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Biomedical subjects

J Jabłecki

Publications and source records attributed to J Jabłecki.

8 recordsLinked to original sources

[Intramedullary fixation within bones of the hand: 20 years of experience].

Intramedullary fixation within bones of the hand has been used for treatment of 313 fractures in 169 patients after serious trauma or replantation between 1978 and 1998. Kirschner wires or Steinmann pins were introduced at the fracture site and anchored within both metaphyses. The method was used in various types of fractures, comminuted ones and bone defects included. In all cases fracture healed between 4 and 8 weeks. No deep infection occurred, in 2 patients the implants had to be removed because of their migration. The method is technically undemanding and allows for immediate postoperative rehabilitation. Total range of motion exceeded by 15% results achieved in patients treated with temporary immobilization of the hand.

Adolescent↗

[Rehabilitation after upper extremity replantation at the wrist level -- own experience].

An amputation at the wrist level (the level with the best prognosis) has been characterized. Rehabilitation protocol after replantation at the wrist level developed on the ground of 328 replantations done in the Center over 25 years has been presented. Its essential quality is an early initiation of active movements (second postoperative day) and resistive movements on 10-14 days after surgery. The differences between currently used protocols have been emphasized. Excellent and good results were achieved in 65% of cases according to Chen's criteria.

Amputation, Traumatic↗

[Salvage surgery for severely mutilated hand: report of 2 cases].

Immediate, one stage reconstruction is an optimal mode of treatment for severely mutilated hand. This might be feasible only with the use of tissues destined for amputation. Two cases are reported. The first patient had a thumb reconstruction with transfer of the index finger. The second one had metacarpal reconstruction with little finger structures. Both patients resumed previous occupation.

Adult↗

[Treatment of intraarticular finger fractures with the help of the traction system of "pins and rubbers" according to Y. Suzuki].

The results of treatment of intraarticular finger fractures by means of Y. Suzuki's pins and rubbers traction system are presented. The system consists of 2-3 thin K-wires and 2 rubber bands, is easy to assemble, effective, and less clumsy then the ones applied previously. It also allows for the reduction of palmar displacement of bony fragments. Sixteen intraarticular fractures have been treated. The average total range of motion of the injured PIP joint was 82 degrees at the average follow-up of 8.5 months.

Adolescent↗

[Treatment of complex fractures within the hand with external fixation].

External fixation with the use of bone cement was employed in treatment for 22 metacarpal and phalangeal fractures in 18 patients. Open fractures prevailed (70%). A frame or "V" construction was used. Metal implants were connected with balls of bone cement. The average hand function loss in cases of metacarpal fractures associated with nerves and tendons lesion was 25%.

Adolescent↗

[Finger lengthening by the modified Gillies method].

Four thumbs and six fingers in 7 patients were lengthened by inserting bone graft harvested from the iliac crest into divided stump of proximal phalanx or first metacarpal. All grafts healed without complications. The operation is indicated in patients who do not accept toe-to-hand procedure. No signs of graft resorption were observed during follow-up.

Adolescent↗

Recurrent primary well-differentiated intrascrotal liposarcoma: case report and review of the literature.

Lipoma-like liposarcomas of the scrotal wall are very rarely reported neoplasms in the surgical and histopathological literature. We treated a well-differentiated liposarcoma of the inside wall of the scrotum in a 62-year-old man. Following local excision, the tumor recurred after three months, and a funiculoorchidectomy was performed. Today, 24 months following secondary surgery, the patient is completely asymptomatic and there is no evidence of tumor recurrence either on physical examination, ultrasonography or abdominal and pelvic computed tomography. In this paper we present the case and a review of the relevant literature.

Genital Neoplasms, Male↗