Biomedical subjects

M Haspl

Publications and source records attributed to M Haspl.

21 records · Page 2Linked to original sources

PubMedDate not supplied

[Arthroscopy as a diagnostic and surgical method].

The use of the arthroscopic technique has dramatically changed and still does the orthopedic surgery. Arthroscopy has developed as a diagnostic method, particularly in the knee joint. In 1970 the era of surgical arthroscopic procedure has begun, again on the knee joint. The possibilities of surgical arthroscopies of the knee are best described by L. L. Johnson when he said for fun, but today almost true, that practically all surgeries except that of the knee endoprosthesis may be done by means of arthroscopy or, if performed together with it, are much more better. Following arthroscopy in the knee, arthroscopies of other joints of the human body have developed in the same way, first the diagnostic and then the surgical one. Today, arthroscopy is being used even in the temporomandibular joint and those of the spine. However, arthroscopy is currently most usually applied in the knee, shoulder, elbow and upper leg joints. Although arthroscopy means in the literal sense looking into the joints, today it is not limited only to joints. We shall mention arthroscopy of the carpal canal of wrist. With the development of MRI the use of diagnostic arthroscopy will be certainly reduced, but the surgical arthroscopy will be subjected to further developments. The authors report on the experience of the Department of Orthopedics, Medical School University of Zagreb in applying diagnostic and surgical arthroscopies, stressing the basic understandings being significant for general practitioners.

Arthroscopy↗

PubMedDate not supplied

[Uncemented endoprosthesis in a female patient with chronic juvenile monoarthritis of the knee (case report)].

A case report of an 18 year-old female patient with juvenile rheumatoid monoarthritis (JRA) of the knee joint, whose treatment the authors have been following up during the last 14 years is presented. Previously known and reported difficulties and complications in the diagnosis of chronic juvenile rheumatoid monoarthritis are related with special reference to a specific case, a female patient in whose case the correct diagnosis and adequate treatment was begun three years after the first onset of symptoms. At the age of 15, the patient developed knee ankylosis of 20 degrees in flexion. Following this dezarthrodesis of the knee joint, cementless total knee arthroplasty was performed. The postoperative results are very encouraging, the knee joint is stable, the passive range of movement is 5/90 degrees, while the active range of motion is 10/80 degrees. Total knee arthroplasty helped to correct the previously present inegality of the lower extremities, while the problem of an exceptionally thick patella was resolved by coronary (frontal) osteotomy of the patella. The presented case once again confirms that in selected JRA patients cementless knee arthroplasty can achieve excellent results.

Adolescent↗

PubMedDate not supplied

[Treatment of gonarthrosis with arthroscopic abrasion].

From 1988 to 1992 at the Department of orthopaedic surgery, School of medicine, University of Zagreb 21 arthroscopic knee joint abrasions were performed as palliative treatment of osteoarthritis. There were 13 male patients (61.9%) and eight female patients (38.1%); the age of the patients ranged from 17 to 69 years (the average of 42.2 years). The femorotibial angle ranged from -2 to 10 degrees (the average of 5.3 degrees). The average degree of osteoarthritis was 2.1 and of chondromalacia 3.5 degrees. In the majority of cases the abrasion was performed in the medial femoral condyle and the patella; in a smaller number of cases it was performed in the medial tibial condyle, and in the lateral tibial condyle in only one patient. Also, debridement was performed in most of the patients; in four patients cleansing of the medial menisci was made, while in two patients loose joint bodies had to be removed. The average follow-up time was 2.8 years, ranging from 12 months to 5 years. According to HSS score, treatment results were excellent and very good in 15 patients (71.4%), satisfactory in four patients (19.0%) and poor in two patients (9.5%). The authors conclude that the arthroscopic abrasion is good, non-invasive palliative method of treatment of primary knee osteoarthritis. The arthroscopic abrasion method yields good short-term results (from 2 to 5 years) in view of reducing pain and improving joint function.

Adolescent↗