[Primary osteosynthesis of the odontoid process: a multicenter study].

J Stulík, P Suchomel, R Lukás, J Chrobok, Z Klézl, S Taller, M Krbec

Acta Chir Orthop Traumatol Cech. 2002; 69(3):141-148

PURPOSE OF THE STUDY: Direct osteosynthesis is a method of choice for the treatment of odontoid process fractures. It is based on insertion, from the anterior approach, of one or two screws from the C2 body into the apex of the odontoid across the fracture line. The tensile action of screws results in compression of fragments and stabilization of the fracture. The aim of the study was to evaluate a group of patients treated by this method and to compare our results with those reported in the foreign literature.MATERIAL: A total of 99 patients were treated by direct osteosynthesis of the odontoid in the departments involved in the study between...

[Meniscoids of the intervertebral joints].

J Kos, J Hert, P Sevcík

Acta Chir Orthop Traumatol Cech. 2002; 69(3):149-157

PURPOSE OF THE STUDY: A large amount of material was used to study the distribution, location and shape of meniscoids in intervertebral joints of the human spine, from the atlanto-occipital joint to the sacrum, in order to find out how many of intervertebral joints had mobile meniscoids. These might be regarded as possible causes of spinal blockade or other vertebrogenous complaints.MATERIAL: The materials provided by the Department of Anatomy and Department of Forensic Medicine at the Faculty of Medicine of Charles University in Pilznen included 20 cadaverous spines from humans aged 20 to 80 years.METHODS: Access to each joint was provided...

[Replacement of the vertebral body with an expansion implant (Synex)].

M Krbec, J Stulík, V Tichý

Acta Chir Orthop Traumatol Cech. 2002; 69(3):158-162

PURPOSE OF THE STUDY: This paper describes replacement of the vertebral body with the expansion implant Synex. Usually, autologous bone graft is used to replace the vertebral body. In patients with bone cancer or multiple injuries to the spine, cement filling is preferred whereas, in other indicated cases, implants are inserted, of which Harms' titanium cage has been the most common one. However, this needs filling with a large amount of bone tissue and it is often difficult to adjust its size into the space available. Telescopic devices, on the other hand, are easier to implant and their application requires only a minimum amount of autologous bone...

[Somatometric and impedance measurements of the lower extremities in orthopedics].

P Maresch, F Makai, J Tkácik, B Valko

Acta Chir Orthop Traumatol Cech. 2002; 69(3):163-168

PURPOSE OF THE STUDY: The objective was to demonstrate the contribution of somatometry and vascular impedance measurement to the evaluation of somatic status and nutrition, particularly the state and function of the vascular system of lower extremities, in patients with arthropathy of the weight-bearing joints.MATERIAL: Impedance plethysmography and impedance phlebography appeared to be the best methods for assessment of vascular hemodynamics; pulse oxymetry, carried out on toes, was most convenient for measurement of haemoglobin saturation with oxygen (HbO2). The state of vessels was determined according to the CEAP classification. Somatometric...

[Arthroscopic reconstruction of the anterior cruciate ligament using the transtibial technique and a graft from the patellar ligament--results after 5-6 years].

A Podskubka, T Kasal, J Vaculík, Z Krystlík

Acta Chir Orthop Traumatol Cech. 2002; 69(3):169-174

PURPOSE OF THE STUDY: Arthroscopic reconstruction of the anterior cruciate ligament (ACL) by transtibial technique with free graft from the patellar tendon fixed by interference screws is a commonly used procedure. The aim of this study is to evaluate the results 5 to 6 years after the surgery.MATERIAL: Fifty-two of 79 patients operated on in 1995 were checked in the period of 2000-2001. The average age of patients at the time of surgery was 26 years (range, 15-20 years), there were more men (62%), prevailing were injuries resulting from sports activities (92%).METHOD: We have used evaluation according to IKDC. We focused on the problems at...

[Infections in surgery of idiopathic scoliosis].

R Grosman, O Vlach, M Leznar

Acta Chir Orthop Traumatol Cech. 2002; 69(3):175-178

PURPOSE OF THE STUDY: In this retrospective study, we evaluated infectious complications in the patients undergoing surgical treatment for idiopathic scolions in order to identify risk factors for postoperative infections.MATERIAL: A total of 786 patients with idiopathic scoliosis were operated on during 24 years. In 754 (96%) cases, we used the posterior approach, involving posterior fusion and internal fixation, and subsequent immobilization in a brace. During that period, we recorded 15 (1.9%) deep wound infections in the area of fusion. Early infections were treated by debridement and lavage, with targeted administration of antibiotics, while...

[Experience with the Walter-Motorlet/Poldi hybrid hip joint endoprosthesis in our department].

J Sztefek, M Svoboda

Acta Chir Orthop Traumatol Cech. 2002; 69(3):179-182

PURPOSE OF THE STUDY: Patients with total hip replacement, in whom the hybrid prosthesis consisting of a Walter-Motorlet socket and a Poldi shaft was used, were followed up and the results were evaluated.MATERIAL: Eighty eight total hip replacements were carried out in 85 patients in the period from 1995 to 1997. Of these, 64 were evaluated at the follow-up lasting on a average 67 months; 14 patients who failed to come for a check-up were excluded from the study.METHODS: All patients were operated on from the Watson-Jones approach. They underwent clinical examination, outcome assessment by the Harris classification and X-ray examination in...

[Nitric oxide and its role in orthopedics].

M Ostádal, J Herget, P Dungl

Acta Chir Orthop Traumatol Cech. 2002; 69(3):183-186

[Purulent Salmonella arthritis of the ankle joint].

J Zán, T Malotín, M Linhart

Acta Chir Orthop Traumatol Cech. 2002; 69(3):187-190

In the case study the authors focus on Salmonella enteritidis which caused purulent osteoarthritis of the ankle and sepsis. Salmonella osteoarthritis is one of the nidal forms of the salmonella infection. The authors briefly present etiology, pathogenesis, diagnosis and principles of the treatment of infectious osteoarthritis. They analyze a case of a 56 years old immunocompromised patient who was treated at the authors' department for a late diagnosis with an already developed septicemia. They describe the course of the disease, complications and the result of the treatment and discuss the pitfalls of the diagnosis and treatment. Only a timely diagnosis...