U.S. patent number 3,730,177 [Application Number 05/149,282] was granted by the patent office on 1973-05-01 for spreading bandage for children having dislocated hip bones.
Invention is credited to Oskar Thum.
United States Patent |
3,730,177 |
Thum |
May 1, 1973 |
SPREADING BANDAGE FOR CHILDREN HAVING DISLOCATED HIP BONES
Abstract
A spreading bandage for patients, especially children, having
dislocated hip bones. A rigid U-shaped supporting member is
fastened to the back of the patient and has a pair of pivotable
thigh supporting members mounted thereon. The thigh supporting
members are disposed perpendicular to the body supporting member,
and are forced apart outwardly by tension belts or springs mounted
thereon. The force exerted by the springs and belts maintain the
thighs of the patient in a spread-apart position to cause proper
relocation of the hip bones in the body of the patient.
Inventors: |
Thum; Oskar (Hamburg,
DT) |
Family
ID: |
22529556 |
Appl.
No.: |
05/149,282 |
Filed: |
June 2, 1971 |
Current U.S.
Class: |
602/24 |
Current CPC
Class: |
A61F
5/0193 (20130101) |
Current International
Class: |
A61F
5/01 (20060101); A61f 003/00 () |
Field of
Search: |
;128/8A,84,87,87C,8B |
Foreign Patent Documents
Other References
Orthopaedic Appliances Atlas, Vol. 1, 1952, page 433, Figure 718.
.
"On Congenital Dislocation of the Hip" by G. L. Burke, The Journal
of Bone and Joint Surgery, Vol. 33B, No. 4, 1951, pages
562-566..
|
Primary Examiner: Gaudet; Richard A.
Assistant Examiner: Yasko; J.
Claims
What is claimed is:
1. A spreading bandage for patients, especially children, suffering
from hip bone dislocation, comprising:
a first support member, for supporting the spreading bandage on the
body of the patient;
at least one mounting rod, having at least two shanks disposed
perpendicular to each other, pivotably mounted on said first
support member so that one of said shanks extends outwardly
perpendicular thereto;
at least one second support member, mounted on said outwardly
extending shank of said rod, for supporting the thigh of the
patient on said mounting rod;
means, affixed to said first and second support members, for
fastening said first support member to the body of the patient and
said second support member to the thigh of the patient; and
means affixed to said first support member and to said second
support member, for exerting a tension force on said second support
member so as to pivot said second support member outwardly away
from said first support member, whereby the thigh of the patient is
maintained under tension in a position perpendicular to the
longitudinal axis of the body of the patient.
2. The spreading bandage as recited in claim 1, wherein said first
support member comprises a rigid, substantially U-shaped member,
having padding material affixed to the inside surface thereof for
cushioning the engagement of said first support member with the
body of the patient.
3. The spreading bandage as recited in claim 2, wherein said second
support member comprises a rigid, substantially U-shaped support
member, having padding material affixed to the inside surface
thereof for cushioning the engagement of said second support member
with the thigh of the patient.
4. The spreading bandage as recited in claim 1, wherein said
fastening means comprises elongated straps rigidly affixed at one
end to said first and second support members having a plurality of
apertures provided in the other end thereof, and projecting
members, rigidly affixed to said support members, for engaging the
apertures provided in said straps and thereby securing said members
to the body and thighs of the patient respectively.
5. The spreading bandage as recited in claim 1, wherein said second
support member further comprises a cylindrical mounting member
affixed thereto slidably disposed over said rod, and screw means
threadably engaged through said cylindrical mounting member so as
to engage said rod and thereby adjustably mount said second support
member on said rod.
6. The spreading bandage as recited in claim 1, wherein said
tension exerting means comprises at least one expandable belt.
7. The spreading bandage as recited in claim 1, wherein said
tension exerting means comprises at least one spring mounted on
said first support supporting member.
8. The spreading bandage as recited in claim 7 further comprising a
rotatable cylindrical member coupled to one end of said spring, and
threadably engaged on one shank of said rod, for adjusting the
torsion of said spring and thereby adjusting the amount of force
exerted outwardly on the thighs of the patient.
9. The spreading bandage as recited in claim 8 further comprising
rigid, substantially U-shaped, mounting member having apertures
disposed in the ends thereof for receiving the shanks of said rod
and thereby mounting said rod on said first support member, and
abutment means, including a semi-circular rigid element affixed to
said rod adjacent the end of said mounting member and an abutment
member rigidly affixed on said mounting member adjacent said
semi-circular element for engaging said semi-circular element and
thereby limiting the outward movement of said rod during use.
10. The spreading bandage as recited in claim 9, wherein said
mounting member further comprises a plurality of selectively spaced
apertures in one end thereof, adjacent said semi-circular element,
and wherein said semicircular element includes an aperture
selectively positioned in alignment with said plurality of
apertures on said mounting member, and a rigid pin slidably
disposed through said aperture and one of said apertures in said
mounting member, for fixing the position of said second support
member relative to said first support member during use.
Description
The present invention relates to spreading bandages, and in
particular, to thigh spreading bandages for children suffering from
hip bone dislocations.
Hip bone dislocation which prevents the upper thigh of one or both
legs from spreading outwardly normally, is common in infant
children. In such situations, it is necessary to relocate the head
of the hip in the acetabulum to prevent the development of walking
difficulties later in the child's life. Relocation of the hip must
be done carefully to avoid injury to the child, and only controlled
force should be exerted when spreading the upper thighs of such a
patient apart.
Presently, "spreading pants" are used to hold the upper thighs in a
spread-apart position to obtain proper relocation of the hip bone
head and the acetabulum. These parts are constructed like diaper
pants so as to fit between the legs of the patient and slowly
spread his upper thighs outwardly away from his body. Since the
pants must be the proper size to fit the child, new pants must be
purchased as the child outgrows the old spreading pants. The
spreading pants are attached to the child by a belt which is
wrapped around his shoulder. To exert a strong force on the upper
thighs of the child, the belt must be tightened around the shoulder
of the child. The belt compresses the upper torso of the child's
body, and if the pressure is applied too long, irreparable damage
can be caused to the already dislocated hips. The pants further do
not hold the child's legs in a position in which the upper thigh is
perpendicular to the longitudinal axis of the child's body, a
position which is preferable since it accelerates the healing
process. The spreading pants are also hard to keep clean and,
therefore, unhygenic.
Accordingly, the present invention provides a spreading bandage in
which a body support member is fastened to the child's body. At
least one pivotable strap rod is mounted on the support member and
has a free shank which is detachably fastenable to the upper thigh
of the child. The body supporting member is preferably a padded
cup-shaped tray having fastening belts mounted thereon. The belts
are preferably fastened around the body of the child across the
stomach. The child's thigh is fastened to the free shank of the
pivotable strap rod so that when the shank is pivoted outwardly,
the leg is held in the spread-apart position. The shank is retained
in this position by a spring.
The strap rod consists of two shanks which are perpendicular to
each other so that one of the shanks may be pivoted outwardly into
a position which is perpendicular to the body of the child. The
healing process is thereby accelerated as previously stated. The
desired position of the thigh is maintained by thigh supporting
members which are adjustably mounted on the strap rods. In order to
retain the strap rods in their spread-apart position, flexible
rubber bands or belts may be substituted for the spring described
above. The bands are arranged so that the strap rods must move
against the force exerted by the belts when they are pivoted from
their spread-apart position to their relaxed position. A torsion
spring could also be used to achieve the same results.
It is therefore an object of the present invention to provide a
spreading bandage for children having dislocated hip bones which
slowly and carefully spreads one or both of the thighs of the child
to properly relocate the hip bones in the child's body.
It is another object of the present invention to provide a
spreading bandage which is constructed so as to accommodate a
growing child, which does not require frequent changing and which
is hygenic.
It is a further object of the present invention to provide a
spreading bandage which is simple in design, easy to manufacture,
and efficient and reliable in operation.
Other objects and features of the present invention will become
apparent from the following detailed description taken in
conjunction with the accompanying drawings which disclose several
embodiments of the invention. It is to be understood, however, that
the drawings are designed for the purpose of illustration only and
not as a definition of the limits of the invention.
In the drawings, wherein similar reference characters denote
similar elements throughout the several views:
FIG. 1 is a perspective view of a spreading bandage constructed in
accordance with the present invention;
FIG. 2 shows the spreading bandage of FIG. 1. attached to the body
of a child during use; and
FIG. 3 is a partial enlarged perspective view of one end of the
support member of a second embodiment of the invention showing
spring means for retaining the legs of the child in a spread-apart
position.
Referring to the drawings, cup-shaped supporting member 1 has a
U-shaped cross section and is padded on its inside surface with
foam rubber 2. The ends of fastening belt 3 are mounted on the
outside surface of member 1 for securing the supporting member to
the body of the child. The spreading bandage is placed around the
back of the child approximately adjacent the kidneys, so that the
supporting member may be secured by fastening belt 3 across the
stomach of the child. Holders 4 are mounted on the outside ends of
supporting member 1 to support pivotable strap rods 5 and 5'. Both
of the strap rods consist of two shanks 6 and 7 and 6' and 7'
respectively which are perpendicular to each other. Shanks 7 and 7'
are pivotable outwardly away from the patient, and carry thigh
support members 8 and 8' respectively. The inside surfaces of the
thigh support members are padded with foam rubber and are provided
with fastening belts 9 and 9' for securing the legs of the child.
The belts have perforations which slip over knobs 10 to fasten the
belts around the thighs of the child. One end of flexible rubber
belts 11 and 11' is mounted on members 8 and 8', and the other end
is fastened to knobs 12 affixed to the outside surface of support
member 1. Both of the belts are disposed over cylindrical members
13 and 13' which maintain tension on the thigh supporting members
and hold members 8 and 8' in a spread-apart position during
use.
FIG. 2 shows the supporting members 1 and 8 and 8' attached to the
back and upper thighs respectively of a child. The illustration
also shows how belts 11 and 11' hold the child's thighs in a
spread-apart position. The force exerted by the belts on the legs
of the child is variable by changing the aperture which is disposed
over knob 12. The force exerted on the child is also dependent on
the position of supporting members 8 and 8' on shanks 7 and 7'. The
supporting members are thus adjustably mounted on shanks 7 and 7'
by means of adjustment screws 13 in order to allow the tension to
be varied.
The embodiment disclosed in FIG. 3 shows helical spring 106 which
engages strap rods 105 instead of the rubber belts used in the
embodiment of FIGS. 1 and 2. The spring engages wall 107 of
supporting member 108 and has one end disposed in a slot of screw
socket 109 which is rotatable on threads 110 provided on the shank
of strap rod 105 to adjust the tension of the spring.
The other side wall 111 of supporting member 108 is provided with a
plurality of perforations (not shown) on a circular portion
thereof. Disc 112 is affixed to the strap rod 105 adjacent side
wall 111, and carries adjustable pin 113 which is slidably disposed
in a perforation in wall 111 so that the disc and strap rod 105 are
retained in a fixed position. Abutment 114 also is affixed to wall
111 to limit the pivotable movement of shank 115 in the direction
of arrow 116, the direction in which strap rod 105 is turned by
spring 106.
While only several embodiments have been shown and described, it
will be obvious to those persons skilled in the art that many
changes and modifications may be made thereunto without departing
from the spirit and scope of the invention.
* * * * *