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人工股関節置換術後前方脱臼に対し徒手整復を行った1例
https://doi.org/10.18933/00000348
https://doi.org/10.18933/000003488cdc8930-7aed-4c2c-9490-92250aeee32d
名前 / ファイル | ライセンス | アクション |
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2019-05-28 | |||||
タイトル | ||||||
言語 | ja | |||||
タイトル | 人工股関節置換術後前方脱臼に対し徒手整復を行った1例 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | Effectiveness for a Manual Reduction of an Anteriorly Dislocated Femoral Component of a Total Hip Replacement: A Case of Manual Reduction Report | |||||
言語 | ||||||
言語 | jpn | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 人工股関節置換術 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 前方脱臼 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 徒手整復 | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | total hip arthroplasty | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | anterior dislocation | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | manual reduction | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | departmental bulletin paper | |||||
ID登録 | ||||||
ID登録 | 10.18933/00000348 | |||||
ID登録タイプ | JaLC | |||||
著者 |
桐林, 俊彰
× 桐林, 俊彰× 下小野田, 一騎× 末吉, 祐介× 大澤, 裕行× 田村, 哲也× Kiribayashi, Toshiaki× Shimoonoda, Kazuki× Sueyoshi, Yusuke× Ohsawa, Hiroyuki× Tamura, Tetsuya |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | 後方進入後の人工股関節置換術後後方脱臼の報告は散見するが,後方進入後の前方脱臼の報告,さらに徒手整復の報告は少ない.今回我々は後方侵入による人工股関節置換術後前方脱臼に対し,徒手整復を行い良好な結果を得た症例を経験したため報告する.対象は64歳女性.主訴は右股関節痛.平成27年9月から右股関節痛を認め, 1本杖歩行となった.平成27年10月他院受診.右変形性股関節症の診断で保存的に経過を見ていたが,痛みが軽減せず,平成28年9月1日後方進入による人工股関節置換術を施行した. 経過良好であったが,平成29年2月25日台所での立ち仕事の際に後屈した瞬間「ガクン」となり,同日救急搬送された.初診時,右股関節痛,立位不能,右下肢短縮・外転・外旋を認めた. XP 上前方脱臼を認め,静脈麻酔下,徒手整復を行った.立位時に骨盤後傾が増悪した結果cup の前方開角が増加し,腰部を伸展した瞬間にstem 頚部と骨盤との間の impingement,もしくはstem 頚部と臼蓋cup 後縁での impingement が起き,impingement が生じた部位を支点にして,右人工股関節前方脱臼が生じた可能性があると考えられた. |
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言語 | ja | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Dislocation remained a common cause of failure after a total hip arthroplasty (THA). In this failure, an anterior dislocation of THA was rare. This case was about a 64 -year-old female who received a manual reduction of the anterior dislocation of THA. She was diagnosed with osteoarthritis of the right hip. She was operated on a posterior approach indicated for severe pain with a restriction of the joint movement and limp during the gait. After six months from the surgery, She had sudden severe right hip pain. X-rays revealed the anteriorly dislocated femoral component. To correct the dislocation, the manual reduction technique and the skin traction were performed. As a result, a significant reduction of the right hip pain was recognized. Further systematic trial would be required to determine whether or not the manual reduction provided significant pain relief. |
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言語 | en | |||||
書誌情報 |
了德寺大学研究紀要 en : The Bulletin of Ryotokuji University 号 13, p. 55-59, 発行日 2019 |
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出版者 | ||||||
出版者 | 了德寺大学 | |||||
ISSN | ||||||
収録物識別子タイプ | PISSN | |||||
収録物識別子 | 1881-9796 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA12217741 | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 |