{"id":470,"date":"2018-12-27T23:04:01","date_gmt":"2018-12-27T14:04:01","guid":{"rendered":"http:\/\/blog.knee.or.jp\/about-oa\/?p=470"},"modified":"2019-12-10T17:29:37","modified_gmt":"2019-12-10T08:29:37","slug":"arthroplasty","status":"publish","type":"post","link":"https:\/\/www.knee.or.jp\/about-oa\/arthroplasty\/","title":{"rendered":"\u819d\u306e\u4eba\u5de5\u95a2\u7bc0\u3068\u306f\uff1f\u624b\u8853\u306e\u6c7a\u65ad\u524d\u306b\u77e5\u308a\u305f\u3044\u91cd\u8981\u4e8b\u9805"},"content":{"rendered":"<p>\u201c\u4eba\u5de5\u306e\u819d\u95a2\u7bc0\u201d\u3068\u805e\u304f\u3068\u3001\u306a\u3093\u3068\u306a\u304f\u6016\u3044\u30a4\u30e1\u30fc\u30b8\u3092\u62b1\u304f\u4eba\u3082\u591a\u3044\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002\u3057\u304b\u3057\u300c\u4eba\u751f\u304c\u5909\u308f\u3063\u305f\u300d\u300c\u3082\u3063\u3068\u65e9\u304f\u624b\u8853\u3092\u53d7\u3051\u308c\u3070\u3088\u304b\u3063\u305f\u300d\u3068\u8a00\u3046\u4eba\u306f\u591a\u6570\u3002\u65c5\u884c\u3084\u8efd\u3044\u30b9\u30dd\u30fc\u30c4\u306a\u3069\u3092\u518d\u958b\u3067\u304d\u308b\u305f\u3081\u3001\u3053\u306e\u624b\u8853\u3092\u53d7\u3051\u308b\u3053\u3068\u3067\u819d\u306e\u75db\u307f\u306b\u90aa\u9b54\u3055\u308c\u306a\u3044\u751f\u6d3b\u304c\u623b\u3063\u3066\u304f\u308b\u3053\u3068\u3068\u601d\u3044\u307e\u3059\u3002<\/p>\n<p>\u3068\u306f\u8a00\u3048\u3001\u624b\u8853\u3068\u3044\u3046\u65b9\u6cd5\u3092\u9078\u629e\u3059\u308c\u3070\u3001\u819d\u306e\u5207\u958b\u306f\u4e0d\u53ef\u907f\u3002\u5e74\u9f62\u3084\u8eab\u4f53\u3078\u306e\u8ca0\u62c5\u306a\u3069\u3082\u8003\u616e\u3059\u308b\u3068\u3001\u7c21\u5358\u306b\u6c7a\u65ad\u3067\u304d\u308b\u3082\u306e\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u3060\u304b\u3089\u3053\u305d\u3001\u4e8b\u524d\u306b\u624b\u8853\u65b9\u6cd5\u3084\u30e1\u30ea\u30c3\u30c8\u3060\u3051\u3067\u306a\u304f\u3001\u30ea\u30b9\u30af\u307e\u3067\u304d\u3061\u3093\u3068\u77e5\u3063\u3066\u304a\u304f\u5fc5\u8981\u304c\u3042\u308b\u3067\u3057\u3087\u3046\u30021000\u4f8b\u4ee5\u4e0a\u306e\u6574\u5f62\u5916\u79d1\u624b\u8853\u3092\u884c\u3063\u3066\u304d\u305f\u79c1\u306e\u7d4c\u9a13\u304b\u3089\u3001\u4eba\u5de5\u95a2\u7bc0\u3092\u691c\u8a0e\u4e2d\u306e\u7686\u3055\u307e\u306b\u307e\u305a\u77e5\u3063\u3066\u3044\u305f\u3060\u304d\u305f\u3044\u3053\u3068\u3092\u307e\u3068\u3081\u307e\u3057\u305f\u3002<\/p>\n<h2 id=\"outline__1\" id=\"outline__1\">\u300c\u6a19\u6e96\u6cbb\u7642\u300d\u306e\u4eba\u5de5\u819d\u95a2\u7bc0\u624b\u8853\u3068\u306f\uff1f<\/h2>\n<p>\u6b63\u5f0f\u306b\u306f\u3001\u4eba\u5de5\u819d\u95a2\u7bc0\u7f6e\u63db\u8853\u3068\u8a00\u3044\u307e\u3059\u3002\u3053\u308c\u306f\u3001\u640d\u50b7\u3057\u305f\u819d\u95a2\u7bc0\u3092\u4eba\u5de5\u306e\u3082\u306e\u3068\u7f6e\u304d\u63db\u3048\u308b\u624b\u8853\u3067\u3001\u57f7\u5200\u4ef6\u6570\u306f\u5e74\u3005\u5897\u52a0\u4e2d\u3002\u65e5\u672c\u4eba\u5de5\u95a2\u7bc0\u5b66\u4f1a\u306e\u307e\u3068\u3081\u305f\u4ee5\u4e0b\u306e\u30b0\u30e9\u30d5\u3092\u898b\u3066\u3082\u3001\u4e0a\u6607\u306e\u4e00\u9014\u3092\u8fbf\u3063\u3066\u3044\u308b\u3053\u3068\u304c\u8aad\u307f\u53d6\u308c\u307e\u3059[1]\u3002<\/p>\n<figure id=\"attachment_472\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-472\" src=\"https:\/\/www.knee.or.jp\/about-oa\/wp-content\/uploads\/2018\/12\/kanumber-min.png\" alt=\"\u4eba\u5de5\u819d\u95a2\u7bc0\u7f6e\u63db\u8853\u306e\u5e74\u9593\u624b\u8853\u4ef6\u6570\" width=\"600\" height=\"370\" \/><figcaption class=\"wp-caption-text\">\u3010\u51fa\u5178\u3011\u65e5\u672c\u4eba\u5de5\u95a2\u7bc0\u5b66\u4f1a\u300cTKA\/UKA\/PFA\u30ec\u30b8\u30b9\u30c8\u30ea\u30fc\u7d71\u8a08\u300d<\/figcaption><\/figure>\n<figure id=\"attachment_475\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-475 size-medium\" src=\"https:\/\/www.knee.or.jp\/about-oa\/wp-content\/uploads\/2018\/12\/3b2dc84fc8b2dd4ffe15f4a39f6d4d20-300x264.png\" alt=\"\u4eba\u5de5\u819d\u95a2\u7bc0\u7f6e\u63db\u8853\u3092\u53d7\u3051\u308b\u539f\u56e0\u3068\u306a\u3063\u305f\u75be\u60a3\" width=\"300\" height=\"264\" \/><figcaption class=\"wp-caption-text\">\u3010\u51fa\u5178\u3011\u65e5\u672c\u4eba\u5de5\u95a2\u7bc0\u5b66\u4f1a<br \/>\u300cTKA\/UKA\/PFA \u30ec\u30b8\u30b9\u30c8\u30ea\u30fc\u7d71\u8a08\u300d<\/figcaption><\/figure>\n<p>\u307e\u305f\u3001\u521d\u3081\u3066\u4eba\u5de5\u819d\u95a2\u7bc0\u7f6e\u63db\u8853\u3092\u53d7\u3051\u305f\u3068\u3044\u3046\u4ef6\u6570\u306f\u3001\u76f4\u8fd1\u306e\u30c7\u30fc\u30bf\u3067\u5e74\u959311\u4e07569\u4ef6\u3002\u3053\u306e\u3046\u306188.41%\u304c<a href=\"https:\/\/www.knee.or.jp\/about-oa\/\">\u5909\u5f62\u6027\u819d\u95a2\u7bc0\u75c7<\/a>\u306e\u6cbb\u7642\u3068\u3057\u3066\u884c\u308f\u308c\u305f\u3082\u306e\u3067\u3057\u305f\u3002\u3053\u306e\u3053\u3068\u304b\u3089\u3082\u5206\u304b\u308b\u3088\u3046\u306b\u3001\u4eba\u5de5\u819d\u95a2\u7bc0\u7f6e\u63db\u8853\u306f\u5909\u5f62\u6027\u819d\u95a2\u7bc0\u75c7\u306e\u6a19\u6e96\u6cbb\u7642\u306b\u3042\u305f\u308a\u307e\u3059\uff08\u4e3b\u306b\u672b\u671f\u306e\u75c5\u614b\u304c\u9069\u5fdc\u3067\u3059\uff09\u3002\u3053\u3053\u3067\u3044\u3046\u6a19\u6e96\u3068\u306f\u300c\u4e26\u306e\u300d\u3068\u3044\u3046\u610f\u5473\u3067\u306f\u306a\u304f\u3001\u73fe\u5728\u8003\u3048\u3089\u308c\u308b\u9078\u629e\u80a2\u306e\u4e2d\u3067\u3001\u78ba\u304b\u306a\u6839\u62e0\u306b\u57fa\u3065\u3044\u305f\u8996\u70b9\u3067\u6700\u826f\u3068\u3055\u308c\u3066\u3044\u308b\u6cbb\u7642\u6cd5\u3092\u610f\u5473\u3057\u307e\u3059\u3002<br \/>\n\u65e5\u672c\u6574\u5f62\u5916\u79d1\u5b66\u4f1a\u3084\u4e16\u754c\u5909\u5f62\u6027\u95a2\u7bc0\u75c7\u5b66\u4f1a\u3082\u300c\u975e\u85ac\u7269\u7642\u6cd5\u3068\u85ac\u7269\u7642\u6cd5\u306e\u4f75\u7528\u306b\u3088\u3063\u3066\u5341\u5206\u306a\u75bc\u75db\u7de9\u548c\u3068\u6a5f\u80fd\u6539\u5584\u304c\u5f97\u3089\u308c\u306a\u3044\u819dOA*\u60a3\u8005\u306e\u5834\u5408\u306f\u3001\u4eba\u5de5\u819d\u95a2\u7bc0\u5168\u7f6e\u63db\u8853\u3092\u8003\u616e\u3059\u308b\u300d\u3068\u3044\u3046\u898b\u89e3\u3092\u793a\u3057\u307e\u3057\u305f[2]\u3002\u3064\u307e\u308a\u3001\u3053\u306e\u624b\u8853\u306f\u533b\u5b66\u7684\u306b\u3082\u30a8\u30d3\u30c7\u30f3\u30b9\uff08\u6839\u62e0\uff09\u304c\u78ba\u7acb\u3055\u308c\u3066\u3044\u308b\u3068\u8a00\u3048\u308b\u3067\u3057\u3087\u3046\u3002<\/p>\n<p>*OA\uff1a\u5909\u5f62\u6027\u95a2\u7bc0\u75c7\u306e\u82f1\u8a9e\u8868\u8a18\uff08Osteoarthritis\uff09\u306e\u7565\u8a9e<\/p>\n<h3 id=\"outline__1_1\">\u8853\u5f0f\u3068\u65b9\u6cd5<\/h3>\n<p>\u3053\u306e\u624b\u8853\u306b\u306f\u5358\u9846\u7f6e\u63db\u8853\uff08\u305f\u3093\u304b\u3061\u304b\u3093\u3058\u3085\u3064\uff1bUKA*\uff09\u3001\u5168\u7f6e\u63db\u8853\uff08TKA*\uff09\u3068\u3044\u3046\uff12\u3064\u306e\u8853\u5f0f\u304c\u3042\u308a\u307e\u3059\u3002\u9846\u3068\u306f\u3001\u819d\u306e\u5185\u5074\u3068\u5916\u5074\u306b\u4e00\u3064\u305a\u3064\u3042\u308b\u51fa\u3063\u5f35\u308a\u306e\u3053\u3068\u3067\u3059\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-485\" src=\"https:\/\/www.knee.or.jp\/about-oa\/wp-content\/uploads\/2018\/12\/ope.jpg\" alt=\"\u4eba\u5de5\u819d\u95a2\u7bc0\u7f6e\u63db\u8853\u306e\u8853\u5f0f\" width=\"750\" height=\"359\" \/>\u640d\u50b7\u3057\u3066\u3044\u308b\u306e\u304c\u7247\u5074\u3067\u3001\u304b\u3064\u976d\u5e2f\u306e\u640d\u50b7\u304c\u306a\u3044\u5834\u5408\u306f\u5358\u9846\u7f6e\u63db\u8853\u304c\u884c\u308f\u308c\u3001\u53cc\u65b9\u306e\u640d\u50b7\u306b\u52a0\u3048\u3066\u976d\u5e2f\u3082\u640d\u50b7\u3057\u3066\u3044\u308b\u5834\u5408\u306f\u5168\u7f6e\u63db\u8853\u304c\u9069\u5fdc\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n<p>\u624b\u8853\u65b9\u6cd5\u3068\u3057\u3066\u306f\u3001\u5358\u9846\u7f6e\u63db\u8853\u30678\u301c12cm\u307b\u3069\u3001\u5168\u7f6e\u63db\u8853\u3067\u3042\u308c\u307015\u301c20cm\u307b\u3069\u819d\u3092\u5207\u958b\u3057\u307e\u3059[3]\u3002\u3044\u305a\u308c\u306e\u8853\u5f0f\u306b\u304a\u3044\u3066\u3082\u3001\u5207\u958b\u5f8c\u306e\u6d41\u308c\u306f\u307b\u307c\u540c\u69d8\u3002\u640d\u50b7\u3057\u305f\u9aa8\u3092\u524a\u3063\u305f\u308a\u5f62\u3092\u6574\u3048\u305f\u308a\u3057\u306a\u304c\u3089\u3001\u30a4\u30f3\u30d7\u30e9\u30f3\u30c8\uff08\u4eba\u5de5\u306e\u5668\u5177\uff09\u306e\u95a2\u7bc0\u3092\u8a2d\u7f6e\u3057\u3066\u3044\u304d\u307e\u3059\u3002\u305d\u306e\u969b\u306b\u306f\u30bb\u30e1\u30f3\u30c8\u3067\u56fa\u5b9a\u3059\u308b\u65b9\u6cd5\u3068\u30bb\u30e1\u30f3\u30c8\u3092\u7528\u3044\u306a\u3044\u65b9\u6cd5\u304c\u3042\u308a\u3001\u8853\u8005\u306e\u7d4c\u9a13\u3084\u597d\u307f\u3067\u9078\u629e\u304c\u5206\u304b\u308c\u307e\u3059\u3002<\/p>\n<p>*UKA\u2026 Unicompartmental Knee Arthroplasty\u306e\u7565\u8a9e<br \/>\n*TKA\u2026 Total Knee Arthroplasty\u306e\u7565\u8a9e<\/p>\n<div class=\"paperBox\">\u624b\u8853\u306b\u3088\u308b\u8eab\u4f53\u3078\u306e\u30c0\u30e1\u30fc\u30b8\u3092\u6291\u3048\u308b\u305f\u3081\u3001\u4f7f\u7528\u7387\u3068\u3057\u3066\u306f\u4f4e\u3044\u3067\u3059\u304c\u3001MIS\u6cd5\uff08\u6700\u5c0f\u4fb5\u8972\u624b\u8853\uff09\u3084\u30ca\u30d3\u30b2\u30fc\u30b7\u30e7\u30f3\u30b7\u30b9\u30c6\u30e0\u3068\u3044\u3063\u305f\u6700\u65b0\u306e\u6280\u8853\u304c\u7528\u3044\u3089\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u3001\u4f4e\u4fb5\u8972\u304b\u3064\u6b63\u78ba\u306a\u624b\u8853\u306e\u9032\u884c\u306b\u5f79\u7acb\u3061\u307e\u3059\u3002\u305f\u3060MIS\u6cd5\u306b\u3064\u3044\u3066\u306f\u3001\u8853\u5f8c\u306e\u9577\u671f\u7684\u306a\u56de\u5fa9\u5ea6\u5408\u3044\u306b\u306f\u5dee\u304c\u306a\u3044\u3053\u3068\u306a\u3069\u304b\u3089\u3001\u79c1\u3068\u3057\u3066\u306f\u3053\u306e\u624b\u6cd5\u304c\u7d76\u5bfe\u306b\u5fc5\u8981\u3067\u3042\u308b\u3068\u3044\u3046\u8a8d\u8b58\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u4e00\u65b9\u3001\u30ca\u30d3\u30b2\u30fc\u30b7\u30e7\u30f3\u30b7\u30b9\u30c6\u30e0\u306f\u5b66\u4f1a\u306a\u3069\u3067\u3082\u540c\u610f\u304c\u5f97\u3089\u308c\u3066\u304a\u308a\u3001\u6709\u7528\u306a\u6280\u8853\u3067\u3042\u308b\u3068\u611f\u3058\u3066\u3044\u307e\u3059\u3002<br \/>\n[\u8a73\u7d30]<a href=\"https:\/\/www.knee.or.jp\/about-oa\/oa-treatment-new\/\">\u5909\u5f62\u6027\u819d\u95a2\u7bc0\u75c7\u306e\u6cbb\u7642\u306b\u7528\u3044\u3089\u308c\u308b\u3001\u3055\u307e\u3056\u307e\u306a\u300c\u6700\u65b0\u300d\u3068\u306f<\/a><\/div>\n<h3 id=\"outline__1_2\">\u30a4\u30f3\u30d7\u30e9\u30f3\u30c8\u306e\u7d20\u6750<\/h3>\n<p>\u3053\u3053\u3067\u306f\u3001\u4eba\u5de5\u95a2\u7bc0\u30a4\u30f3\u30d7\u30e9\u30f3\u30c8\u306e\u56fd\u5185\u30b7\u30a7\u30a2\u304c50%\u8fd1\u304f[4]\u3092\u5360\u3081\u308b\u3001\u30b8\u30f3\u30de\u30fc\u793e\u306e\u3082\u306e\u3092\u4f8b\u306b\u6319\u3052\u307e\u3059\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-484 size-full\" src=\"https:\/\/www.knee.or.jp\/about-oa\/wp-content\/uploads\/2018\/12\/materials.jpg\" alt=\"\u4eba\u5de5\u819d\u95a2\u7bc0\u306b\u7528\u3044\u3089\u308c\u308b\u7d20\u6750\" width=\"350\" height=\"351\" \/>\u4f7f\u7528\u3055\u308c\u308b\u306e\u306f\u3001\u30c1\u30bf\u30f3\u5408\u91d1\u3084\u30b3\u30d0\u30eb\u30c8\u30af\u30ed\u30e0\u5408\u91d1\u3001\u30dd\u30ea\u30a8\u30c1\u30ec\u30f3\u3068\u3044\u3063\u305f\u7d20\u6750\u3002\u5927\u817f\u9aa8\u3068\u76f4\u63a5\u3075\u308c\u3042\u3046\u90e8\u5206\u306b\u306f\u3001\u9aa8\u306b\u99b4\u67d3\u307f\u3084\u3059\u3044\u6027\u8cea\u3092\u6301\u3064\u30c1\u30bf\u30f3\u5408\u91d1\u304c\u3001\u95a2\u7bc0\u9762\u306e\u3053\u3059\u308c\u5408\u3046\u90e8\u5206\u306b\u306f\u3001\u78e8\u8017\u3057\u306b\u304f\u3044\u30b3\u30d0\u30eb\u30c8\u30af\u30ed\u30e0\u5408\u91d1\u3068\u9ad8\u5206\u5b50\u30dd\u30ea\u30a8\u30c1\u30ec\u30f3\u304c\u3088\u304f\u7528\u3044\u3089\u308c\u307e\u3059\u3002\u9ad8\u5206\u5b50\u6027\u30dd\u30ea\u30a8\u30c1\u30ec\u30f3\u306b\u306f\u885d\u6483\u3092\u5438\u53ce\u3059\u308b\u6027\u8cea\u304c\u3042\u308a\u3001\u4eba\u5de5\u95a2\u7bc0\u306b\u304a\u3044\u3066\u306f\u8edf\u9aa8\u306e\u3088\u3046\u306a\u5f79\u5272\u3092\u679c\u305f\u3057\u307e\u3059\u3002<br \/>\n\u3053\u308c\u307e\u3067\u79c1\u304c\u8a3a\u7642\u3057\u3066\u304d\u305f\u4e2d\u3067\u300c\u3069\u3093\u306a\u7d20\u6750\u306e\u30a4\u30f3\u30d7\u30e9\u30f3\u30c8\u304c\u819d\u306b\u5165\u308b\u306e\u3067\u3059\u304b\uff1f\u300d\u3068\u6c17\u306b\u3055\u308c\u308b\u65b9\u306f\u3054\u304f\u7a00\u3067\u3057\u305f\u3002\u4e00\u822c\u7684\u306b\u306f\u3001\u7d20\u6750\u306b\u3064\u3044\u3066\u8a73\u3057\u304f\u8aac\u660e\u3059\u308b\u3053\u3068\u306f\u591a\u304f\u306a\u3044\u3088\u3046\u306b\u601d\u3044\u307e\u3059\u3002\u305f\u3060\u3001\u4eba\u5de5\u95a2\u7bc0\u306b\u7528\u3044\u3089\u308c\u308b\u30c1\u30bf\u30f3\u3084\u30af\u30ed\u30e0\u306f\u91d1\u5c5e\u3067\u3059\u3002\u3053\u308c\u3089\u306f\u30a2\u30ec\u30eb\u30ae\u30fc\u3092\u751f\u3058\u306b\u304f\u3044\u3068\u8a00\u308f\u308c\u3066\u3044\u307e\u3059\u304c\u3001\u3082\u3057\u91d1\u5c5e\u30a2\u30ec\u30eb\u30ae\u30fc\u3092\u304a\u6301\u3061\u306e\u65b9\u304c\u3044\u3089\u3063\u3057\u3083\u3063\u305f\u3089\u3001\u8a3a\u5bdf\u6642\u306b\u62c5\u5f53\u533b\u306b\u7533\u544a\u3059\u308b\u3088\u3046\u306b\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/p>\n<h3 id=\"outline__1_3\">\u8853\u5f8c\u306e\u5165\u9662\u30fb\u30ea\u30cf\u30d3\u30ea\u671f\u9593<\/h3>\n<p>\u8853\u5f8c\u306b\u306f\u3001\uff13\u301c\uff14\u9031\u9593\u7a0b\u5ea6\u306e\u5165\u9662\u3068\u30ea\u30cf\u30d3\u30ea\u304c\u5fc5\u8981\u3067\u3059\u3002\u65e9\u3044\u6bb5\u968e\u3067\u306e\u30ea\u30cf\u30d3\u30ea\u958b\u59cb\u304c\u671b\u307e\u3057\u304f\u3001\u624b\u8853\u306e\u7fcc\u65e5\u306b\u306f\u30d9\u30c3\u30c9\u306e\u4e0a\u3067\u8db3\u9996\u56de\u3057\u3092\u3057\u305f\u308a\u3001\u4eba\u306e\u624b\u3092\u501f\u308a\u3066\u8eca\u3044\u3059\u306b\u5ea7\u308b\u8a13\u7df4\u3092\u884c\u3063\u305f\u308a\u3057\u307e\u3059\u3002\u7fcc\u65e5\u304b\u3089\u30ea\u30cf\u30d3\u30ea\u3092\u3057\u3066\u3044\u3044\u306e\u304b\u3068\u601d\u308f\u308c\u308b\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u304c\u3001\u3058\u3063\u3068\u3057\u3066\u3044\u308b\u307b\u3046\u304c\u8eab\u4f53\u306b\u306f\u826f\u304f\u3042\u308a\u307e\u305b\u3093\u3002\u7b4b\u8089\u3084\u976d\u5e2f\u306a\u3069\u304c\u56fa\u307e\u308b\u62d8\u7e2e\u3084\u3001\u3053\u306e\u3042\u3068\u8a73\u3057\u304f\u8aac\u660e\u3059\u308b\u8840\u6813\u75c7\u304c\u8d77\u3053\u308a\u3084\u3059\u304f\u306a\u3063\u3066\u3057\u307e\u3046\u305f\u3081\u3067\u3059\u3002<\/p>\n<p>\u8853\u5f8c\uff13\u65e5\u7a0b\u5ea6\u3067\u819d\u306e\u4f38\u5c55\u3001\uff11\u9031\u7a0b\u5ea6\u3067\u6b69\u884c\u8a13\u7df4\u3001\uff12\u9031\u7a0b\u5ea6\u3067\u968e\u6bb5\u6607\u964d\u3068\u3001\u5f90\u3005\u306b\u8ca0\u8377\u3092\u4e0a\u3052\u3066\u3044\u304d\u307e\u3059\u3002\uff13\u301c\uff14\u9031\u7a0b\u5ea6\u3067\u7d4c\u904e\u304c\u9806\u8abf\u3067\u3042\u308b\u3068\u78ba\u8a8d\u3055\u308c\u308c\u3070\u3001\u9000\u9662\u304c\u53ef\u80fd\u3067\u3059\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-495\" src=\"https:\/\/www.knee.or.jp\/about-oa\/wp-content\/uploads\/2018\/12\/ka-rehab.png\" alt=\"\u4eba\u5de5\u819d\u95a2\u7bc0\u7f6e\u63db\u8853\u5f8c\u306e\u30ea\u30cf\u30d3\u30ea\u671f\u9593\" width=\"612\" height=\"247\" \/><\/p>\n<h2 id=\"outline__2\" id=\"outline__2\">\u512a\u308c\u305f\u624b\u8853\u3060\u304c\u30ea\u30b9\u30af\u3082\u5b58\u5728<\/h2>\n<p>\u306f\u3058\u3081\u306b\u304a\u4f1d\u3048\u3057\u305f\u901a\u308a\u3001\u4eba\u5de5\u819d\u95a2\u7bc0\u7f6e\u63db\u8853\u306f\u5927\u304d\u306a\u52b9\u679c\u306e\u671f\u5f85\u3067\u304d\u308b\u624b\u8853\u3067\u3059\u3002\u3057\u304b\u3057\u3001\u3069\u3093\u306a\u624b\u8853\u306b\u3082\u4ed8\u968f\u3059\u308b\u306e\u304c\u3001\u30ea\u30b9\u30af\u3002\u60a3\u8005\u3055\u307e\u306b\u306f\u4e88\u3081\u30ea\u30b9\u30af\u306b\u3064\u3044\u3066\u77e5\u3063\u3066\u304a\u304f\u6a29\u5229\u304c\u3042\u308a\u307e\u3059\u3057\u3001\u305d\u3082\u305d\u3082\u533b\u5e2b\u306b\u306f\u8aac\u660e\u8cac\u4efb\u304c\u3042\u308a\u307e\u3059\u3002\u8853\u524d\u306b\u306f\u30ea\u30b9\u30af\u3092\u304a\u4f1d\u3048\u3059\u308b\u3053\u3068\u304c\u5fc5\u9808\u3067\u3059\u304c\u3001\u30de\u30cb\u30e5\u30a2\u30eb\u901a\u308a\u306b\u6d41\u3057\u8aad\u307f\u3067\u8a71\u3059\u306e\u3067\u306f\u306a\u304f\u3001\u60a3\u8005\u3055\u307e\u305d\u308c\u305e\u308c\u306e\u8eab\u4f53\u306e\u72b6\u614b\u3092\u8003\u616e\u3057\u305f\u4f1d\u3048\u65b9\u304c\u5927\u5207\u3060\u3068\u8003\u3048\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>\u4f8b\u3048\u3070\u7cd6\u5c3f\u75c5\u3092\u60a3\u3063\u3066\u3044\u308b\u65b9\u306b\u306f\u300c\u7cd6\u5c3f\u75c5\u306e\u65b9\u306f\u7279\u306b\u611f\u67d3\u75c7\u306e\u30ea\u30b9\u30af\u304c\u9ad8\u304f\u306a\u308b\u306e\u3067\u3001\u6c17\u3092\u3064\u3051\u3066\u304f\u3060\u3055\u3044\u300d\u3068\u3044\u3063\u305f\u3088\u3046\u306b\u5f37\u8abf\u3057\u306a\u304c\u3089\u3001\u60a3\u8005\u3055\u307e\u304c\u610f\u8b58\u3059\u3079\u304d\u3053\u3068\u3092\u304a\u4f1d\u3048\u3059\u308b\u3001\u3068\u3044\u3063\u305f\u5177\u5408\u3067\u3059\u3002\u305b\u3063\u304b\u304f\u4eba\u5de5\u95a2\u7bc0\u306b\u3057\u3066\u75db\u307f\u304c\u306a\u304f\u306a\u3063\u3066\u3082\u3001\u4e07\u304c\u4e00\u306e\u3053\u3068\u304c\u3042\u3063\u3066\u81ea\u7531\u306b\u819d\u3092\u52d5\u304b\u305b\u306a\u304f\u306a\u308b\u306e\u306f\u3068\u3066\u3082\u3064\u3089\u3044\u3053\u3068\u3002\u305d\u3046\u3057\u305f\u4e8b\u614b\u3092\u53ef\u80fd\u306a\u9650\u308a\u907f\u3051\u3089\u308c\u308b\u3088\u3046\u3001\u30ea\u30b9\u30af\u3092\u8a8d\u8b58\u3059\u308b\u3053\u3068\u306f\u4e0d\u53ef\u6b20\u306a\u306e\u3067\u3059\u3002<\/p>\n<p>\u4eba\u5de5\u819d\u95a2\u7bc0\u7f6e\u63db\u8853\u3067\u306f\u3001\u4e3b\u306b\u4e0b\u8a18\u306e\uff13\u3064\u306e\u3088\u3046\u306a\u30ea\u30b9\u30af\u304c\u5b58\u5728\u3057\u307e\u3059\u3002<\/p>\n<h3 id=\"outline__2_1\">\u611f\u67d3<\/h3>\n<p>\u4eba\u5de5\u95a2\u7bc0\u306e\u5468\u56f2\u306f\u8840\u6d41\u306b\u4e4f\u3057\u3044\u305f\u3081\u3001\u767d\u8840\u7403\u3084\u30ea\u30f3\u30d1\u7403\u306a\u3069\u3001\u7d30\u83cc\u3068\u6226\u3046\u7d44\u7e54\u3082\u5c11\u306a\u3044\u72b6\u614b\u3002\u3064\u307e\u308a\u3001\u7d30\u83cc\u3084\u30a6\u30a4\u30eb\u30b9\u306b\u5bfe\u3059\u308b\u62b5\u6297\u529b\u306f\u5f31\u304f\u3001\u611f\u67d3\u3092\u8d77\u3053\u3057\u3084\u3059\u3044\u72b6\u614b\u3067\u3059\u3002\u4eba\u5de5\u95a2\u7bc0\u304c\u611f\u67d3\u3059\u308b\u3053\u3068\u3092\u4eba\u5de5\u95a2\u7bc0\u5468\u56f2\u611f\u67d3\uff08PJI\uff1bProsthetic Joint Infection\uff09\u3068\u8a00\u3044\u3001\u8853\u5f8c\u306e\u65e9\u3044\u6bb5\u968e\u3067\u751f\u3058\u308b\u65e9\u671f\u6027\u3068\u3001\u534a\u5e74\u4ee5\u964d\u306b\u751f\u3058\u308b\u9045\u767a\u6027\u3068\u306b\u5206\u985e\u3067\u304d\u307e\u3059\u3002<\/p>\n<p>\u3053\u3046\u3057\u305f\u611f\u67d3\u306e\u30ea\u30b9\u30af\u3092\u56de\u907f\u3059\u308b\u305f\u3081\u3001\u75c5\u9662\u3067\u306f\u7a7a\u6c17\u306e\u6e05\u6d44\u5ea6\u304c\u9ad8\u3044\u30af\u30ea\u30fc\u30f3\u30eb\u30fc\u30e0\u3068\u3044\u3046\u624b\u8853\u5ba4\u3092\u4f7f\u7528\u3057\u305f\u308a\u3001\u8853\u524d\u30fb\u8853\u4e2d\u306b\u6297\u83cc\u85ac\u306e\u4e88\u9632\u6295\u4e0e\u3092\u3057\u305f\u308a\u3057\u3066\u5bfe\u7b56\u3092\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u6771\u4eac\u5973\u5b50\u533b\u5927\u3067\u306f\u3001\u8853\u4e2d\u306b\u30d0\u30f3\u30b3\u30de\u30a4\u30b7\u30f3\u3068\u3044\u3046\u6297\u83cc\u85ac\u306e\u5c40\u6240\u6295\u4e0e\u3092\u884c\u3063\u3066\u3044\u307e\u3057\u305f\u3002\u611f\u67d3\u304c\u8d77\u3053\u308b\u53ef\u80fd\u6027\u306f0.5\uff05\u301c2\uff05\u3068\u3001\u65bd\u8a2d\u306b\u3088\u3063\u3066\u5831\u544a\u306b\u5dee\u304c\u3042\u308a\u307e\u3059\u3002\u60a3\u8005\u3055\u307e\u306f\u3001\u8853\u5f8c\u3082\u866b\u6b6f\u3084\u6c34\u866b\u306b\u6ce8\u610f\u3092\u3057\u3001\u307e\u305f\u937c\u6cbb\u7642\u306e\u3088\u3046\u306a\u8eab\u4f53\u306b\u7d30\u83cc\u304c\u5165\u308a\u8fbc\u3080\u30ea\u30b9\u30af\u306e\u3042\u308b\u3053\u3068\u306f\u63a7\u3048\u308b\u306a\u3069\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/p>\n<h3 id=\"outline__2_2\">\u8840\u6813\u75c7<\/h3>\n<p>\u8840\u6813\u3068\u306f\u3001\u8840\u304c\u56fa\u307e\u3063\u3066\u3067\u304d\u305f\u584a\u306e\u3053\u3068\u3002\u8853\u4e2d\u304b\u3089\u8853\u5f8c\u306b\u304b\u3051\u3066\u3058\u3063\u3068\u3057\u305f\u59ff\u52e2\u3092\u3068\u308a\u7d9a\u3051\u308b\u3053\u3068\u3067\u8840\u6d41\u304c\u60aa\u304f\u306a\u308a\u3001\u8840\u6813\u304c\u3067\u304d\u3084\u3059\u304f\u306a\u3063\u3066\u3057\u307e\u3046\u306e\u3067\u3059\u3002\u4e0b\u80a2\uff08\u3042\u3057\uff09\u306e\u5185\u90e8\u6df1\u304f\u306b\u3067\u304d\u308b\u3082\u306e\u3092\u6df1\u90e8\u9759\u8108\u8840\u6813\u75c7\u3068\u8a00\u3044\u3001\u4eba\u5de5\u819d\u95a2\u7bc0\u7f6e\u63db\u8853\u306e\u8853\u4e2d\u3001\u8853\u5f8c\u306b\u306f\u9ad8\u3044\u78ba\u7387\u3067\u767a\u751f\u3057\u3066\u3044\u308b\u3053\u3068\u304c\u5224\u660e\u3057\u3066\u3044\u307e\u3059[5]\u3002<\/p>\n<p>\u3053\u308c\u304c\u8840\u6d41\u306b\u4e57\u3063\u3066\u80ba\u306e\u52d5\u8108\u307e\u3067\u5230\u9054\u3057\u3066\u3057\u307e\u3046\u3068\u3001\u80ba\u585e\u6813\u75c7\u3068\u3044\u3046\u91cd\u7be4\u306a\u5408\u4f75\u75c7\u3092\u5f15\u304d\u8d77\u3053\u3059\u306e\u3067\u6ce8\u610f\u304c\u5fc5\u8981\u3067\u3059\u3002 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loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-112\" src=\"https:\/\/www.knee.or.jp\/about-oa\/wp-content\/uploads\/2018\/10\/firstope-reope-min.png\" alt=\"\u4eba\u5de5\u819d\u95a2\u7bc0\u7f6e\u63db\u8853\u306e\u521d\u56de\u5e74\u9f62\u3068\u518d\u7f6e\u63db\u306e\u5272\u5408\" width=\"700\" height=\"420\" \/><\/p>\n<p>\u3053\u3061\u3089\u306e\u30b0\u30e9\u30d5\u306f\u6d77\u5916\u306e\u30c7\u30fc\u30bf\u3067\u3059\u304c\u300150\u301c60\u4ee3\u3067\u521d\u3081\u3066\u4eba\u5de5\u819d\u95a2\u7bc0\u7f6e\u63db\u8853\u3092\u53d7\u3051\u305f\u4eba\u306f\u3001\uff12\u301c\uff13\u5272\u3082\u306e\u4eba\u304c\u518d\u624b\u8853\u3092\u53d7\u3051\u3066\u3044\u308b\u3053\u3068\u304c\u308f\u304b\u308a\u307e\u3059[7]\u3002\u305d\u306e\u305f\u3081\u3001\u5e73\u5747\u5bff\u547d\u306e\u5ef6\u3073\u306b\u4f34\u3046\u518d\u7f6e\u63db\u30ea\u30b9\u30af\u3092\u3057\u3063\u304b\u308a\u3068\u8003\u616e\u3057\u305f\u4e0a\u3067\u624b\u8853\u3092\u6c7a\u3081\u308b\u5fc5\u8981\u304c\u3042\u308b\u3068\u8a00\u3048\u308b\u3067\u3057\u3087\u3046\u3002<\/p>\n<h2 id=\"outline__3\" id=\"outline__3\">\u624b\u8853\u6c7a\u5b9a\u307e\u3067\u306e\u3042\u308b\u3079\u304d\u59ff<\/h2>\n<p>\u5c02\u9580\u7528\u8a9e\u3067\u30a4\u30f3\u30d5\u30a9\u30fc\u30e0\u30c9\u30fb\u30b3\u30f3\u30bb\u30f3\u30c8\u3068\u547c\u3070\u308c\u308b\u6982\u5ff5\u3092\u8033\u306b\u3057\u305f\u3053\u3068\u306e\u3042\u308b\u4eba\u3082\u591a\u3044\u306e\u3067\u306f\u306a\u3044\u3067\u3057\u3087\u3046\u304b\u3002\u3053\u308c\u306f\u300c\u5341\u5206\u306a\u60c5\u5831\u3092\u5f97\u305f\u4e0a\u3067\u306e\u5408\u610f\u300d\u3092\u610f\u5473\u3057\u307e\u3059\u3002<\/p>\n<p>\u4f8b\u3048\u3070\u3001X\u7dda\u753b\u50cf\u304b\u3089\u5909\u5f62\u6027\u819d\u95a2\u7bc0\u75c7\u306e\u672b\u671f\u3067\u3042\u308b\u3068\u5224\u65ad\u3057\u305f\u3060\u3051\u3067\u300c\u624b\u8853\u3067\u3059\u306d\u300d\u3068\u52e7\u3081\u308b\u3053\u3068\u3082\u9069\u5207\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u79c1\u304c\u6771\u4eac\u5973\u5b50\u533b\u5927\u306b\u52e4\u52d9\u3057\u3066\u3044\u305f\u9803\u3001\u4eba\u5de5\u95a2\u7bc0\u7f6e\u63db\u8853\u306f\u60a3\u8005\u3055\u307e\u306e\u3054\u5e0c\u671b\u304c\u306a\u3044\u9650\u308a\u306f\u884c\u3044\u307e\u305b\u3093\u3067\u3057\u305f\u3002\u307e\u305a\u60a3\u8005\u3055\u307e\u304c\u3069\u3046\u3057\u305f\u3044\u304b\u3092\u304a\u805e\u304d\u3059\u308b\u3002\u624b\u8853\u304c\u6700\u826f\u306e\u65b9\u6cd5\u3060\u3068\u533b\u5e2b\u304c\u5224\u65ad\u3057\u305f\u5834\u5408\u3067\u3082\u3001\u30e1\u30ea\u30c3\u30c8\u306e\u307f\u306a\u3089\u305a\u30ea\u30b9\u30af\u307e\u3067\u6f0f\u308c\u306a\u304f\u8aac\u660e\u3059\u308b\u3002\u60a3\u8005\u3055\u307e\u304c\u5341\u5206\u306a\u60c5\u5831\u3092\u5f97\u308b\u3002\u305d\u3046\u3057\u3066\u60a3\u8005\u3055\u307e\u304c\u7d0d\u5f97\u3057\u3066\u624b\u8853\u3092\u6c7a\u65ad\u3059\u308b\u3002\u3053\u308c\u304c\u3001\u624b\u8853\u6c7a\u5b9a\u307e\u3067\u306e\u3042\u308b\u3079\u304d\u59ff\u3060\u3068\u8003\u3048\u3066\u3044\u307e\u3059\u3002<\/p>\n<h3 id=\"outline__3_1\">\u6c7a\u65ad\u306e\u30dd\u30a4\u30f3\u30c8<\/h3>\n<p>\u3053\u306e\u8a18\u4e8b\u3092\u8aad\u3093\u3067\u3044\u308b\u65b9\u306b\u306f\u3001\u533b\u5e2b\u304b\u3089\u4eba\u5de5\u819d\u95a2\u7bc0\u3092\u52e7\u3081\u3089\u308c\u3066\u3044\u308b\u65b9\u3082\u3044\u3089\u3063\u3057\u3083\u308b\u3067\u3057\u3087\u3046\u3002\u300c\u75db\u307f\u304c\u53d6\u308c\u308b\u300d\u300c\u6b69\u3051\u308b\u3088\u3046\u306b\u306a\u308b\u300d\u306a\u3069\u3001\u30e1\u30ea\u30c3\u30c8\u307e\u3067\u306f\u8aac\u660e\u3055\u308c\u3066\u3044\u308b\u304b\u3068\u601d\u3044\u307e\u3059\u3002\u3082\u3057\u6c7a\u65ad\u306b\u8ff7\u3063\u3066\u3057\u307e\u3063\u305f\u3089\u3001\u6b21\u306e\uff13\u70b9\u3092\u624b\u8853\u306e\u6c7a\u65ad\u30dd\u30a4\u30f3\u30c8\u3068\u3057\u3066\u8003\u3048\u3066\u307f\u3066\u304f\u3060\u3055\u3044\u3002<\/p>\n<div class=\"borderBox\">\n<ul>\n<li>\u624b\u8853\u4ee5\u5916\u306e\u6cbb\u7642\uff08\u4fdd\u5b58\u52a0\u7642\uff09\u306b\u3064\u3044\u3066\u5341\u5206\u8aac\u660e\u3092\u53d7\u3051\u305f\u304b\u3069\u3046\u304b<\/li>\n<li>\u624b\u8853\u306e\u30e1\u30ea\u30c3\u30c8\u3060\u3051\u3067\u306a\u304f\u30ea\u30b9\u30af\u306b\u3064\u3044\u3066\u3082\u3001\u533b\u5e2b\u304b\u3089\u8a73\u3057\u3044\u8aac\u660e\u304c\u3042\u3063\u305f\u304b\u3069\u3046\u304b<\/li>\n<li>\u4e0a\u8a18\u3092\u8e0f\u307e\u3048\u3001\u624b\u8853\u3092\u53d7\u3051\u305f\u3044\u3068\u3044\u3046\u5e0c\u671b\u304c\u3054\u81ea\u8eab\u306b\u3042\u308b\u304b\u3069\u3046\u304b<\/li>\n<\/ul>\n<\/div>\n<p 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