Ortopedia, traumatologia, rehabilitacja
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Ortop Traumatol Rehabil · Sep 2011
Our experience with surgical treatment of perinatal brachial plexus palsy--results in different types of lesions.
Perinatal brachial plexus palsies can be divided into upper (C5-C6), upper-middle (C5-C6-C7) and total injuries (C5-Th1). The study aimed to evaluate the results of surgical repair in the different types of palsies. ⋯ 1. While surgical repair may be indicated in brachial plexus injuries at all levels, it is usually inevitable in total and upper-middle palsies. 2. The surgical outcome depends on the extent of baseline damage to the brachial plexus, with the best prognosis in insolated upper palsies.
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Ortop Traumatol Rehabil · Jul 2011
Comparative StudyEvaluation of the effectiveness of short-term rehabilitation of women with chronic low back pain using the Oswestry and Roland-Morris Disability Scales.
60-80% of the population experience chronic low back pain at some point in their lives [1], with women suffering more frequently [2]. Low back pain-related ailments lead to long-term or recurrent disability [3, 4]. Rehabilitation based on physiotherapy provides a viable alternative and is rightly regarded as safer for patients. However, finding an effective method of rehabilitation is a difficult task [5, 6]. The aim of this study was to compare the outcomes of rehabilitation in women with chronic low back pain using the Oswestry and Roland-Morris Disability Scales and to identify factors influencing the degree of functional disability in patients with chronic low back pain. ⋯ 1.The programme for rehabilitation of patients with low back pain proved effective in reducing the degree of disability, as demonstrated both by the Oswestry Disability Index and the Roland-Morris Disability Questionnaire. 2. The relationship between the degree of functional disability and age, BMI, WHR, and hypertension was also confirmed by both questionnaires.
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Ortop Traumatol Rehabil · Jul 2011
Case ReportsFemoral insufficiency fractures with bisphosphonate therapy. Cases study.
The aim of this paper is to analyze on clinical cases specific features of femoral insufficiency fractures during bisphosphonates therapy. We are presenting two insufficiency femoral fractures (2 patients) in patients receiving bisphosphonate therapy. These two cases represent new type of femoral fractures. ⋯ Patients on long term bisphosphonate therapy present with new and specific fracture pattern of femoral bone. Fractures of this pattern are extremely rare. The risk benefit ratio of bisphosphonates therapy is not changed.
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Ortop Traumatol Rehabil · Jul 2011
Interrater and intrarater reliability of lumbar spine magnetic resonance assessment of military aircraft pilot candidates.
The development of diagnostic imaging facilitates evaluation of spinal anatomy, but there is no full correspondence between morphologic and pathologic changes observed in radiographic studies and clinical findings. The aim of the study was to: 1. Evaluate the degree of signal intensity and degenerative changes of intervertebral discs in the lumbar spine on MRI. 2. Estimate interrater reliability of classification of pathology between experienced and inexperienced medical doctors. ⋯ 1. Asymptomatic intervertebral disk changes were found in 30% of the study participants. 2. Evaluation of the degree of degenerative changes of intervertebral discs requires specialist training and experience.
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Ortop Traumatol Rehabil · May 2011
Outcomes of hip arthroplasty in patients younger than 28 years old.
Osteoarthritis is a serious social problem. Young people usually present with secondary degenerative changes. These patients find it particularly difficult to accept symptoms, as they are at their peak of professional activity and family life. They have high expectations regarding improvement in life comfort. The aim of this study was to analyse clinical and radiological outcomes of total hip arthroplasty for hip osteoarthritis in patients younger than 28 years old. We also assessed the correlation between aetiology of early degenerative changes and endoprosthesis survival. ⋯ We observed a considerable improvement in hip function in patients after total hip replacement. Implant survival in the study group was slightly shorter than in the literature. Post-arthroplasty complications were more frequent in patients treated for developmental dysplasia of the hip joint and those with a history of joint infection before the age of two years.