Ortopedia, traumatologia, rehabilitacja
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Ortop Traumatol Rehabil · Jun 2005
[The use of thermographic examination to evaluate outcome in the conservative and surgical treatment of lateral scoliosis].
Background. Diagnosis and evaluation of treatment outcome in scoliosis require the implementation of simple, noninvasive and accurate diagnostic methods. Thermovision, depending on remote skin surface temperature measurement, has found application in various medical disciplines. ⋯ Conclusions. Thermographic examination is a simple, noninvasive and useful method for monitoring and assessing outcomes, in both conservative and operative treatment of scoliosis. A special area of application of this method is the early diagnosis of postoperative complications.
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Ortop Traumatol Rehabil · Apr 2005
Stabilization of forearm fractures in children using intramedullary Kirschner wires.
Background. Minimally invasive intramedullary stabilization is a widely accepted method for treating long bone fractures in children. Indications concerning age and type of fracture have increased in the last decade. ⋯ Intramedullary Kirschner wire stabilization is a technically easy minimally invasive procedure. The method gives good clinical outcomes and decreases hospitalization, treatment costs, and stress connected with hospitalization. Intramedullary stabilization should be method of choice in the surgical treatment of forearm fractures in children.
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Ortop Traumatol Rehabil · Dec 2003
Morphine or bupivacaine in controlling postoperative pain in patients subjected to knee joint arthroscopy.
Background. We investigated the efficacy of intra - articular bupivacaine with morphine administration after knee joint arthroscopy.
Material and methods. The present study compared intra- arthicular bupivacaine with intra-arthricular morphine for postoperative analgesia in 56 patients (21 women, 35 men) (age 20-70, mean 39.8) undergoing knee joint arthroscopy.
Intraoperatively, the patients received anaesthesia spinaly (0.5 % Marcaine spinal ASTRA) and immediately following surgery received 10 ml intra-arthricular injection consisting either of 0.5 % bupivacaine (group I), 5 mg morphine + 0.9 % saline (group II). ⋯ Intra-arthricular administration of each solution was well toleratede and non side effects were noted.
There was non significant difference among the two groups in monitored parameters. The mean time of postoperative analgesia was 185,7 +/- 25.3 min for bupivacaine group and 390.3 +/- 35,4 min for morphine group.
Total amount proefferalgan supplamentation was the highest in group I.
Conclusions. Postoperative intra- arthricular injections of bupivacaine and morphine for patients undergoing knee joint arthroscopy can provide a safe and effective analgesia and therefore shound be recommended and widely implamented into the clinical use as a standard procedure.