{"created":"2023-05-15T09:04:50.501223+00:00","id":10321,"links":{},"metadata":{"_buckets":{"deposit":"1a7086af-8afc-41e7-89b2-46b617a2c618"},"_deposit":{"created_by":15,"id":"10321","owners":[15],"pid":{"revision_id":0,"type":"depid","value":"10321"},"status":"published"},"_oai":{"id":"oai:sapmed.repo.nii.ac.jp:00010321","sets":["1674:1736:1740"]},"author_link":["13066"],"item_2_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2005-03-31","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"40","bibliographicPageStart":"36","bibliographicVolumeNumber":"21","bibliographic_titles":[{"bibliographic_title":"北海道整形外科外傷研究会会誌 = The Journal of Hokkaido Orthopaedic Traumatology Association"}]}]},"item_2_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"骨粗鬆症が高度の高齢者の大腿骨骨幹部骨折を，エンダー釘の尾部をネジ止めする方法で治療した.症例は6例で，すべて女性であった.年齢は54歳の1例を除くと83?93歳（平均88歳）であった.5例は移動介助や体位交換などの軽微な外力で受傷した.手術時間は40?78分（平均58分）であった.使用したエンダー釘の本数は2本が2例，3本が4例であった.癌転移例に術前輸血した以外は輸血を要しなかった.癌転移例と横骨折例を除いた4例すべてで，術後に骨折部が短縮した.その結果3例でエンダー釘近位端が穿孔突出したが，骨頭穿孔はなかった.2例でエンダー釘尾部が1cm 程度 distal migration したが，スクリューのカットアウトや折損は発生しなかった.癌による早期死亡の1例を除いて大きなトラブルなく骨癒合が得られ，元の生活に戻った.エンダー釘の尾部をネジ止めする方法は，高齢者の大腿骨骨幹部骨折に適した手術法である","subitem_description_type":"Abstract"}]},"item_2_publisher_32":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"北海道整形外科外傷研究会"}]},"item_2_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0914-6083","subitem_source_identifier_type":"ISSN"}]},"item_2_version_type_15":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"高畑, 智嗣"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2018-07-21"}],"displaytype":"detail","filename":"n091460832136.pdf","filesize":[{"value":"347.2 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"n091460832136.pdf","url":"https://sapmed.repo.nii.ac.jp/record/10321/files/n091460832136.pdf"},"version_id":"080184ce-b5d0-4406-b8f0-3c7f6cb34c56"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Ender nailing","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Femoral fracture","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Osteoporosis","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Operative treatment","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"エンダー法","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"大腿骨骨折","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"骨粗鬆症","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"手術療法","subitem_subject_language":"ja","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"高齢者の大腿骨骨幹部骨折に対する小侵襲手術","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"高齢者の大腿骨骨幹部骨折に対する小侵襲手術","subitem_title_language":"ja"}]},"item_type_id":"2","owner":"15","path":["1740"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2009-06-25"},"publish_date":"2009-06-25","publish_status":"0","recid":"10321","relation_version_is_last":true,"title":["高齢者の大腿骨骨幹部骨折に対する小侵襲手術"],"weko_creator_id":"15","weko_shared_id":-1},"updated":"2023-12-13T04:44:40.060759+00:00"}