Publications by authors named "P Wodecki"

Article Synopsis
  • Hemodynamic instability and inappropriate postoperative pain perception (IPPP) pose significant challenges in managing patients undergoing elective open lumbar aortic aneurysm repair under general anesthesia, with inadequate opioid use risking adverse events.
  • In a study involving 75 patients, three types of postoperative analgesia were tested: thoracic epidural anesthesia with ropivacaine, thoracic epidural with bupivacaine, and intravenous metamizole/tramadol, with the impact on pain levels and hemodynamic stability measured.
  • Results showed that nearly half of the patients still experienced IPPP despite preventive measures, and while no acute pain was reported in the ropivacaine group, this was associated with noticeable hemodynamic instability; however
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Background: Bone and joint infections represent a major public health issue due to their increasing prevalence, their functional prognosis and their cost to society. Phage therapy has valuable anti-biofilm properties against prosthetic joint infections (PJI). The aim of this study was to establish the proportion of patients eligible for phage therapy and to assess their clinical outcome judged against all patients presenting with PJI.

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Case: We report the case of an 11-year-old child who presented with knee pain and moderate limp associated with knee flexum, without trauma history. Radiographic investigations including a magnetic resonance imaging showed a large cyst that seemed to have developed anteriorly from the anterior cruciate ligament, causing the loss of terminal extension, mimicking a cyclops syndrome-like of the knee. Knee arthroscopy with debridement of the cyst was performed, and the patient quickly recovered his range of motion.

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Total hip replacements (THR) with modular femoral components (stem-neck interface) make it possible to adapt to extramedullary femoral parameters (anteversion, offset, and length) theoretically improving muscle function and stability. Nevertheless, adding a new interface has its disadvantages: reduced mechanical resistance, fretting corrosion and material fatigue fracture. We report the case of a femoral stem fracture of the female part of the component where the modular morse taper of the neck is inserted.

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We report a unique case of posterior elbow dislocation with proximal radioulnar translocation in a six-year-old child with 3D reconstruction CT images. Five other cases of this type of association have been reported in the literature. Diagnosis is often established late.

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