Cruciate ligament leg brace

• US 4,953,543 A
• Filed: 08/09/1988
• Issued: 09/04/1990
• Est. Priority Date: 08/09/1988
• Status: Expired due to Term

• Current Assignee: Ossur hf
• Original Assignee: Royce Medical Company (Ossur hf)
• Inventors: Haines, Jeffrey R., Grim, Tracy E.
• Primary Examiner(s): Hafer, Robert A.
• Assistant Examiner(s): ROONEY, KEVIN
• Application Number:
  US07/230,445
• Time in Patent Office: 756 Days
• Field of Search: 128/80 R, 128/80 B, 128/80 C, 128/80 F, 128/DIG. 20, 2/22, 623/27
• US Class Current: 602/16
• CPC Class Codes: A61F 5/0125 the device articulating around a single pivot-point

Abstract

A leg brace for alleviating problems with torn or damaged anterior or posterior cruciate ligaments includes an upper assembly oriented longitudinally with and extending circumferentially around the thigh, a lower assembly oriented longitudinally with and extending circumferentially around the calf, and hinge assemblies connecting the upper and lower assemblies and with axes oriented along the axis of rotation of the knee joint. Two pairs of elongate support struts are provided with one pair extending along the medial and lateral portions of the thigh and the other extending along the medial and lateral portions of the calf and with the central ends of both pairs of struts connected to the hinge assemblies. Straps are provided with the upper and lower assemblies and which extend circumferentially around the thigh and calf respectively for securing the leg brace to the wearer'"'"'s leg. Padding is provided with the upper and lower assemblies and which extend circumferentially around the thigh and calf respectively. On the lower assembly, separate anterior and posterior cruciate ligament support plate assemblies are provided for applying independently variable posteriorly and anteriorly directed forces against the tibia. Each support plate assembly is independently attached to the lower assembly'"'"'s pair of elongate support struts and may be independently vertically adjusted through vertical slots in the support struts to accommodate different leg sizes. A support collar may be utilized to grip the wearer'"'"'s leg just above the ankle and thereby prevent downward slippage or pistoning of the leg brace during use.

Claims

1. A lightweight, easily removable leg brace for alleviating problems with torn or weakened anterior or posterior cruciate ligaments which comprises:

an upper assembly oriented generally longitudinally along the thigh comprising;

(a) padding extending circumferentially around the wearer'"'"'s thigh;

(b) a first pair of elongate support struts extending along opposite sides of the thigh;

(c) means for affixing the upper ends of said first pair of support struts to said thigh padding; and

(d) a plurality of adjustable straps extending circumferentially around said thigh padding and attached to said padding,

a pair of hinge assemblies on opposite sides of the knee joint and respectively connected with the lower ends of said first pair of support struts;

a lower assembly oriented generally longitudinally along the tibia and the calf comprising;

(a) padding extending circumferentially around the wearer'"'"'s calf;

(b) a second pair of elongate support struts extending along opposite sides of the calf and with their upper ends respectively connected to said hinge assemblies;

(c) means for affixing the lower ends of said second pair of support struts to said calf padding;

(d) a plurality of adjustable straps extending circumferentially around said calf padding and attached to said padding;

(e) posterior cruciate ligament support means for providing adjustable anteriorly directed force to the posterior of the calf, said posterior support means being affixed to said second pair of support struts;

(f) anterior cruciate ligament support means for providing adjustable posteriorly directed force to the anterior of the tibia adjacent the knee, said anterior support means being affixed to said second pair of support struts; and

(g) means for independently vertically adjusting each of said posterior and anterior cruciate ligament support means, whereby said leg brace may be adjusted for use on legs of any size and for use with persons having injured anterior or posterior cruciate ligaments, or both.

2. A leg brace as defined in claim 1 wherein said means for affixing the upper ends of said first pair of support struts to said thigh padding and said means for affixing the lower ends of said second pair of support struts to said calf padding each include means for selectively varying the effective length of said first and second pairs of support struts thereby providing a leg brace suitable for use on all size legs.

3. A leg brace as defined in claim 1 wherein said lower assembly includes adjustable collar means at its lower end for circumferentially gripping the wearer'"'"'s leg just above the ankle thereby preventing downward slippage of the leg brace during use.

4. A leg brace as defined in claim 1 wherein said hinge assemblies comprise single axis hinges having variable ranges of motion.

5. A leg brace as defined in claim 1 wherein each of said ligament support means extend substantially horizontally and constitute means for providing unidirectional force.

20. A leg brace as defined in claim 1 wherein each of said ligament support means is positioned in the proximal third of the tibia.

24. A leg brace as claimed in claim 1 wherein:

said posterior cruciate ligament support means is affixed to said second pair of elongate support struts by an adjustable strap assembly extending generally between said second pair of elongate support struts and across the posterior portion of the upper calf; and

said interior cruciate ligament support means is affixed to said second pair of elongate support struts by an adjustable strap assembly extending generally between said second pair of elongate support struts and across the anterior portion of the upper calf.

6. A lightweight, easily removable leg brace for alleviating problems with torn or weakened anterior or posterior cruciate ligaments which comprises:

an upper assembly oriented generally longitudinally along the thigh comprising;

(a) padding extending circumferentially around the wearer'"'"'s thigh, said padding being adjustable to accommodate thighs of varying circumference;

(b) a pair of upper assembly strut plates affixed respectively to the lateral and medial sides of said thigh padding;

(c) a first pair of elongate support struts extending respectively along the lateral and medial sides of said thigh padding and having their upper ends affixed respectively to said upper assembly strut plates;

(d) a plurality of adjustable straps partially affixed to and extending circumferentially around said thigh padding and adapted to circumferentially grip the wearer'"'"'s thigh;

a pair of hinge assemblies positioned on opposite sides of the knee joint with their axes of rotation roughly coinciding with the axis of rotation of the knee joint and being respectively connected with the lower ends of said first pair of support struts;

a lower assembly oriented generally longitudinally along the calf comprising;

(a) padding extending circumferentially around the wearer'"'"'s calf, said padding being adjustable to accommodate calfs of varying circumference;

(b) a pair of lower assembly strut plates affixed respectively to the lateral and medial sides of said calf padding;

(c) a second pair of elongate support struts extending respectively along the lateral and medial sides of said calf padding and having their upper ends connected with said pair of hinge assembles and their lower ends affixed to said lower assembly strut plates;

(d) a plurality of adjustable straps partially affixed to and extending circumferentially around said calf padding and adapted to circumferentially grip the wearer'"'"'s thigh;

(e) an adjustable anti-pistoning support collar affixed to the lower end of said lower assembly and adapted to circumferentially grip the wearer'"'"'s leg just above the ankle thereby preventing downward slippage of the leg brace during use;

(f) a posterior cruciate ligament support assembly extending along the posterior of said calf padding and adapted to provide variable amounts of anteriorly directed force to the posterior of the calf, said posterior cruciate ligament support assembly being adjustably affixed to said second pair of elongate support struts;

(g) an anterior cruciate ligament support assembly extending along the anterior of said calf padding to provide variable amounts of posteriorly directed force to the anterior of the lower leg and adjacent the knee, said anterior cruciate ligament support assembly being adjustably affixed to said second pair of elongate support struts; and

vertical positioning of each of said posterior and anterior support assemblies, whereby the area of application of said variable posteriorly and anteriorly directed forces may be varied to accommodate legs of any size.

7. a knee brace comprising:

an upper pair of struts;

a lower pair of struts;

means for mounting said upper pair of struts on the inner and outer sides of the thigh;

means for mounting said lower pair of struts on the inner and outer sides of the lower leg;

means for pivotally connecting said upper and lower pairs of struts to simulate functional knee movement;

means for applying adjustable rearwardly directed force to the front of the tibia immediately adjacent the knee to restrict forward subluxation of the tibia relative to the femur;

means for mounting said rearwardly directed force applying means on, and vertically adjusting the position of said force applying means with respect to said lower pair of struts;

means for applying adjustable forwardly directed force to the rear of the lower leg near the upper portion of the calf to restrict rearward subluxation of the tibia relative to the femur;

means for mounting and vertically adjusting said means for applying forwardly directed force with respect to said lower pair of struts; and

said means for applying rearwardly directed force being independent from said means for applying forwardly directed force to the tibia.

8. A knee brace as defined in claim 7 further comprising anti-pistoning means for preventing downward displacement of said knee brace, including means for resiliently engaging the ankle of a user and mechanically supporting said brace.

9. A knee brace as defined in claim 8 wherein said means for resiliently engaging the ankle includes at least one inflatable bladder.

10. A knee brace as defined in claim 8 wherein said means for resiliently engaging the ankle includes inflatable means for encompassing the ankle.

11. A knee brace as defined in claim 9 including adjustable strap means for holding said inflatable bladder against the ankle.

12. A knee brace as defined in claim 7 wherein said force applying means includes a padded plate and adjustable strap means for securing said plate to said lower pair of struts.

13. A knee brace as defined in claim 8 further comprising padded means for engaging the upper and lower leg and means for securing said struts to said padded means.

21. A leg brace as defined in claim 7 wherein each of said force applying means is positioned in the proximal third of the tibia.

23. A leg brace as defined in claim 7 wherein:

said means for mounting said rearwardly directed force applying means includes an adjustable strap assembly extending generally from said inner lower strut to said outer lower strut and only across the anterior portion of the calf; and

said means for mounting said forwardly directed force applying means includes an adjustable strap assembly extending generally from said inner lower strut to said outer lower strut and only across the posterior portion of the calf.

25. A leg brace as claimed in claim 8 wherein:

said means for mounting said rearwardly directed force applying means includes an adjustable strap assembly extending generally from said inner lower strut to said outer lower strut and across the anterior portion of the calf; and

said means for mounting said forwardly directed force applying means includes an adjustable strap assembly extending generally from said inner lower strut to said outer lower strut and across the posterior portion of the calf.

26. A leg brace as claimed in claim 25 further comprising padded means for circumferentially engaging the upper and lower leg and means for securing said upper and lower struts to said padded means.

14. A knee brace comprising:

an upper pair of struts;

a lower pair of struts;

means for mounting said upper pair of struts on the inner and outer sides of the thigh;

means for mounting said lower pair of struts on the inner and outer sides of the lower leg;

means for pivotally connecting said upper and lower pairs of struts to simulate limited normal knee movement;

means for applying force to the tibia adjacent the knee to restrict subluxation of the tibia relative to the femur; and

anti-pistoning means for preventing downward displacement of said knee brace, including means for resiliently engaging the ankle of a user immediately above the ankle bone protruberance, and mechanically supporting said brace.

15. A knee brace as defined in claim 14 wherein said means for resiliently engaging the ankle includes at least one inflatable bladder.

16. A knee brace as defined in claim 14 wherein said means for resiliently engaging the ankle includes inflatable means for encompassing the ankle.

17. A knee brace as defined in claim 15 including adjustable strap means for holding said inflatable bladder against the ankle.

18. a knee brace comprising:

an upper pair of struts;

a lower pair of struts;

means for mounting said upper pair of struts on the inner and outer sides of the thigh;

means for mounting said lower pair of struts on the inner and outer sides of the lower leg;

means for pivotally connecting said upper and lower pairs of struts to simulate functional knee movement;

means for applying adjustable unidirectional force to the tibia adjacent the knee to restrict subluxation of the tibia relative the femur;

means for mounting said force applying means on said lower pair of struts;

means for vertically adjusting said force applying means;

means for applying said adjustable unidirectional force substantially only to the front of said tibia; and

means for applying said adjustable unidirectional force substantially only to the upper part of the calf at the rear of the lower leg.

19. A knee brace as defined in claim 18 further comprising anti-pistoning means for preventing downward displacement of said knee brace, including means for resiliently engaging the ankle of a user and mechanically supporting said brace.

22. A leg brace as defined in claim 18 wherein said means for applying adjustable unidirectional force to the tibia is positioned in the proximal half of the tibia.

27. A knee brace comprising:

an upper pair of struts;

a lower pair of struts;

means for mounting said upper pair of struts on the inner and outer sides of the thigh;

means for mounting said lower pair of struts on the inner and outer sides of the lower leg;

means for pivotally connecting said upper and lower pairs of struts to simulate limited normal knee movement;

means for applying adjustable rearwardly directed force to the front of the tibia immediately adjacent the knee to restrict forward subluxation of the tibia relative to the femur;

means for mounting said rearwardly directed force applying means on said lower pair of struts, said rearwardly directed force applying means extending only around the front of the tibia between said inner and outer lower struts;

means for applying adjustable forwardly directed force to the rear of the lower leg at the upper portion of the calf to restrict rearward subluxation of the tibia relative to the femur; and

means for mounting said means for applying forwardly directed force on said lower pair of struts, said means for applying forwardly directed force extending only around the rear of the calf between said inner and outer lower struts.