Acta Chir Orthop Traumatol Cech. 2005; 72(3)

Outcomes of the MS-30 cemented femoral stem.

E W Morscher, B Berli, M Clauss, G Grappiolo

Acta Chir Orthop Traumatol Cech. 2005; 72(3):153-159

The MS-30 (Morscher-Spotorno) cemented femoral stem is a straight, three-dimensionally tapered, collarless implant for cemented fixation in total hip replacement, manufactured from a FeCrNiMnMoNb-alloy. This paper documents the review of 4 original follow-ups performed at four orthopaedic hospitals: three at the author's institution (Basel/Switzerland 2, Pietra Ligure/Italy 1), and one at the University Orthopaedic Hospital of Heidelberg/ Germany. A total of 911 hips in 867 patients have been provided with the MS-30 stem. All stems were fixed with Palacos bone cement, the great majority with antibiotic (Gentamicine) loaded cement. The mean observation...

[Arthroscopic stabilization of the fractured intercondylar eminence].

L Pasa, P Visna, J Kocis, V Muzík, R Veselý

Acta Chir Orthop Traumatol Cech. 2005; 72(3):160-163

PURPOSE OF THE STUDY: The authors present the results of arthroscopic reduction of a displaced fracture of the intercondylar eminence and stabilization of the fracture with a tension band wire and absorbable, double PDS sutures.MATERIAL: In the years 1998 to 2002, a fracture of the intercondylar eminence was arthroscopically diagnosed in 34 patients, 21 women and 13 men in the age range of 17 to 46 years. Five patients had type I fracture, 13 had type II fracture and 16 had type III fracture, as classified by the Meyers and McKeever system. Arthroscopic stabilization was used for all type II and type III fractures in a total of 29 patients. Double...

[Monteggia's lesion in childhood--proposal for a new classification system].

T Pesl, P Havránek

Acta Chir Orthop Traumatol Cech. 2005; 72(3):164-169

PURPOSE OF THE STUDY: The former classification systems have failed to provide an exact characterization of Monteggia's lesions (ML) in a growing skeleton. We studied the stability of both ulnar fracture and injury to the radio-humero-ulnar joint and our clinical findings fully warrant the proposal of a new classification system.MATERIAL: We carried out a retrospective study of 76 children, aged 2 to 15 years, treated for Monteggia's lesion in our department during 12 years, from 1990 till 2001.METHODS: X-ray images of all injured limbs were evaluated and each injury was categorized as stable, potentially unstable or unstable. This concerned...

[Video-assisted tenotomy of the triceps muscle of the calf in cerebral palsy patients].

J Poul, J Tůma, J Bajerová

Acta Chir Orthop Traumatol Cech. 2005; 72(3):170-172

PURPOSE OF THE STUDY: The aim of the study was to demonstrate the outcomes of video-assisted tenotomy of the gastrocnemius and soleus muscles in children with the spastic form of cerebral palsy.MATERIAL: In the period from September 2003 to March 2004, 18 lower extremities in 14 patients were operated on.A set for endoscopic plastic surgery with a 4-mm trocar was used. Aponeurotomy was carried out with a scalpel no. 11 or arthroscopic scissors. The treated limb was immobilized in plaster cast for 6 weeks. METHODS The inclusion criteria were: an equinus gait free from a valgus or a varus deviation, preferably unilateral, and the age range between...

[An occult acetabular fracture revealed by magnetic resonance imaging].

B Drugová, M Kutácek, M Syrůcek

Acta Chir Orthop Traumatol Cech. 2005; 72(3):173-176

The authors describe the case of a 35-year-old man with an injury to the left hip joint. When examined at the surgical ward, the patient complained of pain and restricted motion of the left hip. No traumatic changes in the left hip joint were revealed on X-ray and CT examination. When checked-up 13 days later, the patients still complained of persistent pain and restricted movement. Because of the discrepancy between the results of X-ray and clinical examinations, magnetic resonance imaging was recommended. This revealed an infraction of the roof of the acetabulum without trauma to the soft joint tissues and adjacent muscles. A retrospective analysis...

[Bone and joint involvement in human immunodeficiency virus infection].

Z Temesgen

Acta Chir Orthop Traumatol Cech. 2005; 72(3):177-182

The bone and joint complications of HIV infection continue to be reported. Some, in particular the metabolic bone disorders have become more prominent in the era of potent antiretroviral therapy. However, the epidemiology and the pathophysiology of these disorders as well as their relationship to the HIV infection itself, to the duration of illness, or to antiretroviral therapy remain largely undefined. This article attempts to provide a broad overview of the complications of HIV and its treatment involving the bone and joints.

[General principles of infection treatment in joint replacements].

I Landor, P Vavrík, D Jahoda

Acta Chir Orthop Traumatol Cech. 2005; 72(3):183-190

The treatment of infection in joint replacements, which is a complex issue, is justly considered to be one of the most expensive orthopedic procedures. The choice of treatment is determined by a number of criteria that are based on exact patients' history and their clinical, imaging and laboratory data. The management of infection reflects the development in the field of arthroplasty. In the past, the therapy was rather simple, involving removal of the implant, eradication of the infection and simple anatomical intervention in order to make the extremity useful for the patient, often at the cost of many concessions. At present, with rapid advancements...

[Molecular markers of osteoarthritis].

L Senolt, K Pavelka

Acta Chir Orthop Traumatol Cech. 2005; 72(3):191-196

Osteoarthritis (OA) is a chronic joint disorder characterized by articular cartilage destruction, subchondral bone alteration and variable synovial inflammation. Diagnosis of the disease, the progression of joint damage, and the monitoring of effect of structure modifying treatment, are still based on less sensitive evaluation of clinical and radiological findings. Molecular markers represent a new field of interest to serve as surrogate indicators for OA evaluation. These markers may provide direct information about the alteration of joint tissue metabolism and related bone and cartilage turnover and/or local inflammation. Currently available molecular...