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Tomasz Jacek Zwierzchowski

Publications and source records attributed to Tomasz Jacek Zwierzchowski.

4 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↗

[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↗

[Effect of femoral shaft fracture for growth of the lower extremity in children].

On the material of 15 children aged from 1.5 to 15 years (mean 6.6), who were treated conservatively the influence of fracture of the femoral shaft for growth of the lower extremity was assessed. In the follow-up from 1 to 14 years (mean 6.2) 2 patients had shortened of the fractured limb 5 mm, 5 patients had equal extremity and 8 had lengthened limb from 5 mm to 15 mm, at the same time 6 had overgrowth 10 mm and more. The overgrowth of the limb was observed only within of the femur, the legs were equal in every case. The overgrowth was remarked in the cases of spiral fracture with overriding, in fracture of the opposite site to dominant hand, in boys and in the cases which were treated by direct traction.

Case-Control Studies↗