Comparison of short- to medium-term results of Coonrad-Morrey elbow replacement in patients with rheumatoid arthritis versus patients after elbow injuries.

Background: The aim of this study was to assess the utility of the Coonrad-Morrey elbow prosthesis in patients with severe elbow dysfunction secondary to rheumatoid arthritis (RA) or post-traumatic elbow dysfunction.

Material/methods: The study involved 35 patients followed up for a mean of 36 months. The patients were divided into those with RA (Group I) and those with post-traumatic elbow dysfunction (Group II).

Femoral press-fit fixation in ACL reconstruction using bone-patellar tendon-bone autograft: results at 15 years follow-up.

Background: If anterior cruciate ligament (ACL) reconstruction is to be performed, decision regarding graft choice and its fixation remains one of the most controversial. Multiple techniques for ACL reconstruction are available. To avoid disadvantages related to fixation devices, a hardware-free, press-fit ACL reconstruction technique was developed.

Current concepts in the treatment of cartilage lesions with special regard to the knee joint.

The last twenty years have been marked by a rapid development of articular cartilage treatment and regeneration techniques. We present current concepts in the treatment of cartilage lesions and injuries, including gene therapy and tissue engineering.

Manifestations, diagnosis and surgical treatment of enchondroma--own experience.

Background: An enchondroma is a rather common benign tumour of bone that originates from cartilage.The course is usually benign but they have a tendency to recur and are sometimes invasive, especially when developing in long bones. The aim of the study was to analyze the manifestations and methods of treatment as well as to assess the results of surgical treatment in patients with enchondroma.

Surgical treatment of dysplasia fibrosa and defectus fibrosus with bone allografts.

Background: A common feature of dysplasia fibrosa and defectus fibrosus is the development of foci of disordered fibrous tissue in bone that tend to grow and displace regular bone tissue. The objective of this study was to evaluate the efficacy of surgical treatment with bone allografts in patients with fibrous dysplasia and fibrous defect of bone.

Material And Methods: The study group consisted of 99 patients aged from 9 to 58 years (mean age 22 years), including 56 men and 43 women.

[Realloplasty of the acetabular component of the hip joint endoprosthesis without mechanical support systems].

This work presents the tactics of surgical procedures in 40 patients who underwent revision of the hip joint due to isolated loosening of the acetabular component of the endoprosthesis. The studied group were operated between 2004 to 2006 without the use of mechanical support systems. Realloplasty of the acetabular component involved the evaluation of: etiology of acetabular loosening, concomitant diseases in the operated patients, and the grade of acetabular defects according to Paprosky's classification.

Treatment and differential diagnosis of aneurysmal bone cyst based on our own experience.

Background: Aneurysmal bone cyst was first described by Jaffe and Lichtenstein in 1942. Schajowicz in 1972 in his Histopathological Classification of Primary Bone Tumors (later modified by WHO in 1993) placed it in group IX - tumor-like lesions. Its etiology and pathogenesis is not completely clear.

Heterotopic ossification in patients with hip osteoarthritis below forty years old after total hip replacement.

Background: Even though heterotopic ossification (HO) is most often asymptomatic in patients after total hip replacement (THR), it remains a serious problem in orthopaedics as it is observed in nearly all operated patients.

Materials And Methods: The article presents a pre- and post-operative retrospective analysis of heterotopic ossification based on radiographic evidence. The study involved 77 patients below forty years old who underwent THR due to degenerative changes.

Arthroscopy for anterolateral soft tissue impingement of the ankle joint.

Background: Anterolateral soft tissue impingement of the ankle joint is a common consequence of ankle sprain due to excessive supination and adduction of the foot, injuries to the tibiofibular syndesmosis and lateral malleolus fractures.

Material And Methods: Twenty-two arthroscopic procedures to treat anterolateral soft tissue impingement of the ankle joint were performed at the Independent Public Regional Hospital of Trauma Surgery in Piekary Slaskie between 2006 and 2007. The study group included male patients at the mean age of 34 (17 to 55) years.

Untreated asymptomatic deep cartilage lesions associated with anterior cruciate ligament injury: results at 10- and 15-year follow-up.

Background: Chondral lesions are often documented at the time of anterior cruciate ligament reconstruction. They are usually asymptomatic. It is not known if these lesions change the outcome of current ACL treatments.

Assessment of the efficacy and safety of low frequency, low intensity magnetic fields in patients after knee endoprosthesis plasty. Part 2: a clinical study.

The purpose of this clinical study was to assess low frequency, low intensity magnetic fields in the enhancement of the physical rehabilitation of patients after knee endoprosthesis surgery. The study included 62 patients who underwent total knee arthroplasty. Group A consisted of 32 patients who were physically rehabilitated.

Assessment of the efficacy and safety of low frequency, low intensity magnetic fields in patients after knee endoprosthesis plasty. Part 1: in vitro safety.

The purpose of this in vitro study was to assess the potential influence of low frequency, low intensity magnetic fields (rectangular pulse, 5 mT, 30 Hz) applied in therapy on the temperature, contact electric potential, and magnetization in knee endoprosthesis, which might be dangerous for implantation and stability of knee prosthesis, and later slacking it off, causing postoperative complications. The experimental investigation was carried out on a knee endoprosthesis which had been placed in a container with physiological saline. The prosthesis located inside the container was under the exposure of the magnetic field applied by a solenoid.

[Subacromial impingement syndrome--most frequent reason of the painful shoulder syndrome].

Painful shoulder syndrome is a frequent cause of visit at physician. The development of knowledge about the anatomy and biomechanics of the shoulder allows, based on detailed examination, to precise localization of the shoulder dysfunction. Subacromial impingement syndrome is the most common cause of pain as well as of limited motion of the shoulder region.

[Distal radius fractures].

Distal radius fractures are most common bone fractures. Incidence rate of the distal radius fractures are 2 per 1000 person-years. Complicated morphology and biomechanics of the fracture and high percentage of complications cause many clinical problems in the course of treatment.

[Early clinical and radiological results following cervical disc arthroplasty].

The aim of this study was to assess early results of anterior cervical decompression and arthroplasty for cervical disc disease. The results of operations of 32 patients (43 instrumented levels) were examined to assess clinical outcome, the restoration of disc height, postoperative lordosis, mobility of instrumented segment and complication rate. Clinical outcome evaluated with VAS score improved from 7.

[The outcome of recurrent patellar dislocation treatment with the Insall procedure].

The choice of appropriate treatment of recurrent lateral patellar dislocation (RPD) is the source of constant debate because of unacceptable treatment outcomes. The aim of this study is to assess the outcome of operative treatment of RPD with the use of proximal realignment method by Insall. 94 patients (109 knees), who were present at the final examination, after the average follow-up 6.

Postoperative treatment and rehabilitation after total knee arthroplasty.

Total arthroplasty is the primary surgical method used in patients with extensive deformations of the knee joint in the course of osteoarthritis or rheumatoid arthritis. Good outcome after arthroplasty depends on the proper identification of indications, good surgical technique, and the proper postoperative treatment and rehabilitation. In postoperative treatment appropriate conditions should be provided for healing of the damaged tissues and prevention of early and late complications.

Arthroscopy of the shoulder.

This study presents, based on the literature and own experience, the history, the development and current trends of the shoulder arthroscopy.

Results of operative treatment of unstable distal radius fractures using percutaneous K wire fixation.

Background: Distal radius fractures are a serious clinical problem. The evaluation of fracture stability and selection of a treatment method are of key importance for treatment outcomes. Purpose of the study.

The choice of the appropriate type of anesthesia in arthroscopies of the knee joint - own experiences.

Background. One of the most important elements of a properly performed arthroscopy, apart from the surgeon's experience is an appropriate type of anesthesia chosen by the anesthesiologist. The type of anesthesia depends on many factors, for example the patient's general condition, the type and extent of the knee injury, the planned extension and time of the operation (diagnostic arthroscopy, operative arthroscopy), the place of the performed operation (hospital, ambulatory conditions) and last but not least the anesthesiologist's experience and the equipment of the operation theatre.

Arthroscopy in the treatment of injuries and knee disorders in children and adolescents.

Background. In children and young adolescents, like in adults the knee joint is the most exposed joint to the injuries and pathologies of various ethiology. Injuries of the knee joint in children and young adolescents have their own specificity and they are characterized by some differences.

The role of the posterior cruciate ligament in total knee replacement.

Total knee replacement (TKR) is a successful and reproducible operation with good long-term prosthesis survivorship and good or excellent functional outcomes: over 95% at 10 years. TKR is presently indicated also for younger patients (<55 years) suffering from rheumatoid arthritis, as well as posttraumatic and idiopathic arthritis. However, some controversies remain concerning surgical techniques.

Traumatic cartilage lesions of the knee in the own material.

Background. The knee joint cartilage is vulnerable to traumatic injury, which may lead to osteoarthritis and may result in restrictions of normal knee function and negatively influence the physical activity. The purpose of this study was the epidemiologic and statistical analysis of traumatic cartilage lesions.

Early results of surgical treatment for carpal tunnel syndrome using a single-portal endoscopic method.

Background. Carpal tunnel syndrome, the most common peripheral neuropathy, is caused by increased carpal tunnel pressure and decreased carpal tunnel volume. The aim of our study was to evaluate early results in single-portal endoscopic carpal tunnel release for the surgical treatment of carpal tunnel syndrome.