Proprioceptive function after isolated single-bundle posterior cruciate ligament reconstruction with remnant preservation for chronic posterior cruciate ligament injuries

• 資料種別: 博士論文
• タイトル: Proprioceptive function after isolated single-bundle posterior cruciate ligament reconstruction with remnant preservation for chronic posterior cruciate ligament injuries
• 著者・編者: 江口, 明生
• 著者標目: 江口, 明生
• 出版年月日等: 2014-03-23
• 出版年（W3CDTF）: 2014-03-23
• 並列タイトル等: 後十字靭帯損傷に対するレムナント温存1重束後十字靭帯再建術後の固有感覚
• 授与機関名: 広島大学
• 授与年月日: 2014-03-23
• 授与年月日（W3CDTF）: 2014-03-23
• 報告番号: 甲第6393号
• 学位: 博士(医学); Philosophy in Medical Science
• 博論授与番号: 15401甲第6393号
• 本文の言語コード: eng
• 著者別名: Eguchi, Akio
• 件名標目: Posterior cruciate ligament; Reconstruction; Proprioceptive function; Hamstring; Remnant preservation
• NDC: 490
• 対象利用者: 一般
• 一般注記: Introduction: Posterior cruciate ligament (PCL) reconstruction using the remnant preserving techniquemay contribute to improved postoperative posterior stability, graft healing, and proprioception recovery.Although there have been several reports on remnant preserving PCL reconstruction, no study has yetevaluated the proprioceptive functions before and after PCL reconstruction with remnant preservation.The purpose of this study is to retrospectively evaluate the clinical outcomes and proprioceptive functionafter isolated single-bundle PCL reconstruction with remnant preservation for chronic PCL injuries. Hypothesis: Isolated single-bundle PCL reconstruction with remnant preservation surgery for chronic PCLinjuries provides satisfactory clinical outcomes and good recovery of the proprioceptive function. Methods: Nineteen patients who had undergone isolated single-bundle PCL reconstruction with remnantpreservation for chronic PCL injuries were followed up for more than 2 years. The posterior laxity wasmeasured by the gravity sag view, stress radiography and the KT-2000 knee arthrometer. The proprio-ceptive function was defined as the threshold to detect passive motion (TTDPM). Results: The average Lysholm score significantly improved from 63.7 ± 13.2 preoperatively to 94.4 ± 4.6at final follow-up. The postoperative posterior laxity significantly improved. Regarding TTDPM, therewere no significant differences between the preoperative score and the score at every given time point,regardless of the starting angles and the moving directions of the knees. Conclusions: The proprioceptive function, defined as TTDPM, is maintained after single-bundle PCLreconstruction with remnant preservation, and the postoperative clinical scores and posterior laxitysignificantly improve. Level of evidence: Level IV, therapeutic case series.; A. Eguchi, N. Adachi, A. Nakamae, M.A. Usman, M. Deie, M. Ochi; Proprioceptive function after isolated single-bundle posterior cruciate ligament reconstruction with remnant preservation for chronic posterior cruciate ligament injuries; Orthopaedics & Traumatology: Surgery & Research Volume 100, Issue 3, May 2014, Pages 303-308 (doi: 10.1016/j.otsr.2013.12.020)
• 国立国会図書館永続的識別子: info:ndljp/pid/10164981; https://dl.ndl.go.jp/pid/10164981
• コレクション（共通）: 障害者向け資料
• コレクション（障害者向け資料：レベル1）: テキストデータ
• コレクション（個別）: 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文; https://dl.ndl.go.jp/collections/A00014
• 収集根拠: 博士論文（自動収集）
• 受理日（W3CDTF）: 2016-08-02T06:56:17+09:00
• 記録形式（IMT）: application/pdf
• オンライン閲覧公開範囲: 国立国会図書館内限定公開
• デジタル化資料送信: 図書館・個人送信対象外
• 遠隔複写可否（NDL）: 可
• 関連情報（URI）: http://ir.lib.hiroshima-u.ac.jp/00036234
• 掲載誌（URI）: http://ir.lib.hiroshima-u.ac.jp/00040623
• 連携機関・データベース: 国立国会図書館 : 国立国会図書館デジタルコレクション; https://dl.ndl.go.jp