Author: Łukasz Matuszewski

  • University Children’s Hospital in Lublin, Department of Children’s Orthopaedics and Rehabilitation, Lublin, Poland

July 7, 2022

Evaluation of the incidence of complications during the treatment of diaphyseal forearm fractures using elastic intramedullary nailing in children

Introduction. Diaphyseal forearm fractures constitute the second most numerous group of injuries to the locomotor system in children, right after the injuries of the distal part of forearm bones. Most often, diaphyseal forearm fractures in children occur through an indirect mechanism. In the treatment of diaphyseal forearm fractures in children, the aim is to achieve union, correct length and axis […]
June 21, 2022

Accidents in agriculture involving muscle skeletal system in children. Analysis based on hospitalization in the Paediatric Orthopaedics and Rehabilitation Department University Children’s Hospital in 2010-2019

Introduction. Accidents in agriculture involving children happen every year. They are attributable to a lack of safety and low awareness of caretakers, who oftentimes don’t pay enough attention to the little ones. Injuries in agriculture involve mainly falls from great heights: ladders, trailers, tractors; crushing by various types of agricultural machinery; partial or complete amputations within the regions of upper and lower […]
June 21, 2022

Aseptic necrosis of the femoral head in the course of haemophilia; a different clinical and radiological course compared to typical Legg-Calve-Perthes disease (twenty years of follow-up) – case report

The authors analyse the course of aseptic necrosis of the femoral head in a 7-year-old boy with haemophilia A (factor VIII level – 0%) caused by massive haemarthrosis into the hip joint (joint tamponade). The patient’s clinical and radiological symptoms differed from those in classic LCP disease, and now, after 20 years, the consequences of necrosis do not confirm typical Perthes disease […]
June 21, 2022

Treatment of pediatric diaphyseal femoral fractures with intramedullary fixation

Femoral fractures are found in the daily practice of pediatric orthopedic traumatologists. This is related to the specificity of the child’s skeletal system, different biology and methods used to treat these injuries. Diaphyseal femoral fractures account for approximately 3% of all long bone fractures in children and adolescents. They usually occur as a result of high energy injuries. This type of damage […]
June 21, 2022

Operative treatment of pediatric diaphyseal both-bone forearm fractures with flexible intramedullary fixation

Forearm fractures constitute the largest group of injuries in children’s musculoskeletal system. When treating these injuries, we strive to achieve a complete union, not forgetting to restore the correct axis and limb length, which later determines proper functioning of the upper limb. As far as treatment is concerned, the operative method of choice selected more and more is the elastic (flexible) intramedullary […]
June 21, 2022

Comparison of complications of the treatment of diaphyseal forearm fractures in children with respect to the treatment method

Introduction. Forearm fractures are the second most common injuries to the locomotor system in children, after injuries to the distal forearm. Usually, pediatric forearm fractures occur due to indirect violence. In the treatment of forearm fractures in children, we aim to achieve union, correct length and axis of both forearm bones. Forearm fractures can be treated non-operatively, with casting, as well as […]
June 21, 2022

Oxygen saturation measurement in dislocated supracondylar fractures in children

The goal of his study was to show that oxygen saturation measurement in the distal part of injured upper extremity is one of the best method to assess post-traumatic blood flow disturbances and the necessity for exploration of brachial artery in supracondylar fractures. 32 children, age 4-16, with Gartland’s displaced extension type III injuries and distal disruption of blood flow were treated […]
June 21, 2022

Types and treatment of distal humerus fractures in children

Introduction. The distal region of the humerus is the most common location of injuries – taking into account the entire humerus of the child. Errors made during their diagnosis and treatment are associated with the occurrence of complications. When analyzing and interpreting x-ray images, one should not forget about the presence of numerous ossification points of this region and the associated temporal […]
June 21, 2022

Avulsion fracture of the tibial insertion of the PCL in child – case report

The posterior cruciate ligament (PCL) plays a relevant role in maintaining proper mechanical stability of the knee joint. Avulsion fracture of the tibial insertion of the PCL is a very rare injury in children. Despite of clinical signs, radiologic studies are fundamental for its correct diagnosis and treatment. Its might be treated either conservative or operative. In children population there are not […]
June 21, 2022

Treatment of fractures for lateral part of humeral condyle in children – a single-center experience

Introduction. Elbow fractures are among the most common injuries of the locomotor system in children, second only to forearm fractures. Diagnostic and treatment errors often lead to complications. The presence of ossification centres must be taken into consideration when analysing and interpreting x-ray images. The many classifications do not reflect the whole picture of the injury in question, which is characterised by […]
June 21, 2022

Developmental dysplasia of the hip in newborns – a still relevant problem

Developmental dysplasia of the hip in infants covers a wide range of different clinical severity, from complete dislocation, through subluxation to dysplasia, often of mild degree, which disappears on its own. The consequences of undiagnosed dysplasia may affect the motor skills of a child and an adult. A complete cure of the defect using simple nursing methods is possible only in infancy. […]
June 21, 2022

Arthroereisis in flexible flatfoot in youths

Flexible flatfoot is a common defect in children and adults. Up to about the age of 10, the longitudinal arch of the foot can be spontaneously reproduced and does not require treatment. After the age of 10 with the co-occurrence of pain, arthroereisis can be performed, i.e. limiting the excessive pronation by an implant located in the tarsal sinus region. This treatment […]
June 21, 2022

Secondary changes of the tibial axis in adolescents treated due to idiopathic genu valgum with minimally invasive methods of blocking growth cartilages. Analysis of factors affecting treatment failure

In their 2016 publication, the authors drew attention to the influence of generalized polyarticular laxity during the treatment and the final effect of the correction of lower limb axis disorder in children and adolescents [1]. In addition to the influence of generalized polyarticular laxity on the outcome and time of treatment of patients, we also observe the flexion of the tibial shaft, […]
June 21, 2022

An analysis of the longitudinal arch of the foot in children by measurements under static and dynamic conditions

Introduction. The human foot is an essential static and dynamic element of the biomechanical chain of the lower extremity. On the one hand, it provides support, on the other hand, it is a driving mechanism facilitating locomotion. While there are many different methods for evaluating the arches of the foot, a unified examination strategy is still lacking. Aim. The aim of the […]
June 21, 2022

Morphology of the brachial artery injuries in Gartland’s type III supracondylar fractures of the humerus in children

Supracondylar fractures of the humerus are the most common elbow fractures amongst children. Severe displacement in the cubital fossa can cause soft tissue injuries, in the case of Gartland’s classifi cation type III. Supracondylar fractures are high in energy and can cause injuries to the brachial artery. Injuries to the cubital fossa can disrupt blood fl ow in the distal part of […]
June 21, 2022

Difficulties in diagnosis and treatment of infl ammatory changes within the motor system caused by foreign bodies – report of three cases

Foreign bodies in soft tissues are often the cause of infl ammation and health problems. The importance of proper anamnesis is emphasised thoroughly in this case study and throughout many others. Foreign objects show a varying degree of radio-sensitivity and density, which also depends on the size and depth of the body. depending on these features and what would be most comfortable […]
June 21, 2022

Developmental dislocation of hip treated in the years 1980-2014 in Pediatric Orthopedic Department of the Medical University in Lublin

Introduction: Developmental dysplasia of hip is one of the most common deformities of the movement apparatus in children of the Caucasian race. Aim: Statistical analysis of hospital admittances of children with developmental dislocation of hip (DDH) treated in the years 1980-2014 in Pediatric Orthopedic Department of the Medical University in Lublin. Material and Method: A retrospective study of clinical histories was […]
June 21, 2022

Surgery technique of an anatomical MPFL reconstruction using allograft in children with recurrent patellar dislocation

Purpose: The objective of the study was to demonstrate the surgical technique of medial patellofemoral ligament reconstruction with a cadaver’s allograft in children. Methods: 15 children in age 12 to 15 years with recurrent patellar dislocation underwent MPFL reconstruction. Surgery was performed using cadavers’ allograft. The mean age of the patients was 13.1 years and the mean follow-up was 14 months. All […]
June 21, 2022

Paralysis of three upper limb nerves due to a humerus supracondylar fracture – distant results of treatment. Case report

We are presenting the case of an 8 year old patient who suffered from a left elbow joint trauma and was admitted to the clinic of Children’s Orthopedy and Rehabilitation in Lublin due to a left humeral supracondylar fracture in an extensor mechanism injury. Because of this injury, besides damage to the locomotor system, it lead to sensory and motor dysfunction of […]
June 21, 2022

The impact of generalized joint laxity in children on the disorders of long axis of the bone of the lower limbs and it’s treatment with low invasive methods of temporary epiphysiodesis

The axis of the lower limbs is variable with the age of the children, to keep in mind when assessing of the axial lower limb’ s disorders. In the neonatal and infant period the axis of the lower limb is physiological varus. Then it goes into physiological valgus in preschool age which later ends as a typical adult angle of about 6-7°. […]
June 21, 2022

Favorable result of rigid fl atfoot by arthroereisis by subtalar implant – two cases raport

A rigid valgus foot (pes plano-valgus rhigidus) is caused by a congenital tarsal bone coalition. Tarsal coalition represents abnormal fusion between two or more tarsal bones and is a frequent cause of foot and ankle pain. Congenital tarsal coalition is a diagnosis that is often overlooked in young patients who fi rst present with foot and ankle pain. It manifests itself as […]
June 21, 2022

Operative treatment of radial neck fractures in children – Metaizeau technique

Introduction:  The area of the elbow joint is exposed to frequent damage in children. Among them, the fracture of proximal radial bone may, depending on the type and the extent of bone fragments displacement, constitute a clinical problem, especially because of the possible consequences of open reduction. Metaizeau technique reduces the risk of their occurrence.  Objective:  The aim of the […]