[Unreamed locking intramedullary nailing of humeral fractures--basic evaluation of a patient group].

V Fric, P Pazdírek, J Bartonícek

Acta Chir Orthop Traumatol Cech. 2001; 68(6):345-356

PURPOSE OF THE STUDY: The aim of the work is to provide an overview of the existing experience in Synthes unreamed humeral nail (UHN).MATERIAL: Between August 1996 and February 2000 we treated by means of UHN a group of 37 patients (12 men and 25 women), average age 55 years (range, 18-87 years) with a fracture of humeral shaft. According to AO classification in 10 patients it was a case of a fracture of proximal humerus involving the shaft (11B-3) and in 27 cases a fracture of the shaft (12 A, B, C). The whole group was operated on by 11 surgeons.METHOD: In 26 cases we used the antegrade method and in 11 cases the retrograde one, in dependence...

[Rotational acetabular osteotomy in the treatment of Legg-Calve-Perthes disease].

J Poul, M Vejrostová

Acta Chir Orthop Traumatol Cech. 2001; 68(6):357-362

PURPOSE OF THE STUDY: The material of prospective study involving 57 surgically treated hips in 55 patients suffering with a severe form of Legg-Calvé-Perthes disease (LCPD) was analysed by the use of statistical methods to depict the influence of age, of sex, of the amount of head involvement on the outcomes of surgical treatment by rotational acetabular osteotomy (Salter or Steel osteotomy from 9 years of age).MATERIAL: During the period 1990-2000 rotational acetabular osteotomy for Legg-Calvé-Perthes disease was performed totally in 124 patients. Excluded were cases, in which the operation was done for residual subluxation as a definitive outcome...

[Repair of chondral defects of the knee using a combination of autologous chondrocytes and osteochondral allograft--an animal model. Part I: in vitro culture of autologous chondrocytes].

D Bacenková, J Rosocha, R Svihla, G Vasko, J Bodnár

Acta Chir Orthop Traumatol Cech. 2001; 68(6):363-368

PURPOSE OF THE STUDY: In the study we used in vitro cultivated autologous chondrocytes in combination with osteochondral allografts for the treatment of local defects of articular cartilage on the animal model (rabbit).MATERIAL: Chondrocytes for in vitro cultivation were harvested by biopsy of articular cartilage of rabbit. For the monolayer cultivation we used Nutrient mix F 12 (Gibco BRL) with addition of Lascorbic acid (50 micrograms/ml, Sigma) and insulin-trasferin-selenium (A 6.26 micrograms/ml, Gibco BRL), 20% of fectal serum (Gibco BRL) and antibiotic antimycotic solution (Gibco BRL). Cultivation of chondrocytes took place at 37 degrees...

[Verification of a surgical technique using a new biotitanium cage in degenerative diseases of the lumbar spine--experimental study].

M Filip, P Linzer, P Veselský, T Palecek, M Mrůzek, Z Strnad

Acta Chir Orthop Traumatol Cech. 2001; 68(6):369-373

PURPOSE OF THE STUDY: Authors performed experimental PLIF operations on cadavers to verify appropriate shape and size of cage made from bioactive titan material. The approach for application into intervertebral space of the lumbar spine and appearance on X-ray and CT scans was also investigated.MATERIAL: In experiment on cadavers five implantations of interbody cages were performed, two of them in interbody space L3/L4 and three of them in L4/L5. Subtotal discectomy and end platec preparation was done before cage insertion. Our type of cage is made from bioactive titan material and fastened in the application instrument that we developed for this...

[Indications for emergency surgery in thoraco-abdominal injuries].

F Vyhnánek, J Fanta, O Vojtísek, R Kostka, D Jirava, F Cáp

Acta Chir Orthop Traumatol Cech. 2001; 68(6):374-379

PURPOSE OF THE STUDY: Under the conditions of an increasing number of car accidents and criminal injuries the thoracis and abdominal trauma is a source of a significant morbidity and mortality in blunt and penetrating mechanism of injury. On the basis of a group of patients operated on for blunt and penetrating injury of the chest and abdomen evaluation was made of the current indication and results of lifesaving surgery in case of these injuries.PATIENTS: The group included 68 patients requiring a lifesaving surgery for a blunt and penetrating injury of the chest and abdomen hospitalized between the beginning of 1966 and the end of April 2001....

[Osteomyelitis of the spine and its surgical treatment--personal experience].

J Vrzala, P Pilát, J Vrzala, P Teyssler

Acta Chir Orthop Traumatol Cech. 2001; 68(6):380-383

PURPOSE OF THE STUDY: Evaluation of surgical treatment of osteomyelitis of the spine, determination of efficient diagnostic and therapeutic criteria.MATERIAL: The examined group comprised in total 27 patients. No selection was made, all patients who were operated on and treated at the Department of the authors were followed gradually as they were admitted at the Department.METHODS: Evaluation was based on the monitoring of the clinical condition of patients including laboratory tests. Evaluated was also the achievement of vertebral body fusion three months after the surgery. The surgical procedure always contained a radical debridement of inflammatory...

[Osteoarthrosis--a suggested approach for the general physician] ].

V Medek, I Kopecký

Acta Chir Orthop Traumatol Cech. 2001; 68(6):384-385