Evolution of AO philosophy.

Stephan M Perren, Peter Matter

Acta Chir Orthop Traumatol Cech. 2003; 70(4):205-206

40-year experience in surgical treatment of congenital chest deformations--ethiopathogenesis, operative techniques and clinical results.

J Serafin, J Swiatkowski, R Majkusiak, P Nowakowski

Acta Chir Orthop Traumatol Cech. 2003; 70(4):207-213

PURPOSE OF THE STUDY: The aim of this study was to assess the results of surgical treatment of 58 patients with pectus excavatum and 11 with pectus carinatum and discuss the problems connected with ethiopathogenesis and operative techniques.MATERIAL: 69 chest deformations treated between 1961-2001.METHODS: The clinical results were analyzed with 1) Kopera-Król Rtg-index, 2) Gizycka's Rtg-index of chest flattening, 3) Haller and Nakahara CT-index, 4) Heart position after operation, 5) Frequency of upper respiratory infections, 6) Appearance of postoperative scar, 7) Patient's opinion. Histopathological investigations were used to assess ethiopathogenesis...

[Traumatic spondylolisthesis of the axis].

J Kocis, P Wendsche, P Visna, V Muzík, R Hart

Acta Chir Orthop Traumatol Cech. 2003; 70(4):214-218

PURPOSE OF THE STUDY: The study presents a group of patients with traumatic spondylolisthesis of the axis. Views on the treatment of different types of spondylolisthesis vary. The aim of this study was to carry out a retrospective evaluation of the group of patients with this traumatic condition.MATERIAL: In the period from 1995 to 2002, 26 patients with traumatic spondylolisthesis of the axis were treated. They accounted for 5% of all patients admitted to our department for cervical spine injuries. Three types of traumatic spondylolisthesis were distinguished according to the Effendi classification. Type I was diagnosed in seven, type II in 18...

[Current diagnostic and therapeutic approaches in liver injuries].

F Vyhnánek, L Denemark, V Duchác

Acta Chir Orthop Traumatol Cech. 2003; 70(4):219-225

PURPOSE OF THE STUDY: The recent improvements in hospital care system (centralized specialized care) and the use of new imaging methods and modern technologies in surgical treatment have greatly enhanced successful outcomes of therapy in liver injury. The aim of the study was to evaluate the contribution of procedures included in the diagnostic-therapeutic algorithms to the treatment of blunt injury to the liver in our patient population.MATERIAL: Our group consisted of 43 patients with blunt injury to the liver who were treated at the Emergency Department between 1998 and 2002. In 28 patients, blunt injury was part of polytrauma, in 7 patients...

[Injuries of the lower cervical vertebrae--the monocortical stabilization technique].

J Stulík, M Krbec, T Vyskocil

Acta Chir Orthop Traumatol Cech. 2003; 70(4):226-232

PURPOSE OF THE STUDY: In contrast to the thoracolumbal spine, the cervical spine bears a lower biomechanical load and, therefore, anterior stabilization of a fracture is a definitive procedure in the majority of cases. What remains the matter of choice is screw fixation in the body of the vertebra involved. This may be either monocortical or bicortical. In this study, we evaluate a group of patients in whom fractures of the lower cervical spine were treated using the CSLP monocortical system (Synthes).MATERIAL: We included 68 patients in whom complete radiographic data were available and the surgery was performed more than 6 months earlier. This...

[Arthroscopic stabilization of the shoulder using anchors].

P Valis, M Nýdrle

Acta Chir Orthop Traumatol Cech. 2003; 70(4):233-236

PURPOSE OF THE STUDY: The purpose of the current report was to present our initial experience with an arthroscopic technique for anterior stabilization of the shoulder with an anchor in 64 patients who had recurrent anterior glenohumeral instability.MATERIAL: The application of arthroscopic techniques for the operative treatment of recurrent anterior instability of the glenohumeral joint has generated widespread interest. The goal of all arthroscopic techniques for stabilization of the shoulder is the re-establishment of a functioning inferior glenohumeral ligament. This is achieved by reattaching the avulsed anteroinferior aspect of the labrum...

[Causes of development of genu recurvatum after surgical treatment in spastic forms of childhood cerebral palsy].

J Poul, V Raiser

Acta Chir Orthop Traumatol Cech. 2003; 70(4):237-242

PURPOSE OF THE STUDY: To evaluate the contribution of different surgical techniques of lengthening of distal hamstrings on the development of hyperextension deformity of the knee in spastics.MATERIAL: Totally 51 patients of age 7.6 + 3.7 years at operation. Follow-up after surgical release for 4-10 years. Basically two surgical techniques were used: 1. Simple division of gracilis and semitendinosus, fractional lengthening of semimembranosus and biceps femoris. 2. Gracilis and semitendinosus were anchored after its transverse division to fractionally lengthened semimembranosus.METHODS: Pre-operative and post-operative Bleck popliteal angles...

[Surgical treatment of multiple epiphyseal dysplasia in the hip joints in childhood--short-term results].

P Sponer, K Karpas, J Ceněk

Acta Chir Orthop Traumatol Cech. 2003; 70(4):243-247

PURPOSE OF THE STUDY: The presentation of our results of surgical treatment of the hip joints affected by multiple epiphyseal dysplasia, using the Steel technique of triple osteotomy of the innominate bone in children.MATERIAL: Twelve hip joints in 11 patients were treated by the Steel technique of triple osteotomy of the innominate bone at our department in the period from 2000 to 2001. However, the evaluation involved only children who also had multiple epiphyseal dysplasia, i.e., two boys and one girl. One of the boys had bilateral surgery with 6.5 months between the operations. The average age at the time of operation was 7.5 years, with...

[Changes in the articular compartment in advanced osteoarthritis].

H Hulejová, P Spacek, Z Klézl, T Trc, M Adam

Acta Chir Orthop Traumatol Cech. 2003; 70(4):248-252

PURPOSE OF THE STUDY: Both synovial and bone forms of osteoarthritis (OA) are characterized by inflammatory processes in the articular compartment. Increasing evidence suggests that changes in bone tissue are important for the deterioration or loss of joint function. Therefore it is reasonable to shift emphasis from research on cartilage to that on other articular tissues, particularly on subchondral bone. The aim of the study was to demonstrate the involvement of several cytokines in OA development and, on the basis of changes of joint markers, to assess the extent of inflammatory process.MATERIAL: A total of 60 patients with an osseous form of...

[Primary bone hyperparathyroidism].

O Jelínek, K Husek, S Ondrůsek

Acta Chir Orthop Traumatol Cech. 2003; 70(4):253-255

The authors report the case of a 19-year-old girl with osteolytic bone lesions in whom primary hyperparathyreoidism caused by parathyroid gland adenoma was diagnosed. They emphasize necessity to be aware of a relationship of this rare condition to bone lesions that may be benign in appearance and may show ambiguous histological findings. The patient underwent excision of the adenoma and subsequent substitution therapy, which resulted in the healing of bone lesions.