Tag: Jerzy Widuchowski

Total knee arthroplasty: surgical treatment for patients with advanced diseases and extensive deformation of the knee

Jerzy Widuchowski, Damian Kusz, Wojciech Widuchowski, Adam Pierzchała

Jerzy Widuchowski, Damian Kusz, Wojciech Widuchowski, Adam Pierzchała – Total knee arthroplasty: surgical treatment for patients with advanced diseases and extensive deformation of the knee. Fizjoterapia Polska 2004; 4(4); 403-410

Abstract

Total knee arthroplasty has become a common surgical intervention in cases of widespread deformation of the knee joint due to the progress of arthritis or rheumatoid arthritis, and is now considered the method of choice for these patients. TKA is based on removing the destroyed parts of the knee and replacing them with new metal or plastic elements. It is commonly stated that TKA is a process of replacing an old destroyed joint with a new artificial one. In the present study, the authors show the types of knee prostheses and how they are installed. Emphasis is placed on the rules for prosthesis selection in relation to the level of the knee joint disease, especially the level of the destruction of anatomical structures. The authors also present the indications for surgical intervention, as well as preoperative procedures.

Key words:
total knee replacement, arthritis of the knee, rheumatoid arthritis of the knee
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Rehabilitation after total knee arthroplasty: a vital element in comprehensive management

Wojciech Widuchowski, Karol Szyluk, Grzegorz Kwiatkowski, Jerzy Widuchowski, Andrzej Czamara

Wojciech Widuchowski, Karol Szyluk, Grzegorz Kwiatkowski, Jerzy Widuchowski, Andrzej Czamara – Rehabilitation after total knee arthroplasty: a vital element in comprehensive management. Fizjoterapia Polska 2004; 4(4); 396-402

Abstract

A good outcome after arthroplasty depends on proper determination of the indications for surgery, good operative technique, and – especially important – proper postoperative treatment and medical rehabilitation. The aim of medical rehabilitation is to restore mobility to the highest possible degree and recover full muscular control of the operated knee: in other words, to restore normal static and dynamic function of the joint and the entire leg. This study presents a model of postoperative management and rehabilitation after total knee arthroplasty, based on a review of the current literature and the authors’ own clinical experience with 753 arthroplasties performed in 665 patients during the period 1996-2003.

Key words:
post-operative management, static function of the knee joint, dynamic function of the knee joint
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Changes in floor reaction force while ascending and descending steps in patients undergoing physiotherapy after surgical repair of articular cartilage in the knee

Andrzej Czamara, Jerzy Widuchowski, Wojciech Widuchowski

Andrzej Czamara, Jerzy Widuchowski, Wojciech Widuchowski – Changes in floor reaction force while ascending and descending steps in patients undergoing physiotherapy after surgical repair of articular cartilage in the knee. Fizjoterapia Polska 2004; 4(4); 337-344

Abstract

Background. The goal of our research was to evaluate changes in vertical floor reaction force (N) in lower limbs of patients between the 14th and 18th week of physiotherapy after selected operations to surgically repair articular cartilage in the knee. Material and methods. We examined 55 persons, 25 of whom were recovering from surgical repair of articular cartilage in the knee. The subjects, divided into 4 groups, were examined on MTD-Balance tensometric platforms while ascending and descending steps (19 cm per step). We examined the changes in the vertical floor reaction force (N) in the operated and healthy limbs. The results obtained between the 14th and 18th weeks of physiotherapy were compared to those of persons without damage to cartilage. Results and conclusions. While ascending stairs, the patients and healthy controls showed a 20-28% increase in floor reaction force in comparison to standing on one leg. While descending, both the patients and the healthy controls showed 80-90% increases. The results were roughly similar and no statistically significant differences were observed.

Key words:
tensometric platform, weight bearing, isometric exercises, electrostimulation
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Knee injuriess and their sequelae: epidemiology, pathomechanism and classification schemes

Jerzy Widuchowski, Wojciech Widuchowski

Jerzy Widuchowski, Wojciech Widuchowski – Knee injuriess and their sequelae: epidemiology, pathomechanism and classification schemes. Fizjoterapia Polska 2004; 4(4); 307-315

Abstract

Traumatic injuries of the knee joint account for 15-30% of all bodily injuries. They occur in persons of all ages, but are especially prevalent in training for various kinds of sports activities. The present study, based on a review of the literature and the authors’ own experience and clinical material, describes the epidemiology and pathomechanism of knee injuries, and the prevailing classification schemes. 12,042 patients with injuries and diseases of the knee were treated by the authors’ unit in the years 1991-2001. The reasons for hospitalization in these patients were as follows: acute injuries, 18.1%; overuse injuries, 62.5%; diseases, 19.4%. The mechanism of injuries is usually complex. Injuries and damage can involve structures inside and outside of the knee. The most frequent mechanism of injury of the knee begins with a rotating movement above a stabilized foot with abnormal flexion of the knee, and the most frequent acute injury is dislocation.

Key words:
Sports Medicine, overuse injuries of the knee, dislocation of the knee
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Injuries and diseases of the knee joint – diagnostic evaluation

Jerzy Widuchowski, Wojciech Widuchowski

Jerzy Widuchowski, Wojciech Widuchowski – Injuries and diseases of the knee joint – diagnostic evaluation. Fizjoterapia Polska 2004; 4(4); 297-306

Abstract

In traumatic injuries and diseases of the knee joint establishing a correct diagnosis is a very important part of therapeutic management. In many cases it is not easy. The reason for this is the possibility of simultaneous injury of many different anatomical joint structures, and as a result the occurrence of clinical symptoms that vary in intensity and often overlap. In diagnostic procedures, the most important task is to establish which of the anatomical structures has been damaged as a result of acute or chronic trauma, and how extensive the loss of joint function actually is. Making a correct diagnosis in acute traumatic injuries of the knee should be done as quickly as possible. The present study contains an outline of diagnostic evaluation in traumatic injuries and diseases of the knee joint. Each part of this outline is fully discussed.

Key words:
knee joint, diagnosis, injury
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Physiotherapeutic aspect of facial nerve function recovery after cerebellopontine angle tumour surgery

Sebastian Szajkowski, Stanisław Kwiek, Krzysztof Suszyński, Wojciech Ślusarczyk, Hanna Doleżych, Monika Buczma, Jerzy Widuchowski, Piotr Bażowski

Sebastian Szajkowski, Stanisław Kwiek, Krzysztof Suszyński, Wojciech Ślusarczyk, Hanna Doleżych, Monika Buczma, Jerzy Widuchowski, Piotr Bażowski – Physiotherapeutic aspect of facial nerve function recovery after cerebellopontine angle tumour surgery. Fizjoterapia Polska 2007; 7(4); 419-424

Abstract
Background. Facial nerve is particularly susceptible to damage in the course of cerebellopontine angle tumour surgery. For several years neurosurgeons from the Neurosurgery Department in Katowice have been able to preserve anatomical continuity of this nerve during surgery in almost all patients. However, we have observed various degrees of facial nerve paresis and rarely paralysis in the early post-operative period. These problems prompted us to investigate if rehabilitation can significantly influence long-term functional outcomes in regard to the facial nerve. Material and methods. The study group consisted of 133 patients operated for cerebellopontine angle tumours at the 1st Department of Neurosurgery, Silesian Medical University in Katowice, between 1990 and 2006. The House-Brackman scale was used for evaluation of facial nerve function in all patients. A period of 18 months after surgery was chosen as the time of final clinical assessment. Results. The study showed that rehabilitation has a statistically significant beneficial effect on long-tern assessment of facial nerve function. At the same time, tumour size and type significantly affected facial nerve function both in the early post-operative period and in long-term assessment. Conclusions. Early rehabilitation results in better long-term therapeutic outcomes. Intraoperative monitoring contributes to reducing the incidence of functional impairment of the facial nerve.
Key words:
facial nerve, intraoperative monitoring, rehabilitation, cerebellopontine angle tumour
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