Publications by authors named "Koji Moriya"

Article Synopsis
  • A 56-year-old woman undergoing endoscopic carpal tunnel release (ECTR) presented with a rare muscle called the transverse carpal muscle (TCM) found near the transverse carpal ligament (TCL).
  • Due to the presence of the TCM, the surgical team switched from ECTR to an open carpal tunnel release to better understand the anatomy and reduce the risk of damaging surrounding tendons and blood vessels.
  • The TCM was only found on one side, as it does not always appear bilaterally, highlighting how the distal incision first approach during ECTR helped identify it, which may have been missed with traditional methods.
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Purpose: Preiser disease is difficult to diagnose and treat because of its unclear pathophysiology. Although both nonsurgical treatment and surgical treatment for Preiser disease have been reported, there is no consensus on the optimal treatment because of its rarity. The purpose of this study was to investigate the relationship between treatment selection and characteristics of patients with Preiser disease.

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Purpose: The placement of multistrand sutures during flexor tendon repair is complex and challenging. We developed a new, simpler, nine-strand suture, which we term the Tajima nines. The Tajima nines repair method is a new odd-numbered strand tendon technique.

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As the thumb is pronated, primary repair of complex injuries may be more difficult than the repair of other digits. We describe a simple technique that facilitates thumb repair. We insert a Kirschner wire perpendicular to the bone axis in the middle of the proximal phalanx, which ensures adequate exposure of the palmar aspect without the need for thumb position adjustment by an assistant.

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Despite medical advances, degloving injury remains one of the most difficult traumatic injuries to treat. The conventional method for treating degloving injury of the hand is reconstruction with a groin flap. However, few reports have described the mid- or long-term functional and aesthetic outcomes after a hand reconstruction with a groin flap.

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Article Synopsis
  • A 68-year-old woman with a distal radial fracture and ulnar styloid fracture underwent surgery for fixation using a palmar locking plate and tension band wiring.
  • Despite the surgery, her fracture did not heal after three months, prompting the use of low-intensity pulsed ultrasound (LIPUS) to encourage healing.
  • After starting LIPUS treatment, complete bone healing was confirmed five months later, suggesting that LIPUS could be a viable treatment for delayed union of distal radial fractures post-surgery.
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Background: Ulnar shortening osteotomy using various osteotomy sites, osteotomy methods, and surgical techniques with a variety of implants has been reported, but nonunion rates and the duration of bone healing are not uniform by the authors. The purpose of this study was to investigate the duration of bone healing and nonunion ratio in patients who underwent ulnar shortening osteotomy by a 5-hole nonlocking plate with a simple transverse osteotomy for ulnar impaction syndrome and to determine the correlation between the gap length of the osteotomy site and the duration of bone healing.

Methods: We assessed patients who underwent ulnar shortening osteotomy for ulnar impaction syndrome using a 5-hole nonlocking plate fixation followed by a simple transverse osteotomy between July 2012 and October 2021.

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Heterodigital vascularized hemijoint transfer can theoretically produce a near normal joint by combining intact joint components from different fingers and maintaining the joint space over the long term. We present herein an extremely rare case of heterodigital vascularized hemijoint transfer with a 42-year follow-up, demonstrating the longevity of this joint reconstruction technique for the restoration of hand function. Our patient's outcome indicates that despite the gradual progression of osteoarthritic changes, good subjective results and maintenance of an active range of motion can be acquired even after a long period.

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Case: A 71-year-old otherwise healthy man presented with an 8-week history of elbow pain and weakness in both elbow flexion and forearm supination. Magnetic resonance imaging revealed complete rupture of the distal biceps tendon insertion associated with 65 mm of proximal retraction. At 10 weeks after initial injury, the patient underwent a novel reconstruction technique using a periosteal flap from the iliac crest; subsequently, all symptoms resolved.

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Article Synopsis
  • A study evaluated how different suture directions using the double Tsuge repair impact gap formation resistance and failure modes in tendon repairs.
  • In the experiment, 25 porcine tendons were divided into two groups: one using a parallel suture method and the other a new crossed (cruciate) method.
  • Results showed the cruciate method produced a higher load resistance at 2 mm of gap formation (29.7 N) compared to the parallel method (21.6 N) and was more likely to fail through suture pull-out rather than tendon tearing.
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Background: The association between Patient-Rated Elbow Evaluation: Japanese version (PREE-J) and Japanese Orthopaedic Association-Japan Elbow Society Elbow Function score (JOA-JES score) is unclear. This study evaluated the association between PREE-J and JOA-JES scores.

Methods: The patients with elbow disorders were divided into two groups: Group A (conservative treatment, n = 97) and Group B (surgical treatment, n = 156).

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 The placement of multistrand sutures during flexor tendon repair requires complicated surgical skills; such suturing is difficult. We developed a new, simpler eight-strand suture, which we term the Yoshizu cross-lock. This reduces the numbers of suture passages through the tendons, as well as the numbers of knots.

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The processing of type I procollagen is essential for fibril formation; however, the steps involved remain controversial. We constructed a live cell imaging system by inserting fluorescent proteins into type I pre-procollagen α1. Based on live imaging and immunostaining, the C-propeptide is intracellularly cleaved at the perinuclear region, including the endoplasmic reticulum, and subsequently accumulates at the upside of the cell.

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Article Synopsis
  • The study aimed to compare the effectiveness of two surgical methods—bridge tendon grafts and end-to-side tendon transfers—for treating ruptured flexor tendons in the little finger.
  • Eleven patients received bridge tendon grafts while ten received end-to-side tendon transfers.
  • Results showed no significant differences in recovery outcomes such as motion, functional assessment, and grip strength between the two groups, suggesting that assessing tendon condition may guide surgical choice.
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The current clinical methods of flexor tendon repair are remarkably different from those used 20 years ago. This article starts with a review of the current methods, followed by presentation of past experience and current status of six eminent hand surgery units from four continents/regions. Many units are using, or are moving toward using, the recent strong (multi-strand) core suture method together with a simpler peripheral suture.

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The standard clinical practice to treat closed ruptures of the flexor digitorum profundus (FDP) tendons includes free tendon grafting; however, it is not suitable when the muscle amplitude of the ruptured FDP is not sufficient. We report outcomes of six patients who underwent flexor digitorum superficialis (FDS) tendon transfer of the ring finger using the wide-awake approach to repair the closed rupture of the FDP tendon of the little finger in zone 3 or 4. The patients were identified by reviewing our institutional billing records from January 2012 to October 2019 for the International Classification of Disease 10 code M66.

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Article Synopsis
  • This study investigates the outcomes of reconstructive surgery for tendon ruptures that occur after distal radius fractures (DRF), focusing on predicting factors that influence recovery.
  • It involved a retrospective review of 75 patients, primarily older women, who underwent tendon repair after varying treatments for DRF, with a significant portion of ruptures linked to non-operative management.
  • The findings indicate that older age and previous non-operative treatment are associated with poorer recovery of active range of motion in the affected digits post-surgery.
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Background: There have been few studies regarding primary flexor tendon repair of the thumb following early active mobilization, whereas there have been multiple such studies of the finger. This study examined the outcomes of patients who underwent early active mobilization after primary repair of the flexor pollicis longus tendon.

Methods: This study was a retrospective case series.

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Purpose: This study evaluated the outcomes of early active mobilization after flexor tendon grafts using extrasynovial tendons with a novel distal fixation technique.

Methods: This study was a retrospective case series. The flexor digitorum profundus (FDP) tendons of 7 digits in 7 patients were reconstructed with extrasynovial tendons, which included the palmaris longs, plantaris, and extensor digitorum longus, in a single- or 2-stage procedure between 2008 and 2017.

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Most physiological changes follow a daily cycle in animals because their circadian rhythm is adjusted to and synchronized with sunlight. In particular, the circadian rhythm affects liver functions, including pharmacokinetics and metabolism. The influence of circadian rhythm has not been included in hepatotoxicity assays used in drug discovery and development.

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