Search

Copyright of Psychiatry / Psychiatria is the property of VM Medica-VM Group (Via Medica) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

In this study, the authors assess the strength of proximal humerus fracture fixation using different methods. The strength, while pulling out the chosen single Kirschner wires implanted in porcine bone, has been examined. Tests concerning the strength of fixation with different types of implants have been carried out on prepared models. We observed the maximum strength of the bone-single wire coupling for Kirschner wires of a 2.5 mm diameter with 100 mm thread where mean was 2396 N (SD 345). The mean strength of the 4 wires fracture fixation for Kirschner wires of a 2.5 mm diameter with 100 mm thread was 736 N (SD 229) and was similar to Kirschner wires of a 2.5 mm diameter with 10 mm thread where mean was 709 H (SD 191). [ABSTRACT FROM AUTHOR]

Background: The growing popularity of arthroplasty results in an increase in the number of infectious complications. The clinical course of inflammation, silent initial symptoms of the disease and non-medical factors, such as poor public awareness and difficulty in finding specialist care, lead patients to postpone the decision about surgical intervention. This results in a state of imminent threat to health or life by endangering other organs of the body. The purpose of this study was to analyze extreme cases of vital organ damage due to infections following hip and knee replacement procedures., Material and Methods: Retrospective analysis of selected cases of life-threatening infectious complications resulting in vital organ damage (urinary tract, large vessels, cardiorespiratory system, etc.) treated at the Department of Orthopedics at the Center of Postgraduate Medical Education (CPME) over the past 12 years., Results: Establishment of an early diagnosis, and above all, confirmation of periprosthetic infection are extremely important. This allows for a biologically reasonable, early and radical management with the best possible treatment options and prevents the risk of life-threatening complications., Conclusions: Universal access to antibiotics, suppression rather than treatment of infections, silent and unusual course of septic joint loosening and the lack of sufficient awareness of the problem among physicians, contribute to the reoccurrence of such cases and cause significant treatment challenge. They require management at multidisciplinary centers specializing in such cases and rarely end successfully.