{"created":"2023-05-15T09:04:52.154984+00:00","id":10361,"links":{},"metadata":{"_buckets":{"deposit":"727424d9-5b44-4ceb-9550-3d2fff93a38e"},"_deposit":{"created_by":15,"id":"10361","owners":[15],"pid":{"revision_id":0,"type":"depid","value":"10361"},"status":"published"},"_oai":{"id":"oai:sapmed.repo.nii.ac.jp:00010361","sets":["1674:1736:1739"]},"author_link":["13164","13165","13166","13167","13168","13169"],"item_2_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2006-03-31","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"31","bibliographicPageStart":"27","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":"手指開放骨折に対し,早期内固定術により良好な機能が獲得された症例を経験した.症例は19歳,男性であり,労災事故にて左母指基節骨骨幹部粉砕骨折,左示指基節骨近位端粉砕骨折,左中指基節骨骨幹部横骨折(以上Duncan 分類grade1の開放骨折),左環指中節骨骨折を受傷した.即日観血的整復内固定術を施行し,術翌日から指節間関節の積極的な自他動可動域訓練を開始した.その結果,術後1ヵ月の時点で手指の完全可動域を獲得することができた.また術後4ヵ月の時点で単純X線上骨折部の転位はなく,骨癒合が獲得された.開放骨折に代表される軟部組織損傷を伴う手指骨折は,早期に瘢痕拘縮をきたしやすい.良好な可動域を獲得するためには,解剖学的整復を獲得すること,早期運動に耐えうる固定法を選択することである.","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":"村瀬, 正樹"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"土田, 芳彦"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"佐藤, 攻"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"斉藤, 丈太"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"倉田, 佳明"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"入船, 秀仁"}],"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":"n091460832227.pdf","filesize":[{"value":"402.3 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"n091460832227.pdf","url":"https://sapmed.repo.nii.ac.jp/record/10361/files/n091460832227.pdf"},"version_id":"ed5072ae-0176-4062-84b6-dee87dfef7f3"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Thumb and finger fracture","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Open fracture","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Methods of treating fractures","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"手指骨骨折","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"開放骨折","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"骨折治療法","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":"手指開放骨折治療における提言 : 早期内固定術の有用性","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"手指開放骨折治療における提言 : 早期内固定術の有用性","subitem_title_language":"ja"}]},"item_type_id":"2","owner":"15","path":["1739"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2009-07-21"},"publish_date":"2009-07-21","publish_status":"0","recid":"10361","relation_version_is_last":true,"title":["手指開放骨折治療における提言 : 早期内固定術の有用性"],"weko_creator_id":"15","weko_shared_id":-1},"updated":"2023-12-13T04:44:47.814265+00:00"}