[Study of the functional capacity and health status of patients with hip as well as knee osteoarthritis].

Introduction: Hip as well as knee osteoarthritis are common diseases. There are numerous therapeutic possibilities to address the problem.

Objective: To study the effectiveness of the complex conservative treatment in patients with hip as well as knee osteoarthritis.

Trunk alignment in different standing positions in healthy subjects and stroke patients -a comparative study with a simple method for the everyday practice.: Trunk alignment in healthy and stroke subjects.

Objectives: Weight-bearing (WB) on the lower extremities is an important outcome parameter in the rehabilitation of poststroke hemiparesis. However, the patients often regain this ability by compensatory movement patterns.

Methods: Our goal was to characterize with a simple method the trunk alignment of healthy subjects and stroke patients (n = 17 for both groups) during standing and following lateral weight shift (WS).

[Hungarian validation of the Clubfoot Disease-Specific Instrument].

Introduction: Congenital structural clubfoot is the most common congenital deformity of the foot. Despite successful treatment, the affected side may present signs of athrophy, differences in length, functional maldevelopment and in some cases it may also result in pain. Although several international studies have been investigating the quality of life of individuals with clubfoot, no research has been done in Hungary.

[Analysis of plantar pressure patterns among obese population].

Introduction: Although the role of body weight on foot health and load has been widely documented in research, the effect of the extra load due to body weight on plantar pressure characteristics is not well known.

Aim: The aim of this study was to evaluate the impact of obesity on plantar pressure patterns among the working-age population.

Method: 180 participants were involved.

[Motivations for foreign employment and carrier change among Hungarian physiotherapists].

Introduction: An increasing motivation can be experienced among professional workers within the Hungarian healthcare system towards foreign employment or career change.

Aim: The aim of the authors was to assess Hungarian physiotherapists' migration and career changing behaviour and to understand the underlying factors.

Method: A national survey in Hungary from April to August, 2014 was performed.

[HEALTH INSURANCE ASPECTS OF PHYSIOTHERAPEUTIC CARE OF NEUROLOGY DISORDERS IN OUTPATIENT CARE].

Background And Purpose: The aim of our study is to analyse the ambulatory rehabilitation care of patients with neurological disorders in the field of physiotherapy.

Methods: Data derive from the database of the Hungarian National Health Insurance Fund Administration (year 2009). The analyses covered patients with diagnosis "G00-G99 Diseases of the nervous system" according to the International Classification of Diseases and underwent physiotherapy treatment.

The direct effect of specific training and walking on bone metabolic markers in young adults with peak bone mass.

As a prevention, a physically active lifestyle including the performance of weight-bearing exercises is important to enhance and maintain bone mineral content. Fifty young women were selected for the study. Twenty-five women carried out a specific training directed by a physiotherapist in the training group (TG), while 25 women were walking for 60 minutes in the control group (CG).

[Utilization of physiotherapy services for traumatic disorders of the lower extremity in ambulatory care].

Introduction: Limited information is available on physiotherapy treatment of lower extremity injuries.

Aim: The purpose of this study included analysis of the utilization of outpatient physiotherapy services in case of injuries of the lower extremity.

Method: Data derived from the database of the National Health Insurance Fund Administration, Hungary.

Treatment and ergonomics training of work-related lower back pain and body posture problems for nurses.

Aims: The purpose of the study was to measure the effectiveness of a spine training programme (Back School) in nurses who have been living with chronic low back pain. It was hypothesised that active therapy, ergonomics and education called Back School will significantly decrease the pain intensity levels and improve the body posture of the study participants.

Background: A chronic low back pain is a significant work-related health problem among healthcare workers around the world.

When does mechanical plantar stimulation promote sensory re-weighing: standing on a firm or compliant surface?

The purpose of this study was to investigate the effect of different types of mechanical stimulation of the sole on standing postural stability in healthy, young adults. Fifty subjects (34 women, 16 men; mean age 23 ± 2 (mean ± SE)) stood barefoot on fixed force plates both with open and closed eyes on firm surface and then on compliant surface (foam). A modified clinical test of sensory interaction on balance protocol was employed to assess the center of gravity (COG) excursions along anteroposterior (AP) and mediolateral (ML) axes on each surface and visual condition.

Prevalence of degenerative joint complaints of the lower extremity: a representative study.

As part of the international campaign of the bone and joint decade, we aimed to present epidemiological data on the prevalence of major joint complaints in a Central European region. Ten thousand subjects aged between 14 and 65, selected randomly by the Hungarian central office of statistics from three counties in southern Hungary, were surveyed using our own questionnaire based on widely accepted scoring systems in the literature, focusing on major degenerative joint complaints, and using the short form 36 (SF-36) questionnaire. We found that the prevalence of hip pain in the observed group was 22.

[Treatment options of bone defects in revision of total knee replacement].

Unlabelled: Total condylar knee replacement presently has more than 10 years of history in Hungary. Besides a large number of routine primary implantations, the number of exchange arthroplasties performed due to aseptic loosening is continuously growing as well. One of the most significant difficulties of revision interventions is the management of bone defects.

Radiographic parameters of the hip joint from birth to adolescence.

Background: Various qualitative and quantitative radiological geometrical parameters can be of great help when assessing dysplasia of the hip joint and in understanding developmental processes of the infant hip. There are few data on the normal values of the hip joint at different ages.

Objective: To perform radiographic measurements on hip joints considered to be anatomically normal and to provide data for each age group, thus describing features of the radiographic development of the hip.

Long-term results of derotational femoral varus osteotomy in Legg-Calvé-Perthes disease: 26-year follow-up.

The long-term results of 30 patients (31 hips) who underwent derotational femoral varus osteotomy for Legg-Calvé-Perthes disease are presented. Pain, leg-length discrepancy, Trendelenburg sign, and range of motion at the operated hip were examined clinically. Radiographic analysis included measurement of the Wiberg angle, epiphyseal index, acetabular index, and the Mose index.

[Surgical complications and their treatment options in total knee replacement].

Introduction: One of the most important achievements of modern orthopedics is the treatment of degenerative disorders of the knee joint with endoprostheses. The most often used type of knee prosthesis implanted in our times is the total condylar one. With increasing numbers of prosthesis operations the number of complications is also increasing.

The surgical treatment of spinal deformities in the Department of Orthopaedic Surgery, University Medical School of Pécs, Hungary: history and development.

Since its foundation in 1966, a great deal of attention has been paid to the treatment of spinal deformities, especially idiopathic scoliosis, in the Department of Orthopaedic Surgery, Medical School of University, Pécs. The authors compared the results of three different surgical methods (modified Hibbs, Harrington, Cotrel-Dubousset) on 171 patients between 1966 and 1992. The average follow-up period was between 2 and 13.

Long-term results of the operative treatment of clubfoot: a representative study.

This study reports the long-term results of operative treatment of clubfoot. Of the patients who underwent posteromedial release for congenital clubfoot between 1972 and 1975 at the Medical University in Pécs, Hungary, 41 feet of 30 patients have been under control examination. Control consisted of the distribution of questionnaires, physical examination, and in some cases, radiologic analysis.

[Management of calcaneonavicular coalition and results].

26 cases of calcanconavicular coalitions were treated by resection of the calcanconavicular bar. The endresults were markedly influenced by the age at surgery, while there was no difference between the "bone" and "cartilage" group. The coalition must be recognised if someone examinates a rigid flatfoot.

[Results of osteotomies in the management of valgus gonarthrosis].

Authors report on the result of correction osteotomies in 31 cases of gonarthrosis, developed in consequence of valgus deformity. In 12 cases high tibial osteotomy, in 19 supracondylar femoral osteotomy were performed. The result was excellent in 15, good in 10 and poor in 6 patients.

Results of ultrastructural analysis of the calf muscles in clubfoot.

Open biopsies were carried out on the muscles of 23 clubfoot patients, ages 9 months to 4 years. Electron microscopic analyses of the so-called "clubfoot muscles" and the peroneal muscles were performed. The changes found were not present in every area of the muscles, but were surrounded by fields of normal structure.

[The use of CO2 laser in bone surgery].

Authors examined during the trial of a CO2 laser of type TUNGSRAM TLS-61 the possibility of its use in the orthopaedic surgery. The output necessary to cut the skin and bony tissue, the speed of cutting and the extension of tissue necrosis were determined in experiments in vitro and in vivo. According to their observation the fusion of the bone cut with CO2 laser takes the same time as after the traditional osteotomy, however in the first three weeks the callus formation falls behind.

[Vertical talus].

Authors differentiate four etiological groups of vertical talus. In their material the congenital and symptomatic rocker bottom foot was rarer than the paralytic one. Good result can be expected mainly from the operative treatment.

[Complete surgical correction of congenital hip dislocation (one-stage surgery)].

A 3-10 years follow-up and the evaluation of the 55 cases operated 1980 through 1988 on the Orthopaedic University Hospital in Pécs is presented. The age of the patients at operation was 4.5-10 years, in average 4 years.

[Management of varus knee arthrosis by high tibial osteotomy].

Authors made a follow-up of 69 varsus knee arthrosis treated with high tibial osteotomy. Beside the general results the effect of the severeness of the arthrosis before the correction and that of the gain of the axial correction on the result were also investigated. 56 (81 per cent) of the reexamined patient reported excellent or good results.