Ortopedia, traumatologia, rehabilitacja
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Ortop Traumatol Rehabil · Jan 2008
Cemented primary total arthroplasty for acetabular protrusion in patients with rheumatoid arthritis.
The degenerative changes in hip joints observed in patients RA are associated with acetabular bone deficiencies. Therefore total hip arthroplasty performed in such patients requires bone grafting to restore the deficiencies. The aim of the study was to assess the long term-term results of primary total hip arthroplasty in patients with RA including an assessment of the usefulness of auto-and allograft in restoring bone deficiencies in acetabular protrusion. ⋯ Restoration of bone deficiencies in the medial part of the acetabulum in patients with RA by bone grafting is a biological way of reconstruction of the bone and facilitates stable fixation of a polyethylene acetabulum.
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Ortop Traumatol Rehabil · Nov 2007
Clinical TrialEfficacy of closed reduction and maintenance of surgical outcome in plaster cast immobilization in different types of distal radius fractures.
The aim of this paper is to evaluate the results maintaining after closed reduction of distal radius fracture and to assess difficulties in restoration of the articular surface continuity with reference to the type of fracture according to the AO classification. ⋯ The AO classification is a tool which with accuracy characterizes the complex pathomorphology of distal radius fractures and includes essential elements differentiating respective fracture groups. We conclude that in group A3, C2 ,C3 the result of closed reduction is difficult to maintain with a plaster cast immobilization. Additionally, the restoration of articular surface continuity in type C3 fractures can hardly be achieved by closed reduction.
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Ortop Traumatol Rehabil · Sep 2007
Case ReportsThe vertical expandable prosthetic titanium rib (VEPTR) in the treatment of scoliosis and thoracic deformities. Preliminary report.
Severe deformities of the chest, early-onset progressive scoliosis, congenital defects of the ribs and the vertebral column may all give rise to the thoracic insufficiency syndrome (TIS), when the chest capacity is too low to fully support basic vital functions, leading to gradually progressive cardiopulmonary failure. Aim of study. This paper presents new possibilities for sequential correction of progressive deformities of the thorax and spinal column in skeletally immature children using a vertical expandable prosthetic titanium rib (VEPTR) system. ⋯ The vertical expandable prosthetic titanium rib appears to be the best alternative to other approaches to sequential treatment of chest and spine deformities currently in use.
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Ortop Traumatol Rehabil · Jul 2007
ReviewCurrent understanding of osteoporosis according to the position of the World Health Organization (WHO) and International Osteoporosis Foundation.
The study documents a general change of position on osteoporosis (definition, diagnosis, aim of treatment). Taking into consideration a multifactorial nature of bone fragility in osteoporosis we do not diagnose "osteoporosis" but a total, individual 10-year fracture risk (AR-10) on the basis of independent and self-sufficient risk factors. These are: advanced age, prior fragility fracture, parental history of proximal femur fracture, low BMI, low bone mass, glicocortycosteroids treatment, rheumatoid arthritis, smoking, overuse of alcohol. ⋯ Spinal X-rays are performed in aim to diagnose vertebral fractures, which mean a multiple increase of risk of further fractures. The principles of low bone mass differential diagnosis and current possibility of pharmacological treatment are also described. Guidelines for fall avoidance in fracture prevention are described.
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Ortop Traumatol Rehabil · Jul 2007
Case ReportsIntramedullary nailing in treatment of complications of long bone union following fracture - case studies.
Open osteosynthesis of long bones fractures carries high risk of complications, the most common of which are plate breakage, slow union, delayed union and non-union. The paper analysis of 3 cases of bone union complications treated by locked intramedullary nailing. The aim was to show differences in the therapeutic management of different bones and non-unions following different types of osteosynthesis. ⋯ Locked intramedullary nailing permits stable bone fixation. Intramedullary canal reaming stimulates bone consolidation since it is the source of autologous bone graft. Similar to its use in the treatment of acute fractures, the method permits early, active and efficient patient rehabilitation.