A New Method of Evaluating the Symmetry of Movement Used to Assess the Gait of Patients after Unilateral Total Hip Replacement.

Purpose: We propose a new concept of symmetry, the symmetry function, as a continuous function of the percentage of differences between sides of body movement and normalised throughout the whole range of motion. The method is used to assess the dynamical symmetry of gait of patients after unilateral total hip replacement (asymmetric group) and healthy people (symmetric group) and also to reveal discrepancies between normal and abnormal movement patterns.

Methods: The gait of twelve male patients (49.

The Use of Basket and Cross Shell Reinforcement in Revision Acetabulum Arthroplasty.

Background: In spite of many decades of experience and huge data resources to evaluate the results of increasingly difficult and extensive acetabulum revision operations, it is not possible to obtain fully satisfactory results. This article presents the indications for use, surgical technique, and distant and intermediate-range results in the operation of replacing a loosened acetabular component of an endoprosthesis with accompanying extensive cavitary or segmental floor defects.

Material And Methods: A retrospective evaluation was performed on 65 hips in 55 patients, including bila-teral procedures in 8 women and 2 men, operated on between 1994 and 2012.

Disseminated Infection of Encephalitozoon cuniculi Associated With Osteolysis of Hip Periprosthetic Tissue.

Background: Among patients with hip joint endoprosthesis, periprosthetic osteolysis is the most common complication following primary arthroplasty, and subsequent implant loosening is the leading cause of arthroplasty revision. Causes of stability loss, though not always evident, can be mechanical, allergic, or infectious (bacterial and fungal agents) in nature. Microsporidia, widespread opportunistic fungal pathogens that infect most human tissues, are a potential infectious cause of stability loss.

Surgical Strategy in Intra-pelvic Cup Migration During Total Hip Arthroplasty. A Case Study.

We report the case of a 63-year-old female patient referred to our department due to an early postoperative complication resulting from intraoperative fault. During the preparation of a bone socket for the acetabular cup, the acetabular fossa was broken, forming an extensive segmental defect of the diameter of the reamer used. An attempt to stabilize the acetabular prosthesis using bone cement without repairing the bone defect was ineffective and inappropriate.

[Significance of biomechanical criteria in proper treatment planning in knee osteoarthritis].

Introduction: Following the established and unequivocal criteria when choosing the treatment of knee osteoarthritis, despite possibility of precise imaging, is still very problematic. This is partly because doctors of different disciplines: general practitioners, orthopaedic surgeons, rheumatologists, physiotherapists, are involved in the treatment of this disease. For most of them the basic criteria to implement the treatment are: pain and assessment of X -ray in the supine position.

Assessment of gait after bilateral hip replacement. Case study.

Total hip arthroplasty (THA) is one of the most effective methods of treatment of severe hip osteoarthritis (HOA). In many cases pathological gait patterns persist despite properly conducted surgery and disturb the normal wear of the artificial joint surfaces. The aim of the study was to conduct functional and biomechanical assessment of gait in a patient after bilateral THA due to severe degenerative changes in the hip.

Prevalence of Demodex spp. in eyelash follicles in different populations.

Introduction: The pathologic relevance of Demodex infestation in blepharitis is still controversial. The aim of the study was to determine the prevalence of Demodex spp. in eyelash follicles and its relationship to eye symptoms.

Assessment of strength & velocity parameters of hip joint muscles in rehabilitation of a patient with lower limb amelia. Case study.

We studied a 19-year-old patient with congenital partial absence of certain left lower limb structures (amelia) with no additional developmental defects. The patient had no fibula or foot bones and the tibia was reduced to 3 cm, which made it impossible to use a crural prosthesis. The aim of the study was to assess the strength capacity of muscles influencing the ipsi- and contralateral hip joint in the amelic patient.

Professor Ludwik Hirszfeld in his relations with students and junior researchers.

This paper presents a profile of Ludwik Hirszfeld (1874-1954) as an educator of medical personnel. Hirszfeld was an eminent immunologist, bacteriologist and seroanthropologist; the originator of the Polish school of immunology; a professor at Warsaw University, Maria Sklodowska-Curie University in Lublin and the University and Technical University in Wroclaw; and the founder of the Institute of Immunology and Experimental Therapy in Wroclaw. An account of his relations with university students and junior research personnel - relations based on respect, on multi-faceted assistance in everyday life, but above all on a love for science - is presented, depicting Hirszfeld as a teacher of scientific thinking.

Analysis of the influence of a metha-type metaphysical stem on biomechanical parameters.

The full postoperative loading of the limb is possible if patients are properly selected and qualified for hip arthroplasty and the requirements as to the proper position of the metaphysial stem are met. The lack of precision, and patient qualification which does not satisfy the fixed criteria may result in stem setting inconsistent with the assumptions. An analysis based on the finite element method (FEM) will enable one to find out how to plan the magnitude of operated joint loading on the basis of the position of the stem in the postoperative radiograph.

Achievements of Polish doctors in gastrodiaphanoscopy at the turn of the 19(th) and 20(th) centuries.

Diaphanoscopy/transillumination, the method of shining a bright light through tissues, was devised in the mid-19(th) century and developed after the invention of the light bulb by T.A. Edison.

[The development of treatment in a health resort in Niemirow until the end of the second republic].

The history ofNiemirów, a health resort on the south-eastern borderland of Poland is recounted in full particulars first of all. A mild climate, charming regions, natural stuffs (sulphuric-alkaline salt springs and therapeutic mud) formed the status of this health resort. The indications and contraindications in many diseases and effects of treatment in a health resort are described.

[The development of treatment in the Birstonas health resort up to 1939 and the physicians of Birstonas in the 19th and first half of the 20th century].

First of all, the history and development of Birstonas, a health resort by the river Neman, near Vilnius, first mentioned in 1382, are recounted in detail. The value of this health resort was determined by a mild climate and salt springs. Information on Birstonas by Władysław Syrokomla (1823-1862), the Polish poet, and Zygmunt Gloger (1845-1910), the Polish ethnographer, archaeologist and historian are well known.

The first Polish total laryngectomies.

The total removal of the larynx (total laryngectomy), performed in 1872 by the well-known Viennese surgeon Christian A. Theodor Billroth (1829-1894), was an epoch-making event in the history of surgery and laryngology. This paper presents the first surgeons who performed this operation.

[Jan Pilecki (1821-1878) and achievements his Druskieninkai].

The history of development of health resort Druskieniki basing on Adam Wrzosek, an eminent Polish historian of medicine pointed out. The beauty and advantages of this health resort is depicted widely. The living and professional achievements of Jan Pilecki (1821-1878), an eminent physician of health resort, his significance for development and of Druskieninkai are presented in more detail.

[Anicety Renier (1804-1877) and his significance for development of Druskienkai].

The aim of his paper is to present the silhouette of Anicety Renier (1804-1877), an eminent physician, patriot, deportee. His professional achievements as a physician of health resort in Druskienkai are presented widely. He was the author of publications on this health resort.

[The past of Druskininkai (part I)].

The development of hydrotherapy in the first half of the XIX century is presented in short. The geographical, climatic and epidemiological situation of Druskininkai, a health resort founded in 1837 has been mentioned. The natural substances: salt springs and therapeutic muds are described sufficiently.

[Deontologic aspects in publications of Bronisław Wilhelm Sawicki (1860-1931)].

Bronisław Wilhelm Sawicki (1860-1931), an eminent Warsaw surgeon who received an extensive education at foreign medical institutions, was an expert in various problems of hospital management. The complicated problems of education of physicians in the Russian sector of partitioned Poland (the Grand Duchy of Warsaw and the Congress Kingdom of Poland) formulated by Sawicki are presented in this work. Medical education in Western Europe especially in Germany, Austria and France, is described in detail.

Custom made total hip replacement--necessary or not?

Indication and technical requirements analyses for custom made THR have been made. Indications for the use of custom made THR and the results achieved have been assessed according to the available literature and compared to the results of standard THR. There is a significant divergence in indications, late results and production costs.

[Izydor Nahumowicz (1800-1842) and his work on the salt springs of Druskininkai].

This article begins with a presentation of attractions of Druskininkai (formerly Druskieniki) in the first half of the 19th century. The life and scientific achievements of Izydor Nahumowicz (1800-1842), an eminent spa physician, are discussed. His treatise "Treatment with mineral waters in Druskininkai" (Grodno 1841) is presented in detail, as well as procedures preparing for treatment in Druskininkai with indications and contraindications for referring patients to this spa.

[The effectiveness of a comprehensive program of physiotherapy in shoulder pain syndromes].

Introduction: Periarthritis humeroscapularis (PHS) is a disease notable for serious therapeutic problems arising from lesions in various tissue structures. The shoulder is the most important biokinematic element in the upper extremity. For this reason, physiotherapy continues to search for an ideal form of rehabilitation.

[Contribution by Ksawery Wolfgang (-1864) to the development of Druskininkai].

We present the history of the spa of Druskininkai which was founded in 1837. The professional and scientific career of Ksawery Wolfgang (-1864), an eminent physician of this spa, is described in the context of his importance for the development of Druskininkai. Wolfgang was a respected person in Druskininkai.

[Alfred Marcin Sokołowski and Władyslaw Matlakowski. Contribution to history of spa treatment of pulmonary tuberculosis].

The professional, scientific and didactic careers of Alfred Marcin Sokołowski (1849-1924) and Władysław Matlakowski (1851-1895) are presented at the beginning. Sokołowski was an assistant and afterwards a deputy of the head of hospital department Herman Brehmer in health resort in Goerbersdorf. In 1880 Sokołowski organized the internal diseases ward and rhinolaryngological outpatient clinic at St.

Analysis of complications following total knee replacement with a cemented condylar endoprosthesis.

Background. Advanced knee arthritis is indicated for total alloplastic and it is considered to be the method of choice. It allows on abolishing of intensive pain and correcting of efficiency of limb.