Acta Chir Orthop Traumatol Cech. 1997; 64(3)

[Degenerative spinal canal stenosis in lumbar spine: clinical view and treatment.].

B Jeanneret, E Odstrcilik, T Forster

Acta Chir Orthop Traumatol Cech. 1997; 64(3):133-143

Radicular leg pain, combined with numbness and intermittent radicular paresis while walking or standing are typical symptoms of a narrow spinal canal of the lumbar spine. Medical history and lumbar myelogram are usually sufficient to localize the source of pain. We prefer the myelogram to CT-scan or MRI because it gives a longitudinal view of the whole lumbar spine, is easy to read and is also possible in the presence of a scoliotic deformity or claustrophobia. Between 1987 and 1993, 76 patients with symptomatic lumbar spinal stenosis were treated operatively by the same surgeon. Results are available for 74 patients. In all patiens, a decompression...

[Initial Experience with Non-cemented Endoprosthesis of the Hip Joint with a Porous Surface.].

T Trc

Acta Chir Orthop Traumatol Cech. 1997; 64(3):144-153

The author describes his experience with implantations of non-cemented endoprostheses of the hip joint with a Porocoat lining in a group of 85 patients with an average age of 56 years. He describes the surgical technique and the most frequent mistakes. He evaluates the group with regard to the relatively short follow-up period of 3 - 48 months (mean 18 months). In all instances the patient's pain was mitigated and the scope of movement increased. On X-ray no signs of loosening were found although in 12 instances the femoral component was not settled quite press fit (so far without clinical manifestations). Analysis of complications provides important...

[Biopsy in orthopaedic surgery.].

R Kubes, I Kofránek

Acta Chir Orthop Traumatol Cech. 1997; 64(3):154-160

At the begging of the article the authors are giving the explanation and definition of the terms of biopsy in orthopedic surgery. Then they are in details explaining all types of biopsy - closed and open, which is further divided into excisional and incisional. Prior to the performance of a biopsy procedure, all necessary clinical and radiological evaluations must be performed and a biopsy procedure must be planned as carefully as the definitive procedure. The details of all biopsy techniques are well-described. Biopsy should be done meticulously, with emphasis on proper placement of incision, avoidance of excessive dissection and hemorrhage, receiving...

[SLAP Injuries - Superior Labrum Anterior Posterior.].

V Dvorák

Acta Chir Orthop Traumatol Cech. 1997; 64(3):161-165

From May to December 1996 the author treated at his Clinic five patients with injuries of the anchoring of the labrum superior and anchoring of the long head of the biceps. Snyder describes these injuries as SLAP -superior labrum anterior posterior. Only the development of arthroscopic technique provided new findings on these lesions. Anamnestic data and the clinical picture closely resemble the impingement syndrome. Here too irritation of the rotator cuff occurs but the cause is intraarticular. Theoretical work provides evidence that injuries of this type lead to reduction of the torsion rigidity of the shoulder joint reduced tension of the lower...

[Long-term Follow-up of Acetabular Dysplasia.].

J Komprda

Acta Chir Orthop Traumatol Cech. 1997; 64(3):166-169

Acetabular dysplasia without decentration was established on roentgenograms at 3 months in 111 children. The diagnosis was based on the existence of ossification defects, parcial or total, at the end of the acetabular roof, regardless of the acetabular angle values. All children were treated with Frejka pillow from birth or from 3 months at the latest. The children were followed at irregular intervals with final assessement at the mean age of 10,5 years (9,5 - 19 years). The hips at that time were evaluated according to Wilberg's CE angles. 6 hips (2,70 %) in 5 children were concluded to have a marked acetabular dysplasia with the CE angles of 14 degrees...

[Charnleys arthrodesis by modified and method of external fixation.].

P Sehnalík, J Pilnácek

Acta Chir Orthop Traumatol Cech. 1997; 64(3):170-175

The authors present an inovated Charnley's operation method of ankle arthrodesis by a modified anterior approach and method of external fixation. They evaluate a group of 26 patients operated on the period from 1993 to 1996. The patients were operated on 14 cases for purulent ankle arthritis, in 7 cases for posttraumatic osteomyelitis, in 4 cases for posttraumatic ankle arthritis and 2 operations were made for neurotrophic foot in a patient with meningomyelocoela. In all cases this arthrodesis was stabilized with the aid of external fixation PH (Pilnácek - Hrubý) fix. This fixation method allows a quick and comfortable application, fixation, one or...

[Recent experience with reconstruction operations in ruptures of the rotator cuff.].

J Chomiak

Acta Chir Orthop Traumatol Cech. 1997; 64(3):176-182

The author presents his short-term experience with reconstruction operations in ruptures of the rotator cuff which were performed according to principles accepted at present in twenty five patients (26 shoulders) during 1993-1996. Men predominated in the group (16 men) and the majority of patients were in the age bracket from 50-70 years. The follow-up period was 6-36 months. Massive ruptures with a lesion of the cuff exceeding 5 cm (10 times) predominated, followed by ruptures with a lesion under 2 cm (9 times). In the majority of patients the operatoin was made using the Kessel-Gschwend approach. After anterior acromionplasty the tendons of the cuff...

[Prolongation osteotomy of the humerus.].

M Richtr, M Rysavý, A Sosna

Acta Chir Orthop Traumatol Cech. 1997; 64(3):183-187

The authors present results of treatment of asymmetric shortening of the humerus by prolongation osteotomy in a group of 6 patients (1 man and 5 women). Prolongation was indicated in three instances on account of shortening due to haematogenic osteomyelitis, in two instances on account of congenital hypoplasia and in one instance on account of posttraumatic shortening. The mean age of the patients at the time of operation was 14.2 years, the mean shortening was 9 cm, the mean correction 7.3 cm. The greatest prolongation was 10 cm, the smallest 6 cm. The period of treatment evaluated by the healing index was on average 27.3 days per 1 cm of regenerate....