Acta Chir Orthop Traumatol Cech. 1993; 60(6)

[Results of surgical repositioning of congenital hip dislocation].

P Dungl, F Grill, I Cechová

Acta Chir Orthop Traumatol Cech. 1993; 60(6):324-333

The authors submit an analysis of the results of surgical treatment of inborn dislocation of the hip joint in children from the age of one year to completed growth. Decisive for inclusion into this group was surgical reposition. The operated patients were divided into the following three groups by age at the time of operation: 1. first year up to 17 months; 2. 18 to 48 months; 3. patients older than 4 years up to 15 years. Between 1978 and 1992 96 children with inborn dislocation of the hip joint were operated (103 hip joints). Complete documentation was available for 59 hip joints of 54 patients. The follow up period varies between 1 and 14 years...

[Morphologic basis for electric stimulation therapy of the vastus medialis and vastus lateralis muscles].

J Chomiak

Acta Chir Orthop Traumatol Cech. 1993; 60(6):334-339

Based on knowledge of the pattern of motorend plates in the m. vastus medialis (VM) and lateralis (VL), the author investigated the electrically most excitable sites which can be used in standard procedures of transcutaneous electric stimulation in muscular hypotrophy. The investigation was made in 21 patients, most of them after a reconstruction of the anterior cruciate ligament and one healthy adult. For stimulation and recording of potentials the EMG device Neuromatic 2000 C (Dantec, Scovlunde, Denmark) was used. First by means of a needle electrode the zone of motorend plates was verified. Then the minimal intensities causing muscular contraction...

[Noncemented revision of femoral hip joint prostheses with severe bone defects (preliminary report)].

V Stědrý, J Pilnácek

Acta Chir Orthop Traumatol Cech. 1993; 60(6):340-343

The authors present an account of their initial experience with Wagner's non-cemented femoral revision prosthesis of the hip joint. After a brief technical description of the implant the mention the indications and contraindications of they revision shaft. They emphasize the necessity of peroperative planning and describe the surgical technique. Since 1992 they used a revision shaft in five patients (three times in aseptic loosening of a TEP of the hip joint, once during septic loosening and once when treating a periprosthetic fracture with extensive bone destruction). Long-term experience will be the subject of a subsequent paper.

[Juvenile proximal femoral epiphysiolysis--review of the problems and results of surgical therapy].

M Karpísek, P Dungl, J Kiliján

Acta Chir Orthop Traumatol Cech. 1993; 60(6):344-350

The authors describe the aetiology and different types of a serious affection of the hip joint which occurs during adolescence--juvenile proximal femoral epiphysiolysis. They describe surgical methods used in non-dislocated and dislocated conditions of this affection of the adolescent hip joint. In the course of ten years at the Orthopaedic Clinic of the Institute of Postgraduate Medical Training a total of 88 epiphysiodeses and stabilizations of the proximal femoral epiphysis were performed, 32 osteotomies at the level of the trochanter minor according to Southwick's method, two osteotomies by Imhäuser-Weber's method and in 42 patients the epiphysiolysis...

[Herniation pits].

Z Hedvábný, H Zídková, I Kofránek

Acta Chir Orthop Traumatol Cech. 1993; 60(6):351-353

"Herniation pit" is a benign bone affection described first in 1982 by Michael J. Pitt et al. It is located typically in the proximal anterior and upper quadrant of the neck of the femur and develops as a result of the mechanical action of pressure of the adjacent articular capsule and synovialis. On the X-ray picture it is seen as a lighter spot which is relatively well defined, surrounded by a narrow margin of sclerotic bone; it is either round or oval and usually not more than 1 cm in diameter. In the authors' group of 100 patients selected at random from patients who had an X-ray picture of the hip joint taken during the last three years for different...

[Wedge resection of the metatarsal head in Freiberg-Köhler disease].

J Kiliján, P Dungl, M Karpísek

Acta Chir Orthop Traumatol Cech. 1993; 60(6):354-367

The authors describe a group of 13 patients where during treatment of aseptic necrosis of the head of the metatarsal bone a new surgical method was used--wedge-shaped resection of the head. They describe the aetiology, surgical technique and results. This surgical technique is used at the Orthopaedic Clinic of the Institute for Postgraduate Medical Training Prague-Bulovka since 1987. In the discussion the authors evaluate the disadvantages of hitherto used surgical techniques and compare the methods with the method they use. In the conclusion the achieved results are evaluated which justify wider use of the described method in routine practice of orthopaedic...

[Radiodiagnosis of fractures of the thoracolumbar spine].

J Bartonícek, J Sprindrich, J Stehlík

Acta Chir Orthop Traumatol Cech. 1993; 60(6):358-367

The article presents a most detailed description of the individual radiologic methods used for the examination of the fractures of the thoracolumbar spine, i.e. CAT examination including 3-D reconstruction and magnetic resonance. Apart from technical procedures and the assessment of individual methods the article also shows their comparison.

[Treatment of an infected pseudoarthrosis defect by callotasis of the bone fragments].

O Cech, T Trc

Acta Chir Orthop Traumatol Cech. 1993; 60(6):368-372

The authors demonstrate a method of filling a large total bone defect caused by resection of the bone on account of chronic osteomyelitis. The defect was filled with a regenerate prepared by calotassis of the fragment which was distracted from the proximal part of the bone to its distal part. It proved thus possible to fill a 16 cm long defect. The cosmetic, anatomical and functional result is excellent.