[Pathophysiology of open fractures and principles of their treatment. Review].

H Tscherne, N P Südkap

Acta Chir Orthop Traumatol Cech. 1990; 57(3):193-212

Authors have worked out in detail the problems of fractures associated with the injury of soft tissues. They use their own classification dividing these fractures into two major groups, and namely open and closed fractures. In each group they distinguish 4 degrees of severity of the injury of soft tissues. Of decisive importance for both the final result and the course of the treatment is the method of treatment which starts already on the scene of the injury. The whole therapeutical management up to the actual operation has several successive phases. The way of osteosynthesis can be decided upon only after the primary treatment of the wound which...

[Long-term results of Ludloff's repositioning method].

A Sosna, M Rejholec, V Rybka, S Popelka, V Fric

Acta Chir Orthop Traumatol Cech. 1990; 57(3):213-223

Authors have evaluated results of the surgical treatment of congenital dysplasia of the hip joint performed at I Orthopaedic Clinic in Prague in the years 1970-1985. In the course of this period open reduction according to Ludloff was performed in seventy children out of which eight times bilaterally. Fifty-six out of the total number of seventy children same for the follow-up check. The age of the children operated on ranged between five and 23 months; in six cases the operation was performed on both hip joints. The follow-up ranged from three to eighteen years with an average of eleven years. In all children the postoperative treatment consisted...

[Results of surgical treatment of dislocation fractures of the ankle joint].

J Chomiak, M Slavík, B Soukup, J Kolman, P Vavron, M Lichtenberg

Acta Chir Orthop Traumatol Cech. 1990; 57(3):224-237

The authors have made evaluation of the surgical treatment of luxation fractures of the ankle in the period 1979-1987 in 105 patients (60 female, 45 male patients) in the age range from seventeen to eighty-one years, with the most frequent representation of the age group ranging from thirty-five to forty-five years. The group comprised 2,70 percent of fractures of type Weber A, 31.53 percent of fractures of type Weber B and 65.77 percent of fractures of type Weber C. 53 percent of patients were operated on the day of injury, 24.8 percent of patients were transferred with a delay from other clinics and in the rest of the patients the timely operation...

[Resection of the subtalar joint--long-term results].

Z Rozkydal, P Janík

Acta Chir Orthop Traumatol Cech. 1990; 57(3):238-247

In the years 1965-1985 212 patients were treated at the I. Orthopaedic Clinic in Brno by means of the resection sub talo. 100 patients with 105 operations were checked up on average 13 years after operation. The average age in the time of operation was 27. Indicated for operation were in 54 cases patients with neurologic deformity of the foot, in 51 cases patients with a local deformity. Reported were 65 good, 25 fair and 15 poor results. Residual deformity occurred in 12 patients and severe instability of the leg also in 12 cases. Eight patients suffered from moderate arthrosis of the joint ankle, three patients had severe arthrosis. Pseudoarthrosis...

[Osteomalacia. I. Review].

E Feketeová, M Kovác

Acta Chir Orthop Traumatol Cech. 1990; 57(3):248-251

The authors present the survey of the history, diagnostics and treatment of osteomalacia with special treatment to Looser zone and Milkman syndrome. For the application in the clinical practice we recommend the bone index after McKenn. The authors point out favourable results of longterm vitamin D therapy.

[Osteomalacia. II. The Milkman-Looser syndrome. Case report].

E Feketeová, M Kovác

Acta Chir Orthop Traumatol Cech. 1990; 57(3):252-255

The authors present the case study of Milkman-Looser syndrome in a 83 years old female patient. The diagnosis was made on the basis of typical laboratory and X-ray findings. The authors point out excellent curative effect of vitamin D.

[Chondrodysplasia punctata].

D Jancovic, J Drimal, I Hromec, I Jakubec

Acta Chir Orthop Traumatol Cech. 1990; 57(3):256-264

Authors deal with the classification of chondrodysplasia punctata, in detail they analyze the clinical and radiomorphological symptoms. From the diagnostic viewpoint it is important to evaluate typical X-ray epiphyseal changes in the first year of age of the affected child. Clinical symptoms vary and they are not typical only for this disease. They are often combined with various congenital developmental anomalies. The case study presents the correlation between X-ray epiphyseal changes in the knee and the arthroscopic findings.

[The formal aspect of scientific research].

H Sikl

Acta Chir Orthop Traumatol Cech. 1990; 57(3):265-273

[Medical study in North America].

J Charvát

Acta Chir Orthop Traumatol Cech. 1990; 57(3):274-287