WO1990011743A1 - Adjustable splint assembly - Google Patents
Adjustable splint assembly Download PDFInfo
- Publication number
- WO1990011743A1 WO1990011743A1 PCT/US1990/001847 US9001847W WO9011743A1 WO 1990011743 A1 WO1990011743 A1 WO 1990011743A1 US 9001847 W US9001847 W US 9001847W WO 9011743 A1 WO9011743 A1 WO 9011743A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- adjustable
- strut
- proximal
- assembly according
- spring
- Prior art date
Links
- 0 C*1(CC2=CC=*(C3)C2C3NC)CC1 Chemical compound C*1(CC2=CC=*(C3)C2C3NC)CC1 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/60—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like for external osteosynthesis, e.g. distractors, contractors
- A61B17/62—Ring frames, i.e. devices extending around the bones to be positioned
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/60—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like for external osteosynthesis, e.g. distractors, contractors
- A61B17/64—Devices extending alongside the bones to be positioned
- A61B17/6425—Devices extending alongside the bones to be positioned specially adapted to be fitted across a bone joint
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
- A61F5/01—Orthopaedic devices, e.g. splints, casts or braces
- A61F5/0102—Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations
- A61F5/0123—Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations for the knees
- A61F5/0125—Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations for the knees the device articulating around a single pivot-point
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
- A61F5/01—Orthopaedic devices, e.g. splints, casts or braces
- A61F5/0102—Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations
- A61F2005/0132—Additional features of the articulation
- A61F2005/0165—Additional features of the articulation with limits of movement
- A61F2005/0167—Additional features of the articulation with limits of movement adjustable
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
- A61F5/01—Orthopaedic devices, e.g. splints, casts or braces
- A61F5/0102—Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations
- A61F2005/0132—Additional features of the articulation
- A61F2005/0179—Additional features of the articulation with spring means
Definitions
- This invention relates to an adjustable splint assembly. More particularly, this invention relates to the combination of an adjustable splint device and an external fixator device, useful for therapeutical treatment of impairments in body joints and the like from flexion and extension contractures, weakness in the supporting musculature, or some other malady inhibiting the integrity of the body joint in accomplishing flexion or extension.
- an object of the invention to provide an improved splint assembly incorporating a fixator device such as an Ilizarov External Fixator, for reducing flexion and extension contractures about a body joint, particularly a knee joint or an elbow joint.
- a fixator device such as an Ilizarov External Fixator
- Yet another object of the invention is to provide such an adjustable splint assembly Incorporating an external fixator device, which allows easy gradual adjustment to the quantifiable force desired on an extremity acting across a body joint, particularly a knee joint or an elbow joint.
- a further object of the invention is to provide an improved adjustable splint assembly, for providing support to a limb around a body joint, particularly a limb around a knee joint or an elbow joint.
- an adjustable splint assembly comprised of an adjustable splint device and a fixator device, said adjustable splint device comprising a distal strut and a proximal strut pivotably connected to said distal strut, one of said struts having at one end a pivotably mounted head portion defining a cam surface, an adjustable biasing means mounted within the other strut and biased into engagement with said cam surface for applying a quantifiable force tending to approximate or align said distal and proximal struts, said fixator device comprising a right ring and a left ring, two or more surgical wires for implanting through a bone, with said wires connected at each end to the periphery of the right ring and crossing each other substantially near the center axis of said right ring, two or more surgical wires similarly connected to and crossing within the left ring, means for connecting said surgical wires to the right ring and left ring,
- the present invention comprises a pair of distal struts, a pair of proximal struts and an Ilizarov External Fixator ring, each member of the pair of distal struts being pivotably connected to a member of the proximal struts, with said members of the proximal pair being spaced apart a distance to accommodate limb parts proximal to the limb joint and said members of the distal pair being spaced apart a distance to accommodate attachment to opposite sides of the Ilizarov ring, at least one of said struts having at one end a pivotably mounted head portion defining a cam surface, an adjustable biasing means mounted within the strut pivotably connected to said cam surface-containing strut and biased into engagement with said cam surface, for applying a quantifiable force tending to align or approximate the cam surface-containing strut with the adjustable biasing means containing strut, each member of the pair of distal struts being slidably mounted within a clamping assembly, means
- the adjustable splint is provided with a telescoping wire assembly on the proximal struts whereby the adjustable splint is secured to the limbs.
- This slidably adjustable wire assembly feature enables the splint device of the invention to accommodate various limb lengths.
- novel snap-on comfort pads attachable to the struts of the splint device provide greater patient comfort.
- Another aspect of the invention involves a novel cuff for attaching the splint device to a limb which cuff is designed to accommodate limbs of varying circumferences.
- Figure 1 is a side perspective view of the adjustable splint for reducing flexion contractures incorporating an Ilizarov External Fixator, showing minimum deflection of the proximal strut;
- Figure 2 is a side perspective view of the adjustable splint for reducing flexion contractures incorporating an Ilizarov External Fixator, showing maximum deflection of the proximal strut;
- Figure 3 is a top perspective view of the adjustable splint for reducing flexion contractures incorporating an Ilizarov External Fixator
- Figure 4 is a front perspective view of an Ilizarov External Fixator ring together with two clamping assemblies for connecting to the distal struts of the adjustable splint;
- Figure 5 is a side perspective view of an Ilizarov External Fixator ring and means connecting same to two clamping assemblies;
- Figure 6 is a perspective, exploded view in part of an Ilizarov External Fixator ring together with the adjustable splint for reducing flexion contractures;
- Figure 7 is a perspective view of one distal and one proximal strut assembly of the adjustable splint of the invention for reducing flexion contractures wherein a strut is broken away to show the adjustable spring-loaded means mounted therein;
- Figure 8 is a perspective, exploded view of the splint device of Figure 6;
- Figure 9 is a perspective view of the splint device provided with a "break apart" wire assembly for mounting of the means by which the device is secured to the limb;
- Figure 10 is a cuff designed for attachment to the wire assembly shown in Figure 9;
- Figure 11 is a perspective view of one distal and one proximal strut assembly of the adjustable splint of the invention for reducing extension contractures wherein a strut is broken away to show the adjustable spring-loaded means mounted therein;
- Figure 12 is a perspective view of the splint device provided with a telescoping slidable adjustable wire assembly for mounting of the means by which the device is secured to the limb;
- Figure 13 is a plan view of the outside of another cuff for attachment to the wire assembly designed to accommodate limbs of varying circumferences;
- Figure 14 is a perspective view of the cuff shown in Figure 13;
- Figure 15 is a perspective view of a wedge-type comfort pad for use in combination with the adjustable splint of the invention.
- Figure 16 is a perspective view of a rectangular-type comfort pad for use in combination with the adjustable splint of the invention.
- an adjustable splint device 1 is shown in combination with an Ilizarov External Fixator 3 in accordance with the present invention.
- the Ilizarov External Fixator 3 is comprised of a left full ring 4a and a right full ring 4b encircling a patient's limb (e.g., a femur), wherein said rings 4a and 4b are surgically implanted into the limb by passing one or more wires 36 (see Fig.4) through the bone and attaching said wires to connectors 33 located on each ring.
- the right full ring 4b contains a series of holes to accommodate threaded rods 5a and 5b.
- the left full ring 4a contains similar holes to accommodate the opposite ends of said threaded rods.
- the threaded rods are positioned one above and one below the patient's limb so that clamping assemblies 2a and 2b can be attached to the right full ring 4b at points near 270° and.90°, respectively, around the circumference of said ring.
- the clamping assemblies 2a and 2b are attached to the right full ring at holes 9 using bolts 8 and nuts 10 (see Figs. 4-6) .
- Said clamping assemblies 2a and 2b are thereafter connected securely in position in order to adapt the adjustable splint device 1 to the Ilizarov External Fixator 3.
- the adjustable splint device 1 is comprised of proximal struts 6 and 6a and distal struts 7 and 7a.
- the adjustable splint device 1 is adapted to the Ilizarov External Fixator 3 by passing said distal struts 7 and 7a through holes 14 (see Figs. 4-6) in the centers of left clamping assembly 2a and right clamping assembly 2b, respectively, and tightening bolts 12 and nuts 16 which compress the clamping assemblies to hold distal struts 7 and 7a securely to the right full ring 4b.
- the configuration as shown provides clamping assemblies to connect the adjustable splint device to the Ilizarov External Fixator, it should be understood that any appropriate connecting means may be used to provide such an adaptation.
- an Ilizarov ring could be manufactured providing a built in means for connecting the adjustable splint to the ring.
- proximal strut 6 contains a rounded head portion 17 and distal strut 7 contains a socket head portion 19 which receives head portion 17 for pivotal engagement therewith.
- Rounded head portion 17 is cut away to define a cam surface 20 and is provided with an axial surface recess 23.
- a first surface plate 25 having a screw hole 27 covers one side of the combined head portions 17-19 and a second plate member 28 having a threaded protruding member 29 (see Fig. 8) covers ⁇ he other half of the combined head portion 17-19.
- protruding member 29 projects through the axial circular recess 23 and receives a screw 31 through screw hole 27.
- Proximal strut 6a and distal strut 7a are similarly pivotably connected by corresponding members bearing like numbers but carrying the distinguishing suffix "a".
- the proximal and distal struts may be constructed of any material of sufficient strength such as plastic, metal, wood and the like. Particularly preferred are struts made of stainless steel metal. At least one of the struts should be at least partially hollow so as to house therein the adjustable spring mechanism of the invention. As shown in the drawings, the distal struts are tubular in construction and the proximal struts are solid. If desired, however, all of the struts can be tubular in construction so as to provide a lightweight product. Also if desired, each of the proximal struts 6 and 6a can be comprised of two telescoping portions as shown by the single proximal strut 6 depicted in Fig.
- strut 6 is comprised of telescoping portions 150 and 151.
- the inner portion 150 is provided with a series of threaded holes 152 and the outer portion 151 with holes and threaded holes, respectively, through which screw 153 passes for threaded engagement with a coincident hole 152.
- Such a telescoping feature provides a splint which can be adjusted to several different lengths allowing the splint to fit a greater number of individuals.
- the splint device combination of the invention will include a series of spring abutting members 39 (see Fig. 8) of varying lengths so as to accommodate different limb lengths.
- the adjustable spring-loaded mechanism designated generally as 30 may be provided in either the proximal or the distal struts. Preferably, however, it is the distal struts 7 and 7a that are provided with the adjustable spring mechanism.
- the adjustable spring mechanism 30 is comprised of a spring 32 to which is attached a nose element 34 that bears on cam surface 20. Coil or clock springs are generally preferred but in some instances leaf springs are advantageously employed.
- An adjustable screw means indicated generally as 35 abuts the other end of the spring 32 and produces a quantifiable force which tends to either extend (i.e., align the proximal strut 6 with the distal strut 7 and proximal strut 6a with distal strut 7a in a parallel fashion) as shown in Figs.
- the adjustable screw means 35 is comprised of an "Allen” head screw or slotted head screw 37 threaded to a spring-abutting member 39.
- the "Allen” head screw is fixed within distal strut 7 by screw 43.
- the "Allen” head screw 37 receives and is turned by an “Allen” socket wrench 42 (see Fig. 6) whereas a slotted head screw is adjustable with a conventional screwdriver blade.
- the turning of the screw creates greater compression of spring 32 thereby exerting greater force on the cam surface 20 of the proximal strut 6 to exert a one way tension.
- the tension capability of the spring mechanism can range from 0 pounds tension up to the maximum tension capability of the spring. In general, the tension of the spring mechanism will range from 0 pounds tension up to 10 pounds of tension and the tension exerted by the spring can be varied at any point of joint range of motion- say from 60° flexion to 0° flexion of the joint.
- the joint range of motion at which tension can be applied can vary to nearly any degree in the 360° circular range simply by varying the point of attachment of the inner portion of strut 6 to rounded head portion 17 and by varying the point of attachment of strut 7 to socket head portion 19.
- the same variations apply to struts 6a and 7a.
- the purpose of varying the point in the joint range to which tension is applied is obvious when you consider that different illnesses and injuries cause different types of limitations at different degrees of joint ranges of motion thereby making necessary different points in the joint range at which tension must be applied to improve their condition.
- the spring mechanism can be calibrated to exert the desired range of tension.
- the calibration can be effected by providing spring-abutting member 39 with a poundage indicator line 45 and a calibration scale 47 about the distal strut 7 which scale has a slot 49 through which the poundage indicator 45 is visible.
- the securing means comprise a proximal cuff 51 attached to and extending between proximal strut 6 and proximal strut 6a.
- the length of the proximal cuff 51 is of sufficient distance to comfortably accommodate the limb part proximal to the limb joint.
- An overlying flap 55 is attached at one end to proximal strut 6a and contains on its outer surface an attaching means such as velcro hooks 56 by which the flap can wrap about the proximal portion of the limb and be secured to the velcro loops 57 on the outer surface of the proximal cuff wrapped about proximal strut 6.
- the cuff serves as a counterforce strap.
- a single combined strut such as proximal strut 6 pivotably connected to distal strut 7, can alone be utilized as a splint device by securing proximal strut 6 by suitable means to the lateral side of the limb to be treated, and securing distal strut 7 by suitable means to the right full ring 4b of the Ilizarov External Fixator 3.
- any suitable means for strapping or securing the splint device of the invention can be used, for example, by a proximal cuff of sufficient length to wrap around the proximal portion of the limb being treated.
- the strap 55 as well as the cuff 51 can be secured to the struts in any suitable manner as by sewing, tying, etc.
- wire assemblies designated generally in Fig. 9 as 72 and 76, be fastened as by welding to struts 6 and 6a, respectively.
- the wire assembly 72 is comprised of an upper thin wire portion 93 and a lower thin wire portion 92, each of which wire assembly portions extend from one end of strut 6a to the other.
- wire assembly 76 is comprised of an upper thin wire portion 90 and a lower thin wire portion 91.
- the shorter sides of the wire assemblies are of continuous construction and bent for more secure attachment as by welding to the struts.
- wire assembly 76 differs from wire assembly 72 in being of the "break apart" type as will be explained below so as to facilitate insertion and removal of the cuff or strap for cleaning, replacing, etc.
- wire assembly 76 is comprised of an upper thin wire portion 90 and a lower thin wire portion 91 both of which are broken at 97 and 98, respectively, so that the wire can be pulled apart slightly when the cuff or strap is to be attached or removed.
- both of the wire assemblies are of the "break apart” type, but one wire portion on the proximal struts, that is, two receiving wires contain telescoping sections B and B'. Telescoping sections B are internally threaded at one end for engagement with threaded ends B'. This gives the wire fixture added strength.
- a wire assembly with telescoping sections B and B' is only used on the side of the strut which makes an angle of 65° when flexed.
- a strap 120 is provided between struts 6 and 6a as shown in Fig. 9.
- Strap 120 in these applications is important in order to maintain optimal alignment of the proximal struts along the parallel of the limb part proximal to the joint. Strap 120 also helps maintain the axis of rotation of the splint joint assembly more coincident with the axis of rotation of the body joint to which the splint is being applied.
- Attachment of cuff 102, provided with a velcro hooks section 108 and a velcro loop section 110 as shown in Fig. 10, to the wire assemblies shown in Fig. 9 may then be conducted in the following manner:
- Loop end section 104 of cuff 102 is put on wire portion 90 via break 97 with the velcro hooks section 108 and velcro loop section 110 facing outward.
- Edge 106 is taken over the limb and fed through and under wire portion 93 of wire assembly 72, and then put back on itself whereby velcro hooks 108 adhere to velcro loops 110. This secures one of the two cuffs needed to fix the splint assembly to a limb about a joint. The same procedure is used to attach a cuff or strap to the wire sections 91 and 92.
- the respective cuff and strap is provided near each of their ends with suitable securing means such as velcro hooks and loops. It should be understood that while the securing means are shown to be velcro closures, other alternative closures such as snaps and the like can be provided the cuff and strap.
- cuff 130 is of a length sufficient to accommodate a limb part proximal to the limb joint.
- the outside of cuff 130 is composed of a spaced apart and alternating velcro loop section 132 and a velcro hook section 134 each followed by a zone therebetween containing both velcro hook sections and velcro loop sections.
- the zones containing both hook sections and loop sections are comprised of an intermediate area 138 constituted of a velcro loop or hook section identical to the preceding section, flanked on each side by areas having velcro loop or hook sections identical to the section of uniform velcro hooks or loops that follow.
- the zone following velcro loop section 132 is composed of an intermediate velcro loop area 138 flanked on each side by velcro hook areas 136.
- Velcro hook section 134 is followed by a zone having velcro hook area 142 flanked by velcro loop areas 143. If a longer cuff is required, the next zone would be of velcro loops only, etc.
- Loop end section 144 of cuff 130 is provided with a stay-receiving means indicated generally as 146 into which is inserted a plastic stay 147 to prevent any collapsing that is likely to occur during use. Also, the inside of cuff 130 contains multiple stay receiving means 148.
- the cuff is shown in the figures as rectangular in shape. It should be understood, however, that the cuff can assume various curved configurations so as to conform to the particular limb to which it is attached. Attachment of cuff 130 to the wire assembly and the patient's limb can be effected as described above.
- the splint device is provided with snap-on comfort pads shown in Figs. 15 and 16.
- the comfort pads are of two types, the wedge-type of Fig. 15 and the rectangular-type of Fig. 16.
- the wedge-type comfort pad of Fig. 15 is composed of a wedge base 145 provided with a snap-on section comprised of a base plate 150 containing spaced snap-on elements 152 and 152'.
- the rectangular-type comfort pad of Fig. 16 is composed of a rectangular base 155 provided with a snap-on section comprised of a base plate 157 and snap-on elements 159 and 159'.
- the wedge base 145 and rectangular base 155 may be constructed of any suitable light weight material such as foamed plastic.
- wedge-type comfort pads are used only when the adjustable splint of the invention is applied to the lower extremities, e.g., the leg below the knee.
- two wedge-type comfort pads are normally snapped onto the proximal struts, within the wire assembly and between the limb and strut in a fashion whereby the thick portion of each wedge is proximal to the point of pivotable engagement of said struts.
- the rectangular comfort pads are similarly snapped on the struts within the wire assembly and between the limb and the strut.
- the adjustable splint of the invention is applied to a lower extremity, two of the rectangular comfort pads will be placed on the lateral sides of the lower extremity, one on each of the proximal struts.
- the adjustable splint is used on an upper extremity, e.g., an arm, the rectangular-type comfort pad will be used exclusively. In this case, normally two of the rectangular-type comfort pads will be snapped onto the proximal struts as set forth above, both on the lateral sides of the extremity.
- the unique characteristics of the adjustable spring-loaded mechanism of the present invention is that it allows for adjustment of quantifiable force on an extremity acting across the body joint from 0 foot poundage up to the maximum foot poundage at various body joint ranges.
- the same tension could be dialed into the splint at the angle just as could be done at 30° and just as could be done at a 10° knee flexion contracture.
- any force up to the maximum capability of the spring employed in the strut can be dialed at any angle of knee flexion.
- the invention permits the interchangeability of springs bearing force-exerting capabilities so as to allow for varying the degrees of tension exerted by the spring mechanism depending upon the particular use to which the device is applied. For a person with Quadriceps muscle weakness, a heavier gauged spring may be needed to allow for a greater force for extending the knee.
- the adjustable splint for flexion of a joint might be used, one may consider an extension contracture, i.e., loss of ability to flex the joint through the normal range of motion, of any particular body joint such as the knee, elbow, etc. For simplicity the knee joint will be used.
- an extension contracture i.e., loss of ability to flex the joint through the normal range of motion, of any particular body joint such as the knee, elbow, etc.
- the knee joint will be used.
- a knee extension contracture whether the contracture is of a muscle or joint type, the individual may be able to flex the knee to 45° and no further.
- Applying the adjustable splint for flexion would be useful in that a force would be exerted on the body part proximal and distal to the knee which would tend to approximate the calf to the posterior thigh.
- the force exerted by the splint would be adjustable from 0 foot pounds of torque across the knee joint to upward torque of whatever tension capability the particular spring being used would have. A reasonable force would be to have an upper limit of 10-20 foot pounds acting at mid calf.
- the exact tension desired would be determined by factors such as patient tolerance, type and age of the contracture, skin compliance, diagnosis, etc.
- the adjustable splint is connected to the Ilizarov External Fixator.
- the proximal cuff 51 is placed under the patient's calf and two wedge-type comfort pads as shown in Fig. 15 are positioned medially and laterally alongside the calf and within the proximal cuff (see Fig. 3) .
- the axis of the adjustable splint's joint should be concentric with the axis of the patient's knee joint, and the distal and proximal struts should lie midline to the patient's thigh and calf.
- the socket wrench 42 should be turned to set a reading of 1.0 on the calibration scale 47 (see Fig. 6) .
- the tension read on the calibration scale may be advanced by 1/2 increment each day, unless the patient cannot tolerate additional tension or until the treatment is completed.
- a unique feature of this adjustable splint device in combination with an Ilizarov External Fixator in the present application affixed to a leg or an arm, is the ability of this device to allow graduated, quantified, adjustable tension with the ability to relax the stretch across the joint by extending the knee or elbow away from the limit of flexion. This will allow the tissue being stretched to have a rest period while not disturbing the adjustment of the spring tension and without havxng to remove the splint. In order to relieve the pressure on the contractured tissues, one merely has to overcome, by any means, the tension in the splint and extend the joint to a comfortable posture.
- the splint may again exert its tension against the contractured tissue to help accomplish a greater degree of flexion in the joint.
- flexion would advance from the point of contracture, say 45° flexion, to the upper theoretical limits of flexion which, binding any other negating factors, would be 135-150°.
- Time necessary to accomplish the optimal result using this splint would vary depending on many factors, some of which are the patient's diagnosis, extent of Ilizarov treatment involved, age of patient, age of the contracture and tolerance of the patient.
Abstract
Description
Claims
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP50618190A JPH04502419A (en) | 1990-04-03 | 1990-04-03 | Adjustable splint assembly |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US333,395 | 1989-04-05 | ||
US07/333,395 US4947835A (en) | 1989-04-05 | 1989-04-05 | Adjustable splint assembly |
Publications (1)
Publication Number | Publication Date |
---|---|
WO1990011743A1 true WO1990011743A1 (en) | 1990-10-18 |
Family
ID=23302600
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US1990/001847 WO1990011743A1 (en) | 1989-04-05 | 1990-04-03 | Adjustable splint assembly |
Country Status (5)
Country | Link |
---|---|
US (1) | US4947835A (en) |
EP (1) | EP0425615A4 (en) |
AU (1) | AU622019B2 (en) |
CA (1) | CA2030553C (en) |
WO (1) | WO1990011743A1 (en) |
Families Citing this family (26)
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DE3926893C1 (en) * | 1989-08-16 | 1991-04-11 | Dietmar Dr.Med. 4400 Muenster De Pennig | |
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US5437619A (en) * | 1993-06-30 | 1995-08-01 | Empi, Inc. | Range-of-motion splint with eccentric spring |
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US6533741B1 (en) | 2000-01-06 | 2003-03-18 | Roger W. Lee | Articulated upper extremity splint to immobilize and support an injured limb |
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Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US1334596A (en) * | 1918-06-12 | 1920-03-23 | William S Crouch | Fracture apparatus |
US2020262A (en) * | 1935-03-28 | 1935-11-05 | Harry Herschel Leiter | Surgical splint and reducing frame |
US2055024A (en) * | 1934-08-07 | 1936-09-22 | Jr Joseph E Bittner | Fracture reducing splint |
US4033340A (en) * | 1973-12-14 | 1977-07-05 | Kalnberz Viktor Konstantinovic | Surgical compression-distraction instrument |
US4397308A (en) * | 1981-07-23 | 1983-08-09 | Therapeutic Appliances, Inc. | Adjustable splint |
-
1989
- 1989-04-05 US US07/333,395 patent/US4947835A/en not_active Expired - Fee Related
-
1990
- 1990-04-03 WO PCT/US1990/001847 patent/WO1990011743A1/en not_active Application Discontinuation
- 1990-04-03 AU AU54221/90A patent/AU622019B2/en not_active Ceased
- 1990-04-03 EP EP19900906579 patent/EP0425615A4/en not_active Withdrawn
- 1990-04-03 CA CA002030553A patent/CA2030553C/en not_active Expired - Fee Related
Patent Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US1334596A (en) * | 1918-06-12 | 1920-03-23 | William S Crouch | Fracture apparatus |
US2055024A (en) * | 1934-08-07 | 1936-09-22 | Jr Joseph E Bittner | Fracture reducing splint |
US2020262A (en) * | 1935-03-28 | 1935-11-05 | Harry Herschel Leiter | Surgical splint and reducing frame |
US4033340A (en) * | 1973-12-14 | 1977-07-05 | Kalnberz Viktor Konstantinovic | Surgical compression-distraction instrument |
US4397308A (en) * | 1981-07-23 | 1983-08-09 | Therapeutic Appliances, Inc. | Adjustable splint |
Also Published As
Publication number | Publication date |
---|---|
CA2030553A1 (en) | 1990-10-06 |
AU622019B2 (en) | 1992-03-26 |
US4947835A (en) | 1990-08-14 |
AU5422190A (en) | 1990-11-05 |
EP0425615A1 (en) | 1991-05-08 |
CA2030553C (en) | 1995-05-02 |
EP0425615A4 (en) | 1991-09-11 |
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