Publications by authors named "Julian Dutka"

Introduction: Fractures of the proximal end of the radius are rare and account for 1 % of all childhood fractures. The treatment of the proximal end of the radius in children depends on age, the degree of angular displacement, and the presence of additional injuries.

Case Presentation: This is a case of a 7-year-old child with a 90-degree angular displaced radial neck Judet type-IV fracture treated with open reduction and intramedullary stabilization with Kirschner wire.

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Background: Preoperative planning is an integral part of total hip arthroplasty and has a significant impact on surgical technique and clinical outcome. The variety of types and sizes of endoprosthesis components makes the procedure more demanding and generates a need for accurate preoperative planning. The objective of this study was to analyze an analog method of preoperative planning of primary total hip arthroplasty based on templates overlaying on preoperative radiograms and compare its accuracy for predicting the size, both the stem and cup, with computer planning methods.

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Background: The aim of this study was to present the medical, epidemiological and economic aspects of traumatic injuries in children and adolescents. The literature on the subject is scarce.

Material And Methods: A retrospective analysis was performed on the data of 1,138 children treated at the Department of Pediatric Surgery, Stefan Żeromski Specialized Hospital in Kraków between 2012 and 2016 on account of head, abdominal and pelvic, chest, testicular and musculoskeletal injuries.

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This paper presents a case of a massive giant cell tumor of bone (GCTB), Campanacci and Enneking type III, in an atypical location at the proximal end of the radius. In type I and II cases, surgical treatment is the treat-ment of choice: curettage of the lesion, replacement of bone defects with bone grafts or cement. Advanced type III changes frequently require segmental resection and joint reconstruction.

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Metallosis is a complication of hip arthroplasty. This pathological process contributes to the loosening and dislocation of the prosthesis. This article discusses the case of a 61-year-old patient who reported pressure and pain as well as a palpable subcutaneous lump in the left lower abdomen and groin area.

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Background: There is an ongoing debate about whether to use cementless or cemented fixation for Total Knee Arthroplasty (TKA).

Objective: The study aimed to assess midterm survivorship of the Vanguard cementless system, and to demonstrate the utility of the Bone Hardness Test (BHT) for the selection of cementless fixation TKA.

Methods: From September 2009 through November 2014, 123 total knee arthroplasties were completed, with cementless Vanguard Cruciate Retaining TKA in 110 knees (102 patients) and cemented Vanguard in 13 cases (12 patients).

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Background: Cemented unicompartmental knee arthroplasty (UKA) yields good clinical outcome but common revision reasons are loosening and pain. Cementless UKA may reduce the revision rate.

Objective: The current study was designed to assess clinical and radiographic outcome of cemented and cementless UKA, using bone quality as determined by the Bone Hardness Test (BHT) as selection criterion for cementless implantation.

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Unlabelled: The aim of this study is to evaluate the qualifications, risks and benefits associated with the arthroplasty of the: hip, knee and elbow in patients on long term renal dialysis.

Material And Methods: The study was retrospective and 11 patients were included who underwent 10 hip replacements, 4 knee and one elbow joint.

Results: In seven cases the outcome was excellent, six good and two satisfactory.

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Background: Growing expectations regarding TKA inspire the researchers to look for a perfect endoprosthesis. One of the new-generation prostheses is Journey BCS (Smith&Nephew), introduced in 2004, which, according to its inventors, completely restores anatomy and kinematics of the knee. The aim of this study was to evaluate TKA with Journey endoprosthesis in a two-year follow-up.

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Introduction: Arthroscopy of the knee joint is regarded as the most objective diagnostic method in intra-articular knee joint lesions.

Aim: The purpose of this study was to assess the objectivity and diagnostic value of orthopaedic examination (OE) and magnetic resonance imaging (MRI) in reference to the arthroscopic result.

Material And Methods: In a group of 113 patients treated by arthroscopic surgery for post-traumatic knee pathology between 2008 and 2010 in our department, accuracy of clinical and MRI findings that preceded surgery were studied retrospectively using a statistical method.

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Background: An increasing demand for blood products forces the rationalisation of management and conservation of blood. The aim of the study is to evaluate the possibility of retransfusion of blood conservation and the cost-effectiveness of this procedure when employed in Total Hip Replacement and Total Knee Arthroplasty.

Material And Methods: This prospective cohort study involved two groups of patients.

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Unlabelled: The authors describe the case of a 21 year old patient who suffered an politrauma injury in a traffic accident (motorcyclist).

Objectives: Presentation of possiblities of treatment femur bone fracture with critical bone loss using intramedullary nail.

Methods: Patients's Injury included: fractures of the femur, temporal bone, and ulna.

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Background: This retrospective cohort study analyses the long-term outcomes of total hip arthroplasty (THA) in arthritis patients with various forms of acetabular protrusion.

Material: We analyse 135 consecutive cemented total hip arthroplasties in 127 patients. Mean age of the patients was 55.

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Background: Carpal tunnel syndrome (CTS) is the most common complication of dialysis-related amyloidosis (DRA) developing in patients on long-term dialysis therapy. The aim of this study was to evaluate the incidence of CTS and identify factors influencing the development of CTS in patients on maintenance hemodialysis, as well as results of its surgical treatment.

Material/methods: The study included 386 patients, among whom CTS was diagnosed in 40 patients (10.

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The purpose of this study was to compare the clinical results of total knee arthroplasty (TKA) in the early and late postoperative period using subvastus and medial parapatellar approach. A prospective randomized controlled study was conducted in a group of 169 patients (180 TKAs) with 2-year follow-up. Patients were divided into a study group (97 TKAs) with a subvastus approach and a control group (83 TKAs) with a parapatellar approach.

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Good cooperation between the fields of orthopaedic surgery and nephrology creates a possibility of multidirectional surgical treatment of the patients with terminal renal failure despite massive general burden and existing risk. Taking a very difficult decision concerning the multidirectional surgical treatment of these patients may to a very great extent improve their locomotor functions and their life comfort. An example of such a situation is the described case of elbow replacement, vascular surgery procedure, total hip replacement and carpal tunnel release surgery.

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Unlabelled: The aims of retrospective cohort study were: analysis of general and local factors, evaluation of clinical and radiographic results and presentation of authors' experience in total hip arthroplasty in rheumatoid arthritis. Study group consists of 222 consecutive total hip arthroplasties (205 cemented and 17 cementless) made in 216 patients. Mean patients' age was 58.

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Introduction: Hip osteoarthritis (OA) is one of the most common causes of pain, physical disability and marked impairment of patients' physical fitness and mobility. Insufficient funding for health care contributes to prolonged waiting times for total hip replacement (THR) surgery, which has been proven to be the only effective treatment for OA. Average waiting time in Poland is estimated at 2-2.

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Unlabelled: Background.

Aims: Retrospective evaluation of mechanical sufficiency of applied surgical methods of bone metastases treatment according to authors' own scoring system.
Material and methods.

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Unlabelled: Background.

Aims Of The Study: 1) evaluation of the quality of life of the patients after surgical treatment of bone metastases, 2) evaluation of survival rate of the patients after surgical treatment of bone metastases,
3) presentation of the authors' clinical score system for evaluation of the treatment results of bone metastases, 4) analysis of general complications rate after surgical treatment of bone metastases.
Material and methods.

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The aim of this study is to present the authors' own concept of the leg support device which facilitates stable positioning in a lateral position with the possibility of a controlled leg abduction in the pelvic, hip and thigh operation. The appliance of this device is a very good and cheap alternative of positioning patients in the hip operation in comparison with the improvised lateral position. As far as the operated leg is concerned the advantages of this device include: stable leg positioning, possibility of controlling the length of the leg, possibility of changing the leg position.

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Background. In a retrospective study of the time of survival, the quality of life and the methods used to reconstruct large bone defects around the hip joint, we examined 13 patients treated surgically in our orthopedic ward between 1989 and 2004 for primary and secondary bone tumors. Material and methods.

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Backgrund. The purpose of our study was to evaluate the impact of preoperative knee deformity on TKR results and the effectiveness of unconstrained PFC systems in the correction of these deformities in knees affected by degenerative disease. Material and methods.

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Background. The study was made to evaluate efficiency of semi-constrained systems of TKR in correction of severe bone and ligamentous instability in knee joint with degenerative disease. Material and methods.

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