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Department of Orthopedic Surgery, Orthopedic Prosthesis Center
Special Edition
Prosthetic Treatment Specialization Group
We have created the Orthopedic Prosthesis Center for the patients with joint diseases, such as osteoarthritis and rheumatoid arthritis, for which joint replacement is necessary. It is a specialist group of full-time staff who specialize in prosthetic treatment for hip, knee, ankle, and elbow joints. They use new technology and techniques that have been developed from the many years of experience of our hospital's orthopedic and spinal surgeons. We deliver optimal treatment that fits the condition of each and every patient.
A Full-Time Specialist for Every Joint
The Prosthesis Center is a group specializing in prosthetic treatment, and the staff within each of the Knee Joint Prosthetics, Hip Joint Prosthetics, Leg Prosthetics, and Elbow Joint Prosthetics Outpatient Centers are responsibly conducting orthopedic examinations and surgical treatments. By always having at least two specialist staff for each joint and conducting periodic conferences before surgeries, we are able to develop a balanced treatment policy. We also take post-surgical follow-ups seriously, and conduct one outpatient examination per year over the patient's lifetime.
Prosthesis Center Staff
We accept all patients with severe joint pain, such as those with osteoarthritis of the knee, leg, shoulder, and elbow, rheumatoid arthritis, femoral head necrosis, osteonecrosis of the knee, and post-traumatic arthritis. For example, most cases of gonarthrosis and coxarthrosis may be caused by previous injury, due to age, excessive weight, etc. As these conditions worsen and necrosis evolves, it leads to severe pain and surgery may be necessary. If severe pain continues for more than three months, we recommend seeking treatment. There are cases where the elderly think it is just a part of aging, so it is important for family members to recognize this for them.
Reliable Surgeries Improve Post-Surgery Quality of Life
A patient's quality of life after surgery varies depending on whether the prosthesis's components (parts) were correctly installed in the right place during prosthetic surgery. We are introducing image-free navigation systems in all cases of prosthetic knee surgery. There is no worry of destruction and no need to take a CT or MRI in advance. By using specific tools to point out areas of reference during surgery, we can craft out a precise surgical plan. Since the stereoscopic surgery is more precise than with former methods, we can install the components more accurately. Furthermore, in some cases we can combine this with other types of navigation. For example, if it is impossible to use image-navigation system due the large size of operating area, we will use a 360 degree fluoroscopic image (x-ray) during surgery to understand the condition inside the joint.
Additionally, for all cases of prosthetic hip surgery, we create a detailed surgical plan called 3D Templating. Before surgery we take a CT scan of the hip joint, utilize a stereoscopically reconstructed image, understand the exact condition of the affected area, and create a plan for the surgery. In difficult cases where there are great irregularities in shape, we create a full-scale, solid model of the hip joint based on additional CT and MRI imagery. By making it possible to correctly understand the anatomical location, we can conduct a simulation before surgery. Surgical plans using the full-scale solid model can also be conducted for knee joint and elbow joint disorders.
Surgery with Many Variations
We select suitable surgery methods and implants to use based on the type of lifestyle the patient had before surgery and the type of lifestyle they require after surgery. This is not only surgery for implanting a prosthesis. Depending on the case, we might expect a more favorable outcome from osteotomy or arthrodesis. We select a method that fits the patient after carefully considering the suitability of the surgery.
We conduct a special surgery that leaves the ACL intact after implanting a knee-joint prosthetic. It is a surgery that comes close to emulating the form of a young person's knee in an elderly person. In recent years, new implants have been developed. In the future, we may be able to expect a combination method for preserving the ligaments.
Our hospital's Department of Orthopedic Surgery has the longest history in Japan and abundant experience. For example, the hip acetabulum osteotomy is an outstanding procedure that preserves the joint; however, there are cases where after about 30 years pass it is completely useless and requires surgery to replace it with a prosthesis. We have a lot of experience in this type of high-difficulty cases with adhesions and deformations. We are utilizing this experience when we conduct brand-new, difficult procedures as well.
Making Safety and Peace of Mind of the Utmost Importance
It is important to provide advanced treatment; however, even before that we consider safety and peace of mind to be of the utmost importance. We provide treatment that is most suitable for each patient, utilizing our previous experience and integrating new things. We take all necessary time and effort to make scrupulous preparations, to increase the procedure's accuracy and achieve great results for our patients. Furthermore, as prosthetic surgeries can cause bacterial infections, we take the time to prevent contamination by thoroughly cleaning that area of the patient. Most notable is the fact that we haven't had a single case of contamination in a hip-joint procedure in the last 10 years.
A Message from the Head of the Center
Our center's goal is to relieve every patient from joint pain and give them a fun everyday lifestyle back. In order to do so, we are actively implementing advanced treatments; and we want to decide with each patient what can be considered the best treatment method. We look forward to helping you too.
Dr. Hiroshi Inui, Head of Orthopedic Prosthesis Center
Departments/Divisions
Pediatrics, Children's Medical Center
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M.D. , Ph.D.
Expertise/Specialties
Pediatrics, Child Neurology, Perinatal and Neonatal Medicine
Research Interests
1) Perinatal brain injury 2) Environmental effects of development
3) Congenital cytomegalovirus infection 4) Developmental disorders
5) Subacute Sclerosing Panencephalitis 6) Public health screening system
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Japanese/ English
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Urology and Andrology
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M.D. , Ph.D.
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Robotic Surgery, Laparoscopic Surgery, Endoscopic Surgery, Kidney Cancer, Urinary Tract Cancer, Bladder Cancer, Prostate Cancer, Testicular Cancer, Adrenal Tumor, Renal failure, Peritoneal Dialysis
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Molecular Biology, Genome Research
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Clinical Research Governance
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Ph.D.
Expertise/Specialties
Clinical Reseach, GCP, regulation
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Quality Management
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Japanese / English
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Department of Neurosurgery
Titles
M.D. , Ph.D.
Expertise/Specialties
Acoustic neuroma surgery, Arteriovenous malformation surgery, Skull base meningioma surgery, vertebrobasilar aneurysm surgery
Research Interests
Functional preservation of brain, brainstem and cranial nerves, surgical simulation with 3DCG, functional restoration by brain-machine interface (BMI), neural regeneration by recruitment of endogenous progenitors
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Japanese/ English
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Pharmaceutical Department
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Ph.D.
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pharmacy
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clinical and molecular pharmacology / toxicology, and systems-biology / pharmacology / toxicology
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Japanese / English
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Department of Blood Transfusion
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M.D., Ph.D.
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Transfusion Medicine, Respiratory Medicine, Allergy and Clinical Immunology
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Mechanism of transfusion complications, Haemovigilance
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Japanese / English
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Department of Pediatric Surgery
Titles
M.D. , Ph.D.
Expertise/Specialties
Pediatric Surgery, Pediatric Minimally Invasive Surgery, Pediatric Oncology, Pediatric Urology, Pediatric HBP Surgery
Research Interests
Pediatric Hepatobiliary disease, Pediatric MIS, Transplantation Immunology
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Japanese/English
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Central Supply Service
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M.D. , Ph.D.
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General Surgery, Operative Medicine, Nutrition Support
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Surgical Nutrition and Metabolism, Gut Immunity
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Japanese, English
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Department of Gastroenterology; Department of Endoscopy and Endoscopic Surgery
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M.D. , Ph.D.
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Gastroenterology, Hepatology (Hepatitis, Hepatocellular Carcinoma), Pancreatology
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Viral hepatitis, Hepatocarcinogenesis, NASH, Oxidative stress
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Japanese / English
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Allergy and Rheumatology
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M.D. , Ph.D.
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Rheumatology, Internal Medicine
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Clinical Immunology, Basic Immunology
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Japanese, English
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Department of Psychosomatic Medicine
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M.D. , Ph.D.
Expertise/Specialties
Psychosomatic Medicine
Research Interests
Research on development of treatment for eating disorders and on development of mobile tools for assessment and treatment for life-style related disorders and mood disorders using EMA and EMI methods.
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Japanese / English
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Neuropsychiatry, Medical Community Network and Discharge Planning
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M.D. , Ph.D.
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Clinical Psychiatry, Early intervention and rehabilitation for schizophrenia, Community mental health
Research Interests
Neuroimaging in psychiatric disorders, Mental health and neuroscience in adolescence
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Japanese / English
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Infection Control and Prevention Service/Department of Infection Control and Prevention Graduate School of Medicine
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M.D. , Ph.D.
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Infection Control and Prevention Service/ Hepatocellular carcinoma, Liver diseases, Viral hepatitis, Liver diseases
Research Interests
Mechanism of hepatocarcinogenesis and relarion between carcinogenesis and mitochondria damage
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Japanese/English
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Ophthalmology
Titles
M.D., Ph.D
Expertise/Specialties
Glaucoma, Neurobiochemistry, Ocular Pharmacology
Research Interests
・the analysis of the risk factor activating glaucoma
・the study of the surgical outcomes of glaucoma
・the elucidation to the pathology of increasing intraocular pressure through bioactive lipids
・the development of new drops for glaucoma
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Japanese, English
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Breast and Endocrine Surgery
Titles
M.D. , Ph.D.
Expertise/Specialties
surgery on primary breast cancer, systemic treatment on metastatic breast cancer
Research Interests
epigenetic change which is critical for breast cancer development, transcriptional regulation of estrogen receptor alpha (ERα)in breast cancer
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Japanese/English
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Division of Nephrology and Endocrinology, Department of Hemodialysis and Apheresis
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M.D. , Ph.D.
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Chronic kidney disease, Acute kidney injury, End stage kidney disesae, Hemodialysis, Nephrotic syndrome, Renal anemia, Atypical hemolytic uremic syndrome
Research Interests
Oxygen metabolism of the kidney, immunological kidney injury, epigenetics, renal anemia
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Japanese/English
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Department of Pain and Palliative Medicine
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M.D. , Ph.D.
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Pain Medicine, Palliative Medicine, Anesthesiology, Critical Care Medicine, Medical Engineering
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Pain Medicine, Palliative Medicine, Cognitive Neuroscience, Health Literacy
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Japanese
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Geriatric Medicine
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M.D. , Ph.D.
Expertise/Specialties
geriatric medicine, gerontology
Research Interests
Pharmacotherapy and its safety in the elderly. Gender difference in geriatric medicine.
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Japanese, English
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Department of Hematology and Oncology
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M.D. , Ph.D.
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Hematological malignancies
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Leukemia
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Japanese, English
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Department of Cardiovascular Surgery & Department of Cooperative Unit of Medicine and Engineering Research
Titles
M.D. , Ph.D.
Expertise/Specialties
Adult Cardiac Surgery, Minimally Invasive Cardiac Surgery, Robotic Cardiac Surgery, Mitral Valve Plasty, Off-pump Coronary Artgery Bypass Surgery, Ventricular Assist Device, Heart Transplantation
Research Interests
Surgical Treatment of End-stage Heart Failure (Ventricular assist device, Heart transplantation, Mitral complex plasty), Device Development for Minimally Invasive Surgery, Regenerative Medicine
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Japanese/English
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Plastic Reconstructive and Aesthetic Surgery
Titles
M.D., Ph.D.
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Reanimation of Established Facial paralysis, Reconstruction of Facial Deforimites, Wound Healing
Research Interests
Microsurgery, Facial Paralysis, Ageing
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Japanese/English
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Department of Acute Medicine
Critical Care and Emergency Medical Center/Emergency Room, Intensive Care Unit
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M.D., Ph.D
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emergency medicine, critical care medicine, intensive care medicine, disaster medicine, mass gathering medicine
Research Interests
acuity, triage, monitoring, emergency medical service system, disaster medical response system
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English /Japanese
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Department of Rehabilitation Medicine, Rehabilitation Center
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M.D. , Ph.D.
Expertise/Specialties
Pediatric Rehabilitation, Rehabilitation and Prosthetics/Orthotics for Congenital Limb Malformation, Rehabilitation for Bone Dysplasias
Research Interests
Pediatric Rehabilitation, Rehabilitation for Disabled Children, Motion Analysis
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Japanese / English
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Center for Epidemiology and Preventive Medicine
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M.D. , Ph.D.
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Gastroenterology, Preventive Medicine
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Oncology, Epigenetics, Molecular biology, Differentiation and Cancer
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Japanese, English
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Neurosurgery
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M.D. , Ph.D.
Expertise/Specialties
Neurosurgery
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Surgery of cerebrovascular diseases, Surgery of benign brain tumors, Experimental cerebral ischemia
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Japanese/English
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Department of Radiology
Division of Diagnostic Radiology
Titles
M.D., Ph.D
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General diagnostic radiology, neuroradiology, interventional radiology
Research Interests
Voxel-based analysis, voxel-based morphometry, diffusion magnetic resonance imaging,
functional magnetic resonance imaging
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Japanese/English
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Stomach and Esophageal Surgery, Cancer Resource Center
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M.D. , Ph.D.
Expertise/Specialties
Abdominal Surgery, General Surgery, Cancer Patients' Care
Research Interests
Gastric Carcinogenesis, Stem Cell and Carcinogenesis, Cancer Biomarker, Cancer Immunology, Growth Factor, Development
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English, Japanese
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Orthopaedic Surgery and Spinal Surgery
Titles
M.D. , Ph.D.
Expertise/Specialties
Joint surgery, rheumatoid arthritis, osteoporosis
Research Interests
Bone and cartilage biology, arthritis
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Japanese, English
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Dermatology
Titles
M.D. , Ph.D.
Expertise/Specialties
Scleroderma
Research Interests
Scleroderma, B lymphocytes, Autoimmunity
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Japanese/English
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Departments/Divisions
Colorectal Surgery; Vascular Surgery
Titles
M.D., Ph.D
Expertise/Specialties
General Surgery, Gastrointestinal Surgery, Colorectal Surgery, Laparoscopic Surgery, Robotic Surgery, Minimally Invasive Surgery, Chemotherapy, Gastrointestinal Endoscopy, Colorectal Disease, Anorectal Disease, Colorectal Cancer, Inflammatory Bowel Disease, Diverticular Disease, Colorectal Polyp, Vascular Surgery, Abdominal Aortic Aneurysm, Thoracic Aortic Aneurysm, Endovascular Aneurysm Repair, Thoracic Endovascular Aortic Repair, Distal Bypass, Critical Limb Ischemia, Takayasu's Disease, Buerger Disease, Pancreatoduodeal Artery Aneurysm, Popliteal Entrapment Syndrome, Behçet's Disease, Carotid Endarterectomy, Hemodialysis, Peripheral Artery Aneurysm, Segmental Arterial Mediolysis, Deep Vein Thrombosis
Research Interests
Surgical Oncology, Vascular Surgery
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Japanese/English
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Departments/Divisions
International Medical Center
University of Tokyo Tissue Bank
Artificial Organ and Transplantation Division, Department of Surgery
Titles
M.D., Ph.D., F.A.C.S.
Expertise/Specialties
Surgery, Heaptology, Liver Transplantation, Tissue Transplantation, Medical Education
Research Interests
Liver Disease, Liver Trasnplantation, Organ Transplantation, Donor Safety in Living Liver Donor, Tissue Transplantation, Tissue Banking, Cyropreservation of homograft, Medical Education, Surgical Training, Medical Care for Foreign Patients in Japan, Multicultural Resource for Health Care, Cross border clinical medicine
Languages
Japanese / English
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Departments/Divisions
Respiratory Medicine
Titles
M.D. , Ph.D.
Expertise/Specialties
Respiratory Medicine
Research Interests
The mechanism of respiratory diseases including COPD, asthma and pulmonary fibrosis
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Japanese/English
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University Hospital Medical Information Network Center Department of Heath Communication, School of Public Health, Faculty of Medicine, the University of Tokyo
Titles
M.D., Ph.D.
Expertise/Specialties
health communication, health informatics
Research Interests
Interpersonal and media-based health communication
Languages
Japanese/English
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Departments/Divisions
Department of Diabetes and Metabolic Diseases
Titles
M.D., Ph.D.
Expertise/Specialties
Diabetes, Metabolism, Obesity, Nutrition,
Research Interests
Pathogenesis of type2 diabetes, insulin resistance, adiponectin
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Japanese / English
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Departments/Divisions
Clinical Research Support Center
Titles
M.D. , Ph.D.
Expertise/Specialties
Clinical Pharmacology, Neurology
Research Interests
Clinical Pharmacology, Neurology
Languages
Japanese, English
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Departments/Divisions
Otorhinolaryngology and Auditory and Voice Surgery
Titles
M.D. , Ph.D.
Expertise/Specialties
Otology, Audiology, Neurotology
Research Interests
Cochlear implant, hearing loss, regeneration, anti-aging
Languages
Japanese, English
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Departments/Divisions
Pathology
Titles
M.D. , Ph.D.
Expertise/Specialties
Gastrointestinal pathology
Research Interests
The pathology and molecular biology of gastrointestinal tumor
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Japanese, English
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Departments/Divisions
Environment, Health and Safety Office
Titles
M.D., Ph.D.
Expertise/Specialties
Neurology
Research Interests
Clinical Neurology, Quality and Safety in Hospital Practice
Languages
Japanese, English
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Departments/Divisions
Obstetrics and Gynecology, Perinatal Center
Titles
M.D. , Ph.D.
Expertise/Specialties
Perinatal care for both normal and abnormal antepartum, labor, delivery, fetus and newborn, puerperium
Research Interests
Reproductive immunology / Perinatology / Reproductive Endocrinology
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Japanese / English
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Departments/Divisions
Department of Diabetes and Metabolic Diseases
Titles
M.D. , Ph.D.
Expertise/Specialties
Internal Medicine, Diabetes, Metabolism, Nutrition, Obesity, Metabolic Syndrome, Diabetic Complications, Atherosclerosis, Insulin Resistance, Adipokines, Nuclear Receptors, Epigenetics, GWAS, Sportology, Anti-Aging Medicine
Research Interests
The mechanisms by which obesity results in insulin resistance, atherosclerosis and short life
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Japanese / English
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Departments/Divisions
Stomach and Esophageal Surgery, Breast and Endocrine Surgery
Titles
M.D. , Ph.D.
Expertise/Specialties
Upper GI surgery, Esophageal Cancer, Gastric Cancer
Research Interests
surgical procedure and oncology of esophageal and gastric cancer
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Japanese and English
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Departments/Divisions
Anesthesiology and Pain Relief Center
Titles
M.D. , Ph.D.
Expertise/Specialties
Anesthesiology, Critical care medicine, Respiratory care, Operative medicine, Pain medicine
Research Interests
Acute lung injury, Mechanical ventilation, acute inflammatory response, Mechanism of general anesthesia, Modulation of pain
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Japanese/ English
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Departments/Divisions
Department of Child Psychiatry
Titles
M.D. , Ph.D.
Expertise/Specialties
Child and Adolescent Psychiatry, Tourette Syndrome and Other Tic Disorders, Obsessive-Compulsive Disorder (OCD), Attention-Deficit/Hyperactivity Disorder (ADHD), Autism Spectrum Disorder (ASD), School Mental Health
Research Interests
Phenomenology, Pathogenesis and Intervention of Tourette Syndrome and Comorbid Disorders Including OCD and ADHD
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Japanese/English
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Departments/Divisions
Gynecologic Surgery
Titles
Professor
Expertise/Specialties
Reproductive medicine, laparoscopic surgery, assisted reproductive technology
Research Interests
Pathogenesis and management of endometriosis, Ovarian physiology/ pathology
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Japanese / English
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Departments/Divisions
Department of Clinical Laboratory
Titles
M.D. , Ph.D.
Expertise/Specialties
Laboratory Medicine, Clinical Hematology, Thrombosis and Hemostasis
Research Interests
Platelet Biology, Vascular Biology, Bioactive Lipids
Languages
Japanese/ English
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