JPH0739559A - Outfit for hallux valgus - Google Patents
Outfit for hallux valgusInfo
- Publication number
- JPH0739559A JPH0739559A JP5207141A JP20714193A JPH0739559A JP H0739559 A JPH0739559 A JP H0739559A JP 5207141 A JP5207141 A JP 5207141A JP 20714193 A JP20714193 A JP 20714193A JP H0739559 A JPH0739559 A JP H0739559A
- Authority
- JP
- Japan
- Prior art keywords
- toe
- belt
- foot
- hallux
- cover
- Prior art date
- Legal status (The legal status 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 status listed.)
- Granted
Links
- 206010061159 Foot deformity Diseases 0.000 title claims abstract description 24
- 208000001963 Hallux Valgus Diseases 0.000 title claims abstract description 24
- 210000002683 foot Anatomy 0.000 claims abstract description 36
- 210000001255 hallux Anatomy 0.000 claims abstract description 17
- 210000003371 toe Anatomy 0.000 claims description 41
- 210000001872 metatarsal bone Anatomy 0.000 claims description 23
- 210000000988 bone and bone Anatomy 0.000 claims description 7
- 230000003014 reinforcing effect Effects 0.000 claims description 7
- 239000004744 fabric Substances 0.000 claims description 5
- 238000012937 correction Methods 0.000 abstract description 7
- 230000000694 effects Effects 0.000 abstract description 6
- 210000003789 metatarsus Anatomy 0.000 abstract description 3
- 238000005452 bending Methods 0.000 abstract description 2
- 239000000463 material Substances 0.000 description 8
- 241001227561 Valgus Species 0.000 description 6
- 238000000034 method Methods 0.000 description 5
- 230000035876 healing Effects 0.000 description 4
- 238000001356 surgical procedure Methods 0.000 description 4
- 230000005856 abnormality Effects 0.000 description 3
- 210000001906 first metatarsal bone Anatomy 0.000 description 3
- 238000004519 manufacturing process Methods 0.000 description 3
- 210000000453 second toe Anatomy 0.000 description 3
- 208000024891 symptom Diseases 0.000 description 3
- 206010006585 Bunion Diseases 0.000 description 2
- 230000033001 locomotion Effects 0.000 description 2
- 239000002184 metal Substances 0.000 description 2
- 238000003825 pressing Methods 0.000 description 2
- 230000035900 sweating Effects 0.000 description 2
- 210000001171 synovial bursa Anatomy 0.000 description 2
- 238000002560 therapeutic procedure Methods 0.000 description 2
- 206010006811 Bursitis Diseases 0.000 description 1
- 208000032170 Congenital Abnormalities Diseases 0.000 description 1
- 206010010356 Congenital anomaly Diseases 0.000 description 1
- 206010011985 Decubitus ulcer Diseases 0.000 description 1
- 208000004067 Flatfoot Diseases 0.000 description 1
- 206010020649 Hyperkeratosis Diseases 0.000 description 1
- 208000005137 Joint instability Diseases 0.000 description 1
- 206010070874 Joint laxity Diseases 0.000 description 1
- 206010031252 Osteomyelitis Diseases 0.000 description 1
- 208000004210 Pressure Ulcer Diseases 0.000 description 1
- 241000469816 Varus Species 0.000 description 1
- 238000002266 amputation Methods 0.000 description 1
- 238000011882 arthroplasty Methods 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 235000019658 bitter taste Nutrition 0.000 description 1
- 230000010485 coping Effects 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 238000009826 distribution Methods 0.000 description 1
- 210000000610 foot bone Anatomy 0.000 description 1
- 239000007943 implant Substances 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 210000003041 ligament Anatomy 0.000 description 1
- 230000007774 longterm Effects 0.000 description 1
- 210000000878 metatarsophalangeal joint Anatomy 0.000 description 1
- 210000000452 mid-foot Anatomy 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 238000011017 operating method Methods 0.000 description 1
- 229920003023 plastic Polymers 0.000 description 1
- 239000004033 plastic Substances 0.000 description 1
- 238000011160 research Methods 0.000 description 1
- 230000008961 swelling Effects 0.000 description 1
- 210000004341 tarsal joint Anatomy 0.000 description 1
- 210000002435 tendon Anatomy 0.000 description 1
- 239000004753 textile Substances 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 238000012546 transfer Methods 0.000 description 1
Landscapes
- Orthopedics, Nursing, And Contraception (AREA)
Abstract
Description
【０００１】[0001]
【産業上の利用分野】本発明は、外反母趾を保存的に矯
正する際に使用する軟性装具の構造に関するものであ
る。BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a structure of a flexible orthosis used for conservatively correcting hallux valgus.
【０００２】[0002]
【従来の技術】そもそも「外反母趾」とは、母趾が第II
趾の方に屈曲している状態とそうした病症を指すもので
原因は、かつては不適当な靴（ことに先端の尖った靴）
のためとされてきた。しかし現在では、不適当な靴は変
形や症状を増悪させる重要な因子ではあっても、それが
第一義的な原因ではないとされている。素因として、第
１中足骨頭の膨大、第１中足足根関節の異常、母趾外転
筋・内転筋の異常、第１中足骨頭と種子骨の関節面の異
常、第２中足骨に比し第１中足骨の長大、靭帯の弛緩な
どが挙げられる。いずれにせよ第１中足骨は過度に内反
し、中足指節関節で外反し、母趾は外反のほか他の４趾
に対して強く捻転位をとり、対向位にみえるものが少な
くない。変形が著明なものは第１中足骨骨頭内側が大き
くなり、しばしばその部の滑液包や仮骨の形成をみるた
め、突出部はさらに大きくなる。この骨突出部と滑液包
をあわせて俗に「バニオン」という。靴のため同部が圧
迫摩擦され、褥創や滑液包炎を来し、ときには同部の限
局性骨膜骨髄炎を起こすこともある。2. Description of the Related Art In the first place, the hallux valgus is the second toe.
It refers to the condition of bending to the toes and such diseases, and the cause is once unsuitable shoes (particularly pointed shoes).
It has been for the sake of. However, it is now said that inappropriate shoes are not the primary cause, even though they are important factors that exacerbate deformation and symptoms. Predisposing factors include swelling of the first metatarsal head, abnormalities of the first metatarsal tarsal joint, abnormalities of the toe adductor and adductor muscles, abnormalities of the articular surfaces of the first metatarsal head and seed bone, the second intermediate The first metatarsal bone is longer than the foot bone and the ligament is relaxed. In any case, the first metatarsus is excessively varus and valgus at the metatarsophalangeal joint, and the hallux valgus has a strong screw dislocation relative to valgus and the other four toes, and few can be seen in the opposite position. Absent. In the case of marked deformation, the inside of the head of the first metatarsal bone becomes large, and the formation of synovial bursa or callus at that portion is often observed, so that the protruding portion becomes larger. The bone protrusion and the synovial bursa are commonly referred to as "bunions". The shoe is rubbed against the area due to pressure, resulting in pressure sores and bursitis, sometimes causing localized periosteal osteomyelitis in the area.
【０００３】これに対して、我が国に比してその症例の
多い欧米においては、極めて多種の手術法が発表されて
おりその術式は数十（第１中足骨骨頭部分を切除する比
較的簡単なもの、骨切り術と腱移行術を組み合わせたも
の、さらに最近ではimplantによる関節形成術、等）に
及ぶが、このように幾多の術式があるということは、確
実に優れた結果が得られる方法がないということでもあ
る。また、先天的な関節弛緩性や筋神経疾患を伴う外反
母趾に対する外科手術は50％以上の再発率があるとされ
ているので、こうした場合であると手術は避けるべきで
あることになる。（勿論、変形の高度のもの、例えば外
反した母趾の上に槌状となった他の足指が重なり合うよ
うな場合には手術が適応となる）加えて、第１中足骨の
骨切り術を要するほど高度の変形は少なく、従って手術
も発達していない我が国では、保存的治療がほとんど唯
一の対処方法であると言える。On the other hand, in Europe and the United States, where the number of cases is greater than in Japan, an extremely wide variety of surgical methods have been announced, and the operating method is several tens (relative to removing the first metatarsal bone head part). Simple, combined osteotomy and tendon transfer, and more recently implant arthroplasty, etc.). It also means that there is no way to get it. Moreover, it is said that surgery for valgus hallux with congenital joint laxity and myoneuropathy has a recurrence rate of 50% or more, and in such cases, surgery should be avoided. (Of course, if it has a high degree of deformation, for example, if there is another mallet-shaped toe overlapping on the valgus toe, surgery is indicated.) In addition, the bone of the first metatarsal It can be said that conservative treatment is almost the only coping method in Japan, where the degree of deformity is so low that amputation is required and therefore surgery is not well developed.
【０００４】しかし、いわゆる装具療法においても従来
欠点が無かったわけではない。いうまでもなく足は、起
立・歩行の動作に際して大地との接点となる唯一の部位
であるので、装具についても本来的にはそうした動作を
妨げるものであってはならない。ところが、母趾の外反
位の矯正には母趾を第II趾側から押圧するか、母趾を逆
方向から引くかしかないが、そのどちらの場合であって
も日常動作、例えば靴や草履を履くとか、履いた上での
歩行、また、脱着を繰り返すとかいった中で効果的に行
なうことは困難であった。従って、例えば硬いものやか
さばりやすいもの、または取り扱いの煩雑なものは、例
え処方されても装用を敬遠されがちである。従って、製
造業者としては苦肉の策として、十分な効果は期待でき
ない「歩行用」装具と効果はあっても硬くてかさばり歩
行には耐えられない「夜間用」装具とに分けて製造し、
患者はそれらを選択的に使用するということで上述した
欠点を補うようにしていた。However, so-called orthotic therapy has not always been free of drawbacks. Needless to say, since the foot is the only part that comes into contact with the ground during standing and walking motions, the orthosis should not inherently interfere with such motions. However, to correct the hallux valgus of the toe, the only method is to press the toe from the second toe side or pull the toe from the opposite direction. It was difficult to effectively wear sandals, walk on them, and repeat wearing and removing. Therefore, for example, a hard material, a material that is easily bulky, or a material that is difficult to handle is apt to be avoided from wearing even if prescribed. Therefore, as a manufacturer's bitterness, it is divided into "walking" orthosis that can not be expected to have sufficient effect and "nighttime" orthosis that is effective but hard and bulky and can not withstand walking,
Patients have tried to compensate for the drawbacks mentioned above by using them selectively.
【０００５】[0005]
【発明が解決しようとする課題】しかしそのような方法
は、長期間の装用を必要とする装具療法にとっては、ま
ず取り替えが面倒であり実際には忌避されがちであるこ
と、金属その他硬い部材を使用する「夜間用」装具は症
状の治癒に応じてその形状を変えにくいものであるため
治癒までに何度か交換する必要があること、等々の欠点
を有するものであった。However, in such a method, for orthodontic therapy requiring long-term wearing, replacement is troublesome and is apt to be avoided in practice. The "nighttime" orthosis to be used has drawbacks such as that it is difficult to change its shape depending on the healing of the symptom, so that it needs to be replaced several times before healing.
【０００６】さらに「夜間用」装具は、大きさや症状に
よって患者個々の装具を一品製造することが特に金属等
を使用した装具にあっては常識であり、従ってその価格
は非常に高いものであった。よって、治癒効果が高く、
常時使用でき、軽量で足部とのなじみの良好な装具の出
現が長らく待たれていた。Further, it is common knowledge that the "nighttime" brace is made of a single brace for each patient depending on the size and symptoms, especially for brace made of metal, and the price is very high. It was Therefore, the healing effect is high,
The appearance of a brace that can be used at all times, is lightweight, and is well-suited to the feet has long been awaited.
【０００７】[0007]
【課題を解決するための手段】そこで本発明者は、上記
現状に鑑み鋭意研究の結果、治療効果が高く、装用に際
しての異物感が少なく、かつ安価で取り扱いが簡便な外
反母趾用の装具を開発したものであり、その特徴とする
ところは、外反母趾の保存療法に使用する装具であっ
て、母趾の指節骨から中足骨にかけた部分を内側から覆
うカバー部２と、該カバー部２の指節骨部分に一端が固
定され該母趾指節骨を周回して他端が該カバー部に係止
される母趾ベルト３と、該カバー部２に一端が固定され
母趾中足骨中央付近から足底足甲を周回して他端が該カ
バー部に係止される足ベルト４とにより構成され、該カ
バー部２は幾分の伸縮性がある柔軟な布状体であり、且
つ母趾指節骨から第IV趾あるいは第Ｖ趾の中足骨の上に
至る固定板２０が、該カバー部の足底側と足甲側とにそ
れぞれ設けられており、また該固定板２０は足底側と足
甲側共に、該母趾ベルト３及び足ベルト４の周回部分内
に至る長さである点にある。As a result of earnest research in view of the above-mentioned situation, the present inventor has developed a brace for hallux valgus that has a high therapeutic effect, less feeling of foreign matter when worn, and is inexpensive and easy to handle. A characteristic of the device is a brace used for conservative treatment of hallux valgus, including a cover part 2 for covering the part from the phalangeal bone of the toe to the metatarsal bone from the inside, and the cover part 2. A toe belt 3 whose one end is fixed to the phalangeal bone part and which circulates the phalangeal phalanx and whose other end is locked to the cover part, and a toe midfoot whose one end is fixed to the cover part 2. It is composed of a foot belt 4 that circulates around the instep of the sole from around the center of the bone and the other end is locked to the cover portion, and the cover portion 2 is a flexible cloth-like body having some elasticity. Also, the fixing plate 20 extending from the phalanx of the big toe to the metatarsal bone of the 4th or 5th toe, The fixing plate 20 is provided on each of the sole side and the instep side of the cover portion, and the fixing plate 20 extends to the inside of the lap portion of the toe belt 3 and the foot belt 4 on both the sole side and the instep side. There is a point.
【０００８】ここで「カバー部」とは、母趾の指節骨か
ら中足骨にかけた部分を内側から覆う部材であり、外反
母趾の変形箇所とその周辺を覆うものである。なお、こ
こでいう「内側」とは、体躯の中心側という意味であ
り、外反母趾装具の場合で言うと、両足を揃えた時の対
向部側を指す。Here, the "cover portion" is a member that covers the portion of the toe from the phalanx to the metatarsal bone, and covers the deformed portion of the hallux valgus and its periphery. The term "inner side" as used herein means the center side of the body, and in the case of hallux valgus orthosis, it refers to the facing portion side when both feet are aligned.
【０００９】カバー部には、少なくとも２本のベルトが
設けられており、このベルトによって本発明装具は足に
装着され、且つ矯正に要する力もこのベルトの締めつけ
力によって得られる。この２本のベルトが即ち、「母趾
ベルト」と「足ベルト」である。At least two belts are provided on the cover portion, and the orthosis of the present invention is attached to the foot by this belt, and the force required for correction is also obtained by the tightening force of the belts. These two belts are the "toe belt" and the "foot belt".
【００１０】「母趾ベルト」は、母趾指節骨を周回する
ベルトであり、一端がカバー部に固定されており、他端
は母趾指節骨を周回してカバー部に係止される。この係
止手段については特に限定するものではなく、ホックや
面ファスナー、ボタン、等々種々のものが採用可能であ
る。特に面ファスナーは、それ自体が布状体であるの
で、例えばカバー部の表面全面、及び母趾ベルトの一面
を雌側ファスナーとし、母趾ベルトの先端に雄側ファス
ナーを取着すると、どのように母趾ベルトを巻いても係
止できることになる。また、装着感も良いので本発明装
具に採用するについて、非常に好適なものであると言え
る。The "toe belt" is a belt that goes around the phalangeal phalange, one end of which is fixed to the cover part, and the other end circulates the phalangeal phalange and is locked to the cover part. It The locking means is not particularly limited, and various types such as hooks, surface fasteners, buttons, etc. can be adopted. In particular, since the surface fastener is itself a cloth-like body, for example, if the entire surface of the cover part and one surface of the toe belt are the female side fasteners and the male side fastener is attached to the tip of the toe belt, It can be locked even if the toe belt is wrapped around. In addition, it can be said that it is very suitable to be used in the orthosis of the present invention because it has a good wearing feeling.
【００１１】「足ベルト」は、母趾中足骨中央付近から
足底及び足甲を周回して該カバー部に係止されるもので
あり、これも母趾ベルトと同様、周回してカバー部又は
足ベルト自身に係止される。係止手段についても、該母
趾ベルトの場合と同様のことが言える。The "foot belt" is one that goes around the center of the metatarsal bone of the big toe and goes around the sole and the instep to be locked to the cover portion. This "foot belt" also goes around and covers like the big toe belt. It is locked to the part or the foot belt itself. The same applies to the locking means as in the case of the toe belt.
【００１２】この母趾ベルトと足ベルトによってカバー
部は足に固定されるわけであるが、外反母趾の矯正効果
を大きくするために、カバー部には「固定板」が設けら
れている。この固定板は、「幾分かの伸縮性のあるカバ
ー部」の伸びを規制するものであり、足底側と足甲側に
それぞれ一つずつ設けられている。そして各々、母趾指
節骨から第IV趾あるいは第Ｖ趾の中足骨の上に至る形と
なっている。材質は特に限定するものではなく、装用感
を損なわない範囲で硬質のものが良い。本発明者が試作
した範囲では硬質プラスチックは一般に好適であった。Although the cover portion is fixed to the foot by the toe belt and the foot belt, the cover portion is provided with a "fixing plate" in order to enhance the effect of correcting the hallux valgus. This fixing plate regulates the expansion of the "somewhat elastic cover part", and one fixing plate is provided on each of the sole side and the instep side. Each of them has a shape extending from the phalanx of the phalanx of the big toe to the metatarsal bone of the 4th or 5th toe. The material is not particularly limited, and a hard material is preferable as long as it does not impair the feeling of wearing. Hard plastics were generally suitable within the range of the trial production by the present inventors.
【００１３】装着方法は、カバー部中央を中足骨頭付近
に当てた状態で両端をそれぞれ外側に引っ張り、該カバ
ー部が中足骨頭を第II趾側に押圧する力を得た状態で母
趾ベルト及び足ベルトを固定するだけである。この時同
時に固定板の両端もこれら２本のベルトで固定されるの
で、中足骨頭を第II趾側に押圧する力は好適に維持され
ることになる。The mounting method is as follows: the center of the cover is placed near the metatarsal head and both ends are pulled outward, and the cover has a force to press the metatarsal head toward the second toe side. It just fixes the belt and the foot belt. At this time, since both ends of the fixing plate are also fixed by these two belts at the same time, the force for pressing the metatarsal head toward the IIth toe side is appropriately maintained.
【００１４】なお、外反母趾における足部の突出箇所で
ある第１中足骨頭の内側部分は、靴などを装用した時に
靴内面とこすれてしまうが故に、過敏になりやすく、ま
た実際に痛みの訴える箇所でもあるので、カバー部を多
層構造体として、伸縮性がやや小さく強靱な部分（即ち
補強布層）と、そうでない部分を重ねるようにし、該突
出箇所部分については、補強布層に孔を開けておくと良
い。すると、カバー部から受ける押圧力はこの部分では
小さくなるし、またこの部分は該補強布層の厚み分だけ
薄くなるので、上述した靴内面とこすれて痛くなるとい
ったこともなくなる。The inner part of the first metatarsal head, which is the protruding part of the foot in the hallux valgus, is liable to be irritable because it rubs against the inner surface of the shoe when the shoe is worn. Since it is also a part, a multilayer structure is used for the cover part, and a part having little elasticity and a toughness (that is, a reinforcing cloth layer) and a part not so are overlapped with each other. You should keep it open. Then, the pressing force received from the cover portion becomes small in this portion, and since this portion is thinned by the thickness of the reinforcing cloth layer, the above-mentioned inner surface of the shoe is not rubbed and hurt.
【００１５】[0015]
【実施例】以下、図面に示す実施例に基づいて本発明を
詳細に説明する。DESCRIPTION OF THE PREFERRED EMBODIMENTS The present invention will be described in detail below based on the embodiments shown in the drawings.
【００１６】図１は本発明に係る外反母趾装具１の一例
を示すものであり、図より明らかなように、概ね三角形
状のカバー部２と２本のベルトにより構成される軟性装
具である。このカバー部２は、幾分かの伸縮性を有する
布状体を主体とし、その左右端（装用時には足の上下に
くる）に固定板２０が設けられている。これはＰＶＣ製
であって足表面に沿う弾性は有しているが、カバー部２
を左右に引っ張った場合にその伸びを阻止しようとする
強さを持っている。また２本のベルトは、１本は該カバ
ー部２の底辺位置に該底辺に平行に取設されている足ベ
ルト３で、他はカバー部２の頂点（２つに分かれてい
る）位置に、該足ベルト３にほぼ平行に取設されている
母趾ベルト４である。FIG. 1 shows an example of a hallux valgus orthosis 1 according to the present invention. As is clear from the figure, it is a flexible orthosis comprising a substantially triangular cover portion 2 and two belts. The cover portion 2 is mainly composed of a cloth-like body having some stretchability, and fixing plates 20 are provided at its left and right ends (which are above and below the foot when worn). This is made of PVC and has elasticity along the surface of the foot, but the cover 2
It has the strength to try to prevent its extension when it is pulled to the left or right. Further, the two belts, one is a foot belt 3 installed in parallel with the bottom side of the cover portion 2, and the other is at the apex (divided into two) position of the cover portion 2. , The toe belt 4 installed substantially parallel to the foot belt 3.
【００１７】また、両ベルト３、４の先端には、それぞ
れ面ファスナー（雄側）５、６が設けられている。これ
らと対をなす側のファスナーは、独立した部材としては
存在しておらず、カバー部２の一面が面ファスナー（雄
側）５、６を係止する構造（いわゆる雌側の構造）とな
っている。更に、面ファスナー（雄側）５、６のみの係
止では強い矯正力を付与した場合に外れてしまうことも
考えられるので、カバー部２の一面〔面ファスナー（雄
側）５、６を係止する側と同一の面〕上に、面ファスナ
ー（雄側）７、８を付け、足ベルト３、母趾ベルト４の
裏面を面ファスナー雌側とし、全４か所で係止するよう
にしている。Further, surface fasteners (male side) 5 and 6 are provided at the tips of the belts 3 and 4, respectively. The fastener paired with these does not exist as an independent member, but has a structure in which one surface of the cover portion 2 locks the surface fasteners (male side) 5 and 6 (so-called female side structure). ing. Further, since it is possible that the surface fasteners (male side) 5 and 6 may be disengaged when a strong correction force is applied, one surface of the cover portion 2 [the surface fasteners (male side) 5 and 6 is engaged. The same surface as the side where it is stopped] is attached to the surface fasteners (male side) 7 and 8, and the back surfaces of the foot belt 3 and the toe belt 4 are used as the female surface fasteners and are locked at all four positions. ing.
【００１８】図２は、本発明装具１のカバー部２の構造
についての実施例の一つとしてカバー部２が、３層構造
となっている例を示したものである。即ち、足に直接接
触する側には伸縮性があり皮膚との適合性が良く発汗に
よるムレも少ない素材より成る織物層２１を、外側には
面ファスナー雌側素材層２３を配し、これらの間に、他
の２層に比して伸縮性が小さい補強層２２が設けられて
いる。この補強層２２は、中央部分に円孔２４が開けら
れており、本発明装具１を装用した際には母趾の突出部
分が嵌まり込むようになっている。FIG. 2 shows an example in which the cover portion 2 has a three-layer structure as one embodiment of the structure of the cover portion 2 of the device 1 of the present invention. That is, a fabric layer 21 made of a material having elasticity and good compatibility with the skin and less stuffiness caused by sweating is arranged on the side directly contacting the foot, and a surface fastener female side material layer 23 is arranged on the outer side. A reinforcing layer 22 having a smaller stretchability than the other two layers is provided therebetween. A circular hole 24 is formed in the center of the reinforcing layer 22, and the protruding portion of the toe is fitted when the orthosis 1 of the present invention is worn.
【００１９】図３（ａ）（ｂ）（ｃ）は、本発明に係る
外反母趾装具１の一つを実際に装着する様子を経時的に
示したものである。図は左足の母趾が外反している場合
のものであり、先ずカバー部２の半分近くが足底に来る
ように本発明装具１をあてがって〔同図（ａ）〕、母趾
ベルト４を母趾に周回させ固定する〔同図（ｂ）〕。こ
の母趾ベルト４の係止は大きな張力を要するものではな
く、確実に固定するだけでよい。FIGS. 3 (a), 3 (b) and 3 (c) show a state in which one of the hallux valgus orthosis 1 according to the present invention is actually worn over time. The figure shows the case where the big toe of the left foot is valgus, and first, the orthosis 1 of the present invention is applied so that nearly half of the cover portion 2 comes to the sole [the same figure (a)], and the big toe belt 4 Wrap around the toe and fix it [Fig. (B)]. The locking of the toe belt 4 does not require a large tension, and only needs to be securely fixed.
【００２０】次に、カバー部の下辺の長さを長くするよ
うな要領で、カバー部２の足底側と足ベルト３を引っ張
り、第１中足骨頭付近に圧力をかけた状態で足ベルト３
を固定する。この時かける圧力は、矯正力であるとも言
えるので、適宜判断するようにする。これで装着が完了
するわけであるが、作業は極めて簡単であり、また一旦
装着したものの張力を微調整するのも簡単である。Next, the foot belt and the foot belt 3 of the cover portion 2 are pulled in a manner to lengthen the lower side of the cover portion, and the foot belt is applied with pressure being applied near the first metatarsal head. Three
To fix. Since it can be said that the pressure applied at this time is the correction force, it should be appropriately judged. This completes the mounting, but the work is extremely simple, and it is also easy to finely adjust the tension of the product once mounted.
【００２１】また、一般に外反母趾は扁平足を伴ってい
ることが多く、仮にそうでない場合であっても中足骨の
縦アーチを支えるメタタルザルサポート（ふまず支え）
を付け加えた方が矯正効果が高いことが多いので、図４
の如く足底にふまず支え９を付けるようにしても良い。
その場合、ふまず支え９の取設位置の調整が容易なよう
に、これを別体とし、面ファスナーによって係止するよ
うにすると良い。[0021] In general, hallux valgus is often accompanied by flat feet, and even if it is not the case, metatarsal support that supports the longitudinal arch of the metatarsal bone.
Since the correction effect is often higher with the addition of
It is also possible to attach the brace support 9 to the sole as described above.
In that case, in order to facilitate adjustment of the installation position of the breeze support 9, it is preferable to make it a separate body and engage with a hook-and-loop fastener.
【００２２】[0022]
【発明の効果】以上詳細に説明したように本発明に係る
外反母趾装具は、外反母趾の保存療法に使用する装具で
あって、母趾の指節骨から中足骨にかけた部分を内側か
ら覆うカバー部２と、該カバー部２の指節骨部分に一端
が固定され該母趾指節骨を周回して他端が該カバー部に
係止される母趾ベルト３と、該カバー部２に一端が固定
され母趾中足骨中央付近から足底足甲を周回して他端が
該カバー部に係止される足ベルト４とにより構成され、
該カバー部２は幾分の伸縮性がある柔軟な布状体であ
り、且つ母趾指節骨から第IV趾あるいは第Ｖ趾の中足骨
の上に至る固定板２０が、該カバー部の足底側と足甲側
とにそれぞれ設けられており、また該固定板２０は足底
側と足甲側共に、該母趾ベルト３及び足ベルト４の周回
部分内に至る長さであることを特徴とするものであり、
以下述べる如き種々の効果を有する極めて高度な発明で
ある。 金属その他の硬くてかさばる部材の使用を必要とし
ないので、違和感の少ない装具となる。 基本的には伸縮性のあるベルトのみで構成されてい
るものであるので、発汗によるムレが少ない製品とし易
い。 足ベルトを固定した時にカバー部が引っ張られ、こ
の時母趾ベルトと足ベルトに両端を固定された固定板が
存在しているので、矯正効果が大きい。 個体差や治癒段階によって張力の大きさや矯正力の
配分が自由に変更できるので、一品製作せず大量生産が
可能であり、コストを抑えることができる。 装着や取り扱いが容易であり、長期間装用しても苦
にならない。As described above in detail, the bunion orthosis according to the present invention is a device used for the conservative treatment of hallux valgus, and is a cover for covering the part of the toe from the phalanx to the metatarsal bone from the inside. Part 2, a toe belt 3 having one end fixed to the phalangeal part of the cover part 2 and circling the phalangeal phalanx and the other end locked to the cover part; A foot belt 4 which is fixed at one end and goes around the plantar instep from the center of the metatarsal bone of the toe, and the other end is locked to the cover part,
The cover portion 2 is a flexible cloth-like body having some elasticity, and the fixing plate 20 extending from the phalanx of the big toe to the metatarsal bone of the IVth toe or the Vth toe is the cover portion 2. Are provided on the sole side and the instep side, respectively, and the fixing plate 20 has a length reaching the inside of the lap portion of the toe belt 3 and the foot belt 4 on both the sole side and the instep side. It is characterized by
It is an extremely advanced invention having various effects as described below. Since it is not necessary to use a metal or other hard and bulky member, the device has less discomfort. Basically, it is composed of only elastic belts, so it is easy to make a product with less stuffiness due to sweating. When the foot belt is fixed, the cover portion is pulled, and at this time, there are fixing plates whose both ends are fixed to the toe belt and the foot belt, so that the correction effect is great. Since the magnitude of tension and the distribution of correction force can be freely changed depending on individual differences and healing stages, mass production is possible without manufacturing one item, and cost can be suppressed. It is easy to put on and handle, and can be worn for a long time without any trouble.
【図１】本発明に係る外反母趾装具の一例を示す斜視図
である。FIG. 1 is a perspective view showing an example of a hallux valgus orthosis according to the present invention.
【図２】本発明に係る外反母趾装具の一例の要部を示す
一部を切欠した概略斜視図である。FIG. 2 is a partially cutaway schematic perspective view showing a main part of an example of a valgus ball orthosis according to the present invention.
【図３】（ａ）（ｂ）（ｃ）は、本発明に係る外反母趾
装具の一例を装着する様子を経時的に示す全て概略平面
図である。3 (a), (b), and (c) are all schematic plan views showing a state in which an example of the hallux valgus orthosis according to the present invention is worn over time.
【図４】本発明に係る外反母趾装具の他の実施例を示す
概略底面図である。FIG. 4 is a schematic bottom view showing another embodiment of the hallux valgus orthosis according to the present invention.
１ 外反母趾装具 ４ 母趾ベ
ルト ２ カバー部 ５ 面ファ
スナー（雄側） ２０ 固定板 ６ 面ファス
ナー（雄側） ２１ 織物層 ７ 面ファス
ナー（雄側） ２２ 補強層 ８ 面ファス
ナー（雄側） ２３ 面ファスナー雌側素材層 ９ ふまず支
え ３ 足ベルトDESCRIPTION OF SYMBOLS 1 Hallux valgus orthosis 4 Toe belt 2 Cover part 5 Surface fastener (male side) 20 Fixing plate 6 Surface fastener (male side) 21 Textile layer 7 Surface fastener (male side) 22 Reinforcing layer 8 Surface fastener (male side) 23 Surface fastener Female side material layer 9 Flute support 3 Foot belt
Claims (2)
って、母趾の指節骨から中足骨にかけた部分を内側から
覆うカバー部２と、該カバー部２の指節骨部分に一端が
固定され該母趾指節骨を周回して他端が該カバー部に係
止される母趾ベルト３と、該カバー部２に一端が固定さ
れ母趾中足骨中央付近から足底足甲を周回して他端が該
カバー部に係止される足ベルト４とにより構成され、該
カバー部２は幾分の伸縮性がある柔軟な布状体であり、
且つ母趾指節骨から第IV趾あるいは第Ｖ趾の中足骨の上
に至る固定板２０が、該カバー部の足底側と足甲側とに
それぞれ設けられており、また該固定板２０は足底側と
足甲側共に、該母趾ベルト３及び足ベルト４の周回部分
内に至る長さであることを特徴とする外反母趾装具。1. A brace used for conservative treatment of hallux valgus, which has a cover 2 for covering from inside the phalangeal bone of the toe to the metatarsal bone and one end of the phalangeal portion of the cover 2. A toe belt 3 which is fixed around the phalangeal phalange and has the other end locked to the cover, and one foot fixed to the cover 2 from the center of the metatarsal of the big toe to the sole of the foot. It is composed of a foot belt 4 which circulates around the instep and the other end of which is locked to the cover portion, and the cover portion 2 is a flexible cloth-like body having some elasticity.
Further, the fixing plates 20 extending from the phalanx of the big toe to the metatarsal bones of the IVth toe or the Vth toe are provided on the sole side and the instep side of the cover portion, respectively, and the fixing plate Reference numeral 20 denotes a hallux valgus orthosis, characterized in that both the sole side and the instep side have a length reaching the inside of the orbiting portions of the toe belt 3 and the foot belt 4.
層構造であり、またこの補強布層２は母趾第１中足骨骨
頭に接当する箇所だけが開けられたものである請求項１
記載の外反母趾装具。2. The cover portion 2 has a multi-layer structure including a reinforcing cloth layer, and the reinforcing cloth layer 2 is opened only at a portion contacting the first metatarsal head of the big toe. Claim 1
Hallux valgus orthosis as described.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP20714193A JP3590850B2 (en) | 1993-07-28 | 1993-07-28 | Hallux valgus orthosis |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP20714193A JP3590850B2 (en) | 1993-07-28 | 1993-07-28 | Hallux valgus orthosis |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| JPH0739559A true JPH0739559A (en) | 1995-02-10 |
| JP3590850B2 JP3590850B2 (en) | 2004-11-17 |
Family
ID=16534887
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP20714193A Expired - Lifetime JP3590850B2 (en) | 1993-07-28 | 1993-07-28 | Hallux valgus orthosis |
Country Status (1)
| Country | Link |
|---|---|
| JP (1) | JP3590850B2 (en) |
Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2000116686A (en) * | 1998-10-14 | 2000-04-25 | Tokyo Hosiery Kk | Supporter for hallux valgus |
| JP2000308654A (en) * | 1999-04-28 | 2000-11-07 | Iwao Kasahara | Supporter for correcting twist of foot |
| US8277459B2 (en) | 2009-09-25 | 2012-10-02 | Tarsus Medical Inc. | Methods and devices for treating a structural bone and joint deformity |
| USD848626S1 (en) | 2017-08-29 | 2019-05-14 | Orthèse Hallux Valgus, Inc. | Orthosis |
Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JPS6272615U (en) * | 1985-10-28 | 1987-05-09 | ||
| JPH0232814U (en) * | 1988-08-25 | 1990-03-01 | ||
| JPH0212094B2 (en) * | 1987-11-24 | 1990-03-19 | Iwao Kasahara | |
| JPH0253716U (en) * | 1988-10-08 | 1990-04-18 | ||
| JPH0375718U (en) * | 1989-11-22 | 1991-07-30 | ||
| JPH03188849A (en) * | 1989-12-18 | 1991-08-16 | Toshiro Nakamura | Hallux valgus correcting tool |
| JPH05237145A (en) * | 1992-02-27 | 1993-09-17 | Masanori Watanabe | Footwear for correcting deformation of footprint at pollex valgus and its outfit |
| JPH0613814U (en) * | 1992-07-28 | 1994-02-22 | 巌 笠原 | Valgus thumb correction support |
-
1993
- 1993-07-28 JP JP20714193A patent/JP3590850B2/en not_active Expired - Lifetime
Patent Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JPS6272615U (en) * | 1985-10-28 | 1987-05-09 | ||
| JPH0212094B2 (en) * | 1987-11-24 | 1990-03-19 | Iwao Kasahara | |
| JPH0232814U (en) * | 1988-08-25 | 1990-03-01 | ||
| JPH0253716U (en) * | 1988-10-08 | 1990-04-18 | ||
| JPH0375718U (en) * | 1989-11-22 | 1991-07-30 | ||
| JPH03188849A (en) * | 1989-12-18 | 1991-08-16 | Toshiro Nakamura | Hallux valgus correcting tool |
| JPH05237145A (en) * | 1992-02-27 | 1993-09-17 | Masanori Watanabe | Footwear for correcting deformation of footprint at pollex valgus and its outfit |
| JPH0613814U (en) * | 1992-07-28 | 1994-02-22 | 巌 笠原 | Valgus thumb correction support |
Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2000116686A (en) * | 1998-10-14 | 2000-04-25 | Tokyo Hosiery Kk | Supporter for hallux valgus |
| JP2000308654A (en) * | 1999-04-28 | 2000-11-07 | Iwao Kasahara | Supporter for correcting twist of foot |
| US8277459B2 (en) | 2009-09-25 | 2012-10-02 | Tarsus Medical Inc. | Methods and devices for treating a structural bone and joint deformity |
| USD848626S1 (en) | 2017-08-29 | 2019-05-14 | Orthèse Hallux Valgus, Inc. | Orthosis |
Also Published As
| Publication number | Publication date |
|---|---|
| JP3590850B2 (en) | 2004-11-17 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| US5755679A (en) | Apparatus for foot stabilizer | |
| US10675168B2 (en) | Ankle foot orthosis | |
| US4753228A (en) | Apparatus for foot stabilization | |
| US4597395A (en) | Ankle support including a heel lock and a crossover strap | |
| US4392487A (en) | Method and apparatus for foot stabilization | |
| US7753864B2 (en) | Foot support device | |
| US20100106110A1 (en) | Reinforced stocking or sock for the prevention and/or treatment of hallux valgus | |
| US20120136293A1 (en) | Support for foot injuries | |
| WO2009144967A1 (en) | Supporter structure for preventing or treating disease associated with deformity of foot | |
| CN117396098A (en) | Therapeutic stockings with one or more elastic straps | |
| US7740603B2 (en) | Removable flexible orthosis for middle foot damage | |
| US6454733B1 (en) | Foot strap | |
| JP2913192B2 (en) | Hallux valgus correction orthosis | |
| JP2000184902A (en) | shoes | |
| US11246730B2 (en) | Flexible wearable foot sling | |
| JPS6348255Y2 (en) | ||
| JPH0739559A (en) | Outfit for hallux valgus | |
| KR102462175B1 (en) | stretching equipment for toe | |
| CN219515446U (en) | Shoes for correcting eversion and flat foot of thumb | |
| KR200437328Y1 (en) | Shoes for Correcting Toes in Patients with Hallux Valgus | |
| US12389981B2 (en) | Footwear having an elastic correcting strap for treating and preventing foot malpositions | |
| JP2008125534A (en) | Orthosis | |
| KR102888952B1 (en) | Toe stretching band for hallux valgus and hallux varus | |
| CN113057784A (en) | Fixing device used after distal metatarsal osteotomy | |
| KR102594661B1 (en) | Sandals for the treatment of metatarsus adductus |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| A01 | Written decision to grant a patent or to grant a registration (utility model) |
Free format text: JAPANESE INTERMEDIATE CODE: A01 Effective date: 20040525 |
|
| R155 | Notification before disposition of declining of application |
Free format text: JAPANESE INTERMEDIATE CODE: R155 |
|
| A61 | First payment of annual fees (during grant procedure) |
Free format text: JAPANESE INTERMEDIATE CODE: A61 Effective date: 20040804 |
|
| R150 | Certificate of patent or registration of utility model |
Free format text: JAPANESE INTERMEDIATE CODE: R150 |
|
| FPAY | Renewal fee payment (event date is renewal date of database) |
Free format text: PAYMENT UNTIL: 20080903 Year of fee payment: 4 |
|
| FPAY | Renewal fee payment (event date is renewal date of database) |
Free format text: PAYMENT UNTIL: 20090903 Year of fee payment: 5 |
|
| FPAY | Renewal fee payment (event date is renewal date of database) |
Free format text: PAYMENT UNTIL: 20100903 Year of fee payment: 6 |
|
| FPAY | Renewal fee payment (event date is renewal date of database) |
Free format text: PAYMENT UNTIL: 20110903 Year of fee payment: 7 |
|
| FPAY | Renewal fee payment (event date is renewal date of database) |
Free format text: PAYMENT UNTIL: 20120903 Year of fee payment: 8 |
|
| FPAY | Renewal fee payment (event date is renewal date of database) |
Free format text: PAYMENT UNTIL: 20130903 Year of fee payment: 9 |
|
| EXPY | Cancellation because of completion of term |