Acta Chir Orthop Traumatol Cech. 1989; 56(1)

[Our 2-year experience with diagnostic arthroscopy of the knee joint].

J Tomás, V Haltuch, J Král

Acta Chir Orthop Traumatol Cech. 1989; 56(1):4-13

The authors performed 200 arthroscopic examinations of the knee joint from April 1986 through March 1988. A suspected lesion of medial meniscus (in 52.5%) was the most frequent indication for the examination. Chondromalatia of patella was the most frequent arthroscopic finding (in 50.5% of examinations), two thirds of these findings were clinically inapparent. The ratio of arthroscopic findings of damage on the medial and lateral meniscus was 1.5:1. The lesions of medial meniscus were more frequently erroneously diagnosed clinically (32.4%), than the lateral meniscus lesions (25%), whereas the rupture of lateral meniscus was a more frequent accidental...

[Indications for and contribution of diagnostic arthroscopy of the knee joint].

A Podskubka, L Hruska, J Holecek

Acta Chir Orthop Traumatol Cech. 1989; 56(1):14-23

The paper deals with indications and diagnostic possibilities of arthroscopy of the knee joint. The first part is devoted to the application of arthroscopy in the diagnosis of acute knee injuries. The Gillquists scheme of diagnostic procedure is outlined. Acute arthroscopy is indicate in acute blockade and in hemarthros. Arthroscopy has made the highest contribution in the diagnosis and treatment of damaged meniscus. High attention is devoted to chondropathy of patella and femoropatellar joint. Possibilities of arthroscopy in the evaluation of femoropatellar congruence are described. Less frequent causes of pains in anterior parts of the knee joint...

[Osteochondritis ischiopubica--van Neck-Odelberg disease in the differential diagnosis of coxalgia].

B Bakalár, S Ondík

Acta Chir Orthop Traumatol Cech. 1989; 56(1):24-29

The authors describe five cases from out-patient practice, whose pains were localized into lumbar joint due to the damage of ischiopubic joint in children at the age of five to twelve years. Aseptic necrosis of ischiopubic localization has been described in available literature as morbus van Neck-Odelberg. A description of clinical and X-ray picture is described, in the first case being typical in all stages of X-ray symptoms. Some symptoms described in literature were or were not identical. It proved to be impossible to demonstrate the influence of an injury as a trigger factor, but limitation in the homolateral lumbar joint (abduction or adduction...

[Partial rupture of the Achilles tendon in athletes].

K Urban

Acta Chir Orthop Traumatol Cech. 1989; 56(1):30-38

The author discusses a group of ten sportsmen who suffered from achillodynia in the most distant part of the Achilles tendon, where the immediate cause was partial rupture. In seven instances the rupture was at the site of contact of the tendon with the prominent posterior part of the calcaneus. In the remaining three patients it was above the calcaneus. Two of these ruptures may have developed in conjunction with the application of a hydrocortisone preparation in the neighbourhood of the tendon. Treatment involved ablation of the prominent calcaneus, excision of the retrocalcanear bursa and suture of the tendon, depending on the extent of the defect....

[Basic requirements of care in polytrauma].

P Lom, M Hájek, K Zítko, A Konopásek

Acta Chir Orthop Traumatol Cech. 1989; 56(1):39-44

The authors analyze briefly the criteria for the classification of multiple injuries and submit the definition they suggest: "Polytraumatism is a supraluminal injury of more than one bodily system which threatens the life and is associated with a serious traumatic response". The authors outline the minimal conditions which must be met by hospitals treating multiple injuries, which must operate continuously. Polytraumatism must be treated at surgical departments, only. The surgeon has in a multidisciplinary team the leading position and defines the order of therapeutic and surgical operations. Depending on the urgency of these operations, it is possible...

[Experimental implantation of hydrogel into bone].

P Korbelár, J Vacík, I Dylevský, J Sulc, J Hulvert

Acta Chir Orthop Traumatol Cech. 1989; 56(1):45-65

In spite of the rapid development of various natural and artifical implants of bone tissue, bones or whole joints, no material was found as yet which would maximally resemble the structure of the bone tissue and would also be maximally compatible. The present study deals with the application possibilities of unsoluble hydrophilic gels (hydrogels) as substitutes of bone tissue in experiment. The study concerns above all their biocompatibility with regard to the porous qualities of the implant and to its chemical structure, and evaluates their behaviour in the spongious and compact bone. It was used polyhydroxyethylmethacrylate (polyHEMA) which is crossling...

[The role of compression plates and screws on changes in the internal conditions in long bones].

J Uher

Acta Chir Orthop Traumatol Cech. 1989; 56(1):66-77

Morphological and biomechanical changes of the course of healing of cavities after screws in compression AO plates applied for 8 weeks and simple drilling revealed that in the long-term reduction of mechanical properties of these sites as a rule a major influence is played by transverse drillingholes of 3.4 mm and holes after 4.0 mm screws rather than by plates. The healing of cavities after simple drillingholes and after removal of screws is similar. In both instances a transversally oriented trabecular bony tissue is formed, i.e. transversally oriented to the original direction of osteones. This transverse orientation of trabecular bone matrix than...

[Changes in the femoral neck in tabes dorsalis. Case report].

I Kopecký, E Holec, R Kubát

Acta Chir Orthop Traumatol Cech. 1989; 56(1):78-83

The authors analyze diagnostic and therapeutic problems in fractures associated with tabes dorsalis. In the foreground of the clinical picture are in the majority neurological symptoms. The first symptoms develop 15 years after the primary infection. The laboratory results are not decisive for the diagnosis. Previously treatment of these fractures was conservative in rare instances arthrodesis of the affected joint was performed. In the case-history the authors submit new therapeutic possibilities in fractures of the neck of the femur associated with tabes dorsalis, using total endoprostheses of the hip joint. The authors mention also possible complications....