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Ortopedia, Traumatologia, Rehabilitacja

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https://www.readbyqxmd.com/read/29493527/radionegative-low-grade-chondrosarcoma-in-distal-third-of-femur-case-study
#1
Marta Karpik, Joanna Reszeć
We present the case of a 43-year-old patient with a radionegative tumor of the distal third of the femur. Work-up following a knee injury without any abnormalities on x-ray was extended to include an MRI study, which revealed an osteolytic lesion in the distal third of the femur. Extended work-up including an open biopsy identified a low-grade chondrosarcoma. Considering the patient's clinical status and the diagnostic findings, tumour resection and placement of a resection knee endoprosthesis appeared to be the best solution...
December 30, 2017: Ortopedia, Traumatologia, Rehabilitacja
https://www.readbyqxmd.com/read/29493526/hand-therapist-led-follow-up-for-paediatric-hand-trauma-a-retrospective-study-of-139-closed-hand-injuries
#2
Agata Marta Plonczak, Gordon J McArthur, Nicola Goldsmith, Maxim Horwitz
BACKGROUND: Most hand injuries in children can be managed non-operatively and are associated with excellent outcomes. Whilst the majority of our patients are discharged to the care of hand therapists, there is no literature to support this protocol. Our aim was to ensure this is safe and effective practice. MATERIAL AND METHODS: We conducted a retrospective analysis of all patients referred to our paediatric hand trauma clinic for closed injuries over a four month period between December 2014 and March 2015...
December 30, 2017: Ortopedia, Traumatologia, Rehabilitacja
https://www.readbyqxmd.com/read/29493524/operative-management-of-distal-tibial-extra-articular-fractures-intramedullary-nail-versus-minimally-invasive-percutaneous-plate-osteosynthesis
#3
Iftikhar H Wani, Naseem Ul Gani, Mohammad Yaseen, Adil Bashir, Mohammad Shahid Bhat, Munir Farooq
BACKGROUND: The ideal treatment of distal tibial extra articular fractures remains controversial. Minimally invasive percutaneous plate osteosynthesis and intramedullary nailing are the two most commonly used methods. We did a prospective randomized controlled study to assess the functional outcome of distal tibial extra articular tibial fractures by comparing these treatment methods. MATERIALS AND METHODS: Sixty patients with distal tibial extra articular fractures were randomly assigned to an IMN (intramedullary nailing) group and a MIPPO (minimally invasive percutaneous plate osteosynthesis) group...
December 30, 2017: Ortopedia, Traumatologia, Rehabilitacja
https://www.readbyqxmd.com/read/29493523/assessment-of-the-effect-of-swedish-massage-and-acupressure-in-rehabilitation-of-patients-with-low-back-pain-preliminary-report
#4
Dariusz Boguszewski, Mateusz Krupiński, Dariusz Białoszewski
BACKGROUND: Low-back pain is a common problem in developed societies. The quest for methods to reduce this com-plaint may contribute to improving the quality of life for many people. The aim of the study was to compare the effect of Swedish massage combined with acupressure vs. Swedish massage alone in patients with low back pain. MATERIAL AND METHODS: The study involved 20 women and 20 men with lumbosacral pain. The group was clinically ho-mo-geneous. The participants were randomized into two groups: Group 1, which received Swedish massage with acu-pressure techniques, and Group 2, treated with Swedish massage only...
December 30, 2017: Ortopedia, Traumatologia, Rehabilitacja
https://www.readbyqxmd.com/read/29493522/operative-versus-non-operative-treatment-of-grade-iii-acromioclavicular-joint-dislocations-and-the-use-of-surgilig-a-retrospective-review
#5
Fizan Younis, Sanil Ajwani, Asia Bibi, Eleanor Riley, Peter J Hughes
BACKGROUND: Acromioclavicular joint dislocations are common shoulder girdle injuries. The treatment of grade III acromioclavicular joint dislocations is controversial. Furthermore, the literature on the use of the Sur-giligTM synthetic ligament for reconstruction of dislocations is sparse. MATERIALS AND METHODS: This retrospective review aimed to establish whether operative treatment was superior to non-operative treatment in grade III acromioclavicular joint dislocations treated at our institute over a 5-year period...
December 30, 2017: Ortopedia, Traumatologia, Rehabilitacja
https://www.readbyqxmd.com/read/29493521/use-of-functional-scores-for-assessing-patients-following-total-knee-replacement
#6
Anna Hadamus, Dariusz Białoszewski
This paper discusses key aspects of the use of functional scores, including their reliability conditions, differences between subjective and objective assessment and types. Functional scores used for assessing patients following total knee replacement, both objective and those including elements of patient-reported subjective evaluation, are discussed in detail, including scales that can be used in pre-operative assessment.
December 30, 2017: Ortopedia, Traumatologia, Rehabilitacja
https://www.readbyqxmd.com/read/29493520/neuropathy-damage-to-peripheral-nerves-in-diseases-and-injuries-of-the-musculoskeletal-system
#7
Wiesław Tomaszewski, Katarzyna Malinowska
The musculoskeletal diseases and injuries affect not only the musculoskeletal system itself, but also the closely related structures, such as blood vessels and nerves (both within the central and the peripheral nervous system). If these relationships are neglected or the directed neuroprotective and neuro-regeneration therapy is delayed, the final effect of the treatment is compromised. The aim if this paper is describing the important medical and social problem of peripheral neuropathies from the point of view of epidemiology, etiopathogenesis, imaging diagnostics and complex medical procedures using modern approaches and techniques, based on the available literature...
December 30, 2017: Ortopedia, Traumatologia, Rehabilitacja
https://www.readbyqxmd.com/read/29493519/comminuted-fractures-of-the-distal-femur-treated-with-ilizarov-external-fixator-case-series-study
#8
Łukasz Szelerski, Radosław Górski, Sławomir Żarek, Karol Mochocki, Paweł Małdyk
BACKGROUND: Distal femoral fractures constitute a type of lower limb injuries that is rare and difficult to treat. Despite advances in surgical technique and development of implants used for internal fixation of fracture fragments, the treatment continues to result in numerous complications. The Ilizarov External Fixator reduces the risk of complications and allows for bone union. MATERIAL AND METHODS: Six men with distal femoral fractures resulting from multisite and multiorgan injuries were treated at the Department of Orthopaedics and Musculoskeletal Traumatology of the Medical Uni-versity of Warsaw between 2008 and 2016...
December 30, 2017: Ortopedia, Traumatologia, Rehabilitacja
https://www.readbyqxmd.com/read/29493525/current-uses-of-ultrasound-imaging-in-musculoskeletal-rehabilitation
#9
Robert Jopowicz, Małgorzata Jopowicz, Łukasz Czarnocki, Jarosław Michał Deszczyński, Jarosław Deszczyński
The term Rehabilitative Ultrasound Imaging (RUSI) refers to the use of ultrasound imaging by physiothera-pists. Ultrasound is used by physiotherapists to evaluate the morphology of muscles and other associated soft tissues not only at rest but also for a dynamic assessment of those structures during physical activities and tasks. RUSI is most commonly utilized as part of a biofeedback mechanism, which shows good efficacy in lower back pain treatment. Several possibilities have been also described for clinically adapting this method in the rehabilitation of the shoulder and knee and postoperative improvement of tendons...
December 13, 2017: Ortopedia, Traumatologia, Rehabilitacja
https://www.readbyqxmd.com/read/29154235/the-use-of-neurodynamic-techniques-in-the-conservative-treatment-of-carpal-tunnel-syndrome-a-critical-appraisal-of-the-literature
#10
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
https://www.readbyqxmd.com/read/29154234/activity-and-quality-of-life-after-total-hip-arthroplasty
#11
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
https://www.readbyqxmd.com/read/29154233/objective-assessment-of-knee-proprioception-and-sensorimotor-function-in-patients-with-primary-gonarthrosis-before-and-after-knee-replacement
#12
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
https://www.readbyqxmd.com/read/29154232/radial-extracorporeal-shockwave-therapy-and-ultrasound-therapy-in-the-treatment-of-tennis-elbow-syndrome
#13
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
https://www.readbyqxmd.com/read/29154231/avascular-necrosis-of-femoral-condyles-in-a-patient-treated-due-to-lymphoma-a-case-study
#14
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
https://www.readbyqxmd.com/read/29154230/use-of-kinesiology-taping-in-rehabilitation-after-knee-arthroplasty-a-randomised-clinical-study
#15
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
https://www.readbyqxmd.com/read/29154229/iliac-fascia-compartment-block-and-analgesic-consumption-in-patients-operated-on-for-hip-fracture
#16
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
https://www.readbyqxmd.com/read/29086746/hip-dysfunction-in-patients-with-femoroacetabular-impingement
#17
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
https://www.readbyqxmd.com/read/29086745/the-challenges-of-monoaxial-bone-transport-in-orthopedics-and-traumatology
#18
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
https://www.readbyqxmd.com/read/29086744/evaluation-of-strength-recovery-after-traumatic-acute-compartment-syndrome-of-the-thigh-a-case-study
#19
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
https://www.readbyqxmd.com/read/29086743/return-to-work-after-surgical-treatment-of-coxarthrosis-by-total-cementless-hip-arthroplasty
#20
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
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