it has been discovered that many commercial braces do not fit certain sizes and shapes in the most appropriate manner . this is particularly true of legs with large thighs and smaller calf regions . these leg shapes are referred to herein as “ cone - shaped ” legs and illustrated in certain ones of the following drawings . further , the present invention may be adapted to fit the leg shapes of both children and adults . referring now to fig1 there is shown an adjustable hinged knee support 10 constructed in accordance with the principles of the present invention . the knee support 10 facilitates a better fit for users having large thighs or “ cone - shaped ” legs 12 . an adjustable upper fastener assembly 14 accommodates the various thigh sizes . as shown in fig1 a large patella opening 16 ( or alternatively , a large popliteal opening ) is also provided for added comfort . on opposite sides of opening 16 are removable , adjustable half - horseshoe buttress &# 39 ; 21 for comfort and support ( see also fig2 ). as described below , the upper fastener assembly 14 and the lower fastener assembly 18 may be constructed with hook and pile portions to facilitate adjustability and ease of use by the user . still referring to fig1 a hinge 20 is distinctly placed along the medial portion of the knee support 10 . hinge 20 may be either a polycentric ( double axis ) hinge , single axis hinge , complex hinge , or a spiral stay . other types of hinges may also be used as will be shown in more detail below , a second hinge 20 is disposed opposite hinge 20 , and is positioned on the outside portion ofthe knee to balance the support about the knee . it has been observed in prior art that knee braces do not accommodate variations in size of the user &# 39 ; s thigh , the position ofthe respective hinges may vary in accordance with the principles of the present invention . referring now to fig2 there is shown an enlarged fragmentary , side elevation view of an upper portion 22 of hinge 20 of the knee support 10 of fig1 . the position of the upper portion 22 of hinge 20 is shown to be positionable about a hook and pile surface 24 of the knee support 10 . a retaining strap 26 is shown in a position for securement of hinge 20 . in this manner , the position of the hinge 20 relative to the leg of the user , as shown in fig1 may be selectively adjusted to accommodate variations in the size of the thigh of the user . in other words , the medial and lateral hinges ( described below ) are adjusted to allow the knee support 10 to be anatomically correct relative to the knee . referring now to fig3 there is shown the knee support 10 positioned about the leg 12 of a user . in this particular embodiment it may be seen that the thigh 30 is much larger than the calf 32 of the user . for this reason , the knee support 10 is constructed with opposing flaps 34 and 36 which as shown in fig1 when closed comprise an upper portion 52 of the knee support 10 . in this particular illustration , it may be seen that the flaps 34 and 36 are in an open position , which permit the fitting of the knee support 10 about the leg 12 of the user . the flaps 34 and 36 are constructed with hook and pile surfaces 38 ( one which is shown on flap 34 ) to facilitate securement about the leg 12 of the user . a portion of the hook and pile surface 38 comprises a portion of the adjustable upper fastener assembly 14 , illustrated in fig1 . the adjustable upper fastener assembly 14 further includes a strap 40 extending outwardly from flap 36 . still referring to fig3 the lower region 50 of the knee support 10 , in this particular embodiment , is of fixed size and thus is not adjustable . the lower region 50 does , however , include a support strap 52 that affords securement of the knee support 10 about the leg 12 of the user . referring now to fig4 there is shown the knee support 10 of fig3 positioned about the leg 12 of the user with the flap 38 closed and positioned over the flap 36 as described above . a region 38 a of hook and pile material , which is not visible in fig3 is illustrated as it appears on the outer portion of the flap 36 . it should be noted that the term “ hook and pile fasteners ” is a recognized structure to one skilled in the art and is often sold under the trademark velcro ®. it is also well known that the hook and pile enter and engage one another . therefore , if surface 38 , as shown in fig3 is a hook surface then the region 38 a of fig4 would be a pile surface . it is to be understood that further reference herein to a “ hook and pile surface ” refers to either a hook or a pile surface . still referring to fig4 it may be seen that the lower region 50 of the knee support 10 conforms about the calf 32 , with the patella opening 16 more clearly illustrated by the closure of flap 38 over flap 36 . various stitching 54 is shown upon flap 38 as well as stitching 56 shown around the patella opening 16 . this stitching is shown for purposes of illustration only , and other stitching embodiments maybe incorporated herein . all illustrations thereof should not be deemed limited in any respect relative to the principles of the present invention . referring now to fig5 there is shown the knee support 10 with the lower strap 52 securing the lower region 50 ofthe knee support 10 while the upper fastener assembly 14 secures the upper region of the knee support knee 10 about the leg 12 of the user . it may be seen that the hinge 20 is positioned on the hook and pile surface 24 in a position most appropriate to support of knee of the user as will be described in more detail below . referring now to fig6 there is shown the knee support 10 in a front elevation view . this particular view it may be seen that the hinge 20 comprises medial and lateral hinges 20 . because the knee brace may be used on either left or right knees , it is not necessary to differentiate which hinge 20 is medial or lateral . this definition is relative to the leg of the user . the present description is intended to provide an understanding that the position of the medial and lateral hinges 20 may be adjusted so that they are anatomically correct . as described above , the ability to adjust the position of the hinges 20 , and the ability to position the upper portion 22 of the hinge 20 about the hook and pile surface 24 against which it may be secured , facilitates anatomically correct adjustment . in one embodiment of the present invention , a sheet of material 60 covers the hinge 20 . the underside of the sheet 60 has a mating hook and pile surface to engage the hook and pile surface 24 , which provides securement of the upper portion 22 of hinge 20 ( fig2 ) thereto . in operation , the present invention accommodates various leg sizes . this is clearly shown in fig3 where the above described upper fastener assembly 14 and strap 40 therein described allow the user to position the knee support 10 around the leg 12 of the user in a manner facilitating a wide variety of thigh sizes . because thigh sizes will vary ( especially between children and adults ), the knee support 10 ofthe present invention may be provided in a variety of basic sizes , such as small , medium , large , and extra large , to further provide accommodation of varying leg sizes . still referring to fig1 - 6 in combination , fig4 illustrates the anterior hook and pile closure “ wrap around ” configuration that affords ease in the use of the present invention . however , other fasteners can be used . likewise fig5 illustrates the securement of the bottom strap 52 of the present invention around the calf 32 of the user prior to the securement of the upper fastener assembly 14 . this is the preferred method of securing the knee support 10 around the leg 12 of the user . finally , fig6 clearly illustrates the ability to adjust the medial and lateral hinges 20 in an anatomically correct configuration relative to the legs of the user . it is necessary to provide the hinges 20 on opposite sides of the user &# 39 ; s knee , no matter the shape of the user &# 39 ; s thigh so as to provide appropriate support about the knee . thus , the present invention , which utilizes hook and pile adjustable “ wrap around ” fasteners , provides a better fit for “ cone - shaped ” legs than those found in the prior art . the large patella opening 16 provides additional comfort , while a posterior elastic segment on the hook and pile straps 40 and 52 ( fig3 ) prevent any tourniquet effect . as described above , the adjustable , hinged knee support 10 with adjustable hinges is interchangeable for use on either the right or left leg . referring now to fig7 the method of using the present invention allows users having different leg sizes and shapes , including a generally cone - shaped upper leg portion to be fitted with an effective knee support . the user positions the open knee support on the user &# 39 ; s leg and adjusts the hinges as described above so as to position each hinge relative to the user &# 39 ; s knees on opposite size thereof the hook and pile fasteners permit the user to secure the hinge in the position that is most appropriate for the user &# 39 ; s particular leg shape , and further secure the hinge with the straps pulled there around . it is possible to use multiple hinges , and in one aspect of the present invention four different hinges and / or stays may be used . it has been shown to the applicant that not everyone requires a heavy hinge and hinges that simply lockout at either 90 degrees or vertical are in some instances appropriate to prevent hyper extension ofthe user &# 39 ; s knee . in accordance with the principles of the present invention , the use of a polycentric hinge ( a double axis type of hinge ) has also been found to be useful . it should be understood , however , that any type of hinge may be used . one advantage of the present invention is the adjustable hinges . this is because adjustable hinges 20 , as is illustrated in fig2 allow the user to position the hinges 20 about the hook and pile material so as to position them above the knee wherein the hinges are neither to far interior nor to far posterior prior to final securement . another advantage is in the use of a flexible spiral stay , which allows use ofthe knee support 10 for various injuries where it is beneficial for the knee support apparatus to return to a neutral position for proper healing . spiral stays are made from hardened , galvanized spring steel round wire which is coiled and flattened , and is generally referred to in the trade as “ spiral boning ”. such material provides support rigidity for partially immobilizing the knee , yet can be flexed , when placed under pressure , to conform to the body contours of the wearer , as illustrated in fig5 . yet another advantage is in the ample strap length provided , which allows a wide range of adjustability relative to the sizes of the user &# 39 ; s leg . since adjustability is a key aspect of the present invention , straps with hook and pile material are an advantage . finally , the present invention may be adapted to fit both children and adults . the present invention will be supplied in wide variety of sizes to accommodate the needs of various users . although an embodiment of the method and apparatus of the present invention has been illustrated in the accompanying drawings and described in the foregoing detailed description , it will be understood that the invention is not limited to the embodiment disclosed , but is capable of numerous rearrangements , modifications and substitutions without departing from the spirit of the invention as set forth and defined herein .
a brace for supporting the knee of the wearer . the brace has an adjustable support mechanism for accommodating a variety of leg shapes . the hinge portion of the brace is adjustable so that there is proper balanced support on opposite sides of the knee . furthermore , the brace is universal in applicability and may be used on either the right or left leg .