Acta Chir Orthop Traumatol Cech. 1996; 63(5)

[Endoprosthesis of the shoulder joint designed by the authors - surgical technique.].

A Sosna, V Fric

Acta Chir Orthop Traumatol Cech. 1996; 63(5):261-268

Endoprostheses of the shoulder joint are nowadays already standard procedures in the surgical repertoir of orthopaedic and traumatological departments. Indication for the operation are degenerative diseases with destruction of the articular surface, non-reconstructible fractures of the upper end of the humerus, in particular in elderly patients and tumours in the area of the proximal portion of the humerus. The main cause of inadequate function of endoprostheses of the shoulder joint is insufficiency of the rotator cuff. This may be due either to its primary destruction by the basic disease (e. g. rheumatoid arthritis) or imperfect reconstruction during...

[Fifteen years' results of surgery of perthes disease.].

P Dungl

Acta Chir Orthop Traumatol Cech. 1996; 63(5):269-283

In 1979-1985, i.e. in the course of 7 years, surgery of the hip joints was performed in 91 children suffering from Calvé-Legg-Perthes disease. The surgery involves creation of "containment", i.e. a situation favourable for healing of the head affected with avascular necrosis. The basic operation was always Salter's osteotomy of the pelvis and in one case triple osteotomy; in 68 hip joints the operation comprised also varization of the proximal femur. The mean age at the time of operation was 85 months, the mean follow-up period 138 months (11.5. years with a range from 9-16 years).The author compares different classifications and uses Catterall's system....

[Artroskopická náhrada predního zkrízeného vazu volným stepem z ligamentum patellae transtibiální technikou.].

A Podskubka, I Adamco, M Stasa

Acta Chir Orthop Traumatol Cech. 1996; 63(5):284-293

Surgical techniques of replacement of the anterior cruciate ligament were further developed in recent years. In the submitted paper the authors describe arthroscopic replacement of the anterior cruciate ligament by transtibial technique of a single incision with an incomplete femoral canal. The objective of the work is to test, based on the authors' own shortterm experience, the reliability and contribution of this technique and possibly correct it with regard to the assembled results and experience. Main emphasis was laid on evaluation of the range of mobility, stability and X-ray evaluation of the localization of the femoral and tibial canal and...

[Safety of ceramic materials for hip endoprostheses.].

V Sída

Acta Chir Orthop Traumatol Cech. 1996; 63(5):294-297

This is the review of the basic properties, standards and regulations that are important for the application and safety of ceramic femoral DISAL heads for hip endoprostheses. The revision on a hip endoprosthesis is mostly caused by aseptic loosening of the stem or the socket. Failures owing to material properties (e. g. fracture of a stem or a head) occur quite seldom. On the basis of this analysis it can be concluded that the DISAL femoral head is a safe component in a hip endoprosthesis. The rate of loosening "in vivo" is less than 0,1 %. Key words: hip endoprosthesis, spherical head, corundum ceramics, conical junction, shaft.

[Initial experience with the use of the artroflow apparatus.].

V Dzupa, P Pazdírek, P Dousa

Acta Chir Orthop Traumatol Cech. 1996; 63(5):298-300

The authors submit their initial experience with the use of the apparatus Artroflow recommended as one possible means to prevent thromboembolic disease in bedridden patients. The strictly defined criteria of the investigation made it possible to include in the group only a limited number of patients, therefore the results are not significant. Seven months' experience, however, convinced the authors that it is useful to use Artroflow for the rehabilitation of geriatric patients after fractures of the proximal part of the femur. Key words: prevention of thromboembolic disease, activation of the venous pump by passive means, Artroflow apparatus.

[Implantation Technique of a Non-cemented Conical Expansion Socket of the Balgrist Type.].

P Libánský, A Sosna, J Beznoska

Acta Chir Orthop Traumatol Cech. 1996; 63(5):301-306

In the submitted paper the authors describe the principle and technique of implantation of a non-cemented self-expanding socket. On an anatomical model they demonstrate different technical details of implantation and provide a more accurate account of their own surgical technique. They draw attention to the most frequent errors the surgeon may comit. These errors include incorrect centering of the socket, a deep bed in the bone, poor settling of the anchoring portion, incorrect inclination of the socket, lack of verification of primary fixation, erroneous or inadequate application of spongious paste and complete settling of the articular insert. Key...

[Post-traumatic Nasal Liquorrhoea.].

M Gajdos, I Sulla, J Výrostko

Acta Chir Orthop Traumatol Cech. 1996; 63(5):307-310

The authors present a report on 12 patients operated on account of an intra-extracranial posttraumatic communication in the area of the anterior cranial fossa. Three patients had to be reoperated on account of persisting liquorrhoea. Key words: nasal liquorrhoea, frontobasal injury, meningitis.

[Impingement syndrome - diagnosis and treatment.].

J Masár, S Petriscák

Acta Chir Orthop Traumatol Cech. 1996; 63(5):311-316

In the introduction the authors describe the anatomical features of the subacromial space from which the concept of impingement syndrome is derived. In a review of the literature they describe the development of views on the pathology of the subacromial space. According to Neer (11) impingement syndrome develops i three stages. In the subsequent part of the paper the authors describe structural and functional changes which have an impact on the course of the impingement syndrome. They emphasize detailed assessment of the patient's subjective complaints and describe the comprehensive clinical examination as well as X-ray imaging methods. The subsequent...