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Development of a versatile inter-component compressive force measurement sensor and elucidation of adequate soft tissue balancing in total knee arthroplasty

Research Project

Project/Area Number 17K10989
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Orthopaedic surgery
Research InstitutionOsaka Medical and Pharmaceutical University

Principal Investigator

Okamoto Yoshinori  大阪医科薬科大学, 医学部, 講師 (30720180)

Project Period (FY) 2017-04-01 – 2023-03-31
Project Status Completed (Fiscal Year 2022)
Budget Amount *help
¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2019: ¥130,000 (Direct Cost: ¥100,000、Indirect Cost: ¥30,000)
Fiscal Year 2018: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2017: ¥3,380,000 (Direct Cost: ¥2,600,000、Indirect Cost: ¥780,000)
Keywords人工関節 / 圧縮力 / 膝関節 / 人工膝関節 / 解析・評価 / 整形外科 / 関節 / 四肢機能再建学 / 軟部バランス
Outline of Final Research Achievements

This study aimed to investigate the differences in tibiofemoral compressive force (TFCF) between 0° and 90°, and 90° and 0° flexion during knee motion in total knee arthroplasty (TKA) using a novel sensor. Although sensor technology that recognizes tibiofemoral force, contact points, and trajectory has been developed, no study has investigated TFCF dynamically during knee motion. We believe that our study makes a significant contribution because this is the first study to investigate the TFCF dynamically during knee motion in sensor-guided total knee arthroplasty. Further, we believe that the dynamic TFCF analysis during knee motion can contribute to further elucidation of intraoperative soft tissue balance in cruciate-retaining TKA.

Academic Significance and Societal Importance of the Research Achievements

超高齢社会に向かい人工膝関節全置換術(以下TKA)の需要は益々高まり、その手技は洗練され確立しつつあるにも関わらず、術中の至適軟部バランスについては未だ議論の余地を残す。大腿脛骨部品間に生じる圧縮力に着目し、0度から屈曲90度の範囲に於ける軟部バランスの連続的定量による評価を目指した圧縮力計測センサを考案し、今まで経験あるいは定性的に行われてきた軟部バランスの定量的評価が可能となった。この成果は術中の動的解析を兼ねた支援の一助としても応用でき、TKAの治療成績の向上に繋がる可能性が高く、大変意義深いと考える。

Report

(7 results)
  • 2022 Annual Research Report   Final Research Report ( PDF )
  • 2021 Research-status Report
  • 2020 Research-status Report
  • 2019 Research-status Report
  • 2018 Research-status Report
  • 2017 Research-status Report
  • Research Products

    (32 results)

All 2023 2022 2021 2020 2019 2018 2017 Other

All Journal Article (12 results) (of which Peer Reviewed: 4 results,  Open Access: 3 results) Presentation (10 results) (of which Int'l Joint Research: 4 results) Book (1 results) Remarks (9 results)

  • [Journal Article] 4点式圧縮力センサーを用いた膝関節のkinematics予測モデルに関する解析2023

    • Author(s)
      関戸遥加,井上貴之,岡吉倫弘,岡本純典
    • Journal Title

      日本臨床バイオメカニクス学会誌

      Volume: 44

    • Related Report
      2022 Annual Research Report
  • [Journal Article] 人工膝関節置換術における大腿脛骨部品間圧縮力 屈曲と伸展方向の違いによる比較検討2022

    • Author(s)
      岡吉倫弘,岡本純典,若間仁司,松山洵也,松田秀基,井上貴之,中村海斗,大槻周平,根尾昌
    • Journal Title

      日本人工関節学会誌

      Volume: 52 Pages: 329-330

    • Related Report
      2022 Annual Research Report
  • [Journal Article] 75歳以上に対する人工股関節置換術の患者立脚型評価と影響因子の解明 健康寿命の延伸に向けた術後5年の縦断解析2020

    • Author(s)
      岡本 純典, 若間 仁司, 岡吉 倫弘, 大槻 周平, 宮本 裕紀, 松山 洵也, 根尾 昌志
    • Journal Title

      日本人工関節学会誌

      Volume: 50 Pages: 323-324

    • Related Report
      2020 Research-status Report
  • [Journal Article] 超高齢者に対する人工股関節置換術の術前因子が患者立脚型評価の中期成績に及ぼす影響2020

    • Author(s)
      岡本 純典, 若間 仁司, 岡吉 倫弘, 大槻 周平, 松山 洵也, 根尾 昌志
    • Journal Title

      中部日本整形外科災害外科学会雑誌

      Volume: 63 Pages: 625-624

    • NAID

      130007936076

    • Related Report
      2020 Research-status Report
  • [Journal Article] Preoperative flexion contracture is a predisposing factor for cartilage degeneration at the patellofemoral joint after open wedge high tibial osteotomy2020

    • Author(s)
      Otsuki Shuhei、Ikeda Kuniaki、Wakama Hitoshi、Okuno Nobuhiro、Okamoto Yoshinori、Okayoshi Tomohiro、Miyamoto Yuki、Neo Masashi
    • Journal Title

      Knee Surgery & Related Research

      Volume: 32 Issue: 1 Pages: 55-55

    • DOI

      10.1186/s43019-020-00063-2

    • Related Report
      2020 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Preoperative factors associated with extension gap in cruciate-retaining total knee arthroplasty: A retrospective study on continuous determination of distraction force.2020

    • Author(s)
      Wakama H, Okamoto Y, Otsuki S, Nakagawa K, Okuno N, Neo M.
    • Journal Title

      J Orthop Sci . 2020 Jan 2;S0949-2658(19)30353-7

      Volume: - Issue: 6 Pages: 1035-1039

    • DOI

      10.1016/j.jos.2019.12.004

    • Related Report
      2020 Research-status Report 2019 Research-status Report
    • Peer Reviewed
  • [Journal Article] Influence of soft-tissue balancing with continuous determination of distraction force on patient-reported outcome measures after total knee arthroplasty2020

    • Author(s)
      T. Okayoshi, Y. Okamoto, H. Wakama, S. Otsuki, K. Nakagawa, M. Neo
    • Journal Title

      Orthopaedic Proceedings, A supplement to The Bone & Joint Journal

      Volume: 102-B, No. SUPP_1

    • Related Report
      2019 Research-status Report
    • Open Access
  • [Journal Article] TKAにおける軟部バランスが術後成績に及ぼす影響 Distraction forceの連続的定量による伸展ギャップの解析2019

    • Author(s)
      岡吉 倫弘, 岡本 純典, 若間 仁司, 大槻 周平, 中川 浩輔, 根尾 昌志
    • Journal Title

      中部日本整形外科災害外科学会雑誌

      Volume: 62 Pages: 801-802

    • NAID

      130007776240

    • Related Report
      2019 Research-status Report
  • [Journal Article] Sagittal Alignment of the Femoral Component and Patient Height Are Associated With Persisting Flexion Contracture After Primary Total Knee Arthroplasty.2019

    • Author(s)
      Okamoto Y, Otsuki S, Nakajima M, Jotoku T, Wakama H, Neo M.
    • Journal Title

      Journal of Arthroplasty

      Volume: - Issue: 7 Pages: 1476-1482

    • DOI

      10.1016/j.arth.2019.02.051

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Less Compressive Force on the Posterolateral Compartment Can Correlate With More Flexion Angle Following Cruciate-Retaining TKA: A Retrospective Observational Study.2019

    • Author(s)
      Okamoto Y, Otsuki S, Okayoshi T, Wakama H, Neo M, et al.
    • Journal Title

      Orthopaedic Proceedings, A supplement to The Bone & Joint Journal

      Volume: 101-B, ISSUE SUPP_4

    • Related Report
      2018 Research-status Report
    • Open Access
  • [Journal Article] 人工膝関節置換術の軟部組織バランスを計測する機器の基礎的検証 既存の方法と新たに考案した機器の比較2018

    • Author(s)
      若間仁司、岡本純典、大槻周平、村上友彦、中川浩輔、根尾昌志
    • Journal Title

      中部日本整形外科災害外科学会雑誌

      Volume: 61 Pages: 259-260

    • NAID

      130007403162

    • Related Report
      2018 Research-status Report
  • [Journal Article] Clinical usefulness of hindfoot assessment for total knee arthroplasty: persistent post-operative hindfoot pain and alignment in pre-existing severe knee deformity2017

    • Author(s)
      Okamoto Y, Otsuki S, Neo M, et al.
    • Journal Title

      Knee Surgery, Sports Traumatology, Arthroscopy

      Volume: 25 Issue: 8 Pages: 2632-2639

    • DOI

      10.1007/s00167-016-4122-1

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Presentation] 4点式圧縮力センサーを用いた膝関節のkinematics予測モデルに関する解析2022

    • Author(s)
      関戸遥加,井上貴之,岡吉倫弘,岡本純典
    • Organizer
      第49回日本臨床バイオメカニクス学会
    • Related Report
      2022 Annual Research Report
  • [Presentation] 人工膝関節置換術における大腿脛骨部品間圧縮力 屈曲と伸展方向の違いによる比較検討2022

    • Author(s)
      岡吉倫弘,岡本純典,若間仁司,松山洵也,松田秀基,井上貴之,中村海斗,大槻周平,根尾昌
    • Organizer
      第52回日本人工関節学会学術集会
    • Related Report
      2022 Annual Research Report
  • [Presentation] 人工膝関節置換術における次世代センサーを用いた大腿-脛骨部品間圧縮力の動的解析2021

    • Author(s)
      岡吉倫弘, 岡本純典, 若間仁司, 松山洵也, 松田秀基, 井上貴之, 大槻周平, 根尾昌志
    • Organizer
      第51回日本人工関節学会学術集会
    • Related Report
      2021 Research-status Report
  • [Presentation] Next generation sensor-guided total knee arthroplasty for dynamic compressive force measurement2021

    • Author(s)
      Tomohiro Okayoshi, Yoshinori Okamoto, Hitoshi Wakama, Junya Matsuyama, Hideki Matsuda, Takayuki Inoue, Shuhei Otsuki, Masashi Neo
    • Organizer
      The 67th Annual meeting of Orthopaedic Research Society
    • Related Report
      2021 Research-status Report
    • Int'l Joint Research
  • [Presentation] TKAにおける軟部バランスが術後PROMsに及ぼす影響 Distraction forceの連続的定量による術後成績との関連2020

    • Author(s)
      岡吉倫弘, 岡本純典,若間仁司,大槻周平,中川浩輔,奥野修大,池田邦明,宮本裕紀,根尾昌志
    • Organizer
      第50回日本人工関節学会学術集会
    • Related Report
      2020 Research-status Report
  • [Presentation] Crucial Association between the Flexed Femoral Component Placement and Contracture After TKA2020

    • Author(s)
      Yoshinori OKAMOTO, Hitoshi WAKAMA, Tomohiro OKAYOSHI, Shuhei OTSUKI, Nobuhiro OKUNO, Kuniaki IKEDA, Masashi NEO
    • Organizer
      日本関節鏡・膝・スポーツ整形外科学会学術集会(JOSKAS)
    • Related Report
      2020 Research-status Report
  • [Presentation] Risk factors analysis of patient-reported outcome measures after cemented THA in patients aged 75 years or older: A minimum 5-year follow-up.2019

    • Author(s)
      Okamoto Y, Otsuki S, Wakama H, Okayoshi T, Neo M.
    • Organizer
      The 32nd International Society for Technology in Arthroplasty
    • Related Report
      2019 Research-status Report
    • Int'l Joint Research
  • [Presentation] Influence of soft tissue balancing with continuous determination of distraction force on patient-reported outcome measures after total knee arthroplasty.2019

    • Author(s)
      Okayoshi T, Okamoto Y, Wakama H, Otsuki S, Nakagawa K, Neo M.
    • Organizer
      The 32nd International Society for Technology in Arthroplasty
    • Related Report
      2019 Research-status Report
    • Int'l Joint Research
  • [Presentation] TKAにおける軟部バランスが術後成績に及ぼす影響 Distraction forceの連続的定量による伸展ギャップの解析2019

    • Author(s)
      岡吉倫弘、岡本純典、若間仁司、大槻周平、中川浩輔、根尾昌志
    • Organizer
      第132回中部日本整形外科災害外科学会学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] Less Compressive Force on the Posterolateral Compartment Can Correlate With More Flexion Angle Following Cruciate-Retaining TKA: A Retrospective Observational Study.2018

    • Author(s)
      Okamoto Y, Otsuki S, Okayoshi T, Wakama H, Neo M, et al.
    • Organizer
      ISTA (International Society for Technology in Arthroplasty) 31st Annual Congress
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Book] 整形外科領域における口腔ケア2020

    • Author(s)
      岡本純典
    • Total Pages
      97
    • Publisher
      口腔保健協会
    • ISBN
      9784896053647
    • Related Report
      2020 Research-status Report
  • [Remarks] researchmap

    • URL

      https://researchmap.jp/3072018/

    • Related Report
      2020 Research-status Report 2019 Research-status Report 2018 Research-status Report
  • [Remarks] 大阪医科薬科大学生体管理再建医学講座整形外科学教室

    • URL

      http://www.ort-osaka-med.jp/staff/556/

    • Related Report
      2020 Research-status Report
  • [Remarks] 大阪医科薬科大学

    • URL

      https://www.ompu.ac.jp/

    • Related Report
      2020 Research-status Report
  • [Remarks] 大阪医科薬科大学研究推進課

    • URL

      https://office.ompu.ac.jp/rco/

    • Related Report
      2020 Research-status Report
  • [Remarks] 大阪医科大学整形外科学教室

    • URL

      http://www.ort-osaka-med.jp/staff/556/

    • Related Report
      2019 Research-status Report
  • [Remarks] 大阪医科大学

    • URL

      https://www.osaka-med.ac.jp/research/index.html

    • Related Report
      2019 Research-status Report 2018 Research-status Report
  • [Remarks] 大阪医科大学研究推進センター

    • URL

      https://www.osaka-medrd.com/

    • Related Report
      2019 Research-status Report
  • [Remarks] 大阪医科大学整形外科学教室

    • URL

      http://www.ort-osaka-med.jp/

    • Related Report
      2018 Research-status Report
  • [Remarks] 大阪医科大学研究推進課

    • URL

      http://office.osaka-med.ac.jp/rco/kakenhi/index_deta/

    • Related Report
      2018 Research-status Report

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Published: 2017-04-28   Modified: 2024-01-30  

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