• Search Research Projects
  • Search Researchers
  • How to Use
  1. Back to previous page

Analysis for preventing femoral head collapse in osteonecrosis of the femoral head

Research Project

Project/Area Number 16K10906
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Orthopaedic surgery
Research InstitutionKyushu University

Principal Investigator

Motomura Goro  九州大学, 大学病院, 講師 (50529857)

Project Period (FY) 2016-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2018: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2017: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2016: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Keywords大腿骨頭壊死 / 骨頭圧潰 / 大腿骨頭壊死症
Outline of Final Research Achievements

Stress distribution remains unclear in early-stage osteonecrosis of the femoral head (ONFH). To clarify this issue, we generated patient-specific finite element models (FEM). The hypothesis was that sclerotic changes might cause stress to become concentrated at the lateral boundary in early-stage osteonecrosis. In all FEMs of Stage 1 hip (ONFH without a sclerotic boundary), stress was equally distributed on the femoral head surface. However, in all FEMs of both Stages 2 (ONFH with a sclerotic boundary) and 3 (ONFH with both a sclerotic boundary and <2 mm collapse) hips, stress was concentrated at the lateral boundary of the femoral head surface. In early-stage ONFH, sclerotic changes caused stress concentration, which can trigger subchondral fractures at the lateral boundary.

Academic Significance and Societal Importance of the Research Achievements

「骨性修復反応が起こることが同部位への応力集中を招き圧潰発生の起点となる」ということが明らかになったことから、局所的に骨性修復を防止することにより圧潰を予防する可能性が考えられる。本研究成果は、圧潰発生の機序解明ならびに圧潰予防法開発の基盤となりうるものであり、骨頭壊死の発症予防法開発に大きな進歩をもたらすことができると確信する。

Report

(4 results)
  • 2018 Annual Research Report   Final Research Report ( PDF )
  • 2017 Research-status Report
  • 2016 Research-status Report
  • Research Products

    (28 results)

All 2019 2018 2017 2016

All Journal Article (15 results) (of which Peer Reviewed: 15 results,  Acknowledgement Compliant: 4 results,  Open Access: 1 results) Presentation (13 results) (of which Int'l Joint Research: 7 results)

  • [Journal Article] Effects of anterior boundary of the necrotic lesion on the progressive collapse after varus osteotomy for osteonecrosis of the femoral head2019

    • Author(s)
      Kubo Yusuke、Motomura Goro、Ikemura Satoshi、Hatanaka Hiroyuki、Utsunomiya Takeshi、Hamai Satoshi、Fujii Masanori、Fukushi Jun-ichi、Nakashima Yasuharu
    • Journal Title

      Journal of Orthopaedic Science

      Volume: 印刷中 Issue: 1 Pages: 145-151

    • DOI

      10.1016/j.jos.2019.02.014

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Differences in magnetic resonance findings between symptomatic and asymptomatic pre-collapse osteonecrosis of the femoral head2019

    • Author(s)
      Hatanaka Hiroyuki、Motomura Goro、Ikemura Satoshi、Kubo Yusuke、Utsunomiya Takeshi、Baba Shoji、Kawano Koichiro、Nakashima Yasuharu
    • Journal Title

      European Journal of Radiology

      Volume: 112 Pages: 1-6

    • DOI

      10.1016/j.ejrad.2019.01.002

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Volume of hip synovitis detected on contrast-enhanced magnetic resonance imaging is associated with disease severity after collapse in osteonecrosis of the femoral head2019

    • Author(s)
      Hatanaka Hiroyuki、Motomura Goro、Ikemura Satoshi、Kubo Yusuke、Utsunomiya Takeshi、Baba Shoji、Nakashima Yasuharu
    • Journal Title

      Skeletal Radiology

      Volume: 印刷中 Issue: 8 Pages: 1193-1200

    • DOI

      10.1007/s00256-019-3158-y

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Long-term hip survival and factors influencing patient-reported outcomes after transtrochanteric anterior rotational osteotomy for osteonecrosis of the femoral head: A minimum 10-year follow-up case series2018

    • Author(s)
      Kawano Koichiro、Motomura Goro、Ikemura Satoshi、Kubo Yusuke、Fukushi Junichi、Hamai Satoshi、Fujii Masanori、Nakashima Yasuharu
    • Journal Title

      Modern Rheumatology

      Volume: 印刷中 Issue: 1 Pages: 184-190

    • DOI

      10.1080/14397595.2018.1558917

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Effects of sclerotic changes on stress concentration in early-stage osteonecrosis: A patient-specific, 3D finite element analysis2018

    • Author(s)
      Utsunomiya Takeshi、Motomura Goro、Ikemura Satoshi、Kubo Yusuke、Sonoda Kazuhiko、Hatanaka Hiroyuki、Baba Shoji、Kawano Koichiro、Yamamoto Takuaki、Nakashima Yasuharu
    • Journal Title

      Journal of Orthopaedic Research?

      Volume: 36 Issue: 12 Pages: 3169-3177

    • DOI

      10.1002/jor.24124

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Osteoclast-related markers in the hip joint fluid with subchondral insufficiency fracture of the femoral head2018

    • Author(s)
      Kubo Yusuke、Motomura Goro、Ikemura Satoshi、Hatanaka Hiroyuki、Fukushi Jun-ichi、Hamai Satoshi、Yamamoto Takuaki、Nakashima Yasuharu
    • Journal Title

      Journal of Orthopaedic Research?

      Volume: 36 Issue: 11 Pages: 2987-2995

    • DOI

      10.1002/jor.24066

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] The effect of the anterior boundary of necrotic lesion on the occurrence of collapse in osteonecrosis of the femoral head2018

    • Author(s)
      Kubo Y, Motomura G, Ikemura S, Sonoda K, Hatanaka H, Utsunomiya T, Baba S, Nakashima Y.
    • Journal Title

      International Orthopaedics

      Volume: 印刷中 Issue: 7 Pages: 1449-1455

    • DOI

      10.1007/s00264-018-3836-8

    • Related Report
      2018 Annual Research Report 2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Subchondral insufficiency fracture of the femoral head in an elderly woman with symptomatic osteoarthritis of the contralateral hip2018

    • Author(s)
      Kawano K, Motomura G, Ikemura S, Kubo Y, Hatanaka H, Utsunomiya T, Baba S, Nakashima Y
    • Journal Title

      J Orthop Sci.

      Volume: 印刷中 Issue: 6 Pages: 1116-1118

    • DOI

      10.1016/j.jos.2018.02.001

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Femoral head fracture similar to slipped capital femoral epiphysis in an elderly woman with antecedent hip osteoarthritis after subchondral insufficiency fracture: A case report2018

    • Author(s)
      Baba S, Motomura G, Ikemura S, Sonoda K, Kubo Y, Utsunomiya T, Hatanaka H, Nakashima Y
    • Journal Title

      J Orthop Sci.

      Volume: 印刷中 Issue: 3 Pages: 533-536

    • DOI

      10.1016/j.jos.2017.09.009

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Effect of collapse on the deformity of the femoral head-neck junction in osteonecrosis of the femoral head2017

    • Author(s)
      Kubo Y, Motomura G, Ikemura S, Sonoda K, Yamamoto T, Nakashima Y
    • Journal Title

      Arch Orthop Trauma Surg.

      Volume: 137 Issue: 7 Pages: 933-938

    • DOI

      10.1007/s00402-017-2720-0

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Effects of intertrochanteric osteotomy plane and preoperative femoral anteversion on the postoperative morphology of the proximal femur in transtrochanteric anterior rotational osteotomy: 3D CT-based simulation study2017

    • Author(s)
      Sonoda K, Motomura G, Ikemura S, Kubo Y, Yamamoto T, Nakashima Y
    • Journal Title

      Orthop Traumatol Surg Res.

      Volume: 103 Issue: 7 Pages: 1005-1010

    • DOI

      10.1016/j.otsr.2017.06.012

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Degeneration of articular cartilage in osteonecrosis of the femoral head begins at the necrotic region after collapse: a preliminary study using T1 rho MRI.2017

    • Author(s)
      Sonoda K, Motomura G, Kawanami S, Takayama Y, Honda H, Yamamoto T, Nakashima Y.
    • Journal Title

      Skeletal Radiol.

      Volume: 46 Issue: 4 Pages: 463-467

    • DOI

      10.1007/s00256-017-2567-z

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Favorable clinical and radiographic results of transtrochanteric anterior rotational osteotomy for collapsed subchondral insufficiency fracture of the femoral head in young adults2017

    • Author(s)
      Sonoda K, Motomura G, Ikemura S, Kubo Y, Yamamoto T, Nakashima Y
    • Journal Title

      JBJS Open Access

      Volume: 2 Issue: 1 Pages: 1-9

    • DOI

      10.2106/jbjs.oa.16.00013

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Factors influencing progressive collapse of the transposed necrotic lesion after transtrochanteric anterior rotational osteotomy for osteonecrosis of the femoral head.2017

    • Author(s)
      Kubo Y, Motomura G, Ikemura S, Sonoda K, Yamamoto T, Nakashima Y.
    • Journal Title

      Orthop Traumatol Surg Res.

      Volume: 102 Issue: 2 Pages: 217-222

    • DOI

      10.1016/j.otsr.2016.10.019

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Osteonecrosis of the femoral head associated with pigmented villonodular synovitis.2017

    • Author(s)
      Baba S, Motomura G, Fukushi J, Ikemura S, Sonoda K, Kubo Y, Utsunomiya T, Hatanaka H, Nakashima Y.
    • Journal Title

      Rheumatol Int.

      Volume: 37 Issue: 5 Pages: 841-845

    • DOI

      10.1007/s00296-016-3624-y

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Presentation] Long-term hip survival and factors influencing patient-reported outcomes after transtrochanteric anterior rotational osteotomy for osteonecrosis of the femoral head: A minimum 10-year follow-up case series2019

    • Author(s)
      Kawano Koichiro、Motomura Goro、Ikemura Satoshi、Kubo Yusuke、Fukushi Junichi、Hamai Satoshi、Fujii Masanori、Nakashima Yasuharu
    • Organizer
      AAOS 2019 Annual Meeting
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 大腿骨頭前方回転骨切り術の 骨切り精度に関する検討2018

    • Author(s)
      本村悟朗、宇都宮健、久保祐介、池村聡、濵井敏 、藤井政徳、福士純一、中島康晴
    • Organizer
      第45回日本股関節学会学術集会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 若年者に発生する大腿骨頭軟骨下脆弱性骨折の診断と治療2018

    • Author(s)
      本村悟朗、池村聡、濱井敏、 藤井政徳、福士純一、中島康晴
    • Organizer
      第91回日本整形外科学会学術総会
    • Related Report
      2018 Annual Research Report
  • [Presentation] Stage3A以降の大腿骨頭壊死症に対する保存的治療の転帰2018

    • Author(s)
      本村悟朗、久保祐介、河野紘一郎、馬場省次、池村聡、濵井敏、福士純一、藤井政徳、中島康晴
    • Organizer
      第91回日本整形外科学会学術総会
    • Related Report
      2018 Annual Research Report
  • [Presentation] The difference in the stress distribution on the non-collapsed femoral head between osteonecrosis with/without sclerotic boundary of the necrotic lesion: biological-data-based finite element study2017

    • Author(s)
      Utsunomiya T, Motomura G, Ikemura S, Sonoda K, Kubo Y, Hatanaka H, Baba S, Yamamoto T, Nakashima Y
    • Organizer
      Orthopaedic Research Society Annual Meeting 2017
    • Place of Presentation
      San DIego
    • Year and Date
      2017-03-19
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] The results of total hip arthroplasty after Sugioka transtrochanteric rotational osteotomy for osteonecrosis: A comparison with primary total hip arthroplasty for osteonecrosis2017

    • Author(s)
      Utsunomiya T, Motomura G, Ikemura S, Hamai S, Yamamoto T, Nakashima Y
    • Organizer
      American Academy of Orthopaedic Surgeons 2017 Annual Meeting
    • Place of Presentation
      San Diego
    • Year and Date
      2017-03-14
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] Clinical course of conservative follow-up more than one year after femoral head collapse in osteonecrosis2017

    • Author(s)
      Motomura G, Ikemura S, Baba S, Hamai S, Fukushi J, Nakashima Y
    • Organizer
      The Annual ARCO meeting 2017
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] The impact of anterior necrotic lesion on the femoral head collapse2017

    • Author(s)
      Kubo Y, Motomura G, Ikemura S, Sonoda K, Fukushi J, Hamai S, Nakashima Y
    • Organizer
      The Annual ARCO meeting 2017
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] Stress distribution around the lateral boundary of the necrotic lesion in the non-collapsed femoral head with osteonecrosis2017

    • Author(s)
      Utsunomiya T, Motomura G, Ikemura S, Kubo Y, Hatanaka H, Baba S, Yamamoto T, Nakashima Y
    • Organizer
      The Annual ARCO meeting 2017
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] Effect Of The Anterior Boundary Of Necrotic Lesion On The Occurrence Of Collapse In Osteonecrosis Of The Femoral Head2017

    • Author(s)
      Yusuke Kubo; Goro Motomura; Satoshi Ikemura; Kazuhiko Sonoda; Hiroyuki Hatanaka; Takeshi Utsunomiya; Shoji Baba; Koichiro Kawano; Yasuharu Nakashima
    • Organizer
      The 64th Annual Meeting of the Orthopaedic Research Society
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] 特発性大腿骨頭壊死症に対する関節温存治療のbasic knowledge2017

    • Author(s)
      本村悟朗、池村聡、濵井敏、藤井政徳、福士純一、山本卓明、中島康晴
    • Organizer
      第44回日本股関節学会学術集会
    • Related Report
      2017 Research-status Report
  • [Presentation] 若年性大腿骨頭軟骨下脆弱性骨折に対する大腿骨頭前方回転骨切り術2016

    • Author(s)
      本村悟朗、園田和彦、池村聡、濱井敏、福士純一、中島康晴
    • Organizer
      日本関節病学会
    • Place of Presentation
      大分
    • Year and Date
      2016-11-11
    • Related Report
      2016 Research-status Report
  • [Presentation] SLE症例を対象とした3剤併用による大腿骨頭壊死症発生抑制の試み2016

    • Author(s)
      本村悟朗、池村聡、宇都宮健、畑中敬之、馬場省次、久保祐介、園田和彦、 山本卓明
    • Organizer
      日本股関節学会
    • Place of Presentation
      大阪
    • Year and Date
      2016-11-04
    • Related Report
      2016 Research-status Report

URL: 

Published: 2016-04-21   Modified: 2020-03-30  

Information User Guide FAQ News Terms of Use Attribution of KAKENHI

Powered by NII kakenhi