[Long-term results of the Collona acetabuloplasty].

I Horský, L Rehák, I Blasko, M Kokavec

Acta Chir Orthop Traumatol Cech. 1991; 58(1-2):1-8

The authors evaluate in their paper the long-term results of capsular acetabuloplasty by Colonna's method in the material of the First Orthopaedic Clinic, Faculty Hospital Bratislava. The mean time interval after operation was 20 years. The results are compared with previous evaluations made by Cervenanský and Kalman. Very favourable results were recorded in 3% of the patients, good results in 24%, satisfactory results in 39% and poor results in 39% and poor results in 34% of the patients. A marked shift towards unsatisfactory results is due to incorrect indication of acetabuloplasty which in the was a certain compromise, and also due to the surgical...

[Use of the Volkov-Oganesjan distraction-reposition apparatus in treatment of flexion contractures of the interphalangeal joints].

M Richtr, M Rysavý

Acta Chir Orthop Traumatol Cech. 1991; 58(1-2):9-19

In the submitted paper the authors present their experience with the treatment of flexion contractures by a Volkov-Oganesjan distraction reposition apparatus. The principle of treatment is continuous distension of shortened ligaments. The Volkov-Oganesjan apparatus makes systematic rehabilitation of the joint possible during gradual reposition of the contracture and at the same time prevents damage of the articular cartilage. The group comprised six patients who were treated and followed up. In four a post-traumatic condition was involved, once burns caused by electric current, and in one patient reoperation of a flexion contracture was involved. The...

[The Bosworth method of acetabular roof plasty--long-term results].

Z Rozkydal, Z Smíd

Acta Chir Orthop Traumatol Cech. 1991; 58(1-2):20-27

Operation of the roof of the acetabulum were performed in 1959-1979 at the First Orthopaedic Clinic in Brno in 110 patients. The authors checked 66 patients with 70 roofs during a mean period of 23 years (11-31 years) after operation. The mean age of the patients at the time of operation was 20 years. Forty-two patients were operated at the age of 14-30 years. The authors recorded 25 good, 23 satisfactory and 20 poor results. Sixteen patients were subjected to another operation. Poor results were observed in hip joints with marked incongruence (severe dysplasia, postluxation necroses), in patients with a wrong indication (instead of the roof osteotomy...

[Neonatal osteomyelitis is still a reality].

B Crha, M Janovec, J Poul

Acta Chir Orthop Traumatol Cech. 1991; 58(1-2):28-36

The authors draw attention to the fact that it is essential to consider osteomyelitis of children under 1 year as a separate nosological unit with regard to the anatomical features of the vascular supply of epimetaphyses. The authors discuss the diagnostic difficulties. In addition to the basic examination they emphasize also the importance of whole-body scintigraphy and examination by ultrasound. They indicate surgery where clinical symptoms do not recede within 24-48 hours after the onset of antibiotic treatment and where on probatory puncture pus is revealed and if during establishment of the diagnosis the X-ray finding is already positive. As to...

[Use of fluoroquinolone chemotherapy in orthopedics and traumatology].

V Krcméry

Acta Chir Orthop Traumatol Cech. 1991; 58(1-2):37-46

In the submitted review the authors analyze hitherto published results with the use of new antimicrobial chemotherapeutic drugs--fluoroquinolones in the treatment of infections of the bones, joints, soft tissues and also in the peroperative prophylaxis in orthopaedics and traumatology. Quinolones are one of the drugs of choice which may be successful in the treatment of staphylococcal and gram-negative chronic osteomyelitis which are resistant to classical treatment and also the drug of choice in the treatment of septic arthritis and ostitis.

Iatrogenic stress fractures.

T Klíma

Acta Chir Orthop Traumatol Cech. 1991; 58(1-2):47-53

The author treated since 1982 85 fractures caused by overloading, incl. 19 which were associated with surgical, manipulation and medicamentous treatment. These iatrogenic influences altered statics and had a bearing on the locomotor stereotype causing deterioration of mechanical properties of osseous tissue and as a result of external rhythmic force during manipulation. Analysis of the causes makes it possible to draw preventive conclusions.

[Distribution of transverse dimensions of the patella in the adult population. Relation to the development of the patellar component in knee joint prosthesis].

K Hajnis, H Malá, V Rybka, P Vavrík

Acta Chir Orthop Traumatol Cech. 1991; 58(1-2):54-59

The development and manufacture of the patellar component was associated with a more detailed osteometric investigation of the patella and evaluation of its range of sizes in our population. Evaluation of data 1042 probands (477 women, 565 men) proved: a) there are no significant lateral differences of transversal dimensions of the patella and femoral condyles; b) The mutual relationship of the above mentioned dimensions does not correlate, and thus no conclusions can be drawn from the transversal breadth of the condyles on the dimensions of the patella; c) The range of patellar diameters in the population is very wide, and to meet demands, it will...

[Problems of recurrence and reoperations in discogenic lumboischiadic syndromes. 1].

I Sulla, J Faguľa, J Výrostko, M Santa

Acta Chir Orthop Traumatol Cech. 1991; 58(1-2):60-68

During the period between Feb. 1 1982 and Dec. 31 1989 at the Neurosurgical Clinic in Kosice 2346 patients were operated (813 women and 1533 men) on account of discogenic lumboischiadic syndrome. Because of true relapses 79 patients were reoperated (29 women, 50 men), i.e., 3.37% of 2346 patients. These formed the investigated group. The youngest patient was 18 years old, the oldest 60 years, the mean age was 38.5 years. Check-up examinations, X-ray material and mathematical evaluation revealed that even marked deviations from the ideal weight according to Broca, balneotherapy, regular physical training and localization of the damaged disc did not...

[Problems of recurrence and reoperation in discogenic lumboischiadic syndromes. 2].

I Sulla, J Faguľa, J Výrostko, M Santa

Acta Chir Orthop Traumatol Cech. 1991; 58(1-2):69-76

In a group of 79 patients (29 women and 50 men) reoperated at the Neurosurgical Clinic of the Faculty Hospital with Policlinic in Kosice between Feb. 1 1982 and Dec. 31, 1989 for substantiated suspicion of a true relapse of discogenic lumboischiadic syndrome it was revealed that neither perimyelography nor CT examination of the spine disclosed reliably the conditions in the spinal canal. The assumed disc compression of spinal roots was confirmed by the surgeon on reoperation only in 58.2% of the patients. Complications were encountered on reoperation in 26.6% patients of the group whereby in the majority an injury of the dura mater fixed by an epidural...

[Ice skater's fracture].

T Klíma

Acta Chir Orthop Traumatol Cech. 1991; 58(1-2):77-81

[Medial and lateral shift of the femoral head epiphysis].

A Streda, M Sebo

Acta Chir Orthop Traumatol Cech. 1991; 58(1-2):82-88

The authors demonstrate a developmental anomaly of the position of the epiphysis of the hip joint, i.e. its medial shift. They assumed that it will be a pre-arthrotic condition, as other known dysplasias of the hip joint. However, the position was reversed as if the shift of the epiphysis of the head of the femur in a medial direction protected the hip joint from the development of arthrotic changes. In case of a medial shift of the epiphysis of the head of the femur--caput varum prearthrosis is not involved.

[Intra-articular injection therapy].

J Vojtassák

Acta Chir Orthop Traumatol Cech. 1991; 58(1-2):89-97

The author pays attention to intraarticular treatment of patients with articular affections in orthopaedics. He mentions briefly the pathophysiology of inflammatory rheumatic and degenerative articular affections, with the aim to draw attention to possible negative influences of intraarticular treatment. In two instances he describes cortisonoid arthropathy in one case the development of iatrogenic purulent arthritis. The author emphasizes that intraarticular injection therapy, in particular corticoid therapy, is therapeutical very effective. However, side-effects of preparations have to be considered, in particular the development of arthropathy and...

[Penetration of antibiotics into the intervertebral disk].

M Vaverka, J Petrzelová

Acta Chir Orthop Traumatol Cech. 1991; 58(1-2):98-103

The role of antibiotics in the treatment and prevention of postoperative spondylodiscitis is still controversial. In a group of 15 patients operated on account of lumbar discopathy, the authors investigated the penetration of antibiotics into the intervertebral disc, in correlation to serum levels, when antibiotics were administered during operation. Despite high serum levels rolitetracycline was not detected in extirpated material of the disc, gentamycin reached 2-6% serum levels. The authors give an account of views on the role of antibiotics in the prophylaxis of postoperative spondylodiscitis and recommend their administration in particular in...

[Scintigraphy in preparation for revision alloplasty of the hip joint].

J Palarcík

Acta Chir Orthop Traumatol Cech. 1991; 58(1-2):104-114

The author presents an account of the development of scintigraphic methods in the detection of inflammatory processes of the musculoskeletal system. The original method used in vitro 111In labelled separated leucocytes. It was improved by the possibility to label leucocytes by means of HMPAO 99mTc. In vivo leucocytes can be labelled by means of monoclonal antibodies. Nanocolloid offers similar possibilities as regards use and gives a good yield. Its use is simple and the preparation is available. Scintigraphy with nanocolloid must be considered nowadays the first scintigraphic method used when an inflammatory process is suspected, in particular of...