Marek Okoński - Academia.edu (original) (raw)
Papers by Marek Okoński
PubMed, 2013
Introduction: Supracondylar fractures of the humeral bone are frequent injuries in children. It h... more Introduction: Supracondylar fractures of the humeral bone are frequent injuries in children. It has been affirmed that supracondylar fractures have an excellent prognosis when proper treatment is applied. Objective: Present of the statistical relationships between fractures occurring and patient's development period; the relation between development period and site of the fracture and statistical relationship between development period and gender of the patients. Also indicated are the place of residence of the hospitalized patients and time of admission to the Clinic after injury. Materials and method: Research was based on the data of paediatric patients treated in the Clinic for Paediatric Surgery, Traumatology and Paaediatric Orthopaedics, and Rehabilitation Clinic of the Medical University in Lublin, Poland, between 1986- 2010. An independent Chi-square Test was used for statistical analysis (χ²). Results: The majority of patients were admitted to the Clinic on the day of injury. Of these patients, 71% lived in the urban area of the Lublin region where all the children received medical care in hospital directly after trauma; 29% of children came from the rural areas of the Lublin region, and 10% of them were admitted to hospital 24 or more hours after the injury. Conclusion: 71% of patients lived in the urban areas of the Lublin region and the main cause of injury was a fall from a higher level onto an outstretched upper left limb. Most supracondylar fractures of the humeral bone concerned children at school and adolescent age. Despite the fact that some of the hospitalised children lived in the rural areas of the Lublin region, the majority were admitted to the Clinic directly after trauma and received timely treatment.
Polish Journal of Public Health, Mar 1, 2017
Introduction. Clubfoot is the second most common birth defect of the lower limb. In Europe (inclu... more Introduction. Clubfoot is the second most common birth defect of the lower limb. In Europe (including Poland) it concerns about 1-2 in 1000 newborns. What is characteristic for a clubfoot, is change in the foot shape and its impairment with preserving anatomical structures. Aim. The aim of this work is to gather opinions of orthopedic physicians on the effectiveness of the two methods used to treat congenital clubfoot: the Turco method and the Ponseti method. Material and methods. The research method used in the work was a diagnostic survey and research technique was the author's questionnaire designed to gather opinions of orthopedic surgeons on the two methods of clubfoot treatment. The questionnaires were collected in the Orthopaedic Clinics in Lublin and Rzeszów, as well as during the specialization courses for orthopaedic surgeons in Lublin. Results. The most important advantages of the Ponseti method according to respondents are high clinical effectiveness (average 4.48) and short duration of hospitalization (average 4.31). While the most important disadvantages of the method is length of rehabilitation (average 2.85) and convalescence (average 2.36). Top assets of the Turco method in turn, according to respondents, are high clinical efficiency (average 2.92) and certainty of the patient's recovery (2.74). In turn, the downsides of the Turco method according to the respondents are high invasiveness (average 4.11) and length of convalescence (average 3.87). Conclusion. The Ponseti method is the surveyed doctors' preferred method of congenital clubfoot treatment.
PubMed, 2004
The level of selected parameters of the coagulation system and fibrynolysis (prothrombin time, pa... more The level of selected parameters of the coagulation system and fibrynolysis (prothrombin time, partial thromboplastin time, fibrinogen level, albumin C system, V Leiden factor and III antithrombin level) in 25 children who had been treated with Perthes disease was evaluated. In three children prolonged prothrombin time occurred; in one child anomalous protein C system was noted. The remaining parameters were normal in all children. The investigation results reveal that congenital disturbances of the haemostasis system were not the cause of Perthes disease in 24 children.
PubMed, 1990
Ultrasonography was performed in 10 children with the symptoms of transient hip synovitis. In all... more Ultrasonography was performed in 10 children with the symptoms of transient hip synovitis. In all the patients inflation of the capsule was found. At the following examinations subsidence of intraarticular exudate was observed.
Orthopaedic Proceedings, Jul 1, 2002
The outcome of surgical treatment for congenital clubfoot depends, among other things, on obtaini... more The outcome of surgical treatment for congenital clubfoot depends, among other things, on obtaining correct repositioning of the tarsus in relation to the talus, i.e., peritarsal correction. This correction includes successfully repositioning the navicular, which is dislocated medially in relation to the head of the talus. Evaluation of talonavicular repositioning is possible in older children when it is possible to observe the navicular bone on a radiograph. In radiographs of younger children between the ages of three and five, the navicular bone cannot be seen. USG examination may be helpful in the evaluation of talonavicular positioning, enabling better planning of the surgical procedure and its range. In the Paediatric Orthopaedic Department of Medical Academy in Lublin from 1995 to 1999, 225 children (256 feet) were surgically treated. The peritarsal correction method (Turco) was used to manage 221 feet, and 31 feet by the subtalar release method according to Crawford by the incision of Cincinnati. Fifty-two feet were re-operated because of recurrent deformation. USG examinations revealed incorrect positioning of the navicular bone. There was medial displacement in 24 feet (recurrent deformations), and wedge-shaped navicular bone in 18 feet and connected with dorsal displacement (overcorrection). Medial displacements were observed in residual adductus deformation, whereas dorsal displacements were observed in feet with cavus or calcaneal deformity, which is connected with excessive lengthening of the calcaneal tendon (overcorrection). USG examination in recurrent clubfoot enables the evaluation of talonavicular repositioning (not possible on radiographs) in younger children two to five years old, and is helpful to better plan the range of the operation.
Scoliosis, 2009
Publish with Bio Med Central and every scientist can read your work free of charge "BioMed Centra... more Publish with Bio Med Central and every scientist can read your work free of charge "BioMed Central will be the most significant development for disseminating the results of biomedical researc h in our lifetime."
PubMed, 1990
In 35 patients with transient arthritis of a single joint, levels of alpha-1-antitrypsin were det... more In 35 patients with transient arthritis of a single joint, levels of alpha-1-antitrypsin were determined in the serum in the acute stage of the disease, the recovery period, and the control group. The results were compared. Determination was that the results of examination have indicated a markedly increased level of carried out by the use of M-Partigen, immunodiffusive plates by the Mancini me-alpha-1-antitrypsin in the serum in children in the acute period of this disease and a significant decrease of its level in the period of subsidence of the clinical symptoms in comparison with the control group. The changes in the level of this enzyme indicate disturbance of protease-antiprotease balance in pathogenesis of this disease.
Archiwum Historii i Filozofii Medycyny, 2016
Ortopedia, traumatologia, rehabilitacja, Dec 29, 2006
Background: The main subject of the paper is development of three-dimensional numerical modelling... more Background: The main subject of the paper is development of three-dimensional numerical modelling method of children's hip joint. Anatomically correct as well as deformed due to cerebral palsy joints were taken into consideration. Materials and methods: The modelling process was carried out on data obtained from X-ray computer tomography. Specialized software was used to develop three-dimensional models of particular objects (e.g. pelvis, thigh bone) of hip joint. Results: The CT-data of two patients from Clinic of Children Orthopaedics and Rehabilitation of Lublin Medical University was used to perform three - dimensional geometrical models of hip joints. Finite element models were prepared also taking into account inhomogeneity of the bone tissue. Conclusions: RESULTS of our researches clearly show that three-dimensional, computer modelling of the children hip joint can be performed based on CT-data. Use of these methods will enable us to gain a better understanding of children hip joint deformation process and facilitate planning of therapy.
Annals of Agricultural and Environmental Medicine, Jun 20, 2018
Introduction. The paper is a case report presenting Cat Scratch Disease (CSD) in a 1.5-year-old g... more Introduction. The paper is a case report presenting Cat Scratch Disease (CSD) in a 1.5-year-old girl. Bartoneloses, including CSD, are a group of infectious diseases which are rarely detected, therefore there are no statistical data concerning the aetiology, and the incidence of CSD noted in Poland is low in comparison with other European countries. Objective. The purpose of the paper is to discuss several problems related to CSD. Materials and method. A 1.5-year-old girl who was seen in hospital for the sparing use of her left arm when crawling. X-rays showed osteolytic lesions which radiologists described as multi-ocular cyst or infection. As neither clinical examination nor laboratory investigations found pathological signs, the patient was followed-up on an ambulant basis. Repeated x-ray taken 4 weeks later showed increased periosteal proliferation accompanied by pain. The baby was admitted to the Clinic but additional investigations found no pathologies. The baby was consulted by a rheumatologist and haematologist; however, they did not facilitate a definitive diagnosis. As the baby developed, because of a thickening of the soft tissues on the dorsal side of the distal epiphisis in the forearm the doctors decided to inspect the condition operatively. Macroscopic examination found brownish granulated tissue. Suction drainage was inserted and a tissue sample was tested for aerobic and anaerobic bacteria, tuberculosis and borelliosis. The test results were negative. The baby was in good condition, was not pyrexial and suffered from less pain. The diagnostics was further expanded and the baby tested for yersinia, chlamydia, tuberculosis and bartonella, i.e. CSD. The postoperative wound healed soon and radiological bony lesions began to resolve. After a month, we received a positive bartonella test result, the baby tested positively for Bartonella henselae IgG class, which confirmed past or active infection of CSD. A repeated test for B. henselae taken 6 months later showed a lower level of antibodies. Conclusions. It should be remembered that CSD, which is an extremely rare infection, can be diagnosed despite mediocre clinical and radiological manifestations. Thus, in the case of infections of unexplained aetiology and mediocre manifestations diagnostics should include testing for Bartonella henselae.
The journal of bone and joint surgery, Aug 1, 1989
children with ganglia remaining untreated after five years with spontaneous resolution occurring ... more children with ganglia remaining untreated after five years with spontaneous resolution occurring in nine. In 1985 Satku and Ganesh reviewed 45 out of6l children whose ganglia had been treated surgically : in 15 the ganglia had recurred. This, and the observation that wrist ganglia in children under the age of 10 were predominantly volar, where operation might damage the radial artery, led them to recommend an expectant approach to treatment. Our study has addressed the natural history of the condition. The observation that 22 of the 29 gang!ia resolved spontaneously, 20 within two years of presentation, strongly supports the view that, providing transillumination confirms the diagnosis, management should be expectant.
PubMed, 1990
Among 24 children with solitary osseous cyst of various localization treated by local methyl pred... more Among 24 children with solitary osseous cyst of various localization treated by local methyl prednisolone injections, 20 children had excellent and good results. The radiological criteria of evaluation were as follows: full rebuilding of the bone in the site of cyst--excellent result, irregular trabecular structure or widening of the bone remain--good result, small radiological translucency with simultaneous full rebuilding of width of the cortical bone, securing proper mechanical resistance--fair result, absence of radiological traits of rebuilding--poor result. In each patient, 4-6 instillations were performed every 3 months. Subsidence of local compression and auscultative pain, deliberation of balloon inflation of the metaphysis, normalization of width of the cortical bone, rebuilding of the spongy bone and "going away" of the epiphyseal cartilage from the cyst have been observed.
Springer eBooks, 2009
Development of a musculoskeletal system is strongly influenced by mechanical factors. Muscle forc... more Development of a musculoskeletal system is strongly influenced by mechanical factors. Muscle forces are one of the most important sources of loadings acting on bone elements and any disturbances of their activity can lead to severe pathology. Cerebral palsy (CP) is an example of such a situation. Hip joint deformity, leading to its subluxation and finally dislocation, is one of the most serious complications accompanying CP.
Polish Journal of Public Health, Mar 1, 2013
Korzyści w leczeniu stopy końsko szpotawej u dzieci przy pomocy metody Ponsetiego-lepsza efektywn... more Korzyści w leczeniu stopy końsko szpotawej u dzieci przy pomocy metody Ponsetiego-lepsza efektywność przy mniejszej inwazyjności Benefits in treatment of congenital clubfoot using the Ponseti method-less aggressive with more efficiency Streszczenie Wstęp. Wrodzona stopa końsko szpotawa jest jednym z głównych problemów w ortopedii dziecięcej. Leczenie stopy końsko szpotawej bywa kontrowersyjne i nadal stanowi jedno z większych wyzwań w ortopedii dziecięcej. Cel. Głównym celem pracy było przedstawienie przewagi i korzyści jakie przynosi leczenie metodą Ponsetiego stopy końsko szpotawej u dzieci. Materiał i metody. Praca oparta jest na materiale Kliniki Ortopedii i Rehabilitacji Dziecięcej UM w Lublinie. W latach 2007-2011 leczono metodą Ponsetiego 58 pacjentów z 69 stopami końsko szpotawymi. Wyniki. Wyniki leczenia zostały przedstawione na podstawie analizy zakresów ruchów oraz oceny punktowej wg Piraniego (średni okres obserwacji 26 miesięcy). Pokazywało to stopień wady i odpowiedź na jej leczenie. Wynik leczenia wszystkich pacjentów był zawarty od 4,5 do 6 punktów. U wszystkich leczonych pacjentów osiągnięto wynik od 0,5 do 1,5 punktu. Oceniano rezultaty leczenia na bardzo dobre i dobre u 92% pacjentów. Dla porównania, wstecznie analizowano 125 pacjentów leczonych w Klinice w latach 1990-2000 z powodu stopy końsko szpotawej innymi metodami. Zakres metod leczenia operacyjnego obejmował zabiegi wydłużenia ścięgna piętowego, szerokiego uwolnienia przyśrodkowego, tylnego i bocznego stopy z wydłużeniem lub bez ścięgna Achillesa. Wnioski. W wypadku ścisłego przestrzegania założeń metody Ponsetiego osiągnięto bardzo dobre lub dobre rezultaty leczenia i nie odnotowano nawrotów wady. Metoda ta jest polecana w postępowaniu leczniczym w celu uniknięcia bardziej agresywnych metod leczenia w przyszłości. Leczenie metodą Ponsetiego jest stosunkowo proste i mniej obciążające dla małych pacjentów. Metoda Ponsetiego jest również bardziej skuteczna w porównaniu do innych technik leczenia w/w wady stosowanych w Klinice.
Polish Journal of Public Health, Dec 1, 2015
Introduction. Congenital talipes equinovarus (CTEV), also called clubfoot is the second after con... more Introduction. Congenital talipes equinovarus (CTEV), also called clubfoot is the second after congenital dysplasia of the hip (CDH) most frequently occurring congenital limb defect. In Europe the deformity affects 1-2 newborns in 1000 live births. Aim. The aim of the study was to determine frequency of the deformity among other reasons for hospitalization, as well as depicting the profile of patients treated for clubfoot. Material and methods. Study method was the analysis of medical documentation from two Orthopaedic Wards of Prof. Antoni Gębala Children's Hospital of Lublin. Medical records of patients treated for congenital talipes equinovarus (IDC 10-Q66.0) between 2008 and 2013 were the study material. Results. Results of the study show that in the analyzed period of time 310 children were hospitalized for clubfoot in hospotal. 39.35% (n=122) of the total number of patients were girls and 60.65% (n=188) were boys. The average age of patients was 3.69 years, (Me=1.09 years). Average age of girls was 4.17 (Me=1.35 years) and boys 3.89 (Me=0.83 years). The most numerous group consisted of infants up to 1 year (n=154; 49.68%). Conclusions. Clubfoot affects boys twice as often as girls. Moreover, in the examined hospital the average length of stay for patients with clubfoot has decreased. The research reveals that the average hospitalization length in children with congenital talipes equinovarus is systematically decreasing. The study shows that the number of patients being admitted to the Children's Orthopedics Institute of the Hospital is increasing while the number of patients with clubfoot remains on the same level.
Journal of Pediatric Orthopaedics B, Mar 1, 1989
ABSTRACT We examined selected parameters of the clotting and fibrinolytic system of 26 boys with ... more ABSTRACT We examined selected parameters of the clotting and fibrinolytic system of 26 boys with aseptic necrosis of the femoral head and then evaluated the pressure of the fluid in the cavity of the hip joint with the help of ultrasonic examination. No disturbances were discovered in the coagulation system and ultrasonography ruled out the possibility that extravascular pressure had caused the necrosis. We confirmed a significantly greater level of [beta]-antitrypsin in comparison with the control group, which may indicate a decrease in fibrinolytic activity and confirm the hypothesis that there is an intravascular predisposition towards the appearance of clots in the vascular system of the femoral head in patients with Perthes' disease.
Polski tygodnik lekarski (Warsaw, Poland : 1960), Jan 2, 1985
PubMed, 2013
Introduction: Supracondylar fractures of the humeral bone are frequent injuries in children. It h... more Introduction: Supracondylar fractures of the humeral bone are frequent injuries in children. It has been affirmed that supracondylar fractures have an excellent prognosis when proper treatment is applied. Objective: Present of the statistical relationships between fractures occurring and patient's development period; the relation between development period and site of the fracture and statistical relationship between development period and gender of the patients. Also indicated are the place of residence of the hospitalized patients and time of admission to the Clinic after injury. Materials and method: Research was based on the data of paediatric patients treated in the Clinic for Paediatric Surgery, Traumatology and Paaediatric Orthopaedics, and Rehabilitation Clinic of the Medical University in Lublin, Poland, between 1986- 2010. An independent Chi-square Test was used for statistical analysis (χ²). Results: The majority of patients were admitted to the Clinic on the day of injury. Of these patients, 71% lived in the urban area of the Lublin region where all the children received medical care in hospital directly after trauma; 29% of children came from the rural areas of the Lublin region, and 10% of them were admitted to hospital 24 or more hours after the injury. Conclusion: 71% of patients lived in the urban areas of the Lublin region and the main cause of injury was a fall from a higher level onto an outstretched upper left limb. Most supracondylar fractures of the humeral bone concerned children at school and adolescent age. Despite the fact that some of the hospitalised children lived in the rural areas of the Lublin region, the majority were admitted to the Clinic directly after trauma and received timely treatment.
Polish Journal of Public Health, Mar 1, 2017
Introduction. Clubfoot is the second most common birth defect of the lower limb. In Europe (inclu... more Introduction. Clubfoot is the second most common birth defect of the lower limb. In Europe (including Poland) it concerns about 1-2 in 1000 newborns. What is characteristic for a clubfoot, is change in the foot shape and its impairment with preserving anatomical structures. Aim. The aim of this work is to gather opinions of orthopedic physicians on the effectiveness of the two methods used to treat congenital clubfoot: the Turco method and the Ponseti method. Material and methods. The research method used in the work was a diagnostic survey and research technique was the author's questionnaire designed to gather opinions of orthopedic surgeons on the two methods of clubfoot treatment. The questionnaires were collected in the Orthopaedic Clinics in Lublin and Rzeszów, as well as during the specialization courses for orthopaedic surgeons in Lublin. Results. The most important advantages of the Ponseti method according to respondents are high clinical effectiveness (average 4.48) and short duration of hospitalization (average 4.31). While the most important disadvantages of the method is length of rehabilitation (average 2.85) and convalescence (average 2.36). Top assets of the Turco method in turn, according to respondents, are high clinical efficiency (average 2.92) and certainty of the patient's recovery (2.74). In turn, the downsides of the Turco method according to the respondents are high invasiveness (average 4.11) and length of convalescence (average 3.87). Conclusion. The Ponseti method is the surveyed doctors' preferred method of congenital clubfoot treatment.
PubMed, 2004
The level of selected parameters of the coagulation system and fibrynolysis (prothrombin time, pa... more The level of selected parameters of the coagulation system and fibrynolysis (prothrombin time, partial thromboplastin time, fibrinogen level, albumin C system, V Leiden factor and III antithrombin level) in 25 children who had been treated with Perthes disease was evaluated. In three children prolonged prothrombin time occurred; in one child anomalous protein C system was noted. The remaining parameters were normal in all children. The investigation results reveal that congenital disturbances of the haemostasis system were not the cause of Perthes disease in 24 children.
PubMed, 1990
Ultrasonography was performed in 10 children with the symptoms of transient hip synovitis. In all... more Ultrasonography was performed in 10 children with the symptoms of transient hip synovitis. In all the patients inflation of the capsule was found. At the following examinations subsidence of intraarticular exudate was observed.
Orthopaedic Proceedings, Jul 1, 2002
The outcome of surgical treatment for congenital clubfoot depends, among other things, on obtaini... more The outcome of surgical treatment for congenital clubfoot depends, among other things, on obtaining correct repositioning of the tarsus in relation to the talus, i.e., peritarsal correction. This correction includes successfully repositioning the navicular, which is dislocated medially in relation to the head of the talus. Evaluation of talonavicular repositioning is possible in older children when it is possible to observe the navicular bone on a radiograph. In radiographs of younger children between the ages of three and five, the navicular bone cannot be seen. USG examination may be helpful in the evaluation of talonavicular positioning, enabling better planning of the surgical procedure and its range. In the Paediatric Orthopaedic Department of Medical Academy in Lublin from 1995 to 1999, 225 children (256 feet) were surgically treated. The peritarsal correction method (Turco) was used to manage 221 feet, and 31 feet by the subtalar release method according to Crawford by the incision of Cincinnati. Fifty-two feet were re-operated because of recurrent deformation. USG examinations revealed incorrect positioning of the navicular bone. There was medial displacement in 24 feet (recurrent deformations), and wedge-shaped navicular bone in 18 feet and connected with dorsal displacement (overcorrection). Medial displacements were observed in residual adductus deformation, whereas dorsal displacements were observed in feet with cavus or calcaneal deformity, which is connected with excessive lengthening of the calcaneal tendon (overcorrection). USG examination in recurrent clubfoot enables the evaluation of talonavicular repositioning (not possible on radiographs) in younger children two to five years old, and is helpful to better plan the range of the operation.
Scoliosis, 2009
Publish with Bio Med Central and every scientist can read your work free of charge "BioMed Centra... more Publish with Bio Med Central and every scientist can read your work free of charge "BioMed Central will be the most significant development for disseminating the results of biomedical researc h in our lifetime."
PubMed, 1990
In 35 patients with transient arthritis of a single joint, levels of alpha-1-antitrypsin were det... more In 35 patients with transient arthritis of a single joint, levels of alpha-1-antitrypsin were determined in the serum in the acute stage of the disease, the recovery period, and the control group. The results were compared. Determination was that the results of examination have indicated a markedly increased level of carried out by the use of M-Partigen, immunodiffusive plates by the Mancini me-alpha-1-antitrypsin in the serum in children in the acute period of this disease and a significant decrease of its level in the period of subsidence of the clinical symptoms in comparison with the control group. The changes in the level of this enzyme indicate disturbance of protease-antiprotease balance in pathogenesis of this disease.
Archiwum Historii i Filozofii Medycyny, 2016
Ortopedia, traumatologia, rehabilitacja, Dec 29, 2006
Background: The main subject of the paper is development of three-dimensional numerical modelling... more Background: The main subject of the paper is development of three-dimensional numerical modelling method of children's hip joint. Anatomically correct as well as deformed due to cerebral palsy joints were taken into consideration. Materials and methods: The modelling process was carried out on data obtained from X-ray computer tomography. Specialized software was used to develop three-dimensional models of particular objects (e.g. pelvis, thigh bone) of hip joint. Results: The CT-data of two patients from Clinic of Children Orthopaedics and Rehabilitation of Lublin Medical University was used to perform three - dimensional geometrical models of hip joints. Finite element models were prepared also taking into account inhomogeneity of the bone tissue. Conclusions: RESULTS of our researches clearly show that three-dimensional, computer modelling of the children hip joint can be performed based on CT-data. Use of these methods will enable us to gain a better understanding of children hip joint deformation process and facilitate planning of therapy.
Annals of Agricultural and Environmental Medicine, Jun 20, 2018
Introduction. The paper is a case report presenting Cat Scratch Disease (CSD) in a 1.5-year-old g... more Introduction. The paper is a case report presenting Cat Scratch Disease (CSD) in a 1.5-year-old girl. Bartoneloses, including CSD, are a group of infectious diseases which are rarely detected, therefore there are no statistical data concerning the aetiology, and the incidence of CSD noted in Poland is low in comparison with other European countries. Objective. The purpose of the paper is to discuss several problems related to CSD. Materials and method. A 1.5-year-old girl who was seen in hospital for the sparing use of her left arm when crawling. X-rays showed osteolytic lesions which radiologists described as multi-ocular cyst or infection. As neither clinical examination nor laboratory investigations found pathological signs, the patient was followed-up on an ambulant basis. Repeated x-ray taken 4 weeks later showed increased periosteal proliferation accompanied by pain. The baby was admitted to the Clinic but additional investigations found no pathologies. The baby was consulted by a rheumatologist and haematologist; however, they did not facilitate a definitive diagnosis. As the baby developed, because of a thickening of the soft tissues on the dorsal side of the distal epiphisis in the forearm the doctors decided to inspect the condition operatively. Macroscopic examination found brownish granulated tissue. Suction drainage was inserted and a tissue sample was tested for aerobic and anaerobic bacteria, tuberculosis and borelliosis. The test results were negative. The baby was in good condition, was not pyrexial and suffered from less pain. The diagnostics was further expanded and the baby tested for yersinia, chlamydia, tuberculosis and bartonella, i.e. CSD. The postoperative wound healed soon and radiological bony lesions began to resolve. After a month, we received a positive bartonella test result, the baby tested positively for Bartonella henselae IgG class, which confirmed past or active infection of CSD. A repeated test for B. henselae taken 6 months later showed a lower level of antibodies. Conclusions. It should be remembered that CSD, which is an extremely rare infection, can be diagnosed despite mediocre clinical and radiological manifestations. Thus, in the case of infections of unexplained aetiology and mediocre manifestations diagnostics should include testing for Bartonella henselae.
The journal of bone and joint surgery, Aug 1, 1989
children with ganglia remaining untreated after five years with spontaneous resolution occurring ... more children with ganglia remaining untreated after five years with spontaneous resolution occurring in nine. In 1985 Satku and Ganesh reviewed 45 out of6l children whose ganglia had been treated surgically : in 15 the ganglia had recurred. This, and the observation that wrist ganglia in children under the age of 10 were predominantly volar, where operation might damage the radial artery, led them to recommend an expectant approach to treatment. Our study has addressed the natural history of the condition. The observation that 22 of the 29 gang!ia resolved spontaneously, 20 within two years of presentation, strongly supports the view that, providing transillumination confirms the diagnosis, management should be expectant.
PubMed, 1990
Among 24 children with solitary osseous cyst of various localization treated by local methyl pred... more Among 24 children with solitary osseous cyst of various localization treated by local methyl prednisolone injections, 20 children had excellent and good results. The radiological criteria of evaluation were as follows: full rebuilding of the bone in the site of cyst--excellent result, irregular trabecular structure or widening of the bone remain--good result, small radiological translucency with simultaneous full rebuilding of width of the cortical bone, securing proper mechanical resistance--fair result, absence of radiological traits of rebuilding--poor result. In each patient, 4-6 instillations were performed every 3 months. Subsidence of local compression and auscultative pain, deliberation of balloon inflation of the metaphysis, normalization of width of the cortical bone, rebuilding of the spongy bone and "going away" of the epiphyseal cartilage from the cyst have been observed.
Springer eBooks, 2009
Development of a musculoskeletal system is strongly influenced by mechanical factors. Muscle forc... more Development of a musculoskeletal system is strongly influenced by mechanical factors. Muscle forces are one of the most important sources of loadings acting on bone elements and any disturbances of their activity can lead to severe pathology. Cerebral palsy (CP) is an example of such a situation. Hip joint deformity, leading to its subluxation and finally dislocation, is one of the most serious complications accompanying CP.
Polish Journal of Public Health, Mar 1, 2013
Korzyści w leczeniu stopy końsko szpotawej u dzieci przy pomocy metody Ponsetiego-lepsza efektywn... more Korzyści w leczeniu stopy końsko szpotawej u dzieci przy pomocy metody Ponsetiego-lepsza efektywność przy mniejszej inwazyjności Benefits in treatment of congenital clubfoot using the Ponseti method-less aggressive with more efficiency Streszczenie Wstęp. Wrodzona stopa końsko szpotawa jest jednym z głównych problemów w ortopedii dziecięcej. Leczenie stopy końsko szpotawej bywa kontrowersyjne i nadal stanowi jedno z większych wyzwań w ortopedii dziecięcej. Cel. Głównym celem pracy było przedstawienie przewagi i korzyści jakie przynosi leczenie metodą Ponsetiego stopy końsko szpotawej u dzieci. Materiał i metody. Praca oparta jest na materiale Kliniki Ortopedii i Rehabilitacji Dziecięcej UM w Lublinie. W latach 2007-2011 leczono metodą Ponsetiego 58 pacjentów z 69 stopami końsko szpotawymi. Wyniki. Wyniki leczenia zostały przedstawione na podstawie analizy zakresów ruchów oraz oceny punktowej wg Piraniego (średni okres obserwacji 26 miesięcy). Pokazywało to stopień wady i odpowiedź na jej leczenie. Wynik leczenia wszystkich pacjentów był zawarty od 4,5 do 6 punktów. U wszystkich leczonych pacjentów osiągnięto wynik od 0,5 do 1,5 punktu. Oceniano rezultaty leczenia na bardzo dobre i dobre u 92% pacjentów. Dla porównania, wstecznie analizowano 125 pacjentów leczonych w Klinice w latach 1990-2000 z powodu stopy końsko szpotawej innymi metodami. Zakres metod leczenia operacyjnego obejmował zabiegi wydłużenia ścięgna piętowego, szerokiego uwolnienia przyśrodkowego, tylnego i bocznego stopy z wydłużeniem lub bez ścięgna Achillesa. Wnioski. W wypadku ścisłego przestrzegania założeń metody Ponsetiego osiągnięto bardzo dobre lub dobre rezultaty leczenia i nie odnotowano nawrotów wady. Metoda ta jest polecana w postępowaniu leczniczym w celu uniknięcia bardziej agresywnych metod leczenia w przyszłości. Leczenie metodą Ponsetiego jest stosunkowo proste i mniej obciążające dla małych pacjentów. Metoda Ponsetiego jest również bardziej skuteczna w porównaniu do innych technik leczenia w/w wady stosowanych w Klinice.
Polish Journal of Public Health, Dec 1, 2015
Introduction. Congenital talipes equinovarus (CTEV), also called clubfoot is the second after con... more Introduction. Congenital talipes equinovarus (CTEV), also called clubfoot is the second after congenital dysplasia of the hip (CDH) most frequently occurring congenital limb defect. In Europe the deformity affects 1-2 newborns in 1000 live births. Aim. The aim of the study was to determine frequency of the deformity among other reasons for hospitalization, as well as depicting the profile of patients treated for clubfoot. Material and methods. Study method was the analysis of medical documentation from two Orthopaedic Wards of Prof. Antoni Gębala Children's Hospital of Lublin. Medical records of patients treated for congenital talipes equinovarus (IDC 10-Q66.0) between 2008 and 2013 were the study material. Results. Results of the study show that in the analyzed period of time 310 children were hospitalized for clubfoot in hospotal. 39.35% (n=122) of the total number of patients were girls and 60.65% (n=188) were boys. The average age of patients was 3.69 years, (Me=1.09 years). Average age of girls was 4.17 (Me=1.35 years) and boys 3.89 (Me=0.83 years). The most numerous group consisted of infants up to 1 year (n=154; 49.68%). Conclusions. Clubfoot affects boys twice as often as girls. Moreover, in the examined hospital the average length of stay for patients with clubfoot has decreased. The research reveals that the average hospitalization length in children with congenital talipes equinovarus is systematically decreasing. The study shows that the number of patients being admitted to the Children's Orthopedics Institute of the Hospital is increasing while the number of patients with clubfoot remains on the same level.
Journal of Pediatric Orthopaedics B, Mar 1, 1989
ABSTRACT We examined selected parameters of the clotting and fibrinolytic system of 26 boys with ... more ABSTRACT We examined selected parameters of the clotting and fibrinolytic system of 26 boys with aseptic necrosis of the femoral head and then evaluated the pressure of the fluid in the cavity of the hip joint with the help of ultrasonic examination. No disturbances were discovered in the coagulation system and ultrasonography ruled out the possibility that extravascular pressure had caused the necrosis. We confirmed a significantly greater level of [beta]-antitrypsin in comparison with the control group, which may indicate a decrease in fibrinolytic activity and confirm the hypothesis that there is an intravascular predisposition towards the appearance of clots in the vascular system of the femoral head in patients with Perthes' disease.
Polski tygodnik lekarski (Warsaw, Poland : 1960), Jan 2, 1985