Polish orthopedics and traumatology最新文献_第8页

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 关节镜下前交叉韧带重建中腘绳肌腱隧道外和隧道内预备技术的生物力学分析。实验和临床测试

Polish orthopedics and traumatology Pub Date : 2019-04-30 DOI: 10.31139/CHNRIOP.2019.84.2.09

Filip Płużański, M. Krasowski, J. Fabiś

引用次数: 0

Oxygen saturation measurement in dislocated supracondylar fractures in children 儿童髁上骨折脱位时氧饱和度的测定

Polish orthopedics and traumatology Pub Date : 2019-04-30 DOI: 10.31139/CHNRIOP.2019.84.2.08

Ł. Matuszewski, Michał Budkowski, T. Lach, W. Grodzicki

{"title":"Oxygen saturation measurement in dislocated supracondylar fractures in children","authors":"Ł. Matuszewski, Michał Budkowski, T. Lach, W. Grodzicki","doi":"10.31139/CHNRIOP.2019.84.2.08","DOIUrl":"https://doi.org/10.31139/CHNRIOP.2019.84.2.08","url":null,"abstract":"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 between 2014 and 2018. Blood disturbances were measured by pulse oximeter. Very good or good results were achieved in 22 non-operatively treated patients where pulseless pink hand symptoms occurred and, after reduction, disappeared. Very good or good results were achieved in 9 patients with pulseless pale and cold hand symptoms. In one patient with pulseless hand (verified by pulse oximeter) but without symptoms of cold hand we decided to explore brachial artery after angio CT examination (Angio-CT showed complete entrapment of the brachial artery). In conclusion we think that oxygen saturation measurement in dislocated supracondylar fractures in children is the best method. It allows us determine whether to avoid or to perform exploration of brachial artery. It is also easily accessible in comparison to the Doppler US or other imaging tools.","PeriodicalId":89713,"journal":{"name":"Polish orthopedics and traumatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49544468","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

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 耐甲氧西林金黄色葡萄球菌感染膝关节假体二期手术40例，一期手术28例，术后感染治愈率及功能效果分析

Polish orthopedics and traumatology Pub Date : 2019-04-30 DOI: 10.31139/CHNRIOP.2019.84.2.07

I. Babiak, R. Majkusiak

{"title":"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","authors":"I. Babiak, R. Majkusiak","doi":"10.31139/CHNRIOP.2019.84.2.07","DOIUrl":"https://doi.org/10.31139/CHNRIOP.2019.84.2.07","url":null,"abstract":"Introduction. The study compares infection cure rate and functional results after oneand 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 ( 3 to 7.5 years ). Functional results were assessed in HSS, HKASS and WOMAC scores. As good result the lack of clinical, radiological and biochemical signs of infection, more than 61 points in HSS score and more than 50 points in HKASS score were assumed. Results were statistically analysed. Results. The infection cure rate was 95% after two-stage reimplantation with articulating spacer and 89,3% after one-stage revision. Functional results in HSS score were significantly better after two-stage reimplantations than after one-stage reimplantations (average 78.9 points vs 65.8 points, p-value 0.05; CI 95%: 72.4-95.6%). The satisfaction with treatment on HKASS scale was higher after two-stage than after one-stage revision ( average 78.5 points vs 68.3 points), but not statistically significant. Conclusions. The study demonstrated better cure rate and functional results after two-stage reimplantation with hand-made, articulating cement spacer containing 5% of vancomycin – as compared to one-stage reimplantation using the same acrylic cement for prosthesis fixation performed due to infection of knee prosthesis with MRSA.","PeriodicalId":89713,"journal":{"name":"Polish orthopedics and traumatology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69598688","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

Reconstruction of massive acetabular bone loss with pelvic discontinuity 骨盆不连续的大量髋臼骨丢失的重建

Polish orthopedics and traumatology Pub Date : 2019-04-30 DOI: 10.31139/CHNRIOP.2019.84.2.11

Łukasz Niedźwiedzki, T. Niedźwiedzki

引用次数: 1

Comminuted patella fracture in a patient of advanced age, with xeroderma, treated with a low-invasive, originally modified method using non-absorbable sutures 一名老年干皮病患者的粉碎性髌骨骨折，采用低侵入性、改良的非吸收性缝线治疗

Polish orthopedics and traumatology Pub Date : 2019-04-30 DOI: 10.31139/CHNRIOP.2019.84.2.10

J. Poszepczyński, A. Kaźmierczyk, Krzysztof Andrzejewski, Michał Krzymiński, R. Grabowski, J. Lesman, Marcin Domażalski

引用次数: 0

Short term results of hemiarthroplasty of radiohumeral joint in treatment of radial head fractures 桡侧肱骨半关节置换术治疗桡骨头骨折的近期疗效

Polish orthopedics and traumatology Pub Date : 2019-02-28 DOI: 10.31139/CHNRIOP.2019.84.1.02

A. Marcinkowski, D. Kozerawski, Kacper Machunik, J. Kucharski, Julia Marcinkowska, M. Piwowarski, A. Bohatyrewicz, D. Kotrych

{"title":"Short term results of hemiarthroplasty of radiohumeral joint in treatment of radial head fractures","authors":"A. Marcinkowski, D. Kozerawski, Kacper Machunik, J. Kucharski, Julia Marcinkowska, M. Piwowarski, A. Bohatyrewicz, D. Kotrych","doi":"10.31139/CHNRIOP.2019.84.1.02","DOIUrl":"https://doi.org/10.31139/CHNRIOP.2019.84.1.02","url":null,"abstract":"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 choose the most effective way of treatment that can provide quick stabilization of the elbow and allow early rehabilitation in the form of passive and active movement [21]. Formerly the operative armamentarium consisted of only open reduction with internal fixation of the fracture and radial head resection [2]. Many complications after radial head resection forced searching for a way of alternative treatment of severely displaced comminuted fractures [3,23,24]. Hence the idea of hemiarthroplasty of radiohumeral joint was born. There were thirteen radial head arthroplasties performed in our department. Only patients with Mason type III and IV fractures qualified for this type of treatment. Results indicate that hemiarthroplasty of radiohumeral joint is a method worth considering when treating patients with complex radial head fractures.","PeriodicalId":89713,"journal":{"name":"Polish orthopedics and traumatology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69598052","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 application of local infiltration analgesia as multimodal analgesia in postoperative pain managment after total knee arthroplasty – review of the literature 局部浸润镇痛作为多模式镇痛在全膝关节置换术后疼痛管理中的应用——文献综述

Polish orthopedics and traumatology Pub Date : 2019-02-28 DOI: 10.31139/chnriop.2019.84.1.06

Szczepan Juszkiewicz, Agnieszka Juszkiewicz, D. Kotrych

引用次数: 3

Mineralogical assessment of the femoral heads and articular cartilage of the femur in patients with avascular necrosis (AVN) 无血管性坏死(AVN)患者股骨头和股骨关节软骨的矿物学评估

Polish orthopedics and traumatology Pub Date : 2019-02-28 DOI: 10.31139/CHNRIOP.2019.84.1.03

M. Pawlikowski, T. Niedźwiedzki, A. Bieniek, Łukasz Niedźwiedzki, A. Olejarz

{"title":"Mineralogical assessment of the femoral heads and articular cartilage of the femur in patients with avascular necrosis (AVN)","authors":"M. Pawlikowski, T. Niedźwiedzki, A. Bieniek, Łukasz Niedźwiedzki, A. Olejarz","doi":"10.31139/CHNRIOP.2019.84.1.03","DOIUrl":"https://doi.org/10.31139/CHNRIOP.2019.84.1.03","url":null,"abstract":"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 of bone mineral density (DXA method) included in vivo examination of patients with AVN, conducted prior to the hip replacement procedure, as well as the densitometry of surgical specimens of the whole femoral heads and their 1.0-1.5 cm thick slices. The surgical specimens were also examined under digital, polarization, and scanning electron microscope, and analyzed chemically by means of electron dispersive spectroscopy (EDS). Moreover, the cartilage isolated from surgical specimens was subjected to X-ray diffractometry. Our study revealed that densitometry of the proximal femoral epiphysis is not useful in the evaluation of AVN. We observed that AVN is associated with severe osteoporosis of subchondral bone at a periphery of the femoral heads, leading to complete bone loss (“holes”) in extreme cases. Moreover, articular cartilage over the necrotic areas showed the signs of occult mineralization, resulting in its alterations and more rapid wear.","PeriodicalId":89713,"journal":{"name":"Polish orthopedics and traumatology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69598405","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

Intramedullary nails coated with Antibiotic Loaded Acrylic Cement (ALAC) containing 5% of culture specific antibiotic in therapy for infected long bone fractures and nonunions 含有5%培养特异性抗生素的抗生素负载丙烯酸水泥(ALAC)涂覆髓内钉治疗感染性长骨骨折和骨不连

Polish orthopedics and traumatology Pub Date : 2019-02-28 DOI: 10.31139/CHNRIOP.2019.84.1.01

I. Babiak, P. Pędzisz, J. Janowicz, P. Małdyk

{"title":"Intramedullary nails coated with Antibiotic Loaded Acrylic Cement (ALAC) containing 5% of culture specific antibiotic in therapy for infected long bone fractures and nonunions","authors":"I. Babiak, P. Pędzisz, J. Janowicz, P. Małdyk","doi":"10.31139/CHNRIOP.2019.84.1.01","DOIUrl":"https://doi.org/10.31139/CHNRIOP.2019.84.1.01","url":null,"abstract":"Introduction. Treatment of fractures or non-union of long bones with infection requires debridement of the medullary cavity, antibiotics in high concentra- tions in the bone and biofilm, elimination of dead space in the place of debridement and mechanical stability at the site of infection. External stabilization is inconvenient for the patient and makes skin plastics difficult. Material and methods. There were 13 patients (6 women and 7 men), aged 18-82 years, treated with debridement and stabilization with intramedullary nail covered with Antibiotic Loaded Acrylic Cement (ALAC). Indications for nail covered with ALAC (ACIIN): infected fractures or infected nonunion of the femur (6), tibia (6) and humerus (1) diaphysis. Follow-up: 1-13 years (average 6.5 years). Etiology of infection: S. aureus (11), Staph. Epidermidis (1), mixed infection: MRSA and Pseudomonas aeruginosa (1). Up to 40 g of ALAC with gentamycin in a dose below 1 g were added: 2 g vancomycin (11), 1 g vancomycin and 1 g meropenem (1 – mixed infection), 1 g vancomycin and 1 g ceftriaxone (1– MSSA) – based on preoperative culture . In the absence of a conclusive antibiogram, vancomycin was a pre-emptive therapy, focused on the most common pathogen. Nail locking applied: static (5), dynamic (2); without locking (6). Results. Healing of the infection was achieved in 11, bone union in 9 of 13 patients. Non-union in 4 cases: large segmental defects of the femoral shaft (2); tibial nonunion (2). Conclusions. ACIIN nails with the addition of 5% targeted antibiotic can be an effective treatment for infected fractures or infected nonunions of the femoral, tibial and humeral diaphysis. They offer comfortable bone stabilization and local treatment of infection.","PeriodicalId":89713,"journal":{"name":"Polish orthopedics and traumatology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69597935","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 the inclination angle really matter? Evaluation of short-stem hip arthroplasty with different articulations based on selected radiological parameters 倾角真的重要吗?基于选择的放射学参数评价不同关节的短柄髋关节置换术

Polish orthopedics and traumatology Pub Date : 2019-02-28 DOI: 10.31139/chnriop.2019.84.1.04

J. Hermanson, Szymon Czech, S. Kasperczyk, Robert Kokot, M. Białkowska, M. Mielnik, B. Koczy

引用次数: 0