著者

村田 英明 村上 恒二 宗重 博 浜田 宣和 天野 幹三 山本 健之 生田 義和

出版者

Japanese Society for Joint Diseases

雑誌

日本リウマチ・関節外科学会雑誌 (ISSN:02873214)

巻号頁・発行日

vol.12, no.3, pp.273-282, 1993-12-20 (Released:2010-10-07)

参考文献数

13

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To study the effectiveness of bone peg graft from the ulna for osteochondritis dissecans of the elbow joint, we analyzed 16 patients with bone peg graft who had various types of preoperative and postoperative findings. All the cases were baseball players except for one volleyball player. The onset ages ranged from 10 to 16 years (mean 11.2), and the periods from then to the operation from 5 to 72 months (mean 2.6 years) . The follow-up periods were from 12 to 29 months (mean 20 months) . Based on Minami's X-P classification, 8 cases were categorized into the stage of fragmentation and 8 into the stage of isolation. Patients were also classified with respect to the osteochondral lesion found during operation; 9 were without abrasion of the lesion or, if with it, without invasion of fibrocartilage into the lesion and were classified into Type 1. The 7 in which the osteochondral lesion was unstable due to the invasion of fibrocartilage were classified as Type 2. The results with regard to postoperative X-P were classified as excellent when the osteochondral lesion was repaired anatomically, as ‘good’ when the lesion was under repair and the osteosclerotic halo of the capitulum had disappeared, and as ‘poor’ when the halo remained. As a result, 7 Type 1 cases (78%) were excellent and 2 cases (22%) good, while one Type 2 case (14%) was excellent, 4 (57%) were good and 2 (29%) were poor. All patients were clinically not symptomatic and were satisfied with the surgery. We emphasized that bone peg graft could be indicated in all cases of osteochondral dissecans of the elbow joint and that there were difficulties in repairing osteochondral lesion in Type 2 (unstable) cases.

著者

久留 隆史 進藤 明 安永 裕司 重信 隆史 大本 修 生田 義和

出版者

中国・四国整形外科学会

雑誌

中国・四国整形外科学会雑誌 (ISSN:09152695)

巻号頁・発行日

vol.11, no.1, pp.51-54, 1999

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Osteonecrosis of the femoral head is usually progressive and once collapse of the femoral head develops, joint destruction almost invariably follows. Therefore, various methods of surgical treatment have been developed in an attempt to save the femoral head and maintain the natural function of the hip joint. We studied the histological findings of the necrotic lesion of cases of osteonecrosis of the femoral head following transtrochanteric anterior rotational osteotomy described by Sugioka and varus osteotomy. We were able to evaluate four hips followings osteotomy. They were all male with average age at operation being 36 years and with age range of 25-52 years. In two patients, osteonecrosis was associated with steroid administration and in he remaining two cases with alcohol abuse. According to the classification of the Japanese Investigation Committee, three hips were stage II and one was stage III. All four hips were obtained following removal of screws from 2 to 4 years postoperatively average of 2.9 years). The specimens were cut to thickness of 5μm and were subjected to hematoxylin and eosin stain and Pas-Alcian blue stain. Histologically, in three cases the preoperative necrotic lesion remained as necrosis without reparative reaction and in one case proliferation of new fibrous connective tissue and blood vessels was observed in the necrotic lesion. Though the number of osteoblasts and osteocytes was decreased, the bone structure was well preserved, indicating that the purpose of femoral osteotomy was achieved. It is necessary in future to study cases with a longer postoperative course by delaying the time of bone biopsy.

著者

宗重 博 生田 義和 木村 浩彰 戸田 克広

出版者

医学書院

雑誌

臨床整形外科 (ISSN:05570433)

巻号頁・発行日

vol.29, no.2, pp.185-192, 1994-02-25

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抄録:我々は1970~1992(昭和45年から平成4年)までに,当科を受診した上肢の反射性交感神経性ジストロフィー86症例について,手術治療,内服治療,transcutaneous electric stimulation system,星状神経節ブロック(SGB)の結果について検討した.また我々は,1889年にワクシニアウイルス接種家兎炎症皮膚抽出液(ノイロトロピン®)が特定のタイプの反射性交感神経性ジストロフィーの早期投与として有効である31)ことを発見したので,投与結果と投与量について述べた.対象は男性38例,女性48例で,年齢は12~87歳で平均51.5歳であった.結果は,以下の通りであった.①ノイロトロピン®は,特にminor traumatic dystrophyに有効であった.②ノイロトロピン®は,1日4~6錠で有効であつた.③ノイロトロピン®の治療効果発現時期は,5週までであった.④手術成績は不良であった.⑤SGBは有効であった.

著者

岡 伸一 藤本 吉範 佐々木 正修 田中 信 生田 義和

出版者

中国・四国整形外科学会

雑誌

中国・四国整形外科学会雑誌 (ISSN:09152695)

巻号頁・発行日

vol.8, no.2, pp.185-189, 1996-09-25 (Released:2009-03-31)

参考文献数

7

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We have experienced three cases of cervical cord or radicular symptoms caused by acupuncture needle migrating into the cervical spinal canal.Two patients had cevical cord symptoms and the other one had radicular symptoms. The first case was a 63-year-old female, who noted numbness in her bilateral fingers, 5 years following her acupuncture treatment. The second case was a 52-year-old male, who had had a nuchal discomfort and treated himself with a needle. He unfortunately broke the needle. Two months following the event, numbness appeared in his bilateral upper and lower extremities. The last case was a 44-year-old male. He had felt radiating pain in the middle of his acupuncture treatment. He subsequently developed pain in the great occipital nerve area during neck rotation.The needles were removed surgically, in all cases. The symptoms were dramatically resolved in the second and the third cases, In the first case, however, the neurological deficits did not improve after the operation, which seemed to be ascribable to the irreversible changes which had occured in the spinal cord.

著者

平子 哲夫 生田 義和

雑誌

日本整形外科スポーツ医学会雑誌 = Japanese journal of orthopaedic sports medicine (ISSN:13408577)

巻号頁・発行日

vol.15, no.2, 1995-05-25

著者

平子 哲夫 生田 義和 吉永 文隆 吉崎 英一郎

出版者

文光堂

雑誌

臨床スポーツ医学 = The journal of clinical sports medicine (ISSN:02893339)

巻号頁・発行日

vol.14, no.4, pp.439-441, 1997-04-01

参考文献数

1

被引用文献数

3