Biomedical subjects

Edward Golec

Publications and source records attributed to Edward Golec.

9 recordsLinked to original sources

PubMed2006

[Dislocations hip arthroplasty].

The authors present analysis of dislocation following hip arthroplasty based on their own clinical material of 1985-2005 year. It contain 2712 cases of total hip arthroplasty, 2171 (80.1%) cases were cemented including 64 (2.4%) cases of revised arthroplasty, 541 (19.9%) cases were cement-free stabilized including 7 (0.2%) cases of revised arthroplasty. Obtained outcomes of analysis permit to make assertion that dislocation following hip arthroplasty occurred during first three month after surgery, more frequently in case of revised arthroplasty and following fractures of femoral neck. Requirement of success is appropriate steady of implant and right done supervision of rehabilitation with learned necessary motoric behaviors.

Arthroplasty, Replacement, Hip↗

PubMed2006

[Proximal humerus fractures analysis of treatment and rehabilitation outcomes].

The authors make evaluation of functional outcomes proximal humerus fractures depending on applied method using Constant-Murley score in own modification. The clinical material of 1980-2004 years were 93 cases, 41 male (44.1%) and 52 female (55.9%) aged between 28-81 years. The operative treatment was employed in 52 cases (45.1%), nonoperativ in 18 cases (19.4%) and functional treatment using direct traction by olecranion in 33 cases (35.5%). Obtained outcomes based on Constant-Murley score in own modification notice limitation range of motion injured joint, reduction of muscle streught in shoulder rim and decrease of physical activity independently used method of treatment.

Adult↗

PubMed2005

[Chronic instability talocrural joint after tibiofibular syndesmosis traumatic injures].

The authors present long term results of treatment for traumatic injuries of the tibiofibular syndesmosis being a part of crural fractures considering the chronic talocrural joint instability. It presents different operational methods of treatment evaluating simultaneously the effect this method has on regaining the functional efficiency of the operated joint. The evaluation of the talocrural joint anterior stability is performed according to my own method and lateral and medial stability is based on Zwipp's method. The clinical material of 1997-2004 year are 62 cases, 40 male (64.5%) and 22 female (35.5%) treated operatively because of ankle fractures in which performed stabilization of injured tibio-fibular syndesmosis. Average time of study is 6 month. Obtained outcomes of observation permit to make assertion that traumatic damage of tibio-fibular syndesmosis during ankle fractures demand anatomical alignment and effective stabilization of fragments and reconstruction of ligaments. Inveterate ankle sprain cause rotation talocrural joint instability.

Ankle Injuries↗

PubMed2005

[Rare dislocations of feet joints--the results of treatment and rehabilitation].

The authors present rare dislocations of feet joints including subtalar dislocations of the foot, total dislocations of the talus, dislocations of the talocalcaneal joint and dislocations of the talo-crural and tarsometatarsal joint. They make objective and subjective assessment of remote results of their non-operational treatment. They also pay attention to dangers and remote after-efects of shown feet injuries.

Female↗

PubMed2004

[Thromboembolic and inflammatory complications of knee joint alloplasty with cemented endoprostheses].

In the presented paper the authors evaluate the long-term results of treatment for inflammatory and thromboembolic complications in knee joint alloplasty with cemented endoprostheses. The clinical material spanning the years 1998-2003 are 15 patients with analysed complications, it determine 9% of all operated. They have evaluated achieved results using the HSS knee rating scale in their own modification. As far as the authors are concerned, venographic examination is a prerequisite for appropriate care of the patients following knee joint alloplasty who might have deep venous thrombosis. It is necessary to provide similar treatment when developing infections are suspected in the perioperative period and in cases of late infections. Consequently, antibiotic therapy and a possible quick bacteriological checkup for healing a postoperative wound is a prerequisite for successful treatment. Achieved results induce statement, that thromboembolic and inflammatory complications caused at most operated chronic vein insufficiency, deficit of range of motion at operated joint and gait insufficiency. Thromboembolic complications was always related with inflammation of knee joint alloplasty in our own material.

Aged↗

PubMed2004

[Revision knee joint alloplasties].

In the presented paper the authors evaluate the results of treatment in patients following revision knee joint alloplasties due to aseptic loosening of the tibia element in the endoprosthesis. The clinical material from the years 2000-2003 consists of 12 patients aged from 68 to 73; namely, 10 women (83.5%) and 2 men (16.5%). The longest time between the original implantation of endoprosthesis into the knee joint and the diagnosis of the aseptic loosening of its tibia element was 6 years and the shortest 2 years. The longest time of follow-up in patients who had had the revision operation was 2 years and the shortest was 6 months. The authors evaluated achieved results in the period between 20th and 24th month since the revision operation in 10 patients on the basis of the time criteria referring to the time of healing the-bone implants and on the basis of the HSS knee rating scale in their own modification. We achieved 9 very well and 1 sufficient results based on time criteria and 5 very well, 1 well, 3 sufficient, 1 insufficient results based on HSS knee rating scale criteria.

Aged↗

PubMed2003

[Long-term results of revisional hip alloplasty using the X-change technique].

In this paper the authors evaluate the long-term results of revisional hip alloplasty using the X-change technique with an Exeter endoprosthesis. This evaluation is performed using clinical material consisting of 52 operated patients, namely 41 female patients (78.8%) and 11 male patients (21.2%). In order to evaluate achieved results the authors propose such time criteria that performed remodelling of implanted bone grafts allows for full weight-bearing on the operated limb. They emphasize the importance of well-performed operation according to the rules of X-change technique, the way of implanting homogenous frozen bone and the way of cementing the implant, which all are indispensable to the success of the operation. Following those steps, the authors have achieved full remodelling of bone grafts between 12 and 16 month since the day of the operation.

Aged↗

PubMed2003

[Long-term results of treatment for articular calcaneus fractures with Westhues method].

In this paper the authors evaluate the long-term results of treatment for articular calcaneus fractures with Westhues method. This evaluation is performed with regard to triple measurement of Böhler's angle value and to subjective criteria. The clinical material from years 1985-2002 consists of 47 patients aged between 24 and 56 years (mean age 32 years) with articular calcaneus fractures--namely, 41 male patients (87.2%) and 6 female patients (12.8%). The follow-up examination was performed in 24 patients (51% of all patients), namely, in 23 male patients (48.8%) and in one female patient (2.2%). Minimum follow-up time was 12 months and maximum was 9 years. Acquired results suggest that Westhues method restores normal Böhler's angle value only in tongue-type calcaneous fractures.

Adult↗

PubMed2002

[Long-term clinical and radiological assessment of talocrural joint stability after acute traumatic injury of ligamentous-capsular apparatus].

The author presents an assessment of clinical and radiological talocrural joint stability after acute traumatic ankle sprain treated non-operatively. Radiological evaluation of joint stability was performed using a special stand designed by the author. Joint stability was evaluated in both the sagittal and frontal planesusing Zwipp's technique, along with the author's own technique. I degree and II degree lateral and antero-lateral instability were found most often found in the 368 patient series that was examined. Joint instability was recognised more frequently radiologically than clinically.

Acute Disease↗