Use of oblong socket in hip revision surgery.

H U Cameron, V Smula

Acta Chir Orthop Traumatol Cech. 1999; 66(1):7-9

A 2 to 8 year follow up has been conducted in the use of an ingrowth noncemented oblong acetabular component used in hip revision surgery. To date no loosening and no significant migration has occurred. These intermediate results are promising and warrant further study of this implant. Key words: S-ROM, THR, revision surgery, oblong cup.

[Primary Osteosynthesis Failure of the Humerus Supracondylar Fractures in Children, Re-osteosynthesis by Percutaneous Pinning after Conservative Rereduction.].

P Gál

Acta Chir Orthop Traumatol Cech. 1999; 66(1):10-14

A total of 335 supracondylar fractures of the humerus in children up to 15 years were treated at the Clinic of Pediatric Surgery and Traumatology in Brno in the period of 6.5 years (1992 to the middle of 1998). In five patients we managed a state following the failure of primary osteosynthesis performed either by an open technique or a percutaneous pinning technique. All cases were managed by percutaneous re-transfixation after conservative rereduction. Total results can be evaluated in two patients only so far, once as excellent and once as good. Failure of osteosynthesis is almost exclusively caused by incorrect technical performance.This type of...

[Jones fracture.].

T Malkus, B Soukup

Acta Chir Orthop Traumatol Cech. 1999; 66(1):15-21

The authors deal with the issues of traumatology of proximal part of 5th metatarsus and evaluate their experience in the treatment of a specific type of fracture in this region, i.e. the Jones fracture. From the anatomical and biomechanical viewpoints they classify the fractures into fractures of diaphysis, extra-articular fractures of proximal metadiaphysis - i.e. the actual Jones fractures - and intra-articular avulsion fractures of the base. While the fractures of diaphysis may be successfully treated using walking plaster cast for 4 to 6 weeks and in case of auvulsion fractures of the base for 3 to 5 weeks (they may be treated also without rigid...

[First Experience in Cemented Polished Stem of Exeter THR.].

R Hart, R Moster

Acta Chir Orthop Traumatol Cech. 1999; 66(1):23-27

The authors evaluate first results of implantations of Exeter cemented polished femoral component and present their experience in its use. In 1996 and 1997, 140 of these stems were implanted at their Clinics in 77 females and 63 males, average age 64 years. In 69 cases the right side was affected and in 71 cases the left one. The most frequent indication was idiopathic primary osteoarthritis of the hip (99 cases). Clinical results were evaluated on the basis of Merle d Aubigne and Postel score. In 96 cases the results achieved were excellent, in 5 cases they were average and only in one case the result was poor. In 5 patients the radiograph showed...

[THR in Osteoporotic Fractures of the Femoral Neck.].

Z Rozkydal, R Hart

Acta Chir Orthop Traumatol Cech. 1999; 66(1):28-32

The authors present a group of 49 patients with a fracture of femoral neck with the symptoms of evident osteoporosis treated by THR. The group comprised 44 females and 5 males, average age 70 years (62-88 age range). Tha authors evaluated 42 patients on average 18 months after the surgery (9 to 29 months). Indicated to THR were 36 acute fracteures and 13 early failures of fixation. The degree of osteoporosis after Singh: grade 4-4 patients, grade 3-22 patients, grade 2-19 patients, grade 1-4 patients.The type of fracture after Garden: type II - 5, type III - 26, type IV - 18 fractures. The authors used in 39 patients (Singh 1-3) the cemented type of...

[Surgical treatment of the dislocation of acromioclavicular joint, therapeutic results in acute and inveterate injuries.].

M Lutonský, P Malusek, Z Novák

Acta Chir Orthop Traumatol Cech. 1999; 66(1):33-36

The authors present an outline of the current literary sources which broaden the view of the issues of acromioclavicular dislocation. They compare the results of surgical treatment in acute and inveterate iniuries and state that the surgical treatment in indicated cases of acute injuries brings better results as compared to conservative treatment and that the results of surgical treatment of inveterate cases are markedly better than pre-operation findings, however, worse in comparison with the surgical treatment of acute dislocation. Surgical procedure is determined for the incidence of calcification in the injured coracoclavicular ligament in inveterate...

[Unicondylar replacement of the knee joint.].

V Stedrý, L Vanecek

Acta Chir Orthop Traumatol Cech. 1999; 66(1):37-40

Twenty-nine unicondylar replacements of the knee joint (UKR) of St. Georg type were implanted in 27 patients at the Orthopaedic Clinic IPVZ in the period between 1985-1994. The average age in case of females was 73 years, in case of men 71 years. The most frequent indication was osteoarthritis of the knee joint of varus type. Two patients (7 %) had to be reoperated on for aseptic loosening of the tibial component, on average 5,5 years after the surgery. Revision surgery for breaking of femoral component was performed in five cases, on average 6 years after the primary implantation. The authores evaluated 16 patients with UKR still in situ. In 8 patients...

[Maisonneuve fracture.].

J Kolman

Acta Chir Orthop Traumatol Cech. 1999; 66(1):41-45

Nineteen patients with acute Maisonneuve fracture of ankle were treated at the Orthopaedic Clinic IPVZ FN Bulovka in 1993-1997. This number represets 5 % of all patients treated acutely for fracturedislocation of ankle. Another 5 patients were managed for poor results of the management of this fracture treated at other Clinic. In all patients surgical therapy was indicated: 14 times - the method of insertion of two parallel transfixation (positioning) screws, 5 times - the method of insertion of 1 screw combined with plaster cast fixation. In patients with the resulting poor outcomes after the fracture, reconstruction was performed in 1 case and in...

[Relations of Aetiopathogenesis and Prevention of Post-traumatic Algoneurodystrophia Part I: Critical Evaluation of Pathogenetic Theories.].

J Skrabal

Acta Chir Orthop Traumatol Cech. 1999; 66(1):46-51

The author critisizes current aetiopathogenetic theories of the origin of post-traumatic algoneurodystrophia and on the basis of the available literature and his own experience he formulates his own hypothesis of the theory of the origin of this unpleasant complication. In the sense of psychosomatic perception he summarizes that it is mainly action impulses of negative emotions, especially the feelings of anxiety, but also other stresses in the sociopsychological sense of the word (arising mainly from the concerns about fulfilling oneself) which promote the basic component of chronic pain and together, be it on the prepared or unprepared neurastenic...

[Relations of Aetiopathogenesis and Prevention of Post-traumatic Algoneurodystrophia Part II: Introduction of a Timely Preventive Therapy in Practice.].

J Skrabal

Acta Chir Orthop Traumatol Cech. 1999; 66(1):52-56