Development of new anatomical knee ligament reconstructions using with three-dimensional images

• Project/Area Number: 15K01562
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Sports science
• Research Institution: Iwate Medical University
• Principal Investigator: Tajima Goro 岩手医科大学, 医学部, 講師 (90382605)
• Co-Investigator(Kenkyū-buntansha): 亀井 陽一 岩手医科大学, 医学部, 講師 (80347872) ; 丸山 盛貴 岩手医科大学, 医学部, 助教 (50611018) ; 菅原 敦 岩手医科大学, 医学部, 助教 (70740611) ; 燕 軍 岩手医科大学, 医学部, 准教授 (20316350)
• Research Collaborator: Doita Minoru ; Hitomi Jiro ; Kikuchi Shuhei ; Saigo Toshiaki ; Takahashi Hirotaka ; Oikawa Ryuunosuke ; Kikuchi Sho
• Project Period (FY): 2015-04-01 – 2019-03-31
• Project Status: Completed (Fiscal Year 2018)
• Budget Amount: ¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000); Fiscal Year 2018: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000); Fiscal Year 2017: ¥260,000 (Direct Cost: ¥200,000、Indirect Cost: ¥60,000); Fiscal Year 2016: ¥520,000 (Direct Cost: ¥400,000、Indirect Cost: ¥120,000); Fiscal Year 2015: ¥3,120,000 (Direct Cost: ¥2,400,000、Indirect Cost: ¥720,000)
• Keywords: 膝関節 / 靱帯付着部 / 解剖 / 靭帯付着部

Outline of Final Research Achievements

We clarified the insertions of the medial collateral ligament, posterior oblique ligament, lateral collateral ligament, popliteofibular ligament, and biceps femoris tendon and their related osseous landmarks on three-dimensional images. Additionally, we also clarified the insertions of the medial patellofemoral ligament and patella and their related osseous landmarks. These findings may improve understanding of the anatomy of their insertions and may assist surgeons in performing anatomical reconstructions to improve clinical results for the multiple ligament injuries and patella dislocation.

Academic Significance and Societal Importance of the Research Achievements

本研究により、今まで明らかにされていなかった膝関節の靱帯や腱の付着部位置情報を術前に把握し、手術中に正確に同定することが可能となり、複数の靭帯が同時に損傷される複合靭帯損傷や膝蓋骨脱臼の治療成績をより向上させることに寄与する。

Research Products

• [Journal Article] Morphology of the patellar tendon and its insertion sites using three-dimensional computed tomography: A cadaveric study (2019)
  • Author(s): Oikawa Ryunosuke、Tajima Goro、Yan Jun、Maruyama Moritaka、Sugawara Atsushi、Oikawa Shinya、Saigo Takaaki、Takahashi Hirotaka、Doita Minoru
  • Journal Title: The Knee Volume: 26 Issue: 2 Pages: 302-309
  • DOI: 10.1016/j.knee.2018.12.002
  • Peer Reviewed
• [Journal Article] Morphology of the Insertions of the Superficial Medial Collateral Ligament and Posterior Oblique Ligament Using 3-Dimensional Computed Tomography: A Cadaveric Study (2017)
  • Author(s): Saigo T, Tajima G, Kikuchi S, Yan J, Maruyama M, Sugawara A, Doita M.
  • Journal Title: Arthroscopy. Volume: 33 Issue: 2 Pages: 400-407
  • DOI: 10.1016/j.arthro.2016.07.030
  • NAID: 40021587906
  • Peer Reviewed / Int'l Joint Research / Acknowledgement Compliant
• [Journal Article] Morphology of the fibular insertion of the posterolateral corner and biceps femoris tendon. (2017)
  • Author(s): Takahashi H, Tajima G, Kikuchi S, Yan J, Kamei Y, Maruyama M, Sugawara A, Saigo T, Doita M.
  • Journal Title: Knee Surg Sports Traumatol Arthrosc. Volume: 25 Issue: 1 Pages: 184-191
  • DOI: 10.1007/s00167-016-4304-x
  • Peer Reviewed / Int'l Joint Research / Acknowledgement Compliant
• [Journal Article] Morphology of insertion sites on patellar side of medial patellofemoral ligament (2016)
  • Author(s): Kikuchi S, Tajima G, Yan J, Kamei Y, Maruyama M, Sugawara A, Fujino K, Takeda S, Doita M.
  • Journal Title: Knee Surgery, Sports Traumatology, Arthroscopy Volume: pub ahead of print Issue: 8 Pages: 1-6
  • DOI: 10.1007/s00167-015-3973-1
  • Peer Reviewed / Int'l Joint Research / Acknowledgement Compliant
• [Presentation] Morphology of the insertion of the distal tibiofibular ligaments using three-dimensional computed tomography (2019)
  • Author(s): Sho Kikuchi, Goro Tajima, Jun Yan, Moritaka Maruyama, Atsushi Sugawara, Shinya Oikawa, Minoru Doita
  • Organizer: Orthopedics Research Society 2018 Annual Meeting(国際学会)
  • Int'l Joint Research
• [Presentation] 3Dイメージングを用いた遠位脛腓靭帯骨付着部の形態学的検討 (2018)
  • Author(s): 菊地将、田島吾郎、丸山盛貴、菅原敦、及川伸也、及川龍之介、土井田稔
  • Organizer: 第33回日本整形外科学会基礎学術集会
• [Presentation] 3Dイメージングを用いた遠位脛腓靭帯付着部の形態学的検討 (2018)
  • Author(s): 菊地将、田島吾郎、丸山盛貴、菅原敦、及川伸也、及川龍之介、土井田稔
  • Organizer: 第45回日本臨床バイオメカニクス学会学術集会
• [Presentation] Morphology of the Patellar Tendon and Its Insertion Site Using Three-dimensional Computed Tomography: A Cadaveric Study (2018)
  • Author(s): Ryunosuke Oikawa, Goro Tajima, Jun Yan, Moritaka Maruyama, Atsushi Sugawara, Shinya Oikawa, Takaaki Saigo, Hirotaka Takahashi, Sho Kikuchi, Doita Minoru
  • Organizer: Orthopedics Research Society 2017 Annual Meeting
  • Int'l Joint Research
• [Presentation] 3DCG モデルを用いた、後十字靭帯再建における脛骨骨孔解剖学的至適位置及びposterior intercondyler fossa の形態的特徴についての検討 (2017)
  • Author(s): 田島吾郎、丸山盛貴、菅原敦、及川伸也、及川龍之介、土井田稔
  • Organizer: 第32回日本整形外科学会基礎学術集会
• [Presentation] 3Dイメージングを用いた膝蓋腱、及びその骨付着部の形態学的検討 (2017)
  • Author(s): 及川龍之介、田島吾郎、丸山盛貴、菅原敦、及川伸也、西郷峻瑛、高橋裕考、土井田稔
  • Organizer: 第32回日本整形外科学会基礎学術集会
• [Presentation] Morphology of the Insertions of the Superficial Medial Collateral Ligament and Posterior Oblique Ligament (2016)
  • Author(s): Saigo T, Tajima G, Kikuchi S, Yan J, Maruyama M, Sugawara A, Doita M.
  • Organizer: The European Society of Sports Traumatology, Knee Surgery and Arthroscopy
  • Place of Presentation: Barcelona, Spain.
  • Year and Date: 2016-05-04
  • Int'l Joint Research
• [Presentation] Morphology of the fibular insertion of the posterolateral corner and biceps femoris tendon. (2016)
  • Author(s): Takahashi H, Tajima G, Kikuchi S, Yan J, Kamei Y, Maruyama M, Sugawara A, Saigo T, Doita M.
  • Organizer: The European Society of Sports Traumatology, Knee Surgery and Arthroscopy
  • Place of Presentation: Barcelona, Spain.
  • Year and Date: 2016-05-04
  • Int'l Joint Research
• [Presentation] Morphology of Insertion Sites of Patella Side of Medial Patellofemoral Ligament (2016)
  • Author(s): Shuhei Kikuchi, Goro Tajima, Jun Yan, Youichi Kamei, Moritaka Maruyama, Atsushi Sugawara, Kotaro Fujino, Sanjuro Takeda, Minoru Doita.
  • Organizer: Orthopedics Research Society 2016 Annual Meeting
  • Place of Presentation: Disney's Coronado Spring Resort (Orlando, Florida, USA)
  • Year and Date: 2016-03-05
  • Int'l Joint Research
• [Presentation] Morphorogy of the Fibular Insertion of the Posterolateral Corner and Biceps Femoris Tendon (2016)
  • Author(s): Hirotaka Takahashi, Goro Tajima, Jun Yan, Youichi Kamei, Moritaka Maruyama, Atsushi Sugawara, Shuhei Kikuchi, Takaaki Saigo, Minoru Doita.
  • Organizer: Orthopedics Research Society 2016 Annual Meeting
  • Place of Presentation: Disney's Coronado Spring Resort (Orlando, Florida, USA)
  • Year and Date: 2016-03-05
  • Int'l Joint Research
• [Presentation] Morphology of the Superficial Medial Collateral Ligament and Posterior Oblique Ligament (2016)
  • Author(s): Takaaki Saigo, Goro Tajima, Jun Yan, Youichi Kamei, Moritaka Maruyama, Atsushi Sugawara, Shuhei Kikuchi, Hirotaka Takahashi, Minoru Doita.
  • Organizer: Orthopedics Research Society 2016 Annual Meeting
  • Place of Presentation: Disney's Coronado Spring Resort (Orlando, Florida, USA)
  • Year and Date: 2016-03-05
  • Int'l Joint Research
• [Presentation] 内側側副靭帯浅層(sMCL)、後斜走靭帯(POL)付着部の解剖学的検討 (2015)
  • Author(s): 西郷峻瑛、田島吾郎、亀井陽一、丸山盛貴、菅原敦、菊地修平、高橋裕孝、土井田稔
  • Organizer: 第30回日本整形外科学会基礎学術集会
  • Place of Presentation: 富山国際会議場（富山県富山市）
  • Year and Date: 2015-10-22