[The present state of chondroprotective therapy in osteoarthrosis].

Z Pelísková, K Trnavský, J Krajícková-Trnavská

Acta Chir Orthop Traumatol Cech. 1989; 56(3):185-189

In the submitted review the authors summarize briefly knowledge on the mechanism of action of chondroprotective substances and the present state of their use in clinical practice. The authors mention also the chondroprotective action of some non-steroid anti-rheumatic drugs.

[The importance of magnesium in orthopedics. VI. The importance of magnesium in the treatment of ectopic calcification and ossification].

R Ditmar, L Steidl

Acta Chir Orthop Traumatol Cech. 1989; 56(3):190-200

In a five-year investigation the authors demonstrate their results with Mg treatment in 54 patients with ectopic calcifications and ossifications. Based on the results of experimental work, where the inhibiting action of Mg ions on calcium phosphate precipitation was proved in vitro as well as in vivo, the authors treated by means of local MgSO4 injections and oral administration of Mg lactate 17 patients with ossifying myositis, 16 with calcareal bursitis, 4 patients with paraosteoarthropathy of the elbow after craniocerebral injuries, 6 calcifications of the hip joint after operations and 5 calcifications in the insertions of tendons and ligaments....

[Arteriography, lymphography, gammagraphy and computer tomography in the diagnosis of musculoskeletal tumors].

F Makai, E Huraj, I Makaiová

Acta Chir Orthop Traumatol Cech. 1989; 56(3):201-206

The authors emphasize the importance of early and exact diagnosis of musculoskeletal tumours of the extremities and spine. This aim cannot be achieved by common biochemical, haematological and X-ray examinations. Therefore the authors recommend to use already during the initial examination of the patient a combination of classical roentgenography, arteriography, possibly lymphography, gammagraphy and computed tomography. The authors present a detailed account of experience with the application of the above diagnostic methods in 146 patients. On arteriograms of 37 patients dislocated main arteries were found 16 times, blood lakes 20 times. Lymphography...

[Reconstruction of open fractures of the leg associated with extensive loss of skin and soft tissues using muscular and cutaneo-muscular flaps].

S Petrovic

Acta Chir Orthop Traumatol Cech. 1989; 56(3):207-217

The author draws attention to the serious character of open fractures of the leg with extensive losses of the skin and soft tissues. He emphasizes the need of high standard primary surgical treatment and osteosynthesis of the fracture by external fixation device according to a therapeutic plan. To ensure an undisturbed consolidation of the fracture in indicated cases, the author implements the reconstruction of acute skin losses and soft tissue losses by a muscular flap of the m. soleus or m. tibialis ant. and by dermatomuscular flaps of the gastrocnemius muscle. Of 42 casualties with open fractures of the leg with losses of soft tissues the author...

[Use of Septopal in the treatment of bone infections].

K Foldyna, V Torsová, J Kundrát, J Sirokovský

Acta Chir Orthop Traumatol Cech. 1989; 56(3):218-224

The authors evaluate a group of 29 patients where they used during treatment of a bone infection gentamicin pellets--Septopal Merck. The mean age of the patients was 46.6 years (9-75 years) the mean duration of the symptoms of inflammation before operation was 20 months. The prerequisite of successful application of Septopal is radical surgical treatment of the site of infection and provision of high standard soft tissue covering and assessment of the sensitivity of the aetiological agent to gentamicin. The most frequent causal agent of infection was Staphylococcus aureus in 48.3% and in combination with Gram-negative rods in 34.5%. In infections of...

[The Immunoskintest].

J Pelnár, V Vyskocil

Acta Chir Orthop Traumatol Cech. 1989; 56(3):225-230

To evaluate the surgical risk before serious operations it is possible to use as one of the criteria a skin test the principle of which is an immunity reaction to a defined antigen injected strictly intradermally. It helps us to assess simply the state of immunological reactivity of the cellular type in a large number of persons of different age and thus to estimate to a certain extent the incidence of postoperative infectious complications. In a selected group of 68 patients who were hospitalized at the Orthopaedic Clinic in Plzen in 1987 the Immunoskintest was performed. The authors compare the incidence of infectious complications in different groups...

[Levels of C-reactive protein after surgery in fractures in children].

P Havránek, M Barnásová, H Hájková

Acta Chir Orthop Traumatol Cech. 1989; 56(3):231-233

The authors investigated the levels of C-reactive protein (CRP) after operations of fractures in the area of the elbow in children. Regardless whether antibiotics were administered preventively or not, there was a rise of CRP levels with a maximum on the third day after operation. By the 7th day CRP levels were normal. In the control group of children with mere manual reposition of the fracture of the wrist there was no significant rise of the CRP level. If the elevated CRP level persists after the 7th postoperative day, a local inflammatory complication is suspected.

[Evaluation of the immunologic response in various types of bone grafts using lymphocytic nucleoli activity].

M Janovec, J Petrzelová, P Navrátil

Acta Chir Orthop Traumatol Cech. 1989; 56(3):234-239

Assessment of the activity of nucleoli in lymphocytes is considered an important sign for assessment of the degree of activation of the immune system after transplantation. The authors evaluated the activity of nucleoli in lymphocytes of patients with transplantations of different types of bony tissues (autografts, frozen alloimplants, autolyzed antigen-free allogenic bone, control group) before operation, two weeks, 70 days and longer after operation. Differences were revealed during the period between two weeks and 70 days after operation. While in autografts and autolyzed antigen-free allogenic bone at that time a slight decline of inactivated forms...

[Problems in admitting and eliminating children from sports training schools].

M Kucera, P Korbelár

Acta Chir Orthop Traumatol Cech. 1989; 56(3):240-244

The physical and mental load of children enlisted in the system of preparation for top sports is great. It is therefore essential to ensure very careful health care and also very strict criteria for enlistment of children to avoid pathological adaptation to the sports load. Specialized sports training of 14-18 hours per week may, in case of incorrect compensating activity, be the basis for the development of secondary changes. In the selection it is important to adhere to criteria pertaining to health, performance, function and development and to evaluate them in relation to the character of the sports discipline and preparation for attaining top performance....

[Randomized clinical studies in orthopedic surgery].

V V Surin

Acta Chir Orthop Traumatol Cech. 1989; 56(3):245-252

The author describes the conditions and advantages of a prospective clinical investigation. He analyzes also the reasons why this type of investigation of the effectiveness of new surgical methods is used so little in orthopaedic surgery.

[Early repositioning of fractures of the forearm, wrist, leg and navicular bone using an extension device attached to a bed].

M Michal

Acta Chir Orthop Traumatol Cech. 1989; 56(3):253-264

The author informs on the results of early reposition of fractures on an extension device on an emergency bed of the author's design which meets the demands laid on urgent, sparing and high quality reposition already in the out-patient department, which is an advantage in particular in out-patient departments which are far from the hospital. Another advantage is, as apparent from results that reposition were successful in 273 (98.2%) of the patients despite the fact that they were made without an X-ray intensifier of the picture with a television screen. In all children and adults with fractures of the forearm, wrist, leg and navicular bone after clinical...

[Exarticulation of the knee joint--surgical and prosthetic aspects].

K Cízek

Acta Chir Orthop Traumatol Cech. 1989; 56(3):265-210

The author present his experience with exarticulation in the knee joint and emphasizes its advantages, as compared with a long femoral stump and its importance for patients. He provides brief information on contemporary technical possibilities which make it possible to produce functionally and cosmetically more acceptable prostheses.

[Comment on the article "Surgical treatment of acromioclavicular luxation"].

V Surin

Acta Chir Orthop Traumatol Cech. 1989; 56(3):271-274