JaLCDOI | 10.18926/AMO/40011 |
---|---|
フルテキストURL | fulltext.pdf |
著者 | Honda, Mitsugi| Arita, Seizaburo| Mitani, Shigeru| Takeda, Yoshihiro| Ozaki, Toshifumi| Inamura, Keiji| Kanazawa, Susumu| |
抄録 | Plain X-ray radiography is frequently used for the diagnosis of developmental dislocation of the hip (DDH). The aim of this study was to construct a diagnostic support system for DDH based on clinical findings obtained from the X-ray images of 154 female infants with confirmed diagnoses made by orthopedists. The data for these subjects were divided into 2 groups. The Min-Max method of nonlinear analysis was applied to the data from Group 1 to construct the diagnostic support system based on the measurement of 4 items in X-ray images:the outward displacement rate, upward displacement rate, OE angle, and alpha angle. This system was then applied to the data from Group 2, and the results were compared between the 2 groups to verify the reliability of the system. We obtained good results that matched the confirmed diagnoses of orthopedists with an accuracy of 85.9%. |
キーワード | X-ray image developmental dislocation of the hip acetabular dysplasia radiographic findings nonlinear multivariate analysis infant hip joint diagnostic support system |
Amo Type | Original Article |
発行日 | 2010-06 |
出版物タイトル | Acta Medica Okayama |
巻 | 64巻 |
号 | 3号 |
出版者 | Okayama University Medical School |
開始ページ | 189 |
終了ページ | 196 |
ISSN | 0386-300X |
NCID | AA00508441 |
資料タイプ | 学術雑誌論文 |
言語 | English |
著作権者 | Okayama University Medical School |
論文のバージョン | publisher |
査読 | 有り |
PubMed ID | 20596130 |
Web of Science KeyUT | 000279094300005 |
JaLCDOI | 10.18926/AMO/57957 |
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フルテキストURL | 74_1_77.pdf |
著者 | Endo, Hirosuke| Akazawa, Hirofumi| Yashiro, Masato| Yamada, Kazuki| Sanki, Tomoaki| Tetsunaga, Tomonori| Nishida, Keiichiro| Furumatsu, Takayuki| Ozaki, Toshifumi| |
抄録 | Idiopathic chondrolysis of the hip (ICH), a very rare disorder of unknown etiology, occurs mainly in female adolescents. Characterized by pain, limp, stiffness and radiological narrowing joint space from the rapid destruction of the articular cartilage, ICH sometimes results in ankyloses. We present the case of a 10-year-old girl diagnosed with ICH based on arthroscopic inspection and synovium biopsy. The femoral deformity appeared gradually, like a cam-type femoroacetabular impingement. She was treated with intensive rehabilitation and immunosuppressive drug. We later performed an arthroscopic bumpectomy for residual symptoms. She achieved a favorable outcome as a 15-year-old at the latest follow-up. |
キーワード | idiopathic chondrolysis hip joint medication bump arthroscopy |
Amo Type | Case Report |
発行日 | 2020-02 |
出版物タイトル | Acta Medica Okayama |
巻 | 74巻 |
号 | 1号 |
出版者 | Okayama University Medical School |
開始ページ | 77 |
終了ページ | 81 |
ISSN | 0386-300X |
NCID | AA00508441 |
資料タイプ | 学術雑誌論文 |
言語 | English |
著作権者 | CopyrightⒸ 2020 by Okayama University Medical School |
論文のバージョン | publisher |
査読 | 有り |
PubMed ID | 32099253 |
Web of Science KeyUT | 000516606200012 |
NAID | 120006795624 |
JaLCDOI | 10.18926/AMO/49259 |
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フルテキストURL | 67_1_65.pdf |
著者 | Sakata, Kenichiro| Furumatsu, Takayuki| Abe, Nobuhiro| Miyazawa, Shinichi| Sakoma, Yoshimasa| Ozaki, Toshifumi| |
抄録 | Bone marrow-stimulating techniques such as microfracture and subchondral drilling are valuable treatments for full-thickness cartilage defects. However, marrow stimulation-derived reparative tissues are not histologically well-documented in human osteoarthritis. We retrospectively investigated cartilage repairs after marrow stimulation for the treatment of large cartilage defects in osteoarthritic knees. Tissues were obtained from patients who underwent total knee arthroplasty (TKA) after arthroscopic marrow stimulation in medial compartmental osteoarthritis. Clinical findings and cartilage repair were assessed. Sections of medial femoral condyles were histologically investigated by safranin O staining and anti-type II collagen antibody. Marrow stimulation decreased the knee pain in the short term. However, varus leg alignment gradually progressed, and TKA conversions were required. The grade of cartilage repair was not improved. Marrow stimulations resulted in insufficient cartilage regeneration on medial femoral condyles. Safranin O-stained proteoglycans and type II collagen were observed in the deep zone of marrow-stimulated holes. This study demonstrated that marrow stimulation resulted in failed cartilage repair for the treatment of large cartilage defects in osteoarthritic knees. Our results suggest that arthroscopic marrow stimulation might not improve clinical symptoms for the long term in patients suffering large osteoarthritic cartilage defects. |
キーワード | bone marrow stimulation microfracture subchondral drilling osteoarthritis of the knee cartilage repair |
Amo Type | Case Report |
発行日 | 2013-02 |
出版物タイトル | Acta Medica Okayama |
巻 | 67巻 |
号 | 1号 |
出版者 | Okayama University Medical School |
開始ページ | 65 |
終了ページ | 74 |
ISSN | 0386-300X |
NCID | AA00508441 |
資料タイプ | 学術雑誌論文 |
言語 | English |
著作権者 | CopyrightⒸ 2013 by Okayama University Medical School |
論文のバージョン | publisher |
査読 | 有り |
PubMed ID | 23439511 |
Web of Science KeyUT | 000316829900009 |
JaLCDOI | 10.18926/AMO/47262 |
---|---|
フルテキストURL | 65_6_369.pdf |
著者 | Terada, Chuji| Yoshida, Aki| Nasu, Yoshihisa| Mori, Shuji| Tomono, Yasuko| Tanaka, Masato| Takahashi, Hideo K.| Nishibori, Masahiro| Ozaki, Toshifumi| Nishida, Keiichiro| |
抄録 | We investigated the expression and localization of high-mobility group box chromosomal protein-1 (HMGB-1) in human osteoarthritic (OA) cartilage in relation to the histopathological grade of cartilage destruction, and examined the role of HMGB-1 in the regulation of proinflammatory cytokine expression in chondrocytes. An immunohistochemical study demonstrated that total HMGB-1-positive cell ratios increase as the Osteoarthritis Research Society International (OARSI) histological grade increased. The population of cytoplasmic HMGB-1-positive chondrocytes was especially increased in the deep layers of higher-grade cartilage. The ratios and localization of receptors for advanced glycation end products (RAGE) expression by chondrocytes in Grade 2, 3, and 4 were significantly higher than those in Grade 1. In vitro stimulation with IL-1β, but not TNFα, significantly upregulated the expression of HMGB-1 mRNA by human OA chondrocytes. Both IL-1β and TNFα promoted the translocation of HMGB-1 from nuclei to cytoplasm. IL-1β and TNFα secretions were stimulated at higher levels of HMGB-1. The results of our study suggest the involvement of HMGB-1 in the pathogenesis of cartilage destruction in OA. |
キーワード | HMGB-1 RAGE chondrocyte osteoarthritis cartilage |
Amo Type | Original Article |
発行日 | 2011-12 |
出版物タイトル | Acta Medica Okayama |
巻 | 65巻 |
号 | 6号 |
出版者 | Okayama University Medical School |
開始ページ | 369 |
終了ページ | 377 |
ISSN | 0386-300X |
NCID | AA00508441 |
資料タイプ | 学術雑誌論文 |
言語 | English |
著作権者 | CopyrightⒸ 2011 by Okayama University Medical School |
論文のバージョン | publisher |
査読 | 有り |
PubMed ID | 22189477 |
Web of Science KeyUT | 000298516900003 |
JaLCDOI | 10.18926/AMO/32641 |
---|---|
フルテキストURL | fulltext.pdf |
著者 | Ozaki, Toshifumi| Inoue, Hajime| Taguchi, Kohji| Sugihara, Shinsuke| |
抄録 | <p>We compared gadolinium diethylenetriaminepentaacetic acid (Gd-DTPA) enhanced T1-weighted images (T1-Gd) with the histopathological findings in 13 patients with bone or soft tissue sarcomas. Signal intensity of the viable tumor tissue was increased in T1-Gd in 92% of the patients. The necrotic or cystic areas in the tumor were not enhanced, rendering them distinctly. The degree of enhancement of the edematous area around the tumor was similar to or more marked than that of the tumor in 54% of the patients. Area showing inflammatory cells infiltration and edematous areas in the tumor tissue were also enhanced. Thus, the effect of preoperative chemotherapy in tumor tissues other than necrotic and cystic areas tended to be underestimated in T1-Gd. Its effect should be comprehensively evaluated based on not only T1-Gd but also T2-weighted images and findings of other imaging techniques.</p> |
キーワード | gadolinium diethylenetriaminepentaacetic acid(DTPA) magnetic resonance(MR) bone neoplasms soft tissue neoplasms |
Amo Type | Article |
発行日 | 1992-12 |
出版物タイトル | Acta Medica Okayama |
巻 | 46巻 |
号 | 6号 |
出版者 | Okayama University Medical School |
開始ページ | 471 |
終了ページ | 477 |
ISSN | 0386-300X |
NCID | AA00508441 |
資料タイプ | 学術雑誌論文 |
言語 | English |
論文のバージョン | publisher |
査読 | 有り |
PubMed ID | 1485542 |
Web of Science KeyUT | A1992KE49600010 |
JaLCDOI | 10.18926/AMO/53680 |
---|---|
フルテキストURL | 69_5_325.pdf |
著者 | Okada, Yoshiki| Endo, Hirosuke| Mitani, Shigeru| Fujiwara, Kazuo| Tetsunaga, Tomonori| Kagawa, Yohei| Fujii, Yosuke| Kunisada, Toshiyuki| Ozaki, Toshifumi| |
抄録 | Total hip arthroplasty (THA) is the most effective treatment for advanced or end-stage hip osteoarthritis. However, venous thromboembolism (VTE) remains one of its unresolved complications. We reviewed the records of 322 patients undergoing primary THA and investigated the efficacy of anticoagulant prophylaxis for VTE. Our study cohort consisted of 60 patients who received no anticoagulants, 100 patients who received a factor Xa inhibitor (fondaparinux), 100 patients who received low molecular weight heparin (enoxaparin), and 62 patients who selectively received no anticoagulant prophylaxis due to perioperative bleeding, weight, and/or hemoglobin concentration. Enhanced 64-slice multidetector row computed tomography was performed postoperatively for 7 days in all cases. The incidence of VTE in the four groups was 15%, 9.0%, 6.0%, and 6.4%, respectively. The incidence of VTE was significantly lower in the groups receiving anticoagulant prophylaxis and the group selectively receiving no anticoagulant prophylaxis than in the group receiving no anticoagulants. Complications of fondaparinux therapy included hepatic dysfunction in 4 cases (4.0%), minor bleeding in 2 cases (2.0%), persistent wound drainage in 3 cases (3.0%), and eruption in 1 case (1.0%). The complications of enoxaparin therapy were persistent wound drainage in 1 case (1.0%) and progression of anemia in 1 case (1.0%). The incidence of VTE was low in patients who selectively received no anticoagulant prophylaxis, so we conclude that anticoagulant prophylaxis should be used selectively in THA cases. |
キーワード | total hip arthroplasty venous thromboembolism anticoagulant prophylaxis complications |
Amo Type | Erratum |
発行日 | 2015-10 |
出版物タイトル | Acta Medica Okayama |
巻 | 69巻 |
号 | 5号 |
出版者 | Okayama University Medical School |
開始ページ | 325 |
終了ページ | 325 |
ISSN | 0386-300X |
NCID | AA00508441 |
資料タイプ | 学術雑誌論文 |
言語 | English |
著作権者 | CopyrightⒸ 2015 by Okayama University Medical School |
論文のバージョン | publisher |
査読 | 有り |
PubMed ID | 26490031 |
関連URL | http://doi.org/10.18926/AMO/53556 |
JaLCDOI | 10.18926/AMO/52007 |
---|---|
フルテキストURL | 67_6_343.pdf |
著者 | Yamane, Kentaro| Takigawa, Tomoyuki| Tanaka, Masato| Osaki, Syuhei| Sugimoto, Yoshihisa| Ozaki, Toshifumi| |
抄録 | Cervical spinal schwannoma is benign, and outcomes after surgical resection are generally excellent. A surgical dilemma sometimes arises as to whether to perform total tumor removal, which carries a risk of sacrificing the nerve root, or subtotal removal, where the risk can be tumor recurrence. The purpose of this study was to identify factors with the potential to predict clinical impairment after surgery for cervical spinal schwannomas. Thirty cases of cervical schwannomas treated surgically in our institute were retrospectively reviewed;initial symptoms, tumor location, Eden classification, surgical method, functional outcome, and tumor recurrence were investigated. All permanent motor deficits were the result of resecting functionally relevant nerve roots (i.e., C5-8). The rate of permanent sensory deficit was 11% after C1-4 nerve root resection, and 67% after C5-8 nerve root resection. Permanent neurological deficits occurred in 14% of patients younger than 40 years and 38% of those older than 40. Dumbbell tumors were associated with the need for total or ventral nerve root transection, as well as with a high incidence of tumor recurrence. The incidence of permanent neurological deficit was significantly higher in patients undergoing C5-8 nerve root resection, and tended to be higher in those over 40. |
キーワード | cervical spinal schwannoma neurological deficit nerve root resection tumor resection tumor recurrence |
Amo Type | Original Article |
発行日 | 2013-12 |
出版物タイトル | Acta Medica Okayama |
巻 | 67巻 |
号 | 6号 |
出版者 | Okayama University Medical School |
開始ページ | 343 |
終了ページ | 349 |
ISSN | 0386-300X |
NCID | AA00508441 |
資料タイプ | 学術雑誌論文 |
言語 | English |
著作権者 | CopyrightⒸ 2013 by Okayama University Medical School |
論文のバージョン | publisher |
査読 | 有り |
PubMed ID | 24356718 |
Web of Science KeyUT | 000328915700002 |
フルテキストURL | AOTS20191023.pdf fig.pdf Table.pdf |
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著者 | Yamamoto, Norio| Noda, Tomoyuki| Saito, Taichi| Uehara, Takenori| Shimamura, Yasunori| Ozaki, Toshifumi| |
キーワード | Acetabular fracture External iliac artery External iliac vein Ilioinguinal approach Occlusion Thrombosis |
備考 | This is a post-peer-review, pre-copyedit version of an article published in Archives of Orthopaedic and Trauma Surgery. The final authenticated version is available online at: http://dx.doi.org/10.1007/s00402-019-03288-3.| |
発行日 | 2019-10-23 |
出版物タイトル | Archives of Orthopaedic and Trauma Surgery |
巻 | 140巻 |
号 | 4号 |
出版者 | Springer |
開始ページ | 481 |
終了ページ | 485 |
ISSN | 0936-8051 |
NCID | AA10738765 |
資料タイプ | 学術雑誌論文 |
言語 | English |
OAI-PMH Set | 岡山大学 |
論文のバージョン | author |
PubMed ID | 31642955 |
DOI | 10.1007/s00402-019-03288-3 |
Web of Science KeyUT | 000492001100001 |
関連URL | isVersionOf https://doi.org/10.1007/s00402-019-03288-3 |
JaLCDOI | 10.18926/AMO/30739 |
---|---|
フルテキストURL | fulltext.pdf |
著者 | Aiga, Ayako| Asaumi, Koji| Lee, You Jin| Kadota, Hiroaki| Mitani, Shigeru| Ozaki, Toshifumi| Takigawa, Masaharu| |
抄録 | The localization and expression of neurotrophins and their receptors during distraction osteogenesis was investigated in 72 male rat femurs (11 weeks old) to further clarify the concurrence of cellular and molecular events of new bone formation. After osteotomy, a 7-day lag phase was followed by distraction at the rate of 0.25 mm/12 h for 21 days (distraction phase), and a 7-day consolidation phase. The localization of neurotrophins (NGF, BDNF and NT-3) and their receptors tropomyosinrelated kinases (TRKA, TRKB and TRKC) by immunostaining showed positive staining in bone forming cells in each stage, although the presence and staining intensity varied by cell type and phase. The expressions of NGF, BDNF and NT-3 by real-time polymerase chain reaction (real-time PCR) showed that the peak of the mRNA expression of NGF occurred 10 days after distraction. NT-3 increased during bone extension, but decreased when distraction stopped. In contrast, BDNF continued to increase gradually throughout the distraction and consolidation phases. These findings suggest that neurotrophins and their receptors may play different roles in endochondral and intramembranous ossification in distraction osteogenesis. The tension stress caused by distraction may stimulate the expression of neurotrophins and their receptors, and promote osteogenesis. |
キーワード | neurotrophin Trk distraction osteogenesis mechanical stress |
Amo Type | Article |
発行日 | 2006-10 |
出版物タイトル | Acta Medica Okayama |
巻 | 60巻 |
号 | 5号 |
出版者 | Okayama University Medical School |
開始ページ | 267 |
終了ページ | 277 |
ISSN | 0386-300X |
NCID | AA00508441 |
資料タイプ | 学術雑誌論文 |
言語 | English |
論文のバージョン | publisher |
査読 | 有り |
PubMed ID | 17072373 |
Web of Science KeyUT | 000241509000003 |
JaLCDOI | 10.18926/AMO/40007 |
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フルテキストURL | fulltext.pdf |
著者 | Furumatsu, Takayuki| Ozaki, Toshifumi| |
抄録 | Epigenetics is an essential mechanism to control gene expression and fundamental cellular processes. DNA methylation in CpG-rich promoters correlates with gene silencing. Histone modification including histone acetylation and deacetylation determines the stability of the chromatin structure. Condensed chromatin (heterochromatin), which has a higher-order histone-DNA structure, prevents the access of transcriptional activators to their target genes. The fundamental unit of eukaryotic chromatin consists of 146 bp of DNA wrapped around a histone octamer. Posttranslational modifications of the histone tail and the chromatin remodeling complex disrupt histone-DNA contacts and induce nucleosome mobilization. Histone acetylation of specific lysine residues in the histone tail plays a crucial role in epigenetic regulation. Histone acetylation is a dynamic process regulated by the antagonistic actions of 2 families of enzymes - the histone acetyltransferases (HATs) and the histone deacetylases (HDACs). The balance between histone acetylation and deacetylation serves as a key epigenetic mechanism for transcription factor-dependent gene expression and the developmental process. We review emerging evidence that DNA methylation, histone acetylation modified by HAT and/or HDAC, and transcription factor-associated molecules contribute to a mechanism that can alter chromatin structure, gene expression, and cellular differentiation during chondrogenesis. |
キーワード | epigenetics DNA methylation histone acetylation and HAT histone deacetylation and HDAC chondrogenesis |
Amo Type | Review |
発行日 | 2010-06 |
出版物タイトル | Acta Medica Okayama |
巻 | 64巻 |
号 | 3号 |
出版者 | Okayama University Medical School |
開始ページ | 155 |
終了ページ | 161 |
ISSN | 0386-300X |
NCID | AA00508441 |
資料タイプ | 学術雑誌論文 |
言語 | English |
著作権者 | Okayama University Medical School |
論文のバージョン | publisher |
査読 | 有り |
PubMed ID | 20596126 |
Web of Science KeyUT | 000279094300001 |
著者 | Shiozaki, Yasuyuki| Kitajima, Takashi| Mazaki, Tetsuro| Yoshida, Aki| Tanaka, Masato| Umezawa, Akihiro| Nakamura, Mariko| Yoshida, Yasuhiro| Ito, Yoshihiro| Ozaki, Toshifumi| Matsukawa, Akihiro| |
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発行日 | 2013-04 |
出版物タイトル | International Journal of Nanomedicine |
巻 | 8巻 |
号 | 1号 |
資料タイプ | 学術雑誌論文 |
著者 | Kinami, Yo| Noda, Tomoyuki| Ozaki, Toshifumi| |
---|---|
発行日 | 2013-05 |
出版物タイトル | Journal of Orthopaedic Science |
巻 | 18巻 |
号 | 3号 |
資料タイプ | 学術雑誌論文 |
JaLCDOI | 10.18926/AMO/48562 |
---|---|
フルテキストURL | 66_3_231.pdf |
著者 | Takahashi, Kingo| Hayashi, Masamichi| Fujii, Toshihiro| Kawamura, Kenji| Ozaki, Toshifumi| |
抄録 | The objective of early rehabilitation after anterior cruciate ligament (ACL) reconstruction is to increase the muscle strength of the lower extremities. Closed kinetic chain (CKC) exercise induces co-contraction of the agonist and antagonist muscles. The purpose of this study was to compare the postoperative muscle strength/mass of subjects who performed our new CKC exercise (new rehabilitation group:group N) from week 4, and subjects who received traditional rehabilitation alone (traditional rehabilitation group:group T). The subjects stood on the device and maintained balance. Then, low-frequency stimulation waves were applied to 2 points each in the anterior and posterior region of the injured thigh 3 times a week for 3 months. Measurement of muscle strength was performed 4 times (before the start, and then once a month). Muscle mass was evaluated in CT images of the extensor and flexor muscles of 10 knees (10 subjects) in each group. The injured legs of group N showed significant improvement after one month compared to group T. The cross-sectional area of the extensor muscles of the injured legs tended to a show a greater increase at 3 months in group N. This rehabilitation method makes it possible to contract fast-twitch muscles, which may be a useful for improving extensor muscle strength after ACL reconstruction. |
キーワード | anterior cruciate ligament reconstruction closed kinetic chain electrical muscle stimulation standing-shaking-board exercise |
Amo Type | Original Article |
発行日 | 2012-06 |
出版物タイトル | Acta Medica Okayama |
巻 | 66巻 |
号 | 3号 |
出版者 | Okayama University Medical School |
開始ページ | 231 |
終了ページ | 237 |
ISSN | 0386-300X |
NCID | AA00508441 |
資料タイプ | 学術雑誌論文 |
言語 | English |
著作権者 | CopyrightⒸ 2012 by Okayama University Medical School |
論文のバージョン | publisher |
査読 | 有り |
PubMed ID | 22729103 |
Web of Science KeyUT | 000305669700006 |
著者 | Hasei, Joe| Sasaki, Tsuyoshi| Tazawa, Hiroshi| Osaki, Shuhei| Yamakawa, Yasuaki| Kunisada, Toshiyuki| Yoshida, Aki| Hashimoto, Yuuri| Onishi, Teppei| Uno, Futoshi| Kagawa, Shunsuke| Urata, Yasuo| Ozaki, Toshifumi| Fujiwara, Toshiyoshi| |
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発行日 | 2013-03 |
出版物タイトル | Molecular Cancer Therapeutics |
巻 | 12巻 |
号 | 3号 |
資料タイプ | 学術雑誌論文 |
著者 | Okazaki, Yuki| Furumatsu, Takayuki| Kamatsuki, Yusuke| Nishida, Keiichiro| Nasu, Yoshihisa| Nakahara, Ryuichi| Saito, Taichi| Ozaki, Toshifumi| |
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備考 | This fulltext is available in March. 2021.| |
発行日 | 2020-03-26 |
出版物タイトル | Journal of Orthopaedic Science |
出版者 | Elsevier |
ISSN | 09492658 |
NCID | AA11052566 |
資料タイプ | 学術雑誌論文 |
言語 | English |
OAI-PMH Set | 岡山大学 |
著作権者 | © 2020 The Japanese Orthopaedic Association. |
論文のバージョン | author |
PubMed ID | 32223991 |
DOI | 10.1016/j.jos.2020.02.015 |
関連URL | isVersionOf https://doi.org/10.1016/j.jos.2020.02.015 |
フルテキストURL | fulltext.pdf |
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著者 | Yamamoto, Norio| Sukegawa, Shintaro | Kitamura, Akira| Goto, Ryosuke| Noda, Tomoyuki| Nakano, Keisuke| Takabatake, Kiyofumi| Kawai, Hotaka| Nagatsuka, Hitoshi| Kawasaki, Keisuke| Furuki, Yoshihiko| Ozaki, Toshifumi| |
キーワード | osteoporosis deep learning hip radiograph ensemble model |
発行日 | 2020-11-10 |
出版物タイトル | Biomolecules |
巻 | 10巻 |
号 | 11号 |
出版者 | MDPI |
開始ページ | 1534 |
ISSN | 2218-273X |
資料タイプ | 学術雑誌論文 |
言語 | English |
OAI-PMH Set | 岡山大学 |
著作権者 | © 2020 by the authors. |
論文のバージョン | publisher |
PubMed ID | 33182778 |
DOI | 10.3390/biom10111534 |
Web of Science KeyUT | 000592980100001 |
関連URL | isVersionOf https://doi.org/10.3390/biom10111534 |
JaLCDOI | 10.18926/AMO/30749 |
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フルテキストURL | fulltext.pdf |
著者 | Komiyama, Takamitsu| Nishida, Keiichiro| Yorimitsu, Masanori| Doi, Hideyuki| Miyazawa, Shinichi| Kitamura, Ai| Yoshida, Aki| Nasu, Yoshihisa| Abe, Nobuhiro| Ozaki, Toshifumi| |
抄録 | Ossification disturbance in femoral head reportedly is seen in the Spontaneously Hypertensive rats (SHR) between ages of 10 and 20 weeks. We investigated serum and tissue levels of insulin-like growth factor-1 (IGF-1) and vascular endothelial growth factor (VEGF) in SHR relevant to the ossification disturbance and osteonecrosis of the femoral head. Serum levels of IGF-1 and VEGF were significantly lower in SHR than in Wistar Kyoto rats (WKY) at weeks 5, 10, 15 and 20 (p<0.005). The incidence of histological ossification disturbance of the femoral head was higher in SHR (59%) than in WKY (40%) at week 20. Lower serum and local levels of VEGF in SHR appeared to be related to the incomplete ossification of the femoral heads. Immunohistochemical study showed significantly lower numbers of IGF-1 and VEGF positive chondrocytes in the femoral epiphyseal cartilage of SHR than in those of WKY at weeks 10, 15 and 20. Our results suggest that local and/or systemic levels of IGF-1 and VEGF between ages of 5 and 20 weeks might play roles in the pathogenesis of ossifi cation disturbance of the femoral head in SHR. |
キーワード | spontaneous hypertensive rats insulin like growth factor-1 vascular endothelial growth factor ossification disturbance osteonecrosis |
Amo Type | Article |
発行日 | 2006-06 |
出版物タイトル | Acta Medica Okayama |
巻 | 60巻 |
号 | 3号 |
出版者 | Okayama University Medical School |
開始ページ | 141 |
終了ページ | 148 |
ISSN | 0386-300X |
NCID | AA00508441 |
資料タイプ | 学術雑誌論文 |
言語 | English |
論文のバージョン | publisher |
査読 | 有り |
PubMed ID | 16838042 |
Web of Science KeyUT | 000238503600001 |
JaLCDOI | 10.18926/AMO/53910 |
---|---|
フルテキストURL | 69_6_355.pdf |
著者 | Okada, Yukimasa| Furumatsu, Takayuki| Miyazawa, Shinichi| Tanaka, Takaaki| Fujii, Masataka| Ozaki, Toshifumi| Abe, Nobuhiro| |
抄録 | Venous thromboembolism (VTE) is a potential complication occurring after total knee arthroplasty (TKA). We investigated the incidence of VTE after TKA using contrast-enhanced computed tomography (CT), and assessed the efficacy of VTE prophylaxis (fondaparinux and enoxaparin). At our hospital, 189 patients (225 knees) underwent TKA between April 2007 and October 2011. The 225 knees were divided into a control group with no VTE prophylaxis (31 cases), a fondaparinux group (107 cases), and an enoxaparin group (87 cases). Contrast-enhanced CT screening for VTE was performed in all cases on day 5 or 6 after TKA. D-dimer levels were measured on day 5 after TKA, and were significantly lower in the fondaparinux (9.8±3.8) and enoxaparin groups (9.4±4.9) than in the control group (15.6±9.8) (p<0.001). However, no statistically significant difference in the incidence of VTE was observed among the groups (control, 61.3%;fondaparinux, 49.5%;enoxaparin, 50.6%). Prophylaxis was not effective for the prevention of VTE as detected by contrast-enhanced CT after TKA. CT should be performed after TKA, even when VTE prophylaxis is used. |
キーワード | venous thromboembolism contrast-enhanced computed tomography total knee arthroplasty fondaparinux enoxaparin |
Amo Type | Original Article |
発行日 | 2015-12 |
出版物タイトル | Acta Medica Okayama |
巻 | 69巻 |
号 | 6号 |
出版者 | Okayama University Medical School |
開始ページ | 355 |
終了ページ | 359 |
ISSN | 0386-300X |
NCID | AA00508441 |
資料タイプ | 学術雑誌論文 |
言語 | English |
著作権者 | CopyrightⒸ 2015 by Okayama University Medical School |
論文のバージョン | publisher |
査読 | 有り |
PubMed ID | 26690246 |
Web of Science KeyUT | 000368434500005 |
JaLCDOI | 10.18926/AMO/54806 |
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フルテキストURL | 70_6_441.pdf |
著者 | Kashihara, Naoko| Furumatsu, Takayuki| Kodama, Yuya| Tanaka, Takaaki| Ozaki, Toshifumi| |
抄録 | Concurrent meniscal repair with anterior cruciate ligament (ACL) reconstruction has shown good clinical outcomes, but it has a considerable risk of progressing to post-traumatic osteoarthritis of the knee. Here we investigated postoperative changes in the position of the lateral meniscus (LM) and assessed the short-term clinical results after concurrent LM repair with ACL reconstruction. Twentyseven patients underwent LM repair of a peripheral longitudinal tear concomitant with ACL reconstruction. We evaluated the preoperative and postoperative values of the Lysholm score and anteroposterior instability. The length and width of the lateral tibial plateau were determined by radiographic images. The length, width, body width, extrusion, and height of the LM were measured in magnetic resonance images and compared between the preoperative and postoperative measurements. Our analysis revealed that concurrent LM repair with ACL reconstruction improved the shortterm clinical outcomes. Although the body width and height of the LM did not change, the postoperative LM extrusion and LM width were significantly increased after the surgery. The post-traumatic transposition of the LM may not be completely prevented by LM repair concomitant with ACL reconstruction. |
キーワード | lateral meniscus meniscal extrusion meniscal repair anterior cruciate ligament reconstruction |
Amo Type | Original Article |
発行日 | 2016-12 |
出版物タイトル | Acta Medica Okayama |
巻 | 70巻 |
号 | 6号 |
出版者 | Okayama University Medical School |
開始ページ | 441 |
終了ページ | 448 |
ISSN | 0386-300X |
NCID | AA00508441 |
資料タイプ | 学術雑誌論文 |
言語 | English |
著作権者 | CopyrightⒸ 2016 by Okayama University Medical School |
論文のバージョン | publisher |
査読 | 有り |
PubMed ID | 28003668 |
JaLCDOI | 10.18926/AMO/31823 |
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フルテキストURL | fulltext.pdf |
著者 | Tanaka, Masato| Nakanishi, Kazuo| Sugimoto, Yoshihisa| Misawa, Haruo| Takigawa, Tomoyuki| Nishida, Keiichiro| Ozaki, Toshifumi| |
抄録 | <p>Scoliosis is a common clinical manifestation of Rett syndrome, a neurodevelopmental disorder that almost exclusively affects females. The spinal curve in patients with Rett syndrome is typically a long C curve of a neuromuscular type. As the onset of the scoliosis is very early and shows rapid progression, early surgical intervention has been recommended to prevent a life-threatening collapsing spine syndrome. However, there are high perioperative risks in Rett syndrome patients who undergo spinal surgery, such as neurological compromise and respiratory dysfunction due to rigid spinal curve. We herein report the surgical result of treating severe rapid progressive thoracic scoliosis in a 16-year-old girl with Rett syndrome. Posterior segmental pedicle screw fixation was performed from T1 to L3 using a computer-assisted technique. Post-operative radiography demonstrated a good correction of the curve in both the sagittal and coronal alignment. There were no postoperative complications such as neurological compromise. The patient had maintained satisfactory spinal balance as of the 3-year follow-up examination.</p> |
キーワード | Rett syndrome scoliosis computer navigation-assisted surgery segmental pedicle screw fixation |
Amo Type | Case Report |
発行日 | 2009-12 |
出版物タイトル | Acta Medica Okayama |
巻 | 63巻 |
号 | 6号 |
出版者 | Okayama University Medical School |
開始ページ | 373 |
終了ページ | 377 |
ISSN | 0386-300X |
NCID | AA00508441 |
資料タイプ | 学術雑誌論文 |
言語 | English |
論文のバージョン | publisher |
査読 | 有り |
PubMed ID | 20035294 |
Web of Science KeyUT | 000273145900009 |