lower limb of orthopaedic device for knee of the invention Hip knee ankle angle be greater than 90 ° when, which is in the second state.Alternatively, setting first state conversion angle and the Two-state conversion angle is all 45 °, then the hip knee ankle angle for having worn the lower limb of orthopaedic device for knee of the invention as user is small When 45 °, which is in first state;And when user has worn the lower limb of orthopaedic device for knee of the invention Hip knee ankle angle be greater than 45 ° when, which is in the second state.Also, in the present embodiment, it is in the second state Orthopaedic device for knee thigh skeleton pine fetter thigh, shank skeleton pine fetter shank.Thigh skeleton pine constraint herein is big Leg and shank skeleton pine constraint shank refer to the beam that the thigh skeleton of the orthopaedic device for knee in the second state applies thigh The half for the binding force that the thigh skeleton that binding force is less than the orthopaedic device for knee in first state applies thigh and The shank skeleton of orthopaedic device for knee in the second state is less than the knee in first state to the binding force that shank applies and closes The half for the binding force that the shank skeleton of section orthoses applies shank.Binding force herein refers to maximum pressure, i.e., greatly Thigh bone frame is to the maximum pressure (extruding force) that the binding force that thigh applies is that thigh skeleton applies thigh, and shank skeleton is to shank The binding force of application is maximum pressure (extruding force) of the shank skeleton to shank.It should be noted that due under each human body When the mutual variant therefore different people such as the shape of limb, muscular degree wears orthopaedic device for knee of the invention, thigh The binding force received when by tight-binding is different, and the binding force received when shank is by tight-binding is different, thigh quilt The binding force received when pine constraint is different, and the binding force that shank receives when being fettered by pine is different.For example, to Mr. Yu One patient, when wearing orthopaedic device for knee of the invention, the binding force received when thigh is by tight-binding is 50N, thigh The binding force received when by pine constraint is 20N.It is appreciated that the thigh skeleton of pine constraint thigh and the focile of pine constraint shank Frame is smaller to the extruding of the lower limb of user (or being zero), thus smaller to the blood vessels influence on system operation of the lower limb of user (or It does not have an impact).In this way, the patient that ought adorn oneself with orthopaedic device for knee of the invention is in standing state or other need knee When the state of joint load, the orthopaedic device for knee in first state, which is realized, to carry out knee joint completely or partially to exempt from lotus, this It is determined by the actual demand of patient, such as serious osteoarthritis patient, it may be necessary to which the knee in first state closes Section orthoses carries out the knee joint of morbid state all to exempt from lotus, and for slight osteoarthritis patient, it may only need part Exempt from lotus, such as exempts from lotus 100N;Sat when the patient for adorning oneself with orthopaedic device for knee of the invention is in, sleeping state or other do not need When the state of knee joint load, the orthopaedic device for knee in the second state need not exempt from lotus to knee joint.
As illustrated in figs. 5-7, in the present embodiment, orthopaedic device for knee of the invention includes two regulating mechanisms 31 and 32, They are all connected between thigh skeleton and shank skeleton;Thigh skeleton include big leg support 21, two big leg splints 22 and 23 with And thigh bandage 24;Shank skeleton includes 11, two shank clamping plates 12 and 13 of small leg support and shank bandage 14.
Small leg support 11 is laterally located at the recess portion between kneecap and tuberosity of tibia, for fettering shank simultaneously at the recess portion It provides a supporting role, supporting role herein includes: the orthopaedic device for knee for being in first state, is born by thigh skeleton The load of shank skeleton is transmitted to by regulating mechanism and exempts the downslide of shank skeleton;Knee joint in the second state is rectified Shape device, support entire orthopaedic device for knee in case its glide.Small leg support 11 is strip structure, and above-mentioned recess portion can be bonded by having Inner surface, such as its inner surface are that flexible material prepares or attach spongy layer, and both ends are respectively fixedly connected with shank clamping plate 12 With 13, i.e., it is immovable relative to shank clamping plate 12 and 13.In order to preferably be bonded above-mentioned recess portion, the interior table of small leg support 11 Face is curved arc, and is gradually inclined outwardly (i.e. deviation shin bone machinery along direction from top to bottom relative to shin bone mechanical axis Axis).Specifically, the angle of the normal of the inner surface of small leg support 11 and shin bone machinery between centers is according to the tuberosity of tibia shape of wearer Depending on, for example, 80 °;Alternatively, the inner surface CD and shin bone of small leg support 11 are mechanical on the intermediate cross-section of shank shown in Fig. 8 Angle between axis EF is 80 °.Preferably, the tensile strength of the making material of small leg support 11 is greater than 300MPa, yield strength is greater than 250MPa, such as aluminium alloy 6061-6T.
Two shank clamping plates 12 and 13 are strip, they are fitted in the two sides of shank, the i.e. left side and the right side of shank respectively Side.The first end (i.e. the top of shank clamping plate 12 and 13 shown in Fig. 5-7) of two shank clamping plates 12 and 13 is connected respectively to Two regulating mechanisms 31 and 32, wherein the first end of shank clamping plate 12 connects regulating mechanism 31, and the first end of shank clamping plate 13 connects Connect regulating mechanism 32.Preferably, the tensile strength of the making material of shank clamping plate 12 and 13 is greater than 300MPa, yield strength is greater than 250MPa, such as aluminium alloy 6061-6T.
Shank bandage 14 is laterally fitted in the middle and upper part at the back side of shank, and both ends are connected to 12 He of shank clamping plate On 13.Wherein, the back side of shank refers to when human body is in standing normotopia and human body back is towards identical lower leg portion, shank The middle and upper part at the back side specifically refers on the most protrusion of shank gastrocnemius at Jie Jin popliteal nest, below Yue popliteal nest at 3cm. Furthermore it is possible to adjust link position of the shank bandage 14 on shank clamping plate 12 and 13, shank bandage 14 is made to be not orthogonal to shin bone Mechanical axis, i.e. shank bandage is non-horizontal, but tilts certain angle to be preferably bonded the middle and upper part at the back side of above-mentioned shank To provide above-mentioned supporting role together with small leg support 11.The making material of shank bandage 14 is non-stretchable (or more difficult stretching) Flexible material, preferably, its coefficient of elasticity is not less than 20N/mm, such as nylon.
On shank clamping plate 12 and 13, small leg support 11 is with link position therebetween than shank bandage 14 and connection position therebetween Set the first end closer to shank clamping plate 12 and 13.The connection position between small leg support 11 and shank clamping plate 12 i.e. as illustrated in figs. 5-7 It sets than the link position between shank bandage 14 and shank clamping plate 12 closer to the top of shank clamping plate 12;Small leg support 11 and shank clip Link position between plate 13 is than the link position between shank bandage 14 and shank clamping plate 13 closer to the top of shank clamping plate 13.
Shank skeleton can also include shank clamping plate rock-steady structure, be used to make to be worn on the of the invention of user's lower limb The shank skeleton of orthopaedic device for knee is preferably bonded the lower leg portion of lower limb, from shank clamping plate therein user fortune There is a phenomenon where swing backward during dynamic.In the present embodiment, shank clamping plate rock-steady structure is the second shank bandage 15, transverse direction Ground is fitted in the front of shank, and both ends are connected respectively to the second end of shank clamping plate 12 and 13.Wherein, the front of shank refers to When human body is in standing normotopia and human body face is towards identical lower leg portion, and the second end of shank clamping plate 12 and 13 is i.e. such as Fig. 5- The end of shank clamping plate 12 and 13 shown in 7.The making material of second shank bandage 15 is non-stretchable (or more difficult stretching) Flexible material, preferably, its coefficient of elasticity is not less than 20N/mm, such as nylon.Shank clamping plate rock-steady structure, which may not be, to be tied up Band, such as the rigid strip structure being laterally fixedly connected between shank clamping plate 12 and 13 second end, are laterally pasted It closes in the front of shank, making material can be aluminium alloy, duroplasts etc., and it can be for being bonded the positive of shank Adhere to flexible material layer on surface.
In addition, it is necessary to explanation, in other embodiments of the invention, small leg support, shank clamping plate and first, second are small Leg bandage can be other shapes, as long as it meets above-mentioned connection and positional relationship.
Big leg support 21 is strip structure, has the positive inner surface that can be laterally bonded thigh, such as its inner surface For curved arc, spongy layer is prepared by flexible material or attached;Its both ends is connected respectively to two big leg splint 22 and 23.Greatly The front of leg refers to when human body is in standing normotopia and human body face is towards identical leg portion.In the present embodiment, big leg support 21 can rotate around the tie point of itself and big leg splint 22 and 23, i.e., big leg support 21 can be around the connection by itself and big leg splint 22 and 23 The determining axis rotation of point.This is by the flexible connection or gap connection realization between big leg support 21 and big leg splint 22 and 23 's.In the present embodiment, realize that the gap between big leg support 21 and big leg splint 22 and 23 connects using master and slave dowel.As shown in figure 9, with For big leg support 21 and big leg splint 22, connection axis direction GH between the two (i.e. perpendicular to the direction of contact surface between the two) It is not perpendicular to the big leg support 21 axis IJ determining with the tie point of big leg splint 22 and 23, in this way if connection between the two is Rivet interlacement or screw connection, then big leg support 21 cannot be rotated neatly around axis IJ;And use master and slave dowel as shown in Figure 9 It being flexibly connected, master and slave dowel is longer, can make between thigh support 21 and two contact surfaces of big leg splint 22 there are certain gap, It is possible thereby to which the two is made to obtain more rotational freedoms between each other, it can turn big leg support 21 neatly around axis IJ It is dynamic.In addition, in other embodiments, thigh support can also be made immovable relative to two big leg splint.Preferably, big leg support The tensile strength of 21 making material is greater than 300MPa, and yield strength is greater than 250MPa, such as aluminium alloy 6061-6T.
Two big leg splint 22 and 23 is strip, they are fitted in the two sides of thigh, the i.e. left side and the right side of thigh respectively Side.The second end (i.e. the end of big leg splint 22 and 23 shown in Fig. 5-7) of two big leg splint 22 and 23 is connected respectively to Two regulating mechanisms 31 and 32, wherein the second end of big leg splint 22 connects regulating mechanism 31, and the second end of big leg splint 23 connects Connect regulating mechanism 32.Preferably, the tensile strength of the making material of big leg splint 22 and 23 is greater than 300MPa, yield strength is greater than 250MPa, such as aluminium alloy 6061-6T.
Thigh bandage 24 can laterally be fitted in the back side of thigh, and both ends are connected on big leg splint 22 and 23. Wherein, the back side of thigh refers to when human body is in standing normotopia with human body back towards identical leg portion.Thigh bandage 24 Making material is the flexible material of non-stretchable (or more difficult stretching), preferably, its coefficient of elasticity is not less than 20N/mm, such as Buddhist nun Dragon.
On big leg splint 22 and 23, big leg support 21 is with link position therebetween than thigh bandage 24 and connection position therebetween Set the first end (i.e. the top of big leg splint 22 and 23 shown in Fig. 5-7) closer to big leg splint 22 and 23.I.e. such as Fig. 5-7 Shown in link position between big leg support 21 and big leg splint 22 more than the link position between thigh bandage 24 and big leg splint 22 Close to the top of big leg splint 22;Link position between big leg support 21 and big leg splint 23 is than thigh bandage 24 and big leg splint 23 Between link position closer to the top of big leg splint 23.
Thigh skeleton can also include the second thigh bandage 25, laterally be fitted in the back side of thigh, both ends difference It is connected to big leg splint 22 and 23, the link position between the second thigh bandage 25 and big leg splint 22 and 23 is in big leg support 21 and greatly Between link position between link position between leg splint 22 and 23 and thigh bandage 24 and big leg splint 22 and 23.Wherein, greatly The back side of leg refers to when human body is in standing normotopia and human body back is towards identical leg portion, and as illustrated in figs. 5-7 second Link position and thigh of the link position between big leg support 21 and big leg splint 22 between thigh bandage 25 and big leg splint 22 is tied up With between the link position between 24 and big leg splint 22, the link position between the second thigh bandage 25 and big leg splint 23 is in thigh Between the link position between link position and thigh bandage 24 and big leg splint 23 between support 21 and big leg splint 23.Second thigh Bandage 25 is for making the thigh skeleton for the orthopaedic device for knee of the invention for being worn on user's lower limb be preferably bonded lower limb Leg portion, from big leg splint therein, there is a phenomenon where tilt forward in the motion process of user.Preferably, second Link position between thigh bandage 25 and big leg splint 22 and 23 is closer to the company between big leg support 21 and big leg splint 22 and 23 Connect position.
In addition, it is necessary to which explanation, in other embodiments of the invention, big leg support, big leg splint and first, second are big Leg bandage can be other shapes, as long as it meets above-mentioned connection and positional relationship.
Regulating mechanism 31 and 32 is distributed in kneed two sides respectively, i.e., kneed left and right side.In the present embodiment In, regulating mechanism 31 and 32 is all to be made of the slotted disk and sliding block that mutually can be rotated and be translatable.In the present embodiment, regulating mechanism 31 With 32 structures having the same, it is described in detail by taking regulating mechanism 31 as an example below.Such as the decomposition of the regulating mechanism 31 of Figure 10 Shown in figure, regulating mechanism 31 includes sliding block 310 and two slotted disks, i.e. the first slotted disk 311 and the second slotted disk 312.First slotted disk 311 Fixed each other with the second slotted disk 312, sliding block 310 is clipped between the first slotted disk 311 and the second slotted disk 312.First slotted disk 311 All there is the curved slot of twice, the first slotted disk as shown in FIG. 10 and 11 on the face towards sliding block 310 with the second slotted disk 312 311 the first slot 3111 and the second slot 3112.First slot shown in the first slot and the second slot and Figure 10 and 11 of second slotted disk 312 The first slot 3111 and the second slot 3112 of disk 311 are identical.Sliding block 310 is in its face towards the first slotted disk 311 and the second slotted disk 312 On all there are two lug boss, sliding block 310 as shown in Figure 10 has the first lug boss 3101 towards 311 face of the first slotted disk at it (not shown) and the second lug boss 3102, its towards 312 face of the second slotted disk have the first lug boss 3103 and the second lug boss 3104, the first and second lug boss 3101 and 3102 of sliding block 310 is identical as the first and second lug boss 3103 and 3104.First slot 3111 It is slided wherein for the first lug boss 3101, the second slot 3112 slides wherein for the second lug boss 3102, the first slot 3121 slide wherein for the first lug boss 3103, and the second slot 3122 slides wherein for the second lug boss 3104.At this In embodiment, sliding block 310 is symmetrical structure, and the central cross-section about itself is symmetrical, completes sliding block 310, the first slot of assembling Disk 311 and the second slotted disk 312 are symmetrical about the central cross-section of sliding block 310.In other embodiments of the invention, sliding block 310 can Think dissymmetrical structure, sliding block 310, the first slotted disk 311 and the second slotted disk 312 for completing to assemble are also possible to asymmetric.
As shown in Figure 10, each lug boss in the present embodiment is made of bearing, and the inner ring of each bearing is fixed on cunning On block, outer ring can flexible rotating, surface of the rotation axis perpendicular to sliding block.Constitute the diameter and use of the bearing outer ring of each lug boss In the lug boss the slot wherein slided width match so that the lug boss the slot slide during, the lug boss The outer ring of bearing rolls in certain one side wall of the slot, thus greatly reduces the friction between lug boss and slot, reduces and turns Dynamic resistance, while the service life of energy elongate member.For example, the process that the second lug boss 3102 slides in the second slot 3112 In, the outer ring of the bearing of the second lug boss 3102 will roll in certain one side wall of the second slot 3112.
Second slotted disk of regulating mechanism 31 and 32 is than the first slotted disk closer to knee joint.Preferably, regulating mechanism 31 and 32 The first slotted disk, the second slotted disk and sliding block the yield strength of making material be greater than 50MPa, elasticity modulus is greater than 2000MPa, and With anti-attrition, antiwear characteristic, such as POM.It should be noted that the sliding block in the regulating mechanism of orthopaedic device for knee of the invention Can be interchanged with slotted disk, it can by a double surface grooving slotted disk be clipped in two single sides with lug boss sliding block between constitute tune Save mechanism.Alternatively, it is also possible to only constitute regulating mechanism by a slotted disk and a sliding block;Or has on slotted disk and be more or less than 2 curved slots have the lug boss more or less than 2 on sliding block;Or use the knot of the slot of other shapes, lug boss Structure.
As shown in figure 12, the sliding block 310 of regulating mechanism 31 is fixedly attached to big leg splint 22 by hinge 33, more specifically Ground, the sliding block 310 of regulating mechanism 31 are fixedly attached to second end (i.e. Fig. 5-of big leg splint 22 in its edge by hinge 33 The end of big leg splint 22 shown in 7).Second slotted disk 312 is connected to shank clamping plate 12, more specifically, the second slotted disk 312 is at it Edge is fixedly attached to the first end (i.e. the top of shank clamping plate 12 shown in Fig. 5-7) of shank clamping plate 12.In the present embodiment, First slotted disk 311, the second slotted disk 312 and shank clamping plate 12 are sequentially connected by 3 screws 35, in other implementations of the invention Can also be using other connection types in example, such as it is integrally formed sliding block 310 and big leg splint 22, make the second slotted disk 312 It is integrally formed with shank clamping plate 12.Connection relationship between regulating mechanism 32 and big leg splint 23, shank clamping plate 13 and above-mentioned Connection relationship between regulating mechanism 31 and big leg splint 22, shank clamping plate 12 is identical, and this will not be repeated here.In addition, it is necessary to illustrate , the connection relationship between the sliding block and slotted disk and big leg splint and shank clamping plate of regulating mechanism can replace, such as go back It can make that sliding block is connected to shank clamping plate and slotted disk is connected to big leg splint.
As shown in figure 12, in the present embodiment, big leg support 21 is connected to big leg splint 23 by a master and slave dowel 26, similarly Big leg splint 22 is connected to by a master and slave dowel;24 one end of thigh bandage is threaded through on big leg splint 23, and the other end is by taking Button 27 is connected on big leg splint 22, convenient for wearing and unloading;Second thigh bandage, 25 one end is threaded through on big leg splint 23, separately One end is connected on big leg splint 22 by hasp 28, convenient for wearing and unloading;Small leg support 11 is connected to by two rivets 16 Shank clamping plate 13, likewise by two rivet interlacements to shank clamping plate 12, thus small leg support 11 is fixedly connected on shank clamping plate On 12 and 13;14 one end of shank bandage is threaded through on shank clamping plate 13, and the other end is connected to shank clip by hasp (not shown) On plate 12, convenient for wearing and unloading;Second shank bandage, 15 one end is threaded through on shank clamping plate 12, and the other end is threaded through shank clip On plate 13.It should be noted that in other embodiments of the invention, can also using other connection means, such as using Mating connection, welding, gluing of screw and nut etc..
Hasp shown in Figure 12 connection be specifically, thigh bandage 24, the second thigh bandage 25, shank bandage 14 and A hasp is all fixed in the end of second shank bandage 15, when wearing orthopaedic device for knee of the invention, by the head of hasp It is thus real in the bayonet that through-hole and movement insertion that big leg splint 22 and shank clamping plate 12 is arranged in are connected with the through-hole Existing thigh bandage 24, the second thigh bandage 25, shank bandage 14 and the second shank bandage 15 arrive big leg splint 22 and shank clip The connection of plate 12.Bayonet is smaller than through-hole, and setting is in more closer than through-hole corresponding each thigh bandage 24, the second thigh bandage 25, at the position of shank bandage 14 and the second shank bandage 15, in this way due to the elasticity of human muscle, it is ensured that wearing The thigh bandage 24 of orthopaedic device for knee of the invention, the second thigh bandage 25, shank bandage 14 and the second shank bandage 15 It will not fall off from big leg splint 22 and shank clamping plate 12.And in unloading orthopaedic device for knee of the invention, it is taken by pushing Button, moves on to through-hole for the head of hasp from bayonet and exits through-hole, realizes thigh bandage 24, the second thigh bandage 25, small Leg bandage 14 and the second shank bandage 15 are detached from from big leg splint 22 and shank clamping plate 12.
Figure 13 shows the form of another hasp connection, by taking thigh bandage 124 as an example comprising the first and second bandages Part 241 and 242 and spring leaf 243, spring leaf 243 are connected to the two of the first band portion 241 and the second band portion 242 Between a end;Toughness is set on the other end of the second band portion 242 and pastes 244, such as velcro or snap-fastener;The The other end of one band portion connects hasp 128, and hasp has head 281.Thigh bandage 124 is being connected to big leg splint When between 23 and 22, the head 281 of hasp 128 is passed through into the through-hole being arranged on big leg splint 22 as previously mentioned and movement is embedding In card inlet;Then the second band portion 242 is passed through into the long stripes through hole on big leg splint 23, by folding the in junction One band portion 241, the second band portion 242 and spring leaf 243 make three in being overlapped in a zigzag, and wherein spring leaf 243 is pressed from both sides The second band portion 242 is bonded between the first band portion 241 and the second band portion 242, and through viscosity patch 244 On first band portion 241, thigh bandage is adjusted to suitable length with this and realizes it between big leg splint 23 and 22 Connection.During unloading, hasp 128 can be detached from big leg splint 22 as previously mentioned and retain thigh bandage 124 with The connection of big leg splint 23;It can also be by the inverse operation of foregoing connection procedure, by thigh bandage 124 from big leg splint 22 and 23 are detached from.
Figure 14 shows the form of another connection, by taking thigh bandage 224 as an example comprising the first band portion 2241, Second band portion 2242 and the folding fastener 2245 connecting respectively with one end of the two, folding fastener 2245 herein are similar to wrist-watch Hasp, the other end of the first band portion 2241 are connected to big leg splint 22, and the other end of the second band portion 2242 is connected to Big leg splint 23.The connection of first and second band portion 2241,2242 and the first and second big leg splint 22,23 can be by before such as State hasp connection flexible connection or it is all wear as the aforementioned be fixedly connected.When wearing, folding fastener 2245, thigh are opened Bandage 224 is elongated, and the lower limb of user can penetrate in corresponding thigh skeleton, then buckles folding fastener 2245, thigh bandage 224 It is adjusted to length appropriate.
Figure 15 shows the form of the third connection, by taking thigh bandage 324 as an example.Thigh bandage 324 herein includes bullet Property part and non-elastic portion, structure will be described in detail below;324 both ends of thigh bandage are respectively 3241 He of fixed connection end It is flexibly connected end 3242.Big leg splint 322 and 323 herein is structure as a whole, and which is provided with and consolidates respectively with thigh bandage 324 Determine connecting pin 3241 and is flexibly connected the fixation hole 3221 and 3231 that end 3242 cooperates.
As shown in figure 15, fixation hole 3221 and 3231 is all made of two circular holes intersected, in the present embodiment, middle big hole Diameter be 10mm, the diameter of small sircle hole is 5.5mm.
As shown in figure 16, fixed connection end 3241 has hooked projection 3243, and hooked projection 3243 is circle, and diameter is less than Constitute the diameter of the big hole of fixation hole 3221, cross section of the fixed connection end 3241 at the position of hooked projection 3243 and solid The shape for determining hole 3221 is similar, is only dimensioned slightly smaller than the size of fixation hole 3221, and therefore, fixed connection end 3241 can only be from one A position is embedded in fixation hole 3221;After fixed connection end 3241 is embedded in fixation hole 3221, by it relative to fixation hole 3221 180 ° of rotation is i.e. to the normal use position of bandage, and at this moment fixed connection end 3241 cannot deviate from from fixation hole 3221, thus It forms a fixed connection.
As shown in Figure 17,18, being flexibly connected end 3242 has structure similar with fixed connection end 3241, it may have round Hooked projection 3243, unlike fixed connection end 3241: being flexibly connected end 3242 has inclined-plane 3245, is flexibly connected end 3242 angles that can be looked at as having been cut off the structure of similar fixed connection end 3241 by inclined-plane 3245 are formed, and are flexibly connected 3242 this structure is held so as to be directly embedded into or deviate from from the big hole for constituting fixation hole 3231, work is consequently formed Dynamic connection.
Inclined-plane 3245 can be plane, as shown in figure 17;It is also possible to curved surface, as shown in figure 18, this can make to tying up The operation of band is more comfortable.
Figure 19 shows the specific structure of thigh bandage 324, and thigh bandage 324 connects including fixed connection end 3241, activity End 3242, elastic webbing 3244, inelastic straps 3243 and hasp 3246 are connect, elastic webbing 3244 is set to inelastic straps 3243 and quilt Between fixed human body limb, elastic webbing 3224 passes through two fixing buckles being mutually twisted close to one end of fixed connection end 3241 3247 link together with inelastic straps 3243, and elastic webbing 3244 is mutually stung close to the one end for being flexibly connected end 3242 by two The fixing buckle 3247 of conjunction is connect with 612 (referring to fig. 2 1) of button under the hasp of hasp 3246, and Figure 20 shows a fixing buckle 3247 Pattern.Belt loop 3245 is arranged away from the side of fixed human body limb in elastic webbing 24, and inelastic straps pass through belt loop 3245, with Limit the play up and down between elastic webbing and inelastic straps.
One end of inelastic straps 3243 is connect with fixed connection end 3241, the other end and hasp 3246 of inelastic straps 3243 Hasp on 611 connection of button, the ends of inelastic straps 3243 is connect by hasp 3246 with flexible connection end 3242.Work as hasp 3246 are in first state, the i.e. state of hasp opening, and due to the elasticity of elastic webbing 3244, the length of thigh bandage 324 can It stretches;When hasp 3246 is in the second state, the i.e. state of hasp closure, since the length of 3243 bandage of inelastic straps can not It stretches.
As shown in figure 21, hasp 3246 includes detaining 612 under button 611 is with hasp on hasp, on hasp button 611 with detained under hasp 612 are connected by a hinge, and can rotate around rotary shaft, and 611 are detained on hasp and is not overlapped with button 612 under hasp, hasp is in first State, that is, releasing orientation;Button is overlapped and fixes with button under hasp on hasp, and hasp is in the second state, that is, closed state.
Button 611 includes a pair of of cantilever 6111 on hasp, and 612 are detained under hasp for connecting, on hasp button 611 with detained under hasp 612 are connected by a hinge, and the short axle that the cantilever 6111 of button 611 on hasp is opened when connection is inserted under hasp in the axis hole of button 612.
Button 611 further includes a pair of of cantilever 6112 on hasp, and 611 are detained on hasp and detains in 612 under hasp, a pair of Cantilever 6111 and a pair of of cantilever 6112 form M shape, and it is convex that a buckle is arranged in the side of each cantilever 6112 towards button 612 under hasp It rises, the 612 corresponding card holes of setting is detained under hasp, pressing inward against cantilever 6112 deviates from buckle protrusion from card hole.
Using the above structure, it not will cause button 611 on hasp when pressing inward against cantilever 6112 to pass through with button 612 under hasp Hinge connection is unclamped, and if being inserted in the axis hole of button 612 under hasp from inside using short axle, just when pressing inward against cantilever 6112 It will cause on hasp button 611 and button 612 under hasp to be connected by a hinge release.
When the buckle protrusion of cantilever 6112 is caught under hasp in the card hole of button 612, to button 612 under hasp cantilever outward Power, if the cantilever of button 612 is used and is connect from outside with end 3242 is flexibly connected under hasp, when the buckle of cantilever 6112 is raised The card hole for being caught in button 612 under hasp will cause button 612 under hasp and unclamp with the connection for being flexibly connected end 3242, therefore detain under hasp 612 cantilever, which uses to connect from inside, is flexibly connected end 3242.
611 are buckled on hasp in bandage and is in unfolded state with buckleing 612 under hasp, and accessory is being placed in human body limb just True position, drawing bandage will be flexibly connected end 3242 and buckle into the connecting hole in fixed frame around leg, and bandage is to being consolidated at this time The constraint for determining human body limb is more loose, is overlapped on hasp and detains 612 under button 611 and hasp, is embedded into buckle protrusion in card hole, bandage Length shortens, and bandage is tighter to the constraint for being fixed human body limb at this time.
Bandage can be fastened by rotation process hasp 3246, required operating force is low, and the degree tightened every time is identical, Therefore, patient especially gerontal patient is facilitated to use in the extreme.
Button 612 is connected by a hinge with end 3242 is flexibly connected under hasp, can mutually rotate, and 612 are detained under hasp forward Extend two cantilevers, cantilevered distal end respectively laterally outwardly stretches out a pivot pin, is flexibly connected in the opposite protruding end at end 3242 Respectively there is an axis hole 222 in side.Two cantilevers of button 2612, cantilever deflection, pivot pin distance shorten under lateral compression hasp, are embedded in axis In hole 222.
A hole is respectively arranged in two cantilevers of button 2612 under hasp, fixed using fixing buckle 3247, to guarantee to detain under hasp 612 are connected firmly with end 3242 is flexibly connected.Lateral deformation cannot occur for two cantilevers, and the pivot pin of cantilevered distal end cannot be from work Abjection in the axis hole 3246 (referring to Figure 18) of dynamic connecting pin, to guarantee that detaining 612 under hasp connect jail with end 3242 is flexibly connected Gu.
Button 611 and the setting at least two of 3243 junction of inelastic straps are with holes on hasp, and inelastic straps 3243 are using self-locking Winding changes the length of bandage when hasp is in the second state (i.e. closed state), to adapt to the wearer of different limb sizes Needs.
612 opposite directions are detained under hasp from rotary shaft and extend elastic sheet 613, so that generating at rotary shaft to quilt The pressure of fixed human body limb is evenly distributed with by elastic sheet 613, improves the comfort that accessory is worn.
Elastic webbing 3244 is made of Lycra Compound Fabric, can either provide good retractility, and have good biology Compatibility can play uniform pressure distribution and buffer function, to guarantee accessory effect and comfort.
Anti-slip layer is arranged towards the side of fixed human body limb in elastic webbing 3244, increases elastic webbing 3244 and is consolidated Determine the frictional force between human body limb.
Anti-slip layer is to drip glue by silica gel to form grid, can guarantee the gas permeability of elastic webbing.
Figure 22 shows the bandage of another embodiment of the invention, still by taking thigh bandage as an example, thigh bandage 424 with Thigh bandage 324 is similar, also includes elastic part and non-elastic portion, i.e. elastic webbing and inelastic straps.Specifically, thigh is tied up Band 424 includes two inelastic straps 4243, hasp and elastic webbing.Wherein, hasp includes detaining under button 4241 and hasp on hasp 4242.Hasp is arranged between two inelastic straps 4243, i.e. two sections of inelastic straps 4243, and one section connects with button 4241 on hasp It connects, one section connect with button 4242 under hasp;One end of two inelastic straps 4243 to be linked together by hasp connects with fixed End connection is connect, the other end is connect with end is flexibly connected, and fixed connection end and flexible connection end here is fixedly connected with above-mentioned End 3241 is not shown as flexible connection end 3242, does not repeat.The material and structure and bullet of elastic webbing and inelastic straps 4234 Property band 3244 is as inelastic straps 3233, and this will not be repeated here;Similarly, one end of elastic webbing (not shown), is connected to non-ballistic Property band 4243 and fixed connection end junction, the other end of elastic webbing, be connected to inelastic straps 4243 the other end and activity The junction of connecting pin.
With the one section of Velcro hook side of end setting for the inelastic straps 4243 that button 4241 connect on hasp, and detained under hasp There is velcro hair side in the one side of the inelastic straps 4243 of 4242 connections, hasp is fixed by magnetic sticky buckle.
Figure 23 shows another connection type of two inelastic straps 5243 Yu hasp, and specifically, hasp includes hasp 5242 are detained under upper button 5241 and hasp, the buckle of button 5242 is raised under button 5241 has towards hasp on hasp, detains under hasp 5242 have the card hole of corresponding buckle protrusion, and hasp is realized by the cooperation of buckle protrusion and card hole and fixed.
It mutually rotates and is translatable due to that can occur between the sliding block and slotted disk in regulating mechanism, and sliding block and slotted disk difference It is connected to big leg splint and shank clamping plate, thus, it can be known that 31 He of regulating mechanism being connected between thigh skeleton and shank skeleton 32 can make that mutually rotation and translation occur between thigh frame and shank skeleton.With having worn orthopaedic knee of the invention The lower limb of the user of device from flexion to straight configuration, such as hip knee ankle angle and standing normotopia hip knee ankle angle difference from 140 ° During 0 °, (it is 0 ° of normal human for standing normotopia hip knee ankle angle, process of the hip knee ankle angle from 140 ° to 0 ° In, it is described below and is all subject to normal human), the movement relative to slotted disk occurs for the sliding block in regulating mechanism 31 and 32.Figure 11 During showing this, the first and second lug boss 3101,3102 of the sliding block 310 of regulating mechanism 31 is the of the first slotted disk 311 One, the change in location in two slots 3111,3112.When hip knee ankle angle is 140 °, the first and second lug boss 3101,3102 first, Position in two slots 3111,3112 is (A1, B1), when hip knee ankle angle is 0 °, the first and second lug boss 3101,3102 first, Position in two slots 3111,3112 is (A4, B4), and as hip knee ankle angle gradually becomes smaller, the first and second lug boss 3101,3102 exists (A4, B4) is arrived from (A1, B1), (A2, B2), (A3, B3) in position in first and second slot 3111,3112, for example, working as hip knee ankle angle When being 20 °, position of first and second lug boss 3101,3102 in the first and second slot 3111,3112 is (A3, B3), when hip knee ankle When angle is 90 °, position of first and second lug boss 3101,3102 in the first and second slot 3111,3112 is (A2, B2).Wherein, when First lug boss 3101 is in the A1-A2 section (referred to as the second bending section of the first slot 3111) of the first slot 3111, the second lug boss 3102 in the B1-B2 section (referred to as the second bending section of the second slot 3112) of the second slot 3112 when, before orthopaedic device for knee is in Second state described in face;When (the first of referred to as the first slot 3111 is curved in the A3-A4 section of the first slot 3111 for the first lug boss 3101 Pars convoluta) in, when the second lug boss 3102 is in the B3-B4 section (referred to as the first bending section of the second slot 3112) of the second slot 3112, Orthopaedic device for knee is in mentioned-above first state;And work as the first lug boss 3101 in the A2-A3 section of the first slot 3111, When second lug boss 3102 is in the B2-B3 section of the second slot 3112, orthopaedic device for knee is in mentioned-above second state and arrives Transition state between first state.It is appreciated that the of the first and second bending section of the first slot 3111 and the second slot 3112 here One, the division of two bending sections is determining by the division of the first and second state of orthopaedic device for knee.If using different divisions Standard is to distinguish the first and second state of orthopaedic device for knee, and the of the first and second bending section of the first slot 3111 and the second slot 3112 One, two bending sections will also change.In addition, as seen from Figure 11, the first slot 3111 is having one section of upper curved portion at A1 Point, the second bending section of the first slot 3111 is corresponded in the present embodiment, is designed as part curved on this in the present embodiment Curved shape can make the more compact structure of slotted disk, be conducive to the size for reducing regulating mechanism.Second slot 3112 is at B4 There is part curved under one section, is included in the first bending section of the second slot 3112 in the present embodiment.Curved part under this The lower limb of corresponding user are in the state stretched completely, such as when hip knee ankle angle is less than 4 ° -6 °, can play self-locking effect. When i.e. the lower limb of user enter the state stretched completely, the movement between sliding block 310 and the first slotted disk 311 is locked, thus It helps user's lower limb to keep the state stretched completely, makes sliding block 310 until user's bending lower limb apply certain active force The second lug boss leave part curved under this.First and second lug boss 3103,3104 of the sliding block 310 of regulating mechanism 31 is Change in location in first and second slot of two slotted disks 312 is same as described above, and this will not be repeated here.In addition, the sliding block in regulating mechanism 32 Generation is identical as regulating mechanism 32 relative to the situation of movement of slotted disk, and this will not be repeated here.
The rotation axis of the rotation occurred between the thigh skeleton and shank skeleton of above-mentioned orthopaedic device for knee of the invention It can be determined by regulating mechanism 31,32 around the rotation center of shank clamping plate 12,13 by big leg splint 22,23, definitely be big Leg splint 22 passes through regulating mechanism 32 around shank around the rotation center and big leg splint 23 of shank clamping plate 12 by regulating mechanism 31 The line of the rotation center of clamping plate 13, the description of the situation of movement by the sliding block of regulating mechanism 31,32 above-mentioned relative to slotted disk It is found that the rotation axis (turns between referred to as large and small thigh bone frame during mutually rotation occurs for thigh skeleton and shank skeleton Moving axis) relative to shank skeleton (or thigh skeleton) be change.For having worn the use of orthopaedic device for knee of the invention For person, the rotation axis between large and small thigh bone frame is parallel with kneed first rotation axis, wherein kneed first rotation axis Refer to shank around knee joint occur front and back to swing when around knee joint rotation axis, it is preceding to refer to when human body is in standing normotopia The direction of face.
It is analyzed from the above process as it can be seen that the user of orthopaedic device for knee of the invention has been worn in walking, due to it The exactly above-mentioned then process from straight configuration to flexion from flexion to straight configuration that lower limb occur, the present invention Orthopaedic device for knee driven by the lower limb, correspondingly from the second state to first state then from first state to the second shape State, this is the automatic conversion process of the gait cooperation of one and human locomotion.Also, when due to human locomotion, in stretching shape The lower limb of state need to carry weight load and the lower limb in flexion do not need carrying weight load.Shape is stretched for being in The lower limb of state, orthopaedic device for knee of the invention be in first state, tight-binding lower limb and the femur and shank for making thigh Possess gap between the bone of shin bone, thus weight load is transmitted to shank skeleton from thigh skeleton, regulating mechanism, effectively replaces Load is carried for human body knee joint.For being in the lower limb of flexion, orthopaedic device for knee of the invention is in the second shape State, not bearing load, while pine constraint lower limb, does not thus influence the blood vessels operation of the lower limb of user.
The preferred embodiment of the present invention has been described in detail above.It should be appreciated that those skilled in the art without It needs creative work according to the present invention can conceive and makes many modifications and variations.Therefore, the technology of all the art Personnel are available by logical analysis, reasoning, or a limited experiment on the basis of existing technology under this invention's idea Technical solution, all should be within the scope of protection determined by the claims.

Claims (37)

1. a kind of orthopaedic device for knee characterized by comprising
It is worn on the thigh skeleton of user's thigh;
It is worn on the shank skeleton of user's shank;And
Regulating mechanism between the thigh skeleton and the shank skeleton is set,
Wherein, the quantity of the regulating mechanism is two, is distributed in the kneed two sides of the lower limb of the user,
The regulating mechanism includes slotted disk corresponding with the knee joint of the user and sliding block, the slotted disk and the sliding block Mutually it can be translatable and rotate,
The slotted disk is connected with one in the thigh skeleton and the shank skeleton, the sliding block and the thigh skeleton It is connected with another in the shank skeleton,
The working condition of the orthopaedic device for knee includes first state,
Thigh described in the thigh skeleton tight-binding of the orthopaedic device for knee in the first state, the focile Shank described in frame tight-binding, the thigh skeleton apply the power along femur mechanical axis and away from the direction of shank to the thigh, The shank skeleton applies the power along shin bone mechanical axis and away from the direction of thigh to the shank;The thigh skeleton with it is described Spacing between shank skeleton is the first spacing,
There is arched curved first slot and the second slot, first slot has the first bending of the first slot on the slotted disk Second bending section in portion and the first slot, second slot have the first bending section of the second slot and the second bending section of the second slot,
There is the first lug boss and the second lug boss on the sliding block,
First lug boss can slide in first slot, and second lug boss can slide in second slot,
When the lower limb of the user transform to straight configuration from flexion, first lug boss from first slot Two bending sections slide into the first bending section of first slot, and second lug boss is sliding from the second bending section of second slot Move to the first bending section of second slot so that the relative motion between the slotted disk and the sliding block by first slot and Second slot limitation and realize the mutual translation and rotation, further such that the thigh skeleton and the shank skeleton it Between the spacing increase.
2. orthopaedic device for knee as described in claim 1, wherein the working condition of the orthopaedic device for knee further includes second State;
The thigh skeleton of the orthopaedic device for knee in second state does not apply along femur machine the thigh Tool axis and power away from the direction of shank, the shank skeleton do not apply along shin bone mechanical axis and away from thigh the shank The power in direction;Spacing between the thigh skeleton and the shank skeleton is the second spacing;
Second spacing is less than first spacing.
3. orthopaedic device for knee as claimed in claim 2, wherein the orthopaedic device for knee in second state The thigh skeleton pine fetters the thigh, and the shank skeleton pine fetters the shank.
4. orthopaedic device for knee as claimed in claim 2, wherein the regulating mechanism makes the orthopaedic device for knee be in institute State first state or second state.
5. orthopaedic device for knee as claimed in claim 4, wherein when the difference at hip knee ankle angle and standing normotopia hip knee ankle angle is less than When first state conversion angle, the regulating mechanism makes the orthopaedic device for knee be in the first state;When the hip knee When the difference at ankle angle and the standing normotopia hip knee ankle angle is greater than the second state conversion angle, the regulating mechanism makes the knee joint Orthoses is in second state;The second state conversion angle is greater than or equal to the first state conversion angle.
6. orthopaedic device for knee as claimed in claim 5, wherein the focile frame includes small leg support;In first shape The small leg support of the shank skeleton of the orthopaedic device for knee of state is laterally recessed between kneecap and tuberosity of tibia The shank is fettered at portion.
7. orthopaedic device for knee as claimed in claim 6, wherein the regulating mechanism and the thigh skeleton and the shank Skeleton is respectively connected with.
8. orthopaedic device for knee as claimed in claim 7, wherein the thigh frame can be by the regulating mechanism with respect to institute State the rotation of shank skeleton.
9. the orthopaedic device for knee as described in claim 6,7 or 8, wherein being made described by regulating mechanism described in manual actuation Orthopaedic device for knee enters second state from the first state, and makes the orthopaedic device for knee from second shape State enters the first state.
10. the orthopaedic device for knee as described in claim 6,7 or 8, wherein being made described by being driven by electricity the regulating mechanism Orthopaedic device for knee enters second state from the first state, and makes the orthopaedic device for knee from second shape State enters the first state.
11. orthopaedic device for knee as claimed in claim 10, wherein the orthopaedic device for knee further include power supply, sensor, Motor and control unit.
12. orthopaedic device for knee as claimed in claim 8 closes the knee wherein driving the regulating mechanism by lower limb Save orthoses from the first state enter second state, and make the orthopaedic device for knee from second state into Enter the first state.
13. orthopaedic device for knee as claimed in claim 12, wherein occurring between the thigh frame and the shank skeleton The rotation axis of rotation is parallel with kneed first rotation axis, and kneed first rotation axis is the user's Shank around the user knee joint occur front and back to swing when around knee joint rotation axis.
14. orthopaedic device for knee as claimed in claim 13, wherein the focile frame further includes two shank clamping plates and small Leg bandage;
Described two shank clamping plates are fitted in the two sides of the shank respectively, and the first end of described two shank clamping plates is separately connected To described two regulating mechanisms;
The shank bandage is laterally fitted in the middle and upper part at the back side of the shank, and both ends are connected to described two small On leg splint;
The small leg support is strip structure, has the inner surface that can be bonded the recess portion, and the both ends of the small leg support are solid respectively Surely described two shank clamping plates are connected to;
On the shank clamping plate, link position between the small leg support and the shank clamping plate than the shank bandage with it is described The first end of link position between shank clamping plate closer to the shank clamping plate.
15. orthopaedic device for knee as claimed in claim 14, wherein the thigh frame includes big leg support, two big leg splints With thigh bandage;
Described two big leg splints are respectively distributed to thigh two sides, and the second end of described two big leg splints is connected respectively to described Two regulating mechanisms;
The big leg support is strip structure, has the positive inner surface that can be laterally bonded the thigh, the big leg support Both ends be connected respectively to described two big leg splints;
The thigh bandage can laterally be fitted in the back side of the thigh, and both ends are connected to described two big leg splints On;
On the big leg splint, link position between the big leg support and the big leg splint than the thigh bandage with it is described The first end of link position between big leg splint closer to the big leg splint.
16. orthopaedic device for knee as claimed in claim 15, wherein the thigh support can be around the company of itself and the big leg splint Contact rotation.
17. orthopaedic device for knee as claimed in claim 15, wherein
The slotted disk is connected with the first end of the shank clamping plate, the second end of the sliding block and the big leg splint It is connected;Alternatively, the slotted disk is connected with the second end of the big leg splint, the sliding block is described with the shank clamping plate First end is connected.
18. orthopaedic device for knee as claimed in claim 17, wherein the sliding block is in the edge of the sliding block and described big The second end of leg splint is connected.
19. orthopaedic device for knee as claimed in claim 18, the big leg splint wherein the sliding block is connected by a hinge The link position of the second end, the sliding block and the hinge is in the edge of the sliding block.
20. orthopaedic device for knee as claimed in claim 18, wherein the sliding block and the big leg splint are integrally formed.
21. orthopaedic device for knee as claimed in claim 17, wherein the slotted disk the slotted disk edge with it is described small The first end of leg splint is connected.
22. orthopaedic device for knee as claimed in claim 21, wherein the slotted disk is riveted on described the of the shank clamping plate One end.
23. orthopaedic device for knee as claimed in claim 21, wherein the slotted disk and the shank clamping plate are integrally formed.
24. orthopaedic device for knee as claimed in claim 17, wherein the second bending section of first slot is upper curved with one section Part, curved part under having in the first bending section of second slot.
25. orthopaedic device for knee as claimed in claim 24, wherein
Under the gait driving of the lower limb, when first lug boss enters institute from first bending section of first slot It states second bending section of the first slot and second lug boss is from described in the entrance of first bending section of second slot When second bending section of the second slot, the orthopaedic device for knee enters the second state from the first state;When described One lug boss enters first bending section and described second of first slot from second bending section of first slot When lug boss enters first bending section of second slot from second bending section of second slot, the knee joint Orthoses enters first state from second state.
26. orthopaedic device for knee as claimed in claim 17, wherein the slotted disk includes the first slotted disk being fixed to each other and Two slotted disks, the sliding block are clipped between first slotted disk and second slotted disk;The sliding block is facing first slotted disk Face on there is first lug boss that can slide in first slot of first slotted disk and second slot respectively With second lug boss, the sliding block has on the face in face of second slotted disk can be respectively in the institute of second slotted disk State first lug boss and second lug boss slided in the first slot and second slot;Described in the second slotted disk ratio First slotted disk is connected closer to the knee joint, second slotted disk with the first end of the shank clamping plate.
27. orthopaedic device for knee as claimed in claim 17, wherein the sliding block includes the first sliding block being fixed to each other and Two sliding blocks, the slotted disk are clipped between first sliding block and second sliding block;The slotted disk is facing first sliding block Face on there is first lug boss that can accommodate first sliding block respectively and second lug boss wherein to slide First slot and second slot;The slotted disk in face of second sliding block face on have can accommodate described second respectively First lug boss and second lug boss of sliding block are in first slot and second slot wherein slided;Described Two sliding blocks are than first sliding block closer to the knee joint, the second end phase of second sliding block and the big leg splint Even.
28. orthopaedic device for knee as claimed in claim 17, wherein the focile frame further includes shank clamping plate rock-steady structure, The shank clamping plate rock-steady structure is strip, be laterally fitted in the front of the shank and its both ends be connected respectively to it is described The second end of two shank clamping plates.
29. orthopaedic device for knee as claimed in claim 28, wherein the shank clip plate rock-steady structure is the second shank bandage, The second shank bandage is laterally fitted in the front of the shank, and both ends are connected respectively to described two shank clamping plates Second end.
30. orthopaedic device for knee as claimed in claim 29, wherein the thigh frame further includes the second thigh bandage, it is described Second thigh bandage is laterally fitted in the back side of the thigh, and both ends are connected respectively to described two big leg splints, described Link position of the link position between the big leg support and the big leg splint between second thigh bandage and the big leg splint Between link position between the thigh bandage and the big leg splint.
31. orthopaedic device for knee as claimed in claim 30, wherein the thigh bandage and/or shank bandage further include elasticity Band and inelastic straps, the both ends of the elastic webbing are connected respectively to the both ends of the inelastic straps, and the inelastic straps are equipped with Length adjustment device is to adjust the distance between the inelastic straps both ends.
32. orthopaedic device for knee as claimed in claim 15, wherein the thigh bandage and/or shank bandage further include elasticity Band and inelastic straps, the both ends of the elastic webbing are connected respectively to the both ends of the inelastic straps, and the inelastic straps are equipped with Length adjustment device is to adjust the distance between the inelastic straps both ends.
33. orthopaedic device for knee as claimed in claim 32, which is characterized in that the length adjustment device is in the first shape The length of state, the bandage can stretch, and the length adjustment device is in the second state, and the length of the bandage can not be drawn It stretches.
34. orthopaedic device for knee as claimed in claim 33, which is characterized in that the length adjustment device is hasp, described Hasp include on hasp button with detained under hasp, detain on the hasp and be connected by a hinge with being detained under the hasp, can be around rotation Axis rotation, button is not overlapped with detaining under the hasp on the hasp, and the hasp is in the first state;It is detained on the hasp It is overlapped with button under the hasp and fixed, the hasp is in second state.
35. orthopaedic device for knee as claimed in claim 34, which is characterized in that the hasp is fixed by magnetic sticky buckle.
36. orthopaedic device for knee as claimed in claim 34, which is characterized in that detained under detaining on the hasp towards the hasp Setting buckle is raised, and corresponding card hole is arranged in button under the hasp, and the hasp is consolidated by the buckle protrusion with the card hole It is fixed.
37. orthopaedic device for knee as claimed in claim 34, which is characterized in that detain phase under the hasp from the rotary shaft Elastic sheet is extended in anti-direction, passes through the bullet to the pressure of fixed human body limb so that generating at the rotary shaft Property thin slice is evenly distributed with.
CN201480043832.XA 2013-08-09 2014-08-06 With the orthopaedic device for knee for exempting from lotus function Active CN105491979B (en)

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CN201310347765 2013-08-09
CN2013103477658 2013-08-09
CN201420149171.6U CN204072404U (en) 2014-03-28 2014-03-28 The quick bandage of joint accessory
CN2014201491716 2014-03-28
PCT/CN2014/083796 WO2015018340A1 (en) 2013-08-09 2014-08-06 Knee joint orthosis having offloading function
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