CN111228023A - Passive hip joint limiting assistor - Google Patents

Passive hip joint limiting assistor Download PDF

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Publication number
CN111228023A
CN111228023A CN202010184400.8A CN202010184400A CN111228023A CN 111228023 A CN111228023 A CN 111228023A CN 202010184400 A CN202010184400 A CN 202010184400A CN 111228023 A CN111228023 A CN 111228023A
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plate
hip joint
spring
column
leg
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CN111228023B (en
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梁成
刘晋珲
许玉林
陈星陶
段可
鲁晓波
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Affiliated Hospital of Southwest Medical University
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Affiliated Hospital of Southwest Medical University
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    • 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
    • A61F5/04Devices for stretching or reducing fractured limbs; Devices for distractions; Splints
    • A61F5/05Devices for stretching or reducing fractured limbs; Devices for distractions; Splints for immobilising

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

Abstract

The invention discloses a passive hip joint limiting assistor which is composed of a girdling belt, a supporting frame and a leg binding belt and used for a patient after repair operations such as femoral fracture and the like, wherein the girdling belt is stably and firmly wound on the waist of a user, the leg binding belt is stably and firmly wound on the leg of the user, and the supporting frame conforms to the space curve of a human body; the connecting hinge of the supporting frame limits the movement range of the hip joint, so that the limiting function is realized, the length of the supporting device is adjusted to change the pretightening force between the waist and the legs, and the comfortable use effect is achieved; the passive hip joint auxiliary support device can directly transfer part of the weight of the upper body of a human body to the tail end of a thigh, and part of the weight jumps over a hip joint, so that the stress of the hip joint is reduced, and a certain auxiliary support effect is realized.

Description

一种无源的髋关节限位辅助器A passive hip joint limiting aid

技术领域technical field

本发明涉及医疗器械领域,尤其是一种无源的髋关节限位辅助器。The invention relates to the field of medical instruments, in particular to a passive hip joint limiting aid.

背景技术Background technique

髋关节在下肢和上半身中起承上启下的作用,是下肢支撑和行走的主要受力点,它对人体下肢的活动具有重要的意义。在股骨头颈骨折、股骨头转子区骨折、髋关节脱位、髋关节置换等病人治疗过程中,病人卧床时间长,下地支撑行走困难,髋关节活动范围受限。为了解决上述问题和不便,同时为了提高医院病床的有效利用率,对符合人体空间曲线的无源髋关节辅助支撑器进行开发研究。The hip joint plays a linking role in the lower limbs and upper body. It is the main force point for lower limb support and walking. It is of great significance to the activities of the lower limbs of the human body. During the treatment of femoral head and neck fractures, trochanteric fractures of the femoral head, hip dislocation, hip replacement, etc., the patient stays in bed for a long time, it is difficult to walk on the ground, and the range of motion of the hip joint is limited. In order to solve the above problems and inconveniences, and at the same time to improve the effective utilization rate of hospital beds, a passive hip joint auxiliary supporter that conforms to the human body space curve is developed and researched.

发明内容SUMMARY OF THE INVENTION

本发明针对有髋关节问题或者髋关节治疗的病人,为他们提供一种分担髋关节负重的髋关节限位辅助装置。The present invention is aimed at patients with hip joint problems or hip joint treatment, and provides them with a hip joint limiting auxiliary device for sharing the load of the hip joint.

本发明所采用的技术方案是:将上半身的部分重量通过束腰带传递到束腿带,从而减轻髋关节的受力。为了不影响髋关节的转动,在髋关节一侧设计铰链结构。为了达到良好的支撑效果,同时减少行走的冲击,在髋关节辅助支撑器中加入可调的弹簧结构,调节弹簧预紧力的同时调节髋关节辅助支撑器的整体长度,实现不同人体身高的匹配。为了达到使用的舒适性,根据人体身体的空间曲线设计髋关节辅助支撑器支撑架的整体空间曲线,和人体身体的空间曲线基本吻合。The technical scheme adopted in the present invention is: part of the weight of the upper body is transferred to the leg belt through the waist belt, thereby reducing the stress on the hip joint. In order not to affect the rotation of the hip joint, a hinge structure is designed on one side of the hip joint. In order to achieve a good support effect and reduce the impact of walking at the same time, an adjustable spring structure is added to the hip joint auxiliary supporter, and the spring preload is adjusted while adjusting the overall length of the hip joint auxiliary supporter to achieve the matching of different body heights. . In order to achieve the comfort of use, the overall space curve of the support frame of the hip joint auxiliary supporter is designed according to the space curve of the human body, which is basically consistent with the space curve of the human body.

束腰带和束腿带用海绵内芯,外部包裹材料采用麻布,并用尼龙扣作为连接装置,实现和人体接触的舒适性和髋关节辅助支撑器装卸的方便性;束腰带同时和腰板通过铆钉连接,束腿带和腿板连接,通过束腰带和束腿带实现无源髋关节辅助支撑器和人体的连接,从而将上身的一部分重量通过束腰带传递到束腿带,达到辅助支撑的作用。The waistband and leg straps are made of sponge core, the outer wrapping material is linen, and nylon buckles are used as connecting devices to achieve the comfort of contact with the human body and the convenience of attaching and detaching the hip joint auxiliary support; the waistband and the waist plate are connected by rivets at the same time. The connection, the leg strap and the leg plate are connected, and the passive hip joint auxiliary supporter and the human body are connected through the waist belt and the leg strap, so that a part of the upper body weight is transferred to the leg strap through the waist belt to achieve the auxiliary support. effect.

上连接板通过铆钉和腰板连接,采用刚性连接,所以二者间不能转动;上连接板通过连接铰铜柱和上盖板连接,他们之间是转动副连接,二者之间可以转动;上盖板转动副前沿有40°挡边,后沿有30°挡边,限制了转动的范围,上连接板只能绕着上盖板前转40°或者后转30°,从而实现限定髋关节前后摆动的角度。支撑架在人体矢状面方向只有铰链处可转动,且转动的角度受限,充分限制了髋关节的向前和向后的运动。同时,支撑架横向整体是刚性的,充分限制了髋关节的侧摆和内收运动。The upper connecting plate is connected with the waist plate by rivets, and adopts a rigid connection, so the two cannot be rotated; the upper connecting plate is connected with the upper cover plate through the connecting hinge copper column, and they are connected by a rotating pair, and the two can be rotated; The front edge of the cover plate rotation has a 40° rib, and the rear edge has a 30° rib, which limits the range of rotation. The upper connecting plate can only rotate 40° forward or 30° backward around the upper cover plate, so as to limit the hip joint. The angle of the back and forth swing. The support frame can only rotate at the hinge in the sagittal plane of the human body, and the angle of rotation is limited, which fully limits the forward and backward movement of the hip joint. At the same time, the support frame is rigid as a whole in the lateral direction, which fully limits the lateral swing and adduction movement of the hip joint.

旋柄通过旋柄连接柱和螺纹螺柱连接;旋柄连接柱通过上下两个轴承内挡将轴承固定在旋柄连接柱的特定位置;同时,通过上盖板和轴承下盖板限定轴承的位置;综合起来,通过转动旋柄实现带有自锁能力的螺纹螺柱旋转。两根弹簧柱通过弹簧柱连接器和螺纹螺柱连接,弹簧柱底端和弹簧接触,螺纹螺柱的旋转带动弹簧连接器上下移动,达到调节无源髋关节辅助支撑器的整体尺寸和预紧力的作用,从而可以适用于一定身高的人群。弹簧在伸缩腔的底部,伸缩腔和前后板通过末端限位凸台限制伸缩腔和连接铰的最远位置,这样充分限制了无源髋关节支撑器的尺寸调节范围。The rotating handle is connected by the rotating handle connecting column and the threaded stud; the rotating handle connecting column fixes the bearing at the specific position of the rotating handle connecting column through the upper and lower bearing inner blocks; at the same time, the upper cover plate and the bearing lower cover plate limit the bearing. Position; in combination, the rotation of the threaded stud with self-locking capability is achieved by turning the handle. The two spring columns are connected by a spring column connector and a threaded stud. The bottom end of the spring column is in contact with the spring. The rotation of the threaded stud drives the spring connector to move up and down, so as to adjust the overall size and preload of the passive hip joint auxiliary supporter. The effect of force, so that it can be applied to people of a certain height. The spring is at the bottom of the telescopic cavity, and the telescopic cavity and the front and rear plates limit the farthest position of the telescopic cavity and the connecting hinge through the end limit boss, which fully limits the size adjustment range of the passive hip joint supporter.

伸缩腔通过下连接板和腿板用铆钉进行连接,三者间两两之间不能转动,充分保证了支撑架的刚度。The expansion cavity is connected by rivets through the lower connecting plate and the leg plate, and the three can not be rotated between each other, which fully guarantees the rigidity of the support frame.

本发明的有益效果是:针对股骨粗隆间、大转子骨折修复术后病人行走困难的问题,穿戴后为病人行走提供髋关节限位和适当的髋关节辅助支撑,明显降低手术后卧床的并发症的发病概率,同时提供安全的锻炼,增加病人的免疫力,加速病情恢复。The beneficial effects of the present invention are: aiming at the problem of difficulty in walking of patients after the repair of intertrochanteric and greater trochanteric fractures, providing hip joint limit and appropriate hip joint auxiliary support for patients to walk after wearing, and significantly reducing the complications of bed rest after surgery At the same time, it provides safe exercise, increases the patient's immunity, and accelerates the recovery of the disease.

附图说明Description of drawings

图1是本发明符合人体空间曲线的无源髋关节辅助支撑器整体示意图。FIG. 1 is an overall schematic diagram of the passive hip joint auxiliary supporter conforming to the human body space curve according to the present invention.

图2是本发明符合人体空间曲线的无源髋关节辅助支撑器穿戴示意图。FIG. 2 is a schematic view of wearing the passive hip joint auxiliary supporter conforming to the human body space curve according to the present invention.

图3是本发明符合人体空间曲线的无源髋关节辅助支撑器支撑架示意图。FIG. 3 is a schematic diagram of the passive hip joint auxiliary supporter support frame conforming to the human body space curve according to the present invention.

图4是本发明符合人体空间曲线的无源髋关节辅助支撑器支撑架剖视图。FIG. 4 is a cross-sectional view of the passive hip joint auxiliary supporter supporting frame conforming to the human body space curve according to the present invention.

图5是本发明符合人体空间曲线的无源髋关节辅助支撑器支撑架核心部件正剖图。5 is a front sectional view of the core component of the passive hip joint auxiliary supporter supporting frame conforming to the human body space curve according to the present invention.

图6是本发明符合人体空间曲线的无源髋关节辅助支撑器支撑架核心部件侧剖图。FIG. 6 is a side sectional view of the core component of the passive hip joint auxiliary supporter supporting frame conforming to the human body space curve according to the present invention.

图7是本发明符合人体空间曲线的无源髋关节辅助支撑器上盖板图。FIG. 7 is a view of the upper cover plate of the passive hip joint auxiliary supporter conforming to the human body space curve according to the present invention.

图8是本发明符合人体空间曲线的无源髋关节辅助支撑器试穿图。FIG. 8 is a try-on diagram of the passive hip joint auxiliary supporter conforming to the human body space curve of the present invention.

图中标记为:A、束腰带;B、支撑架;C、束腿带;B1、腰板;B2、上连接板;B3、连接铰;B4、旋柄;B5、旋柄连接柱;B6、轴承内挡;B7、轴承;B8上盖板;B9轴承下盖板;B10、螺纹螺柱;B11、弹簧柱连接器;B12、弹簧柱;B13、侧板;B14、弹簧;B15、伸缩腔;B16、下连接板;B17、腿板;B3-1、连接铰挡板;B3-2、连接铰铜柱。Marked as: A, waist belt; B, support frame; C, leg strap; B1, waist plate; B2, upper connecting plate; B3, connecting hinge; B4, rotating handle; B5, rotating handle connecting column; B6 , bearing inner stop; B7, bearing; B8 upper cover; B9 bearing lower cover; B10, threaded stud; B11, spring column connector; B12, spring column; B13, side plate; B14, spring; B15, telescopic Cavity; B16, lower connecting plate; B17, leg plate; B3-1, connecting hinge plate; B3-2, connecting hinge copper column.

具体实施方式Detailed ways

下面结合附图对本发明进一步说明。The present invention will be further described below with reference to the accompanying drawings.

示例的髋关节限位辅助器为左脚穿戴,右脚穿戴的原理和其类似,二者关于人体的矢状面对称。The exemplary hip joint limiting aid is worn on the left foot, and the principle of wearing on the right foot is similar, and the two are symmetrical with respect to the sagittal plane of the human body.

如图1、图3、图4、图5和图6所示,本实例提供一种无源的髋关节限位辅助器,包括:束腰带A、支撑架B、束腿带C,所述支撑架B包括了腰板B1、上连接板B2、连接铰B3、连接铰挡板B3-1、连接铰铜柱B3-2、旋柄B4、旋柄连接柱B5、轴承内挡B6、轴承B7、上盖板B8、轴承下盖板B9、螺纹螺柱B10、弹簧柱连接器B11、弹簧柱B12、侧板B13、弹簧B14、伸缩腔B15、下连接板B16、腿板B17、前后板B18、末端限位凸台B19。As shown in Fig. 1, Fig. 3, Fig. 4, Fig. 5 and Fig. 6, this example provides a passive hip joint limiting aid, including: a belt A, a support frame B, and a leg belt C, all of which are The support frame B includes a waist plate B1, an upper connecting plate B2, a connecting hinge B3, a connecting hinge baffle B3-1, a connecting hinge copper column B3-2, a rotating handle B4, a rotating handle connecting column B5, a bearing inner stop B6, a bearing B7, upper cover plate B8, bearing lower cover plate B9, threaded stud B10, spring column connector B11, spring column B12, side plate B13, spring B14, telescopic cavity B15, lower connecting plate B16, leg plate B17, front and rear plates B18, end limit boss B19.

所述的无源髋关节辅助支撑器能够极度的贴合人体空间曲线,达到穿戴舒适的效果。通过旋转旋柄能够实现髋关节辅助支撑器尺寸的调整和髋关节辅助支撑器预紧力的调节,达到最优的支撑效果。The passive hip joint auxiliary supporter can extremely fit the human body space curve and achieve the effect of wearing comfort. The adjustment of the size of the auxiliary hip joint supporter and the adjustment of the pre-tightening force of the auxiliary hip joint supporter can be realized by rotating the rotary handle, so as to achieve the optimal supporting effect.

在这个示例中,所述无源髋关节辅助支撑器通过束腰带系于腰上,通过束腿带系于腿上,调节号预紧力和支撑器长度之后,用于行走。站立时,上半身部分重量跨过髋关节通过支撑器传递到大腿下部,达到辅助支撑的效果。In this example, the passive hip joint auxiliary supporter is fastened to the waist by a waist belt, and is fastened to the legs by a leg belt, and is used for walking after adjusting the preload force and the length of the supporter. When standing, the weight of the upper body is transmitted across the hip joint to the lower part of the thigh through the supporter to achieve the effect of auxiliary support.

在这个示例中,无源髋关节辅助支撑器支撑架前向整体是只有铰链处可转动,且转动的角度受限,充分限制了髋关节的向前和向后的运动。同时,支撑架横向整体是刚性的,充分限制了髋关节的侧摆和内收运动。对穿戴了该支撑器的下肢运动进行了充分的限制。In this example, the entire front of the passive hip joint auxiliary support frame is only rotatable at the hinge, and the rotation angle is limited, which fully limits the forward and backward movement of the hip joint. At the same time, the support frame is rigid as a whole in the lateral direction, which fully limits the lateral swing and adduction movement of the hip joint. The movement of the lower extremity wearing the support is sufficiently restricted.

以上所述仅为本发明的优选实施例而已,并不用于限制本发明,对于本领域的技术人员来说,本发明可以有各种更改和变化。凡在本发明的精神和原则之内,所作的任何修改、等同替换、改进等,均应包含在本发明的保护范围之内。The above descriptions are only preferred embodiments of the present invention, and are not intended to limit the present invention. For those skilled in the art, the present invention may have various modifications and changes. Any modification, equivalent replacement, improvement, etc. made within the spirit and principle of the present invention shall be included within the protection scope of the present invention.

Claims (6)

1.一种无源的髋关节限位辅助器,其特征在于:包括束腰带A、支撑架(B)、束腿带(C),所述支撑架(B)包括了腰板(B1)、上连接板(B2)、连接铰(B3)、连接铰挡板(B3-1)、连接铰铜柱(B3-2)、旋柄(B4)、旋柄连接柱(B5)、轴承内挡(B6)、轴承(B7)、上盖板(B8)、轴承下盖板(B9)、螺纹螺柱(B10)、弹簧柱连接器(B11)、弹簧柱(B12)、侧板(B13)、弹簧(B14)、伸缩腔(B15)、下连接板(B16)、腿板(B17)、前后板(B18)、末端限位凸台(B19);铆钉连接腰板和上连接板,连接铰连接上连接板和上盖板,螺栓将前后板、侧板和上盖板连接,旋柄连接柱连接旋柄和螺纹螺柱,弹簧柱连接器连接弹簧柱和螺纹螺柱,弹簧上接弹簧柱下接伸缩腔,铆钉连接伸缩腔和下连接板,铆钉连接下连接板和腿板,各部分依次连接构成支撑架;束腰带连接支撑架的腰板,束腿带连接支撑架的腿板。1. A passive hip joint limiting aid, characterized in that: comprising a waist belt A, a support frame (B), a leg strap (C), and the support frame (B) includes a waist plate (B1) , upper connecting plate (B2), connecting hinge (B3), connecting hinge plate (B3-1), connecting hinge copper column (B3-2), rotating handle (B4), rotating handle connecting column (B5), bearing inner Stopper (B6), Bearing (B7), Upper Cover (B8), Bearing Lower Cover (B9), Threaded Stud (B10), Spring Post Connector (B11), Spring Post (B12), Side Plate (B13) ), spring (B14), telescopic cavity (B15), lower connecting plate (B16), leg plate (B17), front and rear plates (B18), end limit boss (B19); rivets connect the waist plate and the upper connecting plate, connect The upper connecting plate and the upper cover are hingedly connected, the front and rear plates, the side plates and the upper cover are connected by bolts, the handle connecting column is connected with the handle and the threaded stud, the spring column connector is connected with the spring column and the threaded stud, and the spring is connected The spring column is connected to the telescopic cavity, the rivet is connected to the telescopic cavity and the lower connecting plate, the rivet is connected to the lower connecting plate and the leg plate, and each part is connected in turn to form a support frame; the waist belt is connected to the waist plate of the support frame, and the leg belt is connected to the legs of the support frame plate. 2.根据权利要求1所述的一种无源的髋关节限位辅助器,其特征在于:束腰带(A)和束腿带(C)用海绵内芯,外部包裹材料采用麻布,并用尼龙扣作为连接装置;束腰带(A)同时和腰板(B1)通过铆钉连接,束腿带(C)和腿板(B17)连接,通过束腰带(A)和束腿带(C)实现无源髋关节辅助支撑器和人体的连接。2. a kind of passive hip joint limiting aid according to claim 1 is characterized in that: corset waistband (A) and corset leg band (C) use sponge inner core, and external wrapping material adopts hemp cloth, and uses nylon The buckle is used as a connecting device; the waist belt (A) and the waist plate (B1) are connected by rivets at the same time, the leg belt (C) and the leg plate (B17) are connected, and the waist belt (A) and the leg belt (C) are connected to achieve no The connection between the source hip auxiliary support and the human body. 3.根据权利要求1所述的一种无源的髋关节限位辅助器,其特征在于:上连接板(B2)通过铆钉和腰板(B1)刚性连接,(B2)与(B1)间不能转动;上连接板(B2)通过连接铰铜柱(B3-2)和上盖板(B8)连接,(B2)和(B8)通过转动副连接,二者之间可以转动;上盖板(B8)转动副前沿有40°挡边,后沿有30°挡边,限制转动的范围。支撑架在人体矢状面方向只有铰链处可转动,且转动角度受限。3. A passive hip joint limiting aid according to claim 1, characterized in that: the upper connecting plate (B2) is rigidly connected to the waist plate (B1) by rivets, and the connection between (B2) and (B1) cannot be Rotation; the upper connecting plate (B2) is connected with the upper cover plate (B8) through the connecting hinge copper column (B3-2), (B2) and (B8) are connected by a rotating pair, and the two can be rotated; the upper cover plate ( B8) The front edge of the rotating vice has a 40° rib, and the rear edge has a 30° rib to limit the range of rotation. The support frame can only be rotated at the hinge in the sagittal plane of the human body, and the rotation angle is limited. 4.根据权利要求1所述的一种无源的髋关节限位辅助器,其特征在于:旋柄(B4)通过旋柄连接柱(B5)和螺纹螺柱(B10)连接;旋柄连接柱(B5)通过上下两个轴承内挡(B6)将轴承(B7)固定在旋柄连接柱的特定位置;通过上盖板(B8)和轴承下盖板(B9)限定轴承(B7)的位置。4. A passive hip joint limiting aid according to claim 1, characterized in that: the rotating handle (B4) is connected with the threaded stud (B10) through the rotating handle connecting column (B5); the rotating handle is connected The column (B5) fixes the bearing (B7) at the specific position of the rotating handle connecting column through the upper and lower two bearing inner blocks (B6); the upper cover plate (B8) and the bearing lower cover plate (B9) limit the bearing (B7) Location. 5.根据权利要求1所述的一种无源的髋关节限位辅助器,其特征在于:两根弹簧柱(B12)通过弹簧柱连接器(B11)和螺纹螺柱(B10)连接,弹簧柱(B12)底端和弹簧(B14)接触,螺纹螺柱(B10)的旋转带动弹簧柱连接器(B11)上下移动;弹簧(B14)在伸缩腔(B15)的底部,伸缩腔(B15)和前后板(B18)通过末端限位凸台(B19)限制伸缩腔和连接铰(B3)的最远位置。5. A passive hip joint limiting aid according to claim 1, characterized in that: the two spring columns (B12) are connected by a spring column connector (B11) and a threaded stud (B10), and the spring The bottom end of the column (B12) is in contact with the spring (B14), and the rotation of the threaded stud (B10) drives the spring column connector (B11) to move up and down; the spring (B14) is at the bottom of the telescopic cavity (B15), and the telescopic cavity (B15) And the front and rear plates (B18) limit the farthest position of the telescopic cavity and the connecting hinge (B3) through the end limit boss (B19). 6.根据权利要求1所述的一种无源的髋关节限位辅助器,其特征在于:伸缩腔(B15)通过下连接板(B16)和腿板(B17)用铆钉进行连接,三者间两两之间不能转动。6. A passive hip joint limiting aid according to claim 1, characterized in that: the expansion cavity (B15) is connected by rivets through the lower connecting plate (B16) and the leg plate (B17), and the three Can't turn between two.
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