Acta Chir Orthop Traumatol Cech. 2003; 70(5)

Revision total hip arthroplasty: the influence of gender and age on the perioperative complication rate.

S Kinkel, W Kaefer, W Reissig, W Puhl, S Kessler

Acta Chir Orthop Traumatol Cech. 2003; 70(5):269-273

PURPOSE OF THE STUDY: Aim of this study was to report the incidence of complications in a consecutive series of revision total hip arthroplasties (THA). Gender and age as a risk factor for the occurrence of perioperative complications in patients undergoing revision THA were analyzed specifically.MATERIAL: All consecutive revision THA (n = 169) for aseptic loosening, which were performed between 1998 and 2002 were evaluated. Our study population had a mean age of 71.7 years and consisted of 65.7% women and 34.3% men. Complete exchange of the primary implant was performed in 49.7% (84/169). The cup was replaced in 66 cases (39.1%) the stem only...

[Injuries of the atlas].

J Stulík, M Krbec

Acta Chir Orthop Traumatol Cech. 2003; 70(5):274-278

PURPOSE OF THE STUDY: Injuries of atlas account for 1-2% of all injures of the spine and for 7% of the injuries of the cervical spine. Fractures of atlas occur either as isolated fractures or in combination with the injury of the axis or occipital condyles. The aim of the work is to evaluate a group of patients with the injury of the atlas treated both conservatively and surgically.MATERIAL: Between January 1996 and October 2001 we treated at the Orthopaedic Department of 3rd Medical Faculty, Carles University in Prague 10 patients with the injury of atlas. Between November 2001 and December 2002 we treated at the Orthopaedic Department and Spondylosurgical...

[100 CT-guided pelvic operations].

S. Taller, R. Lukás, J. Srám, J. Beran

Acta Chir Orthop Traumatol Cech. 2003; 70(5):279-284

PURPOSE OF THE STUDY: The authors present their 10-year experience with the computed tomography (CT) assisted insertion of implants in the sacroiliac (SI) region and acetabular region. Indications for these interventions and their detailed descriptions are reported.MATERIAL: A total of 98 patients, with the average age of 40.7 years and prevalence of men (70%), were treated. The most frequent cause of injury was a car accident, second in rank was fall from a height. Of these patients, 86 were followed up from 2 months to 3 years.METHODS: The surgical procedure was carried out in the CT department, in which conditions were provided to meet...

Criteria for success with threaded cups (design, material and modularity).

H Effenberger, M Imhof, U Witzel

Acta Chir Orthop Traumatol Cech. 2003; 70(5):285-291

PURPOSE OF THE STUDY: Over a period of three generations, threaded cups were developed and have become viable contemporary cementless hip implants. A few implants already have a high success rate over the mid and long term. Aim of this study was to evaluate contemporary threaded cups.MATERIAL AND METHODS: 30 of the second and third generation cups were systematically analyzed and measured using by a no-touch light section technique. Construction of inner form was determined with half sections.RESULTS: Approximately 50% have a conical shape, although there is a trend towards a more anatomical shape. 83% of the cups have a height up to 23% smaller...

[Percutaneous aponeurotomy of the triceps surae muscle in cerebral palsy in children].

J Poul, M Pesl, M Pokorná

Acta Chir Orthop Traumatol Cech. 2003; 70(5):292-295

PURPOSE OF THE STUDY: To assess the short-term results of percutaneous aponeurotomy of gastrocnemius including the possible complications and effects of the treatment.MATERIAL: Totally 88 procedures were performed in 61 patients in the period 1998-2001. Re-examination in 2002 involved 44 patients with 66 procedures.METHODS: The procedure was done from one-point incision. Six weeks immobilisation followed. Re-examination concerned the shape of the calf, the testing for palpable defect, US examination of calf muscles and aponeurosis, neurological and vascular examination.RESULTS: Recurrence of mild degree of equinus deformity was found in...

[Total hip replacement in osteoarthritis with acetabular protrusion].

Z Rozkydal, R Kunovský

Acta Chir Orthop Traumatol Cech. 2003; 70(5):296-302

PURPOSE OF THE STUDY: The acetabular protrusion changes anatomical conditions for implantation of a cup in total hip replacement. The aim of this study was to evaluate different approaches to implantation of acetabular components in patients with this condition.MATERIAL: A total of 50 hips in 33 patients who had surgery for osteoarthritis with acetabular protrusion between 1992 and 2000 were evaluated. Their initial diagnoses were: idiopathic rotrusio acetabuli in 20 patients, rheumatoid arthritis in nine, arthropathy due to psoriasis in two and Bekhterev's disease in two patients. The average age of the patients was 64.1 years (range, 27 to 74...

Arthroplasty in treating knee osteoarthritis and proximal tibia stress fracture.

M Haspl, M Jelić, M Pećina

Acta Chir Orthop Traumatol Cech. 2003; 70(5):303-305

The authors describe two cases of severely angulated tibial non-unions after proximal tibia stress fractures associated with ipsilateral osteoarthritis treated with modular knee endoprosthesis with a long tibial stem to stabilize non-union fragments. During the procedure, no additional osteosynthesis or bone grafting was added. Both non-unions healed after 6 months with no post-operative complications. The authors suggest implantation of modular knee endoprosthesis, as a single procedure, in treatment of proximal tibia non-union after a stress fracture as a result of severe varus/valgus deformity. It provides a solution for osteoarthritis treatment,...

[An unusual case of non-structural scoliosis (case report)].

V Coupková, O Vlach, R Chaloupka

Acta Chir Orthop Traumatol Cech. 2003; 70(5):306-308

The case of a female patient with conversion scoliosis is described. At 24 years, the patient underwent surgery for herniated disks in the L4-L5 and L5-S1 regions and a short-time relief was achieved. At age 28, she was admitted to our department because of severe pain and antalgic posture. Because radiographs of her spine showed no findings corresponding to her symptoms, psychological examination was indicated. This revealed traumatic emotional experience in her family of origin and later also in her foster family, which unfavorably affected her married life. Psychotherapy, including cognitive behavioral treatment, hypnotherapy and audiovisual stimulation,...

[Simultaneous double interphalangeal dislocation on a single finger].

L Tomcovcík, J Kubasovský, M Kitka

Acta Chir Orthop Traumatol Cech. 2003; 70(5):309-310

The authors report a rare case of the simultaneous double interphalangeal dislocation in the little finger of the left hand. A 35-year-old man, playing football as a goalkeeper, was injured when another player trod on his little finger. The dislocation was reduced by traction without anesthesia and the finger was immobilized on a splint. Although the patient removed the splint only a week later and failed to come for a check-up, at 1 year, his little finger showed no deformity and regained a full range of painless, active motion.

[Traumatic avulsion of the tuberosity of the ischium].

J Kocis, P Visna, R Veselý

Acta Chir Orthop Traumatol Cech. 2003; 70(5):311-313

The apophysis of the ischial tuberosity usually becomes united with the hipbone by 25 years of age. The highest incidence of avulsion in this region occurs between 15 and 17 years in young active persons. Apophysitis should be differentiated from apophyseolysis or an avulsion fracture of the ischial tuberosity. Apophysitis may be associated with chronic excessive sports activities in young men and women and is manifested by pain in the region involved. Its presence is confirmed by radiographic findings. The patient with an avulsion fracture of the ischial tuberosity reports an injurious event, usually a sudden movement during sports activities, associated...