膝関節外科の要点と盲点

出版社： 文光堂
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発行日： 2005-04-29
分野： 臨床医学：外科  >  整形外科学
ISBN： 9784830627514
電子書籍版： 2005-04-29 （第1版第4刷）
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整形外科の領域において日常診療に役立つ“コツ”と、陥ってはならない“落とし穴”をまとめた実践的なシリーズ!膝関節は外傷による損傷など外科的治療の適応が多く、しかも熟練した手技の習得が必要とされる。スタンダード編では、一般整形外科医に必須のスタンダードレベルの、主な膝関節の外傷・障害に対する治療方針・基本的手技に加え、コツと落とし穴をわかりやすく記載した。応用編では、研究会や学会で繰り返し取り上げられる話題や、新しい手術手技の最前線を紹介し、究極の膝関節外科手技のエッセンスを学び取れるものとしている。

目次

  • 表紙
  • 執筆者一覧
  • 整形外科 Knack & Pitfalls 序文
  • 「膝関節外科の要点と盲点」 序文
  • 目次
  • [I] 膝関節のサージカル・アプローチに必要な解剖
  • 1. 関節鏡視下手術のための解剖
  • 2. 膝内側の解剖
  • 3. 膝外側の解剖
  • 4. 膝後方の解剖
  • [II] 診断の基本
  • 1. 問診のとり方
  • ONE POINT ADVICE インフォームドコンセントのとり方
  • 2. 代表的疾患の徒手検査
  • 1) 靭帯損傷の診察
  • ONE POINT ADVICE 不安定性測定器 ( KT - 2000 ) での定量評価
  • 2) 半月板損傷の診察
  • 3) 関節炎の診察
  • 4) 膝蓋大腿関節の診察
  • 3. 単純X線撮影
  • 4. MRI撮影
  • 1) 靭帯損傷
  • 2) 半月板損傷
  • 3) 関節炎
  • 4) 関節骨・軟骨損傷
  • 5) 関節内腫瘍類似疾患
  • 5. CT撮影
  • 6. 骨シンチグラフィー
  • 7. 関節液の検査
  • 8. 関節鏡検査の基本手技
  • ONE POINT ADVICE 3次元CT
  • [III] 半月板損傷
  • 【スタンダード編】
  • 1. 半月板損傷に対する治療
  • 【応用編】
  • 1. 半月板縫合術
  • [IV] 靭帯損傷
  • 【スタンダード編】
  • 1. 靭帯損傷に対する治療方針
  • 2. 靭帯損傷に対する保存的治療
  • 3. ACL損傷の手術治療
  • 4. PCL損傷の手術治療
  • 5. MCL損傷の手術治療
  • 6. PLC損傷の手術治療
  • 【応用編】
  • 1. ACL損傷に対する二重束再建術
  • 解剖学的ACL前内側および後外側線維束再建術における骨孔位置とその作製方法
  • 機能解剖学的骨孔作成方法
  • accessory portalからの大腿骨骨孔作成方法
  • converging guideを用いた二重束再建術
  • 腱内応力を一定にする移植腱固定法による二重束2ルートACL再建術
  • ONE POINT ADVICE 靭帯再建術におけるisometricity
  • 2. PCL損傷に対する二重束再建術
  • 3. 多重折りハムストリング腱を用いたMCL再建術
  • 4. PLC再建術
  • [V] 膝蓋骨のmalalignment
  • 【スタンダード編】
  • 1. 膝蓋骨のmalalignmentに対する治療方針
  • 2. 膝蓋骨のmalalignmentに対する外側解離術・distal realignment
  • 3. 膝蓋骨のmalalignmentに対するproximal realignment
  • 【応用編】
  • 1. 人工靭帯を用いたMPFL再建術
  • 2. 半腱様筋腱を用いたMPFL再建術
  • [VI] その他の傷害
  • 1. 膝蓋腱・大腿四頭筋腱断裂の治療
  • 2. 離断性骨軟骨炎の治療
  • ONE POINT ADVICE 離断性骨軟骨炎の基本概念
  • 3. overuseによる傷害の治療
  • ONE POINT ADVICE 膝周囲のテーピング
  • 4. 分裂膝蓋骨の治療
  • ONE POINT ADVICE 分裂膝蓋骨の基本概念
  • ONE POINT ADVICE タナ障害の基本概念
  • 5. タナ障害の治療
  • 6. 関節軟骨損傷の治療
  • ONE POINT ADVICE 培養軟骨細胞移植
  • 7. RSDに対する治療
  • ONE POINT ADVICE RSDの基本概念
  • [VII] 変形性膝関節症
  • 【スタンダード編】
  • 1. 変形性膝関節症に対する治療方針
  • 2. 変形性膝関節症に対する保存的治療
  • ONE POINT ADVICE X線像の手術治療に与える影響
  • 3. 変形性膝関節症に対する関節鏡によるdebridement
  • 4. 変形性膝関節症に対するclosed wedgeによる脛骨骨切り術
  • 5. 変形性膝関節症に対する単顆型置換術
  • 6. 変形性膝関節症に対する人工関節置換術
  • 【応用編】
  • 1. open wedgeによる頚骨骨切り術
  • 2. 高位脛骨骨切り術 ( closed wedge法 ) でのalignment決定法
  • 3. MISによる人工膝単顆置換術
  • 4. 人工膝関節置換術
  • 出血対策と止血方法
  • PCL温存か置換かの判定
  • 軟部組織バランスのとり方
  • ONE POINT ADVICE 軟部組織バランス計測のためのtensor
  • コンポーネントの正しい回旋位置決め
  • 可動域改善のための工夫
  • 高度な外反膝に対する人工関節
  • 高度な骨欠損に対する処置
  • 両側同時TKAを可能にするポイント
  • 合併症としての肺塞栓症に対する対応
  • mobile bearing人工関節術
  • MISによる人工膝関節置換術
  • 人工膝関節置換術後の深部感染とその治療
  • [VIII] その他の障害
  • 1. 関節リウマチの治療
  • ONE POINT ADVICE 特殊な病態のリウマチに対する治療の留意点
  • 2. 大腿骨顆部特発性骨壊死の治療
  • ONE POINT ADVICE 大腿骨顆部特発性骨壊死の基本概念
  • 3. 痛風・偽痛風・化膿性膝関節炎・結核性膝関節炎・神経病性膝関節症の治療
  • 4. 腫瘍類似疾患の治療
  • 5. 膝関節拘縮の治療
  • ONE POINT ADVICE 膝関節拘縮の基本概念
  • ONE POINT ADVICE cyclops syndrome
  • [IX] 術後の後療法の実際
  • 索引
  • 奥付

この書籍の参考文献

参考文献のリンクは、リンク先の都合等により正しく表示されない場合がありますので、あらかじめご了承下さい。

本参考文献は電子書籍掲載内容を元にしております。

[I] 膝関節のサージカル・アプローチに必要な解剖

P.5 掲載の参考文献
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[II] 診断の基本

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P.84 掲載の参考文献
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[III] 半月板損傷

P.93 掲載の参考文献
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[IV] 靭帯損傷

P.101 掲載の参考文献
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P.105 掲載の参考文献
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3) Fleming, B et al : Isometric versus tension measurements. A comparison for the reconstruction of the anterior cruciate ligament. Am J Sports Med 21 : 82-88, 1993
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7) 市山廣樹ほか : 解剖学的前十字靱帯再建術によって再建される前内側・後外側線維束のlength patternに関するin vivo計測. 膝 28 : 108-112, 2003
 
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[V] 膝蓋骨のmalalignment

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[VI] その他の傷害

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3) Mori, Y et al : Efficacy of lateral retinacular release for painful bipartite patella. Am J Sports Med 23 : 13-18, 1995
 
4) Adachi, N et al : Vastus lateralis release for painful bipartite patella. Arthroscopy 18 : 404-411, 2002
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1) Sakakibara, J : Arthroscopic study on Iino's band (plica synovialis mediopatellaris). J Jap Orthop Ass 50 : 513-522, 1976
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3) 大野修ほか : タナ障害30症例の検討. 整災外 15 : 163-169, 1982
 
4) 松本秀男ほか : いわゆるタナ障害 (synovial pleat syndrome) の形態分類と手術適応について. 関節鏡 9 : 175-180, 1984
 
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[VII] 変形性膝関節症

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[VIII] その他の障害

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