Orthosis.

[0001] The present invention relates to a brace for dynamic correction of incorrect positioning of an ankle joint. Such orthoses have usually a mechanically-articulating compound in the foot region on, by means of which joints can be performed intra-articular corrections made mistakes, and means extending between rear foot/are fore. It is usually dynamic misalignments foot distally of the Chopart type joint, as for example - clump or sickle feet occur.

[0002] An optimum correction of incorrect positioning ankle to achieve, it is necessary the articulated connection, which usually comprises a plurality of joints, in the foot region of the orthosis on a correction position very carefully adjust and optionally several times to readjust. A large part of the joints must make each time in a plurality of handles brought into predetermined joint angle and establish.

[0003]Adisadvantage of the known in the art orthoses for dynamically correcting foot deformities is, that the orthosis for the desired correction (anatomically correct position) or not not exactly position quickly and easily, i.e. without a plurality of handles, can be adjusted individually.

[0004] It is therefore a task of the present invention starting from a brace for dynamic correction of incorrect positioning providing a foot, an exact and simple individual adjustment of the desired correction which position allows. It is the further problem of the present invention a corresponding method for dynamic correction of incorrect positioning providing a foot.

[0005] The invention for dynamic correction of incorrect positioning of an ankle joint orthosis comprises a first holding part for receiving a return foot, a second holding part for receiving a foot connected to the back over the ankle mittelvvorfußes. The invention further comprises a orthotic joint orthosis with an adjusting section, wherein a predetermined position of the first and second holding members to one another is adjustable, so that the correction can be brought into a position ankle, and a moving portion, wherein the first holding part with the second retaining member to each other about at least a first axis of rotation, a rotation axis of the ankle joint which substantially corresponds, connecting movable. The invention therefore allows brace, a certain position of the first and second holding members each other exactly and easily by means of the adjustment portion and the moving portion both individually adjust each other by holding members move in this position. The moving portion only allows a dynamic correction of incorrect positioning. With the invention both a short and a soft parts can stretch mobilization of joints take place. This relates in particular to all foot deformities, with a physiological or rotational movement between the screw back and fore - foot are correctable.

[0006] In one advantageous embodiment of the invention the adjustment portion of the orthesis hinge has a further one or more other joints and a detent on, wherein the further joints and the locking device are coupled together in such a, such that in a predetermined position by means of the adjusting movement is adjustable by means of the fixing device can be fixed and predetermined position further joints is. Adjusting and fixing means in an adjusting movement here, that the holding members of the orthosis with only a handle can be fixed in the predetermined position and brought.

[0007] The further joints may in particular be two ball joints. The adjustment of the predetermined position can preferably be - stages and restless. This allows individual, three-dimensional adjustment of the first and second holding members to each other. The locking device can be a wing screw, in particular a single wing screw for simultaneously locking joints have any further.

[0008] In another advantageous embodiment of the invention has a hinge on the moving portion, is movable about the first pivot axis. After fixing the predetermined position in the adjustment portion allows free mobility of the dynamic correction of incorrect positioning foot movement in the hinge portion.

[0009] The invention can further comprise a pushing device orthosis, which is arranged, on the first and second support member about the first pivot axis and thereby exert a relative torque the ankle to the correction position. The thrust means can be a capable of, a permanent torque, particularly kontantes or variable torque, to the first and second exercise holding part. Thereby the orthosis is practically of self-: in the course of the treatment to a progressive expansion of the comes to expand to maintain the thrust means the voltage of the soft parts allowing further expansion of the soft parts further upright and soft parts. This increases the effectiveness of the brace.

Further it is advantageous, if the thrust device in each case via a ball joint is connected with the first and second support. The ball joints allow the thrust means mounted on the holding members along a relative torque by the adjustment portion and the moving portion exert certain degrees of freedom.

[0010] The thrust device may in particular a gas spring, a push rod, a pneumatic cylinder, a hydraulic cylinder and a coil spring or an electric motor /. A gas spring constant torque over the entire range of movement of the holding parts enables each other.

Preferably the first axis of rotation extends substantially perpendicular to a surface of the orthosis orthesis hinge occurs. In this case corresponds to the first axis of rotation of the orthesis hinge substantially an axis of Chopart-type joint.

[0011] The first retaining part and/or the second holding part preferably have an annular (circular) socket on foot. Both members have an annular socket on, according to the path of the borders both ring sockets at their end faces together annular Chopart-type joint.

[0012]Afurther advantageous embodiment of the invention provides brace, wherein the hinge and a second hinge member divided into a first joint part the orthotic joint, and the first hinge part on an upper surface of the first holding part is arranged in the region of a longitudinal center axis, the second hinge part on an upper surface of the second retaining part in the range between an outer edge and a longitudinal center axis and the thrust means in the region between the longitudinal center axis and an inner edge is arranged. This arrangement of orthotic joint and is particularly suitable for the therapy of thrust means becoming lumpy feet.

[0013] The first joint portion on an upper side of said first retaining member can alternatively in the region of a longitudinal central axis, the second hinge part on an upper surface of the second retaining part in the range between an inner edge and a longitudinal center axis and the thrust means in the region between the longitudinal center axis and an outer edge disposed be. This arrangement of orthotic joint and in particular for the therapy for cracked feet feed device is suitable.

[0014] In another advantageous embodiment of the invention the first holding member and a lower leg portion can preferably another orthotic joint in the region of the ankle joint have.

[0015] It is conceivable further, the first and the second holding part in the region of the base to a flexible member, preferably with a belt, to each other. This can increase the stability of the orthosis wherein inadvertent toe load.

[0016] Orthosis according to any of the preceding claims, wherein the first holding part is disposed in a heel region of the brace comprises a pad occurs. The pad occurs and thus increase the damping occurs serves as wearing comfort for the patient.

[0017] The invention also including a method for correction of incorrect positioning of an ankle joint orthosis with a prescribed a, wherein the orthosis is applied to a subject foot, by means of the adjustment portion of the first and second retaining part is adjusted to a predetermined position to each other, and then the first and the second holding part are moved relative to each other in the moving portion.

[0018] An embodiment of the invention in Figures and the description below is explained in more detail. In the Figures described here are identical or similar elements or features with identical or similar reference symbols described, so that their description not necessary to repeat in detail. The embodiment described below includes a plurality of features of the present invention and related advantageous properties. The features described in connection of the embodiment may also each represent an advantageous refinement of the invention itself.

[0019] It show:

Fig. 1 in a perspective view an embodiment of an orthosis according to the invention,

Fig. 2 from Fig. 1 in a side view on an outer side of the orthosis brace and

Fig. 3 the functioning of the movement range and the thrust means of the orthesis from Fig. 1 and 2 in a perspective front view.

[0020] Fig. 1, 2 and 3 show an embodiment of an invention for dynamic correction of incorrect positioning a foot orthosis, for example a becoming lumpy foot mismatched position.

[0021] The orthosis 1 point in a first retaining member and a second holding part for receiving a return foot 2 receive a center A orfußes/on. Both holding parts 1, 2 are each formed as ring socket and limits corresponding approximately to the course of the annular end faces together along their Chopart-type joint. The first 1 and the second holding part 2 in the region of the foot are back, therefore at a top of the first and second holding members connected to each other via a orthotic joint 3 1 2. The two retaining parts are further 1.2 on a pushing device on a center body located inside of the first 6 and second retaining 1 2 connected to each other. The orthotic joint 3 has an adjusting section for adjusting a predetermined position of the holding parts on one another and 3a 1.2 a moving portion 3b, which relative rotation of the holding parts 1, 2 allows each other. The moving portion has a hinge with a hinge axis 9 on 3b. The holding parts 1 and 2 are thus relatively rotatable about the axis 9. The hinge joint of the moving portion 3b into a first joint part and a divides the orthotic joint 3 3bl 3b2 second hinge, wherein the first hinge part at an upper side of the first holding part 1 in the region of a 3bl longitudinally extending central axis of the foot 10 and the second joint portion is disposed at an upper side of the second adjusting section comprises the 3a 3b2 and holding part 2 in the range of one outer edge and the longitudinal center axis 10 is arranged. The adjusting section 4a and 4b has two ball joints 3a and a wing screw fixing device 5 as on. For adjusting the predetermined position of the holding members to each other due to the adjustment portion 3a 4a and 4b can ball joints with a handle and three-dimensionally aligned individually by means of the wing screw are detected. The thrust device 6 is in the region between the longitudinal center axis 10 and an inner periphery of said first and second holding members arranged 1.2. The thrust device 6 has a gas pressure spring arranged substantially in the longitudinal direction of the foot 6a, each via a ball joint 7a, 7b 1 with the first and second supporting elements 2 is connected. Fig. 2 shows a continuing orthosis shown in 1 and with the annular socket of said first retaining member 1 in the region of the ankle joint orthotic joint via a further 12 connected on lower leg part 11. In the foot region and in the region of the ankle joint has the orthosis further over a soft wall liner 13, the holding part is arranged within the first 1 and second 2. On a lower side of the first holding part 1 is further arranged a cushion 8 occurs.

[0022] For the purpose of becoming lumpy foot bad position on the foot orthosis for correcting a is first alignment of holding parts 1, 2 to one another from a malocclusion in a desired posture correction. 4A and 4b a predetermined position by means of the ball joints for this purpose the holding parts 1, 2 and 5 by means of the locking device and continuously adjusted individually each other three-dimensionally fixed. The gas pressure spring 6a is additionally set the thrust means 6, a desired torque to the holding parts 1 and 2 in that it for elongation of the region of the joint ligaments Chopart type joint exerts. Without the thrust device 6 could the holding parts 1, 2 within the predetermined position about the axis 9 still now rotating relative to each other. The thrust device exerts a relative torque to the holding parts 6 however 1, 2 about the hinge axis 9 and prevents kinking inwardly on the forefoot.

[0023] Fig. 3 shows the operation of the orthosis according to the embodiment of the invention thrust means 6 Fig. 1 (b) shows the orthosis with the 2nd and two holding parts 1 and 2 in the predetermined position and a loaded gas spring 6a the thrust means 6. The gas pressure spring exerts a strong torque on the holding portions 1 and 2 each other 6a from. In the region of the joint bands are thereby greatly stretched Chopart type joint, whereby an inclination of the central A/orfußes to collapse inwards, be corrected, shows the orthosis having a less tensioned gas pressure spring (b is) 6a. Here is an extension of the joint to minimize pain very easy expansion bands only.

[0024]Ause of the orthosis can be following indications (without to be exhaustive): HSMN hollow foot-extension of the Plantaraponeurose, hereditary motor sensory neuropathy and, rebellious becoming lumpy feet, preventing postoperative adhesions and movement restrictions, AMC promoting mobility in the foot structure (both conservative and post operatively) and pre-operational elongation treatment at soft tissue shortening.