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Biomedical subjects

Damian Kusz

Publications and source records attributed to Damian Kusz.

4 recordsLinked to original sources

[Analysis of articular cartilage lesions in 5114 knee arthroscopies].

The cartilage lesions become the increasing social problem, which occurs often in young people. It influences the normal knee function and may predispose patients for osteoarthritis. The aim of this study was the epidemiologic and etiological analysis of the knee articular cartilage lesions diagnosed in arthroscopy. From 1997 to 2002, arthroscopy of the knee joint was performed in 5114 patients. Chondral lesions were found in 2931 cases--57.3. Non-isolated cartilage lesions accounted for 67.9%. Grade II according to ICRS classification evaluated in arthroscopy was the most frequent grade of the cartilage lesion (47.8%) and grade 4B the least frequent one (0.11%). The patellar articular surface (43.3%) and the medial femoral condyle (39.6%) were the most common locations of the lesions.

Adolescent↗

[Total knee arthroplasty].

Total knee arthroplasty (TKA) is considered to be a common surgical intervention in the patients with widespread deformation of the knee joint during the process of arthritis or rheumatoid arthritis. It is also considered to be the method of choice for those patients. TKA is based on removing the destroyed parts of the knee and replacing them with new metal or plastic elements. It is commonly believed that TKA is the process of replacing the old destroyed joint with the new artificial one. Based on own experiences and the literature data the authors presented the most important indications for the TKA, the rules of the prosthesis selection and the operative techniques, contemporary opinions, and current trends in TKA.

Arthritis, Rheumatoid↗

[Complication of arthroscopy of the knee].

Arthroscopy is an elementary surgical procedure in the management of the knee. Due to its minimal invasiveness the complications are not frequent. However, because of continuously increasing number of arthroscopies being performed worldwide (circa 1,000,000 per year), the total number of complications is significant. More frequent complications accompany particularly more complex and difficult procedures. The percentage of complications after arthroscopy oscilates about 2%. The most common complications are: intraarticular damage, neurological injury, vascular injury, compartment syndrome, instrument breakage, postoperative pain, haemarthrosis, synovitis, thromboembolism, infection, synovial fistula, complex regional pain syndrome 1, infrapatellar contracture syndrome. Current view on the complications of arthroscopy is presented in this paper basing on contemporary literature.

Arthroscopy↗

[Inferior subluxation of humerus after surgery of fractures of proximal humerus].

Posttraumatic inferior subluxation of the humerus can be a possible cause of nerve injury and is therefore an alarming symptom. Etiology and frequency of subluxation after surgery of fractures of proximal humerus in group of 53 patients, including 4 cases of nerve injuries were studied. X-rays performed during treatment of this patients were analyzed. We confirmed high rate (41.5%) of this subluxation in our patients, 4 times more often in comminuted fractures, as result of deltoid atony, impaction of bony fragments and distention of the joint by hematoma. Surgical trauma and heavy cast immobilization were additional factors. We remarked after bone plating subluxation more frequent (62.5-75%) and duration longer than after nailing (13.6-34%). We concluded subluxation is secondary to many factors, needs meticulous evaluation for excluding injury of nerves, and for avoiding surgical trauma and cast immobilization should be minimized.

Adult↗