{"created":"2023-06-20T14:29:05.566219+00:00","id":5091,"links":{},"metadata":{"_buckets":{"deposit":"72f1e220-d05f-4918-b172-518d7aa0f968"},"_deposit":{"created_by":14,"id":"5091","owners":[14],"pid":{"revision_id":0,"type":"depid","value":"5091"},"status":"published"},"_oai":{"id":"oai:dmu.repo.nii.ac.jp:00005091","sets":["81:226"]},"author_link":["46610","46609","46607","46608"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2021-10-25","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"3","bibliographicPageEnd":"210","bibliographicPageStart":"205","bibliographicVolumeNumber":"48","bibliographic_titles":[{"bibliographic_title":"Dokkyo Journal of Medical Sciences"}]}]},"item_10001_description_34":{"attribute_name":"要旨","attribute_value_mlt":[{"subitem_description":"母指多指症の術後変形のうち，骨軸偏位を初回手術で矯正すべきか否かの議論は結論に達していない．われわれは以前骨軸偏位の経過を観察し骨軸矯正の有無を計測するとともに，二次修正術として骨切り術を行なった症例には骨変形があることを以前報告している1）ことから，今回は骨変形に焦点を絞って，術前後の観察を行なった．対象は2007年から2019年までに獨協医科大学埼玉医療センター及び群馬県立小児医療センターで手術を行った初回手術時に骨切り術を行わなかった母指多指症患者のうち，3年以上経過観察可能であった27例29手である．日本手外科学会先天異常分類では，母指多指症4，5，6型であった．長軸方向の骨軸偏位につき，基節骨および中手骨の変形の有無で術前後の経過を観察したところ，基節骨変形のある症例の術後矯正度は変形のない症例と有意差を認めなかった．一方中手骨の骨変形のある症例では特に中手骨骨頭に変形がある5型では術後矯正度が変形のない症例に比べて有意に低く，中手骨骨頭変形の有無は初回手術での骨切りを考慮すべき条件と考えられた．","subitem_description_type":"Other"}]},"item_10001_description_35":{"attribute_name":"要旨(英)","attribute_value_mlt":[{"subitem_description":"  Thumb polydactyly is the most common congenital malformations of the hands. Phenotypes are widely diverse, simple cases are treated according to the textbook method, resulting in satisfactory appearance and function after surgery. Especially the debate is inconclusive whether or not we should perform osteotomy to correct the bony longitudinal axis deviation at the first operation. In this study, we focused on the bone deformity and observed it before and after the surgery. The patients with polydactyly of the thumb without osteotomy at Dokkyo Medical University Saitama Medical Center and Gunma Children’s Medical Center who could be followed up for more than 3 years were counted 27 cases and 29 hands. According to the classification of the Japanese Society for Surgery of the Hand, thumb polydactyly of included patients corresponded to types 4, 5, and 6. Longitudinal axis deviation in polydactyly of the thumb should be divided into cases with and without bony deformity because all cases which needed the secondary osteotomy had bony deformity. In conclusion we should recognize that cases of metacarpal head deformity classified as type5 is recommended the correction osteotomy at the first operation because it cannot be corrected by soft tissue balancing alone but the cases with no deformity of the bone and cases of basal bone deformity except delta bone deformity are corrected by soft tissue balancing.","subitem_description_type":"Other"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"獨協医学会"}]},"item_10001_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AA00629581","subitem_source_identifier_type":"NCID"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"03855023","subitem_source_identifier_type":"ISSN"}]},"item_10001_text_24":{"attribute_name":"著者所属","attribute_value_mlt":[{"subitem_text_value":"獨協医科大学埼玉医療センター 小児疾患外科治療センター"},{"subitem_text_value":"群馬県立小児医療センター 形成外科"}]},"item_10001_text_25":{"attribute_name":"著者所属(英)","attribute_value_mlt":[{"subitem_text_language":"en","subitem_text_value":"Dokkyo Medical University Saitama Medical Center Center for Surgical Treatment of Pediatric Diseases"},{"subitem_text_language":"en","subitem_text_value":"Department of Plastic and Reconstructive Surgery, Gunma Prefectural Children’s Medical Center"}]},"item_10001_text_33":{"attribute_name":"記事種別","attribute_value_mlt":[{"subitem_text_value":"原著"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"岸, 　陽子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"浜島, 昭人"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Kishi, Yoko","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Hamashima, Akito","creatorNameLang":"en"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2022-02-10"}],"displaytype":"detail","filename":"DJMS-48-3-9.pdf","filesize":[{"value":"1.2 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"DJMS-48-3-岸-本文","url":"https://dmu.repo.nii.ac.jp/record/5091/files/DJMS-48-3-9.pdf"},"version_id":"944190f8-cf02-4102-8000-bb76b1f809e2"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"母指多指症","subitem_subject_scheme":"Other"},{"subitem_subject":"初回骨切り術","subitem_subject_scheme":"Other"},{"subitem_subject":"骨変形","subitem_subject_scheme":"Other"},{"subitem_subject":"自然矯正","subitem_subject_scheme":"Other"},{"subitem_subject":"thumb polydactyly","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"bony deformity","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"correction osteotomy at the first operation","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"母指多指症の骨軸偏位の術後矯正について ─初回骨切り術を要する母指多指症─","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"母指多指症の骨軸偏位の術後矯正について ─初回骨切り術を要する母指多指症─"},{"subitem_title":"Postoperative Correction of Longitudinal Axial Deviation in Thumb Polydactyly","subitem_title_language":"en"}]},"item_type_id":"10001","owner":"14","path":["226"],"publish_date":"2022-02-08","publish_status":"0","recid":"5091","relation_version_is_last":true,"title":["母指多指症の骨軸偏位の術後矯正について ─初回骨切り術を要する母指多指症─"],"weko_creator_id":"14","weko_shared_id":-1},"updated":"2023-06-20T14:50:22.254082+00:00"}