Postural control deficits represent a significant issue for patients with orthopedic conditions, leading to activity limitations and a loss of independence. The aim of this review was to analyze the use of stabilometric platforms in the diagnosis, monitoring, and rehabilitation of these disorders. Nine original studies from the PubMed, PEDro, and Google Scholar databases, involving a total of 565 participants, were analyzed. The publications confirm a dual role of stabilometric platforms: diagnostic (assessment of static and dynamic parameters) and therapeutic (utilization of biofeedback). The reviewed literature demonstrates that stabilometric platform training in orthopedic patients produces improvements in postural control parameters and functional performance.
Background. Proximal femoral fractures represent a major clinical, epidemiological, and healthcare delivery challenge. As the population ages, their incidence and impact on patient outcomes continue to increase, particularly in the oldest age groups. These injuries are associated with high mortality, functional decline, and a substantial burden on healthcare systems. It is therefore increasingly important to identify factors associated with poor treatment outcomes. Material and methods. A retrospective review was conducted of the medical records of 235 male patients hospitalized for proximal femoral fractures between 2020 and 2025. Patients were divided into three age groups: 70–79, 80–89, and ≥90 years. Mortality, comorbidities, selected aspects of the hospital course, and treatment outcomes were analysed. Results. Age was significantly associated with intensive care unit admission, functional status at discharge, and mortality within 3 months after discharge. Mortality rates were 6.9% in patients aged 70–79 years, 18% in those aged 80–89 years, and 26.9% in those aged ≥90 years. Lower mortality was observed among patients who underwent surgery and those with better functional status at discharge. Diabetes was associated with a higher incidence of complications, while cardiac and neurological diseases were associated with a more complicated clinical course. Conclusions. 1. Older age was significantly associated with short-term treatment outcomes, including mortality, the need for postoperative intensive care, and functional status at discharge. 2. A higher level of functional independence achieved at discharge was significantly associated with lower mortality. 3. Comorbidities were significantly associated with the clinical course of treatment. 4. A combined assessment of age, functional status at discharge, and comorbidities may help identify patients at the highest risk of a more severe clinical course and death.
Treatment of soft tissue defects in the thumb often requires the use of non-standard surgical techniques such as local-, regional pedicled-, cross-finger- and island flaps from the same finger. The aim of this paper is to present the most commonly used methods of covering thumb tissue defects and opinions on their effectiveness, versatility and popularity. The technique of making 7 flaps used to cover the defects of thumb tissues is described and their disadvantages, advantages and usefulness in individual types of defects are discussed. Non-pedicled flaps are technically simpler and safer, but they have a smaller range and do not recover sensation. Flaps with a long peduncle are more difficult technically, but they allow you to reach the places of defects on the entire thumb and provide sensation recovery. The choice of a method of treating thumb tissue defects is the result of several factors: the size and location of the defect, the surgeon’s skills and experience, as well as his knowledge of individual surgical techniques. The article also contains suggestions from the Author, who is an experienced hand surgeon, which may be useful in practice for all those dealing with this area of surgery, both occasionally (in the emergency setting) and on an elective basis.
Treatment of thumb soft tissue defects often requires the use of non-standard surgical techniques such as local flaps, regional pedicled flaps, cross-finger flaps and homodigital island flaps. A review of articles from the Medline, PubMed and Scopus databases on the effectiveness and popularity of the most commonly used methods of covering thumb tissue defects is presented. Literature review indicate that all methods of fitting thumb tissue defects are similarly effective, but have different pros and cons. Simple local flaps are technically easier and safer, but they have a smaller range and do not recover sensation. Long-pedicled flaps are technically demanding, but they allow you to reach the defects on the entire thumb and provide sensory recovery.
Dr Julian Rotstadt and Dr Ida Iza Asz are forgotten pioneering Jewish-Polish neuro-rehabilitation physicians who worked at the Jewish Hospital in Warsaw (Szpital Starozakonnych na Czystem). The Rehabilitation Department was equipped with modern facilities, and skilled personnel cared for those who needed their expertise from the various departments of the hospital. Their pioneering work, ahead of its time, was run by these two Jewish neurologists. Both of them perished in the Holocaust.
