Acta Chir Orthop Traumatol Cech. 1992; 59(4)

[Experimental and Clinical Investigation of Cervicocapital Isoelastic POLDI Endoprostheses (Part I - Experimental Investigation).].

T Trc, C Povýsil, M Adam

Acta Chir Orthop Traumatol Cech. 1992; 59(4):195-202

The first part of the paper on the isoelastic POLDI prosthesis is concerned with animal experiments on dogs. The objective of the experiment was to prove the assumed properties of these endoprostheses, described by authors who use them in different clinical departments all over the world. The precise experimental procedure and exact histological conclusions mentioned in this investigation confirm the majority of these hypothetical qualities. In the discussion the authors compare the relatively small number of published experimental work with the conslusions of their own investigation. They mention the satisfactory osteoplastic activity of bone in the...

[Application of Dick's Internal Fixation Device in the Treatment of Injuries of the Thoracolumbar Spine, First Experience.].

M Krbec, J Bartonícek, O Cech, J Stehlík

Acta Chir Orthop Traumatol Cech. 1992; 59(4):203-210

The authors treated 12 patients with injuries of the thoracolumbar spine, using an internal fixation device as designed by Dick. The advantage of Dick's device is: 1. fixation restricted to the smallest possible portion of the spine, usually only two mobile segments, 2. the possibility to influence the so-called anterior column of the spine from a posterior approach, 3. the possibility of peroperative reposition, 4. the high stability of the fitting, which makes possible early postoperative mobilization of the patient only with a removable orthesis. The internal fixation device makes it possible to perform other operations such as transpedicular spongio-plasty,...

[Dynamic sliding screw in the treatment of fractures of the proximal femur in the traumatological research institute in 1987-1991.].

J Palarcík, O Vlach

Acta Chir Orthop Traumatol Cech. 1992; 59(4):211-217

The authors present the retrospective evaluation of a group of 20 patients with fractures of the proximal femur who were treated in 1987-1991 by synthesis with a sliding conpressive screw. The authors used implants POLDI, OSTEO and AESCULAP. Women predominated at a ratio of 3 : 2. The mean age at the time of the injury was 57 years. The operations were made soon after the injury - 13 times on the day of the injury, the longest interval was three days after the injury. Mediocolic fractures predominated - 10 times. An exchange operation had to be performed 5 times, five patients died and three patients were lost from the records. Of the remaining seven...

[Morphological skeletal changes in juvenile chronic arthritis.].

A Streda, S Popelka, R Bardfeld

Acta Chir Orthop Traumatol Cech. 1992; 59(4):218-223

The authors demonstrate morphological skeletal changes (formative, destructive and synostoses) which developed in the course of juvenile chronic arthritis. On X-rays of selected patients they draw attention to damage which impedes normal activities of the patients, and frequently because of pain or immobility, eliminates them from normal life. Because of deformities some even have to rely on assistance of another person. The purpose of the submitted paper is to stress the importance and expedience of team work of rheumatologists, radiologists and orthopaedists. These specialists evaluate the present clinical state of the patient, the severity of skeletal...

[Our Experience with 15 000 USG Examinations of Hip Joints in Children.].

I Vanecek, D Ostrý

Acta Chir Orthop Traumatol Cech. 1992; 59(4):224-228

The authors examined between May 1988 and April 1992 more than 15 000 hip joints. In the submitted paper they present the statistically processed results of 14 296 ultrasonographic (USG) examinations of hip joints of children evaluated according to Professor Graf's s method. For the USG examination they elaborated their own procedure and computer programme which fully replaces the card index and dispensary and makes statistical processing of the results possible. The authors demonstrate on their own group that USG examination can replace X-ray examination, if the child is subjected to two USG examinations. They submit for discussion the necessity of...

[Corrective osteotomy of the leg - comparison of two types of postoperative treatment.].

J Vrzala

Acta Chir Orthop Traumatol Cech. 1992; 59(4):229-234

The author describes his experience with the immediate postoperative mobilization of the knee joint after high arc-shaped corrective osteotomy of the leg. The latter was indicated on account of a varus deformity of the knee with subsequent arthritis. The author compares the method with treatment by means of a plaster tube in the same indication and discusses the advantages of preserving the mobility of the knee joint. This is made possible by a special way of application of the plaster with articular metal splints. The maun asset is in the author's opinion the markedly reduced period of hospitalization and greater comfort of the patient. It eliminates...

[Infections at the paediatric department of the first orthopaedic clinic in bratislava.].

J Vojtassák, A Sefránková, P Maresch, L Rehák

Acta Chir Orthop Traumatol Cech. 1992; 59(4):235-237

At the First Orthopaedic Clinic in Bratislava during the last two years 748 children were hospitalized. Of these 405 had surgical operations: 260 operations of bones, 61 operations of joints and 84 operations of soft parts. Patiens with osteomyelitis and pyarthrosis were hospitalized in 0,5 %, with reactive arthritis in 0,6 % (not associated with the surgical operation made in the authors' department). For prophylactic and therapeutic administration of antibiotics Ampicillin was administered in 266%, Oxacillin in 15,8 %, Cephalosporins in 12,8 %. Prophylactic administration of antibiotics, incl. the first dose before surgery, accounted for 626%. After...

[Therapy of acute and inveterate ruptures of the tendon of the quadriceps femoris muscle.].

J Charvát, K Urban

Acta Chir Orthop Traumatol Cech. 1992; 59(4):238-241

The authors deal with the treatment of acute and inveterate ruptures of the tendon of the quadriceps femoris muscle. They emphasize early diagnosis and surgical treatment in acute conditions. The authors use of modification of McLaughlin's technique which involves trepanation of the patella through which a wire loop is drawn as a relief of the bridging of the sutured site of the tendon, then it is led in a proximal direction through the fibrous portion of the tendon of the m. rectus femoris and terminates about 10 cm in a proximal direction from the site of the rupture. The operation is supplemented by plaster fixation in slight semiflexion of the...

[Treatment of Congenital Deformities of the Forearm by Ilizarov's Distraction Method.].

S Guzanin

Acta Chir Orthop Traumatol Cech. 1992; 59(4):242-245

The authors describe two cases of distraction of the bones of the forearm, using Ilizarov's distraction method. In the first case the author treated a patient with aplasia of the 1st metacarpal bone, a hypoplastic thumb on a dermal stalk and a hypoplastic radius on the right. After operations which were not effective (extension of the dermal stalk of the hypoplastic thumb by a Z-plasty, correction of the position of the hand by means of an osseo-cartilaginous transplant) and after pollicization of the index finger they decided for distraction of the radius by means of an original compressive-distraction apparatus. Within one year they achieved a prolongation...

[Flexional adduction contracture of the thumbs in distal arthrogryposis type I.].

I Marík, R Vrabec, M Kuklík, J Kraus

Acta Chir Orthop Traumatol Cech. 1992; 59(4):246-252

The authors discuss diagnostic and therapeutic aspects of flexion adduction contractures of the thumb - so-called congenital clasped thumb - in patient with distal arthrogryposis type I. The diagnosis is based on classification of distal arthrogryposis elaborated by Hall et al. in 1982. For the prognosis of the deformity and strategy of treatment it is an advantage to divide congenital clasped thumb (CCT) into four groups, as recommended by Weckesser et al. in 1968. The demonstrated patient belongs according to the mentioned criteria into group 2. Associated congenital developmental defects were dealt with in preschool age - a tracheal cyst, inguinal...