하지 분절절제 및 회전재접합술자의 의지 보행훈련 중례연구 (A Case Study of Prosthetic Ambulation Training for Rotation - Plasty Client)

서지정보

· 발행기관 : 한국전문물리치료학회
· 수록지 정보 : 한국전문물리치료학회지 / 3권 / 1호 / 65 ~ 72페이지
· 저자명 : 이정원, 정낙수

초록

The purpose of this study was to introduce rotation-plasty procedure andprosthetic ambulation training. The recent development of chemotherapy anddiagnostic facility have permitted the orthopaedic surgeons to try limb savingprocedures rather than amputations for the treatment of the malignant bone tumors.
If the tumors around the knee joint were treated by mid-thigh amputation or hipdisarticulation, it would impose the client with a great handicap for rehabilitation.
Rotation-plasty procedure was first done by Borggreve, in 1930 for the congenitalshort femur. Recently this procedure was used a malignant bone tumor at thedistal femur by Kotz and Salzer in 1982. In spite of its cosmetic problem of thedistal stump, this procedure has the great functional advantage of converting theabove-knee amputation to the below-knee amputation. The inverted foot was alsogood to control the prosthesis as a below-knee stump and heel functioned as apatella to support the body weight. This 15 years old girl case was hadrotation-plasty due to osteosarcoma of the distal femur with 3rd postoperativechemotherapy, and admitted to Yonsei rehabilitation hospital for prostheticambulation training. Then, the case had excellent functional results of prostheticambulation training with rotaion-plasty after 3 months.

영어초록

The purpose of this study was to introduce rotation-plasty procedure andprosthetic ambulation training. The recent development of chemotherapy anddiagnostic facility have permitted the orthopaedic surgeons to try limb savingprocedures rather than amputations for the treatment of the malignant bone tumors.
If the tumors around the knee joint were treated by mid-thigh amputation or hipdisarticulation, it would impose the client with a great handicap for rehabilitation.
Rotation-plasty procedure was first done by Borggreve, in 1930 for the congenitalshort femur. Recently this procedure was used a malignant bone tumor at thedistal femur by Kotz and Salzer in 1982. In spite of its cosmetic problem of thedistal stump, this procedure has the great functional advantage of converting theabove-knee amputation to the below-knee amputation. The inverted foot was alsogood to control the prosthesis as a below-knee stump and heel functioned as apatella to support the body weight. This 15 years old girl case was hadrotation-plasty due to osteosarcoma of the distal femur with 3rd postoperativechemotherapy, and admitted to Yonsei rehabilitation hospital for prostheticambulation training. Then, the case had excellent functional results of prostheticambulation training with rotaion-plasty after 3 months.

참고자료

· 없음