11整形外科例会.indd

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1 p75ntr 4 : CCI 7 p l cat walk von Frey test C7GFAP Iba1 DRG C7 ATF3 CGRP GFAP p75ntr 2 Frohse : 5 sliding sliding Z sliding 6 : OA HA OA CatWalk system HA

2 MRI MRI MRI 8 Mmp13short interfering RNA sirna MMP-13 OA OA Mmp13 OAOA Mmp13short interfering RNA sirna in vivo Mmp13OA 9 : 10 MRI MRI MRI 11 Platelet Rich Plasma PRP PRP PRP Selzer PRP 12 : OAI OAI 3 KLgrade MRIgrade 1 2 grade D-2D registration 3D-2D registration OA

3 Kellgren-Lawrencegrade 1 2 OA CT/ X 14 3DCTS1 S1 PAS1 S1 S1 S1 3DCT Xray sum image far-out syndrome far-out syndrome 7 3DMRI 3DCT OsiriX Wiltze approach TNFα 10 ADL

4 : Diffusion Tensor Imaging Diffuison Tensor Imaging DTI fractional anisotorophy FA DTI FA ADC DTI 21 : DXA CT Frankel B 3 C 1 D 4 E THA 3D THA 3 Zed Hip Lexi 3D 3D 3D 26 : 2 39 Gap Tension Gap 1020Tension / 23 Tension Tension 2 4 instrumentation 6 instrumentation 1 instrumentation 6

5 AMIS Anterior Minimally Invasive Surgery : 1 30 THA Minimally invasive surgery-tha AMIS THA 28 in-situ pinning SCFEISP ISP BMI PTA 29 Buck 2006 Buck PSO VCR 10 SVA126CA23LL5.7PT49 SVA27CA8LL30PT30 31 Cortical Bone Trajectory Cortical bone trajectory CBT2009Santoni mini open DLIF Direct lateral interbody fusion DLIF mini open DLIF

6 JOABPEQ JOABPEQ 4 20 VAS 11/100 50/ : VAS VAS Th11 QOL PMDA PMDA

7 subsynovial connective tissue SSCT CTSSSCT CTS CTS 41 CPPD 1 85 PIP/DIP XCT DRUJ /3DCT DRUJ CPPD Wolfe Grade 43 needle fasciotomy 25G Tubiana stage stage 1: 4 2: 3 3: 2 4: 1 Total Flexion Deformity Sauve-Kapanji DRUJ OA S-K 12 12

8 Locking Plate CT 5 5 CT Plate 46 Sham Na DRGCGRP Sham Na CGRP 47 Cat Walk TNF-α TNF-α : in vivo in vitro in vivo in vitro 50 : Drop-mass TNFα SDL4/5 FluoroGold 23G /Kg 0.4 /Kg 4 /Kg + 1 L1-L6 CGRP CGRPFG CGRP

9 NGF NGF NGF NGF 53 G-CSF G-CSF G-CSF G-CSF Below-level Allodynia Microglia G-CSF 54 Noggin RT-PCR Noggin NogginNoggin 55 : C2/ C2/3 C2/3

10 JOA 12.5/17C4 5 6 C MRI C3/4 5/6 C2-T1Occ-T2 C : G-CSF G-CSF34 1 JOA 4 V 4 A V AASIA G-CSF 62 G-CSF : MRI Th10 L1 Critical Point T G-CSF G-CSF 17G-CSFControl 24 ASIA score AIS Motor Score G-CSF 1 1 G-CSF 1 G-CSF RB 65 RB 29RB RB 20RB 8 8

11 OPLL 29CSM 82JOA score C5 3 9 JOA scoreopll: CSM: C PPS extender 2 3 OPLL CT Cine-MRI Cine-MRI FIESTA : MRI MRIT T2 T2

12 MI MRI US US MI US MI 71 PCL TKA KL grade 72 TKA TKA TATA TA 1,0002,000 1,000 TA 1,000 TA 73 B RA B HBV de novo BRA HBV RA HBV Infliximab 27etanercept 47 adalimumab 12tocilizumab 6 abatacept 2 TKA40THA

13 Accessory AnteroLateral Talar Facet AALTF peroneal spasm peroneal spastic flatfoot Laaveg-Ponseti score score ADL X MRI MRI T1 T2 HA block 1 9

14 Injury Severity Score ISS16 ISS CT CT 84 PHILOS Proximal Humeral Internal Locking System PHILOS PHILOS X Polish taper cemented stem Polish taper cemented stem 1 X 2 Exeter stem

15 AO/OTA 41; 2 42; 2143; 6 44; 2 90 Supra-Patellar Approach 91 MRI MRA MRIMRI 174 anterior knee pain Supra-patellar approach

: cadaver 3 Camitz CamitzCamitz Burkhalter 3 fresh frozen cadaverfastrak 7 Hypertrophic Thener Muscle: Hypertrohpic Thener muscle 15 28HM 6

: cadaver 3 Camitz CamitzCamitz Burkhalter 3 fresh frozen cadaverfastrak 7 Hypertrophic Thener Muscle: Hypertrohpic Thener muscle 15 28HM 6 92 107 120 2016 1322 27 12 5 7 30 27 12 6 7 30 3 F 1 HGF HGF sham cut control 10 l cut NSHGF 100 g/10 l cut HGF 4 2 ipsschwann : 3 ips Schwann ips Schwann NCSC NCSC 3 Krackow weave technique Krackow K