Ortopedia, traumatologia, rehabilitacja
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Active and passive physical exercises in patients under palliative (long term) care in palliative wards and home hospices are a necessary means of prevention or reduction of pulmonary complications, disorders of respiratory function, vascular complications, disorders of lymphatic and venous function, and musculoskeletal dysfunction. The goal of this study was to assess the dynamics of physical activity in patients under long term care. ⋯ 1. The rehabilitation of palliative care patients resulted in a significant improvement in the quality of life. 2. The results indicate that there is a need to provide palliative patients with optimum rehabilitation regardless of their pre-rehabilitation clinical status. 3. The Karnofsky Performance Scale and the Rotterdam Symptom Checklist are strongly correlated with each other, which makes them robust investigative instruments for evaluating palliative patients.
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Ortop Traumatol Rehabil · Jan 2010
Comparative StudyUsefulness of ct scans and radiographs in the assessment of cervical spine injuries in polytrauma patients - own experience.
This paper evaluates the usefulness of spiral CT and conventional radiographs in the assessment of cervical spine injuries in polytrauma patients. The data are used as a basis for determining a precise and quick method for the assessment of the severity of cervical spine injuries that is also possibly least inconvenient for the patient.This approach is important due to the high risk of cervical spine injuries in patients with severe polytrauma and head injuries, as appropriate diagnostic work-up will help avoid unnecessary examinations and shorten time to diagnosis. ⋯ Spiral CT with reformations (MPR and VRT) should be the basic modality in the diagnosis of cervical spine fractures. An appropriate treatment method may be selected and mistakes in the interpretation of injuries may be avoided on the basis of CT studies. Its other advantages are the short time required to perform the scan and the possibility of supporting vital functions in polytrauma patients during the examination.
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Hand transplant still remains a partly experimental procedure because of the small number of patients and short follow-up (not longer than 10 years). Most hand transplantations have been performed at the distal forearm level. ⋯ The distal third of the forearm is a replantation zone promoting early functional recovery.
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Ortop Traumatol Rehabil · Nov 2009
Comparative StudyComparison of results of Cotrel-Dubousset instrumentation with partial rib resection at curve apex and without resection treatment based on the Scoliosis Research Society questionnaire.
To compare subjective treatment outcomes in patients with idiopathic scoliosis who underwent Cotrel-Dubousset instrumentation with rib resection at the curve apex and in patients who did not undergo rib resection at the same time as scoliosis correction. ⋯ In the light of the SRS questionnaire, reduction of rib curve height concurrent with Cotrel-Dubousset instrumentation increased the degree of treatment satisfaction and improved patients' self-esteem without increasing back or chest pain.
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Ortop Traumatol Rehabil · Nov 2009
Retrospective study of two-stage surgery in the treatment of scoliosis exceeding 100 degrees - assessment including spinal balance evaluation.
Scoliosis exceeding 100 degrees remains an important problem in spinal orthopaedics. The choice of an optimal surgical technique is crucial, not only because of the degree of correction needed, but also because of the need to minimize the number of complications and avoid imbalance after surgery. The aim of this work is to analyse the outcomes of a two-stage surgical regimen for scoliosis exceeding 100 degrees consisting of anterior release, cranio-femoral traction, and posterior fusion with derotational instrumentation. ⋯ Two-stage treatment of very severe scoliosis enables stable correction with some improvement of spinal balance in both the coronal and sagittal plane.