[The uncemented cup of the CLS Spotorno joint endoprosthesis--5-years' results].

O Cech, V Dzupa, F Svatos

Acta Chir Orthop Traumatol Cech. 2001; 68(1):10-17

PURPOSE OF THE STUDY: Authors report on five-year results in patients after THR operated on between 1994 and 1995 in which a cementless CLS Spotorno cup was used.MATERIAL: In the given period 59 patients were operated on (35 women and 24 men). The average age at the time of implantation was 54.6 years. The most frequent causes of the indication for THR was primary osteoarthritis of the hip in 27 patients and postdysplastic osteoarthritis in 16 patients. Applied were 46-62 mm cups for 28 mm and 32 mm diameters of the head. The femoral component used was a cementless Poldi--42 times, cemented MS-30--16 times and cementles CLS--once. The surgical...

[Revision of total hip replacement operations at the Orthopedic Clinic IPVZ in Prague, 1999].

V Stědrý, P Dungl, P Hajný

Acta Chir Orthop Traumatol Cech. 2001; 68(1):18-23

PURPOSE OF THE STUDY: The aim of the work is to evaluate the results of revision surgeries of total hip replacements at the Orthopaedic Department IPVZ in 1999.MATERIAL: Revision surgery of 61 THR was performed at the Orthopaedic Department IPVZ in 1999. Most of them (54) were reoperated for aseptic loosening of the cup or both components, 4 patients for aseptic loosening of the stem, 1 patient was reoperated for recurring dislocation of THR and 2 patients for septic loosening. Eleven loosened 44/32 Poldi cups were reoperated on average after 160 months, twelv 49/32 Poldi cups on average after 143 months and seven 54/32 Poldi cups on average...

[The uncemented self-threading Ultima cup: first 5 years' experience].

P Pazdírek, J Bartonícek, V Dzupa

Acta Chir Orthop Traumatol Cech. 2001; 68(1):24-30

PURPOSE OF THE STUDY: To present the first 3-5 year experience in primary implantation of the Ultima cementless hemispherical threaded cup.MATERIAL: In the period between October 1995 and June 1997 we implanted in total 30 Ultima cementless cups in 28 patients (10 men, 18 women). The average age of the operated on was 60 years (41-74 years). Twenty-four patients, i.e. 26 hips were available for the follow up. From the viewpoint of diagnosis the group of patients included 15 cases of primary osteoarthritis, 9 cases of acute intracapsular femoral neck fracture, 3 cases of postdysplastic osteoarthritis, 2 cases (1 female patient with bilateral affection)...

[Arthroscopic treatment of the unstable knee joint by ligament reconstruction using allografts].

L Pasa, V Pokorný, J Adler

Acta Chir Orthop Traumatol Cech. 2001; 68(1):31-38

PURPOSE OF THE STUDY: Recurring and multidirectional instability of the knee joint is a therapeutic problem mainly due to a limited possibility of harvesting grafts for its treatment. The authors present the methodology of the solution of recurring and multidirectional instabilities of the knee joint by means of allografts. They inform about the technique of harvesting and preservation of grafts and include the necessary examinations and early results.MATERIAL: Due to the above mentioned reasons the authors concentrated on the possibility of harvesting grafts for ligamentoplasty from donors. They developed the technique of harvesting, examination...

[Results of arthroscopic subacromial decompression in 50-year-old patients].

P Procházka

Acta Chir Orthop Traumatol Cech. 2001; 68(1):39-44

PURPOSE OF THE STUDY: The study presents results of the surgical treatment of subacromial impingement syndrome in patients between fifty and sixty years of age using the technique of a two-step arthroscopic subacromial decompression.MATERIAL: Arthroscopic subacromial decompression was used for the operation on 12 shoulders in 12 patients. All of them underwent minimally half a year of conservative treatment. The average age of patients at the time of operation was 51 years. The youngest was 43 years, the remaining patients were older than 49 years. Only in 4 patients the subacromial impingement was not associated with another diagnosis. The group...

[Systemic enzyme therapy in the treatment and prevention of post-traumatic and postoperative swelling].

V Kamenícek, P Holán, P Franěk

Acta Chir Orthop Traumatol Cech. 2001; 68(1):45-49

PURPOSE OF THE STUDY: The authors concentrate on the use of enzyme therapy in traumatology. They monitored SET efficiency in the treatment and prophylazis of swelling in the postoperative period after the internal fixation of fractures of long bones and compared it with the effect of standard antiswelling seu antioedematous drugs on the basis of aescin.MATERIAL: A group of 60 patients was followed after the fixation of long bones. The average age was 42 years (range, 12-79 years). Fractures were treated by intrameduilary fixation or by external fixators. The patients were split into two groups. In 30 patients only Phlogenzym was administered...

[Surgical treatment of arthritis of the carpometacarpal joint of the thumb--personal experience with soft-tissue arthroplasty].

L Smíd, T Janecka

Acta Chir Orthop Traumatol Cech. 2001; 68(1):50-54

PURPOSE OF THE STUDY: The authors deal with surgical treatment of osteoarthritis of carpometacarpal joint of the thumb. They present results of three different techniques of interposition arthroplasty.MATERIAL: Thirteen operations were carried out in the period of 1997-1999 in 12 patients (9 women and 3 men). In seven cases the dominant right hand was affected, in 4 cases the left hand was involved. The average age was 56 years (range, 48-91 years). In none of the patients any extreme activity of the operated on hand is expected in future.METHODS: The surgical treatment consists in resection of damaged articular surface and interposition of...

CMC external fixator.

H Klobucar, D Delinar, M Korzinek, K Korzinek

Acta Chir Orthop Traumatol Cech. 2001; 68(1):55-58

PURPOSE OF THE STUDY: Imobilisation of wounded extremity decreases pain and shock, diminishes the possibilities of soft tissue, vessels and nerves injury with bone fragments, that influences the volume and success of surgical debridement of the wound. Optimal external fixator for war purposes must be rigid in construction, have to be simple to master, allow simple approach to wound during the whole period of fixation, have to be in sterile package with all its necessary part and should not be too expensive.DESIGN OF THE STUDY: Prof. Korzinek in correspondence with "Instrumentarija" from Zagreb developed a new type of external fixateur applicable...

[History of intramedullary nailing].

J Bartonícek, P Dousa, D Jehlicka

Acta Chir Orthop Traumatol Cech. 2001; 68(1):59-62