Publications by authors named "Nobuyuki Shirakawa"

Article Synopsis
  • The study evaluates the effectiveness of the iASSIST accelerometer-based navigation system in improving alignment accuracy during total knee arthroplasty (TKA) compared to conventional surgical methods using 3D imaging.
  • A total of 83 knees were analyzed, with 42 using the iASSIST system and 41 using traditional guides, and results showed better alignment within 3° of neutral in both coronal and sagittal planes for the iA group.
  • The findings concluded that iASSIST significantly improves femoral alignment during TKA, although there were no notable differences in clinical outcomes or patient reports at the 6-month check-up.
View Article and Find Full Text PDF

Purpose: Mobile-bearing Oxford unicompartmental knee arthroplasty has been used widely and successfully; however, there is no previous research on the intraoperative bearing movement. The purpose of this study was to characterise intraoperative bearing movement and investigate whether bearing movement relates to component positions, bearing size, intraoperative rotational kinematics and clinical results.

Methods: A trial tibial component, which was scaled every 2 mm, was used to measure the intraoperative movement of the mobile bearings.

View Article and Find Full Text PDF

A new design of the so-called "guided-motion" total knee arthroplasty (TKA) is expected to produce normal-like kinematics. The implant behaves strictly as a mechanically constraint-guided motion system. However, no previous reports have demonstrated the most appropriate surgical technique or soft-tissue balance that would reproduce ideal kinematics.

View Article and Find Full Text PDF

The purpose of this retrospective study was to first compare the clinical outcome of anatomical double-bundle (DB) anterior cruciate ligament reconstruction (ACLR) with hamstring tendon (HT) autografts and anatomical rectangular tunnel ACLR with bone-patellar tendon-bone (BPTB) autografts. Secondly, we aimed to demonstrate the quantitative locations of the femoral and tibial tunnel apertures using postoperative three-dimensional computed tomography (3D CT). Twenty-five patients underwent anatomical rectangular tunnel ACLR using BPTB grafts (Group B) and 23 patients underwent anatomical DB ACLR using HT grafts (Group H).

View Article and Find Full Text PDF

Introduction: The effects of initial graft tension upon tunnel widening (TW) following anatomic anterior cruciate ligament (ACL) reconstruction have not been elucidated. The purpose of this study was to retrospectively investigate the effect of two different graft-tensioning protocols upon femoral TW following anatomic ACL reconstruction using a bone-patellar tendon-bone (BPTB) graft and a three-dimensional (3D) computed tomography (CT) model.

Methods: Forty-three patients who underwent isolated ACL reconstruction using BPTB grafts were included in this study.

View Article and Find Full Text PDF

Background: Tilting of the mobile bearing relative to the tibial tray in the flexion position may result from the implantation of femoral components more laterally relative to tibial components during unicompartmental knee arthroplasty (UKA) using the Oxford Knee. The purpose of the present study was to compare femoral component positions after UKA using the phase 3 device and a novel device. We further evaluated the placement of the femoral components with the new device in the flexion position to determine the association with short-term prognosis.

View Article and Find Full Text PDF