The Effectiveness of Physical Therapy in Patients with Generalized Joint Hypermobility and Concurrent Temporomandibular Disorders-A Cross-Sectional Study.

Temporomandibular disorders (TMD) consist of a group of symptoms such as: pain of temporomandibular joints, masticatory muscles or surrounding tissues, dysfunctions of TMJs' mobility, and crepitation. The Hypermobility Joint Syndrome (HJS) manifests in the flaccidity of joint structures, an increase in the range of joint motion, and occurs more often in the young and women. The aim of this study was to present the occurrence of HJS among patients with myogenic TMD and disc displacement with reduction.

[Contraction of the tensor fasciae latae muscle of the fascia of the broad thigh and flexion of the knee joint in the runners].

Objective: Introduction: The illustration of the ranges of bending the limb during the outflow allowed to divide the study group into two parts. In the majority of respondents, the initial flexion prevailed over the final one. The researchers focused on finding the reasons for the advantage of the final bend over the initial one in 30% of the subjects.

Lateral instability of the knee joint and disorder of the ankle joint extension disorder in men.

Objective: Introducion: The flexion of the knee joints in the movement of the squat may be accompanied by physiological varus deformity that increases smoothly with the lowering of the center of gravity, followed by a return to the starting position. Observing the disturbances of the physiological movement of the knee joints in the frontal plane, the authors correlated them with the mobility of the ankles in the sagittal plane. The aim: To show the relationship of knee joint motion disorders in the frontal plane with the movement of the ankle joints in the sagittal plane in the movement of the squat.

A double-blind, randomized, multicenter study of MP4OX for treatment of perioperative hypotension in patients undergoing primary hip arthroplasty under spinal anesthesia.

Background: MP4OX (oxygenated polyethylene glycol-modified hemoglobin) is a novel oxygen therapeutic agent specifically developed to perfuse and oxygenate tissue at risk for ischemia and hypoxia. In this study, we investigated the ability of MP4OX to treat hypotensive episodes. In addition, the tolerability profile of MP4OX in a large surgical population was established.

Chondrocyte suspension in fibrin glue.

Autologous chondrocyte implantation has been shown to be a promising method for treatment of deep articular cartilage defects. The hyaline cartilage formed by implanted autologous chondrocytes has biomechanical properties similar to those of natural articular cartilage. Between June 2006 and September 2008 we performed Autologous chondrocyte implantation (ACI) in 50 patients and the chondrocytes were supported in fibrin glue.

Autologous platelets and leukocytes can improve healing of infected high-energy soft tissue injury.

Despite advances in surgical techniques and pharmacology, healing of injury-associated soft tissue defects is frequently complicated by infections, which often requires a secondary intervention. Cytokines are important mediators of healing. Application of autologous platelet-rich plasma enriched in growth factors and antimicrobial proteins, known also as platelet-leukocyte rich plasma (PLRP), represents a novel approach to the treatment of soft tissue and bone healing disturbances.

Bone mineral density changes after total knee arthroplasty: one-year follow-up.

The study involved analysis of differences in bone mineral density (BMD) in the region of knee arthroplasty in 106 female patients. BMD was assessed using dual-energy X-ray absorptiometry in a follow-up time schedule: before surgery and 2 weeks postoperatively (baseline), 5, 12, 24, and 48 weeks after knee joint arthroplasty. Four assessment regions A, B, C, and D were determined in immediate proximity to the arthroplasty site.

Improved treatment of mandibular odontogenic cysts with platelet-rich gel.

Background: Platelets play a central role in hemostasis and healing processes. By concentrating platelets, platelet-rich plasma (PRP) with higher levels of growth factors can be obtained, which might stimulate healing processes. After platelet degranulation, massive release of growth factors and active substances occurs and gelatinous matrix-platelet-rich gel (PRG) is formed.

Differences in lower limb bone mineral density in children with anisomelia.

Background. Lower limb discrepancy (anisomelia) can be caused by many different factors leading to shortening (90% of cases) or lengthening of a limb (10% cases). This article present the results of densitometric tests performed on patients treated for lower limb discrepancy in the Department of Orthopedic of the Silesian Academy of Medicine in the years 1997-1998.

Clinical anatomy in the vicinity of the hip joint in magnetic resonance imaging.

Background. MRIs were obtained from 24 patients with suspicion of small pelvis pathology, with no indication of hip joint pathology.
Results and Conclusions.

Possibilities of surgical treatment of bone metastases to the proximal epiphysis of the femur: a review of the literature and own experience.

Background. The most common complication of bone metastases to the hip is pathological fracture of the proximal epiphysis. The present study presents the indications and contraindications for surgery and the choice of particular surgical techniques, based on the literature and the authors' own experience.

Immunomodulatory medicine use in the bi-symptomatic neuro-vertebral conflict.

Background. The following study is an attempt to draw the readers' attention to the issue of the multifariousness of the intervertebral discs' destructive processes resulting in the neuro-vertebral syndrome. The professional literature mentioned here gives a prominence to the thread of immunological phenomena accompanying disc diseases and their treatment.

Evaluation a range of the motion of knee during femoral lengthening by Ilizarov method.

Background. Extensory contracture of the knee joint is a constant problem during thigh lengthening procedures. Its occurrence is dependent on such factors as rehabilitation, the construction of the Ilizarov apparatus, the extent of the lengthening, and the etiology of the shortening.

Intramedullary nailing in treatment of complications of long bone union following fracture - case studies.

Open osteosynthesis of long bones fractures carries high risk of complications, the most common of which are plate breakage, slow union, delayed union and non-union. The paper analysis of 3 cases of bone union complications treated by locked intramedullary nailing. The aim was to show differences in the therapeutic management of different bones and non-unions following different types of osteosynthesis.

Current opinion about using the platelet-rich gel in orthopaedics and trauma surgery.

The use of growth factors in combination with tissue engineering seems to be the most promising method in the future for the treatment of tissue, bone and cartilage defect. Growth factors are cytokines with regulatory functions for healing in tissues of the musculoskeletal system. These small peptides are synthesised by resident cells at the site of injury such as mesenchymal stem cells and chondrocytes, or by the infiltrating inflammatory process.

Management of foot deformity in cerebral palsy.

Treatment of patients with cerebral palsy need particular management: diagnostics, early interventions, programme of functional estimations, rehabilitation, therapy with conservative methods (injections of botulin toxin, immobilizing cast) and surgical methods. Correction of foot deformations is only one part of general process of treatment, which target is usually equalization strength between antagonistic muscle groups, what influences on improvement of locomotion, enlargement of range joint mobility, diminution of pain and making possible orthopedic supplies. In 1997-2001 we treated 58 children with foot deformation in cerebral palsy.

Hospital infections in the Orthopedics and Traumatology Department of a large multi-department specialized hospital.

Background. Hospital infections continue to be one of the most important medical problems, especially in departments where surgical operations are performed. Materials and methods.

Femoral lengthening over intramedullary nail: the theoretical basis.

The paper presents the currently available possibilities for using a locked intramedullary nail in femoral lengthening. Additional fixation of the bone lengthened over an intramedullary nail permits earlier removal of the external distracter, as soon as the planned bone lengthening is obtained. Even though the necessary surgery is more extensive, the proposed procedure reduces the risk of fracture in the lengthened femur and entail less restriction of knee joint mobility.

Atypical course of hematogenous osteomyelitis of the hip: a case report and clinical considerations.

The hematogenous osteomyelitis of the hip in infants include diverse destructions of the muskulo-skeletal system. This pathology requires lasting treatment and frequently is cause of the invalidity. A case report is presented of 13-year old boy with subcapital femoral neck fracture after hematogenous osteomyelitis of the hip.

Treatment of trochanteric fractures of the femur: DHS or Gamma nail? - own experience.

Background. The aim of proximal femur fractures treatment, which mostly concerns geriatric population, is quick restore the patient's health status to the level from before accident. Surgical treatment with stable fracture reduction is the procedure of choice.

External fixation in the treatment of severe tibial fractures complicated by soft tissue injury.

Background. In recent years multiple injuries to the tibial shaft have become increasingly common. High-energy impacts cause comminuted fractures, often accompanied by damage to neural and vascular structures, muscle, and surface layers.

Current methods for monitoring the treatment of osteoporosis: increased bone mineral density or reduced fracture risk?

Bone fractures are the most serious complication of osteoporosis. Fractures occurring in vertebrae or the proximal epiphysis of the femur directly increase the risk of mortality. As a result of the aging of our society and the prolonged average life expectancy, it is becoming increasingly important to develop diagnostic methods that will enable the early and accurate diagnosis of osteoporosis, and testing methods to measure the factors that are decisive for the mechanical endurance of bones.

An integrated system for the management of decubitus ulcers.

Background. The purpose of this article is to draw closer attention to a particularly important orthopedic problem: the prevention and early treatment of decubitus ulcers (bedsores). Material and methods.

The impact of selected metallic elements in the environment on the occurrence of osteoporosis in the voivodeship of Silesia.

Background. The existence of toxic metallic elements in the environment is one of the most important factors influencing the metabolism of calcium. The aim of our study was to compare the incidence of osteoporosis in Upper Silesia to the level of environmental pollution with lead, cadmium, zinc, and copper.

Local experience with total hip replacement in dysplastic coxarthrosis.

Background. The goal of our study was to assess the efficacy of total hip replacement in the treatment of dysplastic arthrosis of the hip. Material and methods.