Item type |
学術雑誌論文 / Journal Article(1) |
公開日 |
2025-01-17 |
タイトル |
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タイトル |
Risk factors of failure results after double-bundle reconstruction with autogenous hamstring grafts for isolated posterior cruciate ligament rupture cases |
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言語 |
en |
言語 |
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言語 |
eng |
キーワード |
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言語 |
en |
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主題Scheme |
Other |
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主題 |
Posterior cruciate ligament |
キーワード |
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言語 |
en |
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主題Scheme |
Other |
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主題 |
Hamstring |
キーワード |
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言語 |
en |
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主題Scheme |
Other |
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主題 |
Posterior tibial translation |
キーワード |
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言語 |
en |
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主題Scheme |
Other |
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主題 |
Gravity sag view |
資源タイプ |
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資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
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資源タイプ |
journal article |
アクセス権 |
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アクセス権 |
open access |
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アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
著者 |
森田, 雄大
田島, 卓也
山口, 奈美
横江, 琢示
長澤, 誠
大田, 智美
Ouchi, Kouki
帖佐, 悦男
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抄録 |
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内容記述タイプ |
Abstract |
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内容記述 |
Posterior tibial translation (PTT) after double-bundle posterior cruciate ligament (PCL) reconstruction has sometimes occurred. Purpose of this study is to identify the risk factors for postoperative PTT after double-bundle PCL reconstruction with a hamstring autograft. Comparing the results of bilateral gravity sag view (GSV) at 12 months after surgery, over 5-mm PTT was defined as ‘failure’ in this study. Of 26 isolated PCL reconstruction cases, over 5-mm PTT was seen in 7 cases (group F: 9.57 ± 1.28 mm), and 19 cases had less than 5 mm (group G: 2.84 ± 1.29 mm). Age, sex, body mass index (BMI), preoperative GSV, posterior slope angle of the tibia, anterolateral bundle (ALB) and posteromedial bundle (PMB) graft diameters, and tibial tunnel diameter were evaluated. The two groups were compared with the 2 × 2 chi-squared test, the Mann Whitney U-test, and Spearman’s rank correlation coefficient. Multivariate logistic regression analysis was also performed to determine the risk factor. Statistical significance was indicated as p < 0.01 for correlation with postoperative PTT, and as p < 0.05 for all other comparisons. Mean age (group G 31.8 ± 12.5 vs group F 34.9 ± 15.9 years), sex (male/female: 15/4 vs 3/4), BMI (25.6 ± 4.6 vs 24.9 ± 3.9 kg/m2), preoperative GSV (11.3 ± 2.2 vs 11.6 ± 2.9 mm), PMB diameter (5.37 ± 0.33 vs 5.36 ± 0.48 mm), and tibial tunnel diameter (9.32 ± 0.58 vs 9.29 ± 0.49 mm) showed no significant differences. ALB diameter was significantly greater in group G (7.0 ± 0.5 mm) than in group F (6.5 ± 0.29 mm; p = 0.022). There was also a significant difference in posterior tibial slope angle (group G 9.19 ± 1.94 vs group F 6.54 ± 1.45, p = 0.004). On Spearman rank correlation coefficient analysis, ALB diameter GSV (correlation coefficient: − 0.561, p = 0.003) and posterior tibial slope angle (correlation coefficient: − 0.533, p = 0.005) showed a significant correlation with postoperative PTT. Multivariate logistic regression analysis showed that ALB diameter (OR 19.028; 95% CI 1.082–334.6; p = 0.044) and posterior slope angle of tibia (OR 3.081; 95% CI 1.109–8.556; p = 0.031) were independently associated with postoperative PTT, respectively. In double-bundle PCL reconstruction with hamstring, smaller ALB graft diameter and lower (flatted) tibial slope angle were considered risk factors for postoperative PTT. |
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言語 |
en |
内容記述 |
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内容記述タイプ |
Other |
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内容記述 |
Citation: Yudai Morita, Takuya Tajima, Nami Yamaguchi, Takuji Yokoe, Makoto Nagasawa, Tomomi Ota, Kouki Ouchi, Etsuo Chosa, Risk factors of failure results after double-bundle reconstruction with autogenous hamstring grafts for isolated posterior cruciate ligament rupture cases, Scientific Reports, 14(1), 2024-03-14, https://doi.org/10.1038/s41598-024-56953-y |
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言語 |
en |
書誌情報 |
en : Scientific Reports
巻 14,
号 1,
p. 6192,
発行日 2024-03-14
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出版者 |
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出版者 |
Springer Science and Business Media LLC |
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言語 |
en |
ISSN |
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収録物識別子タイプ |
EISSN |
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収録物識別子 |
2045-2322 |
DOI |
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関連タイプ |
isVersionOf |
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識別子タイプ |
DOI |
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関連識別子 |
https://doi.org/10.1038/s41598-024-56953-y |
権利 |
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言語 |
en |
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権利情報 |
© The Author(s) 2024 |
著者版フラグ |
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出版タイプ |
VoR |
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出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |