[Use of the elastic stable intramedullary nailing technique in non-typical pediatric fractures].

P Havránek, T Pesl

Acta Chir Orthop Traumatol Cech. 2002; 69(2):73-78

PURPOSE OF THE STUDY: The "Elastic Stable Intramedullary Nailing" (E.S.I.N.) of French authors as a method of treatment of children's diaphyseal long bone fractures is well known from nineties of the last century. After we got familiar with the technique we wanted to introduce it in other indications, especially some metaphyseal long bone fractures and injuries of metacarpals, meta-tarsals and phalangeal bones in the growing skeleton.MATERIAL: During two last years, i.e. 1999-2000, ESIN procedure in 97 children was performed in our Regional Pediatric Trauma Centre. That was 39% of all osteosyntheses and 3.05% of all children's fractures treated...

[Distal shortening osteotomy of the metatarsals using the Weil technique: surgical treatment of metatarsalgia and dislocation of the metatarsophalangeal joint].

A Podskubka, V Stědrý, M Kafuněk

Acta Chir Orthop Traumatol Cech. 2002; 69(2):79-84

PURPOSE: Weil technique of the distal shortening osteotomy of metatarsal is a relatively new method of the surgical treatment of metatarsalgia and dislocation of metatarsophalangeal (MTP) joints. A retrospective study evaluates the first experience in Weil osteotomy at the authors' department.MATERIAL: Between May 1999 and the end of 2000 twelve patients (14 feet) were operated on in which the Weil technique of the osteotomy was performed on 28 metatarsals. Indication for the surgery was chronic metatarsalgia with dislocation of the MTP joint, with excessive length of one or more lesser metatarsals, with insufficiency of the first ray after the...

[Reconstructive surgery of the peripheral nerves in the upper extremities with autografts].

V Matejcík

Acta Chir Orthop Traumatol Cech. 2002; 69(2):85-87

PURPOSE OF THE STUDY: The author presents results of 42 surgeries performed by microtechnique in 42 patients within the treatment of 45 nerves in the period of 15 years, i.e. between 1985 and 1999.MATERIAL: Forty-five nerves were reconstructed in 42 patients with a lesion of peripheral nerves of upper limbs by means of autografts.METHOD: The efficiency of the surgery was analyzed on the basis of the following indicators: the interval between the injury and surgery, the patient's age, length of autograft, nature of injury, level of injury, type of the injured nerve. In the evaluation we used Sedon's classification of motor and sensitive functions...

[Clinical examination of menisci in the era of arthroscopy].

L Nevsímal, M Skoták, P Míka, J Běhounek

Acta Chir Orthop Traumatol Cech. 2002; 69(2):88-94

PURPOSE OF THE STUDY: A profound clinical history and examination in case of a soft-tissue injury of the knee joint has a principal significance for the diagnosis and the following treatment. Our aim was to compare the development of surgery of the soft-tissue injury of the knee in our region within a 25-year interval. The most frequently affected structures in the knee joint are the menisci. We have focussed on the evaluation of the extent to which selected clinical history and symptoms are actually associated with the affection of menisci.MATERIAL: First we compared groups of patients operated on for the soft-tissue injury of the knee joint...

[Diagnosis of heart contusions].

P Obruba, R Splechtna, L Pokorný, E Husková

Acta Chir Orthop Traumatol Cech. 2002; 69(2):95-98

PURPOSE OF THE STUDY: Heart contusion is a severe injury for the diagnosis of which there still doesn't exist a uniform procedure. The aim of the work was to compare individual methods and provide opinion on the justification of their use.MATERIAL: In the period of 1998-2000 at the authors' departments 103 patient were hospitalised with a severe contusion of the chest. These patients were admitted at the department within 24 hours after the injury.METHODS: The diagnosis was based on the examination of the ratio of CKMB/CK serum levels, cTnl serum level, ECG examination and echocardiography.RESULTS: Heart contusion was diagnosed in 18 patients...

[Diagnostic arthroscopy of the wrist in adults and children with subsequent single-stage surgical procedures].

J Hurácek, J Chomiak

Acta Chir Orthop Traumatol Cech. 2002; 69(2):99-102

INTRODUCTION: Wrist arthroscopy today still faces the problem of being much to often diagnostic only. In addition, if the diagnosis requires a larger operation to follow, it can rarely be performed in the same session. Above all the special positioning makes a second session necessary. A new technique of wrist arthroscopy established in the University Clinic of Basel, Switzerland, allows a conventional positioning and thus a secondary surgical procedure in the same session. In a prospective clinical two-centre study, we aim to answer questions about general feasibility and possible complications due to the multiple compartment anatomy in adults and...

[Calcium phosphate bioceramics in orthopedic implants].

L Rehák, F Makai, D Bakos, M Vanis

Acta Chir Orthop Traumatol Cech. 2002; 69(2):103-107

[Marginal indications for the Magerl method of fixation of C1-C2 (case report)].

J Stulík, M Krbec, P Havránek

Acta Chir Orthop Traumatol Cech. 2002; 69(2):108-112

The authors present a 4-year old girl who had a car accident as a passenger and hurt her head, chest and limbs as well as upper cervical spine. The patient with multiple injuries was taken to the FTN Centre of Children's traumatology, Prague. Here the basic vital functions were ensured and a diagnosis was made of contusion of the brain with quadriparesis and inhibition of the respiratory centre, contusion of the chest, epiphysiolysis of the distal femur and later also instability of C1-C2. A censor for measuring or intracranial pressure was immediately inserted with a subsequent reduction of the distal femur and elastic fixation. External lumbar drainage...

[The Essex-Lopresti forearm fracture (case report)].

P Dousa, J Bartonícek

Acta Chir Orthop Traumatol Cech. 2002; 69(2):113-116

The radial head fracture associated with dislocation in the distal end of the ulna and tear of interosseous membrane of the forearm with a subsequent proximal migration of the radial shaft is a relatively rare injury. For the first time it was described by Essex-Lopresti in 1951. Our report presents one case together with an analysis of available literature relating to the diagnosis and treatment. A man, 69 years old, hurt his right elbow and forearm in a fall on the outstretched arm. There was a 2 x 1 cm excoriation on the lateral portion of the elbow and a dominating pain and limitation of the range of motion of the right elbow and wrist. The radiograph...

[Mini-invasive treatment of purulent spondylitis associated with a psoas abscess in a child (case report)].

M Konecný, S Chlebovic, V Stefanco

Acta Chir Orthop Traumatol Cech. 2002; 69(2):117-121

The authors describe a case of a 12 years old boy who suffered from pain in the lumbar region, limitation of dynamics in lumbosacral spine with a gradual deterioration of the condition. The patient was afebrile. The pain was getting worse and the classic radiographs did not show at the beginning any pathological changes. Suspected were mainly the discogenic syndrome, functional vertebrogenous syndrome but also development of a tumour in the region of spine. CT scan revealed structural changes in the region of L3 vertebra and less in the L4 region. At the same time it showed a soft mass pushing the psoas muscle to the left which was described as paravertebral...

[Periosteal desmoid].

J Koudelová, K Koudela, B Kreuzberg

Acta Chir Orthop Traumatol Cech. 2002; 69(2):122-126

The authors describe a rare benign disease occurring in children and adolescents with an increased physical activity at the age of 8-20 years. It is a tumour-like lesion developed by a repeated micro-trauma of the origin of distal fibres of adductor magnus and aponeurotic origin of the medial head of the gastrocnemius. This disease must be paid increased attention as in the region of the knee joint in children it is a location of a frequent development of sarcoma and osteomyelitis. With the knowledge of this lesion such cases may be diagnosed merely by a classic radiograph, preferably in external rotation and CAT and MRI examinations. Of the highest...

[The Bone and Joint Decade, 2000-2010. Global economic burdens and health care needs associated with diseases of the musculoskeletal system].

Acta Chir Orthop Traumatol Cech. 2002; 69(2):129-131