U.S. patent number 3,817,244 [Application Number 05/231,628] was granted by the patent office on 1974-06-18 for knee brace.
This patent grant is currently assigned to The Kendall Company. Invention is credited to Glenn N. Taylor.
United States Patent |
3,817,244 |
Taylor |
June 18, 1974 |
KNEE BRACE
Abstract
A knee brace for support and protection of a knee joint
comprises inner and outer bracing structures, each comprising two
substantially rigid generally planar and elongated arms. Upper
securing means secures one arm of each bracing structure parallel
to the wearer's upper leg above the knee for movement with the
upper leg and limited motion parallel to the upper leg, and lower
securing means secures the other arm of each bracing structure
parallel to the wearer's lower leg below the knee for movement with
the lower leg and limited motion parallel to the lower leg. Each
bracing structure has a first arm bifurcated to provide two
generally parallel plate portions; the second arm has an end
portion received between the plate portions for articular motion of
the second arm relative to the first arm within a plane parallel to
the planes of the plate portions; the plate portions prevent motion
of the second arm out of the plane. The articular motion is
determined by the normal flexion and extension of the wearer's knee
and comprises any combination consistent therewith of rotation of
the second arm about any axis through the first arm bifurcated end
and the second end portion and normal to the plane, and translation
of the second arm as a whole with respect to the first arm in any
direction within the plane.
Inventors: |
Taylor; Glenn N. (Schaumburg,
IL) |
Assignee: |
The Kendall Company (Boston,
MA)
|
Family
ID: |
22870025 |
Appl.
No.: |
05/231,628 |
Filed: |
March 3, 1972 |
Current U.S.
Class: |
602/26;
623/39 |
Current CPC
Class: |
A61F
5/0123 (20130101) |
Current International
Class: |
A61F
5/01 (20060101); A61f 003/00 () |
Field of
Search: |
;128/8C,8F,8R,8A,8B,165
;3/22 ;287/100 |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
|
|
|
|
|
|
|
846,895 |
|
Jun 1952 |
|
DT |
|
826,333 |
|
Nov 1951 |
|
DT |
|
1,024,204 |
|
Feb 1958 |
|
DT |
|
855,611 |
|
Sep 1952 |
|
DT |
|
Other References
The Journal of Bone and Joint Surgery, "Truform Hinged Kneecaps,"
p. 63, 1965..
|
Primary Examiner: Gaudet; Richard A.
Assistant Examiner: Yasko; J.
Claims
What is claimed is:
1. A knee brace for support and protection of a knee joint
comprising
inner and outer bracing structures, each said bracing structure
comprising two substantially rigid generally planar and elongated
arms,
upper securing means securing one said arm of each said bracing
structure parallel to the wearer's upper leg above the knee for
movement with the upper leg and limited motion parallel to the
upper leg,
lower securing means securing the other said arm of each said
bracing structure parallel to the wearer's lower leg below the knee
for movement with the lower leg and limited motion parallel to the
lower leg,
each said bracing structure having a first said arm bifurcated to
provide two generally parallel plate portions, and a second said
arm having an end portion providing a smoothly curved edge, said
end portion being received between said plate portions for
articular motion of said second arm relative to said first arm
within a plane parallel to the planes of said plate portions, said
plate portions preventing motion of said second arm out of said
plane,
said second arm end portion having a hemispheric slot having a
curved front edge and a straight back edge and said first arm
bifurcated end having a pin passing through said slot and connected
said arms together, said slot being substantially larger than said
pin diameter,
said articular motion being determined by the normal flexion and
extension of the wearer's knee and comprising any combination
consistent therewith of
rotation of said second arm about any axis through said first arm
bifurcated end and said second arm end portion and normal to said
plane, and
translation of said second arm as a whole with respect to said
first arm in any direction within said plane.
2. A knee brace for support and protection of a knee joint
comprising
inner and outer bracing structures, each said bracing structure
comprising two substantially rigid generally planar and elongated
arms,
upper securing means securing one said arm of each said bracing
structure parallel to the wearer's upper leg above the knee for
movement with the upper leg and limited motion parallel to the
upper leg,
lower securing means securing the other said arm of each said
bracing structure parallel to the wearer's lower leg below the knee
for movement with the lower leg and limited motion parallel to the
lower leg,
each said bracing structure having a first said arm bifurcated to
provide two generally parallel plate portions, and a second said
arm having an end portion providing a smoothly curved edge, said
end portions being received between said plate portions for
articular motion of said second arm relative to said first arm
within a plane parallel to the planes of said plate portions, said
plate portions preventing motion of said second arm out of said
plane,
said knee brace further including an elastic cuff adapted to be
worn adjacent the knee joint,
said upper and lower securing means including pockets secured to
said cuff and retaining said arms to maintain said second arm end
portion between said first arm plate portions and permitting
limited translation of one arm relative to the other,
said articular motion being determined by the normal flexion and
extension of the wearer's knee and comprising any combination
consistent therewith of
rotation of said second arm about any axis through said first arm
bifurcated end and said second arm end portion and normal to said
plane, and
translation of said second arm as a whole with respect to said
first arm in any direction within said plane.
3. The knee brace of claim 2 wherein
said pockets retaining said outer bracing structure upper and lower
arms each have two attaching means spaced along said arm,
said upper securing means including an upper strap secured in
perpendicularly fixed relation to said pocket retaining said inner
bracing structure upper arm and removably securable in
perpendicularly fixed relation to said pocket retaining said outer
bracing structure upper arm,
said lower securing means including a lower strap secured in
perpendicularly fixed relation to said pocket retaining said inner
bracing structure lower arm and removably securable in
perpendicularly fixed relation to said pocket retaining said outer
bracing structure lower arm,
said upper strap providing a back portion removably securable to
said two attaching means in said outer bracing structure upper arm
pocket, and two front portions each removably securable to a said
attaching means on said outer bracing structure upper arm pocket,
and
said lower strap providing a back portion removably securable to
said two attaching means on said outer bracing structure lower arm
pocket, and two front portions each removably securable to said
attaching means on said outer bracing structure lower arm pocket.
Description
This invention relates to knee braces.
The knee-joint has been described as a hinge joint, but it is
really of a much more complicated character. It must be regarded as
consisting of three articulations, of two different kinds. The
first kind is a condyloid articulation; in this form of joint, an
ovoid articular surface, or condyle, is received into an elliptical
cavity in such a manner as to permit flexion, extension, abduction,
adduction, and circumduction, but no axial rotation. The second
kind of articulation involved is arthrodial; this is a joint which
permits only gliding movement. It is formed by the apposition of
plane surfaces, or one slightly concave, the other slightly convex,
the amount of motion between them being limited by the ligaments or
osseous processes surrounding the articulation.
The knee-joint is made up of two condyloid joints and a third
joint, partly arthrodial, but not completely so, since the
articular surfaces are not mutually adapted to each other, so that
the movement is not a simple gliding one. The principal movements
that take place at the knee-joint are flexion and extension. The
movements of flexion and extension at this joint differ from those
in a typical hinge joint, such as the elbow, in that the axis
around which motion takes place is not a fixed one but shifts
forward during extension, as a gliding movement is superposed on
the rolling, and shifts backward during flexion.
Persons who have sustained knee injuries, who have had operations
to remove cartilage, or who have weak knee joints from causes such
as arthritis need protection principally against lateral motion of
the knee, that is, motion transverse to the plane of flexion and
extension. Such motion may be the result, for example, of a blow to
the side of the knee. At the same time, a suitable knee brace
should not interfere with the normal flexion and extension of the
leg. The brace should protect the knee against sidewise motions
during both flexion and extension; this means that the bracing
structure should continue to lie parallel to the parts of the leg
above and below the knee joint in all positions of the joint and
that the intersection of the separate parts of the brace structure
should remain substantially at the knee.
Many previous knee brace and protection devices have been simple
hinged structures or structures pivotable about a fixed point,
which cannot move parallel to the complex motion of the knee joint.
As a result, while such structures may lie parallel to the leg
while it is extended, as the leg is flexed the bracing structure
fails to follow the motion accurately and at greatest flexion the
portions of the brace will not lie parallel to the limb, the
intersection being displaced from the joint to such a distance as
to offer no support or protection against sidewise displacement of
the joint.
It is accordingly a major object of this invention to provide a
knee brace that is capable of substantially following the actual
motion of the knee, so that the bracing portions remain in
protective position with respect to the joint during flexion as
well as extension.
It is a further object to provide such a brace that is adapted for
comfortable wear, is easily secured and removed, and is readily
adjustable to the shape and size of the wearer's leg.
It is another object to provide such a brace that does not
interfere with normal extension and flexion of the wearer's leg,
while preventing sidewise motion of the knee joint whether the leg
is flexed or extended.
The knee brace of the invention includes a bracing structure
comprising a first substantially rigid generally planar and
elongated arm bifurcated at one end to provide two generally
parallel plate portions, and a second substantially rigid generally
planar and elongated arm, having an end portion received between
the plate portions for sliding articular motion of the second part
relative to the first arm coplanar with the plate portions. The
plate portions substantially prevent motion of the second arm in
any other plane.
In preferred embodiments, a knee brace for support and protection
of a knee joint comprises inner and outer bracing structures, each
comprising two substantially rigid generally planar and elongated
arms. Upper securing means secures one arm of each bracing
structure parallel to the wearer's upper leg above the knee for
movement with the upper leg and limited motion parallel to the
upper leg, and lower securing means secures the other arm of each
bracing structure parallel to the wearer's lower leg below the knee
for movement with the lower leg and limited motion parallel to the
lower leg. Each bracing structure has a first arm bifurcated to
provide two generally parallel plate portions; the second arm has
an end portion received between the plate portions for articular
motion of the second arm relative to the first arm within a plane
parallel to the planes of the plate portions; the plate portions
prevent motion of the second arm out of the plane. The articular
motion is determined by the normal flexion and extension of the
wearer's knee and comprises any combination consistent therewith of
rotation of the second arm about any axis through the first arm
bifurcated end and the second arm end portion and normal to the
plane, and translation of the second arm as a whole with respect to
the first arm in any direction within the plane.
Other objects, features and advantages will appear from the
following description of a preferred embodiment of the invention,
taken together with the attached drawings hereof, in which:
FIG. 1 shows two bracing structures according to the invention in
place with respect to the extended leg of the wearer;
FIG. 2 shows the outer bracing structure in relation to the flexed
leg of the wearer;
FIG. 3 is a perspective view of the inner bracing structure
according to the invention;
FIG. 4 is a detail of a portion of FIG. 3;
FIGS. 5 and 6 are perspective views of the outer and inner aspects,
respectively, of the knee brace of the invention, and
FIG. 7 is a longitudinal section through the knee brace, taken
along the line 7--7 of FIG. 5.
Referring now to the drawings, and in particular to FIGS. 1-4, the
knee brace of the present invention includes two bracing
structures, each of which comprises two arms. The inner leg bracing
structure 10 comprises a first rigid arm 12, generally planar and
elongated, and bifurcated at one end to provide two generally
parallel plate portions 14 and 16, joined by inner surface 32. A
second rigid arm 20 is similarly generally planar and elongated and
has an end portion 22 providing a front edge 21, and received
between plate portions 14 and 16 of the first arm 12. Each arm of
the bracing structure may desirably be ribbed for strength
throughout all or a portion of its length, as at 24 and 26. End
portion 22 of arm 20 is cut out to provide a slot 17 having curved
front edge 18 and straight back edge 28. It is important that edge
18 be curved as shown, but edge 28 need not necessarily be
straight. Plates 14 and 16 are desirably connected by rivet 30, but
such connection is not essential to the function of the knee brace,
as is discussed in what follows.
Arm 12 of inner leg bracing structure 10 is curved to conform to
the contour of the inner leg below the knee, as shown in FIG. 1. As
a result of this conformation, the bracing structure is in good
contact with the leg, and any force acting sidewise on the leg is
readily absorbed. Outer leg bracing structure 34 is similarly
composed of a bifurcated lower arm 36 and an upper arm 38 joined to
it in the same manner as that described for structure 10. However,
lower arm 36 is not curved to conform to the leg but is
straight.
Within the plane defined by plate portions 14 and 16, upper arm 20
may rotate about any axis that passes through plate portions 14 and
16 of lower arm 36 and that is normal to the defined plane; upper
arm 20 may also be translated as a whole with respect to lower arm
36 in any direction within the defined plane. This combination of
motions results in an arthromimetic articular motion of the two
arms with respect to one another, providing a relative motion that
closely parallels the natural action of the knee joint. Since the
articular motion is not constrained to follow any defined path but
is made up of any combination of rotation and translation, the
action of the joint can accurately follow the action of the
individual wearer's knee. The upper and lower arms of the bracing
structure remain generally parallel to the upper and lower parts of
the wearer's leg even at greatest flexion, and end 22 remains
substantially adjacent the knee joint, continuing to provide
protection against sidewise forces.
When the two bracing structures 10 and 34 are retained in the
harness, to be described, the relative translational motion of the
two arms is limited by the harness; rivet 30 and slot 17 are not in
practice essential to the operation of the invention.
Referring now to FIGS. 5, 6 and 7, the two bracing structures 10
and 34 are retained in a harness to compose the knee brace 40 of
the invention. Essentially, the harness provides an upper strap 42
and a lower strap 44 immovably secured with respect to inner leg
bracing structure 10, and attachable to outer leg bracing structure
34. An elastic cuff and internal padding are provided for
comfortable wear.
Upper arm 38 of outer leg bracing structure 34 is retained in a
leather pocket 48, composed of inner layer 48-1 and outer layer
48-2; lower arm 36 is retained in leather pocket 46, composed of
inner layer 46-1 and outer layer 46-2. These pockets are secured,
as by switching at 50, to an electric cuff 52, composed preferably
of a two-way stretch material. Outer layers 48-2 and 46-2 do not
extend to cover the overlapping joint portion of arms 36 and 38; an
outer cover 54 of elastic material is secured by stitching at 55,
covering the joint of bracing structure 34, but leaving room for
articular motion as described above of arm 38 relative to arm 36.
Inner pocket layers 48-1 and 46-1 overlap under the joint of
structure 34.
Elastic cuff 52 is desirably provided with a centered back hole 70,
to prevent binding of the cuff material when the knee is flexed,
and a centered front hole 72, to aid the wearer in centering the
harness over the knee cap.
Two rigid posts 60 and 62 extend through outer layer 48-2 of pocket
48 and are thereby rigidly secured with respect to upper arm 38 of
bracing structure 34. Similar posts 64 and 66 are provided for
lower arm 36. Internal pads 67, 68 and 69 of foam rubber are
provided within elastic covers 73, 74 and 75 adjacent the upper end
of arm 38, the joint of bracing structure 34, and the lower end of
arm 36 respectively.
Inner leg bracing structure 10 is retained in similar leather
pockets 80 and 82, with outer elastic cover 84 and inner pads 86,
87 and 88. Upper strap 42 is placed between pocket 82 and cuff 52,
and the stitching 90 secures both pocket and strap to the cuff;
strap 42 is thus held in perpendicularly fixed relation to upper
arm 20 of inner bracing structure 10. Similarly, lower strap 44 is
held by stitching 92 in similarly fixed relation to lower arm
12.
The upper and lower arms of bracing structures 10 and 34 are thus
retained in the leather pockets of the harness and are prevented by
the pockets from angular motions with respect to the wearer's legs;
however, the arms are free to slide small distances longitudinally
within the pockets, providing additional flexibility in following
the action of the brace wearer's knee.
Upper strap 42 provides a back strap portion 94 with two rows of
holes 96, and two front strap portions 98 and 100 each with a row
of holes 102. To secure the knee brace 40, the wearer, after
centering front hole 72 over the knee cap, brings back strap
portion 94 around to outer bracing structure 34, and fastens the
strap by inserting posts 60 and 62 through the particular holes 96
that provide a comfortable fit. The wearer then brings front strap
portions 98 and 100 around and fastens them to posts 60 and 62. The
divided nature of the front portion of strap 42 enables the strap
to conform to the shape of the leg, which is generally conical
rather than cylindrical, and prevents gaping of the strap. Lower
strap 44 is similarly secured to posts 64 and 66. Two points of
fixed location with respect to each arm are required to maintain
the needed perpendicular connection and to prevent pivoting of the
strap with respect to the arm, and to ensure that angular motion of
the leg drags the arm along with it, preventing any angular shift
of the bracing structure with respect to the leg.
In alternative embodiments, posts 60, 62, 64 and 66 and
corresponding holes 96 and 98 could be replaced by other fastening
means, such as strips of hook and pile fastener, buckles, ties,
snaps or the like.
* * * * *