Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca
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Assessment of the authors' group of patients with a fracture of sternum and comparison with available literary findings. ⋯ The incidence of the fracture of sternum has recently increased. Isolated injuries of the chest do not pose any diagnostic or therapeutic problem. Of much greater severity are associated injuries of lungs and mediastinal organs which require a precise diagnosis and careful observation of the patient.
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Acta Chir Orthop Traumatol Cech · Jan 2001
Case Reports[Complications with the acetabular cup in the CLS total hip joint endoprosthesis].
The aim of the study is to present complications of acetabular component of CLS total hip replacement and their solution. ⋯ Of the total number of 2231 implanted CLS cups in the period of 1986-1999 only 25 complications were recorded requiring a revision surgery, i.e. 1.1% of all cases. Complications relating to the cup were treated in case of acetabular defects by means of metal acetabular rings, cancellous bone grafting and cemented cups. In infections a two-step procedure was used with a repeated application of CLS cup, Prostalac technique or Girdlestone procedure.
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Acta Chir Orthop Traumatol Cech · Jan 2001
[Surgical treatment of arthritis of the carpometacarpal joint of the thumb--personal experience with soft-tissue arthroplasty].
The authors deal with surgical treatment of osteoarthritis of carpometacarpal joint of the thumb. They present results of three different techniques of interposition arthroplasty. ⋯ Interposition arthroplasty is a suitable solution of osteoarthritis of carpometacarpal joint after the failure of conservative treatment in patients in whom no extreme activity of the affected hand is expected. Burton-Pellegrini procedure is technically more demanding, however, it provides the best results and the fastest recovery. Total resection of trapezium proved efficient as it contributes to a better orientation during operation and to good results.
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Acta Chir Orthop Traumatol Cech · Jan 2001
[Treatment of thoracolumbar spinal fractures using internal fixators (evaluation of 120 cases)].
A group of 120 patients was evaluated with acute injury of Th-L spine who were operated on from posterior approach with the use of Dick AO fixator or USS fixator in the period of 1991-1996. ⋯ 1. Absolute majority of injuries of thoracolumbar spine may be treated from the posterior approach. In this it is necessary to restore the stability of the anterior column. An indispensable part of the operation is a flawless posterior fusion. 2. Some types of injuries require a complementary anterior approach in the first or second step. This applies mainly to the injuries with a defect of anterior column evaluated on the basis of classification after Gaines. 3. A primary isolated anterior approach to the treatment of the injury of Th-L spine is not in our view suitable as a routine.
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Acta Chir Orthop Traumatol Cech · Jan 2001
[Reconstruction of the acetabulum during replacement of the aseptically loosened polyethylene cup].
The aim of the study was to verify the method after Slooff in our modification, i.e. "a cemented cup--cancellous bone grafts--a metal net" for the revision surgery of aseptic loosening of cemented polyethylene acetabular cup in combined defects of acetabulum. ⋯ The method of cemented cup--cancellous bone grafts--metal net after Slooff is in our modification one of the accepted options of the reconstruction of acetabulum. Its benefit is the possibility of early weight bearing of the limb operated on. The stress on the bone grafts under an elastic construction conduces to a relatively fast good secondary osteointegration. The method can be recommended for II and III Degrees of acetabular bone loss according to AAOS classification. Of no less importance is also the economic aspect of the whole reconstruction.