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Biomedical subjects

Jarosław Fabiś

Publications and source records attributed to Jarosław Fabiś.

5 recordsLinked to original sources

[Long-term results of using Pyrost in orthopedic operations--our own observations].

Based on clinical material of 21 patients age from 9 to 67 years (average 32.8 years) at whom bone defects were supplemented by Pyrost our own observations were presented. Only Pyrost was used in 10 cases, in 9 cases it was used together with homogenous bone grafts and in 2 with autogenous bone grafts. The indications for using Pyrost were following: non union in 9 cases, realloplasty of the hip in 5, after tumour bone resection in 5, inflammation of bone in 1 and supplementation after augenous bone grafting in 1. Analysis of medical documentation and control examinations of 16 patients with follow-up 11.8 years shown good patients' tolerance of Pyrost and absence of locally and generally unuseful reactions. First signs of osteogenesis were observed after 6 weeks. Successive evaluations shown rebuilding of bone to the end of it. Long term results confirmed whole rebuildings of Pyrost to the bone tissue and absence of resorption of Pyrost, without weakness of bone structure. Non-satisfactory results were observed in 3 cases: no consolidations of 2 non unions and 1 septic failed hip realloplasty.

Adolescent↗

[Double recurrent humerus osteochondroma].

This paper presents rare case of the double recurrent humerus osteochondroma in 18 years old man. Tumour was removed twice, in the age 5 and 10 years. In 18 years after tiny injury odoema and pain associated double, recurrent exostosis. Precise analysis of radiograms allowed diagnosis of infracture of one of exostosis and excluded malignant transformation. Whole tumour resection could patient's heal and make final diagnosis--double recurrent humerus osteochondroma.

Adolescent↗

[Local or regional anesthesia in knee arthroscopic surgery--patients satisfaction].

There is no doubt, that local anesthesia for knee arthroscopic surgery is rather simple, reliable, well tolerated, cost-effective and safe procedure acceptable also for one-day-surgery and outpatients. Patient's acceptance and satisfaction are behind those measurable data and could be predicted only after the question if the patients would prefer intraarticular analgesia when they should need to have another arthroscopy performed. The aim of the investigation was to compare this prediction with real patients feeling. Comparison was made between the types of anesthesia (regional, intraarticular) used for knee surgery, twice the same knee and patient. The retrospective data (mean 9 months after the last surgery) showed higher patients satisfaction (93.5%) with local anesthesia if compare with regional (2.6%) and femoral nerve block (3.9%).

Adult↗

[Operative treatment of Haglund's deformity].

The paper presents results of the operative treatment of 22 heel in 18 patients mostly young women from 13 to 31 years old (average 20.6) with Haglund's exostosis. Operative technique consisted in partial resection of the heel with removal of the Achilles bursa. The most valuable was radiological examination for the diagnosis and assessment operative results. The ultrasound examination was helpful of estimation of Achilles tendon and calcaneal bursa. Good results achieved in 16 patients (20 heel) with follow-up from 4 to 20 years (average 9.5). Unsatisfactory results in 2 patients was connected with inadequate bone resection.

Achilles Tendon↗

[Suprascapular nerve entrapment. A case report].

We present a case of a 35 year-old man, an office employee, who got ill when working hard building his own house. At the same time shoulder pain and fever occurred, the latter due to the tooth apical abscess. Several months later atrophy of the left supraspinatus and infraspinatus muscles was found. The imaging study (MRI, USG) did not show changes which might affect the suprascapular nerve. Electromyography of the left infraspinatus and supraspinatus muscles revealed fibrillation and positive sharp waves. Distal motor latency to the infraspinatus and supraspinatus muscles, examined by electroneurography, was normal. Mechanical irritation of the spinoglenoid notch is only one of possible mechanisms of the suprascpular nerve impairment in this case. The second is the inflammatory process. Suprascapular nerve impairment does not play an important role in pathogenesis of shoulder pain, but probably it is taken too rarely into consideration in differential diagnosis of shoulder pain.

Adult↗