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和田佳三

徳島大学

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2024年11月14日更新

職名: 特任准教授
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電子メール: wadahank@hotmail.com
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学位: 医学博士 (徳島大学) (2018年9月)
職歴・経歴: 2017/11: 徳島大学助教, 病院 (-2020.3.)
2020/4: 徳島大学特任講師, 大学院医歯薬学研究部 (-2021.5.)
2021/6: 徳島大学講師, 病院 (-2022.9.)
2022/10: 徳島大学特任准教授, 病院

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2024年11月14日更新

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担当経験のある授業科目: 整形外科学 (学部)
整形外科学(隣接医学B) (学部)
運動器コース (学部)
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2024年11月14日更新

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著書

和田佳三 :
スポーツによる骨盤・股関節の外傷・障害梨状筋症候群,
株式会社中山書店, 2022年.

論文

Yasuaki Tamaki, Tomohiro Goto, Keizo Wada, Yasuyuki Ohmichi, Daisuke Hamada and Koichi Sairyo :
Robotic arm-assisted total hip arthroplasty via a minimally invasive anterolateral approach in the supine position improves the precision of cup placement in patients with developmental dysplasia of the hip.,
Journal of Orthopaedic Science, Vol.29, No.2, 559-565, 2024.

(要約): The mean absolute error of the inclination angle and the anteversion angle between the preoperative planning and the postoperative measurement was significantly smaller in the RA-THA group (inclination, 1.1° ± 0.9; anteversion, 1.3° ± 1.0) than in the NA-THA group (inclination, 2.2° ± 1.5; anteversion, 3.3° ± 2.5). For acetabular cup positioning, the mean discrepancy between the preoperative planning and the postoperative measurement was 1.3 ± 1.3 mm on the transverse axis, 2.0 ± 2.0 mm on the longitudinal axis, and 1.3 ± 1.7 mm on the sagittal axis in the RA-THA group and 1.6 ± 1.4 mm, 2.6 ± 2.3 mm, and 1.8 ± 1.3 mm, respectively, in the NA-THA group. High precision of cup positioning was observed in both groups with no statistically significant difference.
(出版サイトへのリンク): ● Publication site (DOI): 10.1016/j.jos.2023.01.012
(文献検索サイトへのリンク): ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 36801090; ● Search Scopus @ Elsevier (PMID): 36801090; ● Search Scopus @ Elsevier (DOI): 10.1016/j.jos.2023.01.012

(DOI: 10.1016/j.jos.2023.01.012, PubMed: 36801090) Yasuyuki Ohmichi, Noriaki Mima, Keizo Wada, Ryo Okada, Yasuaki Tamaki, Daisuke Hamada, Tomohiro Goto, Masatoshi Morimoto, Tsutomu Enomoto, Hiroki Hayashi and Koichi Sairyo :
Can TBS reference values be a valid indicator for clinical vertebral fracture? A cross-sectional study.,
Journal of Bone and Mineral Metabolism, Vol.42, No.1, 60-68, 2024.

(要約): The reference value for low TBS (≤ 1.23) was useful as an indicator for CVF, especially in patients with osteoporosis. It is expected that reference values for TBS will be established in official guidelines in the future.
(キーワード): Humans / Female / Spinal Fractures / Cross-Sectional Studies / Reference Values / Cancellous Bone / Osteoporosis / Bone Density / Absorptiometry, Photon / Lumbar Vertebrae / Osteoporotic Fractures
(出版サイトへのリンク): ● Publication site (DOI): 10.1007/s00774-023-01476-1
(文献検索サイトへのリンク): ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 38057602; ● Search Scopus @ Elsevier (PMID): 38057602; ● Search Scopus @ Elsevier (DOI): 10.1007/s00774-023-01476-1

(DOI: 10.1007/s00774-023-01476-1, PubMed: 38057602) Yasuyuki Ohmichi, Daisuke Hamada, Keizo Wada, Yasuaki Tamaki, Shota Shigekiyo and Koichi Sairyo :
Robotic-assisted total knee arthroplasty improved component alignment in the coronal plane compared with navigation-assisted total knee arthroplasty: a comparative study.,
Journal of Robotic Surgery, Vol.17, No.6, 2831-2839, 2023.

(要約): The purpose of this study was to directly compare implant placement accuracy and postoperative limb alignment between robotic-assisted total knee arthroplasty and navigation-assisted total knee arthroplasty. This retrospective case-control study included a consecutive series of 182 knees (robotic-assisted group, n = 103 knees; navigation-assisted group, n = 79). An image-free handheld robotic system (NAVIO) or an image-free navigation system (Precision N) was used. Component and limb alignment were evaluated on three-dimensional computed tomography scans and full-length standing anterior-posterior radiographs. We compared the errors between the final intraoperative plan and the postoperative coronal and sagittal alignment of the components and the hip-knee-ankle angle between the two groups. The orientation of the femoral and tibial components in the coronal plane were more accurate in the robotic-assisted group than in the navigation-assisted group (p < 0.05). There was no significant difference in the orientation of the femoral and tibial component in the sagittal plane between the two groups. There were fewer outliers in the tibial coronal plane in the robotic-assisted group (p < 0.05). There was also no significant difference in the frequency of outlying values for coronal or sagittal alignment of the femoral component or sagittal alignment of the tibial component or the hip-knee-ankle angle between the two groups. Robotic-assisted total knee arthroplasty using a handheld image-free system improved component alignment in the coronal plane compared with total knee arthroplasty using an image-free navigation system. Robotic surgery helps surgeons to achieve personalised alignment that may result in better clinical outcomes.
(キーワード): Humans / Arthroplasty, Replacement, Knee / Robotic Surgical Procedures / Retrospective Studies / Case-Control Studies / Surgery, Computer-Assisted
(徳島大学機関リポジトリ): ● Metadata: 119326
(出版サイトへのリンク): ● Publication site (DOI): 10.1007/s11701-023-01708-6
(文献検索サイトへのリンク): ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 37755679; ● Search Scopus @ Elsevier (PMID): 37755679; ● Search Scopus @ Elsevier (DOI): 10.1007/s11701-023-01708-6

(徳島大学機関リポジトリ: 119326, DOI: 10.1007/s11701-023-01708-6, PubMed: 37755679) Yasuaki Tamaki, Tomohiro Goto, Keizo Wada, Yasuyuki Ohmichi, Daisuke Hamada and Koichi Sairyo :
Increased hip flexion angle and protrusion of the anterior acetabular component can predict symptomatic iliopsoas impingement after total hip arthroplasty: a retrospective study.,
Hip International, Vol.33, No.6, 985-991, 2023.

(要約): An increased hip flexion angle and protrusion of the anterior acetabular component predicted symptomatic IPI. The threshold cup protrusion length suggesting mild IPI might be about 3.9 mm and could be useful for identifying candidates for conservative treatment.
(出版サイトへのリンク): ● Publication site (DOI): 10.1177/11207000221128879
(文献検索サイトへのリンク): ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 36210742; ● Summary page in Scopus @ Elsevier: 2-s2.0-85139647686

(DOI: 10.1177/11207000221128879, PubMed: 36210742, Elsevier: Scopus) Masatoshi Morimoto, Keizo Wada, Shunsuke Tamaki, Saori Soeda, Kosuke Sugiura, Hiroaki Manabe, Fumitake Tezuka, Kazuta Yamashita and Koichi Sairyo :
Clinical Outcome of Full Endoscopic Trans Kambin's Triangle Lumbar Interbody Fusion: A Systematic Review.,
World Neurosurgery, Vol.178, 317-329, 2023.

(要約): Full-endoscopic (FE) lumbar interbody fusion (LIF) is now a widely used type of minimally invasive surgery (MIS). Although FE-LIF includes LIF with foraminoplasty via a Kambin's triangle approach (FE-KLIF) and LIF with foraminotomy via an interlaminar approach, these techniques are rarely discussed separately. This review evaluates the outcomes and complications of FE-KLIF reported in the literature. The PubMed, Medline, Embase, Web of Science, and Cochrane Library databases were searched for studies reporting the outcomes of FE-KLIF. Of 464 publications assessed, 11 met our inclusion criteria. Although the most frequently treated level was L4/5, L5/S1 was also treated. FE-KLIF was performed under local anesthesia and sedation or under epidural anesthesia without general anesthesia. Visual analog scale and Oswestry Disability Index scores were improved postoperatively in all uncontrolled studies; however, there was no significant difference in these scores in studies that compared FE-KLIF with posterior LIF (PLIF) or MIS-transforaminal LIF (TLIF). There was also no significant difference in the fusion rate between FE-KLIF and PLIF or MIS-TLIF. In terms of complications, although there were no reports of hematoma, dural tear and surgical site infection were reported in 1 paper each, with transient nerve disorders reported in 5 studies (frequency, 1.8%-23.5%). This review indicates that FE-KLIF is a feasible and viable surgical option for lumbar degenerative disease. However, the amount and level of evidence is low for the studies included in this review, and the data on long-term outcomes remain limited.
(出版サイトへのリンク): ● Publication site (DOI): 10.1016/j.wneu.2023.07.026
(文献検索サイトへのリンク): ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 37453727; ● Search Scopus @ Elsevier (PMID): 37453727; ● Search Scopus @ Elsevier (DOI): 10.1016/j.wneu.2023.07.026

(DOI: 10.1016/j.wneu.2023.07.026, PubMed: 37453727) Yasuyuki Ohmichi, Daisuke Hamada, Ryo Okada, Keizo Wada, Yasuaki Tamaki, Shinichiro Yamada, Tomohiro Goto and Koichi Sairyo :
Hematogenous prosthetic knee joint infection with Klebsiella pneumoniae caused by asymptomatic gallbladder abscess: a case report and literature review,
Journal of Surgical Case Reports, Vol.2023, No.6, 2023.

(要約): that occurred as a result of an asymptomatic gallbladder abscess. The patient was a 78-year-old man who underwent bilateral total knee arthroplasty 6 years ago. He had pain and swelling in his right knee. The synovial fluid culture of the right knee revealed
(出版サイトへのリンク): ● Publication site (DOI): 10.1093/jscr/rjad355
(文献検索サイトへのリンク): ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 37342523; ● Search Scopus @ Elsevier (PMID): 37342523; ● Search Scopus @ Elsevier (DOI): 10.1093/jscr/rjad355

(DOI: 10.1093/jscr/rjad355, PubMed: 37342523) Yasuaki Tamaki, Daisuke Hamada, Keizo Wada, Tomoya Takasago, Akihiro Nitta, Yasuyuki Ohmichi, Tomohiro Goto, Yoshihiro Tsuruo and Koichi Sairyo :
Kinematic comparison between the knee after bicruciate stabilized total knee arthroplasty and the native knee: A cadaveric study.,
The Knee, Vol.42, 289-296, 2023.

(要約): Kinematics of BCS-TKA is close to that of the native knee. However, there is a statistically significant difference in AP position of the femur during mid flexion and initial rotational position of the tibia between the BCS-TKA knee and the native knee.
(キーワード): Humans / Arthroplasty, Replacement, Knee / Biomechanical Phenomena / Knee Joint / Knee / Tibia / Knee Prosthesis / Range of Motion, Articular / Cadaver
(出版サイトへのリンク): ● Publication site (DOI): 10.1016/j.knee.2023.04.004
(文献検索サイトへのリンク): ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 37120864; ● Search Scopus @ Elsevier (PMID): 37120864; ● Search Scopus @ Elsevier (DOI): 10.1016/j.knee.2023.04.004

(DOI: 10.1016/j.knee.2023.04.004, PubMed: 37120864) Yasuyuki Ohmichi, Tomohiro Goto, Keizo Wada, Yasuaki Tamaki, Daisuke Hamada and Koichi Sairyo :
Impact of the hip-spine relationship and patient-perceived leg length discrepancy after total hip arthroplasty: A retrospective study.,
Journal of Orthopaedic Science, 2023.

(要約): Sixty-nine patients were classified as having type 1 PO (rising toward the unaffected side) and 26 were classified as having type 2 PO (rising toward the affected side). Eight patients with type 1 PO and seven with type 2 PO had PLLD postoperatively. In the type 1 group, patients with PLLD had larger preoperative and postoperative PO values and larger preoperative and postoperative RLLD than those without PLLD (p = 0.01, p < 0.001, p = 0.01, and p = 0.007, respectively). In the type 2 group, patients with PLLD had larger preoperative RLLD, larger amount of leg correction, and a larger preoperative L1-L5 angle than those without PLLD (p = 0.03, p = 0.03, and p = 0.03, respectively). In type 1, postoperative PO was significantly associated with postoperative PLLD (p = 0.005), but spinal alignment was not an indicator of postoperative PLLD. The area under the curve (AUC) for postoperative PO was 0.883 (good accuracy) with a cut-off value was 1.90° CONCLUSION: Rigidity of the lumbar spine might lead to postoperative PO as a compensatory movement, resulting in PLLD after THA in type 1. Further research on the relationship between flexibility of the lumbar spine and PLLD is needed.
(出版サイトへのリンク): ● Publication site (DOI): 10.1016/j.jos.2023.03.018
(文献検索サイトへのリンク): ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 37055272; ● Search Scopus @ Elsevier (PMID): 37055272; ● Search Scopus @ Elsevier (DOI): 10.1016/j.jos.2023.03.018

(DOI: 10.1016/j.jos.2023.03.018, PubMed: 37055272) Akihiro Nitta, Keizo Wada, Daisuke Hamada, Koichi Oba, Hiroshi Mikami and Koichi Sairyo :
Insertion of a spacer block translates the tibia anteriorly during evaluation of soft tissue balance in cruciate-retaining total knee arthroplasty.,
The Knee, Vol.42, 125-129, 2023.

(要約): The mean sagittal location of the tibial center relative to the femoral center in knee flexion was 5.16 (range, -2.4, 16.3) mm at insertion of the spacer block and 6.60 (range, -1.4, 15.1) mm after CR TKA, and this difference was significant (p = 0.016).
(出版サイトへのリンク): ● Publication site (DOI): 10.1016/j.knee.2023.03.011
(文献検索サイトへのリンク): ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 36996748; ● Search Scopus @ Elsevier (PMID): 36996748; ● Search Scopus @ Elsevier (DOI): 10.1016/j.knee.2023.03.011

(DOI: 10.1016/j.knee.2023.03.011, PubMed: 36996748) Yasuaki Tamaki, Tomohiro Goto, Jyoji Iwase, Keizo Wada, Yasuyuki Ohmichi, Daisuke Hamada, Yoshihiro Tsuruo and Koichi Sairyo :
Relationship between iliopsoas muscle surface pressure and implant alignment after total hip arthroplasty: a cadaveric study.,
Scientific Reports, Vol.13, No.1, 2023.

(要約): Iliopsoas impingement after total hip arthroplasty is caused by the implant irritating the iliopsoas muscle, but changes in the iliopsoas muscle have not been quantitatively evaluated. This study assessed changes in the surface pressure of the iliopsoas muscle when the implant alignment was varied. Total hip arthroplasty was performed in 10 fresh-frozen cadaveric hips. We evaluated the maximum and mean surface pressure of the iliopsoas muscle with the hip in 20° and 10° extension, the neutral position, and 10° flexion when the anterior cup protrusion length (ACPL), stem version, and stem offset were varied. When the ACPL was changed to 0, 3, and 6 mm in 20° extension, the maximum surface pressure was significantly increased for ACPL of 6 mm compared with 0 mm. Decreased stem anteversion resulted in a significant reduction in both the maximum and mean surface pressure compared with native anteversion from 20° extension to the neutral position. Increased stem offset resulted in significant increases in the maximum and mean surface pressure of the iliopsoas muscle compared with decreased stem offset in 20° extension. Not only large ACPL but also changes in stem version and offset affected the maximum surface pressure of the iliopsoas muscle.
(キーワード): Humans / Arthroplasty, Replacement, Hip / Prostheses and Implants / Plastic Surgery Procedures / Cadaver / Muscles
(徳島大学機関リポジトリ): ● Metadata: 119448
(出版サイトへのリンク): ● Publication site (DOI): 10.1038/s41598-023-30734-5
(文献検索サイトへのリンク): ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 36859708; ● Search Scopus @ Elsevier (PMID): 36859708; ● Search Scopus @ Elsevier (DOI): 10.1038/s41598-023-30734-5

(徳島大学機関リポジトリ: 119448, DOI: 10.1038/s41598-023-30734-5, PubMed: 36859708) Yasuyuki Ohmichi, Noriaki Mima, Ryo Okada, Keizo Wada, Masatoshi Morimoto and Koichi Sairyo :
Identifying vertebral fractures in the Japanese population using the trabecular bone score: a cross-sectional study.,
BMC Musculoskeletal Disorders, Vol.23, No.1, 976, 2022.

(要約): Of the 104 patients in the VF group, 75 had 1 vertebral fracture and 29 had 2 or more fractures. The mean TBS was 1.28 in the VF group and 1.35 in the non-VF group (p < 0.001). The mean BMD values at the lumbar spine and femoral neck were lower in the VF group (p < 0.001). The areas under the receiver-operating characteristic curve for incidence of vertebral fractures were 0.700, 0.737, and 0.689 for TBS, lumbar spine BMD, and femoral neck BMD, respectively. Multiple logistic regression analysis identified lumbar spine BMD, TBS, and female sex as significant risk factors for vertebral fractures. The proportion of patients in the group with osteoporosis or osteopenia who had vertebral fractures was higher in those with a low TBS (≤ 1.23) than in those with a non-low TBS (> 1.23).
(キーワード): Humans / Female / Spinal Fractures / Cancellous Bone / Cross-Sectional Studies / Japan / Absorptiometry, Photon / Bone Density / Osteoporosis / Lumbar Vertebrae / Bone Diseases, Metabolic / Fractures, Bone / Osteoporotic Fractures
(徳島大学機関リポジトリ): ● Metadata: 118003
(出版サイトへのリンク): ● Publication site (DOI): 10.1186/s12891-022-05839-z
(文献検索サイトへのリンク): ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 36368989; ● Search Scopus @ Elsevier (PMID): 36368989; ● Search Scopus @ Elsevier (DOI): 10.1186/s12891-022-05839-z

(徳島大学機関リポジトリ: 118003, DOI: 10.1186/s12891-022-05839-z, PubMed: 36368989) Masatoshi Morimoto, Kosuke Sugiura, Kousaku Higashino, Hiroaki Manabe, Fumitake Tezuka, Keizo Wada, Kazuta Yamashita, Shoichiro Takao and Koichi Sairyo :
Association of spinal anomalies with spondylolysis and spina bifida occulta,
European Spine Journal, Vol.31, No.4, 858-864, 2022.

(要約): To investigate the association of spinal anomalies with lumbar spondylolysis and spina bifida occulta (SBO). A total of 1190 patients with thoracic, abdominal, and pelvic computed tomography scans available were categorized according to the number of presacral (thoracic and lumbar) mobile vertebrae and the presence or absence of lumbosacral transitional vertebrae (LSTV). The prevalence of spondylolysis and SBO and the association of spinal anomalies with these disorders were evaluated. Normal morphology (17 mobile vertebra with no LSTV) was found in 607 men (86.5%) and 419 women (85.9%) and about 14% of patients had anomalies. Spondylolysis was found in 74 patients (6.2%), comprising 54 men (7.7%) and 20 women (4.1%). SBO involving the lumbar spine was found in 9 men (1.3%) and 2 women (0.4%). Spondylolysis was significantly more common in men with 18 vertebrae without LSTV (21.1%) than in those with 17 vertebrae without LSTV (7.2%) (p = 0.002). The prevalence of spinal anomalies was 55.6% in men and 50.0% in women with SBO that included a lumbar level was significantly higher than in both men (13.5%, p < 0.001) and women (4.8%, p = 0.003) without SBO. These findings indicate that there is a relationship between spinal anomalies and both spondylolysis and SBO, which may lead to elucidation of the mechanism of onset of spondylolysis and improve its treatment and prognosis. Awareness that patients with SBO involving the lumbar spine have an increased likelihood of a spinal anomaly may help to prevent level errors during spinal surgery.
(キーワード): Female / Humans / Lumbar Vertebrae / Lumbosacral Region / Male / Spina Bifida Occulta / Spondylolysis / Tomography, X-Ray Computed
(出版サイトへのリンク): ● Publication site (DOI): 10.1007/s00586-022-07139-5
(文献検索サイトへのリンク): ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 35237865; ● Search Scopus @ Elsevier (PMID): 35237865; ● Search Scopus @ Elsevier (DOI): 10.1007/s00586-022-07139-5

(DOI: 10.1007/s00586-022-07139-5, PubMed: 35237865) Yasuaki Tamaki, Tomohiro Goto, Jyoji Iwase, Keizo Wada, Daisuke Hamada, Yoshihiro Tsuruo and Koichi Sairyo :
Contributions of the ischiofemoral ligament, iliofemoral ligament, and conjoined tendon to hip stability after total hip arthroplasty : a cadaveric study,
Journal of Orthopaedic Research, Vol.40, No.12, 2885-2893, 2022.

(要約): An adequate soft tissue balance is important in total hip arthroplasty (THA). This study assessed the contribution of the iliofemoral ligament, ischiofemoral ligament, and conjoined tendon to the range of hip rotation after THA and hip stability in response to axial traction. THA was performed in eight fresh-frozen cadaveric specimens via an anterolateral approach using a navigation system. The ischiofemoral ligament, the medial arm of the iliofemoral ligament, and the conjoined tendon were resected in that order. The ranges of external and internal rotation and the amount of movement of the femoral head in response to axial traction were measured with the hip in 10° of extension, the neutral position, and in 10°, 30°, and 60° of flexion. Resection of the medial arm of the iliofemoral ligament significantly increased the range of external rotation in 10° of extension, the neutral position, and in 10°, 30°, and 60° of flexion. The conjoined tendon was the most important inhibitor of internal rotation from 10° of extension to 30° of flexion. Although each single element had a minor role in stabilizing the hip when axial traction was applied, resection of two or more elements significantly affected joint stability. The iliofemoral ligament and conjoined tendon are the main inhibitors of external rotation and internal rotation, respectively, when THA is performed using an anterior or anterolateral approach. Resection of two or more elements could greatly affect hip stability when axial traction is applied.
(キーワード): Humans / Arthroplasty, Replacement, Hip / Biomechanical Phenomena / Cadaver / Ligaments, Articular / Range of Motion, Articular / Tendons
(徳島大学機関リポジトリ): ● Metadata: 117209
(出版サイトへのリンク): ● Publication site (DOI): 10.1002/jor.25320
(文献検索サイトへのリンク): ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 35266582; ● Summary page in Scopus @ Elsevier: 2-s2.0-85126268906

(徳島大学機関リポジトリ: 117209, DOI: 10.1002/jor.25320, PubMed: 35266582, Elsevier: Scopus) Yasuaki Tamaki, Tomohiro Goto, Tomoya Takasago, Keizo Wada, Daisuke Hamada and Koichi Sairyo :
Clinical and radiological outcomes of total hip arthroplasty using a highly porous titanium cup or a conventional hydroxyapatite-coated titanium cup: A retrospective study in Japanese patients.,
Journal of Orthopaedic Science, Vol.27, No.1, 163-168, 2022.

(要約): The clinical outcome was excellent in both groups. The incidence of RLLs was 12.9% at 3 months, 20.8% at 6 months, 23.8% at 12 months, and 22.8% at 24 months after surgery in the OsseoTi group; there were no cases of RLL at any time after surgery in the Trident group. The RLLs were mainly distributed in zone 2. Despite the high rate of RLL in the OsseoTi group, the RLL were narrow and only 5% had a width of >1 mm at 24 months postoperatively. There were no cases with RLLs in all three zones.
(出版サイトへのリンク): ● Publication site (DOI): 10.1016/j.jos.2020.11.004
(文献検索サイトへのリンク): ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 33341353; ● CiNii @ 国立情報学研究所 (CRID): 1360853567426966400; ● Summary page in Scopus @ Elsevier: 2-s2.0-85099496215

(DOI: 10.1016/j.jos.2020.11.004, PubMed: 33341353, CiNii: 1360853567426966400, Elsevier: Scopus) Katsutoshi Miyatake, Shoji Fukuta, Ichiro Tonogai, Keizo Wada, Kousaku Higashino, Hiroshi Mikami, Hiroshi Yonezu, Koichi Sairyo and Yoshihiro Tsuruo :
Influence of the glenoid baseplate position on the direction and length of the superior and inferior locking screws.,
The Journal of Medical Investigation : JMI, Vol.69, No.3.4, 185-190, 2022.

(要約): Introduction : Superior screw insertion in reverse shoulder arthroplasty (RSA) carries the potential risk of suprascapular injury. The purpose of this study was to evaluate how the baseplate position affects the superior screw position and length in RSA. Methods : Three-dimensional (3D) computer simulation models of RSA were established using computed tomography data of baseplates with superior and inferior screws and 3D scapular models from 10 fresh cadavers. Superior screw position, the distance from the superior screw hole to the suprascapular notch, and the screw lengths were measured and compared among various baseplate positions with two inferior tilts (0 and 10 degrees) and three rotational patterns (11-5, 12-6, and 1-7 o'clock in the right shoulder). Results : For the 1-7 o'clock / inferior tilt 0 degrees baseplate, the superior screw located anterior to the SS notch in all shoulders, the distance to the SS notch was the longest (12.8 mm), and the inferior screw length was the shortest (23.1 mm). Conclusion : Although there is a concern of a short inferior screw length, initial fixation using a baseplate with 1-7 o'clock rotation and an inferior tilt of 0 degrees appears preferable for SS nerve injury prevention during superior screw insertion. J. Med. Invest. 69 : 185-190, August, 2022.
(キーワード): Arthroplasty, Replacement, Shoulder / Bone Screws / Computer Simulation / Humans / Scapula / Shoulder Joint / Tomography, X-Ray Computed
(徳島大学機関リポジトリ): ● Metadata: 117622
(出版サイトへのリンク): ● Publication site (DOI): 10.2152/jmi.69.185
(文献検索サイトへのリンク): ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 36244768; ● CiNii @ 国立情報学研究所 (CRID): 1390856738295189504; ● Summary page in Scopus @ Elsevier: 2-s2.0-85139888167

(徳島大学機関リポジトリ: 117622, DOI: 10.2152/jmi.69.185, PubMed: 36244768, CiNii: 1390856738295189504, Elsevier: Scopus) Tomoya Takasago, Tomohiro Goto, Keizo Wada, Daisuke Hamada and Koichi Sairyo :
Postoperative radiographic evaluation and simulation study for optimal cup placement in high-hip centre total hip arthroplasty.,
Hip International, Vol.31, No.3, 335-341, 2021.

(要約): Even in severe DDH, a high-hip centre positioned approximately 25 mm superior to the inter-teardrop line was sufficient to achieve optimal bone coverage, which could lead to more secure cup fixation.
(出版サイトへのリンク): ● Publication site (DOI): 10.1177/1120700019884547
(文献検索サイトへのリンク): ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 31646897; ● Search Scopus @ Elsevier (PMID): 31646897; ● Search Scopus @ Elsevier (DOI): 10.1177/1120700019884547

(DOI: 10.1177/1120700019884547, PubMed: 31646897) Shoji Fukuta, Keizo Wada, Kousaku Higashino, Koichi Sairyo and Yoshihiro Tsuruo :
Optimal baseplate position in reverse shoulder arthroplasty in small-stature Japanese women : a cadaveric study.,
The Journal of Medical Investigation : JMI, Vol.68, No.1.2, 175-180, 2021.

(要約): The purpose of this study was to determine the optimal position of the baseplate on the small glenoid of female Japanese. Two sets of 3D scapular models were made according to the CT data of 7 female cadavers. We set two scenarios of the baseplate placement : A and B. In scenario A, the baseplate was placed on the glenoid face centrally in the anteroposterior direction. In scenario B, the baseplate was implanted at the point where the baseplate post was contained within the glenoid vault. Whether or not the baseplate post perforated the scapular neck was recorded. In scenario A, the central post penetrated the scapular neck posteriorly in 5 scapulae. In scenario B, the average distances from the guide pin position to the anterior glenoid rim was 9.7 ± 1.7 mm and the optimal position of the guide pin was 1.9 ± 1.7 mm anterior from the glenoid center. The central post was contained within the scapula without breakage of the cortex. This study demonstrated that shifting the center of the baseplate slightly anterior to the anatomic center is necessary to avoid perforation of the scapular neck in small female Japanese. J. Med. Invest. 68 : 175-180, February, 2021.
(徳島大学機関リポジトリ): ● Metadata: 116010
(出版サイトへのリンク): ● Publication site (DOI): 10.2152/jmi.68.175
(文献検索サイトへのリンク): ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 33994466; ● Search Scopus @ Elsevier (PMID): 33994466; ● Search Scopus @ Elsevier (DOI): 10.2152/jmi.68.175

(徳島大学機関リポジトリ: 116010, DOI: 10.2152/jmi.68.175, PubMed: 33994466) Tomoya Takasago, Daisuke Hamada, Keizo Wada, Akihiro Nitta, Yasuaki Tamaki, Tomohiro Goto, Yoshihiro Tsuruo and Koichi Sairyo :
Insufficient lateral joint laxity after bicruciate-retaining total knee arthroplasty potentially influences kinematics during flexion: A biomechanical cadaveric study.,
The Knee, Vol.28, 311-318, 2021.

(要約): Knee joint laxity after BCR TKA under varus-valgus movement, anterior translation, and internal-external rotation loadings was similar to that of the native knee. However, lateral joint laxity was decreased during flexion in some cases. BCR TKA-treated knees with decreased lateral joint laxity at 90° of flexion demonstrated more limited tibial internal rotation in deep flexion than the native knee (p < 0.05). The loss of internal rotation in deep flexion was partly recovered by using a lateral insert with a posterior slope of +3°.
(徳島大学機関リポジトリ): ● Metadata: 116362
(出版サイトへのリンク): ● Publication site (DOI): 10.1016/j.knee.2020.12.008
(文献検索サイトへのリンク): ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 33477002; ● Search Scopus @ Elsevier (PMID): 33477002; ● Search Scopus @ Elsevier (DOI): 10.1016/j.knee.2020.12.008

(徳島大学機関リポジトリ: 116362, DOI: 10.1016/j.knee.2020.12.008, PubMed: 33477002) Toshiyuki Iwame, Tetsuya Matsuura, T Okahisa, S Katsuura-Kamano, Keizo Wada, Jyoji Iwase and Koichi Sairyo :
Quadriceps strength to body weight ratio is a significant indicator for initiating jogging after anterior cruciate ligament reconstruction.,
The Knee, Vol.28, 240-246, 2021.

(要約): QS/BW is a significant indicator for safely initiating jogging 3 months after ACL reconstruction. The cut-off value of QS/BW for initiating jogging was 1.45 Nm/kg.
(徳島大学機関リポジトリ): ● Metadata: 116081
(出版サイトへのリンク): ● Publication site (DOI): 10.1016/j.knee.2020.12.010
(文献検索サイトへのリンク): ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 33429149; ● Search Scopus @ Elsevier (PMID): 33429149; ● Search Scopus @ Elsevier (DOI): 10.1016/j.knee.2020.12.010

(徳島大学機関リポジトリ: 116081, DOI: 10.1016/j.knee.2020.12.010, PubMed: 33429149) Yasuaki Tamaki, Tomohiro Goto, Keizo Wada, Daisuke Hamada, Yoshihiro Tsuruo and Koichi Sairyo :
Anatomic evaluation of the insertional footprints of the iliofemoral and ischiofemoral ligaments: a cadaveric study.,
BMC Musculoskeletal Disorders, Vol.21, No.1, 828, 2020.

(要約): The mean length of the distal medial arm of the ILFL footprint was 17.9 mm and the mean width was 9.0 mm. The mean length of the distal lateral arm of the ILFL footprint was 23.0 mm and the mean width was 9.7 mm. For the footprint of the medial arm, the insertion was in the distal third of the intertrochanteric line and that of the lateral arm was in the proximal 42% of this line. The mean distance from the lesser trochanter to the footprint of the medial arm was 24.6 mm. The mean length of the distal ISFL footprint was 11.3 mm and the mean width was 6.9 mm. The footprint of the distal ISFL was located forward of the femoral neck axis in all specimens.
(徳島大学機関リポジトリ): ● Metadata: 115882
(出版サイトへのリンク): ● Publication site (DOI): 10.1186/s12891-020-03848-4
(文献検索サイトへのリンク): ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 33298008; ● Search Scopus @ Elsevier (PMID): 33298008; ● Search Scopus @ Elsevier (DOI): 10.1186/s12891-020-03848-4

(徳島大学機関リポジトリ: 115882, DOI: 10.1186/s12891-020-03848-4, PubMed: 33298008) Keizo Wada, 三上浩, Shun-ichi Toki, 甘利留衣, Michihiro Takai and Koichi Sairyo :
Intra- and inter-rater reliability of a three-dimensional classification system for intertrochanteric fracture using computed tomography,
Injury, Vol.51, No.11, 2682-2685, 2020.

(要約): Intertrochanteric fractures are common fragility fractures in elderly patients. The importance of a reliable classification system for these fractures has been increasingly recognized. The aim of this study was to test the hypothesis that three-dimensional classification by CT has better intra- and inter-observer reliability than conventional two-dimensional classification. Two hundred and three consecutive patients (39 male, 164 female; mean age 84.5 years) with intertrochanteric fracture were included in the study. In each case, the fracture was classified using the two-dimensional Evans-Jensen and AO/OTA systems that rely on plain radiographs and using a three-dimensional fragment-based CT system. The second evaluation was performed 1 month after the first evaluation by the same examiner to determine intra-observer reliability. Another blinded examiner also classified each case to assess inter-observer reliability. The kappa coefficient was used for determination of intra- and inter-observer reliability. The kappa values for the two-dimensional Evans-Jensen and AO/OTA classification systems showed moderate intra-observer reliability (κ=0.65 and κ=0.61, respectively) and slight inter-observer reliability (κ=0.20 and κ=0.19). The intra-observer kappa value for the three-dimensional classification system was 0.88, indicating almost perfect reliability; the inter-observer kappa value was 0.70, indicating substantial reliability. The findings of this study confirm that the fragment-based classification system has high reliability. Surgeons should be aware that the three-dimensional fragment-based CT system for classification of intertrochanteric fractures has better intra-observer and inter-observer reliability than the conventional two-dimensional systems.
(キーワード): Intertrochanteric fracture / computed tomography / unstable fracture / classification system / fragility fracture / elderly patient / reliability
(出版サイトへのリンク): ● Publication site (DOI): 10.1016/j.injury.2020.07.047
(文献検索サイトへのリンク): ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 32718752; ● Search Scopus @ Elsevier (PMID): 32718752; ● Search Scopus @ Elsevier (DOI): 10.1016/j.injury.2020.07.047

(DOI: 10.1016/j.injury.2020.07.047, PubMed: 32718752) Keizo Wada, Andrew Price, Kirill Gromov, Sebastien Lustig and Anders Troelsen :
Clinical outcome of bi-unicompartmental knee arthroplasty for both medial and lateral femorotibial arthritis: a systematic review-is there proof of concept?,
Archives of Orthopaedic and Trauma Surgery, 2020.

(要約): Unicompartmental knee arthroplasty (UKA) is a well-accepted treatment for isolated unicompartmental osteoarthritis (OA) of the knee. In previous literature, it has been suggested that bi-unicompartmental knee arthroplasty (bi-UKA) which uses two UKA implants in both the medial and lateral compartments of the same knee is a feasible and viable option for the treatment of knee OA. Given the advantages of UKA treatment, it is warranted to review the literature of bi-UKA and discuss the evidence in terms of implant selection, indications, surgical techniques, and outcomes, respectively. Following the PRISMA guidelines, PubMed, Medline, Embase, CINAHL, Web of Science, and Cochrane Library were searched for studies presenting outcome of bi-UKA. Studies were included if they reported clinical outcomes using two unicompartmental prostheses for both medial and lateral femorotibial arthritis. Studies with the addition of patellofemoral arthroplasty or concomitant soft-tissue reconstruction and those not published in English were excluded. In the early literature, the procedure of bi-UKA were performed for very severe OA and rheumatoid arthritis, but indications have evolved to reflect a more contemporary case-mix of knee OA patients. Both mobile and fixed bearing implants have been used, with the latter being the most frequent choice. A medial parapatellar approach for incision and arthrotomy has been the most frequently used technique. The present review found a promising clinical outcome of both simultaneous and staged bi-UKA although the number of long-term follow-up studies was limited. Both simultaneous and staged bi-UKA has demonstrated good functional outcomes. However, the volume and level of evidence in general is low for studies captured in this review, and the data on long-term outcomes remain limited. The present review indicates that bi-UKA is a feasible and viable surgical option for bicompartmental femorotibial OA in carefully selected patients.
(キーワード): Arthroplasty / Bi-unicompartmental knee arthroplasty / Knee / Osteoarthritis / Unicompartmental knee arthroplasty
(出版サイトへのリンク): ● Publication site (DOI): 10.1007/s00402-020-03492-6
(文献検索サイトへのリンク): ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 32529388; ● Summary page in Scopus @ Elsevier: 2-s2.0-85086336126

(DOI: 10.1007/s00402-020-03492-6, PubMed: 32529388, Elsevier: Scopus) Keizo Wada, Daisuke Hamada, Tomoya Takasago, Akihiro Nitta, Tomohiro Goto, Ichiro Tonogai, Yoshihiro Tsuruo and Koichi Sairyo :
Joint distraction force changes the three-dimensional articulation of the femur and tibia in total knee arthroplasty: a cadaveric study.,
Knee Surgery, Sports Traumatology, Arthroscopy, Vol.28, No.5, 1488-1496, 2020.

(要約): Regardless of PCL resection, the joint center gap became larger (p = 0.002, p = 0.020) and varus ligament balance became more varus (p = 0.002, p = 0.002) with increasing joint distraction force, whereas the tibia was more internally rotated (p = 0.015, p = 0.009) and more anteriorly located (p = 0.004, p = 0.009). The tibia was more internally rotated (p = 0.015) and more posteriorly located (p = 0.026) after PCL resection than before resection.
(出版サイトへのリンク): ● Publication site (DOI): 10.1007/s00167-019-05546-8
(文献検索サイトへのリンク): ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 31165182; ● Search Scopus @ Elsevier (PMID): 31165182; ● Search Scopus @ Elsevier (DOI): 10.1007/s00167-019-05546-8

(DOI: 10.1007/s00167-019-05546-8, PubMed: 31165182) Yasuaki Tamaki, Tomohiro Goto, Tomoya Takasago, Keizo Wada, Daisuke Hamada and Koichi Sairyo :
Proximal Femoral Rotational Osteotomy for Symptomatic Femoral Retroversion : A Case Report,
The Journal of Medical Investigation : JMI, Vol.67, No.1.2, 214-216, 2020.

(要約): The Rotational osteotomy for femoral retroversion has been extremely rare despite the known association between femoral neck retroversion, hip pain, and osteoarthritis. Here, we describe a case of femoral neck retroversion for which proximal femoral rotation osteotomy. A 16-year-old boy with a past history of developmental dysplasia of the both hip treated conservatively presented with a complaint of pain in left hips. On physical examination, flexion of the left hip was limited to 90° with terminal pain. Internal rotation was also limited to 10°. Computed tomography (CT) showed -7.1° anteversion of the left femur. We performed rotational osteotomy to increase femoral anteversion because conservative treatment was not effective. The postoperative course was uneventful. At 12 postoperative months, his left hip pain was completely disappeared and femoral anteversion was 34° on CT scans. Retroversion of the femur is a distinct dynamic factor that should be considered in the evaluation of mechanical causes of hip pain. Restoring the normal rotational alignment of the hip resulted in cure of the impingement due to femoral retroversion. J. Med. Invest. 67 : 214-216, February, 2020.
(キーワード): femoral neck retroversion / impingement / retroversion / rotational osteotomy
(徳島大学機関リポジトリ): ● Metadata: 114832
(出版サイトへのリンク): ● Publication site (DOI): 10.2152/jmi.67.214
(文献検索サイトへのリンク): ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 32378613; ● Summary page in Scopus @ Elsevier: 2-s2.0-85084234982

(徳島大学機関リポジトリ: 114832, DOI: 10.2152/jmi.67.214, PubMed: 32378613, Elsevier: Scopus) Keizo Wada, Daisuke Hamada, Tomoya Takasago, Tomohiro Goto, Ichiro Tonogai, Yoshihiro Tsuruo and Koichi Sairyo :
Rotational and varus-valgus laxity affects kinematics of the normal knee: A cadaveric study.,
Journal of Orthopaedic Surgery (Hong Kong), Vol.27, No.3, 2309499019873726, 2019.

(要約): The present study revealed that the rotation angle of the tibia was correlated to the intermediate angle of IE laxity at 0°, 30°, 60°, and 90° of knee flexion and the coronal alignment of the lower limb also correlated to the intermediate angle of VV laxity. These findings provide important reference data on soft tissue laxity and kinematics of the normal knee.
(徳島大学機関リポジトリ): ● Metadata: 116202
(出版サイトへのリンク): ● Publication site (DOI): 10.1177/2309499019873726
(文献検索サイトへのリンク): ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 31533546; ● Search Scopus @ Elsevier (PMID): 31533546; ● Search Scopus @ Elsevier (DOI): 10.1177/2309499019873726

(徳島大学機関リポジトリ: 116202, DOI: 10.1177/2309499019873726, PubMed: 31533546) Keizo Wada, Daisuke Hamada, Tomoya Takasago, Akihiro Nitta, Tomohiro Goto, Ichiro Tonogai, Yoshihiro Tsuruo and Koichi Sairyo :
The medial constrained insert restores native knee rotational kinematics after bicruciate-retaining total knee arthroplasty.,
Knee Surgery, Sports Traumatology, Arthroscopy, Vol.27, No.5, 1621-1627, 2019.

(要約): The rotation angles of the tibia in BCR-XP were significantly different from those of the native knees both in the early flexion phase (p = 0.002 at minimum knee flexion, p = 0.002 at 0°, p = 0.041 at 10°, p = 0.009 at 20°, p = 0.026 at 30°) and in the late flexion phase (p = 0.015 at 130°, p = 0.015 at maximum knee flexion), whereas the rotational angles of the tibia in BCR-AS were similar to those of the native knee.
(出版サイトへのリンク): ● Publication site (DOI): 10.1007/s00167-018-5249-z
(文献検索サイトへのリンク): ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 30382288; ● Search Scopus @ Elsevier (PMID): 30382288; ● Search Scopus @ Elsevier (DOI): 10.1007/s00167-018-5249-z

(DOI: 10.1007/s00167-018-5249-z, PubMed: 30382288) Keizo Wada, Daisuke Hamada, Tomoya Takasago, Mitsuhiro Kamada, Tomohiro Goto, Yoshihiro Tsuruo and Koichi Sairyo :
Intraoperative analysis of the kinematics of the native knee including two-dimensional translation of the femur using a navigation system : a cadaveric study.,
The Journal of Medical Investigation : JMI, Vol.66, No.3.4, 367-371, 2019.

(要約): The aim of this cadaveric study was to evaluate the intraoperative kinematics of the native knee including two-dimensional translation of the femur using a navigation system. Eight native knees of 4 fresh-frozen whole-body cadavers were used for the study. The kinematics of each knee were analyzed intraoperatively using the navigation system. Although anterior-posterior translation could not be assessed directly, it could be calculated using a formula derived from the parameters in the navigation system. The native knee showed external rotation of the femur in early knee flexion, transient internal rotation in mid flexion, and gradual external rotation in late flexion. There was no marked change in the coronal rotation angle of the mechanical axis during knee flexion. The femoral center moved anteriorly in early knee flexion and posteriorly in late flexion. The distance moved in the medial-lateral direction was relatively smaller than that in the anterior-posterior direction. Two-dimensional translation of the surgical epicondylar axis showed a medial pivot-like motion. In this cadaveric study, the kinematics of the native knee, including two-dimensional translation of the femur, could be satisfactorily assessed intraoperatively using a navigation system. The intraoperative kinematics of the knee can be analyzed in more detail using this methodology. J. Med. Invest. 66 : 367-371, August, 2019.
(徳島大学機関リポジトリ): ● Metadata: 114172
(出版サイトへのリンク): ● Publication site (DOI): 10.2152/jmi.66.367
(文献検索サイトへのリンク): ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 31656308; ● Search Scopus @ Elsevier (PMID): 31656308; ● Search Scopus @ Elsevier (DOI): 10.2152/jmi.66.367

(徳島大学機関リポジトリ: 114172, DOI: 10.2152/jmi.66.367, PubMed: 31656308) Keizo Wada, Hiroshi Mikami, Rui Amari, Shun-ichi Toki, Michihiro Takai and Koichi Sairyo :
A novel three-dimensional classification system for intertrochanteric fractures based on computed tomography findings.,
The Journal of Medical Investigation : JMI, Vol.66, No.3.4, 362-366, 2019.

(要約): A novel three-dimensional fragment-based classification system based on computed tomography findings was established to characterize femoral intertrochanteric fractures. The intertrochanteric bone fragments were defined as follows : neck, posterior portion of the greater trochanter, anterior portion of the greater trochanter, lesser trochanter, and shaft. Each type of fracture was classified as 2-, 3-, 4-, or 5-fragment according to the number of floating bone fragments. Following the description of the fracture type, each floating bone fragment was appended, with the exception of a fragment involving the shaft. Ninety-five intertrochanteric fractures were classified by the same surgeon. The fractures occurred in 14 men and 81 women with a mean age of 84.7 years. The frequency of each type of fracture was investigated. Thirty-one fractures (32.6%) were 2-fragment and 64 (67.4%) were ≥ 3-fragment. A fragment of the anterior portion of the greater trochanter, which cannot be classified using conventional systems, was included in 29 cases (30.5%). A 5-fragment fracture was detected in two cases (2.1%). Using this fragment-based classification system, intertrochanteric fractures can be evaluated in more detail than is possible using conventional classification systems. J. Med. Invest. 66 : 362-366, August, 2019.
(徳島大学機関リポジトリ): ● Metadata: 114171
(出版サイトへのリンク): ● Publication site (DOI): 10.2152/jmi.66.362
(文献検索サイトへのリンク): ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 31656307; ● Search Scopus @ Elsevier (PMID): 31656307; ● Search Scopus @ Elsevier (DOI): 10.2152/jmi.66.362

(徳島大学機関リポジトリ: 114171, DOI: 10.2152/jmi.66.362, PubMed: 31656307) Daisuke Hamada, Keizo Wada, Tomoya Takasago, Tomohiro Goto, Akihiro Nitta, Kousaku Higashino, Yoshihiro Fukui and Koichi Sairyo :
Native rotational knee kinematics are lost in bicruciate-retaining total knee arthroplasty when the tibial component is replaced.,
Knee Surgery, Sports Traumatology, Arthroscopy, Vol.26, No.11, 3249-3256, 2018.

(要約): The rotational kinematics of the native knee are not always preserved after BCR TKA. Native rotational kinematics are preserved after meniscectomy and femoral replacement, but are lost after tibial replacement in BCR TKA. Surgeons should pay close attention to maintain the anteroposterior stabilizing function of the ACL in BCR TKA, rather than to restore the native rotational kinematics.
(出版サイトへのリンク): ● Publication site (DOI): 10.1007/s00167-018-4842-5
(文献検索サイトへのリンク): ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 29368122; ● Search Scopus @ Elsevier (PMID): 29368122; ● Search Scopus @ Elsevier (DOI): 10.1007/s00167-018-4842-5

(DOI: 10.1007/s00167-018-4842-5, PubMed: 29368122) Keizo Wada, Daisuke Hamada, Tomoya Takasago, Akihiro Nitta, Tomohiro Goto, Ichiro Tonogai, Yoshihiro Tsuruo and Koichi Sairyo :
Native rotational knee kinematics is restored after lateral UKA but not after medial UKA.,
Knee Surgery, Sports Traumatology, Arthroscopy, Vol.26, No.11, 3438-3443, 2018.

(要約): The rotation angles of the tibia in the early flexion phase of medial UKA were significantly larger than those of native knees (p = 0.008 at minimum knee flexion, p = 0.008 at 0° knee flexion). The rotational kinematics of lateral UKA was similar to those of the native knees throughout knee flexion. There were no significant differences in varus/valgus kinematics between native and UKA knees.
(出版サイトへのリンク): ● Publication site (DOI): 10.1007/s00167-018-4919-1
(文献検索サイトへのリンク): ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 29582097; ● Search Scopus @ Elsevier (PMID): 29582097; ● Search Scopus @ Elsevier (DOI): 10.1007/s00167-018-4919-1

(DOI: 10.1007/s00167-018-4919-1, PubMed: 29582097) Ichiro Tonogai, Keizo Wada, Kousaku Higashino, Yoshihiro Fukui and Koichi Sairyo :
Location and direction of the nutrient artery to the first metatarsal at risk in osteotomy for hallux valgus.,
Foot and Ankle Surgery, Vol.24, No.5, 460-465, 2018.

(要約): Location and direction of the first metatarsal nutrient artery was established.
(出版サイトへのリンク): ● Publication site (DOI): 10.1016/j.fas.2017.05.004
(文献検索サイトへのリンク): ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 29409197; ● Search Scopus @ Elsevier (PMID): 29409197; ● Search Scopus @ Elsevier (DOI): 10.1016/j.fas.2017.05.004

(DOI: 10.1016/j.fas.2017.05.004, PubMed: 29409197) Keizo Wada, Tomohiro Goto, Tomoya Takasago, Takahiko Tsutsui and Koichi Sairyo :
Acetabular Reconstruction Using a Trabecular Metal Cup with a Novel Pelvic Osteotomy Technique for Severe Acetabular Bone Defect.,
Case Reports in Orthopedics, 2018.

(要約): The advantages of this technique are twofold, namely, stable fixation of the cup sandwiched between the anterior and posterior walls and reconstruction of the anterior wall using living bone, which allows bone ingrowth into the cup.
(出版サイトへのリンク): ● Publication site (DOI): 10.1155/2018/9015727
(文献検索サイトへのリンク): ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 30254780; ● Search Scopus @ Elsevier (PMID): 30254780; ● Search Scopus @ Elsevier (DOI): 10.1155/2018/9015727

(DOI: 10.1155/2018/9015727, PubMed: 30254780) 酒井紀典, 橋本拓也, 和田佳三, 宮城亮, 西良浩一 :
痛み診断の新規画像評価 : 特に拡散強調画像の臨床応用について (日本腰痛学会特集号) -- (特集腰痛治療の革新 : 慢性腰痛・神経障害性疼痛に対する治療のbreakthrough),
Journal of Spine Research, Vol.9, No.6, 1005-1011, 2018年.

(キーワード): 拡散強調画像(diffusion-weightedimaging) / 腰部神経叢(lumbarplexus) / 梨状筋症候群(piriformissyndrome)
(文献検索サイトへのリンク): ● CiNii @ 国立情報学研究所 (CRID): 1520009409881194880

(CiNii: 1520009409881194880) Yasuaki Tamaki, Tomohiro Goto, Takahiko Tsutsui, Tomoya Takasago, Keizo Wada and Koichi Sairyo :
Compression of the Femoral Vessels by a Pseudotumor after Metal-on-Metal Total Hip Arthroplasty.,
Case Reports in Orthopedics, 2017.

(要約): Here we present a case of pseudotumor following total hip arthroplasty (THA) that resulted in a circulatory disturbance caused by compression of the femoral vasculature. A 63-year-old man presented with pain, swelling, and redness of the left leg 5 years after primary metal-on-metal THA using the AML-Plus stem, Pinnacle® acetabular cup, and 36 mm diameter Ultamet™ metal head system (DePuy Orthopaedics, Warsaw, IN). Enhanced computed tomography and magnetic resonance imaging revealed a large cystic lesion extending from the left hip anteriorly to the intrapelvic region and compressing the left femoral vessels. Percutaneous puncture of the lesion yielded a dark red aspirate and the patient was diagnosed to have a pseudotumor causing compression of the femoral vessels. We performed revision surgery to replace the metal head and metal liner with a smaller ceramic head and polyethylene liner without removal of the stem. Corrosion of the head-neck junction was identified intraoperatively with no obvious wear on the bearing surfaces. The left leg swelling and redness improved immediately postoperatively. A large pseudotumor should be kept in mind as a cause of vascular compression with unilateral leg edema in a patient who has undergone metal-on-metal THA.
(出版サイトへのリンク): ● Publication site (DOI): 10.1155/2017/2594902
(文献検索サイトへのリンク): ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 29098102; ● Search Scopus @ Elsevier (PMID): 29098102; ● Search Scopus @ Elsevier (DOI): 10.1155/2017/2594902

(DOI: 10.1155/2017/2594902, PubMed: 29098102) Keizo Wada, Tomohiro Goto, Tomoya Takasago, Daisuke Hamada and Koichi Sairyo :
Piriformis muscle syndrome with assessment of sciatic nerve using diffusion tensor imaging and tractography: a case report.,
Skeletal Radiology, Vol.46, No.10, 1399-1404, 2017.

(要約): Piriformis muscle syndrome (PMS) is difficult to diagnose by objective evaluation of sciatic nerve injury. Here we report a case of PMS diagnosed by diffusion tensor imaging (DTI) and tractography of the sciatic nerve, which can assess and visualize the extent of nerve injury. The patient was a 53-year-old man with a 2-year history of continuous pain and numbness in the left leg. His symptoms worsened when sitting. Physical examination, including sensorimotor neurologic tests, the deep tendon reflex test, and the straight leg raise test, revealed no specific findings. The hip flexion adduction and internal rotation test and resisted contraction maneuvers for the piriformis muscle were positive. There were no abnormal findings on magnetic resonance imaging (MRI) of the lumbar spine. The transverse diameter of piriformis muscle was slightly thicker in affected side on MRI of the pelvis. A single DTI sequence was performed during MRI of the pelvis. Fractional anisotropy (FA) and the apparent diffusion coefficient (ADC) of the sciatic nerve were quantified at three levels using the fiber-tracking method. FA values were significantly lower and ADC values were significantly higher distal to the piriformis muscle. We performed endoscopic-assisted resection of the piriformis tendon. Intraoperatively, the motor-evoked potentials in the left gastrocnemius were improved by resection of the piriformis tendon. The patient's symptoms improved immediately after surgery. There was no significant difference in FA or ADC at any level between the affected side and the unaffected side 3 months postoperatively. MRI-DTI may aid the diagnosis of PMS.
(出版サイトへのリンク): ● Publication site (DOI): 10.1007/s00256-017-2690-x
(文献検索サイトへのリンク): ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 28616638; ● Search Scopus @ Elsevier (PMID): 28616638; ● Search Scopus @ Elsevier (DOI): 10.1007/s00256-017-2690-x

(DOI: 10.1007/s00256-017-2690-x, PubMed: 28616638) Takahiko Tsutsui, Tomohiro Goto, Keizo Wada, Tomoya Takasago, Daisuke Hamada and Koichi Sairyo :
Efficacy of a computed tomography-based navigation system for placement of the acetabular component in total hip arthroplasty for developmental dysplasia of the hip.,
Journal of Orthopaedic Surgery (Hong Kong), Vol.25, No.3, 2017.

(要約): THA using a CT-based navigation system achieved quite high accuracy of cup alignment angles and spatial cup positioning in primary THA for patients with DDH.
(徳島大学機関リポジトリ): ● Metadata: 111433
(出版サイトへのリンク): ● Publication site (DOI): 10.1177/2309499017727954
(文献検索サイトへのリンク): ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 28851263; ● Search Scopus @ Elsevier (PMID): 28851263; ● Search Scopus @ Elsevier (DOI): 10.1177/2309499017727954

(徳島大学機関リポジトリ: 111433, DOI: 10.1177/2309499017727954, PubMed: 28851263) Tetsuya Matsuura, Keizo Wada, Naoto Suzue, Toshiyuki Iwame, Shoji Fukuta and Koichi Sairyo :
Bilateral osteochondritis dissecans of the capitellum in fraternal twins: A case report,
JBJS Case Connector, Vol.7, No.3, e44, 2017.

(要約): We report the cases of 15-year-old male fraternal twins with bilateral osteochondritis dissecans (OCD) of the capitellum in the absence of syndromic features. At the time of presentation, they had been actively engaged in competitive rhythmic gymnastics for 3 years. Both patients had chronic symptoms in the right elbow, and both underwent arthroscopic evaluation and management. The cases of these 2 patients provide evidence to support the theory that the etiology of OCD may have a genetic background.
(出版サイトへのリンク): ● Publication site (DOI): 10.2106/JBJS.CC.16.00203
(文献検索サイトへのリンク): ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 29252874; ● Summary page in Scopus @ Elsevier: 2-s2.0-85023159967

(DOI: 10.2106/JBJS.CC.16.00203, PubMed: 29252874, Elsevier: Scopus) Ichiro Tonogai, Daisuke Hamada, Yuhei Yamasaki, Keizo Wada, Tomoya Takasago, Takahiko Tsutsui, Tomohiro Goto and Koichi Sairyo :
Custom-Made Alumina Ceramic Total Talar Prosthesis for Idiopathic Aseptic Necrosis of the Talus: Report of Two Cases.,
Case Reports in Orthopedics, 2017.

(要約): Two women aged 65 years and 78 years presented to our center with idiopathic necrosis of the talus. In both cases, imaging examinations showed collapse and sclerotic changes of the talar body caused by the necrosis. Both women underwent resection and placement of a third-generation custom-made alumina ceramic total talar prosthesis. Immobilization of the ankle in a short-leg cast for 3 weeks was followed by early rehabilitation. One year and 6 months after surgery, both women were able to walk without pain. Their Japanese Society for Surgery of the Foot ankle-hindfoot scale scores improved from 22 and 29/100 points to 90 and 95/100 points, respectively. To the best of our knowledge, the successful treatments of these two rare cases of idiopathic necrosis of the talus are among only a few reported cases of using a third-generation alumina ceramic prosthesis.
(出版サイトへのリンク): ● Publication site (DOI): 10.1155/2017/8290804
(文献検索サイトへのリンク): ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 28634561; ● Search Scopus @ Elsevier (PMID): 28634561; ● Search Scopus @ Elsevier (DOI): 10.1155/2017/8290804

(DOI: 10.1155/2017/8290804, PubMed: 28634561) Ichiro Tonogai, Tetsuya Matsuura, Toshiyuki Iwame, Keizo Wada, Tomoya Takasago, Tomohiro Goto, Daisuke Hamada, Yohei Kawatani, Eiki Fujimoto, Tetsuya Kitagawa, Shoichiro Takao, Seiji Iwamoto, Moriaki Yamanaka, Masafumi Harada and Koichi Sairyo :
Pseudoaneurysm of the Anterior Tibial Artery following Ankle Arthroscopy in a Soccer Player.,
Case Reports in Orthopedics, 2017.

(要約): Ankle arthroscopy carries a lower risk of vascular complications when standard anterolateral and anteromedial portals are used. However, the thickness of the fat pad at the anterior ankle affords little protection for the thin-walled anterior tibial artery, rendering it susceptible to indirect damage during procedures performed on the anterior ankle joint. To our knowledge, only 11 cases of pseudoaneurysm involving the anterior tibial artery after ankle arthroscopy have been described in the literature. Here we reported a rare case of a 19-year-old soccer player who presented with pseudoaneurysm of the anterior tibial artery following ankle arthroscopy using an ankle distraction method and underwent anastomosis for the anterior tibial artery injury. Excessive distraction of the ankle puts the neurovascular structures at greater risk for iatrogenic injury of the anterior tibial artery during ankle arthroscopy. Surgeons should look carefully for postoperative ankle swelling and pain after ankle arthroscopy.
(出版サイトへのリンク): ● Publication site (DOI): 10.1155/2017/2865971
(文献検索サイトへのリンク): ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 28607785; ● Search Scopus @ Elsevier (PMID): 28607785; ● Search Scopus @ Elsevier (DOI): 10.1155/2017/2865971

(DOI: 10.1155/2017/2865971, PubMed: 28607785) Keizo Wada, Hiroshi Mikami, Koichi Oba, Hiroshi Yonezu and Koichi Sairyo :
Cementless calcar-replacement stem with integrated greater trochanter plate for unstable intertrochanteric fracture in very elderly patients.,
Journal of Orthopaedic Surgery (Hong Kong), Vol.25, No.1, 2309499016684749, 2017.

(要約): Hemiarthroplasty using the MOD-Centaur stem for unstable intertrochanteric fracture in very elderly patients offers favorable outcomes. These findings encourage early walking without any loading limitations, despite severe osteoporosis, and emphasize the importance of greater trochanteric fixation, which reconstructs the mechanism of the gluteus medius muscle.
(出版サイトへのリンク): ● Publication site (DOI): 10.1177/2309499016684749
(文献検索サイトへのリンク): ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 28139187; ● Search Scopus @ Elsevier (PMID): 28139187; ● Search Scopus @ Elsevier (DOI): 10.1177/2309499016684749

(DOI: 10.1177/2309499016684749, PubMed: 28139187) Keizo Wada, Hiroshi Mikami, Daisuke Hamada, Takaharu Yamazaki, Tetsuya Tomita and Koichi Sairyo :
Can intraoperative kinematic analysis predict postoperative kinematics following total knee arthroplasty? A preliminary.,
The Journal of Medical Investigation : JMI, Vol.65, No.1.2, 21-26, 2017.

(要約): The preliminary study analyzed the relationship between intraoperative navigation-based kinematics and postoperative 2-dimensional/3-dimensional (2D/3D) image registration-based kinematics in total knee arthroplasty (TKA). Six knees in 5 patients were analyzed. All TKA procedures were performed using an image-free knee navigation system. Tibial internal rotation was assessed by intraoperative knee kinematics. At 1 year after surgery, tibial internal rotation was evaluated using a 2D/3D image registration technique under loaded and unloaded conditions. The correlation between intraoperative and postoperative data for the tibial internal rotation angle at 10 increments of knee flexion was then assessed. Difference in the knee flexion angle between the intraoperative and postoperative evaluations was adjusted to account for the sagittal cutting angle of the distal femur and proximal tibia. A correlation was found between the intraoperative and postoperative data for loaded knee flexion with this adjustment (Pearson's r = 0.725, p = 0.012). However, intraoperative kinematics was not significantly correlated with postoperative kinematics in the absence of loading. Larger adequately powered prospective studies are now needed to confirm our preliminary finding that postoperative loaded kinematics can be predicted by intraoperative evaluation. J. Med. Invest. 65:21-26, February, 2018.
(徳島大学機関リポジトリ): ● Metadata: 111383
(出版サイトへのリンク): ● Publication site (DOI): 10.2152/jmi.65.21
(文献検索サイトへのリンク): ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 29593171; ● Search Scopus @ Elsevier (PMID): 29593171; ● Search Scopus @ Elsevier (DOI): 10.2152/jmi.65.21

(徳島大学機関リポジトリ: 111383, DOI: 10.2152/jmi.65.21, PubMed: 29593171) Akihiro Nagamachi, Mitsuhiko Takahashi, Noriaki Mima, Keisuke Adachi, Kazumasa Inoue, C Subash Jha, Akihiro Nitta, Masatoshi Morimoto, Tomoya Takasago, Toshiyuki Iwame, Keizo Wada, Fumitake Tezuka, Kazuta Yamashita, Fumio Hayashi, Ryo Miyagi, Toshihiko Nishisho, Ichiro Tonogai, Tomohiro Goto, Yoichiro Takata, Toshinori Sakai, Kousaku Higashino, Takashi Chikawa and Koichi Sairyo :
Radiographic changes of cervical destructive spondyloarthropathy in long-term hemodialysis patients: A 9-year longitudinal observational study.,
The Journal of Medical Investigation : JMI, Vol.64, No.1.2, 68-73, 2017.

(要約): Analyses of radiographic changes and clinical symptom of destructive spondyloarthropathy (DSA) on consecutive 42 patients managed with long-term hemodialysis were performed to elucidate radiographic changes of DSA and the factors that influence to the destructive changes. Patients underwent plain radiographs of the cervical spine with 9 years interval. Grading of radiological feature from lateral view was classified into grade 0 to grade 3. Clinical symptom was evaluated using modified Japanese Orthopaedic Association scoring system for cervical myelopathy (mJOA score). Destructive changes were observed in 3 patients at the first examination, and those were observed in 15 patients 9 years after the first examination. There is no statistically significant difference between the duration of hemodialysis and the grade. The mean age at the onset of hemodialysis, however, was significantly higher in patients of grade 2 and 3 than those of grade 1. Older patients with long-term hemodialysis had destructive changes. Destructive changes commonly observed in lower cervical spine. The average numbers of the involved disc level were 1.6 in grade 2 and 1.0 in grade 3. Clinical symptoms were varied in each grade and there was no statistically significant difference in total mJOA score among these grades. J. Med. Invest. 64: 68-73, February, 2017.
(徳島大学機関リポジトリ): ● Metadata: 111084
(出版サイトへのリンク): ● Publication site (DOI): 10.2152/jmi.64.68
(文献検索サイトへのリンク): ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 28373631; ● Search Scopus @ Elsevier (PMID): 28373631; ● Search Scopus @ Elsevier (DOI): 10.2152/jmi.64.68

(徳島大学機関リポジトリ: 111084, DOI: 10.2152/jmi.64.68, PubMed: 28373631) Daisuke Hamada, Keizo Wada, Hiroshi Mikami, Shunichi Toki, Tomohiro Goto, Takahiko Tsutsui, Tomoya Takasago, Akihiro Nagamachi and Koichi Sairyo :
The Posterior Condylar Cartilage Affects Rotational Alignment of the Femoral Component in Varus Knee Osteoarthritis.,
The Journal of Medical Investigation : JMI, Vol.64, No.1.2, 24-29, 2017.

(要約): Rotational alignment of the femoral component in total knee arthroplasty (TKA) is important for patellar tracking and ligament balance. Preoperative planning based on radiography might have a potential risk for over-rotation because these X-ray based measurements can not detect asymmetric cartilage wear on posterior condyle. The purpose of this study is to evaluate the effect of the posterior condylar cartilage of varus osteoarthritic knee on rotational alignment of the femoral component in TKA. We established two different condylar twist angles (CTA) from intraoperative multiplanar reconstruction (MPR) images and intraoperative information of navigation system. The CTA measured by a navigation system that includes the cartilage (4.8±2.0°) was smaller than those measured by MPR images, which does not include the cartilage (6.6±2.1°) (p<0.05). The difference between these two angles that corresponds to the remaining posterior condylar cartilage was 1.7±1.2°. This result demonstrated that the posterior condylar cartilage might lead to over-rotational of the femoral component in varus osteoarthritic knee. Therefore, when determining rotational alignment of the femoral component, surgeons should consider the effect of the remaining posterior condylar cartilage to avoid the over-rotation of the femoral component, especially in severe varus knees. J. Med. Invest. 64: 24-29, February, 2016.
(徳島大学機関リポジトリ): ● Metadata: 111077
(出版サイトへのリンク): ● Publication site (DOI): 10.2152/jmi.64.24
(文献検索サイトへのリンク): ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 28373624; ● Search Scopus @ Elsevier (PMID): 28373624; ● Search Scopus @ Elsevier (DOI): 10.2152/jmi.64.24

(徳島大学機関リポジトリ: 111077, DOI: 10.2152/jmi.64.24, PubMed: 28373624) Koichi Sairyo, Kousaku Higashino, Kazuta Yamashita, Fumio Hayashi, Keizo Wada, Toshinori Sakai, Yoichiro Takata, Fumitake Tezuka, Masatoshi Morimoto, Tomoya Terai, Takashi Chikawa, Hiroshi Yonezu, Akihiro Nagamachi and Yoshihiro Fukui :
A new concept of transforaminal ventral facetectomy including simultaneous decompression of foraminal and lateral recess stenosis: Technical considerations in a fresh cadaver model and a literature review.,
The Journal of Medical Investigation : JMI, Vol.64, No.1.2, 1-6, 2017.

(要約): Percutaneous endoscopic surgery for the lumbar spine, which was established in the last decade, requires only an 8-mm skin incision and causes minimal damage to the paravertebral muscles; thus, it is considered to be a minimally invasive technique for spinal surgery. It has been used to perform percutaneous endoscopic discectomy via two main approaches: the TF approach is a posterolateral one through the intervertebral foramen and can be done under local anesthesia; the IL approach is a more traditional one through the interlaminar space and is difficult to perform under local anesthesia. Recently, these techniques have been applied for lumbar spinal stenosis (LSS), the TF method for foraminal stenosis under local anesthesia, and the IL method for central and lateral recess stenosis under general anesthesia. In this study, using a fresh human cadaver model, we performed simultaneous decompression of the lateral recess and foraminal stenosis at L4-5 using the TF approach. Computed tomography confirmed enlargement of the lateral recess and intervertebral foramen. This technique, which can be performed under local anesthesia, should benefit elderly patients with LSS and poor general condition due to multiple comorbidities. Finally, we introduce the concept of percutaneous transforaminal ventral facetectomy using a spinal percutaneous endoscope. J. Med. Invest. 64: 1-6, February, 2017.
(徳島大学機関リポジトリ): ● Metadata: 111055
(出版サイトへのリンク): ● Publication site (DOI): 10.2152/jmi.64.1
(文献検索サイトへのリンク): ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 28373604; ● Search Scopus @ Elsevier (PMID): 28373604; ● Search Scopus @ Elsevier (DOI): 10.2152/jmi.64.1

(徳島大学機関リポジトリ: 111055, DOI: 10.2152/jmi.64.1, PubMed: 28373604) Keizo Wada, Takuya Hashimoto, Ryo Miyagi, Toshinori Sakai and Koichi Sairyo :
Diffusion tensor imaging and tractography of the sciatic nerve: assessment of fractional anisotropy and apparent diffusion coefficient values relative to the piriformis muscle, a preliminary study.,
Skeletal Radiology, Vol.46, No.3, 309-314, 2016.

(要約): Piriformis muscle syndrome (PMS) is underdiagnosed. To evaluate the potential of diffusion tensor imaging and diffusion tensor tractography as innovative tools for the diagnosis of PMS by functional assessment of the sciatic nerve, the aims of this study are to assess the reproducibility and to evaluate the changes in the parameters at levels proximal and distal to the piriformis. Fractional anisotropy (FA) and the apparent diffusion coefficient (ADC) of the sciatic nerve at three levels were quantified twice each by two examiners using the fiber-tracking method. In the first part of the study, laterality and reproducibility were evaluated using intraclass correlation coefficients (ICC) in ten healthy volunteers. In the second part of the study, the healthy side and symptomatic side were assessed in ten consecutive patients with sciatica. There were three patients with no findings on lumbar magnetic resonance imaging (MRI). There was no laterality in either FA or ADC values in asymptomatic patients at any level. The mean intra-rater ICC was 0.90 and the mean inter-rater ICC was 0.87. FA was significantly lower and ADC significantly higher on the symptomatic side at each level in patients with sciatica. In the three sciatica patients with no findings on lumbar MRI, FA was significantly lower and ADC was significantly higher only at levels distal to the piriformis. These patients experienced full pain relief after ultrasound-guided injection of local anesthesia. Diffusion tensor imaging and diffusion tensor tractography might be innovative tools for the diagnosis of PMS.
(キーワード): Adult / Aged / Aged, 80 and over / 異方性 (anisotropy) / Diffusion Tensor Imaging / Female / Humans / Image Interpretation, Computer-Assisted / Male / Middle Aged / Piriformis Muscle Syndrome / Reproducibility of Results / Sciatic Neuropathy
(出版サイトへのリンク): ● Publication site (DOI): 10.1007/s00256-016-2557-6
(文献検索サイトへのリンク): ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 28028573; ● Summary page in Scopus @ Elsevier: 2-s2.0-85007507973

(DOI: 10.1007/s00256-016-2557-6, PubMed: 28028573, Elsevier: Scopus) Keizo Wada, Tomohiro Goto, Fumitake Tezuka, Shunsuke Tamaki, Daisuke Hamada, Takahiko Tsutsui and Koichi Sairyo :
Variations in the obturator artery around the obturator foramen assessed by three-dimensional computed tomographic angiography and prevention of vascular-related complications in rotational acetabular osteotomy.,
International Orthopaedics, Vol.41, No.1, 133-139, 2016.

(要約): The prevalence of arterial anastomosis of the obturator artery (corona mortis) was 14.3 %, with the obturator artery being located closer to the superior pubic ramus and the osteotomy site in these subjects.
(出版サイトへのリンク): ● Publication site (DOI): 10.1007/s00264-016-3268-2
(文献検索サイトへのリンク): ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 27511469; ● Summary page in Scopus @ Elsevier: 2-s2.0-84981155187

(DOI: 10.1007/s00264-016-3268-2, PubMed: 27511469, Elsevier: Scopus) Keizo Wada, Daisuke Hamada, Shunsuke Tamaki, Kousaku Higashino, Yoshihiro Fukui and Koichi Sairyo :
Influence of Medial collateral ligament release for internal rotation of tibia in posterior stabilized total knee arthroplasty: a cadaveric study,
The Journal of Arthroplasty, Vol.32, No.1, 270-273, 2016.

(要約): Previous studies suggested that changes in kinematics in total knee arthroplasty (TKA) affected satisfaction level. The aim of this cadaveric study was to evaluate the effect of medial collateral ligament (MCL) release by multiple needle puncture on knee rotational kinematics in posterior-stabilized TKA. Six fresh, frozen cadaveric knees were included in this study. All TKA procedures were performed with an image-free navigation system using a 10-mm polyethylene insert. Tibial internal rotation was assessed to evaluate intraoperative knee kinematics. Multiple needle puncturing was performed 5, 10, and 15 times for the hard portion of the MCL at 90° knee flexion. Kinematic analysis was performed after every 5 punctures. After performing 15 punctures, a 14-mm polyethylene insert was inserted, and kinematic analysis was performed. The tibial internal rotation angle at maximum knee flexion without multiple needle puncturing was significantly larger (9.42°) than that after 15 punctures (3°). Negative correlation (Pearson r = -0.715, P < .001) between tibial internal rotation angle at maximum knee flexion and frequency of puncture was observed. The tibial internal rotation angle with a 14-mm insert was significantly larger (7.25°) compared with the angle after 15 punctures. Tibial internal rotation during knee flexion was reduced by extensive MCL release using multiple needle puncturing and was recovered by increasing of medial tightness. From the point of view of knee kinematics, medial tightness should be allowed to maintain the internal rotation angle of the tibia during knee flexion which might lead to patient satisfaction.
(徳島大学機関リポジトリ): ● Metadata: 112880
(出版サイトへのリンク): ● Publication site (DOI): 10.1016/j.arth.2016.06.013
(文献検索サイトへのリンク): ● PubMed @ National Institutes of Health, US National Library of Medicine (PMID): 27460300; ● Summary page in Scopus @ Elsevier: 2-s2.0-84979294929

(徳島大学機関リポジトリ: 112880, DOI: 10.1016/j.arth.2016.06.013, PubMed: 27460300, Elsevier: Scopus)

MISC

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講演・発表

Yasuaki Tamaki, Tomohiro Goto, Jyoji Iwase, Daisuke Hamada, Keizo Wada and Koichi Sairyo :
Contributions of the ischiofemoral ligament, iliofemoral ligament, and conjoined tendon to hip stability after total hip arthroplasty: a cadaveric study,
ORS2023, Feb. 2023. Tomohiro Goto, Keizo Wada, Tomoya Takasago and Koichi Sairyo :
The Influence Of Posterior Pelvic Tilt On Three Dimensional Radiographic Acetabular Coverage In The Patients With Borderline Acetabular Dysplasia Of The Hip,
The 19th European Federation of National Associations of Orthopaedics and Traumatology(May 30-June 1,2018), Barcelona, May 2018. Keizo Wada, Daisuke Hamada, Tomoya Takasago, Tomohiro Goto, Ichiro Tonogai, Yoshihiro Tsuruo and Koichi Sairyo :
Joint Distraction Force Changes the Three-Dimensional Position of the Femur and the Tibia in Total Knee Arthroplasty: a Cadaveric Study,
The 19th European Federation of National Associations of Orthopaedics and Traumatology(May 30-June 1,2018), Barcelona, May 2018. Tomoya Takasago, Daisuke Hamada, Keizo Wada, Tomohiro Goto, Akihiro Nitta, Ichiro Tonogai, Yoshihiro Tsuruo and Koichi Sairyo :
Retention of the anterior cruciate ligament increase the joint stability in anterior, external rotation and varus directions in TKA, A biomechanical cadaveric study,
18th ESSKA congress(May 9-12,2018), Glasgow, May 2018. Keizo Wada, Daisuke Hamada, Tomoya Takasago, Ichiro Tonogai, Yoshihiro Tsuruo and Koichi Sairyo :
Knee kinematics after lateral UKA are closer to native knee kinematics compared to those after medial UKA, a cadaveric study,
18th ESSKA congress(May 9-12,2018), Glasgow, May 2018. Daisuke Hamada, Keizo Wada, Tomoya Takasago, Akihiro Nitta, Tomohiro Goto, Ichiro Tonogai, Yoshihiro Tsuruo and Koichi Sairyo :
Native rotational kinematics are lost in bicruciate-retaining total knee arthroplasty when the tibial component is replaced: an in vitro study,
18th ESSKA congress(May 9-12,2018), Glasgow, May 2018. 玉置康晃, 後東知宏, 和田佳三, 大道泰之, 鶴尾吉宏, 西良浩一 :
未固定遺体を用いた腸腰筋インピンジメントの病態評価:インプラント設置角度が腸腰筋表面圧に与える影響,
第53回日本人工関節学会, 玉置康晃, 後東知宏, 和田佳三, 浜田大輔, 西良浩一 :
腸腰筋インピンジメントにおけるステムアライメントの影響:未固定遺体を用いた検討,
第50回日本股関節学会, 2023年10月. 玉置康晃, 後東知宏, 和田佳三, 大道泰之, 浜田大輔, 西良浩一 :
シート状圧センサーを用いたステムアライメントが腸腰筋インピンジメントの病態に与える影響の検討:未固定遺体試験,
第38回日本整形外科学会基礎学術集会, 2023年10月. 玉置康晃, 後東知宏, 和田佳三, 大道泰之, 浜田大輔, 西良浩一 :
THA後ステムアライメントが腸腰筋インピンジメントの病態に及ぼす影響:未固定遺体を用いた検討,
第141回中部日本整形外科災害外科学会, 2023年10月. 玉置康晃, 浜田大輔, 和田佳三, 大道泰之, 西良浩一 :
人工膝関節手術支援ロボット・NAVIOにおける軟部バランス評価手技の検討:未固定遺体を用いた研究,
第51回日本関節病学会, 2023年7月. 玉置康晃, 浜田大輔, 和田佳三, 大道泰之, 西良浩一 :
CPAK分類を用いた変形性膝関節症患者の冠状面アライメントの分布調査,
第96回日本整形外科学会総会, 2023年5月. 玉置康晃, 後東知宏, 大道泰之, 和田佳三, 浜田大輔, 西良浩一 :
ステムアライメントが腸腰筋インピンジメントに与える影響:未固定遺体を用いた検討,
第96回日本整形外科学会総会, 2023年5月. 玉置康晃, 浜田大輔, 和田佳三, 大道泰之, 西良浩一 :
CPAK分類を用いた変形性膝関節症患者の冠状面アライメントの分布調査,
第140回中部日本整形外科災害外科学会, 2023年4月. 金山博臣, 赤池雅史, 冨田江一, 鶴尾吉宏, 西村明儒, 西良浩一, 和田佳三 :
徳島大学病院クリニカルアナトミー教育・研究センターの現状と展望,
第128回日本解剖学会総会・全国学術集会, 2023年3月. 玉置康晃, 浜田大輔, 和田佳三, 大道泰之, 西良浩一 :
CPAK分類を用いた変形性膝関節症患者の冠状面アライメントの分布調査,
第53回日本人工関節学会, 2023年2月. 玉置康晃, 後東知宏, 和田佳三, 大道泰之, 浜田大輔, 鶴尾吉宏, 西良浩一 :
腸腰筋インピンジメントにおけるカップ突出量が腸腰筋表面圧に及ぼす影響:未固定遺体を用いた検討．,
第55回中国四国整形外科学会【開催期間:2022年11月19日-20日】, 2022年11月. 和田佳三, 浜田大輔, 大道泰之, 玉置康晃, 後東知宏, 西良浩一 :
BCS-TKAにおける術前アライメントが手術支援ロボットNAVIOによる軟部組織評価に与える影響についての検討,
第55回中国四国整形外科学会【開催期間:2022年11月19日-20日】, 2022年11月. 大道泰之, 浜田大輔, 和田佳三, 玉置康晃, 後東知宏, 西良浩一 :
関節外変形を伴った内反型変形性膝関節症に対し，手術支援ロボットを用いて関節内矯正を行ったTKA,
第55回中国四国整形外科学会【開催期間:2022年11月19日-20日】, 2022年11月. 友成健, 古本太希, 齋藤貴, 川村由佳, 鎌田基夢, 泊綾音, 武田将吾, 佐野亘, 山田めぐみ, 玉置康晃, 和田佳三, 佐藤紀, 後東知宏, 西良浩一, 松浦哲也 :
人工股関節全置換術後3か月時の患者立脚型アウトカムに影響する因子の検討,
四国理学療法士会学会誌, No.44, 24-25, 2022年11月. 玉置康晃, 後東知宏, 和田佳三, 大道泰之, 浜田大輔, 鶴尾吉宏, 西良浩一 :
腸腰筋インピンジメントにおけるカップ突出量と腸腰筋表面圧の評価:未固定遺体を用いた検討,
第49回日本股関節学会学術集会【開催期間:2022年10月28日-29日】, 2022年10月. 和田佳三, 後東知宏, 大道泰之, 玉置康晃, 浜田大輔, 西良浩一 :
骨頭被覆率と骨盤後傾を用いた股関節応力評価-未固定遺体と有限要素解析を用いた整合性の検証-,
第49回日本股関節学会学術集会【開催期間:2022年10月28日-29日】, 2022年10月. 大道泰之, 後東知宏, 和田佳三, 玉置康晃, 西良浩一 :
人工股関節置換術後の骨盤側方傾斜の残存は自覚的脚長差に影響を及ぼす,
第49回日本股関節学会学術集会【開催期間:2022年10月28日-29日】, 2022年10月. 浜田大輔, 和田佳三, 玉置康晃, 大道泰之, 後東知宏, 西良浩一 :
Robotic-assisted TKAにおける靱帯バランス予測の精度検証,
第139回中部日本整形外科災害外科学会学術集会【開催期間:2022年10月28日-29日】, 2022年10月. 浜田大輔, 和田佳三, 玉置康晃, 大道泰之, 後東知宏, 西良浩一 :
シンポジウム「医学の新時代次世代の新技術と整形外科」ロボット支援手術の現状と未来,
第139回中部日本整形外科災害外科学会学術集会【開催期間:2022年10月28日-29日】, 2022年10月. 玉置康晃, 後東知宏, 和田佳三, 大道泰之, 浜田大輔, 鶴尾吉宏, 西良浩一 :
腸腰筋インピンジメントにおけるカップ突出量と腸腰筋表面圧の評価:未固定遺体を用いた検討,
第37回日本整形外科学会基礎学術集会(シーガイアコンベンションセンター)【開催期間:2022年10月13日-14日】, 2022年10月. 浜田大輔, 和田佳三, 玉置康晃, 大道泰之, 後東知宏, 西良浩一 :
シンポジウム「手術の進化と深化」手術支援ロボットCORIによる人工膝関節置換術,
第35回日本臨床整形外科学会学術集会【開催期間:2022年7月17日-18日】, 2022年7月. 阿部拓馬, 土岐俊一, 手束文威, 和田佳三, 西庄俊彦, 西良浩一 :
股関節内に発生した類骨骨腫に対する全内視鏡下腫瘍切除術の一例,
第55回日本整形外科学会骨・軟部腫瘍学術集会(ハイブリッド)【開催期間:2022年7月14日-8月31日】, 2022年7月. 大道泰之, 和田佳三, 西良浩一 :
骨粗鬆性椎体骨折の治療戦略骨粗鬆性椎体骨折患者へのTBS(trabecular bone score)の有用性の検討,
第48回日本骨折治療学会【開催期間:2022年6月24日-25日】, 2022年6月. 玉置康晃, 浜田大輔, 和田佳三, 大道泰之, 後東知宏, 鶴尾吉宏, 西良浩一 :
人工膝関節手術支援ロボットNAVIOにおける再現性の高い軟部バランス評価方法の検討:未固定遺体研究,
JOSKAS-JOSSM 2022【開催期間:2022年6月16日-18日】, 2022年6月. 和田佳三, 浜田大輔, 大道泰之, 玉置康晃, 後東知宏, 西良浩一 :
BCS-TKAにおける術前アライメントが手術支援ロボットNAVIOによる軟部組織評価に与える影響についての検討,
JOSKAS-JOSSM 2022【開催期間:2022年6月16日-18日】, 2022年6月. 浜田大輔, 和田佳三, 玉置康晃, 大道泰之, 後東知宏, 西良浩一 :
Bicruciate-stabilized TKAの1年成績 -navigationとroboticsの比較-,
JOSKAS-JOSSM 2022【開催期間:2022年6月16日-18日】, 2022年6月. 浜田大輔, 和田佳三, 玉置康晃, 大道泰之, 後東知宏, 西良浩一 :
シンポジウム「人工関節のテクノロジーの進歩」ロボット支援人工膝関節置換術の可能性と治療戦略,
JOSKAS-JOSSM 2022【開催期間:2022年6月16日-18日】, 2022年6月. 玉置康晃, 後東知宏, 和田佳三, 大道泰之, 浜田大輔, 鶴尾吉宏, 西良浩一 :
腸腰筋インピンジメントにおけるインプラント設置角度と腸腰筋表面圧の評価:未固定遺体を用いた検討,
第95回日本整形外科学会学術総会【開催期間:2022年5月19日-22日】, 2022年5月. 浜田大輔, 和田佳三, 玉置康晃, 大道泰之, 後東知宏, 西良浩一 :
手術支援ロボットおよびナビゲーションシステムを用いたBCS TKAの短期成績比較,
第95回日本整形外科学会学術総会【開催期間:2022年5月19日- 22日】, 2022年5月. 浜田大輔, 和田佳三, 玉置康晃, 大道泰之, 後東知宏, 西良浩一 :
シンポジウム「未来志向のTKA」手術支援ロボットNACIO/CORIを用いたpersonalized TKA,
第95回日本整形外科学会学術総会【開催期間:2022年5月19日- 22日】, 2022年5月. 和田佳三, 後東知宏, 大道泰之, 玉置康晃, 浜田大輔, 西良浩一 :
骨頭被覆率は発育性股関節形成不全の新たな診断基準となりうるか?-未固定遺体と有限要素解析を用いた整合性の検証-,
第95回日本整形外科学会学術総会【開催期間:2022年5月19日- 22日】, 2022年5月. 和田佳三, 浜田大輔, 大道泰之, 玉置康晃, 後東知宏, 西良浩一 :
Bi-Cruciate StabilizedおよびBi-Cruciate Retaining型TKAの術中動態の臨床成績との関連についての検討,
第95回日本整形外科学会学術総会【開催期間:2022年5月19日- 22日】, 2022年5月. 大道泰之, 後東知宏, 和田佳三, 玉置康晃, 浜田大輔西良浩一 :
人工股関節置換術におけるJHEQの臨床評価 JOA score, WOMAC, FJSとの相関関係の検討,
第138回中部日本整形外科災害外科学会(WEB)【開催期間:2022年4月8日-5月9日】, 2022年4月. 大道泰之, 浜田大輔, 和田佳三, 玉置康晃, 後東知宏, 西良浩一 :
Klebsiella pneumoniae invasive syndromeにより生じた人工膝関節周囲感染の一例,
第138回中部日本整形外科災害外科学会(WEB)【開催期間:2022年4月8日-5月9日】, 2022年4月. 阿部拓馬, 土岐俊一, 手束文威, 和田佳三, 西庄俊彦, 西良浩一 :
大腿骨頚部に発生した類骨骨腫に対して全内視鏡下腫瘍切除術を施行した一例,
第138回中部日本整形外科災害外科学会(WEB)【開催期間:2022年4月8日-5月9日】, 2022年4月. 和田佳三, 後東知宏, 大道泰之, 玉置康晃, 浜田大輔, 西良浩一 :
未固定遺体股関節を用いた寛骨臼関節面応力の検討ー有限要素法と負荷試験との比較ー,
第138回中部日本整形外科災害外科学会(WEB)【開催期間:2022年4月8日-5月9日】, 2022年4月. 和田佳三, 浜田大輔, 大道泰之, 玉置康晃, 後東知宏, 西良浩一 :
手術支援ロボットNAVIOによる術中大腿骨コンポーネント提示サイズと使用サイズとの差についての検討,
第138回中部日本整形外科災害外科学会(WEB)【開催期間:2022年4月8日-5月9日】, 2022年4月. 浜田大輔, 和田佳三, 玉置康晃, 大道泰之, 後東知宏, 西良浩一 :
ロボット支援BCS TKAの短期成績 -ナビゲーション手術との比較-,
第138回中部日本整形外科災害外科学会(WEB)【開催期間:2022年4月8日-5月9日】, 2022年4月. 浜田大輔, 和田佳三, 玉置康晃, 大道泰之, 後東知宏, 西良浩一 :
シンポジウム「ロボット手術の可能性と最新の治療戦略」 Image-free handheld robotを用いたBCR/BCS TKAの治療戦略,
第138回中部日本整形外科災害外科学会(WEB)【開催期間:2022年4月8日-5月9日】, 2022年4月. 玉置康晃, 後東知宏, 和田佳三, 大道泰之, 鶴尾吉宏, 西良浩一 :
腸腰筋インピンジメントにおけるカップ突出量が腸腰筋表面圧に及ぼす影響:未固定遺体を用いた検討,
第138回中部日本整形外科災害外科学会(WEB)【開催期間:2022年4月8日-5月9日】, 2022年4月. 玉置康晃, 後東知宏, 和田佳三, 大道泰之, 鶴尾吉宏, 西良浩一 :
腸腰筋インピンジメントにおけるカップ突出量と腸腰筋表面圧の評価:未固定遺体を用いた検討,
第52回日本人工関節学会【開催期間:2022年2月25日-26日】, 2022年2月. 玉置康晃, 浜田大輔, 和田佳三, 大道泰之, 後東知宏, 西良浩一 :
人工膝関節手術支援ロボット・NAVIOにおける軟部バランス評価手技の検討:未固定遺体を用いた研究,
第52回日本人工関節学会【開催期間:2022年2月25日-26日】, 2022年2月. 古本太希, 浜田大輔, 和田佳三, 友成健, 玉置康晃, 佐藤紀, 後東知宏, 西良浩一 :
UKA, BCR, BCS型TKA後患者における膝伸展筋力回復の比較,
第52回日本人工関節学会【開催期間:2022年2月25日-26日】, 2022年2月. 浜田大輔, 和田佳三, 玉置康晃, 大道泰之, 後東知宏, 西良浩一 :
手術支援ロボットおよびナビゲーションシステムを用いたBCS TKAの短期成績,
第52回日本人工関節学会【開催期間:2022年2月25日-26日】, 2022年2月. 浜田大輔, 和田佳三, 玉置康晃, 大道泰之, 後東知宏, 西良浩一 :
パネルディスカッション「TKA/UKAの回旋アライメント再考」 BCS-TKAの回旋位と回旋動態の関連について,
第52回日本人工関節学会【開催期間:2022年2月25日-26日】, 2022年2月. 浜田大輔, 和田佳三, 玉置康晃, 大道泰之, 後東知宏, 西良浩一 :
シンポジウム「UKAとBCR-TKAの適応を考える」UKAとBCR-TKAの使い分け-当科の考え-,
第52回日本人工関節学会【開催期間:2022年2月25日-26日】, 2022年2月. 和田佳三, 浜田大輔, 大道泰之, 玉置康晃, 後東知宏, 西良浩一 :
Bi-cruciate stabilizedおよびBi-cruciate retaining型TKAの術中動態の臨床成績との関連についての検討,
第52回日本人工関節学会【開催期間:2022年2月25日-26日】, 2022年2月. 和田佳三, 浜田大輔, 大道泰之, 玉置康晃, 後東知宏, 西良浩一 :
術前内反アライメントが手術支援ロボットNAVIOによるBi-cruciate stabilized型TKA術中軟部バランス評価に与える影響の解析,
第52回日本人工関節学会【開催期間:2022年2月25日-26日】, 2022年2月. 大道泰之, 和田佳三, 後東知宏, 玉置康晃, 浜田大輔, 西良浩一 :
Anterolateral-supine (ALS) approach THA術前後の股関節周囲筋の変化と筋力との関連,
第52回日本人工関節学会【開催期間:2022年2月25日-26日】, 2022年2月. 大道泰之, 浜田大輔, 和田佳三, 玉置康晃, 後東知宏, 西良浩一 :
人工膝関節手術支援ロボットのインプラント設置精度の検討,
第52回日本人工関節学会【開催期間:2022年2月25日-26日】, 2022年2月. 和田佳三, 浜田大輔, 玉置康晃, 大道泰之, 後東知宏, 鶴尾吉宏, 西良浩一 :
未固定遺体を用いた健常膝関節における関節動揺性と関節動態の関連性についての検討,
第36回日本整形外科基礎学術集会, 2021年10月. 和田佳三, 浜田大輔, 玉置康晃, 大道泰之, 後東知宏, 鶴尾吉宏, 西良浩一 :
未固定遺体を用いた健常膝関節における関節弛緩性と関節動態の関連性についての解析,
JOSKAS-JOSSM 2021, 2021年6月. 古本太希, 浜田大輔, 和田佳三, 玉置康晃, 佐藤紀, 後東知宏, 加藤真介, 西良浩一 :
両十字靱帯温存型の人工膝関節全置換術後では歩行時に正常な膝関節運動力学動態を再現できていない,
日本整形外科學會雜誌, Vol.95, No.3, S790, 2021年3月.

(キーワード): *後十字靱帯 *膝関節(外科的療法) 人工膝関節 *前十字靱帯 *膝関節置換術 *歩行分析ヒト中年(45∼64) 高齢者(65∼79)

和田佳三 :
未固定遺体を用いた膝関節gap評価 -大腿骨脛骨回旋位置はgap評価に影響するか?-,
第12回JOSKAS, 2020年12月. 和田佳三 :
BCS型TKAにおける術中動態と臨床成績の関連についての検討,
第53回中国四国整形外科学会, 2020年11月. 和田佳三 :
健常膝関節における関節動態と関節動揺性の関係 -未固定遺体とナビゲーションを用いた検討-,
第135回中部日本整形災害外科学会, 2020年10月. 和田佳三 :
BCS-TKAにおける術中動態と臨床成績の関連についての検討,
第48回日本関節病学会, 2020年10月. 和田佳三 :
有限要素法を用いた骨盤後方傾斜が寛骨臼関節面応力に与える影響の検討,
第35回日本整形外科学会基礎学術集会, 2020年10月. 和田佳三 :
有限要素法を用いた骨頭被覆率および寛骨臼関節面応力に骨盤傾斜が与える影響の解析,
第47回日本股関節学会, 2020年10月. 古本太希, 浜田大輔, 片山綾音, 川村由佳, 友成健, 大澤俊文, 和田佳三, 佐藤紀, 加藤真介, 西良浩一 :
人工膝関節全置換術後患者の階段降段動作は同年代健常者の膝関節運動力学動態を再現できていない,
The Japanese Journal of Rehabilitation Medicine, Vol.57, 1-P2K-17-1, 2020年7月.

(キーワード): 関節可動域膝関節 *膝関節置換術(リハビリテーション) 生体運動力学階段昇降ヒト中年(45∼64) 高齢者(65∼79) 高齢者(80∼)

和田佳三 :
骨盤傾斜が骨頭被覆率および寛骨臼関節面応力に与える影響,
第93回日本整形外科学会学術総会, 2020年5月. 和田佳三 :
未固定遺体膝を用いた内側・外側UKA術前後の動態比較-術中動態解析データを用いた2次元 mapping法の検討-,
第134回中部日本整形災害外科学会, 2020年4月. 古本太希, 浜田大輔, 高砂智哉, 和田佳三, 玉置康晃, 佐藤紀, 後東知宏, 加藤真介, 西良浩一 :
人工膝関節全置換術後患者の段階昇降における矢状面膝関節運動力学動態と大腿四頭筋の筋活動の特性降段動作困難感の原因解明,
日本整形外科學會雜誌, Vol.94, No.3, S1260, 2020年3月.

(キーワード): 関節可動域筋電図 *膝関節 *膝関節置換術 *大腿四頭筋 *階段昇降動作分析ヒト

古本太希, 浜田大輔, 高砂智哉, 和田佳三, 玉置康晃, 佐藤紀, 後東知宏, 加藤真介, 西良浩一 :
人工膝関節全置換術後6ヵ月での1足1段様式による段階降段のための大腿四頭筋力のカットオフ値,
日本整形外科學會雜誌, Vol.94, No.3, S1261, 2020年3月.

(キーワード): 基準値 *膝関節置換術(リハビリテーション) *大腿四頭筋 *階段昇降ヒト

和田佳三 :
術中動態解析データを用いた2次元mapping法による内側・外側UKA術前後の動態比較-未固定遺体膝を用いた検討-,
第50回日本人工関節学会, 2020年2月. 和田佳三 :
中年期OAの手術治療人工膝関節単顆置換術,
第50回日本人工関節学会, 2020年2月. 和田佳三, 浜田大輔, 高砂智哉, 後東知宏, 殿谷一朗, 鶴尾吉宏, 西良浩一 :
内側関節面形状がBCR-TKA術後Screw Home Movementの維持に与える影響,
第10回日本関節鏡・膝・スポーツ整形外科学会, 2018年6月. 和田佳三, 後東知宏, 高砂智哉, 浜田大輔, 西良浩一 :
骨盤傾斜が骨頭被覆率に与える影響についての検討,
第91回日本整形外科学会学術総会, 2018年5月. 和田佳三, 浜田大輔, 高砂智哉, 後東知宏, 殿谷一朗, 西良浩一 :
TKAのインサート形状がScrew Home Movementに及ぼす影響 -未固定遺体を用いた検討,
第130回中部日本整形災害外科学会, 2018年4月. 酒井紀典, 橋本拓也, 和田佳三, 宮城亮, 西良浩一 :
痛み診断の新企画像評価-特に拡散強調画像の臨床応用について-,
第25回日本腰痛学会(2017年11月3日-4日)シンポジウム, 2017年11月.

研究会・報告書: 浜田大輔, 和田佳三, 高砂智哉, 新田晃弘, 後東知宏, 鶴尾吉宏, 西良浩一 :
BCRのkinematics:未固定遺体膝を用いた解析,
Bone Joint Nerve こつ・かんせつ・しんけい(BJN), Vol.9, No.2, 225-296, 2019年4月.

特許: 研究者総覧に該当データはありませんでした。
作品: 和田佳三 :
Posterior-stabilized型人工膝関節全置換術における内側側副靭帯の解離が脛骨の内旋動態に与える影響-未固定遺体を用いた検討．,
臨床雑誌整形外科, Vol.69, No.5, 495-497, 2018年5月.
補助金・競争的資金: 手術支援ロボットを用いた人工膝関節置換術における膝蓋大腿関節適合性の評価と調整 (研究課題/領域番号: 24K15792 )
関節面形状を再現したオーダーメイド人工膝関節は健常膝関節動態を再現するか？ (研究課題/領域番号: 24K12376 )
関節摺動面圧は膝関節軟部組織バランス評価の基準となりうるか？ (研究課題/領域番号: 20K18000 )
股関節キネマティクスおよび関節面応力からみる股関節スタビライザーの役割 (研究課題/領域番号: 18K09107 )
骨盤傾斜と寛骨臼骨頭被覆率は発育性股関節形成不全の新たな基準となりうるか？ (研究課題/領域番号: 17K17921 )
滑膜の慢性炎症およびインスリン抵抗性に着目した変形性関節症の発症・進行制御 (研究課題/領域番号: 17K11011 )
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2024年11月14日更新

専門分野・研究分野: 研究者総覧に該当データはありませんでした。
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受賞: 2017年11月, (日本関節病学会)
2018年5月, 19th EFFORT Congress(2018年5月30日-6月1日):best poster presentation賞
2018年6月, 第10回JOSKAS (日本関節鏡・膝・スポーツ整形外科学会) (2018年6月14日-16日):Outstanding Young Investigator Award(OYIA)賞
2020年10月, 令和2年度徳島県科学技術大賞若手研究者部門 (徳島県)
2020年12月, 令和2年度徳島大学若手研究者学長表彰 (徳島大学)
2022年2月, 第52回日本人工関節学会優秀演題賞 (日本人工関節学会)
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研究者番号: 00771289

所属（現在）: 2024/4/1 : 徳島大学, 病院, 特任准教授

所属（過去の研究課題 情報に基づく）*注記: 2024/4/1 : 徳島大学, 病院, 特任准教授
2022/4/1 : 徳島大学, 病院, 特任准教授
2021/4/1 : 徳島大学, 病院, 講師
2020/4/1 : 徳島大学, 大学院医歯薬学研究部(医学域), 特任講師
2017/4/1 – 2019/4/1 : 徳島大学, 病院, 助教

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研究代表者

生物系 / 医歯薬学 / 外科系臨床医学 / 整形外科学 / 総合系 / 複合領域 / 人間医工学 / 生体医工学・生体材料学
小区分56020:整形外科学関連

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生物系 / 医歯薬学 / 外科系臨床医学 / 整形外科学
小区分56020:整形外科学関連
小区分90130:医用システム関連

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股関節 / 寛骨臼形成不全 / 骨盤傾斜 / 有限要素法 / 有限要素解析 / 応力解析 / CT画像評価 / 生体医工学・生体材料学 / 四肢機能再建学生体シミュレーション / 動態解析 / 人工膝関節置換術 / ナビゲーション / 膝関節

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変形性関節症 / 慢性炎症 / 糖尿病 / 軟骨基質分解酵素 / 滑膜 / 基質分解酵素 / 肥満 / 関節病学 / 股関節 / 関節不安定性 / 動態解析 / 関節包靱帯 / 関節安定性 / 関節面応力解析 / 骨盤後傾 / 人工膝関節 / 手術支援ロボット / 膝蓋大腿関節

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健常膝関節の動きを再現した人工膝関節置換術の開発

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