Vascularized pedicled bone graft from the distal radius supplied by the anterior interosseous artery for treatment of ulnar shaft nonunion: An anatomical study of cadavers and a case report.

• 資料種別: 博士論文
• タイトル: Vascularized pedicled bone graft from the distal radius supplied by the anterior interosseous artery for treatment of ulnar shaft nonunion: An anatomical study of cadavers and a case report.
• 著者・編者: Hasegawa, Hideo; Shimizu, Takamasa; Omokawa, Shohei; Kawamura, Kenji; Sananpanich, Kanit; Mahakkanukrauh, Pasuk; Tanaka, Yasuhito
• 著者標目: Hasegawa, Hideo; Shimizu, Takamasa; Omokawa, Shohei; Kawamura, Kenji; Sananpanich, Kanit; Mahakkanukrauh, Pasuk; Tanaka, Yasuhito
• 出版事項: Wiley
• 出版年月日等: 2020-05
• 出版年（W3CDTF）: 2020-05
• 並列タイトル等: 尺骨偽関節に対する前骨間動脈を血管茎とした橈骨遠位からの有茎血管柄付き骨移植：解剖学的研究と症例報告
• タイトル（掲載誌）: Microsurgery
• 巻号年月日等（掲載誌）: 40 4
• 掲載巻: 40
• 掲載号: 4
• 掲載ページ: 479-485
• ISSN（掲載誌）: ISSN : 0738-1085
• 授与機関名: 奈良県立医科大学
• 授与年月日: 2021-03-15
• 報告番号: 甲第767号
• 学位: 博士（医学）
• 本文の言語コード: eng
• 対象利用者: 一般
• 一般注記: type:Thesis; Background: A vascularized distal radius graft can be a reliable solution for the treatment of refractory ulnar nonunion. The aim of this study is to establish the anatomical basis of a vascularized bone graft pedicled by the anterior interosseous artery and report its clinical application, using cadaveric studies and a case report. Methods: Fourteen fresh frozen cadaveric upper limbs were used. The branches of the anterior interosseous artery (the 2, 3 intercompartmental supraretinacular artery and the fourth extensor compartment artery) were measured at the bifurcation site. The anatomical relationship between the anterior interosseous artery and motor branches of the posterior interosseous nerve was investigated. An anterior interosseous artery pedicled bone flap was used in a 48-year-old woman with refractory ulnar nonunion. Results: There were two variations depending on whether the 2,3 intercompartmental supraretinacular artery branched off distally or proximally from the terminal motor branch of the posterior interosseous nerve. The proximal border of the graft was located at an average of 10.5 cm (range, 6.5-12.5 cm) from the distal end of the ulnar head in the distal type (57%) and 17.5 cm (range, 9.5-21.5 cm) in the proximal type (43%). In the clinical application, successfully consolidation was achieved 4 months post-surgery. The patient had not developed any postoperative complications until the 2-year postoperative follow-up. Conclusions: The anterior interosseous artery-pedicled, vascularized distal radius bone graft would be a reliable alternative solution for the treatment of an ulnar nonunion located within the distal one-third of the ulna.; 博士（医学）・甲第767号・令和3年3月15日; © 2020 Wiley Periodicals, Inc.; This is the peer reviewed version of the following article: https://onlinelibrary.wiley.com/doi/full/10.1002/micr.30566, which has been published in final form at https://doi.org/10.1002/micr.30566. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.; identifier:Microsurgery Vol.40 No.4 p.479-485 (2020 May); identifier:07381085; identifier:http://ginmu.naramed-u.ac.jp/dspace/handle/10564/3891; identifier:Microsurgery, 40(4): 479-485
• 一次資料へのリンクURL: fulltext; http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3891/1/01%e7%94%b2767%e6%9c%ac%e6%96%87%e3%81%ae%e8%a6%81%e6%97%a8.pdf; http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3891/2/02%e7%94%b2767%e5%af%a9%e6%9f%bb%e8%a6%81%e6%97%a8.pdf; http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3891/3/03%e7%94%b2767%e6%9c%ac%e6%96%87.pdf
• オンライン閲覧公開範囲: インターネット公開
• 関連情報（DOI）: 10.1002/micr.30566
• 掲載誌（NCID）: AA10639242; https://ci.nii.ac.jp/ncid/AA10639242
• 連携機関・データベース: 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）; https://irdb.nii.ac.jp
• 提供元機関・データベース: 奈良県立医科大学 : 奈良県立医科大学機関リポジトリ GINMU