アブストラクト
| Title | 6. 逸脱半月板に対する鏡視下Centralization法 |
|---|---|
| Subtitle | FEATURE 半月板損傷の治療 半月板損傷に対する機能温存の試み [臨床的な応用編] |
| Authors | 大関信武, 古賀英之 |
| Authors (kana) | |
| Organization | 東京医科歯科大学再生医療研究センター, 東京医科歯科大学大学院医歯学総合研究科 運動器外科学分野教授 |
| Journal | 整形外科サージカルテクニック |
| Volume | 11 |
| Number | 4 |
| Page | 464-469 |
| Year/Month | 2021 / |
| Article | 報告 |
| Publisher | メディカ出版 |
| Abstract | 「はじめに」半月板逸脱の原因として, 半月板後根断裂や放射状断裂, 半月板切除後, 変形性膝関節症(osteoarthritis, 以下OA)による骨棘(軟骨棘)形成などが挙げられる. 半月板の逸脱は荷重分散に重要なhoop機能の低下を意味し, 関節軟骨に対する負荷が増大することにより, OAの進行やOA患者の膝痛と相関する. 鏡視下Centralization法はアンカーを用いて逸脱した半月板を内方化させる手術方法であり, 短期ではあるが良好な成績が得られている. また, バイオメカニクスの検証からも, Centralizationにより半月板の荷重分散機能を再獲得することが可能である. 本稿では, 外側半月板(LM)部分切除後に生じた逸脱に対して鏡視下Centralization法を施行した症例を提示し, 解説する. 「手術の概要・目的・適応」鏡視下Centralization法は, LM逸脱, 内側半月板(MM)逸脱の両方に適応がある. |
| Practice | 臨床医学：外科系 |
| Keywords |
- 全文ダウンロード： 従量制、基本料金制の方共に1,749円(税込) です。
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残りの14件を表示する
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