The development of early, biological concepts, techniques, and methods for joint reconstruction
Journal Title: Ortopedia Traumatologia Rehabilitacja - Year 2004, Vol 6, Issue 4
Abstract
This article describes the development of techniques for the surgical mobilization of ankylosed joints, with particular emphasis on „interposition material,” i.e. a substitute for the destroyed articular cartilage, used to present limitations of movement. In the 19th and 20th century, various different organic and non-organic materials were used experimentally as interposition material. The most commonly used tissue was fascia, but this was not fully satisfactory due its very low mechanical endurance. Research was then undertaken on using skin, given its resistance to pressure, better vascularization, and higher level of metabolic activity. The article describes one of the pioneering experiments, based on the observation of the first author, that under certain circumstances connective tissue cells undergo metaplasia into cartilage cells. The method of applying skin tissue in the place of the destroyed joint surface was successfully used in the past at the Orthopedics Clinic of the Cracow Academy of Medicine, under the direction of Prof. Juliusz Zaremba and his team. The research described here, conducted simultaneously in many places around the world, formed the foundation for our still growing knowledge in the area of multipotential human cells. It should be pointed out that after an initial period of fascination with joint endoprothesis, we are observing a return to biological methods, now based on genetic engineering.
Authors and Affiliations
Adam Pąchalski, Bogusław Frańczuk
Diastrophicdysplasia in a seven-year-old girl. Case report
Diastrophic dysplasia is a rare genetic disorder characterised by short limbs and deformities of several joints occurring in conjunction with abnormal spinal curvatures, impaired metacar pal modelling and socalled hitchh...
Various attitudes to the use of corrective exercises in conservative treatment of scoliosis
In acquired scoliosis, the degree of the curve is initially low and its type becomes apparent only after it has progressed. The characteristics of scoliosis include an abnormal spatial arrangement of individual body segm...
Trudności diagnostyczne w obrazowaniu sarkoidozy kości. Studium przypadków
Sarkoidoza to wielonarządowa choroba zapalna rzadko zajmująca układ mięśniowo-szkieletowy. Jedynie zmiany zlokalizowane w paliczkach rąk i stóp mają typowy obraz radiologiczny, poza tym kostna lokalizacja sarkoidozy stan...
Wznowa procesu gruźliczego po alloplastyce stawu biodrowego po 58 latach od pierwotnej infekcji
Streszczenie W pracy przedstawiono przypadek chorego, lat 73, po przebytej gruźlicy stawu biodrowego w dzieciństwie, u którego założono endoprotezę Exeter. Po 58 latach od pierwotnej infekcji a 9 latach po założeniu endo...
Małoinwazyjna całkowita protezoplastyka stawu biodrowego. Doświadczenia własne
StreszczenieWstępMniej inwazyjna alloplastyka biodra (MIS) jest próba zmniejszenia rozległości operacji.Cel pracyCelem pracy było przedstawienie protezoplastyki MIS oraz wczesnych własnych doświadczeń.Materiał i metodyW...