) ) ) ) (MD) 1) 2)
winging 10 1 7 12 one point early cocking phase follow through phase winging MMT SSP testspeed testimpingement sign winging 7 26 MMT 3 2 8 17 3 2 winging scapula winging winging
(MD) (MD) (MD) 2 (MD) key words 30 Gustilo A 16 9 6 debridement 9 21 10 5 debridement 10 20 1 17 1 30 2 PT PT 12 AK -20-20 ROM 2 ROM 12 18 toe touch 28 FWB AK PT ROM 25-10 -15 2 2+3 SLR -3cm PT ROM 4550 0 0 3 4- lag PT 0 70 ROM ROM
(MD) (MD) (MD) key words (MD) AO typec2 ROM, 10 165cm 54kg H16.9.8 debridement 6kg 9.21 (stability alignment )9.24 2 knee brace 10.20 (NWB) 11.4 1 1/4PWB 12 PT H17.1 2 4.6 4.7 4.8 4.28 PT 30 0Lag40-50Quad.Ham.2 ENT 110 0Lag10Quad.Ham.5- ENT 130 0Lag0Quad.Ham.4 PF ROM Lateral release Suprapatella pouchlateral&medial gutter PatellaSettingPatella ( ) C ROM ROM90 PT ROM110 130 ROM
1 1) 1 1 1 1 3 3 (MD)2 1) 2 3) ( PT) 30 17 2 16 open book 3 4 screw 4 19 PT 3 22 PT ROM 5 17 FWB 1/3PWB PT ROM 0 MMT 23 Thomas test() over test() () 15 ROM 10 Thomas test()over test() Bed PT
, OA., (AO A1). 60,. 150, 65. :H16.10.6.. :H15. ( ). : H16.10.13.MIPPO DCS. Kneebrace.10.20 ROM.10.27Kneebraceoff. 11.24.1/4PWB..12.4.,,12.15. H16.10.14 :patella,,. : 9~10cm. :,SLR.VAS/10.ROM-t MMT: 150-5.5.( 2 )Knee brace off 55. -5.2. ROMex H16.12.15 :. : 1~3. :,patella.vas1/10.rom: 125-5MMT: 4.lag0 : T, ROM..ROM ORIF, 120. 6 120. ROM OA,.,,.
TTS MD TTS tarsal tunnel syndrome TTS 60 17 4 8 Lauge-Hansen SER Stage 4 14 4 15 TTS amplitude 5 25 30 45 TTS 8 100 TTS mortise TTS ADL
60 16 7 28 7 29 LaugeHansen SER stage 16 7 29 8 12 8 16 4 9 10 off1/2pwb 2 16 8 16 BK 5 ROM MMT 3 ROM- / active 5/20 5/25 35/60passive 10/25 10/30 40/65 1/2 4 0 10
MD MD MD KEY WORDS,,,. 60 : X-, 2 Rüedi2 pilon.. :6 10 9210 12 105 16 5 24, K-wire,.5 27.6 3 J-plate screw,alignment good,stability acceptable, 2.6.7 2 PTB.7 5 X.7 13, 2.7 16 1/4PWB,8 9 1/2PWB,10 4 FWB.10 12. 11 12,11 29. H17.10.12.VAS4/10.,,..ROM-T 30 10 60 55. 20 20 60 25.MMT 3+, 3, 3,4. footprint knee-in toe-out,,.,,..,mortise,.,,,.,,.,,.4,,.,,,,.,, 10~20 PTB,,.
2 ¹) ) ) Zuggurutung tension band wiring tension band wiring 60 17 6 22 6 24 tension band wiring 4 5 6 4 infrapatellar tissue
tightness 1) 1) 1) 2) 1) 2) Hip-spine syndrome MacNab Offierski 1983 muscle tightness 4 H16.7H17.7 4 238 25.65 Thomas test ()Ober test () SLR505 2 ( 2 ) 2 ( 1 1 ) iliopsoastflhamstrings 115 4216 Thomas test()1 ()3 Ober test()3 ()1 SLR70 4 muscle tightness tightness tightness iliopsoastfl mechanical stress Hamstrings hyper mobile iliopsoastfl tightness Hip-spine syndrome
1) 1) 1) 2) 2) 1) 2) 50 180m Rt.-20 Lt.-30 Rt.5 Lt.5 Thomas test Ober test spasm 3 800m 8 1km X-p 56 43 75 56 JOA score 19 2
MD hypomobility L4/L5 0 16 10 17 2 X L5/S1 hypomobility MRI L4/L5 protrusion type SLR test Kemp test Friberg test Patrick test L5/S1 L5/S1 L5/S1
30 2005 5 22 AO B 27 3 OT ROM 110 40 10cm 36cm 29cm 10cm 31cm 28cmMP ROMex 10 functional brace ROM 15 ROM 180 3 X-P ROM 160 27 170 30 OT 3 OT ex X-P functional brace ROMex
KEY WORDS ORIF,.,, 10 16 1 30,. pinnig.,3 25.3 31 Lowman,5.5 6 off,. 17 6 1 23., 60, 60, 30, 40, 5, 10.,, ActiveROM,,., 15, 75, 35, 40, 30, 20.MMT5. 28.9kg.,, 3.,, shortning,radial tilt TFCC.,,, RCL,RSC,RSL., grip,.,.,.,.,,,.
KEY WORDS Compartment Compartment Compartment 60 2005.1.30 Compartment / Anterior:9/77mmHg Posterior:11/55mmHgLateral:10/43mmHg 30mmHg Anterior Posterior Compartment 20cm Anterior Lateral superficial Posterior Deep Posterior Compartment H17.2.7 20 + 8 ROMex -20 15 1/2PWB 37 20 FWB 30mmHg 20 5
MCL MCL 16 9 15 Dynamic alignment Knee in Toe out KITO stretching stretching MCL MCL MCL 10 19 MCL 17 4 7 MCL MCL MCL MCL Dynamic alignment KITO MCL KITO Dynamic alignment MCL
Pilon 9 9 7 2 36.08.2 6 Pilon 3 22.83.5 1. 3.21.4 3cm 2. 3. wiping ex. wipping ex 10.75.1 20.85.7 34.94.1 excursion 34.94.1
MD MD PT 50 platescrew screw PT
MP MP 50 165cm 60 15 2 20 MP 5 3 active ROM 21 4 passive ROM 3 3 ampulitude 4 excursion 6 stretch MP ampulitude IP MP 6 MP 3 MP MP ampulitude MP MP
23 2 3 14 3 17 7 23 42 67 9 33 52.017.2 23 X M1M2 M1M5 34.3 19.4 14.9 9.0 22.4