{"created":"2023-05-15T09:05:55.112355+00:00","id":11939,"links":{},"metadata":{"_buckets":{"deposit":"00444baf-e31c-4aeb-b318-dec7072e792f"},"_deposit":{"created_by":15,"id":"11939","owners":[15],"pid":{"revision_id":0,"type":"depid","value":"11939"},"status":"published"},"_oai":{"id":"oai:sapmed.repo.nii.ac.jp:00011939","sets":["1674:1736:1770"]},"author_link":["16703","16704","16705","16706"],"item_2_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2010-03-31","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"60","bibliographicPageStart":"54","bibliographicVolumeNumber":"26","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":"2008年4月から2009年5月までの期間に，小児前腕骨骨幹部骨折の8例に対して，手術治療を行った。男児5例，女児3例で，平均年齢は11.1歳（8歳?15歳）であった。骨折部位は遠位1/3骨幹部が3例，中央1/3骨幹部が5例であり，近位1/3骨幹部骨折はなかった。手術は，遠位1/3の骨幹部骨折に対してCross pinning 法を2例，中央1/3の骨折には髄内鋼線固定を4例に行った。なお粉砕骨折や年長児の2例に対してはplate 固定を行った。Cross pinning 法を行った2例のうち，1例で術後角状変形が生じたため，plate を用いた再手術を要した。また髄内鋼線固定術を行った4例中1例で再骨折を生じ，plate による再手術を要した。最終経過観察時，全例骨癒合が得られ平均骨癒合期間は11週（8?16）で，5度以上の角状変形が残存した症例はなく，可動域も正常であった。再手術を回避するためには，太いK-wire の選択や髄内のへ2本のK-wire 挿入，十分な外固定期間を考慮するなど，固定性を向上させる工夫が必要である。","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":"井畑, 朝紀"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"土田, 芳彦"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"村上, 裕子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"成田, 有子"}],"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":"n091460832654.pdf","filesize":[{"value":"596.1 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"n091460832654.pdf","url":"https://sapmed.repo.nii.ac.jp/record/11939/files/n091460832654.pdf"},"version_id":"1ff5f9d8-d6da-40ec-862c-f03c3a627b2b"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Forarm fracture","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Children","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Cross pinning","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Intramedullary nailing","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Refracture","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"前腕骨骨折","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"小児","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"交差鋼線固定","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"髄内鋼線固定術","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"再骨折","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":"小児前腕骨骨幹部骨折の手術治療成績","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"小児前腕骨骨幹部骨折の手術治療成績","subitem_title_language":"ja"}]},"item_type_id":"2","owner":"15","path":["1770"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2010-08-26"},"publish_date":"2010-08-26","publish_status":"0","recid":"11939","relation_version_is_last":true,"title":["小児前腕骨骨幹部骨折の手術治療成績"],"weko_creator_id":"15","weko_shared_id":-1},"updated":"2023-12-13T04:43:19.866333+00:00"}