Acta Chir Orthop Traumatol Cech. 2004; 71(3)

[Multiple-level instrumented anterior cervical fusion: a risk factor for pseudoarthrosis? A prospective study with a minimum of 3-year follow-up].

P Barsa, P Suchomel, P Buchvald, E Kolárová, A Svobodník

Acta Chir Orthop Traumatol Cech. 2004; 71(3):137-141

PURPOSE OF THE STUDY: This prospective study with minimal 3-year follow-up was performed to compare fusion rates, course of fusion, collapse incidence and occurrence of subsidence in one- and two-level instrumented anterior cervical fusions (ACDF) and thus to proof the hypothesis that use of internal fixation decreases the risk of non-union in bi-segmental ACDFs to the same level that can be expected in mono-segmental procedure.MATERIAL: In 79 consecutive patients operated upon by the Smith-Robinson technique for degenerative process of cervical spine in one or two levels was applied single instrumentation system in order to ensure ideal condition...

[Arthroscopic stabilization of a primary traumatic dislocation of the glenohumeral joint].

L Pasa, V Pokorný, P Visna, P Nestrojil, R Hart, S Kalandra

Acta Chir Orthop Traumatol Cech. 2004; 71(3):142-146

PURPOSE OF THE STUDY: The authors present their experience with arthroscopic stabilization of a primary traumatic dislocation of the glenohumeral joint in young patients.MATERIAL: In up to 80% of patients younger than 25 years, traumatic dislocation of the glenohumeral joint is associated with its recurrence within one year of treatment even in well performed conservative therapy. Repeated dislocations gradually damage the joint and eventually result in the development of arthritis. The articular capsule becomes loose, glenoid surface is reduced and cartilage of the humeral head is affected. Repeated dislocation, reduction and immobilization are...

[Resection of head and neck of the femoral bone according to Girdlestone].

J Stoklas, Z Rozkydal

Acta Chir Orthop Traumatol Cech. 2004; 71(3):147-151

PURPOSE OF THE STUDY: To present our experience with resection arthroplasty of the hip joint according to Girdlestone, as the primary surgical technique used to treat various hip disorders.MATERIAL: During 1990 to 1999, 28 hips in 26 patients were treated in our department by resection arthroplasty according to Girdlestone. The most frequent indications for resection arthroplasty included pyogenic arthritis of the hip, tuberculous arthritis of the hip, post-traumatic pseudoarthrosis and avascular necrosis of the head, hip ankylosis following injury to the thoracic spine, and painful restriction of motion in cerebral palsy. In 2000, 20 hips were...

[Arthroscopy of the knee joint in childhood].

V Havlas, T Trc, D Rybka, J Schovanec, P Smetana

Acta Chir Orthop Traumatol Cech. 2004; 71(3):152-156

PURPOSE OF THE STUDY: Arthroscopy is generally regarded as a method suitable exclusively for the treatment of adult patients and only occasionally used in children as a diagnostic tool. Since the number of arthroscopic procedures has considerably increased in recent years, we decided to evaluate the knee arthroscopies performed in pediatric patients, focusing on a correlation between the preoperative diagnosis and arthroscopic findings.MATERIAL AND METHODS: The clinical records on 319 arthroscopic procedures in 311 children treated at our Department between 1995 and 2002 were retrospectively analyzed. The procedures were evaluated in view of the...

[Marfan's syndrome--application of revised criteria and differential diagnosis in clinical practice].

V Vyskocil, J Varvarovská, K Koudela

Acta Chir Orthop Traumatol Cech. 2004; 71(3):157-164

PURPOSE OF THE STUDY: To design a system of diagnostic criteria that would allow us to differentiate benign articular hyperelasticity from Marfan's or Ehlers-Danlos syndromes and, on the basis of clinical, anthropometric, radiological, biochemical and densitometric findings, their specificity and statistical significance, to draw definitive conclusions for clinical practice.MATERIAL: A total of 240 patients who presented with the diagnosis of one of connective tissue disorders were included. They all were examined and, in 182 of them, the findings were completed to meet the criteria required by differential diagnosis.METHODS: Revised criteria...

[Percutaneous osteosynthesis of scaphoid fractures: preliminary results].

P Drác, P Manák, I Labónek, V Benýsek

Acta Chir Orthop Traumatol Cech. 2004; 71(3):165-170

PURPOSE OF THE STUDY: To evaluate the results of percutaneous osteosynthesis of scaphoid fractures and to verify whether this approach is more effective than conservative treatment.MATERIAL: A total of 25 patients were treated by percutaneous osteosynthesis at the Emergency and Accident Department of the University Hospital in Olomouc from March 1, 2002, till March 31, 2003. According to the Herbert classification, five had type A2 fractures, four had type B1 and 16 had type B2 fractures. The surgery was performed at 20.6 days on average after injury. HBS screw (Martin) fixation was used in 22 patients, a 3.5 mm cortical screw and a 4.0 mm cancellous...

[Fractures of the intercondylar eminence of the tibia].

L Lukás, K Koudela

Acta Chir Orthop Traumatol Cech. 2004; 71(3):171-175

PURPOSE OF THE STUDY: We analyzed a group of patients surgically treated for fractures of the intercondylar eminence of the tibia in the Department of Orthopedics in Pilsen between 1992 and 2002, and evaluated the results of this treatment on the basis of objective examination and comparison with the relevant literature data. We describe indications for surgical treatment and the surgical methods used, including different fixation materials.MATERIAL: In the period from 1992 to 2002, 27 patients underwent surgery for a fracture of the intercondylar eminence of the tibia in our Department. The group included 19 men and 8 women aged between 8 and...

[Fracture of the neck of the talus with pantalar dislocation (case report)].

P Prikryl

Acta Chir Orthop Traumatol Cech. 2004; 71(3):176-178

The author describes the treatment of a fracture of the neck of the talus with pantalar dislocation. In this injury, healing prognosis depends on the preservation of blood supply to the talus, because there is high risk of necrosis development in the body of the talus. He reports a good functional outcome of conservative therapy by closed reduction followed by immobilization for 3 months and avoidance of using the leg for 6 months. Three years after the injury the patient was without any necrotic signs in the body of the talus, and returned fully to his sports activities at the same level as before the injury.

[Infection complications of total hip arthroplasty].

M Krbec, O Cech, V Dzupa, V Pacovský, Z Klézl

Acta Chir Orthop Traumatol Cech. 2004; 71(3):179-188

The authors present an overview of the current views on etiology and diagnostics of infectious complications of total hip arthroplasty and analyze the possibilities of individual therapeutic procedures (debridement with the preservation of total hip arthroplasty, revision of the endoprosthesis, long-term antibiotic therapy, final resection arthroplasty, arthrodesis). They discuss the pending issues relating to the therapy of infectious complications of total hip arthroplasty (the duration of antibiotic therapy, the interval between the extraction and revision surgery of the endoprosthesis, the use of antibiotic-containing cement). Based on their own...