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  1. 医学部
  1. 医学部
  2. 学術雑誌掲載論文  (医学部)

Risk factors of failure results after double-bundle reconstruction with autogenous hamstring grafts for isolated posterior cruciate ligament rupture cases

http://hdl.handle.net/10458/0002000885
http://hdl.handle.net/10458/0002000885
803db04f-3a67-4350-91f8-9ec5db372096
名前 / ファイル ライセンス アクション
article.pdf 本文 (1.4 MB)
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Item type 学術雑誌論文 / Journal Article(1)
公開日 2025-01-17
タイトル
タイトル Risk factors of failure results after double-bundle reconstruction with autogenous hamstring grafts for isolated posterior cruciate ligament rupture cases
言語 en
言語
言語 eng
キーワード
言語 en
主題Scheme Other
キーワード Posterior cruciate ligament
キーワード
言語 en
主題Scheme Other
キーワード Hamstring
キーワード
言語 en
主題Scheme Other
キーワード Posterior tibial translation
キーワード
言語 en
主題Scheme Other
キーワード Gravity sag view
資源タイプ
資源タイプ journal article
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著者 森田, 雄大

× 森田, 雄大

WEKO 34506
e-Rad_Researcher 40813077

ja 森田, 雄大

ja-Kana モリタ, ユウダイ

en Morita, Yudai


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田島, 卓也

× 田島, 卓也

WEKO 8097
e-Rad_Researcher 80549056

ja 田島, 卓也

ja-Kana タジマ, タクヤ

en Tajima, Takuya


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山口, 奈美

× 山口, 奈美

WEKO 8098
e-Rad_Researcher 10637804

ja 山口, 奈美

ja-Kana ヤマグチ, ナミ

en Yamaguchi, Nami


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横江, 琢示

× 横江, 琢示

WEKO 34429
e-Rad_Researcher 50895894

ja 横江, 琢示

ja-Kana ヨコエ, タクジ

en Yokoe, Takuji


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長澤, 誠

× 長澤, 誠

WEKO 7985
e-Rad_Researcher 70795400

ja 長澤, 誠

ja-Kana ナガサワ, マコト

en Nagasawa, Makoto


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大田, 智美

× 大田, 智美

WEKO 8099
e-Rad_Researcher 80644096

ja 大田, 智美

ja-Kana オオタ, トモミ

en Ohta, Tomomi


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Ouchi, Kouki

× Ouchi, Kouki

en Ouchi, Kouki

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帖佐, 悦男

× 帖佐, 悦男

WEKO 7830
e-Rad_Researcher 00236837

ja 帖佐, 悦男

ja-Kana チョウサ, エツオ

en Chosa, Etsuo


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抄録
内容記述タイプ Abstract
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.
言語 en
内容記述
内容記述タイプ Other
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
言語 en
bibliographic_information en : Scientific Reports

巻 14, 号 1, p. 6192, 発行日 2024-03-14
出版者
出版者 Springer Science and Business Media LLC
言語 en
ISSN
収録物識別子タイプ EISSN
収録物識別子 2045-2322
item_10001_relation_14
関連タイプ isVersionOf
識別子タイプ DOI
関連識別子 https://doi.org/10.1038/s41598-024-56953-y
権利
言語 en
権利情報 © The Author(s) 2024
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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, 2024, Risk factors of failure results after double-bundle reconstruction with autogenous hamstring grafts for isolated posterior cruciate ligament rupture cases: Springer Science and Business Media LLC, 6192– p.

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