TOTTORI UNIVERSITY HOSPITAL

• Head of division
  Hideki Nagashima

Orthopedic surgery tries to maintain/improve the "quality of life" of patients dealing with bone-joint and nerve-muscle. In our division, we treat a variety of locomotorium diseases such as rheumatoid diseases, degenerative bone and joint disease, spinal disease, hand diseases, bone and soft tissue tumor, metabolic bone disease, and sports injury. We have specialized staff to cover all fields, playing an important role in orthopedic surgery in the San-in region.

Field of expertise

The number of surgeries for spine diseases such as cervical spondylotic myelopathy, spinal canal stenosis, and lateral curvature is one of the highest in Japan. We perform more than 100 joint replacements, and we also perform osteotomy of the hip and knee joints. We have expertise in surgery/chemotherapy for neoplastic diseases, micro-surgery, and regenerative medicine using distraction osteogenesis. In the treatment of rheumatoid arthritis, we use biological products and achieve good results.

Diseases of interests

We support all orthopedic disorders, particularly focusing on the disorders below.

• Rheumatoid arthritis
• Degenerative bone and joint diseases including osteoarthrosis and rotator cuff tear
• Spinal diseases including cervical spondylotic myelopathy, spinal canal stenosis, and lateral curvature
• Sports injuries including knee ligament injury and osteochondritis dissecans
• Disease of the wrist and hand, microvascular surgery
• Bone and soft tissue tumor
• Osteoporosis

Principal treatment

• Surgical treatment for spinal diseases including cervical spondylotic myelopathy and spinal canal stenosis
• Surgical treatment for lateral spinal curvature
• Medical treatment (including biological product) and surgical treatment for rheumatic disease
• Extremity arthroscopy
• Artificial joint replacement for joints of the hip, knee, shoulder, elbow, etc.
• Joint preservation surgery for joints of hip, knee, etc. (osteotomy for degenerative joint disease, etc.)
• Hand surgery for finger injury, degenerative joint disease, etc.
• Microsurgery for finger replantation, skin flap, etc.
• Multidisciplinary treatment for malignant tumor of the bone and soft tissue
• Multidisciplinary treatment for bone and joint infections
• Medical treatment for osteoporosis
• Surgical treatment for severe injury including multiple bone fractures, spine and spinal cord injury, etc.

Principal tests

• Plain X-ray, CT scan, and MRI for general orthopedic diseases including spinal disease, etc.
• Echography for rheumatoid arthritis, degenerative joint disease, etc.
• Histopathological work-up by tissue biopsy for bone and soft tissue tumor
• Various scintigraphic methods for bone and soft tissue tumor, etc.
• Bone mineral density measurement for osteoporosis
• Bone biopsy for metabolic bone disease
• Nerve conduction velocity study and evoked electromyography for peripheral nerve disease, etc.
• KT-2000 knee arthrometer for anterior cruciate ligament injury
• Gait analysis and stabilometer for gait disorder, etc.