東京大学 · 医学
Taketomi教授の研究室は、膝関節形成術における運動学的挙動の最適化と、関節形成術後の軟部組織バランスの重要性に注目した臨床研究を推進しています。特に「ガイドドモーショングローブ」型総座位置換術の手術法と軟部組織のバランスが、術内での運動学的挙動に与える影響を解明しており、理想的な関節運動を再現するための手技的指針の確立を目指しています。また、前十字靭帯再生術後のトンネル拡大のメカニズムや、半月板修復の臨床的トレンドの分析など、関節外科の臨床的・生物学的課題にも深く関与しています。
Figures are computed from collected data and may differ slightly.
Level IV, therapeutic case series.
Case series, Level IV.
A new design of the so-called "guided-motion" total knee arthroplasty (TKA) is expected to produce normal-like kinematics. The implant behaves strictly as a mechanically constraint-guided motion system. However, no previous reports have demonstrated the most appropriate surgical technique or soft-tissue balance that would reproduce ideal kinematics. The purpose of this study was to clarify the relationship between soft-tissue balance and the intraoperative kinematics of guided-motion TKA. In thi
Tunnel widening (TW) after anterior cruciate ligament (ACL) reconstruction has been a research area of interest in ACL reconstruction. It has been demonstrated that femoral tunnels enlarge anteriorly and distally (ie, the direction where the mechanical traction force of the graft works) rather than concentrically after anatomic double-bundle ACL reconstruction using hamstring autografts. This finding suggests that the wall supporting the graft moves closer to the direction of the pull, leading t
We found characteristic trends where the popularity of meniscus repair increased rapidly at the expense of meniscectomy in Japan during the study period. In the last survey year, the proportion of meniscus repair exceeded that of meniscectomy in those younger than 30 years. Meniscectomy was undertaken most often in adolescents and early old age, while meniscus repair was undertaken most often in adolescents.
Level IV, therapeutic case series.
The sequence of creating 2 femoral tunnels through accessory medial portal affected the resultant location of the sockets and the rate of the complications. When femoral tunnels are prepared with a transportal technique, PL tunnel first technique seems to be superior to AM first technique regarding anatomic placement. However, PL tunnel first technique accompanies the risk of socket communication.
The 3D fluoroscopy-based navigation can assist surgeons in creating anatomical femoral sockets during remnant-preserving ACL reconstruction.
Young male and female soccer players demonstrate significantly different anthropometric and musculoskeletal profiles.
Leg dominance is associated with the risk of sports injuries. Kinematic differences between the dominant and nondominant legs may be a noteworthy factor in elucidating the mechanisms and risk of sports injury associated with leg dominance.
Therapeutic, Level IV: Case study.
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