frequently asked questions

frequently asked questions - About surgery

Q1: What are the criteria for applying surgery for osteoarthrive diseases?
A: When QOL decreases significantly. I can't go shopping, I can't walk to the bathroom.

Q2: What are the risks of OPE?
A: Infection Effects on cardiopulmonary function (economy syndrome, etc.) In the case of knee joint, the postoperative sitting is not possible.

Q3: What is the success rate of OPE?
A: It is said that 99% of both knee and hip joint.

Q4: What are the current mainstream surgical methods?
A: Until a while ago, the direction of reducing the insertion opening (cut) in the operation as much as possible, but now, the surgical technique with the main focus on firmly fixing than the size of the insertion opening is adopted.

Q5: Do those surgical methods cut the muscles?
A: For the knees: the muscles themselves are not amputated. Insert muscles and the peritoneum to break. For the hip joint: Usually do not amputate, but in rare cases it may only cut the muscles if there is a condition such as dislocation.

Q6: There is not much problem in the QOL of relatively young people in their 40s and 50s, but what is the indication of surgery for requests such as wanting to exercise more? (I want to play tennis and ski after surgery)
A:You will be able to move more after surgery. Therefore, there are many people who can play tennis, golf, ski, etc.

Q7: When and for how long will rehabilitation be required?
A:From the day after surgery, 2-3 months are necessary.

Q8: What is important in rehabilitation?
A:Prevent muscle weakening and strengthen in a well-balanced way. It is also effective to get rid of functional problems with the treatment of chiropractic.

(Supervised by Dr. Soichi Tsuji, Deputy Medical Director, Department of Orthopedic Surgery, St. Fujika International Hospital)
* This Q&A is only a general view on osteodegeneral diseases, so please consult your doctor about your symptoms.

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Glossary of terms

The bone that forms the joint is some way off from its normal position in the joint.(They are off)state. Causes include how to move beyond the range of motion of the joint, strong impact, congenital and stunted.

Alignment (Araymet)
It is a word that indicates the state of the original alignment, and the optimal positional relationship that can fully demonstrate the function of the joint and the artificial joint. Optimal and correctly positioned bone position.

Movement disorders (poop ginger)
It can cause diseases or muscle weakness that restrict joint movement, making it difficult to move the body in whole or in part.

Necrot death
The death of a part of the body or all cells. There are femoral head necrosis [(Roughly kot uessho) = one cause of hip pain], femoral granulocyte osteo necrosis [(roughly kotsabukoessho) = one cause of knee joint disease], etc.

Inflammation (dandr on the skin)
A condition in which a part of the body is red and swollen due to some causes, such as bacterial invasion, and heat or pain occurs.

HTO (Ee-Tei-o)
High Tibial Osteotomy High tibia osteotomy. An arthroplasty that improves the alignment of the tibia joint surface by removing or opening bones from the tibia in a wedge shape.

ACL (Essie)
Anterior Cruciate Ligament ⇒ anterior cruciate ligament

ADL (Erder)
Activity of Daily Living ⇒ Daily Life Behavior

NonSteroidal Anti-Inflammatory Drugs Nonsteroidal anti-inflammatory drugs. A generic term for drugs that relieve pain (and depression) and inflammation that are different from steroid preparations.

Lateral Collateral ⇒ the outer collateral ligament

Medial Collateral Ligament ⇒ medial collateral ligament

MIS (E5 Aies)
Minimally Invasive Surgery Minimally Invasive Surgery (Shishoshinshujujuchuho).
An operation method that performs surgery with a smaller opening than before.

MMT (Emmede)
Manual Muscle Testing Manual muscle strength test (Toshu-kyunryokensa). A test method that determines the muscle strength of a major muscle by bare hands without using special equipment.

MRI (Em-A-Ari)
Magnetic Resonance imaging ⇒ nuclear magnetic resonance imaging (Erjikyomei-yingo)

OA (Oa)
Osteoarthrities ⇒ Osteoarthritis

Range of Motion
The range in which the joint moves to perform functional operation. Also known as Range of Motion. As osteoarthritis progresses, the range of motion usually decreases.

Nuclear magnetic resonance imaging (Erjikyome-yinga
Also known as MRI. It is excellent for projecting soft tissues other than bones [ligaments, mendants,discs, nerves, and spinal cords], and qualitative diagnosis is also available.

Wounds received by external forces. Fractures, sprains, ligament injuries, bruises, etc. are included. Trauma may cause symptoms of chronic diseases such as arthropathy to develop or worsen.

When extending (extending) the knee joint or elbow joint, it extends further beyond the normal position. It may occur after knee replacement (danko knee cuton citrus).

Joint lip
Fibrous cartilage that is attached to the edge of the articular fossa (kanseda ) = indentation of the joint. It contributes to the stability of the joint. Typical of the hip joint is the one at the edge of the cannkotsuki, and it has a shape that wraps around the femoral head (roughly kotto).

External turning
A movement in which the front of the bone is twisted outward in the distance from the heart with the joints pinched. For example, when centered on the hip joint, the movement of the thigh (roughly) is turned so that the toe is facing outward. ⇔ Inner Rotation

There is an outside turn
Movements such as limbs moving away from the center axis of the body. For example, in a standing state, the movement of raising one leg that has been extended to the side is the thigh bone [(roughly kots) = lower limbs] lying on the hip joint.

Load (through)
They put on weight If you are standing on one foot, the foot is under full load.

Hemo-hemolytic treatment (Kankede-1-19( Kankede-1000)
It is a treatment by surgical surgery and is commonly called this way because it involves bleeding.

Cup-shaped recesses on the outside of the pelvis, in the central part of the hip bone. The hip joint is formed with the femoral head (roughly kot).

Kanko-u mortar rotary osteotomy (Kankotsuki-uki-enkotsuki-tsuki-urijutsu)
It is one of the surgical methods performed for the insufficiency of the mortar in adults. Also known as RAO (Rotational Acetablular Osteotmy).

Affected limbs
Sick or injured limbs. It may refer to the foot that has undergone surgery. ⇔ Healthy Limbs

Arthroscopic surgery
It refers to various surgeries performed using arthroscopy while observing the articular cavity (kansoku) on a TV monitor.

One of the diagnostic imaging tests for internal lesions. Articular cartilage
Smooth, strong and resilient tissue covering the joint surface of the bone.

Articular cartilage
Smooth, strong and resilient tissue covering the joint surface of the bone.

Joint fisser
The singing of the joint. In the example of the knee joint, the thigh bone (roughly the cot) and the tibia (the tibia) are shown.

葢 (Cucumber)
The part of the hand of the kankotsukiyu. If the formation of this part is poor by nature, it becomes usu lid formation failure (Cucumber Iseifuzen), and it may become osteoarthritis of the hip with age.

Metal allergy (allergy to the skin)
An allergic reaction in which the components contained in the metal become metal ions due to body fluids such as sweat and saliva, causing inflammation (redness, itching, etc.).

False joints
Fractures that do not heal more than 6 months after each each other.

Mirror-looking banker method (today's bag bag and ho)
Surgery to repair joint lip injury with an endoscope. → arthroscopy

Somasotic pain
Pain disorders mainly caused by pain and lumps due to muscle and bestrips problems.

A thin membrane of connective tissue that wraps around the surface of one or several muscle groups. It helps smooth muscle movement and protects it and secures it in a certain position.

Muscle contractures
Muscles shrink and become out of stretch. This may cause the range of motion of the joint to be limited (narrowed).

QOL (Cucumber)
Quality of Life Translates directly as Quality of Life. A concept commonly used as a measure of how human beings are able to live their human desires.

Usu-i-Ion Dysplasia
Insufficiency of the molar is a condition in which the stability of the joint is impaired due to the dysplasia of the molar. It is a hip joint disease which is common in women. In the natural course, the risk of progressing to osteoarthritis of the hip is high.

The movement of bending joints, in which the bones that are joined are close to each other. ⇔ exhibition

Flexion contracture
When the joint is extended, it does not stretch enough and remains in a bent state. ⇒ Flex

The inner bone of the lower leg. Make up the knee joint. It forms the inner fruit of the ankle joint (or not ) = inner ankle. There is a fibula (lykots) on the outside of the lower leg, and the outer fruit (gan) outer burding is made.

A strong fibrous connective tissue that binds muscles and bones.

Limbs that are not sick or injured. It may refer to a foot that has not undergone surgery. ⇔ Affected limbs

Cervical angle
In the hip frontal X-ray image, the angle at which (1) the femoral executive axis (roughly kotskokanbu) and (2) the femoral neck axis (roughly kotsuke ibu) are made. Usually 125 to 130 degrees.

Cervical fracture
Fractures that usually occur in the area close to the hip joint of the femur (roughly inside the neck/joint envelope). It is very frequent as a fracture at the time of fall in the elderly with osteoporosis(kosososho).

Blood clots
Formed by the hardening of blood in the arteriovenous veins. When the blood clot grows, the flow of blood becomes worse. When the thrombus formed in the vein is carried to the pulmonary artery and it becomes clogged, it becomes a pulmonary embolism ((So-called economy class syndrome) = so-called economy class syndrome), and breathing difficulty is caused.

Osteososis, also known as ischemic osteososis, aseptic necrosis, and breakage osteochondrosis, is the necrosis of a part of a bone due to an inhibition of blood supply.

Hip Impingement Syndrome (Kokansesinpinji men and shokogn)
A condition in which hip joint morphology is caused by joint lip injury or cartilage damage. Symptoms such as pain induction and click by a certain posture are recognized.

Hip lip injury
Cyclic fibrocartilage tissue attached to the periphery of the usular lid may be damaged. Many are caused by bone morphological abnormalities such as insufficiency of the molar and femoral dislocation impingement (hip impingement).

The most common malignant tumors (about 40% of malignant tumors) generated from bones)the bone around the knee (about the femur) and the tibia (near the tibia) (75% of the total). Most young people are in their 10s.

Bone Paget's Disease
A condition in which bones in the area are soft and thickened as a result of abnormal metabolic turnover of bones due to chronic diseases of the skeleton.

A disease in which bone density decreases and the bone becomes progressively more likely to become ergan to become ergan to fracture. Aging, lack of estrogen, lack of vitamin D and calcium, and certain diseases may reduce bone density and the amount of ingredients that maintain bone strength.

Antirheutic agents
A generic term for drugs administered to prevent inflammation in rheumatoid arthritis.

Osteo cut (kotsuki)
Surgical treatment to cut bones so that the shape and position of the bone is functionally optimal. Local bones may be partially excised. ⇒ ossuic molar osteotomy in the same year

Cartilage on the articular surface has trophed, gradually hardened and ossified, and has become a "toss". One of the characteristic findings of osteoarthritis that can be made around the articular surface. When osteophytes are clearly seen by X-ray, it is diagnosed as osteoarthritis.

A condition in which the joint is limited in range of motion due to shortening of the soft tissue (joint wrap, etc.) of the joint. Many of the contractures are caused by paralysis such as fracture sequelae, bedridia, cerebrovascular disorders and spinal cord injuries, which cause the joints to remain unalted for a long time.

Post-cruciate ligament
A ligament in the knee joint cavity (knee-tight) that begins to occur between intra-femoral granules and adheres to the posterior edge of the tibia.

Bone grafts
Bone grafting in the case of a defect in the bone of a living body.

Bone sac wrap/ bone cyst
In osteoarthritis, a condition in which a hole has been placed in a bone.

Sciatal neuralgia
Nerves extending from the waist down to the feet. When the sciatic nerve is damaged, pain and numbness symptoms appear in various parts of the lower body, such as the buttocks and thighs. The pain of the buttocks which was thought to be sciatia neuralgia may be a pain due to osteoarthritis of the hip.

own bones. It is called the autologous bone graft (Dicakokossho) to transplant the bone collected from me at the time of the bone graft. ⇔ Other family bones

Patella/Patelate Tendon,Iken)
The patella is a so-called "knee plate". It is located in the quadricancyte (approximately shito skin), forms a patella femoral joint between the femur, and cartilage exists on the surface. The pull puller works to efficiently convey the muscle strength of the quadricles to the tibia. From the lower end of the patella to the tibia, there is a very strong tendon, specially called the patelate tendon.

Jumper Knees
A disorder of the knee extension mechanism that is most likely to be caused by a teenage athlete who repeats jumping and running behavior.

Sharp Angle (Shapukaku)
In order to diagnose the degree of usu-i-i-insufficiency( kyuga ikseifuzen), it is one of the angles measured from X-ray photographs on the front of both hip joints. The normal value is 40 degrees or less.

In the joint, a bundle of fibrous tough connective tissue that binds the two bones.

Nerve Block
Stop the pain by injecting a local anesthetic around the nerves. It is also used for anesthesia of surgery and relief of pain after surgery.

The movement of the joints to extend them, and the bones that are joined separately. ⇔ Flexion ⇒ Over-extension

CE Angle
Center-Edge Angle Is used to diagnose the insufficiency of the hip joint ( 25 to 30 degrees or more ). The lower the number, the stronger the molar dysplasia.

Continuous Passive Motion A continuous other motion device.
An instrument that facilitates recovery training for improving the range of motion of joints such as knees.

CT (Shih Tei)
Computed Tomography Computed Tomography (CT scan). Radiation is applied to the body from various angles, and the obtained image is cross-sectioned with a computer.

Patella cartilage softening disease (itsuganankotsu or something)
It is a disease that causes abnormalities in the patella cartilage (each other) due to various causes, causing pain (and depression) and run-over sound (recyon) in the front of the knee joint.

Stem (Stem)
An artificial joint part designed to be inserted into the medullary cavity. It is often used on the femur side of the artificial hip joint and the tibia side of the artificial knee joint.

Rectity (Seifuku)
Return dislocated parts of the motor, such as joints and tendons, to a normal position. In the case of fractures, return bone fragments that have lost their normal form to their original form and function properly.

Congenital dislocation of the hip joint
A disease in which the femoral head (roughly kottu) is off the mortar by nature. Or those with hip dysplasty.

Spine (tight)
A generic term for a large number of bones that form the spine.

Anterior cruciate ligament
A strong ligament that connects the femur (thigh bone) and tibia (shin bone) in the knee joint. The support mechanism that keeps the joint stable. Prevents the tibia from moving forward.

A state in which a part is forward (twisted) or forward to the front of the body. Especially, it is said about the bone and the artificial joint around the hip joint.

In the case of pulverized fracture and deformation correction, the fracture part should be fixed and stabilized.

Femur (roughly koko)
Thigh bones.

Femoral head slip disease (about a slip)
A condition in which the coeous nucleus of the femoral head pericum, which is likely to develop in boys in adolescence (early teens), bedded out with ossicle cartilage.

Quadrican (approximately Shito 2)
Four muscle groups located in front of the thighs that mainly control the extension function of the knee joint [straight thigh muscles (roughly a little), inner broad muscles (noso-koking), outer wide muscles (1) and intermediate broad muscles (chukankokingon)].

A protrusion on the upper part of the femur. The external muscles of the hip joint, such as the middle muscle(chuden-kyuden-kyun), are attached. The external muscle is the most important muscle for stable walking. ⇒ and Trendelenburg symptoms, Trendelenburg lameness

Other family bones
bones of others. Transplanting bones collected from others during bone grafts is called other family bone grafts. ⇔ Autologous Bone

Monogranulation type knee joint replacement (Tankya dandzuko knee citrus)
An artificial knee joint replacement that replaces only the damaged joint surface cartilage (usually only the inner half) in the knee joint. ⇒ "Partial Replacement of The Knee Joint"

Simple X-ray (Tanjuen-essansa-esae)
Photography is taken by taking a picture of the shadow on film using X-rays that transmit the human body and create shadows. When contrast agents such as valium are used, it is called contrast X-ray photography. X-rays are commonly called X-rays.

TKA or TKR,Tee-Ahh
TKA(Total Knee Arthroplasty), TKR (Total Knee Replacement) = Artificial Knee Joint Replacement (Danko Knee Setsutsucjutsu, Junko Shitsukansuts) ⇒ "Features of Knee Arthroplasty"

Pain (and depression)
It is a throbbing pain. tinging. Also, its good.

Idiopathic femoral head necrolys (toppassei roughly kot ue)
Refers to femoral head necrolyses found in adults who who do not have a clear cause. Since there are many people who have been administered steroids, alcohol drinkers, and blood and vascular diseases ( 1) - systemic changes are the background important. They are most often in their 40s and more common in men.

Trendelenburg Lameness (Toreden Renburgu)
When weight is put on the affected limbs when walking, the shoulders on the affected limb side fall off and the body shakes sideways. It occurs mainly due to muscle weakness of the middle muscle muscle (chudenking), which is the hip external transtepsal muscle.

Trenderenburg signs
When standing on one leg with the affected limbs, the pelvis on the kensi side of the healthy limbs is lowered, and it is one of the examination methods for hip joint disorders. It is seen when the muscle strength of the middle muscle is weak due to congenital dislocation of the hip joint (sentenseikan setdyu), etc.

Media media mediat collateral ligament
A ligament that connects bones to bones located on the inner side, such as the knee joint or elbow joint. Especially in the knee joint, it is the most important ligament to obtain lateral (internal and external counter direction) stability of the knee. When there is a severe concave leg deformity due to osteoarthritis of the knee, this ligament may be loosened a little at the time of surgery because it is a pain.

Inner rotation (no sen)
A movement that twists the front of the bone inwards, far from the heart with the joints pinched. For example, when centered on the hip joint, the heel of one leg is floated from the floor while standing, and the toe is turned inward. ⇔ External

Soft tissue (Nambaso-ding)
Tissue other than bones. Muscles, tendons, ligaments, etc.

Daily life behavior (University of Japan)
1A basic set of operations repeated daily, performed by a person to live independently. For example, meals, changing clothes, walking, toilets, conditions (washbasing, toothpaste, etc.), bathing, etc.

Infantile purulent hip arthritis
Infantile purulent hip arthritis is a disease in which fever and temporary lower limb paralysis (Serakashimahi) are symptoms, and early diagnosis and early treatment are indispensable.

Lameness (as follows)
The condition in which walking is not normal due to trauma, malformations, or other diseases (s). Disorders such as tilting or limping while walking. ⇒-Därenburg Lameness

Calcium phosphate (chemical formula is Ca10)(PO4)6(OH)2An inorganic component that constitutes the teeth and bones of a spine animal. It is used for the treatment of tooth decay and orthopedic medicine such as artificial bones.

Hamstring muscles (Yin to Lyngu-ing)
Three muscle groups located on the back of the femur (roughly the back of the thigh) [biceps (roughly tokin) = outside, semi-tendon-like muscles (hankenyoken), semi-membrane-like muscles (hanma-ying) = inside). They take over the flexion of the knee joint When osteoarthritis of the knee progresses, contractures occur in these, and the knee does not extend (flexion contracture).

Han getaban
A half-moon-shaped fibrous cartilage between joints. In the knee joint, it has the function of improving the stability of the contact surface of the femur (roughly the cot) and the tibia (the tibia), and dispersing and absorbing the impact force that is added to the joint.

Half a month damage
Half-moon damage can occur for a variety of reasons, but can be classified as large and can be classified as damage alone or secondaryly damaged by merging with ligament damage.

Hyaluronic Acid
A high molecular weight substance found in various parts of the body, such as skin, articular cartilage, and joint fluid. In addition to helping the joints move smoothly (lubricating action), it has the property of retaining a lot of water molecules (which is used in cosmetics), and helps the shock absorbing action of cartilage.

Edema (Fushu)
It's about the ming. Surgery, prolonged footing, and trauma cause a decrease in venous ring flow (poor blood return) and increases the amount of moisture in the cells.

Baker's Cyst
Baker cyst is a knee joint disease in which joint fluid flows into the synate package of the fossa and forms a cyst. The knee joint diseases that cause osteoarthritis, penal plate damage, rheumatoid arthritis, and purulent arthritis such as tuberculosis are included.

Osteoarthritis (sometimes called degenerative osteoarthritis, hypertrophic osteoarthritis, etc.) is a chronic disease associated with damage to the cartilage and surrounding tissues of the joint and characterized by pain, joint ribbrae, and dysfunction.

Bloodless necrotic death
The lack of blood supply to the bone causes bone cells to die. ⇒ necrolyses

et al
Rotational Acetablular Osteotomy ⇒ a kanko-usu dislocation osteotomy (Kankotsuki Kyu-Enkotsuki Lyjutsu)

hot water
UKA or UKR (Yukee,Yu-y-ah)
UKA(Unicompartmental Knee Arthroplasty)、UKR(Unicompartmental Knee Replacement) = Artificial knee joint monogranulation (danko knee kantsutankanjutsu, minkossytsutsutankankanjutsu) ⇒ "partial replacement of the knee joint"

電話アイコン 03-3272-1939
weekday 10:00~20:00 Saturday 09:00~17:00
Excluding public holidays
Make a reservation here
Because it is an external site, it is not supported by some terminals.

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Saturday 9:00~17:00
Excluding public holidays