{"created":"2023-06-20T15:54:37.299850+00:00","id":85,"links":{},"metadata":{"_buckets":{"deposit":"eba6161e-bb45-4a71-be0c-451528ba65e3"},"_deposit":{"created_by":8,"id":"85","owners":[8],"pid":{"revision_id":0,"type":"depid","value":"85"},"status":"published"},"_oai":{"id":"oai:ryotokuji-u.repo.nii.ac.jp:00000085","sets":["6:10"]},"author_link":["116","117","118","119"],"control_number":"85","item_10002_alternative_title_1":{"attribute_name":"その他（別言語等）のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"Anterior Cruciate Reconstruction - Our Experience and the Future of This Operation -","subitem_alternative_title_language":"en"}]},"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2010","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"4","bibliographicPageEnd":"91","bibliographicPageStart":"81","bibliographic_titles":[{"bibliographic_title":"了德寺大学研究紀要"}]}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"前十字靱帯再建術は解剖的な背景をもとに徐々に進歩してきた。自家腱を用いた再建術では、適切な骨孔を開孔することで、ほぼ満足した成績が得られている。\n筆者らが経験した現在主流となっているハムストリングを用いた手法でも満足すべき結果が得られていた。前内側線維と後外側線維束を考慮した大腿骨側と脛骨側に各々2本の骨孔を開孔したdouble-bundle 法と従来の大腿骨側と脛骨側に各々1本の骨孔を開孔したsingle-bundle 法の比較では、Lysholm score、Lachman テスト、術後筋力の改善、患者満足度では差はなかったが、 pivot-shift テスト, 関節可動域ではdouble-bundle 法でより良好な傾向があった。さらにTelos-SEを用いたX線による客観的な評価においては、両術式の平均値では差はなかったが、正常範囲内の改善例ではdouble-bundle 法でより良好であり有意差がみられていた。\n今後も前十字靱帯再建術は、より良い手術成績のため解剖学的な方法が追求されていくと考えられる。残された課題もあるが、種々の基礎的･臨床的研究と術後長期成績を評価し、スポーツ競技、患者の生活に応じた治療が望まれる。","subitem_description_language":"ja","subitem_description_type":"Abstract"},{"subitem_description":"This paper is based on our experience and aims to make suggestions about the future of ACL reconstruction. Many knee surgeons research the anatomy of the ACL, and change the method of ACL reconstruction to regain true anatomical structure and improve the results of the operations. \nThe materials for ACL reconstruction are auto grafts of, for example, patella tendons, hamstring tendons, quadrates tendons, Ilio tibial tracts, etc.  We think the most commonly-used graft in Japan is hamstring tendons.  \nWe tried two methods using hamstring tendons. We thought the double-bundle procedure was better than single-bundle procedure because the former closely resembles the property of the ACL anatomy. We conducted ACL reconstruction for sixty-five patients with the single-bundle procedure and for sixty patients with the double-bundle procedure using hamstring tendons. Significant differences were not noted between the two groups in Lysholm score, Lachman tests, improvement of muscle strength or patient satisfaction, but in pivot-shift tests and range of motion, the double-bundle group showed better stability and acquisition of full range of motion compared to the single-bundle group. In objective anterior-posterior laxity, the mean difference in the two groups showed almost equal improvement. However, when we consider only cases in which normal difference range was improved, there was a statistically significant difference between the two groups. We think our ACL reconstruction with hamstring tendons yielded satisfactory results.\nMany attempts of the ACL reconstructions are performed by many knee surgeons to improve the results. For the improvement of the ACL reconstruction in the future, we will need more thorough-going researches and better clinical results which last long after the treatment.","subitem_description_language":"en","subitem_description_type":"Abstract"}]},"item_10002_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.18933/00000070","subitem_identifier_reg_type":"JaLC"}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"了德寺大学"}]},"item_10002_relation_12":{"attribute_name":"論文ID（NAID）","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"40019356231","subitem_relation_type_select":"NAID"}}]},"item_10002_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AA12217741","subitem_source_identifier_type":"NCID"}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1881-9796","subitem_source_identifier_type":"PISSN"}]},"item_10002_version_type_20":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"岡田, 尚之","creatorNameLang":"ja"},{"creatorName":"オカダ, ナオユキ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"橋本, 俊彦","creatorNameLang":"ja"},{"creatorName":"ハシモト, トシヒコ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Naoyuki, Okada","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Toshihiko, Hashimoto","creatorNameLang":"en"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2016-05-16"}],"displaytype":"detail","filename":"2010_01_11.pdf","filesize":[{"value":"581.2 kB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"膝前十字靱帯損傷に対する再建術について ―私の経験と今後の展望―","url":"https://ryotokuji-u.repo.nii.ac.jp/record/85/files/2010_01_11.pdf"},"version_id":"6c8d77c8-d96f-4556-967c-e0ce0bcdf28b"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"前十字靱帯","subitem_subject_scheme":"Other"},{"subitem_subject":"再建術","subitem_subject_scheme":"Other"},{"subitem_subject":"解剖的再建","subitem_subject_scheme":"Other"},{"subitem_subject":"anterior cruciate ligament","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"reconstruction","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"anatomical procedure","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"膝前十字靱帯損傷に対する再建術について ―私の経験と今後の展望―","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"膝前十字靱帯損傷に対する再建術について ―私の経験と今後の展望―","subitem_title_language":"ja"},{"subitem_title":"Anterior Cruciate Reconstruction –Our Experience and the Future of This Operation-","subitem_title_language":"en"}]},"item_type_id":"10002","owner":"8","path":["10"],"pubdate":{"attribute_name":"公開日","attribute_value":"2016-05-16"},"publish_date":"2016-05-16","publish_status":"0","recid":"85","relation_version_is_last":true,"title":["膝前十字靱帯損傷に対する再建術について ―私の経験と今後の展望―"],"weko_creator_id":"8","weko_shared_id":-1},"updated":"2023-09-11T10:28:49.179922+00:00"}