The aim of our study was to assess the outcome locking plate fixation distal tibia fractures and evaluate which surgical approach method is related better functional result lower complication rate. A retrospective analysis treatment 45 patients made. Patients were divided into two subgroups regarding (medial vs anterior) (bridge plating rigid fixation). Time from injury full bone union noted, clinical assessed by AOFAS score. Nonunion most prevalent observed in 26.6 % patients. Infection...

Background/Objectives: According to the modified Mason classification, radial head fractures can be treated with open reduction and internal fixation (ORIF), arthroplasty, or resection. This study by Department of Traumatology Orthopedics Military Institute Medicine aimed compare clinical radiological outcomes ORIF. Methods: retrospective analyzed 55 patients between April 2020 February 2023. Fractures were classified using system as 15 type II, 26 III, 14 IV. Clinical evaluated VAS for...

Background and Clinical Significance: Molecular testing plays a crucial role in lung cancer diagnosis management. While single-gene tests (SGTs) remain an important diagnostic tool, developments novel methods such as next generation sequencing (NGS) provide more precise mutational profile enable the targeted treatment of larger scope mutation-driven cancers. Case presentation: We present case patient with rare EGFR variant adenocarcinoma, who was misdiagnosed using SGT. The initial...

The aim of this study was to assess the efficacy platelet rich plasma in treatment delayed union long bones according fracture location, time between and PRP administration, type surgical fixation.A total 1620 patients with bone fractures were treated surgically at Department Traumatology Military Medical Institute Warsaw 2009 2012. Delayed diagnosed 158 (9.75%) patients. Our analysis includes 132 (26 persons lost follow-up), 53 women (40.15%) 79 men (59.85%) aged 16 85 years (mean age...

It has been suggested that there might be a pathophysiological link and overlap between primary aldosteronism (PA) obstructive sleep apnea (OSA). Therefore, in prospective study, we evaluated the frequency of PA hypertensive patients suspected having OSA.We included 207 consecutive (mean age 53.2 ± 12.1 years, 133 M, 74 F) referred for polysomnography on basis one or more following clinical features: typical OSA symptoms, resistant difficult-to-treat hypertension, diabetes, cardiovascular...

Bone grafting allows reconstruction of the atrophied or destroyed alveolar process. In orthopaedics and traumatology allogeneic has been used to restore defects osseous tissue for over 60 years. order improve safety graft recipient, sterilized grafts have use. The aim study was assess direct long-term outcomes following augmentation processes with use radiation-sterilized bone grafts. Sixty-eight patients were surgically treated between 2004 2011: 29 underwent open sinus floor elevation,...

The aim of the study was to evaluate outcomes treatment tibial plateau fractures. Based on CT examination, we set out determine what factors were associated with a poor functional outcome.The involved 13 patients after surgery for fracture by locking plate osteosynthesis. studies using MARS application performed. presence subchondral defects evaluated, including their area and depth. reduction widening measured. data correlated clinical outcome: pain according VAS scale, knee joint range...

Proper treatment of massive knee injuries still constitutes a challenge for clinicians. Most often torsion injury results in rupture the medial collateral ligament and anterior cruciate ligament. There is no consensus on whether total (Grade III) requires surgery, but it well known that will require reconstructive surgery.A 27 patients treated with two-staged surgery (primary MCL repair delayed ACL reconstruction) were enrolled. Treatment outcomes evaluated using IKDC scale Lysholm scale....

Appropriate treatment of radial head fractures remains an area disputes and controversy. The present paper aims to assess the outcomes surgical fixation these injuries identify most common complications.The medical records 63 patients (25 women 38 men) treated in 2011 -2014 were analysed retrospectively. assessed according Broberg Morrey rating system QuickDASH score.Of 21 with isolated fractures, all those Type 2 demonstrated excellent outcomes. In group 3 11 showed satisfactory 4...

Purpose: The treatment of comminuted fractures distal humerus poses a challenge for orthopaedics.Previous studies assessing the global stiffness bone -stabilizer system -made it impossible to explicitly indicate an optimal configuration locking plates in this kind fractures.The aim present research was comparatively analyze stabilization conditions intraarticular with use various configurations stabilizer.Methods: based on analysis mutual displacements fragments.Such evaluation performed...

Background: Multi-comminuted, intra-articular fractures of the distal humerus still pose a challenge to modern orthopedics due unsatisfactory treatment results and high percentage (over 50%) postoperative complications. When surgical is chosen, such are fixed using two plates with locking screws, which can be used in three spatial configurations: either parallel or one perpendicular variants (posterolateral posteromedial). The evaluation fracture healing conditions for these plate...

Introduction and objective: Fournier’s gangrene is an infectious disease affecting the soft tissues of groin area. The primary cause bacterial infection tissues, which can quickly lead to necrosis even systemic infection. Analysing risk factors allows for estimating potential course complications disease. Materials methods: An analysis was conducted on a group 53 patients with hospitalised between 2010 2022 in Military Institute Medicine – National Research Institute, assess most common view...

Background.Distal humerus fractures (DHFs) have been a serious challenge since the beginning of surgery.The outcome surgical treatment DHF should not only be assessed with clinical ratings.It is also important to take into account patient's subjective evaluation limb function.Material and methods.The study involved 26 patients after DHF.The Quick DASH (QDASH) scale was used assess results DHF, objective Mayo Elbow Performance Score (MEPS) outcome.Relationships between scores were tested...

This paper presents the long-term results of surgical treatment intra-articular calcaneal fractures, including subjective evaluation, orthopaedic examination and radiographic evaluation.A total 126 patients with 135 fractures were treated surgically at Department Traumatology Military Medical Institute in Warsaw between 2008 2012. The analysis involves 73 (53 persons lost to follow-up), 45 men (61.6%). mean age was 46.2 years (18-77 years). Based on imaging studies, required specific...

Background. The aim of the present study was to assess effectiveness surgical treatment distal radial fractures following open reduction and fixation with an angle-stable plate in relation type injury (flexion vs. extension fracture). Material methods. A group 25 patients Colles Smith treated surgically years 2012-2013 analysed retrospectively. results were evaluated using quickDASH Mayo Wrist Score. Radiographic follow-up assessments included inclination, height, volar tilt articular...

Dislocation of the second metacarpophalangeal joint is a rare injury and despite trivial symptoms generally requires operative treatment. We present case complex dislocation treated operatively from volar approach. This approach allows good visualization repair plate. K-wire stabilization for 3 weeks was enough to avoid instability did not limit range motion.

We describe the case of a 35-year-old man who suffered multiple organ injuries following traffic accident.A total 47 fractures were diagnosed in that patient. He was treated stages according to principles Damage Control Orthopedics. underwent 6 sessions surgery with 23 surgical approaches. A follow-up examination at 12 months post injury found bone union all fractures. The clinical and functional outcome treatment good as joint mobility similar pre-accident status patient returned work.In...

Background.Acute posterior sternoclavicular joint dislocation is a rare, serious and difficult injury to diagnose treat.Posteriorly dislocated clavicle may compress mediastinal structures making this an emergency requiring urgent reduction.There no gold standard of treatment.The purpose retrospective study demonstrate the treatment acute with figure-of-eight FiberTape technique, its efficacy mid-term outcomes.Materials methods.For study, we recruited five patients who were treated for...