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亜脱臼性変形性股関節症に対するBombelli外反伸展骨切り術の適応と限界
http://hdl.handle.net/10191/37053
http://hdl.handle.net/10191/37053f4a5a9ca-d198-42d1-8d6e-56616807c0a3
名前 / ファイル | ライセンス | アクション |
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107(1)_40-52.pdf (6.6 MB)
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2016-01-25 | |||||
タイトル | ||||||
タイトル | 亜脱臼性変形性股関節症に対するBombelli外反伸展骨切り術の適応と限界 | |||||
タイトル | ||||||
タイトル | 亜脱臼性変形性股関節症に対するBombelli外反伸展骨切り術の適応と限界 | |||||
言語 | en | |||||
言語 | ||||||
言語 | jpn | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Bombelli's valgus extension osteotomy | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | osteoarthrosis of the hip joint | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | indication | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Bombelli外反伸展骨切り術 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 変形性股関節症 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 適応 | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | departmental bulletin paper | |||||
その他のタイトル | ||||||
その他のタイトル | A Follow-up Study of Bombelli's Valgus Extension Osteomy for Osteoarthrosis of the Hip Joint due to Acetabular Dysplasia | |||||
著者 |
湯朝, 信博
× 湯朝, 信博 |
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著者別名 | ||||||
識別子Scheme | WEKO | |||||
識別子 | 125947 | |||||
姓名 | Yuasa, Nobuhiro | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Bombelli's valgus extension osteotomy was performed on 68 patients, 66 females and 2 males, 74 joints with osteoarthrosis of the hip joint due to acetabular dysplasia. The operation was indicated in patients with radiological evidence of the capital drop, with widening of the lateral joint space on adduction, and with range of motion, more than 60° on flexion and than 15° on adduction. The average postoperative follow-up period was 5 years and 2 months, ranging 2 years to 9 years and 8 months. The results of the operative treatment were evaluated according to the JOA scoring system based on pain, gait, range of motion, ADL and X-ray findings. Also, arthroscopic observation and biopsy were carried out for the articular surface on the weight-bearing area of femoral head. Pain score significantly improved at the follow-up. But gait, range of motion, and ADL were unchanged. Of all the joints operated on, the outcome of the operation was evaluated as good in 64 joints (87%) and poor for the remaining 10 joints (13%). The mean score for postoperative pain in the patients, more than 6 years after operation, were 35 and 29 at the 2nd and the 6th year respectively. The results were estimated as good in patients with the following preoperative X-ray findings: (1) the width of base of the capital drop was more than 5mm, (2) acetabular head index was above 60% and/or the angle of acetabular tilting was 30° or less, or (3) the size of bone cyst within femoral head was less than 20mm. Arthroscopically, articular surface of weight-bearing area was covered with fibrous tissue. Histologically, this tissue was identified as fibrocartilage. However, since such repair of fibrocartilage is thought to be structurally and biomechanically weaker than innate hyaline cartilage. This is the reason why pain relief caused by Bombelli's osteotomy was to be reduced with the passage of time. | |||||
書誌情報 |
新潟医学会雑誌 en : 新潟医学会雑誌 巻 107, 号 1, p. 40-52, 発行日 1993-01 |
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出版者 | ||||||
出版者 | 新潟医学会 | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 00290440 | |||||
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収録物識別子タイプ | NCID | |||||
収録物識別子 | AN00182415 | |||||
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値 | publisher |