{"created":"2023-05-15T09:05:00.621218+00:00","id":10561,"links":{},"metadata":{"_buckets":{"deposit":"5ac6619c-d07c-4594-806b-1785b687ce2a"},"_deposit":{"created_by":15,"id":"10561","owners":[15],"pid":{"revision_id":0,"type":"depid","value":"10561"},"status":"published"},"_oai":{"id":"oai:sapmed.repo.nii.ac.jp:00010561","sets":["1674:1736:1750"]},"author_link":["13836","13837","13838","13839","13840","13841","13842","13843","13844"],"item_2_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2009-03-31","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"43","bibliographicPageStart":"38","bibliographicVolumeNumber":"25","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":"当科における逆行性指動脈皮弁術術後の指ROM を調査し，拘縮を生じた原因について検討した.症例は13例13指（男11女2）で，平均年齢は39.9歳（24‐74），受傷部位は石川のsubzone??が2指， が9指， が2指であった.逆行性皮弁は全例Reverse digital flag flap を施行した.術後の指可動域訓練・ハンドセラピィは原則術後1週以内より開始した.またPIP 関節の屈曲拘縮の予防目的でsafety splint を11指に作製，使用した.ハンドセラピィ終了時の平均％TAM は78％，平均PIP 関節伸展?7°で，31％にPIP 関節屈曲拘縮を認めた.縫合線の瘢痕化と皮線との交差，可動域訓練不施行・開始の遅れ，safety splint 不使用がPIP 関節屈曲拘縮の原因として考えられた.指尖部損傷に対する逆行性指動脈皮弁では，整容面のみならず機能的に良好な指を獲得するために，手術操作，術後のハンドセラピィなど細かな配慮が重要と考えられた.","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":"辻, 英樹"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"磯貝, 哲"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"倉田, 佳明"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"佐々木, 友基"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"新井, 学"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"田辺, 康"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"森, 利光"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"土田, 芳彦"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"村上, 裕子"}],"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":"n091460832538.pdf","filesize":[{"value":"511.5 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"n091460832538.pdf","url":"https://sapmed.repo.nii.ac.jp/record/10561/files/n091460832538.pdf"},"version_id":"4efdf5fd-a874-4a1c-b1bf-2c960812fadc"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Reversed digital artery flap","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Range of motion of the finger","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Flexion contracture","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"逆行性指動脈皮弁","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"指可動域","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"屈曲拘縮","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":"逆行性指動脈皮弁術術後の指ROM の検討","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"逆行性指動脈皮弁術術後の指ROM の検討","subitem_title_language":"ja"}]},"item_type_id":"2","owner":"15","path":["1750"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2009-09-09"},"publish_date":"2009-09-09","publish_status":"0","recid":"10561","relation_version_is_last":true,"title":["逆行性指動脈皮弁術術後の指ROM の検討"],"weko_creator_id":"15","weko_shared_id":-1},"updated":"2023-12-13T04:43:12.897483+00:00"}