{"created":"2024-11-26T05:06:15.358938+00:00","id":2008903,"links":{},"metadata":{"_buckets":{"deposit":"9bb38d69-10f6-462f-9809-36953ffdaf1f"},"_deposit":{"created_by":48,"id":"2008903","owner":"48","owners":[48],"pid":{"revision_id":0,"type":"depid","value":"2008903"},"status":"published"},"_oai":{"id":"oai:tokushima-u.repo.nii.ac.jp:02008903","sets":["1713853213384:1713853296295:1716267876683:1716268551628"]},"author_link":["903","447","1543"],"control_number":"2008903","item_10001_alternative_title_1":{"attribute_name":"タイトル別表記","attribute_value_mlt":[{"subitem_alternative_title":"後十字靱帯温存型人工膝関節置換術において、軟部組織の評価のためにスペーサーブロックを挿入すると脛骨が前方に移動する","subitem_alternative_title_language":"ja"}]},"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2024-03-28","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"129","bibliographicPageStart":"125","bibliographicVolumeNumber":"42","bibliographic_titles":[{"bibliographic_title":"The Knee","bibliographic_titleLang":"en"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Background: Soft tissue balance is an important determinant of the outcome of total knee arthroplasty (TKA). However, there are differences in the joint gap and ligament balance between the osteotomized femoral and tibial surfaces and those after TKA. The aim of this study was to compare the relationship between the femur and tibia at insertion of a spacer block with that after cruciate-retaining (CR) TKA.\nMethods: Thirty knees in 30 patients (26 women, 4 men) who underwent primary CR TKA with a navigation system were enrolled. Mean age at surgery was 76.3 (range, 63–87) years. After osteotomy of the femur and tibia, the flexion–extension gap and ligament balance were evaluated using a spacer block. The location of the tibial center in relation to the femoral center in the sagittal plane calculated from navigation data at insertion of an appropriately sized spacer block in knee flexion was compared with that after CR TKA using the paired t-test.\nResults: The mean sagittal location of the tibial center relative to the femoral center in knee flexion was 5.16 (range, −2.4, 16.3) mm at insertion of the spacer block and 6.60 (range, −1.4, 15.1) mm after CR TKA, and this difference was significant (p = 0.016).\nConclusion: Assessment of soft tissue balance using a spacer block in CR TKA during knee flexion changes the location of the tibia. Surgeons should be aware of the potential for overestimating the postoperative flexion gap in CR TKA when using a spacer block to assess the flexion gap.","subitem_description_language":"en","subitem_description_type":"Abstract"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"Elsevier","subitem_publisher_language":"en"}]},"item_10001_source_id_9":{"attribute_name":"収録物ID","attribute_value_mlt":[{"subitem_source_identifier":"09680160","subitem_source_identifier_type":"PISSN"},{"subitem_source_identifier":"18735800","subitem_source_identifier_type":"EISSN"},{"subitem_source_identifier":"AA10996272","subitem_source_identifier_type":"NCID"},{"subitem_source_identifier":"AA11534443","subitem_source_identifier_type":"NCID"}]},"item_10001_version_type_20":{"attribute_name":"出版タイプ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_be7fb7dd8ff6fe43","subitem_version_type":"NA"}]},"item_1714461018643":{"attribute_name":"報告番号","attribute_value_mlt":[{"subitem_dissertationnumber":"甲第3853号"}]},"item_1714461102074":{"attribute_name":"学位名","attribute_value_mlt":[{"subitem_degreename":"博士（医学）","subitem_degreename_language":"ja"}]},"item_1714461118377":{"attribute_name":"学位授与年月日","attribute_value_mlt":[{"subitem_dategranted":"2024-09-26"}]},"item_1714461137393":{"attribute_name":"学位授与機関","attribute_value_mlt":[{"subitem_degreegrantor":[{"subitem_degreegrantor_language":"ja","subitem_degreegrantor_name":"徳島大学"}]}]},"item_1715043197608":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_abf2"}]},"item_1718868208704":{"attribute_name":"備考","attribute_value_mlt":[{"subitem_textarea_language":"ja","subitem_textarea_value":"内容要旨・審査要旨・論文本文の公開\n本論文は，著者Akihiro Nittaの学位論文として提出され，学位審査・授与の対象となっている。\n学位授与者所属 : 徳島大学大学院医学研究科（医学専攻）"}]},"item_1718868303842":{"attribute_name":"学位記番号","attribute_value_mlt":[{"subitem_text_language":"ja","subitem_text_value":"甲医第1617号"}]},"item_1722929371688":{"attribute_name":"出版社版DOI","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_language":"ja","subitem_relation_name_text":"10.1016/j.knee.2023.03.011"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doi.org/10.1016/j.knee.2023.03.011","subitem_relation_type_select":"DOI"}}]},"item_1723180141928":{"attribute_name":"EID","attribute_value_mlt":[{"subitem_identifier_type":"URI","subitem_identifier_uri":"395946"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"新田, 晃弘","creatorNameLang":"ja"},{"creatorName":"ニッタ, アキヒロ","creatorNameLang":"ja-Kana"},{"creatorName":"Nitta, 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Koichi","creatorNameLang":"en"}],"familyNames":[{"familyName":"西良","familyNameLang":"ja"},{"familyName":"サイリョウ","familyNameLang":"ja-Kana"},{"familyName":"Sairyo","familyNameLang":"en"}],"givenNames":[{"givenName":"浩一","givenNameLang":"ja"},{"givenName":"コウイチ","givenNameLang":"ja-Kana"},{"givenName":"Koichi","givenNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"1543","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"60063/profile-ja.html","nameIdentifierScheme":"徳島大学 教育研究者総覧","nameIdentifierURI":"http://pub2.db.tokushima-u.ac.jp/ERD/person/60063/profile-ja.html"},{"nameIdentifier":"10304528","nameIdentifierScheme":"e-Rad_Researcher","nameIdentifierURI":"https://nrid.nii.ac.jp/ja/search/?qm=10304528"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_access","date":[{"dateType":"Available","dateValue":"2024-12-19"}],"displaytype":"detail","filename":"k3853_abstract.pdf","filesize":[{"value":"90 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thesis","resourceuri":"http://purl.org/coar/resource_type/c_db06"}]},"item_title":"Insertion of a spacer block translates the tibia anteriorly during evaluation of soft tissue balance in cruciate-retaining total knee arthroplasty","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Insertion of a spacer block translates the tibia anteriorly during evaluation of soft tissue balance in cruciate-retaining total knee arthroplasty","subitem_title_language":"en"}]},"item_type_id":"40001","owner":"48","path":["1716268551628"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2024-12-19"},"publish_date":"2024-12-19","publish_status":"0","recid":"2008903","relation_version_is_last":true,"title":["Insertion of a spacer block translates the tibia anteriorly during evaluation of soft tissue balance in cruciate-retaining total knee arthroplasty"],"weko_creator_id":"48","weko_shared_id":-1},"updated":"2025-01-31T02:40:04.087140+00:00"}