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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/10191/23511
http://hdl.handle.net/10191/235116f8d658b-6a7f-41ec-bfca-6a4789d5afd5
名前 / ファイル | ライセンス | アクション |
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Item type | 学位論文 / Thesis or Dissertation(1) | |||||
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公開日 | 2013-10-08 | |||||
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 | ||||||
言語 | en | |||||
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 | ||||||
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 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 | 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 | A Follow-up Study of Bombelli's Valgus Extension Osteomy for Osteoarthrosis og 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 | 48397 | |||||
識別子Scheme | WEKO | |||||
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. | |||||
内容記述 | ||||||
内容記述タイプ | Other | |||||
内容記述 | 学位の種類: 博士(医学). 報告番号: 乙第1311号. 学位記番号: 新大博(医)乙第1219号. 学位授与年月日: 平成4年4月23日 | |||||
内容記述 | ||||||
内容記述タイプ | Other | |||||
内容記述 | 新潟医学会雑誌. 1993, 107(1), 40-52. | |||||
書誌情報 | p. 1-38, 発行日 1992-04-23 | |||||
出版者 | ||||||
出版者 | 新潟大学 | |||||
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 | 1992-04-23 | |||||
学位授与番号 | ||||||
学位授与番号 | 13101B1311 | |||||
学位記番号 | ||||||
内容記述タイプ | Other | |||||
内容記述 | 新大博(医)乙第1219号 |