{"created":"2023-05-15T09:06:10.270914+00:00","id":12239,"links":{},"metadata":{"_buckets":{"deposit":"605a78b4-b0ae-4b00-9ef7-4b2ff0635088"},"_deposit":{"created_by":15,"id":"12239","owners":[15],"pid":{"revision_id":0,"type":"depid","value":"12239"},"status":"published"},"_oai":{"id":"oai:sapmed.repo.nii.ac.jp:00012239","sets":["1674:1736:1773"]},"author_link":["17708","17709","17710","17711","17712","17713"],"item_2_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2012-03-31","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"40","bibliographicPageStart":"36","bibliographicVolumeNumber":"28","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":"Pilon 骨折の2症例を提示し，特にアプローチについて考察した.症例1：44歳男性，AO43?C3.2.腓骨plate 固定の後，前内側アプローチから前外側の陥没骨片を整復し骨移植を行い，前内側と前方に2枚のlocking plate を設置し内固定した.しかし前外側関節面の十分な整復，plate設置は不能であり，術後14ヵ月抜釘時，軽度の疼痛と可動域制限，関節症変化を生じていた.症例2：48歳男性，AO43?C3.1.後果，内果buttress plate 固定の後，前外側アプローチで粉砕陥没している前外側骨片をlocking plate で追加固定，骨移植術を施行した.術後5ヵ月時関節面の整復位保持は良好であった.関節内骨折では関節面骨片を解剖学的に整復固定することが治療原則である.Pilon 骨折ではCT にて関節面骨片を評価し，骨片特異的内固定を行うべきである.特に陥没骨片を直接整復固定できるアプローチを選択する.多くは前外側アプローチが有用である.","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":"辻, 英樹"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"土田, 芳彦"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"村上, 裕子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"工藤, 雅響"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"佐藤, 和生"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"士反, 唯衣"}],"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":"n091460832836.pdf","filesize":[{"value":"1.2 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"n091460832836.pdf","url":"https://sapmed.repo.nii.ac.jp/record/12239/files/n091460832836.pdf"},"version_id":"a659e83e-8a1c-4128-ab91-d7c8ee940b51"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Pilon fracture","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"ピロン骨折","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"Fragment specific fixation","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"骨片特異的内固定","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"Antero-lateral approach","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"前外側アプローチ","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":"Pilon骨折における前外側アプローチ","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Pilon骨折における前外側アプローチ","subitem_title_language":"ja"}]},"item_type_id":"2","owner":"15","path":["1773"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2012-12-11"},"publish_date":"2012-12-11","publish_status":"0","recid":"12239","relation_version_is_last":true,"title":["Pilon骨折における前外側アプローチ"],"weko_creator_id":"15","weko_shared_id":-1},"updated":"2023-12-13T05:00:49.176006+00:00"}