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Multifaceted evaluation system for early return to sports activities after anterior cruciate ligament reconstruction.

Research Project

Project/Area Number 26350568
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Rehabilitation science/Welfare engineering
Research InstitutionHiroshima University

Principal Investigator

NAKAMAE Atsuo  広島大学, 医歯薬保健学研究科(医), 助教 (60444684)

Co-Investigator(Kenkyū-buntansha) 越智 光夫  広島大学, その他部局等, 学長 (70177244)
出家 正隆  愛知医科大学, 医学部, 教授 (30363063)
安達 伸生  広島大学, 医歯薬保健学研究科(医), 教授 (30294383)
Project Period (FY) 2014-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥4,940,000 (Direct Cost: ¥3,800,000、Indirect Cost: ¥1,140,000)
Fiscal Year 2017: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2016: ¥520,000 (Direct Cost: ¥400,000、Indirect Cost: ¥120,000)
Fiscal Year 2015: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2014: ¥2,600,000 (Direct Cost: ¥2,000,000、Indirect Cost: ¥600,000)
Keywords膝 / 前十字靭帯 / スポーツ復帰 / 関節固有感覚 / 動作解析 / リハビリテーション / 生体力学
Outline of Final Research Achievements

We reported the clinical outcome and findings at second-look arthroscopy of 216 patients who underwent anterior cruciate ligament (ACL) reconstruction or augmentation. Arthroscopy showed significantly better synovial coverage of the graft in the augmentation group than in the reconstruction groups. In patients with good synovial coverage, three of the four measurements used revealed significant improvement in proprioceptive function.
Risk factors for progression of cartilage damage after ACL reconstruction was also investigated. Partial meniscectomy was found to be strongly associated with the progression of cartilage damage. We measured single-leg forward jumps in the ACL reconstructed leg using three-dimensional motion analysis systems. There were no significant differences in gender, age, BMI, knee flexion and extension muscle strength between the knee varus and knee valgus groups. However, the FTA in the knee valgus group tended to be lower than that in the knee varus group.

Report

(5 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Research-status Report
  • 2015 Research-status Report
  • 2014 Research-status Report
  • Research Products

    (39 results)

All 2018 2017 2016 2015 2014

All Journal Article (8 results) (of which Peer Reviewed: 3 results,  Acknowledgement Compliant: 1 results) Presentation (26 results) (of which Int'l Joint Research: 7 results,  Invited: 11 results) Book (5 results)

  • [Journal Article] Risk factors for progression of articular cartilage damage after anatomic anterior cruciate ligament reconstruction: a second-look arthroscopic evaluation.2018

    • Author(s)
      Nakamae A, Adachi N, Deie M, Ishikawa M, Nakasa T, Ikuta Y, Ochi M.
    • Journal Title

      Bone Joint J

      Volume: 100-B Issue: 3 Pages: 285-293

    • DOI

      10.1302/0301-620x.100b3.bjj-2017-0837.r1

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] No evidence of impaired proprioceptive function in subjects with anterior cruciate ligament reconstruction: a systematic review2017

    • Author(s)
      Nakamae Atsuo, Adachi Nobuo, Ishikawa Masakazu, Nakasa Tomoyuki, Ochi Mitsuo.
    • Journal Title

      Journal of ISAKOS

      Volume: 2 Issue: 4 Pages: 191-199

    • DOI

      10.1136/jisakos-2016-000087

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] レムナントを温存する膝前十字靭帯補強術2017

    • Author(s)
      中前 敦雄、安達 伸生
    • Journal Title

      Monthly Book Orthopaedics

      Volume: 30 Pages: 73-79

    • Related Report
      2017 Annual Research Report
  • [Journal Article] 複合靭帯損傷に対する治療アプローチ2017

    • Author(s)
      中前敦雄、安達伸生、石川正和、中佐智幸、越智光夫
    • Journal Title

      関節外科

      Volume: 36 Pages: 284-289

    • Related Report
      2016 Research-status Report
  • [Journal Article] レムナントを温存した前十字靭帯再建術 半腱様筋腱を用いた1束ACL augmentation2015

    • Author(s)
      中前敦雄、越智光夫、安達伸生
    • Journal Title

      整形外科Surgical technique

      Volume: 5 Pages: 663-668

    • Related Report
      2015 Research-status Report
  • [Journal Article] 前十字靭帯augmentation ―関節鏡所見と関節固有感覚―2015

    • Author(s)
      中前 敦雄、越智 光夫、出家 正隆、安達 伸生、平田 和彦
    • Journal Title

      関節外科

      Volume: 34 Pages: 261-264

    • Related Report
      2014 Research-status Report
  • [Journal Article] Clinical outcomes of second-look arthroscopic evaluation after anterior cruciate ligament augmentation: comparison with single- and double-bundle reconstruction.2014

    • Author(s)
      Nakamae A, Ochi M, Deie M, Adachi N, Shibuya H, Ohkawa S, Hirata K.
    • Journal Title

      The Bone & Joint Journal

      Volume: 96-B Issue: 10 Pages: 1325-1332

    • DOI

      10.1302/0301-620x.96b10.34282

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] 競技特性からみた前十字靱帯損傷 ―競技復帰に向けたアプローチ― バスケットボール2014

    • Author(s)
      中前 敦雄、越智 光夫、安達 伸生、平田 和彦
    • Journal Title

      臨床スポーツ医学

      Volume: 31 Pages: 1048-1053

    • Related Report
      2014 Research-status Report
  • [Presentation] Risk Factors for Progression of Articular Cartilage Damage After Anatomic Anterior Cruciate Ligament Reconstruction: A Second-Look Arthroscopic Evaluation.2018

    • Author(s)
      Nakamae A, Adachi N, Ochi M.
    • Organizer
      2018 ACL Study Gourp meeting
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 膝前十字靱帯再建術後の膝関節固有感覚の改善に関するシステマティックレビュー2017

    • Author(s)
      中前敦雄、安達伸生、石川正和、中佐智幸、越智光夫
    • Organizer
      第128回中部日本整形外科災害外科学会・学術集会
    • Related Report
      2017 Annual Research Report
  • [Presentation] Risk factors for progression of cartilage damage after ACL reconstruction in cases of normal meniscus.2017

    • Author(s)
      Nakamae A, Adachi N, Ishikawa M, Suga N, Yoshikawa M, Hayashi S, Sumida Y, Tsuyuguchi Y, Ochi M.
    • Organizer
      2017 Asia-Pacific Knee, Arthroscopy and Sports Medicine Society (APKASS) Summit
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 膝前十字靭帯再建術後の関節軟骨損傷進行のリスクファクター:半月板正常例における再鏡視による評価2017

    • Author(s)
      中前敦雄、安達伸生、石川正和、中佐智幸、須賀紀文、林 聖樹、好川真弘、住田佳應、露口勇輔、出家正隆、越智光夫
    • Organizer
      第90回日本整形外科学会学術総会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 2重束膝前十字靱帯再建術におけるナビゲーションシステムを用いた2線維束の術中評価および術後の膝関節前方制動性との関連2017

    • Author(s)
      中前敦雄、安達伸生、石川正和、中佐智幸、生田祥也、林 聖樹、須賀紀文、好川真弘、住田佳應、露口勇輔、越智光夫
    • Organizer
      第9回日本関節鏡・膝・スポーツ整形外科学会(JOSKAS)
    • Related Report
      2017 Annual Research Report
  • [Presentation] ACL再建術後の早期復帰は可能か? ―術式の観点から―2017

    • Author(s)
      中前敦雄、安達伸生
    • Organizer
      第43回日本整形外科スポーツ医学会学術集会
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] 再鏡視所見からみた膝前十字靭帯再建術2017

    • Author(s)
      中前敦雄、安達伸生、越智光夫
    • Organizer
      第45回日本関節病学会
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] ACL再建術後のプロトコル再考 ―ACL遺残組織温存の見地からの再考―2017

    • Author(s)
      中前敦雄、安達伸生
    • Organizer
      第28回日本臨床スポーツ医学会学術集会
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] 膝前十字靱帯再建術に伴う半月板治療は膝固有感覚の回復に影響する2017

    • Author(s)
      平田和彦, 安達伸生, 中前敦雄, 浅枝 諒, 石川正和, 中佐智幸, 木村浩彰, 越智光夫
    • Organizer
      第9回日本関節鏡・膝・スポーツ整形外科学会(JOSKAS)
    • Related Report
      2017 Annual Research Report
  • [Presentation] スポーツ医学2017

    • Author(s)
      中前敦雄
    • Organizer
      ALL HIROSHIMA SPORTS SUMMIT 2017
    • Place of Presentation
      広島国際会議場(広島市中区)
    • Related Report
      2016 Research-status Report
    • Invited
  • [Presentation] ACL損傷メカニズム -サッカー-2016

    • Author(s)
      中前敦雄、安達伸生、越智光夫
    • Organizer
      第27回日本臨床スポーツ医学会学術集会
    • Place of Presentation
      幕張メッセ 国際会議場(千葉市美浜区)
    • Year and Date
      2016-11-06
    • Related Report
      2016 Research-status Report
    • Invited
  • [Presentation] Intraoperative Kinematic Evaluation of Double-bundle Anterior Cruciate Ligament Reconstruction Using a Navigation System2016

    • Author(s)
      Nakamae A, Adachi N, Ishikawa M, Ikuta Y, Suga N, Yoshikawa M, Hayashi S, Deie M, Ochi M.
    • Organizer
      2016 Asia-Pacific Knee, Arthroscopy and Sports Medicine Society (APKASS) Congress
    • Place of Presentation
      Hong-Kong, China (Prince of Wales Hospital)
    • Year and Date
      2016-06-09
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] 膝前十字靭帯再再建術の術後成績 -大腿骨側における3術式の比較-2016

    • Author(s)
      中前敦雄、越智光夫、安達伸生、出家正隆、石川正和、亀井豪器、中佐智幸、清水良、生田祥也
    • Organizer
      第89回日本整形外科学会学術総会
    • Place of Presentation
      パシフィコ横浜(横浜市西区)
    • Year and Date
      2016-05-12
    • Related Report
      2016 Research-status Report
  • [Presentation] Knee function after ACL reconstruction: Proprioception after ACL reconstruction2016

    • Author(s)
      Nakamae A, Ochi M, Adachi N
    • Organizer
      17th ESSKA Congress
    • Place of Presentation
      Barcelona, Spain (Centre Convencions Internacional Barcelona)
    • Year and Date
      2016-05-04
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research / Invited
  • [Presentation] Risk factors for progression of articular cartilage damage after anatomic anterior cruciate ligament reconstruction: A second-look arthroscopic evaluation2016

    • Author(s)
      Nakamae A, Ochi M, Adachi N, Deie M, Ishikawa M, Nakasa T
    • Organizer
      17th ESSKA Congress
    • Place of Presentation
      Barcelona, Spain (Centre Convencions Internacional Barcelona)
    • Year and Date
      2016-05-04
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] ナビゲーションシステムを用いた2重束前十字靱帯再建膝の術中評価2016

    • Author(s)
      中前敦雄、安達伸生、出家正隆、石川正和、生田祥也、越智光夫
    • Organizer
      第126回中部日本整形外科災害外科学会・学術集会
    • Place of Presentation
      アクトシティ浜松(浜松市中区)
    • Year and Date
      2016-04-08
    • Related Report
      2016 Research-status Report
  • [Presentation] ACL再再建術における術式の工夫と併存する諸問題への対策 一期的再再建術2015

    • Author(s)
      中前敦雄、越智光夫、安達伸生、出家正隆、石川正和
    • Organizer
      第32回膝関節フォーラム
    • Place of Presentation
      東京国際展示場(東京都江東区)
    • Year and Date
      2015-12-05
    • Related Report
      2015 Research-status Report
    • Invited
  • [Presentation] 前十字靭帯再建2015

    • Author(s)
      中前敦雄、越智光夫、安達伸生、出家正隆、石川正和
    • Organizer
      第5回運動器と痛みの国際シンポジウム in 広島
    • Place of Presentation
      シェラトン広島(広島市東区)
    • Year and Date
      2015-08-05
    • Related Report
      2015 Research-status Report
    • Invited
  • [Presentation] 膝前十字靭帯損傷への取り組み:再鏡視所見からみたACL augmentation2015

    • Author(s)
      中前敦雄、越智光夫、安達伸生、出家正隆、石川正和、中佐智幸、高沢皓文
    • Organizer
      第7回日本関節鏡・膝・スポーツ整形外科学会
    • Place of Presentation
      札幌コンベンションセンター(札幌市白石区)
    • Year and Date
      2015-06-18
    • Related Report
      2015 Research-status Report
    • Invited
  • [Presentation] Association between the Progression of Articular Cartilage Damage and Meniscal Surgery in Conjunction with Anterior Cruciate Ligament Reconstruction: A Second-Look Arthroscopic Evaluation2015

    • Author(s)
      Nakamae A, Ochi M, Adachi N, Deie M, Ishikawa M
    • Organizer
      10th Biennial ISAKOS Congress
    • Place of Presentation
      Lyon, France
    • Year and Date
      2015-06-07
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Presentation] ナビゲーションシステムによる2重束前十字靱帯再建膝の評価 ―脛骨前方および回旋制動性について―2015

    • Author(s)
      中前敦雄、越智光夫、安達伸生、出家正隆、石川正和、中佐智幸、生田祥也
    • Organizer
      第88回日本整形外科学会学術総会
    • Place of Presentation
      神戸ポートピアホテル他(神戸市中央区)
    • Year and Date
      2015-05-21
    • Related Report
      2015 Research-status Report
  • [Presentation] Association between Progression of Articular Cartilage Damage and Meniscal Surgery in Conjunction with ACL Surgery2015

    • Author(s)
      Nakamae A, Ochi M, Adachi N, Deie M
    • Organizer
      2015 Summit of Asia-Pacific Knee, Arthroscopy and Sports Medicine Society
    • Place of Presentation
      Taipei, Taiwan
    • Year and Date
      2015-05-08
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Presentation] ACL損傷に対する治療の現状と今後の戦略:ACL augmentationとその術後成績2014

    • Author(s)
      中前敦雄、越智光夫、安達伸生、出家正隆、石川正和、中佐智幸、亀井豪器、高沢皓文、江口明生、加藤智弘、高田剛志
    • Organizer
      第6回JOSKAS
    • Place of Presentation
      広島国際会議場(広島市中区)
    • Year and Date
      2014-07-24 – 2014-07-26
    • Related Report
      2014 Research-status Report
    • Invited
  • [Presentation] Treatment of ACL injury: future strategy. Clinical outcomes and findings of second-look arthroscopic evaluation after anterior cruciate ligament augmentation: Comparison with single- and double-bundle reconstruction2014

    • Author(s)
      中前敦雄、越智光夫、出家正隆、安達伸生
    • Organizer
      第87回日本整形外科学会学術総会
    • Place of Presentation
      神戸ポートピアホテル(神戸市中央区)
    • Year and Date
      2014-05-22 – 2014-05-25
    • Related Report
      2014 Research-status Report
    • Invited
  • [Presentation] ACL再建術後の関節軟骨損傷の進行に影響を与える因子 ―3術式に対する再鏡視による評価―2014

    • Author(s)
      中前敦雄、越智光夫、安達伸生、出家正隆、石川正和、中佐智幸、亀井豪器、江口明生、高沢皓文、加藤智弘、高田剛志
    • Organizer
      第87回日本整形外科学会学術総会
    • Place of Presentation
      神戸国際展示場(神戸市中央区)
    • Year and Date
      2014-05-22 – 2014-05-25
    • Related Report
      2014 Research-status Report
  • [Presentation] Central anatomic single-bundle anterior cruciate ligament reconstruction versus single-bundle augmentation: Clinical and second-look arthroscopic study2014

    • Author(s)
      Nakamae A, Ochi M, Deie M, Adachi N
    • Organizer
      16th ESSKA (European Society for Sports Traumatology, Knee Surgery and Arthroscopy) Congress
    • Place of Presentation
      Amsterdam, Nederland
    • Year and Date
      2014-05-14 – 2014-05-17
    • Related Report
      2014 Research-status Report
  • [Book] Diagnosis of Partial ACL Rupture (Controversies in the Technical Aspects of ACL Reconstruction).2017

    • Author(s)
      Mitsuo Ochi, David Dejour, Atsuo Nakamae, Panagiotis G. Ntagiopoulos.
    • Publisher
      Springer
    • Related Report
      2017 Annual Research Report
  • [Book] ACL Augmentation (Controversies in the Technical Aspects of ACL Reconstruction)2017

    • Author(s)
      Mitsuo Ochi, Anastasios D, Georgoulis, Atsuo Nakamae.
    • Publisher
      Springer
    • Related Report
      2017 Annual Research Report
  • [Book] ACL Injury and Its Treatment2016

    • Author(s)
      Nakamae A, Ochi M
    • Total Pages
      562
    • Publisher
      Springer
    • Related Report
      2016 Research-status Report
  • [Book] ACL Injury and Its Treatment2016

    • Author(s)
      Ochi M, Nakamae A
    • Total Pages
      562
    • Publisher
      Springer
    • Related Report
      2016 Research-status Report
  • [Book] OS NEXUS スポーツ復帰のための手術 膝(分担Chapter:遺残組織を温存したACL再建術)2016

    • Author(s)
      中前敦雄、越智光夫、安達伸生
    • Total Pages
      180
    • Publisher
      メジカルビュー社(編集:宗田 大)
    • Related Report
      2015 Research-status Report

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Published: 2014-04-04   Modified: 2019-03-29  

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