Leszek Kuik

Leszek Kuik
University Clinical Centre in Gdańsk | UCK · Clinical Department of Orthopaedics

MD

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5
Publications
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Citations

Publications

Publications (5)
Article
Full-text available
Objective The purpose of this study was to biomechanically compare the stability of first metatarsophalangeal (MTP1) joint arthrodesis with dorsally and medially positioned plates. Methods A physical model of the MTP1 joint consists of printed synthetic bones, a titanium locking plate and screws. In the experiments, samples with dorsally and media...
Article
Background: Arthrodesis of the first metatarsophalangeal joint (MTP-1) is a recognized and effective procedure in advanced osteoarthritis of this joint. Fixation with a dorsal plate and a compression screw has been described as the most stable. Nevertheless, the frequency of revision procedures after MTP-1 arthrodesis has been reported to exceed 1...
Article
Background: First metatarsophalangeal joint arthrodesis is the gold standard in the treatment of arthritis of the first MTP joint as well as an effective salvage procedure after unsuccessful primary forefoot procedures. The paper aims to present an evaluation of mid-term functional results and specify the causes of low postoperative satisfaction a...
Article
A meniscal graft extrusion is still an unresolved problem that affects most patients after a meniscal transplantation. Despite the advances in surgical techniques, together with the improved methods for a meniscal allograft sizing, success is only observed in up to 75% of patients after they experience a meniscal allograft transplantation. Because...

Questions

Questions (12)
Question
I hava a 25 y.o. patient with bilateral lower limb palsy, 2 years post intensive care hospitalisation due to sever toxic shock (the exact reason is unknown). He presented pes equinus on the left, that was once treated with gastroc recession with early recurrance. He now presents stiff equinus, silverskjold (-) with the sign of motion only from tibialis posterior muscle. The remaining muscles appear to be affected by palsy. Other foot seems to have similar muscle function (only TP), but with foot plantigrade
What treatment can be used? I find it hard to get clear answer in the literature.
1. Achilles tendon lenghtening alone?
2. Achilles tendon lenghtening and wide joint release?
3. Tibiotalar joint arthrodesis with necessary release and Achilles lenghtening?
Any other?
Question
This is my patient with "saddle" like MTP I based hallux valgus. Does anyone know case reports or other works that describe anatomical anormalities of this joint?
Question
30 y.o. male, military professional, with bilateral subpatellar pain for approximately 4 years now. In ultrasound Insall-Salvati =1,7, lateralisation of approximately 18-22mm, and massive inflamation of proximal part of patellar tendon with some vascular transformation. Conflict of the inflamed tendon with lateral femoral condyle is possible cause, but I'm not 100% sure about that. Plan for treatment: 3-5 PRP injections + phisiotherapy, maybe MRI. In case of failure: tibial tuberosity transposition (medially and anteriorly). Does anybody has experience with similar case?
Question
I wonder how many of you encountered a discoid meniscus during knee alloplasty? Was it injured, degenerated or connected with greater/lower rate of degeneration of the condyles facing it?
Question
40 y.o. female with breast cancer, known metastases in ribs, spine, pelvis and right femur suffered pathological pertrohanteric fracture without severe trauma. She is in generally good condition, obese, treated for breast cancer for 1,5 mths (hormonal treatment), hip pain for about 6mths. As we see in the x-ray there is also a methastasis in the middle of the femur shaft, no visible methastases below this one as well as clear femoral head and acetabulum (based on CT). Would you prefer IM-nailing with/without cement use or hip prosthesis? Any other ideas?
Question
I'm mostly interested in whether X-ray or MRI was used, whether operated or contralateral knee was measured and which parameters were considered.
Question
23 y.o. male with posttraumatic knee varus, femur shortening. It is about 3 years after the accident. ROM: 5-45 deg. Knee is medially unstable. He walks without crutches, with moderate pain and severe limping. What kind of treatment can we propose to avoid further arthrosis and improve gait quality?

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