Lindegeertsen5670

In 1968 the first 'technically proper' transiliac osteotomy was performed and then described in 1969. In 1974, Dega emphasized that both the outer and inner iliac walls should be osteotomized in the transiliac osteotomy.

The political situation of the 1950s and the 1960s made it difficult to freely exchange views and clinical experiences between the Western and Eastern political camps. Despite this, Wiktor Dega became a precursor of effective surgical treatment in DDH worldwide.

The political situation of the 1950s and the 1960s made it difficult to freely exchange views and clinical experiences between the Western and Eastern political camps. Despite this, Wiktor Dega became a precursor of effective surgical treatment in DDH worldwide.There is no uniform standard of treatment for patients with hip fusion and accompanying symptomatic osteoarthritis of the ipsilateral knee. Fusion takedown is associated with an increased risk of complications, and often the results are not satisfactory for patients. Therefore, each case should be considered individually. We present a case report regarding a 70-year-old patient with hip fusion as a result of tuberculosis at a young age who underwent hip fusion takedown with total hip arthroplasty followed by total knee arthroplasty as a second step. The 70-year-old patient with end-stage renal failure and hip fusion as a complication of tuberculosis in adolescence complained of increasing pain in the left knee. After taking into account his comorbidities and discussing with the patient possible treatment options and their limitations, he was qualified for 2-step surgery involving hip replacement and total knee replacement spaced 5 months apart. At the last follow-up visit the patient did not report any pain, with a hip joint mobility of 110° flexion and -10° extension and internal and external rotation of 35° each. The range of knee flexion was 110°. On a VAS scale, the patient's quality of life was rated 85/100 vs. Tertiapin-Q nmr 30/100 preoperatively. In patients with hip fusion, satisfactory results can be achieved with 2-stage hip and knee replacement, even despite significant co-morbidities. However, this requires careful intraoperative planning and management of patient expectations.This paper presents an alternative method of surgical treatment in patients with late-diagnosed knee dislocation. The treatment involves anterior cruciate ligament reconstruction with an autogenic graft and the use of synthetic Fibertape bracing to ensure normal medial structure healing. The paper includes case presentation, indications for use, a description of the surgical technique and conclusions.

The paper presents a treatment algorithm for supracondylar humeral fractures in children, involving temporary use of skeletal traction following failure of primary closed reduction and percutaneous fixation (CRPF) and introducing closed reduction after management by skeletal traction. The aim of this study was to assess the outcomes of supracondylar humerus fracture treatment performed according to the algorithm.

The treatment was performed in 149 children (70 girls, 79 boys) with extension-type supracondylar humeral fractures. The study group was assessed with regard to a modified Gartland classification, neurological complications (12 children, 8%) and vascular complications (8 children, 5.4%). A total of 124 (83.2%) patients underwent emergency CRPF and 24 children (16.1%) received skeletal traction after a failed CRPF. After 2-6 days, an elective repeat CRPF procedure was attempted, which was successful in 17 children. The attempt failed in the other 7 children, who received traction and underwent opeeduction and percutaneous K wire fixation procedure. 3. The algorithm used in clinical practice, based on literature reports and the author's experience, helps achieve good treatment outcomes.

1. X-ray-guided closed reduction and percutaneous K wire fixation is a method of choice in the treatment of displaced supracondylar humeral fractures in children. If closed reduction fails, the surgeon is faced with a choice between primary open reduction and the use of direct traction through the olecranon. 2. The use of skeletal traction following failure of primary emergency CRPF results in local improvement in the fracture region and allows for scheduling an elective repeat delayed closed reduction and percutaneous K wire fixation procedure. 3. The algorithm used in clinical practice, based on literature reports and the author's experience, helps achieve good treatment outcomes.

Base of the thumb osteoarthritis (OA) represents a challenge to clinicians due to limited efficient treatment options. Local injection treatment is a good choice for its low systemic side effects and rapid improvement. We conducted our study to compare the effectiveness of Platelet-Rich Plasma (PRP) versus hyaluronic acid injection (HA) versus corticosteroids in thumb carpometacarpal(CMC) joint osteoarthritis based on clinical and functional outcome measures.

45 patients with thumb CMC OA, assessed by palpation for joint tenderness grading, Provocative tests (Grind test and Lever test), VAS for pain, AUSCAN score for hand function, grip and pinch strength. Patients were randomly divided into three equal groups, Group 1 received an intra-articular PRP injection. Group 2 received an HA injection, and Group 3 a corticosteroid injection. Re-evaluation was done at 4 and 12 weeks.

All groups showed a significant improvement after 4 weeks regarding VAS, tenderness grading, AUSCAN score, grip and pinch strengthto show how long the effect will last with HA.

The objective of this study was to determine whether individuals with hip osteoarthritis who undergo THA have higher HRQOL scores than those awaiting the procedure; An additional aim was to investigate associated factors exerting an impact on HRQOL.

A cross-sectional study was conducted. Participants were divided into two groups pre-THA and post-THA. Functional capacity was assessed using the Harris Hip Score, and HRQOL was measured using a validated and adapted version of the WOMAC questionnaire. A multivariate analysis of the WOMAC results was used to identify the main variables associated with HRQOL in both groups.

The post-THA group had higher HRQOL scores (100.4 ± 88.5) than the pre-THA group (197.8 ± 54.1). The domains Pain (68.0 ± 19.0 versus 34.7 ± 30.8), Stiffness (61.2 ± 28.9 versus 29.9 ± 33.1), and Phy-sical Act--vity (68.6 ± 16.1 versus 36.6 ± 30.2) also had higher scores in the post-THA group. Pain was the variable most frequently associated with the increase in post-THA HRQOL scores. Other variables such as occupation, time of diagnosis, joint function, and body weight also had an impact on the HRQOL of both groups.