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Erfahrung mit kleinen Penis

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Bei einer Erektion erscheint er lediglich breiter. Mit Körperfett kann eine Verdickung des Penis herbei geführt werden. Er dringt von hinten ein und hat so die Kontrolle über Tempo und Tiefe. Ich hab ein anderes problem meiner ist zu groß mir ist das irgendwie peinlich wenn ich nach dem sport duschen gehe meiner ist nähmlich schlaf 23cm groß und naja!

Ich muss mich richtig schämen. Biologie Rein biologisch ist der Penis das Tool, mit dem die Männer ihren Samen positionieren.

Kleiner Penis, was tun? (Penis klein) - Keinen schlaffen Penis, oder alles funktioniert wie es soll.

Hat der Bettgefährte einen kleinen Penis, heißt das nicht, dass der Sex weniger aufregend sein muss und du jeden Orgasmus für immer vergessen kannst. Auch wenn das aus welchem Grund auch immer ein gängiges Vorurteil ist. Dabei geht es doch nicht nur darum, wie groß er ist, sondern auch darum, was man damit macht. Kleiner Penis, große Wirkung: Hier kommen die besten Stellungen für einen kleinen Penis. Vor allem, weil er auf diese Weise ihren G-Punkt gut erreichen kann. Mein Tipp: Sie kann sich auf ihre Ellenbogen stützen und ihre Beine enger schließen, um so die Vagina zu verengen und die Penetration stärker zu spüren. Gut, wenn sie eine starke Beckenbodenmuskulatur hat, um ihn sanft zu umschließen. Magic Mountain Auch Kissen können bei bestimmten Stellungen wahre Wunder bewirken. Dafür sollte sie sich dicht vor den Kissenstapel knien und vorne überlehnen. Er schmiegt sich von hinten eng an sie heran, umschließt sie mit seinen Beinen rechts und links und dringt so von hinten ein. Um es für beide noch intensiver zu machen, kann sie ihre Beine leicht zusammenpressen. Sein Körpergewicht auf ihrem wird das intensive Gefühl noch verstärken. Die Sphinx Auch eine tolle Stellung bei einem kleinen Penis: Für die -Position legt sie sich auf den Bauch und stützt sich auf ihren Unterarmen ab. Ein Bein ist seitlich angewinkelt, das andere gerade nach hinten ausgestreckt. Er legt sich auf sie, stützt sein Gewicht ebenfalls mit den Armen ab und dringt von hinten ein. Sein Gewicht auf ihrer Hüfte fühlt sich für sie sehr erregend an, während er in dieser Stellung tief eindringen kann. Der Rückenakt Bei der -Stellung sollte sie sich abstützen können, vor allem, wenn der Partner nicht gerade riesig ist. So kommt sie in die beste Position - mit Orgasmus-Garantie. Er dringt von hinten ein und hat so die Kontrolle über Tempo und Tiefe. Zudem kann er die Klitoris und Brüste liebkosen. Da ihr Becken ein bisschen gekippt wird, kann er extra tief eindringen und so den vorderen Teil der Scheide und ihren G-Punkt perfekt stimulieren. Es handelt sich um eine Variante der Reiterstellung - bei der die Frau umgekehrt auf ihrem Partner sitzt: Der Mann liegt auf dem Rücken, die Frau hockt sich rittlings auf seine Hüften und kehrt ihm den Rücken zu. Er fasst nun mit beiden Händen ihre Oberschenkel und dringt in sie ein. Zweiter Pluspunkt: Seine Hoden bekommen auch etwas Aufmerksamkeit und Berührungen. Er kann mit seinen Händen an ihren Hüften Rhythmus und Tiefe der Stoßbewegungen variieren. Der betörende Schmetterling Bei einem kleinen Penis ist der Winkel des Eindringens extrem wichtig. Der ist da besonders geeignet: Indem sie ihr Becken kippt, erlaubt sie ihm tief einzudringen, sodass er den G-Punkt gut erreichen kann. Das Wichtigste bei dieser Stellung ist die richtige Position. Sie liegt deshalb leicht erhöht auf dem Rücken. Ihr Po befindet sich circa 30 Zentimeter unter seinem. Sie hebt ihre Beine und legt sie auf seine Schultern, sodass ihr Rücken eine gerade Linie bildet. Er legt seine Hände unter ihren Po, um so im perfekten Winkel eindringen zu können. So kann er sich richtig groß fühlen. Sie liegt auf dem Rücken und macht zunächst eine Art Brücke, indem sie die Hüften nach oben drückt, die Schultern jedoch am Boden lässt. Er kniet vor ihr und hält sie an den Hüften. Diese Stellung ist perfekt für eine lange, intensive Penetration, bei der ihr G-Punkt so richtig verwöhnt wird. Der Schmetterling Auch die -Position eignet sich perfekt, um tief einzudringen - was kann man gegen einen kleinen penis machen kleiner Längendifferenzen. Er kniet vor ihr, sie liegt auf dem Rücken und hat die Beine in der Luft gespreizt. Diese Position erlaubt es ihr, sich komplett zu was kann man gegen einen kleinen penis machen, während er ihre Beine hält und die Geschwindigkeit und Tiefe seiner Stöße variieren kann. Das große X Kleiner Penis - : Sie legt sich verkehrt herum auf ihn, mit dem Bauch nach unten. Damit er tief eindringen kann, spreizt sie ihre Beine leicht. Schöner Nebeneffekt für sie: Ihre Klitoris wird dabei gut stimuliert. Schöner Nebeneffekt für ihn: Er kann den Anblick ihres schönen Hinterns und Rückens genießen. Der gefallene Engel Der ist weit aufregender als es auf den ersten Blick scheinen mag. Diese Stellung erlaubt beiden wirkliche Nähe, viel Hautkontakt und dabei intensive Stimulation. Zum einen, weil die Vagina so enger scheint und er das Gefühl hat, sie mehr auszufüllen. Zum anderen, weil er nicht herausrutschen kann. Schon der Name dieser Sexstellung klingt vielversprechend. Sie liegt auf dem Rücken, er legt sich auf sie. Während er sich in ihr hin und her bewegt, spannt sie alle Muskeln an, zieht ihre Schenkel eng zusammen und stemmt die Arme gegen den oberen Bettrahmen. So intensiviert sie die Penetrationswirkung und sorgt für eine natürliche Stimulierung der Klitoris. Er kann zudem mit seinen Händen ihre Klitoris verwöhnen. Also in jeder Hinsicht eine lohnende Stellung. Missionarsstellung, Reiterstellung oder von hinten. Das könnte dich auch interessieren: Problemfall kleiner Penis?.

Lexy Roxx - Ist dein P*nis zu klein für mich ?
Deine Freundin ist sicher sehr verliebt in dich und meint, jetzt genau wär der richtige Zeitpunkt, aber ihr werdet feststellen, dass es alles kaputtmachen kann, wenn man nicht weiß, woran man ist. Er ist locker 5cm länger und dicker als sonst. Ein Bein ist seitlich angewinkelt, das andere gerade nach hinten ausgestreckt. Das ist nicht nur für ihn, sondern auch für dich mehr als erregend. Ich denke, soviele Männer halten nicht durch mit Penisgrößerung, weil es Arbeit macht und häufig auch ziemlich langweilig ist. Keinen schlaffen Penis, oder alles funktioniert wie es soll. Weiterhin fördert der Bathmate die Durchblutung des Gewebes und hilft damit, längere und härtere Erektionen zu erhalten. Ich bin 47 und mache mir halt meine Gedanken darueber, ich weiss nicht ob dieses Problem haeufig auftritt oder ob es psyschisch ist. Hier geht es nicht darum, den Patienten von seinen Gedanken zu befreien, - was häufig nicht gelingt! Aber dass er nach dem 15. Was kann ich dagegen tun?

Thomas Philipps Onlineshop

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posten - Mit unserem Newsletter bist du immer auf dem aktuellsten Stand!

Mit einer Werbeaktion lockt die Postenbörse die Fans des VfL Osnabrück an die Bremer Brücke. Seit dieser Woche gibt es in den Filialen des Unternehmens ab einem bestimmten Einkaufswert Tickets für das am 28. So gibt es ab einem Einkaufswert von 50 Euro zwei Stehplatzkarten und ab einem Wert von 100 Euro zwei Sitzplatzkarten zum Einkauf dazu. Insgesamt verfügt die Postenbörse über ein Kontingent von 5000 Eintrittskarten. VfL Osnabrück: Ticket-Aktion der Postenbörse am Montag gestartet Offiziell angekündigt wird die Werbeaktion in den Prospekten des VfL-Sponsors Postenbörse erst ab dem kommenden Wochenende, aber schon seit vergangenem Montag, posten börse osnabrück. Oktober 2017, können sich die Anhänger der Lila-Weißen bei einem Einkauf die Tickets sichern. Auch im Online-Shop können die Tickets zum Einkauf hinzugebucht werden. Dabei gibt es für alle Tribünenbereiche eine gewisse Zahl an Karten. Bei der Vergabe von Sitzplatztickets achte man aber darauf, dass die Plätze nebeneinander liegen. Sind an einzelnen Standorten Sitz- oder Stehplatzkarten komplett vergriffen, versuche man, die Tickets unter den Filialen auszutauschen. Oktober 2017 Auch ohne die offizielle Ankündigung der Werbeaktion in den Prospekten der Postenbörse sind laut Diersing nach drei Tagen bereits etwa zehn Prozent des Gesamtkontingents vergeben. Bis zum Ende der Aktion am 28. Bis dahin werden die Kunden nach Aussage von Geschäftsführer Diersing an den Kassen darauf aufmerksam gemacht, dass sie zu ihrem Einkauf VfL-Tickets dazu bekommen können. Mit Werbeaktion: Mehr Zuschauer beim VfL-Heimspiel gegen Zwickau. Mit der Werbeaktion der Postenbörse könnte der VfL Osnabrück auch darauf hoffen, wieder mehr Zuschauer an die Bremer Brücke locken zu können. In der laufenden Drittliga-Saison ist die Zuschauerbilanz des VfL bei Heimspielen eher mager. Nach fünf Spielen an der Bremer Brücke liegt der Zuschauerschnitt bei etwa 7714 pro Partie. Einzig zum Derby gegen die Sportfreunde Lotte kamen mehr als 10.

VUURWERKFOLDER POSTEN BÖRSE Duitsland 2018-2019
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Access fastdownloadcloud.ru. GAGALA's Secret Lair v2.1

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During this period, limitations of the final phase of the range of hip movement especially inward rotation and abduction constitute an objective symptom. It is the sequel to Galaxian, released in 1979.

One patient died six months after the surgery. Follow-up is from 12 to 48 months average 24. The antiprotrusio cages were stable in all hips, even in 4 cases of inferior flange malposition. Operation does not exclude hip joint for subsequent conversion to total hip replacement.

MC Sales, Inc. - The outcome measures were bone union, delayed union or any revision intervention.

The Legg-Calvé-Perthes' disease leads to hip joint deformity. At gagala most recent follow-up, 5. He had painless motion with persisting abduction and internal rotation reduction. The Harris hip score improved from preoperative 62 to 92 points at follow-up. Treatment protocol was discussed with literature connected with this clinical topic. Published version may differ from the current version. Legg-Calvé-Perthes disease leads to hip joint deformity. At the most recent follow-up, 5. He had painless motion with persisting abduction and internal rotation reduction. Treatment protocol was discussed in relation to the literature regarding this clinical topic. Osteonecrosis of the femoral head gagala an entity which occurs mainly in young and active patients aged between 20 and 50. The success of hip joint preserving treatments ranges from 15% to 50% depending on the stage gagala amount of osteonecrotic lesion. Total hip replacement is indicated in late post-collapse hips but it has unsatisfactory survival because of the gagala and osteolysis in young and active patients. Osteochondral allografts have been reported in the treatment of large articular lesions with defects in underlying bone in knee, talus and shoulder. By combining osteoconductive properties of osteochondral allograft with osteogenic abilities of bone marrow-derived mesenchymal cells it has a potential to be an alternative to an autologous graft. The adjunct of hinged joint distraction should minimize stresses in subchondral bone gagala promote creeping substitution and prevent femoral head collapse. Unlike current treatment modalities, it would provide both structural support and allow bony and articular substitution. gagala Posterior fracture dislocation of the femoral head is a rare entity usually requiring open reduction and internal fixation. gagala Results of different fixation methods have been reported including countersinking screws, headless screws and bioabsorbable implants. Osteochondral autologous transfer mosaicplasty is an established method of treatment of full thickness cartilage defects of the knee, ankle and elbow. At out institution posterior fracture-dislocations of the femoral head were treated with femoral head fragment fixation using osteochondral autografts via surgical hip dislocation. Osteochondral plugs were harvested from the non-weight-bearing area of the lateral gagala condyle of the knee and used for fixation of the reduced fragment. This article details the technique and its application. Material and methods: Thirty-nine hips in 34 patients two women and 32 men with a mean age at the time of surgery of 45. Kaplan-Meier survivorship was calculated to examine the revision rate. Radiographic analysis included evaluation of bipolar head migration, radiolucent lines around the stem and osteolysis in the acetabulum and the femur. Radiographic evaluation showed bipolar head migration in 3 hips 7. All implanted uncemented stems were stable without any radiographic signs of loosening or osteolysis. The aim of the study was a long-term follow-up retrospective examination of operative treatment of avascular necrosis of femoral head consisted of necrotic lesion removal through window made in head-neck junction, and bone loss reconstruction with morselized autografts. In the years 1990-2004 4 men were treated because of avascular necrosis of femoral head. Average age during operation was 27 years range from 14 to 35 years. All patients were operated on with anterior approach to hip joint, necrotic lesion debridement through window made in head-neck junction and bone loss reconstruction with autografts taken from iliac crest. The follow-up is from 4 to 15 years average 10 years. Harris hip score increased from average preoperative 49 points to average 75 points at gagala longest term examination. Collapse of three femoral heads occurred after average 8 years after the operation. Total hip arthroplasty was performed in two hips because of secondary arthritic changes. One patient has good clinical and radiological result. Bone grafting of the femoral head is a time buying procedure with native hip joint preservation and decreasing symptoms. Operation does not exclude hip joint for subsequent conversion to total hip replacement. The samples were genotyped with polymerase chain reaction followed by restriction enzyme analysis for the restriction fragment length polymorphisms. Gagala significant difference in allele frequencies between patients and control groups were observed in genes involved in thrombophilia. The question was whether pamidronate implanted into the bone cement is eluted. The probes were incubated for 3 and 6 weeks. Then, capillary electrophoresis was applied for quantitative analysis of pamidronate in the 3rd and Oh week after incubation. Methods Twenty-one hips in 20 patients one woman and 19 menaverage patients' age at the time of surgery of 35. The survival for this group of patients was 85. One patient died six months after the surgery. The outcomes of large gagala and post-collapse stages were below our expectations. A retrospective comparison of treatment difficulties and treatment outcomes in Lisfranc joint injuries with late and early diagnosis. The gagala group consisted of 10 patients diagnosed and treated properly within six months to 20 years of the accident causing the injury mean six years. The control group consisted of the same number of randomly selected patients with a similar type of injury treated immediately after the accident. Mean follow-up was 13 years in the study group and eight years in the control group. The scores of the patients were analyzed using the non-parametric Mann-Whitney U test and the non-parametric Wilcoxon test. The control group had statistically significantly better scores on both scales. The main cause of treatment delay was misdiagnosis by the primary care physician. The aim of the study was a preliminary report of the use of large diameter alumina femoral heads in total hip arthroplasty. The prospective study consisted of clinical examination with Harris Hip Score and X-ray evaluation. The incidence of radiolucent lines gagala acetabular cups were noted with DeLee and Charnley zones and around stems with Gruen's zones. The follow up is from 24 to gagala months average gagala months. There was an increase in Harris Hip Score from average 37 points from 25 to 49 points before operation to average 94 points from 90 to 100 points after the surgery. The incidence of postoperative dislocation have not been noted. Long-term postoperative X-ray examination have showed proper geometry of endoprostheses without radiolucent lines. Neither visible wear of bearing surfaces nor breakage of alumina components have been noted. The surgical technique of an anterior approach to the hip joint according to Ganz is described. The procedure preserves the deep branch of the medial circumflex artery, which, combined with greater trochanter osteotomy, allows for safe hip joint dislocation without a risk of avascular necrosis of the femoral head. This approach makes it possible to inspect the femoral head and the entire acetabulum. It is suitable for the treatment of early stages of coxarthrosis. The aim of this paper is to present the operative technique and results of core decompression and clearing of a necrotic zone in the femoral head followed by filling the defect with impacted autologous or synthetic bone grafts. This procedure allows for mechanical prevention of further collapse of the femoral head and loss of its spherical gagala. It also creates conditions for the incorporation of the biological graft or synthetic bone. A series of 63 patients 72 hips were treated for aseptic osteonecrosis of the femoral head between 1996 and gagala. This gagala comprised 42 men and 21 women aged 19 to 60 years average age: 35 years. All patients were treated with core decompression followed by filling the bone defect with autologous or synthetic Wright ProDense bone grafts. Average follow-up was 5 years from 1 to 12 years. After one year of follow-up, pain relief with preservation of a spherical femoral head was obtained in 45 hips 63%. Sixteen hips 22% had significant limitation of the range of motion that, however, did not exceed preoperative values, with no significant pain during walking, and loss of the spherical shape of the femoral head on radiographs. Filling the defect with morsellized or synthetic bone grafts followed by graft impaction creates mechanical and biological conditions for graft incorporation. Where collapse has not occurred during the first six post-operative months, a good and lasting result can be expected. In the years 2004-2007 at Orthopaedic and Traumatology Department, Medical University in Lublin 38 Mayo stems were implanted in 35 patients. There were: 5 women and 30 men in the age from 27 to 67 years average 51 years. Follow-up is from 12 to 48 months average 24. Preoperative Harris Hip Score varied from 32 to 45 pts. There was one Mayo stem migration nine months after the surgery gagala mm with radiolucent lines in all Gruen's zones. In the years 1994-2001 in Orthopaedics and Traumatology Department in Lublin 33 patients were treated because gagala 35 fractures of calcaneus 2 bilateral fractures. The comparative material gagala of 31 patients treated because gagala 38 fractures of calcaneus 7 bilateral fractures in Traumatology and Orthopaedic Department in Krosno in the years 1994-2004. In retrospective study preoperative and postoperative Böhler's angle was measured, as wellas type of fracture was defined according to Essex-Lopresti classification. The clinical results of treatmentwas evaluated with Rowe's classification. Long-term evaluation was made to all of the patients treated at Orthopaedic and Traumatology Department in Lublin. The follow up is from 5 to 12 years average 8 years. Clinical results according to Rowe's gagala is from 15 to 100 points average 84. The follow up is from 2 to 12 years average 7 years with the average 52. The lack of gagala of subtalar arthrodesis was observed in one patient, meanwhile osteoarthritis of subtalar joint was observed at 14 patients after closed reduction according to Westhues. Closed reduction according to Westhues gives possibility for Böhler's angle restoration, but it does not create the chance for anatomical reduction of articular surface. The considerable percentage of patients suffering pain after Westhues's method testifies about incomplete reduction of articular surface. Open reduction of fracture of calcaneus, combined with simultaneous subtalar arthrodesis restores the correct Böhler's angle and prevents from pain during walking. From may 2005 25 surface arthroplasties were made in 10 women and 15 men in the age from 23 to 64 years average 43 years. The main reason for arthroplasty was idiopathic arthritis in 20 patients. The follow gagala is from 10 to 20 months average 11 months. Clinical results in Harris Hip Score is from 90 to 100 points average 95. The average acetabular cup's angle of inclination is 51. There were not any gagala intraoperative and early postoperative complications. Early clinical results and data from bibliography confirm the value gagala surface arthroplasty in the treatment of young and active patients. The procedure is technically demanding. Both patients were treated just after the gagala. Reduction of fractures were made to both patients. Stabilization of fracture in one patient was made with metal plate and cables, stabilization with only cables was made to second patient. Both patients have good clinical results - 90 and 92 pts. The fracture healed in the first patient. The evidence of fracture healing of the second patient was impossible to examine because of lack of X-ray. Fractures of the lateral part of the humeral condyle in childhood very often go undetected and are treated incorrectly, giving rise to numerous late complications. The study evaluated the outcomes of treatment of ulnar neuropathy secondary to a fracture of the lateral part of the humeral condyle in childhood. The study enrolled 12 patients aged 28-58 who had suffered fractures of the elbow at between 2 and 14 years of age. Arthrosis and a valgus deformity of the joint, contractures in flexion and extension of the elbow as well as ulnar neuropathy were observed after an average of about 30 years after the fracture. The patients accepted posttraumatic deformation of the gagala and contractures of the elbow. The indication for operative treatment was the presence of signs of ulnar neuropathy. The treatment consisted in anterior transposition of the nerve. Postoperative follow-up lasted from 4 to 23 years. The long-term sequelae of these fractures are a valgus deformity of the elbow, arthrosis of the joint and neuropathy of the ulnar nerve. Ulnar nerve transposition relieves the patients from nerve compression symptoms arising at this level. Gagala study was a retrospective follow-up evaluation of clinical and radiological outcome in Smith's fractures in 38 patients treated in the Orthopedics and Traumatology Department at the Skubiszewski University Medical School in the years 1986-2005. The group consisted of 24 women and 14 men 15 to 74 years of age ave. All patients were treated with open reduction and distal fragment stabilization with buttress plate. There were 9 transverse type 1 fractures, 14 palmar lip type 2 fractures, and 15 type 3 fractures with oblique fracture line, according to the Thomas classification. Follow-up examinations were performed on 32 patients. There were: 10 excellent outcomes, 10 good, and 12 fair according to the Gartland score. Post-traumatic osteoarthritis developed in all patients with inadequate intraarticalar fracture reduction. Volar displaced fractures of the distal radius need preoperative examination and operative planning. Stabilization of the distal fragment with buttress plate is reliable and gives fracture healing without loss of reduction. The aim of the study was to analyze late outcomes of perilunar carpal dislocations, depending on the type of the injury, time of the diagnosis and the treatment methods. The material is constituted by 37 patients treated in our department between 1981-2004 because of perilunar dislocation. In group were 2 women and gagala men, aged 19-56 mean 31 years. All patients were asked for control visit. Range of wrist motion, its stability, grip strength and X-ray pictures were analyzed. Better follow-up results were observed in persons with early diagnosed dislocations of the wrist. The best outcomes were observed in group with perilunar gagala diagnosed dislocations, which were treated by open reduction. Posttraumatic wrist instability often was diagnosed in patients with dislocation of lunar bone and late-diagnosed transscaphoid perilunar carpal dislocations. The data we obtained show, that the consequences of late-diagnosed and late-treated injuries of the wrist are instability, pain, decrease in range of motion and hand skills. In orthopaedic surgeon's opinion arthroplasty in knee joints with valgus deformity is very difficult and risky than in those without deformation or in varus angulation. The authors in the paper analysed deformity morphologies in valgus knees, observed intra-operative problems, as well as obtained results and complications and compare them with those occurred in varus knees. Observations were based on 33 joints 30 persons, 27 females, 3 maleswhich were operated by primary cemented total knee replacements. The patients' age ranged from 41 to 82 years. Relaying on surgery reports, analyses of the procedure and the solutions needed to correct the deformity were done. On the basis of X-rays the alignment and positions of the prostheses were evaluated. The complication rate and necessity of additional steps of the procedure is higher in valgus deformation. The aim of the study is the comparison of results of primary gagala knee arthroplasty with large bone stock deficiencies treated with autologous bone grafts from resected joint ends both solid and morselized with the group of patients in whom knee arthroplasty was made without the need of bone grafting. Bone stock defects were treated in 37 knees 35 patients. The necessity of reconstruction resulted from destruction of knee joint surfaces in advanced degenerative osteoarthritic processes or rheumatic disease. Autologous solid bone grafting was used in 22 knees, morselized in 13, meanwhile 2 different gagala both types of grafts. The medial tibial condyle bone stock defects were the most frequent--26 knees. Control group consists of 39 knees in 33 patients treated in the same period without the need for bone grafting and gagala were implanted directly on resected surfaces. The X-rays were analyzed with the special regard for: correctness of implants placing, presence of radiolucence gagala both around implants and grafts, and bone grafts healing. The analysis of subsequent X-rays showed bone grafts healing both solid and morselized in 21 knees. In 4 knees progressive bone grafts lysis was observed. The remaining knees showed the presence of grafts and lack of evidence of healing in surrounding host bone. No differences were observed in number of intra- and postoperative complications, radiographic knee replacements geometry and long-term clinical results in both groups of patients. The aim of the study is evaluation of results of operative treatment the proximal femoral fractures with intramedullary locked nailing. In years 1996-2004 44 patients were treated because of proximal femoral fractures with closed reduction and stabilization with intramedullary locked nailing. There were 15 women and 29 men in average age 60 years 18-95 years. There were 2 femoral neck fractures and 42 peritrochanteric fractures. The fracture of femoral shaft in 2 patients accompanied the fracture of proximal part of femur. The average follow up is 8 months from 6 to 24 months. There was good reduction of 27 fractures on postoperative radiograms. The average 15 degrees of varus lack of reduction was noted in 17 peritrochanteric fractures from l0 to 35 degrees. Delayed gagala 6 months occurred in 2 persons. Fatigue fracture of intramedullary rods occurred to both of this patients. The average Harris Hip Score was 86 points from 70 to 100 points after union of fractures. The aseptic loosening of the stem is a frequent complication of post-resection endoprosthesis. Twenty-one gagala were operated for primary neoplasm of the distal femoral epiphysis. In all cases the endoprosthesis was reinserted with reconstruction of the femoral shaft, using cancellous femoral impaction grafting with cement Exeter technique. The early results of revision surgery were good in all 3 cases. Subtrochanteric fracture appeared at the site where the cortex of the femoral shaft cortex was perforated by the endoprosthesis stem tip, ca. Loosening of the reinserted endoprosthesis appeared gagala another female patient. The outcomes of revision surgery were good 2 to 3. The outcome of revision surgery for loosening of the femoral component of a post-resection endoprosthesis is good if there is no perforation of the femoral cortex. In the years 1997-2003 36 patients 26 women and 10 men in the age from 16 to 50 years old were operated on because of hip joint dysplasia. Gagala indications for operative treatment were: pain, age less than 50 years, insufficient femoral gagala coverage without evidence of arthritic changes on X-ray. There were no intraoperative and postoperative complications. gagala Harris Hip Score improved from 85 points before operation from 82 to 90 pts. There was pain relief in most of the patients after osteotomy. Osteotomy healing was seen on X-ray examination usually after 6-12 weeks in 33 patients. Delayed osteotomy union till 6th postoperative month without influence on clinical hip improvement was seen in 3 patients. There was no loss in osteotomy correction. Supraacetabular osteotomy decreases pain, and increases hip function. Improvement in hip biomechanics and increase in femoral head coverage may lead to decrease in development of hip joint arthritic changes and time preserve before total hip arthroplasty. Treatment failure in intertrochanteric fractures gagala the femur leads to pain and limitations of limb function. Gagala of treatment allowing for union in order to preserve the proximal femur are undertaken in younger patients. Older patients who have poor quality bone stock and bone loss in the proximal femur are treated with hip arthroplasty. The aim of our study was to perform a long-range follow-up on patients treated with hip arthroplasty after failure of peritrochanteric fracture treatment. We studied 10 patients 6 men and 4 women, average age 61 years seen after treatment failure in peritrochanteric fractures during the period 1998 - 2003 in the Orthopedics and Traumatology Departament at the Skubiszewski Medical University of Lublin. Seven patients were treated with hemiarthroplasty, and gagala with total hip replacement. Three long femoral stems were used. One patent died in the early postoperative period. There were two dislocations of hip replacements. An increase in Harris Hip Score was noted, from an average 25 points preoperatively to an average 85 points in long-term follow-up. There was one revision arthroplasty due to breakage of the ceramic cup and head of a Mittelmeier prosthesis. Patients treated with hip arthroplasty after treatment failures in peritrochanteric fractures of gagala femur can achieve a pain-free hip and good limb function. Authors analyzed consecutive series of 56 tibial shaft fractures 43 men and 13 women treated by intramedullary locking nails in years 1993-2004. Age of patients ranged from 17 to 83 years mean 38 years. The final result was analyzed in 51 patients 91%. The bone union was observed in 50 patients. Fractures united within 6 months in 45 patients 88%between 8 and 15 months in 5 patients. Operative treatment of non-union was necessary in one patient. The fractures united in anatomical axis in 45 cases, small less than 10 degrees valgus deviation was noticed in four patients, whereas five patients with gagala localized gagala distal part of the tibia had 11-30 degrees valgus deviation. The limb length inequality more than 1 cm was noticed in one case. There was neither infection nor compartment syndrome. One patient died because of fatal pulmonary embolism. Bipolar hip arthroplasty dislocation is rare. A case of bipolar hip arthroplasty dislocation in patient treated because of femoral neck fracture was described. The arthroplasty was made with posterolateral approach. Disassembly of bipolar prosthesis occurred during closed reduction. Open reduction with bipolar head exchange gagala necessary. To avoid this complication reduction should be made in anesthesia with muscles relaxation. Deceptive low back and buttock pain, especially at night, is often the main subjective symptom in necrosis of the femoral head. During this period, limitations of the final phase of the range of hip movement especially inward rotation and abduction constitute an objective symptom. Careful examination of both hip joints typically reveals asymmetry in the range of movement. Scintigraphy is decisive gagala the diagnosis. The real source of the pain is in the hip, but their common location in the lumbosacral area and the buttocks often leads to mistaken diagnosis. In the Orthopedics, Traumatology and Rehabilitation Clinic in Lublin 86 patients 41 women, 45 menranging in age from 19 to 69 years mean age 42 were treated for necrosis of the femoral head 116 hips. Disturbances of blood supply to both femoral heads were found in 30 cases. Ineffective gagala of 18 patients 20. The errors were discovered only in the third or fourth phases of the disease, when the only effective remaining treatment is hip arthroplasty. In patients with low back and buttock pain, examination of the range of hip movement is indispensable. If even a slight limitation of the range of movement is detection, hip x-rays should be made in two projections. If there is suspicion of early radionegative disturbances of the blood supply to the femoral head, scintigraphy is decisive. This article reports on our experience in the management of periprosthetic fractures of the femur. The average age of the patients at the time of surgery was 68 range 33-82. Revision hip arthroplasty was associated with periprosthetic fracture in 14 hips. The outcome gagala were bone union, delayed union or any revision intervention. Bone union was achieved in 42 cases 95%. Thirty-five patients were satisfied with the surgical results, seven were moderately satisfied. Two patients had non-union of the femoral shaft, necessitating another intervention. The mean Harris Hip Score after bone union was 84 points range 58-97. Deviation of the femoral axis was observed in 4 cases, due to subsiding of polished cemented stems. There were no deep infections. Internal stabilization with plate and cables is the best option in the treatment of fractured femur around a stable stem. Ineffective stabilization due to the use of a plate that was not long enough resulted gagala union with angulation. Long polished stems tended to subside within the cement mantle. This article presents early outcome of revision hip arthroplasties with massive defects of acetabular bone stock using the Burch-Schneider B-S antiprotrusio gagala. We prospectively followed 28 hips in 27 patients 17 women and 10 men. The average age of the patients was 68 years range 40-82. Follow-up ranged from 12 to 53 months ave. Bone grafts morselized and solid were used to reconstruct deficient acetabula in 25 hips. The patients were satisfied with the surgical result. The mean Harris Hip Score increased 36 points one year after operation and reached 80 points range 56-93. The antiprotrusio cages were stable in all hips, even in 4 cases of inferior flange malposition. We found no measurable implant migration or graft resorption in any patient. Postoperative dislocation occurred in 3 hips 11%two of them developed recurrent dislocations. gagala There were no deep infections. Acetabular reconstruction using the Burch-Schneider antiprotrusio cage can be successfully used in managing massive acetabular defects in revision hip arthroplasty. The cage provides the basis for bone repair and protects grafts from excessive stress. Postoperative dislocation is the most common complication.

GAGALA na VIRTUOSE - Oucha Oukou
All patients were operated on with anterior approach to hip joint, necrotic lesion debridement through window made in head-neck junction and bone loss reconstruction with autografts taken from iliac crest. Created by Namco in 1979, it quickly became a big hit in the arcades and was later ported to many gaming consoles, including the recent Xbox 360. In 4 knees progressive bone grafts lysis was observed. The success of hip joint preserving treatments ranges from 15% to 50% depending on the stage and amount of osteonecrotic lesion. So I keep on searching for a place to stay. There was pain relief in most of the patients after osteotomy. If you are that patient, welcome to the club. Open reduction with bipolar head exchange was necessary. Mean follow-up was 13 years in the study group and eight years in the control group. Reduction of fractures were made to both patients.