[Restoration of elbow joint flexion using pectoral muscle transfer in patients with arthrogryposis multiplex congenita. Part I: surgical method, rehabilitation and clinical results].

J Chomiak, P Dungl

Acta Chir Orthop Traumatol Cech. 2002; 69(6):333-343

PURPOSE OF THE STUDY: In patients with type I arthrogryposis multiplex congenita, elbows are fixed in extension. The m. biceps brachii and m. brachialis are usually atrophic. The main objective of arm treatment is to restore flexion in the elbow that would enable the patient to reach the mouth with the hand as well as maintain active extension of the arm for hygienic purposes. This can be achieved by several techniques of muscle transfer. Of these, we selected and modified the method of Clark based on transfer of distal parts of the greater pectoral muscle. The aim of this study was to develop the surgical procedure in detail, to design the course...

[Radical surgery in tumors of the thoraco-lumbar spine].

M Filipovic, R Grosman, V Tichý

Acta Chir Orthop Traumatol Cech. 2002; 69(6):344-349

PURPOSE OF THE STUDY: In this retrospective study, the outcomes of anterior and posterior approaches, performed either simultaneously or consecutively, in the radical surgical treatment of tumors of the thoracolumbar spine were compared in terms of surgery duration, intra-operative blood loss, neurological findings and complications.MATERIAL: A total of 547 patients with malignant tumors of the spine were treated between 1981 and 2001. Of these, the thoracolumbar spine was affected in 422 cases. Spondylectomy from the combined anterior and posterior approach with decompression, vertebral body replacement and stabilization was indicated in 117 patients,...

[Knee joint synovectomy in treatment of juvenile idiopathic arthritis].

O Adamec, P Dungl, T Kasal, J Chomiak

Acta Chir Orthop Traumatol Cech. 2002; 69(6):350-356

PURPOSE OF THE STUDY: The objective of this study was to assess short-term outcomes of knee joint synovectomy in a group of patients with juvenile rheumatoid arthritis and to present the authors' view on this approach.MATERIAL: Between 1990 and 1999, synovectomy of the knee joint was performed in a group of 46 children with juvenile rheumatoid arthritis. This group comprised 19 girls and 27 boys aged 4 to 16 years (mean 9.8 years) with all forms of the disease. A total of 85 synovectomy procedures, including repeat operations, were performed on 58 knee joints.METHODS: Arthroscopic synovectomy was used to treat 21 knee joints, open synovectomy...

[Personal experience with treatment of pseudoarthrosis of the navicular bone of the carpus].

M Lutonský, D Pellar

Acta Chir Orthop Traumatol Cech. 2002; 69(6):357-361

PURPOSE OF THE STUDY: A displaced fracture of the scaphoid bone of the hand may result, according to some authors, in the development of pseudoarthrosis in 10 to 50% of the patients and aseptic necrosis of the proximal bone fragment may develop in 30 to 50% of them. Them surgical treatment of scaphoid bone pseudoarthrosis has recently made great progress and the results achieved by the authors in this field are reported in this paper. These results are discussed in light of the results and opinions presented at the 8th Congress of the World Federation for Hand Surgery held in Istambul in June 2001 and are compared with the achievements made by other...

[Preoperative planning and surgical technic in achieving stability and leg length equality in total hip joint arthroplasty].

O Cech, M Fassbender, P Kirschner, Z Rozkydal

Acta Chir Orthop Traumatol Cech. 2002; 69(6):362-368

One of the prerequisites for a good outcome of total hip arthroplasty is preoperative planning. Using a roentgenogram, the size of an implant, incision level on the femoral neck, depth required for fitting the cup, restoration of the center of hip rotation and, if necessary, correction of length descrepancy between the legs are determined. The preoperative planning based on an X-ray image was introduced by M. E. Müller and, in 1976, was modified by R. Schneider who used a transparent sheet for a template on which all relevant points guiding the surgical procedure are marked, i.e., the right position for implantation of the cup and stem, and incision...

[Bilateral fractures of the femoral head (Pipkin I and Pipkin II)].

J Matějka, K Koudela

Acta Chir Orthop Traumatol Cech. 2002; 69(6):369-371

The author describes a rare case of bilateral dislocation of the hip joint accompanied by fracture of the femur head. The fracture (Pipkin I) on the left side was treated conservatively and the fracture (Pipkin II) on the right side surgically. At 18 months of follow-up, both fractures were healed but the fragment of the operated femoral head had a tendency to develop osteoporosis. Aseptic necrosis was absent, as evidenced by bone scan. Both hip joints, however, showed signs of developing arthritis, with clinical findings being less serious on the non-operated joint. The author discuses all cases of bilateral Pipkin fractures reported in the literature...

[Remembrance of Professor B.G. Weber (7 August 1927--22 August 2002].

Oldrich Cech

Acta Chir Orthop Traumatol Cech. 2002; 69(6):372-373

[The Decade of Bones and Joints 2000-2010. Significance of the Decade of Bones and Joints for orthopedics and traumatology].

Frantisek Makai

Acta Chir Orthop Traumatol Cech. 2002; 69(6):374-375