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OBJECTIVE MONITORING OF FRACTURE HEALING FOR EVIDENE BASED REHABILITATION

Research Project

Project/Area Number 12832041
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research InstitutionKYOTO PREFECTURAL UNIVERSITY OF MEDICINE

Principal Investigator

WATANABE Yoshinobu  KYOTO PREFECTURAL UNIVERSITY OF MEDICINE, ASSISTANT PROFESSOR, 医学部, 助手 (00295651)

Co-Investigator(Kenkyū-buntansha) TAKAI Shinro  KYOTO PREFECTURAL UNIVERSITY OF MEDICINE, ASSISTANT PROFESSOR, 医学部, 講師 (10226730)
Project Period (FY) 2000 – 2001
Project Status Completed (Fiscal Year 2001)
Budget Amount *help
¥4,100,000 (Direct Cost: ¥4,100,000)
Fiscal Year 2001: ¥800,000 (Direct Cost: ¥800,000)
Fiscal Year 2000: ¥3,300,000 (Direct Cost: ¥3,300,000)
KeywordsFRATURE MONITORING / ACOUSTIC EMISSION / MINERAL DENSITY / ULTRASONOGRAM / CAUOTASIS / FRACTURE / アコースティク・エミッション
Research Abstract

Acoustic emission (AE) technology is well-established method for the assessment in the mechanical integrity of the general constructions. Our animal study revealed that the load for initiation of AE highly correlated with the mechanical strength of healing fractured bone.
First of all, we applied this theory for monitoring fracture healing treated by the external fixation. Axial loading was applied to the lower limb simultaneously monitored AE signal through the piezo-electric transducers placed on the pins driven into the bone. The load for initiation of AE increased with time of fracture healing. This result implied that the load for initiation of AE would be one of the reliable predictor for monitoring fracture healing.
Following this study, we applied this technology for monitoring mechanical strength during distraction osteogenesis in order to determine the predictable factors for the consolidation periods. Mechanical strength of healing callus during the distraction osteogenesis was monitored by using the AE test. The sequential load was applied to the elongated bones, and the AE signals were simultanaously monitored by the piezo-electric sensors attached on the screws or wires driven into the bone fragments. The mechanical strength of callus was estimated by the AE test and the timing of the removal of the external fixator was determined according to this mechanical assessment. The load for initiation of AE again increased with time of healing and the length of the elongation and the age of the patient were the key factors to determine the consolidation periods.
We believed that the results of these clinical trials implied that the objective mechanical monitoring of fracture healing will be possible by using the acoustic emission technology.

Report

(3 results)
  • 2001 Annual Research Report   Final Research Report Summary
  • 2000 Annual Research Report
  • Research Products

    (21 results)

All Other

All Publications (21 results)

  • [Publications] Yasusuke Hirasawa, Yoshinobu Watanabe et al.: "Biomechanical Monitoring of Healing Bone Based on Acoustic Emission Technology"Clin Oethop. (in press). (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yoshinobu Watanabe et al.: "Migration of the lag screw within the femoral head. A Comparison of the Intramedullary Hip Screw and the Gamma AP Nail"J of Oethop Trauma. (in press). (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yoshinobu Watanabe et al.: "Second-generation Intermedullary Supracondylar Nail for the Distal Femur Fracture : Clinical Results and Complications"Int Orthop. (in press). (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yoshinobu Watanabe et al.: "Prediction of mechanical properties of healing fractures using acoustic emission"J of Orthop Res.. 19. 548-553 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] 渡部欣忍 ほか: "延長仮骨の成熟期間に影響を与えた因子-AE法による骨癒合評価をもとに-"日本創外固定・骨延長学会雑誌. 12. 87-93 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] 渡部欣忍 ほか: "感染性偽関節に対する新しい試み:Open draping法とbone transport法の組み合わせ"日本創外固定・骨延長学会雑誌. 12. 185-189 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yasusuke Hirasawa: "Biomechanical Monitoring of Healing Bone Based on Acoustic Emission Technology"Clin. Orthop. (in press). (2002)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yoshinobu Watanabe: "Migration of the lag crew within the femoral head. A comparison of the Intramedullary Hip Screw and the Gamma AP Nail"J. of Orthop Trauma. (in press). (2002)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yoshinobu Watanabe: "Second-generation Intramedullary Supra condylar Nail for the Distal Femur Fracture : Clinical Results and Complications"Int. Orthop. (in press). (2002)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yoshinobu Watanabe: "Prediction of mechanical properties of healing fractures using acoustic emission"J. of Orthop Res.. 19. 548-553 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yoshinobu Watanabe: "Factors affecting the periods of maturation of callus during the distraction osteogenesis"JJAEFLL. 12. 87-93 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yoshinobu Watanabe: "Open draping method combined with bone transport for prulent pseudoarthrosis = A case report"JJAEFLL. 12. 185-189 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Yasusuke Hirasawa, Yoshinobu Watanabe et al.: "Biomechanical Monitoring of Healing Bone Based on Acoustic Emission Technology"Clin Orthop. (in press). (2002)

    • Related Report
      2001 Annual Research Report
  • [Publications] Yoshinobu Watanabe et al.: "Migration of the lag screw within the femoral head. A Comparison of the intramedullary Hip Screw and the Gamma AP Nail"J of Orthop Trauma. (in press). (2002)

    • Related Report
      2001 Annual Research Report
  • [Publications] Yoshinobu Watanabe et al.: "Second-generation Intramedullary Supracondylar Nail for the Distal Femur Fracture : Clinical Results and Complications"Int Orthop. (in press). (2002)

    • Related Report
      2001 Annual Research Report
  • [Publications] Yoshinobr Watanabe et al.: "Prediction of mechanical properties of healing fractures using acoustic emission"J of Orthop Res. 19. 548-553 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] 渡部 欣忍 ほか: "延長仮骨の成熟期間に影響を与えた因子-AE法による骨癒合評価をもとに-"日本創外固定・骨延長学会雑誌. 12. 87-93 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] 渡部 欣忍 ほか: "感染性偽関節に対する新しい試み:Open draping法とbone transport法の組み合わせ"日本創外固定・骨延長学会雑誌. 12. 185-189 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] Yoshinobu Watanabe: "Prediction of mechanical properties of healing fractures using acoustic emission"Journal of Orthopaedic Research. (in press). (2001)

    • Related Report
      2000 Annual Research Report
  • [Publications] 渡部欣忍: "延長仮骨の成熟期間に影響を与えた因子-AE法による骨癒合評価をもとに-"日本創外固定・骨延長学会雑誌. 12(印刷中). (2001)

    • Related Report
      2000 Annual Research Report
  • [Publications] 渡部欣忍: "感染性偽関節に対する新しい試み:Open draping法とbone transport法の組み合わせ"日本創外固定・骨延長学会雑誌. 12(印刷中). (2001)

    • Related Report
      2000 Annual Research Report

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Published: 2000-04-01   Modified: 2016-04-21  

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