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Long-term results of closed-wedge osteotomy of the lateral humeral condyle for osteochondritis dissecans of the capitellum
http://hdl.handle.net/10191/00051845
http://hdl.handle.net/10191/00051845f7bf02a1-ac81-42ef-b8ba-041e5360a043
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本文 (1.0 MB)
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要旨 (297.8 kB)
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| Item type | 学位論文 / Thesis or Dissertation(1) | |||||
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| 公開日 | 2020-08-31 | |||||
| タイトル | ||||||
| タイトル | Long-term results of closed-wedge osteotomy of the lateral humeral condyle for osteochondritis dissecans of the capitellum | |||||
| 言語 | ||||||
| 言語 | eng | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | Closed-wedge osteotomy | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | lateral humeral condyle | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | osteochondritis dissecans | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | capitellum | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | ICRS classification | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | baseball | |||||
| 資源タイプ | ||||||
| 資源 | http://purl.org/coar/resource_type/c_46ec | |||||
| タイプ | thesis | |||||
| その他のタイトル | ||||||
| その他のタイトル | 上腕骨小頭離断性骨軟骨炎に対する上腕骨外側顆楔状骨切り術の長期成績 | |||||
| 著者 |
Koda, Hisao
× Koda, Hisao |
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| 著者別名 | ||||||
| 識別子Scheme | WEKO | |||||
| 識別子 | 178093 | |||||
| 姓名 | 幸田, 久男 | |||||
| 抄録 | ||||||
| 内容記述タイプ | Abstract | |||||
| 内容記述 | Background: Various surgical methods are used for osteochondritis dissecans of the capitellum; however, we have consistently performed a closed-wedge osteotomy of the lateral humeral condyle since 1983. The purpose of this study is to clarify the long-term results of closed-wedge osteotomy for osteochondritis dissecans of the capitellum. Methods: Seventy-seven elbows with all lesion types of osteochondritis dissecans of the capitellum were treated with closed-wedge osteotomy. Unstable osteochondral fragments were fixed with a bone graft and bone pegs in combination with osteotomy. The mean age of the patients was 14.0 years. The patients were clinically and radiographically evaluated at a median value of 9.0 years after surgery. Results: The range of elbow motion and standard deviation were increased significantly from 119°± 22° preoperatively to 131°± 18° postoperatively (P < .001). The Timmerman and Andrews score were improved significantly from 141 ± 26 points preoperatively to 184 ± 21 points postoperatively (P < .001). The Timmerman and Andrews score and the range of elbow motion at final examination in patients with preoperative osteoarthritic changes were significantly inferior to those in patients without preoperative osteoarthritic changes. Good remodeling of the capitellar lesions was radiographically observed in 53 elbows (69%). In the long-term follow-up evaluation, although 41 elbows (53%) had advanced osteoarthritic changes that were classified as grade II or III, disease progression was controlled in most of these cases. Conclusions: Good or excellent long-term clinical results were maintained in most of our patients. Closed-wedge osteotomy of the lateral humeral condyle is a useful method that can provide acceptable long-term clinical results. Level of evidence: Level IV; Case Series; Treatment Study | |||||
| 内容記述 | ||||||
| 内容記述タイプ | Other | |||||
| 内容記述 | Journal of Shoulder and Elbow Surgery. 2019, 28(9), e313-e320. | |||||
| DOI | ||||||
| 識別子タイプ | DOI | |||||
| 関連識別子 | info:doi/10.1016/j.jse.2019.05.016 | |||||
| 権利 | ||||||
| 権利情報 | 【○!C】 2019 Published by Elsevier Inc. on behalf of Journal of Shoulder and Elbow Surgery Board of Trustees. | |||||
| 著者版フラグ | ||||||
| 値 | ETD | |||||
| 学位名 | ||||||
| 学位名 | 博士(医学) | |||||
| 学位授与機関 | ||||||
| 学位授与機関名 | 新潟大学 | |||||
| 学位授与年月日 | ||||||
| 学位授与年月日 | 2020-03-13 | |||||
| 学位授与番号 | ||||||
| 学位授与番号 | 13101乙第2242号 | |||||
| 学位記番号 | ||||||
| 内容記述タイプ | Other | |||||
| 内容記述 | 新大博(医)乙第1813号 | |||||
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Koda, Hisao, n.d., Long-term results of closed-wedge osteotomy of the lateral humeral condyle for osteochondritis dissecans of the capitellum.
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