Biomedical subjects
Publications and source records attributed to R S Grabski.
Three females with syringomyelia and atrophic shoulder arthropathy, in one patient associated also with hypertrophic elbow arthropathy and Morvan syndrome have been presented. Despite long duration and apparent symptoms the condition has been diagnosed only during hospitalization.
A case of patient with osteosarcoma of the tibia resected by the Gruca method who survived 37 years is presented. In spite of the neoplastic recurrence (resected anatomically), long-lasting osteomyelitis, pathological fracture and increasing stiffness of the knee joint the patient has managed to carry out his life plans. This proves the Gruca method to be valuable although being presently replaced by polyvalent chemotherapy.
Two farmers with post-traumatic dorsal dislocation of the navicular have been presented. Because of the compression of the vessels, nerves and tendons the navicular has been resected in one case. Flat foot has developed in both instances. No increase in adduction of the forefoot has been observed.
A case of 49 years old cattle farm employee who developed intermediate cuneiform osteitis after stabbing the dorsum of the foot with a tool. The bone became entirely necrotic and has been removed surgically. An instillation combined with local and systemic antibiotic therapy resulted in cure. After 3.5 years of follow-up neither static nor dynamic disabilities of the foot have been found.
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Forty-seven patients with 53 cysts around the knee were treated from 1984 to 1986. Five cases of unusual pathology and various etiology have been briefly presented. At the initial period of treatment certain diagnostic problems occurred. The value of clinical examination, arthrography, ultrasound, CT, and pathological examination of the specimen were underlined.
A slow, lasting for several hours method for reduction of central dislocation of the hip with the use of bidirectional traction, with Rush pin introduced in the trochanter major and Steinmann pin in supracondylar area, with 18 degrees of the lateral tilt of the bed, with standard upper frame of Gruca bed mounted laterally and great traction force against the hip is presented. The universal Gruca splint was employed in the after-treatment. In 12 patients with grade II and III central dislocation of the hip excellent early anatomical and functional results were achieved.
A case of 35 years old patient with open, total, fixed dislocation of the talus reduced with heel traction is presented. The Sudeck syndrome subsided after one year. Weight bearing was not allowed for 7 months. An examination after 2.5 years revealed minor osteoarthritis, full range of movement in the foot but limited walking capability.
A 36-year-old man is described with idiopathic emphysema of the mediastium, neck, subcutaneous tissue of the chest and abdomen followed by pneumatosis cystoides of the intestine, mesentery, greater omentum and peritoneum with good outcome.
Thirty-three Meckel's diverticula were found intraoperatively and 31 were removed for various indications. One patient died. The management was justified in the light of own experiences and literature data on the pathological changes in the diverticulum and complications caused by them. Even large and broad-based diverticula should be removed in emergency situations, if no special or temporary contraindications are present.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.