Publications by authors named "Tomite T"
Background: Delirium is a postoperative complication that may occur in older patients. This study aimed to investigate the incidence of postoperative delirium and its risk factors in patients who had undergone total hip arthroplasty (THA) or total knee arthroplasty (TKA). Few reports have addressed the occurrence of delirium when different methods of pain control are used following total joint arthroplasty, and, therefore, whether its incidence varied depending on differences in pain control was investigated.
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- Atypical femoral fractures (AFF) involve low-energy breaks in specific areas of the femur, and even after healing, there's a risk of similar fractures in the opposite leg.
- The study analyzed 111 femurs from 104 patients to identify factors affecting the likelihood of complete fractures in the contralateral femur, categorizing them into groups based on their fracture status.
- Key findings included that thicker lateral cortical bone and thigh pain indicated worse outcomes, while using eldecalcitol and previous bisphosphonate or denosumab treatments were protective against future complete fractures.
Background: Patellar post impingement (PPI), which occurs when the post impinges on the patella, may reportedly cause poor total knee arthroplasty (TKA) outcomes. The causes of PPI and its effect on clinical outcomes and symptoms were investigated.
Material And Methods: The study subjects were 100 patients who underwent TKA (65 posterior stabilized TKA, 35 bi-cruciate stabilized [BCS] TKA).
Background: In conventional total knee arthroplasty (TKA), the anterior cruciate ligament (ACL) is resected. ACL dysfunction causes knee instability and is regarded as one factor in poor TKA outcomes. In bi-cruciate stabilized (BCS) TKA, the implant reproduces ACL function and provides anterior stability.
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- The study investigates the differences in mechanisms and risk factors for diaphyseal atypical femoral fractures (AFFs) in patients, particularly focusing on their clinical backgrounds.
- It includes 80 Japanese patients with 91 diaphyseal AFFs and compares them to 110 matched women with osteoporosis to identify contributing factors.
- Key findings indicate that factors like femoral serrated changes, use of bone resorption inhibitors, and certain femoral curvatures are significant risk factors for diaphyseal AFFs, along with low vitamin D levels and high serum calcium levels being linked to specific curvatures.
Article Synopsis
- Teriparatide is used to treat atypical femoral fractures (AFF), but even after healing, there is a risk of recurring fractures, prompting further investigation into contributing factors.
- In a study of 113 Japanese patients with AFF, researchers compared those who experienced a second fracture to those who did not, analyzing factors affecting recurrence.
- Findings suggest that using teriparatide and active vitamin D for longer periods can help prevent AFF relapse, highlighting the importance of continued treatment after the first fracture heals.
Background: This study was performed to re-examine the incidence of falls from heights while clearing snow in Akita prefecture after implementation of preventive countermeasures and a public service campaign.
Methods: This was a retrospective analysis of registration data from the section regarding prevention against natural disasters in the Akita prefectural office. The study population comprised all patients who fell from heights while clearing snow and were transported to the emergency department from December 2015 to March 2018.
Objective: Sagittal alignment of the tibia following total knee arthroplasty (TKA) can affect various factors, such as durability, range of motion, stability, and even kinematics. The aim of the present study was to investigate whether taking plain preoperative lateral leg X-ray images to plan the posterior tibial slope can give an insert placement with more accurate sagittal alignment.
Methods: A total of 100 patients who underwent total TKA with posterior-stabilized prostheses.
Unlabelled: We compared the effectiveness of promoting bone healing between two teriparatide preparations for atypical femoral fracture (AFF). A total of 45 AFFs were included in this study, and we compared the duration of bone union. Teriparatide administered by daily injection enhanced bone union more than weekly administration in complete AFFs.
View Article and Find Full Text PDFOne component of conventional total knee arthroplasty is removal of the anterior cruciate ligament, and the knee after total knee arthroplasty has been said to be a knee with anterior cruciate ligament dysfunction. Bicruciate stabilized total knee arthroplasty is believed to reproduce anterior cruciate ligament function in the implant and provide anterior stability. Conventional total knee arthroplasty was performed on the right knee and bicruciate stabilized total knee arthroplasty was performed on the left knee in the same patient, and a triaxial accelerometer was fitted to both knees after surgery.
View Article and Find Full Text PDFHemiplegia is a common sequel of stroke and assisted living care is needed in many cases. The purpose of this study was to evaluate the effect of using surface electrode stimulation device in rehabilitation, in terms of functional improvement in upper limb and the changes in brain activation related to central nervous system reconstruction. Five patients with chronic hemiplegia received electrical stimulation therapy using the orthosis-type surface electrode stimulation device for 12 weeks.
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