Trauma and reconstruction center

About the Trauma and reconstruction center

We seriously treat very severe trauma.
  • Shin-Yurigaoka General Hospital Trauma and reconstruction center

  • Difference between "trauma center" and "Trauma and reconstruction center"

    It is estimated that approximately 47% of trauma patients are orthopedic trauma patients, and trauma patients who are transported to the emergency room or critical care center sometimes take several months to be treated, even if they do well in the most common orthopedic trauma treatment.

While some patients are able to return to society, others have to live with several years of treatment and functional disability due to postoperative infection.

The difference in the course of the treatment depends on"specialized trauma reconstruction treatment" over the medium to long term, from the early stages of the injury to functional recovery.

Whether or not the patient can be treated with reintegration into society in mind?
This is the difference between a trauma and reconstruction center and a general "trauma center" that specializes mainly in the acute stage of injury.

Trauma and reconstruction center teamTrauma and reconstruction center team

The gears of trauma reconstructive treatment must be in precise alignment.

It is important that the gears for trauma reconstruction are properly engaged, and the cooperation of doctors, nursing rehabilitation staff, and patients is indispensable. Treatment cannot be completed simply by gathering together the techniques.

We also treat post-traumatic sequelae and intractable bone and soft-tissue infections such as "infected at other hospitals" and "complicated fractures that do not heal" by taking advantage of our strength to consistently provide a wide range of trauma treatment from skin to bone in a single group, which is rare in Japan.

Cases we treat

  1. Refractory fracture / Infected nonunion
  2. Malunion / Joint Surgery
  3. Polytrauma / Pelvic trauma
  4. Reconstruction of hand / upper limb trauma
    (Our hospital is a hand surgery certified training facility of the Japanese Society of Hand Surgery)
  5. Severe open limb fracture / soft tissue injury
  6. Reattachment and reconstructive treatment of amputated limbs
  7. *Of course, general fractures are also accepted.

Main treatments methods

Bone regeneration intractable fracture

Doctor introduction

  • Dr. Takashi Matsushita

  • Director, Trauma Reconstruction Center

    Prof. Takashi Matsushita

    Medical expertise
    Trauma、fracture、extremity bone reconstruction、Ilizarov method、elbow joint surgery

Bone Reconstruction and Corrective Surgery

Slow extension ＋ First-stage correction

  • This is a case in which the right lower extremity has been twisted 40 degrees since the trauma and the bone fusion has been shortened by 1 cm. This disorder was corrected by bone regeneration with external fixation. After correction, the symmetrical correction can be seen.
  • Slow extension ＋ First-stage orthodontics
  • Slow extension ＋ First-stage orthodontics

Doctor introduction

Malunion / Joint Surgery

We make full use of joint surgery techniques to deal with deformity healing and joint disorders after trauma.

【Case 1】23-year-old woman hit by train and injured Pelvic ring fracture

Pelvic ring fracture
Pelvic ring fractureShe underwent surgery at another hospital. Limp and abnormal sitting posture due to malunion 1.5 years after injury
Pelvic ring fracturePelvic correction after osteotomy
Pelvic ring fracture4 years after surgery: Good pelvic correction was obtained, and limp and postural abnormalities disappeared.

【Case 2】67 years old, male Subtrochanteric fracture Nonunion correction and internal fixation with Angle plate

  • 転子下骨折偽関節The patient underwent internal fixation of a subtrochanteric fracture at another hospital, but no bony union was achieved and the implant was broken, and the patient was unable to walk. The lower limb is also shortened.
  • 転子下骨折偽関節after reoperation
  • 転子下骨折偽関節One year later, bone fusion was obtained and walking recovered normally. The length of the lower limbs has also returned to normal.

[Case 3] 54 year-old male: traffic accident, proximal femur severely comminuted fracture

  • 転子下骨折偽関節Severely comminuted fracture of proximal femur
  • 転子下骨折偽関節3DCT findings
  • 転子下骨折偽関節3 months after primary total hip arthroplasty with internal fixation by locking plate. Bone union is achieved, and walking is possible without pain.

Severe trauma reconstruction

Doctor introduction

What is polytrauma / pelvic fracture?

Polytrauma is a condition in which a strong external force is applied to the whole body due to "high energy" represented by a traffic accident, causing multiple injuries to the body. In particular, fractures of the pelvis that protect the internal organs as well as the limbs are severe fractures that bleed into the abdomen and are life-threatening.

Pelvic fractures include pelvic ring fractures in which the ring structure of the pelvis is disrupted due to large external force trauma such as these traffic accidents, and acetabular fracture in which the acetabulum that forms the articular surface of the hip joint is fractured. There are avulsion fractures in which muscle attachments are torn apart due to sports trauma (From the Japanese Society for Fracture Treatment).

The unstable pelvic ring fracture described above is a severe pelvic trauma that presents with hemorrhagic shock and can be life-threatening. In addition to blood transfusion, after stabilizing the general condition by hemostasis and damage control, final internal fixation is performed with an internal fixation metal material. After that, if there are no complications, active rehabilitation begins.

What is Severe Limb Trauma Reconstruction?

It refers to treatment that repairs damage from the skin to muscles, tendons, skeletons, nerves, and blood vessels.

It is the ultimate treatment technique that directly compensates for the injured site by transplanting the collected self-tissue. In particular, self-tissue transplantation and tissue replacement treatment have greatly improved both the infection rate and treatment success rate in trauma treatment.

The effects of these trauma reconstruction techniques are dramatic and may preserve limb trauma cases that would otherwise be amputated.

What is hand / upper limb trauma reconstruction?

Our Trauma Reconstruction Center has four full-time hand surgeons certified by the Japanese Society of Hand Surgery (one of them is a hand surgery instructor) and is capable of providing specialized treatment for all kinds of hand and upper extremity trauma and complications and sequelae caused by trauma.

The number of hand surgery specialists at one facility is the highest among medical institutions in Kanagawa Prefecture (according to a 2021 Yomiuri Newspaper survey), enabling us to accept and provide specialized treatment to patients with urgent hand and upper extremity trauma 24 hours a day.

The hospital is also a core training facility accredited by the Japanese Society for Hand Surgery and plays a role in the education and training of hand surgeons.

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