Acta Chir Orthop Traumatol Cech. 1993; 60(1)

[Present possibilities and perspectives in rheumato-orthopedics].

F Makai

Acta Chir Orthop Traumatol Cech. 1993; 60(1):4-10

After a brief introduction the author expands on specific problems in patients with rheumatoid arthritis and indications of rheumo-orthopaedic operations. He gives an account of the main objectives of these operations, i.e. prevention of deformities and correction of existing deformities, restoration or improvement of mobility and at least palliative influencing of pain. In the subsequent part the author discusses pre- and postoperative care. In the main part of the paper the author deals with his own rheumo-orthopaedic operations with emphasis on preventive and curative operations (synovectomies). As to reconstruction operations, he mentions resections...

[Fundamentals of comprehensive prevention of the post-traumatic fat embolism syndrome].

J Kroupa

Acta Chir Orthop Traumatol Cech. 1993; 60(1):11-18

Urgent top standard provisions implemented as soon as possible after serious injuries with the aim to prevent the development of shock or treat incipient and developing shock are among the most important aspects of prophylaxis of the traumatic fat embolism syndrome (FE). These provisions comprise quantitative and qualitative replacement of blood losses, prevention of spasms of the peripheral blood vessels, restoration of the microcirculation, maintenance of the acid-base equilibrium and a normal state of coagulation, normalization of fluctuations of the post-traumatic metabolic and humoral response, blocking of pathological impulses from the site of...

[Bone mass and osteoarthrosis].

R Becvár, S Havelka

Acta Chir Orthop Traumatol Cech. 1993; 60(1):19-21

In the submitted review the authors analyze problems of changes of bone mass and mineralization in patients with osteoarthritis and the relationship to osteoporosis. The authors review also methods of assessment of mineral status.

[Experimental and clinical study of the Poldi isoelastic cervico-capital endoprosthesis. II. Clinical study].

T Trc, O Cech

Acta Chir Orthop Traumatol Cech. 1993; 60(1):22-34

In the second part of the paper on isoelastic cervicocapital prostheses the authors describe a group of patients with an implanted endoprosthesis. The selection of indication for implantation was very strict and the group of patients is very homogeneous. The endoprosthesis was implanted to biologically old patients with fractures of the neck of the femur where it was not possible to select treatment other than implantation of a cervicocapital prosthesis. The group of patients was evaluated subjectively according to a questionnaire sent to the first 50 patients, and objectively, i.e. by analysis of the clinical and radiological examination. A total...

[Closed spongioplasty technique (preliminary report)].

J Stehlík, M Bartos

Acta Chir Orthop Traumatol Cech. 1993; 60(1):35-39

The authors demonstrate in their preliminary report the possibility of careful percutaneous application of spongy bone in the form of a bone paste. For collection of specimens and application of spongy bone the authors use instruments originally designed for transpedicular spongioplasty of fractured vertebrae of the thoracolumbar spine. The described procedure was used in four patients where the risk of complications, local or general, associated with classical spongioplasty was considerable. Healing occurred in all patients within a relatively short time.

[Initial clinical experience with BAS O, a bioactive glass-ceramic material].

K Urban, J Stehlík

Acta Chir Orthop Traumatol Cech. 1993; 60(1):40-46

The authors describe a group of patients where the surgical operation involved among others filling of bone defects with glass-ceramic material--dense (as granules) or porous (as a block). Glass-ceramics BAS O were developed in the laboratories of LASAK Co. in Prague. Two defects were of traumatic origin and osteosynthesis was part of three operations. The remaining defects were juvenile bone cysts, fibrous dysplasia and benign bone tumours. The follow-up period after operation varied in the first 11 patients between 6 months and 2 years. In patients of the mentioned group no problems of healing of the surgical wound were recorded nor allergic and...

[Fracture of the axis--surgical treatment. II. Axial isthmus].

J Lohnert, J Látal

Acta Chir Orthop Traumatol Cech. 1993; 60(1):47-50

The authors present their own experience with the surgical treatment of fractures of the isthmus axis. They discuss contemporary classifications and give indications for surgical treatment. They consider direct compressive osteosynthesis, as described by Judet, performed by a posterior approach as excessively risky for the patient because of possible damage of the vertebral artery and structures of the spinal cord. They substituted this operation by indirect stabilization on Decaulx' principles. The advantage of this method, using an anterior approach, is also immediate treatment of the damaged disc. The authors describe their own experience with both...

[Degenerative changes in the small joints of the hand in adults].

J Kottová

Acta Chir Orthop Traumatol Cech. 1993; 60(1):51-54

Based on a macroscopic investigation of 137 joints of humans aged 50-90 years, using necroptic material from the Institute of Anatomy, the authors describe the course of the degenerative process and its localization on the contact surfaces of different joints. Concurrently the author describes also changes of the synovial layer of the articular capsule in relation to changes of the articular cartilage.

[The preoperative plan in orthopedics (case reports)].

J Vojtassák

Acta Chir Orthop Traumatol Cech. 1993; 60(1):55-58

At present due to the development and availability of different types of implants for orthopaedic surgery the orthopaedic surgeon must resort to static and biomechanical thinking. Therefore he does not always appreciate the metabolic function of osseous tissue. This fact is demonstrated on three case-histories. In the first case, after well performed Küntscher osteosynthesis of a femoral fracture, the surgeon did not take a sample for histological examination. A subsequent complicated clinical course and histological examination revealed a pathological fracture associated with an osteosarcoma. Another case-history describes the difficulties associated...