[Surgical treatment for disorders of the cervicothoracic junction region].

J Stulík, T Vyskocil, P Sebesta, J Kryl, P Pafko

Acta Chir Orthop Traumatol Cech. 2005; 72(4):213-220

PURPOSE OF THE STUDY: The complex anatomy of the cervicothoracic junction region makes a reliable assessment of plain radiographs in lateral projection difficult or even impossible, which may result in failure to detect fracture or other pathology in this region of the spine. The aim of this study was to evaluate the patients with spinal disorders in the region of the seventh cervical to the third thoracic vertebrae treated at our department.MATERIAL: During the period from November 2001 to June 2004, 34 patients with disorders of the C7-T3 region were treated surgically at the Department of Spinal Surgery, Motol Teaching Hospital, which accounted...

[Evaluation of the survival of the Walter-Motorlet TKA: long-term outcomes].

J Bek, P Vavrík, I Landor

Acta Chir Orthop Traumatol Cech. 2005; 72(4):221-227

PURPOSE OF THE STUDY: The aim of the study was: 1. statistical evaluation of the survival of the first Czech TKA of Walter-Motorlet type, 2. comparison of the outcomes of different types of tibial components and finding out of the difference, if any, in the survival of all-poly and metal-backed components.MATERIAL: The authors evaluated a group of patients treated by the Walter-Motorlet TKA in the period between September 1984 and December 1989. The cohort comprised 170 patients with 211 knees. Of this group, available to follow-up were 185 TKA in 148 patients on average 17.5 years after the operation (range, 15.0-20.1 years). One female patient...

[Surgical therapy of osteolysis around stable cementless hip arthroplasty].

J Spicka, J Gallo, I Cechová, P Kamínek, J Mikulík

Acta Chir Orthop Traumatol Cech. 2005; 72(4):228-234

PURPOSE OF THE STUDY: The article presents results of surgical treatment of osteolysis around stable cementless THA.MATERIAL AND METHODS: The authors evaluated 18 operated on cases of osteolysis around stable THA of ABG 1 type with a minimal follow-up of 4 years (49-70 months). The group included 6 men and 12 women who were at the time of revision 47 years old (36-56, SD 6.52). The average period between the primary and revision surgery was 45 months (23-66, SD 13.84), the average size of the original cup was 49.6 mm (44-54, SD 3.03), the median thickness of polyethylene was 7.5 mm (4.9-8.9). The average HHS prior to reoperation was 68.5 points...

[Reconstruction of the anterior cruciate ligament: comparison of patellar bone-tendon-bone and hamstring tendon graft methods. Part 1. Evaluation of patients treated by the patellar bone-tendon-bone graft technique].

P Sadovský, D Musil, L Filip, Z Vodicka, J Stehlík

Acta Chir Orthop Traumatol Cech. 2005; 72(4):235-238

PURPOSE OF THE STUDY: Reconstruction of the anterior cruciate ligament (ACL) by means of a patellar bone-tendon-bone (B-T-B) graft is currently one of the most frequent arthroscopic procedures. Progress in alternative techniques, particularly the use of hamstring tendon grafts and different methods for graft anchorage, was the reason for evaluation of our group of patients. The results were assessed at 18 months of follow-up.MATERIAL: We evaluated 137 surgically treated knees in 136 patients, 20 female and 117 male, on the basis of the Lysholm score system completed with a clinical examination of knee joint stability by Lachman's test and the pivot...

[Reconstruction of the anterior cruciate ligament: comparison of patellar bone-tendon-bone and hamstring tendon graft methods. Part 2. Short-term evaluation of the hamstring tendon graft technique with use of the Rigidfix system].

D Musil, P Sadovský, L Filip, Z Vodicka, J Stehlík

Acta Chir Orthop Traumatol Cech. 2005; 72(4):239-245

PURPOSE OF THE STUDY: The high number of patients with femoropatellar complaints following ACL reconstruction with bone-tendon-bone (B-T-B) autograft led us to use and subsequently evaluate hamstring tendon grafts fixed with the Rigidfix system. In this study we present the evaluation of short-term results.MATERIAL: We evaluated 85 patients (51 male and 34 female) at an average follow-up of 14 months. The average age of the group was 29.7 years (range, 16 to 59 years). In 46 patients we treated the right knee and in 39 patients the left knee. Fifty-five patients in this group also had an associated injury to the soft knee tissues. For reconstruction,...

[Treatment of focal articular cartilage lesions of the knee with autogenous osteochondral grafts].

W Orljanski, E Aghayev, I Zazirnyj, R Schabus

Acta Chir Orthop Traumatol Cech. 2005; 72(4):246-249

PURPOSE OF THE STUDY: A chondral/osteochondral defect involving the articular surface of a joint is still a therapeutic problem. Many surgical techniques have been studied in an attempt to restore the damaged articular cartilage. Autogenous osteochondral graft has gained in clinical popularity because of its technical feasibility and cost effectiveness, however, only a few series have been reported in the literature.MATERIAL: A retrospective study included 14 patients with 14 knees with focal full thickness articular cartilage defects hospitalised in our department between January 1997 and June 2000. The diagnoses included six knees with osteonecrosis,...

[Paresis of the femoral nerve in pelvic extraperitoneal hematoma--case reports and literature review].

V Cingel, M Kokavec, J Trnka

Acta Chir Orthop Traumatol Cech. 2005; 72(4):250-253

The authors describe two rare cases of femoral nerve paresis in pelvic extraperitoneal hematoma in children. The first case was a 13-year-old girl, with no trauma in her medical history, in whom the paresis was suspected to have inflammatory or tumorous etiology; the other case was a 14-year-old boy injured during playing football. In both patients, extraperitoneal pathology of the pelvis was evident clinically and was shown in CT scans; paresis of the femoral nerve was demonstrated by EMG. In both cases, surgical intervention revealed a hematoma causing neuropathy. This was removed and, within a year of first sign appearance, both patients were free...

[Imaging methods in the injuries of the elbow].

J Brtková, P Rejtar, T Dedek, J Preis

Acta Chir Orthop Traumatol Cech. 2005; 72(4):254-258