Kind: Original paper

September 15, 2022

The impact of preoperative cardiology consultation on the surgical treatment of patients with proximal femur fractures

Introduction. Proximal femur fractures are a common problem in the geriatric population. Moreover, due to numerous comorbidities, the choice of the appropriate form of treatment requires a cardiology consultation. Aim. Therefore, the aim of this study is to analyze whether these consultations have a significant impact on the treatment of patients with proximal femoral fractures. Materials and methods. A total […]
September 15, 2022

The Sanders Maturity Scale for skeletal maturity assessment in idiopathic scoliosis

Introduction. Skeletal maturity assessment in Idiopathic Scoliosis (IS) is used for the evaluation of deformation progression risk, as well as selecting a method of treatment. The Sanders Maturity Scale (SMS) is based on the ossification of phalanges, metacarpal bones and radius rated on AP radiograms of the left hand. Aim. This retrospective study aimed to compare SMS to other skeletal […]
July 8, 2022

Supracondylar humerus fractures in children – a retrospective study

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 […]
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

The use of bone substitute (CERAMENT) in the treatment of benign bone tumors and tumor-like lesions

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 […]
June 21, 2022

The negative impact of local recurrence on overall survival in adult patients with extremity localized osteosarcoma

Osteosarcoma is the most common primary malignant bone tumour in adults and is usually located in long bones. Standard treatment consists of perioperative chemo-therapy and radical surgical resection. In the case of the extremity location, the gold standard is limb-sparing surgery using various reconstructive techniques. Our study analyzed 175 adult patients in MSTS I-III stage treated for extremity os-teosarcoma at […]
June 21, 2022

The results of knee arthrodesis with dedicated modular intramedullary nail as a limb salvage procedure in infection complications of knee arthroplasty

Introduction. Complications after arthroplasty often result in irreversible disability. In some cases, for the extremity to be salvaged, permanent knee joint arthrodesis is a last-chance procedure. Modular implant design simplifies surgical technique and knee arthrodesis without bone-on-bone contact, immediately provides full weight bearing and restores limb length and alignment. Puropose. The aim of this article was to perform a clinical evaluation of […]
June 21, 2022

A study on the quality of life of patients awaiting knee replacement in the population of central Poland

Introduction. Quality of life is a multidimensional and subjectively perceived concept. One of the main reasons for its decrease is osteoarthritis. Aim. The aim of this study was to analyze factors affecting the quality of life in the group of patients with knee osteoarthritis while waiting for TKA surgery. Material and methods. The study was conducted on 66 patients living […]
June 21, 2022

Dr. Kazimierz Grzebień – Wiktor Dega’s Poznań school of orthopedic in Toruń

Dr Kazimierz Grzebień was born in November26, 1928 in Kościerzyna. He received his medical degree at the Faculty of Medicine at the Medical Academy of Poznań on November 11, 1953 and started to work at the Orthopedic Clinic in Poznań, headed by prof. Wiktor Dega. He worked at the clinic until October 30, 1971. From April, 1972 to November 30, 1994 , […]
June 21, 2022

Scaffolds for knee chondral lesions – indications and technical tips

Chondral lesions following an injury to the knee joint have poor healing potential and may lead to osteoarthritis. Nowadays, more and more research is focused on tissue regeneration and the prevention of osteoarthritis development. Efforts to restore the articular cartilage using advanced procedures like autologous chondrocyte implantation led to the development of scaffolds. Although the use of a scaffold-based technique is a […]
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

Principles of screening for early detection of idiopathic scoliosis – recommendations of the Committee for Rehabilitation, Physical Education and Social Integration of the Polish Academy of Sciences

Introduction. The Committee for Rehabilitation, Physical Education and Social Integration of the Polish Academy of Sciences established a Task Force for the diagnosis and conservative treatment of idiopathic scoliosis to analyze the current knowledge on the reliability of tools and methods used in the diagnosis of idiopathic scoliosis (IS) and developing recommendations for screening standards. Material and Methods. Medical doctors, physiotherapists, and […]
June 21, 2022

Physical activity and gait efficiency in children with cerebral palsy

Introduction. Correct classification of cerebral palsy is essential for the effective treatment and rehabilitation of affected patients. The most common form of assessing a patient is determining his gross motor functions. For patients who can walk, a 6-minute walk test can be used to evaluate their gait. Aim. The aim of this study was to examine the influence of physical activity […]
June 21, 2022

Analysis of the cost of periprosthetic joint infections after total knee and hip arthroplasty and the effect of revision methods on the cost

Introduction. Periprosthetic joint infections (PJI) are known to increase medical costs, whereas the factors affecting this increase are variable. Aim. This retrospective case-control study aims to categorize and analyze the expenditures that increase costs in PJI and to evaluate the cost effect of revision methods. Material and methods. The patients who underwent primary arthroplasty or aseptic revision surgery of the knee […]
June 21, 2022

Analysis of concerns among patients operated for carpal tunnel syndrome

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 […]
June 21, 2022

25th anniversary of the German-Polish Friendship Circle of Orthopedics and Traumatology (1995-2020)

The German-Polish Friendship Circle of Orthopedics and Trauma was established in 1995 in Germany, originally called “the Friendship Circle of the Polish Society of Orthopedics and Traumatology”. The founders of the Circle were Prof. Johannes Breitenfelder (Brakel/Westfalen), dr.Barbara Czernicka and dr. Jacek Czernicki (Munich), prof. Jörg Gekeler (Sindelfingen), dr. Michał von Grabowski (Illingen/Saar) with wife Vilia, prof. Hans-Rudolf Henche (Rheinfelden), dr. Rutger Hundt […]
June 21, 2022

German progenitors of Polish orthopedists

The profiles of outstanding German orthopedists were presented as well as the influence they had on the development of Polish orthopedics. Their greatest achievements for European and world orthopedics have been outlined as well. Special attention was given to those luminaries of the German orthopedics under whom Ireneusz Wierzejewski, the creator of modern Polish orthopedics, began his studies, had his clinical practice […]
June 21, 2022

Conservative treatment in children with Legg-Calve-Perthes disease, aged up to 7 years

Introduction. Legg-Calve-Perthes disease is one of the most common avascular necroses in children and adolescents. Aims. Assessment of hip joint development and of the quality of life in conservatively treated patients. Establishing indications for conservative treatment in children with Perthes disease. Materials and methods. The inclusion criterion was the age of affected patients: under 7 years at the time of diagnosis […]
June 21, 2022

Clinico-radiological correlation during the course and healing of Legg-Calve-Perthes’ disease treated by a non-intensive conservative method

Introduction. The purpose of this study is to signify any clinical and radiological correlation, if present, in patients of Legg-Calve-Perthes’ disease (LCPD) who underwent an ambulatory conservative method of containment and their final outcome. Material and methods. Retrospective study over an 8-year period including patients of LCPD who were treated by an ambulatory conservative method showing signs of healing in the last […]
June 21, 2022

Biomechanical evaluation of patients after severe treatment of Achilles tendon Injuries using MIS procedure

Introduction. Achilles tendon is the strongest tendon in the human body. In 1977 Ma and Griffith described the technique of percutaneous anaplasty of the damaged Achilles tendon as a compromise between surgical and conservative treatment. Choosing an operating method that gives “better” treatment results can facilitate the choice of a more effective treatment. Aim. The aim of the study was to evaluate […]
June 21, 2022

Dr. Kazimierz Pollak, M.D., Ph.D. – orthopedic surgeon, the last assistant to Professor Franciszek Raszeja

Dr. Kazimierz Pollak, M.D., Ph.D. was a student of the renowned serologist and immunologist, Professor Ludwik Hirszfeld, and an assistant to Professor Franciszek Raszeja, with whom he provided assistance to the sick in the ghetto. On 21 July 1942, when assisting Professor Raszeja, he was shot by the SS members when operating on the well-known pre-war art merchant Abe Gutnajer.
June 21, 2022

Laudation delivered on 19 September 2020 during the General Meeting of the Polish Society of Orthopedics and Traumatology at Artus Court in Gdańsk

Laudation delivered on 19 September 2020 during the General Meeting of the Polish Society of Orthopedics and Traumatology at Artus Court in Gdańsk, on the occasion of awarding the “medal of the Mayor of the City of Gdańsk” to dr. Michał Tadeusz Wacław von Grabowski for his outstanding service and contributions to Gdańsk
June 21, 2022

Hip sonography worldwide – experience, results, problems

Introduction. There is a confusion in the literature about the value of baby hip sonography to detect DDH. One of the reasons is, that different examination techniques with different results are used and the final results are mixed up. Materials and methods. The principles of the „Graf technique“ with well-known common mistakes are described with the typing as a mirror of […]
June 21, 2022

The cleaning problem of simulated intraoperative contamination on stem taper surfaces – an in vitro study

For over 50 years the Morse-taper represents the most common connection in modular hip implants. However, taper corrosion is still an ongoing issue that can lead to loosening of the hip replacement. Intraoperative factors have a crucial influence on the stability of the taper connection. One factor that is discussed in current literature is the cleanliness of the taper. Although mentioned in […]
June 21, 2022

Robotics and navigation in total knee arthroplasty

In the last two decades we could realize a lot of technical support to perform total knee arthroplasties, starting with the robotic systems in the nineties of the last century. Following those methods the navigation systems were introduced first in a computed tomogram based version second in image free versions. Now we are discussing about the advantages of patient specific instruments or […]
June 21, 2022

Kinematic alignment in total knee arthroplasty

The ultimate goal of total knee arthroplasty (TKA) is to produce a well aligned and balanced knee replacement. The current standard is to create the neutral overall alignment of the lower limb with a joint line perpendicular to the mechanical axis disregarding native joint line orientation and constitutional alignment which are the philosophies of mechanical alignment (MA). Recent studies have questioned if […]
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

Supercapsular percutaneously assisted total hip arthroplasty minimal invasive posterior hip approach (SuperPATH)

Introduction. SuperPATH approach is a new minimal invasive approach for hip replacement with subsequent less soft tissue damage. Material and Methods. For this treatment, we operated 13 hips in 12 patients with coxarthrosis. Four men and eight women. Average age was 58 (42-71) years. Follow-up continued for 24,6 months (19-33). Results. Conversion to postero-lateral approach was needed in 3 patients. 66% […]
June 21, 2022

Atypical subtrochanteric and diaphyseal femoral fractures associated with a bisphosphonate therapy

Along with the assessment of the long-term benefits of using bisphosphonates in the treatment of osteoporosis, there have been reports indicating that these drugs may induce atypical fractures with specific localization and morphology as well as problems with the healing of these fractures. The aim of the study was to evaluate atypical fractures with particular emphasis on the clinical management algorithm. The […]
June 21, 2022

Wspomnienie. Prof. dr hab. n. med. Lesław Łabaziewicz (1931-2019)

Wspomnienie
June 21, 2022

The clinical outcome of surgical treatment of lumbar spondylolisthesis with including spinopelvic parameters

Introduction. The clinical outcome of treatment depends on many factors. This study is to describe the demographic parameters and clinical outcome of surgery in patients with degenerative and isthmic spondylolisthesis, in additional to compare radiographic sagittal spinopelvic parameters. Materials and Methods. 61 patients with degenerative and isthmic spondylolisthesis assessed functional statement after surgery. Radiographic assessment were made level, type and grade of […]
June 21, 2022

Evaluating outcomes of surgical treatment of patients with degenerative changes in the carpometacarpal joint of the thumb using percutaneous stabilization with Herbert screws and Reg-Joint implants – a pilot study

Based on a review of the current literature, different approaches are observed to treat degenerative changes within the carpometacarpal joint (CMC) of the thumb. The primary purpose of treating this type of condition is to relieve pain and also to obtain (restore) the best possible function of the thumb. Meeting these conditions ensures a minimum operative approach and the shortest possible immobilization […]
June 21, 2022

Initial evaluation of outcomes of surgical treatment of patients with advanced degenerative disease of the first metatarsophalangeal joint

Nowadays, arthrodesis is the most commonly performed surgical treatment in the treatment of severe degenerative diseases of the first metatarsophalangeal joint (MTP-1). So far, the MTP-1 arthrodesis has been treated as the “gold standard” for patients with severe hallux rigidus. This has been proven in a number of retrospective and comparative studies. However, the classical arthrodesis has not yet been compared with […]
June 21, 2022

60 years of the Department of Trauma and Orthopedics in Kalisz

The jubilee of the 60th anniversary of the Department of Trauma and Orthopedics at L. Perzyna Provincial Polyclinical Hospital in Kalisz, celebrated on 19 October 2019 in the main lecture hall in our hospital, was very special, because it was the first time that it was held as a joint meeting of the POTS Branches from Lower Silesia, Łódź and Greater Poland. […]
June 21, 2022

Profesor Antoni Hlavaty W 100. rocznicę urodzin

Profesor Antoni Hlavaty W 100. rocznicę urodzin
June 21, 2022

Surgical treatment outcomes of proximal humerus fractures including shoulder hemiarthroplasty in patients of the Orthopedics and Trauma Department in Siedlce

Proximal humerus fractures constitute 4-5% of all fractures occurring in adults. The aim of the study was to evaluate treatment outcomes for displaced proximal humerus fractures in patients eligible for surgical treatment who were hospitalized in the Orthopedics and Trauma Department of the Ministry of the Interior Hospital in Siedlce between 2016 and 2018. During this period, 153 patients with proximal humerus […]
June 21, 2022

The use of a self-designed external fixator for the treatment of distal radius fractures at the Orthopedics and Trauma Department of the John Paul II Mazowieckie Voivodship Hospital in Siedlce

Objective. The aim of the article is to describe the treatment of unstable distal radius fractures, consisting in the primary reposition of the fracture and stabilization with a self-designed external fixator modelled on the elements of the Ilizarov apparatus. The external device allows radical, efficient, cost-effective and patient-friendly stable fixation of a fracture. Materials and methods. 148 patients treated in 2014 for […]
June 21, 2022

Infection cure rate and functional results after 40 two-stage and 28 one-stage cemented reimplatations for knee prosthesis infected by methicillin resistant staphylococcus aureus

Introduction. The study compares infection cure rate and functional results after one- and two-stage revision of total knee prosthesis due to MRSA infection. Material and methods. Results of 28 one-stage cemented revisions with addition of 5% of vancomycin and 40 two-stage revisions with hand-made, articulating cement spacer containing 5% of vancomycin were compared. The average follow up was 4.5 years ( […]
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

Biomechanical analysis of selected extratunnel and intratunnel preparation techniques of hamstring tendon graft in the arthroscopic reconstruction of the anterior cruciate ligament. Experimental and clinical tests

Introduction. Analysis of the tendency in the arthroscopic reconstruction of the anterior cruciate ligament indicates a gradual increase in the dominance of the selection of flexors as the primary material for its repair. Stable seams of flexor stumps are necessary to fix them in the bone canal under the appropriate tension. The aim of the study is to compare biomechanical parameters of […]
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

Do people with overweight have bigger bones? Body mass index (BMI) and the size of the femoral head

Introduction. The study checked whether there is a relationship between an easily accessible parameter like Body mass index BMI and the diameter of the femoral head. Material and methods. the data of 47 consecutively surgically treated patients from the Department of Orthopedics, Traumatology and Oncology of the Motor Mechanism of the Pomeranian Medical University who underwent total hip arthroplasty were analyzed. Patients […]
June 21, 2022

Management and results in 16 cases of periprosthetic fracture and infection after hip and knee arthroplasty. Experience in 2005-2015

Introduction. Periprosthetic fracture (PPF) with periprosthetic joint infection (PJI) is a serious complication of both total hip replacement (THR) and total knee artthoplasty (TKA). Materials and methods. Results were evaluated in 16 patients (17 prostheses) aged 35-82 years, operated due to infection and fracture after THR (8) and TKA (9). Observation period 3-13 years (average 6.5 years). Etiology of infection: S. aureus […]
June 21, 2022

An attempt to explain the causes of hip development normalization in children with developmental dislocation, whose parents discontinued non-surgical treatment

Despite the discontinuation of non-surgical treatment of children with DDH, the development of the hip after a few years or a decade or so turned out to be correct in about 50% of the subjects. The authors present examples and analyze the reasons for effective stimulation of the acetabulum roof and proximal femoral roof growth zones in these children. They emphasize that […]
June 21, 2022

Remarks on the etiopathogenesis and diagnosis in Osgood-Schlatter and Sever-Haglund diseases based on the Doppler ultrasound of apophyses

Assuming the mechanical significance of injuries in the etiopathogenesis of Osgood-Schlatter and Sever-Haglund diseases, it should be recognized that the areas susceptible to damage in growing apophyses are the growth zones and the newly formed bone. The SMI Doppler ultrasound (visualization of microvascular flows) helps to determine the precise location of the lesion, i.e. the area of the greater vascular microflow within […]
June 21, 2022

Femur lengthening with a telescopic ISKD nail – long-term clinical and radiological results

Introduction. Among various modern systems of limb lengthening, lengthening with an intramedullary nail seems to be most modern and comfortable for the patient. The aim of this study was to evaluate the femur lengthening with a self-distracting intramedullary skeletal kinetic distractor (ISKD). Material and methods. This is a retrospective study, conducted in one hospital and involved 10 patients with a mean […]
June 21, 2022

Resection arthroplasty of the knee – early treatment outcomes and rehabilitation efficiency

Introduction. Resection arthroplasty of the knee is frequently used in patients with bone tumours. Rehabilitation plays an important role in optimizing the functioning of the patients. The aim of this study was to asses treatment and physical performance outcomes after modular prosthesis surgery and to demonstrate rehabilitation methods. Material and methods. A total of 36 resections of the tumours localized in the […]
June 21, 2022

Antimicrobial biomaterials in the prevention and local treatment of infection in orthopedics

According to current views, infection around the orthopedic implant and in chronic osteomyelitis is associated with the development of a bacterial biofilm, which is a barrier to systemic administered antibiotics. This results in the inability to cure the infection with systemic antimicrobial therapy because the doses guaranteeing activity in the biofilm will be toxic to the patient. The antibiotic concentration effective against […]
June 21, 2022

The effects of unplanned surgical intervention on the long-term treatment outcomes of patients with osteosarcoma

Primary bone tumors are relatively rare but their diagnosis and treatment is difficult and connected with a high risk of complications. The most common primary bone sarcoma is the osteosarcoma, which in Poland it constitutes about 1% of all bone neoplasms and less than 1% of all malignancies. It is confirmed that the inappropriately performed diagnosis and treatment in soft sarcoma negatively […]
June 21, 2022

Intramedullary nails coated with Antibiotic Loaded Acrylic Cement (ALAC) containing 5% of culture specific antibiotic in therapy for infected long bone fractures and nonunions

Introduction. Treatment of fractures or non-union of long bones with infection requires debridement of the medullary cavity, antibiotics in high concentrations in the bone and biofilm, elimination of dead space in the place of debridement and mechanical stability at the site of infection. External tabilization is inconvenient for the patient and makes skin plastics difficult. Material and methods. There were 13 patients […]
June 21, 2022

Short term results of hemiarthroplasty of radiohumeral joint in treatment of radial head fractures

Radial head fractures are the most common elbow fractures [1,2]. They are most often associated with indirect trauma – fall on outstretched hand with elbow in extension and forearm in pronation [6,18]. Some of these fractures, more precisely the nondisplaced or minimally displaced ones, can be treated nonoperatively [19,20,22], but most require surgery. When treating patient with radial head fracture, surgeon should […]
June 21, 2022

Mineralogical assessment of the femoral heads and articular cartilage of the femur in patients with avascular necrosis (AVN)

The aim of this study was to analyze changes in the mineralization of the femoral head and articular cartilage of the femur in patients with primary avascular necrosis (AVN). The study included the femoral heads of nine patients with AVN, aged between 30 and 68 years. The surgical specimens of femoral heads were obtained during the procedure of hip replacement. The measurements […]
June 21, 2022

Does the inclination angle really matter? Evaluation of short-stem hip arthroplasty with different articulations based on selected radiological parameters

Introduction. With this increasing number of total hip arthroplasties, problems with the finite lifespan of the implants used become more and more critical. The proper functioning of a hip prosthesis depends on numerous factors. Among the most important are the type of joint surface used and the correct orientation of the endoprosthesis components. Material and methods. The study group consisted of patients […]
June 21, 2022

Reconstruction eff ectiveness of long standing injuries of anterior talo-fi bular ligament

Introduction: Ankle sprains are among the most common injuries during sport and daily activities. They predominantly involve ankle lateral complex injuries, especially anterior talo-fi bular ligament. If miss-diagnosed, they can lead to chronic instability of the joint, followed by osteoarthritis and the disturbance of the proper mobility of the knee and hip joints. Aim: The evaluation of the foot functioning during daily […]
June 21, 2022

C-reactive protein levels as a cardiovascular risk factor in patients with and without periodontal disease who are undergoing hip and/or knee arthroplasty

Introduction. A number of diseases, including coronary artery disease are now considered as chronic low-grade inflammatory conditions. Their progression is accelerated by other underlying infectious conditions, including periodontal disease. The aim of the study was to assess if periodontal disease is associated with an increased concentration of inflammatory biomarkers in patients scheduled for joint replacement, who represent a group at elevated cardiovascular risk. […]
June 21, 2022

Multifocal spine methastasis – early surgical treatment results

Introduction. Constantly increasing number of patients with cancer. The significant development of oncology and the introduction of new treatments allowed explicitly extend the life expectancy of cancer patients at the cost of increasingly revealing the late complications. Aim. Presentation of methods, problems and early results of multi-site treatment of spinal metastases in the Department of Orthopaedic Oncology Hospital in Brzozow. Materials and […]
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

Evaluation of the behavior of inflammatory parameters (ESR, CRP) in patients treated surgically due to spinal deformities

Introduction. One of the most serious complications of elective surgery is the surgical site infection (SSI), especially in unburdened patients. It is believed that the parameters that may indicate such a process are, among others, C-reactive protein level (CRP) and erythrocyte sedimentation rate (ESR). Aim. The aim of the study is the daily assessment of changes in ESR and CRP values […]
June 21, 2022

Results and observations in operative treatment of displaced intra- articular calcaneal fractures with use of Calcanail®

Introduction. Since the introduction of the Calcanail® in 2011 more and more surgeons have been treating calcaneal fractures with use of this method. It is mainly because of its safety concerning wound healing and final outcomes comparable to ORIF. This paper is to show the intraoperative problems the surgeon may encounter beginning with this method as well as final results in comparison […]
June 21, 2022

Operative treatment of distal radius fractures: stabilization with Kirschner wires or plate fixation? Comparison of treatment methods based on own observations

Fractures of the distal radius are one of the most common fractures among adults. Despite, there still ongoing discussions on the choice of method of surgical treatment. Recently also emphasizes the increasing role of bone grafts in the reconstruction of the articular surface especially in compression fractures and osteoporotic fractures. The study conducted in our hospital evaluated 127 patients with the fracture […]
June 21, 2022

The role of hyaluronic acid in the treatment of early knee osteoarthritis

Osteoarthritis is a chronic degenerative process, including the destruction of articular cartilage. The progressive nature of the disease impairs motor function, which in combination with the pains leading to a signifi cant deterioration in the quality of life. Current methods of treatment of osteoarthritis cover a wide spectrum, ranging from patient education and elimination of risk factors, through drug therapy, physical therapy […]
June 21, 2022

Results of treatment of pertrochanteric femoral fractures with DHS sliding plate in patients treated at Orthopedic and Traumatology Department in Lublin in the years 2005-2012

Introduction: Pertrochanteric femoral fractures are one of the most common injuries especially among elderly patients. Operative treatment with the use of adequate fi xation gives a chance for rapid recovery and decrease of complications of prolonged immobilization. Aim: The aim of the study is presentation of the results of treatment of pertrochanteric fractures with the use of DHS sliding plate. Material […]
June 21, 2022

Dislocation of the knee – mechanisms, complications

Introduction: Dislocations of the knee constitute 0.02-0.2% of all orthopedic injuries. Statistically, they are four times more common in men than in women. They often undergo spontaneous reposition. Quite often they are connected with severe vascular and nervous complications. Aim: The aim of this study is to determine the mechanisms of dislocation of the knee, their impact on early treatment procedure […]
June 21, 2022

Epidemiology, morphology and treatment’s features of the talus fractures in own material

Introduction: In the orthopaedic literature, the problem of the talus fractures is rarely drawn out and publications include material analyzing no more than 15-20 patients. Objective: The aim of this study is to present the epidemiology, mechanisms of injury, and the morphology of the talus fractures in patients hospitalized in the Department of Orthopaedics and Traumatology at the Medical University of Lublin. […]
June 21, 2022

The eff ectiveness of treatment of injury of the Achilles tendon

Introduction: Injuries of Achilles tendon are among the most common injuries of tendon structures in human body. During recent years there were a lot of publications describing prospective clinical trials and dealing with the topics of diagnostics, treatment and post-operation aftercare in Achilles tendon. Meanwhile there are a few information about at least a mid- or long-term results about treatment of Achilles […]
June 21, 2022

Professor Antoni Hlavaty – an outstanding orthopaedic surgeon and scientist from Gdańsk. In celebration of his 98th birthday

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.
June 21, 2022

Anterior subcutaneous transposition and simple decompression of the ulnar nerve at the elbow – the postoperative improvement in DASH score, VAS score and sonographic findings

Introduction. Although a lot of studies have described long- term outcomes after surgical treatment of cubital tunnel syndrome, and the usefulness of sonography in diagnosing of this disorder, few studies have evaluated patients self-reporting outcomes or sonographic findings after surgery. Aim. We assessed patients self-reporting instruments and sonographic findings in patients with the cubital tunnel syndrome before and after a surgery. […]
June 21, 2022

Predictor of neurological function after surgical treatment of the metastatic epidural spinal cord compression

Introduction. Postoperative neurological function influent prognosis and quality of life among patients with metastatic epidural spinal cord compression (MESCC). Aim. The aim of this study was to assess the predictor of postoperative neurological function in patients with MESCC, treated with spinal cord decompression. Materials and methods. The study analysed the medical records of 51 patients who underwent surgical treatment with corpectomy […]
June 21, 2022

Cementless neck preserving arthroplasty should be the treatment of choice in cases of coxarthrosis in middle-aged men: very good results in a mid-term follow-up study with NANOS stem and Verilast articulation

Introduction. The positive long-term outcomes of total hip replacements (THR) largely depend on the choice of joint articulation type, stem type, but also on the proper qualification of the patients. Material and methods. The study group comprised of 106 operated between 2009 and 2011. The inclusion criteria were: men, aged between 45 and 65 years at the time of surgery, received a […]
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

The impact of an underlying inflammatory disease on the cardiovascular risk of hip or knee replacement patients

Introduction. Hip or knee replacement operations are associated with a significant periprocedural risk. This risk can be further aggravated by some underlying conditions such as inflammatory diseases. Aim. The aim of the study was to establish the prevalence of cardiovascular risk factors in hip and/or knee replacement patients according to the prevalence of an inflammatory disease. Material and methods. The study included […]
June 21, 2022

Definition and description of anatomical restoration in vertebral compression fractures – feasibility and assessment method

Introduction. So far, there is no evidence of anatomical reduction of the fractured vertebral body prior to its stabilization with current techniques for VCF treatment (vertebroplasty, balloon kyphoplasty). Although vertebral height restoration has been demonstrated, fractured endplates reduction is limited. Considering that the vertebra as a part of a joint, vertebral endplates deserve to be treated like any other weight-bearing joint to […]
June 21, 2022

Percutaneous Vertebroplasty of malignant lesions of the thoracolumbar spine: analysis of treatment results

Introduction. The pathological vertebral compression fracture (VCF) in course of cancer range from 5 to 39% among oncological patients. Main symptom is a back pain, that is refractory to medical therapy. Treatment of stable pathological VCF include radiotherapy, bisphosphonate medication and bracing. Nonoperative modalities are effective in pain management. However their results are delayed or require immobilization of patient. Additional they influence on […]
June 21, 2022

Functional and psychological evaluation of patients enrolled into total knee arthroplasty and its effect on the treatment outcome – preliminary reports

Introduction. In knee osteoarthritis, the treatment of choice is knee arthroplasty. The primary indication to perform TKA – Total Knee Arthroplasty is pain preventing the functioning of the patient. Aim. The main aim of this study was the assessment of the effects of knee osteoarthritis treatment of patients undergoing arthroplasty and the influence of psychological and physical factors in predicting pain and […]
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

Hyperandrogenic syndromes and acne as potential causes of post-operative orthopaedic complications

Because of very good clinical outcomes, total hip arthroplasty is currently one of the most common orthopaedic procedures. While there are advantages of treating hip arthritis by performing a total hip arthropasty, there are also complications, which are rare but still pose a great threat. The most severe complications are septic or aseptic loosening of the prosthesis. The cause of aseptic loosening […]
June 21, 2022

Professor Józef Szczekot (1932-1997) – In Memoriam

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.
June 21, 2022

Evaluation of open repair of Achilles tendon traumatic injury with the use of Kessler’s suture

Introduction: A traumatic injury of the Achilles tendon occurs due to excessive and also occasional physical activity. This kind of injury results from inadequate preparation for physical activity. One of numerous treatment therapies includes a surgical reconstruction of the tendon with the Kessler’s suture. Aim of study: The aim of the study was to evaluate eff ects of surgical repair of […]
June 21, 2022

Clinical logistic regression analysis of the biomechanics of osteosynthesis dynamization in the treatment of pseudarthrosis in infected long bones

Introduction: The study presents a retrospective analysis of the treatment of infected pseudarthrosis in the material of the Bone and Joint Infection Department, Orthopedic Clinic of Centre of Postgraduate Medical Education in Otwock, over 3 years with the minimum clinical follow up of 2 years. Research hypothesis: The hypothesis related to identifi cation of biologically and biomechanically relevant elements of the […]
June 21, 2022

Analysis of the morphology of intraoperative periprosthetic femoral fractures as complications of primary hip arthroplasty, with particular focus on dysplastic coxarthrosis

Intraoperative periprosthetic femoral fractures accompanying hip arthroplasty pose a material problem in surgical practice. Due to a scant number of reports in available literature, we decided to assess their characteristics in a group of patients with symptomatic degenerative changes of the hip in the course of developmental dysplasia of that joint. To this aim, we performed retrospective analysis of descriptive and radiological […]
June 21, 2022

Intra-and-Inter Observer Reproducibility Of Linear Measurements with Axial Images of L3 and L5 Vertebras

Introduction: The primary cause of the loss of the lumbar lordosis is attributed as a sequel of disk height reduction. Secondary hypertrophy of the posterior column of the spine is observed in course of degenerative spine disease which may be due to the posterior column lengthening. There are no studies to prove or reject the hypothesis of the posterior column lengthening as […]
June 21, 2022

Collagen injections as an alternative therapy for musculoskeletal disorders

Disorders in the synthesis and structure of collagen fi bers are the cause of most locomotor diseases. Therefore, collagen injections are increasingly used among many therapeutic methods, both as a monotherapy and as a combination therapy. Its therapeutic eff ect leads to regeneration and stimulation of production of endogenous collagen in diseased tissues. Collagen is used in the treatment of osteoarthritis, tendon, […]
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 […]
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

Application of the SPINECOR dynamic corrective brace in treating idiopathic scoliosis

Introduction. The indication for using an orthopedic corset is idiopathic scoliosis in children and adolescents with undeveloped osteoarticular system with a Cobb angle within 20-45°. For over 10 years, apart from the TLSO corset, the Spinecor dynamic brace has also been used. Observations and reports in literature from this period prove that their effectiveness in the treatment of scoliosis is comparable or […]
June 21, 2022

Bone remodelling in proximal femur after Metha stem implantation – DEXA study

Introduction: Number of studies showed the high eff ectiveness of methaphyseal stem implantation in total hip replacement (THR) procedures. This good results inspires us to evaluate the bone behaviour around the methaphyseal stem (METHA Aesculap,Germany) after its implantation. Aim of study: An evaluation of early bone remodelling process around Metha stem during the fi rst months after THR. Material and methods: […]
June 21, 2022

Early term results of usage combined hyaluronic acid and platelet rich plasma in knee osteoarthritis

Introduction: Knee is one of the most common locations of degenerative changes. Various attempts of conservative therapy are undertaken to inhibit progression of the disease and delay the requirement for surgical treatment. One such attempt involves simultaneous injections of hyaluronic acid in combination with platelet rich plasma. Combination of these therapies may have an additive effect and lead to an improvement in […]
June 21, 2022

Results of the Fitmore short-stem total hip arthroplasty at a minimum follow-up of 4 years

Introduction: The use of short stem implants is associated with higher incidence of complications such as stem malpositioning and early implant migration. So far a few studies have addressed the question of the effects of varus short stem alignment. The objective of this study was to evaluate the migration pattern of short stem implant and the influence of stem malpositioning on implant […]
June 21, 2022

Patient with a fracture of the proximal end of the femur in an urban hospital

Proximal femur fractures present a serious social problem and an immense challenge for doctors, nurses and the entire health care system engaged in the treatment process. Patients suffering from this kind of fracture comprised the greatest group among all trauma patients treated surgically in our ward. Consequently, we not only conducted an epidemiological analysis of the tested group of patients and an […]
June 21, 2022

Survival analysis amongst patients with metastatic spine tumor treated with corpectomy

Introduction: Spine metastasis are found In 30% of ontological patients. Approximately 10% of the patients with spine metastasis suffer from decline In neurological function. For those patients surgical decompression is treatment of choice. The vertebral body is common involved by metastatic tumor. Corpectomy allow to remove tumor. However after procedure reconstruction of the vertebral body is necessary. Aim: Aim of the study […]
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

Knee arthroscopy in children and adolescents

With the dynamic growth of sports culture comes an increased percentage of children participating in sport activities and exposed to a signifi cant risk of injury. Simultaneously, the progress made in arthroscopic techniques has led to the development of a new fi eld in medicine, i.e. paediatric sports medicine. Nevertheless, arthroscopic procedures in children give rise to much controversy among health professionals […]
June 21, 2022

Evaluation of the outcomes of cementless metaphyseal hip arthroplasty in the treatment of hip osteoarthritis depending on the type of articulation used in a mid-term follow-up

Osteoarthritis is one of the most prevalent diseases of the locomotor system. Because of its increasing morbidity leading to more and more hip arthroplasty interventions the new types of articulation were developed. The purpose of the study was to evaluate the results of cementless hip arthroplasty depending on the type of the articulation used in patients of the Men’s Department of the […]
June 21, 2022

The use of reamer-irrigator-aspirator and bone-cementcoated intramedullary nails in treatment of long bones’ infection after fractures fi xated intramedullary

Introduction: with the increase in the number of fractures treated operatively, the number of infectious complications, unfortunately, increases as well. In case of diagnosed infection after intramedullary fi xation general “golden standard” is debridement of the infection area and then external fi xation. Aim: the assessment of eff ectiveness of the alternative method – reamer-irrigator-aspirator and intramedullary nail application in treatment […]
June 21, 2022

Knee arthroplasty in a patient with severe haemophilia A with inhibitors – a case report

Haemophilia A (HA) is a genetic disease characterized by defi ciency or defect of VIII plasma factor (fVIII). Standard treatment using purifi ed plasma-derived or recombinant fVIII concentrates may develop inhibitory antibodies against fVIII. Patients with severe disease suff er from frequent bleedings into joints which causes synovial proliferation, chronic synovitis, as well as cartilage and bone destruction. Severe haemophilic knee arthropathy […]
June 21, 2022

Konrad Biesalski – wybitny niemiecki ortopeda, rodem z Ostródy i jego przyjacielskie relacje z polskimi kolegami

Konrad Biesalski urodził się w Ostródzie 14 listopada 1868 roku w ówczesnych Prusach Wschodnich. Studia medyczne rozpoczął w Halle, a ukończył je w 1894 roku w Berlinie. Głównym jego trendem kształcenia były pediatria, chirurgia i ortopedia. Praktykował krótko w Würzburgu, a następnie w Szpitalu Miejskim w Berlinie, gdzie później stanął na czele Departamentu Ortopedycznego. Początkowo pełnił również funkcję kierownika Oddziału Ortopedycznego i Zakładu Radiologii w Urban-Krankenhause, a następnie […]
June 21, 2022

Analysis of surgical treatment of degenerative scoliosis

Degenerative scoliosis is a severe issue with increasing prevalence among aging population. Surgery is an effective treatment. Authors presented collective means of surgical treatment of degenerative scoliosis in years 2008-2016 in Orthopedics, Traumatology and Spine Surgery Department in Regional Specialist Hospital in Olsztyn, where during that period 40 patients were operated. Subjective outcomes were measured using COMI and ODI forms. It has […]
June 21, 2022

Analysis of surgical treatment of lumbar spondylolisthesis in years 2008-2016 in Regional Specialist Hospital in Olsztyn – Orthopedics Traumatology and Spine Surgery Department

The spondylolysthesis is one of the forms of chronic spinal instability. Its essence is the forward displacement of the front of the vertebra with respect to the vertebra below. Surgical treatment is required in 3-5% of patients with spondylolisthesis. Absolute indications for surgical treatment are neurological deficits arising in the course of the disease. In the Orthopedics Traumatology and Spine Surgery Department […]