Acta Chir Orthop Traumatol Cech. 1996; 63(4)

[Idiopathic scoliosis -why predilection for the lower thoracic spine? Explanation from neurovertebral developmental interrelation.].

M Roth

Acta Chir Orthop Traumatol Cech. 1996; 63(4):197-207

Structural, functional and clinical disparity of the nervous system and the skeleton implies entirely separate approach to their growth and development, with just one exception, viz., the growing brain which moulds the saucer-like shape of its neurocranial bony envelope. It is suggested that the cerebrocranial ("macroneurotrophic" at the organ level) developmental interrelation represents just the most striking instance of the universal "osteoneural" growth interrelation existing between the entire developing nervous and bony tissues throughout the body, above all in the axial organ but also in the limbs. It is argued that contrary to the isolated,...

[Percutaneous suture of a ruptured achilles tendon: preliminary communication and initial experience.].

T Trc, V Pacovský

Acta Chir Orthop Traumatol Cech. 1996; 63(4):208-210

The authors describe their initial experience with percutaneous suture of a recent rupture of the Achilles tendon in their own modification which is based on the method described by Mao and Griffith. They evaluate in a small group of patients the results which are extremely favourable. They ascribe the low rate of complications to their own modification of percutaneous suture. The principle of percutaneous suture is described and demonstrated on a drawing. Postoperative care is the same as in open sutures, however, the good results create conditions for a more rapid restoration of full burdening of the operated extremity. Key words: ruptured Achilles...

The hip-joint resultant force in healthy male and female population: a comparative study.

V Stankovski, A Iglic, V Kralj-Iglic, B Kersnic

Acta Chir Orthop Traumatol Cech. 1996; 63(4):211-213

The geometrical parameters of the pelvis and the femur which influence the hip-joint reaction force were obtained automatically for 21 male and 79 female healthy human subjects from standard AP radiographs, by using a computeraided system. To calculate the hip-joint reaction force a three-dimensional mathematical model of the hip in one-legged stance was used. In order to prepare the data as input to the mathematical model of the hip a nonhomogeneous scaling method based on a reference model of the hip musculature by Dostal and Andrews was applied. Our results show that the magnitude of the hip-joint reaction force and its inclination angle are significantly...

[Deformity of the forearm caused by benign bone tumours treated by external fixation.].

I Okác, J Poul, M Vytopil

Acta Chir Orthop Traumatol Cech. 1996; 63(4):214-220

A developed deformity of the forearm is usually due to an osteochondroma and has a typical clinical and X-ray appearance. Patients suffering from this disease have a restricted function of the forearm due to shortening of the bones, usually both bones, and in particular girls are aware of the cosmetic and aesthetic loss. The X-ray symptomatology of the deformity is as follows: dislocation of the head of the radius, multiple tumours on both bones which dislocate the bones, ulnar angulation of the radius and ulna, shortening of the ulna, ulnar inclination of the articulation surface of the distal radius, ulnar subluxation of the wrist and shortening...

[Metatarsus Varus among Forefoot Adduction Deformities in Children.].

J Charvát

Acta Chir Orthop Traumatol Cech. 1996; 63(4):221-225

The author identifies main etiologic factors causing intoeing in children. The levels hip joint and proximal femur-tibial torsion and foot deformities are followed. Among foot deformities metatarsus varus in pointed out and described, as the literature is not yet uniform about strict criteria. The clinical appearance is shown and X-ray signs-subluxation of os naviculare laterally on talus and changes of shape of os cuneiforme primum are mentioned. Discussed is conservative therapy-excersises and plaster casts. Key words: metatarsus varus, pes equinovarus, forefoot adduction, X-ray, torsional deformities.

[Possibilities of correction of forefoot adduction deformity in children.].

J Charvát, K Urban, L Peleska

Acta Chir Orthop Traumatol Cech. 1996; 63(4):226-234

The authors concentrate on surgical approach to adduction deformity of the forefoot in children. They follow 42 children surgically treated - 14 for metatarsus varus and 28 for a residual adduction of the forefoot after treatment for pes equinovarus congenitus. In both groups they compare two operations -Lisfranc joint capsulotomy after Heyman-Herndon-Strong and metatarsal osteotomies after Berman-Gartland. The angle of adduction of the axis I. metatarsal compared to longit. axis of talus has been 35 degrees, both surgical approaches corrected the deformity in a satisfying way, but as more reliable we consider the metatarsal osteotomies, which show...

[Contribution of Three-phase Scintigraphy to Indication of Revision Arthroplasty of the Hip Joint.].

J Masár, I Hromec, J Frano, I Reznák, R Polóni

Acta Chir Orthop Traumatol Cech. 1996; 63(4):235-240

In the introduction of the paper the authors abalyze the problem of stable and long-term fixation of endoprostheses of the hip joint. They present statistics on the ratio of surgical revisions of endoprostheses of the hip joint in 1993-1996 which has a rising trend. In the subsequent part of the paper they deal with the problem of early diagnosis of loosening in the stage when only subjective data reported by the patient are available and the X-ray finding does not yet show signs of osteolysis and loosening of the TEP. Therefore they started to use in 1993 as a diagnostic aid three-phase all-skeletal scintigraphy. So far they used it in 18 patients...

[Our experience with the use of musculocutaneous flaps in the treatment of skin defects.].

S Guzanin, E Potocká, M Zábavníková, V Jurásek

Acta Chir Orthop Traumatol Cech. 1996; 63(4):241-247

The authors demonstrate the technique of a muscular and musculocutaneous flap from the gastrocnemius muscle and its indication in chronic defects of bones and soft tissues in the proximal third of the leg, in the area of the knee and distal portion of the thigh in actual patients. The objective is to draw attention to the advantages of muscular and musculocutaneous flaps from the gastrocnemius muscle as well as to the relatively easy preparation of mobilization of the flap, the reliability of the neurovascular supply and the possibility to rotate the flap to a greater extent, and in particular the time saving character of the operation, as compared...

[Total replacement of the femur and total replacement of the humerus.].

P Janícek

Acta Chir Orthop Traumatol Cech. 1996; 63(4):248-254

The author presents an account of his own experience with the implantation of a total endoprosthesis of the femur in 1992 and a total endoprosthesis of the humerus in 1995 in patients after resection of long bones on account of a chondrosarcoma Gl. He draws attention to the necessity of a perfect technical solution of these endoprostheses: the knee joint in the femur and the fixation of the ulnar stem in the humerus. In the case of the humerus it is moreover necessary to respect the physiological localization of the radial nerve and to give preference to the stabilization of the upper extremity against rotation to the scope of movement in the shoulder...