Orthopedic device and method for manufacturing

Description

[0001] The invention relates to an orthotic device comprising a dimensionally stable element for positioning on a body part and a strap for attaching the dimensionally stable element to the body part, the strap being guided through a deflection eyelet. The invention also relates to a method for manufacturing such an orthotic device.

[0002] Orthopedic devices include, for example, orthoses or prostheses. However, within the scope of the present invention, the term orthopedic devices also encompasses support devices that assist body parts or the wearer of the device and are intended, for example, to prevent or delay fatigue or exhaustion. The orthopedic device comprises a dimensionally stable element that is attached to the respective body part by means of a strap. The dimensionally stable element can be, for example, a splint or a shell. The dimensionally stable element can be a standard element that is not individually adapted to the body part. Alternatively, the dimensionally stable element can also be individually adapted to the wearer's specific body part.

[0003] The dimensionally stable element can be made of a plastic, for example a fiber-reinforced plastic, or of metal. In this context, a strap is understood to be a flexible element that is preferably placed around the part of the wearer's body to which the dimensionally stable element is to be attached. The strap can be elastic or inelastic. For the purposes of this invention, a deflection eyelet is any element around which the strap is placed to change its direction. This can be a ring, for example a D-ring or an O-ring. Loops or eyelets open on one side, such as those known from the lacing of hiking boots, are also considered deflection eyelets.

[0004] Orthopedic devices are known from the prior art, the rigid element of which is attached to the wearer's body part by one or more straps. In preferred embodiments, the strap is attached to the rigid element at one end. It is placed at least partially around the wearer's body part and guided through the guide eyelet. The strap is then guided at least partially around the body part in the opposite direction and secured. The strap can be fastened to itself. In this case, one end of the strap is preferably provided with a hook-and-loop fastener. The opposite end of the strap has the corresponding fastener, so that the strap can be fastened to itself by closing the hook-and-loop fastener.Alternatively or additionally, after being guided through the deflection eyelet, the end of the belt can also be fixed to the rigid element of the orthotic device or another component or element of the orthotic device.

[0005] The positioning of the guide eyelet, in particular, significantly influences the strap's path when the orthotic device is in place. A less-than-ideal fit and path of the strap can lead to pressure points and pain for the wearer, or at the very least, an uncomfortable wearing experience. Especially when the rigid element is a standard component not custom-made for the wearer, the optimal strap path is often difficult to predict in detail. Even with custom-made, one-off pieces used as rigid elements, this prediction is often challenging, as the wearer's individual comfort level is difficult or impossible to predict. However, according to current best practices, the position and path of the strap and / or guide eyelet cannot be altered once the orthotic device is complete.The wearer must therefore either accept the less-than-ideal fit or have a new orthotic device created. This is costly and time-consuming.

[0006] WO 2013 / 156351 A1 discloses a clamping device for use in the orthopedic sector with a rigid body, wherein the clamping device can be fixed to a body part by means of a holding device and a band. The holding device has a connecting element and a thickening end, wherein the connecting element and the thickening end can be guided into a corresponding recess of a fastening device.

[0007] The invention is based on the objective of eliminating or at least mitigating the disadvantages of the prior art.

[0008] The invention solves the stated problem by means of an orthopaedic device according to the preamble of claim 1, which is characterized in that the dimensionally stable element has at least one fastening device with a passage with a longitudinal direction, along which a connecting element extends through the passage, to which the deflecting eyelet is attached, wherein the connecting element has a first end on which a first anchor is formed such that the first end with the first anchor cannot be pulled along the longitudinal direction through the passage.

[0009] When the connecting element is removed from the opening by moving it through the opening until it completely exits it, the present invention refers to the connecting element being "pulled" through the opening. This describes only the movement, not the direction of the applied force responsible for this movement. Of course, it is also possible to apply a compressive force that causes this movement of the connecting element through the opening. In this case as well, the present invention refers to the connecting element being "pulled" through the opening.

[0010] Preferably, the connecting element is detachably attached to the dimensionally stable element of the orthotic device via the fastening device. The connecting element is, for example, a rope, wire, or cord. The connecting element has a length that determines, for example, the distance between the deflection eyelet and the fastening device. This distance does not necessarily have to correspond to the length of the connecting element. However, a longer connecting element results in a greater distance between the deflection eyelet and the fastening device.

[0011] In a preferred embodiment, the first anchor is detachably arranged at the first end of the connecting element. The first anchor can, for example, be in the form of a sleeve with an internal thread that corresponds to an external thread located at the first end of the connecting element. This makes it particularly easy to detach the first anchor from the first end of the connecting element. In a preferred embodiment, the first anchor has a larger cross-section than the connecting element. The diameter of the first anchor is preferably larger than the diameter of the opening, so that the fastening device can be moved through and shifted within the opening, but cannot be pulled along its longitudinal direction through the opening and thus removed from the dimensionally stable element of the orthotic device.In this case, this is prevented by the first anchor, which has too large a cross-section or diameter to be pulled through the openings.

[0012] If the first anchor is removed from the first end of the connector, the connector and its first end can be pulled longitudinally through the opening, thus separating and removing the connector from the rigid element. This makes it possible, for example, to replace one connector with another that has a different length or a different type of deflection eye.

[0013] Alternatively or additionally, the feedthrough has a section in which the first anchor can be received, at least partially, but preferably completely. In a preferred embodiment, this section has a larger cross-section than the remaining part of the feedthrough, this larger cross-section preferably corresponding to the cross-section and diameter of the first anchor. When the orthotic device is in place, the strap exerts a tensile force on the connecting element via the deflection eyelet. This tensile force preferably acts in the direction in which the first anchor cannot be pulled through the feedthrough. For example, to prevent a detachable anchor from being accidentally detached from the first end of the connecting element, it can be received in this section of the feedthrough.From an aesthetic and optical point of view, it can also be advantageous to place the first anchor in the execution section and thus remove it from the user's field of vision.

[0014] In a preferred embodiment, the opening has a slot whose width is greater than the diameter of the connecting element and smaller than the diameter of the anchor. Preferably, the slot extends along the entire longitudinal direction of the opening. In this embodiment, if a tensile force is exerted on the connecting element, as occurs, for example, when the orthotic device is in place due to the strap, the connecting element is moved through the opening as far as possible following this force. This movement ends when the first anchor can no longer be moved through the opening because its end face rests against a corresponding end face of the fastening device. Preferably, the first anchor is then located in the section of the opening where it can be received.The connecting element, at whose first end the first anchor is located, cannot be removed from the bushing in this position. The connecting element cannot be pulled through the bushing along its length because this is prevented by the first anchor. Furthermore, the connecting element cannot be removed through the slot of the bushing because, although the slot's width is greater than the diameter of the connecting element, it is too narrow to allow the first anchor inside the bushing to move through the slot.

[0015] In this design, however, it is not necessary to remove the first anchor from the first end of the connecting element to detach the connecting element from the rigid component of the prosthesis. Instead, it is sufficient to move the connecting element along its length through the opening until the first anchor is no longer engaged in any section of the opening. In this state, only the connecting element extends through the opening. Its diameter is smaller than the width of the slot, so while the connecting element cannot be removed from the opening along its length, it can exit through the slot. Therefore, in this design, even with a non-removable first anchor, it is possible to remove the connecting element from the opening and thus from the rigid component of the prosthetic device.

[0016] Preferably, the connecting element has a second end at which a second anchor is formed. The second end is preferably arranged opposite the first end.

[0017] In a preferred embodiment, the fastening device has a second through-passage with a longitudinal direction along which the connecting element extends, wherein the second anchor is designed such that the second end with the second anchor cannot be pulled through the second through-passage along the longitudinal direction. Preferably, the design of the second through-passage corresponds to the design of the first through-passage.

[0018] In this embodiment, the connecting element extends with both ends through each of the two openings. It thus forms a loop to which the deflection eyelet is attached or can be attached. The deflection eyelet may, for example, have a channel through which the connecting element is guided. The two openings of the fastening device preferably do not run parallel to each other, but rather converge towards each other. The two anchors are preferably arranged on the same side of the two openings. In another embodiment, a portion of the connecting element forms the deflection eyelet. This is a part of the connecting element that is arranged between the two ends and, in this case, comes into direct contact with the belt.

[0019] To remove the connecting element in this configuration from the dimensionally stable element of the orthotic device, it is advantageous if both the first and second anchors are detachably arranged at their respective ends of the connecting element. In this case, both the first and second anchors can be removed. The first end of the connecting element can then be pulled through the first opening. After removing the second anchor, the second end can be pulled through the second opening along its length. The connecting element is then no longer connected to the fastening device and can, for example, be replaced. An advantage of this configuration is that the deflection eyelet does not need to be removed or detached from the connecting element.

[0020] Preferably, the deflection eyelet is detachably arranged on the connecting element. In a particularly preferred embodiment, the deflection eyelet is arranged on the connecting element in such a way that it can be detached from the connecting element when the connecting element extends through both openings of the fastening device. If, in this case, not the connecting element itself, but only the type or size of the deflection eyelet is to be changed, so that the deflection eyelet is replaced, this can be done without having to remove the connecting element from the dimensionally stable element of the orthotic device.

[0021] To replace the connecting element in this configuration, it must first be removed from the rigid component of the orthotic device. This requires removing one of the two anchors from the respective end. The end can then be pulled through the corresponding opening. In this state, the deflection eyelet can be removed from the connecting element, and the connecting element can then be pulled through the other opening. It is not necessary to remove the other anchor, as the connecting element is pulled through the opening in the opposite direction to the direction in which a tensile force is exerted when the orthotic device is in use.

[0022] Preferably, the second through-hole has a slot whose width is greater than the diameter of the connecting element and smaller than the diameter of the second anchor. Preferably, the second through-hole also has a section in which the second anchor can be received, at least partially, and preferably completely. When a tensile force is applied to the connecting element, the second anchor is moved into this section of the second through-hole and preferably completely received therein. In this position, it is not possible to remove the connecting element from the second through-hole. The connecting element cannot be pulled out of the second through-hole along its longitudinal direction because the second anchor, due to its cross-section, does not fit through the second through-hole.The connecting element cannot be removed through the slot of the second feedthrough because its width is insufficient to allow the second anchor to pass through. Only when the connecting element is moved in the opposite direction and the second anchor is removed from the section of the second feedthrough can the connecting element be moved through the slot of the second feedthrough and thus removed from the fastening device and therefore from the dimensionally stable element of the orthotic device.

[0023] In a preferred embodiment, the deflection eye is attached to the second anchor, which is preferably identical to the first anchor. In this embodiment, the second end of the connecting element, to which the second anchor is located, is preferably not inserted into or passed through a second opening in the fastening device, but rather connected to the deflection eye. The connecting element then does not form a loop, but connects the fastening device to the deflection eye.

[0024] Preferably, the deflecting eyelet has an eyelet opening through which the connecting element is guided, the eyelet opening preferably having a section in which the second anchor can preferably be received completely, but at least partially. The second anchor and the eyelet opening are designed such that the second end with the second anchor cannot be pulled through the eyelet opening along its longitudinal direction.

[0025] Preferably, the eyelet fitting has a slot whose width is larger than the diameter of the connecting element and smaller than the diameter of the second anchor. The eyelet fitting then functions like the first fitting and / or the second fitting if they have a corresponding slot.

[0026] Preferably, the rigid element has several fastening devices. These are arranged at different locations on the rigid element or, optionally, on several rigid elements of the orthotic device. Preferably, the orthotic device has fewer straps and fewer deflection loops, and thus preferably fewer connecting elements than fastening devices. Since the connecting element, by which the deflection loop is connected to the rigid element of the orthotic device, can be removed and disassembled from the fastening device, it is possible to select the fastening device on which the connecting element is located and to modify it even after assembly. This allows for consideration of the individual needs of the wearer of the orthotic device in order to achieve the most comfortable wearing experience possible.In addition, the orthopaedic technician can also choose the position that optimizes the effectiveness of the device and, for example, try out several positions on the patient.

[0027] Preferably, the fastening devices are arranged equidistant from each other. Particularly preferably, the first penetrations and / or, if present, second penetrations of the various fastening devices run parallel to each other.

[0028] In a preferred embodiment of the orthotic device, the rigid element and at least one of the fastening devices, preferably all fastening devices, are manufactured using an additive manufacturing process, for example, a 3D printing process. If the rigid element of the orthotic device has only one fastening device, this is preferably formed integrally with the rest of the rigid element. For certain applications, it may be advantageous to manufacture at least one fastening device together with the rest of the rigid element using the additive manufacturing process and to design at least one fastening device as a separate component. This can be glued or welded to the rest of the rigid element or detachably connected to it.Even for additively manufactured orthotic devices that can be easily customized, it has surprisingly proven advantageous to provide multiple attachment points instead of defining an optimal position in advance. The patient's individual fit is crucial in determining the optimal position.

[0029] Preferably, the orthotic device is an ankle orthosis comprising a lower leg section and a foot section. The lower leg section is designed to be placed on the lower leg of the wearer and is preferably individually fitted to the wearer. The foot section is designed to be placed on the foot of the wearer and is also preferably individually fitted to the wearer. The foot section and the lower leg section are preferably articulated together. The orthotic device in this form preferably has several fastening devices arranged along the longitudinal axis of the lower leg section.

[0030] Preferably, the foot section has a dimensionally stable portion to which a fastening device is attached. This is located in the heel area of ​​the foot section on the lateral side. A standard closure, as known from the prior art, is difficult to position at this location because the strap and / or its attachment and / or the guide eyelet would then rest against the wearer's ankle. Since, when worn, the strap, and thus also the guide eyelet and its attachment (e.g., the connecting element), are subject to tensile force, this force is then transferred to the ankle, leading at least to an uncomfortable feeling, and at worst to pressure points and pain.Therefore, in this embodiment of the invention, it is advantageous to arrange the fastening devices distal to the ankle in the region of the heel of the foot section, wherein the first and / or the second opening, when the orthosis is applied, extends at an angle of at least 35°, preferably at least 40° and at most 55°, preferably at most 50°, and particularly preferably at an angle of 45° to the bearing surface of the foot section, especially to the ground on which the wearer of the orthosis is located. A flexible connecting element allows the direction of the tensile force generated and transmitted by the strap to be controlled. Particularly preferably, the first and / or the second opening extends from a region behind the ankle to a region in front of the ankle. The first and / or the second opening can describe a curve and need not be straight.This applies to all embodiments described here.

[0031] Furthermore, the joint of the orthotic device is often located in the ankle area. To prevent the connecting element from running over this area, it can be guided around it using a channel. This allows the deflection eyelet to be positioned optimally without requiring the attachment device to be in the same location. This is particularly advantageous because the orthotist often needs to make adjustments to the top of the ankle brace at the desired position.

[0032] If a fastening device were located in this area, the possibilities for post-processing would be significantly limited.

[0033] A further advantage of the present invention is that the position of the fastening device on the dimensionally stable element and the position of the deflection eyelet are decoupled from each other. This makes it possible to create an orthopedic device that is less bulky and therefore easier to wear under clothing.

[0034] The invention also solves the stated problem by a method for manufacturing an orthopaedic device of the type described here, in which at least the dimensionally stable element with at least one fastening device, preferably with all fastening devices, is manufactured in an additive manufacturing process, whereby the number and / or the position and / or the orientation of the fastening devices are taken into account as input parameters.

[0035] To manufacture the dimensionally stable element with the fastening device(s) using an additive manufacturing process, such as 3D printing, input parameters are preferably requested from a user of a corresponding manufacturing device, such as a 3D printer. For this purpose, the manufacturing device preferably has an input device, such as a graphical user interface, so that input parameters can be entered into and transmitted to an electronic control unit responsible for controlling the manufacturing device. The parameters include, for example, the number of fastening devices to be manufactured using the additive manufacturing process. Additionally or alternatively, the parameters include the position and / or orientation of the fastening devices.The parameters can be stored in an electronic data storage device accessible to the electrical control system that controls the manufacturing equipment. Alternatively or additionally, they are entered via the input device.

[0036] The position and / or orientation of a fastening device can, for example, be individually specified by a user of the manufacturing device. Alternatively, only areas of the dimensionally stable element to be manufactured can be specified in which a certain number of fastening devices, which can be individually selected or predefined, are arranged. Preferably, parameters of the arrangement can be specified so that, for example, it can be selected that the fastening devices can be arranged equidistantly and / or aligned parallel to each other.

[0037] With the aid of the accompanying figures, some exemplary embodiments of the present invention are explained in more detail below.

[0038] They show Figures 1 to 4 - schematic representations of a dimensionally stable element with at least one fastening device, Figures 5 to 7 - schematic representations of various deflection eyelets, Figures 8 to 11 - schematic representations of various strengthening devices, Figures 12 to 14 - schematic representations of various elements according to a further embodiment of the present invention, Figures 15 to 17 - schematic representations of various elements according to a further embodiment of the present invention and Figure 18 - a representation of an orthopaedic device according to an embodiment of the present invention.

[0039] Figure 1Figure 1 shows a dimensionally stable element 2 of an orthotic device according to a first embodiment of the present invention. It is a lower leg shell, which can be used, for example, for an ankle orthosis and can be arranged on the lower leg of a wearer of the orthosis. The dimensionally stable element 2 has several fastening devices 4 that extend outwards from the base body of the dimensionally stable element 2.

[0040] Elements 2 protrude. The form and design of the fastening devices 4 are described in more detail below. A deflecting eyelet 8 is arranged on the uppermost fastening device 4 shown, via a connecting element 6, which is designed in the form of a very short cord.

[0041] Figure 2Figure 2 shows a dimensionally stable element 2, which also has a plurality of fastening devices 4. These are formed integrally with each other. Each of the fastening devices 4 has a through-hole 10, wherein the through-holes 10, and thus the fastening devices 4, are arranged equidistantly in the illustrated embodiment. Figure 2 There are two deflection eyelets 8, each connected to the fastening devices 4 via a connecting element 6. Each of the connecting elements 6 extends through a feedthrough 10, which in Figure 2 however, it is only indicated schematically.

[0042] Figure 3 shows the dimensionally stable element 2 made of Figure 2 from a different perspective. In Figure 3 It can be clearly seen that the two connecting elements 6, with which one of the two deflection eyelets 8 is each attached, extend into one of the through-holes 10.

[0043] Figure 4Figure 1 shows a different embodiment. Here, the dimensionally stable element 2 is part of a foot section of an ankle orthosis. The deflection eyelet 8 is connected via the connecting element 6 to a fastening device 4, which has a through-hole 10 through which the connecting element 6 extends.

[0044] The Figures 5 to 7 Each shows a deflection eyelet 8 through which a belt can be passed and deflected. Each of the deflection eyelets 8 shows an eyelet opening 12 which is located in the Figures 5 to 7 Each is trained differently. Figure 5 The eyelet opening 12 has a slot 14 which, in the illustrated embodiment, extends over the entire longitudinal extent of the eyelet opening 12. The slot 14 has a width that is greater than the diameter of a connecting element 6 that can be passed through the eyelet opening 12. Figure 5At the lower end of the eyelet opening 12, it has a section 16 that has a larger diameter than the rest of the eyelet opening 12. A connecting element 6, at the end of which an anchor is located and which is passed through the eyelet opening 12, can be inserted into Figure 5 The anchor is moved upwards until it is partially, but preferably completely, received in this section 16. From this point on, it is no longer possible to pull the connecting element 6 further in this direction through the eyelet opening 12.

[0045] Figure 6 shows a similar form, which differs from the one in Figure 5 The depicted form of the eyelet passage 12 differs only in that it does not have a slot. Figure 7 In contrast, an eyelet feedthrough 12 is shown, in which section 16 is clearly visible. The eyelet feedthrough 12 in Figure 7The eyelet opening 12 has a slot 14 and is therefore open at the top. In section 16, which has a larger cross-section compared to the rest of the eyelet opening 12, the slot 14 is also wider. A connecting element 6, with an anchor at its end, can therefore be inserted into the eyelet opening 12 from above through the slot 14. Only when a tensile force is applied to the connecting element 6, due to the resulting friction, is it no longer possible to remove the connecting element 6 from the eyelet opening 12.

[0046] The Figures 8 to 11 show different designs of a fastening device 4. Figure 8Figure 1 shows a first embodiment in which the feedthrough 10 has a slot 14, i.e., it is open at the top. Inside the feedthrough 10, a section 16 can be seen, which has a larger cross-section than the remaining part of the feedthrough 10. This section is designed to completely accommodate an anchor located at one end of a connecting element 6. To position this anchor in the section 16, the fastening device 4 has an insertion opening 18, the dimensions of which are large enough to completely accommodate the anchor.

[0047] Figure 9 Figure 4 shows a fastening device in which the through-hole 10 has the slot already discussed. It can be seen in Figure 9 The rear part of the fastening device 4 includes section 16 with the larger cross-section. The section in Figure 10The fastening device 4 shown differs from the fastening device 4 made of Figure 9 because the feedthrough 10 has no slot.

[0048] In Figure 11 A fastening device 4 is shown, which in its function and design is made of Figure 8 It comes very close to the original design. It is merely designed as a raised element and is therefore placed on a base body of a dimensionally stable element. The feedthrough 10 has the slot 14 and the insertion opening 18 is shown in the rear area, through which an anchor can be inserted into the fastening device 4 and then into the section 16.

[0049] The Figures 12 to 14 schematically show a different design. Figure 12 Figure 1 shows a connecting element 6 that has a first end 20 with a first anchor 22 and a second end 24 with a second anchor 26. Figure 12Figure 1 also shows another form of the deflection eyelet 8, which is designed in the form of a hose. The two ends 20, 24 of the connecting element 6 are arranged to interact with a fastening device 4.

[0050] This is in Figure 13 The connecting element 6 extends through the deflection eyelet 8, as shown by the dashed lines. The two ends 20, 24 of the connecting element 6 are inserted into a first opening 10 and a second opening 28, so that the connecting element 6 forms a loop. Figure 14 The situation is shown in a schematic top view. The ends 20, 24 of the connecting element 6 are arranged in the fastening device 4 and are not visible. A strap 30 is placed around the deflection eye 8.

[0051] In the Figures 15 to 17 First, a slightly different design was presented, which differed from the design in the Figures 12 to 14in particular, it differs in that the deflection eyelet 8 not only includes the tunnel through which the connecting element 6 is passed, but itself forms an eyelet through which the belt 30 is passed.

[0052] Figure 18 Figure 1 shows an orthotic device in the form of an ankle orthosis. It has a first dimensionally stable element 2 in the form of a foot section, which is attached to the foot of a wearer of the orthotic device. It also has a second dimensionally stable element 2 in the form of a lower leg section, which can be attached to the lower leg of the wearer.

[0053] Both dimensionally stable elements 2 each have at least one fastening device 4 with a through-hole 10. A connecting element 6 is guided through this through-hole or can be guided through it. A deflecting eye 8 is arranged on each of the two connecting elements 6 shown. Reference symbol list

[0054] 2 dimensionally stable element 4 fastening device 6 connecting element 8 deflection eye 10 feedthrough 12 eyelet feedthrough 14 slot 16 section 18 insertion opening 20 first end 22 first anchor 24 second end 26 second anchor 28 second feedthrough 30 strap

Claims

1. An orthopaedic device with a dimensionally stable element (2) for positioning on a body part and a strap (30) for fastening the dimensionally stable element (2) to the body part, the strap (30) being guided through a deflection eyelet (8), wherein the dimensionally stable element (2) comprises at least one fastening device (4) with a feed-through (10) with a longitudinal direction, along which a connection element (6) extends through the feed-through (10) to which the deflection eyelet (8) is attached, the connection element (6) comprising a first end (20) on which a first anchor (22) is formed in such a way that the first end (20) with the first anchor (22) cannot be pulled through the feed-through (10) along the longitudinal direction, characterised in that the first anchor (22) is detachably arranged on the first end (20).

2. The orthopaedic device according to claim 1, characterised in that the feed-through (10) features a section (16) in which the first anchor (22) can be at least partially, preferably completely, accommodated.

3. The orthopaedic device according to claim 2, characterised in that the feed-through (10) comprises a slit (14), the width of which is greater than the diameter of the connection element (6) and smaller than the diameter of the first anchor (22).

4. The orthopaedic device according to one of the preceding claims, characterised in that the connection element (6) has a second end (24) at which a second anchor (26) is formed.

5. The orthopaedic device according to claim 4, characterised in that the fastening device (4) features a second feed-through (28) with a longitudinal direction, along which the connection element (6) extends, the second anchor (26) being designed in such a way that the second end (24) with the second anchor (26) cannot be pulled through the feed-through (28) along the longitudinal direction.

6. The orthopaedic device according to claim 5, characterised in that the second feed-through (28) comprises a slit (14), the width of which is greater than the diameter of the connection element (6) and smaller than the diameter of the second anchor (26).

7. The orthopaedic device according to one of the claims 4, 5 or 6, characterised in that the deflection eyelet (8) is attached to the second anchor (26), the second anchor (26) preferably being identical to the first anchor (22).

8. The orthopaedic device according to claim 7, characterised in that the deflection eyelet (8) features an eyelet feed-through (12) through which the connection element (6) is guided, the eyelet feed-through (12) preferably comprising a section (16) in which the second anchor (26) can be at least partially, preferably completely, accommodated.

9. The orthopaedic device according to claim 8, characterised in that the eyelet feed-through (12) comprises a slit (14), the width of which is greater than the diameter of the connection element (6) and smaller than the diameter of the second anchor (26).

10. The orthopaedic device according to one of the preceding claims, characterised in that the dimensionally stable element (2) comprises multiple fastening devices (4).

11. The orthopaedic device according to claim 10, characterised in that the fastening devices (4) are arranged equidistantly to each other.

12. The orthopaedic device according to one of the preceding claims, characterised in that the dimensionally stable element (2) and at least one fastening device (4), preferably all fastening devices (4), are produced in an additive manufacturing process.

13. The orthopaedic device according to one of the preceding claims, characterised in that the orthopaedic device is an ankle orthosis with a lower leg section and a foot section, wherein multiple fastening devices (4) are preferably arranged along a longitudinal extension of the lower leg section.

14. A method for producing an orthopaedic device according to one of the preceding claims, characterised in that at least the dimensionally stable element (2) with at least one fastening device (4), preferably with all fastening devices (4), are produced in an additive manufacturing process, wherein the number and / or the position and / or the orientation of the fastening devices (4) are taken into account as input parameters.