{"id":1280,"date":"2023-12-15T21:32:29","date_gmt":"2023-12-15T21:32:29","guid":{"rendered":"https:\/\/olszewskipawel.pl\/?p=1280"},"modified":"2025-05-05T09:17:33","modified_gmt":"2025-05-05T09:17:33","slug":"innowacyjna-operacja-zlamanej-kosci-udowej","status":"publish","type":"post","link":"https:\/\/olszewskipawel.pl\/en\/innowacyjna-operacja-zlamanej-kosci-udowej\/","title":{"rendered":"Innovative Surgery for a Fractured Femur"},"content":{"rendered":"
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Ms. Alina Za\u0142oga from near Zamo\u015b\u0107 lived with a fractured femur for two years. She could barely walk. During that time, she was unable to find a specialist to help her. She finally received assistance at the Orthopedics Clinic of the University Clinical Hospital in Bia\u0142ystok. She has already undergone surgery to replace two joints and the entire femur (!). Two days after the surgery, with the help of crutches, she took several steps independently. On Saturday, she happily returned home.<\/div>\n<\/div>\n
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Doctors acknowledge that this is an unusual surgery.<\/div>\n
\u201cWe performed a procedure that few centers in Poland carry out,\u201d admits Dr. Pawe\u0142 Olszewski from the Clinic of Orthopedics, Traumatology, and Hand Surgery, who was the lead surgeon. \u201cIt was a simultaneous replacement of the hip and knee joints along with the implantation of a femoral bone implant.\u201d<\/div>\n
The doctors carefully dissected and removed the damaged femur and replaced it with an artificial titanium bone. They also replaced the hip and knee joint prostheses. Such solutions are usually proposed to cancer patients with large bone defects. In this case, a special system working on a \"block\" principle was used. The surgeons select individual components to replicate the natural joints and bones. The operation lasted 3.5 hours and was performed by four surgeons.<\/div>\n
The Bia\u0142ystok clinic aims to expand the range of performed surgeries.<\/div>\n
\u201cWe are expanding the range of our surgeries,\u201d admits Dr. Jan Kiryluk, head physician of the Orthopedics Clinic at the University Clinical Hospital in Bia\u0142ystok. \u201cThis year, we will perform about 900 joint replacements of the hip, knee, and shoulder, including over 80 revision replacements. This is more than double the number of replacement surgeries compared to the previous year. We are starting to implant so-called \u2018individually 3D-printed\u2019 prostheses used for patients with significant bone tissue destruction. For these patients, we first fill the bone tissue defect with a 3D-printed element and then implant the prosthesis. From next year, we plan to implant prostheses with robotic assistant support. Starting January 2024, we will begin replantation shifts as part of the nationwide replantation system. The surgeries performed and therapeutic outcomes encouraged us to introduce similar procedures for oncology patients within our clinic. Therefore, we will be implanting post-resection prostheses.\u201d<\/div>\n
Ms. Alina\u2019s medical history is extensive. She is 64 years old. As a child, she had undiagnosed and untreated hip dysplasia. This resulted in her having to undergo hip replacement surgery in her right leg at age 32 in Krak\u00f3w, and a year and a half later in her left leg. Two years later, a revision surgery was necessary. Fortunately, the following 20 years passed without complications or problems.\n\nAt age 52, Ms. Alina had to replace both prostheses, which had worn out. She was admitted to a hospital in Jan\u00f3w Lubelski. Unfortunately, during the prosthesis replacement surgery, her femur fractured. The doctors repaired and joined the bone as best as they could. Ms. Janina (likely a typo for Alina) spent six weeks with her leg in a cast. In the following years, she functioned moderately well but had to use crutches.\n\nTwo years ago, her condition suddenly worsened\u2014she couldn\u2019t stand on her leg because it was unstable. It turned out the femur had fractured again, causing severe pain. This started her journey through hospitals. First, she was admitted to Jan\u00f3w Lubelski, then referred to Lublin. In Lublin, doctors planned surgery twice but discharged her twice without operating.\n\nMs. Alina\u2019s daughter began seeking help online. This is how Ms. Alina came to Dr. Pawe\u0142 Olszewski\u2019s office in Warsaw.<\/div>\n
\u201cI heard from the doctor that there is a department in Pozna\u0144 specializing in such reconstructions,\u201d Ms. Alina recalls. \u201cAnd the doctor referred me there. I went for a visit, but it turned out the department was being closed.\u201d<\/div>\n
Then the woman sought help at Mi\u0119dzylesie. She was promised surgery, but for six months no date was set.<\/div>\n
\u201cI had already lost hope. I was suffering and couldn\u2019t walk. My daughter started writing to all investigative programs in Poland: from \u2018Uwagi\u2019 to \u2018Alarm\u2019 and \u2018Interwencja.\u2019 But no one took an interest in my case,\u201d she admits.<\/div>\n
Then she called Dr. Olszewski again, asking for help.<\/div>\n
\u201cI didn\u2019t believe it, but a few days later, I got a call from the hospital in Bia\u0142ystok with a scheduled date,\u201d she says. \u201cAnd now I\u2019ve had the surgery. I feel great. I can even walk with crutches. I\u2019m so happy and want to shout to the whole world about the help I received here.\u201d<\/div>\n
The woman faces rehabilitation and learning to walk again. In some time, she will also need surgery on her other leg.<\/div>\n
The Bia\u0142ystok center is already a leading prosthesis center in the region and has the potential to become a referral center for revision joint replacement surgeries throughout the entire northeastern Poland region.<\/div>\n
\u201cWe have a good chance of performing over 50 revision joint replacements for patients referred from outside the center, which, according to NFZ rules, results in a higher reimbursement rate in the next billing period,\u201d admits Dr. Jan Kiryluk, head physician of the Orthopedics Clinic.<\/div>\n<\/div>\n
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The photos illustrating this post are used with the patient\u2019s consent.<\/div>\n<\/div>\n

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Pani Alina Za\u0142oga spod Zamo\u015bcia dwa lata \u017cy\u0142a ze z\u0142aman\u0105 ko\u015bci\u0105 udow\u0105. Praktycznie nie mog\u0142a chodzi\u0107. W tym czasie nie uda\u0142o si\u0119 jej znale\u017a\u0107 specjalisty, kt\u00f3ry by jej pom\u00f3g\u0142. Pomoc otrzyma\u0142a dopiero w Klinice Ortopedii szpitala USK w Bia\u0142ymstoku. Jest ju\u017c po operacji wymiany dw\u00f3ch staw\u00f3w i ca\u0142ej ko\u015bci udowej (!). Dwa dni po operacji, […]<\/p>\n","protected":false},"author":4,"featured_media":1281,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[10],"tags":[],"class_list":["post-1280","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-aktualnosci"],"_links":{"self":[{"href":"https:\/\/olszewskipawel.pl\/en\/wp-json\/wp\/v2\/posts\/1280","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/olszewskipawel.pl\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/olszewskipawel.pl\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/olszewskipawel.pl\/en\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/olszewskipawel.pl\/en\/wp-json\/wp\/v2\/comments?post=1280"}],"version-history":[{"count":13,"href":"https:\/\/olszewskipawel.pl\/en\/wp-json\/wp\/v2\/posts\/1280\/revisions"}],"predecessor-version":[{"id":1297,"href":"https:\/\/olszewskipawel.pl\/en\/wp-json\/wp\/v2\/posts\/1280\/revisions\/1297"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/olszewskipawel.pl\/en\/wp-json\/wp\/v2\/media\/1281"}],"wp:attachment":[{"href":"https:\/\/olszewskipawel.pl\/en\/wp-json\/wp\/v2\/media?parent=1280"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/olszewskipawel.pl\/en\/wp-json\/wp\/v2\/categories?post=1280"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/olszewskipawel.pl\/en\/wp-json\/wp\/v2\/tags?post=1280"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}