Introduction. Supracondylar fracture of the humerus is the most common type of distal humeral fracture in children. Either operative or non-operative treatment depends on Gartland’s classification and neurovascular damage. There is still room for discussion on which Kirschner pin’s configuration should be chosen – crossed pinning or lateral pinning. Aim. Our study aimed to compare clinical results of treating supracondylar […]
Introduction. Treatment of benign bone tumors and tumor-like lesions is undertaken by numerous Orthopedic surgeons worldwide. Several treatment modalities exist including curettage and bone grafting. CERAMENT is a novel bioresorbable bone substitute used for grafting. Aim. Assessment of preliminary result of treatment of benign bone tumors and tumors like lesions utilizing CERAMENT as a bone substitute. Analysis of therapeutic and […]
Anterior cruciate ligament injuries are one of the most frequent knee joint injuries, leading to instability which limits return to sport activity, and is one of osteoarthritis risk factors. Treatment issues are present since 1895, when Mayo Robertson performed first documented open ACL repair. Positive short-term results of open suturing led to rising popularity of this method, which in 70’s and 80’s […]
Introduction. Carpal tunnel release (CTR) is among the most commonly performed procedures within a hand, in a day surgery setting. Studies suggest that patient concerns and emotional state may influence CTR outcomes. Aim. To determine the frequency of preoperative concerns among patients operated for carpal tunnel syndrome (CTS) and their correlation with negative emotions, socio-demographic and clinical variables. Materials and methods. A […]
Microsurgery became an essential part of various specialties. Hand replantation, vascular free flap reconstruction, and cerebral bypasses are impossible to conduct without mastering microsurgical skills. Currently, the gold standard of microsurgical training is the course with living models during which participants perform basic microsurgical procedures under the supervision of an experienced tutor. However, due to high cost of training and ethical issues new […]
Developmental Dysplasia of the Hip (DDH) is the most common condition of the mouvement apparatus in children. If untreated, it leads to early degenerative changes of the joint with all the associated issues for the patient. Risk factors are important part of the diagnostic proces, however part of them seems to be less important that previously thought. In the article actual publications […]
Osteoid osteomas (OO) are common bone tumours. They are responsible for 10% of all benign bone tumours. Most often, they are located in long bones, especially of the lower limb. Less than 3% of all osteoid osteomas occur in the foot. Such rare presentation affects placing an accurate diagnosis, making it difficult and taking longer. Simultaneous manifestation in more than one focus […]
A 53-year old patient amputated his hand with a sheet metal guillotine while working in a workshop. After a preliminary assessment consisting of running diagnostics and wound dressing, he was transported and admitted to the Department of Orthopaedics and Traumatology of the Medical University of Gdańsk. The initial surgery took 8 hours. The microsurgical procedures consisted of anastomosis of the ulnar artery […]
The paper presents the private, professional and scientific life of an important Gdańsk’s orthopaedic surgeon and scientist, Professor Antoni Hlavaty, the head of the Clinic for Orthopaedics of Medical Academy of Gdansk in 1967-1990, who in April 2018 will be 98 years old. We remember the sporting – and cultural interests of Professor and the achievements of his son and his grandchildren.
Patellofemoral joint (PFJ) and it’s coexisting disorders are an essential clinical problem for orthopaedic surgeons. Literature is lacking of general population epidemiological studies that could confi rm an incidence rate of patellofemoral pain syndrome. Available studies are most often taken on a precise group of sport participants. In literature it is written that complaints coming from an anterior aspect of the knee […]
Józef Szczekot began his work in the Clinic of Orthopedics in Gdańsk in 1955. He gained his 2nd degree specialization in orthopedics and trauma surgery in 1961. One of the Professor’s main field of scientific research was the Developmental Dysplasia of the Hip. Not long after that, already in 1966, he obtained his doctoral degree from the Medical University of Gdańsk.
Introduction: Peripheral nerve injuries after pediatric supracondylar humerus fracture are one of the most serious complications after vascular injuries and occur in 10-20 % of cases. Aim of the study: The aim of the study was assessment of peripheral nerve function in pediatric patients with supracondylar humerus fracture with nerve dysfunction and analysis of the available data to develop guidelines for surgical […]
Supracondylar fractures of children are still big clinical challenge. Altrough most of them are treated conservatively, displaced ones need to be reduced and fi xed in operative room, mostly by crossed percutaneus pinning. This case report 4 patients with iatrogenic ulnar nerve palsy after closed reduction and percutaneous pinning. Aim of this study is to evaluate if ulnar nerve is stable in […]
The major surgical goals in the treatment of adolescent idiopathic scoliosis (AIS) include safely obtaining correction of all aspects of the deformity and providing good coronal and sagittal balance with as few fused motion segments as possible. Patient radiographic evaluation is an essential point in the decision-making process and determines the selection of the specifi c treatment design. The choice of correct […]
Introduction: The Marfan syndrome (MFS) is a genetically determined illness inherited in an autosomal dominant pattern [9,17]. Other elastopathies present in our study are: Ehlers-Danlos syndrome (EDS) – a genetically conditioned disorder of synthesis and metabolism of collagen and other proteins of the connective tissue, Loeys-Dietz syndrome (LDS) – autosomally dominant inherited mutation of the transforming growth factor gene TGFBR1 or TGFBR2, Takayasu […]
Introduction: Currently pedicle screws ousted the use of hooks in scoliosis surgery and are applied at all levels of the spine. However the correct pedicle screw placement particularly in thoracic level of the spine and especially at the apex of the deformity on the concave side is very diffi cult. Fluoroscopy remains the main instrument of the technical support in […]
Introduction: The aim of the study was to evaluate quality of life outcome of patients after posterior fusion surgery in Adolescent Idiopathic Scoliosis (AIS). Material and methods: A study group of 112 patients was operated with posterior correction and fusion. Patients were matched according to preoperative clinical and radiographic data and divided onto four comparable groups according to the type […]
Osteoid osteoma (OO) is a benign bony lesion with a characteristic radiologic feature of x-ray focus (nidus). The most common symptom indicating diagnosis is strong nocturnal pain that eases with nonsteroidal anti-inflammatory drugs (NSAID). Computed tomography (CT) is a method of choice for diagnosing and localizing the tumor. Osteoid osteoma can regress spontaneously, thus conservative treatment is one of the […]
Osteoid osteoma is a common benign bone tumor. The classic presentation includes nocturnal pain that responds well to nonsteroidal anti-inflammatory drugs. Osteoid osteoma can mimic many conditions, including juvenile idiopathic arthritis, infection, malignant neoplasm, and post-traumatic condition. We present the case of a 14-year-old girl with a months-long history of pain with limited mobility of the left hip joint. The […]
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