Acta Chir Orthop Traumatol Cech. 1994; 61(4)

[Augmentation technique in reconstruction of the anterior cruciate ligaments.].

W Orljanski, M Fuchs, R Schabus

Acta Chir Orthop Traumatol Cech. 1994; 61(4):195-198

The reconstruction of the anterior cruciate ligament is of great importance to normal knee joint kinematics. Only the isometric reconstruction of the ACL with autologous tissue is viable for longterm function. For early functional follow-up treatment of ACL reconstruction with suture repair, however, augmentation with synthetic ligaments is necessary in order to prevent secondary instability. Anatomic, specimen-experimental, and materials technique were performed to demonstrate the importance of augmentation for ACL reconstruction. The postoperative clinical follow-up examination with LAD augmented ACL reconstructions showed very good results with...

[Degenerative changes in humeroradial and radiocarpal joints.].

J Kottová

Acta Chir Orthop Traumatol Cech. 1994; 61(4):199-204

One of the prerequisites of manual activities of man is in addition to other factors also the manual harmony of the musculoarticular system in the area of the elbow and wrist. The authors were interested to find out whether their functional relationship will be manifested in the development of degenerative changes. For investigation they used 137 fixed humeroradial joints and 137 radiocarpal joints (age 51 -90 years) from human necroptic material. The authors describe the development of the arthritic process on the articular surface and indicate its site. In radiocarpal joints they investigated also the appearance of the connective tissue plate in...

[Arthroscopic treatment of lateral meniscal cyst by intraarticular dekompression.].

B Nemec, R Michelić, D Matovinović, V Vengust, S Kozić

Acta Chir Orthop Traumatol Cech. 1994; 61(4):205-207

47 cases of lateral meniscal cyst treated by arthroscopy are presented. Average follow up was 44 months, with a range of 14 to 63 months. 43 out of 47 knees had lateral meniscus tear. Torn menisci were arthroscopically partially resected and the cyst was evacuated inside the joint. Although the tear did not extend up to the insertion of the meniscus, a curved central resection was performed. Thereafter the palpation hook was inserted into the cyst and was manipulated in order to evacuate its content. The same procedure was applied in all 43 cases. With one exception there was neither cyst recurrence nor evidence of meniscal instability. In the remaining...

[Complications of ventral stabilization of the cervical spine.].

J Lohnert, J Látal

Acta Chir Orthop Traumatol Cech. 1994; 61(4):208-212

The authors discuss the still persisting view among the medical public that surgical stabilization of the injured cervical spine by a ventral approach is associated with a greater surgical risk and with complications. In a group of 101 patients after ventral stabilization who were followed up for more than 12 months following operation the authors recorded peropera-tive haemorrhage in 1.98% of patients, diagnosed peroperative injury of the parapharynx in 1.98%, with undetected injury of the oesophagus and subsequent deep infection in 0.99%. As to technical complications, loosening of screws was recorded in 0.99%. Other complications such as infections,...

[Endoscopic subacromial decompression.].

M Weissinger, A Keppel, K Thenner

Acta Chir Orthop Traumatol Cech. 1994; 61(4):213-217

In 23 patients with problems in the region of the shoulder caused by subacromial pathology endoscopic subacromial decompression was performed. The group comprised 11 men and 12 women aged 30 to 72 years. The patients were evaluated according to the UCLA score. The mean follow-up period was 23.3 months. After critical evaluation 14 excellent, 8 satisfactory and one average result were achieved. Endoscopic subacromial decompression, as describe, is an effective and safe technique in treatment of the impingement syndrome. Rapid restoration of the function is made possible by the low postoperative morbidity and fact that the deltoid muscle is not damaged....

[Ischaemic Post-dislocation Necrosis of the Head of the Femur: Possibilities of Surgical Treatment Part I: Theoretical Introduction, Conservative and Surgical Treatment.].

V Smetana, P Chládek

Acta Chir Orthop Traumatol Cech. 1994; 61(4):218-223

In the submitted part of the paper the authors discuss the theoretical background of the problem - a list of possible complications encountered in treatment of inborn dysplasia of the hip joint, vascularization of the proximal femur, possible early diagnosis of ischaemic necrosis and its criteria, different classifications of ischaemic necrosis (a more detailed account is given of the classification of Hirohashi et al. and Ogden and Buchholz). The authors discuss also possibilities of conservative treatment of ischaemic necrosis and surgical treatment of ischaemic necrosis in general and treatment focused on different aspects of the therapeutic objective...

[Paraarticular ossifications of total endoprostheses of the hip joint part I: etiology and prevention.].

I Kopecký

Acta Chir Orthop Traumatol Cech. 1994; 61(4):224-226

The author discusses the problem of development of paraarticular ossifications following implantation of total endoprostheses of the hip joint. The etiology of these ossifications is obscure and obviously multifactorial. Based on empirical findings the authors defined risk groups of patients and factors which induce ossifications. Concurrently a list of preventive provisions is submitted and treatment of this possible complication, when implanting total endoprostheses of the hip joints. Key words: paraarticular ossification, total endoprosthesis of the hip joint.

[Paraarticular Ossifications of Total Endoprostheses of the Hip Joint Part II: Effect of Indomethacin on their Genesis and Development.].

I Kopecký, E Holec

Acta Chir Orthop Traumatol Cech. 1994; 61(4):227-229

In the submitted paper the authors give an account on the use of Indomethacin in the prevention of paraarticular ossifications after implantation of a TEP of the hip joint, and on its effect of the development of these ossifications. This involves in particular inhibition of prostaglandin synthesis and partly also an antiphlogistic effect. The authors describe also their own observations regarding the effect of Indomethacin on the genesis and development of paraarticular ossifications. In the final evaluation they point out that Indomethacin does not reduce the incidence of paraarticular ossifications after implantation of TEP of the hip joint but...

[Experience with treatment of juvenile bone cysts.].

Z Cichý

Acta Chir Orthop Traumatol Cech. 1994; 61(4):230-233

The author deals first with the aetiopathogenesis of juvenile bone cysts and their treatment. Based on his own experience with treatment of 17 patients, he recommends in cysts in the area of the proximal metaphysis of the humerus administration of Depomedrol, in cysts in the area of the proximal femur he advocates surgical treatment - transcystal osteotomy with fixation of an angular splint. Key words: juvenile bone cyst, Depomedrol.

[Osteosynthesis of fractures in children, using absorbable rods.].

P Havránek

Acta Chir Orthop Traumatol Cech. 1994; 61(4):234-238

During the period between September 1991 and January 1993 at the Clinic of Paediatric Surgery in Prague Krc a total of 12 children were operated where in the majority on account of an epiphyseal fracture or injury of the growth plate osteosynthesis with an absorbable rod was used. In three cases a fracture of the intercondylar eminence of the tibia was involved, in two separation of the proximal epiphysis of the radius and in two children fracture of a toe digit. Moreover, osteosynthesis was performed in a fracture of the olecranon of the ulna, on epiphyseal fracture of the metatarsal bone, metacarpal bone, distal epiphysis of the humerus and osteochondral...

[Indications for transposition of the greater trochanter.].

J Vojtassák, F Makai, M Konecný

Acta Chir Orthop Traumatol Cech. 1994; 61(4):239-241

The greater trochanter participates by its anatomical structure mainly in the function of the coxa, lumbar spine and has an impact on standing and gait. In case of morphological deformities its static and biomechanical functions are inadequate. One of the possible ways of adjusting the anatomical shape of the greater trochanter, if deformed, is its isolated transposition in case of trochanter altus. This condition is encountered in congenital dislocation of the hip joint, relative prolongation is found also in necrosis of the head of the femur. The authors analyzed 31 patients (27 women and 4 men, 27 patients after LCC and three after Perthes' disease)...

[Our experience with treatment of the acetabulum.].

J Knezek

Acta Chir Orthop Traumatol Cech. 1994; 61(4):242-246

The author mentions in his paper the slight increase in the incidence of fractures of the pelvis and acetabulum in recent years. He emphasizes the necessity to supplement the X-ray picture by CT 3D examination to make the diagnosis more accurate. This examination is a guideline for the subsequent therapeutic procedure. The author mentions different types of osteosynthesis, postoperative complications, principles of postoperative care. Because of the short time interval which elapsed so far, long-term results are not evaluated. Key words: fractures of the acetabulum.

[Ceramic Materials and their Use in Surgery.].

J Zemánková, J Jírová

Acta Chir Orthop Traumatol Cech. 1994; 61(4):247-251

The authors discuss the use of ceramic materials in clinical practice, in particular in bone surgery. Biocompatibility usually conceived in the direction synthetic material-living tissue is analyzed in the reverse direction and the concequences of this combination on the reliability and life span of the implanted ceramics are given. The authors outline their ideas on the development of implant materials of a new generation based on comparison with the structure and mechanical properties of compact bone. Key words: high-performance ceramics, compatibility, reliability and lifetime of ceramics.

[Does the site of compression of spinal roots affect the therapeutic results in discogenic cauda equina syndrome?].

I Sulla

Acta Chir Orthop Traumatol Cech. 1994; 61(4):252-255

Experimental investigations and differences in the anatomical structure of roots of the cauda equina indicate that the most serious sequelae should be produced in the short portion beyond the spine. The objective of the present work was to verify this assumption. The authors examined 70 subjects (24 women and 46 men) operated on account of discogenic syndrome of the cauda equina in 1982 -1992; statistical analysis of the results by means of the X2-test revealed that the condition had in the majority of patients permanent sequelae. Except for restored sensitivity it was not possible to prove a relationship between the site of the compression and the...