Publications by authors named "Haruhiko Akiyama"

Heterotopic ossification (HO) in Achilles tendon often arises due to endochondral ossification during the healing process following trauma. Retinoic acid receptor γ (RARγ) plays a critical role in this phenomenon. This study aims to elucidate the therapeutic effects of CD1530, an RARγ selective agonist, along with the contributing cells, in Achilles tendon healing, utilizing a cell lineage tracing system.

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Objectives: Details about salivary gland tumor histogenesis remain unknown. Here, we established a newly generated murine salivary gland tumor model that could overexpress pleomorphic adenoma gene 1 (PLAG1) and attempted to clarify the events that occur during the early phase of salivary gland tumor histogenesis.

Methods: Salivary gland tumors were generated using murine models (Sox9IRES-CreERT2; ROSA26-PLAG1).

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  • * Despite the skin healing within a year, he developed ankylosis as a result of ongoing ossification, necessitating surgical interventions in four stages.
  • * Two years post-surgery, he regained functional movement in both upper extremities, highlighting that surgical treatment for HO can be effective even after skin healing.
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  • - This study assessed the healing of the tibial tuberosity in patients who had a specific type of leg surgery called medial opening wedge distal tibial tuberosity osteotomy (OWDTO) and looked for connections between healing and a condition known as lateral hinge fractures (LHFs).
  • - Data from 61 patients were analyzed, showing that while 13 patients experienced postoperative LHFs, all healed with conservative treatments within 6 months; factors like age and the angle of the tibia were linked to better healing outcomes.
  • - The findings concluded that LHFs significantly contributed to delayed healing of the tibial tuberosity, whereas the thickness of the osteotomy did not; thus, preventing LHFs is important for promoting healing
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Background: Both arthrodesis and trapeziectomy with ligament reconstruction and tendon interposition (T + LRTI) arthroplasty are reliable surgical procedures for thumb carpometacarpal (CMC) osteoarthritis. Here, we compared surgical outcomes between arthrodesis and T + LRTI for female workers aged over 40 years with thumb CMC osteoarthritis to determine an optimal procedure.

Patients And Methods: Fourteen thumbs of 13 patients who underwent arthrodesis with locking plates and 11 thumbs of 10 patients who underwent T + LRTI and were followed up for at least 12 months were retrospectively analyzed.

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C-type natriuretic peptide (CNP) plays a crucial role in enhancing endochondral bone growth and holds promise as a therapeutic agent for impaired skeletal growth. To overcome CNP's short half-life, we explored the potential of dampening its clearance system. Neprilysin (NEP) is an endopeptidase responsible for catalyzing the degradation of CNP.

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Purpose: To describe the surgical treatment in a patient with a partial omega deformity in the thoracic spine with neurofibromatosis type 1.

Methods: The patient was a 55-year-old man with an omega deformity, which is defined as a curvature in which the end vertebra is positioned at the level of, above, or below the apical vertebra (i.e.

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  • The study investigates the role of SOX9 in the healing process after acute kidney injury (AKI) and how it influences whether healing leads to fibrosis or not.
  • Researchers found that cells successfully regenerating epithelial tissue turn off SOX9, while those struggling to restore normal structure keep it active, leading to chronic issues such as kidney disease.
  • The findings highlight a potential biomarker for assessing the state of kidney repair, indicating that SOX9 activity can predict whether regeneration will occur with or without fibrosis.
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Case: A 30-year-old man had cervical radiculomyelopathy and neck pain caused by a massive intraosseous neurofibroma (IONF) originating from the C6 vertebrae. We performed posterior tumor resection with spinal instrumentation and fusion from C3 to T2 and a follow-up resection procedure of the remaining C6 anterior tumor, sacrificing the affected vertebral artery (VA), which accordingly required bypass surgery at 2 months recovery. Reconstruction using a titanium mesh cage was successfully performed.

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Background: Meningioma is the second most common intradural extramedullary tumor, following schwannoma. Meningioma is primarily categorized as benign World Health Organization grade 1, but clear cell meningioma is grade 2 of the intermediate malignant category. Clear cell meningiomas are rare, accounting for less than 1% of all meningioma tumors.

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  • The study investigates whether restricted kinematically aligned total knee arthroplasty (rKA-TKA) can restore the natural varus alignment in patients with knee osteoarthritis, focusing on using a specially designed implant.
  • Results show significant improvements in certain alignment parameters (like coronal HKA and posterior tibial slope) after surgery, but no changes in others, suggesting limited restoration of pre-surgery alignment.
  • Additionally, the study found that the knee flexion angle (KFA) and sagittal joint line obliquity (JLO) after surgery are correlated with patient-reported outcomes, indicating that poor KFA may lead to worse recovery results.
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Bcl2l1 (Bcl-XL) belongs to the Bcl-2 family, Bcl2 and Bcl2-XL are major anti-apoptotic proteins, and the apoptosis of osteoblasts is a key event for bone homeostasis. As the functions of Bcl2l1 in osteoblasts and bone homeostasis remain unclear, we generated osteoblast-specific -deficient () mice using 2.3-kb Cre.

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Introduction: Arthrodesis is a reliable surgical procedure for treatment of thumb carpometacarpal (CMC) osteoarthritis that provides hand strength and pain relief. Locking plate fixation is a common technique that provides rigid fixation and a high rate of bone union; however, it requires extensive surgical exploration of the first metacarpal and trapezium. Here, we report the surgical outcome of minimally invasive arthroscopy-assisted thumb CMC arthrodesis that preserves soft tissue supplying the blood flow to the bones.

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  • The study shows that activating Wnt/β-catenin signaling in specific cells contributes to fibrosis development and is influenced by interactions between stromal cells and macrophages.
  • Targeting the chemokine Cxcl14 to reduce macrophage infiltration may provide a new therapeutic approach for managing fibrosis related to Dupuytren's contracture.
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  • - This study explored the relationship between MRI findings and actual tissue degeneration in the anterior cruciate ligament (ACL) of patients with knee osteoarthritis (OA), aiming to create a new grading system based on MRI results matching histological analysis.
  • - Researchers analyzed 106 ACL specimens from patients who had knee surgery, calculating the signal intensity of the ACL compared to muscle on MRI to assess degeneration.
  • - The findings showed a strong correlation between MRI signal intensity ratios and the degree of collagen degeneration, leading to a new grading system that classifies ACL degeneration into three levels, potentially improving diagnosis and treatment of knee OA.
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Objectives: Septic arthritis and osteomyelitis are serious infections. Several treatment methods for the small joints and bones of the hands have been reported. We hypothesized that antibiotic-impregnated cement spacers could be useful for purulent finger osteomyelitis with bone and joint destruction.

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Heterotopic ossification (HO) is a well-recognised complication of after elbow trauma. The prevalence and risk factors of HO have been previously reported. However, these reports were based on elbow trauma that had undergone surgical treatment and most of them were from Western countries.

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  • The study aimed to compare the occurrence of lateral hinge fractures (LHFs) between two surgical procedures: medial opening-wedge high tibial osteotomy (OWHTO) and medial opening-wedge distal tibial tuberosity osteotomy (DTO), hypothesizing that DTO would have a higher incidence of LHFs.
  • After analyzing 167 knees and matching variables like sex and hip-knee-ankle angle, the results showed no significant difference in LHF occurrences between OWHTO (34.1%) and DTO (26.8%).
  • The research identified age, BMI, and preoperative HKA angle as significant risk factors for LHFs, concluding that the type of surgical technique (OWHTO vs. DTO
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  • A case of atlantoaxial subluxation (AAS) was reported following treatment for atlantoaxial rotatory fixation (AARF), which is an uncommon occurrence.
  • An 8-year-old boy diagnosed with AARF type II underwent various treatments, including neck collar immobilization and traction, but developed AAS five months later.
  • The conclusion emphasizes that treatments for AARF may stress cervical ligaments and cause instability, highlighting the importance of understanding AAS pathophysiology post-treatment.
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  • The study investigates the impact of medial opening wedge distal tibial tuberosity osteotomy (OWDTO) on neuropathic pain (NP) in patients with knee osteoarthritis (OA), revealing a significant decrease in NP after surgery.
  • Fifty-two patients were assessed using the painDETECT questionnaire, and outcomes measured through WOMAC and Knee Society Score (KSS) show that preoperative NP correlates with higher pain and lower physical function scores.
  • Results suggest that OWDTO effectively alleviates knee symptoms and improves function, leading to increased patient satisfaction, particularly for those initially presenting with possible NP.
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Objective: The purposes of our study were to (1) identify muscle function-based clinical phenotypes in patients with hip osteoarthritis (OA) and (2) determine the association between those phenotypes and radiographic progression of hip OA.

Design: Prospective cohort study.

Setting: Clinical biomechanics laboratory of a university.

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  • The study investigates how changes in the posterior tibial slope (PTS) affect clinical outcomes in cruciate-retaining total knee arthroplasty (CR-TKA), focusing on patient satisfaction and joint awareness.
  • Results show that patients with an increased PTS experienced significantly higher scores on the Knee Society Score (KSS) and lower scores on the Forgotten Joint Score-12 (FJS), indicating better overall symptoms and satisfaction.
  • Additionally, the study finds a correlation between PTS changes and decreased medial compartment loading, suggesting that increased PTS may lead to better outcomes due to reduced stress on the knee during flexion.
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Study Design: Clinical and basic study.

Objectives: This study aimed to investigate whether transforaminal lumbar interbody fusion (TLIF) using 2 banana-shaped cages leads to good clinical outcomes.

Methods: First, we conducted a clinical study to compare outcomes among patients who underwent TLIF using different types or numbers of cages.

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Arthrodesis is a reliable surgical procedure for treating thumb carpometacarpal osteoarthritis. However, the most frequent and problematic complication of arthrodesis is nonunion. Although postarthrodesis-related nonunion is a common complication, the indications and results of revision procedures for this pathological condition have not been well documented.

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