A5030643895- Orthopedic Surgery and Rehabilitation
- Orthopaedic implants and arthroplasty
- Spine and Intervertebral Disc Pathology
- Bone fractures and treatments
- Spinal Fractures and Fixation Techniques
- Hip disorders and treatments
- Sarcoma Diagnosis and Treatment
- Bone Tumor Diagnosis and Treatments
- Elbow and Forearm Trauma Treatment
- Peripheral Nerve Disorders
- Nerve Injury and Rehabilitation
- Bone and Joint Diseases
- Cervical and Thoracic Myelopathy
- Musculoskeletal synovial abnormalities and treatments
- Shoulder Injury and Treatment
- Reconstructive Surgery and Microvascular Techniques
- Congenital limb and hand anomalies
- Medical Imaging and Analysis
- Total Knee Arthroplasty Outcomes
- Neurogenetic and Muscular Disorders Research
- Orthopedic Infections and Treatments
- Shoulder and Clavicle Injuries
- Knee injuries and reconstruction techniques
- Connective tissue disorders research
- Infectious Diseases and Tuberculosis
University of the Ryukyus University Hospital
1993-2023
University of the Ryukyus
1984-1999
American Society for Surgery of the Hand
1998
Mitsuwadai General Hospital
1990
Niigata University
1986
We present the results of a new mobilization procedure for treatment congenital proximal radioulnar synostosis in seven patients. The operative included separation and placement free vascularized fascio-fat graft to prevent recurrent ankylosis. average age at time operation was eight years two months (range, six four eleven ten months). All patients were boys who had no other anomalies. radial head dislocated all (anteriorly posteriorly five). final index operations an osteotomy radius order...
In 23 patients, simple bone cysts were treated by curettage followed packing the cavity with cubes of high-porosity hydroxyapatite (HA). 22 HA was packed exclusively without autogeneic graft. Except in one patient who sustained pathologic fracture at femoral diaphysis, a fibula strut Each case had an uneventful postoperative course and followed, on average, two years. Complete healing cyst recurrence occurred 18 cases (78%). three cases--all rapidly growing children--a new appeared between...
Active hydrogen inhalation (H(H 2 O) m ) has powerful antioxidant and antiapoptotic effects. In recent years, it been used in a number of experimental clinical studies. Aim. To study the safety effectiveness “active form hydrogen” (AFV;(H(H )) rehabilitation program coronavirus disease 2019 (COVID-19) survivors during recovery period. Material methods . This randomized controlled parallel prospective included 60 COVID-19 with post-COVID-19 syndrome (ICD-10: U09.9) period, manifestations...
We devised a medial plantar flap with functioning abductor hallucis for simultaneous reconstruction of thenar skin and muscle defects. The anatomy the was studied in five cadaver dissections before surgical attempts were made patients, who this series included three men one woman (average age 38 years, range 26 to 50 years). All patients followed minimum 3 years 9 months). In all cases, voluntary abduction thumb by transferred achieved confirmed electromyography. provides not only stable...
Aim . To study the effect of inhalation therapy with an active hydrogen (AH) on protein composition exhaled breath condensate (EBC) in patients post-COVID syndrome (PCS). Material and methods This randomized controlled parallel prospective included 60 after coronavirus disease 2019 (COVID-19) PCS during recovery period clinical manifestations chronic fatigue who received standard according to protocol for managing (CFS). The were divided into 2 groups: group 1 (main) — 30 people AH...
A very rare case of recurrent anterior dislocation the hip with neurofibromatosis was reported.A man aged forty-one years sustained his right when he fell posteriorly while working in field fifteen ago. The dislocated reduced under general anesthesia. Two ago working, and same hip. Third occurred tried to stand up, forth swimming.Radiographs demonstrated an elogation femur, increase neck-shaft angle, but no remarkable change seen acetabulum femoral head.At operation, we recognized tear...
We report long-term results (over 10 years) of total knee arthroplasty (TKA) for the treatment osteoarthritis (OA) and rheumatoid arthritis (RA). Twenty-three patients (OA; patients, RA 13 patients) with 36 knees were examined. Clinical evaluated using Knee Function Scoring System developed by three universities. Radiographs loosening sinking TKA. Post-operative complications in 79 49 patients.The function score significantly improved from 41 to 73 points OA 40 63 RA. In both knees,...
We report a case of carpal tunnel syndrome caused by palmaris profunda. Palmaris profunda is an anatomical variation longus, which runs beneath the transverse ligament and inserts palmar aponeurosis. Only six clinical cases with have been reported in English medical literatures.A 58-year-old man had numbness median nerve distribution his left hand for three years. He visited our hospital because exacerbation development thenar muscle atrophy. Intraoperatively, tendon was found compressed...
The incidence of atypical mycobacterium (AM) infection is 2.71 out a population 100.000. Most were pulmonary and extra counted 3%. Arthritis osteomyelitis caused by AM rare. We successfuly treated two patients with arthritis coused AM.Case 1. A 62-year-old man wrist pain swelling for 6 years, was suspected as having RA. However, treatment RA did not improve his symptom. He received synovectomy 3 times but synovitis recurred. Mycobacterium scrofulaceum cultured from joint fluid. started...
Tumoral calcinosis is a rare disorder characterised by calcification of periarticular soft tissue. Although hyperphosphatemia not always accompanied, it thought to be pathogenetic factor. We report such case tumoral in 17-year-old girl. She had gradually enlarging mass on her back near the right scapula. Plain radiograph computed tomography, and magnetic resonance imaging revealed partially calcified lesion between scapula thorax. Laboratory tests including levels serum calcium parathyroid...
Merkel cell carcinoma (MCC), first described by Toker in 1972, is a rare superficial subcutaneous presumably derived from neurotactile cells of the dermis. Lymph node metastasis frequent, but bone rarely reported. A 66 year-old man was referred showing an osteolytic destructive lesion his right proximal tibia. Simple resection left buttock tumor had been performed another hospital two years previously. Open biopsy revealed small round carcinoma, positive to EMA, NSE, S-100, and negative...
We successfully treated skin defects around the ankle joint by reverse venoneuroadipofascial (V-NAF) flap in 2 patients. The V-NAF is fasciocutaneus supplied accompanying arteries of cutaneous vein and nerve. Case 1 was a 54-year-old female suffering rheumatoid arthritis for 30 years. Intractable ulcer at medial malleolar region right occurred years ago has enlarged. defect covered with (16×6cm) donor site graft. No recurrence found 5 months. 23-year-old male 50 degrees equinus contracture...
We reviewed 14 patients with cervical dumbbell tumor who underwent surgical treatment. They consisted of 7 males and females, the mean age at surgery was 44.4 years old. revealed 12 schwannomas 2 meningiomas.In 8 patients, extirpated. In 5 out remaining 6 intra-spinal lesion removed, but anterior extra-spinal lesion, which could not be removed by posterior approach, left alone. only 1 patient, intraspinal located in front spinal cord Neurological symptoms improved clinical recovery rate...
Plexiform schwannoma is a rare benign neurogenic tumor. Multinodular subdivision and occurs in the proximal nerve trunk. We report case of multinodular arising from left sciatic nerve. The patient was 42-year-old man, who complained tumor posterior thigh. Pathological diagnosis by open biopsy performed at another hospital indicated cellular neurilemmoma. MRI revealed multiple tumors nerve, which iso-intensity on T1WI, high intensity T2WI, enhanced with Gd-DTPA. composed 46 It consisted...
Prostaglandin E1 (PGE1) has already been shown to improve vascular patency in experimental microvascular anastomosis. It is also widely used following clinical We designed a prospective study compare the efficacy of Lipo PGE1 and PGE1-CD (PGE1-α-cyclodextrin) 34 patients (14 free tissue transfers 20 digital replantations). Dosage was 10μg daily for an average 8 days that 120μg (60μg×2) 6 days. Success anastomosis evaluated by survival flap or replanted finger after 2 weeks. The success rate...
Operative cases in thoraco-lumbar fracture-dislocations were investigated. Nine males underwent surgical reduction, decompression and posterior instrumentations using ISOLA 7 patients VSP 2 from June 1993 to July 1998. The age at the surgery ranged 24 49 years old (average 33 old) follow-up period 4 months 65 17 months). dislocated vertebrae T9 L2 3.4 on average included into fusion area. Four urgent operations 5 elected operations.The duration of bed rest averaged weeks. Six represented...
Two cases of traumatic subluxation the carpometacarpal (CM) joint thumb are reported. The first case was caused by radial CM following forced extension and abduction right thumb. patient treated with taping, however, remained after 5 months. He then received intermetacarpal ligament reconstruction a half slip extensor carpi radialis longus. At 15 months follow-up, had neither pain nor instability his kept reduced on radiograph.The second occurred in motor cycle accident. pinching showed even...
Panner's disease is defined as avascular necrosis of the humeral capitellum and was first reported by Panner in 1927. It usually occurs boys younger than 10 years age. Residual deformity loose bodies are not seen.Osteochondritis dissecans, which sometimes results residual bodies, need to be distinguished from disease.We experienced an eight-year-old boy with who successfully treated immobilization for 20 weeks. Radiograph MRI showed satisfactory revascularization epiphysis capitellum....
The weight-bearing area of the foot is covered by thick, stable, and tough glabrous skin. In 6 patients, we skin defect with either pedicle or free medial plantar flaps. patients' age ranged from 16 to 55 years old (mean 34 old). Skin defects were located at forefoot in 3 heel 3. size flaps 6.5×5cm 16×10cm. There 5 vascularized 1 flap. 2 flaps, nerve was not repaired. All survived completely out recovered some sensation. One patient who did recover sensation flap produced ulcers...