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WO2016119798A1 - Orthèse de cheville - Google Patents

Orthèse de cheville Download PDF

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Publication number
WO2016119798A1
WO2016119798A1 PCT/EP2015/001608 EP2015001608W WO2016119798A1 WO 2016119798 A1 WO2016119798 A1 WO 2016119798A1 EP 2015001608 W EP2015001608 W EP 2015001608W WO 2016119798 A1 WO2016119798 A1 WO 2016119798A1
Authority
WO
WIPO (PCT)
Prior art keywords
ankle
orthosis
closure element
foot
lateral
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/EP2015/001608
Other languages
German (de)
English (en)
Inventor
Alexander Schmitt
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Otto Bock Healthcare GmbH
Original Assignee
Otto Bock Healthcare GmbH
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Otto Bock Healthcare GmbH filed Critical Otto Bock Healthcare GmbH
Publication of WO2016119798A1 publication Critical patent/WO2016119798A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices ; Anti-rape devices
    • A61F5/01—Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces
    • A61F5/0102—Orthopaedic 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
    • A61F5/0104—Orthopaedic 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 without articulation
    • A61F5/0111—Orthopaedic 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 without articulation for the feet or ankles

Definitions

  • the invention relates to an ankle orthosis with a foot part for placing on a foot and an ankle part for placing on an ankle, which is connected to the foot part and has a lateral portion and a medial portion, which are connected or connectable in the ventral area, wherein the lateral distance and the medial distance by at least one closure element in the dorsal region of the ankle part are releasably connectable to each other.
  • Ankle braces which can also be referred to as ankle braces, have a foot section that runs under the foot when it is put on and surrounds the foot.
  • the ankle portion encloses the ankle to be supported and has, with the lateral portion and the medial portion, two support elements which support and relieve the ankle joint.
  • These may be made of a plastic or a solid textile, for example, and usually have a higher stiffness and strength than the foot part. They extend in the applied state from below over the ankle joint and thus lead to the desired stabilization and support.
  • Knöchelorthesen which have a main body in the form of a textile element, wherein the main body both the foot part and forms the lateral and medial part of the ankle orthosis.
  • a basic body can be provided with plastic elements or coatings, for example, in order to lead to increased stability in the desired areas, in particular in the area of the ankle joint.
  • the lacing need not be changed, so that once a setting of the setting device is permanently maintained in order to ensure an ideal fit of the orthosis, but it should be ensured that the hook and loop fasteners, through which the ankle orthosis is closed, in exactly the same Position relative to each other in which they were when the lacing was set.
  • this is usually not possible, so that such an ankle brace is often applied in slightly different positions and settings and thus not in the optimal fit. This is especially true since the Velcro fasteners the force required for proper closing must be applied.
  • Ankle orthoses are also known from the prior art, which can be opened, for example slightly offset laterally outwards, in the region of the back of the foot, in order to simplify application of the ankle orthosis.
  • these orthoses are not individually adaptable to the respective foot and ankle shape of the wearer by an adjustment device.
  • a disadvantage of this type of ankle orthoses is also that they can be closed, for example via Velcro elements in the heel area.
  • the force applied in many cases is not sufficient to ensure a secure fit and adequate support of the ankle orthosis. This is especially true when the ankle orthosis is to be worn in a shoe, as act in this case, in particular on the detachable hook-and-loop fasteners special loads.
  • the invention has for its object to further develop an ankle orthosis according to the preamble of claim 1 so that the application of the ankle orthosis is simplified and at the same time ensures that a sufficient holding force is exerted on the orthosis to keep the orthosis safely at the foot of the wearer.
  • the invention achieves the stated object by an ankle orthosis according to the preamble of claim 1, which is characterized in that at least one strap is arranged on the at least one closure element which can be placed around the foot part in an applied state of the ankle orthosis.
  • At least one strap is arranged on the at least one closure element, which strap can be laid around the foot part in an applied state of the ankle orthosis.
  • a belt which can be designed as a so-called "8" belt, for example, increases the ankle orthosis at the ankle and also strengthens the ankle orthosis and further strengthens the support of the ankle
  • the settings of the adjusting device would be lost or at least changed, so that a new setting is necessary.
  • the belt is at one end of the Arranged closing element. It has proven to be particularly advantageous if the at least one belt is arranged at one end of the closure element that is releasably connected to the lateral portion and / or the medial portion. In this way, the at least one strap can also be used to exert sufficient pulling force on the optionally provided with a resilient element closure element to apply the ankle orthesis and make the connection between the lateral portion and the medial portion.
  • connection between the lateral portion and the medial portion, which is caused by the at least one closure element, is thus first of all released. This happens in the dorsal region of the ankle element, that is, for example, in the region of the Achilles tendon or above the Achilles tendon of the wearer of the orthosis.
  • the lateral portion and the medial portion in the dorsal region of the ankle portion are no longer interconnected, so that a "tail entry" into the ankle orthosis is possible in a particularly simple manner.
  • the closure element is closed and the lateral portion is thus connected to the medial portion
  • This can be done, in particular, by applying a sufficient tensile force to the strap which is arranged on the at least one closure element This is readily accomplished by the strap located on the at least one fastener element 10.
  • the strap may then be used to wrap around the foot, thus providing an a To ensure sufficient stability of the orthosis and sufficient support of the foot in the orthosis. This can be done without having to release the strap, so that Applying the orthosis simplified while preventing accidental release of the connection or too weak a connection between the lateral and the medial portion.
  • the lateral portion and the medial portion at a distance from each other, which is adjustable by means of at least one adjusting device.
  • This distance is located in the ventral area of the foot part and may possibly change in the longitudinal direction of the orthosis, ie in particular in the direction from the forefoot in the direction of the ankle.
  • a once-established setting of the adjustment device is not affected by the release and reconnection of the lateral portion with the medial portion, so that the adjustment device can always be positioned and arranged in the same orientation, position and adjustment relative to the foot of the wearer of the ankle orthosis. This significantly facilitates entry and also ensures that the orthosis can always be used in the optimum fit.
  • the adjusting device has at least one lacing. This may be continuous in the ventral area of the ankle brace or may extend only a portion of the length of the ankle brace in that direction.
  • the use of several separate Schnürurigen is conceivable to achieve the best possible fit in different areas of the ankle orthosis.
  • the lacing of the adjusting device is brought in the preferred case once to an optimal setting, for example, by bringing the lacing in the loaded state of the ankle joint, for example by an orthopedic technician, to the desired settings. It is thus possible, for example, to lacing the laces a little more loosely, for example in the region of the foot part of the ankle orthosis, in order, for example, to take account of swelling of the foot.
  • the snout In the area of the incipient lower leg, ie at the upper end of the ankle part of the ankle orthosis, the snout By contrast, for example, they can be tied a little tighter to ensure a secure fit.
  • lacing are also conceivable in order to take into account the individual conditions, needs and requirements of the wearer of the ankle prosthesis.
  • the position of the adjusting device relative to the foot is not or not appreciably influenced by the opening and closing of the connection between the lateral portion and the medial portion by the at least one closure element.
  • the ankle orthosis can also be designed without an adjusting device.
  • an elastic element for example an elastic band
  • an elastic element is advantageously arranged in this case. Even if the distance between the medial portion and the lateral portion is not individually adjustable in this embodiment, is achieved by an elastic element, in particular the elastic that sufficient tension can be generated and maintained.
  • the width of this elastic portion increases in the direction of the forefoot, ie in the direction of the toes of the wearer of the orthosis.
  • the at least one closure element consists at least partially of an elastic material and / or has at least one elastic portion.
  • the elastic material may be stretched or stretched when connecting the lateral portion and the medial portion by the at least one closure member, so that a force is exerted on the ankle located in the ankle orthosis, the ankle is securely held on the ankle and sufficient support of the ankle ensured. It is also possible to manufacture the closure element completely from the elastic material.
  • the at least one closure element has at least one elastic portion and at least one inelastic portion acting parallel thereto, wherein the inelastic portion has a greater length than the elastic portion in the relaxed state.
  • the at least one closure element can be stretched and stretched when connecting the lateral portion and the medial portion, so that an additional force is exerted on the ankle located in the ankle orthosis.
  • overstretching and overstretching is prevented as soon as the length of the elastic portion, which is increased by stretching and tensioning, corresponds to the length of the inelastic portion. Since both parts act parallel to one another, a further extension of the at least one closure element is then no longer possible.
  • the ankle orthosis has a plurality of closure elements, which may be identical or different to each other.
  • the ankle orthosis has one or more closure elements which have an elastic portion without an inelastic portion, while one or more other closure elements are present which have both an elastic and an inelastic portion acting in parallel thereto.
  • Naturally Other configurations and combinations of closure elements are possible.
  • the at least one closure element on the lateral portion and / or the medial portion detachable preferably by at least one hook and loop fastener fastened. It has proven to be advantageous if the at least one closure element with the medial portion of the ankle part of the ankle orthosis firmly and permanently, for example by sewing or bonding, is connected. Since the medial portion is located on the inside of the foot of the wearer of the ankle brace, it is difficult to access, especially for wearers who are restricted in their mobility. Therefore, here is a permanent permanent connection of advantage. With the lateral portion of the ankle part of the ankle orthosis, however, the at least one closure element is advantageously detachable, for example connected or connectable via Velcro fastening elements.
  • the lateral portion is connected to the medial portion by the at least one closure element over a length of at least 4 cm, preferably at least 6 cm, particularly preferably at least 8 cm.
  • This length extends in the applied state of the ankle orthosis from top to bottom. The longer this area is, in which the connection between the medial portion and the lateral portion is made, the more uniform the forces occurring are distributed and the lower the probability of producing pressure points or sores in the dorsal area of the ankle element, which reduce the wearing comfort and can lead to pain.
  • the region in which the lateral portion is connected to the medial portion via the at least one closure element lies as far as possible in the upper region of the ankle portion. This avoids applying excessive force to the wearer's Achilles tendon, reducing the risk of pressure sores or painful sores in this sensitive area.
  • At least two straps are arranged on opposite sides of the closure element on the at least one closure element. It is also possible to arrange a plurality of straps at the same location of the closure element, but extending, for example, in different directions from this attachment point. By several straps that can be wrapped in different directions around the ankle and the foot of the wearer, the loads and applied forces are further equalized.
  • at least one of the straps is detachably arranged on the closure element. In this way it can be used as needed with stabilizing strap. If this is not necessary, for example, it can only be connected to the closure element to apply the ankle orthosis. It can then be used as a grip element in order to be able to apply sufficient force to the closure element if the connection between the lateral portion and the medial portion is to be established. Subsequently, the belt can be removed from the closure element.
  • At least one of the straps preferably has a hook-and-loop fastener element at an end opposite the closing element, with which it can be fastened to a part of the ankle orthosis.
  • At least one end, in particular preferably at each free end, of the individual straps tension elements are arranged, through which a train can be applied to the respective straps in a particularly simple manner.
  • the free ends of all straps are provided with such a tension element.
  • This can be formed for example in the form of a loop.
  • a forefinger can be inserted, whereby a higher force can be exerted on the belt when applying.
  • an increased tensile force can be applied to the belt and, on the other hand, the belt can also be used for positioning the lateral and / or medial portion of the ankle orthosis.
  • the ankle orthosis is at the lateral portion and / or the medial portion of a belt with a fixed end arranged, which is feasible through a slot in the closure element.
  • the closure element is advantageously fixed to the lateral or medial portion of the ankle orthosis, for example sewn or glued. At the opposite portion of this additional belt is attached.
  • the closure element is thus located on the lateral portion, the belt is arranged on the medial portion and vice versa.
  • a slot is provided in the closure element, through which this strap can be passed. In this way, it is also possible to exert a force on the portion of the ankle orthosis on which the closure element is not arranged inseparably, which serves for better positioning of the ankle orthosis.
  • FIGS. 1a to 1e show various stages in the application of an ankle orthosis according to a first exemplary embodiment of the present invention
  • FIGS. 2 a to 2 e the representations from FIGS. 1 a to 1 e for a second exemplary embodiment of the present invention
  • FIGS. 3 a to 3 e - the illustrations for a third exemplary embodiment of the present invention
  • FIGS. 6a to 6f - the representations for a sixth embodiment of the present invention.
  • FIG. 1a shows an ankle orthosis 1 in which a foot is located in a rear view. Shown is thus a view of the heel 2.
  • the ankle orthosis 1 has a foot part 4 and an ankle part 6. This has a lateral portion 8 and a medial portion 10.
  • a closure element 12 is arranged on the medial portion 10, the has an elastic portion 14. This is fastened with a first end 16 on the medial portion 10, sewn in the illustrated embodiment.
  • two straps 20th fastened which extend from the second end 8 in different directions.
  • a Velcro fastener element or another fastening element is arranged, with which the second end 18 can be fixed to the lateral portion 8 of the ankle part 6.
  • FIG. 1b To apply the ankle orthosis 1, the foot is positioned within the ankle orthosis 1 in the position shown in FIG. Subsequently, a tension force can be exerted on the elastic portion 14 on the belt 20 shown on the right above FIG. 1a, by which it is stretched and stretched. Subsequently, the second end 18 with the fastening element arranged thereon, for example a hook-and-loop fastener element, can be fixed to the lateral portion 8 of the ankle part 6 of the ankle orthosis 1.
  • the fastening element arranged thereon for example a hook-and-loop fastener element
  • FIG. 1 c shows the situation from FIG. 1 b in a lateral lateral view.
  • the ankle orthosis 1 has the foot part 4 and the ankle part 6, wherein in the ventral area an adjusting device 22 is arranged, which is a lacing in the illustrated embodiment. Through this, a distance between the lateral portion 8 and the medial portion 10 not shown in Figure 1c can be adjusted.
  • FIG. 1c illustrates the situation in which the second end 18 of the elastic portion 14 of the closure element 12 has been fixed to the lateral portion 8 of the ankle portion 6.
  • the strap 20 is already halfway around the foot and runs on the medial side of the foot, not shown, down and is passed below the foot.
  • the second belt 20 shown in Figure 1c has not yet been moved to its desired position.
  • Figure 1d shows a view from the medial side. Again, the foot part 4, the ankle part 6, the adjusting device 22 and the elastic portion 14 to detect. About the foot portion of the belt 20 runs down and is passed under the foot portion 4. This is the belt 20, which is already performed in Figure 1c below the foot. The second strap 20 is now also under the foot, but from the opposite side. Due to the particular positioning of the two straps 20, which is particularly well illustrated in Figure 1a, one of the straps extends after fixing the second end 18 on the lateral portion 8 on the lateral side of the ankle orthosis 1, while the second strap 20 on the medial side of the ankle orthosis 1 is located. Both are now passed on the other side from above over the foot and under the foot.
  • FIG. 1e shows a foot with fully applied ankle brace 1.
  • the belt 20 passed under the foot has at its end a hook-and-loop fastener element 24, which in the embodiment shown is on the back of the strap 20 and is therefore shown by a dashed line.
  • this Velcro fastener element 24 it is at the second end 18, which is shown for example in Figure 1c, can be fixed, on the outside of which there is a counter-element to the Velcro fastener element 24.
  • the position of the adjustment means 22 is independent of the force applied to the elastic member 14 and which causes the elastic member 14 to stretch.
  • the straps 20 increase the stability and support function of the ankle brace 1 and at the same time can ensure that the adjustment device 22 is not accidentally opened.
  • FIGS. 2a to 2e show the illustrations from FIGS. 1a to 1e for ankle brace 1 according to a second exemplary embodiment of the present invention.
  • the application and positioning of the ankle brace 1 relative to the foot corresponds to that said for the first embodiment, so that in the following only the differences will be described in more detail.
  • the ankle orthosis 1 shown in FIG. 2a also has an ankle part 6, which has the lateral part 8 and the medial part 10.
  • the closure element 12 again has the elastic portion 14 with the first end 16 and the second end 18. Unlike the embodiment shown in Figure 1a, however, the left strap 20 at the first end 16 and not at the second end 18 as shown in Figure 1a positioned.
  • FIG. 2b shows the situation corresponding to the situation shown in FIG. 1b, in which the second end 18 is fixed to the lateral portion 8.
  • the left in Figure 1a belt 20 which is attached to the first end 16, now unlike the embodiment shown in Figure 1 b does not extend beyond the dorsal region of the ankle.
  • FIG. 2c corresponds to the illustration from FIG. 1c.
  • the belt 20 on the right in FIG. 2a is guided underneath the foot as shown in FIG. 1c and described, in order to fix its end (not shown in FIG. 2c) at the second end 18 via the hook and loop fastening element 24.
  • FIG. 2 d shows the view from the medial, in which it can likewise be recognized that the belt 20 does not extend beyond the elastic portion 14 of the closure element 12.
  • the belt 20 also has a hook-and-loop fastener element 24 with which it can Dialen proportion 10 can be determined.
  • FIG. 2 e corresponds to the illustration from FIG. 1 e, so that the belt 20 is fixed again via the hook-and-loop fastener element 24 on the second end 18, which is not shown, of the elastic portion 14.
  • the embodiment illustrated in FIGS. 2 a to 2 e is particularly advantageous if a force that is as uniform as possible and not too great is to be applied to the dorsal portion of the ankle area of the wearer of the ankle brace 1.
  • this force is exerted solely by the force applied to the elastic portion 14, whereas in the exemplary embodiment shown in FIGS. 1a to 1e an additional force can be applied to this area of the ankle by the right-hand belt 20 in FIG. This results in an inhomogeneous force distribution, which, however, may result in a stronger fixation and support of the ankle area.
  • FIGS. 3a to 3e correspond to FIGS. 1a to 1e for a bony orthosis 1 according to a further exemplary embodiment of the present invention.
  • the closure element 12 has an elastic portion 14. This is attached to the first end 16 as in the previously shown embodiments on the medial portion 10.
  • a belt 20 At the second end 18 there is again a belt 20 over which, for example, a force can be applied to the elastic portion 14 in order to tension it.
  • a second elastic portion 26 is positioned at the second end 18, the second end 18 facing away from the third end 28 also has a belt 20.
  • the third end 28 of the second elastic portion 26 is now fixed to the medial portion 10 before the strap 20 is placed in a known manner around the foot and the foot part 4. Below the second elastic portion 26 is thus the elastic portion 14, which is no longer visible in Figure 3d and therefore was not shown.
  • the force applied to the dorsal region of the ankle force can be adjusted particularly well and in particular greatly increased, which provides for a particularly good support of the ankle joint and a firm hold of the orthosis 1 at the ankle joint.
  • FIG. 3e again shows the illustration of the completely applied ankle orthosis 1 with the straps 20 laid around the foot and the foot part 4 and the second elastic part 26 now located in the dorsal region.
  • FIGS. 4a to 4e show illustrations of an ankle orthosis 1 according to a fourth embodiment of the present invention, which correspond to Figures 1a to 1e.
  • the ankle orthosis shown in FIG. 4 a again has an elastic portion 14 which is fastened with its first end 16 to the medial portion 10.
  • a Velcro fastener element 24 At the second end 18 is a Velcro fastener element 24, which, as shown in Figure 4e, cooperates with a hook and loop fastener 24 at the end of the belt 20.
  • a double belt 30 is arranged, which is brought together in a common hook-and-loop fastener element 24 by two individual belts. At this extends a another strap 20.
  • the individual straps of the double strap 30 are preferably inelastic and may be made of the same material as the strap 20.
  • FIG. 4b shows the illustration in which the second end 18 is fixed on the lateral portion 8.
  • the double belt 30 and the Velcro closure element 24 located thereon are not yet attached to another component of the ankle orthosis 1. This is also shown again in FIG. 4c, wherein the second end 18 is already fastened to the lateral part 8.
  • FIG. 4d again shows a side view from the medial direction. It can now be seen that the Velcro fastener element 24, which is connected to the double belt 30, is arranged on the medial part 10 of the ankle part 6. The belt 20 extending thereon is wrapped around the foot and the foot part 4 in the manner already described.
  • FIG 4e the representation of the finished ankle orthosis is shown. It can be seen the double belt 30, through which now an additional force can be applied to the dorsal region of the ankle joint, but due to the significantly greater width of the double belt 30 relative to the belt 20, for example, from Figure 1e can be distributed more homogeneously and uniformly on the ankle area.
  • FIG. 5a shows the ankle orthosis 1 according to a further exemplary embodiment of the present invention.
  • a belt 20 is again arranged, which extends in Figure 5a to the left.
  • the ankle orthosis 1 has the lateral portion 8 and the medial portion 10, wherein, unlike the previously illustrated embodiments, a further strap 20 is located on the lateral portion 8. This is not positioned on the closure element 12, but arranged with its fixed end 32 on the lateral portion 8 of the ankle part 6 of the ankle brace 1.
  • the belt 20 passes through a in FIG. 5a not shown separately slot 34 and occurs on the back not shown in Figure 5a of the elastic portion 14 through this slot 34 therethrough.
  • a free end 36 can be freely wrapped around the foot.
  • the fixed end 32 is arranged on the lateral portion 8 so that it is positioned in front of the second end 18 when the closure element 12 is closed.
  • “Forward” in this case means further towards the toes the wearer of the bony orthosis 1.
  • FIG. 5b shows a situation in which belt 20 shown on the left in FIG. 5a is now shown on the right. Accordingly, the elastic portion 14 of the closure element 12 now extends over the heel area and the heel 2 of the foot, but is not yet fixed to the lateral portion 8.
  • the strap 20 shown on the right in FIG. 5a now extends to the left and passes through the slot 34 between the elastic portion 14 and the second end 18.
  • the second end 18 is fixed to the lateral portion 8 of the ankle prosthesis 1.
  • the strap 20 passes through the slot 34, while the strap 20 secured on the opposite side at the second end 18 is wrapped around the foot part 4.
  • the belt 20, the fixed end 32 is disposed on the lateral portion 8, also wrapped around the foot part 4 and fixed according to the other embodiments.
  • the particular advantage of this embodiment is that the strap 20 is connected via its fixed end 32 directly to the lateral portion 8, so that an additional tensile force can be applied to the lateral portion 8, whereby the hold of the ankle orthosis 1 at the foot of the wearer is further strengthened. This situation is shown in FIG. 5d.
  • FIG. 5e shows the ready-made ankle orthosis 1 and corresponds to FIG Representation 1e.
  • the exact position of the passage or slot 34 can be varied. For example, it is also possible to place this slot 34 closer to the first end 16 of the elastic portion 14. As a result, however, a tensile force exerted on the belt 20 is not transmitted to the elastic portion 14, but directly to the Achilles tendon of the wearer of the ankle brace 1.
  • FIG. 6 a shows the ankle orthosis 1 according to a further exemplary embodiment of the present invention in a rear view.
  • FIG. 6a corresponds to FIG. 4a, since the embodiment of the ankle orthosis 1 shown in FIGS. 6a to 6e does not differ from the embodiment shown in FIGS. 4a to 4e in this view.
  • the orthosis consequently has the elastic portion with the first end 6 and the second end 18.
  • About the elastic portion 16 extend the two portions of the double belt 30, which are terminated on both sides by the hook and loop fastener elements 24.
  • FIG. 6b shows the illustration in which the second end 18 is fixed at the lateral end 8.
  • FIG. 6b corresponds to FIG. 4b, since the deviation of the two embodiments shown is not recognizable in this rear side view.
  • the belt 20 has been wrapped around the foot part 4 in the manner already described, but does not run over an adjusting device 22.
  • the orthosis 1 has an elastic element 38 which adjusts a distance between the lateral portion 8 and the medial portion 10, not shown in FIG. 6c.
  • the foot stretches the elastic element 38, whereby the desired force is applied.
  • the force applied by the double belt 30 and the elastic portion 14 also determines how far the elastic element 38 through the foot is stretched, since a force is applied to the lateral portion and the medial portion 10 by the double belt 30 and the elastic portion 14 in the rear region, which moves the two portions 8, 10 towards each other.
  • a tensile force is naturally exerted on the two components in the opposite region, in which the elastic element 38 is located, which stretches the elastic element 38.
  • FIGS. 6d and 6e correspond to the illustrations from FIGS. 4d and 4e, the orthosis shown in FIGS. 6d and 6e having the elastic element 38 instead of the adjusting device 22.
  • FIG. 6f shows an ankle orthosis 1 according to the embodiment for a right foot shown in FIGS. 6a to 6e. It can be seen how the elastic member 38 conforms to the shape of the foot, thus providing sufficient tension and maintaining the desired force on the ankle joint.
  • the strap 20 has already been placed around the foot and can be fastened to the side not shown in FIG. 6f.
  • the elastic element 14, which is part of the closure element 12, is fixed with the hook and loop fastener 24 on the lateral portion 8, as was the case in the other embodiments shown.

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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

L'invention concerne une orthèse de cheville (1) comprenant une partie pied (4) destinée à être montée sur un pied et une partie cheville (6) destinée à être montée sur une cheville, laquelle est reliée à la partie pied (4) et présente une partie latérale (8) et une partie médiale (10). La partie latérale (8) et la partie médiale (10) peuvent être solidarisées de manière détachable, par au moins un élément de fermeture (12), dans la zone dorsale de la partie cheville (6), et au moins une sangle (20) est disposée sur ledit élément de fermeture (12) et peut être passée autour de la partie pied (4) lorsque l'orthèse de cheville (1) est portée.
PCT/EP2015/001608 2015-01-26 2015-08-05 Orthèse de cheville Ceased WO2016119798A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE102015000783.1A DE102015000783A1 (de) 2015-01-26 2015-01-26 Knöchelorthese
DE102015000783.1 2015-01-26

Publications (1)

Publication Number Publication Date
WO2016119798A1 true WO2016119798A1 (fr) 2016-08-04

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Application Number Title Priority Date Filing Date
PCT/EP2015/001608 Ceased WO2016119798A1 (fr) 2015-01-26 2015-08-05 Orthèse de cheville

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DE (1) DE102015000783A1 (fr)
WO (1) WO2016119798A1 (fr)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11986414B2 (en) * 2017-03-30 2024-05-21 Ulrike Röder Cuff for orthotic treatment

Families Citing this family (3)

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