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永山 徳太郎, 橋口 兼久, 稲葉 浩二, 米盛 学, 吉国 長利, 赤嶺 卓哉, 日高 博文, 劉 焜泉, 小倉 雅, 脇丸 一孝
1987 年 36 巻 2 号 p.
551-553
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
Thirty-four patients with malleolar fractures of the ankle, treated by early and accurate surgical fixation, were reviewed after an average follow-up of 2 years and 2 months. The ankles were assessed functionally, radiographically and clinically. Good clinical results were obtained in 71%, especially in the supination-evertion type. In the radiographical findings, anatomical reduction was obtained in 76%. We concluded that radiographically anatomical reduction was related to clinical results. Osteoarthritis developed in 28%, dominant in the pronation-dorsiflexion type. It is suggested that accurate reduction dictates the good clinical results and avoid developing osteoarthritis of the ankle joint.
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徳永 純一, 王 享弘, 小林 晶, 福元 敬二郎, 吉本 隆昌, 後藤 元徳, 井上 善博, 泊 一秀, 井上 敏生
1987 年 36 巻 2 号 p.
554-560
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
Ninety patients with ankle fractures were surgically treated during 1977-1985. It is difficult to find strict relationship between Lauge-Hansen's classification of the types of fracture and methods of internal fixation. Weber's one is simpler and more suitable for surgery. Fibular fractures should be correctly reduced and rigidly fixed. In present series Weber's type A fracture was treated by ‘Zuggurtung’ method in all cases. Type B fractures were treated by ‘Zuggurtung’ method, plating or screwing according to the line of the fracture and comminution of fragments. Type C fractures were commonly treated with a short plate.
An anatomical reduction was obtained in 83.3%. Patients' contentment was evaluated by questionaire; “good” answers were obtained in 57/66 (86.4%).
The end-result was found to correlate with the anatomical reduction and rigid fixation, but not with the type of fracture.
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秋穂 靖, 冨永 積生, 伊達 和友, 大内 啓司, 片山 稔, 豊海 隆
1987 年 36 巻 2 号 p.
561-564
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
Of 25 patients with 25 fractures of the ankle joint that involved so called tibial plafond, 22 patients were followed for 15 to 79 (average, 48) months post-fracture. Fractures were classified as Type I (5 cases), Type II (10 cases), or Type III (7 cases) as defined by Rüedi. Results were evaluated both radiographically and clinically using Burwell's criteria. All five Type I fractures treated by closed reduction and plaster immobilization obtained almost satisfactory results.
Of ten Type II fractures, eight were treated by open reduction and internal fixation and two by closed reduction and plaster immobilization, leading to three good, six fair and one poor clinical results.
All seven Type III fractures were treated by open reduction and internal fixation, showing one good, three fair and three poor clinical results.
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豐海 隆, 冨永 積生, 伊達 和友, 大内 啓司, 片山 稔, 秋穂 靖
1987 年 36 巻 2 号 p.
565-574
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
44 cases of tibial condyle fractures treated in this department since 1976 were studied. The fracture patterns were categorized using the classification of Moore.
Fracture dislocations were not as common as plateau fracture, occurring in an approximate ratio of 1:5 in our series. Conservative treatment was given in 23 cases, and surgical treament in 21.
Meniscus injuries occurred in 13 cases, 2 of which were repaired and the remaining 11 were removed. Ligamentous injuries occurred in 5 cases, all of which were repaired. Residural instability of the fractured knee depended mainly on the degree of the depression at the time of follow-up. After an average follow-up of 22.6 months, the results of overall evaluation in 19 cases based on the criteria of Hohl and Luck were excellent or good in 16 cases.
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福永 拙, 上田 恵亮, 加茂 洋志, 野村 茂治
1987 年 36 巻 2 号 p.
575-577
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
We reported 46 cases of tibial condylar fractures treated in our hospital from 1969 to 1981.
The patients were studied according to the classification of fractures by Hohl and Luck: undisplased type, 5 cases; local compression, 11; split compression, 6; total compression, 10; split, 8; and comminuted, 6.
The results were excellent in 14 cases, good in 17, fair in 6, and poor in 7 by anatomical grade.
The degree of the traumatic depression in the tibial condyle ranged from 0 to 11mm.
In cases with depression of more than 6mm, functional grade was poor.
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中野 哲雄, 池田 天史, 川口 宗義, 甲斐 信
1987 年 36 巻 2 号 p.
578-582
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
Internal fixation procedures with use of compression hip screws were carried out in 26 cases with intracapsular fracture of the femoral neck. These cases were classified according to our modified Garden stage classification: Stage I: 1 case, Stage II; 5 cases, Stage III; 12 cases, and Stage IV; 8 cases. The operative results include one case of nonunion in stage IV cases and successful union of remaining 25 cases in other stage cases. As to the after treatment, all the patient could walk at 6. 5 weeks on the average. This procedure may be a recommended method of operation because of the higher rate of bony union and the capability of earlier release from bed rest.
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遠藤 俊哉, 今里 博司, 楢原 知啓, 井上 博
1987 年 36 巻 2 号 p.
583-586
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
A group of 27 patients (4 males and 23 females) with medial femoral neck fracture, who were treated by multiple pinning during 1977-1987, were studied. They received operation between 55 to 84 years (mean 74.9 years). They were followed for 0.5 to 7.3 years (mean 1.7 years). 85 percent (23 patients) got bone union. 11 percent (3 patients) suffered from late segmental collapse. The prognosis seemes to depend on type of fracture, age, osteoporosis, reduction and technique of pinning.
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山縣 茂樹, 田村 哲男, 森竹 財三, 千束 福司, 小谷 博信, 原 聖, 元津 康彦, 服部 奨
1987 年 36 巻 2 号 p.
587-590
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
One hundred and seventy-three trochanteric femoral fractures were operated on with Ender's nails in the last ten years in our hospital. 136 of them were followed up for radiological evaluations. Postoperative clinical evaluation was almost good nevertheless some cases suffered radiological complications. Varus deformity, perforation of the femoral head or neck and distal slipping of the pin were studied.
Complications are mainly due to technical problems of surgeons. Good distribution of the pin-ends, insertion of
the varus pin, driving to within ten milimeters of the subchondral bone, and total filling of the femoral canal were important for prevention of varus deformity.
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若狭 雅彦, 岡田 雄二, 真鍋 英喜, 立川 昌宏, 村上 恒二
1987 年 36 巻 2 号 p.
591-595
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
In 77 trochanteric femoral fractures, 40 cases were operated with Ender pinning, 27 cases with Compression hip screw (C. H. S.) and 10 cases with others. In 27 cases with C. H. S., 13 cases were operated with Captured hip screw made from titanium alloy. The average operation time and bleeding volume were 82 minutes, and 164g in Ender pinning, and 95 minutes, and 142g in C. H. S. respectively. Ten patients (25%) operated with Ender pinning had complained of gonalgia postoperatirely. Of 13 cases with captured hip screw made from titanium alloy, 6 cases showed shortening of the femoral neck, one varus deformity and one delayed union postoperatirely.
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野口 雅夫, 鳥越 雄喜, 高須賀 良一, 桑原 弘治, 実松 義昭, 高橋 克郎, 小西 宏昭, 大里 裕治, 井上 廣, 泉 賢太郎
1987 年 36 巻 2 号 p.
596-600
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
From December, 1984 to January, 1986, 48 cases (12 males and 36 females) of trochanteric fractures were treated in our hospital. 37 cases were repaired with Captured hip screws, 7 cases by Ender methods, 3 cases by pinning methods and one case with femoral head replacement.
The advantages of the Captured hip screw were ease of handling and robust fixing ability. The Ender methods were suitable for the treatment of unstable fractures whereas the pinning methods were suitable for patients with a poor general condition. Both stable and unstable fractures repaired with Captured hip screws resulted satisfactorily.
However, the use of the Capture hip screw is slightly limited. If the point of the barrel insertion is proximal to the fracture line, separation of the fracture would occur because the side-plate and barrel are not fixed together. It is possible that the barrel may pass through the fracture line as the barrel length is quite adequate.
We can not apply compression to the fracture because there is no compression screw with the Capture hip screw.
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川越 勝秀, 鈴木 悠史, 内野 潔, Takashi Sakou
1987 年 36 巻 2 号 p.
601-603
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
We have operated 56 patients over the age of 70 years old for femoral neck fracture since March of 1981.
The patients who were impossible to walk at this research were 9 (16%), and the major causes were dementia, insufficient rehabilitation and serious osteoarthritis of the knee joint. These causes are very important factors that affect the recuperation of the patients operated.
In this report, we had the following conclusion:
1) To operate as positively and soon as possible is desirable to prevent appearance and progress of dementia.
2) Sufficient rehabilitation is necessary for aged patients operated. But it is difficult without cooperation and understanding of their family.
3) If the patient has serious osteoarthritis that makes him impossible to walk, we must treat it positively.
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橋口 雅尚, 日高 博文, 砂原 伸彦, 谷口 良康, 伊集院 一成, 澤田 祐介, 原之村 博
1987 年 36 巻 2 号 p.
604-607
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
Unrelenting extraperitoneal hemorrhage is a dreaded complication in patients who sustained serious pelvic fractures, and hemorrhagic shock has been mentioned as the major cause of death. Recently, five patients (3 males and 2 females), with hemorrhagic schock accompanied by pelvic fracture, have been treated at our institution, from July 1985 to December 1985. Their ages were between 18 and 75 years (average; 48 years).
Two patients were treated with amount of volume replacement and improved. But, three patients did not react to amount of volume replacement, fell in shock, so that, diagnostic angiography and subsequent transcatheter embolization therapy with steel coils and Gelform were performed. Two out of three patients were improved but one died.
In orded to stop the severe pelvic hemorrhage, it was useful to embolize branches of the internal iliac artery.
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橋口 隆, 中村 智, 中西 秀二, 松本 智子, 田副 司郎, 平野 英二, 井上 喜博, 岩崎 勝郎
1987 年 36 巻 2 号 p.
608-613
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
We have reviewed 61 cases of pelvic fractures treated in our hospital. They were classified into four groups according to Watoson-Jones. Complications directly related to pelvic fractures were discussed. There were mainly three complications: injury to the urethra or bladder, to the nerve and to the iliac artery. For injury to the iliac artery, catheter embolization was effective. Other complications but one were treated conservatively, and the functional prognosis was relatively good.
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泉 賢太郎, 野口 雅夫, 梅木 義臣, 藤井 博昭, 前田 隆美
1987 年 36 巻 2 号 p.
614-617
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
We experienced two patients who had the injury of the axillar artery caused by blunt trauma. They had no fracture but contusion in the injured region. Physical examination of them revealed the pulselessness of the radial artery and the swelling of the injured extremity. The arteriography of them confirmed the occlusion of the axillar artery. Surgical exploration of them revealed the complete occlusion by contusion and thrombosis in the axillar artery.
The thrombosed segment were resected and the great saphenous vein were grafted in the resected part of the artery. The pulses of the radial artery were felt after the operation. The arteriography of them after the operation revealed that the axillar artery was patent but in one case had 50% stenosis at the distal anastomosed part and in another case had the moderate stenosis. Because the collateral circulation develops in the upper extremity, it is not so easy to diagnose the injury of the artery when blunt trauma caused it and the ischemic symptoms are moderate.
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山鹿 眞紀夫, 北川 敏夫, 高木 克公, 森沢 佳三, 山城 健一, 松原 三郎, 勝屋 弘忠, 鬼木 泰博
1987 年 36 巻 2 号 p.
618-621
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
A 20 years old man who had a full recovery after the coma state for five weeks from fat embolism syndrome was reported. He had the fracture of the left femur by motorcycle accident. He developed a consciousness disturbance following lucid interval of twenty-one hours.
CT was performed revealing no intracranial hematoma but showing diffuse brain edema. He had little respiratory symptom. Petechiae on the palpebral conjunctiva, neck, axilla and thigh developed in a few days after the accident. Retinal lesion consisted of cotton-wool spot small hemorrhages and edema.
He regained his consciousness on the 37th day after the injury. At the same time various neurological signs, constructional apraxia, unilateral spatial neglect, right-left disorientation, finger agnosia and alexia with agraphia appeared but no paresis was present. And then CT revealed the slight atrophy of the frontal lobe. His IQ in WAIS revealed low score.
Ten months after the injury he recovered completely and began to work as a clerk at the Ministry of Defence.
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市本 裕康, 早川 宏, 杉田 浩志, 秋野 龍明
1987 年 36 巻 2 号 p.
622-624
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
Recently the patients with multiple fractures are increasing in number, according to rapid growing traffic and labor accidents.
Between 1980 and 1985, 414 patients with fractures were admitted to Tokuyama Chuo Hospital. 56 patients among them suffered from multiple fractures. These patients were reviewed to know the relationship between the mechanism, the nature of fractures, and other organ injury. The cases with spine fractures and femoral neck fractures over 65 years old were excluded in this study. 42 patients were male and 14 patients were female. The age range was from 7 to 75 years old. 41 patients were injured in traffic accidents and 11 patients in labor accidents. There were 14 head injuries, 3 hemopneumothoraxies, and 7 abdominal traumas in 22 patients. Because of these complications, the orthopedic managements tend to be delayed, and surgical methods are highly required. It is desired that the orthopedic managements start as soon as possible, cooperating with other surgens.
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吉富 健, 城戸 正詩, 三喜 長明, 後藤 元徳
1987 年 36 巻 2 号 p.
625-631
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
Fifteen cases with the fractures of the humeral neck were surgically treated with a spiral pin in our clinic and nine of them were followed. The average follow-up time was one year and one month. Good unions in radiographs were obtained in all cases. The range of motion of the shoulder was not good in the case that could not obtain good reposition. In a few cases, early exercise could not be started inspite of using a spiral pin. Pain and limitation of the elbow joint are important problems in this treatment.
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今里 博司, 楢原 知啓, 遠藤 俊哉, 井上 博
1987 年 36 巻 2 号 p.
632-634
発行日: 1987/10/25
公開日: 2010/07/01
ジャーナル
フリー
Treatment of humeral four part fracture with anatomical neck fracture (H. F. A.) has many problems; avascular necrosis, functional disorder, continuing shoulder pain and so on. Neer prefers prosthetic replacement to osteosynthesis. We treated one case with Jones operation and the other with osteosynthesis.
The first case was a 50-year-old woman and X-ray finding was H. F. A. with dislocation. She received Jones operation two times and results were satisfactory one and half year after the operation (shoulder abduction, 120°; flexion, 160°).
The second case was a 82-year-old woman and the diagnosis was H. F. A. with displacement. Osteosynthesis was done 3 weeks after the trauma. There was no avascular necrosis of the humeral head and results were good a year after the operation (shoulder abduction, 90°; flexion, 130°).
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大川 孝浩, 井上 博, 猿渡 勝義, 中村 祐二, 森田 雅和, 柴山 慶, 兼行 秀司, 宮城 恒夫, 志波 直人, 二田水 節
1987 年 36 巻 2 号 p.
635-638
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
Four-Part fractures of the upper end of the humerus are uncommon and there is still dispute about the best form of treatment. Recently we treated six cases of four-part fractures with anatomical neck fractures of the upper end of the humerus caused by direct trauma. Without dislocations, three cases were treated with osteosynthesis, and one with non-operative method. With dislocations, one patient was treated with endoprosthesis and another Jone's operation. Patients, without non-operative method, had no shoulder pain and continued functional disabilities.
But they were satisfied with their treatments because of less disturbance of ADL. We studied the indications of the treatments for four-part fractures of the upper end of the humerus.
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山藤 良史, 山形 健治
1987 年 36 巻 2 号 p.
639-641
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
The traumatic pure lateral dislocation of the elbow joint is extremely rare. Recently we have experienced a case of this dislocation.
The patient was a 26-year-old man who was treated with closed reduction and plaster cast for 3 weeks. Clinical result was favourable at 1 year after injury.
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百田 耕, 萩尾 孝史, 阿部 隆伸, 樋口 富士男, 中村 祐二
1987 年 36 巻 2 号 p.
642-644
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
A case of severe open fracture of the right elbow in a 21-years-old male patient caused by car accident was reported.
The distal humerus and the olecranon were splintered and the elbow was dislocated with a large wound on its dorsal side. Initially, the elbow was immobilized with an external fixateur, being resulted in severe deep infection which was cured by two times of sequestrotomy and skin grafting with the large bony defect and adhesive scar tissues.
After healing of the infection, the defected elbow was successfully bridged by the two times of iliac bone grafting, and the patient is satisfied in his daily activities 2 years after the injury.
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佐伯 千恵子, 緒方 甫, 大峯 三郎
1987 年 36 巻 2 号 p.
645-647
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
In hemophilia, treatment is well developed owing to injection of coagulative facters and the approval of self-injection. But after repeated intra-articular bleeding, hemophilic arthropathy is progressed. Aspect of rehabilitation, hemophilic arthropathy is an important problem because that is restricted their ADL. In this paper, the relationships of muscle strength, range of motion and X-ray findings in knee joints were inspected.
Materials)
The average age of the patients was 24.5years 17y-39y. All were males and had a deficiency of a facter level of less that 1 per cent, the other three patients had a facter VIII level of between 2 and 10 per cent. In ADL, all were independent, only one was using crutches.
Healthy 17 patients were used as a controls. All were male and the average age was 27.9 years (21y.-38y.).
Methods)
By the Arnold-Hilgartners roentgenographic method, hemophilic arthropathy was categorized into five stages and evaluated in terms of range of motion. Hemophilic patients were tested with a Cybex II isokinetic dynamometer and measured peak torques generated by knee extensors and flexors.
Results)
1. Many patients had troubles in knee joints.
2. Range of motion was well kept until stage II.
3. Muscle strength was already weakened in stage II. (Stage II is earlier stage and the joint space is well kept.)
4. Compared with flexors, peak torques of extensors was remarkabley weakened in every stage.
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原 寛道, 河野 淳亮, 岸川 陽一, 森田 正治
1987 年 36 巻 2 号 p.
648-650
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
AFO (Ankle-Foot-Orthosis) with KBM socket was applied in the treatment of patients with spina bifida who had functional muscle power in the quadriceps. Six patients, between the ages of three and twenty-one years, were treated. They were classified into the Sharrard's classification of group 3 and 4. Five patients had marked improvement in their gait. One developed contact dermatitis. Compared with AFO without KBM socket and KAFO (Knee-Ankle-Foot-Orthosis), AFO with KBM socket is characterized by the following points: 1. AFO with KBM socket improves toe-in gait. 2. AFO with KBM socket gives firm support to the knee and stabilizes the foot.
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末期像とADLについて
中野 伴子, 奥野 徹子, 井上 明生
1987 年 36 巻 2 号 p.
651-654
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
Fibrodysplasia Ossificans Progressiva of a 35 year-old-male is shown. This case was reported by Kumagai and Kobayashi in 1960 and 1969, respectively. In this paper we summarised the clinical features and compared with those of earlier stages described before. In addition, we observed the activity of daily living. The patient is physically disabled but walking, eating and writing are still possible using the arranged self-help-devices.
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岸川 陽一, 原 寛道, 河野 淳亮
1987 年 36 巻 2 号 p.
655-658
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
It is well-known that patients with athetoid cereberal palsy have many problems in upper extremities since childhood. Some of them gradually lost their hand function because of shoulder retraction.
A 26 years old male patient with athetoid cereberal palsy is reported. He lost his hand function at the age of 24 years old. We performed tendon plasty for the muscles that were suposed to cause shoulder retraction. The results were good. The muscles were Trapezius, Latissimus dorsi, pectoralis major, Teres major, and the long head of Triceps Brachii. Through this experience we recognized that mobility of the shoulder joint plays an important part to regain their hand function.
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山本 喜昭
1987 年 36 巻 2 号 p.
659-668
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
One hundred cases (86 males, and 14 females) of the head injury were observed on the rehabilitation. The patients consisted of sixty-eight cases of traffic accident, twenty cases of labor accident and twelve cases of other accident. Before the rehabilitation, sixty-five cases were dependent on ADL, but after the rehabilitation, fifteen cases were dependent. Only eighteen cases had the vocational goal and nine cases had returned to school.
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大隈 隆之, 片岡 泰文, 古閑 博明, 宮崎 寛, 山本 正昭, 浅山 滉
1987 年 36 巻 2 号 p.
669-671
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
From January 1975 to December 1985, 722 pateints with hemiplegia due to CVA admitted to our hospital. There were 512 males and 210 females, with 363 right hemiplegia and 351 left hemiplegia. We surveyed and analyzed the risk factors of 15 cases with femoral neck fractures, which were divided into two groups: intracapsular fractures and extracapsular fractures of the neck of the femur. Consequently, two groups had no efficient difference in age, sex, and ADL (ability of transportation, etc). All cases were operated on in our hospital and efficient operative results were obtained. So, we conclude that opreative procedure on hemiplegic patients who suffered from femoral neck fracture is highly recommended without any specific post-operative complications.
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井上 雅文, 後藤 琢也, 高松 徹, 賀茂 和典, 酒井 亮, 新垣 安亮
1987 年 36 巻 2 号 p.
672-676
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
In the past 4 years from 1982 to 1985, we treated 57 patients with mental disorder, including 56 traumatic and one with spinal cord tumor. Thirty-two patients were male and 25 were female, and their mean age was 62.5 years. Many difficult probrems were encountered at initial examination, treatment and aftertreatment, particularly, in patients with insanity such as manic and depressive illness and schizophrenia. The difficulties of treatment of traumatic patients with mental disorder were discussed with report of cases.
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平野 真子, 野村 一俊, 吉野 和孝, 匂坂 正明, 田嶋 光, 栄 輝巳, 水岡 二郎, 村山 英一
1987 年 36 巻 2 号 p.
677-681
発行日: 1987/10/25
公開日: 2010/02/25
ジャーナル
フリー
Orthopedic surgeons often deal with patients with psychiatric disorders. But in case of patients with severe psychiatric disorders, there are many problems which can not be delt with in the department of orthopedic surgery.
In our hospital we treat such patients with cooperation of psychiatrists. But patients do not tell about their conditions clearly and are not cooperative to examinations.
At the time of operation, pre-operative administration of tranquilizer and pre-operative medical complications give various kinds of effects on the results of operations. Patients do not recognize their disorders, so the post-operative care is difficult.
Orthopedic cases which needed the psychiatric cares in our hospital from 1975 to 1986 were reported. We examined causes, treatment problems and prognoses especially in operated cases.
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林 和生, 柴田 堅一郎, 大賀 正義, 山口 司, 杉岡 洋一, 稲葉 頌一, 神志那 寿代
1987 年 36 巻 2 号 p.
682-685
発行日: 1987/10/25
公開日: 2010/02/25
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Blood transfusion is necessary in scoliosis surgery in many cases. But homologous transfusions are not innocuous because they introduce the risk of serum hepatitis and various immune reactions.
Autotransfusion is the best method to minimize these risks. In our hospital, scoliosis surgery has been performed in an autotransfusion program since 1981. Recently we tried the intraoperative autotransfusion method of cell saver in 8 cases of scoliosis. The ratio of the reinfused R. B. C. to total blood loss was 31.3±10.5%. Additional transfusion was required in all cases and frozen autogenous blood and reinfused blood was used in 5 cases in which additional homologous blood was not necessary.
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1987 年 36 巻 2 号 p.
686-693
発行日: 1987/10/25
公開日: 2010/02/25
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1987 年 36 巻 2 号 p.
694-703
発行日: 1987/10/25
公開日: 2010/02/25
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1987 年 36 巻 2 号 p.
e1
発行日: 1987年
公開日: 2010/02/25
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