[The development of external osteosynthesis before World War II].

Z Klézl, D Seligson

Acta Chir Orthop Traumatol Cech. 1994; 61(1):5-16

External fixation undoubtedly represents a great contribution to treatment of fractures. Its development goes back to middle of 19th century and is connected with the name of Joseph Francois Malgaigne, even though this outstanding doctor was probably not the first one to have used it. It is difficult to determine exactly the sequence of individual authors according to their merit, because each of them contributed to the development of external fixation in a different way. Nevertheless there are a few names that deserve special attention as Lambotte, Parkhill, Putti, H. Judet and Klapp with Block, who made significant steps forward in the development....

The Balgrist hip socket for cementless fixation in primary total hip replacements and in acetabular revisions.

R Hauser, H A Jacob, A Schreiber

Acta Chir Orthop Traumatol Cech. 1994; 61(1):17-19

The results of 532 hip arthroplasties in which an uncemented Balgrist hip socket had been used in 387 primary total hip replacements and in 145 acetabular revisions were reviewed after a maximum of six years. The socket consists of two tapered parts, namely an expansive outer titanium-alloy split ring and an insert of polyethylene. The mean age of the patients at the time of operation was 54.3 years in primary hip replacements, and 64.7 years in acetabular revisions. Acetabular deficiency according to the AAOS classification was found in 21% of the primary arthroplasties, and in 80.7% of the acetabular revisions. Using Kaplan-Meier survivorship analysis,...

[Implantation of 110 total hip joint endoprosthesis using the Zweymüller method].

F Makai, R Vojtek

Acta Chir Orthop Traumatol Cech. 1994; 61(1):20-24

The authors discuss in the submitted paper the advantages and disadvantages of cemented and non-cemented endoprostheses, type Zweymüller. They evaluate the medium-term results (one half to 5 years) after surgery in 92 patients from a total of 121 operations in 110 patients (11 bilateral). As to indications, the first place was held by so-called dysplastic coxarthroses, followed by post-traumatic coxarthroses and rheumatoid arthritis incl. the juvenile type. The results of these operations were after an average of 18.27 months following operation according to the DMS evaluation of Merle d'Aubigné and Postel excellent and good in 89%. The authors recorded...

[Short-term results in hallux valgus surgery using a V-shaped osteotomy of the first metatarsal head].

A Keppel, M Weissinger

Acta Chir Orthop Traumatol Cech. 1994; 61(1):25-28

At the Orthopaedic Department of the hospital in Zwettl between January 1988 and August 1990 a total of 35 operations according to Austin were made. The group comprised 33 patients, 30 women and 3 men. The follow-up period was 7 to 38 months, on average 23.4 months. In 24 instances the operation was performed on the right, in 11 instances on the left foot. Indications, surgical technique and results are discussed in detail.

[Reconstruction of acetabular insufficiency in initial total hip endoprosthesis surgery using a massive autograft (fate of the implanted autograft more than one year after surgery)].

T Judet, E de Thomasson, J Paukovic, O Arnault

Acta Chir Orthop Traumatol Cech. 1994; 61(1):29-33

The authors present a method of reconstruction of insufficient acetabula by autografts from heads of femurs before primary implantation of the cemented total endoprosthesis of the coxa. They reconstruct the osseous acetabulum of the patient by prolonging it, filling or reinforcing its floor, although in one third of the patients it is difficult to find a borderline between these three groups. Coxarthroses are primary and secondary and of those almost half are secondary dysplastic coxarthroses. The group of patients comprises 32 women and 17 men, their mean age at the time of operation was 58.5 years. The authors follow-up, using clinical and X-ray...

[Personal experience with the Grice operation in patients with cerebral palsy].

V Smetana, A Schejbalová

Acta Chir Orthop Traumatol Cech. 1994; 61(1):34-38

The authors give an account of Grice's operation, i.e. extraarticular, talocalcaneal arthrodesis as one of the basic operations in infantile cerebral palsy in children and adolescents which can be used in the spastic as well as paretic form of the disease. It is valuable as after reposition it stabilizes the position of tarsal bone sub talo. The 65 operations by Grice's method in infantile cerebral palsy with very favourable results (failure or partial failure in five operations, i.e. 9.2%) and the authors' experience with this operations also in other neurogenic disorders indicates that the operation is justified in children and adolescents. It may...

[A modified Desault bandage for fixation of the proximal humerus].

J Beznoska, A Sosna

Acta Chir Orthop Traumatol Cech. 1994; 61(1):39-41

The authors present a variant of Desault's bandage for fixation of conservatively treated injuries of the proximal end of the humerus and for fixation of the upper extremity after surgery in this area. The bandage is made with elastic net bandage (called pruban), it is sufficiently strong and its application is easier and less time consuming.

Resultant hip joint force after total hip replacement.

V Antolic, A Iglic, S Herman, F Srakar, A Macek Leber, V Krajl Iglić, D Brajnik, U Stanic

Acta Chir Orthop Traumatol Cech. 1994; 61(1):42-44

Bending moments acting on the LIMA-LTO femoral stem were calculated using a 3D mathematical model of the hip in the one-legged stance based on muscle anatomical data. The effects of 1 cm medialization and lateralization of the hip joint rotation centre (RC) on the bending moments were determined for different body weights. It was found that the bending moments and hence the stem loosening incidence are higher in lateralization compared to medialization of the RC. In order to diminish the bending moments, body weight should be reduced.

[Use of continuous passive motion in rehabilitation].

P Bousková

Acta Chir Orthop Traumatol Cech. 1994; 61(1):45-47

The author describes rehabilitation by means of CPM based on the principle of passive movement. This type of rehabilitation is used at the author's clinic after operations of the shoulder, elbow, hip and knee. The author describes her experience and the most frequent mistakes associated with the use of CPM. Advantages described in the literature regarding postoperative rehabilitation with CPM were confirmed at the author's clinic: intraarticular adhesions and stiff joints do not develop and the range of movements improves more rapidly.

[Trans-pedicular stabilization of fractures of the thoraco-lumbar spine. I].

J Bartonícek, J Stehlík

Acta Chir Orthop Traumatol Cech. 1994; 61(1):48-54

Proceeding from the literature survey and on the basis of his own experience the author presents a current concept review of the problems of the transpedicular stabilization in fractures of the thoracolumbar spine. Individual chapters are devoted to the biomechanics and transpedicular screw placement, classification of implants and to the transpedicular operations on the injured vertebral body. Based on both his own experience and survey of the literature the author recommends the following: in order to increase the stability of osteosynthesis to place transpedicular screw in anteromedial direction (Magerl approach) close to the anterior cortex of...

[On the anniversary of the founding of the Trauma Hospital in Brno].

J Kroupa

Acta Chir Orthop Traumatol Cech. 1994; 61(1):55-57