{"created":"2023-05-15T09:04:51.656061+00:00","id":10347,"links":{},"metadata":{"_buckets":{"deposit":"4831e364-761a-4aa9-83f0-fcdd665ed596"},"_deposit":{"created_by":15,"id":"10347","owners":[15],"pid":{"revision_id":0,"type":"depid","value":"10347"},"status":"published"},"_oai":{"id":"oai:sapmed.repo.nii.ac.jp:00010347","sets":["1674:1736:1739"]},"author_link":["13123","13124","13125","13126"],"item_2_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2006-03-31","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"26","bibliographicPageStart":"22","bibliographicVolumeNumber":"22","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":"鉈を用いた自傷行為による，前腕伸側の高度腱損傷と軟部組織欠損の1例を経験した.初診時はデブリドマンと損傷組織の同定・評価を行い，その結果，全伸筋腱の断裂に対する腱機能再建と，軟部組織欠損に対する遊離皮弁術が必要と判断した.受傷7日後に腱移植・腱移行による機能再建と，深下腹壁動脈穿通枝皮弁による軟部組織再建を行った.再建術後早期に可動域訓練を開始し，良好な機能回復を得ることができた.重度四肢外傷の治療において一期的手術が難しい症例には，初診時はデブリドマンと損傷部位観察にとどめ，後日可及的早期に確定的治療を行う段階的治療が行なわれる.複雑な損傷である高度四肢外傷は，早期の再建が望ましいが，綿密な治療計画は成功への最も重要なステップである.そのために，初療の段階から専門医が積極的に治療に関与していく必要がある","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":"倉田, 佳明"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"土田, 芳彦"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"斉藤, 丈太"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"佐藤, 攻"}],"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":"n091460832222.pdf","filesize":[{"value":"422.4 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"n091460832222.pdf","url":"https://sapmed.repo.nii.ac.jp/record/10347/files/n091460832222.pdf"},"version_id":"c530146a-ac65-4137-a79b-e207b8a7851c"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Staged surgery","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Soft tissue reconstruction","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Deep inferior epigastric perforator flap","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"段階的手術","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"軟部組織再建","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"深下腹壁動脈穿通枝皮弁","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":"前腕高度腱損傷・皮膚欠損に対して段階的再建術を施行した1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"前腕高度腱損傷・皮膚欠損に対して段階的再建術を施行した1例","subitem_title_language":"ja"}]},"item_type_id":"2","owner":"15","path":["1739"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2009-06-29"},"publish_date":"2009-06-29","publish_status":"0","recid":"10347","relation_version_is_last":true,"title":["前腕高度腱損傷・皮膚欠損に対して段階的再建術を施行した1例"],"weko_creator_id":"15","weko_shared_id":-1},"updated":"2023-12-13T04:44:46.722342+00:00"}