Acta Chir Orthop Traumatol Cech. 1989; 56(6)

[Treatment of fractures of the distal part of the forearm using external fixation].

J Váchal, J Stehlík, J Jiricka

Acta Chir Orthop Traumatol Cech. 1989; 56(6):473-483

In the years 1986-1987 the authors operated on 14 patients with 15 fractures in the area of the distal part of the forearm. They performed external fixation in open fractures and in unstable, intra-articular and extra-articular closed fractures. They use Poldi 7 external fixation device, the clamp type of fixation with the insertion of 2 screws into the radius and 2 screws into the second metacarpal. Reduction is carried out by distraction using the principle of ligamentotaxy. The evaluation of the results in the period between' 8-22 months after the operation showed excellent clinical results in 6 patients, good results in 7 patients and a fair result...

[Ender nailing in fractures of the proximal femur. II. Analysis of our cohort].

J Bartonícek

Acta Chir Orthop Traumatol Cech. 1989; 56(6):484-501

The work presents the analysis of the group of 172 patients with the fracture of the proximal femur treated by the technique of Ender nailing between June 1985 and December 1988. The group comprised 45 male (26 per cent) and 127 female (74 per cent) patients. Their average age was 76 years (ranging from 20 to 97 years of age) out of which 75 per cent of patients were older than 70 years and 40 per cent older than 80 years. Indication of Ender nailing in patients under 60 years of age we consider exceptional. In our group we operated on in total 14 patients under 60 years of age (ranging from 20 to 57 years of age) and namely in case of the comminuted...

[Incidence and treatment of congenital dysplasia of the hip joint in the Bardejov District over the 5-year-period 1984-1988].

V Tomás

Acta Chir Orthop Traumatol Cech. 1989; 56(6):502-506

The author deals with the incidence and treatment of inborn dysplasia of the hip joint in the region of Bardejov which has 80,000 inhabitants. He evaluates the results achieved in the period of 5 years (1984-1988) in 7208 children. 1152 children, i.e. 16 per cent, were treated for any grade of inborn dysplasia, subluxations and dislocations amounted to 323, i.e. 4.5 per cent, the boy-girl ratio was 1:3. Preventive screening of new-born children as early as in the first days of their life, a timely diagnosis and treatment are of great importance in this inborn deformity and lead to good results. The most suitable for the treatment appeared to be the...

[Prediction of body height and shortening of the lower part of the body in adults with achondroplasia].

I Marík, D Zemková, R Kubát, M Rygl, J Friedlová

Acta Chir Orthop Traumatol Cech. 1989; 56(6):507-515

The authors present the method of predicting the body height of patients with achondroplasia in adulthood and the method of predicting shortening of the lower segment of the body as compared to the trunk. They evaluate a group of 12 patients with achondroplasia at the age from 3 to 17 years. They compare the growth curves of patients with normal Czechoslovak population and with a group of American patients suffering with achondroplasia. The application of growth curves of American patients with achondroplasia appears to be the most suitable and simple graphical method for the prediction of the body height of the Czechoslovak patients suffering from...

[A distraction abduction apparatus for treatment of Calvé-Legg-Perthes disease].

M Dostál, J Hradil, V Mihál, S Andresová

Acta Chir Orthop Traumatol Cech. 1989; 56(6):516-521

The authors submit to the orthopaedic public an abduction apparatus of their own desing for functional treatment of Calvé-Legg-Perthes disease. The apparatus is relatively simple, uses the pantographic system and during gait is preserves very satisfactory immersion of the head of the femur into the acetabulum. Contrary to the lumbal orthesis "Atlanta", it makes it possible to correct also anteversion in the hip joints. In the discussion the authors outline the contemporary therapeutic procedure of their department, the response to comments and finally the view of paediatrivians as regard treatment of the above disease.

[Morphology of the human rib perichondrium from the aspect of arthroplasty of the small joints of the hand].

M Brozman, J Jakubovský

Acta Chir Orthop Traumatol Cech. 1989; 56(6):522-527

The human rib perichondrium is a suitable material for reconstruction interventions on small joints of the hand. Optical and electron microscopy analysis of the human rib perichondrium has shown some features different from the similar perichondrium in rabbits. In its superficial layers there are apart from the vascularity also myelinized nerve fibres, fat-cells and heparinocytes. In the medium layer and in the inner layer of the perichondrium there are cells which by their characteristics correspond to fibrocytes. Among them are collagen fibrillae coated with materials which can be fixed by the ruthenium red. The inner layer cannot be exactly distinguished...

[Problems in the diagnosis of Ewing's sarcoma].

L Rehák, I Blasko, E Huraj, S Galbavý

Acta Chir Orthop Traumatol Cech. 1989; 56(6):528-537

The aim of the work was to analyze by the method of retrospective study the difficulties in diagnosing the Ewing sarcoma at the Department of Orthopaedic of the Teaching Hospital in Bratislava in the years 1967-1987. The authors found out that there were diagnosticated 28 cases of the Ewing sarcoma, the boy-girl ratio was: 1:1. Most frequently it occurred between 12 and 18 years of age. Apart from clinical examination they use classical sciagraphy, macropictures, tomography, arteriography, gammagraphy of the skeleton, computer tomography, lymphography, histological, and electron microscopic examination. In the conclusion the authors point out that...

[Mineralization status in bones in patients with femoral neck fractures].

J Vojtassák, I Blasko, L Rehák

Acta Chir Orthop Traumatol Cech. 1989; 56(6):538-542

The authors present the results of the evaluation of the state of the art of mineralization of the bone in 56 patients over 45 years of age with the fracture of the femoral neck. The state of the art of mineralization was evaluated by means of bone indices. In each patient there were determined 6 values of bone indices and thus they got a more objective picture of the state of the art of bone tissue. They found out that most cases of fractures occurred on the osteporous skeleton. For pathological values corresponding to osteoporosis they considered such values when the bone index according to Barnet-Nordin was less than 45, Garn index less than 67,...

[Dislocation of the foot and talus--a rare injury of the ankle joint].

M Slavík, J Kubice

Acta Chir Orthop Traumatol Cech. 1989; 56(6):543-548

In their communication the authors describe two cases of a very rare injury presented in the world specialized literature under the title "luxation pedis cum talo". They treated two professional sportsmen with this diagnosis at the clinic. The authors describe the pathological anatomy of this injury where there occurs almost complete rupture of both deltoid and fibular ligaments of the ankle. In both mentioned cases, despite the severe instability of the nakledorsally placed parts of both ligaments have been preserved, and namely pars tibiotalaris post. lig. deltoidei and lig. fibulotalare post. The authors deal with the question if the cases of "luxatio...