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[Current views on the pathogenesis of osteoarthritis]. 【目前对骨关节炎发病机制的看法】。
Chirurgia narzadow ruchu i ortopedia polska Pub Date : 2010-07-01
Łukasz Łapaj, Jacek Markuszewski, Małgorzata Wierusz-Kozłowska
{"title":"[Current views on the pathogenesis of osteoarthritis].","authors":"Łukasz Łapaj,&nbsp;Jacek Markuszewski,&nbsp;Małgorzata Wierusz-Kozłowska","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Degenerative joint disease is the most common joint pathology and the main cause of disability of elderly people in developed countries. It is caused by imbalance between degeneration and regeneration of articular cartilage accompanied by pathological changes of other joint structures. No generally recognizable description of the pathogenetic pathway of osteoarthritis (OA) exists so far, however recent studies have widened the knowledge of the underlying pathology. In this review views regarding the role of genetic and mechanical factors in OA pathogenesis were presented. The role of pro-inflammatory mediators such as cytokines (IL-1, TNF-alfa, IL-6), lipid mediators, NO, reactive oxygen species, were discussed. The contribution of adipokines (fat tissue derived hormones with cytokine activity) to the pathogenesis of degenerative joint disease was also described. The role of synovial membrane, articular cartilage, subchondral bone and such structures as osteophytes and infrapatellar fat pad in development of osteoarthritis were presented as well.</p>","PeriodicalId":75702,"journal":{"name":"Chirurgia narzadow ruchu i ortopedia polska","volume":"75 4","pages":"248-60"},"PeriodicalIF":0.0,"publicationDate":"2010-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29716602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[The retrospective analysis of good and poor results of the intertrochanteric osteotomy for hip osteoarthritis]. [股骨粗隆间截骨术治疗髋关节骨关节炎的疗效与不良回顾性分析]。
Chirurgia narzadow ruchu i ortopedia polska Pub Date : 2010-07-01
Wiesław Kaczmarek, Przemysław Ceglarz, Jakub Kucharski, Patryk Nikratowicz, Andrzej Pucher, Krzysztof Pietrzak
{"title":"[The retrospective analysis of good and poor results of the intertrochanteric osteotomy for hip osteoarthritis].","authors":"Wiesław Kaczmarek,&nbsp;Przemysław Ceglarz,&nbsp;Jakub Kucharski,&nbsp;Patryk Nikratowicz,&nbsp;Andrzej Pucher,&nbsp;Krzysztof Pietrzak","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>To predict the final result of intertrochanteric osteotomy.</p><p><strong>Materials and methods: </strong>56 hips in 53 patients after intertrochanteric osteotomy without any change in neck-shaft angle were enrolled into the analysis. 26 hips with a good result of intertrochanteric osteotomy were included into A group and 26 hips with a poor result were included into B group. The follow up was 5 to 11 years. Such preoperative parameters as: age and body weight of patients, severity of arthritis, sphericity of the head, joint space width, center-edge angle, pain severity, walking capacity, range of motion- were analyzed in both groups of patients. Survival of the hips was estimated with a Kaplan-Meyer survival curve.</p><p><strong>Results: </strong>At last follow up 27 hips (26 patients) were converted into hip prosthesis. The mean operative age of the patients in group A was 37.8 years and in group B 43.4 years. The severity of hip arthritis was similar in both groups of patients. Regular spherical head was found in 10 hips of group A and in 12 of B group. The center-edge angle was 15 degrees in group A and 18 degrees in group B. The joint space width was 2.6 mm in group A, and 2.5 mm in B group. Walking capacity, pain severity, range of motion of the affected hip was very similar in both groups of patients. Patients of group B had hip prosthesis already implanted 2.8 years after osteotomy.</p><p><strong>Conclusions: </strong>No statistically significant difference was found between analyzed preoperative parameters in patients with good and poor results of intertrochanteric osteotomy. The final result of intertrochanteric osteotomy is not predictable.</p>","PeriodicalId":75702,"journal":{"name":"Chirurgia narzadow ruchu i ortopedia polska","volume":"75 4","pages":"220-4"},"PeriodicalIF":0.0,"publicationDate":"2010-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29716610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Evaluation of operative treatment of subcutaneous rupture of the achilles tendon--correlation between clinical presentation and ultrasound examination]. 【跟腱皮下断裂手术治疗的评价——临床表现与超声检查的相关性】。
Chirurgia narzadow ruchu i ortopedia polska Pub Date : 2010-05-01
Ryszard Gumański, Jacek Kruczyński, Dariusz Matewski, Mariusz Sniegowski, Joanna Drewa, Margarita Lianeri
{"title":"[Evaluation of operative treatment of subcutaneous rupture of the achilles tendon--correlation between clinical presentation and ultrasound examination].","authors":"Ryszard Gumański,&nbsp;Jacek Kruczyński,&nbsp;Dariusz Matewski,&nbsp;Mariusz Sniegowski,&nbsp;Joanna Drewa,&nbsp;Margarita Lianeri","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To improve of the effectiveness of surgical procedures in the repair of rupture of the Achilles tendon, some surgeons use various augmented techniques. The purpose of this study was to evaluate the value of the use of graft from the fascia lata to add strength to the Bunnell suture in the treatment of subcutaneous tear of the Achilles tendon on the base of clinical and ultrasonographic results.</p><p><strong>Materials and methods: </strong>44 cases of the Achilles tendon lesion in 43 patients were included to the study. The patients were placed quasi-randomly into one of the two groups--group A of 26 tendons, repaired using the Bunnell suture with the reinforcement by a graft of the fascia lata, and group B of 18 tendons, repaired with simple end-to-end Bunnell suture. Results of the treatment were evaluated by the objective 100-point Hannover scale and subjectively by the modified Rupp scale. Results of the static and dynamic ultrasound examination were also analysed.</p><p><strong>Results: </strong>There was no statistically significant difference due to Hannover and Rupp scales in results between the two repair methods. The analysis of results of ultrasound examinations demonstrated that the decreased visibility of internal structures was statistically greater in the patients whose tendon was sutured using a graft from the fascia lata. The treatment method did not, however, influence the presence of inflammatory changes or the quality of sliding ability, as seen in ultrasound.</p><p><strong>Conclusions: </strong>Open reconstruction of the subcutaneous rupture of the Achilles tendon, regardless fascia lata was used or not, gives a high percent of positive results, both in subjective and objective evaluations. Use of the fascia lata in repair of the Achilles tendon increases the probability of ultrasonographically visible structural changes in the tendon without clinical consequences.</p>","PeriodicalId":75702,"journal":{"name":"Chirurgia narzadow ruchu i ortopedia polska","volume":"75 3","pages":"147-53"},"PeriodicalIF":0.0,"publicationDate":"2010-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29436030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Operative treatment of femoro-acetabular impingement in hip joint]. 髋关节股髋臼撞击的手术治疗。
Chirurgia narzadow ruchu i ortopedia polska Pub Date : 2010-05-01
Waldemar Woźniak, Tomasz Owczarski, Patryk Nikratowicz, Małgorzata Wierusz-Kozłowska
{"title":"[Operative treatment of femoro-acetabular impingement in hip joint].","authors":"Waldemar Woźniak,&nbsp;Tomasz Owczarski,&nbsp;Patryk Nikratowicz,&nbsp;Małgorzata Wierusz-Kozłowska","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>For many years early treatment of degenerative joint disease in hip joint included only conservative procedures or extraarticular surgery eg. pertrochanteric osteotomy, acetabular roof reconstruction. Discovery of femoro-acetabular impingement mechanism opened space for new advanced operative techniques. For the last few years these techniques are mastered using arthroscopic approach as well as open joint surgery. In this paper we are describing technique with osteotomy of the greater trochanter and joint luxation for open treatment of femoro-acetabular impingement.</p>","PeriodicalId":75702,"journal":{"name":"Chirurgia narzadow ruchu i ortopedia polska","volume":"75 3","pages":"164-7"},"PeriodicalIF":0.0,"publicationDate":"2010-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29435922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Zoledronic acid reduces risk of any new clinical fracture and risk of death after surgical repair of a low-trauma hip fracture]. [唑来膦酸降低任何新的临床骨折风险和低创伤髋骨折手术修复后的死亡风险]。
Chirurgia narzadow ruchu i ortopedia polska Pub Date : 2010-05-01
Piotr Leszczyński
{"title":"[Zoledronic acid reduces risk of any new clinical fracture and risk of death after surgical repair of a low-trauma hip fracture].","authors":"Piotr Leszczyński","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The most common treatment option for postmenopausal osteoporosis are the bisphosphonates which inhibit osteoclast function. Bisphosphonates interfere with cellular metabolism and in large clinical trials reduce risk of vertebral and non-vertebral fractures. Zoledronic acid is a potent bisphosphonate also approved for the treatment of postmenopausal osteoporosis. In addition zoledronic acid reduce relative risk of any new clinical fracture after surgical repair of low-trauma hip fracture. Also the reduction in the relative risk of death was observed after repeated once-yearly intravenous infusion. In conclusion, this is another interesting option for the treatment of the patients affected with osteoporosis and previous hip fractures.</p>","PeriodicalId":75702,"journal":{"name":"Chirurgia narzadow ruchu i ortopedia polska","volume":"75 3","pages":"168-71"},"PeriodicalIF":0.0,"publicationDate":"2010-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29435923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Does fracture of the ulnar styloid accompanying fracture of the distal radius influence final outcome of the treatment? A review]. 尺茎突骨折伴桡骨远端骨折是否影响治疗的最终结果?审查)。
Chirurgia narzadow ruchu i ortopedia polska Pub Date : 2010-05-01
Andrzej Zyluk, Agnieszka Mazur
{"title":"[Does fracture of the ulnar styloid accompanying fracture of the distal radius influence final outcome of the treatment? A review].","authors":"Andrzej Zyluk,&nbsp;Agnieszka Mazur","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Fractures of the ulnar styloid commonly accompany fractures of the distal radius, but their effect on the final outcome and need of separate treatment are not precisely determined. The objective of this review was to present the issue based on current literature. To date, results of both experimental and clinical studies show potentially negative effect of ulnar styloid fracture due to possible avulsion of the attachment of triangular fibro-cartilage complex and instability of the distal radio-ulnar joint. These injuries are more common when the base of the ulnar styloid is broken and considerably displaced, as well as at comminuted fracture of the distal radius. However, results of clinical studies show optimal treatment of the distal radius fracture to be essential for final anatomical and functional outcome, while ulnar styloid fracture or union are of lesser importance. Minor and slightly displaced ulnar styloid injuries do not require separate treatment at distal radius fractures. There are not definitive recommendations for major and much dislocated fractures, involving ulnar head and resulting in distal radio-ulnar joint instability. However, excellent results after stable fixation of the distal radius fractures with locking palmar plates suggest this management optimal, regardless the severity of distal ulna damage.</p>","PeriodicalId":75702,"journal":{"name":"Chirurgia narzadow ruchu i ortopedia polska","volume":"75 3","pages":"183-8"},"PeriodicalIF":0.0,"publicationDate":"2010-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29435860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Degree of independence of patients after surgical treatment femoral neck fractures]. 【股骨颈骨折手术治疗后患者的独立程度】。
Chirurgia narzadow ruchu i ortopedia polska Pub Date : 2010-05-01
Grazyna Baczyk, Madgalena Adamek
{"title":"[Degree of independence of patients after surgical treatment femoral neck fractures].","authors":"Grazyna Baczyk,&nbsp;Madgalena Adamek","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The main aim of the research was to define the degree of independence among patients after operative treatment femoral neck fractures in the first day after the operation and on day previous to the release from hospital. Attempt was made to determine the degree of independence in the ten activities of life, functional status and emotional state of patients. Efforts have also tried to assess the impact of functional status and emotional autonomy to the degree subjects. The study was conducted in Hospital in Poznan and Hospital in Chodziez, in the period from August 2006 March 2007. The research concerned 30 patients after operative treatment femoral neck fractures. To assess functional status, 100-point scale Barthel, to assess the emotional state HADS scale was used. Degree of independence was assessed Scale of Deficit Self-Care. The lack of independence was bigger among older patients in life activities like: moving, feed, drinking, expelling, personal sanitation and dressing. These patients required increasingly bigger medical care. Functional condition introduces considerably worst in older patients equal in research I and research II. Emotional status does not affect the degree of independence of patients, but in the first day after surgery, patients showing symptoms of depression had demanded a bigger range of assistance from medical personnel. Hip fracture have a negative impact on many areas of life activity of the patient, therefore, these patients require particularly caring therapeutic and rehabilitation activities.</p>","PeriodicalId":75702,"journal":{"name":"Chirurgia narzadow ruchu i ortopedia polska","volume":"75 3","pages":"159-63"},"PeriodicalIF":0.0,"publicationDate":"2010-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29435921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Thumb reconstruction by the second toe transfer with utilization of base of the second or the third metacarpal bones]. [利用第二或第三掌骨基部转移第二趾重建拇指]。
Chirurgia narzadow ruchu i ortopedia polska Pub Date : 2010-05-01
Marek Molski
{"title":"[Thumb reconstruction by the second toe transfer with utilization of base of the second or the third metacarpal bones].","authors":"Marek Molski","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Results of grip reconstruction in two patients after severe crush-avulsion injuries of the hand were presented. Total destruction affected the first or the first and the second ray of the hand which was accompanied by soft tissue loss, finger amputations and complex bone fractures with vessels and nerves damage. Soft tissue reconstructions were performed using various methods. Pedicled groin flap followed by nerves reconstruction and tenolysis were done in one patient. In the second case soft tissues were rebuilt with distally pedicled adipo-cutaneous forearm flap supplied by distal radial artery perforators. In both thumb reconstructions the second toe with metatarsophalangeal joint (MTP II) were transferred onto preserved rerouting proximal parts of the second or the third metacarpal bones. In the second patient soft tissue reconstruction and thumb rebuilt were performed during one-stage operation. In both cases complete soft tissue coverage was obtained with restoration of wide and precise pinch grip.</p>","PeriodicalId":75702,"journal":{"name":"Chirurgia narzadow ruchu i ortopedia polska","volume":"75 3","pages":"189-94"},"PeriodicalIF":0.0,"publicationDate":"2010-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29435928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Figures of laureates of the Wiktor Dega medal. Professor Lesław Łabaziewicz]. [维克多·德加奖章获得者的肖像。教授Lesław Łabaziewicz]。
Chirurgia narzadow ruchu i ortopedia polska Pub Date : 2010-05-01
Andrzej Nowakowski, Szymon Dragan
{"title":"[Figures of laureates of the Wiktor Dega medal. Professor Lesław Łabaziewicz].","authors":"Andrzej Nowakowski,&nbsp;Szymon Dragan","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75702,"journal":{"name":"Chirurgia narzadow ruchu i ortopedia polska","volume":"75 3","pages":"195-7"},"PeriodicalIF":0.0,"publicationDate":"2010-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29435930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Figure of laureate of the Adam Gruca Medal. Andrzej Wojciech Kalewski]. 亚当·格鲁卡奖章得主的肖像。Andrzej Wojciech Kalewski]。
Chirurgia narzadow ruchu i ortopedia polska Pub Date : 2010-05-01
Wojciech Marczyński
{"title":"[Figure of laureate of the Adam Gruca Medal. Andrzej Wojciech Kalewski].","authors":"Wojciech Marczyński","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75702,"journal":{"name":"Chirurgia narzadow ruchu i ortopedia polska","volume":"75 3","pages":"198"},"PeriodicalIF":0.0,"publicationDate":"2010-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29435932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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