Kind: Case report

July 9, 2022

Surgical difficulties of osteochondroma excision. Review of 4 cases

Osteochondromas constitute one of the most common benign bone tumours. They can grow in different bones. Surgical difficulties result from osteochondromas located in the pelvis or spine. Sometimes, however, osteochondromas located in long bones can cause surgical issues. The objective of the study was to present surgical difficulties of excising osteochondromas in long bones. Between 2016-2019, 53 patients with osteochondromas […]
July 9, 2022

The growth outcome of calcaneus reconstruction at skeletal maturity using a vascularized iliac-crest graft flap. A 3-year-old’s case

The reconstruction of very distal tissue loss of the lower limb requires coverage of the noble structures of the foot’s plantar face (blood vessels, nerves, tendons…) and rebuilding the sole to allow walking. We report the case of a 3 year-old patient, the victim of a lawn mower accident, with mutilation of both feet, and describe the results of the […]
July 9, 2022

Complete traumatic rupture of the proximal gluteus maximus attachment combined with the degloving injury. A case presentation and surgical technique

Rupture of the proximal attachment of the gluteus maximus muscle is an extremely rare injury and can be considered a Morel-Lavallée lesion, which is a closed internal degloving injury usually caused by shear forces that traumatically separate the skin and subcutaneous tissue from the underlying fascia. According to previous literature, Morel-Lavallée lesions are rarely recognized early, which increases the difficulty […]
July 9, 2022

Amputation sequelae of both forefoot and its consequences after embolism syndrome in the course of Covid 19. Case report

The case described in the article refers to a 52-year-old diabetic male after foot amputation in the course of Covid 19 at the level of the Lisfranc joint on the right and the Chopart joint on the left. A slight varus position of the right foot with shortening of the gastrocnemius muscle required correction of the deformity to relieve pain […]
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

Surgical site infections in spine surgery focused literature review. Case report

Surgical site infections are a serious problem in spine surgery, they significantly extend the patient’s stay in the ward, are associated with very high costs of patient treatment, and also have a negative impact on the final clinical results and may modify the treatment plan. The article presents the current literature outline concerning the risk factors of perioperative infections in spine surgery […]
June 21, 2022

Non-microsurgical replantation (composite graft with palmar pocketing) – a case report of successful reintegration of distal finger amputation

Microvascular replantation in not always feasible for distal finger amputations. Our work presents a case of 23-year-old woman who suffered an amputation of index finger at the level of nail base. She was disqualified from microvascular replantation, however, the cooperation with Replantation Service resulted in an uncommon method of treatment, which resulted in excellent functional and aesthetic outcome. Composite grafting for fingertip […]
June 21, 2022

Management of hipovascular non-union of ulna with implant destabilization in patient treated due to both forearm bone shafts fracture – a case report

A clinical case report of a 26-year-old patient with an open fracture of both forearm shafts without known comorbidities, who, during treatment, developed a non-union of the ulna with destabilization of the implants. After another fracture stabilization procedure, debridgement of the fracture ends and filling the bone gap with frozen allogenic bone grafts, union was obtained. In this paper, the authors consider […]
June 21, 2022

Assessment of closed wedge osteotomy in the material of the Department of Orthopedics and Traumatology in Kalisz as a treatment method for severe and moderate hallux valgus

Hallux valgus constitutes of a progressive adduction of the hallux in the first metatarsal joint, accompanied by progressive varus in the first ray, pronation of the first metatarsal bone and medial displacement of the head of the first metatarsal bone. It may be accompanied by more or less severe degenerative changes in the MTPJ and a deformity in the IP joint. Hallux […]
June 21, 2022

Ultra mini-invasive sonographically guided carpal tunnel release: a preliminary report

Ultra mini-invasive sonographically guided carpal tunnel release allows division only the deepest fibrous layer of the retinaculum, leaving intact the more superficial palmar layer. It uses a special retrograde hook-knife. The operation can be safely performed in a dressing room (not in the operative theatre) which significantly reduces costs and waste, comparing to standard technique of carpal tunnel decompression. Twelve patients, 10 […]
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

Bilateral deep chevron deformity of the first metatarsophalangeal joint – a case report

Most reports divide first metatarsophalangeal (MTP I) joint surface into round, square or chevron shaped. The angular deviation of join surface described as distal metatarsal articular surface (DMAA) is a common situation and is widely known parameter for evaluation of hallux valgus severity. We found no works considering deep chevron shape of metatarsal head together with large DMAA angle. We would like […]
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

Intravascular papillary endothelial hyperplasia (Masson’s tumor) – rare localization in forefoot area. Case report

Masson’s tumor is benign change on vascular basis located in skin and subcutaneous tissue of limbs, corpus , neck and head. In this report we present a case of rear tumor location in the foot of 30 year old male. Atypical nad recurrent clinical history of the tumor, non traumatic origin, clinical manifestation suggesting ganglioma, unconsistent imagining and insufficient biopsy results can […]
June 21, 2022

Failure of the femoral stem – condyle junction in a semiconstrained knee prosthesis. Analysis of two cases

Failure of the stem – condyle junction in a modular knee prosthesis is a rare phenomenon, but it has been described and carries serious consequences. Loosening of the femoral component increases the loads acting on the stem – condyle junction and increases the risk of fatigue fracture of the implant. The aim of this paper was to describe two cases of such […]
June 21, 2022

Bifocal osteoid osteoma of the talus treated with thermal ablation and navigation 3D – case report

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[1]. Such rare presentation affects placing an accurate diagnosis, making it difficult and taking longer. Simultaneous manifestation in more than one focus […]
June 21, 2022

Leri Disease – case report of uncommon disease

Introduction. Leri disease (synonyms: melorheostosis, candle bone disease, melting wax syndrome) is a rare disease which affect bones, first described in 1922 by Leri and Joanny. The disease can be asymptomatic or manifested by severe pain of the limbs. A radiological feature is the increasing density of the bone structure resembling wax flowing from a candle. Case report. A 27-year-old Caucasian female […]
June 21, 2022

Complications after surgical treatment of pilon fractures – a case report

The paper reports a case of a 36-year-old professional soldier who suffered a pilon fracture of the right tibia. Initially, a wrong surgical technique was applied, which resulted in another surgery. The radiographic outcome of the second surgery was good. It is now 10 months after the accident and 7 months after the second surgery. The clinical condition is gradually improving. The […]
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

Reconstruction of massive acetabular bone loss with pelvic discontinuity

We present a case of a 66-year-old female patient with a history of multiple revision arthroplasties on the right hip, who was admitted due to another episode of acetabular component displacement. The patient presented with massive acetabular bone loss and pelvic discontinuity. She was implanted with custom-made triflange acetabular component. The device was fixed to the iliac wing, pubis and ischium, and […]
June 21, 2022

Simultaneous repair of scapholunate and distal radio-ulnar joints instabilities – case report

Simultaneous, serious injury to the scapholunate ligament and triangular fibrocartilage complex, causing symptomatic instability of the SL and DRUJ occurs rarely. In most cases the injury involves only one of these structures, and if both are affected, it usually does not result in symptomatic instability of both. The paper reports a case of simultaneous, symptomatic scapholunate and distal radio-ulnar joints instabilities, requiring […]
June 21, 2022

Flexor tendon repair in local infiltration anaesthesia and a bloodless field – case report

Local infiltration anaesthesia with a bloodless operation field allows for proceeding surgery within the hand with no need of use of the tourniquet. This effect is obtained through an injection of greater than standard volume of the anaesthetic solution composed of lignocaine and adrenaline. Adding adrenaline to the mixture induces spasm of small arteries within an infiltration area followed by bleeding inhibition […]
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

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

Bicompartmental locked bucket-handle tears of menisci concealing the concomitant anterior cruciate ligament injury for 2 years – case report

Locked bucket-handle tears of both medial and lateral menisci, called in the literature “Jack and Jill lesion”, with simultaneous anterior cruciate ligament (ACL) injury are an extremely rare phenomenon. It is highly differentiated in the field of trauma mechanism, treatment options and postoperative care. This is the first described case when a bicompartmental locked bucket-handle tears of menisci masked a torn ACL […]
June 21, 2022

Fasciocutaneous cross leg flap combined with stabilization of lower extremities with Ilizarov fixator as a effective salvage procedure for treatment of soft tissue defects with infection and exposure of tibia – case report

Chronic active tibia osteomyelitis accompanied by soft tissue defects with exposed bone, infected pseudoarthrosis or pathological fractures are a reconstructive challenge to the orthopedic surgeon. We present a case of a 68 year-old patient with chronic tibia osteomyelitis associated with a wound exposing tibia diaphysis. The successful local debridement and reaming of a tibia followed by local antibiotic delivery and cross-leg flap […]
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

Comminuted calcaneal fracture with avulsion of Achilles insertion treated with the use of intramedullary nailing in the modified original method

Calcaneal fracture has always posed a diagnostic and therapeutic problem. A thorough knowledge of the morphology of fracture, correct time to begin treatment and minimally-invasive surgery that allows for early physical mobilization of the operated limb are of critical importance in the treatment of calcaneal fractures. We operated a male patient with a high-impact injury with the use of a low-invasive, our […]
June 21, 2022

Orthopedic problems in prune belly syndrome – case report

Prune belly syndrome is a rare congenital syndrome of unknown etiology. It consists of three symptoms: total or partial absence of abdominal muscles, cryptorchismus, and genitourinary malformations. The goal of this study is an analysis of prune belly syndrome patients treated in one hospital. Material: between 2008 and 2017 authors treated 3 patients with prune belly syndrome. A retrospective analysis of medical […]
June 21, 2022

Surgical treatment of symptomatic vertebral canal stenosis in patients with achondroplasia – case report

Authors report the history of two patients with achondroplasia, treated for symptomatic lumbar spinal stenosis. Both patients underwent cross-limb lengthening. During control visits they reported lumbar spine pain with increasing neurogenic claudication. In magnetic resonance imaging of the lumbar spine, we measured dural sac cross-sectional area (DSCSA) and spinal canal cross-sectional area (SCCSA) and the patients were qualified to the group of […]
June 21, 2022

Operative treatment of degenerative spinal disease with concomitant Parkinson’s disease – cases report

Introduction. Degenerative spine disease (DSD) with spinal stenosis disturbs sagittal profile of the spine, by reducing lumbar lordosis which may alter normal gait leading to neurogenic claudication. On the other hand, Parkinson’s disease (PD), a progressive neurodegenerative process also largely alters spinal sagittal balance and influences physiological gait. A coexistence of these two morbidities raises a particular challenge for the spine surgeon. […]
June 21, 2022

Multilevel spinal osteotomy in ankylosing spondylitis – case report

Ankylosing spondylitis (AS, Bechterew’s Disease) is a chronic inflammatory disease of the spine of unknown etiology. One of its consequences is the progressive deformity of the spine. The resulting spinal imbalance results in falls and fractures. Surgical treatment of fixed deformities consists in reconstructing the spine balance through osteotomies of the spine with its stiffening in a corrective position. The following paper […]
June 21, 2022

Adenocarcinoma of the lung versus synovial sarcoma – metastatic tumor imitating primal tumor of the knee joint – case report

The knee joint is an area of appearance of primary bone tumors, soft tissue tumors and metastasis. The one of the most frequent primary tumor, that is giving metastasis to the knee joint, is a lung cancer. Synovial sarcoma is a tumor that origins from the mesenchymal tissue. The majority of the synovial sarcomas are located in the extremities, with two-thirds being […]
June 21, 2022

Periprosthetic distal femoral fracture after total knee arthroplasty – case report

Periprosthetic fractures are uncommon complications after primary total knee arthroplasties (TKA). We present a case report of 65-year-old woman with periprosthetic fracture of the femur, 7 years after TKA. The patient was operated due to gonarthrosis. Because of proper endoprothesis components fi xation, open reposition and internal stabilization of the fracture was performed. Patient was re-operated twice. First time because of the […]
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

Trans-metacarpal hand replantation – case report

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 […]
June 21, 2022

Fatigue fracture of both branches of the left pubic bone and ischium with co-existing damage of labrum of hip joint and pars fracture L5 in a long-distance athlete – a case report

Fatigue fractures of the pelvis are significant diagnostic problem due to their rare occurrence. The specificity of these fractures requires proper imaging diagnostics in order to make final diagnosis and to implement appropriate treatment. The work presents a case report and diagnostic-therapeutic procedure in a 28-year-old long-distance athlete with a fatigue fracture in the pelvic region, accompanied by damage to the labrum […]
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

Impending atypical femoral fractures due to prolong bisphosphonate use – case report and literature review

We present a case of 78 year old female, who was treated orally with ibandronic acid. It is widely accepted drug, used in osteoporosis treatment. After several months, she started to suffer because of thigh pain. She was diagnosed with impending atypical femoral fracture after following diagnostic protocol. Immediate discontinuation of further drug use and limited weight bearing on affected extremity, led […]
June 21, 2022

Enhancement of bone fracture healing by ultrasound stimulation – 4 case reports

The problems associated with treating bone fractures as well as frequently accompanying complications are still a challenge for modern orthopedics and traumatology. The duration of the healing process is different and depends on numerous individual circumstances. Various methods of accelerating these processes are currently being used; as well, alternative methods of treatment are being sought. Among the ones currently in use, invasive, […]
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

Comminuted distal radius fracture managed by osteosynthesis with xenogenic bone graft – case report

Distal radius fractures are the most frequent fracture location among adults and make up to 17% of all cases. Most vulnerable are elderly women with poor bone quality. Over the years method of choise in supplementing bone defects was harvesting autogenic bone from iliac crest, although it in not always possible in patients suffering from osteoporosis. The presented case refers to female […]
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 Rehabilition after the allogenic hand transplantation – case report

Thanks to the modern technology, today’s artificial limbs are nearly perfect. However, for a human being a hand is more than a simple pinching organ – its presence has a huge impact on one’s psyche. Even a malfunctioning hand that is only able to sense provides one with the impression of the integrity of one’s body. The aim of this paper […]
June 21, 2022

A double carpal tunnel – a case report of rare anatomic variation

The paper describes a rare anatomical variation of double carpal tunnel which appeared once among approximately 10,000 patients treated from carpal tunnel syndrome by an experienced hand surgeon. The tunnel was divided into two separate compartments by a thick sagittally oriented fibrous barrier. The radial compartment of carpal tunnel consisted of 1st palmar common digital nerve and flexor pollicis longus tendon while […]
June 21, 2022

Eff ectiveness of bone infl ammation treatment in ulna using Bon Alive s53P4 bioactive glass – a case report

The case of 25-year-old patient, male, involved in a traffi c accident is presented. Galeazzi fracture with damage to the triangular complex, DRUJ instability and ACL rapture was diagnosed. The patient has been operated several times because of DRUJ instability. Clinical and radiological analysis suggested an infection around stabilizing implants – K wires. In bacteriological analysis S. aureus MSSA strain was confi […]
June 21, 2022

Smith-Petersen osteotomy in correction of thoracic hyperkyphosis in an adult – a case report

Introduction: Deformity of the spine in the sagittal plane is an important functional and psychological aspect. Surgery uses essentially three types of corrective osteotomy: Smith-Petersen osteotomy, pedicle subtraction osteotomy and resection (vertebral column resection). The diff erences between these methods include the location of the procedure, the expected extent of the resection and the angular off set in the sagittal plane. Case presentation: […]
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

Vertebroplasty in spine metastatic disease partially destructing the posterior wall and pedicle – case presentation

Introduction:  We report a case of patient with colon adenocarcinoma with metastatic lesion in vertebral body partially destructed in whom we performed the secure method of accomplishing the vertebroplasty.  Material and methods:  A 57-year-old male presented with a lumbar pain with left radicular component. He had been treated systemic chemotherapy.  Results:  Computed tomography imaging revealed that the one side osteolytic […]
June 21, 2022

Treatment of acute acromio-clavicular joint dislocation by hook plate – report of 25 cases

Acromioclavicular (AC) dislocation represents 8% of dislocations in the upper limb and 12% of dislocations in the shoulder girdle. Rockwood types III, IV and V require surgical treatment. The aim of this retrospective, two-center and multi-operator study was to assess the objective and subjective results from a sample of 25 patients treated for acute AC dislocation with a clavicular hook […]
June 21, 2022

Osteoid osteoma mimicking tuberculosis and juvenile idiopathic arthritis – a case report

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 […]
June 21, 2022

Congenital dislocation of the knee with bilateral absence of the fibula and suspected Apert syndrome – case report

Congenital dislocation of the knee is a rare deformity, with an unknown etiology. The treatment of this malformation depends on its extensiveness and applies both conservative approach and surgical procedures. The aim of this study is to evaluate treatment outcomes obtained in the patient with congenital dislocation of the right knee and other multiple abnormalities of the motor system as […]