Wyniki wyszukiwania - BazTech

1

Kyphosis correction after vertebroplasty in osteoporotic vertebral compression fractures

Dragan Sz.F., Urbański W., Żywirski B., Krawczyk A., Kulej M., Dragan Sz.Ł.

Acta of Bioengineering and Biomechanics

|

2012

|

Vol. 14, no. 4

63-69

EN

Percutaneous vertebroplasty is a minimally invasive method of treating vertebral compression fractures aimed mainly at reduction of pain. It has been observed that fractured vertebral bodies filled in with cement might also influence the increase of their height and thus lead to reduction of post-traumatic spine kyphosis. The aim of the research was to assess the possibility of reducing the kyphotic deformation of operated spine through kyphosis measurement of vertebras adjacent to fracture. 24 patients underwent percutaneous vertebroplasty on account of compression fracture of 40 vertebral bodies in thoracic and lumbar regions. On digital x-ray spine images taken in patients before and after surgery the angle of kyphosis or lordosis of bodies above and below the fractured vertebra was measured with the use of the Cobb method. Vertebroplasty in the material examined caused reduction of kyphosis in 33 cases (80.48%) and correction by 5.78 degrees on average. No regularity was found either between the occurrence of correction (and its level) and operated spine region or between the possibility of kyphosis correction and time that passed between fracture and surgery.

2

Influence of cementless cup surface on stability and bone fixation 2 years after total hip arthroplasty

Urbański W., Krawczyk A., Dragan Sz.Ł., Kulej M., Dragan Sz.F.

Acta of Bioengineering and Biomechanics

|

2012

|

Vol. 14, no. 2

27-35

EN

Loss of fixation between bone and implant surface is one of the main treatment problems in total hip arthroplasty. It might lead to implant instability, bone loss and treatment failure resulting in revision surgery. Surface modification is a method for improving bone response to implant and increasing implant osseointegration. However, the currently applied modifications such as hydroxyapatite coatings do not meet expectation and do not provide good clinical result. The object of the study was to evaluate the influence of acetabular cup surface modification on fixation and bone remodelling in total hip arthroplasty. Clinical and radiological outcomes were evaluated in patients two years after cementless total hip replacement. Two groups were compared: patients with acetabular component with uncoated titanium surface and patients with hydroxyapatite-coated acetabular surface. Hips X-rays were analysed for early signs of losing stability of acetabular cups. Two years after surgery the analysis of X-rays did not reveal any statistical differences in stability, migration of acetabular components of endoprosthesis between both groups. No differences were also observed in bone remodelling around implants. Particularly high percentage of cups, i.e. 17.64%, were classified into the group with high risk of early implant loosening, i.e., the group with HA coatings. Hydroxyapatite coatings on titanium cementless acetabular cups implanted by press-fit technique have no influence on their stability, bone-implant fixation and the remodelling of bone surrounding an implant two years after surgery.

3

Influence of whiplash injury on cervical spine stability

Martynkiewicz J., Dragan Sz.F., Płocieniak K., Krawczyk A., Kulej M., Dragan Sz.Ł.

Acta of Bioengineering and Biomechanics

|

2011

|

Vol. 13, no. 4

59-63

EN

The aim of this study was to define the influence of whiplash injury on cervical spine stability. The study involved 72 patients who had suffered from sprain injury to cervical spine of 0(degree)-III(degree) according to QTF. To verify the results the authors examined the control group whose representatives have never suffered from any cervical spine injury and met all the exclusion criteria. Conventional plain radiographs in both groups showed three lateral views: maximum flexion, neutral (resting) position and maximum extension view. The results of image studies were subjected to roentgenometric analysis to find mechanical symptoms of instability according to radiological criteria: AADI, anterior translation and regional angulation. The authors demonstrated that there was no influence of whiplash injury on mechanical stability of cervical spine measured on radiograms in static-functional lateral views.