Publications by authors named "Katsushi Takeshita"

Background: The Scoliosis Research Society-30 (SRS-30) is a questionnaire that was originally developed from the SRS-22r questionnaire and is used to evaluate adolescent idiopathic scoliosis (AIS). It comprises two sections, with Section 1 containing 22 items related to the SRS-22r questionnaire and 1 item regarding self-image and Section 2 containing 7 items specifically related to postoperative status. The SRS-30 has been also found useful in evaluating spinal disorders or deformity in adults.

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Unlabelled: Purpose While increased posterior tibial slope (PTS) is a concern post-medial open wedge high tibial osteotomy (MOWHTO), the ability of distal tuberosity osteotomy (DTO) to maintain postoperative PTS after cyclic loading remains unverified. This study aims to determine whether PTS alterations significantly differ between DTO and MOWHTO following cyclic loading.

Methods: Biomechanical evaluations were conducted on thirty porcine tibias using MOWHTO and DTO, with and without an anterior-posterior (AP) screw.

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Purpose: Medial meniscus posterior root tears (MMPRT) are a risk factor for knee osteoarthritis. The predominant treatment for MMPRT is transtibial pullout repair, and loop suture remains the gold standard procedure. This study aimed to investigate the structural properties of the meniscus-suture-tibia (MST) complex after loop stitch using ultra-high molecular weight polyethylene (UHMWPE) suture tape of different thicknesses.

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Article Synopsis
  • The study investigates the tensile strength of different implants used for pull-out repair of medial meniscus posterior root tears (MMPRT) using porcine knee models.
  • It compares three types of fixation implants: double spike plate, metallic interference screw, and resorbable interference screw across various structural properties like maximum load and stiffness.
  • Results showed no significant differences in fixation strength among the three implants, suggesting that resorbable screws could be advantageous since they don't require removal.
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  • The study aimed to assess the impact of untreated medial meniscal ramp lesions (MMRLs) on tendon grafts following anterior cruciate ligament (ACL) reconstruction using a pig model.
  • A total of 17 pigs were divided into two groups: one with untreated MMRLs and another with intact medial meniscus, and after 12 weeks, their specimens were tested for differences in structural properties and histology.
  • Although there were no significant differences in mechanical performance between the two groups, the group with untreated MMRLs showed considerably worse histological scores, indicating tissue deterioration post-surgery.
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Femoral neck fractures are considered exclusion criteria for atypical femoral fractures; however, femoral neck fractures with atypical femoral fractures have also been reported. Here, we report a case of a femoral neck fracture with features of atypical femoral fractures and a review of the related literature. A 76-year-old woman had been treated with denosumab for five years.

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Purpose: This study aimed to clarify whether the range of motion (ROM), anterior and posterior (AP) stability and other clinical measures changed in patients who underwent tibia-first total knee arthroplasty (TF-TKA) using navigation with a computer-aided system after surgery.

Methods: This is a retrospective study and we conducted a matched cohort analysis of 60 measured resection (MR)-TKAs and 52 TF-TKAs performed by a single surgeon. All the surgeries used the same implant and approach.

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Purpose: We aimed to investigate whether a plate adapted to the anatomy of the proximal medial porcine's tibia would provide maintenance of the anterior gap (AG), posterior gap (PG) and posterior tibial slope (PTS).

Methods: Twenty-seven porcine tibias were biomechanically evaluated by performing MOWHTO and placing TOMOFIX ( = 9), AC plate ( = 9) and TriS ( = 9) anteromedially. Cyclic testing (800 N, 2000 cycles, 0.

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Introduction: The Scoliosis Research Society-30 (SRS-30) is a questionnaire originally developed from the SRS-22r questionnaire and is used to evaluate adolescent idiopathic scoliosis (AIS). It comprised questions on five domains: function, pain, self-image, mental health, and satisfaction, with seven additional questions related to postoperative aspects. In addition to the original English version, translations in multiple languages have been effectively applied.

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Background: A gradually reducing radius (GRADIUS) design implant can facilitate a smooth transition from stability through full range of motion in total knee arthroplasty (TKA). Nonetheless, patient-specific factors associated with good knee flexion remain unclear.

Objective: This study aimed to determine the factors associated with good knee flexion after cruciate-retaining TKA with a GRADIUS prosthesis in an Asian population.

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Purpose: The crankshaft phenomenon (CSP) is a corrective loss after posterior surgery for early onset scoliosis (EOS). However, an accurate method for CSP evaluation has yet to be developed. In this study, we evaluated pedicle screw (PS) length and rotation angle using an inverse trigonometric function and investigated the prevalence of the CSP.

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Purpose: To compare the postoperative clinical and radiological outcomes in patients aged ≥70 years following neutral alignment medial opening-wedge high tibial osteotomy (NA-MOWHTO) for medial compartment knee osteoarthritis (KOA) to those observed in younger patients.

Methods: The data of patients who underwent NA-MOWHTO for medial compartment KOA between September 2018 and June 2022 were retrospectively analysed. The patients were categorised into groups Y (<70 years) and O (≥70 years).

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Background: Transcription factor protein IκBζ (encoded by the Nfkbiz gene) regulates nuclear factor-κB (NF-κB) and is involved in the pathophysiology of various inflammatory diseases. However, the role of IκBζ in secondary damage following spinal cord injury (SCI) remains to be determined. Here, we investigated the effect of IκBζ expressed in hematopoietic cells on the progression of secondary damage and functional recovery after SCI.

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Article Synopsis
  • - This study investigates the effects of different lengths of intramedullary nails (IMNs) on the stability of AO/OTA 31A3.3 fractures, aiming to clarify the best nail length for surgical fixation.
  • - Researchers tested 30 synthetic femora with short (170 mm), mid (235 mm), and long (300 mm) nails, examining translation patterns and angle changes post-surgery through cyclic testing and imaging.
  • - Results showed that while translation patterns were similar across groups, short-length nails caused more significant changes in neck-shaft and shaft-nail angles compared to mid and long-length nails, suggesting the latter might provide better stability post-surgery.
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Article Synopsis
  • Patient-specific instrumentation (PSI) systems are designed to enhance total knee arthroplasty by improving accuracy and reducing errors in component placement, leading to shorter surgeries and lower risks for patients.
  • A recent study on the Prophecy Evolution PSI system revealed that while a high percentage of surgeries maintained acceptable error margins, there was a notable 50.8% match rate between planned and inserted knee components, with variations observed between femoral (84.6%) and tibial (58.4%) components.
  • The study found that flexion contracture over 20° significantly increases the likelihood of mismatch between planned and actual component sizes, suggesting that surgeons should carefully consider this factor during preoperative planning.
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  • Biomechanical studies on medial tibial plateau fractures are lacking, leading researchers to compare large and small-fragment locking plates on porcine bones to determine effective internal fixation techniques.
  • The study involved fixing 40 porcine tibias with locking plates in different configurations and analyzing their stability through cyclic loading tests to assess displacement and gap formation.
  • Results showed that medial placement with large-fragment plates offered better stability with fewer gaps compared to small-fragment and anteromedial placements, indicating a stronger fixation method for these types of fractures.*
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Introduction: Mono-arthritis and intermetatarsal bursitis according to rheumatoid arthritis aren't aware among general orthopedic surgeon. This report describes a case of surgical treatment of intermetatarsal bursitis.

Presentation Of Case: A 50-year-old female presented with three years of metatarsophalangeal joint pain and deformity.

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Purpose: To clarify differences in surgery duration, postoperative knee range of motion (ROM), anterior and posterior (AP) laxity, and Forgotten Joint Score (FJS) in patients undergoing medial-pivot (MP) and GRADIUS cruciate-retaining (CR) total knee arthroplasty (TKA) surgeries.

Methods: We examined patients who underwent either MP or CR TKA at six different Japanese centres. Patients were propensity score matched for age, sex, and preoperative hip-knee angle (HKA).

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Purpose: To assess how intraoperative macroscopical anterior cruciate ligament (ACL) findings affect perioperative procedures, biomarkers, and postoperative anterior-posterior (AP) laxity and range of motion (ROM) after cruciate-retaining (CR) total knee arthroplasty (TKA) and to determine how chronic ACL deficiency may affect postoperative inflammatory biomarker, AP laxity, and ROM.

Methods: A total of 121 patients with varus knee osteoarthritis without a history of ACL injury who underwent ATTUNE® (DePuy Synthes, Warsaw, IN) CR TKA were analyzed. Intraoperative ACL findings were stratified into intact, damaged, and diminished, according to the tension by probing, synovial coverage, and vascularity.

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Background: Instrumentation failure (IF) is a major complication associated with growth-sparing surgery for pediatric spinal deformities; however, studies focusing on IF following each surgical procedure are lacking. We aimed to evaluate the incidence, timing, and rates of unplanned return to the operating room (UPROR) associated with IF following each surgical procedure in growth-sparing surgeries using traditional growing rods (TGRs) and vertical expandable prosthetic titanium ribs (VEPTRs).

Methods: We reviewed 1,139 surgical procedures documented in a Japanese multicenter database from 2015 to 2017.

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Background: To achieve optimal correction of rigid kyphoscoliosis, we developed a novel two-stage posterior-anterior-posterior (PAP) surgery using subcutaneously preserved autologous bone grafts. This study aimed to investigate the effectiveness of two-stage PAP surgery versus single-stage anterior-posterior (AP) surgery.

Methods: This was a retrospective analysis of patients undergoing combined anterior-posterior long-level fusion for adult spinal deformity (ASD) with a minimum 2-year follow-up.

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Study Design: Retrospective cohort study.

Objective: The aim of the present study is to investigate the coexisting lower back pain (LBP) in patients with cervical myelopathy and to evaluate changes in LBP after cervical spine surgery.

Summary Of Background Data: Only a few studies with a small number of participants have evaluated the association between cervical myelopathy surgery and postoperative improvement in LBP.

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Background Achilles tendinopathy is a common ankle disorder in both the general population and athletes. This condition can alter the mechanical characteristics of the Achilles tendon (AT) by decreasing tendon stiffness. Achilles tendinopathy is primarily treated conservatively; however, few monitoring tools exist for evaluating the condition of the AT.

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Medial meniscus posterior root tears (MMPRT) are a risk factor for knee osteoarthritis (KOA) because it involves disruption of the hoop structure of the meniscus. In recent years, MMPRT pullout repair has been performed to restore the native anatomy of the meniscus attachment. In addition, medial open-wedge high tibial osteotomy (MOWHTO) has been performed with MMPRT pullout repair to reduce the pressure on the medial compartment.

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Article Synopsis
  • The study aimed to investigate how different ablation devices for knee joint surgery affect the mechanical properties of the femur-ACL-tibia complex during partial debridement of the ACL.
  • Two devices were tested: the Vulcan using electrothermal ablation and the Werewolf Flow 50 Wand using radiofrequency ablation, each set to specific power levels, and applied for 60 seconds.
  • Results showed a significant difference in upper yield load between the two devices, indicating better mechanical properties with the Werewolf device, suggesting that device choice may impact ACL remnant tissue during reconstruction.
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