Ortopedia, traumatologia, rehabilitacja
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Ortop Traumatol Rehabil · Jul 2009
Case ReportsFree corticoperiosteal flap in the treatment of an infected bone defect of the tibia. A case report.
The treatment of septic bone defects represents a significant challenge in orthopaedic surgery. Non-vascularised cancellous bone grafts are very commonly used. In contrast, thin and malleable periosteal grafts have generally only been investigated in animal models. ⋯ The patient was able to return to his original occupation as a store manager. Stable internal fixation is an important precondition for successful treatment. The method described in this article can be considered for short defects when a conventional cancellous bone graft appears to be contraindicated.
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Ortop Traumatol Rehabil · May 2009
Assessment of spinal canal shape and intervertebral joint angles in lumbar spine.
Publications concerning the shape of the spinal canal and degenerative changes in the intervertebral joints have not described this issue in full detail to date, especially with regard to the causes of pain syndromes associated with degenerative changes in intervertebral joints. The aim of the study was to assess the shape of the spinal canal and joint surface angles at L3, L4 and L5. ⋯ While the most common pathomechanism underlying degenerative changes is vertebral sinking in the course of disc disease and emerging intervertebral instability, abnormal intervertebral angles can also lead to instability that gives rise to degenerative changes.
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Ortop Traumatol Rehabil · Mar 2009
ReviewStrategies for neuroprotection following spinal cord injury.
Progress in neuropathology has made possible the description of local responses of neural tissue in early stages after traumatic spinal cord injury (SCI). The recent identification of multiple factors responsible for secondary spinal cord damage and for potential regenerative abilities has not resulted in the development of a standard for neuroprotective therapy in SCI patients. The paper reviews current knowledge concerning the sequence of biochemical events in the injured spinal cord and gives an overview of therapeutic possibilities for preventing the spread of secondary injury. ⋯ Inflammation in the region of secondary injury, apart from having a destructive impact, is the source of substances which may induce neural tissue repair. 3. The administration of methylprednisolone and surgical decompression of the spinal cord within several hours after SCI improves functional and neurological outcomes in patients with incomplete neurological deficits. Currently there is no sufficient scientific evidence to support the safety and efficacy of other neuroprotective methods in humans.
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Ortop Traumatol Rehabil · Mar 2009
Results of treatment of mallet finger by internal splinting - a preliminary report.
Mallet finger, although common represents a spectrum of injuries for which there are many questions about the best form of treatment. Many authors advocate orthopedic treatment which is less invasive but requires greater patients dedication to implement. Despite a great number of different sort of orthosis none has proved superiority. The method of internal splinting of the DIP joint is less troublesome for the patient uniting the assets of orthopedic and surgical treatment. The goal of the study is the evaluation of the above mentioned method. ⋯ Internal splinting method of treatment of mallet finger is a recommendable alternative for other methods.
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To assess the pattern of mass casualty incidents managed at our hospital over the last eight years, and evolve a differentiating classification based on this pattern. A combination of retrospective and prospective assessment was made. ⋯ The Barzullah classification system is the first attempt at developing a hospital based differentiation in mass casualty incidents. It provides a valid and easy method of comparing such incidents between hospitals and perhaps a basis for developing protocol for mass disaster management.