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WO2020036480A1 - External fixation tool - Google Patents

External fixation tool Download PDF

Info

Publication number
WO2020036480A1
WO2020036480A1 PCT/MY2019/000035 MY2019000035W WO2020036480A1 WO 2020036480 A1 WO2020036480 A1 WO 2020036480A1 MY 2019000035 W MY2019000035 W MY 2019000035W WO 2020036480 A1 WO2020036480 A1 WO 2020036480A1
Authority
WO
WIPO (PCT)
Prior art keywords
tool
foot plate
arm
human patient
plate stabilizer
Prior art date
Application number
PCT/MY2019/000035
Other languages
French (fr)
Inventor
Mohd Yazid BAJURI
Original Assignee
Universiti Kebangsaan Malaysia (Ukm)
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Universiti Kebangsaan Malaysia (Ukm) filed Critical Universiti Kebangsaan Malaysia (Ukm)
Publication of WO2020036480A1 publication Critical patent/WO2020036480A1/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/60Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements for external osteosynthesis, e.g. distractors, contractors
    • A61B17/64Devices extending alongside the bones to be positioned
    • A61B17/6425Devices extending alongside the bones to be positioned specially adapted to be fitted across a bone joint

Definitions

  • the present invention relates to an external fixation tool designed for the usage in the treatment of lower limb injuries such as open wound or fractures.
  • the human foot is a biomechanically complex structure containing 26 bones which consists of the talus, the calcaneus which forms the heel, the medial, intermediate, and lateral bones which forms the middle of the foot (cuneiform, cuboid, and navicular bones), the metatarsals, and the phalanges.
  • the ankle consists of the tibia, the fibula, and the talus.
  • the external fixation tool in the present invention permits a slight movement, dorsiflexion (flex upwards) or plantarflexion (flex downwards), to the joint during the recovery process. This prevents joint stiffness and allows for the flexibility of the joint to be preserved.
  • the external fixation tool in the present invention is suitable to be used in all types of lower limb injuries from moderate to severe injuries such as open or closed fractures, comminuted fractures, or diabetic related wounds.
  • the present invention provides a tool to control movement of joints at a lower limb of a human patient
  • the tool includes an external fixation device couplable to tibia bone of the human patient
  • the tool includes at least one substantially U-shaped device that is removably connected to the tibia and to an arm
  • the arm allows a connecting means to be invasively connected to an ankle of the human patient and a foot plate stabilizer that is removably attached to the arm whereby the arm is provided with locking mechanism to enable the device
  • the fixator that is removably connected either to the calcaneum or cuboid and to the forth and second metatarsal, and the foot plate stabilizer to be adjusted by the human patient or his doctor to enable the lower limb to have a controlled movement during recovery.
  • Figure 1 is a perspective view of the tool to control the movement of the joints at a lower limb according to the preferred embodiments of the present invention.
  • Figure 2 is view of the assembly of the tool at the lower limb.
  • Figure 3 is the frontal view of the assembly of the tool at the lower limb.
  • Figure 4 is the bottom of the tool as illustrated in Figure 1.
  • Figure 5 is a perspective view of a hinge.
  • Figure 6 is a perspective view of a fixator.
  • Figure 7 is a perspective view of the arm and protrusions.
  • Figure 8 is a perspective view of a control means.
  • Figure 9 is a perspective view of U-shaped device.
  • Figure 10 is a perspective view of foot plate stabilizer.
  • Figure 11 is a perspective view of yet another control means.
  • Figure 12 is a perspective view of (27).
  • Figure 13 is a perspective view of the tool which is similar to Figure 1.
  • Figure 14 is a left perspective view of the tool where it is attached to a human patient’s lower limb.
  • Figure 15 is a front perspective view when it is attached to a human patient’s lower limb.
  • Figure 16 is a side view of the tool when it is not fixed human patient’s lower limb.
  • Figure 17 is front view of the tool when it is attached to a human patient’s lower limb.
  • the present invention enables the healing of soft and bony tissues whilst at the same time providing stability to the affected bones at the joints. More specifically, present invention allows a small degree of active mobilization that can reduce the incidence of joint stiffness secondary to prolonged immobilization.
  • the present tool (10) functions to control movement of joints at a lower limb of a patient.
  • the tool includes an external fixation device couplable to tibia bone of the patient wherein the device includes at least one substantially U-shaped device (12) that is removably connected to the tibia and to an arm (14), the arm allows a connecting means to be invasively connected to an ankle of the patient and a foot plate stabilizer (16) that is removably attached to the arm (14) whereby the arm is provided with locking mechanism to enable the tool (10), a fixator (22) that is removably connected either to the calcaneum or cuboid and to the forth and second metatarsal, and the foot plate stabilizer (16) to be adjusted by the patient or his doctor to enable the lower limb to have a controlled movement during recovery.
  • the U-shaped device (12) can be position at different locations as the arm is provided with multiple protrusions (18] located along the front axis of the arm (14].
  • a connection (27] is attached
  • the locking mechanism includes a hinge (20] that is movable between positions along the fixator (22] that is placed horizontally of the hinge (20] whereby movement of the hinge (20] along the fixator (22] controls degrees of movement of the foot plate stabilizer.
  • the patient will be able to adjust the degree of movement of the foot plate stabilizer depending on the stage of his recovery.
  • the locking mechanism allows the foot plate stabilizer (16] to move dorsiflexion and plantarflexion.
  • the foot plate stabilizer (16] has a control means (24] that moves horizontally at rear end of the foot plate stabilizer to enable the human patient to adjust the foot plate stabilizer to fit the size of the patient’s foot.
  • the foot plate stabilizer (16] has yet another control means (26] that moves vertically at front end of the foot plate stabilizer (16] to enable the patient to adjust the foot plate stabilizer (16] to position the patient's toes at a more comfortable position.
  • the tool is made of medical grade aluminium, stainless steel, titanium, and carbon. These materials reduce the weight beared by the patient as well as reduces the risk of postoperative infections.

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Medical Informatics (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
  • Surgical Instruments (AREA)

Abstract

The present invention relates to a tool (10) that controls the movement of joints in the lower limb of a human patient. In the present invention, the tool comprises of an external fixation device couplable to the tibial bone of the human patient wherein the device includes at least one substantially U-shaped device (12) that is removably connected to the tibia and to an arm (14). The arm (14) allows a connecting means to be invasively connected to an ankle of the human patient and a foot plate stabilizer (16). A fixator (22) is removably connected either to the calcaneum or cuboid and to the forth and second metatarsal. The foot plate stabilizer (16) is removably attached to the arm (14) whereby the arm is provided with locking mechanism to enable the device (10) and the foot plate stabilizer (16) to be adjusted by the human patient or his doctor to enable the lower limb to have a controlled movement during recovery.

Description

EXTERNAL FIXATION TOOL
FIELD OF INVENTION
The present invention relates to an external fixation tool designed for the usage in the treatment of lower limb injuries such as open wound or fractures.
BACKGROUND OF INVENTION
The human foot is a biomechanically complex structure containing 26 bones which consists of the talus, the calcaneus which forms the heel, the medial, intermediate, and lateral bones which forms the middle of the foot (cuneiform, cuboid, and navicular bones), the metatarsals, and the phalanges. The ankle consists of the tibia, the fibula, and the talus.
One of the major drawback of the many external fixation devices, such the external ring fixation, is that often for a prolonged period of time, the patient is immobilized due to the multiple components that makes up the frame of the fixation such as the supporting rods, pins, and clamps.
Another drawback to the existing external fixation systems is that the patients have restricted movements and inadequately provides the need for the patient to use the affected joint as close to normal as possible. Although immobilization and restricted movements is necessary to permit bone regrowth but in prolonged period of time, it will cause joint stiffness or fusion and may cause post-recovery complications.
In addition, many of these external fixation systems requires the doctor or a medical professional to remove the existing device that was inserted during surgery and to be replaced by an external system as the patient enters the recovery stage. Furthermore, the patients who are still in the recovery process are required to be physically present to allow the doctor or the medical professional to make adjustments to the external fixation system to suit the recovery stage of the patient. This would require multiple consultations with the doctor or the medical professional and may prolong the recovery period of the patient. Even though there are various external fixation system that is made available, there is still a need for an external fixation tool that is easily adjustable by the patient themselves according to his medical requirements and to enable slight movement of the lower limb throughout the recovery process. The external fixation tool in the present invention permits a slight movement, dorsiflexion (flex upwards) or plantarflexion (flex downwards), to the joint during the recovery process. This prevents joint stiffness and allows for the flexibility of the joint to be preserved. The external fixation tool in the present invention is suitable to be used in all types of lower limb injuries from moderate to severe injuries such as open or closed fractures, comminuted fractures, or diabetic related wounds.
SUMMARY OF INVENTION
Accordingly, the present invention provides a tool to control movement of joints at a lower limb of a human patient, the tool includes an external fixation device couplable to tibia bone of the human patient wherein the tool includes at least one substantially U-shaped device that is removably connected to the tibia and to an arm, the arm allows a connecting means to be invasively connected to an ankle of the human patient and a foot plate stabilizer that is removably attached to the arm whereby the arm is provided with locking mechanism to enable the device, the fixator that is removably connected either to the calcaneum or cuboid and to the forth and second metatarsal, and the foot plate stabilizer to be adjusted by the human patient or his doctor to enable the lower limb to have a controlled movement during recovery.
BRIEF DESCRIPTION OF THE DRAWINGS
Figure 1 is a perspective view of the tool to control the movement of the joints at a lower limb according to the preferred embodiments of the present invention.
Figure 2 is view of the assembly of the tool at the lower limb.
Figure 3 is the frontal view of the assembly of the tool at the lower limb.
Figure 4 is the bottom of the tool as illustrated in Figure 1.
Figure 5 is a perspective view of a hinge.
Figure 6 is a perspective view of a fixator.
Figure 7 is a perspective view of the arm and protrusions.
Figure 8 is a perspective view of a control means.
Figure 9 is a perspective view of U-shaped device.
Figure 10 is a perspective view of foot plate stabilizer. Figure 11 is a perspective view of yet another control means.
Figure 12 is a perspective view of (27).
Figure 13 is a perspective view of the tool which is similar to Figure 1.
Figure 14 is a left perspective view of the tool where it is attached to a human patient’s lower limb.
Figure 15 is a front perspective view when it is attached to a human patient’s lower limb.
Figure 16 is a side view of the tool when it is not fixed human patient’s lower limb. Figure 17 is front view of the tool when it is attached to a human patient’s lower limb.
DETAILED DESCRIPTION OF THE PREFERED EMBODIMENTS
The present invention enables the healing of soft and bony tissues whilst at the same time providing stability to the affected bones at the joints. More specifically, present invention allows a small degree of active mobilization that can reduce the incidence of joint stiffness secondary to prolonged immobilization.
The details of the present invention may now be described in relation to the accompanying Figures 1 to 17.
The present tool (10) functions to control movement of joints at a lower limb of a patient. The tool includes an external fixation device couplable to tibia bone of the patient wherein the device includes at least one substantially U-shaped device (12) that is removably connected to the tibia and to an arm (14), the arm allows a connecting means to be invasively connected to an ankle of the patient and a foot plate stabilizer (16) that is removably attached to the arm (14) whereby the arm is provided with locking mechanism to enable the tool (10), a fixator (22) that is removably connected either to the calcaneum or cuboid and to the forth and second metatarsal, and the foot plate stabilizer (16) to be adjusted by the patient or his doctor to enable the lower limb to have a controlled movement during recovery. The U-shaped device (12) can be position at different locations as the arm is provided with multiple protrusions (18] located along the front axis of the arm (14]. A connection (27] is attached to the bottom foot plate stabiliser (16].
The locking mechanism includes a hinge (20] that is movable between positions along the fixator (22] that is placed horizontally of the hinge (20] whereby movement of the hinge (20] along the fixator (22] controls degrees of movement of the foot plate stabilizer. The patient will be able to adjust the degree of movement of the foot plate stabilizer depending on the stage of his recovery. The locking mechanism allows the foot plate stabilizer (16] to move dorsiflexion and plantarflexion.
The foot plate stabilizer (16] has a control means (24] that moves horizontally at rear end of the foot plate stabilizer to enable the human patient to adjust the foot plate stabilizer to fit the size of the patient’s foot. The foot plate stabilizer (16] has yet another control means (26] that moves vertically at front end of the foot plate stabilizer (16] to enable the patient to adjust the foot plate stabilizer (16] to position the patient's toes at a more comfortable position.
The tool is made of medical grade aluminium, stainless steel, titanium, and carbon. These materials reduce the weight beared by the patient as well as reduces the risk of postoperative infections.

Claims

1. A tool (10) to control movement of joints at a lower limb of a human patient, the tool includes an external fixation device couplable to tibia bone of the human patient wherein the device includes at least one substantially U-shaped device (12) that is removably connected to the tibia and to an arm (14), the arm allows a connecting means to be invasively connected to an ankle of the human patient and a foot plate stabilizer (16) that is removably attached to the arm (14) whereby the arm is provided with locking mechanism to enable the tool (10), a fixator (22) that is removably connected either to the calcaneum or cuboid and to the forth and second metatarsal, and the foot plate stabilizer (16) to be adjusted by the human patient or his doctor to enable the lower limb to have a controlled movement during recovery.
2. The tool of Claim 1, wherein the U-shaped device (12) can be position at different locations as the arm is provided with multiple protrusions (18) located along the front axis of the arm (14).
3. The tool of Claim 1, wherein the locking mechanism includes a hinge (20) that is movable between positions along the fixator (22) that is placed horizontally of the hinge (20) whereby movement of hinge (20) along the fixator (22) controls degrees of movement of the foot plate stabilizer.
4. The tool of any one Claims 1 to 3, wherein the foot plate stabilizer (16) movable dorsiflexion and plantarflexion. 5. The tool of any one Claims 1 to 4, wherein the foot plate stabilizer (16) has a control means
(24) that moves horizontally at rear end of the foot plate stabilizer (16) to enable the human patient to adjust the foot plate stabilizer (16) to fit the human patient’s foot.
6. The tool of any one Claims 1 to 4, wherein the foot plate stabilizer (16) has yet another control means (26) that moves vertically at front end of the foot plate stabilizer (16) to enable the human patient to adjust the foot plate stabilizer (16) to position his toes at a comfortable position.
7. The tool of Claim 1, wherein the tool is made of medical grade aluminium, stainless steel, titanium, and carbon.
PCT/MY2019/000035 2018-08-14 2019-08-14 External fixation tool WO2020036480A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
MYPI2018702862A MY190275A (en) 2018-08-14 2018-08-14 External fixation tool
MYPI2018702862 2018-08-14

Publications (1)

Publication Number Publication Date
WO2020036480A1 true WO2020036480A1 (en) 2020-02-20

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Application Number Title Priority Date Filing Date
PCT/MY2019/000035 WO2020036480A1 (en) 2018-08-14 2019-08-14 External fixation tool

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WO (1) WO2020036480A1 (en)

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4538595A (en) * 1984-02-21 1985-09-03 Hajianpour Muhamad A Passive exercising device
US5014690A (en) * 1990-02-22 1991-05-14 Hepburn George R Adjustable splint
US5078128A (en) * 1990-06-27 1992-01-07 Royce Medical Company Removable leg walker
US20120143112A1 (en) * 2009-09-25 2012-06-07 Hashimoto Artificial Limb Manufacture Corporation Lower-limb joint orthosis and control method therefor
US20160250060A1 (en) * 2011-02-14 2016-09-01 Bonutti Research, Inc. Ankle foot orthosis

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4538595A (en) * 1984-02-21 1985-09-03 Hajianpour Muhamad A Passive exercising device
US5014690A (en) * 1990-02-22 1991-05-14 Hepburn George R Adjustable splint
US5078128A (en) * 1990-06-27 1992-01-07 Royce Medical Company Removable leg walker
US20120143112A1 (en) * 2009-09-25 2012-06-07 Hashimoto Artificial Limb Manufacture Corporation Lower-limb joint orthosis and control method therefor
US20160250060A1 (en) * 2011-02-14 2016-09-01 Bonutti Research, Inc. Ankle foot orthosis

Also Published As

Publication number Publication date
MY190275A (en) 2022-04-12

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