Author: Jędrzej Lesman

  • Orthopedic and Trauma Department, Veteran’s Memorial Teaching Hospital in Lodz, Medical University of Lodz, Poland

September 15, 2022

Medial tibial plateau fracture following unicompartmental knee arthroplasty – characteristics, risk factors, pathogenesis and treatment methods. Literature review and case report

Introduction. Medial tibial plateau fracture (MTPF) after medial unicompartmental knee arthroplasty (UKA) is a rare but significant complication. Materials and methods. MEDLINE, ScienceDirect and Cochrane Library databases were searched using specific search terms. The inclusion criteria were articles in English, medial unicompartmental knee arthroplasty intraoperative or stress MTPF, reported patients’ demographics and fracture characteristics, the treatment process, any case with […]
June 21, 2022

Treatment of hypertrophic pseudarthrosis developed in the femoral subtrochanteric area after intramedullary nail breaking – new application of the LAP system for peri-implant fractures

Hypertrophic pseudarthrosis of the proximal femur is a frequent complication emerging after bloody reposition of the facture with an intramedullary nail. The literature provides no answer to the question how to fix the fragment of fracture ensuing the pseudarthrosis arthroplasty, when proximal fragment is only 10 cm long, to ensure complete and long-standing union and make the fixation stable. We operated a […]
June 21, 2022

Two-time multi-fragment periprosthetic fracture along with loosening of the stem of cementless Excia arthroplasty treated using of the cable system and Prevision arthroplasty

Periprosthetic fracture is a frequent complication following implantation of the hip arthroplasty. There are numerous modes of treatment of such injuries, depending on the type and location of the fracture with a particular stress put on the implant stability. Yet the literature provides no convincing evidence whether postponement of the reposition of the periprosthetic fracture over a week after the arthroplasty implantation, […]
June 21, 2022

Comminuted patella fracture in a patient of advanced age, with xeroderma, treated with a low-invasive, originally modified method using non-absorbable sutures

As an intra-articular fracture, patella fracture should be treated with a precise reposition of fragments and stable metal fixation, which enables possibly early passive and active movements of the knee joint. As regards advanced-age patients with xeroderma in the pre-patellar area and poor-quality osseous tissue preventing any stable fixation, it is necessary to take into account a transdermal reposition of fracture and […]
June 21, 2022

Peri-implant femoral shaft fracture in patient with healed femoral neck fracture treated operatively using Targon FN system

Pursuant to the recent literature recommendations, we managed 31B1 fracture with Targon FN plate (BBraun/Aesculap, Germany) in our hospital. Patient reported to our center 14 weeks after operation, complaining about pain ailments in the proximity of the operated area. Patient did not sustain any other injuries. X-ray examination revealed the healed fracture of the femoral neck and fracture below a lower screw […]
June 21, 2022

Analysis of complications resulting from femoral neck fracture treatment using Targon FN system

The study was aimed to assess the outcomes of the operative procedure applied in the patients with the femoral neck fracture, treated with the Targon FN system, manufactured by Aesculap, and identify relationships between the outcome of treatment of the femoral neck fracture, patient’s body mass, length of the period between the moment of injury and surgery, age of patient, prescribed medications. […]
June 21, 2022

Treatment of the 40-years old hypertrophic pseudarthrosis of the humeral shaft after breaking of the intramedullary nail – removal of the intramedullary fixation using Ender rod. Original modification of the method

Hypertrophic humeral pseudarthrosis is a frequent complication following a surgical treatment. The question arises about the least invasive treatment to be applied when the intramedullary nail stabilizing axially a humeral pseudarthrosis breaks. So far no explicit answer to this question has been found. We have operated a patient with a 40-years old hypertrophic pseudarthrosis using the Ender rod to remove a broken […]
June 21, 2022

Pathological femoral shaft fracture in a patient with a history of lobular carcinoma treated with bisphosphonates. A surgical approach

Pathological fracture of the femur accounts for as much as 45.5% of all pathological fractures [1,2,3]. There is a number of surgical approaches to such trauma: resection arthroplasty or fracture reposition, intramedullary nailing fixation or plate fixation using angular stable screws [4-15]. First of all, a patient with pathological femoral shaft fracture should be early recognized and treated with a minimally invasive […]
June 21, 2022

Long-standing extracapsular fracture of the femoral neck: arthroplasty or fixation? Case report

Extracapsular fracture of the femoral neck requires reposition and stabilization with the use of metal systems. What type of surgery should be performed in the event of a long-standing fracture and when it should be qualified as a long-standing fracture are the questions to which no explicit answers have been found so far. We operated a female patient with such fracture, after […]
June 21, 2022

Bilateral degenerative disease of the hip and right shoulder joints in the course of avascular necrosis of femoral and shoulder heads in a patient treated with chemotherapy and biologically due to acute lymphoblastic leukemia treated operatively

Avascular necrosis of the femoral head resulting in the degenerative hip disease is a frequent consequence of the treatment of acute lymphoblastic leukemia in children and adolescents. Early MR imaging diagnostics appropriate treatment may prevent injuries of articular Surface. Patients suff ering from an injury of articular surface should be treated with an implant enabling able and painless movement and providing long […]