{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1390024725209781504.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.5035/nishiseisai.74.856"}},{"identifier":{"@type":"URI","@value":"https://www.jstage.jst.go.jp/article/nishiseisai/74/4/74_856/_pdf"}},{"identifier":{"@type":"HDL","@value":"http://hdl.handle.net/10458/0002002300"}},{"identifier":{"@type":"URI","@value":"https://miyazaki-u.repo.nii.ac.jp/records/2002300"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/2026079426"}}],"resourceType":"学術雑誌論文(journal article)","dc:title":[{"@language":"ja","@value":"感染・骨欠損を伴った脛骨遠位骨折に対するTrabecular Metalを用いたSalvage手術の治療経験"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"ja","@value":"<p>【はじめに】脛骨遠位部の骨折は一般に治療に難渋する部位であるが，さらに感染を伴った場合には腐骨切除が必要となり，骨軟部組織の再建がより困難となる．骨接合術後に感染を来した脛骨遠位部骨折に対して，Trabecular Metal™（Zimmer社）および自家骨移植を用いた再建術を施行し，良好な経過を辿った3症例を経験した．【症例】脛骨遠位部骨折2例，pilon骨折1例．軟部組織のデブリドマンおよび腐骨の切除を行った後に，Trabecular Metalおよび自家骨移植を用いた再建，逆行性髄内釘による足関節固定を施行した．皮膚軟部組織については広背筋遊離皮弁を施行した．【考察】脛骨遠位部骨折後の感染に対しては，感染巣のデブリドマンを行ったうえで，従来の骨移植に加えてTrabecular Metalによる骨欠損の補填，逆行性髄内釘による強固な固定性の獲得，良好な軟部組織の被覆が重要である．</p>"}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410024725209781511","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"田中 涼太"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"宮崎大学医学部整形外科学教室"}]},{"@id":"https://cir.nii.ac.jp/crid/1410024725209781508","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"00541319"},{"@type":"NRID","@value":"1000000541319"}],"foaf:name":[{"@language":"ja","@value":"中村 嘉宏"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"宮崎大学医学部整形外科学教室"}]},{"@id":"https://cir.nii.ac.jp/crid/1410024725209781514","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"坂本 武郎"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"宮崎大学医学部整形外科学教室"}]},{"@id":"https://cir.nii.ac.jp/crid/1410024725209781510","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"舩元 太郎"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"宮崎大学医学部整形外科学教室"}]},{"@id":"https://cir.nii.ac.jp/crid/1420282801213133312","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"80644096"},{"@type":"NRID","@value":"1000080644096"},{"@type":"NRID","@value":"9000020100668"},{"@type":"NRID","@value":"9000347227899"},{"@type":"NRID","@value":"9000402760895"},{"@type":"NRID","@value":"9000019193307"},{"@type":"NRID","@value":"9000006767443"},{"@type":"NRID","@value":"9000311064946"},{"@type":"NRID","@value":"9000367038680"},{"@type":"NRID","@value":"9000243888606"},{"@type":"NRID","@value":"9000265253324"},{"@type":"NRID","@value":"9000283511043"},{"@type":"NRID","@value":"9000265253375"},{"@type":"NRID","@value":"9000021772312"},{"@type":"RESEARCHMAP","@value":"https://researchmap.jp/7000027305"}],"foaf:name":[{"@language":"ja","@value":"大田 智美"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"宮崎大学医学部整形外科学教室"}]},{"@id":"https://cir.nii.ac.jp/crid/1420001326235540224","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"70822005"},{"@type":"NRID","@value":"1000070822005"},{"@type":"RESEARCHMAP","@value":"https://researchmap.jp/7000027205"}],"foaf:name":[{"@language":"ja","@value":"山口 洋一朗"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"宮崎大学医学部整形外科学教室"}]},{"@id":"https://cir.nii.ac.jp/crid/1420018307346601728","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"40979720"},{"@type":"NRID","@value":"1000040979720"}],"foaf:name":[{"@language":"ja","@value":"今里 浩之"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"宮崎大学医学部整形外科学教室"}]},{"@id":"https://cir.nii.ac.jp/crid/1410024725209781506","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"藤田 貢司"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"宮崎大学医学部整形外科学教室"}]},{"@id":"https://cir.nii.ac.jp/crid/1410024725209781505","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"帖佐 直紀"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"宮崎大学医学部整形外科学教室"}]},{"@id":"https://cir.nii.ac.jp/crid/1410024725209781509","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"帖佐 悦男"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"宮崎大学医学部整形外科学教室"}]},{"@id":"https://cir.nii.ac.jp/crid/1420282801200677376","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"70444685"},{"@type":"NRID","@value":"1000070444685"},{"@type":"NRID","@value":"9000255969096"},{"@type":"NRID","@value":"9000002095941"},{"@type":"NRID","@value":"9000255977701"},{"@type":"NRID","@value":"9000356635372"},{"@type":"NRID","@value":"9000000889349"},{"@type":"NRID","@value":"9000283743035"},{"@type":"NRID","@value":"9000257780500"},{"@type":"NRID","@value":"9000258679743"},{"@type":"NRID","@value":"9000255968305"},{"@type":"NRID","@value":"9000257781885"},{"@type":"NRID","@value":"9000257782353"},{"@type":"NRID","@value":"9000267805922"},{"@type":"NRID","@value":"9000380480224"},{"@type":"NRID","@value":"9000258332444"},{"@type":"NRID","@value":"9000380491183"},{"@type":"NRID","@value":"9000398249863"},{"@type":"NRID","@value":"9000258333266"},{"@type":"NRID","@value":"9000258329568"},{"@type":"NRID","@value":"9000000889186"},{"@type":"NRID","@value":"9000258330738"},{"@type":"NRID","@value":"9000255982196"},{"@type":"NRID","@value":"9000255970757"},{"@type":"NRID","@value":"9000267783417"},{"@type":"NRID","@value":"9000370755116"},{"@type":"NRID","@value":"9000258331255"},{"@type":"NRID","@value":"9000255985100"},{"@type":"NRID","@value":"9000398777034"},{"@type":"NRID","@value":"9000370737331"},{"@type":"NRID","@value":"9000258331925"},{"@type":"NRID","@value":"9000258332411"},{"@type":"NRID","@value":"9000019047320"},{"@type":"NRID","@value":"9000018927464"},{"@type":"RESEARCHMAP","@value":"https://researchmap.jp/read0089118"}],"foaf:name":[{"@language":"ja","@value":"亀井 直輔"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"宮崎大学医学部整形外科学教室"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"00371033"},{"@type":"EISSN","@value":"13494333"}],"prism:publicationName":[{"@language":"en","@value":"Orthopedics & Traumatology"},{"@language":"ja","@value":"整形外科と災害外科"},{"@language":"en","@value":"Orthopedics & Traumatology"},{"@language":"ja","@value":"整形外科と災害外科"}],"dc:publisher":[{"@language":"en","@value":"West-Japanese Society of Orthopedics & Traumatology"},{"@language":"ja","@value":"西日本整形・災害外科学会"}],"prism:publicationDate":"2025-09-25","prism:volume":"74","prism:number":"4","prism:startingPage":"856","prism:endingPage":"859"},"reviewed":"false","dcterms:accessRights":"http://purl.org/coar/access_right/c_14cb","url":[{"@id":"https://www.jstage.jst.go.jp/article/nishiseisai/74/4/74_856/_pdf"},{"@id":"https://miyazaki-u.repo.nii.ac.jp/records/2002300"},{"@id":"https://search.jamas.or.jp/link/ui/2026079426"}],"availableAt":"2025-09-25","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=%E8%84%9B%E9%AA%A8%E9%81%A0%E4%BD%8D%E9%83%A8%E9%AA%A8%E6%8A%98","dc:title":"脛骨遠位部骨折"},{"@id":"https://cir.nii.ac.jp/all?q=%E3%83%88%E3%83%A9%E3%83%99%E3%82%AD%E3%83%A5%E3%83%A9%E3%83%BC%E3%83%A1%E3%82%BF%E3%83%AB","dc:title":"トラベキュラーメタル"},{"@id":"https://cir.nii.ac.jp/all?q=%E9%80%86%E8%A1%8C%E6%80%A7%E9%AB%84%E5%86%85%E9%87%98","dc:title":"逆行性髄内釘"},{"@id":"https://cir.nii.ac.jp/all?q=distal%20tibial%20fracture","dc:title":"distal tibial fracture"},{"@id":"https://cir.nii.ac.jp/all?q=Trabecular%20Metal","dc:title":"Trabecular Metal"},{"@id":"https://cir.nii.ac.jp/all?q=retrograde%20nailing","dc:title":"retrograde nailing"}],"relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1360013173078228736","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Tibio-talocalcaneal arthrodesis as a primary proce-dure using a retrograde intramedullary nail"}]},{"@id":"https://cir.nii.ac.jp/crid/1360306504959177344","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Use of a trabecular metal implant in ankle arthrodesis after failed total ankle replacement"}]},{"@id":"https://cir.nii.ac.jp/crid/1360306507611013248","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Poor outcomes of fusion with Trabecular Metal implants after failed total ankle replacement: Early results in 11 patients"}]},{"@id":"https://cir.nii.ac.jp/crid/1360587979383934720","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Can Porous Tantalum Be Used to Achieve Ankle and Subtalar Arthrodesis?: A Pilot Study"}]},{"@id":"https://cir.nii.ac.jp/crid/1360869458491294592","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Arthrodesis of the Ankle Secondary to Replacement"}]}],"dataSourceIdentifier":[{"@type":"JALC","@value":"oai:japanlinkcenter.org:2014666614"},{"@type":"CROSSREF","@value":"10.5035/nishiseisai.74.856"},{"@type":"IRDB","@value":"oai:irdb.nii.ac.jp:00851:0007257159"},{"@type":"IRDB","@value":"oai:irdb.nii.ac.jp:00851:0007257159_isIdenticalTo_DOI_H139yV48eWKD1yLzCdHgEqyGbZ4"}]}