Publications by authors named "Yasuyuki Ishibashi"

Article Synopsis
  • - The study focused on how to manage antiplatelet agents in patients having cervical spinal surgery, looking specifically at risks like epidural hematoma and blood clots.
  • - Out of 153 patients, two groups were analyzed: one that didn't use antiplatelet agents before surgery and another that resumed them at specific times around the surgery, with no significant difference in serious complications observed.
  • - Results showed higher rates of pre-existing health conditions and stroke risk in the group that resumed antiplatelet medication, but they experienced less intraoperative blood loss and no complications related to bleeding or clotting.
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Background: This study aimed to investigate whether arithmetic hip-knee-ankle angle (aHKA) can be a surrogate for valgus stress radiography (VSR). Furthermore, we investigated the optimal cutoff values for preoperative radiographic parameters, thereby validating the appropriate inclusion criteria for prearthritic/kinematic unicompartmental knee arthroplasty (prearthritic-UKA).

Methods: We retrospectively analyzed 123 patients who underwent medial UKA.

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Objectives: Physiologic knee kinematics is crucial for successful total knee arthroplasty (TKA) but are often not replicated. Using a medial stabilizing technique (MST) minimizes bone resection but results in lateral laxity. This study aimed to investigate the effects of lateral laxity on knee kinematics and symptoms after TKA.

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Purpose: The impact of untreated medial meniscus posterior root (MMPR) tear (MMPRT) during opening-wedge high tibial osteotomy (OWHTO) on patient-reported outcomes (PROs) remains poorly understood. This retrospective cohort study aimed to investigate the association between the presence of MMPRT and post-operative PROs in patients who underwent OWHTO.

Methods: A total of 83 knees that underwent OWHTO that were followed up for 6.

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Article Synopsis
  • The study investigates the effectiveness and safety of matrix-associated autologous chondrocyte implantation with an autologous periosteal flap (pMACI) for treating large cartilage defects in the knee.
  • Data were analyzed from 232 knees in 225 patients, focusing on outcomes such as the Lysholm knee score and KOOS at different follow-up intervals.
  • The findings showed that a significant percentage of patients reported meaningful improvements in knee function and symptoms, with higher success rates in those who did not undergo additional surgeries like microfracture.
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Medial meniscus posterior root tear (MMPRT) is a common medial meniscus injury among elderly patients and often necessitates repair. Although the clinical outcomes of MMPRT repair have demonstrated improvements, subsequent second-look arthroscopy shows poor healing postrepair. Consequently, numerous repair techniques have been reported.

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Rheumatoid fibroblast-like synoviocytes (RFLS) have an important role in the inflammatory pathogenesis of rheumatoid arthritis (RA). Toll-like receptor 3 (TLR3) is upregulated in RFLS; its activation leads to the production of interferon-β (IFN-β), a type I IFN. IFN-stimulated gene 56 (ISG56) is induced by IFN and is involved in innate immune responses; however, its role in RA remains unknown.

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Purpose: This study aimed to investigate the intraoperative knee kinematics of cruciate-retaining total knee arthroplasty with a medial stabilising technique (MST-TKA) and compare the kinematics between mobile- and fixed-bearing MST-TKAs. We hypothesised that mobile-bearing MST-TKA would result in greater physiological kinematic motion than fixed-bearing MST-TKA.

Methods: Twenty-one and 20 knees underwent mobile- and fixed-bearing MST-TKAs using a navigation system (Orthopilot® ver.

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Background: Measurements of knee cartilage thickness derived from MR images are attractive biomarkers for osteoarthritis research. Although some cross-sectional multivendor studies exist, none have employed fully automatic three-dimensional MRI analysis. Our objective was to evaluate the variations in knee cartilage thickness measurements obtained using automated methods and MRI instruments from five different vendors.

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Objective: We previously reported that CD14+ dendritic-shaped cells exhibit a dendritic morphology, engage in pseudo-emperipolesis with lymphocytes, and express CD90 in the perivascular areas of rheumatoid arthritis (RA) synovial tissues. However, it remains unclear whether these CD14CD90 cells function as dendritic cells. In this study, we investigated the dendritic cell-differentiation potential of CD14CD90 cells.

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Background: Anterolateral knee laxity (ALLx) has been linked to tears of the lateral meniscus (LM) and anterior cruciate ligament (ACL) injury.

Purpose: To investigate the longitudinal relationship between the signal intensity (SI) of the repaired LM on magnetic resonance imaging (MRI) and residual ALLx after ACL reconstruction (ACLR).

Study Design: Cohort study; Level of evidence, 3.

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Small nerve fibres located in the epidermis sense pain. Dysfunction of these fibres decreases the pain threshold known as small fibre neuropathy. Diabetes mellitus is accompanied by metabolic changes other than glucose, synergistically eliciting small fibre neuropathy.

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: Abdominal vascular injury, a fatal complication of lumbar disc surgery, should concern spine surgeons. This study aimed to compare the position of the abdominal arteries in the supine and prone positions and the factors involved. Thirty patients who underwent lumbar surgery by posterior approach were included.

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Article Synopsis
  • This study investigates the time from diagnosis to surgery for osteonecrosis of the femoral head (ONFH) and factors affecting its severity among 2074 cases in Japan from 1997 to 2018.
  • The median time to surgery was found to be 9 months, influenced by whether the patient used alcohol or corticosteroids, and the stage of joint destruction at diagnosis.
  • The study highlights that a large proportion of patients remain untreated for extended periods, but surgery was performed within 9 months for more than half of the patients, indicating the disease's serious impact.
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Context: A reduced knee extensor moment (KEM) in the involved limb and asymmetry in the KEM during landing tasks are observed after anterior cruciate ligament reconstruction (ACLR). There is limited information about the association of kinetic and kinematic parameters with the KEM during landing after ACLR. This study investigated the association of the anterior-posterior center of pressure (AP-COP) position, vertical ground reaction force (VGRF), and lower limb joint angles with the KEM during landing in female athletes following ACLR.

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Article Synopsis
  • The study aimed to develop a neural network model to predict the risk of second ACL injuries after ACL reconstruction using patient data from medical records.
  • This analysis included 386 patients, focusing on 14 key features related to demographics, surgical history, and recovery, and was validated through a thorough threefold cross-validation process.
  • The model showed good accuracy in predicting graft ruptures (auROC of 0.81) and contralateral ACL injuries (auROC of 0.74), mainly correlating young age and specific surgical characteristics with these risks.
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Purpose: Medial open-wedge high tibial osteotomy (OWHTO) is related to cartilage improvement in the medial compartment. This study aimed to evaluate factors associated with cartilage improvement and patient-reported outcomes (PRO) after OWHTO. It was hypothesised that cartilage improvement is associated with favourable PRO.

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Article Synopsis
  • Innate immunity plays a role in synovitis in rheumatoid arthritis (RA), but the specific molecular mechanisms are not fully understood, particularly regarding DDX60, a potential RNA helicase involved in inflammation.
  • In a study, DDX60 protein expression was found to be significantly higher in synovial tissues from RA patients compared to those with osteoarthritis (OA), indicating its potential involvement in RA.
  • The research demonstrated that TLR3 signaling can stimulate DDX60 expression in rheumatoid fibroblast-like synoviocytes, which in turn influences the production of CXCL10, a molecule important for attracting immune cells, suggesting DDX60's role in RA-related synovial inflammation.
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Bilateral sleeve fracture of the patella (SFP) in skeletally immature children is a rare injury. We report the case of a healthy 11-year-old male who suffered bilateral SFP while playing tag. The avulsed fragments of his left patella were highly comminuted.

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This study aimed to clarify the association between swallowing disorder and prevertebral hyperintensity on magnetic resonance imaging (MRI) in patients with cervical spinal cord injury (CSCI) without a major fracture. This retrospective observational study included 30 patients who were diagnosed with acute CSCI without a major fracture (mean age: 69.3 years, 27 men).

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