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Papers by Tomasz Waliński

Research paper thumbnail of Long-term Results of Operative Treatment of Calcaneal Fractures

Ortopedia, traumatologia, rehabilitacja

This paper presents the long-term results of surgical treatment of intra-articular calcaneal frac... more This paper presents the long-term results of surgical treatment of intra-articular calcaneal fractures, including subjective evaluation, orthopaedic examination and radiographic evaluation. A total of 126 patients with 135 calcaneal fractures were treated surgically at the Department of Traumatology of the Military Medical Institute in Warsaw between 2008 and 2012. The analysis involves 73 patients (53 persons were lost to follow-up), including 45 men (61.6%). The mean age of the patients was 46.2 years (18-77 years). Based on imaging studies, patients required specific surgical techniques: the minimally invasive Westhues method involving fixation with a bundle of K-wires or open reduction and internal fixation with a plate and screws. The outcomes of the surgical treatment of calcaneal fractures were assessed on the basis of a subjective evaluation and orthopaedic and radiographic examinations. Statistical analysis was performed using Microsoft Excel. Based on the Creighton-Nebrask...

Research paper thumbnail of Results of the use of platelet rich plasma in the treatment of delayed union of long bones

Ortopedia Traumatologia Rehabilitacja, Aug 28, 2014

Wstęp. Ce lem pra cy by ła oce na sku tecz no ści za sto so wa nia oso cza bo ga to płyt ko we go... more Wstęp. Ce lem pra cy by ła oce na sku tecz no ści za sto so wa nia oso cza bo ga to płyt ko we go w le cze niu opóź nio ne go zro stu ko ści dłu gich, w za le żno ści od je go lo ka li za cji, cza su, ja ki upły nął od wy stą pie nia zła ma nia do po da nia PRP oraz ro dza ju ze spo le nia ope ra cyj ne go. Materiał i metody. W Kli ni ce Trau ma to lo gii WIM w War sza wie, w la tach 2009-2012, le czo no ope ra cyj nie 1620 chorych ze zła ma nia mi ko ści dłu gich. U 158 (9,75%) roz po zna no zrost opóź nio ny. Ana li za obej mu je 132 cho rych, 26 cho rych nie zgło si ło się na kon tro lę. W gru pie ba da nej le czo no 53 ko bie ty (40,15%) i 79 mę żczyzn (59,85%) w wie ku od 16 do 85 lat (śred nio 41). Wyniki. Zrost kost ny po po da niu PRP stwier dzo no u 108 cho rych (81,8%). Me to da oka za ła się nie sku tecz na u 24 chorych (18,2%). Naj wy ższą sku tecz ność uzy ska no u cho rych ze zro stem opóź nio nym bli ższe go koń ca ko ści go le ni le czo nych ope ra cyj nie otwar tym na sta wie niem ze sta bi li za cją pły to wą (100%), śred nio 3,5 mie sią ca po po da niu PRP. Naj ni ższą skutecz ność uzy ska no u cho rych ze zro stem opóź nio nym bli ższe go koń ca ko ści ra mien nej le czo nych ope ra cyj nie otwar tym na sta wie niem ze sta bi li za cją pły to wą (63,64%), śred nio 3,2 mie sią ca po po da niu PRP. Wnioski. 1. PRP wy ka zu je sku tecz ność w le cze niu zro stu opóź nio ne go zła mań ko ści dłu gich. 2. Naj wię cej zro stów opóź nio nych roz po zna no po le cze niu zła mań ko ści dłu gich me to dą otwar tej re po zy cji ze sta bi li za cją pły to wą, na to miast naj mniej u cho rych le czo nych me to dą za mknię tej re po zy cji ze sta bi li za cją gwoź dziem śród sz pi ko wym. 3. Śred ni czas, jaki upły nął od le cze nia ope ra cyj ne go do roz po zna nia zro stu opóź nio ne go i po da nia PRP, wy no sił 4,05 mie sią ca.

Research paper thumbnail of Lyme disease with effusion either in hip or knee in children from Podlaskie region treated in clinic in 2004-2010

Przeglad epidemiologiczny, 2014

OBJECTIVES Lyme disease (LB) relatively commonly causes arthritis among patients, especially in L... more OBJECTIVES Lyme disease (LB) relatively commonly causes arthritis among patients, especially in LB endemic area. The aim of the study was to analyze the prevalence of LB in children with hip and knee effusion in the North Eastern region of Poland. Conclusions from our study should justify the need of taking into account LB in the diagnosis of hip or knee effusion in children. MATERIALS AND METHODS The medical records of 321 children, aged 2-18 years, with synovitis of the hip or knee were reviewed. RESULTS In 273 cases with hip effusion: 32 (11.72%) patients were diagnosed with LB, 233 (85.74%) with transient arthritis, 6 (2.19%) with purulent arthritis, and 2 (0.73%) with juvenile idiopathic arthritis. In 48 cases with knee effusion: 12 (25%) patients were diagnosed with Lyme arthritis, 24 (50%) with transient arthritis, 5 (10.42%) with reactive arthritis, 4 (8.33%) with juvenile idiopathic arthritis, and 3 (6.25%) with purulent arthritis. CONCLUSIONS The high prevalence of LB in c...

Research paper thumbnail of Lyme disease with effusion either in hip or knee in children from Podlaskie region treated in clinic in 2004-2010

Lyme disease (LB) relatively commonly causes arthritis among patients, especially in LB endemic a... more Lyme disease (LB) relatively commonly causes arthritis among patients, especially in LB endemic area. The aim of the study was to analyze the prevalence of LB in children with hip and knee effusion in the North Eastern region of Poland. Conclusions from our study should justify the need of taking into account LB in the diagnosis of hip or knee effusion in children.

Research paper thumbnail of Long-term Results of Operative Treatment of Calcaneal Fractures

Ortopedia, traumatologia, rehabilitacja

This paper presents the long-term results of surgical treatment of intra-articular calcaneal frac... more This paper presents the long-term results of surgical treatment of intra-articular calcaneal fractures, including subjective evaluation, orthopaedic examination and radiographic evaluation. A total of 126 patients with 135 calcaneal fractures were treated surgically at the Department of Traumatology of the Military Medical Institute in Warsaw between 2008 and 2012. The analysis involves 73 patients (53 persons were lost to follow-up), including 45 men (61.6%). The mean age of the patients was 46.2 years (18-77 years). Based on imaging studies, patients required specific surgical techniques: the minimally invasive Westhues method involving fixation with a bundle of K-wires or open reduction and internal fixation with a plate and screws. The outcomes of the surgical treatment of calcaneal fractures were assessed on the basis of a subjective evaluation and orthopaedic and radiographic examinations. Statistical analysis was performed using Microsoft Excel. Based on the Creighton-Nebrask...

Research paper thumbnail of Results of the use of platelet rich plasma in the treatment of delayed union of long bones

Ortopedia Traumatologia Rehabilitacja, Aug 28, 2014

Wstęp. Ce lem pra cy by ła oce na sku tecz no ści za sto so wa nia oso cza bo ga to płyt ko we go... more Wstęp. Ce lem pra cy by ła oce na sku tecz no ści za sto so wa nia oso cza bo ga to płyt ko we go w le cze niu opóź nio ne go zro stu ko ści dłu gich, w za le żno ści od je go lo ka li za cji, cza su, ja ki upły nął od wy stą pie nia zła ma nia do po da nia PRP oraz ro dza ju ze spo le nia ope ra cyj ne go. Materiał i metody. W Kli ni ce Trau ma to lo gii WIM w War sza wie, w la tach 2009-2012, le czo no ope ra cyj nie 1620 chorych ze zła ma nia mi ko ści dłu gich. U 158 (9,75%) roz po zna no zrost opóź nio ny. Ana li za obej mu je 132 cho rych, 26 cho rych nie zgło si ło się na kon tro lę. W gru pie ba da nej le czo no 53 ko bie ty (40,15%) i 79 mę żczyzn (59,85%) w wie ku od 16 do 85 lat (śred nio 41). Wyniki. Zrost kost ny po po da niu PRP stwier dzo no u 108 cho rych (81,8%). Me to da oka za ła się nie sku tecz na u 24 chorych (18,2%). Naj wy ższą sku tecz ność uzy ska no u cho rych ze zro stem opóź nio nym bli ższe go koń ca ko ści go le ni le czo nych ope ra cyj nie otwar tym na sta wie niem ze sta bi li za cją pły to wą (100%), śred nio 3,5 mie sią ca po po da niu PRP. Naj ni ższą skutecz ność uzy ska no u cho rych ze zro stem opóź nio nym bli ższe go koń ca ko ści ra mien nej le czo nych ope ra cyj nie otwar tym na sta wie niem ze sta bi li za cją pły to wą (63,64%), śred nio 3,2 mie sią ca po po da niu PRP. Wnioski. 1. PRP wy ka zu je sku tecz ność w le cze niu zro stu opóź nio ne go zła mań ko ści dłu gich. 2. Naj wię cej zro stów opóź nio nych roz po zna no po le cze niu zła mań ko ści dłu gich me to dą otwar tej re po zy cji ze sta bi li za cją pły to wą, na to miast naj mniej u cho rych le czo nych me to dą za mknię tej re po zy cji ze sta bi li za cją gwoź dziem śród sz pi ko wym. 3. Śred ni czas, jaki upły nął od le cze nia ope ra cyj ne go do roz po zna nia zro stu opóź nio ne go i po da nia PRP, wy no sił 4,05 mie sią ca.

Research paper thumbnail of Lyme disease with effusion either in hip or knee in children from Podlaskie region treated in clinic in 2004-2010

Przeglad epidemiologiczny, 2014

OBJECTIVES Lyme disease (LB) relatively commonly causes arthritis among patients, especially in L... more OBJECTIVES Lyme disease (LB) relatively commonly causes arthritis among patients, especially in LB endemic area. The aim of the study was to analyze the prevalence of LB in children with hip and knee effusion in the North Eastern region of Poland. Conclusions from our study should justify the need of taking into account LB in the diagnosis of hip or knee effusion in children. MATERIALS AND METHODS The medical records of 321 children, aged 2-18 years, with synovitis of the hip or knee were reviewed. RESULTS In 273 cases with hip effusion: 32 (11.72%) patients were diagnosed with LB, 233 (85.74%) with transient arthritis, 6 (2.19%) with purulent arthritis, and 2 (0.73%) with juvenile idiopathic arthritis. In 48 cases with knee effusion: 12 (25%) patients were diagnosed with Lyme arthritis, 24 (50%) with transient arthritis, 5 (10.42%) with reactive arthritis, 4 (8.33%) with juvenile idiopathic arthritis, and 3 (6.25%) with purulent arthritis. CONCLUSIONS The high prevalence of LB in c...

Research paper thumbnail of Lyme disease with effusion either in hip or knee in children from Podlaskie region treated in clinic in 2004-2010

Lyme disease (LB) relatively commonly causes arthritis among patients, especially in LB endemic a... more Lyme disease (LB) relatively commonly causes arthritis among patients, especially in LB endemic area. The aim of the study was to analyze the prevalence of LB in children with hip and knee effusion in the North Eastern region of Poland. Conclusions from our study should justify the need of taking into account LB in the diagnosis of hip or knee effusion in children.