{"created":"2023-05-15T09:04:54.425715+00:00","id":10408,"links":{},"metadata":{"_buckets":{"deposit":"f5c18e13-f263-4d5d-9f7e-ffcf6a264966"},"_deposit":{"created_by":15,"id":"10408","owners":[15],"pid":{"revision_id":0,"type":"depid","value":"10408"},"status":"published"},"_oai":{"id":"oai:sapmed.repo.nii.ac.jp:00010408","sets":["1674:1736:1745"]},"author_link":["13314","13315","13316","13317","13318"],"item_2_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2007-03-31","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"36","bibliographicPageStart":"32","bibliographicVolumeNumber":"23","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":"再建術や内固定材料，抗生剤の進歩などに従い，温存できる重度下肢外傷が増加している.しかし，肢温存と再建を試みるべきか，切断に踏み切るべきか，判断に迷うことがしばしばある.その判断方法として様々な指標が提唱されてきたが，判断基準としては不適切とする意見も多い.各指標にとらわれることなく，あくまで参考にとどめ，機能回復の可能性を慎重に見極めるべきである.今回我々は，温存が困難とも考えられた重度下腿外傷の1症例に対し，皮弁を用いた軟部組織再建を行い，患肢を温存して良好な成績を得ることができた.この症例を通じ，患肢温存について検討を行った","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":"谷本, 勝正"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"平岩, 哲郎"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"野中, 伸介"}],"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":"n091460832332.pdf","filesize":[{"value":"345.0 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"n091460832332.pdf","url":"https://sapmed.repo.nii.ac.jp/record/10408/files/n091460832332.pdf"},"version_id":"07445a3a-d67f-4b59-9d53-850a0c5ae2e6"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Limb salvage","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Limb amputation","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Severe lower extremity trauma","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Injury severity score","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"患肢温存","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"肢切断","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"重度下肢外傷","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"外傷重症度スコア","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":"重度下腿開放骨折 : 患肢温存についての検討","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"重度下腿開放骨折 : 患肢温存についての検討","subitem_title_language":"ja"}]},"item_type_id":"2","owner":"15","path":["1745"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2009-08-06"},"publish_date":"2009-08-06","publish_status":"0","recid":"10408","relation_version_is_last":true,"title":["重度下腿開放骨折 : 患肢温存についての検討"],"weko_creator_id":"15","weko_shared_id":-1},"updated":"2023-12-13T04:44:00.901097+00:00"}