Ortopedia, traumatologia, rehabilitacja
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Ortop Traumatol Rehabil · Jul 2007
Use of reamed locked intramedullary nailing in the treatment of aseptic diaphyseal tibial non-union.
Tibial fractures have been associated with the highest rates of bone union disturbances for many years. Stabilization of the tibial shaft with a reamed intramedullary nail is now being increasingly recommended as a treatment of choice. The aim of this study was to evaluate the outcomes of treatment of tibial shaft non-union with reamed intramedullary nails locked distally and proximally. ⋯ The treatment of an aseptic non-union of the tibial shaft with an intramedullary nail is an effective procedure. This conclusion must be regarded as tentative in view of the small sample size.
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Ortop Traumatol Rehabil · Jul 2007
Treatment of femoral shaft union disturbances with intramedullary nailing. Treatment failure.
The paper contains an analysis of the treatment outcomes of intramedullary nailing for femoral shaft non-union. ⋯ Despite being an acknowledged method of treatment for delayed union of long-bone shafts, intramedullary nailing following reaming of the medullary cavity did not result in bone healing in all of our patients and additional procedures were often required. Therefore, the use of this procedure for femoral shaft pseudoarthroses should be decided on a case-by-case basis.
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Ortop Traumatol Rehabil · May 2007
ReviewCurrent opinion about using the platelet-rich gel in orthopaedics and trauma surgery.
The use of growth factors in combination with tissue engineering seems to be the most promising method in the future for the treatment of tissue, bone and cartilage defect. Growth factors are cytokines with regulatory functions for healing in tissues of the musculoskeletal system. These small peptides are synthesised by resident cells at the site of injury such as mesenchymal stem cells and chondrocytes, or by the infiltrating inflammatory process. ⋯ The activator for PRP is a mixture of thrombin and calcium chloride. After connecting these substances platelet-rich gel (PRG) is formed and numerous regulatory molecules to the injury site such as PDGF, TGF-, VEGF, IGF, EGF and antimicrobial proteins are released. The aim of this article is presentation of present knowledge about properties and possibilities of using platelet-rich plasma in the treatment of soft tissue and bone healing disturbances.
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Ortop Traumatol Rehabil · Mar 2007
Restrainer of pelvis and lower limbs in thoracic and lumbar range of motion measurement--preliminary report.
Range of motion (ROM) is a parameter of prime importance for clinical assessment of spinal function. Many spinal ROM assessment techniques of varying reliability are currently in use. Immobilization of the pelvis and lower extremities improves control of the neutral position and decreases the error resulting from compensatory hip motion during measurement. To present a prototypic station for active 3-dimensional spinal ROM assessment; to analyze repeatability of measurements and reproducibility of the neutral position. ⋯ Validated spinal ROM measurements are useful in monitoring patients with musculoskeletal disorders. Immobilization of the pelvis and lower limbs improves repeatability of thoracic and lumbar ROM assessment and reproducibility of a neutral position. The prototype enables highly repeatable measurements, but requires technical improvements.
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Ortop Traumatol Rehabil · Mar 2007
Comparative StudyComplications of dislocated calcaneal fractures.
Calcaneal fractures are the most common of all tarsal fractures, with the majority being the result of high energy injuries causing comminution of bone and lesions of the posterior articular surface. If the bone fragments are left dislocated or non-operative reduction is attempted, the outcome is poor, often with chronic disability. On the other hand, operative treatment does not always lead to a good result and there is an inherent risk of devastating complications. ⋯ 1. Complications of calcaneal fractures significantly worsen the therapeutic outcome. 2. Proper care based on meticulous evaluation of the foot in the early period is crucial for reducing the incidence of complications.