巻号一覧
40 巻 (1991 - 1992)
- 4 号 p. 1399-
- 3 号 p. 895-
- 2 号 p. 531-
- 1 号 p. 1-
40 巻, 3 号
選択された号の論文の119件中101～119を表示しています
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黒木 俊政, 坂本 康典, 伊勢 紘平, 田島 直也, 武内 晴明, 押川 紘一郎1992 年 40 巻 3 号 p. 1324-1326
発行日: 1992/03/25
公開日: 2010/02/25
ジャーナル フリーPatient-controlled analgesia for pain management following orthopedic surgery was evaluated subjectively by 30 patients and objectively by doctors.
The thirty patients received postoperative epidural blocks with 1% mepivacaine. 53% of the patients experienced only mild pain or no pain with the PCA device.
The other 47% of the patients required more or less the same amount of NSAIDs as did the controlled group. This proved that patient-controlled analgesia was superior to another type of pain management.抄録全体を表示PDF形式でダウンロード (1708K) -
山田 康人, 稗田 寛, 高木 久雄, 後藤 武史, 後藤 博史, 木下 斉, 内川 知也1992 年 40 巻 3 号 p. 1327-1329
発行日: 1992/03/25
公開日: 2010/02/25
ジャーナル フリーDouble energy X-ray absorptiometry (DEXA) is one of the successfull methods for determinating the bone mineral contents.
Bone mineral density (BMD) of eighty eight volunteers (forty-one cases were male and forty-seven cases were female) were measured by the DEXA method. QDR-1000 (Hologic co.) were used in measuring the ulnar and radial BMD.
The following results were obtained.
1) In the female, the ulnar and radial BMD severely decreased after post menopause. This pattern was similar to the results of the vertebral bone mineral contents.
2) Measuring the ulnar and radial BMD by the DEXA method enabled us to evaluate osteoporosis.抄録全体を表示PDF形式でダウンロード (236K) -
中根 惟武, 米満 弘之, 高橋 修一朗, 桃崎 和彦, 荒木 康博, 錦戸 悦夫1992 年 40 巻 3 号 p. 1330-1332
発行日: 1992/03/25
公開日: 2010/02/25
ジャーナル フリーBone mineral content of lumbar spine (L1-L4) was measured by DEXA (Hologic QDR1000).
In this study, bone mineral densities (BMDs) of an individual lumbar spine were investigated to relate with aging and sex.
The BMD value at the lower lumbar spine was greater than that at the upper spine (L1) in each decade age and both sexes.
The bone loss of each spine with aging was observed more remarkably in female, but the bene loss rate of each spine was not so significant.
Those results have relevance to the fact that osteoporotic compression fractures are of frequent occurrence in female and at upper lumbar spine.抄録全体を表示PDF形式でダウンロード (349K) -
犀川 勲, 江口 正雄, 大石 年秀, 佛淵 孝夫, 野口 康男, 杉岡 洋一1992 年 40 巻 3 号 p. 1333-1337
発行日: 1992/03/25
公開日: 2010/02/25
ジャーナル フリーFour patients with osteogenesis imperfecta who were followed up until adolescence were reported. All the patients had a history of multiple fractures and underwent fixation using Rush pins, Küncher nails, Kirshner wires or plates. The overall complication rate was 44% and postoperative bone atrophy was observed in one patient who underwent fragmentation osteotomy. Despite the high rate of complications, all the patients are ambulatory now. These results demonstrated that surgical procedures are often necessary for patients with osteogenesis imperfecta to prevent subsequent fractures and a non-ambulatory state.抄録全体を表示PDF形式でダウンロード (2948K) -
占部 憲, 神宮司 誠也, 森久 喜八郎, 松永 浩隆, 桑野 正1992 年 40 巻 3 号 p. 1338-1340
発行日: 1992/03/25
公開日: 2010/02/25
ジャーナル フリーThis paper reports a rare case of brown tumor of the femur aasociated with primary hyperparathyroidism. A 71-year-old woman had pain in her right thigh and the radiogram showed general severe osteopenia, subperiosteal resorption and an expansive cyst-like cavity of the femur. General and clinical findings suggested that hyperparethyroidism caused the multiple bone lesions, including a local radiolucent lesion of the femur.
Biochemical analysis revealed high level of serum PTH and calcium.
The enhanced computed tomogram showed a cervical parathyroid tumor. The tumor was extirpated, and was histologically diagnosed as parathyroid adenoma. Six weeks after the surgery the radiolucent area of the femoral bone was slightly improved, becoming sclerotic on the radiogram.抄録全体を表示PDF形式でダウンロード (1960K) -
衛藤 正雄, 伊藤 信之, 今村 宏太郎, 岩崎 勝郎1992 年 40 巻 3 号 p. 1341-1345
発行日: 1992/03/25
公開日: 2010/02/25
ジャーナル フリーThe purpose of this study is to investigate the factors which influence the prognosis of the cubital tunnel syhdrome. Materials consist of fifty-four cases which were treated with some operative procedures such as the anterior subcutaneous transposition (45 cases), the King's method (5 cases) and etc. An average age at operation was 47 years. The follow-up period ranged from 6 months to 21 years (average; 4 years and 8 months).
The patients were classified into two groups (mild palsy and severe palsy) according to degree of the preoperative palsy. Clinical results at the last examination were evaluated by the modified Akahori's method. And with those results the following things were studied, 1) relation with the age of the patient 2) relation with the duration of onset of symptom till operation 3) relation with the degree of the preoperative palsy 4) relation with the preoperative motor conduction velocity (MCV).
Excellent and good results were obtained in 83.3% of the mild palsy group, whereas in severe palsy group those were only 23.8%. There was a highly significant difference in results between the two groups. The age of the patients and the period from the onset to the operation also influenced the results.
Also in preoperative MCV showed that the results were proportionally better in cases with higher conduction velociry.抄録全体を表示PDF形式でダウンロード (595K) -
皮下前方移動術とKING変法について安里 潤, 新垣 晃, 金谷 文則, 外間 浩, 田崎 法昭, 宮里 剛行, 富山 聡, 茨木 邦夫1992 年 40 巻 3 号 p. 1346-1349
発行日: 1992/03/25
公開日: 2010/02/25
ジャーナル フリーFrom 1978 to 1991, we treated 77 patients with cubital tunnel syndrome using either an anterior subcutaneous transposition or a modified King's method. 34 patients with 34 cubital tunnel syndromes were followed-up for more than 1 year. Their preoperative stages were graded by Akahori's system from stages I to V. Nerve conduction studies were performed on all the patients at follow-up. The patients' postoperative recoveries were evaluated by Akahori's post-operative stages, which were classified into 4 categories from excellent to poor.
All the cases, whose preoperative stages were I to III, were graded excellent but none of the patients with a preoperative stage V had recovered to a better stage than good at follow up, regardless of the surgical procedure or the duration of numbness of the ulnar nerve distribution. The preoperative stage of cubital tunnel syndrome showed a significant correlation with the prognosis, that is, the better the preoperative stage promised to be the better the post operative recovery was. However, the duration of numbness which we thought would correlate well with the severity of the disease did not correlate with the post operative recovery. Numbness is a subjective sign and there may be differences in how individuales feel the numbness threshold.
We would like to conclude from this clinical reseach that the most important factor which affects the prognosis is the preoperative stage.抄録全体を表示PDF形式でダウンロード (371K) -
徳永 真巳, 奥江 章, 石崎 知樹, 松村 公志, 草場 謙, 山田 修, 福岡 真二, 山下 太郎1992 年 40 巻 3 号 p. 1350-1354
発行日: 1992/03/25
公開日: 2010/02/25
ジャーナル フリーSnapping elbow is an extremely rare disorder. We have recently treated two cases with snapping phenomenon of the elbow. Roentgengrams of the elbow were normal.
One was operated and another one was treated conservatively.
At the time of operation, thickened semilunar fold of synovial tissue was noticed in the radiohumeral articulation as a cause of snapping. In the second case, we noticed snapping and tenderness in the medial head of triceps humeri muscle, when the elbow was extended from flexion.抄録全体を表示PDF形式でダウンロード (1945K) -
入江 豊, 松崎 昭夫, 城戸 正喜, 足達 裕, 太田 佳介1992 年 40 巻 3 号 p. 1355-1358
発行日: 1992/03/25
公開日: 2010/02/25
ジャーナル フリーWe analyzed the results of conservative therapy on upper limb bone fractures after a preliminary investigation via a questionnaire.
Eighty Orthopaedic Practitioners were selected from both the membership list of the Japanese Fracture Society and the membership list of the medical association of Fukuoka Prefecture. Three hundred and nine authorized facilities out of the authorized roll of the Japanese Orthopaedic Association (pub. 1985), all University Hospitals, and those branch hospitals on the roll of the Japanese Orthopaedic Association also took part.
We received answers back at ratios of 47.5%, 63.5%, and 42.4% from Practitioners, University Hospitals, and General Hospitals, respectively.
Twenty-two common fractures were classified from clavicle to metacarpus. We inquired about the basis of treatment whether conservative therapy or operative therapy was preferred; the methodology, indications, and percentage of follow through.
Results; We compared the results from the Practitioners, University Hospitals and General Hospitals. Then we recorded the answers in the conservative therapy method groups.
The largest variance was found in treatment of fractures of the radial head, Monteggia fractures, and Bennet fractures, when done by the University Hospitals, General Hospitals, and Practitioners. Usually, all groups selected conservative therapy when dealing with Colles, Smith, and clavicle fractures.
Conversely operative procedures were most often selected for olecranon, Monteggia, and Galeazzi fractures in University Hospitals and General Hospitals. In all cases, the Practitioners preferred conservative therapy at a higher ratio than the other.抄録全体を表示PDF形式でダウンロード (372K) -
山下 寿, 後藤 琢也, 賀茂 和典, 佐藤 直人, 大川 孝浩, 安部 淳, 広松 聖夫, 宮城 成圭1992 年 40 巻 3 号 p. 1359-1363
発行日: 1992/03/25
公開日: 2010/02/25
ジャーナル フリーOur experiences with the treatment of ipsilateral complex fractures of the upper extremities in 10 patients, 7 males and 3 females, are reported here. The fractures were caused by car accidents in 6 patients, labor accidents in 3 and a fall in one.
The ages of the patients ranged from 18 years to 75 years with an average of 40 years. High-velocity trauma complicated and the majority of this series of patients, and severe soft tissue injuries were associated in all these patients with an open fracture and in some with a closed fracture.
The results of the treatment were affected by many factors such as the severity of the initial injury, especially a concomitant neurovascular injury, the so-called froating elbow, an open fracture and the method of treatment employed. Early internal fixation was thought essential for early rehabilitation of the injured extremity to obtain a satisfactory result.抄録全体を表示PDF形式でダウンロード (3049K) -
山本 隆文, 中村 昌弘, 竹本 勝一, 天野 正昭, 寺田 幸生1992 年 40 巻 3 号 p. 1364-1366
発行日: 1992/03/25
公開日: 2010/02/25
ジャーナル フリーThere have been many publications referring to the various methods of operation for the treatment of pressure metatarsalgia. Among those methods, Helal's metatarsal osteotomy is an operation with a simple technique which can be applied easily and it has the merit of obtaining an adequate telescoping effect on weight bearing easily.
We perfomed the Helal metatarsal osteotomy operation on five patients who had symptoms of a clawing toe after trauma, which had developed into pressure metatarsalgia.
At final review, we noticed in the X-rays that three patients still had a slight degree of clawing deformity and one patient had a non-union. Nevertheless, the symptom of pressure metatarsalgia was nearly removed from all the patients.
Helal's metatarsal osteotomy is simple in technique and an effective treatment for pressure metatarsalgia.抄録全体を表示PDF形式でダウンロード (1360K) -
仙波 英之, 野村 茂治1992 年 40 巻 3 号 p. 1367-1371
発行日: 1992/03/25
公開日: 2010/02/25
ジャーナル フリーThirty patients (46feet) with hallux valgus were treated by Hammond's osteotomy. The results were evaluated clinically and radiographically.
21 feet were rated excellent, 19 rated good, and 6 rated poor. The shortening of the metatarsal bone was on average 2.5mm. Among the 19 good results, the criteria for which the results were reduced from excellent to good were lack of relief of symptoms in eight, restriction of motion at the first metatarsophalangeal joint in five, and inadequate correction of the deformity in nine.
Among the 6 poor results, recurrent hallux valgus was seen in five, severe metatarsalgia in the region of the second and third metatarsal heads was seen in three, and in one case metatarsalgia was found post-operatively.抄録全体を表示PDF形式でダウンロード (1366K) -
桜井 日出也, 上崎 典雄, 山口 司, 坂本 央, 小西 淳二, 利光 哲也, 久我 尚之, 別府 達也1992 年 40 巻 3 号 p. 1372-1375
発行日: 1992/03/25
公開日: 2010/02/25
ジャーナル フリーOver a 7 year period we studied 15 cases of Mitchell's Osteotomy for Hallux Valgus. Twelve cases (80%) were graded as excellent or good results. Retrospective radiographic analysis of these cases showed that the operation had reduced the intermetarsal angles and the Hallux Valgus angle.抄録全体を表示PDF形式でダウンロード (1506K) -
金井 一男, 中島 勝也, 志田 純一, 松浦 恒明, 河田 典久, 高妻 雅和, 徳久 俊雄, 小林 邦雄1992 年 40 巻 3 号 p. 1376-1379
発行日: 1992/03/25
公開日: 2010/02/25
ジャーナル フリーA fracture with a separated distal tibial epiphysis has been recognised as an uncommon fracture in patients between the ages of 12 and 14 years, but recently it has been on the increase. We will report here three cases of this fracture.
The first case (a 14-year-old boy) tripped on a soccer ball. He was diagnosed as a Salter-Harris (S-H) Type-II showing a distal tibial epiphyseal fracture by X-rays. Open reduction was performed using a Kirschner wire, because closed reduction had failed. The second case (an 11-year-old girl) fell from a one meter height. Colsed reduction was performed. Ten months later, X-rays showed an early closed growth plate and a slightly valgus deformity, which was diagnosed as an S-H Type-V. The third case (a 5 -year-old boy) fell from a swing. He was diagnosed as an S-H Type II. The X-rays showed a distal tibial epiphseal fracture.抄録全体を表示PDF形式でダウンロード (3660K) -
大迫 浩文, 肥後 勝, 小城 琢朗, 吉国 長利, 西百 香里1992 年 40 巻 3 号 p. 1380-1382
発行日: 1992/03/25
公開日: 2010/02/25
ジャーナル フリーTwelve split posterior tibial-tendon transfer with heel-cord lengthening were performed in ten children with spastic cerebral palsy and equinovarus feet. We split the posterior tibial-tendon and transfered its posterior half laterally into the peroneus brevis tendon. The patients were followed postoperatively for a mean of 2.8 years with a range from 0.5 to 5 years. Three patients required calcaneal osteotomy and one patient required subtalar triple arthrodesis, because of fixed varus deformity.
There were 10 excellent, 2 good results and were no poor result. There were no recurrence of the varus deformity, nor were any valgus or calcaneovalgus deformity produced. The split posterior tibial-tendon transfer with heel-cord lengthening is a reliable procedure to convert a spastic equinovarus foot to a plantigrade one.抄録全体を表示PDF形式でダウンロード (330K) -
川越 正一, 岡本 義久, 内田 雄, 長倉 紘一, 田島 直也, 山口 一郎1992 年 40 巻 3 号 p. 1383-1386
発行日: 1992/03/25
公開日: 2010/02/25
ジャーナル フリーIn order to evaluate the influence of the height of a chair and the location of the feet during the action of standing up, we examined theel vocity of the center of gravity (C, O, G, ) with a force-plate and the angular velocity with a LOCUS II -D. System of ten adults.
The distance between the C, O, G, and the point of application after forward tilting of the trunk participate in the difficulty and the motion time of standing up. When we draw our feet posteriorly, we can do it without difficulty and take less time, because the duration from the end of the rapid fore-movement to the plateau of the C, O, G, is shortened.
As to the angular velocity, the hip joint and trunk extended before the knee joints when the feet were set anteriorly. On the other hand, the knee joints extended first when they were drawn posteriorly.抄録全体を表示PDF形式でダウンロード (346K) -
佐々木 誠人, 鈴木 勝己, 田中 幸一1992 年 40 巻 3 号 p. 1387-1390
発行日: 1992/03/25
公開日: 2010/02/25
ジャーナル フリーFuntional knee bracec are designed to provide stability of the knees. Commercially braces depend on the hinge, post and strap or shell to control anterior orposterior tibial displacement. As the present widely used elastic strap systems have such problems as skin ischemia and inefficient stability in every flexion angle, we have developed a new mechanism to control tibial displacement. The main difference in this brace is an additional tibial bar that moves parallel with the main upright and pulls the straps anteriorly and posteriorly. Six patients with cruciate ligament deficient knees tested this brace with satisfactory results We believe that this new knee brace, because of ets uniqueness, will be beneficial to patients suffering from crucite ligament injuries.抄録全体を表示PDF形式でダウンロード (2650K) -
小林 靖幸, 肱岡 昭彦, 田中 邦彦, 沖本 信和, 田中 幸一1992 年 40 巻 3 号 p. 1391-1393
発行日: 1992/03/25
公開日: 2010/02/25
ジャーナル フリーIt is important to keep the arm in a zero-position after surgery for rotator cuff tears of the shoulder. Ordinarily the casting plaster has been used to keep the arm in a zero-position, but there are some disadvantages in casting plaster: being heavy, easy to loose, stressful and uncomfortable in summer seasons. The outfit of the shoulder has some advantages to keep good function of upper extremity after surgery. These advantages are as follows; 1) light weight, 2) composition, 3) good fitness and well-ventilated, 4) relief of pain, and 5) being able to exercise the arm function during fitting outfit. Our new type outfit of the shoulder is composed of three parts, shell type arm brace, joints and corset type body brace. joint of outfit is composed of four different joints which are hinge, rotor, disc and axial. Junction of these four joints makes multi-axial motions of the shoulder possible. This outfit is very useful for the shoulder function after repair of rotator cuff tears.抄録全体を表示PDF形式でダウンロード (1214K) -
本庄 浩, 鳥巣 岳彦, 増田 頼昭, 浅尾 恒徳, 和泉 弘人1992 年 40 巻 3 号 p. 1394-1397
発行日: 1992/03/25
公開日: 2010/02/25
ジャーナル フリーWe performed hip arthroplasty using bipolar endoprosthesis combimed with bone grafting acetabuloplasty on 77 cases in our department from 1982 to 1990. We examined two problems of rehabilitation in these cases. The most important problem was the degree of body weight bearing on the hip joint and the length of time after the operation. Another problem was the circumstances of the patients' daily-life at their houses, such as stairs, Japanese style toilet and bath.抄録全体を表示PDF形式でダウンロード (1212K)