研究者業績

佐粧 孝久

サショウ タカヒサ  (Takahisa Sasho)

基本情報

所属
千葉大学 予防医学センター・運動器疼痛疾患学 教授
学位
医学博士(1996年3月 千葉大学大学院)

連絡先
sashofaculty.chiba-u.jp
J-GLOBAL ID
200901083280552594
researchmap会員ID
1000284764

外部リンク

論文

 423
  • 山本 陽平, 山口 智志, 佐粧 孝久, 赤木 龍一郎, 向山 俊輔, 村松 佑太, 府川 泰輔, 西須 孝, 高橋 和久
    日本足の外科学会雑誌 33(2) S130-S130 2012年9月  
  • 向井 務晃, 赤木 龍一郎, 山口 智志, 樋渡 龍, 村松 佑太, 向山 俊輔, 佐粧 孝久
    日本足の外科学会雑誌 33(2) S169-S169 2012年9月  
  • 山口 智志, 北村 雅子, 牛久保 智宏, 村田 淳, 越田 専太郎, 銅冶 英雄, 赤木 龍一郎, 佐粧 孝久, 高橋 和久
    日本足の外科学会雑誌 33(2) S220-S220 2012年9月  
  • Satoshi Yamaguchi, Yasuhito Tanaka, Scott Banks, Shinichi Kosugi, Takahisa Sasho, Kazuhisa Takahashi, Yoshinori Takakura
    Journal of Biomechanics 45(12) 2103-2108 2012年8月9日  査読有り
    Relatively high rates of loosening and implant failure have been reported after total ankle arthroplasty. Abnormal kinematics and incongruency of the articular surface may cause increased contact pressure and rotational torque applied to the implant, leading to loosening and implant failure. We measured in vivo kinematics of two-component total ankle arthroplasty (TNK ankle), and assessed congruency of the articular surface during the stance phase of gait. Eighteen ankles of 15 patients with a mean age of 75±6 years (mean±standard deviation) and follow-up of 44±38 months were enrolled. Lateral fluoroscopic images were taken during the stance phase of gait. 3D-2D model-image registration was performed using the fluoroscopic image and the implant models, and three-dimensional kinematics of the implant and incongruency of the articular surface were determined. The mean ranges of motion were 11.1±4.6°, 0.8±0.4°, and 2.6±1.5° for dorsi-/plantarflexion, inversion/eversion, and internal/external rotation, respectively. At least one type of incongruency of the articular surface occurred in eight of 18 ankles, including anterior hinging in one ankle, medial or lateral lift off in four ankles, and excessive axial rotation in five ankles. Among the four ankles in which lift off occurred during gait, only one ankle showed lift off in the static weightbearing radiograph. Our observations will provide useful data against which kinematics of other implant designs, such as three-component total ankle arthroplasty, can be compared. Our results also showed that evaluation of lift off in the standard weightbearing radiograph may not predict its occurrence during gait. © 2012 Elsevier Ltd.
  • 山口 智志, 北村 雅子, 牛久保 智宏, 村田 淳, 越田 専太郎, 佐粧 孝久, 齊藤 雅彦, 池川 直志, 赤木 龍一郎, 向山 俊輔, 高橋 和久
    日本整形外科学会雑誌 86(8) S1164-S1164 2012年8月  
  • 赤木 龍一郎, 佐粧 孝久, 齊藤 雅彦, 向山 俊輔, 村松 佑太, 池川 直志, 山口 智志, 高橋 和久
    日本整形外科学会雑誌 86(8) S1273-S1273 2012年8月  
  • Seiji Ohtori, Sumihisa Orita, Masaomi Yamashita, Tetsuhiro Ishikawa, Toshinori Ito, Tomonori Shigemura, Hideki Nishiyama, Shin Konno, Hideyuki Ohta, Masashi Takaso, Gen Inoue, Yawara Eguchi, Nobuyasu Ochiai, Shunji Kishida, Kazuki Kuniyoshi, Yasuchika Aoki, Gen Arai, Masayuki Miyagi, Hiroto Kamoda, Miyako Suzkuki, Junichi Nakamura, Takeo Furuya, Gou Kubota, Yoshihiro Sakuma, Yasuhiro Oikawa, Masahiko Suzuki, Takahisa Sasho, Koichi Nakagawa, Tomoaki Toyone, Kazuhisa Takahashi
    Yonsei medical journal 53(4) 801-5 2012年7月1日  
    PURPOSE: Pain from osteoarthritis (OA) is generally classified as nociceptive (inflammatory). Animal models of knee OA have shown that sensory nerve fibers innervating the knee are significantly damaged with destruction of subchondral bone junction, and induce neuropathic pain (NP). Our objective was to examine NP in the knees of OA patients using painDETECT (an NP questionnaire) and to evaluate the relationship between NP, pain intensity, and stage of OA. MATERIALS AND METHODS: Ninety-two knee OA patients were evaluated in this study. Pain scores using Visual Analogue Scales (VAS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), painDETECT, duration of symptoms, severity of OA using the Kellgren-Lawrence (KL) system, and amount of joint fluid were evaluated and compared using a Spearman's correlation coefficient by rank test. RESULTS: Our study identified at least 5.4% of our knee OA patients as likely to have NP and 15.2% as possibly having NP. The painDETECT score was significantly correlated with the VAS and WOMAC pain severity. Compared with the painDETECT score, there was a tendency for positive correlation with the KL grade, and tendency for negative correlation with the existence and amount of joint fluid, but these correlations were not significant. CONCLUSION: PainDETECT scores classified 5.4% of pain from knee OA as NP. NP tended to be seen in patients with less joint fluid and increased KL grade, both of which corresponded to late stages of OA. It is important to consider the existence of NP in the treatment of knee OA pain.
  • 赤木 龍一郎, 佐粧 孝久, 齊藤 雅彦, 池川 直志, 向山 俊輔, 村松 佑太, 山口 智志, 高橋 和久
    JOSKAS 37(4) 57-57 2012年6月  
  • 向山 俊輔, 佐粧 孝久, 山口 智志, 池川 直志, 齊藤 雅彦, 赤木 龍一郎, 村松 佑太, 高橋 和久
    JOSKAS 37(4) 60-60 2012年6月  
  • 山口 智志, 佐粧 孝久, 北村 雅子, 牛久保 智宏, 池川 直志, 斉藤 雅彦, 赤木 龍一郎, 村松 佑太, 越田 専太郎, 村田 淳, 高橋 和久
    JOSKAS 37(4) 264-264 2012年6月  
  • 村松 佑太, 佐粧 孝久, 山口 智志, 齊藤 雅彦, 池川 直志, 赤木 龍一郎, 向山 俊輔, 高橋 和久
    JOSKAS 37(4) 292-292 2012年6月  
  • 貞升 彩, 齋藤 雅彦, 山口 智志, 池川 直志, 赤木 龍一郎, 村松 佑太, 向山 俊輔, 佐粧 孝久, 高橋 和久, 永嶋 良太, 西川 悟
    日本足の外科学会雑誌 33(1) 204-208 2012年5月  
    腓骨筋内に生じた血腫により亜急性に腓骨神経麻痺を呈した高校サッカー選手の1例を経験したので報告する。症例は16歳男性。サッカー練習中に左下腿の違和感が出現した。5日後に筋力低下を自覚し、その後も増悪するため6日後に当院を受診した。初診時、下腿外側から足背にしびれと痛覚鈍麻を認め、腓骨頭の遠位にTinel様徴候を認めた。筋力は前脛骨筋がMMT4、長母趾伸筋が1と著明に低下していた。MRIで長腓骨筋内にT1強調像で低信号、STIRで高信号と低信号が混在する病変を認め、近位では鏡面形成像を認めた。血腫による腓骨神経麻痺を疑い、神経麻痺が進行していたため手術を行った。手術所見は腓骨筋の断裂とそれによる血腫であり、デブリードマンと血腫の除去を行った。術後は運動、感覚ともに徐々に改善し、3ヵ月で正常に回復し、術後6ヵ月にはサッカーに完全復帰した。(著者抄録)
  • Yusuke Sato, Masahiko Saito, Ryuichiro Akagi, Masahiko Suzuki, Tatsuya Kobayashi, Takahisa Sasho
    ORTHOPEDICS 35(4) E585-E588 2012年4月  査読有り
    Anterior dislocation after total knee arthroplasty (TKA) is rare; 9 cases have been reported in the English literature. Five patients sustained subluxation, with recurvatum as the clinical manifestation, and 4 patients sustained complete dislocation, usually accompanying other serious complications. This article describes a case of complete dislocation that developed atraumatically 16 years after TKA and was characterized by dislocation in extension and spontaneous reduction in flexion. Revision TKA was planned, with several alternative procedures under consideration, ranging in degree of invasiveness from simple polyethylene exchange to conversion to a hinge-typed prosthesis. Intraoperatively, extensive areas of blackened synovium and posterior-dominant polyethylene wear existed medially and laterally. Considering the patient's age of 82 years, low activity level in activities of daily living, edematous skin, and number of stable components, we performed simple polyethylene exchange to a cruciate-retaining component that left the partial metal defect in the tibial plate untouched. Successful outcome was achieved for >2 years. The dislocation mechanism was polyethylene thinning, leading to relative valgus and anteroposterior instability that aggravated the anterior cruciate ligament dysfunction, which is speculated as the inherent key causative factor in every TKA. Complete dislocation, usually accompanying other complications, requires prompt treatment because the possibility of serious consequences exists. Due to the absence of a gold standard, the treatment of choice needs to be made on a case-by-case basis.
  • 赤木 龍一郎, 佐粧 孝久, 齊藤 雅彦, 池川 直志, 向山 俊輔, 村松 佑太, 山口 智志, 高橋 和久
    日本整形外科学会雑誌 86(3) S399-S399 2012年3月  
  • Tatsuya Kobayashi, Masahiko Suzuki, Takahisa Sasho, Koichi Nakagawa, Yoshikazu Tsuneizumi, Kazuhisa Takahashi
    The Journal of arthroplasty 27(2) 260-5 2012年2月  
    Thirty-eight patients diagnosed with osteoarthritis underwent 41 cruciate-retaining total knee arthroplasties. In varus and valgus tests at flexion, subjects were seated on a table at 80° of knee flexion; 50 N was applied perpendicular to the lower leg. The factors affecting the postoperative flexion angle were investigated in a multiregression analysis. The mean joint angles of the flexion-valgus and flexion-varus tests were 3.4° ± 1.4° and 6.2° ± 2.5°, respectively. The flexion-varus angle was correlated with the postoperative flexion angle (P < .01). The mean postoperative flexion angles were 110.8° ± 9.6° and 118.1° ± 8.0° in the groups with the flexion-varus angle of 6° or less and more than 6°, respectively (P = .02). Slack lateral laxity in flexion had a significant effect during knee flexion in cruciate-retaining total knee arthroplasty.
  • Keisuke Matsuki, Kei O. Matsuki, Satoshi Yamaguchi, Nobuyasu Ochiai, Takahisa Sasho, Hiroyuki Sugaya, Tomoaki Toyone, Yuichi Wada, Kazuhisa Takahashi, Scott A. Banks
    Journal of Orthopaedic and Sports Physical Therapy 42(2) 96-104 2012年  査読有り
    STUDY DESIGN: Controlled laboratory study. OBJECTIVES: To measure superior/inferior translation and external rotation of the humerus relative to the scapula during scapular plane abduction using 3-D/2-D model image registration techniques. BACKGROUND: Kinematic changes in the glenohumeral joint, including excessive superior translation of the humeral head and inadequate external rotation of the humerus, are believed to be a possible cause of shoulder impingement. Although many researchers have analyzed glenohumeral kinematics with various methods, few articles have assessed dynamic in vivo glenohumeral motion. METHODS: Twelve healthy males with a mean age of 32 years (range, 27-36 years) were enrolled in this study. Fluoroscopic images of the dominant shoulder during scapular plane elevation were taken, and computed tomography-derived 3-D bone models were matched with the silhouette of the bones in the fluoroscopic images using 3-D/2-D model image registration techniques. The kinematics of the humerus relative to the scapula were determined using Euler angles. RESULTS: On average, there was 2.1 mm of initial humeral translation in the superior direction from the starting position to 105° of humeral elevation. Subsequently, an average of 0.9 mm of translation in the inferior direction occurred between 105° and maximum arm elevation. The average amount of external rotation of the humerus was 14° from the starting position to 60° of humeral elevation. The humerus then rotated internally an average 9° by the time the shoulder reached maximum elevation. These changes in superior/inferior translation and external/internal rotation were statistically significant (P&lt .001 and P = .001, respectively), based on 1-way repeated-measures analysis of variance. CONCLUSION: The observed glenohumeral translations and rotations characterize healthy shoulder function and serve as a preliminary foundation for quantifying pathomechanics in the presence of glenohumeral joint disorders. J Orthop Sports Phys Ther 2012 42(2):96-104, Epub 25 October 2011. doi:10.2519/jospt.2012.3584.
  • 小林 達也, 鈴木 昌彦, 佐粧 孝久, 山口 智志, 斎藤 雅彦, 池川 直志, 赤木 龍一郎
    日本人工関節学会誌 41 408-409 2011年12月  
    Hi-tech knee II CRタイプを用いた後十字靱帯温存型人工型膝関節置換術38例41膝(平均年齢72.8歳)を対象に、TKA後の最大屈曲角度と寄与因子について検討した。全例、内側型OAで、術前の平均FTAは186.4±4.9度、最大屈曲角度は117.3°であった。経過観察期間19.2ヵ月の結果、術後、Knee scoreは91.8点、Function scoreは81.3点へと改善され、屈曲角度は117.3度から114.5度と若干減少していた。また、posterior condylar offset、Joint lineの変化量は1.4、1.3mmとわずかであった。一方、Joint laxityと屈曲角度では屈曲位Lateral laxityが屈曲角度と強い相関が認められた。更に術前屈曲角度を除いた全因子から四つの因子を選択し、全ての組み合わせで重回帰分析を行ったところ、Lateral laxityにて術後の屈曲角度と強い相関が認められた。
  • Takahisa Sasho, Koichi Nakagawa, Kei Matsuki, Hiroko Hoshi, Masahiko Saito, Naoshi Ikegawa, Ryuichiro Akagi, Satoshi Yamaguchi, Kazuhisa Takahashi
    KNEE 18(6) 509-511 2011年12月  査読有り
    Synovial haemangioma of the knee joint is a relatively rare benign condition with around 200 reported cases. We have recently encountered two cases of synovial haemangioma of the knee joint which preoperative MRI had assessed as highly suspect and which arthroscopic resection and subsequent histological examinations confirmed as synovial hemangiomas. Published studies have identified the following as characteristic MRI features of synovial haemangioma: homogenous low intensity to iso-intensity on T1 sequence; and heterogeneous high intensity with low-intensity septa or spots within the lesion on T2 sequence. However, several other intra-knee disorders mimic these characteristics. In our two cases, we found that gadolinium (Gd)-enhanced images, which have been relatively rarely discussed in the literature, were useful for making the diagnosis and for determining the extent of this condition. These images also were very helpful during arthroscopic excision of the lesion. Nonetheless, even after Gd enhancement, differentiating between malignant conditions such as synovial sarcoma and haemangioma solely from MRI findings is still difficult. (C) 2010 Elsevier B.V. All rights reserved.
  • Hiroaki Tsuruoka, Takahisa Sasho, Satoshi Yamaguchi, Naoshi Ikegawa, Masahiko Saito, Ryuichiro Akagi, Nobuyasu Ochiai, Koichi Nakagawa, Arata Nakajima, Louay Fallouh, Kazuhisa Takahashi
    CELL AND TISSUE RESEARCH 346(2) 263-271 2011年11月  査読有り
    Partial-thickness articular cartilage defects (PTCDs) do not heal spontaneously and are thought to be a predisposing factor for the development of osteoarthritis. Younger and smaller animals have a better healing capacity for many types of injuries including those to articular cartilage. Our aim was to examine the longitudinal histological changes of immature murine articular cartilage after the creation of small PTCDs and to compare them to PTCDs in mature cartilage. Single linear PTCDs were created in 3-week-old and 16-week-old rats in the direction of joint motion. At 6 and 12 weeks after PTCD creation, histological changes were examined in the defect sites and surrounding cartilage. Immature cartilage showed a higher repair capability than mature cartilage. Although repaired immature cartilage had fibrocartilage, it exhibited better quality than any PTCD model, except for a fetus model and comparable quality to full-thickness cartilage defects (FTCD) after bone marrow stimulation. Elucidation of the underlining mechanisms that immature cartilage possesses for repairing PTCDs is necessary in order to aid the prevention or develop treatment for osteoarthritis.
  • 齊藤 雅彦, 佐粧 孝久, 山口 智志, 池川 直志, 赤木 龍一郎, 村松 佑太, 向山 俊輔, 高橋 和久
    日本関節病学会誌 30(3) 338-338 2011年10月  
  • 赤木 龍一郎, 佐粧 孝久, 山口 智志, 池川 直志, 齊藤 雅彦, 村松 佑太, 向山 俊輔, 高橋 和久
    日本関節病学会誌 30(3) 414-414 2011年10月  
  • 渡辺 淳也, 落合 俊輔, 大久保 敏之, 山田 晴耕, 豊根 知明, 神川 康也, 男澤 朝行, 松木 圭介, 高橋 和久, 佐粧 孝久, 大鳥 精司, 落合 信靖, 小畠 隆行, 大曽根 文雄, 野崎 敦, 和田 佑一
    日本整形外科学会雑誌 85(8) S1132-S1132 2011年8月  
  • 貞升 彩, 齋藤 雅彦, 山口 智志, 佐粧 孝久, 池川 直志, 赤木 龍一郎, 村松 佑太, 向山 俊輔, 高橋 和久, 永嶋 良太
    日本足の外科学会雑誌 32(1) S95-S95 2011年8月  
  • 齊藤 雅彦, 渡辺 淳也, 佐粧 孝久, 山口 智志, 池川 直志, 赤木 龍一郎, 村松 佑太, 向山 俊輔, 大久保 敏之, 大曽根 文雄, 原 啓, 野崎 敦, 和田 佑一, 高橋 和久
    日本整形外科学会雑誌 85(8) S1132-S1132 2011年8月  
  • 鈴木 昌彦, 小林 達也, 佐粧 孝久, 山口 智志, 池川 直志, 齊藤 雅彦, 赤木 龍一郎, 高橋 和久
    日本整形外科学会雑誌 85(8) S1303-S1303 2011年8月  
  • 齊藤 雅彦, 佐粧 孝久, 山口 智志, 池川 直志, 赤木 龍一郎, 村松 佑太, 向山 俊輔, 高橋 和久
    日本整形外科学会雑誌 85(8) S1354-S1354 2011年8月  
  • Kei O. Matsuki, Takahisa Sasho, Koichi Nakagawa, Nobuyasu Ochiai, Satoshi Yamaguchi, Masahiko Saito, Naoshi Ikegawa, Ryuichiro Akagi, Atsuya Watanabe, Yuichi Wada, Keisuke Matsuki, Kazuhisa Takahashi
    JOURNAL OF ORTHOPAEDIC SCIENCE 16(4) 369-375 2011年7月  査読有り
    Several MRI-based evaluation systems for osteoarthritis (OA) of the knee have been developed. Among them the whole-organ magnetic resonance imaging score (WORMS), which evaluates the status of the entire knee joint, appears to be representative. We developed an irregularity index system to measure irregularities of the contours of the femoral condyle on MRI. Only the contour of the condyle was assessed by the irregularity index, whereas several items comprising the knee joint were taken into account by WORMS. This study compared the irregularity index and WORMS in terms of their correlations with clinical scores. Thirty-one medial-type OA knees were studied. Kellgren-Lawrence grading was used for X-ray grading: 8 were grade II, 11 were grade III, and 12 were grade IV. Japanese Orthopaedic Association scores and Japanese knee osteoarthritis measure scores were used for clinical assessments. We determined the correlations between MRI-based assessment scores and clinical scores. Both the irregularity index and WORMS exhibited positive correlations with these clinical scores. The irregularity index was associated with bone cysts of the medial compartment and menisci in the articular features of WORMS. These MRI-based methods are useful for evaluating OA severity. However, the irregularity index may have advantages over WORMS because of its semi-automatic features.
  • 赤木 龍一郎, 佐粧 孝久, 齊藤 雅彦, 池川 直志, 山口 智志, 松木 恵, 中川 晃一, 高橋 和久
    JOSKAS 36(4) 30-30 2011年6月  
  • 齊藤 雅彦, 佐粧 孝久, 山口 智志, 池川 直志, 赤木 龍一郎, 鈴木 昌彦, 高橋 和久
    JOSKAS 36(4) 32-32 2011年6月  
  • 佐藤 祐介, 鈴木 昌彦, 佐粧 孝久, 山口 智志, 小林 達也, 斎藤 雅彦, 池川 直史, 赤木 龍一郎
    千葉医学雑誌 87(3) 126-126 2011年6月  
  • 榎本 隆宏, 佐粧 孝久, 鶴岡 弘章, 山口 智志, 池川 直志, 斎藤 雅彦, 赤木 龍一郎, 高橋 和久
    千葉医学雑誌 87(3) 127-127 2011年6月  
  • 榎本 隆宏, 佐粧 孝久, 山口 智志, 鶴岡 弘章, 池川 直志, 斎藤 雅彦, 赤木 龍一郎, 高橋 和久
    関東膝を語る会会誌 27(1) 5-8 2011年6月  
    36歳女。2年前より右膝痛が出現し、2ヵ月前より右膝窩〜足底にしびれを認めるようになった。近医でのMRIで右膝窩筋腱部にT1強調画像で低信号、T2強調画像で高信号の多房性嚢胞性病変を認め、ガングリオン疑いで当院紹介となった。当院での再MRIでも同様の所見とT2強調画像で嚢胞内の一部に点状の低信号域を認め、ガドリニウム造影MRIでは病変部に不均一な造影効果を認めた。生検切除術を予定し、まず関節鏡を行い膝上嚢、膝窩筋腱鞘に軽度の滑膜炎所見、外側コンパートメントで脛骨軟骨表面のfibrillationを認めた。次いで、膝関節後方アプローチで進入し、腓腹筋外側頭内側で脛骨後面に嚢胞様の病変部を認め、腱性部を取り囲むように存在したため、これを含めて一塊に切除した。病理所見からは、cystic synovial hyperplasiaの可能性が高いとの結果が得られた。術後2ヵ月で疼痛は完全消失したが、以後も時々軽度の右膝痛があり、術後6ヵ月に対側膝窩部痛が出現し、抗CCP抗体49U/mLが判明したため関節リウマチと診断した。現在も経過観察中である。
  • 池川 直志, 赤木 龍一郎, 齊藤 雅彦, 山口 智志, 佐粧 孝久
    関東膝を語る会会誌 27(1) 35-35 2011年6月  
  • Keisuke Matsuki, Kei O. Matsuki, Shang Mu, Satoshi Yamaguchi, Nobuyasu Ochiai, Takahisa Sasho, Hiroyuki Sugaya, Tomoaki Toyone, Yuichi Wada, Kazuhisa Takahashi, Scott A. Banks
    Journal of Shoulder and Elbow Surgery 20(4) 659-665 2011年6月  査読有り
    Background: Alterations in scapular motion frequently are seen in association with various shoulder disorders. It is common clinically to compare the pathological shoulder with the contralateral shoulder, in spite of arm dominance, to characterize the disorder. However, there have been few articles that test the underlying assumption that dominant and nondominant shoulders exhibit comparable dynamic kinematics. The purpose of this study was to compare the 3-dimensional (3-D) scapular kinematics of dominant and nondominant shoulders during dynamic scapular plane elevation using 3-D-2-D (2-dimensional) registration techniques. Materials and methods: Twelve healthy males with a mean age of 32 years (range, 27-36) were enrolled in this study. Bilateral fluoroscopic images during scapular plane elevation and lowering were taken, and CT-derived 3-D bone models were matched with the silhouette of the bones in the fluoroscopic images using 3-D-2-D registration techniques. Angular values of the scapula and scapulohumeral rhythm were compared between dominant and nondominant shoulders with statistical analysis. Results: There was a significant difference in upward rotation angles between paired shoulders (P &lt .001), while significant differences were not found in the other angular values and scapulohumeral rhythm. The dominant scapulae were 10° more downwardly rotated at rest and 4° more upwardly rotated during elevation compared to the nondominant scapulae. Discussion/Conclusion: Scapular motion was not the same between dominant and nondominant arms in healthy subjects. The dominant scapula was rotated further downward at rest and reached greater upward rotation with abduction. These differences should be considered in clinical assessment of shoulder pathology. © 2011 Journal of Shoulder and Elbow Surgery Board of Trustees.
  • Satoshi Yamaguchi, Yasuhito Tanaka, Shinichi Kosugi, Yoshinori Takakura, Takahisa Sasho, Scott A. Banks
    Journal of Biomechanics 44(6) 995-1000 2011年4月7日  査読有り
    Relatively high rates of loosening and implant failure have been reported after total ankle arthroplasty, especially in first and second generation implants. Abnormal kinematics and incongruency of the articular surface may cause increased loads applied to the implant with concomitant polyethylene wear, resulting in loosening and implant failure. The purpose of this study was to measure three-dimensional kinematics of two-component total ankle arthroplasty during non-weightbearing and weightbearing activities, and to investigate incongruency of the articular surfaces during these activities. Forty-seven patients with a mean age of 71 years were enrolled. Radiographs were taken at non-weightbearing maximal dorsiflexion and plantarflexion, and weightbearing maximal dorsiflexion, plantarflexion, and neutral position. 3D-2D model-image registration was performed using the radiographs and the three-dimensional implant models, and three-dimensional joint angles were determined. The implanted ankles showed 18.1±8.6° (mean±standard deviation) of plantarflexion, 0.1±0.7° of inversion, 1.2±2.0° of internal rotation, and 0.8±0.6. mm of posterior translation of the talar component in the non-weightbearing activity, and 17.8±7.5° of plantarflexion, 0.4±0.5° of inversion, 1.8±2.0° of internal rotation, and 0.7±0.5. mm of posterior translation in the weightbearing activity. There were no significant differences between the non-weightbearing and weightbearing kinematics except for the plantarflexion angle. Incongruency of the articular surface occurred in more than 75% of the ankles. Our observations will provide useful data against which kinematics of other implant designs, such as three-component total ankle arthroplasty, can be compared. © 2011 Elsevier Ltd.
  • 落合 俊輔, 渡辺 淳也, 山下 剛司, 松木 圭介, 大久保 敏之, 山田 晴耕, 豊根 知明, 佐粧 孝久, 渡辺 朋子, 和田 佑一
    日本整形外科学会雑誌 85(3) S470-S470 2011年3月  
  • 渡辺 淳也, 小畠 隆行, 落合 俊輔, 山田 晴耕, 和田 佑一, 松木 圭介, 佐粧 孝久, 落合 信靖, 野崎 敦, 大曽根 文雄, 大久保 敏之
    日本整形外科学会雑誌 85(3) S471-S471 2011年3月  
  • 小林 達也, 鈴木 昌彦, 佐粧 孝久, 山口 智志, 齊藤 雅彦, 池川 直志, 赤木 龍一郎, 高橋 和久
    日本整形外科学会雑誌 85(3) S732-S732 2011年3月  
  • Sasho, T.
    Clinical calcium 21(6) 2011年  
  • Louay Fallouh, Koichi Nakagawa, Takahisa Sasho, Momoko Arai, Sota Kitahara, Yuichi Wada, Hideshige Moriya, Kazuhisa Takahashi
    The Journal of bone and joint surgery. American volume 92(18) 2909-16 2010年12月15日  
    BACKGROUND: Platelet-rich plasma is a fraction of plasma in which platelets are concentrated. It is reported to represent a source of multiple growth factors that promote tissue repair. In anticipation of the eventual testing of platelet-rich plasma in anterior cruciate ligament (ACL)-deficient patients, we examined the effect of autologous platelet-rich plasma on human ACL cell function in vitro. METHODS: Fresh blood and ACL remnants were obtained from four patients who underwent ACL reconstruction surgery. Platelet-poor plasma and platelet-rich plasma were prepared from the blood samples. The concentrations of various growth factors in each preparation were tested with use of enzyme-linked immunosorbent assays. Isolated ACL cells were cultured in the presence of 5% fetal bovine serum, 5% platelet-poor clot releasate, 5% platelet-rich clot releasate, or 10% platelet-rich clot releasate. Platelet-rich plasma and platelet-poor plasma releasates were applied to the ACL cells from the same patient autologously. Cell viability and collagen synthesis in each group were analyzed, and semiquantitative gene-expression assays for type-I and III collagen were also performed. RESULTS: The concentrations of the main growth factors (transforming growth factor-beta, platelet-derived growth factor, epidermal growth factor, and vascular endothelial growth factor) were much higher in platelet-rich clot releasate than in platelet-poor clot releasate. In vitro treatment of ACL cells with platelet-rich clot releasate resulted in a significant increase in cell number compared with platelet-poor clot releasate. Total collagen production by the platelet-rich clot releasate-treated cells was significantly higher than that of the platelet-poor clot releasate-treated cells only because of enhanced cell proliferation. There was no significant effect of platelet-rich clot releasate treatment on gene expression for type-I collagen, but expression of type-III collagen was significantly enhanced by the treatment with platelet-rich clot releasate. CONCLUSIONS: These results suggest that autologous platelet-rich plasma can enhance ACL cell viability and function in vitro.
  • Kei O. Matsuki, Keisuke Matsuki, Shang Mu, Takahisa Sasho, Koichi Nakagawa, Nobuyasu Ochiai, Kazuhisa Takahashi, Scott A. Banks
    Clinical Biomechanics 25(10) 979-983 2010年12月  
    Background: Forearm rotation is an indispensable activity of daily living and comprises complex motions with rotational and translational components. It is thought that changes in these motions with injury or disease may affect diagnostic indices. Several studies have assessed in vivo forearm kinematics with static conditions, but dynamic forearm kinematics have not yet been reported. The purpose of this study was to analyze forearm kinematics during dynamic rotation using radiographic 3D-2D registration methods. Methods: Ten forearms of five healthy males with the mean age of 37 years old were enrolled. Lateral fluoroscopic images were taken during forearm rotation from maximum supination to maximum pronation with their elbows flexed to approximately 45°. Geometric bone models were created from CT scans of the humerus, the radius and the ulna. Three-dimensional kinematics were determined using 3D-2D model registration techniques with the images and models, and the arc of axial rotation of the radius, volar/dorsal translation of the ulna at the distal radioulnar joint and rotation axis of forearm were computed. Findings: The radial rotation arc was 157°. The ulna translated 3.9 mm (SD 1.5 mm) dorsally during activity. The rotation axis of the forearm passed through the center of the radial head and the ulnar head at the 1.9 mm (SD 0.7 mm) posterior from its geometric centroid. Interpretation: The posteriorly deviated rotation axis at the ulnar head may result in the ulnar head translating dorsally during pronation. These data provide a basis for objective assessment of pathological forearm function. © 2010 Elsevier Ltd.
  • 小林 達也, 鈴木 昌彦, 佐粧 孝久, 中川 晃一, 常泉 吉一, 鶴岡 弘章
    日本人工関節学会誌 40 158-159 2010年12月  
    Hi-tech knee II CR typeを用いてTKAを行った変形性膝関節症44例を対象に、「術中の伸展gapと屈曲gapの差(伸展屈曲gap差)」「術後のストレステストによる屈曲位バランス」「屈曲角度」の3点について計測・評価を行い、相互の関連について統計学的に検討した。その結果、術中の伸展屈曲gap差と術後の外反ストレスによる内側開大角度との間に有意な相関が認められ、また内反ストレスによる外側開大角度と屈曲角度との間に有意な相関が認められた。
  • Kaori Sugioka, Koichi Nakagawa, Ryo Murata, Nobuyasu Ochiai, Takahisa Sasho, Momoko Arai, Hiroaki Tsuruoka, Seiji Ohtori, Takashi Saisu, Takefumi Gemba, Kazuhisa Takahashi
    Journal of orthopaedic research : official publication of the Orthopaedic Research Society 28(8) 1078-83 2010年8月  
    The purpose of this study was to test if radial shock waves could enhance the introduction of nuclear factor-kappa B (NF-kappaB) decoy oligodeoxynucleotides, which is reported to markedly inhibit NF-kappaB activation and suppress pro-inflammatory cytokine gene expression, using rat Achilles tendon cells. In the presence of NF-kappaB decoy labeled with or without fluorescein isothiocyanate (FITC) in culture media, radial shock waves were applied to the tendon cells in variable conditions and cultivated for 24 h. The transfection rate was assessed by counting FITC-positive cells, and IL-1-induced NF-kappaB activation in the cells was assessed. Radial shock waves significantly enhanced introduction of NF-kappaB decoy-FITC into the tendon cells. IL-1-induced NF-kappaB activation was significantly inhibited by pretreatment of the cells with NF-kappaB decoy combined with radial shock wave exposure. The present study demonstrated the effectiveness of radial shock waves on introduction of NF-kappaB decoy into tendon cells. Radial shock wave treatment combined with local NF-kappaB decoy administration could be a novel therapeutic strategy for chronic tendinopathy.
  • 齊藤 雅彦, 佐粧 孝久, 山口 智志, 池川 直志, 赤木 龍一郎, 高橋 和久
    東日本整形災害外科学会雑誌 22(3) 461-461 2010年8月  
  • Ochiai, N., Sasho, T., Tahara, M., Watanabe, A., Matsuki, K., Yamaguchi, S., Miyake, Y., Nakaguchi, T., Wada, Y., Moriya, H.
    International Orthopaedics 34(6) 811-817 2010年8月  査読有り
  • 輪湖 靖, 鈴木 昌彦, 佐粧 孝久, 中川 晃一, 松木 恵, 池川 直志, 齋藤 雅彦, 赤木 龍一郎, 高橋 和久
    関節の外科 37(2) 62-62 2010年7月  
  • 佐藤 祐介, 鈴木 昌彦, 佐粧 孝久, 小林 達也, 池川 直志, 齊藤 雅彦, 赤木 龍一郎
    関節の外科 37(2) 66-66 2010年7月  
  • 赤木 龍一郎, 西須 孝, 亀ヶ谷 真琴, 佐粧 孝久, 中川 晃一, 守屋 秀繁
    JOSKAS 35(4) 157-157 2010年6月  
  • 山口 智志, 佐粧 孝久, 加藤 英幸, 畔柳 裕二, 池川 直志, 斎藤 雅彦, 赤木 龍一郎, Banks Scott, 高橋 和久
    日本足の外科学会雑誌 31(1) S180-S180 2010年5月  
  • 佐々木 俊秀, 佐粧 孝久, 中川 晃一, 鶴岡 弘章, 齊藤 雅彦, 池川 直志, 星 裕子, 藤由 崇之, 高橋 和久
    関東膝を語る会会誌 26(1) 19-22 2010年4月  
    7歳女児。誘因なく右膝痛と38℃台の発熱が出現した。来院時、右膝関節に腫脹・熱感を認め、歩行困難であり、血液検査では白血球17300/μl、CRP 8.0mg/dlであった。MRIでは関節水症は著明であったが骨髄に輝度変化はなく、骨髄炎は否定された。関節穿刺で混濁著明な黄白色関節液を認め、CTM(230mg/kg/day)の点滴投与を開始した。関節鏡を施行し、関節内全体に軽度充血した滑膜を認めたが、滑膜の増生は膝上嚢のみにみられ、これを培養と病理検査用に採取した後、灌流液で洗浄してペンローズドレーンを留置した。培養でα溶連菌が検出されたため、抗生剤をABPC(400mg/kg/day)に変更した。早期より持続的他動運動を開始し、局所の症状、炎症反応は次第に軽快し、第12病日には点滴を中止してAMPC内服を2週間行った。第15病日にドレーンを抜去し、翌日にCRPは陰性化し、第25病日に退院となった。

MISC

 114

書籍等出版物

 3

共同研究・競争的資金等の研究課題

 5