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Biomedical subjects

K Foldyna

Publications and source records attributed to K Foldyna.

6 recordsLinked to original sources
PubMed1989

[Personal experience with lower extremity lengthening].

The authors submit results of surgical treatment of unequal extremities in 10 patients. In nine cases by gradual distraction the affected lower extremity was extended, in one female patient the upper extremity. Ilizarov-type fixation devices proved useful. The maximum attainable increment is 8-9 cm, in the described group a prolongation by 2-8.5 cm was achieved, the mean period of distraction being three months. Up to 4 cm the distraction was made at a rate of 1 mm per day. When extending the leg by more than 4 cm, also the Achilles tendon must be extended and a tibiofibular syndesmosis by means of a screw must be made. Indications for surgical prolongation of the extremities must be carefully contemplated.

Adolescent↗
PubMed1989

[Use of Septopal in the treatment of bone infections].

The authors evaluate a group of 29 patients where they used during treatment of a bone infection gentamicin pellets--Septopal Merck. The mean age of the patients was 46.6 years (9-75 years) the mean duration of the symptoms of inflammation before operation was 20 months. The prerequisite of successful application of Septopal is radical surgical treatment of the site of infection and provision of high standard soft tissue covering and assessment of the sensitivity of the aetiological agent to gentamicin. The most frequent causal agent of infection was Staphylococcus aureus in 48.3% and in combination with Gram-negative rods in 34.5%. In infections of total prostheses of joints one of the pathogenic agents was also Staphylococcus epidermidis. Healing per primam was recorded in 41% per secundam in 28%, in general, treatment was successful in 69%. By application of Septopal high local bactericide concentrations of gentamicin can be achieved for three months without threatening the patient with toxic side effects--local or general. The authors recommend, however, to remove it after cca 8 weeks.

Adolescent↗