Acta Chir Orthop Traumatol Cech. 2005; 72(2)

Aspects of internal fixation of fractures in porotic bone. Principles, technologies and procedures using locked plate screws.

S M Perren, B Linke, K Schwieger, D Wahl, E Schneider

Acta Chir Orthop Traumatol Cech. 2005; 72(2):89-97

Fractures of the bones of elderly people occur more often and have a more important effect because of a generally diminished ability to coordinate stance and walking. These fractures occur at a lower level of load because of lack of strength of the porotic bone. Prompt recovery of skeletal support function is essential to avoid respiratory and circulatory complications in the elderly. To prevent elderly people from the risks of being bedridden, demanding internal fixation of fractures is required. The weak porotic bone and the high level of uncontrolled loading after internal fixation pose complex problems. A combination of several technical elements...

[Long-term results following fracture of the femoral neck in children].

J Matejka, T Pavelka, J Kostál, H Cervenková

Acta Chir Orthop Traumatol Cech. 2005; 72(2):98-104

PURPOSE OF THE STUDY: This retrospective study was designed to evaluate the severity and nature of long-term sequelae of femoral neck fractures in children in relation to the strategy and technique of therapy.MATERIAL: The study included 15 patients with a fracture of the femoral neck who, at the time of injury, had an opened proximal physis. The average age at the time of injury was 11.5 years (range, 4 to 16.3 years). There were eight boys and seven girls. Twelve children suffered injury due to a fall varying in gravity, two were knocked down by a vehicle, and one was injured as a co-driver in a car accident. The group involved no type I fracture,...

[Combined atlantoaxial fractures].

J Stulík, T Vyskocil, P Sebesta, J Kryl

Acta Chir Orthop Traumatol Cech. 2005; 72(2):105-110

PURPOSE OF THE STUDY: Combined fractures of the atlas and epistropheus account for 3 % of all acute injuries to the cervical spine. In relation to all C1 and C2 injuries this is 43 % and 16 %, respectively. The aim of this study is to evaluate a group of patients with combined C1-C2 fractures and to suggest an effective therapeutic procedure.MATERIAL: In the years 1996 to 2003, a total of 16 patients with trauma to the atlantoaxial complex were treated at the Orthopedic Department of the Third Faculty of Medicine, Charles University, Prague (1996-2001) and the Department of Spinal Surgery of the University Hospital in Motol, Prague (2001-2003)....

[Arthrodesis of interphalangeal joints by means of external frame fixation].

L Prokes, M Lutonský

Acta Chir Orthop Traumatol Cech. 2005; 72(2):111-115

PURPOSE OF THE STUDY: The indications for arthrodesis of interphalangeal joints include pain, instability, deformity or irreparable damage to the relevant flexor or extensor tendon. The general principle of arthrodesis is to resect the affected joint ends in the flexion desired so that a highest possible surface of contact may be provided. Subsequently, retention by means of internal or external fixation is performed. The aim of this study is to evaluate our method of interphalangeal joint arthrodesis, using an external frame fixator, to present the results and to point out the advantages of this method, thus showing its applicability for relevant...

Tribological considerations for a new hip system.

K Knahr, L Karamat, G Loho, M Pospischill

Acta Chir Orthop Traumatol Cech. 2005; 72(2):116-121

PURPOSE OF THE STUDY: This paper was initiated to evaluate a new total hip system based on cementless fixation and focusing options for different articulations within a single hip system.MATERIAL AND METHODS: 100 patients provided with the cementless Variall hip system were evaluated clinically and radiographically. The 59 female and 41 male patients were followed for a minimum of 3 years postoperative. They were clinically evaluated using the Harris Hip Score. Radiographic analysis was based on plain x-rays at the latest follow-up evaluation.RESULTS: The evaluated patients achieved an excellent clinical result with an average Harris Hip Score...

[Forefoot surgery under regional anesthesia].

J Pilný, J Kubes

Acta Chir Orthop Traumatol Cech. 2005; 72(2):122-124

PURPOSE OF THE STUDY: The aim of this study is to present the method of lower limb peripheral nerve block for forefoot surgery and, in comparison with other methods, to evaluate the results in terms of postoperative analgesia and postoperative complications.MATERIAL: Our group included 164 patients, 13 men and 151 women in the age range from 16 to 79 years, who underwent surgery for forefoot deformities during the years 1998-99. Of these, 77 (46 %) were operated on under general anesthesia, 54 (33 %) under infiltration anesthesia and 33 (21 %) under peripheral nerve block.METHODS: When peripheral nerve block was used, the anesthetic Marcain...

[Unusual infection complication of total hip arthroplasty].

R Jány, J Vojtassák, M Lisý, J Almási

Acta Chir Orthop Traumatol Cech. 2005; 72(2):125-128

Authors present the case history of a 66-year old patient after repeated reimplantations of the THA with a deep infect caused by a rare aetiological agent (Serratia marcescens) associated with a pyogenic sinus. They describe the disease history, therapeutic procedure, complications associated with the surgery as well as postoperative course after the reimplantation of a customized total hip replacement. In the conclusion they state that in case of an infected total hip arthroplasty the treatment is focused on the salvage of the infection process and preservation of the function of the affected limb. Of essential importance is surgical revision with...

[Primary surgical treatment of amputated fingers and indications for digital replantation].

A Sukop, R Kufa

Acta Chir Orthop Traumatol Cech. 2005; 72(2):129-133

The amputation of a single finger, or its part, or more fingers results in functional and esthetic changes in the patient's life. Until 1965 when the first thumb ever was replanted, the treatment of amputated digits had been limited by technical facilities of the medical science. Since 1970s, the development of fine suture materials, microsurgical instruments and the operating microscope has made it possible that replantations have become routine procedures in hand surgery. Both surgical procedures and indication schemes have also evolved. The primary surgical treatment has been standardized to involve the wrapping of amputated parts in dressing material...