Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca
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Acta Chir Orthop Traumatol Cech · Apr 2007
Case ReportsTotal spondylectomy of C2: a new surgical technique.
According to the available sources, no case of total spondylectomy of C2 with preservation of roots, preservation of vertebral arteries and a short fixation without occipitocervical fusion has been so far described in the literature. We decided to perform a radical surgery in a man, now 27 y. o., with solitary metastasis of thyroid adenocarcinoma. In the first step, we applied the posterior surgical approach. ⋯ The mandible was fixed by two Miniplate System plates and supported by a dental plate. Total spondylectomy of C2 with preservation of vertebral arteries and roots stabilized only by a short fixation is an extreme surgical procedure suitable only for exceptional cases of young patients with a good bone quality. With regard to potential complications it is of vital importance to consider carefully such operation and consult the proposed therapy with the patient.
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Acta Chir Orthop Traumatol Cech · Apr 2007
[Osteosynthesis of hip and femoral shaft fractures using the PFN-long].
A group of 79 patients with ipsilateral fractures of the hip and femoral shaft treated with the use of a long proximal femoral nail (PFN-long) was retrospectively evaluated. ⋯ The PFN-long is a high-quality implant that increases our options of treatment. Of all the reconstruction nails, it has most advantages. The availability of only three sizes (in three lengths with one thickness) is a certain disadvantage.
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Acta Chir Orthop Traumatol Cech · Apr 2007
[Surgical management of hallux valgus by techniques preserving the first metatarsophalangeal joint: long-term results].
Hallux valgus is a frequent static deformity of feet in shoe-wearing populations. Lasting problems usually require surgical management. The authors evaluate the long-term results of such treatment by either McBride's operation or chevron osteotomy, or by combination of both. ⋯ If indication criteria are respected, surgical procedures are competently performed and good post-operative care is provided, it is not necessary to combine the operation techniques in order to achieve good long-lasting correction and patients' satisfaction.