하지의지 (Lower limb prostheses)

하지의지 (Lower limb prostheses)

(Lower limb prostheses) 1 (amputation, ) Below knee prosthesis : ( ) - Above knee prothesis :

( ) (disarticulation) - Symes prothesis : ( ) - Knee disarticulation prothesis : ( ) - Hip disarticulation prothesis : ( ) 2 3

Transtibial Suspension 4 1 5 2

6 3 7 4

8 5 9 6 10

exoskeletal edoskeletal BK 11

12 Advanced Manufacturing Techniques 13 Advanced Manufacturing Techniques( ) 14

( ) 403p. (foot-ankle assembly) (shank) (socket)

(suspension device) 15 1) (foot ankle assembly) , SACH foot, (single axis foot ankle assembly) :

: 15 5 16 17 SACH foot Solid ankle cushion heel

18 SACH foot( ) (keel) (shank) cushion heel ( )

19 SACH foot( ) , ,

20

, , , 21 ( )

, 22

(Energy storing prosthetic feet) , 2~3

2/3 23 ( ) (Energy storing prosthetic feet)

(SAFE) (Seattle foot) (Flex-Foot) (proprio foot) 24

SAFE(solid ankle-flexible-endoskeletal) SACH Flexible heel feet 25

SAFE(solid ankle-flexible-endoskeletal) 26 Seattle foot 27 2) (shank)

(exoskeletal) (endoskeletal) : , : 28 3)

: PTB 29

PTB socket ( ) , 30

31 4) 1) 2) supracondylar(SC) system 3) supracondylar/suprapatellar system 4)

5) Rotator unit : 6) Modular construction : 32 2. ( ) (foot and ankle assembly) (shank) (knee assembly)

(thigh piece) (socket) (suspension device) 33 Heel strike

34 ( ) (single axis)

(polycentric axis) 35 ( ) (426p) Constant friction Variable friction Weighted activated friction brake

Manual lock Mauch swing-N-stance Extension aids Heel rise

Kick strap, Extension lever 36 4) Plug fit( ) Quadrilateral socket( , )

Total contact socket Non contact socket( - ) 37 38 5) ( )

Suction suspension Partial suction with auxillary suspension: Silesion bandage

flabby 39 5) ( ) Pelvic belt

, , , , 40 5) ( ) , , ,

Ex) soulder suspension strap 41 6) Modular construction 42 3.

43 3. ( )

1) 2) , 3) 44

4. , , , , 1) - - .

45 2) (Lisfrancs) 46 3) (choparts Amp.)

SACH foot 47 4) 1840

48 4) ( ) 49

1) 50

( ) ( ) frontal plane 7.5cm . . 51

7. Hemicorporectomy Prosthesis 52

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