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<meta name="description" content="現在膝関節は人工関節置換術を除いたほとんどの疾患が鏡視下に治療されている．本書は関節鏡視下手術の初学者が必要となる知識と技術をまとめた標準的な膝関節鏡視下手術の教科書である．高い技術力・経験知を要する上級レベルの手術は扱わず，初学者がレベルアップするために知っておきたい内容を盛り込んだ．鏡視下手術に必要な局所解剖，基本手技や鏡視下診断，そして各種靱帯再建術や半月板手術などを豊富なイラスト・鏡視像と">

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		<h1 class="catchCopy">関節鏡視下手術の最新スタンダードテキスト！初学者のための基本手技からさらなる技術向上に導くための知識・技術をビジュアルに解説!!</h1>
		

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					監修：石橋恭之（弘前大学教授）
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					編集：出家正隆（愛知医科大学教授）
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		<div class="headers"><h3 class="current content">内容</h3><h3 class="preface">序文</h3><h3 class="indexes">主要目次</h3></div><section class="current content">現在膝関節は人工関節置換術を除いたほとんどの疾患が鏡視下に治療されている．本書は関節鏡視下手術の初学者が必要となる知識と技術をまとめた標準的な膝関節鏡視下手術の教科書である．高い技術力・経験知を要する上級レベルの手術は扱わず，初学者がレベルアップするために知っておきたい内容を盛り込んだ．鏡視下手術に必要な局所解剖，基本手技や鏡視下診断，そして各種靱帯再建術や半月板手術などを豊富なイラスト・鏡視像と共に詳細に解説．</section><section class="preface">序文<br><br>　関節鏡視下手術の新しいスタンダードテキストとして，ビジュアル・サージカルテクニックを上梓いたしました．ここ10年の間にも，局所解剖学を含めた数多くの新知見があり，また新しい手術器械やインプラントの開発も相まって，鏡視下手術は日進月歩の発展を遂げております．<br>　ご存じの様に関節鏡は，日本の偉大な先人達の不断の努力により，本邦で開発され発展した世界に誇る技術です．1918（大正7）年に高木憲次先生（東京帝国大学）が膀胱鏡で屍体膝の内腔を初めて鏡視し，1920（大正9）年には世界初の関節鏡の試作品を作製しています．その後関節鏡の開発は，渡辺正毅先生（東京帝国大学卒，東京逓信病院）に引き継がれ，1959（昭和34）年に実用関節鏡となる渡辺式21号関節鏡を完成させました．この関節鏡を用い，1962（昭和37）年に世界初の鏡視下半月板部分切除が行われています．1969（昭和44）年にAtlas of Arthroscopy 2<sup>nd</sup> editionが刊行され，同年の第11回SICOTで21号関節鏡を用いた映画が上映されました．その後関節鏡は世界に広まり，1974（昭和49）年には国際関節鏡学会の初代会長に渡辺先生が就任され，「Father of Arthroscopy」の称号が与えられております．この様に，膝関節から始まった関節鏡ですが，現在は様々な部位に応用され，過去には関節切開が一般的であった治療の多くが鏡視下に行われています．つまり関節外科医にとって，関節鏡は必須の技術となっています．<br>　本書は，日本関節鏡・膝・スポーツ整形外科学会（JOSKAS）関節鏡技術認定委員会委員長の出家正隆先生に編集をご担当頂き，膝関節鏡視下手術のエキスパートの先生方にご執筆頂きました．現在膝関節は，人工関節置換術を除いたほとんどの疾患が鏡視下に治療されています．鏡視下手術に必要な局所解剖，基本手技や鏡視下診断，そして各種靱帯再建術や半月板手術などを，豊富なイラストや鏡視像と共に解説しています．<br><br>　今回，関節鏡外科医・関節鏡技術認定医を目指す鏡視下手術の初学者に必要となる知識と技術をまとめた標準的な教科書を目指し，本書を企画しました．しかしその内容は，中・上級者の関節鏡専門医にとっても十分な内容となっております．是非本書を手にとって頂き，鏡視下手術手技の向上にお役立て頂ければと思います．<br><br>2021年5月<br>弘前大学大学院医学研究科整形外科学講座教授　石橋恭之</section><section class="indexes">Chapter 1　解剖<br>　1．膝関節鏡視下手術に役立つ局所解剖<br><br>Chapter 2　手術器具と基本手技<br>　1．膝関節鏡の手術器具とセットアップ<br><br>Chapter 3　合併症<br>　1．膝関節鏡視下手術の合併症　予防と対策<br><br>Chapter 4　診断<br>　1．正常膝関節の鏡視所見<br>　2．膝靱帯損傷の評価<br>　3．半月板損傷の評価<br>　4．軟骨損傷の評価<br><br>Chapter 5　膝前十字靱帯再建術<br>　1．ハムストリング腱を用いるACL再建術（inside-out法）<br>　2．ハムストリング腱を用いるACL再建術（outside-in法）<br>　3．ハムストリング腱を用いる遺残組織温存ACL再建術<br>　4．膝蓋腱を用いるACL再建術<br>　5．大腿四頭筋腱を用いるACL再建術<br>　<br>Chapter 6　膝後十字靱帯再建術<br>　1．ハムストリング腱を用いるPCL一重束再建術<br>　2．膝屈筋腱を用いるPCL二重束補強術<br>　3．骨付き大腿四頭筋腱を用いるPCL再建術<br><br>Chapter 7　半月板損傷に対する手術<br>　❶ 半月板縫合術<br>　1．バケツ柄状断裂に対する縫合術<br>　2．変性断裂に対する縫合術<br>　3．縦断裂に対する縫合術<br>　❷ 外側円板状半月板<br>　1．円板状半月板形成術<br>　2．水平断裂を伴う円板状半月板に対する処置<br>　❸ ramp lesion<br>　1．ramp lesionの修復術<br>　❹ 半月板部分切除術<br>　1．半月板部分切除術<br><br>Chapter 8　膝関節内遊離体摘出術<br>　1．膝関節内遊離体摘出術<br><br>Chapter 9　膝離断性骨軟骨炎に対する治療<br>　1．膝離断性骨軟骨炎に対する鏡視下手術<br><br>Chapter 10　軟骨損傷に対する手術<br>　1．骨穿孔術<br>　2．自家骨軟骨柱移植術<br>　3．自家培養軟骨細胞移植術<br><br>Chapter 11　膝蓋骨脱臼に対する治療<br>　1．ハムストリング腱を用いるMPFL再建術<br>　2．脛骨粗面前内方移行術<br>　3．鏡視下外側支帯解離術<br><br>Chapter 12　関節内骨折・裂離骨折に対する治療<br>　1．ACL付着部（脛骨顆間隆起）骨折に対する鏡視下手術<br>　2．PCL付着部裂離骨折に対する鏡視下整復固定術<br>　3．脛骨プラトー骨折に対する鏡視下手術<br><br>Chapter 13　関節外靱帯損傷に対する治療<br>　1．MCL損傷に対する一次修復術<br>　2．PLC損傷に対する鏡視下手術<br><br>Chapter 14　膝関節内滑膜炎に対する治療<br>　1．膝関節内滑膜炎に対する鏡視下手術<br><br>Chapter 15　膝関節拘縮に対する治療<br>　1．膝関節拘縮に対する関節授動術<br><br>Chapter 16　評価基準<br>　1．評価基準<br><br>索引</section></article>
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