Polish orthopedics and traumatology最新文献

{"title":"History of osteosynthesis in the Department of Orthopaedics and Traumatology, Medical University of Gdansk, based on examination of surgical instruments withdrawn from the operating theatre","authors":"Jakub Osowski, T. Mazurek","doi":"10.31139/chnriop.2022.87.3.5","DOIUrl":"https://doi.org/10.31139/chnriop.2022.87.3.5","url":null,"abstract":"Based on the analysis of surgical instruments withdrawn from the operating theatre, it was decided to briefly present the history of osteosynthesis in the orthopaedic department in Gdansk, Poland. Boxes with orthopaedic instruments withdrawn from the operating theatre were obtained. The instruments were grouped, numbered, photographed and catalogued. Not all obtained instruments were used in orthopaedics; the boxes contained several instruments typically used in other fields of surgery. Attempts have been made to divide orthopaedic instruments into several groups, depending on their use in bone fixation. Some specific instruments are used only in one method. The most interesting tools are discussed in detail, with attention to their features and role in shaping modern orthopaedics. Some of the obtained equipment could have been made in the Orthopaedic Workshop in the hospital. They are specific exhibits related to the development of orthopaedics in this hospital that required preservation.","PeriodicalId":89713,"journal":{"name":"Polish orthopedics and traumatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48839656","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}

{"title":"Medial tibial plateau fracture following unicompartmental knee arthroplasty – characteristics, risk factors, pathogenesis and treatment methods. Literature review and case report","authors":"Arnak Balabekyan, M. Domzalski, Marcin Mostowy, J. Lesman","doi":"10.31139/chnriop.2022.87.3.4","DOIUrl":"https://doi.org/10.31139/chnriop.2022.87.3.4","url":null,"abstract":"Introduction. Medial tibial plateau fracture (MTPF) after medial unicompartmental knee arthroplasty (UKA) is a rare but significant complication. Materials and methods. MEDLINE, ScienceDirect and Cochrane Library databases were searched using specific search terms. The inclusion criteria were articles in English, medial unicompartmental knee arthroplasty intraoperative or stress MTPF, reported patients’ demographics and fracture characteristics, the treatment process, any case with a follow-up for a minimum of 3 months and the reported outcome. The exclusion criteria were lateral tibial plateau fracture, traumatic injury, all cases with a follow-up shorter than 3 months and no reported outcome. Results. From 374 records initially found, 36 were included in the analysis highlighting the characteristics, causes and mechanisms of UKA-related MTPF. As to the treatment outcomes, only 10 studies with a total of 19 cases met our inclusion and exclusion criteria. What was also reported was a case report of a 52-year-old patient diagnosed with MTPF one week after UKA and treated using ORIF with support plate and bone augmentation. At the 8-month follow-up, the patient was complaint-free and received 88 points in the KOOS Score. Conclusions. Several measures were proposed in the literature to minimize the risk of UKA-related MTPF. One of them is appropriate patient selection (BMI, BMD). As to the operative technique, positioning tibial pins too close to the medial tibial cortex and tibial plateau, extending the sagittal and vertical cut, damaging the posterior cortex and using excessive force during hammering should be avoided. In addition, the proper tibial component size and placement (considering the gender, race and knee alignment) is also important. UKA-related MTPF was reported to be managed with either conservative treatment, ORIF or revision to total knee arthroplasty (TKA). While conservative treatment carries a high risk of failure, and the revision to TKA is a massive procedure associated with the removal of all UKA components, ORIF was reported to bring favorable outcomes, being less invasive than revision to TKA.","PeriodicalId":89713,"journal":{"name":"Polish orthopedics and traumatology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69600308","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}

{"title":"Recent advances on diagnosis and treatment of osteoid osteoma","authors":"Krystian Gryglewski, Justyna Napora, Szymon Wałejko, T. Mazurek","doi":"10.31139/chnriop.2022.87.1.5","DOIUrl":"https://doi.org/10.31139/chnriop.2022.87.1.5","url":null,"abstract":"Osteoid osteoma (OO) is a benign bony lesion with a characteristic radiologic feature of x-ray focus (nidus). The most common symptom indicating diagnosis is strong nocturnal pain that eases with nonsteroidal anti-inflammatory drugs (NSAID). Computed tomography (CT) is a method of choice for diagnosing and localizing the tumor. Osteoid osteoma can regress spontaneously, thus conservative treatment is one of the methods of choice. In the past open resection surgery had been a standard management of osteoid osteoma until radiofrequency ablation (RFA) was discovered in the early 1990s. Nowadays, there are a few minimally invasive treatment techniques that are used. CT-guided radiofrequency ablation is considered a gold standard technique these days. Many cases occur with late diagnosis, and delayed treatment despite of characteristic symptoms. Therefore, it is crucial to be familiar with the clinical features of osteoid osteoma, proper diagnostic patterns, and treatment schemes.","PeriodicalId":89713,"journal":{"name":"Polish orthopedics and traumatology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69600261","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}

{"title":"Osteoid osteoma mimicking tuberculosis and juvenile idiopathic arthritis – a case report","authors":"Szymon Wałejko, Justyna Napora, T. Mazurek","doi":"10.31139/chnriop.2022.87.1.6","DOIUrl":"https://doi.org/10.31139/chnriop.2022.87.1.6","url":null,"abstract":"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 patient was subject to several incorrect diagnoses followed by incorrect treatment pathways. Initially, a post-traumatic condition was diagnosed, then latent tuberculosis and juvenile idiopathic arthritis. Numerous hospitalizations, laboratory and imaging studies, and inappropriate treatment delayed the diagnosis and appropriate management by 2 years. Ultimately, a CT scan of the hip joints enabled the correct diagnosis to be made. Thermal ablation with intraoperative 3D navigation was utilized to successfully treat the lesion.","PeriodicalId":89713,"journal":{"name":"Polish orthopedics and traumatology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47270814","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}

{"title":"Congenital dislocation of the knee with bilateral absence of the fibula and suspected Apert syndrome – case report","authors":"M. Gąska, Tomasz Sienkiel, M. Shadi, B. Jasiewicz","doi":"10.31139/chnriop.2022.87.1.7","DOIUrl":"https://doi.org/10.31139/chnriop.2022.87.1.7","url":null,"abstract":"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 well as the suspicion of Apert syndrome. Between 2005 and 2019, patient with congenital knee dislocation was treated surgically in two medical centers. Authors performed a retrospective analysis of available data from medical archives. The patient first presented to the authors of this study at the age of nine months. Imaging diagnostics revealed complete luxation of the right knee, grade III according to Leveuf and club feet with no fibula bones in the lower legs. The objective of the multi-stage surgical treatment was to enable the patient to walk. Stage one involved a reposition of the congenital right knee dislocation following the Curtis and Fisher technique. The next stage involved a foot surgery – first the left one and then the right. At the age of 5, during the follow-up, the patient was very active: he kept walking, running and jumping and both his feet were in the right position. However, in the following year, a gradual increase of rotation disorders was observed in both lower legs. When the child was 6 years, he underwent derotation osteotomies in both tibia bones. Next, at the age of 12, he underwent anterior femoral hemiepiphysiodesis around right knee with two 8-plates. Plates were removed when he was 14. The last follow-up took place when the patient was 14. The patient is 100% able-bodied and can walk on his own. To sum up, patients with congenital knee dislocation make up a highly complex group that requires multidisciplinary care and frequently also multistage treatment.","PeriodicalId":89713,"journal":{"name":"Polish orthopedics and traumatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49456424","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}

{"title":"The negative impact of local recurrence on overall survival in adult patients with extremity localized osteosarcoma","authors":"T. Goryń, B. Szostakowski, A. Pieńkowski, P. Rutkowski","doi":"10.31139/chnriop.2022.87.1.2","DOIUrl":"https://doi.org/10.31139/chnriop.2022.87.1.2","url":null,"abstract":"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 our institution between 2000 and 2017. The median observation was 41 months (3-225 months). 111 patients were treated with limb-sparing surgery, 80 patients had tumour resection followed by endoprosthetic reconstruction, 31 patients had local resection without reconstruction and 64 patients underwent amputation. 5-year OS (overall survival) and DFS (disease-free survival) rates in the study group were 62% and 52%, respectively, and life expectancy was 136 months. Local recurrence occurred in 34 (19%) patients in the whole group, including 16 (17%) patients after reconstruction, 11 (35%) patients after local resection and 7 (10%) patients who had an amputation. In the group of patients with local recurrence, 5-year OS rate was 30%, statistically significantly worse than patients without recurrence (5-year OS 70%).","PeriodicalId":89713,"journal":{"name":"Polish orthopedics and traumatology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69600631","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}

{"title":"The use of bone substitute (CERAMENT) in the treatment of benign bone tumors and tumor-like lesions","authors":"Maciej Zrodowski, D. Ciechanowicz, Marcin Dembski, Miłosz Piotrowicz, Justyna Napora, T. Mazurek","doi":"10.31139/chnriop.2022.87.1.1","DOIUrl":"https://doi.org/10.31139/chnriop.2022.87.1.1","url":null,"abstract":"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 diagnostic path and symptoms reported by patients with tumors and tumor-like lesions. Materials and methods. To the retrospective study 38 patients undergoing curettage and bone substitution with CERAMENT® BONE VOID FILLER were included (26% of them were females). We utilized patients’ history. Each patient had an X-ray in the twelfth month after surgery, which was analyzed using the modified Neer classification. The follow-up was 24 months. Results. The unicameral bone cyst was the most commonly encountered lesion (36.8%). Pain was the most common symptom reported (28.9%). Half of all cases were discovered accidentally on X-rays ordered for a different indication. Nearly a quarter of the cases (23.7%) were complicated by pathologic fracture. The distribution of scores in modified Neer score was as follow: SCORE I- 52.6% SCORE II- 15.8% SCORE III-10.6% SCORE IV-2.6%. Complications of procedure were noted in 18.4% of patients. 10.5% of patients had serious discharge from the operated site, 7.9% of patients had surgical wound infection. One case of recurrence was noted. Conclusions. Bone substitute – CERAMENT is suitable for use in the treatment of benign bone tumors and tumors like lesions. It is easy in application and is well tolerated by the patients. The problem is the relatively high rate of complications, mainly serous leakage from the wound.","PeriodicalId":89713,"journal":{"name":"Polish orthopedics and traumatology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69600501","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}

{"title":"Bone diaphysis metastases from the perspective of an orthopedic surgeon – review","authors":"D. Ciechanowicz, J. Pawlik, P. Ziętek, A. Bohatyrewicz, D. Kotrych","doi":"10.31139/chnriop.2022.87.1.4","DOIUrl":"https://doi.org/10.31139/chnriop.2022.87.1.4","url":null,"abstract":"Bone metastases are a great challenge in the practice of an orthopedic surgeon. Due to the development of oncological treatment, the approach to patients with bone metastases is changing. Previously, these patients were treated palliatively, mainly to decrease the pain intensity. However, with appropriate systemic, surgical and orthopedic treatment, patients with bone metastases often live for many years. Therefore, proper diagnosis and appropriate orthopedic treatment can significantly improve patients’ prognosis. On the other hand, poor qualification for surgery and selection of the wrong treatment method contribute to shortening the patients’ survival. Hence, knowledge of the diagnosis and qualification of patients for surgical treatment is essential in the practice of an orthopedist. In the presented review, the authors focused on summarizing the knowledge in the field of diagnostics, qualification for surgical treatment and orthopedic treatment methods for patients with bone diaphysis metastases.","PeriodicalId":89713,"journal":{"name":"Polish orthopedics and traumatology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69600686","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}

{"title":"Principles of orthopedic treatment for malignant bone tumors in children","authors":"Bartłomiej Kowalczyk, A. Szafrański, Anna Kuźnik-Buziewicz","doi":"10.31139/chnriop.2022.87.1.3","DOIUrl":"https://doi.org/10.31139/chnriop.2022.87.1.3","url":null,"abstract":"Primary bone sarcomas are not frequent entities, but constitute important issue especially in pediatric population. Advances in chemotherapy and diagnostic modalities allowed limb saving resections of malignant bone tumors became leading surgical option. To be successful the treatment of primary bone tumors should be conducted in dedicated centers by experienced team of specialists. Nevertheless, the rules of such treatment should be known widely to improve diagnosis, medical care over oncologic patient and communication between specialists. In this review paper the authors present current rules of surgical approach to bony malignancies in children and adolescents.","PeriodicalId":89713,"journal":{"name":"Polish orthopedics and traumatology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69600679","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}

{"title":"Traumatology and Оrthopedics","authors":"A. Garkavi, A. Lychagin","doi":"10.33029/9704-6603-2-tog-2022-1-896","DOIUrl":"https://doi.org/10.33029/9704-6603-2-tog-2022-1-896","url":null,"abstract":"","PeriodicalId":89713,"journal":{"name":"Polish orthopedics and traumatology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84809774","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}