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Jerzy Sułko

Publications and source records attributed to Jerzy Sułko.

13 recordsLinked to original sources
PubMed2005

[Osteogenesis imperfecta--lower limb in osteogenesis imperfecta].

The author of this paper asses lower extremity in 141 children with osteogenesis imperfecta, treated in University Children Hospital in Krakow in years 1988-2002: number of fractures, presence of the deformation, radiological findings, possibility of walking. Only 3 from this group did not suffer from lower extremity long bone fractures. In remaining patients, the number of fractures was 4 on average with type I and IV, and 46 fractures in children with type III osteogenesis imperfecta in each patient. Perinatal fractures appeared in 26 children with type II or III oi. In remaining, first fracture happened at the age of 23 months on average. 21% of the children had never walked before, and the rest of them started pionisation at the age of 20 months on average. Lower extremities deformations appeared in 113 children (80%). We assessed typical deformity pattern, based on clinical and radiological findings: varisation of femur and antecurvation of the tibia. The movement limitations in hips or knees was found in 29 children. Radiological changes in growth cartilage, so-called "popcorn calcification" were found in 15 children with type III of osteogenesis imperfecta.

Female↗
PubMed2005

[Osteogenesis imperfecta--operative treatment on lower extremities in children with osteogenesis imperfecta].

The group of 141 children with osteogenesis imperfecta was treated in Orthopaedic Department of the University Children Hospital in Krakow, Poland. In 77 (54.6%) children from this group, we operated on lower extremities. Prophylactic operations, that were intramedullary Rush rodding, we performed in 19 cases (14 femurs and 11 tibias). Sofield-Millar procedures we performed in 58 children. We operated 321 times - there are 4 operations on average in one child. Average follow-up period was 6.7 years. We operated 473 long bones: 234 femurs and 239 tibias. We did 479 osteotomies. First operations were done at the age of 9 years on average (1.5-21 years). Further operations, 3 in each patient on average, we performed in period 37 months from one to another on tibias and 49 months on femurs. In all operated children we achieved full axis correction and their activity after operation improved. In order to assess that, we used the Bleck scale. In general, before operation, 54 (70%) children did not walk, and, in contrast, after operations 53 (69%) started walking. Operative treatment of the lower extremities in children with osteogenesis imperfecta improves their clinical physical abilities, quality of life and allows increase in activities.

Adolescent↗
PubMed2005

[Operative management of long-bone of the upper limb in children with osteogenesis imperfecta].

The authors present their own experiences in operative treatment of the upper extremities in 24 children with osteogenesis imperfecta (oi) among 141 treated in years 1988-2002, in whom 34 operations were performed. In one subgroup were children presented with bone fractures: olecranon six, humerus shaft five, lateral condyle of the humerus one, humerus supracondylar fracture one. In second subgroup included children with upper limb deformities following procedures were performed: correction of cubitus varus three, humerus osteoclasis two, dislocated radial head resection, forearm correction thirteen. Results after operative management of fractures were very satisfying for all the children--proper fracture healing, axis of the bones was straight and a full mobility of the joints was achieved. In second group: partial deformation recurrence after cubitus varus correction, good result on the one side and lack of correction an the other after humerus osteoclasis; bad result in terms of elbow mobility after radial head resection; good results (despite complicated healing and wires migration) in terms of axis correction after forearm bones osteotomies. Surgery of the upper limbs in osteogenesis imperfecta is very challenging but it is worth to perform, as it improves function.

Adolescent↗
PubMed2004

[Telangiectatic osteogenic sarcoma].

The authors treated 6 children with sarcoma telangiectaticum (SOT). Their average ages was 7.8 years (ranging from 4 to 15 years of age). In 3 children the tumor was located in the proximal epiphysis of the femur and in the remaining 3 cases in the distal epiphysis of the femur. Clinical symptoms were present on average 8.6 weeks (ranging from 2 to 20 weeks) before the final diagnosis was made. In 3 children the final diagnosis was made after performing 1 biopsy, while in the remaining 3 cases a second biopsy was required to confirm the diagnosis. All cases were given pre-op chemotherapy (Cisplatin, Adriablastine). In all cases quick growth of the tumor was noted and in all cases a pathological fracture occurred. In 2 children mutilating surgical procedures were performed, 1 child had an endoprosthesis implanted outside our facility and 1 child was treated for lung metastases. Two children are alive, but no information about their medical condition is available.

Adolescent↗
PubMed2004

[Metacarpophalangeal joint dislocation of the thumb in children].

This publication presents 7 children with traumatic dislocation of the thumb, treated in University Children's Hospital in Kraków between 1993-2002. The mean age during injury was 9 years, mean observation time 2 years. One child was operated, the others had non-operative treatment. All gained good result. The literature about this dislocation has been discussed in this paper.

Adolescent↗
PubMed2004

[Percutaneous tenotomy of achilles tendon in the treatment of congenital clubfeet--a preliminary report].

The authors present early results of conservative treatment in congenital clubfeet connected with the percutaneous tendon Achilles tenotomy in 10 children (16 feet). 9 feet were of type III and 7 of type IV according to the Dimeglio scale. Minimum follow up was 6 months, with an average follow up period of 10 months. All cut Achilles tendons regenerated completely. On follow up 9 feet were completely corrected, 5 presented with mild forefoot adduction and 2 feet required surgery because of recurrent equinovarus deformity. The authors claim that the percutaneous tendon Achilles tenotomy is a safe and valuable procedure which allows to avoid early surgery in 88% of clubfeet.

Achilles Tendon↗
PubMed2004

[Fractures of the proximal tibial epiphyseal cartilage].

The authors present 9 children who sustained 10 fractures of proximal tibial epiphyseal cartilage (7--left tibia, 3--right tibial), and were treated in Children's University Hospital in Kraków between years 1994-2001. Mean age in the time of trauma was 12.7 years (6-17 years), the mean follow-up time was 17.4 months (8-48 months). According to Salter-Harris classification there was 5 fractures of type I, 4 of type II, 1 of type III. One child was treated by closed reduction and percutaneous Kirschner wires fixation. One child was treated by traction. The rest of the children were treated by casting, in knee flexion about 30 degrees. In one child there was premature closing of epiphyseal cartilage, shortening 1.5 cm and posterior curvature of tibia. In this child we performed flexion tibial osteotomy. In one child few months later we recognized meniscal tears (the patient was operated on). The results in the rest of children were good and there were not complications. The authors discuss the literature connecting to proximal tibial epiphyseal fractures.

Adolescent↗
PubMed2004

[Osteogenesis imperfecta--upper limb in osteogenesis imperfecta].

The authors of this paper discuss upper extremity in children with osteogenesis imperfecta: fractures frequency, presence of the deformity, radiological data as well as ability to use the limb. Fractures of the upper extremity and shoulder ring occurred in 93 (66%) among 141 children with oi that were treated in the ward in years 1988-2002. Most of the fractures occurred in children with type III oi in Sillence classification, this was a group were deformities appeared most frequently. Generally, deformities were found in 33% of the children with oi. Typical arm deformity was posterior bending, in forearm dorsal bending. Varus elbow occurred often (11%). We found in the x-rays capitis radius dislocation (3.5%), interosseus membrane ossification (2.1%), pseudoarthrosis of the forearm bones (2.1%). The causes of the deformities and opportunities to prevent them were discussed.

Arm Injuries↗
PubMed2003

[Osteogenesis imperfecta].

The paper describes patients with osteogenesis imperfecta (oi). It gives the causes of oi, shows types according to Sillence. Discuss clinical and radiological appearance of the patients. It provides the latest information about rehabilitation and surgical treatment (multilevel osteotomies and rodding), and supplementation of osteoporosis connecting with oi.

Child↗
PubMed2003

[Hyperplastic callus formation in patients with osteogenesis imperfecta].

The paper present a child with osteogenesis imperfecta in whom hyperplastic callus formation after a femur fracture and also after an osteotomy with intramedullary nailing of the tibia. An overview of available literature, with special attention given to differentiation with a malignant neoplasm is also presented.

Adolescent↗
PubMed2002

[Fibroma chondromyxoides in two children--a case study].

The authors present the results of treatment of 2 cases of fibroma chondromyxoides in children. In Polish orthopaedic literature only 2 other cases have been presented. The first case--a 13-year-old boy--was referred to our centre because of a recurrent tumour in the 1st metatarsal bone and surrounding soft tissues. The boy had received treatment 3 years earlier outside our centre, where curettage of the tumour was performed. The bone cavity was then filled with bone grafts. The tumour was removed again and autogenous bone grafts were applied. On follow-up 7 years after surgery no recurrence was noted, along with full remodelling of the bone grafts. The second case was a 9-year-old child. The tumour was localised in the proximal phalanx of the thumb. During curettage and application of autogenous bone grafts for the tibia, transplantation of the tumour site occurred to the donor site. Two years after surgery tumour recurrence was observed. A re-operation was performed, with complete resection of the basal phalanx, with a fibular graft implantation. The tumour in the tibia was also removed. Two and a half years after surgery both tumour sites remain free of signs of recurrence.

Adolescent↗
PubMed2002

[Treatment of aneurysmal bone cyst].

The authors present the results of surgical treatment of 16 cases of aneurysmal bone cyst between 1998 and 2000. Age of patients at the onset of symptoms ranged from 5 to 15 years (average 11.3 years). In 12 cases the cysts were aggressive, and in 5 cases they were active (according to the capanne classification). In 12 cases the characteristic lining of the cyst was removed, curettage was performed and bone grafts were inserted into the bone cavity. In 3 cases autografts were used, in 2 cases both allografts and autografts were used, and in 7 cases only allografts were applied. Two cysts of the fibula were removed en-bloc, a cyst located in the scapule was treated with radiotherapy. In 15 cases the cyst was successfully managed surgically. While in 1 case a revision procedure was performed.

Adolescent↗