著者

阿部 隆伸 堀部 秀二 野口 蒸治 副島 崇 有吉 護 井上 明生

出版者

West-Japanese Society of Orthopedics & Traumatology

雑誌

整形外科と災害外科 (ISSN:00371033)

巻号頁・発行日

vol.42, no.3, pp.1363-1365, 1993-09-25 (Released:2010-02-25)

参考文献数

6

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In 1950 O'Donoghue called attention to “that unhappy triad which comprised (1) rupture of the medial collateral ligament, (2) damage to the medial meniscus, and (3) rupture of the anterior cruciate ligament” and recommended early surgical intervention.Ten patients with arthroscopically confirmed acute (<1 month) tears of the medial collateral ligament (MCL) and anterior cruciate ligament (ACL) were identified. There were 9 men and 1 woman with an average age of 33.4 years (range; 17-52 years).There was a 50% incidence (5 knees) of lateral meniscal tears. Of these, 1 knee had an associated medial meniscal tear. There were only 2 knees (20%) with medial meniscal tears. Chondral injuries to the lateral compartment were noted in 4 cases. There were 3 knees without meniscal tears and chondral injury.We conclude that the “unhappy triad” is an unusual clinical entity with knee injuries and may be more accurately described as a triad consisting of ACL, MCL, and lateral meniscus tears.

著者

有岡 美佐 野口 蒸治 志波 直人 中島 義博 柳 東次郎 久保 学 樋口 富士男 井上 明生 田川 善彦

出版者

West-Japanese Society of Orthopedics & Traumatology

雑誌

整形外科と災害外科 (ISSN:00371033)

巻号頁・発行日

vol.47, no.4, pp.1344-1349, 1998-09-25 (Released:2010-03-16)

参考文献数

10

被引用文献数

1 1

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There were 89 revision cases among 1315 total hip replacement (THR) until December 1996 at the Kurume University, and the rehabilitation of these revision cases was evaluated. The mean revision age was 65 years old, and the average period from the previous THR was 10 years and 6 months. Allobonegraft was used for significant osteolysis, and the Kerboull cross plate for such acetabulum. The Dall-Miles cable grip system was used for the re-attachment of the greater trochanter. The Sarmient brace was applied in the cases with weak femora, and hip abduction brace was also applied for easy dislocation cases. The details of rehabilitation should be decided according to the biomechanical characteristics of each operative device, technique, and individual bone condition.