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Ortopedia, Traumatologia, Rehabilitacja

Tomasz Wolny
BACKGROUND: Carpal tunnel syndrome (CTS) is the most common peripheral neuropathy, characterized by the presence of many sensory and motor abnormalities. In the physiotherapy of patients with CTS, neurodynamic tech-niques are very common, while the scientific literature does not show clear evidence of beneficial effects obtained by using these techniques. Therefore, the aim of this work was to critically evaluate the use of neurodynamic techniques in the conservative treatment of CTS...
October 31, 2017: Ortopedia, Traumatologia, Rehabilitacja
Anna Świtoń, Ewa Wodka-Natkaniec, Łukasz Niedźwiedzki, Tadeusz Gaździk, Tadeusz Niedźwiedzki
BACKGROUND: Coxarthrosis is a chronic musculoskeletal condition that causes severe pain and considerable limi-tation of the patient's motor performance. Total hip arthroplasty is one of the most common and effective methods used in the treatment of advanced degenerative changes. The aim of the present study was to evaluate the activity and quality of life of patients after unilateral total hip arthroplasty. MATERIAL AND METHODS: The study was conducted in a group of 189 patients who had undergone unilateral total hip arthroplasty...
October 31, 2017: Ortopedia, Traumatologia, Rehabilitacja
Anna Hadamus, Dariusz Białoszewski
The sensorimotor system is a complicated tool allowing for maintaining body balance and responding to changing environmental conditions to prevent injury. It is difficult to objectively assess the function of balance control mechanisms due to the multidimensional nature of the sensorimotor system and multitude of variables that may interfere with the measurement. The function of the sensorimotor system is considerably compromised in osteoarthritis, including gona-rthro-sis. The knee is the second most common location of osteoarthritis, after the hip, and total or partial replacement surgery of the knee joint represents the therapy of choice in advanced stages of the condition...
October 31, 2017: Ortopedia, Traumatologia, Rehabilitacja
Agnieszka Kubot, Andrzej Grzegorzewski, Marek Synder, Wiesław Szymczak, Piotr Kozłowski
BACKGROUND: Both ultrasound and radial shockwave therapies are used to treat tennis elbow syndrome. The aim of this study was to compare the therapeutic efficacy of both therapies by assessing the reduction in pain intensity and frequency, restoration of mobility, and reduction in the need for pain medication. MATERIAL AND METHODS: The study enrolled 60 people, who were randomly divided into two groups of 30 patients: those treated by radial shockwave therapy and those treated by ultrasound therapy...
October 31, 2017: Ortopedia, Traumatologia, Rehabilitacja
Kamil Graboń, Łukasz Paczesny, Jacek Kruczyński
Periarticular avascular osteonecrosis is one of the most severe joint diseases and may result in complete joint destruction. It may affect patients after chemotherapy involving regimens including steroids. The paper describes the case of a female patient who was just under 18 years old when she underwent surgery due to bilateral osteonecrosis of the femoral condyles that developed in the course of treatment of a haematological malignancy. The aim of the paper is to present clinical and imaging-based assessment of the outcome of surgical treatment by reconstruction of osteochondral joint defects with a collagen membrane and bone grafts...
October 31, 2017: Ortopedia, Traumatologia, Rehabilitacja
Weronika Woźniak-Czekierda, Kamil Woźniak, Anna Hadamus, Dariusz Białoszewski
BACKGROUND: Proprioception and body balance after knee arthroplasty have a considerable impact on restoration of joint function and a normal gait pattern. Kinesiology Taping (KT) is a method that may be able to influence these factors. The aim of this study was to assess the effects of KT application on sensorimotor efficiency, balance and gait in patients undergoing rehabili-ta--tion after knee replacement surgery. MATERIAL AND METHODS: The study involved 120 male and female patients (mean age was 69 years) after total knee repla-cement...
October 31, 2017: Ortopedia, Traumatologia, Rehabilitacja
Mateusz Klukowski, Rafał Kowalczyk, Grzegorz Górniewski, Paweł Łęgosz, Marek Janiak, Janusz Trzebicki
BACKGROUND: Fractures of the proximal femur in elderly patients are a challenge for orthopedics, anesthe-sio-logy and geriatrics. Early mobilization reduces postoperative mortality among these patients. Effective anal-gesia is necessary to achieve this goal. MATERIAL AND METHODS: A retrospective analysis of perioperative medical records of 78. patients undergoing surgical treatment of proximal femur fractures was performed. Group 1 (n=35)consisted of patients who were treated with pharmacologic analgesia only (systemic analgesics) and Group 2 (n=43) involved patients who re-ceived a preoperative fascia iliaca compartment block (FICB) and pharmacologic analgesia...
October 31, 2017: Ortopedia, Traumatologia, Rehabilitacja
Katarzyna Górska-Płóciennik, Marcin Domżalski
This paper summarizes hip disorders caused by femoroacetabular impingement. This pathomechanical process, which is associated with bone deformity, is one of the most commonly diagnosed causes of pain and dysfunction of the hip. It also often leads to decrease in the quality of life and osteoarthritis. Patients with hip joint impingement exhibit a restricted range of motion, thickening of the hip capsule, muscle weakness and compensatory changes in loading patterns, which affects the biomechanics of the entire lower extremity...
August 31, 2017: Ortopedia, Traumatologia, Rehabilitacja
Michele Bisaccia, Giuseppe Rinonapoli, Luigi Meccariello, Auro Caraffa, Bartosz Cukierman, Julio Ribes Iborra
BACKGROUND: Bone defects represent the main challenging problem for the orthopedic surgeon and, consequently, they increase the duration of hospitalization, risk of complications and health expenditures. The aim of our observational, descriptive and retrospective study is to evaluate the outcomes of patients treated with a mo-nolateral external fixator for bone defects greater than 3 cm. MATERIAL AND METHODS: Between January 2003 and January 2013, 21 patients were treated at our center by bone transfer with a monolateral external fixator...
August 31, 2017: Ortopedia, Traumatologia, Rehabilitacja
Alban Fouasson-Chailloux, Pierre Menu, Marc Dauty
Acute compartment syndrome of the thigh is an underestimated serious pathology which can cause long term morbidities. The management, recovery and follow-up of the case of a 20-year-old Caucasian man, who presented an acute compartment syndrome of the thigh, are described. After femoral fracture reduction and fixation by nail, intramuscular pressure measurements confirmed the diagnosis before treatment by fasciotomies. 12-months' follow-up showed the presence of neurological femoral complications and physical impairment in spite of rehabilitation care...
August 31, 2017: Ortopedia, Traumatologia, Rehabilitacja
Marek Drobniewski, Andrzej Borowski, Magdalena Krasińska, Marcin Sibiński, Marek Synder
BACKGROUND: Total hip arthroplasty is currently commonly used in surgical treatment of advanced hip osteoarthritis of various aetiologies. Studies show that the number of these procedures has been growing every year, which is associated with global population ageing. The aim of the study was to assess return to work in patients after surgical treatment by arthroplasty due to hip osteoarthritis. MATERIAL AND METHODS: The study assessed 114 patients of productive age who underwent surgery due to advanced hip osteoarthritis...
August 31, 2017: Ortopedia, Traumatologia, Rehabilitacja
Jakub Szmyd, Jerzy Mirosław Jaworski, Paweł Kamiński
BACKGROUND: Advanced haemophilic arthropathy is a possible complication in patients with congenital bleeding disor-ders. This study aimed to assess treatment outcomes after primary total knee arthroplasty in this group of patients. MATERIAL AND METHODS: A total of 60 primary total knee arthroplasties were performed in the period 2011-2014. The study ultimately included 40 knee replacements in 35 patients. The average follow-up period was 19.4 months (max. 32, min...
August 31, 2017: Ortopedia, Traumatologia, Rehabilitacja
Tomasz Pitera, Grzegorz Guzik, Piotr Biega
BACKGROUND: Resection arthroplasty is increasingly used in the treatment of proximal femur metastates. How-ever, a coherent, unified rehabilitation protocol of such patients is yet to be developed. The aim of this study was to present the early treatment outcomes of modular endoprosthetic replacement. MATERIAL AND METHODS: A total of 42 resections of proximal femur tumour, followed by modular endoprosthetic replacement, were performed at the Orthopaedic Oncology Department in Brzozów between 2012 and 2015...
August 31, 2017: Ortopedia, Traumatologia, Rehabilitacja
Katarzyna Kozera, Bogdan Ciszek, Paweł Szaro
Spinal Dorsal Ramus Mediated Back Pain is the second most frequently described condition (the first one being Lumbar Facet Syndrome) originating from pathology involving posterior branches of lumbar spinal nerves. Spinal Dorsal Ramus Mediated Back Pain was described as "thoracolumbar junction syndrome" by Maigne in 1989. As a rule, Spinal Dorsal Ramus Mediated Back Pain presents unilaterally within posterior branches at the levels Th11-12 and L1-2. The pain is triggered by extension and/or rotation. Typical symptoms include pain that may radiate towards the gluteal area and posterior iliac crest and does not cross the body midline...
August 31, 2017: Ortopedia, Traumatologia, Rehabilitacja
Marek Radziszewski, Piotr Kozłowski
BACKGROUND: A femoral neck fracture leads to serious health-related, social and economic consequences and, according to the con-temporary doctrine of medical management, should be treated surgically. Data provided by the Agency for Health Technology Assessment and Tariff System indicate that there were 1534 patients with femoral neck fractures treated by arthroplasty with a Moore's endoprosthesis and 4744 with a bipolar endoprosthesis in Poland in 2014. Since the risk of femoral neck fracture increases exponentially with the patient's age, and population aging is undoubtedly a real demographic trend, we believe that there is a need to develop criteria for taking treatment decisions to ensure the best possible outcomes...
August 31, 2017: Ortopedia, Traumatologia, Rehabilitacja
Sebastian Wójtowicz, Igor Sajko, Anna Hadamus, Anna Mosiołek, Dariusz Białoszewski
BACKGROUND: The sacroiliac joints have complicated biomechanics. While the movements in the joints are small, they exert a significant effect on gait. This study aimed to assess how sacroiliac joint manipulation influences selected gait parameters. MATERIAL AND METHOD: The study enrolled 57 healthy subjects. The experimental group consisted of 26 participants diagnosed with dysfunction of one sacroiliac joint. The control group was composed of 31 persons. All subjects from the experimental group underwent sacroiliac joint manipulation...
August 31, 2017: Ortopedia, Traumatologia, Rehabilitacja
Sabit Sllamniku, Lul Raka, Emir Q Haxhija, Ardiana Murtezani
Subacute acetabular osteomyelitis is a rare disease of bone. Deep location of the infection site sometimes may delay diagnosis. The most common cause is Staphylococcus aureus, whereas Proteus organisms are very rare etiologic agents. The aim of this case report is to present an unusual case of subacute acetabular osteomyelitis caused by Proteus mirabilis in a 12-year-old boy. Subacute acetabular osteomyelitis can be induced by Proteus mirabilis in the absence of previous trauma, predisposing conditions or disease...
May 10, 2017: Ortopedia, Traumatologia, Rehabilitacja
Maciej Ambroziak, Miłosz Durka, Bartosz Maciąg, Anna Hadamus, Piotr Strzelczyk
We present the case of a 35-year-old female patient who was professionally active and practised recreational sports. The patient was involved in a traffic accident during which she sustained multiple trauma including an open comminuted intra-articular fracture of the proximal tibial epiphysis. As a consequence of intraoperative complications and 6-year treatment, the patient became a disability pensioner and requires community care.
May 10, 2017: Ortopedia, Traumatologia, Rehabilitacja
Marianna Olędzka, Joanna Jaczewska-Bogacka
[b]Background.[/b] Subacromial impingement syndrome is a condition of the shoulder girdle which limits daily activities. It is worth seeking fast and effective treatment options. The aim of this study was to assess the impact of single-session proprioceptive neuromuscular facilitation (PNF) therapy on the shoulder range of motion and pain level in patients with subacromial impingement syndrome.[b]Materials and methods. [/b]The experimental group consisted of 11 patients with subacromial impingement syndrome who had undergone therapy based on the PNF concept...
May 10, 2017: Ortopedia, Traumatologia, Rehabilitacja
Huseyin Gokhan Karahan, Onur Cetin, Ahmet Kurtulmuş, Cemil Kayali
Synovial chondromatosis has an unknown aetiology and is a benign lesion especially seen in joints like the knee and hip. However, it is extremely rare in the ankle joint. A review of the literature shows that ankle joint chondromatosis is usually treated by arthrotomy. However, excision of loose bodies by arthroscopy in the ankle joint is not common. Arthroscopic surgery provides a wide visualisation area for excision of loose bodies, allowing for synovectomy and microfracture. Our patient was a 60-year-old female who presented to our clinic with primary osteochondromatosis and osteochondral defect...
May 10, 2017: Ortopedia, Traumatologia, Rehabilitacja
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