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Ortopedia, Traumatologia, Rehabilitacja

Dorota Bać, Janusz Cwanek
Adam Gruca was born on 3 December 1893 in MajdanSieniawski. In 1902 he began his education in a 4-year primary school. Thanks to the support of his teacher, Helena Ostrowska, in 1906 he became a student in a Gym-nasium in Jarosław. On 16 June 1913 Adam Gruca passed his secondary school leaving exam and in autumn he started his studies at the Faculty of Medicine at John Casimir University in Lviv. His studies were interrupted by the outbreak of World War I. On 1 July 1914, he was conscripted into the Austro-Hungarian Army...
June 30, 2018: Ortopedia, Traumatologia, Rehabilitacja
Radoslav Zamborsky, Miroslav Kilian, Maria Csobonyeiova, Lubos Danisovic
The ability of stem cells to self-renew and differentiate into cell types of different lineages forms the basis of regenerative medicine, which focuses on repairing or regenerating damaged or diseased tissues. This has a huge potential to revolutionize medicine. It is anticipated that in future, stem cell therapy will be able to restore function in all major organs. Intensive research has been on-going to bring stem cell therapy from bench to bedside as it holds promise of widespread applications in different areas of medicine...
June 30, 2018: Ortopedia, Traumatologia, Rehabilitacja
Kamila Malesa, Mariusz Urban, Dariusz Michalik, Stanisław Pomianowski
Radial head replacement should be indicated in all cases of radial head fractures when open reduction and internal fixation is anticipated to be difficult or impossible. Although excellent therapeutic results have been ob-tained, this procedure, like any other surgical procedures, may be associated with severe complications, includ-ing contractures, ossification or aseptic synovitis. In these cases, removal of the prosthetic radial head has al-ways been a safe and popular solution producing a satisfactory clinical outcome...
June 30, 2018: Ortopedia, Traumatologia, Rehabilitacja
Grzegorz Guzik
Non-Hodgkin lymphomas are a heterogeneous group of tumours, with diffuse large B-cell lymphomas (DLBCL) being particularly common. Cases of DLBCLs developing in the central nervous system, especially in the spinal cord, are extremely rare and thus pose significant diagnostic and therapeutic problems, particularly for orthopaedists and neurologists since these are the specialists the patients first consult. The tumours often appear in immunosuppressed patients and standard chemotherapy is ineffective. This paper presents the case of a 44-year-old male with a lymphoma located in the spinal cord at the C7-Th1 level...
June 30, 2018: Ortopedia, Traumatologia, Rehabilitacja
Sanil H Ajwani, Sonal M Halai, Randeep S Mohil
BACKGROUND: We aimed to evaluate the burden of successful litigation relating to wrist and hand injuries and surgery. MATERIAL AND METHODS: A retrospective review was conducted using the English national litigation data-base, National Health Service Litigation Authority database. RESULTS: A total of 325 successful claims were analysed from 2002-2012. The total cost of successful claims was £19.5 million. This comprised £10.9 million in damages, with £8...
June 30, 2018: Ortopedia, Traumatologia, Rehabilitacja
Misbah Mehraj, Farid H Malik
BACKGROUND: We did a prospective study to study the efficiency of Short Segment Posterior Instrumentation using a Universal Spine System with incorporation of the fractured vertebra in post-traumatic thoracic and lumbar spine fractures. MATERIAL AND METHODS: 25 cases in the age group of I5-50 years with thoracic and lumbar spine fractures were included in the study. The operative decision was made on the basis of instability of spine fractures with or without neurological deficit...
June 30, 2018: Ortopedia, Traumatologia, Rehabilitacja
Mahnaz Aboufazeli, Mohammad Akbari, Ali Ashraf Jamshidi, Mohammad Saleh Jafarpisheh
BACKGROUND: Chronic low back pain (LBP) leads to long-term physical and psychological problems and may result in acute deterioration of the pain. It is hypothesized that size changes in selected limb and pelvis muscles during contracting movements are different between healthy individuals and LBP patients. MATERIALS AND METHODS: A case-control study including two groups of 30 female participants with and without LBP symptoms was designed. Participants were 20-45 years old (36...
June 27, 2018: Ortopedia, Traumatologia, Rehabilitacja
Natalia Tomska, Agnieszka Turoń-Skrzypińska, Aleksandra Szylińska, Aleksandra Rył, Agnieszka Lubińska-Gruszka, Hanna Mosiejczuk, Iwona Rotter
BACKGROUND: Pain significantly decreases the quality of life. The treatment of back pain relies heavily on comprehensive rehabilitation. This study compared the effectiveness of deep electromagnetic stimulation and radial shock wave therapy in the opinion of patients with back pain of various aetiology. MATERIAL AND METHODS: The study group consisted of 73 subjects, of whom 36 patients underwent radial shock wave therapy and 37 patients underwent deep electromagnetic stimulation...
June 12, 2018: Ortopedia, Traumatologia, Rehabilitacja
Awaiz Ahmed, Abdulla Jawed, Murali Venkatesan, James Doyle
BACKGROUND: Aim of this prospective study was to evaluate safety and efficacy of second generation Wallis system for degenerative lumbar disc disease. MATERIAL AND METHODS: 25 patients underwent discectomy and insertion of Wallis system. Outcome assessment was done using Modified Oswestry disability index (ODI) and visual analogue scale (VAS) for backache and leg pain. RESULTS: The mean follow-up was 20.5 months. The mean VAS for backache and leg pain showed significant improvement from 7...
April 30, 2018: Ortopedia, Traumatologia, Rehabilitacja
Anna Hadamus, Marta Grabowicz, Patryk Wąsowski, Anna Mosiołek, Dariusz Boguszewski, Dariusz Białoszewski
BACKGROUND: Kinesiology Taping is a very popular physiotherapy method. It is used in both healthy people and orthopaedic patients in order to relieve pain, increase range of motion and for other purposes. Many researchers claim that these applications will also improve proprioception and sensorimotor efficiency, which are important for recovery after injuries and orthopaedic surgeries, especially on the knee joint. The aim of this study was to determine the effect of the muscle application of Kinesiology Taping on knee joint position sense in active motion...
April 30, 2018: Ortopedia, Traumatologia, Rehabilitacja
Robson Rocha Da Silva, Priscila Filardi De Oliveira, Marcos Almeida Matos
BACKGROUND: Osteoarthritis of the knee is a degenerative disease which affects the functional status and qua-lity of life of patients. The treatment of choice in advanced stages is total knee arthroplasty (TKA). Although the procedure consistently yields good results, functional limitations may persist after surgery. The aim of the study was to evaluate the impact of TKA on the practice of sport and how this relates to factors such as demographic and clinical data. MATERIAL AND METHODS: This is a cross-sectional cohort study of operated vs...
April 30, 2018: Ortopedia, Traumatologia, Rehabilitacja
Grzegorz Guzik
BACKGROUND: Three methods of pedicle screw insertion are in common use. Each has its advantages and disad-vantages and the decision to use a particular method depends on the type of procedure, indications, the patient's age, and the preferences and experience of the operator. The accuracy of screw insertion through the vertebral arch into the vertebral body may be assessed on post-operative CT or MRI and classified according to different systems. The free-hand method was analysed according to the Gertzbein classification and was compared with the other methods in terms of accuracy and complications...
April 30, 2018: Ortopedia, Traumatologia, Rehabilitacja
Mateusz Wojciech Romanowski, Maciej Majchrzak, Anna Kostiukow, Roksana Malak, Włodzimierz Samborski
Rheumatoid arthritis (RA) is an inflammatory immune-dependent systemic connective tissue disease leading to joint destruction and organ complications. Recent years have seen a strong interest in manual therapy and its possible use in patients with pain and limited joint mobility. This prompted us to evaluate the effectiveness of joint mobilization in a patient with RA. The present paper assesses the effects of a joint mobilization technique on pain and functionality of the hand and wrist in a patient with rheumatoid arthritis...
April 30, 2018: Ortopedia, Traumatologia, Rehabilitacja
Andrzej Pozowski, Mateusz Kowal, Patryk Pozowski, Małgorzata Paprocka-Borowicz
BACKGROUND: In spite of many decades of experience and huge data resources to evaluate the results of increasingly difficult and extensive acetabulum revision operations, it is not possible to obtain fully satisfactory results. This article presents the indications for use, surgical technique, and distant and intermediate-range results in the operation of replacing a loosened acetabular component of an endoprosthesis with accompanying extensive cavitary or segmental floor defects. MATERIAL AND METHODS: A retrospective evaluation was performed on 65 hips in 55 patients, including bila-teral procedures in 8 women and 2 men, operated on between 1994 and 2012...
April 16, 2018: Ortopedia, Traumatologia, Rehabilitacja
Maciej Łuczak, Sławomir Jandziś, Ewa Puszczałowska-Lizis
Based on source materials, this article presents the activity of Prof. Eugeniusz Piasecki towards the development of physiotherapy in Poland. After completing his studies at the Faculty of Medicine of Jagiellonian University and a pedagogical course in physical education for gymnastics teachers at secondary schools and teacher training centres, he went to Vienna to deepen his knowledge of medical gymnastics and hydrotherapy. During a scientific trip to Sweden, he became acquainted with Pehr Henrique Ling's method...
April 16, 2018: Ortopedia, Traumatologia, Rehabilitacja
Edward Czerwiński, Jarosław Czubak, Marek Synder, Maja Warzecha, Małgorzata Berwecka
With aging of the population, osteoporotic fractures are becoming an increasing medical problem world-wide. It has been estimated that 2,700,000 patients experienced a low energy fracture in the Polish population in 2010. On the basis of contemporary world standards and publications in the field of orthopaedics and trau-matic surgery, a summary of the principles of management of osteoporotic fractures is presented. Both general problems of fracture treatment in elderly patients as well as difficulties in surgical and conservative treatment resulting from osteoporotic bone abnormalities are discussed...
April 16, 2018: Ortopedia, Traumatologia, Rehabilitacja
Wiesław Tomaszewski
Anemia and the necessity of blood product transfusion in perioperative procedures is an important and frequently discussed clinical issue. Presently, a constantly growing interest in this problem is observed among clinicians who search the ways to reduce the number of blood or blood product transfusions in patients after surgical procedures, both during the preoperative period and during and after the surgery. Generally, the decision whether to start transfusion or not should follow the analysis of pros and cons, considering the beneficial effect of transfusion and the risk of undesirable effects...
February 28, 2018: Ortopedia, Traumatologia, Rehabilitacja
Piotr Biega, Grzegorz Guzik, Tomasz Pitera
BACKGROUND: Cancer metastases to the upper section of the cervical spine are found in a low percentage of patients. Their conservative treatment consists in radio- and chemotherapy as well as immobilisation in an orthopaedic collar. Surgery is the treatment of choice in patients with lesions causing spinal instability or compressing neural structures. The aim of this study was to assess the outcomes of surgical treatment conducted in patients with metastases located in the upper section of the cervical spine...
February 27, 2018: Ortopedia, Traumatologia, Rehabilitacja
Grzegorz Kopeć, Krzysztof Kwiatkowski, Piotr Piekarczyk, Bartosz Chwedczuk, Justyna Gołos
BACKGROUND: The aim of the present study was to assess the effectiveness of surgical treatment of distal radial fractures following open reduction and fixation with an angle-stable plate in relation to the type of injury (flexion vs. extension fracture). MATERIAL AND METHODS: A group of 25 patients with Colles fractures and 25 patients with Smith fractures treated surgically in the years 2012-2013 was analysed retrospectively. The results were evaluated using the quickDASH and Mayo Wrist Score...
February 27, 2018: Ortopedia, Traumatologia, Rehabilitacja
Avi Ohry
BACKGROUND: The process of a comprehensive rehabilitation of the disabled person may be more complicated when the diagnosis becomes vague and uncertain. Unknown data about the patient's past, mental, physical or vocational background, may cast a different light on the process. The patient's diagnosis sometimes becomes an enigma. Using the model of Venn, the patient's situation shifts from one circle to another. The only logical solution in these cases is to use the Occam's Razor. PURPOSE: To draw the attention of rehabilitation medicine professionals to the problem of clients whose diagnoses are vague and uncertain and to share with the readers my personal thoughts on this topic...
February 27, 2018: Ortopedia, Traumatologia, Rehabilitacja
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