Hallux valgus constitutes of a progressive adduction of the hallux in the first metatarsal joint, accompanied by progressive varus in the first ray, pronation of the first metatarsal bone and medial displacement of the head of the first metatarsal bone. It may be accompanied by more or less severe degenerative changes in the MTPJ and a deformity in the IP joint. Hallux valgus is a condition encountered daily in orthopedic practice. The aim of the study was to evaluate the clinical and radiological results of treatment of moderate to severe hallux valgus deformities with the use of closed wedge osteotomy at the Trauma and Orthopaedics Department in the period from 2016 to 2020. The research material encompassed 91 feet of 82 patients. The assessment was based on a retrospective analysis of medical documentation and an analysis of radiograms made within the research time frame. The pre- and post-operative assessment was carried out in accordance with the AOFAS MTP-IP score and a radiological scale based on the aforementioned radiograms allowing for the determination of the HVA and IMA angles. Data analysis showed that treatment with the closed wedge osteotomy renders treatment results which can be deemed as good and very good.

Microvascular replantation in not always feasible for distal finger amputations. Our work presents a case of 23-year-old woman who suffered an amputation of index finger at the level of nail base. She was disqualified from microvascular replantation, however, the cooperation with Replantation Service resulted in an uncommon method of treatment, which resulted in excellent functional and aesthetic outcome. Composite grafting for fingertip amputations is a unique procedure which enables preserving original tissue with its function. We consider composite grafting to be a valuable adjunct to the wide range of methods for treating distal finger amputiations.

Every year, the number of total hip replacement treatments increases and along with it, so does the number of local and systemic complications, including periprosthetic fractures. These fractures usually occur among elderly people with deteriorated bone quality and other general and neurological disorders. Treatment of periprosthetic femoral fractures imposes a difficult and complex medical problem, which requires adequate experience and a rational combination of traumatological and orthopedical knowledge from the surgeon. In this article we review management of periprosthetic femoral fractures in the Department of Orthopedics and Traumatology in Kalisz.

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