[Structural Bone Grafting in THR with Cup for Dysplastic Hip.].

Z Rozkydal, Z Smíd, J Kristek

Acta Chir Orthop Traumatol Cech. 2000; 67(5):298-306

The authors present results of THR with cementless CLS cup and massive structural bone grafting for dysplastic hip in 42 patients at the average 7,3 years after surgery. They used an autogenous graft from the femoral head in all cases. Crowe type of dysplasia: group I. 14 patients, group II. 20, group III. 5 and group IV. 3 patients. Harris hips score has improved from 37 to 79 points.The cup was placed into anatomic hip centre in 14 patients. There was proximal position up to 15 mm from the hip centre in 27 patients and lateral position up to 10 mm from the hip centre in 18 patients. Osteointegration of the CLS cup has occured in all cases. Clinical...

[Total hip replacement in patients with ankylosing spondylitis.].

V Jezek, P Vavrík, S Popelka, Z Urbanová

Acta Chir Orthop Traumatol Cech. 2000; 67(5):307-312

The authors present their experience with total hip replacement in patients with ankylosing spondylitis. In the period of 1985-1997 they performed in total 66 total hip replacements in 41 patients. Of the total number of the used implants 24 were fully cemented (the average follow-up - 13 years), 3 were hybrid and 39 cementless (the average follow-up - 6 years). The results of total hip replacements were assessed on the basis of Harris score (HS). The outcomes of the two subgroups, i. e. cemented and cementless implants, were statistically evaluated and compared. The group of hybrid implants was not statistically evaluated due to a small size of the...

[Instrumentation of idiopathic scolioses by isola and miami-moss systems.].

O Vlach, R Grosman, M Rouchal

Acta Chir Orthop Traumatol Cech. 2000; 67(5):313-315

In our University department 135 patients were operated and followed up for minimally 2 years postoperatively. Isola system was used in 92 patients, Miami-Moss in 43 patients. The average curve magnitude was preoperatively in Isola group 61,0 degrees , in Miami-Moss 54,8 degrees . Isola was used exclusively posteriorly, Miami Moss also anteriorly (16 cases). In more severe curves the rib osteotomy of concavity was added (22 patients), most severe curves were released by anterior discectomy with interbody fusion (24 patients). The average postoperative correction was in Isola 55,6 %, in Miami Moss 64,1 %, loss of correction in Isola 2,8 degrees, in...

[Ultrasonographic Examination of the Rotator Cuff of the Shoulder: Our Eight-year Experience.].

I Vanecek, R Kaspárek

Acta Chir Orthop Traumatol Cech. 2000; 67(5):316-323

The authors evaluate their experience with ultrasonographic (USG) examinations of the shoulder they performed in the period between 1992 and 1999. They concentrate mainly on the diagnosis of the lesion of the rotator cuff. They describe methodology of the examination, the used examination positions, instruments and present some pathological findings. They also present possibilities of these diagnostic methods and the indications where the efficiency of its use is limited or zero.They emphasize the necessity of a perfect mastering of the examination technique, a simultaneous clinical examination, x-ray examination and special x-ray projections, if need...

[Diagnostic-therapeutic Algorithm in a Blunt Injury of the Thorax.].

F Vyhnánek, J Fanta, P Lisý, O Vojtísek, F Cáp

Acta Chir Orthop Traumatol Cech. 2000; 67(5):324-328

Based on the group of 22 patients operated on for a blunt injury of the thorax a diagnostic-therapeutic algorithm was evaluated in the procedure of the treatment of a severe trauma of the thorax. Acute thoracotomy or laparotomy was performed in 17 patients and in 5 of them thoracotomy was indicated only after some time interval. In the patients with acute surgery the indication was a rupture of diaphragm, massive hemotorax in case of lung laceration of bleeding from thoracic wall, rupture of bronchus and an associated injury of intra-abdominal parenchymal organs. Thoracotomy was after some time interval performed in case of empyema of thorax, post-injury...

[Arthrolysis of the elbow.].

R Hart

Acta Chir Orthop Traumatol Cech. 2000; 67(5):329-335

The study present the results of arthrolysis of the elbow in 32 patiens operated on during the period of 10 years, i. e. between 1988 and 1997. It includes the part of the group of patients where it was possible to obtain complete documentation or the report of their present condition. The total number of patients operated on in the mentioned period was 41, of which 26 men and 15 women of average age 45,3 years. In 17 cases the patients were operated on for post-traumatic stiffnes after fracture in the region of the elbow, 8times it was the case of a condition after contusion and 4times a stiffness after elbow dislocation and in 13 patients the indication...

[Protrusion of Acetabular Cup in THR.].

O Cech, M Bernat, J Sprindrich

Acta Chir Orthop Traumatol Cech. 2000; 67(5):336-340

The authors report on a case of a complete protrusion of the cup of the hip joint into pelvis. Angiographic examination documents a considerable displacement of iliac vessels caused by the pressure of the displaced acetabular cup which poses a great risk of the injury of vessels during the revision surgery. As a solution of this complication the authors used a separate extraperitoneal approach described in literature as an approach to iliac vessels after Leitz allowing a safe removal of the acetabular cup and the ball of the prosthesis. For the removal of the stem the transgluteal approach was used. Key words: Pelvic protrusion of the acetabular cup,...

[Isolated dorsal radiocarpal dislocation.].

L Tomcovcík, M Kitka

Acta Chir Orthop Traumatol Cech. 2000; 67(5):341-343

The authors report a case of isolated dorsal radiocarpal dislocation without intraarticular fracture of the radius. This injury is very rare and only several case reports we can found in literature. Dislocation of the distal radioulnar joint was also present without ulnar styloid fracture.The mechanism of this injury is described exactly according to data of the patient. Closed reduction and plaster cast fixation brought subjectively satisfactory result and objectively only light restriction of movement and grip strength of the injured extremity without signs of instability. Key words: radiocarpal dislocation, treatment.

[Ischemic Necrosis in DDH.].

M Zídka, J Bartonícek, J Vávra

Acta Chir Orthop Traumatol Cech. 2000; 67(5):344-351