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CN116115248A - Auxiliary fixing exoskeleton for wearable imaging evaluation - Google Patents

Auxiliary fixing exoskeleton for wearable imaging evaluation Download PDF

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CN116115248A
CN116115248A CN202211597305.6A CN202211597305A CN116115248A CN 116115248 A CN116115248 A CN 116115248A CN 202211597305 A CN202211597305 A CN 202211597305A CN 116115248 A CN116115248 A CN 116115248A
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telescopic
exoskeleton
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CN116115248B (en
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顾增辉
李柳炳
吴晨颖
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Second Affiliated Hospital of Soochow University
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    • A61B6/50Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment specially adapted for specific body parts; specially adapted for specific clinical applications
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Abstract

本发明公开了一种穿戴式影像学评价的辅助固定外骨骼,包括腰部部件,所述腰部部件下方通过上连接有髋关节部件连接有伸缩部件一。有益效果在于:通过本发明整体的设计,拍摄前,医生协助患者穿戴,穿戴完成后,在拍摄前将其调整到内翻或外翻应力位后便可离开,可避免拍摄过程中射线对医生的伤害;对于伴有严重关节疼痛无法站立的患者,拍摄下肢负重位片时,该装置还可以提供辅助站立的功能,既可以避免医生搀扶患者遭受射线的伤害,还能防止患者拍摄过程中因跌倒导致的二次伤害,并且通过外骨骼上配备的膝内外翻角度测量系统可以直接读出膝内翻或膝外翻的角度,此外,本装置结构符合人体力学设计,穿戴舒适度高,易于取得患者的配合。

Figure 202211597305

The invention discloses a wearable auxiliary fixed exoskeleton for imaging evaluation, which comprises a waist part, and a telescopic part 1 is connected with a hip joint part at the lower part of the waist part. The beneficial effect is that: through the overall design of the present invention, before shooting, the doctor assists the patient to wear it. After wearing it, he can adjust it to the varus or valgus stress position before shooting, and then he can leave, which can avoid the radiation damage to the doctor during the shooting process. injury; for patients with severe joint pain who cannot stand, the device can also provide the function of assisting standing when taking weight-bearing radiographs of the lower limbs, which can not only prevent the doctor from supporting the patient Secondary injury caused by falls, and the knee varus or knee valgus angle can be read directly through the knee varus angle measurement system equipped on the exoskeleton. In addition, the structure of this device conforms to the ergonomic design, and it is comfortable to wear and easy to wear. Get the patient's cooperation.

Figure 202211597305

Description

一种穿戴式影像学评价的辅助固定外骨骼An auxiliary fixed exoskeleton for wearable imaging evaluation

技术领域technical field

本发明涉及医疗设备技术领域,具体涉及一种穿戴式影像学评价的辅助固定外骨骼。The invention relates to the technical field of medical equipment, in particular to a wearable auxiliary fixed exoskeleton for imaging evaluation.

背景技术Background technique

膝关节骨关节炎是临床骨科常见疾病,疾病发展到终末期严重影响患者生活质量,仅单一间室受累患者约占总数的1/3,病变多累及内侧间室。对于单一间室受累的膝关节骨关节炎患者,单髁置换术凭借着创伤小、术后恢复快以及不损伤膝关节其他结构的优点逐渐取代了传统的全膝关节置换术和胫骨高位截骨术,影像学检查时,通常需要医生协助患者做膝关节内翻或外翻动作,并一直持续到拍摄结束,对于伴有严重关节疼痛无法站立的患者还需要医生搀扶进行下肢负重位片的拍摄。对于这种方法,不但会让医生受到射线伤害,还难以保证每次拍摄时膝关节内翻外翻的角度是否一致,凭借医生的个人经验操作,势必会影响影像学资料的可复性和可靠性。Knee osteoarthritis is a common clinical orthopedic disease. The disease develops to the end stage and seriously affects the quality of life of patients. Only a single compartment is involved in about 1/3 of the total number of patients, and lesions mostly involve the medial compartment. For patients with knee osteoarthritis with single compartment involvement, unicompartmental arthroplasty has gradually replaced traditional total knee arthroplasty and high tibial osteotomy due to its advantages of less trauma, faster postoperative recovery, and no damage to other structures of the knee joint During surgery and imaging examination, the doctor usually needs to assist the patient to do the knee joint varus or valgus, and it will continue until the end of the filming. For patients with severe joint pain who cannot stand, the doctor also needs to help the patient to take the weight-bearing film of the lower limbs. . For this method, not only will the doctor be injured by radiation, but it is also difficult to ensure that the angle of varus and valgus of the knee joint is consistent every time it is taken. Relying on the doctor's personal experience will inevitably affect the reproducibility and reliability of imaging data. sex.

中国专利文献CN209847211U(专利1)公开了一种单腿用膝关节内外翻应力位支架,该专利通过固定患侧大腿部,移动同侧小腿做膝关节内外翻动作;中国专利文献CN211325119U(专利2)公开了一种膝关节内外翻装置,该专利通过将大腿和小腿固定,在两固定部之间设一可调节的内翻部和外翻部,通过调节内翻部或外翻部伸长,实现膝关节的内外翻;中国专利文献CN209847212U(专利3)公开了一种双腿膝关节内外翻应力位支架,该专利通过固定双侧大腿部,移动双侧小腿做膝关节内外翻动作;中国专利文献CN211325120U(专利4)公开了一种膝关节内翻或外翻应力位X线摄影辅助固定装置,该专利通过在患者踝关节和膝关节处摆放两个具有卡口的装置,移动装置至相应位进而使膝关节做出内外翻动作。中国专利文献CN215914662U(专利5)公开了一种用于术前单髁置换影像学评价的辅助固定支具,该专利通过辅助固定支具推动患者膝关节保持内外翻动作;中国专利文献CN113712586A(专利6)公开了一种影像学评价用辅助固定支具,该专利通过若干侧板对患肢进行固定,然后再借助关节驱动件推动患侧膝关节进行内翻或外翻以达到应力位。上述6项专利中给出的各种解决方案,均存在各种各样的问题,有待进一步完善。例如,专利1、专利3和专利6中提供的装置体积较大,需要预先摆放到检查床上,使检查过程变得繁琐;专利4提供的装置没有相关计量装置,摆放过程中误差较大;专利2和专利5提供的装置结构复杂,操作较为繁琐。此外,6项专利设计均不符合人体力学设计,使用过程中舒适度不高会降低患者的就医体验,可能会造成不必要的医患矛盾;对于伴有严重关节疼痛无法站立的患者均无法提供辅助站立的功能,拍摄下肢负重位片时,为防止患者跌倒导致二次伤害仍需在医生的搀扶下进行,并且无法在拍摄下肢负重位片时直接判断膝内翻或膝外翻的角度。Chinese patent document CN209847211U (patent 1) discloses a kind of single leg with knee joint varus varus stress position support, this patent is by fixing affected side thigh, moves ipsilateral calf to do knee joint varus action; Chinese patent document CN211325119U (patent 2) A knee joint varus device is disclosed. This patent fixes the thigh and calf, and sets an adjustable varus part and valgus part between the two fixed parts. By adjusting the varus part or valgus part, long, to realize the varus and varus of the knee joint; Chinese patent document CN209847212U (patent 3) discloses a kind of support for the varus and varus stress position of the knee joint of both legs. Action; Chinese patent literature CN211325120U (patent 4) discloses a knee joint varus or valgus stress position X-ray photography auxiliary fixation device, this patent is by placing two devices with bayonet joints at the patient's ankle joint and knee joint , move the device to the corresponding position and make the knee joint make a valgus-in-out movement. Chinese patent document CN215914662U (patent 5) discloses a kind of auxiliary fixation brace that is used for preoperative unicondylar replacement imaging evaluation, and this patent pushes patient's knee joint to keep varus and varus action by auxiliary fixation brace; Chinese patent document CN113712586A (patent 6) An auxiliary fixation brace for imaging evaluation is disclosed. This patent fixes the affected limb through several side plates, and then pushes the knee joint of the affected side to varus or valgus to reach the stress position by means of the joint driver. Various solutions given in the above six patents all have various problems and need to be further improved. For example, the devices provided in Patent 1, Patent 3, and Patent 6 are large in size and need to be placed on the inspection bed in advance, which makes the inspection process cumbersome; the device provided in Patent 4 has no relevant measuring device, and the error in the placement process is relatively large ; The devices provided by Patent 2 and Patent 5 are complex in structure and relatively cumbersome to operate. In addition, none of the 6 patented designs conform to the design of human body mechanics, and the low comfort during use will reduce the patient's medical experience and may cause unnecessary conflicts between doctors and patients; none of them can be provided for patients with severe joint pain who cannot stand The function of assisting standing, when taking a weight-bearing radiograph of the lower limbs, in order to prevent the patient from falling and causing secondary injuries, it still needs to be carried out with the support of a doctor, and it is impossible to directly judge the angle of genu varus or genu valgus when taking a weight-bearing radiograph of the lower limbs.

发明内容Contents of the invention

本发明的目的就在于为了解决上述问题而提供一种穿戴式影像学评价的辅助固定外骨骼。The object of the present invention is to provide a wearable auxiliary fixed exoskeleton for imaging evaluation in order to solve the above problems.

本发明通过以下技术方案来实现上述目的:The present invention achieves the above object through the following technical solutions:

一种穿戴式影像学评价的辅助固定外骨骼,包括腰部部件,所述腰部部件下方通过上连接有髋关节部件连接有伸缩部件一,所述髋关节部件,所述伸缩部件一下方安装有膝关节部件,所述膝关节部件下方连接有伸缩部件二,所述伸缩部件一与所述伸缩部件二具有同样的结构,所述伸缩部件二下方通过踝关节部件与足部部件相连,所述踝关节部件与所述髋关节部件具有同样的结构,所述腰部部件内安装有绑带一,所述伸缩部件一上安装有绑带二,所述伸缩部件二上固定有绑带三,所述足部部件上安装有绑带四,所述伸缩部件一以及所述伸缩部件二内均安装有滑轨,所述滑轨上连接有滑键,所述滑轨两侧对称设置有刻度一,所述膝关节部件由活动部以及固定部组成,所述固定部上设置有刻度二,所述活动部上固定有指针,所述腰部部件上对称安装有测量部件一,所述膝关节部件上对称安装有测量部件二,所述踝关节部件上对称安装有测量部件三,所述测量部件一、所述测量部件二以及所述测量部件三上均安装有圆形定位件,所述圆形定位件之间连接有含铅细线。An auxiliary fixation exoskeleton for wearable imaging evaluation, comprising a waist part, a hip joint part is connected below the waist part to a telescopic part 1, and the hip joint part is connected to a knee joint below the telescopic part 1. A joint part, the second telescopic part is connected to the lower part of the knee joint part, the first telescopic part has the same structure as the second telescopic part, the lower part of the second telescopic part is connected to the foot part through the ankle joint part, and the ankle The joint part has the same structure as the hip joint part, a strap 1 is installed in the waist part, a strap 2 is installed on the telescopic part 1, a strap 3 is fixed on the telescopic part 2, the A strap four is installed on the foot part, slide rails are installed inside the telescopic part one and the telescopic part two, sliding keys are connected to the slide rails, scales one are symmetrically arranged on both sides of the slide rails, The knee joint part is composed of a movable part and a fixed part, the fixed part is provided with a scale two, the movable part is fixed with a pointer, the waist part is symmetrically installed with a measuring part one, and the knee joint part is equipped with a scale two. Measuring part 2 is installed symmetrically, and measuring part 3 is symmetrically installed on the ankle joint part. The measuring part 1, the measuring part 2 and the measuring part 3 are all equipped with a circular positioning piece. Thin leaded wires are connected between the spacers.

进一步的,所述髋关节部件由螺柱、螺孔以及螺栓组成,所述螺孔成型于所述髋关节部件上,所述螺栓与所述螺孔通过螺纹连接。Further, the hip joint component is composed of a stud, a screw hole and a bolt, the screw hole is formed on the hip joint component, and the bolt is threadedly connected with the screw hole.

通过采用上述技术方案,组装时,将所述腰部部件下端的所述螺孔置于所述伸缩部件一上端的所述螺柱中,再用所述螺栓锁紧即可形成活动轴,活动轴可以实现所述腰部部件和所述伸缩部件一的连接,并且可以实现前屈、后伸活动腰部,所述伸缩部件一设置于大腿部。By adopting the above technical solution, when assembling, the screw hole at the lower end of the waist part is placed in the stud at the upper end of the telescopic part, and then the bolt is locked to form a movable shaft. The connection between the waist part and the first telescopic part can be realized, and the waist can be bent forward and stretched backward, and the first telescopic part is arranged on the thigh.

进一步的,所述绑带一与所述腰部部件通过螺钉连接,所述绑带二与所述伸缩部件一通过螺钉连接,所述绑带三与所述伸缩部件二通过螺钉连接,所述绑带四与所述足部部件通过螺钉连接。Further, the first strap is connected to the waist part by screws, the second strap is connected to the first telescopic part by screws, the third strap is connected to the second telescopic part by screws, and the strap The straps are connected to the foot parts by screws.

通过采用上述技术方案,所述绑带一可对腰部进行固定,所述绑带二可对大腿部进行固定,所述绑带二可对小腿部进行固定,所述绑带四可对足部进行固定。By adopting the above technical solution, the first strap can fix the waist, the second strap can fix the thigh, the second strap can fix the calf, and the fourth strap can The foot is immobilized.

进一步的,所述绑带一、所述绑带二、所述绑带三、所述绑带四均由宽厚魔术贴组成,宽厚魔术贴由毛面和勾面两部分组成。Further, the first strap, the second strap, the third strap, and the fourth strap are all composed of wide and thick Velcro, and the thick Velcro is composed of two parts: a rough surface and a hook surface.

通过采用上述技术方案,采用魔术贴便于患者穿戴同时可对松紧程度进行调节。By adopting the above-mentioned technical scheme, the Velcro is adopted to facilitate the wearing of the patient, and at the same time, the degree of tightness can be adjusted.

进一步的,所述滑轨与所述伸缩部件一以及所述伸缩部件二通过螺钉连接,所述滑键与所述滑轨滑动连接,所述刻度一均成型于所述伸缩部件一以及所述伸缩部件二上,所述滑键外侧设置有滑板,所述滑板一侧壁上成型有通槽,所述通槽内对称安装有拨块,所述拨块之间焊接有弹簧一,所述拨块与所述滑键通过螺钉连接。Further, the slide rail is connected to the first telescopic part and the second telescopic part by screws, the sliding key is slidably connected to the slide rail, and the scale one is formed on the first telescopic part and the second telescopic part. On the telescopic part two, a slide plate is arranged on the outside of the sliding key, and a through groove is formed on the side wall of the slide plate, and a shifting block is symmetrically installed in the through groove, and a spring one is welded between the shifting blocks. The shifting block is connected with the feather key by screws.

通过采用上述技术方案,在调节过程中,通过所述拨块带动所述滑键移动,进而使其与所述滑轨分离,然后对其进行调节,调节完成后,释放所述拨块,所述拨块在所述弹簧一作用下推动所述滑键复位,进而使其与所述滑轨形成啮合连接。进而通过操作所述滑键可随意调节大腿部以及小腿部的长度,锁住所述滑键后可使其长度固定,并且所述刻度一,易于精确的调节大腿以及小腿部长度,其中大腿部的调节范围《中国成年人人体尺寸(GB/T10000-1988)》标准设计调节范围为313.95mm-333.95mm,小腿部的调节范围根据《中国成年人人体尺寸GB/T 10000-1988》标准设计调节范围为194.19mm-229.19mm。同时所述伸缩部件下方设有所述螺孔,可与所述足部部件上方的所述螺柱相匹配,再通过所述螺栓锁紧形成所述踝关节部件。By adopting the above technical solution, during the adjustment process, the sliding key is driven by the shifting block to move, and then separated from the slide rail, and then adjusted. After the adjustment is completed, the shifting block is released, and the Under the action of the spring, the shifting block pushes the sliding key back to its original state, so that it forms an engaging connection with the slide rail. Further, the length of the thigh and the calf can be adjusted freely by operating the sliding key, and the length can be fixed after locking the sliding key, and the scale one is easy to adjust the length of the thigh and the calf accurately, Among them, the adjustment range of the thigh is 313.95mm-333.95mm according to the standard design adjustment range of "Human Dimensions of Chinese Adults (GB/T10000-1988)", and the adjustment range of the lower legs is according to "Human Dimensions of Chinese Adults GB/T 10000- 1988 "Standard design adjustment range is 194.19mm-229.19mm. At the same time, the screw hole is provided under the telescopic part, which can be matched with the stud above the foot part, and then locked by the bolt to form the ankle joint part.

进一步的,所述固定部成型于所述膝关节部件上,所述固定部内侧设有锯齿,所述活动部外侧设有与所述固定部内所述锯齿相匹配的齿键,所述刻度二(23)成型于所述固定部上,所述刻度二的间隔度数为两度,所述活动部与所述漆关节部件之间固定有弹簧二。Further, the fixed part is molded on the knee joint part, the inner side of the fixed part is provided with sawtooth, the outer side of the movable part is provided with a tooth key matching the sawtooth in the fixed part, and the scale two (23) Formed on the fixed part, the interval of the second scale is two degrees, and the second spring is fixed between the movable part and the paint joint part.

通过采用上述技术方案,在调节过程中,向下按压所述活动部可使所述固定部的所述锯齿与所述活动部的所述齿键分离,所述活动部此时可以左右活动,所述固定部外侧的所述刻度二,使其摆动到所要度数时,松开所述活动部,所述弹簧二推动所述活动部复位,使其固定在相应的角度,进而带动膝关节实现内翻或者外翻。By adopting the above technical solution, during the adjustment process, pressing down the movable part can separate the sawtooth of the fixed part from the tooth key of the movable part, and the movable part can move left and right at this time, When the scale 2 on the outside of the fixed part swings to the desired degree, release the movable part, and the spring 2 pushes the movable part back to make it fixed at a corresponding angle, and then drives the knee joint to realize Inward or outward.

进一步的,所述圆形定位件表面设有度数线,并以两度间隔。Further, the surface of the circular positioning member is provided with a degree line, which is spaced at two degrees.

通过采用上述技术方案,度数线标记材质能够在X线下显现出读数,在拍摄下肢全长负重位片时,先进行预拍摄,根据所述测量部件一、所述测量部件二和所述测量部件三的定位象限确定股骨头中心、膝关节中心以及踝关节中心,然后将所述圆形定位件移至相应的位置,拍摄后可直接读出膝关节内外的角度,计算公式:膝关节内外翻角度=180°-两细线之间的夹角。By adopting the above-mentioned technical scheme, the degree line marking material can display readings under X-rays. When taking a full-length lower limb weight-bearing radiograph, a pre-shooting is performed first. According to the measurement part 1, the measurement part 2 and the measurement The positioning quadrant of component three determines the center of the femoral head, the center of the knee joint and the center of the ankle joint; Flip angle=180°-the angle between two thin lines.

进一步的,所述膝关节部件由一可沿冠状面摆动的活动轴组成。Further, the knee joint component is composed of a movable shaft that can swing along the coronal plane.

通过采用上述技术方案,将所述膝关节部件设置为冠状面便于医护人员操作。By adopting the above technical solution, the knee joint component is arranged in a coronal plane, which is convenient for medical personnel to operate.

进一步的,所述足部部件由硬质材料组成,表面覆以柔软材料,增加踩踏舒适度。Further, the foot part is made of hard material, and the surface is covered with soft material, so as to increase the stepping comfort.

通过采用上述技术方案,所述足部组件可对角度进行支撑固定。By adopting the above technical solution, the foot assembly can support and fix the angle.

进一步的,所述测量部件一、所述测量部件二和所述测量部件三均由一块100mm*100mm轻质圆形硬板构成,并且分别通过外伸固定杆固定于所述髋关节部件、所述膝关节部件和所述踝关节部件的正前方,各测量部件可上下调整角度,在拍摄膝关节内翻、外翻应力位片时可将其调整到远离各关节的位置,避免对内翻、外翻应力位片的影响。Further, the measurement part 1, the measurement part 2 and the measurement part 3 are all composed of a 100mm*100mm light circular hard board, and are respectively fixed to the hip joint part, the In front of the knee joint parts and the ankle joint parts, each measuring part can adjust the angle up and down, and it can be adjusted to a position away from each joint when taking knee joint varus and valgus stress slices to avoid varus , The influence of valgus stress film.

通过采用上述技术方案,所述测量部件一用来测量髋关节,所述测量部件二用来测量膝关节,所述测量部件三用来测量踝关节,同时该硬板可顺利透过X线,然后用不透X线的材料以圆心为中心,画出两条互相垂直的虚线线段,再画若干条平行于这两条虚线的实线线段,以此将硬板分割成若干个5mm*5mm的小正方形(圆形硬板周边的不完整正方形可忽略不计),其中虚线线段可以将圆形硬板分割成四个象限,即右上角的第一象限、左上角的第二象限、左下角的第三象限、和右下角的第四象限,以便于拍摄过程中圆形定位件的快速定位,每块圆形硬板上配有一个可以吸附于圆形硬板的不透X线的圆形定位件,圆形定位件上可缠绕、固定不透X线所述含铅细线的装置。此外,所述测量部件二的所述圆形定位件上标有刻度,刻度线以不透X线的材料做成,并以2°区间相间隔,便于拍摄过程中的直接读数。By adopting the above technical solution, the first measuring part is used to measure the hip joint, the second measuring part is used to measure the knee joint, and the third measuring part is used to measure the ankle joint. At the same time, the hard plate can pass through the X-ray smoothly, Then use an X-ray-opaque material to draw two dotted line segments perpendicular to each other with the center of the circle as the center, and then draw several solid line segments parallel to the two dotted lines, so as to divide the hard board into several 5mm*5mm (incomplete squares around the circular rigid board are negligible), where the dotted line segment can divide the circular rigid board into four quadrants, namely the first quadrant in the upper right corner, the second quadrant in the upper left corner, and the lower left corner. The third quadrant of the , and the fourth quadrant in the lower right corner, in order to facilitate the rapid positioning of the circular positioning part during the shooting process, each circular hard plate is equipped with an X-ray-opaque circle that can be absorbed on the circular hard plate Shaped positioning piece, a device that can wind and fix the X-ray-opaque lead-containing thin wire on the circular positioning piece. In addition, the circular positioning part of the measuring part 2 is marked with a scale, and the scale lines are made of X-ray-opaque material and spaced at intervals of 2°, which is convenient for direct reading during the shooting process.

具体工作原理为:使用时,需要在医生的协同下穿戴,首先,让患者躺在检查床上,根据患者的身高,调节所述伸缩部件一和所述伸缩部件二至合适长度,然后打开所述绑带一、所述绑带二、所述绑带三以及所述绑带四,再将外骨骼穿戴到患者身上,自下到上逐一调整柔韧绑带松紧,松紧度以不影响测量精度和引起患者不适为准,外骨骼穿戴完成后,调节双侧所述膝关节部件使膝关节至内翻或外翻应力位,根据所述膝关节部件上的所述指针记录调节度数,最后进行膝关节处的拍摄,内翻或外翻应力位片拍摄完成后,医生将双侧所述膝关节部件上的所述指针调至初始0°,并锁紧所述膝关节部件,医生协助患者站立,待患者站稳后,调节所述测量部件一、所述测量部件二以及所述测量部件三上的所述圆形定位件至各测量件的中心,下肢全长位片拍摄正式拍摄前,先进预拍摄,根据预拍摄的显像调节所述圆形定位件分别至股骨头中心、膝关节节中心以及踝关节中心,拍摄完成后可根据所述圆形定位件上的刻度直接读出患者膝关节内外翻的角度,从而可以帮助医生快速判断患者膝关节内外翻的程度,减少了拍摄后再次测量的繁琐过程。The specific working principle is: when in use, it needs to be worn under the cooperation of a doctor. First, let the patient lie on the examination bed, adjust the telescopic part 1 and the telescopic part 2 to a suitable length according to the patient's height, and then open the Strap 1, strap 2, strap 3, and strap 4, and then put the exoskeleton on the patient, and adjust the tightness of the flexible straps one by one from bottom to top, so as not to affect the measurement accuracy and The discomfort caused by the patient shall prevail. After the exoskeleton is worn, adjust the knee joint parts on both sides to make the knee joints reach the varus or valgus stress position, record the degree of adjustment according to the pointer on the knee joint parts, and finally perform knee After taking pictures of joints, varus or valgus stress radiographs, the doctor adjusts the pointers on the knee joint parts on both sides to the initial 0°, and locks the knee joint parts, and the doctor assists the patient to stand , after the patient stands firmly, adjust the circular positioning parts on the measuring part 1, the measuring part 2 and the measuring part 3 to the center of each measuring part. Advanced pre-shooting, according to the imaging of the pre-shooting, adjust the circular positioning member to the center of the femoral head, the center of the knee joint and the center of the ankle joint. After the shooting is completed, the patient can be read directly according to the scale on the circular positioning member The angle of varus and varus of the knee joint can help doctors quickly judge the degree of varus and varus of the patient's knee joint, reducing the cumbersome process of re-measurement after shooting.

本发明的有益效果在于:The beneficial effects of the present invention are:

基于本发明整体的设计,拍摄前,医生协助患者穿戴,穿戴完成后,在拍摄前将其调整到内翻或外翻应力位后便可离开,可避免拍摄过程中射线对医生的伤害;对于伴有严重关节疼痛无法站立的患者,拍摄下肢负重位片时,该装置还可以提供辅助站立的功能,既可以避免医生搀扶患者遭受射线的伤害,还能防止患者拍摄过程中因跌倒导致的二次伤害,并且通过外骨骼上配备的膝内外翻角度测量系统可以直接读出膝内翻或膝外翻的角度,此外,本装置结构符合人体力学设计,穿戴舒适度高,易于取得患者的配合。Based on the overall design of the present invention, before shooting, the doctor assists the patient to wear it. After wearing it, adjust it to the varus or valgus stress position before shooting, and then leave, which can avoid the radiation damage to the doctor during the shooting; for For patients who are unable to stand with severe joint pain, the device can also provide an auxiliary standing function when taking weight-bearing radiographs of the lower limbs. The knee varus or knee valgus angle can be read directly through the knee varus angle measurement system equipped on the exoskeleton. In addition, the structure of this device conforms to the ergonomic design, and it is comfortable to wear and easy to obtain the cooperation of patients. .

附图说明Description of drawings

图1是本发明所述一种穿戴式影像学评价的辅助固定外骨骼的结构示意图;Fig. 1 is a schematic structural view of an auxiliary fixed exoskeleton for wearable imaging evaluation according to the present invention;

图2是本发明所述一种穿戴式影像学评价的辅助固定外骨骼中伸缩部件一的主剖视图;Fig. 2 is a main sectional view of telescoping part 1 in an auxiliary fixed exoskeleton for wearable imaging evaluation according to the present invention;

图3是本发明所述一种穿戴式影像学评价的辅助固定外骨骼中髋关节、踝关节部件结构连接示意图;Fig. 3 is a schematic diagram of the structural connection of the hip joint and ankle joint components in the auxiliary fixation exoskeleton for wearable imaging evaluation according to the present invention;

图4是本发明所述一种穿戴式影像学评价的辅助固定外骨骼中膝关节部件的主视图;Fig. 4 is a front view of knee joint components in an auxiliary fixed exoskeleton for wearable imaging evaluation according to the present invention;

图5是本发明所述一种穿戴式影像学评价的辅助固定外骨骼中膝关节内外翻角度测量系统示意图;Fig. 5 is a schematic diagram of a system for measuring the varus and varus angles of the knee joint in an auxiliary fixed exoskeleton for wearable imaging evaluation according to the present invention;

图6是本发明所述一种穿戴式影像学评价的辅助固定外骨骼中绑带一上勾面与毛面的主视图;Fig. 6 is a front view of an upper hook surface and a rough surface of a strap in an auxiliary fixation exoskeleton for wearable imaging evaluation according to the present invention;

图7是本发明所述一种穿戴式影像学评价的辅助固定外骨骼中膝关节部件的俯剖视图;Fig. 7 is a top sectional view of knee joint components in an auxiliary fixation exoskeleton for wearable imaging evaluation according to the present invention;

图8是本发明所述一种穿戴式影像学评价的辅助固定外骨骼中图5中A处的放大图。Fig. 8 is an enlarged view of A in Fig. 5 in an auxiliary fixation exoskeleton for wearable imaging evaluation according to the present invention.

附图标记说明如下:The reference signs are explained as follows:

1、绑带一;2、髋关节部件;3、测量部件一;4、绑带二;5、测量部件二;6、绑带三;7、测量部件三;8、绑带四;9、足部部件;10、踝关节部件;11、伸缩部件二;12、膝关节部件;13、伸缩部件一;14、腰部部件;15、滑轨;16、刻度一;17、滑键;18、螺柱;19、螺栓;20、螺孔;21、活动部;22、固定部;23、刻度二;24、指针;25、圆形定位件;26、含铅细线;27、拨块;28、通槽;29、弹簧一;30、锯齿;31、齿键;32、弹簧二;33、滑板。1. Strap 1; 2. Hip joint parts; 3. Measuring part 1; 4. Strap 2; 5. Measuring part 2; 6. Strap 3; 7. Measuring part 3; 8. Strap 4; 9. Foot part; 10. Ankle joint part; 11. Telescopic part two; 12. Knee joint part; 13. Telescopic part one; 14. Waist part; 15. Slide rail; 16. Scale one; 17. Slide key; 18. Stud; 19, bolt; 20, screw hole; 21, movable part; 22, fixed part; 23, scale two; 24, pointer; 28, through groove; 29, spring one; 30, sawtooth; 31, tooth key; 32, spring two; 33, slide plate.

具体实施方式Detailed ways

下面结合附图对本发明作进一步说明:The present invention will be further described below in conjunction with accompanying drawing:

如图1-图8所示,一种穿戴式影像学评价的辅助固定外骨骼,包括腰部部件14,所述腰部部件14下方通过上连接有髋关节部件2连接有伸缩部件一13,所述髋关节部件2,所述伸缩部件一13下方安装有膝关节部件12,所述膝关节部件12下方连接有伸缩部件二11,所述伸缩部件一13与所述伸缩部件二11具有同样的结构,所述伸缩部件二11下方通过踝关节部件10与足部部件9相连,所述踝关节部件10与所述髋关节部件2具有同样的结构,所述腰部部件14内安装有绑带一1,所述伸缩部件一13上安装有绑带二4,所述伸缩部件二11上固定有绑带三6,所述足部部件9上安装有绑带四8,所述伸缩部件一13以及所述伸缩部件二11内均安装有滑轨15,所述滑轨15上连接有滑键17,所述滑轨15两侧对称设置有刻度一16,所述膝关节部件12由活动部21以及固定部22组成,所述固定部22上设置有刻度二23,所述活动部21上固定有指针24,所述腰部部件14上对称安装有测量部件一3,所述膝关节部件12上对称安装有测量部件二5,所述踝关节部件10上对称安装有测量部件三7,所述测量部件一3、所述测量部件二5以及所述测量部件三7上均安装有圆形定位件25,所述圆形定位件25之间连接有含铅细线26。As shown in Fig. 1-Fig. 8, a kind of auxiliary fixation exoskeleton of wearable radiographic evaluation, comprises waist part 14, and the lower part of described waist part 14 is connected with hip joint part 2 and is connected with telescoping part one 13, and described Hip joint part 2, a knee joint part 12 is installed below the telescopic part one 13, a telescopic part two 11 is connected under the knee joint part 12, and the telescopic part one 13 has the same structure as the telescopic part two 11 The lower part of the telescopic part 11 is connected to the foot part 9 through the ankle part 10, the ankle part 10 has the same structure as the hip part 2, and the waist part 14 is equipped with a strap one 1 , strap two 4 is installed on the telescopic part one 13, strap three 6 is fixed on the telescopic part two 11, strap four 8 is installed on the foot part 9, the telescopic part one 13 and A slide rail 15 is installed in the telescopic part 11, and a slide key 17 is connected to the slide rail 15. A scale 16 is arranged symmetrically on both sides of the slide rail 15. and a fixed part 22, the fixed part 22 is provided with a scale two 23, the movable part 21 is fixed with a pointer 24, the waist part 14 is symmetrically installed with a measuring part one 3, and the knee joint part 12 is The measuring part two 5 is installed symmetrically, the measuring part three 7 is symmetrically installed on the ankle joint part 10, the measuring part one 3, the measuring part two 5 and the measuring part three 7 are all equipped with a circular positioning pieces 25, lead-containing thin wires 26 are connected between the circular positioning pieces 25.

本实施例中,所述髋关节部件2由螺柱18、螺孔20以及螺栓19组成,所述螺孔20成型于所述髋关节部件2上,所述螺栓19与所述螺孔20通过螺纹连接,组装时,将所述腰部部件14下端的所述螺孔20置于所述伸缩部件一13上端的所述螺柱18中,再用所述螺栓19锁紧即可形成活动轴,活动轴可以实现所述腰部部件14和所述伸缩部件一13的连接,并且可以实现前屈、后伸活动腰部,所述伸缩部件一13设置于大腿部。In this embodiment, the hip joint component 2 is composed of a stud 18, a screw hole 20 and a bolt 19, the screw hole 20 is formed on the hip joint component 2, and the bolt 19 and the screw hole 20 pass through Threaded connection, when assembling, place the screw hole 20 at the lower end of the waist part 14 in the stud 18 at the upper end of the telescopic part one 13, and then lock it with the bolt 19 to form a movable shaft, The movable shaft can realize the connection between the waist part 14 and the telescoping part one 13, and can realize forward bending and backward stretching of the movable waist, and the telescoping part one 13 is arranged on the thigh.

本实施例中,所述绑带一1与所述腰部部件14通过螺钉连接,所述绑带二4与所述伸缩部件一13通过螺钉连接,所述绑带三6与所述伸缩部件二11通过螺钉连接,所述绑带四8与所述足部部件9通过螺钉连接,所述绑带一1可对腰部进行固定,所述绑带二4可对大腿部进行固定,所述绑带二4可对小腿部进行固定,所述绑带四8可对足部进行固定。In this embodiment, the strap one 1 is connected to the waist part 14 by screws, the strap two 4 is connected to the telescopic part one 13 by screws, and the strap three 6 is connected to the telescopic part two 11 is connected by screws, the strap four 8 is connected to the foot part 9 by screws, the strap one 1 can fix the waist, the strap two 4 can fix the thigh, the Strap two 4 can be fixed to calf, and described strap four 8 can be fixed to foot.

本实施例中,所述绑带一1、所述绑带二4、所述绑带三6、所述绑带四8均由宽厚魔术贴组成,宽厚魔术贴由毛面和勾面两部分组成,采用魔术贴便于患者穿戴同时可对松紧程度进行调节。In this embodiment, the first strap 1, the second strap 4, the third strap 6, and the fourth strap 8 are all composed of wide and thick Velcro, and the thick Velcro is composed of two parts: the rough surface and the hook surface Composition, Velcro is used for easy wearing by patients and the degree of tightness can be adjusted at the same time.

本实施例中,所述滑轨15与所述伸缩部件一13以及所述伸缩部件二11通过螺钉连接,所述滑键17与所述滑轨15滑动连接,所述刻度一16均成型于所述伸缩部件一13以及所述伸缩部件二11上,所述滑键17外侧设置有滑板33,所述滑板33一侧壁上成型有通槽28,所述通槽28内对称安装有拨块27,所述拨块27之间焊接有弹簧一29,所述拨块27与所述滑键17通过螺钉连接,在调节过程中,通过所述拨块27带动所述滑键17移动,进而使其与所述滑轨15分离,然后对其进行调节,调节完成后,释放所述拨块27,所述拨块27在所述弹簧一29作用下推动所述滑键17复位,进而使其与所述滑轨15形成啮合连接。通过操作所述滑键17可随意调节大腿部以及小腿部的长度,锁住所述滑键17后可使其长度固定,并且所述刻度一16,易于精确的调节大腿以及小腿部长度,其中大腿部的调节范围《中国成年人人体尺寸(GB/T 10000-1988)》标准设计调节范围为313.95mm-333.95mm,小腿部的调节范围根据《中国成年人人体尺寸GB/T 10000-1988》标准设计调节范围为194.19mm-229.19mm。同时所述伸缩部件下方设有所述螺孔20,可与所述足部部件9上方的所述螺柱18相匹配,再通过所述螺栓19锁紧形成所述踝关节部件10。In this embodiment, the slide rail 15 is connected with the first telescopic part 13 and the second telescopic part 11 by screws, the sliding key 17 is slidably connected with the slide rail 15, and the scale one 16 is formed on On the first telescopic part 13 and the second telescopic part 11, a slide plate 33 is arranged on the outside of the sliding key 17, and a through groove 28 is formed on the side wall of the slide plate 33, and dials are symmetrically installed in the through groove 28. Block 27, a spring one 29 is welded between the shifting blocks 27, the shifting block 27 is connected with the sliding key 17 by screws, during the adjustment process, the sliding key 17 is driven by the shifting block 27 to move, Then make it separate from the slide rail 15, and then adjust it. After the adjustment is completed, release the shifting block 27, and the shifting block 27 pushes the sliding key 17 to reset under the action of the spring one 29, and then It forms an engaging connection with the slide rail 15 . By operating the sliding key 17, the length of the thigh and calf can be adjusted at will. After locking the sliding key 17, the length can be fixed, and the scale - 16 is easy to adjust the thigh and calf accurately. Length, in which the adjustment range of the thigh is 313.95mm-333.95mm according to the "Chinese Adult Human Dimensions (GB/T 10000-1988)" standard design adjustment range, and the adjustment range of the calf is according to the "Chinese Adult Human Dimensions GB/T 1988" T 10000-1988 "standard design adjustment range is 194.19mm-229.19mm. At the same time, the screw hole 20 is provided under the telescopic part, which can be matched with the stud 18 above the foot part 9 , and then locked by the bolt 19 to form the ankle joint part 10 .

本实施例中,所述固定部22成型于所述膝关节部件12上,所述固定部22内侧设有锯齿30,所述活动部21外侧设有与所述固定部22内所述锯齿30相匹配的齿键31,所述刻度二23成型于所述固定部22上,所述刻度二23的间隔度数为两度,所述活动部21与所述漆关节部件12之间固定有弹簧二32,在调节过程中,向下按压所述活动部21可使所述固定部22的所述锯齿30与所述活动部21的所述齿键31分离,所述活动部21此时可以左右活动,所述固定部22外侧的所述刻度二23,使其摆动到所要度数时,松开所述活动部21,所述弹簧二32推动所述活动部21复位,使其固定在相应的角度,进而带动膝关节实现内翻或者外翻。In this embodiment, the fixed part 22 is formed on the knee joint part 12, the inner side of the fixed part 22 is provided with sawtooth 30, and the outer side of the movable part 21 is provided with the sawtooth 30 in the fixed part 22. Matching tooth key 31, the second scale 23 is formed on the fixed part 22, the interval between the second scale 23 is two degrees, and a spring is fixed between the movable part 21 and the paint joint part 12 Two 32, during the adjustment process, pressing down on the movable part 21 can separate the sawtooth 30 of the fixed part 22 from the tooth key 31 of the movable part 21, and the movable part 21 can be Move left and right, the scale 2 23 on the outside of the fixed part 22, when it swings to the desired degree, release the movable part 21, and the spring 2 32 pushes the movable part 21 to reset, so that it is fixed at the corresponding position. Angle, and then drive the knee joint to achieve varus or valgus.

本实施例中,所述圆形定位件25表面设有度数线,并以两度间隔,度数线标记材质能够在X线下显现出读数,在拍摄下肢全长负重位片时,先进行预拍摄,根据所述测量部件一3、所述测量部件二5和所述测量部件三7的定位象限确定股骨头中心、膝关节中心以及踝关节中心,然后将所述圆形定位件25移至相应的位置,拍摄后可直接读出膝关节内外的角度,计算公式:膝关节内外翻角度=180°-两细线之间的夹角。In this embodiment, the surface of the circular positioning member 25 is provided with a degree line, and is spaced at two degrees. The material of the degree line mark can show the reading under the X-ray. Shooting, determine the femoral head center, knee joint center and ankle joint center according to the positioning quadrants of the measurement part one 3, the measurement part two 5 and the measurement part three 7, and then move the circular positioning part 25 to Corresponding position, can directly read the angle of inside and outside of knee joint after shooting, calculation formula: knee joint valgus angle=180 °-the angle between two thin lines.

本实施例中,所述膝关节部件12由一可沿冠状面摆动的活动轴组成,将所述膝关节部件12设置为冠状面便于医护人员操作。In this embodiment, the knee joint part 12 is composed of a movable shaft that can swing along the coronal plane, and setting the knee joint part 12 in the coronal plane is convenient for medical personnel to operate.

本实施例中,所述足部部件9由硬质材料组成,表面覆以柔软材料,增加踩踏舒适度,所述足部组件可对角度进行支撑固定。In this embodiment, the foot part 9 is made of hard material, and the surface is covered with soft material to increase the comfort of stepping on. The foot part can support and fix the angle.

具体工作原理为:使用时,需要在医生的协同下穿戴,首先,让患者躺在检查床上,根据患者的身高,调节所述伸缩部件一13和所述伸缩部件二11至合适长度,然后打开所述绑带一1、所述绑带二4、所述绑带三6以及所述绑带四8,再将外骨骼穿戴到患者身上,自下到上逐一调整柔韧绑带松紧,松紧度以不影响测量精度和引起患者不适为准,外骨骼穿戴完成后,调节双侧所述膝关节部件12使膝关节至内翻或外翻应力位,根据所述膝关节部件12上的所述指针24记录调节度数,最后进行膝关节处的拍摄,内翻或外翻应力位片拍摄完成后,医生将双侧所述膝关节部件12上的所述指针24调至初始0°,并锁紧所述膝关节部件12,医生协助患者站立,待患者站稳后,调节所述测量部件一3、所述测量部件二5以及所述测量部件三7上的所述圆形定位件25至各测量件的中心,下肢全长位片拍摄正式拍摄前,先进预拍摄,根据预拍摄的显像调节所述圆形定位件25分别至股骨头中心、膝关节节中心以及踝关节中心,拍摄完成后可根据所述圆形定位件25上的刻度直接读出患者膝关节内外翻的角度,从而可以帮助医生快速判断患者膝关节内外翻的程度,减少了拍摄后再次测量的繁琐过程。The specific working principle is: when in use, it needs to be worn under the cooperation of a doctor. First, let the patient lie on the examination bed, adjust the first telescopic part 13 and the second telescopic part 11 to a suitable length according to the patient's height, and then open the The strap one 1, the strap two 4, the strap three 6 and the strap four 8, then put the exoskeleton on the patient, and adjust the tightness and tightness of the flexible straps one by one from bottom to top Subject to not affecting the measurement accuracy and causing discomfort to the patient, after the exoskeleton is worn, adjust the knee joint parts 12 on both sides to make the knee joints varus or valgus stress position, according to the described knee joint parts 12 The pointer 24 records the degree of adjustment, and finally takes pictures of the knee joint. After the varus or valgus stress film is taken, the doctor adjusts the pointers 24 on the knee joint parts 12 on both sides to the initial 0°, and locks them. Tighten the knee joint part 12, the doctor assists the patient to stand up, and after the patient stands firmly, adjust the circular positioning member 25 on the first measuring part 3, the second measuring part 5 and the third measuring part 7 to The center of each measurement piece, before the full-length film of the lower limbs is taken, pre-shooting is advanced, and the circular positioning part 25 is adjusted to the center of the femoral head, the center of the knee joint and the center of the ankle joint according to the image of the pre-shooting, and the shooting is performed. After completion, the angle of varus and varus of the patient's knee joint can be directly read according to the scale on the circular positioning member 25, thereby helping the doctor to quickly judge the degree of varus and varus of the patient's knee joint, reducing the cumbersome process of re-measurement after shooting.

以上显示和描述了本发明的基本原理、主要特征和优点。本行业的技术人员应该了解,本发明不受上述实施例的限制,上述实施例和说明书中描述的只是说明本发明的原理,在不脱离本发明精神和范围的前提下,本发明还会有各种变化和改进,这些变化和改进都落入要求保护的本发明范围内。The basic principles, main features and advantages of the present invention have been shown and described above. Those skilled in the industry should understand that the present invention is not limited by the above-mentioned embodiments. What are described in the above-mentioned embodiments and the description only illustrate the principle of the present invention. Without departing from the spirit and scope of the present invention, the present invention will also have Variations and improvements are possible, which fall within the scope of the claimed invention.

Claims (10)

1. The auxiliary fixation exoskeleton for wearable imaging evaluation is characterized in that: the waist part comprises a waist part (14), a first telescopic part (13) is connected below the waist part (14) through an upper joint part (2), a second telescopic part (12) is arranged below the first telescopic part (13), a third telescopic part (6) is connected below the second telescopic part (12), the first telescopic part (13) and the second telescopic part (11) have the same structure, the second telescopic part (11) is connected with a foot part (9) through an ankle part (10), the ankle part (10) and the hip part (2) have the same structure, a first binding belt (1) is arranged in the waist part (14), a second binding belt (4) is arranged on the first telescopic part (13), a third binding belt (6) is fixed on the second telescopic part (11), a fourth binding belt (8) is arranged on the foot part (9), sliding rails (15) are arranged in the first telescopic part (13) and the second telescopic part (11), sliding rails (15) are arranged on the second telescopic part (11), the sliding rails (15) are symmetrically arranged on the first sliding rail (17) and the second sliding rail (16) are connected with the first sliding rail (12), be provided with scale two (23) on fixed part (22), be fixed with pointer (24) on movable part (21), measurement part one (3) are installed to the symmetry on waist part (14), measurement part two (5) are installed to the symmetry on knee joint part (12), measurement part three (7) are installed to the symmetry on ankle joint part (10), measurement part one (3) measurement part two (5) and all install circular setting element (25) on measurement part three (7), be connected with between circular setting element (25) and lead fine rule (26).
2. The wearable imaging evaluation auxiliary fixation exoskeleton of claim 1, wherein: the hip joint component (2) consists of a stud (18), a screw hole (20) and a bolt (19), wherein the screw hole (20) is formed in the hip joint component (2), and the bolt (19) is connected with the screw hole (20) through threads.
3. The wearable imaging evaluation auxiliary fixation exoskeleton of claim 1, wherein: the first binding band (1) is connected with the waist part (14) through a screw, the second binding band (4) is connected with the first telescopic part (13) through a screw, the third binding band (6) is connected with the second telescopic part (11) through a screw, and the fourth binding band (8) is connected with the foot part (9) through a screw.
4. The wearable imaging evaluation auxiliary fixation exoskeleton of claim 1, wherein: the first binding band (1), the second binding band (4), the third binding band (6) and the fourth binding band (8) are formed by wide and thick magic tapes, and the wide and thick magic tapes are formed by two parts of a rough surface and a hook surface.
5. The wearable imaging evaluation auxiliary fixation exoskeleton of claim 1, wherein: slide rail (15) with telescopic member one (13) and telescopic member two (11) pass through the screw connection, sliding key (17) with slide rail (15) sliding connection, scale one (16) all shaping in telescopic member one (13) and on telescopic member two (11), sliding key (17) outside is provided with slide (33), the shaping has logical groove (28) on slide (33) a lateral wall, lead to inslot symmetry and install shifting block (27), welding has spring one (29) between shifting block (27), shifting block (27) with sliding key (17) pass through the screw connection.
6. The wearable imaging evaluation auxiliary fixation exoskeleton of claim 1, wherein: the knee joint part (12) is formed by the fixed part (22), sawteeth (30) are arranged on the inner side of the fixed part (22), toothed keys (31) matched with the sawteeth (30) in the fixed part (22) are arranged on the outer side of the movable part (21), the second scale (23) is formed by the fixed part (22), the interval degree of the second scale (23) is two degrees, and a second spring (32) is fixed between the movable part (21) and the lacquer joint part (12).
7. The wearable imaging evaluation auxiliary fixation exoskeleton of claim 1, wherein: the surface of the circular positioning piece (25) is provided with a degree line which is spaced at two degrees.
8. The wearable imaging evaluation auxiliary fixation exoskeleton of claim 1, wherein: the knee joint part (12) is composed of a movable shaft which can swing along the coronal plane.
9. The wearable imaging evaluation auxiliary fixation exoskeleton of claim 1, wherein: the foot part (9) is made of hard materials, and the surface is coated with soft materials, so that the treading comfort is improved.
10. The wearable imaging evaluation auxiliary fixation exoskeleton of claim 1, wherein: the first measuring component (3), the second measuring component (5) and the third measuring component (7) are all composed of a 100mm lightweight round hard plate and are respectively fixed right in front of the hip joint component (2), the knee joint component (12) and the ankle joint component (10) through overhanging fixing rods.
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