CN106333772B - Elasticity is gone down on one's knees type lower limb knee joint artificial limb - Google Patents
Elasticity is gone down on one's knees type lower limb knee joint artificial limb Download PDFInfo
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- CN106333772B CN106333772B CN201610008760.6A CN201610008760A CN106333772B CN 106333772 B CN106333772 B CN 106333772B CN 201610008760 A CN201610008760 A CN 201610008760A CN 106333772 B CN106333772 B CN 106333772B
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- 210000003127 knee Anatomy 0.000 title claims abstract description 51
- 210000000629 knee joint Anatomy 0.000 title claims abstract description 50
- 210000003414 extremity Anatomy 0.000 title claims abstract description 29
- 210000003141 lower extremity Anatomy 0.000 claims abstract description 11
- 230000003139 buffering effect Effects 0.000 claims abstract description 5
- 238000011542 limb amputation Methods 0.000 claims description 2
- NJPPVKZQTLUDBO-UHFFFAOYSA-N novaluron Chemical compound C1=C(Cl)C(OC(F)(F)C(OC(F)(F)F)F)=CC=C1NC(=O)NC(=O)C1=C(F)C=CC=C1F NJPPVKZQTLUDBO-UHFFFAOYSA-N 0.000 claims 5
- 230000000694 effects Effects 0.000 claims 1
- 238000005452 bending Methods 0.000 abstract description 15
- 238000013016 damping Methods 0.000 abstract description 11
- 230000005021 gait Effects 0.000 abstract description 10
- 210000002683 foot Anatomy 0.000 description 26
- 230000009471 action Effects 0.000 description 7
- 210000004394 hip joint Anatomy 0.000 description 4
- 238000010586 diagram Methods 0.000 description 3
- 210000003205 muscle Anatomy 0.000 description 3
- 230000008859 change Effects 0.000 description 2
- 230000006835 compression Effects 0.000 description 2
- 238000007906 compression Methods 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 210000003371 toe Anatomy 0.000 description 2
- 230000007547 defect Effects 0.000 description 1
- 229920001971 elastomer Polymers 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 230000036541 health Effects 0.000 description 1
- 210000001503 joint Anatomy 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 239000004033 plastic Substances 0.000 description 1
- 229920003023 plastic Polymers 0.000 description 1
- 229920002635 polyurethane Polymers 0.000 description 1
- 239000004814 polyurethane Substances 0.000 description 1
- 230000008092 positive effect Effects 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 230000035939 shock Effects 0.000 description 1
- 230000007704 transition Effects 0.000 description 1
Classifications
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- 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
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/50—Prostheses not implantable in the body
- A61F2/60—Artificial legs or feet or parts thereof
- A61F2/64—Knee joints
-
- 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
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/50—Prostheses not implantable in the body
- A61F2/60—Artificial legs or feet or parts thereof
- A61F2/602—Artificial legs or feet or parts thereof with air cushions
-
- 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
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/50—Prostheses not implantable in the body
- A61F2/60—Artificial legs or feet or parts thereof
- A61F2/604—Joints for artificial legs
-
- 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
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/50—Prostheses not implantable in the body
- A61F2/78—Means for protecting prostheses or for attaching them to the body, e.g. bandages, harnesses, straps, or stockings for the limb stump
- A61F2/7812—Interface cushioning members placed between the limb stump and the socket, e.g. bandages or stockings for the limb stump
-
- 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
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/50—Prostheses not implantable in the body
- A61F2/78—Means for protecting prostheses or for attaching them to the body, e.g. bandages, harnesses, straps, or stockings for the limb stump
- A61F2/80—Sockets, e.g. of suction type
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- Health & Medical Sciences (AREA)
- Transplantation (AREA)
- Biomedical Technology (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Engineering & Computer Science (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)
- Orthopedic Medicine & Surgery (AREA)
- Prostheses (AREA)
Abstract
本发明的下肢膝关节假肢包括残肢接受腔连接件、假脚连接件、前侧杆、后侧杆、阻尼缸和弹性屈膝部分,残肢接受腔连接件的前后两端分别与前侧杆和后侧杆的上端铰接:假脚连接件的前端与前侧杆的下端铰接;弹性屈膝部分固定在假脚连接件上,能够对后侧杆实施弹性作用力,弹性屈膝部分包括滑动块和弹性缓冲装置,滑动块固定在假脚连接件上,在滑动块上设置有滑动槽,铰接于后侧杆的下端上的轴能够在滑动槽内滑动,后侧杆的下端与弹性缓冲装置弹性接触;阻尼缸的底座端与假脚连接件铰接,从阻尼缸伸出的缸杆与残肢接受腔连接件铰接。该下肢膝关节假肢能够实现弹性屈膝并且用于下肢截肢患者的功能代偿,步态更接近自然步态,也大大减少了后续损害。
The lower limb knee joint prosthesis of the present invention comprises a residual limb socket connecting piece, a prosthetic foot connecting piece, a front side rod, a rear side rod, a damping cylinder and an elastic knee-bending part, and the front and rear ends of the residual limb socket connecting piece are connected with the front side rod respectively. Hinged with the upper end of the rear side rod: the front end of the prosthetic foot connector is hinged with the lower end of the front side rod; the elastic knee part is fixed on the prosthetic foot connector, which can exert elastic force on the rear side rod, and the elastic knee part includes sliding blocks and Elastic buffering device, the sliding block is fixed on the prosthetic foot connector, a sliding groove is arranged on the sliding block, the shaft hinged on the lower end of the rear side rod can slide in the sliding groove, and the lower end of the rear side rod is elastically connected to the elastic buffering device. Contact; the base end of the damping cylinder is hinged to the prosthetic foot connector, and the cylinder rod protruding from the damping cylinder is hinged to the residual limb socket connector. The lower limb knee prosthesis can achieve elastic knee flexion and is used for functional compensation of lower limb amputee patients, the gait is closer to the natural gait, and the subsequent damage is also greatly reduced.
Description
技术领域technical field
本发明涉及一种下肢膝关节假肢,特别涉及一种能实现弹性屈膝的下肢膝关节假肢,其属于人口与健康技术领域。The invention relates to a lower limb knee joint prosthesis, in particular to a lower limb knee joint prosthesis capable of realizing elastic knee flexion, which belongs to the technical field of population and health.
背景技术Background technique
目前在我国人口中残疾人占5%左右,肢体残疾人约877万人,占残疾人总数的14.6%,其中近100多万人需要安装假肢。在下肢假肢系统中,膝关节是最重要的组成部分,它的性能直接影响着膝上假肢的整体性能。At present, the disabled account for about 5% of the population in our country, and there are about 8.77 million people with physical disabilities, accounting for 14.6% of the total number of disabled people. Nearly 1 million people need to install artificial limbs. In the lower limb prosthesis system, the knee joint is the most important component, and its performance directly affects the overall performance of the knee prosthesis.
对于下肢截肢患者而言,安装假肢的目的除了代偿行走功能,更重要的是要模拟正常人体关节运动,以求达到最自然的步态。仔细观察自然的步态时,就会发现下列现象:在脚跟接触地面时,人的膝关节会略微弯曲。For patients with lower limb amputations, the purpose of installing prostheses is not only to compensate for walking function, but more importantly, to simulate normal human joint movement in order to achieve the most natural gait. When you look closely at your natural gait, you notice the following phenomenon: When the heel touches the ground, the human knee bends slightly.
目前较常用的膝关节假肢是多轴连杆型膝关节假肢,多轴连杆型膝关节假肢因其具有近似模拟正常膝关节的运动、稳定性好、性价比高等优势而被广泛应用。At present, the more commonly used knee prosthesis is the multi-axis linkage knee prosthesis. The multi-axis linkage knee prosthesis is widely used because it has the advantages of approximately simulating the motion of the normal knee joint, good stability, and high cost performance.
但是,在目前的多轴连杆型膝关节假肢产品和技术中,都没有或不能较好地实现弹性屈膝功能。However, in the current multi-axis linkage type knee joint prosthesis products and technologies, the elastic knee flexion function is not or cannot be better realized.
发明内容Contents of the invention
本发明的目的是提供一种弹性屈膝型膝关节假肢,其能够克服现有技术的某种或某些缺陷。The object of the present invention is to provide an elastic knee joint prosthesis, which can overcome some or some defects of the prior art.
根据本发明的下肢膝关节假肢,能够实现弹性屈膝并且用于下肢截肢患者的功能代偿,其中,该下肢膝关节假肢包括残肢接受腔连接件、假脚连接件、前侧杆、后侧杆、阻尼缸和弹性屈膝部分,According to the lower limb knee joint prosthesis of the present invention, it can realize elastic knee flexion and be used for functional compensation of lower limb amputee patients, wherein the lower limb knee joint prosthesis includes a residual limb socket connector, a prosthetic foot connector, a front side rod, a rear side Rods, damping cylinders and elastic knees,
其中,残肢接受腔连接件的前后两端分别与前侧杆和后侧杆的上端铰接;Wherein, the front and rear ends of the socket connector of the residual limb are respectively hinged with the upper ends of the front side rod and the rear side rod;
假脚连接件的前端与前侧杆的下端铰接;The front end of the prosthetic foot connector is hinged to the lower end of the front side rod;
弹性屈膝部分固定在假脚连接件上,并且能够对后侧杆施加弹性作用力,该弹性屈膝部分包括滑动块和弹性缓冲装置,其中滑动块固定在假脚连接件上,在滑动块上设置有滑动槽,铰接于后侧杆的下端上的轴能够在滑动块的滑动槽内滑动,并且后侧杆的下端与弹性缓冲装置弹性接触;并且The elastic knee part is fixed on the prosthetic foot connector, and can apply elastic force to the rear side bar. The elastic knee part includes a sliding block and an elastic buffer device, wherein the sliding block is fixed on the prosthetic foot connecting part, and the sliding block is arranged on the There is a sliding groove, the shaft hinged on the lower end of the rear side rod can slide in the sliding groove of the sliding block, and the lower end of the rear side rod is in elastic contact with the elastic buffer device; and
阻尼缸的底座端与假脚连接件铰接,从阻尼缸伸出的缸杆与残肢接受腔连接件铰接。The base end of the damping cylinder is hinged with the connecting piece of the prosthetic foot, and the cylinder rod protruding from the damping cylinder is hinged with the connecting piece of the receptacle of the residual limb.
根据本发明的下肢膝关节假肢,可以使患者在脚跟着地后,下肢膝关节假肢能够像正常膝盖一样以适度弹性的方式弯曲,患者可以轻松迈步,膝关节的安全性得到了提高,步态更接近自然步态,也大大减少了后续损害。According to the lower limb knee joint prosthesis of the present invention, after the patient's heel hits the ground, the lower limb knee joint prosthesis can be bent in a moderately elastic manner like a normal knee, the patient can walk easily, the safety of the knee joint is improved, and the gait is smoother. Close to natural gait, also greatly reduce subsequent damage.
在本发明的一个具体实施例中,弹性缓冲装置包括底座、顶块、滑套、弹簧和调整块,其中底座固定在假脚连接件上,滑套固定在底座的内腔的上部,顶块能够在滑套内上下滑动,并且通过调整调整块,能够调整调整块与底座之间的相对位置,弹簧被压缩在顶块和调整块之间,弹性屈膝部分的顶块借助该弹簧的作用,而对后侧杆施加弹性作用力。通过具有如此构造的弹性缓冲装置,本发明的下肢膝关节假肢能够以较简单的结构实现本发明的弹性屈膝的功能。In a specific embodiment of the present invention, the elastic buffer device includes a base, a top block, a sliding sleeve, a spring and an adjustment block, wherein the base is fixed on the prosthetic foot connector, the sliding sleeve is fixed on the upper part of the inner cavity of the base, and the top block It can slide up and down in the sliding sleeve, and by adjusting the adjustment block, the relative position between the adjustment block and the base can be adjusted. The spring is compressed between the top block and the adjustment block. And apply elastic force to the rear side bar. By having the elastic buffer device with such a structure, the lower limb knee joint prosthesis of the present invention can realize the function of elastic knee flexion of the present invention with a relatively simple structure.
在本发明的一个优选实施例中,调整块与底座之间利用螺纹进行连接,并且在调整块的周向设置有可以转动调整块来调整调整块相对于底座位置的孔。通过转动调整块上的孔转动调整块,来调整弹簧的预压缩量,从而满足不同患者对弹性屈膝强度的要求。In a preferred embodiment of the present invention, the adjustment block and the base are connected by threads, and a hole that can rotate the adjustment block to adjust the position of the adjustment block relative to the base is provided on the circumference of the adjustment block. By turning the hole on the adjustment block and rotating the adjustment block, the pre-compression amount of the spring can be adjusted, so as to meet the requirements of different patients on the elastic knee strength.
根据本发明的一个具体实施例,弹性屈膝部分的滑动块上的滑动槽可以设置为直线槽。另外,弹性屈膝部分的滑动块上的滑动槽也可以设置为曲线槽。According to a specific embodiment of the present invention, the sliding groove on the sliding block of the elastic knee part can be set as a linear groove. In addition, the sliding groove on the sliding block of the elastic knee part can also be set as a curved groove.
根据本发明的下肢膝关节假肢,残肢接受腔连接件上可以安装有用于减少残肢接受腔连接件和前侧杆运动冲击的缓冲块。另外,假脚连接件上可以安装有用于减少假脚连接件和后侧杆运动冲击的缓冲块。借助这些缓冲块,可以减少运动中存在的运动冲击,从而进一步提高安全性。According to the lower limb knee joint prosthesis of the present invention, a buffer block for reducing the movement impact of the residual limb socket connection part and the front side rod can be installed on the socket connection part of the residual limb. In addition, the prosthetic foot connecting part can be installed with a buffer block for reducing the movement impact of the prosthetic foot connecting part and the rear side bar. With the help of these bumpers, the movement shocks present in sports can be reduced, which further increases safety.
本发明还涉及一种下肢膝关节假肢,特别是一种能实现弹性屈膝的下肢膝关节假肢,用于下肢截肢患者的功能代偿,其中,所述弹性屈膝型下肢膝关节假肢由残肢接受腔连接件、假脚连接件、前侧杆、后侧杆、阻尼缸、弹性屈膝部分组成;残肢接受腔连接件的前后两端通过轴及轴套分别和前侧杆、后侧杆的上端铰接,假脚连接件的前端通过轴及轴套与前侧杆的下端铰接,假脚连接件上固定有弹性屈膝部分,铰接于后侧杆下端上的轴可在弹性屈膝部分的滑动块的槽内滑动;阻尼缸的底座端与假脚连接件铰接,其伸出的缸杆与残肢接受腔连接件铰接;所述弹性屈膝型下肢膝关节假肢的弹性屈膝部分包括滑动块和弹性缓冲装置;弹性屈膝部分的滑动块固定在假脚连接件上,其上设置有滑动槽;弹性缓冲装置由底座、顶块、滑套、弹簧、调整块组成,其中底座固定在假脚连接件上,滑套固定在底座内腔上部,顶块在滑套内上下滑动,调整块与底座间螺纹连接,调整块的周向设置有可以转动调整块来调整调整块相对于底座位置的圆孔,弹簧被压缩在顶块和调整块之间。The present invention also relates to a lower limb knee joint prosthesis, in particular a lower limb knee joint prosthesis capable of elastically bending the knee, which is used for functional compensation of lower limb amputee patients, wherein the elastic knee bending type lower limb knee joint prosthesis is received by the residual limb Cavity connecting piece, prosthetic foot connecting piece, front side rod, rear side rod, damping cylinder, elastic knee bending part; the front and rear ends of the residual limb receiving cavity connection part are respectively connected with the front side rod and rear side rod through the shaft and the bushing. The upper end is hinged, the front end of the prosthetic foot connector is hinged with the lower end of the front side rod through the shaft and the bushing, the elastic knee part is fixed on the prosthetic foot connector, and the shaft hinged on the lower end of the rear side rod can be placed on the sliding block of the elastic knee part sliding in the groove; the base end of the damping cylinder is hinged with the connecting piece of the prosthetic foot, and the protruding cylinder rod is hinged with the connecting piece of the socket of the residual limb; the elastic knee part of the elastic knee joint prosthesis includes a sliding block and an elastic Buffer device; the sliding block of the elastic knee part is fixed on the connecting part of the artificial foot, and a sliding groove is arranged on it; the elastic buffering device is composed of a base, a top block, a sliding sleeve, a spring and an adjusting block, and the base is fixed on the connecting part of the artificial foot On the top, the sliding sleeve is fixed on the upper part of the inner cavity of the base, the top block slides up and down in the sliding sleeve, the adjustment block is screwed with the base, and the circumference of the adjustment block is provided with a round hole that can rotate the adjustment block to adjust the position of the adjustment block relative to the base , the spring is compressed between the top block and the adjustment block.
与现有技术相比,本发明的优点和积极效果至少包括:Compared with the prior art, the advantages and positive effects of the present invention at least include:
1、弹性屈膝功能使膝关节假肢在脚跟着地后,膝关节假肢能够像正常膝盖一样以适度弹性的方式弯曲到最大15°的位置,患者可以轻松迈步,膝关节假肢的安全性得到了提高。1. The elastic knee flexion function enables the knee joint prosthesis to bend to a maximum position of 15° in a moderately elastic manner like a normal knee after the knee joint prosthesis touches the heel. The patient can walk easily, and the safety of the knee joint prosthesis is improved.
2、使患者能够在不平的路面和缓坡上更自如地行走。2. Enable patients to walk more freely on uneven roads and gentle slopes.
3、步态看上去会更加平稳,更接近自然的方式。3. The gait will look smoother and more natural.
4、穿戴弹性屈膝型假肢,因为生理运动更加正常,残肢、髋关节和脊柱的压力同时得到了缓解,这样大大减少了后续的损害。4. Wear elastic knee-bending prostheses, because the physiological movements are more normal, and the pressure on the residual limbs, hip joints and spine is relieved at the same time, which greatly reduces subsequent damage.
5、穿戴弹性屈膝型假肢,在长时间站立时不易疲劳。5. Wear elastic knee-bending prostheses, and it is not easy to get tired when standing for a long time.
附图说明Description of drawings
图1为本发明的总体结构示意图;Fig. 1 is the overall structural representation of the present invention;
图2为本发明的总体结构的爆炸图;Fig. 2 is the exploded view of overall structure of the present invention;
图3为图1侧视图的局部剖视图;Fig. 3 is a partial sectional view of the side view of Fig. 1;
图4为本发明与残肢接受腔以及假脚的连接示意图;Fig. 4 is a schematic diagram of the connection between the present invention and the residual limb socket and prosthetic foot;
图5为本发明行走步态中摆动期的状态示意图;Fig. 5 is the state schematic diagram of the swing period in the walking gait of the present invention;
图6为本发明行走步态中脚跟触地时的状态示意图;Fig. 6 is a schematic diagram of the state when the heel touches the ground in the walking gait of the present invention;
图7为本发明弹性屈膝部分的另一种实施方式。Fig. 7 is another embodiment of the elastic knee part of the present invention.
具体实施方式Detailed ways
下面结合附图详细描述本发明的弹性屈膝型下肢膝关节假肢。The elastic knee-bending type lower limb knee joint prosthesis of the present invention will be described in detail below in conjunction with the accompanying drawings.
如图1、图2和图3所示,弹性屈膝型下肢膝关节假肢P(图4)总体上包括残肢接受腔连接件1、假脚连接件2、前侧杆3、后侧杆4、阻尼缸5和弹性屈膝部分6。残肢接受腔连接件1的前端通过轴31及轴套32与前侧杆3的上端铰接,残肢接受腔连接件1的后端通过轴43及轴套44与后侧杆4的上端铰接。假脚连接件2的前端通过轴33及轴套34与前侧杆3的下端铰接,弹性屈膝部分6固定在该假脚连接件2上。通过轴套42铰接于后侧杆4的下端上的轴41可以在弹性屈膝部分6的滑动块601的槽(或滑动槽)601a内滑动。阻尼缸5的缸体501的底座端与假脚连接件2铰接,从缸体501伸出的缸杆502与残肢接受腔连接件1通过轴51及轴套52铰接。人体对膝关节运动的控制是通过跨过膝关节的肌肉所完成的,实质上,诸多肌肉所产生的肌力最终将会以力矩的方式体现出一个总体的控制模式。本发明借助阻尼缸5,能提供合适的膝关节力矩以帮助截肢者实现良好的步态,从而有效地控制该弹性屈膝型下肢膝关节假肢P在进行屈膝、摆动或者站立等状态的转换时的稳定性,使得运动平稳并且在长时间站立时也不易疲劳,从而大大提供了下肢膝关节假肢的安全性。As shown in Fig. 1, Fig. 2 and Fig. 3, the elastic knee joint prosthesis P (Fig. 4) generally includes the residual limb socket connector 1, the prosthetic foot connector 2, the front side rod 3, and the rear side rod 4 , damping cylinder 5 and elastic knee part 6. The front end of the residual limb socket connector 1 is hinged to the upper end of the front rod 3 through the shaft 31 and the sleeve 32, and the rear end of the residual limb socket connector 1 is hinged to the upper end of the rear rod 4 through the shaft 43 and the sleeve 44 . The front end of the prosthetic foot connector 2 is hinged with the lower end of the front side rod 3 through the shaft 33 and the axle sleeve 34, and the elastic knee part 6 is fixed on the prosthetic foot connector 2. The shaft 41 hinged on the lower end of the rear side bar 4 through the shaft sleeve 42 can slide in the groove (or sliding groove) 601a of the sliding block 601 of the elastic knee part 6 . The base end of the cylinder body 501 of the damping cylinder 5 is hinged with the prosthetic foot connector 2 , and the cylinder rod 502 protruding from the cylinder body 501 is hinged with the residual limb socket connector 1 through the shaft 51 and the axle sleeve 52 . The human body controls the movement of the knee joint through the muscles that cross the knee joint. In essence, the muscle force generated by many muscles will eventually reflect an overall control mode in the form of torque. The present invention can provide a suitable knee joint moment by means of the damping cylinder 5 to help the amputee achieve a good gait, thereby effectively controlling the knee joint prosthesis P of the elastic knee-bending type when performing transitions such as knee-bending, swinging, or standing. Stability, which makes the movement smooth and less prone to fatigue when standing for a long time, thus greatly providing the safety of the lower limb knee prosthesis.
具体地如图2和图3所示,弹性屈膝型下肢膝关节假肢P的弹性屈膝部分6总体上包括滑动块601和弹性缓冲装置。弹性屈膝部分6的滑动块601固定在假脚连接件2上,在该滑动块601上设置有滑动槽601a。弹性缓冲装置包括底座606、顶块602、滑套603、弹簧604和调整块605。底座606固定在假脚连接件2上,滑套603固定在底座606的内腔的上部,顶块602在滑套603内上下滑动,调整块605与底座606之间利用螺纹进行连接。在调整块605的周向设置有可以转动调整块605来调整调整块605相对于底座606位置的圆孔605a,弹簧604被压缩在顶块602和调整块605之间。Specifically as shown in Fig. 2 and Fig. 3, the elastic knee part 6 of the elastic knee joint prosthesis P of the lower limbs P generally includes a sliding block 601 and an elastic buffer device. The sliding block 601 of the elastic knee part 6 is fixed on the prosthetic foot connector 2, and the sliding block 601 is provided with a sliding groove 601a. The elastic buffer device includes a base 606 , a top block 602 , a sliding sleeve 603 , a spring 604 and an adjustment block 605 . The base 606 is fixed on the prosthetic foot connector 2, the sliding sleeve 603 is fixed on the top of the inner chamber of the base 606, the top block 602 slides up and down in the sliding sleeve 603, and the adjustment block 605 and the base 606 are connected by threads. A circular hole 605a is provided on the circumference of the adjustment block 605 to rotate the adjustment block 605 to adjust the position of the adjustment block 605 relative to the base 606 , and the spring 604 is compressed between the top block 602 and the adjustment block 605 .
如图6所示,弹性屈膝部分6的滑动块601上的滑动槽601a设置为直线槽,通过轴套42铰接于后侧杆4的下端上的轴41可在弹性屈膝部分6的滑动块601的直线槽601a内滑动。As shown in Figure 6, the sliding groove 601a on the sliding block 601 of the elastic knee part 6 is set to a linear groove, and the shaft 41 hinged on the lower end of the rear side bar 4 through the axle sleeve 42 can be placed on the sliding block 601 of the elastic knee part 6. sliding in the linear groove 601a.
如图7所示,弹性屈膝部分6的滑动块601上的滑动槽601b设置为曲线槽,通过轴套42铰接于后侧杆4的下端上的轴41可在弹性屈膝部分6的滑动块601的曲线槽601b内滑动。As shown in Figure 7, the sliding groove 601b on the sliding block 601 of the elastic knee part 6 is set as a curved groove, and the shaft 41 hinged on the lower end of the rear side bar 4 through the axle sleeve 42 can be placed on the sliding block 601 of the elastic knee part 6. sliding in the curved groove 601b.
如图3所示,残肢接受腔连接件1上安装有用于减少残肢接受腔连接件1和前侧杆3之间的运动冲击的缓冲块11。在弹性屈膝型下肢膝关节假肢P由如图7所示的脚跟触地状态转换到如图3所示的站立状态时,前侧杆3上设置的凸块上表面3a接触到缓冲块11的下表面11a,从而减少弹性屈膝型下肢膝关节假肢P在运动过程中的冲击。As shown in FIG. 3 , a buffer block 11 for reducing the movement impact between the residual limb socket connector 1 and the front side rod 3 is installed on the residual limb socket connector 1 . When the elastic knee-bending type lower limb knee joint prosthesis P is converted from the heel-grounded state as shown in Figure 7 to the standing state as shown in Figure 3, the upper surface 3a of the bump that is provided on the front side bar 3 contacts the bottom of the buffer block 11. The lower surface 11a reduces the impact of the elastic knee joint prosthesis P during movement.
进一步如图3所示,假脚连接件2上安装有用于减少假脚连接件2和后侧杆4之间的运动冲击的缓冲块21。在弹性屈膝型下肢膝关节假肢P处于从如图5所示的摆动期到如图7所示的弹性屈膝状态(脚跟触地)时,后侧杆4上的平面4a接触到缓冲块21的下表面21a,从而减少弹性屈膝型下肢膝关节假肢P在运动过程中的冲击。As further shown in FIG. 3 , the prosthetic foot connector 2 is equipped with a buffer block 21 for reducing the movement impact between the prosthetic foot connector 2 and the rear side bar 4 . When the elastic knee-bending type lower limb knee joint prosthesis P was in the swing phase as shown in FIG. 5 to the elastic knee-bending state (heel touches the ground) as shown in FIG. The lower surface 21a reduces the impact of the elastic knee joint prosthesis P during movement.
缓冲块11和缓冲块21均采用弹性塑料材料,例如橡胶或聚氨酯等。Both the buffer block 11 and the buffer block 21 are made of elastic plastic material, such as rubber or polyurethane.
以下描述本发明的弹性屈膝型下肢膝关节假肢P的动作原理和过程。The action principle and process of the elastic knee-bending lower limb knee joint prosthesis P of the present invention will be described below.
如图4所示,本发明的弹性屈膝型下肢膝关节假肢P通过残肢接受腔连接件1与接受腔H连接,同时,通过假脚连接件2与假脚连接杆K01及假脚K连接。As shown in Figure 4, the elastic knee joint prosthesis P of the lower limbs of the present invention is connected to the socket H through the residual limb socket connector 1, and at the same time, connected to the prosthetic foot connecting rod K01 and the prosthetic foot K through the prosthetic foot connector 2 .
在脚尖触地时,弹性屈膝型下肢膝关节假肢P会受到髋关节的驱动力F2和地面对脚尖的反作用力R2的作用,这一对力作用于弹性屈膝型下肢膝关节假肢P,使假肢关节弯曲(如图5所示),带动整个下肢假肢动作,达到行走目的。When the toes touch the ground, the elastic knee joint prosthesis P will be affected by the driving force F2 of the hip joint and the reaction force R2 of the ground to the toes. This pair of forces acts on the elastic knee joint prosthesis P, so that The joints of the prosthesis are bent (as shown in Figure 5), which drives the movement of the entire lower limb prosthesis to achieve the purpose of walking.
在如图4和图6所示的实施例中,在脚跟触地时,弹性屈膝型下肢膝关节假肢P会受到髋关节的驱动力F1和地面对脚跟的反作用力R1的作用,后侧杆4在这一对作用力的作用下施加力于轴41,轴41的两端在滑动块601上的直线槽601a内滑动到直线槽601a的下端;后侧杆4在轴41沿直线槽601a滑动的限制下,按照一定的轨迹运动,带动膝关节假肢P弯曲。在后侧杆4按照一定的轨迹运动时,弹性屈膝部分的顶块602在弹簧604的作用下,将对后侧杆4施加一向上的作用力,该作用力在弹簧604的作用下发生变化。这样在脚跟触地时,假肢关节将实现弹性屈膝功能。In the embodiment shown in Fig. 4 and Fig. 6, when the heel touches the ground, the elastic knee joint prosthesis P of the knee joint of the lower limb will be affected by the driving force F1 of the hip joint and the reaction force R1 of the ground to the heel, and the rear side The rod 4 exerts a force on the shaft 41 under the action of this pair of active forces, and the two ends of the shaft 41 slide to the lower end of the linear groove 601a in the linear groove 601a on the sliding block 601; 601a under the limitation of sliding, moves according to a certain trajectory, driving the knee joint prosthesis P to bend. When the rear side bar 4 moves according to a certain track, the top block 602 of the elastic knee-bending part will apply an upward force to the rear side bar 4 under the action of the spring 604, and the active force will change under the action of the spring 604 . In this way, when the heel touches the ground, the prosthetic joint will realize the elastic knee flexion function.
同时,通过转动调整块605上的圆孔605a转动调整块605,来调整弹簧604的预压缩量,从而满足不同患者对弹性屈膝强度的要求。At the same time, by turning the round hole 605a on the adjustment block 605 to rotate the adjustment block 605, the pre-compression amount of the spring 604 is adjusted, so as to meet the requirements of different patients on the elastic knee strength.
在如图4和图7所示的实施例中,在脚跟触地时,弹性屈膝型下肢膝关节假肢P会受到髋关节的驱动力F1和地面对脚跟的反作用力R1的作用,后侧杆4在这一对作用力的作用下施加力于轴41,轴41的两端在滑动块601上的曲线槽601b内滑动到曲线槽601b的下端;后侧杆4在轴41沿曲线槽601b滑动的限制下,按照一定的轨迹运动,带动膝关节假肢P弯曲。在后侧杆4按照一定的轨迹运动时,弹性屈膝部分的顶块602在弹簧604的作用下,将对后侧杆4施加一向上的作用力,该作用力在弹簧604的作用下发生变化。这样在脚跟触地时,假肢关节将实现弹性屈膝功能。In the embodiment shown in Fig. 4 and Fig. 7, when the heel touches the ground, the elastic knee joint prosthesis P of the knee joint of the lower limb will be affected by the driving force F1 of the hip joint and the reaction force R1 of the ground to the heel. The rod 4 exerts a force on the shaft 41 under the action of this pair of active forces, and the two ends of the shaft 41 slide to the lower end of the curved groove 601b in the curved groove 601b on the sliding block 601; 601b under the limitation of sliding, moves according to a certain trajectory, driving the knee joint prosthesis P to bend. When the rear side bar 4 moves according to a certain track, the top block 602 of the elastic knee-bending part will apply an upward force to the rear side bar 4 under the action of the spring 604, and the active force will change under the action of the spring 604 . In this way, when the heel touches the ground, the prosthetic joint will realize the elastic knee flexion function.
本领域技术人员应当理解,上述图示内容和实施例仅用于解释本发明而非用于对其做出任何限制。例如,弹性缓冲装置并非局限于图示的结构,而是只要该弹性缓冲装置能够实现对后侧杆的下端施加弹性作用力即可。It should be understood by those skilled in the art that the above illustrations and embodiments are only used to explain the present invention and not to limit it in any way. For example, the elastic buffer device is not limited to the structure shown in the figure, as long as the elastic buffer device can apply elastic force to the lower end of the rear side bar.
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CN107007381B (en) * | 2017-04-14 | 2018-11-20 | 东阳市东狮卫浴有限公司 | Artificial limb |
CN107320286B (en) * | 2017-08-09 | 2019-06-28 | 北京航空航天大学 | It is a kind of can elastic compensating axis shift knee joint exoskeleton device |
CN110693633B (en) * | 2019-11-15 | 2025-07-11 | 浙江臻行科技有限公司 | Knee prosthesis |
CN113616394B (en) * | 2021-07-23 | 2024-09-20 | 吉林大学 | Three-functional-shaft-adjustable knee joint prosthesis |
CN114886625B (en) * | 2022-03-18 | 2024-08-13 | 北京工道风行智能技术有限公司 | Ski sports knee joint artificial limb |
CN119055415B (en) * | 2024-07-31 | 2025-04-01 | 国家康复辅具研究中心 | Single hydraulic cylinder multiaxial artificial knee joint |
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