Subjective and Objective Outcomes of Ankle Joint Arthrodesis with Either Ilizarov or Internal Fixation.

After arthroplasty, arthrodesis of the ankle joint is the most common method to treat advanced ankle osteoarthritis. The goal of the study was to assess the subjective and objective outcomes in 2 different types of fixation for ankle joint arthrodesis. We retrospectively assessed 47 patients who had undergone ankle joint arthrodesis with fixation either via an Ilizarov apparatus (group 1) (n = 21) or cannulated screws (group 2) (n = 26).

Clinical evaluation of ankle arthrodesis with Ilizarov fixation and internal fixation.

Background: Ankle arthrodesis may have internal or external stabilization. We assessed whether the type of stabilization after ankle arthrodesis will affect: (1) functional outcome in Foot and Ankle Ability Measure (FAAM) scale, (2) pain level, (3) period of hospitalization, (4) rate of complications.

Methods: We retrospectively studied 47 individuals after ankle arthrodesis with Ilizarov fixation (group 1, n = 21) and internal stabilization (group 2, n = 26) at our institution in years 2007-2015.

Sport and physical activity after ankle arthrodesis with Ilizarov fixation and internal fixation.

Background: Severe osteoarthritis (OA) of the ankle joint constitutes an important social problem.

Objectives: We used (1) the GRIMBY scale, (2) the LOWER LIMB Activity scale, (3) the UCLA (University of California Los Angeles) activity scale, (4) the VAS (visual analogue scale) ACTIVITY scale, and (5) the FAAM (foot and ankle ability measure) SPORT scale to verify whether the type of ankle joint arthrodesis stabilization affected sports and physical activity levels.

Material And Methods: We carried out a prospective clinical study of 47 patients who had undergone ankle arthrodesis with Ilizarov external fixator stabilization (Group 1, n = 21) or internal stabilization with screws (Group 2, n = 26) at Orthopaedic Clinic at the Wroclaw Medical University, Poland, from 2007 to 2015.

Three-dimensional printing as a technology supporting the treatment of lower limb deformity and shortening with the Ilizarov method.

Background: Treatment of multiplanar deformities, especially in younger children, requires construction of a complex Ilizarov fixator, frequently with small dimensions. The aim of this study is to verify clinical application of a3D-printed bone model in treatment with the Ilizarov method.

Methods: The study involved a 6-year-old child in whom clinical and radiological examination revealed multiplanar deformity of the right leg.

Results and biomechanical consideration of treatment of congenital lower limb shortening and deformity using the Ilizarov method.

One of the applications of the Ilizarov apparatus is the correction of congenital shortening and deformities. Ilizarov external fixator produces biomechanical structure with surrounding tissue, which is the reason why very important is correct stability of fixator. Large distraction in the case of high value of lengthening, and large deformity corection result in shear stresses that occur additionally in the regenerate, which can potentially lead to damage of the regenerating nutritive microcirculation of bone tissue and bone fragment displacements.

Epidemiology of distal radius fractures in own material--own experience.

Background: Although distal radius fractures constitute 1/6 of all fractures in humans, epidemiology of the fracture has been a subject of limited number of publications in Polish medical literature.

Materials And Methods: Epidemiological data of 395 patients (277 females, 118 males) diagnosed with distal radius fracture and treated between January 2003 and May 2005 were collected. 81 patients were seen at 12-month and over follow-up and then categorized according to the AO classification system.

Elliptical head hemiarthroplasty in the treatment of femoral neck and head fractures--preliminary report.

Background: The aim of his study is to evaluate efficacy of elliptical head hemiarthroplasty in treatment of femoral neck and head fractures and related complications in young patients under 55 years of age.

Material And Methods: Uncemented elliptical head hemiarthroplasty was performed in 14 patients aged 28-55, mean age of 46,7 years, out of whom 12 diagnosed with a femoral neck fracture or related complications and 2 with a femoral head fracture. Mean follow-up period was 4,5 years, range from 10 months to 6 years.

Use of thermography to monitor the bone regenerate during limb lengthening--preliminary communication.

Background: Bone regenerate is routinely assessed on X-ray images obtained every 7 to 14 days in the distraction period and every 14 to 28 days during the stabilisation period. Tissue reconstruction during new bone formation and increased metabolism in the tissues being lengthened are associated with an increase in the temperature of the limb. The aim of this study was to establish a correlation between the bone regenerate, assessed on the basis of X-ray evidence, and thermographic images of the limb registered in a non-invasive manner with a thermographic camera.

Evaluation of follow-up results of McBride operative treatment for hallux valgus deformity.

Background: Hallux valgus still remains a problem in orthopaedic surgery, a fact attested to by over a hundred operating procedures for the correction of this deformity that have been elaborated until now. The aim of the study was to evaluate the results of the McBride procedure for surgical correction of the hallux valgus deformity using an anatomic & functional foot scoring system and roentgenometric assessment.

Material And Methods: 121 feet in 65 women who underwent the McBride procedure for a hallux valgus deformity at the Orthopaedic Department of the Wrocław University of Medicine in the years 1995-2001 were analysed.

Cementless stem stability in dysplastic osteoarthritis of the hip--12 years' experience.

Background: The aim of this paper is a retrospective assessment of artificial hip joint function and stability of cementless stems of varied design used in the treatment of deformative and degenerative dysplastic changes in the hip.

Materials And Methods: The study enrolled 182 patients treated by cementless total hip arthroplasty. The average age of the patients was 44 years and the follow-up time ranged from 2 to 22 years (16.

Efficacy of closed reduction and maintenance of surgical outcome in plaster cast immobilization in different types of distal radius fractures.

Background: The aim of this paper is to evaluate the results maintaining after closed reduction of distal radius fracture and to assess difficulties in restoration of the articular surface continuity with reference to the type of fracture according to the AO classification.

Material And Methods: 65 patients were included in the study (40 female, 25 male), mean age of 59 years (19-84), diagnosed with the distal radius fracture, treated by closed reduction and a plaster cast immobilization. The mean immobilization period was 40 days (25-50).

Some aspects of treatment of metastatic bone tumors.

Background. Metastatic bone tumors are the most frequently met malignant musculoskeletal tumors. Asymptomatic and hidden onset of the primary stage of the illness may state very serious diagnostic and treatment problems for the orthopaedic surgeon, oncologist and radiotherapist.

The results of treatment of bone defects and non-union within the femoral shaft with shortening of femur using Ilizarov method.

Background: The non-union within the femur with shortening of the limb as a consequence of trauma is an indication to choose external stabilisation as a method of treatment for that reason, that healing of the bone and surrounded soft tissues is disordered.

Materials And Methods: Authors discuss the results of treatment of 16 patients with post-traumatic bone defect and pseudarthroses with femur shortening. The injury was located in femur shaft in 8 cases, distal epiphysis in 5 cases and proximal epiphysis in 3 cases.

Treatment of non-union of the forearm using distraction-compression osteogenesis.

Background: The goal of the study is presentation broad abilities like gives Ilizarov method in the treatment of posttraumatic nonunion the of forearm with concomitant shortening and axis deformity, in minimally invasive technique, with contemporary axis correction and lengthening .

Material And Methods: . Authors present 6 patient operated on with the use of Ilizarov method, in years 2001-2005 , suffer from vital nonunion of the forearm - 6 cases radius; 1 case ulna and radius.

The impact of selected biological factors on bone regeneration in distraction osteogenesis.

Background. Comparatively few reports have analyzed the biological factors influencing the course of distraction osteogenesis, such as the etiology and magnitude of shortening or the patient's age at surgery. The aim of our study was to assess the impact of selected biological factors on the course of bone regeneration in distraction osteogenesis of the lower leg.

[Rationalizing blood management in orthopedics and traumatology].

In recent years there has been growing interest in blood conservation and avoidance of transfusion in patients undergoing orthopedic surgery. The benefits of blood transfusion must be considered and evaluated in terms of risk factors relating to the adverse effects of transfusion. A number of strategies are available to reduce the need for blood transfusion.

Local experience in the surgical treatment of primary malignant and metastatic bone tumors of the proximal femur.

Background. The introduction of new techniques for fixation of long bones and postresectional prosthetic replacement, combined with chemotherapy and radiotherapy, have created new possibilities for the surgical treatment of primary and metastatic bone tumors. The main problem is still the time of diagnosis and the proper choice of operative treatment.

[Usefulness of distraction osteogenesis in the treatment of knee arthrosis].

Aims: The purpose of this study is the assessment of efficiency of distraction osteogenesis (DO) as a method of operative treatment of knee arthrosis with co-existent varus deformity.

Material And Methods: Authors undertook an attempt of evaluation of results of tibial corticotomy in 21 patients (25 operated knee joints) treated in Orthopaedic Clinic of Wroclaw Medical University in years 1995-2001, with the use of circular, external Ilizarov's fixator. All the operated patients underwent corticotomy of proximal tibial metaphysis followed by slow axis correction and bone regenerate formation started at 7th postoperative day.

Lengthenin and axis correction of the thigh in various deformities of the hip joint.

Background. This article discusses the possibilities for using the Ilizarov, method to correct hip deformities accompanied by shortening of the thigh. This method enables multi-level, multi-plane, one-time or protracted correction of hip deformities with simultaneous limb lengthening.

Long-term results of forearm lengthening and deformity correction by the Ilizarov method.

Background. Shortening and deformity of the forearm is most frequently caused by congenital disorders or posttraumatic injury. Given its complex anatomy and biomechanics, the forearm is clearly the most difficult segment for lengthening and deformity correction.

Long-term outcome lengthening and axis correction with the Ilizarov method in post-inflammatory shortening and deformity of the humerus.

Background. Post-inflammatory shortening and deformation of the humerus results from damage to the epiphyseal cartilage of this bone, and in particular to the proximal growth plate, most commonly caused by neonatal staphylococcemia. This is frequently accompanied by shortening of the femur, deformation of the hip and knee joints, the temporo-mandibular joint, and occasionally other joints as well.

A point system for evaluating patients with limb shortening and deformity.

This article presents a scoring scale for patients with shortening and axis deformity of the upper and lower limb, as well as short stature, enabling the evaluation and comparison of treatment outcome after limb lengthening.

Radiological imaging of the formation of regenerated bone in distraction osteogenesis: an experimental study.

Introduction. One of the biological factors affecting the formation of regenerated bone in distraction osteogenesis is the method used for osteotomy. The purpose of the present study was to evaluate the course of bone regeneration using various types of osteotomy in an experimental setting.

The development of the distraction-compression osteogenesis method in orthopedic surgery in Poland.

The dynamic development of the Ilizarov method around the world and in Poland during the last decade has been made possible by the scientific of its application, based on universal laws of physiology and biomechanics. The Ilizarov method is beyond a doubt the treatment method of choice in many serious disorders of the locomotor apparatus, and is of extremely high value in the treatment of complicated open fractures with concomitant diffuse infuries of soft tissue, and not just in Poland's flagship orthopedic centers. Even though the complication rate is fairly high, the method is well tolerated by the patients, and the majority of failures can be effectively treated by the same method.