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Volume 59, Issue 4
Displaying 51-55 of 55 articles from this issue
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Kengo Takahashi, Masahito Nagata, Tsuyoshi Takenouchi, Hiroaki Koga, S ...2010 Volume 59 Issue 4 Pages 880-882
Published: September 25, 2010
Released on J-STAGE: December 08, 2010
JOURNAL FREE ACCESSWe report a clinical trial of percutaneous drainage associated with hyperbaric oxygen therapy for pyogenic spondylitis. The patients included 17 males and four females who were treated at our hospital for pyogenic spondylitis. The subjects were divided into two groups; 19 cases treated with conventional rest and antibiotic dosage (Group A) and 12 cases treated with CT-assisted percutaneous dranage (Group B). Nine patients also underwent hyperbaric oxygen therapy. We evaluated the period to CRP normalization. Group A required an average of 59.7 days to CRP normalization from the start of treatment. On the other hand, Group B required an average of 27.1 days. In addition, combination of hyperbaric oxygen treatment shortened this time by 14 days in Group A and 11 days in Group B. In conclusion, percutaneous drainage combined with hyperbaric oxygen therapy is useful for shortening the treatment period for pyogenic spondylitis.View full abstractDownload PDF (210K) -
Yasuomi Kawasoe, Ryo Motokishita, Hideyuki Kawabata, Yoshiya Arishima, ...2010 Volume 59 Issue 4 Pages 883-886
Published: September 25, 2010
Released on J-STAGE: December 08, 2010
JOURNAL FREE ACCESSFour cases of traumatic acetabular fracture were treated during 2008 to 2009. They included three male and one female patients with a mean age of 47 years (range; 37 to 74 years) . The mean period of follow-up was 12 months. The fracture types were classified by Judet-Letournel. There were two posterior walls, one transverse/posterior wall, and one both columns. Three patients had dislocation of the hip at the time of injury, and closed reduction was performed within six hours after injury. One patient was treated by nonsurgical procedure and three by open reduction and internal fixation. The mean surgical time was 2.4 and the mean blood loss was 460 cc. The overall clinical outcome was rated as excellent in three (75%) and good in one (25%). Acetabular fracture caused by high energy trauma may have serious complications (vascular injury, post-traumatic osteoarthritis). Anatomical reduction, stable fixation, and early rehabilitation are important to successfully treat and reduce serious complications.View full abstractDownload PDF (445K) -
Shuhei Himeno, Kenji Miyahara, Yoshiaki Makino, Toshio Kawahara, Natsu ...2010 Volume 59 Issue 4 Pages 887-892
Published: September 25, 2010
Released on J-STAGE: December 08, 2010
JOURNAL FREE ACCESSWe use the temporary Ilizarov apparatus for unstable leg fractures devised by Makino et al. We report two cases of unstable leg fractures operated using the intramedullary nail with this method.
Case 1 was a 16-years-old male. We did not use the apparatus before operation. Because of severe bone shortening, manipulative reduction was difficult. By using the apparatus, reduction was acquired and we could perform osteosynthesis using the intramedullary nail.
Case 2 was a 54-years-old male. We performed temporary Ilizarov fixation on the day of injury. Before osteosynthesis with the intramedullary nail, reduction was acquired by adjusting the apparatus.
The temporary Ilizarov apparatus is very useful for cases, in whom it is difficult to acquire or maintain reduction.View full abstractDownload PDF (627K) -
Motoko Nakasone, Goichi Okahara, Chojo Futenma, Fuminori Kanaya, Hiros ...2010 Volume 59 Issue 4 Pages 893-895
Published: September 25, 2010
Released on J-STAGE: December 08, 2010
JOURNAL FREE ACCESSWe reported two cases with old avulsion fracture of the medial collateral ligament of the elbow treated with open reduction and internal fixation with a screw.
Two boys aged 16 and 15 had pain at the origin of the medial collateral ligament of the right elbow. They showed old avulsion fracture and could not throw balls. Although valgus stress test results were negative, simulation of overhead throw under resistance (internal rotation from shoulder abductor and external rotation under resistance) produced pain. The dislocated fragment was fixed using a screw with the elbow joint in 90 degrees flexion. −10 and −30 degrees limitation of extension were seen during surgery respectively. Active ROM exercise was started after four weeks. Union of the fragment was confirmed at six weeks. At six months after surgery, there was no limitation of ROM and they could throw balls without pain allowing them to play baseball again.View full abstractDownload PDF (231K) -
Nozomu Inada, Wataru Oshiro, Hiroshi Hokama, Fuminori Kanaya2010 Volume 59 Issue 4 Pages 896-898
Published: September 25, 2010
Released on J-STAGE: December 08, 2010
JOURNAL FREE ACCESSWe report a case of bilateral trigger big toe. The patient was a 37-year-old man. He enjoyed several sports including motocross, jet ski, cycling, triathlon since 18 years old. At age 33, he suffered painful triggering of his right big toe. We surgically released the fibro osseous tunnel to decompress the flexor hallucis longus tendon at the posteromedial site of the ankle. After surgery the painful triggering disappeared. At age 37, he noticed painful triggering of his left big toe accompanied with that of his second and third toes. Triggering disappeared by the release of the fibro osseous tunnel.View full abstractDownload PDF (280K)