- 期刊
溫尼氏旋轉式骨切開術後義肢裝置之幼童個案報告
Prosthesis Fitting for Van Nes Rolational Osteotomy in Young Child-Case Report
摘要
本文報告一名六歲兒童因幼年右大腿股骨發生骨髓炎造成假關節，以致右腿變短無法載重，接受溫尼氏旋轉式骨切開術(Van Nes rotational osteotomy)後順利裝置義肢復健過程。壹年當中殘肢與正常股骨生長長度完全一致，新膝關節活動度亦由25°-80°增進0°-110°。復健後日常生活完全正常，可以跑步、騎三輪車。
關鍵字
無資料並列摘要
A six year old boy, who had osteomyelitis of right femoral shaft resulted in pseudoarthosis and leg length discrepancy for 7cm since second uge, received Van Nes rotational osteotomy in October 3, 1984, The upper part of femur and lower end of tibia-fibulae were remained. He received prosthesis fitting 2 months later when hip spica was removed. The first prosthesis was above knee type, with quadrilateral socket, external hinge knee joint and silesian belt. Six months later, he changed for a second prosthesis whieh was a eonvensional type below knee prosthesis with a thigh socket. The bone growth of both thigh was exactly the same in length by seanogram during the first year after surgery. The range of motion of the new knee increased from 25°-80° to 0°-110°. He could wald and run alone easily. The activities of daily living was normal. There was no obvious psychological problem in this case by observation till now.
延伸閱讀
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