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Avascular Necrosis of the Talus: Diagnosis, Treatment, and Modern Reconstructive Options.
Medicina (Kaunas)
October 2024
Orthopedic and Traumatology Department, Medical University of Warsaw, 02-091 Warszawa, Poland.
Article Synopsis
- - Talar avascular necrosis (AVN) often develops after severe talar neck fractures, with early detection being vital to prevent serious damage; conditions like diabetes and systemic lupus can contribute to AVN risk.
- - Initial stages of AVN (I-II) can often be treated non-surgically, while advanced stages (III-IV) may require more invasive procedures like hindfoot arthrodesis or total talar replacement (TTR).
- - The rise of advanced prosthetics through 3D printing is improving the success rate of TTR, which offers benefits like reduced pain, fewer complications, and preservation of limb length compared to traditional joint-sacrificing procedures.
Objective: The aim: The aim of the article is to increase the effectiveness of the treatment of postoperative ventral hernias of giant size by a differentiated approach to the selection of the posterior technique of dissection of the anatomical components of the anterior abdominal wall in combination with alloplasty.
Patients And Methods: Materials and methods: An analysis of the surgical treatment of 312 patients with giant postoperative ventral hernias (PVH). The main group consisted of 232 patients who underwent a differentiated approach to the selection of component separation in combination with alloplasty, taking into account intra-ab¬dominal pressure (IAP) when simulating hernioplasty during surgery.
Postdischarge pneumonia after hip arthroplasty: a population‑based study of 55 842 patients in Poland.
Pol Arch Intern Med
June 2022
Department of Microbiology, Faculty of Medicine, Jagiellonian University Medical College, Kraków, Poland
Introduction: Alloplasty is one of the most frequently performed procedures, as it hugely improves the quality of life.
Objectives: The purpose of this study was to determine the incidence, risk factors, and clinical implications of postdischarge pneumonia after hip endoprosthesis in Polish adults.
Patients And Methods: This retrospective study was conducted using the database of the National Health Fund (Narodowy Fundusz Zdrowia) containing data from 55 842 hip arthroplasties performed in 2017.
Efficacy evaluation of case-specific approach for surgical treatment of incisional ventral hernia.
Pol Przegl Chir
June 2021
Department of Faculty therapy, Irkutsk State Medical University, Irkutsk, Russian Federation.
<b>Aim:</b> The aim of this research is to improve the results of surgical treatment of incisional ventral hernia by applying a case-specific approach and a new method of plastic repair of the anterior abdominal wall.<br/> <br/> <b>Methods:<b/> The prospective controlled dynamic study is based on incisional ventral hernia treatment results with the use of meshed endoprostheses among 219 patients. On-lay alloplasty was used in patients younger than 60 years of age, without severe concomitant pathology, with small and medium hernias and anterior abdominal wall defect of up to 10 cm (W1-W2).
View Article and Find Full Text PDFWorldwide tendencies to perform large numbers of total hip arthroplasties in the treatment of osteoarthritis are observable over a long period of time. Every year, there is an observable increase in the number of these procedures performed. The outcomes are good but not ideal, especially in groups of patients with spine problems.
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