著者

田口 学 谷脇 功一 木屋 博昭 弓削 孝雄 金井 一男 川谷 洋右 池尻 洋史 福田 朋博

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.49, no.2, pp.471-474, 2000-03-25 (Released:2010-02-25)

参考文献数

2

---

We treated three cases of shaft fractures of both bones of the forearm with the TRUE/FLEX intramedullary nailing system. The patients were evaluated by the Grace & Eversmann's rating system. All of these fractures united and all three patients achieved excellent functional results. Rotational stability of the forearm was obtained and early active motion was possible. Damages to the soft tissue and scars from the operation were small. We therefore concluded that this method is effective for treating shaft fractures of the forearm.

著者

中島 英親 原田 香苗 寺本 憲市郎 武田 浩志 平野 哲也 米満 弘之

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.1204-1206, 1998-09-25 (Released:2010-03-16)

参考文献数

2

---

We performed finger reconstruction by the toe-to-finger transfer on 15 cases. 6 cases were reconstructed for small finger amputation.We utilized a third toe-to-finger transfer for the reconstruction.Informed consent is an important fector.8 case were finger reconstruction for the multiple digits (more than 3 digits), for which we have used a II toe-to-finger transfers were used.5 of these cases had undergone amputation at the metacarpal level.The total active motion of these 5 cases was 40° on average.As for the full range of motion of the thumb, all 5 cases were able to pinch well.Improved finger function was seen, but prostheses is required for ehhancement of cosmesls.

著者

今村 宏太郎

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.50, no.1, pp.170-173, 2001-03-25 (Released:2010-02-25)

参考文献数

12

---

One hundred twenty-nine median nerves of 105 cases were reviewed for variations during operations to treat carpal tunnel syndrome. The variations in the course of the motor branches (Poisel. 1974) were the extraligamentous type in 122 hands (94.6%), the subligamentous type in 2 hands (1.6%), and the transligamentous type in 5 hands (3.9%). Accessory branches were found in 10 hands (7.8%), a high division of the median nerve in 4 hands (3.1%) and median artery in 4 hands (3.1%). In 123 (95.3%) of 129 hands, the recurrent baranch arose from the radial aspect of the median nerve, in 3 hands (2.2%) from the central-radial aspect, in 3 hands (2.2%) from the central aspect, and in no hands from the ulnar side. To avoid the injuryy of the motor branches during operation of the carpal tunnel syndrome, special attention must be paid to the variation of the recurrent branch.

著者

高岡 徳待 加藤 清和 松井 重雄

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.9, no.2, pp.153-157, 1960 (Released:2010-02-25)

参考文献数

16

著者

中村 好成 原 道也 張 敬範 花田 弘文 江本 玄 金宮 毅 内藤 正俊

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.49, no.3, pp.758-761, 2000-09-25 (Released:2010-02-25)

参考文献数

5

被引用文献数

1 2

---

We evaluated the use of manipulation under anesthesia in 5 knees as part of a retrospective study on 72 total knee arthroplasty cases (TKA) with osteoarthritis between September 1995 and May 1999. Manipulation was considered when intensive physiotherapy failed to increase flexion to more than 90° of ter 3 weekspostoperatiuly.The mean active flexion before manipulation was 67°. The mean final flexion achieved 104°. The mean gain was 37°.Between the manipulated patients and pativents requiring no manipwlatiow, the following parameters were assessed and compared; age, flexion, JOA, FTA, lateral release, and polyethylene?The manipulated patients in showed significant changes in FTA and used thick polyethylene.None of the patients showed supracondylar fracture, avulsion of the patellar tendon, myositis ossificans, and wound breakdown.

著者

古賀 敬 内藤 正俊 秋吉 祐一郎 白水 圭 浅山 勲 Tatsunobu Abe

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.51, no.1, pp.148-152, 2002-03-25 (Released:2010-02-25)

参考文献数

12

---

Sciatic nerve palsy is a proble troublesome complication of total hip arthroplasty. It may be caused by direct injury or over-traction at the time of operation. We investigated the effects of the hip and knee positions on the blood flow of the sciatic nerve of dogs. Tweyty hip joints of 10 adult mongrel dogs were examined.The blood flow in the sciatic nerve was measured using a Laser Doppler Flowmetry, at varying angles of flexion (90°, 120°, 150°) and internal rotation (0°, 30°) of the hip joint and angles of flexion of the knee (0°, 30°, 60°, 90°). This study showed that the blood flow in the sciatic nerve decreases with increasing flexion angle and increasing internal rotation angle of the hip joint, and that decreases in the flexion angle of the knee joint result in especially pronounced decreases in blood flow. We consider that the position of the hip and knee positions are considered a significant risk factor in total hip arthroplasty parformed with over-lengthening. Our results suggest that surgeons should pay attention to knee extension and the flexion and internal rotation positions of the hip tp prevent sciatic nerve palsy as a complication of total hip arthroplasty.

著者

辺見 達彦 遠藤 寿男 高橋 昌美 藤井 幸治 安達 永二朗 尾形 直則

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.38, no.4, pp.1644-1649, 1990-03-25 (Released:2010-02-25)

参考文献数

4

---

Lumbar disc herniation in teenagers may show a tear at the ring apophysis which may show spur formation. This ring apophysis tear may occur not only in teenagers but also in cases of adults showing lumbar disc herniation. Accordingly, vertebral spur generated after lumbar disc herniation in teenagers and posterior vetebral spur in adult cases were compared by the type of spur in order to investigate the etiology or cause of posterior vetebral spur in cases of adults. Following findings were obtained.1) Bony spur generated after lumbar disc herniation in teenagers and traction spur generated at posterior site of lumbar vertebra in cases of adults cannot be discriminated morphologically.2) The etiology of posterior vertebral spur in cases of adults was considered to be involved greatly with lumbar disc herniation.

著者

松永 和剛 松崎 昭夫 荒牧 保弘

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.46, no.3, pp.838-840, 1997-09-25 (Released:2010-02-25)

参考文献数

6

---

The authors studied the course of the infrapatellar branch of the saphenous nerve in 36 cadaver legs, with particular reference to its relationship to the sartorius muscle. In 19 (52.8%) the infrapatellar nerve passed through the sartorius, in 15 (41.7%) it passed over the sartorius before distributing to the antero-medial aspect of the knee. In two the nerve branched: in one both branches penetrated the sartorius and in the other, one branch penetrated and the other passed over the sartorius. The authors could not find any case in which the nerve passed through the tendon of the sartorius or passed under the sartorius. These findings explain why few cases of entrapment neuropathy of the infrapatellar branch clinically need surgical treatment.

著者

栄 輝己 水岡 二郎 野村 一俊 田嶋 光

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.34, no.3, pp.837-840, 1986 (Released:2010-03-16)

参考文献数

3

---

In the vertebral anomalies, congenital synostosis of the cervical vertebrae is not uncommon. In 1912, Klippel and Feil examined a patient with the unusual clinical findings of marked shortening of the neck, low posterior hairline and severely restricted neck motion. Since that time, it has been well known as Klippel and Feil syndrome.During past 3 years, we treated 4 cases surgically which showed cervical disc herniation and cervical spondylotic radiculopathy in the adjacent vertebrae.All cases are male with age range from 45 to 72 years old (average 52). Congenital synostosis of C3-4 vertebrae was seen in 2 cases, C4-5 in 1 case, and synostosis of occipit to CI, C2 in 1 case. Except one case, cevical disc herniation and cervical spondylotic radiculopathy was found in the disc space below the synostosis of cervical vertebrae.

著者

窪田 秀明 佐々木 賀一 山本 裕之 新井 堅 井樋 直孝 寺戸 一成

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.41, no.1, pp.281-284, 1992-11-25 (Released:2010-02-25)

参考文献数

9

---

We report two cases of stress fracture of the ribs related to sports activities.The first case involved fracture of the first rib caused by repeated stress from Japanese styled archery (kyudou). This is the first time such a case has been reported.The second case, a typical stress fracture of the lower ribs and spinous process of the seventh cervical vertebra was caused by a golf swing.

著者

田上 敦士 神代 敏之 馬場 洋 乗松 崇裕

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.50, no.4, pp.1067-1071, 2001-09-25 (Released:2010-02-25)

参考文献数

9

被引用文献数

3 3

---

The postoperative results of the gamma nail for trochanteric and subtrochanteric fractures were studied in 74 cases from January 1999 to August 2000. Postoperative complications observed were postoperative femoral fractures in 5 cases, stable fractures in 3 cases, and unstable fractures in the remaining case. In stable fractures, the nail sometimes obstructs reduction, causing the postoperative fractures. To avoid fractures, it is nessesarry to study the appropriate surgical techniques and select the devices carefully.

著者

仲村 一郎 屋良 哲也 伊佐 真徳 宮里 剛成 新垣 勝男 野原 博和 金谷 文則 茨木 邦夫 高良 宏明

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.49, no.4, pp.1084-1087, 2000-09-25

参考文献数

5

被引用文献数

1

---

Intraspinal osteochondroma is rare. Only 29 intraspinal osteochondromas were reported in the Bone Tumor Registry in Japan from 1972 to 1992 and this accounts for 0.4% of all osteochondromas.<br>We report a case of intraspinal vertebral osteochondroma causing thoracic myelopathy. An 8-year-old boy was noticed to fall down easily on gait by his mother. He showed spastic gait, and one week later he had difficultly in walking progressively. Neurological examination revealed hyperreflexia of both lower extremities, right ankle clonus, positive Babinski signs, and sensory change under the level of Th4. A myelogram demonstrated a right lateral extradural mass with complete spinal block at Th1. Computed tomogram (CT) demonstrated an osseous mass arising from the right facet of Th1/2. A right hemilaminectomy of Th1 was carried out, and the osseous mass including the right superior articular facet of Th2 was excised. No spinal fusion was performed. Histopathologically, it was determined to be a benign osteochondroma. Eight months after surgery, neither recurrence of the tumor nor instability of the spine was seen.

著者

宮岡 健 中島 康晴 保科 隆之 松田 秀一 窪田 秀明 岩本 幸英

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.61, no.2, pp.229-233, 2012

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【目的】BCG骨関節炎の3例を報告する.【症例1】1歳7カ月の女児 生後4カ月でのBCGワクチン接種後13カ月で右膝の腫脹,疼痛を生じた.右大腿骨遠位に骨端線をまたぐ骨透亮像が存在し,生検を施行.抗酸菌培養およびMultiplex PCR法にてBCG Tokyo株が同定された.化学療法に抵抗性あったため,病巣掻爬術を施行した.【症例2】10カ月の男児 ワクチン接種後6カ月で右膝関節炎発症.2回の掻爬術後にPCRにて同定された.化学療法にて治癒した.【症例3】1歳6カ月の男児 ワクチン接種後13カ月で右足関節に腫脹,疼痛出現.右距骨骨髄炎を疑い,病巣掻爬術施行.抗酸菌培養およびPCRにて診断され,術後化学療法にて治癒した.【考察】BCG骨関節炎はワクチン接種後に発生する稀な病態であるが,小児の骨関節炎では鑑別診断に挙げる必要があり,抗酸菌培養およびPCR法が診断の決め手となる.

著者

西崎 博巳 上崎 典雄 松永 大介 谷村 俊次 功能 重雄 村上 陽太郎 古賀 哲二 桑野 正 寺戸 一成 中家 一寿

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.34, no.4, pp.1326-1330, 1986

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The curvature of the human femoral condyle can be represented by the Archimedean spiral. The center of the Archimedean spiral was found to be situated in the attachment of P. C. L., M. C. L. and L. C. L. of the femoral condyle.

著者

上田 実好

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.4, no.1, pp.22-24, 1954

---

Author experienced last three years ninety-six injuries of bicycle race champions, in kokura including 37 bruises, 25 cerebral concussions, 19 fractures, 8 contusions, 5 abrasions, and 2 other cases. Among 20 fractures, fifteen were clavicles, one was the re-fractures in the same part, and one thrice in the same part.<br>Age; fifty-six cases are found, especially in 21 to 25 year-old champions, and next to them come 16 to 20.<br>Seasons, many injuries occured in winter and a few in autumn.<br>There was no death case.<br>In the final races or grand races, the injuries are comparatively rare, for the best grade champions take part in it.<br>Recently the injured and patients who go to hospital in the race have decreased than before.

著者

土井口 祐一 岩崎 勝郎 山田 健治 高端 克郎 手島 鍛 貞松 俊弘 富田 雅人 楢林 葉子

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.41, no.2, pp.641-645, 1992

被引用文献数

33 15

---

This study was designed to identify the change in radiological shape of the pelvic cavity caused by sagittal pelvic inclination and to learn the correlation between inclination and progression of osteo-arthritis (OA) of the hip joint.<br>As a preliminary study, antero-posterior (AP) and lateral radiographs of 10 bleached pelves were taken simultaneously in seven different sagittal tilt angles.<br>The degree of sagittal tilt of the pelvis (A) was then compared to the longitudinal: transverse axis length (L/T) ratio of the radiological shape of the pelvic cavity in AP radiographs. This study revealed a linear relationship between the two parameters that led to the equation: A=-67.0°×L/T+55.7° in males and A=-69.0°×L/T+61.6° in females. Using this the sagittal pelvic tilt can be calculated from the radiological shape of the pelvic cavity.<br>Applying this equation to pelvic radiographs of 212 patients; 52 normal hips and 160 with OA hip of varying severity, pelvic tilt was calculated to investigate whether it relates to the aging of the patient or involves progression of OA.<br>There was a significant correlation between age and pelvic tilt angles of patients in both normal and OA hip groups; the pelvis tended to incline posteriorly with increasing age. Further studies are required to elucidate the participation of the pelvic inclination on progression of OA of the hip.

著者

伊藤 茂 平野 徹 岩崎 勝郎 上谷 雅孝 楢林 好隆

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.43, no.4, pp.1423-1425, 1994-09-25 (Released:2010-02-25)

参考文献数

8

---

We studied the MRI finding of pigmented villonodular synovitis (PVS) in the knee joints of two patients. Diffuse nodular lesions of PVS were typically shown as a low intensity area, on both T1 and T2 weingted MRI. High intensity areas on T2 were intermingled within the lesions.MRI revealed not only the lesions in the joint space but also osseous lesions in the medial, lateral and posterior condyles of the femur and the intercondylar tubercle of the tibia. These results suggest that PVS invades bones from the capsular or ligamentous attachments.

著者

山口 智太郎 横山 庫一郎 篠原 典夫 近藤 正一 真島 龍興 犀川 勲 馬渡 太郎 吉本 栄治 浦上 泰成 桑野 隆史

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.44, no.3, pp.1131-1134, 1995 (Released:2010-02-25)

参考文献数

5

---

Ten cases of aneurysmal bone custs were evaluated in regard to sex, age, site, symptoms, localisation, radiographic features, and histological appearance. We performed curettage and bone graft in 8 cases, curettage followed by hydroxyapatite packing in 1 case and wide resection followed by methacrylate packing in 1 case.Recurrences occurred in 4 cases, always within two years after surgery. Two cases were healed after their second operation. But recurrences were found several times in the other 2 cases. All cases were eventually cured and there was no evidence of malignant transformation.

著者

西原 伸二 大月 健朗 清水 正人

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.51, no.1, pp.92-95, 2002-03-25 (Released:2010-02-25)

参考文献数

12

---

平成8年から12年まで鎖骨骨折にて当院で加療した70例の治療成績について検討した. 男性43例, 女性27例. 年齢は3ヶ月から88歳平均年齢は34.8歳であった. 骨折型は中1/3例, 外1/3例であった.40例は保存的治療, 30例に観的治療 (プレート固定25例, 引き寄せ締結3例, その他2例) を行った. 保存療法例は全例骨癒合が得られた. 観血的治療例の4例に固定材料破損, 偽関節が生じた.そのうち3例がリボンプレートを用いた症例であった. プレート破損例は全例青壮年男子であり, プレートの強度が適していないと考えられた. 鎖骨骨折は原則保存的治療が原則であるが, 整復困難例では観血的治療が選択される. しかし観血的治療では偽関節, 固定材料に破損を生じやすく, 注意を要する.

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

---

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.