PubMed Health⌕ Search

Biomedical subjects

R Kocieba

Publications and source records attributed to R Kocieba.

8 recordsLinked to original sources
PubMed2000

[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↗
PubMed2000

[Tests for evaluating various methods of bone fixation in digital replantation].

Clinical results comparing different methods of bony fixation in 50 replanted digits in a series of 41 patients over a 13 year period are presented. The analysis was restricted only to replantantions involving sharp amputations of the proximal phalanx in order to restrict this study to a relatively homogenous group of patients. Evaluated techniques included: single and crossed Kirschner wire, intraosseous wire with or without Kirschner wire support, intramedullary splintage and intramedullary screws. Angulation deformities and delayed union were most common in cases treated with Kirschner wire technique. Nonunion was noted in 1 case (2%) stabilized with a single Kirschner wire. Angulation deformities were noted in 6 cases (12%). No such complications were noted in cases treated with intramedullary splintage and intramedullary screws. The best stabilizing effect and the most rapid union was noted in cases treated with intramedullary screws.

Adolescent↗
PubMed1999

[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↗
PubMed1997

[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↗