[Ender Nailing in Proximal Femur Fractures Part III: Outcomes and Analysis of Complications.].

J Bartonícek

Acta Chir Orthop Traumatol Cech. 1998; 65(5):262-276

The article summarizes outcomes and complications of Ender nailing in the group of 172 patients with the fracture of proximal femur. Dominating in this group were pertrochanteric fractures. Average age of patients was 76 year, 74 % were female patients. Average time of surgery was 52 min., the duration of x-ray exposure was 2,6 min. The final outcomes with the minimal follow-up of 3 months were evaluated in the group of 109 patients as by that time 63 patients had died. In total, 107 fractures treated by Ender nailing healed, however, 6 reoperations had to be made. In the remaining 2 cases it was necessary to choose another technique for reoperation....

[Classification of humeral supracondylar fractures in children.].

P Havránek

Acta Chir Orthop Traumatol Cech. 1998; 65(5):277-288

The existing classifications of supracondylar fractures of humerus in children are not adequate and do not reflect the variability of this fracture, its requirements as for diagnosis and method of treatment. The article presents a list of classification published in literature starting from the Kocher classification of 1896 until the present schemes. These classifications divide supracondylar fractures into extension or flexion ones or according to the extent of displacement of fragments into 3-4 types. Only Wilkins mentions a different type, metadiaphyseal fracture, the treatment of which differs from usual procedures. The article present the author's...

[Rotational diaphyseal osteotomy (description of surgical technique).].

J Bartonícek

Acta Chir Orthop Traumatol Cech. 1998; 65(5):289-291

The article describes oblique rotational osteotomy in the region of diaphysis. The surgery is indicated in the treatment of angular deformities in this region. The principle of this method developed by O. Cech consists in the performance of partial oblique osteotomy at the level of the deformity. Subsequently, lag screw is inserted through the osteotomy. However, the screw is not fully tightened. After the insertion of the screw the osteotomy is finished and deformity corrected by rotation of fragments on the pivot represented by the screw. As soon as the correction is adequate, the lag screw is fully tightened and stabilization finished by the application...

[Extension injury of th-L spine (case history).].

M Krbec, J Stulík

Acta Chir Orthop Traumatol Cech. 1998; 65(5):292-295

Out of 160 injuries of Th-L spine operated on only two were of extension type. In the first case it was a pure posterior displacement of L 1-2into extension with the angle of lordotization 20 degrees and complete paraplegia. From the viewpoint of classification this injury may be included in group B 3.3 according to AO/ASIF classification. With regard to an extreme post-injury displacement which at first glance is similar to the "seatbelt fracture" after Denis classification we would suggest to call this injury "reverse seat-belt fracture". The treatment consisted in the reduction and monosegmental instrumentation. The neurological deficit is permanent....

[Melorheostosis (case history).].

J Skála-Rosenbaum, J Stehlík, A Nejedlý

Acta Chir Orthop Traumatol Cech. 1998; 65(5):296-298

The authors present the case of a patient with a diagnosis at the age of 10 of melorheostosis affecting the left lower extermity with the reduction of flexion in the knee joint as a dominant finding. Despite the releasing operation on the soft tissue complicated by infection in the wound and dihescence there is a continuous progress in the reduction of the range of motion in the knee causing ever greater difficulties for the patient. Authors point out some specific features of this disease the incidence of which is 1 :1 000 000 and describe the plan of further treatment.

[Ipsilateral fractures of the hip and femoral diaphysis.].

P Dousa, J Bartonícek, M Krbec

Acta Chir Orthop Traumatol Cech. 1998; 65(5):299-312