Publications by authors named "Kenji Kusakabe"

Article Synopsis
  • Popliteal artery injury, although rare, can lead to severe complications like limb ischemia and potential amputation, prompting the need for effective treatment strategies.
  • The study analyzed patient records from two hospitals between 2011 and 2022, comparing treatment outcomes, particularly focusing on the time to reperfusion and types of interventions used for popliteal artery injuries.
  • Results indicated that the hospital using temporary vascular shunting had significantly shorter reperfusion times and better clinical outcomes, suggesting the importance of prompt diagnosis and systematic treatment protocols.
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Background: Posterior pelvic ring injuries are challenging for surgeons to treat adequately due to difficulties with reduction and stabilization. Surgical intervention is a beneficial option to protect neurological structures and provide sufficient stability for early mobilization. The gull wing plate (GWP) is a pre-contoured anatomical locking plate with six screws, and its design is unique among posterior transiliac tension-band plates.

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Posterior pelvic ring injuries commonly involve sacral fractures, which are difficult to reduce and stabilize. Because conservative treatment requires long-term bedrest and leads to unsatisfactory outcomes, surgical intervention is a beneficial option to protect neurological structures and provide sufficient stability for early mobilization. Several studies have investigated a variety of internal fixation techniques, such as iliosacral screws, transiliac bars, spinal instruments, and transiliac plates.

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Aim: Vertebral artery injury associated with blunt traumatic cervical spine injury sometimes causes severe cerebellar and brain stem infarction. No treatment guidelines for vertebral artery injury aimed at preventing stroke have been decided. We have conducted endovascular embolization in patients with up to Denver grade IV cerebrovascular injury complicated by unstable cervical spine injury before open reduction and fixation surgery.

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Purpose: Lumbar vertebral fracture (LVF) infrequently produces massive retroperitoneal hematoma (RPH). This study aimed to systematically review the clinical and radiographic characteristics of RPH resulting from LVF.

Methods: For 193 consecutive patients having LVF who underwent computed tomography (CT), demographic data, physiological conditions, and outcomes were reviewed from their medical records.

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