{"id":5429,"date":"2025-09-09T01:14:33","date_gmt":"2025-09-08T16:14:33","guid":{"rendered":"https:\/\/imedica.jp\/?p=5429"},"modified":"2025-09-13T03:41:29","modified_gmt":"2025-09-12T18:41:29","slug":"%e3%80%90%e8%a8%ba%e7%99%82tips%e3%80%91%e8%b6%b3%e3%81%ae%e3%82%aa%e3%83%95%e3%83%ad%e3%83%bc%e3%83%87%e3%82%a3%e3%83%b3%e3%82%b0%e6%89%8b%e8%a1%93-%e8%b6%b3%e6%bd%b0%e7%98%8d%e3%81%ae%e5%86%8d","status":"publish","type":"post","link":"https:\/\/imedica.jp\/en\/foot-offloading-surgery\/","title":{"rendered":"[Medical Tip] Offloading Surgery of the Foot: A Practical Approach to Prevent Recurrence of Foot Ulcers."},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_76 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1' ><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/imedica.jp\/en\/foot-offloading-surgery\/#%E3%81%AF%E3%81%98%E3%82%81%E3%81%AB\" >\u306f\u3058\u3081\u306b<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/imedica.jp\/en\/foot-offloading-surgery\/#%E8%A1%93%E5%89%8D%E3%81%AB%E7%A2%BA%E8%AA%8D%E3%81%99%E3%81%B9%E3%81%8D%E3%81%93%E3%81%A8\" >\u8853\u524d\u306b\u78ba\u8a8d\u3059\u3079\u304d\u3053\u3068<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/imedica.jp\/en\/foot-offloading-surgery\/#1_%E6%84%9F%E6%9F%93%E3%82%B3%E3%83%B3%E3%83%88%E3%83%AD%E3%83%BC%E3%83%AB\" >1. \u611f\u67d3\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/imedica.jp\/en\/foot-offloading-surgery\/#2_%E8%A1%80%E6%B5%81%E8%A9%95%E4%BE%A1\" >2. \u8840\u6d41\u8a55\u4fa1<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/imedica.jp\/en\/foot-offloading-surgery\/#3_%E8%A1%93%E5%89%8D%E5%85%A8%E8%BA%AB%E7%AE%A1%E7%90%86\" >3. \u8853\u524d\u5168\u8eab\u7ba1\u7406<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/imedica.jp\/en\/foot-offloading-surgery\/#%E8%A1%93%E5%BC%8F%E3%81%AE%E9%81%B8%E6%8A%9E%E3%81%A8%E3%83%9D%E3%82%A4%E3%83%B3%E3%83%88\" >\u8853\u5f0f\u306e\u9078\u629e\u3068\u30dd\u30a4\u30f3\u30c8<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/imedica.jp\/en\/foot-offloading-surgery\/#1_%E8%85%B1%E5%88%87%E9%9B%A2%E8%A1%93%EF%BC%88Flexor_tenotomy%EF%BC%89\" >1. \u8171\u5207\u96e2\u8853\uff08Flexor tenotomy\uff09<\/a><ul class='ez-toc-list-level-6' ><li class='ez-toc-heading-level-6'><ul class='ez-toc-list-level-6' ><li class='ez-toc-heading-level-6'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/imedica.jp\/en\/foot-offloading-surgery\/#%E6%A6%82%E8%A6%81\" >\u6982\u8981<\/a><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/imedica.jp\/en\/foot-offloading-surgery\/#2_PIP%E9%96%A2%E7%AF%80%E5%88%87%E9%99%A4%E8%A1%93%EF%BC%88Proximal_Interphalangeal_Joint_Resection_Arthroplasty%EF%BC%89\" >2. PIP\u95a2\u7bc0\u5207\u9664\u8853\uff08Proximal Interphalangeal Joint Resection Arthroplasty\uff09<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/imedica.jp\/en\/foot-offloading-surgery\/#3_%E4%B8%AD%E8%B6%B3%E9%AA%A8%E9%A0%B8%E9%83%A8%E9%AA%A8%E5%88%87%E3%82%8A%E8%A1%93%EF%BC%88Metatarsal_Neck_Osteotomy%EF%BC%89\" >3. \u4e2d\u8db3\u9aa8\u9838\u90e8\u9aa8\u5207\u308a\u8853\uff08Metatarsal Neck Osteotomy\uff09<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/imedica.jp\/en\/foot-offloading-surgery\/#4_%E4%B8%AD%E8%B6%B3%E9%AA%A8%E7%9F%AD%E7%B8%AE%E9%AA%A8%E5%88%87%E3%82%8A%E8%A1%93%EF%BC%88Metatarsal_Shortening_Osteotomy%EF%BC%89\" >4. \u4e2d\u8db3\u9aa8\u77ed\u7e2e\u9aa8\u5207\u308a\u8853\uff08Metatarsal Shortening Osteotomy\uff09<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/imedica.jp\/en\/foot-offloading-surgery\/#5_%E3%82%A2%E3%82%AD%E3%83%AC%E3%82%B9%E8%85%B1%E5%BB%B6%E9%95%B7%E8%A1%93%EF%BC%88Achilles_Tendon_Lengthening%EF%BC%89\" >5. \u30a2\u30ad\u30ec\u30b9\u8171\u5ef6\u9577\u8853\uff08Achilles Tendon Lengthening\uff09<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/imedica.jp\/en\/foot-offloading-surgery\/#6_Charcot%E9%96%A2%E7%AF%80%E5%A4%89%E5%BD%A2%E7%9F%AF%E6%AD%A3%E8%A1%93\" >6. Charcot\u95a2\u7bc0\u5909\u5f62\u77ef\u6b63\u8853<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/imedica.jp\/en\/foot-offloading-surgery\/#%E8%A1%93%E5%BC%8F%E9%81%B8%E6%8A%9E%E3%81%AE%E7%9B%AE%E5%AE%89\" >\u8853\u5f0f\u9078\u629e\u306e\u76ee\u5b89<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/imedica.jp\/en\/foot-offloading-surgery\/#%E8%A1%93%E5%BE%8C%E7%AE%A1%E7%90%86\" >postoperative management<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/imedica.jp\/en\/foot-offloading-surgery\/#%E5%A4%9A%E8%81%B7%E7%A8%AE%E9%80%A3%E6%90%BA\" >\u591a\u8077\u7a2e\u9023\u643a<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/imedica.jp\/en\/foot-offloading-surgery\/#%E3%81%BE%E3%81%A8%E3%82%81\" >\u307e\u3068\u3081<\/a><\/li><\/ul><\/nav><\/div>\n<h4 class=\"st-matome\"><span class=\"ez-toc-section\" id=\"%E3%81%AF%E3%81%98%E3%82%81%E3%81%AB\"><\/span>\u306f\u3058\u3081\u306b<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<ul>\n<li>\u7cd6\u5c3f\u75c5\u3084\u672b\u68a2\u795e\u7d4c\u969c\u5bb3\u3001\u672b\u68a2\u52d5\u8108\u75be\u60a3\uff08PAD\uff09\u3092\u6301\u3064\u60a3\u8005\u3067\u306f\u3001\u8db3\u90e8\u3078\u306e\u8377\u91cd\u304c\u4e00\u90e8\u306b\u96c6\u4e2d\u3057\u3001\u6f70\u760d\u304c\u767a\u751f\u30fb\u518d\u767a\u3057\u3084\u3059\u304f\u306a\u308a\u307e\u3059\u3002<\/li>\n<li>\u6f70\u760d\u304c\u4e00\u5ea6\u3067\u304d\u308b\u3068\u3001\u611f\u67d3\u3084\u58ca\u75bd\u306b\u9032\u884c\u3057\u3001\u6700\u60aa\u306e\u5834\u5408\u306f\u5207\u65ad\u306b\u81f3\u308a\u307e\u3059\u3002<\/li>\n<li><span class=\"bmarker\">\u30aa\u30d5\u30ed\u30fc\u30c7\u30a3\u30f3\u30b0\u624b\u8853\uff08Off-loading surgery\uff09<\/span>\u306f\u3001\u8db3\u306e\u69cb\u9020\u3092\u5916\u79d1\u7684\u306b\u4fee\u6b63\u3057\u3066\u8377\u91cd\u30d0\u30e9\u30f3\u30b9\u3092\u6574\u3048\u3001\u6f70\u760d\u306e\u518d\u767a\u3092\u9632\u3050\u305f\u3081\u306e\u91cd\u8981\u306a\u6cbb\u7642\u3067\u3059\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h4 class=\"st-matome\"><span class=\"ez-toc-section\" id=\"%E8%A1%93%E5%89%8D%E3%81%AB%E7%A2%BA%E8%AA%8D%E3%81%99%E3%81%B9%E3%81%8D%E3%81%93%E3%81%A8\"><\/span>\u8853\u524d\u306b\u78ba\u8a8d\u3059\u3079\u304d\u3053\u3068<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<h4 data-start=\"396\" data-end=\"411\"><span class=\"ez-toc-section\" id=\"1_%E6%84%9F%E6%9F%93%E3%82%B3%E3%83%B3%E3%83%88%E3%83%AD%E3%83%BC%E3%83%AB\"><\/span>1. \u611f\u67d3\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<ul data-start=\"412\" data-end=\"511\">\n<li data-start=\"412\" data-end=\"511\">\n<p data-start=\"414\" data-end=\"511\"><strong data-start=\"414\" data-end=\"445\">\u611f\u67d3\u5275\u304c\u3042\u308b\u5834\u5408\u306f\u307e\u305a\u30c7\u30d6\u30ea\u30fc\u30c9\u30de\u30f3\u3068\u6297\u83cc\u85ac\u6cbb\u7642\u3092\u512a\u5148<\/strong><br data-start=\"445\" data-end=\"448\" \/>\u2192 \u611f\u67d3\u304c\u5236\u5fa1\u3067\u304d\u306a\u3044\u72b6\u614b\u3067\u306e\u624b\u8853\u306f\u7981\u5fcc\u3002<br data-start=\"471\" data-end=\"474\" \/>\u2192 \u9aa8\u9ac4\u708e\u304c\u3042\u308b\u5834\u5408\u306f\u3001\u30c7\u30d6\u30ea\u30fc\u30c9\u30de\u30f3\u3068\u540c\u6642\u306b\u9aa8\u5207\u308a\u3092\u884c\u3046\u5834\u5408\u3082\u3042\u308b\u3002<\/p>\n<\/li>\n<\/ul>\n<h4 data-start=\"513\" data-end=\"524\"><span class=\"ez-toc-section\" id=\"2_%E8%A1%80%E6%B5%81%E8%A9%95%E4%BE%A1\"><\/span>2. \u8840\u6d41\u8a55\u4fa1<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<ul data-start=\"525\" data-end=\"595\">\n<li data-start=\"525\" data-end=\"558\">\n<p data-start=\"527\" data-end=\"558\">ABI\u3001SPP\u3001TcPO\u2082\u3001\u307e\u305f\u306fCTA\u306b\u3088\u308b\u8a55\u4fa1\u304c\u5fc5\u9808\u3002<\/p>\n<\/li>\n<li data-start=\"559\" data-end=\"595\">\n<p data-start=\"561\" data-end=\"595\">\u8840\u6d41\u304c\u4e0d\u5341\u5206\u306a\u5834\u5408\u306f\u3001<strong data-start=\"572\" data-end=\"594\">\u8840\u884c\u518d\u5efa\uff08\u30d0\u30a4\u30d1\u30b9\u8853\u3084EVT\uff09\u3092\u5148\u884c<\/strong>\u3002<\/p>\n<\/li>\n<\/ul>\n<h4 data-start=\"597\" data-end=\"610\"><span class=\"ez-toc-section\" id=\"3_%E8%A1%93%E5%89%8D%E5%85%A8%E8%BA%AB%E7%AE%A1%E7%90%86\"><\/span>3. \u8853\u524d\u5168\u8eab\u7ba1\u7406<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<ul data-start=\"611\" data-end=\"692\">\n<li data-start=\"611\" data-end=\"641\">\n<p data-start=\"613\" data-end=\"641\">\u7cd6\u5c3f\u75c5\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\uff08HbA1c 7.0%\u4ee5\u4e0b\u304c\u7406\u60f3\uff09<\/p>\n<\/li>\n<li data-start=\"642\" data-end=\"671\">\n<p data-start=\"644\" data-end=\"671\">\u6804\u990a\u72b6\u614b\uff08\u4f4e\u30a2\u30eb\u30d6\u30df\u30f3\u8840\u75c7\u306f\u5275\u50b7\u6cbb\u7652\u9045\u5ef6\u306e\u30ea\u30b9\u30af\uff09<\/p>\n<\/li>\n<li data-start=\"672\" data-end=\"692\">\n<p data-start=\"674\" data-end=\"692\">\u55ab\u7159\u7fd2\u6163\u306f\u5408\u4f75\u75c7\u7387\u5897\u52a0\u306e\u305f\u3081\u7981\u7159\u6307\u5c0e<\/p>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h4 class=\"st-matome\"><span class=\"ez-toc-section\" id=\"%E8%A1%93%E5%BC%8F%E3%81%AE%E9%81%B8%E6%8A%9E%E3%81%A8%E3%83%9D%E3%82%A4%E3%83%B3%E3%83%88\"><\/span>\u8853\u5f0f\u306e\u9078\u629e\u3068\u30dd\u30a4\u30f3\u30c8<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<h4 data-start=\"714\" data-end=\"746\"><span class=\"ez-toc-section\" id=\"1_%E8%85%B1%E5%88%87%E9%9B%A2%E8%A1%93%EF%BC%88Flexor_tenotomy%EF%BC%89\"><\/span>1. <strong data-start=\"721\" data-end=\"746\">\u8171\u5207\u96e2\u8853\uff08Flexor tenotomy\uff09<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h4>\n<h6><span class=\"ez-toc-section\" id=\"%E6%A6%82%E8%A6%81\"><\/span><strong data-start=\"810\" data-end=\"816\">\u6982\u8981<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h6>\n<ul>\n<li>\u8db3\u8dbe\u306e\u5c48\u66f2\u8171\u3092\u5207\u96e2\u3057\u3066\u8db3\u8dbe\u3092\u307e\u3063\u3059\u3050\u306b\u4f38\u3070\u3057\u3001\u8db3\u5e95\u3078\u306e\u7a81\u51fa\u3092\u8efd\u6e1b\u3059\u308b\u4f4e\u4fb5\u8972\u624b\u8853\u3002<\/li>\n<li>\u5916\u6765\u5c40\u6240\u9ebb\u9154\u3067\u53ef\u80fd\u3002<\/li>\n<\/ul>\n<p data-start=\"871\" data-end=\"879\"><strong data-start=\"871\" data-end=\"877\">\u9069\u5fdc<\/strong><\/p>\n<ul data-start=\"880\" data-end=\"959\">\n<li data-start=\"880\" data-end=\"939\">\n<p data-start=\"882\" data-end=\"939\">\u8efd\u5ea6\u306e\u53ef\u52d5\u6027\u5909\u5f62\uff08\u521d\u671f <strong data-start=\"894\" data-end=\"916\">\u30cf\u30f3\u30de\u30fc\u30c8\u30a5\uff08hammer toe\uff09<\/strong>\u3001<strong data-start=\"917\" data-end=\"936\">\u30af\u30ed\u30fc\u30c8\u30a5\uff08claw toe\uff09<\/strong>\uff09<\/p>\n<\/li>\n<li data-start=\"940\" data-end=\"959\">\n<p data-start=\"942\" data-end=\"959\">\u4fdd\u5b58\u7642\u6cd5\u3067\u6f70\u760d\u6539\u5584\u304c\u5f97\u3089\u308c\u306a\u3044\u5834\u5408<\/p>\n<\/li>\n<\/ul>\n<p data-start=\"961\" data-end=\"969\"><strong data-start=\"961\" data-end=\"967\">\u8853\u5f0f<\/strong><\/p>\n<ul>\n<li data-start=\"972\" data-end=\"992\">\u5c40\u6240\u9ebb\u9154\u4e0b\u3067\u8db3\u8dbe\u5e95\u5074\u3088\u308a\u5c48\u66f2\u8171\u3092\u5207\u96e2<\/li>\n<li data-start=\"995\" data-end=\"1011\">\u5c0f\u5207\u958b\u307e\u305f\u306f\u7d4c\u76ae\u7684\u306b\u5b9f\u65bd\u53ef\u80fd<\/li>\n<li data-start=\"1014\" data-end=\"1026\">\u8853\u5f8c\u306f\u8db3\u8dbe\u3092\u4f38\u5c55\u4f4d\u3067\u4fdd\u6301<\/li>\n<\/ul>\n<p data-start=\"1028\" data-end=\"1038\"><strong data-start=\"1028\" data-end=\"1036\">\u30e1\u30ea\u30c3\u30c8<\/strong><\/p>\n<ul data-start=\"1039\" data-end=\"1080\">\n<li data-start=\"1039\" data-end=\"1056\">\n<p data-start=\"1041\" data-end=\"1056\">\u4fb5\u8972\u304c\u5c0f\u3055\u304f\u5916\u6765\u3067\u5b9f\u65bd\u53ef\u80fd<\/p>\n<\/li>\n<li data-start=\"1057\" data-end=\"1068\">\n<p data-start=\"1059\" data-end=\"1068\">\u8853\u5f8c\u56de\u5fa9\u304c\u65e9\u3044<\/p>\n<\/li>\n<li data-start=\"1069\" data-end=\"1080\">\n<p data-start=\"1071\" data-end=\"1080\">\u518d\u767a\u4e88\u9632\u52b9\u679c\u304c\u9ad8\u3044<\/p>\n<\/li>\n<\/ul>\n<p data-start=\"1082\" data-end=\"1093\"><strong data-start=\"1082\" data-end=\"1091\">\u30c7\u30e1\u30ea\u30c3\u30c8<\/strong><\/p>\n<ul data-start=\"1094\" data-end=\"1154\">\n<li data-start=\"1094\" data-end=\"1127\">\n<p data-start=\"1096\" data-end=\"1127\">\u904e\u77ef\u6b63\u306b\u3088\u308b\u6d6e\u8dbe\uff08toes off the ground\uff09<\/p>\n<\/li>\n<li data-start=\"1128\" data-end=\"1154\">\n<p data-start=\"1130\" data-end=\"1154\">\u96a3\u63a5\u8dbe\u3078\u306e\u8377\u91cd\u79fb\u52d5\u3067\u65b0\u305f\u306a\u6f70\u760d\u304c\u767a\u751f\u3059\u308b\u3053\u3068\u3042\u308a<\/p>\n<\/li>\n<\/ul>\n<hr data-start=\"898\" data-end=\"901\" \/>\n<h4 data-start=\"903\" data-end=\"922\"><span class=\"ez-toc-section\" id=\"2_PIP%E9%96%A2%E7%AF%80%E5%88%87%E9%99%A4%E8%A1%93%EF%BC%88Proximal_Interphalangeal_Joint_Resection_Arthroplasty%EF%BC%89\"><\/span>2. PIP\u95a2\u7bc0\u5207\u9664\u8853\uff08Proximal Interphalangeal Joint Resection Arthroplasty\uff09<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p data-start=\"1237\" data-end=\"1342\"><strong data-start=\"1237\" data-end=\"1243\">\u6982\u8981<\/strong><\/p>\n<ul>\n<li data-start=\"1237\" data-end=\"1342\">\u56fa\u5b9a\u5316\u3057\u305f\u8db3\u8dbe\u5909\u5f62\u306b\u5bfe\u3057\u3066PIP\u95a2\u7bc0\u3092\u5207\u9664\u3057\u3001\u5909\u5f62\u3092\u6839\u672c\u304b\u3089\u77ef\u6b63\u3002<\/li>\n<li data-start=\"1237\" data-end=\"1342\">\u56fa\u5b9a\u6027\u306e\u30cf\u30f3\u30de\u30fc\u30c8\u30a5\uff08hammer toe\uff09\u3001\u30af\u30ed\u30fc\u30c8\u30a5\uff08claw toe\uff09\u3067\u8db3\u5e95\u30fb\u80cc\u5074\u306b\u7a81\u51fa\u304c\u5f37\u3044\u5834\u5408\u306b\u9069\u5fdc\u3002<\/li>\n<\/ul>\n<p data-start=\"1344\" data-end=\"1352\"><strong data-start=\"1344\" data-end=\"1350\">\u9069\u5fdc<\/strong><\/p>\n<ul data-start=\"1353\" data-end=\"1402\">\n<li data-start=\"1353\" data-end=\"1371\">\n<p data-start=\"1355\" data-end=\"1371\">\u8db3\u8dbe\u5909\u5f62\u304c\u56fa\u5b9a\u5316\u3057\u3066\u3044\u308b\u5834\u5408<\/p>\n<\/li>\n<li data-start=\"1372\" data-end=\"1402\">\n<p data-start=\"1374\" data-end=\"1402\">\u7e70\u308a\u8fd4\u3059\u6f70\u760d\u3084\u80fc\u80dd\uff08\u30bf\u30b3\uff09\u304cPIP\u95a2\u7bc0\u5468\u56f2\u306b\u767a\u751f\u3059\u308b\u75c7\u4f8b<\/p>\n<\/li>\n<\/ul>\n<p data-start=\"1404\" data-end=\"1412\"><strong data-start=\"1404\" data-end=\"1410\">\u8853\u5f0f<\/strong><\/p>\n<ol>\n<li data-start=\"1413\" data-end=\"1426\">\n<p data-start=\"1416\" data-end=\"1426\">\u8db3\u8dbe\u80cc\u5074\u306b\u5c0f\u5207\u958b<\/p>\n<\/li>\n<li data-start=\"1427\" data-end=\"1452\">\n<p data-start=\"1430\" data-end=\"1452\"><strong data-start=\"1430\" data-end=\"1450\">\u57fa\u7bc0\u9aa8\u9060\u4f4d\u7aef\u3068\u4e2d\u7bc0\u9aa8\u8fd1\u4f4d\u7aef\u3092\u5207\u9664<\/strong><\/p>\n<\/li>\n<li data-start=\"1453\" data-end=\"1484\">\n<p data-start=\"1456\" data-end=\"1484\">\u8db3\u8dbe\u3092\u4f38\u5c55\u4f4d\u306b\u6574\u5fa9\u3057\u3001<strong data-start=\"1467\" data-end=\"1482\">K-wire\u3067\u4e00\u6642\u56fa\u5b9a<\/strong><\/p>\n<\/li>\n<li data-start=\"1485\" data-end=\"1503\">\n<p data-start=\"1488\" data-end=\"1503\">2\u301c3\u9031\u9593\u5f8c\u306bK-wire\u629c\u53bb<\/p>\n<\/li>\n<\/ol>\n<div id=\"attachment_5442\" style=\"width: 470px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" aria-describedby=\"caption-attachment-5442\" class=\"size-full wp-image-5442\" src=\"https:\/\/imedica.jp\/wp-content\/uploads\/2025\/09\/h9991626_002.jpg\" alt=\"\" width=\"460\" height=\"300\" srcset=\"https:\/\/imedica.jp\/wp-content\/uploads\/2025\/09\/h9991626_002.jpg 460w, https:\/\/imedica.jp\/wp-content\/uploads\/2025\/09\/h9991626_002-300x196.jpg 300w\" sizes=\"(max-width: 460px) 100vw, 460px\" \/><p id=\"caption-attachment-5442\" class=\"wp-caption-text\">Hammer toe\u306b\u5bfe\u3059\u308bPIP\u95a2\u7bc0\u5207\u9664\u8853: \u5909\u5f62\u3057\u305f\u8db3\u8dbe\u306e\u95a2\u7bc0\u90e8\u3067\u9aa8\u3092\u5207\u9664\u3057\u3001\u8db3\u8dbe\u3092\u4f38\u5c55\u4f4d\u306b\u6574\u5fa9\u3059\u308b\u3053\u3068\u3067\u8db3\u5e95\u5074\u3078\u306e\u7a81\u51fa\u3092\u8efd\u6e1b\u3059\u308b\u3002<\/p><\/div>\n<p data-start=\"1505\" data-end=\"1515\"><strong data-start=\"1505\" data-end=\"1513\">\u30e1\u30ea\u30c3\u30c8<\/strong><\/p>\n<ul data-start=\"1516\" data-end=\"1549\">\n<li data-start=\"1516\" data-end=\"1531\">\n<p data-start=\"1518\" data-end=\"1531\">\u5909\u5f62\u3092\u6839\u672c\u7684\u306b\u77ef\u6b63\u53ef\u80fd<\/p>\n<\/li>\n<li data-start=\"1532\" data-end=\"1549\">\n<p data-start=\"1534\" data-end=\"1549\">\u8db3\u5e95\u7a81\u51fa\u304c\u6d88\u5931\u3057\u6f70\u760d\u518d\u767a\u3092\u9632\u6b62<\/p>\n<\/li>\n<\/ul>\n<p data-start=\"1551\" data-end=\"1562\"><strong data-start=\"1551\" data-end=\"1560\">\u30c7\u30e1\u30ea\u30c3\u30c8<\/strong><\/p>\n<ul data-start=\"1563\" data-end=\"1608\">\n<li data-start=\"1563\" data-end=\"1578\">\n<p data-start=\"1565\" data-end=\"1578\">\u8db3\u8dbe\u77ed\u7e2e\u306b\u3088\u308b\u5916\u89b3\u5909\u5316<\/p>\n<\/li>\n<li data-start=\"1579\" data-end=\"1599\">\n<p data-start=\"1581\" data-end=\"1599\">\u96a3\u63a5\u8dbe\u3078\u306e\u8377\u91cd\u96c6\u4e2d\u306b\u3088\u308b\u65b0\u898f\u6f70\u760d<\/p>\n<\/li>\n<li data-start=\"1600\" data-end=\"1608\">\n<p data-start=\"1602\" data-end=\"1608\">\u5275\u611f\u67d3\u30ea\u30b9\u30af<\/p>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<hr data-start=\"1120\" data-end=\"1123\" \/>\n<h4 data-start=\"1125\" data-end=\"1172\"><span class=\"ez-toc-section\" id=\"3_%E4%B8%AD%E8%B6%B3%E9%AA%A8%E9%A0%B8%E9%83%A8%E9%AA%A8%E5%88%87%E3%82%8A%E8%A1%93%EF%BC%88Metatarsal_Neck_Osteotomy%EF%BC%89\"><\/span>3. <strong data-start=\"1322\" data-end=\"1362\">\u4e2d\u8db3\u9aa8\u9838\u90e8\u9aa8\u5207\u308a\u8853\uff08Metatarsal Neck Osteotomy\uff09<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p data-start=\"1664\" data-end=\"1749\"><strong data-start=\"1664\" data-end=\"1670\">\u6982\u8981<\/strong><\/p>\n<ul>\n<li data-start=\"1664\" data-end=\"1749\">\u8db3\u8dbe\u306b\u306f\u624b\u3092\u52a0\u3048\u305a\u3001<strong data-start=\"1683\" data-end=\"1696\">\u4e2d\u8db3\u9aa8\u9838\u90e8\u3067\u9aa8\u5207\u308a<\/strong>\u3092\u884c\u3044\u3001\u4e2d\u8db3\u9aa8\u982d\u306e\u7a81\u51fa\u3092\u6e1b\u3089\u3059\u3053\u3068\u3067\u8db3\u5e95\u5727\u3092\u8efd\u6e1b\u3059\u308b\u624b\u8853\u3002<\/li>\n<li data-start=\"1664\" data-end=\"1749\"><strong data-start=\"1728\" data-end=\"1743\">\u9650\u5c40\u3057\u305f\u4e2d\u8db3\u9aa8\u982d\u4e0b\u6f70\u760d<\/strong>\u306b\u7279\u306b\u6709\u52b9\u3002<\/li>\n<\/ul>\n<p data-start=\"1751\" data-end=\"1759\"><strong data-start=\"1751\" data-end=\"1757\">\u9069\u5fdc<\/strong><\/p>\n<ul data-start=\"1760\" data-end=\"1827\">\n<li data-start=\"1760\" data-end=\"1779\">\n<p data-start=\"1762\" data-end=\"1779\">\u7b2c2\u301c\u7b2c5\u4e2d\u8db3\u9aa8\u982d\u4e0b\u306e\u9650\u5c40\u6f70\u760d<\/p>\n<\/li>\n<li data-start=\"1780\" data-end=\"1804\">\n<p data-start=\"1782\" data-end=\"1804\">\u8db3\u8dbe\u5909\u5f62\u304c\u8efd\u5ea6\u3067PIP\u95a2\u7bc0\u5207\u9664\u4e0d\u8981\u306a\u75c7\u4f8b<\/p>\n<\/li>\n<li data-start=\"1805\" data-end=\"1827\">\n<p data-start=\"1807\" data-end=\"1827\">\u4fdd\u5b58\u7642\u6cd5\u30fb\u8171\u5207\u96e2\u8853\u3067\u6539\u5584\u304c\u5f97\u3089\u308c\u306a\u3044\u75c7\u4f8b<\/p>\n<\/li>\n<\/ul>\n<p data-start=\"1829\" data-end=\"1837\"><strong data-start=\"1829\" data-end=\"1835\">\u8853\u5f0f<\/strong><\/p>\n<ol>\n<li data-start=\"1838\" data-end=\"1860\">\n<p data-start=\"1841\" data-end=\"1860\">\u80cc\u5074\u304b\u3089\u5c0f\u5207\u958b\u3057\u3066\u4e2d\u8db3\u9aa8\u9838\u90e8\u3092\u9732\u51fa<\/p>\n<\/li>\n<li data-start=\"1861\" data-end=\"1893\">\n<p data-start=\"1864\" data-end=\"1893\">\u6a2a\u65b9\u5411\u306b\u9aa8\u5207\u308a\u3057\u3001\u9aa8\u982d\u3092<strong data-start=\"1876\" data-end=\"1891\">\u80cc\u5074\u30fb\u8fd1\u4f4d\u65b9\u5411\u3078\u5fae\u8abf\u6574<\/strong><\/p>\n<\/li>\n<li data-start=\"1894\" data-end=\"1924\">\n<p data-start=\"1897\" data-end=\"1924\">\u591a\u304f\u306f\u5185\u56fa\u5b9a\u4e0d\u8981\u3060\u304c\u3001\u4e0d\u5b89\u5b9a\u4f8b\u3067\u306fK-wire\u4f7f\u7528<\/p>\n<\/li>\n<li data-start=\"1925\" data-end=\"1938\">\n<p data-start=\"1928\" data-end=\"1938\">\u76ae\u4e0b\u7d44\u7e54\u30fb\u76ae\u819a\u3092\u7e2b\u5408<\/p>\n<\/li>\n<\/ol>\n<div id=\"attachment_5441\" style=\"width: 657px\" class=\"wp-caption alignnone\"><img decoding=\"async\" aria-describedby=\"caption-attachment-5441\" class=\"size-full wp-image-5441\" src=\"https:\/\/imedica.jp\/wp-content\/uploads\/2025\/09\/ElobjAJU0AE3Srg.jpg\" alt=\"\" width=\"647\" height=\"450\" srcset=\"https:\/\/imedica.jp\/wp-content\/uploads\/2025\/09\/ElobjAJU0AE3Srg.jpg 647w, https:\/\/imedica.jp\/wp-content\/uploads\/2025\/09\/ElobjAJU0AE3Srg-300x209.jpg 300w\" sizes=\"(max-width: 647px) 100vw, 647px\" \/><p id=\"caption-attachment-5441\" class=\"wp-caption-text\">\u4e2d\u8db3\u9aa8\u982d\u4e0b\u306e\u6f70\u760d\u90e8\u4f4d\u306b\u304b\u304b\u308b\u8377\u91cd\u3092\u5206\u6563\u3059\u308b\u305f\u3081\u3001\u9aa8\u982d\u3092\u8fd1\u4f4d\u30fb\u80cc\u5074\u306b\u79fb\u52d5\u3057\u30b9\u30af\u30ea\u30e5\u30fc\u3067\u56fa\u5b9a\u3001\u80cc\u5074\u306e\u7a81\u51fa\u90e8\u306f\u5207\u9664\u3059\u308b\u3002<\/p><\/div>\n<p data-start=\"2273\" data-end=\"2283\"><strong data-start=\"2273\" data-end=\"2281\">\u30e1\u30ea\u30c3\u30c8<\/strong><\/p>\n<ul data-start=\"2284\" data-end=\"2342\">\n<li data-start=\"2284\" data-end=\"2306\">\n<p data-start=\"2286\" data-end=\"2306\">\u8db3\u8dbe\u306e\u9577\u3055\u3092\u4fdd\u3061\u306a\u304c\u3089\u5727\u3092\u5206\u6563\u3067\u304d\u308b<\/p>\n<\/li>\n<li data-start=\"2307\" data-end=\"2322\">\n<p data-start=\"2309\" data-end=\"2322\">\u4f4e\u4fb5\u8972\u3067\u8853\u5f8c\u56de\u5fa9\u304c\u65e9\u3044<\/p>\n<\/li>\n<\/ul>\n<p data-start=\"2344\" data-end=\"2355\"><strong data-start=\"2344\" data-end=\"2353\">\u30c7\u30e1\u30ea\u30c3\u30c8<\/strong><\/p>\n<ul data-start=\"2356\" data-end=\"2418\">\n<li data-start=\"2356\" data-end=\"2386\">\n<p data-start=\"2358\" data-end=\"2386\">\u8377\u91cd\u304c\u96a3\u63a5\u4e2d\u8db3\u9aa8\u306b\u79fb\u52d5\u3057\u3066\u65b0\u305f\u306a\u6f70\u760d\u304c\u767a\u751f\u3059\u308b\u53ef\u80fd\u6027<\/p>\n<\/li>\n<li data-start=\"2387\" data-end=\"2402\">\n<p data-start=\"2389\" data-end=\"2402\">\u9aa8\u7652\u5408\u4e0d\u5168\u3084\u8ee2\u4f4d\u30ea\u30b9\u30af<\/p>\n<\/li>\n<li data-start=\"2403\" data-end=\"2418\">\n<p data-start=\"2405\" data-end=\"2418\">\u6d6e\u8dbe\u306b\u3088\u308b\u6b69\u884c\u30d0\u30e9\u30f3\u30b9\u5909\u5316<\/p>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<hr data-start=\"1383\" data-end=\"1386\" \/>\n<h4 data-start=\"1388\" data-end=\"1441\"><span class=\"ez-toc-section\" id=\"4_%E4%B8%AD%E8%B6%B3%E9%AA%A8%E7%9F%AD%E7%B8%AE%E9%AA%A8%E5%88%87%E3%82%8A%E8%A1%93%EF%BC%88Metatarsal_Shortening_Osteotomy%EF%BC%89\"><\/span>4. \u4e2d\u8db3\u9aa8\u77ed\u7e2e\u9aa8\u5207\u308a\u8853\uff08Metatarsal Shortening Osteotomy\uff09<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p data-start=\"2480\" data-end=\"2538\"><strong data-start=\"2480\" data-end=\"2486\">\u6982\u8981<\/strong><\/p>\n<ul>\n<li data-start=\"2480\" data-end=\"2538\">\u8907\u6570\u306e\u4e2d\u8db3\u9aa8\u3092\u77ed\u7e2e\u3057\u3001<strong data-start=\"2500\" data-end=\"2515\">\u524d\u8db3\u90e8\u5168\u4f53\u306e\u8377\u91cd\u3092\u5206\u6563<\/strong>\u3002<\/li>\n<li data-start=\"2480\" data-end=\"2538\">\u8907\u6570\u306e\u4e2d\u8db3\u9aa8\u982d\u4e0b\u6f70\u760d\u304c\u3042\u308b\u5834\u5408\u306b\u6709\u52b9\u3002<\/li>\n<\/ul>\n<p data-start=\"2540\" data-end=\"2548\"><strong data-start=\"2540\" data-end=\"2546\">\u9069\u5fdc<\/strong><\/p>\n<ul data-start=\"2549\" data-end=\"2594\">\n<li data-start=\"2549\" data-end=\"2577\">\n<p data-start=\"2551\" data-end=\"2577\">\u524d\u8db3\u90e8\u5168\u4f53\u306b\u904e\u8377\u91cd\u304c\u3042\u308a\u3001\u8907\u6570\u6f70\u760d\u304c\u5b58\u5728\u3059\u308b\u75c7\u4f8b<\/p>\n<\/li>\n<li data-start=\"2578\" data-end=\"2594\">\n<p data-start=\"2580\" data-end=\"2594\">\u7279\u306b\u7b2c1\u301c\u7b2c3\u4e2d\u8db3\u9aa8\u982d\u4e0b\u6f70\u760d<\/p>\n<\/li>\n<\/ul>\n<p data-start=\"2596\" data-end=\"2604\"><strong data-start=\"2596\" data-end=\"2602\">\u8853\u5f0f<\/strong><\/p>\n<ol>\n<li data-start=\"2605\" data-end=\"2623\">\n<p data-start=\"2608\" data-end=\"2623\">\u80cc\u5074\u304b\u3089\u5207\u958b\u3057\u4e2d\u8db3\u9aa8\u3092\u9732\u51fa<\/p>\n<\/li>\n<li data-start=\"2624\" data-end=\"2652\">\n<p data-start=\"2627\" data-end=\"2652\">\u9aa8\u5207\u308a\u5f8c\u306b<strong data-start=\"2632\" data-end=\"2650\">\u30b9\u30af\u30ea\u30e5\u30fc\u3084\u30d7\u30ec\u30fc\u30c8\u3067\u5185\u56fa\u5b9a<\/strong><\/p>\n<\/li>\n<li data-start=\"2653\" data-end=\"2673\">\n<p data-start=\"2656\" data-end=\"2673\">\u8853\u5f8c\u306f\u514d\u8377\u6b69\u884c\u304b\u3089\u6bb5\u968e\u7684\u306b\u8377\u91cd\u958b\u59cb<\/p>\n<\/li>\n<\/ol>\n<p data-start=\"2675\" data-end=\"2685\"><strong data-start=\"2675\" data-end=\"2683\">\u30e1\u30ea\u30c3\u30c8<\/strong><\/p>\n<ul data-start=\"2686\" data-end=\"2718\">\n<li data-start=\"2686\" data-end=\"2701\">\n<p data-start=\"2688\" data-end=\"2701\">\u5e83\u7bc4\u56f2\u306e\u8377\u91cd\u5206\u6563\u304c\u53ef\u80fd<\/p>\n<\/li>\n<li data-start=\"2702\" data-end=\"2718\">\n<p data-start=\"2704\" data-end=\"2718\">\u518d\u767a\u7387\u3092\u4f4e\u4e0b\u3055\u305b\u308b\u52b9\u679c\u304c\u9ad8\u3044<\/p>\n<\/li>\n<\/ul>\n<p data-start=\"2720\" data-end=\"2731\"><strong data-start=\"2720\" data-end=\"2729\">\u30c7\u30e1\u30ea\u30c3\u30c8<\/strong><\/p>\n<ul data-start=\"2732\" data-end=\"2769\">\n<li data-start=\"2732\" data-end=\"2746\">\n<p data-start=\"2734\" data-end=\"2746\">\u624b\u8853\u4fb5\u8972\u304c\u3084\u3084\u5927\u304d\u3044<\/p>\n<\/li>\n<li data-start=\"2747\" data-end=\"2769\">\n<p data-start=\"2749\" data-end=\"2769\">\u56fa\u5b9a\u6750\u6599\u306b\u3088\u308b\u5408\u4f75\u75c7\u30ea\u30b9\u30af\uff08\u611f\u67d3\u30fb\u7de9\u307f\uff09<\/p>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<hr data-start=\"1572\" data-end=\"1575\" \/>\n<h4 data-start=\"1577\" data-end=\"1625\"><span class=\"ez-toc-section\" id=\"5_%E3%82%A2%E3%82%AD%E3%83%AC%E3%82%B9%E8%85%B1%E5%BB%B6%E9%95%B7%E8%A1%93%EF%BC%88Achilles_Tendon_Lengthening%EF%BC%89\"><\/span>5. <strong data-start=\"2783\" data-end=\"2824\">\u30a2\u30ad\u30ec\u30b9\u8171\u5ef6\u9577\u8853\uff08Achilles Tendon Lengthening\uff09<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p data-start=\"2826\" data-end=\"2881\"><strong data-start=\"2826\" data-end=\"2832\">\u6982\u8981<\/strong><\/p>\n<ul>\n<li data-start=\"2826\" data-end=\"2881\">\u30a2\u30ad\u30ec\u30b9\u8171\u77ed\u7e2e\u306b\u3088\u308a\u524d\u8db3\u90e8\u306b\u8377\u91cd\u304c\u96c6\u4e2d\u3057\u3066\u3044\u308b\u5834\u5408\u306b\u3001\u30a2\u30ad\u30ec\u30b9\u8171\u3092\u5ef6\u9577\u3057\u3066\u5727\u3092\u5206\u6563\u3059\u308b\u624b\u8853\u3002<\/li>\n<\/ul>\n<p data-start=\"2883\" data-end=\"2891\"><strong data-start=\"2883\" data-end=\"2889\">\u9069\u5fdc<\/strong><\/p>\n<ul data-start=\"2892\" data-end=\"2932\">\n<li data-start=\"2892\" data-end=\"2917\">\n<p data-start=\"2894\" data-end=\"2917\">\u8e35\u63a5\u5730\u304c\u4e0d\u5341\u5206\u3067\u3001\u524d\u8db3\u90e8\u6f70\u760d\u3092\u7e70\u308a\u8fd4\u3059\u75c7\u4f8b<\/p>\n<\/li>\n<li data-start=\"2918\" data-end=\"2932\">\n<p data-start=\"2920\" data-end=\"2932\">\u6b69\u884c\u6642\u306e\u8e35\u96e2\u5730\u304c\u65e9\u3044\u75c7\u4f8b<\/p>\n<\/li>\n<\/ul>\n<p data-start=\"2934\" data-end=\"2942\"><strong data-start=\"2934\" data-end=\"2940\">\u8853\u5f0f<\/strong><\/p>\n<ul>\n<li data-start=\"2943\" data-end=\"2960\">\n<p data-start=\"2945\" data-end=\"2960\">\u7d4c\u76ae\u7684\u4e09\u5206\u5272\u5ef6\u9577\u6cd5\u304c\u4e00\u822c\u7684<\/p>\n<\/li>\n<li data-start=\"2961\" data-end=\"2974\">\n<p data-start=\"2963\" data-end=\"2974\">\u8853\u5f8c\u306f\u77ed\u4e0b\u80a2\u88c5\u5177\u3067\u56fa\u5b9a<\/p>\n<\/li>\n<\/ul>\n<div id=\"attachment_5440\" style=\"width: 226px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" aria-describedby=\"caption-attachment-5440\" class=\"wp-image-5440 size-medium\" src=\"https:\/\/imedica.jp\/wp-content\/uploads\/2025\/09\/145758_4_En_19_Fig24_HTML-216x300.jpg\" alt=\"\" width=\"216\" height=\"300\" srcset=\"https:\/\/imedica.jp\/wp-content\/uploads\/2025\/09\/145758_4_En_19_Fig24_HTML-216x300.jpg 216w, https:\/\/imedica.jp\/wp-content\/uploads\/2025\/09\/145758_4_En_19_Fig24_HTML.jpg 685w\" sizes=\"(max-width: 216px) 100vw, 216px\" \/><p id=\"caption-attachment-5440\" class=\"wp-caption-text\">\u7d4c\u76ae\u7684\u30a2\u30ad\u30ec\u30b9\u8171\u5ef6\u9577\u8853\u306e\u5207\u958b\u30e9\u30a4\u30f3\u3092\u793a\u3059\u56f3\u3002\u4e09\u30ab\u6240\u3067\u5c0f\u5207\u958b\u3092\u52a0\u3048\u3001\u30a2\u30ad\u30ec\u30b9\u8171\u3092\u5206\u5272\u5ef6\u9577\u3059\u308b\u3053\u3068\u3067\u524d\u8db3\u90e8\u3078\u306e\u904e\u5270\u306a\u8377\u91cd\u3092\u8efd\u6e1b\u3059\u308b\u3002<\/p><\/div>\n<p data-start=\"2976\" data-end=\"2986\"><strong data-start=\"2976\" data-end=\"2984\">\u30e1\u30ea\u30c3\u30c8<\/strong><\/p>\n<ul data-start=\"2987\" data-end=\"3028\">\n<li data-start=\"2987\" data-end=\"3006\">\n<p data-start=\"2989\" data-end=\"3006\">\u524d\u8db3\u90e8\u3078\u306e\u904e\u8377\u91cd\u3092\u6839\u672c\u304b\u3089\u8efd\u6e1b<\/p>\n<\/li>\n<li data-start=\"3007\" data-end=\"3028\">\n<p data-start=\"3009\" data-end=\"3028\">\u4ed6\u306e\u30aa\u30d5\u30ed\u30fc\u30c7\u30a3\u30f3\u30b0\u624b\u8853\u3068\u306e\u4f75\u7528\u304c\u53ef\u80fd<\/p>\n<\/li>\n<\/ul>\n<p data-start=\"3030\" data-end=\"3041\"><strong data-start=\"3030\" data-end=\"3039\">\u30c7\u30e1\u30ea\u30c3\u30c8<\/strong><\/p>\n<ul data-start=\"3042\" data-end=\"3069\">\n<li data-start=\"3042\" data-end=\"3057\">\n<p data-start=\"3044\" data-end=\"3057\">\u904e\u5270\u5ef6\u9577\u306b\u3088\u308b\u6b69\u884c\u969c\u5bb3<\/p>\n<\/li>\n<li data-start=\"3058\" data-end=\"3069\">\n<p data-start=\"3060\" data-end=\"3069\">\u8853\u5f8c\u30ea\u30cf\u30d3\u30ea\u304c\u5fc5\u8981<\/p>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<hr data-start=\"1737\" data-end=\"1740\" \/>\n<h4 data-start=\"1742\" data-end=\"1767\"><span class=\"ez-toc-section\" id=\"6_Charcot%E9%96%A2%E7%AF%80%E5%A4%89%E5%BD%A2%E7%9F%AF%E6%AD%A3%E8%A1%93\"><\/span>6. <strong data-start=\"1749\" data-end=\"1767\">Charcot\u95a2\u7bc0\u5909\u5f62\u77ef\u6b63\u8853<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p data-start=\"3103\" data-end=\"3154\"><strong data-start=\"3103\" data-end=\"3109\">\u6982\u8981<\/strong><\/p>\n<ul>\n<li data-start=\"3103\" data-end=\"3154\">Charcot\u8db3\u3067\u8db3\u90e8\u306e\u9aa8\u69cb\u9020\u304c\u5d29\u58ca\u3057\u305f\u5834\u5408\u306b\u3001\u9aa8\u5207\u308a\u3084\u56fa\u5b9a\u3067\u8db3\u90e8\u3092\u5b89\u5b9a\u5316\u3059\u308b\u624b\u8853\u3002<\/li>\n<\/ul>\n<p data-start=\"3156\" data-end=\"3164\"><strong data-start=\"3156\" data-end=\"3162\">\u9069\u5fdc<\/strong><\/p>\n<ul data-start=\"3165\" data-end=\"3188\">\n<li data-start=\"3165\" data-end=\"3188\">\n<p data-start=\"3167\" data-end=\"3188\">Charcot\u95a2\u7bc0\u306b\u3088\u308b\u91cd\u5ea6\u5909\u5f62\u3068\u6162\u6027\u6f70\u760d<\/p>\n<\/li>\n<\/ul>\n<p data-start=\"3190\" data-end=\"3198\"><strong data-start=\"3190\" data-end=\"3196\">\u8853\u5f0f<\/strong><\/p>\n<ul>\n<li data-pm-slice=\"1 1 []\">\u8efd\u5ea6\u5909\u5f62\uff1a\u9aa8\u5207\u308a\uff0b\u9aa8\u7247\u518d\u914d\u7f6e<\/li>\n<li>\u91cd\u5ea6\u5909\u5f62\uff1a\u30b9\u30af\u30ea\u30e5\u30fc\u3084\u30d7\u30ec\u30fc\u30c8\u3092\u7528\u3044\u305f\u95a2\u7bc0\u56fa\u5b9a\u8853\u30fb\u9aa8\u878d\u5408\u8853<\/li>\n<\/ul>\n<p data-start=\"3255\" data-end=\"3265\"><strong data-start=\"3255\" data-end=\"3263\">\u30e1\u30ea\u30c3\u30c8<\/strong><\/p>\n<ul data-start=\"3266\" data-end=\"3296\">\n<li data-start=\"3266\" data-end=\"3287\">\n<p data-start=\"3268\" data-end=\"3287\">\u8db3\u90e8\u30a2\u30fc\u30c1\u306e\u518d\u5efa\u306b\u3088\u308b\u6f70\u760d\u518d\u767a\u4e88\u9632<\/p>\n<\/li>\n<li data-start=\"3288\" data-end=\"3296\">\n<p data-start=\"3290\" data-end=\"3296\">\u6b69\u884c\u80fd\u529b\u6539\u5584<\/p>\n<\/li>\n<\/ul>\n<p data-start=\"3298\" data-end=\"3309\"><strong data-start=\"3298\" data-end=\"3307\">\u30c7\u30e1\u30ea\u30c3\u30c8<\/strong><\/p>\n<ul data-start=\"3310\" data-end=\"3336\">\n<li data-start=\"3310\" data-end=\"3323\">\n<p data-start=\"3312\" data-end=\"3323\">\u9aa8\u304c\u8106\u5f31\u3067\u56fa\u5b9a\u56f0\u96e3<\/p>\n<\/li>\n<li data-start=\"3324\" data-end=\"3336\">\n<p data-start=\"3326\" data-end=\"3336\">\u8853\u5f8c\u514d\u8377\u671f\u9593\u304c\u9577\u671f\u5316<\/p>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<h4 class=\"st-matome\"><span class=\"ez-toc-section\" id=\"%E8%A1%93%E5%BC%8F%E9%81%B8%E6%8A%9E%E3%81%AE%E7%9B%AE%E5%AE%89\"><\/span>\u8853\u5f0f\u9078\u629e\u306e\u76ee\u5b89<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<table>\n<thead>\n<tr>\n<th>\u75c5\u614b<\/th>\n<th>\u63a8\u5968\u8853\u5f0f<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>\u8efd\u5ea6\u306e\u53ef\u52d5\u6027\u5909\u5f62<\/td>\n<td>\u8171\u5207\u96e2\u8853<\/td>\n<\/tr>\n<tr>\n<td>\u4e2d\u301c\u9ad8\u5ea6\u306e\u56fa\u5b9a\u6027\u5909\u5f62<\/td>\n<td>PIP\u95a2\u7bc0\u5207\u9664\u8853<\/td>\n<\/tr>\n<tr>\n<td>\u9650\u5c40\u3057\u305f\u9aa8\u982d\u4e0b\u6f70\u760d<\/td>\n<td>\u4e2d\u8db3\u9aa8\u9838\u90e8\u9aa8\u5207\u308a\u8853\uff08Floating\u3001DMDO\u542b\u3080\uff09<\/td>\n<\/tr>\n<tr>\n<td>\u524d\u8db3\u90e8\u5168\u4f53\u306e\u904e\u8377\u91cd<\/td>\n<td>\u4e2d\u8db3\u9aa8\u77ed\u7e2e\u9aa8\u5207\u308a\u8853<\/td>\n<\/tr>\n<tr>\n<td>\u30a2\u30ad\u30ec\u30b9\u8171\u77ed\u7e2e\u3042\u308a<\/td>\n<td>\u30a2\u30ad\u30ec\u30b9\u8171\u5ef6\u9577\u8853<\/td>\n<\/tr>\n<tr>\n<td>Charcot\u8db3\u91cd\u5ea6\u5909\u5f62<\/td>\n<td>\u9aa8\u5207\u308a\uff0b\u9aa8\u878d\u5408\u8853<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<h4 class=\"st-matome\"><span class=\"ez-toc-section\" id=\"%E8%A1%93%E5%BE%8C%E7%AE%A1%E7%90%86\"><\/span>postoperative management<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p data-start=\"3572\" data-end=\"3586\"><strong>1. \u514d\u8377\u3068\u6b69\u884c\u6307\u5c0e<\/strong><\/p>\n<ul data-start=\"3587\" data-end=\"3639\">\n<li data-start=\"3587\" data-end=\"3602\">\n<p data-start=\"3589\" data-end=\"3602\">\u8853\u5f8c\u306f\u514d\u8377\u6b69\u884c\u304b\u3089\u958b\u59cb<\/p>\n<\/li>\n<li data-start=\"3603\" data-end=\"3624\">\n<p data-start=\"3605\" data-end=\"3624\">\u90e8\u5206\u8377\u91cd \u2192 \u5168\u8377\u91cd\u3078\u6bb5\u968e\u7684\u306b\u79fb\u884c<\/p>\n<\/li>\n<li data-start=\"3625\" data-end=\"3639\">\n<p data-start=\"3627\" data-end=\"3639\">\u514d\u8377\u9774\u3084\u77ed\u4e0b\u80a2\u88c5\u5177\u3092\u4f7f\u7528<\/p>\n<\/li>\n<\/ul>\n<p data-start=\"3641\" data-end=\"3652\"><strong>2. \u518d\u767a\u4e88\u9632<\/strong><\/p>\n<ul data-start=\"3653\" data-end=\"3709\">\n<li data-start=\"3653\" data-end=\"3676\">\n<p data-start=\"3655\" data-end=\"3676\">\u8db3\u90e8\u3092\u6bce\u65e5\u89b3\u5bdf\u3057\u3001\u767a\u8d64\u30fb\u6c34\u75b1\u3092\u65e9\u671f\u767a\u898b<\/p>\n<\/li>\n<li data-start=\"3677\" data-end=\"3696\">\n<p data-start=\"3679\" data-end=\"3696\">\u30aa\u30fc\u30c0\u30fc\u30e1\u30a4\u30c9\u30a4\u30f3\u30bd\u30fc\u30eb\u3092\u4f75\u7528<\/p>\n<\/li>\n<li data-start=\"3697\" data-end=\"3709\">\n<p data-start=\"3699\" data-end=\"3709\">\u8853\u5f8c\u3082\u88c5\u5177\u4f7f\u7528\u3092\u7d99\u7d9a<\/p>\n<\/li>\n<\/ul>\n<p data-start=\"3711\" data-end=\"3722\"><strong>3. \u8840\u7cd6\u7ba1\u7406<\/strong><\/p>\n<ul data-start=\"3723\" data-end=\"3761\">\n<li data-start=\"3723\" data-end=\"3745\">\n<p data-start=\"3725\" data-end=\"3745\">\u9ad8\u8840\u7cd6\u306f\u5275\u50b7\u6cbb\u7652\u9045\u5ef6\u3084\u611f\u67d3\u30ea\u30b9\u30af\u5897\u52a0<\/p>\n<\/li>\n<li data-start=\"3746\" data-end=\"3761\">\n<p data-start=\"3748\" data-end=\"3761\">\u7cd6\u5c3f\u75c5\u5c02\u9580\u533b\u3068\u9023\u643a\u3057\u3066\u7ba1\u7406<\/p>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h4 class=\"st-matome\"><span class=\"ez-toc-section\" id=\"%E5%A4%9A%E8%81%B7%E7%A8%AE%E9%80%A3%E6%90%BA\"><\/span>\u591a\u8077\u7a2e\u9023\u643a<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p data-start=\"3777\" data-end=\"3810\"><div class=\"st-kaiwa-box kaiwaicon2 clearfix\"><div class=\"st-kaiwa-face\"><img decoding=\"async\" src=\"https:\/\/imedica.jp\/wp-content\/uploads\/2021\/07\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2021-07-02-23.28.51\uff082\uff09.jpeg\" width=\"60px\"><div class=\"st-kaiwa-face-name\">medical advisor<\/div><\/div><div class=\"st-kaiwa-area\"><div class=\"st-kaiwa-hukidashi\">\u30aa\u30d5\u30ed\u30fc\u30c7\u30a3\u30f3\u30b0\u624b\u8853\u306e\u6210\u529f\u306b\u306f\u30c1\u30fc\u30e0\u533b\u7642\u304c\u4e0d\u53ef\u6b20\u3060\u3088\u3002<\/div><\/div><\/div><\/p>\n<ul data-start=\"3811\" data-end=\"3941\">\n<li data-start=\"3811\" data-end=\"3836\">\n<p data-start=\"3813\" data-end=\"3836\"><strong data-start=\"3813\" data-end=\"3826\">\u5f62\u6210\u5916\u79d1\u30fb\u6574\u5f62\u5916\u79d1<\/strong>\uff1a\u624b\u8853\u3068\u8853\u5f8c\u7ba1\u7406<\/p>\n<\/li>\n<li data-start=\"3837\" data-end=\"3859\">\n<p data-start=\"3839\" data-end=\"3859\"><strong data-start=\"3839\" data-end=\"3848\">\u7cd6\u5c3f\u75c5\u5185\u79d1<\/strong>\uff1a\u8840\u7cd6\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb<\/p>\n<\/li>\n<li data-start=\"3860\" data-end=\"3889\">\n<p data-start=\"3862\" data-end=\"3889\"><strong data-start=\"3862\" data-end=\"3877\">\u770b\u8b77\u5e2b\u30fb\u30d5\u30c3\u30c8\u30b1\u30a2\u5916\u6765<\/strong>\uff1a\u5275\u90e8\u7ba1\u7406\u3068\u60a3\u8005\u6559\u80b2<\/p>\n<\/li>\n<li data-start=\"3890\" data-end=\"3914\">\n<p data-start=\"3892\" data-end=\"3914\"><strong data-start=\"3892\" data-end=\"3901\">\u7fa9\u80a2\u88c5\u5177\u58eb<\/strong>\uff1a\u88c5\u5177\u3084\u30a4\u30f3\u30bd\u30fc\u30eb\u4f5c\u6210<\/p>\n<\/li>\n<li data-start=\"3915\" data-end=\"3941\">\n<p data-start=\"3917\" data-end=\"3941\"><strong data-start=\"3917\" data-end=\"3931\">\u30ea\u30cf\u30d3\u30ea\u30c6\u30fc\u30b7\u30e7\u30f3\u79d1<\/strong>\uff1a\u6b69\u884c\u8a13\u7df4\u3068\u514d\u8377\u6307\u5c0e<\/p>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h4 class=\"st-matome\"><span class=\"ez-toc-section\" id=\"%E3%81%BE%E3%81%A8%E3%82%81\"><\/span>\u307e\u3068\u3081<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<ul>\n<li>\u30aa\u30d5\u30ed\u30fc\u30c7\u30a3\u30f3\u30b0\u624b\u8853\u306f\u3001\u7cd6\u5c3f\u75c5\u6027\u8db3\u6f70\u760d\u3084Charcot\u8db3\u306b\u304a\u3051\u308b\u518d\u767a\u4e88\u9632\u306e\u4e2d\u5fc3\u7684\u6cbb\u7642\u3067\u3059\u3002<\/li>\n<li><strong data-start=\"4003\" data-end=\"4037\">\u611f\u67d3\u5236\u5fa1 \u2192 \u8840\u6d41\u8a55\u4fa1 \u2192 \u8853\u5f0f\u9078\u629e 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