Ortopedia, traumatologia, rehabilitacja
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Ortop Traumatol Rehabil · Aug 2018
Difficulties in Treating Complex Knee Injuries with Fracture of Posterior Tibial Plateau.
The aim of the study was to assess the outcomes of surgical treatment of complex knee injuries with a posterior inverted-L approach to the knee joint. ⋯ 1. Anatomical reduction and stable fixation of posterior plateau fractures of the proximal tibia are crucial in fracture management. 2. A posterior inverted-L approach is very useful when treating posterior tibial plateau fractures.
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Ortop Traumatol Rehabil · Jun 2018
Biography Historical ArticleAdam Gruca - "Military Medic" in the Years 1914-1920.
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. ⋯ In 1921 he was promoted to captain and moved to the reserve. During the 5-year army service,the young student was able to gain practical knowledge and medical experience. On 24 June 1922, after nine years, he obtained a diploma in Medicine.
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Ortop Traumatol Rehabil · Feb 2018
Results of Ilizarov External Fixation in Rigid Equinus Deformity: An Experience of 30 Patients.
Equinus deformity is associated with congenital disorders, trauma, infections, burns and neuromuscular diseases. Tip-toe gait resulting from equinus deformity often makes ambulation difficult. Many modalities of treatment are available but most of them are challenging due to high risk of skin and soft tissue complications. The purpose of this study was to evaluate the results of Ilizarov external fixator with or without minimal soft tissue release in patients with rigid equinus deformity. ⋯ Ilizarov external fixation being a minimal invasive procedure allows a greater degree of equinus deformity correction.
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Ortop Traumatol Rehabil · Dec 2017
Randomized Controlled Trial Comparative StudyOperative Management of Distal Tibial Extra-articular Fractures - Intramedullary Nail Versus Minimally Invasive Percutaneous Plate Osteosynthesis.
The ideal treatment of distal tibial extra articular fractures remains controversial. Minimally invasive percutaneous plate osteosynthesis and intramedullary nailing are the two most commonly used methods. We did a prospective randomized controlled study to assess the functional outcome of distal tibial extra articular tibial fractures by comparing these treatment methods. ⋯ MIPPO and intramedullary nailing are effective treatment options in the management of distal tibial extra particular fractures, with comparable functional outcomes.
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Ortop Traumatol Rehabil · Dec 2017
Case ReportsComminuted Fractures of the Distal Femur Treated with Ilizarov External Fixator. Case Series Study.
Distal femoral fractures constitute a type of lower limb injuries that is rare and difficult to treat. Despite advances in surgical technique and development of implants used for internal fixation of fracture fragments, the treatment continues to result in numerous complications. The Ilizarov External Fixator reduces the risk of complications and allows for bone union. ⋯ 1. The Ilizarov method allows for efficient fixation of comminuted distal femoral fractures, in-clud-ing C2 and C3 intra-articular fractures (AO/ASIF classification). 2. The use of the Ilizarov apparatus re-duces soft tissue laceration, preserves blood supply to the bone fragments, and allows for easier skin care, which is particularly important in the case of open fractures. 3. Early rehabilitation with the patient fully loading the operated limb reduces muscle atrophy and stimulates bone union.