Chirurgia narzadow ruchu i ortopedia polska

Publisher: Polskie Towarzystwo Ortopedyczne; Polskie Towarzystwo Ortopedyczne i Traumatologiczne

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Other titles Chirurgia narza̜dów ruchu i ortopedia polska, Chirurgia organum motus et orthopaedica Polonica, Acta Societatis Orthopaedicae Polonicae
ISSN 0009-479X
OCLC 1778072
Material type Periodical
Document type Journal / Magazine / Newspaper

Publications in this journal

  • Chirurgia narzadow ruchu i ortopedia polska 09/2015; 74(1):55. DOI:10.1055/s-0041-105096
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    ABSTRACT: Abstract Proper design and functioning of the hip joint ensure smooth motion over the full range in multiple planes. Any change in this arrangement may lead to joint damage, causing deformation, pain and loss of functionality. Hip replacement is a procedure intended to replace the damaged articular surfaces and replacing them with artificial components. However, as any surgical intervention, it carries the risk of serious complications. One of them are isolated stem fractures, consisting of breaking the implant inside the intramedullary canal without damaging the surrounding tissue. This article contains a review of the literature data concerning the clinical cases of isolated fractures of hip endoprosthesis stems made of austenitic stainless steel. Although stem fractures are one of the rarest complications of implantation, the lack of clear description of the causes of this phenomenon in the literature makes it worthwhile to take up on the subject.
    Chirurgia narzadow ruchu i ortopedia polska 08/2014; 79:145-153.
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    ABSTRACT: Background: Fractures of the femoral bone shaft during and after hip arthroplasty are a serious clinical problem. Case report: The paper presents the use of rapid computer modeling FEM 2D to optimize the stabilization of femoral shaft fracture in case of hip revision arthroplasty. Conclusions: Using the FEM modeling may be helpful for planning and assessment of orthopaedic treatment in similar cases.
    Chirurgia narzadow ruchu i ortopedia polska 08/2014; 79:138-144.
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    ABSTRACT: Abstract Whiplash injuries, also known as neck sprains and strains, are currently some of the most common injuries of the cervical spine. Mechanism of injury is still controversial and current treatment methods do not provide satisfactory results. In this article we present QTF classification of related disorders, epidemiological data and treatment methods. We described basic principles of using a soft collar, goals and effects of collar use and potential complications ensuing from immobilization. Authors reviewed publications comparing the effects of collar use with other methods of treatment and physiotherapy following whiplash injury.
    Chirurgia narzadow ruchu i ortopedia polska 08/2014; 79:132-137.
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    ABSTRACT: Background: Fatigue (slow) fractures are a result of cyclic burden on the affected bones. At the same time, regeneration processes are disturbed or appropriate mechanical environment to promote healing is lacking. Fatigue fractures are classified into two types: stress fractures and deficiency fractures. The former occur as a result of excessive training in healthy individuals with normal bone structure, e.g. in sportsmen and soldiers. Deficiency-related fractures are most common in individuals with metabolic disorders that affect bone mineralization, such as osteomalacia or osteoporosis. Case report: The article presents a case of a 37-year-old male with fatigue fractures within both crura. During the interview, the patient reported the abuse of alcohol and benzodiazepines and the history of using other psychoactive substances. Conclusions: Fractures were treated using Ilizarov external fixator apparatus. Bone union was achieved after several months of external fixation.
    Chirurgia narzadow ruchu i ortopedia polska 08/2014; 79:123-131.
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    ABSTRACT: Background: Distal femur fractures are relatively rare injuries that usually require surgical treatment. Angular-stable plates allowing for anatomical repositioning and stable fixation of splinters, particularly in articular fractures, are commonly used in such cases. The goal of the study was to analyze the outcomes of the surgical treatment of high-energy articular fractures of distal femur. Material and methods: The study included 22 patients treated in years 2007-2013. The average follow-up period was 39.5 months. The range of knee motion was recorded during follow-up visits. Treatment outcomes are presented using the Prichett's criteria as well as using IKDC and KOOS scores. Bone union and lower limb axial deformity were assessed using X-ray images. Results: The average range of motion was 0-99 degrees. According to Prichett's criteria, a total of 54% good and very good results as well as 36% of satisfactory results were recorded. The average IKDC score was 59.4 points while the average KOOS score was 54.7 points Bone union was achieved in 91.6% of fractures. Axial deformity was rare, and correlation between the valgus angle and the clinical and functional outcomes was observed. Conclusions: The applied methods for internal fixation afforded satisfactory treatment outcomes in most patients with high-energy distal femur fractures. No significant reduction in the mobility of the affected knee or axial deformation are observed after proper repositioning of distal femur fracture splinters using an angular-stable plate.
    Chirurgia narzadow ruchu i ortopedia polska 07/2014; 79:112-117.
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    ABSTRACT: Abstract Fractures of calcaneus are the most common among all tarsal bone fractures. Such injuries are most often produced by large forces, while accompanying soft tissue trauma makes them complicated and difficult to treat. Due to complex structure of the foot and talocalcaneal joint all injuries to this area constitute an important orthopedic problem, as improper treatment or lack thereof leads to gait impairment, particularly with regard to moving on uneven surface. In this work we presented the problem of intraarticular calcaneal fractures with particular consideration paid to methods of its treatment. We also mentioned the problem of complications after conservative and surgical treatment as well as methods of their prevention.
    Chirurgia narzadow ruchu i ortopedia polska 07/2014; 79:102-11.
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    ABSTRACT: Abstract This article presents advantages and disadvantages associated with percutaneous, noninvasive repair of Achilles tendon rupture. We presented most widely known procedures, such as Ma/Griffith, Web/Banister, McCleland/Maffulli, Carmont and Assal Achillon suture system, as well as several other less known surgical techniques. We performed a review of literature with regard to possible complications, including sural nerve damage, possibilities of broadening those techniques to include arthroscopic as well as ultrasound imaging, and proposed a scheme of patient management after surgery.
    Chirurgia narzadow ruchu i ortopedia polska 07/2014; 79:92-96.
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    ABSTRACT: Background: We reported on a case of a giant-cell tumor of the patella which occurred in a skeletally immature patient. This combination of unusual age of presentation and atypical location made our case clinically and radiologically unique. Case report: A 13-year-old girl presented with complains of knee pain and swelling. After radiological investigations and percutaneous needle biopsy a diagnosis of giant-cell tumor of the patella was made, for which the patient underwent patellectomy with en bloc resection of the lesion and the diagnosis was confirmed by histopathological examination. Conclusions: It was concluded that early diagnosis may be difficult in such cases and hence, GCT should be considered in the differential diagnosis of a destructive lesion of the patella, regardless of the age of presentation.
    Chirurgia narzadow ruchu i ortopedia polska 06/2014; 79:88-91.
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    ABSTRACT: Background: Traumatic femoral head fracture without dislocation with ipsilateral intertrochanteric fracture is an extremely rare injury and has not been reported in the literature. Case report: We reported a case of simultaneous ipsilateral femoral head and intertrochantric fracture without dislocation of the hip in a 74-year-old woman. The patient presented with a history of road traffic accident. Radiographs and computerised tomography scans revealed a right intertrochantric fracture and femoral head fracture without dislocation of the hip. Conclusions: The case was managed by uncemented modular bipolar arthroplasty using LINK reconstruction prosthesis. In the case report we described this unusual pattern, mechanism of injury, and management of such cases.
    Chirurgia narzadow ruchu i ortopedia polska 06/2014; 79:77-81.
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    ABSTRACT: Background: Carpal tunnel syndrome is traditionally treated with open release through a long palmar incision, which leaves some patients with pillar pain and scar tenderness. The Knifelight (Stryker, Kalamazoo, MI) is an exciting new instrument that allows minimally invasive release of the transcarpal ligament without subjecting the patient to the traditional problematic open palmar incision. However, no long-term data has been published in the literature so far. Material and methods: A modified QuickDASH score questionnaire was used to assess long-term results and patient satisfaction 10 years following our department's original randomized control trial comparing open carpal tunnel release (43 patients) to carpal tunnel release using the Knifelight method (39 patients). Results: The mean modified QuickDASH score was 33.71 (SD 23.27) for the open group and 13.22 (SD 13.62) for the Knifelight group (P-value=0.0024). Patients from the open group complained of pillar pain (30%), scar tenderness (25%) and recurrence of carpal tunnel symptoms (18%). Three patients had symptoms so severe that they could not perform their jobs. In the Knifelight group there were no reports of any pain, recurrence or scar-related problems and a high level of general satisfaction was observed with this group of patients. Conclusions: Our study results show that the minimally invasive Knifelight carpal tunnel release was associated with better clinical outcomes, less complications and overall better quality of life when compared to the conventional open carpal tunnel release.
    Chirurgia narzadow ruchu i ortopedia polska 06/2014; 79:67-70.
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    ABSTRACT: Background: Dysplasia epiphysealis hemimelica, also known as Trevor-Fairbanks disease, is a rare developmental disorder The objective of this article is to present own observations and experience in treating patients with dysplasia epiphysealis hemimelica. Material and methods: Six children with dysplasia epiphysealis hemimelica were treated in years 1990-2007. The mean age of observation was 8.5 years (from 3 to 19 years). Analysis of medical and radiological documentation of patients was performed to collect data on symptoms, disease location, management and outcomes. Results: The main symptoms reported by patients included limited range of motion of the affected joints with pain (66%) and deformed joint outline (34%). Four patients were subjected to surgical treatment while conservative treatment was applied in the other two. Lated complications were observed in two patients after surgical intervention (50%). In patients undergoing conservative treatment, one positive outcome and one negative outcome involving complete hip ankylosis, were observed. Conclusions: Correct diagnosis is very important as it may save the patient from unnecessary surgery and, if the surgery is necessary, it may help in performing it correctly. In patients presenting with joint pains, joint deformations, and tuberous lesions in joints possibility of dysplasia epiphysealis hemimelica should be taken into account. The treatment should start with conservative treatment, particularly physical therapy applied in the region of pain. If pain, joint deformation or limited range of motion of the affected joint persist, surgical treatment consisting of complete excision of the lesion should be taken into account.
    Chirurgia narzadow ruchu i ortopedia polska 06/2014; 79:41-44.
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    ABSTRACT: Background: Reconstruction is the method of choice in the treatment of ACL rupture. Postoperative rehabilitation is a very important aspect of therapeutic management. One of priority elements is to regain proper strength and function of the quadriceps muscle in a short time. The aim of this study was to estimate the dynamics of the increase in strength and girth of quadriceps after ACL reconstruction. Material and methods: The examined group consisted of 30 patients who had undergone arthroscopic assisted quadruple bundle dual channel ACL reconstruction surgery in years 2010-2011. The average age of the patients at the time of operation was 31.7 years (range 17-53). Each patient was examined 4 times: before the surgery as well as in the second, sixth and twelfth week after the reconstruction. Results: Examination revealed a significant increase in quadriceps girth, with peak increase rate observed within the two first weeks after the surgery. Between weeks 2 and 6, a decrease in quadriceps girth was observed followed by repeated increase worm week 6 on. The greatest increase in the girth at the thickest point of the muscle was observed in rehabilitation weeks 6 through 12. A significant decrease in muscle strength was observed in the first 2 weeks after the surgery. In the remaining periods, the strength of the quadriceps muscle continued to grow. The average KSS score increased from 109.1 at week 2 to 162.3 at week 12 after the surgery. Conclusions: Rehabilitation results in a dynamic increase in the strength of quadriceps between weeks 6 and 12 following reconstruction of anterior cruciate ligament. However, the 12-week rehabilitation period is not sufficient to regain full functionality.
    Chirurgia narzadow ruchu i ortopedia polska 06/2014; 79:71-76.
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    ABSTRACT: Background: Severe, multitissue hand injuries constitute a serious problem of the modern world. Despite investing significant funds in their management these injuries often exclude young people from professional life. It is often due to improper management conducted by untrained personnel lacking appropriate instruments. The goal of this work is to review the literature on the problem and attempt to organize this information. Material/methods: A review of available literature on mutilating hand trauma, amputations in the hand region, replantation and scales used for assessment of the severity of injury and hand function, both in Poland and internationally. Results: Hand injuries may be managed through three approaches: concomitant definitive, delayed and secondary. The best results are achieved through the first approach. However sometimes, due to the character of injury or lack of trained personnel, the team is forced to apply temporary dressing and, subsequently, initiate complex further management. HISS scale is a useful tool allowing for precise determination of the severity of injury and, used together with DASH questionnaire, prediction of long-term treatment outcome. Conclusions: Necessary changes need to be implemented in the healthcare system in order to achieve better results of treatment of severe hand injuries. Proper guidelines for everyday practice should be also introduced. Changes should encompass precise determination of competences of individual centers as well as the mode and indications for patient transport between them. Training of doctors should be modified in such way to ensure that at least one person in each center would be capable of performing proper immediate management of such injuries, making further treatment possible. At the same time, financing, as a strong motivator, should promote appropriate management.
    Chirurgia narzadow ruchu i ortopedia polska 06/2014; 79:82-87.