| Application of New Combined Ortho-prosthesis to Severe Leg Length Inequality: A case report. |
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Shin, Ji Cheol , Park, Sena , Park, Ji Woong , Yoo, Jee Hyun , Ahn, Seung Joon |
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Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Korea. senanes@nate.com |
| 심한 하지 길이 부동증에서 새로운 결합형 의지-보조기를 적용한 1례 －증례 보고－ |
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신지철, 박세나, 박지웅, 유지현, 안승준 |
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연세대학교 의과대학 재활의학교실 및 재활의학연구소 |
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| Abstract |
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We presented a case which showed clinical improvements after fabricating new ortho-prosthesis to a patient with severe leg length inequality. He was 51 years old and had developed the leg length inequality on the right due to osteomyelitis that he experienced when he was seven. He had been using the orthosis fabricated by a private orthotic shop for more than twenty years from his twenties. We prescribed a new ortho-prosthesis composed of patellar tendon bearing ankle foot orthosis combined with endoskeletal shank and dynamic SACH foot. With this new ortho-prosthesis, there were significant improvements in initial abnormal gait patterns of excessive knee flexion at mid-stance and decreased maximal knee flexion peak at swing phase in the kinematic parameters on transverse plane. And step width, step length and step time were also improved. He got pain relief and improvement of gait endurance. (J Korean Acad Rehab Med 2007; 31: 366-370) |
| Key Words:
Leg length inequality, Ortho-prosthesis, Gait analysis |
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