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JP3841636B2 - Lower limb orthosis for walking and manufacturing method thereof - Google Patents
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JP3841636B2 - Lower limb orthosis for walking and manufacturing method thereof - Google Patents

Lower limb orthosis for walking and manufacturing method thereof Download PDF

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Publication number
JP3841636B2
JP3841636B2 JP2000321414A JP2000321414A JP3841636B2 JP 3841636 B2 JP3841636 B2 JP 3841636B2 JP 2000321414 A JP2000321414 A JP 2000321414A JP 2000321414 A JP2000321414 A JP 2000321414A JP 3841636 B2 JP3841636 B2 JP 3841636B2
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Prior art keywords
joint
plate
lower limb
plate portion
walking
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JP2000321414A
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JP2002126022A (en
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和弘 亀田
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株式会社啓愛義肢材料販売所
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Description

【0001】
【発明の属する技術分野】
本発明は、脚部麻痺等による歩行困難者の脚部に装着して、歩行を容易にするための歩行用下肢装具に関する。
【0002】
【従来の技術】
従来から、脚部麻痺や踝関節の機能障害等によって歩行が困難となった患者に対して、歩行の機能を補助し、或いは機能回復を促すために、脚部に装着する下肢装具が用いられている。こうした下肢装具としては、左右に側板部1aを突設した図5に示すような足底板材1をプレス成形して、図6に示すような鐙状に支持側板2aを形成した足底板2とし、その上側に足を覆うための靴体3を取り付けると共に、足底板2の下側に靴底体4を設けたものがある。このような従来の下肢装具は、図7に示すように、靴体3の左右両側の踝関節の直下位置で、支持側板2aを上方に向かって立ち上げ、立ち上がった支持側板2aの上端部に形成した継手板部2bが、該関節の回動軸位置に合致するように形成した後、下肢に結合する下肢カフ5aを上部に設けた一対の支柱5の、下端に固定した結合部材5bと該継手板部2bとを、連結ピン6により前後方向に揺動可能に結合してある。
【0003】
このような下肢装具は、装用者の足の寸法に合わせて製作するものであり、これに用いる足底板は、体重を支えると共に歩行時の衝撃に耐えることが必要である。従って、継手板部の位置や全体の寸法などを含めて種々の寸法を備えた規格品の素材を、強靱な材料を用いて予め多種類形成しておき、多数の規格品素材の中から適当なサイズのものを選び出して、これを装用者に合わせてプレス加工するなどにより、製作されていた。
【0004】
しかし、規格に合わせて準備された多数の素材から適切なサイズのものを選んでして、装用者に合うように左右の側板部を曲げ加工するには、多種の素材を在庫品として揃えておかなければならない不経済性がある。また左右の継手板部の軸位置にずれがあると、装具に異常な応力が掛かって耐久性を損なう恐れがあるので、プレスによる曲げ加工の精度を高める必要があり、加工には高い熟練度が要求されるという不利もある。そして、耐久性を重視して加工すると、靴体と支持側板との隙間が大きくて無骨な形態になり勝ちであるうえ、左右の支持側板の曲がり方が揃わないなど、見苦しい形状の装具が出来てしまうという問題もあった。
【0005】
【発明が解決しようとする課題】
そこで本発明は、装用者の足に適合した靴などの履物の外形に沿った支持側板を形成し、且つ踝関節の位置に適合した左右の継手板部を該支持側板の先端位置に設けた、見栄えがよくて耐久性の良好な歩行用下肢装具を、経済的に提供することを目的としたものである。
【0006】
【課題を解決するための手段】
上記の本発明の目的は、下肢支柱を揺動可能に支持する継手板部が先端位置に形成された一対の支持側板を左右に上向きに設けた足底板の上側に、靴体を設けた下肢装具において、該一対の支持側板における下端から該継手板部の下端までの支持板部は前方側端縁の間隔が後方側端縁の間隔より大であって、且つ該靴体の左右側面に沿った形状に形成され、該継手板部は踝関節の回動軸に垂直な平面と一致するよう平行に形成されていることを要旨とする歩行用下肢装具によって、達成することができる。
【0007】
そして、このような歩行用下肢装具に用いられる足底板としては、足底板材における踝関節直下部位の左右端位置より斜め後退方向に延設した一対の側板部を、上向きに屈曲して支持側板を形成してなるものが、特に好ましく用いられる。
【0008】
更に、上記の本発明の歩行用下肢装具は、下肢支柱を支持する継手板部が支持板部の先端に延設された支持側板を形成するための側板部の一対を、踝関節直下部位の左右端位置より斜め後退方向に延設した足底板材を用い、該足底板材の上側に固定する靴体の踝関節直下位置の左右外側に沿う前広がり線位置で前記側板部を上方に折り曲げて前記支持板部を整形すると共に前記継手板部の一対を該踝関節の回動軸に垂直な平面と一致するよう平行に整形した前記支持側板を備えた足底板を形成し、次いで前記継手板部の一対に該踝関節の回動軸と同軸のピン孔を穿設し、その後に前記ピン孔に嵌合する結合ピンにより前記支柱を揺動可能に前記継手板部に結合すると共に、前記靴体を前記足底板の上側に設けることにより、製造することができる。
【0009】
【発明の実施の形態】
本発明の歩行用下肢装具を、図に基づいて更に詳細に説明するが、本発明の歩行用下肢装具は、支持側板の形状が従来技術による支持側板と異なっているほかは、従来技術による歩行用下肢装具と類似した構造を備えている。すなわち、本発明の歩行用下肢装具を製造するには、図1に示すような足底板材7を使用するのが好適である。この足底板材7は、例えば鋼材などからプレス打ち抜きなどで形成されたもので、踝関節直下部位の左右端に当たる位置から、一対の側板部7aが左右に向かって斜めに後退する方向に延設してあり、該側板部7aの先端には、例えば平板状部7bが形成されている。
【0010】
該足底板材7の上側には靴体3を取り付けるものであるが、装用者の踝関節位置に当たる靴体3の外側面は、一般に丸みが付いている。そこで側板部7aを、該靴体3の左右外側面に沿うように、前方端の間隔が後方端の間隔より広くなるような前広がり線の位置で、例えばプレス加工などにより、上方に向かって折り曲げて成形する。その際、側板部7aを靴体3の外側面に沿うように、丸みをもつ形状に曲げるようにするのがよい。
【0011】
上記のように加工すると、左右の側板部7aの先端に形成されている平板状部7bは、一般には平行でなくなる。そこで、一対の平板状部7bが踝関節の回動軸に対して垂直な平面となるように、捻じり加工を加えるが、この捻じり加工は上記の折り曲げ加工と同時に、又はそれに続いて実施することが好ましい。こうして加工された一対の平板状部7bには、装用者の踝関節の回動軸に合わせて、例えばドリル加工などによりピン孔を穿設し、更に下肢支柱の下端に形成された継手部と結合するに適した形状に加工して、先端部に継手板部8bが形成された支持側板8aを左右両側に備えた、本発明の歩行用下肢装具に用いる、図2に示すような形状の足底板8が得られる。
【0012】
このようにして形成された足底板8の上側には靴体3を、また下側には足底板8を収容する凹部を設けた靴底体4を、それぞれ取り付けたうえ、これらを一体に結合して、本発明の歩行用下肢装具の足部が組み立てられるが、靴体3としては足部覆いやサンダル様のものであってもよく、単に足部を緊締するだけのものでもよい。また靴底体4も、歩行に支障がないものであれば、特に限定されることなく適宜の形態のものを使用することができる。
【0013】
上記のように組み立てられた本発明の歩行用下肢装具の足部において、下肢支柱を支持するための一対の支持側板8aは、支持側板8aの先端部分に形成された継手板部8bが、踝関節の回動軸に垂直な平面と一致し、且つ平行であるように形成されており、また支持側板8aの下端から継手板部8bに至るまでの支持板部8cが、前方側端縁の間隔が後方側端縁の間隔より大で、且つ靴体3の左右側面に沿った形状に形成されているものである。
【0014】
そして、前記の継手板部8bには、一対の下肢支柱の下端部分に形成した継手部を結合ピンによって結合し、前後に揺動可能な踝関節継手部を形成して、図3乃至図4に示すような、本発明の歩行用下肢装具が完成するが、この踝関節継手部の構造は特に限定されるものではなく、公知の構造のものを利用しても構わない。また、本発明の歩行用下肢装具を下肢に装着する手段も、例えば下肢に巻き付けて固定するためのカフなどを、下肢支柱の上端部分に取り付けて利用することができるが、特に限定されるものではなく、適宜に公知の構造のものを利用することができる。
【0015】
【発明の効果】
本発明の歩行用下肢装具は、下肢支柱を支持する継手板部が支持板部の先端に延設された支持側板を形成するための側板部の一対を踝関節直下位置の左右端縁より後退方向に延設した足底板材を用いて、該支持側板における下端から該継手板部の下端までの支持板部は前方側端縁の間隔が後方側端縁の間隔より大であって、且つ靴体の左右側面に沿った形状に形成し、また該継手板部は踝関節の回動軸に垂直な平面と一致するよう平行に形成して、該継手板部の一対に該踝関節の回動軸と同軸のピン孔を穿設したうえ該支柱を揺動可能に該継手板部に結合すると共に、該靴体を前記足底板の上側に設けてなるもので、装用者が希望する形状の靴体に適合して見栄えがよく、しかも装用し易くて耐久性が高いという効果があるほか、下肢装具製造用の足底板材のサイズ別の在庫量を大幅に削減できる利点があって、経済的に歩行用下肢装具を提供できる効果がある。
【図面の簡単な説明】
【図1】本発明の歩行用下肢装具に用いられる足底板材の例の上面図である。
【図2】本発明の歩行用下肢装具に用いられる足底板の例の上面図である。
【図3】本発明の歩行用下肢装具の、踝関節の回動軸に沿った縦断面図である。
【図4】本発明の歩行用下肢装具の背面図である。
【図5】従来技術の歩行用下肢装具に用いられる足底板材の例の上面図である。
【図6】従来技術の歩行用下肢装具の、踝関節の回動軸に沿った縦断面図である。
【図7】従来技術の歩行用下肢装具の外観を示す斜視図である。
【符号の説明】
1 足底板材
1a 側板部
2 足底板
3 靴体
4 靴底体
5 支柱
6 連結ピン
7 足底板材
7a 側板部
7b 平板状部
8 足底板
8a 支持側板
8b 継手板部
8c 支持板部
[0001]
BACKGROUND OF THE INVENTION
The present invention relates to a lower limb orthosis for walking that is attached to a leg portion of a person with difficulty in walking due to leg paralysis or the like to facilitate walking.
[0002]
[Prior art]
Conventionally, lower limb orthoses worn on the legs have been used to assist the walking function or to promote functional recovery for patients who have difficulty walking due to leg paralysis or dysfunction of the hip joint. ing. As such a lower limb orthosis, a sole plate material 1 as shown in FIG. 5 with side plate portions 1a projecting left and right is press-molded to form a sole plate 2 in which a supporting side plate 2a is formed in a hook shape as shown in FIG. In some cases, a shoe body 3 for covering the foot is attached on the upper side, and a shoe sole body 4 is provided on the lower side of the sole plate 2. As shown in FIG. 7, such a conventional lower limb orthosis is such that the support side plate 2 a is raised upward at the position directly below the left and right hip joints of the shoe body 3, and the upper end of the support side plate 2 a is raised. After the formed joint plate portion 2b is formed so as to coincide with the rotational axis position of the joint, a coupling member 5b fixed to the lower ends of a pair of support columns 5 provided at the upper portion with a lower limb cuff 5a coupled to the lower limb; The joint plate portion 2b is coupled by a connecting pin 6 so as to be swingable in the front-rear direction.
[0003]
Such a lower limb orthosis is manufactured according to the size of the wearer's foot, and the sole plate used for this is necessary to support the weight and to withstand the impact during walking. Therefore, a variety of standard materials with various dimensions including the position of the joint plate and the overall dimensions are formed in advance using a tough material. It was manufactured by selecting a suitable size and pressing it according to the wearer.
[0004]
However, in order to bend the left and right side plates to suit the wearer by selecting the appropriate size from a large number of materials prepared according to the standard, various materials are available in stock. There are uneconomicalities that must be overcome. In addition, if there is a deviation in the axial position of the left and right joint plate parts, there is a risk that the device will be subjected to abnormal stress and impair durability, so it is necessary to increase the accuracy of bending with a press. There is a disadvantage that is required. And, if processing with an emphasis on durability, the gap between the shoe body and the support side plate is large and it tends to become a rugged form, and the left and right support side plates do not have the same way of bending, so it is possible to create an unsightly appliance. There was also a problem of end up.
[0005]
[Problems to be solved by the invention]
Therefore, the present invention forms a support side plate that conforms to the outer shape of footwear such as shoes that fits the wearer's foot, and has left and right joint plate portions that are adapted to the position of the hip joint at the distal end position of the support side plate. The object of the present invention is to economically provide a leg brace for walking that has good appearance and good durability.
[0006]
[Means for Solving the Problems]
An object of the present invention is to provide a lower limb provided with a shoe body on the upper side of a sole plate in which a pair of supporting side plates provided with a joint plate portion supporting a lower limb support so as to be swingable at the tip position are provided upward on the left and right. In the brace, the support plate portion from the lower end of the pair of support side plates to the lower end of the joint plate portion has a front side edge interval larger than a rear side edge interval, and on the left and right side surfaces of the shoe body. The joint plate portion can be achieved by a walking lower limb orthosis that is formed so as to coincide with a plane perpendicular to the rotation axis of the hip joint.
[0007]
And as a sole plate used in such a lower limb orthosis for walking, a pair of side plate portions extending in a diagonally backward direction from the left and right end positions of the site directly below the hip joint in the sole plate material are bent upward to support side plates. Those formed by forming are particularly preferably used.
[0008]
Furthermore, the lower limb orthosis for walking according to the present invention described above includes a pair of side plate portions for forming a support side plate in which a joint plate portion supporting the lower limb struts is extended at the tip of the support plate portion. Using the sole plate material that extends diagonally backward from the left and right end positions , the side plate portion is bent upward at the front spreading line position along the left and right outside of the position directly below the ankle joint of the shoe fixed to the upper side of the sole plate material. And forming the sole plate including the support side plate shaped in parallel so that a pair of the joint plate portions coincides with a plane perpendicular to the rotation axis of the heel joint. A pair of plate portions is provided with a pin hole coaxial with the pivot shaft of the heel joint, and then the support column is swingably coupled to the joint plate portion by a coupling pin fitted into the pin hole. It can be manufactured by providing the shoe body on the upper side of the sole plate. That.
[0009]
DETAILED DESCRIPTION OF THE INVENTION
The walking lower limb orthosis according to the present invention will be described in more detail with reference to the drawings. The walking lower limb orthosis according to the present invention is a walking according to the prior art, except that the shape of the supporting side plate is different from the supporting side plate according to the prior art. It has a structure similar to the lower limb orthosis. That is, in order to produce the walking leg apparatus of the present invention, it is preferable to use the sole plate material 7 as shown in FIG. The sole plate material 7 is formed, for example, by punching out of steel or the like, and extends in a direction in which the pair of side plate portions 7a is obliquely retracted from side to side from the position where it hits the left and right ends of the portion directly below the hip joint. For example, a flat plate portion 7b is formed at the tip of the side plate portion 7a.
[0010]
The shoe body 3 is attached to the upper side of the sole plate member 7, and the outer surface of the shoe body 3 that corresponds to the wearer's hip joint position is generally rounded. Therefore, the side plate portion 7a is moved upward at the position of the front spreading line such that the distance between the front ends is wider than the distance between the rear ends so as to follow the left and right outer surfaces of the shoe body 3, for example, by pressing. Bend and shape. At that time, it is preferable to bend the side plate portion 7 a into a rounded shape so as to follow the outer surface of the shoe body 3.
[0011]
When processed as described above, the flat plate-like portion 7b formed at the tips of the left and right side plate portions 7a is generally not parallel. Therefore, twisting is applied so that the pair of flat plate-like portions 7b become a plane perpendicular to the rotation axis of the heel joint. This twisting is performed simultaneously with or subsequent to the bending process described above. It is preferable to do. In the pair of flat plate portions 7b thus machined, a pin hole is bored by, for example, drilling or the like in accordance with the rotation axis of the wearer's heel joint, and a joint portion formed at the lower end of the lower limb strut and The shape shown in FIG. 2 is used for the walking leg brace of the present invention, which is processed into a shape suitable for coupling, and is provided with a support side plate 8a having a joint plate portion 8b formed at the tip on both the left and right sides. The sole plate 8 is obtained.
[0012]
The shoe body 3 is attached to the upper side of the sole plate 8 formed in this manner, and the shoe sole body 4 having a recess for receiving the sole plate 8 is attached to the lower side, and these are integrally coupled. Then, the foot part of the lower limb orthosis for walking according to the present invention is assembled, but the shoe body 3 may be a foot cover or a sandal-like one, or may simply tighten the foot part. Also, the shoe sole body 4 may be of any suitable form without particular limitation as long as it does not hinder walking.
[0013]
In the foot part of the lower limb orthosis for walking according to the present invention assembled as described above, the pair of support side plates 8a for supporting the lower limb struts is formed of a joint plate portion 8b formed at the tip portion of the support side plate 8a. The support plate portion 8c extending from the lower end of the support side plate 8a to the joint plate portion 8b is formed so as to coincide with and parallel to a plane perpendicular to the rotation axis of the joint. The distance is larger than the distance between the rear side edges and is formed in a shape along the left and right side surfaces of the shoe body 3.
[0014]
And the joint part formed in the lower end part of a pair of lower limb support | pillar is couple | bonded with the said joint board part 8b by the coupling pin, and the hip joint joint part which can rock | fluctuate back and forth is formed, FIG. 3 thru | or FIG. Although the lower limb orthosis for walking of the present invention as shown in FIG. 5 is completed, the structure of the hip joint joint portion is not particularly limited, and a known structure may be used. In addition, the means for attaching the lower limb orthosis for walking of the present invention to the lower limb can also be used by attaching a cuff or the like for wrapping around the lower limb to the upper end portion of the lower limb strut, for example. Instead, a known structure can be used as appropriate.
[0015]
【The invention's effect】
The walking lower limb orthosis according to the present invention is such that a pair of side plate portions for forming a support side plate in which a joint plate portion supporting a lower limb strut is extended at the distal end of the support plate portion is retracted from the left and right end edges immediately below the hip joint. Using the sole plate material extending in the direction, the support plate portion from the lower end of the support side plate to the lower end of the joint plate portion has a front side edge interval larger than a rear side edge interval, and The joint plate part is formed in a shape along the left and right side surfaces of the shoe body, and the joint plate part is formed in parallel so as to coincide with a plane perpendicular to the rotation axis of the joint joint. A pin hole that is coaxial with the pivot shaft is coupled to the joint plate portion so as to be able to swing, and the shoe body is provided on the upper side of the sole plate. It is suitable for the shape of the shoe body, looks good, is easy to wear and has high durability. There is an advantage that can be greatly reduced by the inventory size sole plate of use, there is an effect that can provide economically walking foot orthosis.
[Brief description of the drawings]
FIG. 1 is a top view of an example of a sole plate material used in a lower limb orthosis for walking according to the present invention.
FIG. 2 is a top view of an example of a sole plate used in the walking leg apparatus of the present invention.
FIG. 3 is a longitudinal sectional view of the lower limb orthosis for walking according to the present invention along the rotation axis of the hip joint.
FIG. 4 is a rear view of the lower limb orthosis for walking according to the present invention.
FIG. 5 is a top view of an example of a sole plate material used in a walking leg apparatus for walking according to the prior art.
FIG. 6 is a longitudinal sectional view of the lower limb orthosis for walking according to the prior art along the rotation axis of the hip joint.
FIG. 7 is a perspective view showing an appearance of a leg walking brace according to the prior art.
[Explanation of symbols]
DESCRIPTION OF SYMBOLS 1 Sole plate material 1a Side board part 2 Sole board 3 Shoe body 4 Shoe bottom body 5 Support | pillar 6 Connecting pin 7 Sole board material 7a Side board part 7b Flat plate part 8 Sole board 8a Support side board 8b Joint board part
8c support plate

Claims (3)

下肢支柱を揺動可能に支持する継手板部(8b)先端位置に形成された一対の支持側板(8a),(8a)を左右に上向きに設けた足底板(8)の上側に、靴体(3)を設けた下肢装具において、該一対の支持側板 (8a),(8a) における下端から該継手板部 (8b) の下端までの支持板部 (8c) 前方側端縁の間隔が後方側端縁の間隔より大であって、且つ該靴体(3)の左右側面に沿った形状に形成され、該継手板部(8b)は踝関節の回動軸に垂直な平面と一致するよう平行に形成されていることを特徴とする歩行用下肢装具。Joint plate portion swingably supporting the leg strut (8b) is a pair of support plates formed at the tip position (8a), the upper side of the sole plate of (8a) was upwardly provided on the left and right (8), the shoe In the lower limb orthosis provided with the body (3) , the support plate portion (8c) from the lower end of the pair of support side plates (8a), (8a) to the lower end of the joint plate portion (8b ) is the distance between the front side edges. Is formed in a shape along the left and right side surfaces of the shoe body (3) , and the joint plate portion (8b) has a plane perpendicular to the rotation axis of the heel joint. A lower limb orthosis for walking characterized by being formed in parallel so as to match. 前記足底板(8)は、足底板材(7)における踝関節直下部位の左右端位置より斜め後退方向に延設した一対の側板部(7a)を、上向きに屈曲して支持側板(8a)を形成してなるものである、請求項1に記載の歩行用下肢装具。The sole plate (8) is a support side plate (8a) by bending upward a pair of side plate portions (7a) extending obliquely backward from the left and right end positions of the part directly below the hip joint in the sole plate material (7) . The lower limb orthosis for walking according to claim 1, wherein the lower limb orthosis for walking is formed. 下肢支柱を支持する継手板部(8b)が支持板部(8c)の先端に延設された支持側板(8a)を形成するための側板部(7a)の一対を、踝関節直下部位の左右端位置より斜め後退方向に延設した足底板材(7)を用い、該足底板材(7)の上側に固定する靴体 (3) の踝関節直下部位の左右外側に沿う前広がり線位置で前記側板部 (7a) を上方に折り曲げて、前記支持板部(8c)を整形すると共に前記継手板部(8b)の一対を該踝関節の回動軸に垂直な平面と一致するよう平行に整形した前記支持側板(8a)を備えた足底板(8)を形成し、次いで前記継手板部(8b)の一対に該踝関節の回動軸と同軸のピン孔を穿設し、その後に前記ピン孔に嵌合する結合ピンにより前記支柱を揺動可能に前記継手板部(8b)に結合すると共に、前記靴体(3)を前記足底板(8)の上側に設けることを特徴とする歩行用下肢装具の製造法。A pair of side plate portions (7a) for forming a supporting side plate (8a) in which the joint plate portion (8b) supporting the lower limb struts extends at the tip of the support plate portion (8c) Using the sole plate material (7) extending obliquely backward from the end position, the position of the front spreading line along the right and left outer sides of the portion directly below the hip joint of the shoe body (3) to be fixed to the upper side of the sole plate material (7) The side plate portion (7a) is bent upward to shape the support plate portion (8c), and the pair of joint plate portions (8b) are parallel so as to coincide with a plane perpendicular to the rotation axis of the hip joint. Forming a sole plate (8) having the support side plate (8a) shaped into a pin hole, and then drilling a pin hole coaxial with the pivot shaft of the hip joint in a pair of the joint plate portion (8b) , And the coupling plate (8b) is coupled to the joint plate portion (8b) so as to be swingable by a coupling pin fitted into the pin hole, and the shoe body (3) is provided on the upper side of the sole plate (8). Lower limb for walking Prosthetic manufacturing method.
JP2000321414A 2000-10-20 2000-10-20 Lower limb orthosis for walking and manufacturing method thereof Expired - Fee Related JP3841636B2 (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2010284210A (en) * 2009-06-09 2010-12-24 Etsuzo Fukuda Hallux valgus corrector

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2010284210A (en) * 2009-06-09 2010-12-24 Etsuzo Fukuda Hallux valgus corrector

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