[Fractures of the tibial head. Classification, diagnosis, therapy (review)].

N P Südkamp, H P Lobenhoffer, H Tscherne

Acta Chir Orthop Traumatol Cech. 1991; 58(3):129-141

[Non-cemented alloplasty of the hip joint].

A Sosna, I Landor, C Povýsil

Acta Chir Orthop Traumatol Cech. 1991; 58(3):142-156

The authors present a review of the contemporary problem of non-cemented alloplasty of the hip joint. They compare the advantages and disadvantages of cemented and non-cemented endoprostheses of the hip joint in relation to possible loosening and possible re-operation and with regard to the surgical technique. The negative action of bone cement is divided into two groups: 1. immediate effects which act on surrounding tissues and the patient's organism during operation. 2. late effects which involve abrasion and the phagocytic response to small cement fragments and the formation of osteoaggressive granulations. These late effects are demonstrated on...

[Initial experience with the closed method of subcapital osteotomy of the 1st metatarsus in hallux valgus].

J Chomiak

Acta Chir Orthop Traumatol Cech. 1991; 58(3):157-167

The authors summarize initial findings with Bösh's modification of Hohmann's subcapital osteotomy made by means of a cutter from a short dermal incision under X-ray control. The valgosity and rotation of the hallux are corrected by a lateral and possibly plantar shift and by derotation of the head of the metatarsus. The position of the head is ensured by supporting the medial exostosis by a wire inserted by the intramedullary route into the Ist metatarsus. The operation was performed in five female patients aged 37-60 years on nine feet. The results were evaluated after 10-13 months. For osteotomy conic cutters were used (diameter of base 2.1 mm and...

[Surgical treatment of sequelae of injuries of the thoracolumbar spine].

O Vlach, P Messner, M Bayer, M Nýdrle

Acta Chir Orthop Traumatol Cech. 1991; 58(3):168-173

The authors describe surgical techniques used in 48 patients with sequelae of injuries of the thoracolumbar spine and the achieved results. Twenty-one patients were treated by an anterior operation, 14 by posterior operation and 13 a combination of both. The anterior operation involved 1) simple stabilization by autografts or 2) release, correction of the kyphosis and fusion and 3) elimination of the affected body of the vertebra and replacement by a massive allograft. If reliable stability was not achieved, instrumentation was added. In posterior operation they always stabilized the spine by instrumentation and added fusion. In the remaining patients...

[Sequelae of injuries of the thoracolumbar spine and indications for surgery].

O Vlach, M Bayer

Acta Chir Orthop Traumatol Cech. 1991; 58(3):174-177

Inadequate treatment of a fresh injury of the thoracolumbar spine of failure or surgical treatment may lead to substantial restriction of the physical activity of the patient. This is due to posttraumatic kyphosis, possibly its progression, instability, painfulness and a persisting or progressing neurological finding. Forty-eight patients with unstable fracture of the thoracolumbar spine were, except one operated patient, treated originally by conservative methods, 15 of them were moreover subjected to isolated laminectomy. In 30 patients a partial nervous lesion was involved. The majority of patients in the group subjected to laminectomy had a more...

[Changes in collagen biosynthesis in patients with hip joint replacement surgery and reoperation].

R Becvár, R Myllylä, M Krbec, O Cech, M Adam

Acta Chir Orthop Traumatol Cech. 1991; 58(3):178-184

The authors investigated the intensity of collagen synthesis in patients subjected to operation or re-operation of a total endoprosthesis of the hip joint. The patients suffered from osteoarthritis, rheumatoid arthritis and ankylosing spondylitis. The authors assessed the activity of collagen glucosyl transferase (S-GGT) and the concentration of the N-terminal propeptide procollagen type III by two methods (S-Pro III-N-P and S-Fab) in serum before and after operation. A significant rise of S-GGT and S-Fab, as compared with controls, occurred only after operation while S-Pro III-N-P was elevated already before operation. S-GGT did not differ before...