Vascular complications after the treatment with Ilizarov external fixators.

Iatrogenic vascular injuries from external fixation in orthopaedics and traumatology are frequent. Three cases of vascular injuries after the treatment with Ilizarov external fixators were treated at our institution. These include two cases of pseudoaneurysms and one case of acute ischaemia of the lower limb. Two patients became symptomatic only after removal of the fixator. In all cases, the diagnosis was made by color flow duplex sonography. All vascular injuries needed surgical repair.

[The influence of osteotomy technique on distraction osteogenesis]. / Znaczenie sposobu przeciecia kosci w metodzie osteogenezy dystrakcyjnej.

The authors reviewed the clinical results of leg lengthening by distraction osteogenesis, where two different osteotomy techniques were used: classical corticotomy according to Ilizarov or osteoclasis. Evaluation of results of 64 patients were bases on orthopedic examination and detailed X-ray analysis which included criteria assessing osseous regeneration rate. In those cases where osteoclasis was performed bone formation in the distraction gap was faster than in after osteotomy. An accelerated rate of regenerate formation, as well as a more active regenerate remodelling was observed. This allowed to shorten the time of external fixator application and an earlier rehabilitation.

[Complications of distraction-compression osteogenesis and their prophylaxis--a clinical report]. / Niektóre aspekty powiklan osteogenezy dystrakcyjno-kompresyjnej oraz ich profilaktyka w swietle wlasnych doswiadczen klinicznych.

The authors present a historical overview of various classifications of distraction osteogenesis complications. Paley's classification as well as the authors' own classification also presented. Basing on the authors' own 10 year experiences with the Ilizarov method, selected complications at different stages of diagnostics, treatment and rehabilitation are presented. The most effective forms of prophylaxis are presented, with special attention given to the surgeon's own experience with the Ilizarov method.

[Evaluation of knee joint function after fracture of the patella]. / Ocena funkcji stawu kolanowego po zlamaniu rzepki.

Clinical assessment of the function of the knee joint after surgically and conservatively treated fracture of the patella was carried out. On the basis of C. Ranawat criteria it was found that regardless the method of treatment applied restriction of the joint function was expressed mainly by limited range of motion and by weakening of the knee extensors. The results of surgical and conservative management are similar. The best results of treatment for fracture of the patella were achieved in patients operated with the use of wire loop-cerclage.

[Radiologic analysis of the patello-femoral joint after treatment of patella fracture]. / Obraz radiologiczny stawu udowo-rzepkowe-go po leczeniu zlaman rzepki.

Anatomical condition and congruence of the patello-femoral joint after differently treated fracture of the patella was assessed on the basis of roentgenometric analysis of radiographs of 39 patients. The best situation was found in surgically treated cases with the use of the wire loop (cerclage), less favorable in patients managed conservatively and the worst in patients operated after Weber.