Author | Sakata, Kenichiro| Furumatsu, Takayuki| Miyazawa, Shinichi| Okada, Yukimasa| Fujii, Masataka| Ozaki, Toshifumi| |
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Published Date | 2013-01 |
Publication Title | International Orthopaedics |
Volume | volume37 |
Issue | issue1 |
Content Type | Journal Article |
Author | Furumatsu, Takayuki| Matsumoto, Emi| Kanazawa, Tomoko| Fujii, Masataka| Lu, Zhichao| Kajiki, Ryotaro| Ozaki, Toshifumi| |
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Published Date | 2013-05-31 |
Publication Title | Journal of Biomechanics |
Volume | volume46 |
Issue | issue9 |
Content Type | Journal Article |
Author | Tetsunaga, Tomonori| Furumatsu, Takayuki| Abe, Nobuhiro| Nishida, Keiichiro| Naruse, Keiji| Ozaki, Toshifumi| |
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Published Date | 2009-09-18 |
Publication Title | Journal of Biomechanics |
Volume | volume42 |
Issue | issue13 |
Content Type | Journal Article |
Author | Furumatsu, Takayuki| Ozaki, Toshifumi| Asahara, Hiroshi| |
---|---|
Published Date | 2009-05 |
Publication Title | The International Journal of Biochemistry & Cell Biology |
Volume | volume41 |
Issue | issue5 |
Content Type | Journal Article |
Author | Furumatsu, Takayuki| Shukunami, Chisa| Amemiya-Kudo, Michiyo| Shimano, Hitoshi| Ozaki, Toshifumi| |
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Published Date | 2010-01 |
Publication Title | The International Journal of Biochemistry & Cell Biology |
Volume | volume42 |
Issue | issue1 |
Content Type | Journal Article |
Author | Furumatsu, Takayuki| Hachioji, Motomi| Saiga, Kenta| Takata, Naoki| Yokoyama, Yusuke| Ozaki, Toshifumi| |
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Published Date | 2010-01-01 |
Publication Title | Biochemical and Biophysical Research Communications |
Volume | volume391 |
Issue | issue1 |
Content Type | Journal Article |
Author | Saiga, Kenta| Furumatsu, Takayuki| Yoshida, Aki| Masuda, Shin| Takihira, Shota| Abe, Nobuhiro| Ozaki, Toshifumi| |
---|---|
Published Date | 2010-11-12 |
Publication Title | Biochemical and Biophysical Research Communications |
Volume | volume402 |
Issue | issue2 |
Content Type | Journal Article |
Author | Miyake, Yoshiaki| Furumatsu, Takayuki| Kubota, Satoshi| Kawata, Kazumi| Ozaki, Toshifumi| Takigawa, Masaharu| |
---|---|
Published Date | 2011-06-03 |
Publication Title | Biochemical and Biophysical Research Communications |
Volume | volume409 |
Issue | issue2 |
Content Type | Journal Article |
Author | Furumatsu, Takayuki| Ozaki, Toshifumi| Asahara, Hiroshi| |
---|---|
Published Date | 2010-08-02 |
Publication Title | 岡山医学会雑誌 |
Volume | volume122 |
Issue | issue2 |
Content Type | Journal Article |
FullText URL | K002286.pdf |
---|---|
Author | 古松 毅之| |
Published Date | 2002-03-25 |
Content Type | Thesis or Dissertation |
Grant Number | 甲第2286号 |
Granted Date | 2002-03-25 |
Thesis Type | Doctor of Philosophy in Medical Science |
Grantor | 岡山大学 |
language | Japanese |
JaLCDOI | 10.18926/AMO/63405 |
---|---|
FullText URL | 76_2_121.pdf |
Author | Okazaki, Yuki| Furumatsu, Takayuki| Hiranaka, Takaaki| Kamatsuki, Yusuke| Nakata, Eiji| Tetsunaga, Tomonori| Yamane, Kentaro| Ozaki, Toshifumi| |
Abstract | Bone marrow edema (BME) after meniscus injury and risk factors for subchondral insufficiency fracture of the knee (SIFK) have been reported. However, their association with medial meniscus posterior root tear (MMPRT) remains unknown. We investigated the association of BME volume (BME-V), posterior shinycorner lesion (PSCL), and SIFK with MMPRT to examine the correlations between BME-V and medial meniscus extrusion (MME), PSCL and duration from injury to the time of magnetic resonance imaging (duration), and SIFK and duration. Twenty-nine patients who underwent surgery for MMPRT were included (mean age, 59.2; range, 39-84). The presence of PSCL, femoral BME-V (cm3), and SIFK grade (1-4) were evaluated. Preoperative factors, such as MME (mm) and duration (weeks), were investigated using multivariate linear/ logistic regression analyses. Multivariate linear regression analysis revealed duration as a significant factor for high-grade SIFK (p<0.01). Multivariate logistic regression analysis revealed duration as a significant factor for the presence of PSCL (odds ratio=0.94, p<0.05). A long duration of MMPRT leads to severe MME and highgrade SIFK (3 and 4), often resulting in knee arthroplasty. Early diagnosis of MMPRT and pullout repair can prevent severe MME and high-grade SIFK. |
Keywords | medial meniscus posterior root tear subchondral insufficiency fracture bone marrow edema meniscus extrusion |
Amo Type | Original Article |
Publication Title | Acta Medica Okayama |
Published Date | 2022-04 |
Volume | volume76 |
Issue | issue2 |
Publisher | Okayama University Medical School |
Start Page | 121 |
End Page | 127 |
ISSN | 0386-300X |
NCID | AA00508441 |
Content Type | Journal Article |
language | English |
Copyright Holders | Copyright Ⓒ 2022 by Okayama University Medical School |
File Version | publisher |
Refereed | True |
PubMed ID | 35503439 |
Web of Science KeyUT | 000792374900003 |
JaLCDOI | 10.18926/AMO/62817 |
---|---|
FullText URL | 75_6_751.pdf |
Author | Endo, Hirosuke| Yamada, Kazuki| Testunaga, Tomonori| Furumatsu, Takayuki| Mitani, Shigeru| Ozaki, Toshifumi| |
Abstract | The improved cemented cup technique has attained excellent long-term results in primary total hip arthroplasty. When cup revision surgery was performed, the cemented cup, which was loosened at the bone-cement interface, was easily removed. However, with a well-fixed bone-cement interface, it remains difficult to remove the cemented cup for a revision in the event of a recurring dislocation. In addition, protrusions in the cement can cause unpredictable bone defects. A new removal device was created and used successfully to remove a well-fixed cemented cup safely and efficiently. This report introduces the device and the technique used in cemented cup removal. |
Keywords | total hip arthroplasty revision surgery well-fixed cemented cup |
Amo Type | Case Report |
Publication Title | Acta Medica Okayama |
Published Date | 2021-12 |
Volume | volume75 |
Issue | issue6 |
Publisher | Okayama University Medical School |
Start Page | 751 |
End Page | 754 |
ISSN | 0386-300X |
NCID | AA00508441 |
Content Type | Journal Article |
language | English |
Copyright Holders | Copyright Ⓒ 2021 by Okayama University Medical School |
File Version | publisher |
Refereed | True |
PubMed ID | 34955545 |
Web of Science KeyUT | 000735319800003 |
NAID | 120007180275 |
JaLCDOI | 10.18926/AMO/61437 |
---|---|
FullText URL | 75_1_71.pdf |
Author | Sanki, Tomoaki| Tetsunaga, Tomonori| Furumatsu, Takayuki| Yamada, Kazuki| Kawamura, Yoshi| Ozaki, Toshifumi| |
Abstract | Intra-operative acetabular fracture is a total hip arthroplasty complication that can occur during cementless cup insertion, especially in osteoporotic patients. We conducted this biomechanical study to investigate the impact resistance of the acetabulum with simulated bones of different density by drop-weight impact testing. Low- and high-density polyurethane foam blocks were used as osteoporotic and healthy bone models, respectively. Polyurethane blocks were used as the acetabular cancellous bone. Composite sheets were used as the acetabu-lum’s medial cortex. The testing revealed that the osteoporotic bone model’s impact resistance was significantly lower than that the healthy bone model’. In the healthy bone model, even thin acetabular cancellous bone with ≥ 1 mm acetabulum medial cortex was less likely to fracture. In the osteoporotic bone model, fracture was pos-sible without ≥ 1 mm medial cortex of the acetabulum and thick acetabular cancellous bone. Although impac-tion resistance differs due to bone quality, the impaction resistance in this osteoporotic bone model was equiv-alent to that healthy bone model’s when a thick medial wall was present. To avoid intra-operative acetabulum fracture, surgeons should consider both the bone quality and the thicknesses of the medial cortex and acetabu-lar cancellous bone. |
Keywords | intra-operative acetabular fracture drop weight impact testing total hip arthroplasty impact resistance |
Amo Type | Original Article |
Publication Title | Acta Medica Okayama |
Published Date | 2021-02 |
Volume | volume75 |
Issue | issue1 |
Publisher | Okayama University Medical School |
Start Page | 71 |
End Page | 77 |
ISSN | 0386-300X |
NCID | AA00508441 |
Content Type | Journal Article |
language | English |
Copyright Holders | CopyrightⒸ 2021 by Okayama University Medical School |
File Version | publisher |
Refereed | True |
PubMed ID | 33649616 |
JaLCDOI | 10.18926/AMO/60373 |
---|---|
FullText URL | 74_4_345.pdf |
Author | Tanaka, Takaaki| Furumatsu, Takayuki| Hiranaka, Takaaki| Okazaki, Yuki| Masudaa, Kenji| Senoa, Noritaka| Ozaki, Toshifumi| |
Abstract | The aim of this study was to evaluate tunnel coalition and inter-tunnel distance by comparing the tibial tunnel position in double-bundle anterior cruciate ligament (ACL) reconstruction performed with a conventional guide versus a posterolateral (PL) divergence (PLD) guide. Subjects were 43 patients (ACL tip aimer: 20 knees; PLD guide: 23 knees) who underwent double-bundle ACL reconstruction between September 2014 and December 2017. In all cases, the tibial tunnel position, tunnel edge distance and tunnel angles were evaluated based on CT images. Clinical outcome was evaluated using the Lachman test, pivot-shift test, and Lysholm score. Tibial tunnel positions were similar between the conventional and PLD guide groups, while tibial tunnel edge distance was significantly less in the conventional group. Tunnel coalition was observed in 5 knees in the conventional and no knees in the PLD guide group. Distance between two tibial tunnel centers was 9.1 mm for the tip aimer, and 10.5 mm for the PLD guide. Creation of the PL tunnel tended to involve insertion from a more medial aspect for the PLD guide group than the conventional guide group. No differences in clinical outcomes were noted. The PLD guide can be used to create anatomically-positioned PL tunnels, and reduce the probability of occurrence of tunnel coalition. |
Keywords | anterior cruciate ligament reconstruction tibial tunnel position PL divergence guide tunnel coalition |
Amo Type | Original Article |
Publication Title | Acta Medica Okayama |
Published Date | 2020-08 |
Volume | volume74 |
Issue | issue4 |
Publisher | Okayama University Medical School |
Start Page | 345 |
End Page | 350 |
ISSN | 0386-300X |
NCID | AA00508441 |
Content Type | Journal Article |
language | English |
Copyright Holders | CopyrightⒸ 2020 by Okayama University Medical School |
File Version | publisher |
Refereed | True |
PubMed ID | 32843766 |
Web of Science KeyUT | 000562508700010 |
NAID | 120006880212 |
JaLCDOI | 10.18926/AMO/57957 |
---|---|
FullText URL | 74_1_77.pdf |
Author | Endo, Hirosuke| Akazawa, Hirofumi| Yashiro, Masato| Yamada, Kazuki| Sanki, Tomoaki| Tetsunaga, Tomonori| Nishida, Keiichiro| Furumatsu, Takayuki| Ozaki, Toshifumi| |
Abstract | Idiopathic chondrolysis of the hip (ICH), a very rare disorder of unknown etiology, occurs mainly in female adolescents. Characterized by pain, limp, stiffness and radiological narrowing joint space from the rapid destruction of the articular cartilage, ICH sometimes results in ankyloses. We present the case of a 10-year-old girl diagnosed with ICH based on arthroscopic inspection and synovium biopsy. The femoral deformity appeared gradually, like a cam-type femoroacetabular impingement. She was treated with intensive rehabilitation and immunosuppressive drug. We later performed an arthroscopic bumpectomy for residual symptoms. She achieved a favorable outcome as a 15-year-old at the latest follow-up. |
Keywords | idiopathic chondrolysis hip joint medication bump arthroscopy |
Amo Type | Case Report |
Publication Title | Acta Medica Okayama |
Published Date | 2020-02 |
Volume | volume74 |
Issue | issue1 |
Publisher | Okayama University Medical School |
Start Page | 77 |
End Page | 81 |
ISSN | 0386-300X |
NCID | AA00508441 |
Content Type | Journal Article |
language | English |
Copyright Holders | CopyrightⒸ 2020 by Okayama University Medical School |
File Version | publisher |
Refereed | True |
PubMed ID | 32099253 |
Web of Science KeyUT | 000516606200012 |
NAID | 120006795624 |
JaLCDOI | 10.18926/AMO/57947 |
---|---|
FullText URL | 74_1_7.pdf |
Author | Sanki, Tomoaki| Endo, Hirosuke| Tetsunaga, Tomonori| Furumatsu, Takayuki| Yamada, Kazuki| Ozaki, Toshifumi| |
Abstract | We investigated the relationship between the initial contact status and stress shielding in total hip arthroplasty (THA) using fit-and-fill type straight-stem implants. In addition we evaluated the clinical and radiographic outcomes. Subjects were 100 hips of 94 patients who underwent THA and were followed-up for ≥10 years. Contact areas with the femoral cortical bone were investigated according to the zonal distribution of Gruen using postoperative CT images. Depending on the number of contact areas, the patients were classified into high contact [HC], medium contact [MC], and low contact [LC] groups. Radiographic and clinical outcomes were evaluated. In the HC group (20 hips), severe stress shielding was observed in 12 hips, which was statistically significant (p=0.008). In the LC group (29 hips), mild stress shielding was observed in 27 hips which was statistically significant (p<0.001). No significant differences were observed among the 3 groups in clinical outcomes, Harris hip score (p=0.719) or Japanese Orthopedic Association (JOA) score (p=0.301). In insertion of cementless collared fit-and-fill type straight-stem implants, severe late stress shielding of the femoral bone may occur if high contact of the femoral component is achieved. However, the degree of stress shielding does not result in adverse clinical outcomes. |
Keywords | fit-and-fill stress shielding cementless straight stem total hip arthroplasty |
Amo Type | Original Article |
Publication Title | Acta Medica Okayama |
Published Date | 2020-02 |
Volume | volume74 |
Issue | issue1 |
Publisher | Okayama University Medical School |
Start Page | 7 |
End Page | 15 |
ISSN | 0386-300X |
NCID | AA00508441 |
Content Type | Journal Article |
language | English |
Copyright Holders | CopyrightⒸ 2020 by Okayama University Medical School |
File Version | publisher |
Refereed | True |
PubMed ID | 32099243 |
Web of Science KeyUT | 000516606200002 |
NAID | 120006795614 |
JaLCDOI | 10.18926/AMO/57717 |
---|---|
FullText URL | 73_6_523.pdf |
Author | Hiranaka, Takaaki| Furumatsu, Takayuki| Okazaki, Yoshiki| Kamatsuki, Yusuke| Masuda, Shin| Okazaki, Yuki| Takihira, Shota| Miyazawa, Shinichi| Nakata, Eiji| Ozaki, Toshifumi| |
Abstract | The case of an individual with a bilateral anterior cruciate ligament (ACL) tear combined with a medial meniscus (MM) posterior root tear is described. A 34-year-old Japanese man with bilateral ACL rupture that occurred > 10 years earlier was diagnosed with bilateral ACL tear combined with MM posterior root tear (MMPRT). We performed a transtibial pullout repair of the MMPRT with ACL reconstruction. The tibial tunnels for the MM posterior root repair and ACL reconstruction were created separately. Postoperatively, a good clinical outcome and meniscal healing were obtained. Our surgical technique may thus contribute to anatomical MM posterior root repair and ACL reconstruction. |
Keywords | bilateral anterior cruciate ligament tear medial meniscus posterior root tear pullout repair case report |
Amo Type | Case Report |
Publication Title | Acta Medica Okayama |
Published Date | 2019-12 |
Volume | volume73 |
Issue | issue6 |
Publisher | Okayama University Medical School |
Start Page | 523 |
End Page | 528 |
ISSN | 0386-300X |
NCID | AA00508441 |
Content Type | Journal Article |
language | English |
Copyright Holders | CopyrightⒸ 2019 by Okayama University Medical School |
File Version | publisher |
Refereed | True |
PubMed ID | 31871335 |
Web of Science KeyUT | 000503431400008 |
JaLCDOI | 10.18926/AMO/57715 |
---|---|
FullText URL | 73_6_511.pdf |
Author | Takahara, Yasuhiro| Furumatsu, Takayuki| Nakashima, Hirotaka| Itani, Satoru| Nakamura, Makoto| Uchida, Yoichiro| Kato, Hisayoshi| Tsujimura, Yoshitaka| Iwasaki, Yuichi| Ochi, Nobuaki| |
Abstract | Medial open- and lateral closed-wedge high tibial osteotomy (hybrid CWHTO) can overcome the limitations of conventional CWHTO and open-wedge HTO (OWHTO) for medial compartmental osteoarthritis (OA) of the knee. Hybrid CWHTO increases stability by using a rigid locking plate and allows early full weight-bearing. However, the literature contains no information about time to bone union after this new procedure. The aim of this study is to evaluate the time to bone union after hybrid CWHTO. We reviewed 44 knees treated with hybrid CWHTO. Patients were able to stand on both legs on the day after surgery and walked with full weight-bearing within 4 weeks of the procedure. The time to achievement of bone union at the osteotomy site was defined as the number of months until bone union was confirmed on radiographic imaging. The mean time to radiographic confirmation of bone union was 4.5±1.5 months after surgery. Eleven knees (25.0%) required 6 months or more. Radiographic analysis and JOA score improved significantly between before and 1 year after surgery (p<0.01). Hybrid CWHTO is a very useful method for treating medial OA, but radiographic bone union requires 4.5 months on average. We must be aware of bone union after hybrid CWHTO. |
Keywords | bone union hybrid closed-wedge high tibial osteotomy osteoarthritis |
Amo Type | Original Article |
Note | ,| |
Publication Title | Acta Medica Okayama |
Published Date | 2019-12 |
Volume | volume73 |
Issue | issue6 |
Publisher | Okayama University Medical School |
Start Page | 511 |
End Page | 516 |
ISSN | 0386-300X |
NCID | AA00508441 |
Content Type | Journal Article |
language | English |
Copyright Holders | CopyrightⒸ 2019 by Okayama University Medical School |
File Version | publisher |
Refereed | True |
PubMed ID | 31871333 |
Web of Science KeyUT | 000503431400006 |
JaLCDOI | 10.18926/AMO/57714 |
---|---|
FullText URL | 73_6_503.pdf |
Author | Kamatsuki, Yusuke| Furumatsu, Takayuki| Miyazawa, Shinichi| Kodama, Yuya| Hino, Tomohito| Okazaki, Yoshiki| Masuda, Shin| Okazaki, Yuki| Noda, Tomoyuki| Yamakawa, Yasuaki| Tetsunaga, Tomoko| Ozaki, Toshifumi| |
Abstract | Clinical studies have demonstrated that transtibial pullout repair led to favorable midterm outcomes in patients with medial meniscus posterior root tears (MMPRTs) although medial meniscal extrusion (MME) continued to be present. It has been unclear whether these residual postoperative MMEs existed after the pullout repair or had progressed at the very short-term evaluation after surgery. We sought to determine which characteristics of patients with MMPRTs influence the incidence of postoperative MME. The cases of 23 patients whose date of injury was known were analyzed. All patients underwent MMPRT pullout fixation. Preoperative and 3-month postoperative magnetic resonance imaging (MRI) examinations were performed. MME was retrospectively assessed on the mid-coronal plane of MRI scans. The preoperative and postoperative MME values were 4.2±1.2 mm and 4.3±1.5 mm, respectively (p=0.559). Pullout repair surgery was performed significantly earlier after the MMPRT-specific injury in patients whose postoperative MME improved compared to the patients whose MME did not improve (p<0.001). Our findings demonstrated that an early transtibial pullout repair of an MMPRT was more effective in reducing MME than a late repair. Surgeons should not miss the optimal timing for the pullout repair of an MMPRT, considering the period from the injury and the preoperative MME. |
Keywords | medial meniscus posterior root tear pullout repair medial meniscus extrusion magnetic resonance imaging |
Amo Type | Original Article |
Publication Title | Acta Medica Okayama |
Published Date | 2019-12 |
Volume | volume73 |
Issue | issue6 |
Publisher | Okayama University Medical School |
Start Page | 503 |
End Page | 510 |
ISSN | 0386-300X |
NCID | AA00508441 |
Content Type | Journal Article |
language | English |
Copyright Holders | CopyrightⒸ 2019 by Okayama University Medical School |
File Version | publisher |
Refereed | True |
PubMed ID | 31871332 |
Web of Science KeyUT | 000503431400005 |
JaLCDOI | 10.18926/AMO/57713 |
---|---|
FullText URL | 73_6_495.pdf |
Author | Masuda, Shin| Furumatsu, Takayuki| Okazaki, Yoshiki| Kamatsuki, Yusuke| Okazaki, Yuki| Kodama, Yuya| Hiranaka, Takaaki| Nakata, Eiji| Ozaki, Toshifumi| |
Abstract | Medial meniscus posterior root tear causes rapid knee cartilage degradation by inducing posteromedial displacement of the medial meniscus. We evaluated medial meniscus posterior extrusion before and after pullout repair for medial meniscus posterior root tear using magnetic resonance images. Twenty-eight patients with symptomatic medial meniscus posterior root tear were included. The inclusion criteria were: acute (< 3 months) or chronic (≥3 months) medial meniscus posterior root tear after painful popping events. The exclusion criteria were: other meniscus and anterior cruciate ligament injuries. We measured medial meniscus posterior extrusion and medial meniscus anteroposterior interval at knee flexion angles of 10° and 90° preoperatively and at 3 months postoperatively. The posterior extrusion at 90° knee flexion decreased from 4.42±1.38 mm preoperatively to 3.09±1.06 mm (p<0.001) postoperatively, while at 10° knee flexion it was −4.17±1.63 mm preoperatively and −3.77±1.72mm postoperatively, showing no significant change. The anteroposterior interval at 10° knee flexion increased from 19.74±4.27 mm preoperatively to 22.15±5.10 mm postoperatively (p<0.001); at 90° knee flexion, it increased from 16.81±4.51 mm preoperatively to 19.20±4.30 mm postoperatively (p<0.001). Medial meniscus posterior extrusion and movement decreased after pullout repair. Pullout repair for medial meniscus posterior root tear improves medial meniscus posterior extrusion, especially at 90° knee flexion. |
Keywords | medial meniscus posterior root tear pullout repair extrusion open magnetic resonance imaging |
Amo Type | Original Article |
Publication Title | Acta Medica Okayama |
Published Date | 2019-12 |
Volume | volume73 |
Issue | issue6 |
Publisher | Okayama University Medical School |
Start Page | 495 |
End Page | 501 |
ISSN | 0386-300X |
NCID | AA00508441 |
Content Type | Journal Article |
language | English |
Copyright Holders | CopyrightⒸ 2019 by Okayama University Medical School |
File Version | publisher |
Refereed | True |
PubMed ID | 31871331 |
Web of Science KeyUT | 000503431400004 |