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21 results on '"KAWASHIMA, Fumiyoshi"'

3. The relationship between the femoral artery and vastus medialis muscle coverage at the adductor hiatus during medial closed wedge distal femoral osteotomy in valgus knees.

Author

Kawashima, Fumiyoshi, Takagi, Hiroshi, and Kanzaki, Koji

Subjects
VASTUS medialis, FEMORAL artery, FEMUR head, OSTEOTOMY, RADIOGRAPHS
Abstract

Purpose: The purpose of this study was to examine the location where the femoral artery contacts the vastus medialis at the adductor tendon hiatus, which is important when using the subvastus approach in medial closed wedge distal femoral osteotomy. We evaluated the correlation between differences in height, vastus medialis morphology, and lower limb alignment. Methods: Sixty knees (16 male, 44 female) that underwent plain computer tomography (CT) were included. Using the radiographic hip‐knee‐ankle (HKA) angle as a reference, the knees were divided into three groups of 20 knees: valgus, varus, and neutral. The mechanical lateral distal femoral angle (mLDFA) and distance from the medial femoral epicondyle to the centre of the femoral head (D1) were measured on full‐length weight‐bearing anteroposterior radiographs. The first cross‐section on CT where the vastus medialis muscle and femoral artery connect was defined as the cross‐sectional image for measurement. The direct distance from the medial epicondyle to the measured cross‐sectional image (D2) was measured in the coronal view. The ratio of the vastus medialis muscle width to the femoral posterior wall width was defined as the vastus medialis muscle coverage ratio (CR). Correlations between each measurement and group were evaluated. Results: There was a positive correlation between D1 and D2 in the overall, neutral, and varus groups; however, there was no correlation in the valgus group. A positive correlation was observed in terms of the relationship between CR and D2 in the overall and valgus groups. In addition, there was no statistically significant difference in the correlation between the mLDFA and D2, with patient height as a control variable overall and in all groups. Conclusion: In the valgus group, distance to the adductor hiatus was correlated with vastus medialis coverage. Overhang of the vastus medialis may be an important influencing factor of femoral and popliteus artery position. Level of Evidence: Level III, retrospective cohort study. [ABSTRACT FROM AUTHOR]

Published
2024
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10. Relationships of Posterior Condylar Offset Change to Condylar Length and Pre/Postoperative Range of Motion in Total Knee Arthroplasty

Author

KAWASHIMA, Fumiyoshi, TAKAGI, Hiroshi, ASAI, Soshi, SATO, Atsushi, KOYA, Takayuki, and KANZAKI, Kouji

Subjects
musculoskeletal diseases, musculoskeletal system, human activities
Abstract

This study investigated the relationships of pre- to postoperative changes in posterior condylar offset（PCO）to differences in condylar length and range of motion in posterior stabilized（PS）-type total knee arthroplasty（TKA）. Subjects and Methods: We studied 40 knees of 40 patients（10 males and 30 females）treated by PS-type TKA. Slide calipers were used to measure condyle lengths intraoperatively and PCO was measured by standard X-ray. The patients were divided into two groups based on a pre- to postoperative change in PCO of ≥ 3mm or＜3mm, with the differences in both condylar length and range of motion compared between groups. The mean differences in condyle lengths were 2.6mm（33 knees）and 4.3mm（7 knees）in cases with PCO changes of＜3mm and ≥ 3mm, respectively. The means in the respective groups were −6° and −7° for preoperative extension, 116° and 118° for preoperative flexion, −3° and −4° for postoperative extension, and 131° and 129° for postoperative flexion. There was no significant difference in the range of motion between the groups. Cases with a large difference in condylar lengths were likely to have a small PCO postoperatively; however, the postoperative range of knee flexion was not significantly related to a small postoperative PCO. These findings suggested that preoperative range of knee motion, age, and type of TKA could influence both the postoperative range of motion and PCO.

Published
2019

13. Incidence of Dvt/Pe Between One-Staged Bilateral and Unilateral Tka Using Contrast Enhanced Ct and Venous Ultrasonography In Japanese Patients - Edoxaban As Chemical Prophylaxis

Author

Sato, Atsushi, primary, Asai, Soshi, additional, Kawashima, Fumiyoshi, additional, Maekawa, Masahiko, additional, Kato, Shin, additional, Koya, Takayuki, additional, Okuma, Naoki, additional, Okumo, Takayuki, additional, Oike, Jun, additional, Hoshino, Yushi, additional, Tomita, Kazunari, additional, and Takagi, Hiroshi, additional

Published
2018
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16. The incidence of dvt/pe between one-staged bilateral and unilateral TKA using contrast enhanced ct and venous ultrasonography in Japanese patients.

Author

Sato, Atsushi, primary, Asai, Soshi, additional, Kawashima, Fumiyoshi, additional, Maekawa, Masahiko, additional, Kato, Shin, additional, Koya, Takayuki, additional, Okuma, Naoki, additional, Okumo, Takayuki, additional, Oike, Jun, additional, Hoshino, Yushi, additional, Tomita, Kazunari, additional, and Takagi, Hiroshi, additional

Published
2017
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