Upper Limb after Forearm Lengthening in Patients' and Physicians' Perspective.

Background: The goal of this study was to perform a functional (subjective) and radiological evaluation of patients who had undergone forearm lengthening by distraction osteogenesis years before.

Material And Methods: Eleven patients with forearm shortening of various etiology were enrolled. They had undergone a total of 21 lengthening procedures.

Comparison of Postoperative Period in Patients with Pectus Excavatum Treated with Nuss Technique and Ravitch Technique.

Background: Pectus excavatum (PE) is the most common defect of the chest wall. Surgery for PE can be performed with an open or endoscopic technique. The choice of the surgical approach influences the postoperative course.

[Long-term consequences of resection of 1/3 proximal epiphysis of child's right tibia--a case study].

Authors report a case of a patient with varus deformity of right knee, caused by wide resection of proximal metaphysis and epiphysis of right tibia. Afore mentioned procedure led to loss of right knee joint integrity, with its lateral instability, shortening, and axis deviation of right tibia. Surgical treatment of this complications was performed in several stages and took about 5 years, starting from temporal, lateral hemiepiphysiodesis of proximal tibial epiphysis, subacute epiphysiolysis of proximal tibial epiphysis and high valgus tibia osteotomy, at the end finished with medial tibia condyle reconstruction with autogenic graft and osteoconductive substances.

Cervical spine surgery in patients with diastrophic dysplasia: Case report with long-term follow-up.

Cervical kyphosis in diastrophic dysplasia (DTD) is a very dangerous deformity which may lead to compression of neural structures resulting in tetraplegia or even. Treatment of this deformity is usually surgical, but no long-term follow-up studies are presented in the literature. Authors present a case of two children with DTD who underwent anterior corpectomy due to severe cervical kyphosis.

Severe Thoraco-lumbar Kyphoscoliosis Associated with Osteoporosis in Siblings - Case study.

The incidence of scoliosis among patients with certain systemic diseases is much higher than in the general population. Moreover, the onset of the scoliosis is in early childhood before the age of 5 and the deformity reaches extreme values. We present the clinical course of two siblings with multiple musculoskeletal deformities, osteoporosis, severe kyphoscolisis and an undiagnosed systemic disease.

The influence of the route of administration of gold nanoparticles on their tissue distribution and basic biochemical parameters: In vivo studies.

Background: The gold nanoparticles (AuNP's) exhibit interesting chemical and physical properties and for this reason are intensively tested in medicine. However there is a lack of information about toxicity of those nanoparticles as well as their excretion from the body. Thus, the aim of the present study was to investigate the influence of the route of administration of gold nanoparticles to rats on their distribution in tissues and excretion rate.

Anterior fixation of thoracolumbar traumatic spinal injuries.

Background: Traumatic spinal fractures require surgical treatment to restore the anatomical curvatures of the spine and release the nervous structures. However, uniform management guidelines have not been established and thus the literature includes papers focussing only on the posterior techniques as well as those assessing the anterior or anteroposterior approaches. This paper presents the outcomes of the treatment of spinal fractures with anterior and anteroposterior fixation.

[Return to physical activity and duration of exemption from physical education classes after mild and moderate head injury in children at school age].

Goal: An attempt to explain the correlation between exemption from physical education classes at school, the length of their duration and the return to physical activity of children with mild and moderate head injury.

Material And The Method: 55 patients the age of 7 to 17 years treated in two hospital centers due to mild and moderate head injury. The results were interpreted basing on an author's survey conducted among respondents in 1-2 weeks after the injury and after 12 weeks from sustained head injury.

[Polish nomenclature of lumbar disc disease].

Lumbar disc herniation is one of the most common damage of musculoskeletal system. The incidence of pain of lumbosacral spine is estimated approximately on 60-90% in general population, whereas the incidence of disc herniation in patients experiencing low back pain is about 91%. Despite the high incidence and uncomplicated pathogenesis of disc disease there is a problem with the nomenclature.

[Methylprednisolone- acute spinal cord injury, benefits or risks?].

Methylprednisolone is a synthetic glucocorticoid with a potent and long-acting anti-inflammatory, antiallergic and immunosuppressant. Its mechanism of action of methylprednisolone is the result of many cellular changes. Methylprednisolone is used in many diseases, such as rheumatic diseases, autoimmune diseases, allergic, anaphylactic shock, asthma.

Spine deformities in patients with Ehlers-Danlos syndrome, type IV - late results of surgical treatment.

Background: Spinal deformities in Ehlers-Danlos syndrome are usually progressive and may require operative treatment. There is limited number of studies describing late results of surgery in this disease.

Methods: This is a retrospective study of the records of 11 patients with Ehlers-Danlos syndrome type IV, treated surgically between 1990 and 2007.

Diastrophic dysplasia in a seven-year-old girl. Case study.

Diastrophic dysplasia is a rare genetic disorder characterised by short limbs and deformities of several joints occurring in conjunction with abnormal spinal curvatures, impaired metacarpal modelling and so-called hitchhiker thumbs. The condition is progressive and leads to considerable physical disability. It continues to constitute a challenge for doctors as the outcomes of corrective orthopaedic surgery are limited.

[Scoliosis in Rett syndrome--own experience].

Rett syndrome (RS) is a rare genetic disorder affecting only girls. The prevalence is 1:15000. The most characteristic features of RS are: lack of development, wringing of the hands.

Does instrumentation removal cause curve progression in patients with adolescent idiopathic scoliosis?

Adolescent idiopathic scoliosis (AIS) is usually instrumented using a posterior approach. Hardware removal may be performed for specific clinical reasons. Little data is available on whether removal influences curve magnitude.

Retrospective study of two-stage surgery in the treatment of scoliosis exceeding 100 degrees - assessment including spinal balance evaluation.

Background: Scoliosis exceeding 100 degrees remains an important problem in spinal orthopaedics. The choice of an optimal surgical technique is crucial, not only because of the degree of correction needed, but also because of the need to minimize the number of complications and avoid imbalance after surgery. The aim of this work is to analyse the outcomes of a two-stage surgical regimen for scoliosis exceeding 100 degrees consisting of anterior release, cranio-femoral traction, and posterior fusion with derotational instrumentation.

Treatment of idiopathic scoliosis exceeding 100 degrees - comparison of different surgical techniques.

Background: The treatment of scoliosis exceeding 100 degrees remains a challenge. Anterior fusion only may lead to low correction and screw plowing, posterior fusion only may cause the cranckshaft phenomenon in skeletally immature patients. Two-stage surgery is advocated, comprising anterior release and posterior fusion.

New criteria of radiological assessment of treatment outcomes in idiopathic scoliosis.

Introduction: The aim of surgical treatment in idiopathic scoliosis is correction, solid fusion and restoration of normal sagittal alignment of the spinal curves. The goal of this paper is to formulate a new uniform approach to evaluation of treatment outcomes in idiopathic scoliosis patients, considering not only the degree of correction but also coronal and sagittal balance.

Material And Methods: A retrospective analysis was performed of radiographs of 150 patients with idiopathic scoliosis (136 females and 14 males).

[Regeneration formation index--new method of quantitative evaluation of distraction osteogenesis].

Introduction: One of the most common techniques for limb lengthening is the Ilizarov method. The course of osteogenesis is usually monitored using classic X-ray in this way determining the moment of fixator removal. Classic x-ray evaluation is subjective and therefore errors may easily be encountered.

Results of simple excision technique in the surgical treatment of symptomatic accessory navicular bones.

Introduction: Accessory navicular bones might cause not only cosmetic problems but also be a reason of discomfort and pain. In case of inefficient conservative treatment symptomatic accessory naviculars are treated surgically.

Aim Of Paper: Presentation of results of simple excision of symptomatic accessory navicular.

[Use of VEPTR (Vertebral Expandable Prosthetic Titanium Rib) device in the treatment of congenital spine and thorax deformities].

Unlabelled: Congenital spine and thorax deformities are an interdisciplinary clinical problem. Apart from trunk deformity they may lead to respiratory or cardiovascular insufficiency. Surgical treatment should be implimented as soon as possible in order to improve posture, balance and further development.

[Results of femoral lengthening over an intramedullary nail and external fixator].

Introduction: Current techniques of operative limb lengthening usually are based on distraction osteogenesis. One of the techniques is limb lengthening over an intramedullary nail.

Aim Of Paper: The goal of this study is to evaluate the results of femoral lengthening over an intramedullary nail.

[Femur lengthening with a telescopic intramedullary nail ISKD--method presentation and early clinical results].

Introduction: Limb discrepancy over 4 cm is an indication for limb lengthening. Surgical techniques rely on osteotomy, external stabilisation and gradual distraction. The ISKD (Intramedullary Skeletal Kinetic Distractor) nail allows distraction osteogenesis and no external fixator is required.

Surgical treatment of cervical spine metastatic tumours - case report.

Background. Metastatic tumours to the cervical spine generate pathological fractures followed by spinal instability and are connected with significant risk of neurological defects.
The goal of this study was to asses the surgical treatment of 4 patients with metastatic tumours in the cervical spine.

Indications and range of surgery in the treatment of spine metastatic tumours.

Background. Spine is the most common place of metastatic tumors in the skeletal system. Due to diagnostic problems and the risk of quickly increasing neurological defects, the treatment of metastatic spine tumors is a significant clinical problem.

Leg lengthening in patients with congenital fibular hemimelia.

Background. Anisomelia in patients with congenital fibular deficiencies is a difficult orthopedic problem due to concomitant deformities of the angle and knee. The goal of the present study was to analyze outcomes of tibia lengthening in these patients.