{"created":"2023-05-15T09:05:56.923265+00:00","id":11967,"links":{},"metadata":{"_buckets":{"deposit":"a705ba01-79a4-48b5-81fa-ccd69499759b"},"_deposit":{"created_by":15,"id":"11967","owners":[15],"pid":{"revision_id":0,"type":"depid","value":"11967"},"status":"published"},"_oai":{"id":"oai:sapmed.repo.nii.ac.jp:00011967","sets":["1674:1736:1771"]},"author_link":["16745","16746"],"item_2_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2011-03-31","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"9","bibliographicPageStart":"5","bibliographicVolumeNumber":"27","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":"われわれは踵骨裂離骨折後に皮膚壊死，感染を生じ，治療に難渋した症例を経験したので報告する。症例は53歳の男性で，糖尿病の既往と喫煙歴がある。初診時に外傷の訴えがなかったため，骨折の診断が遅れ，手術時には踵骨後方の皮膚は既に壊死となっていた。骨折部の整復・固定と同時に局所皮弁手術を行なったが，皮弁壊死，骨折部の再転位，創感染を生じ，骨折の再固定，medial plantar flap での被覆，数回のdebridement を要した。踵骨裂離骨折は比較的珍しく，皮膚壊死や再転位が報告されている。骨片が大きく転位することにより，皮膚・皮下組織と深部との連絡が途絶するわけであり，degloving 損傷と同様の病態と考えられる。この骨折は，当初より骨折と皮膚損傷の両面からの治療を考えるべきであり，早期の整復と軟部組織への愛護的な操作，強固な固定が必要である。","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":"中島, 菊雄"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"平賀, 康晴"}],"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":"n09146083275.pdf","filesize":[{"value":"329.3 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"n09146083275.pdf","url":"https://sapmed.repo.nii.ac.jp/record/11967/files/n09146083275.pdf"},"version_id":"9dc5a14a-ca9e-4e4f-8650-b6b30eceaa24"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Avulsion fracture of Calcaneus","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"踵骨裂離骨折","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"Skin necrosis","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"皮膚壊死","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"Infection","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"感染","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":"皮膚壊死・感染を生じた踵骨裂離骨折の1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"皮膚壊死・感染を生じた踵骨裂離骨折の1例","subitem_title_language":"ja"}]},"item_type_id":"2","owner":"15","path":["1771"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2011-04-19"},"publish_date":"2011-04-19","publish_status":"0","recid":"11967","relation_version_is_last":true,"title":["皮膚壊死・感染を生じた踵骨裂離骨折の1例"],"weko_creator_id":"15","weko_shared_id":-1},"updated":"2023-12-13T04:42:32.364051+00:00"}