Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca
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Acta Chir Orthop Traumatol Cech · Jan 2012
[Treatment of a ruptured extensor policis longus tendon by extensor carpi radialis longus transfer].
Two tendons, i.e., the extensor indicis proprius (EIP) and the extensor carpi radialis longus (ECRL), are commonly used to reconstruct the function of a ruptured extensor pollicis longus (EPL) tendon. We reviewed a group of patients with EPL ruptures treated by ECRL tendon transfer to the EPL tendon, which was the method of choice. The aim was to evaluate the results and to assess the effect of ECRL detachment on hand function. ⋯ The results showed increased adaptation of thumb motion to the extension lag at the IP joint, which had a mild effect on the patient's hand function. The difference in wrist extension between the operated and the contralateral hand corresponded to the pre-operative condition.
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Acta Chir Orthop Traumatol Cech · Jan 2012
[ProDisc-C Total Disc Replacement. A four-year prospective monocentric study].
To present the results of an independent prospective monocentric study of patients with ProDisc-C Total Disc Replacement (CTDR) followed up for 4 years, and to analyse the most frequent late complications, in particular heterotopic ossification. ⋯ Heterotopic ossification is the most frequent late complication of total disc replacement. Many factors may be responsible for its development and therefore its prevention is not clear. The correct indication and appropriate surgical technique are most often recommended, and are considered also by the authors to be most important. Restricted motion at the treated segment/s has no significant effect on the patient's clinical status.
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Acta Chir Orthop Traumatol Cech · Jan 2012
[Minimally invasive fixation of the pelvic ring with a transiliacal internal fixator].
To evaluate the results of stabilisation of the posterior pelvic segment with a transiliacal internal fixator (TIFI) in type C fractures of the pelvis. ⋯ The TIFI technique is one of the options for fixation of posterior pelvic segment fractures. A short operative time and minimum complications are undeniable advantages. Indications should be carefully considered in each patient. TIFI is a minimally invasive method for anterior pelvic segment fixation that can also be used in the acute stage of injury.
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Acta Chir Orthop Traumatol Cech · Jan 2012
[Oblong acetabular cup, type TC, for revision total hip arthroplasty].
Revision total hip arthroplasty is a demanding surgical procedure. It involves a massive loss of acetabular bone stock associated with primary implant removal, and a complicated revision cup fixation in the highly damaged surrounding bone. The authors describe the use of a novel oblong acetabular cup, type TC (Trč-Cingr), for replacement of a loose acetabular component. The aim of the study is to present this novel implant with evaluation of the first clinical results and to report on the authors' experience with revision arthroplasty assessed at 24 to 62 months of follow-up. ⋯ The results show good applicability of the oval-shaped implant which is easy to implant, maintains good primary fixation and allows for good bone remodelling in its vicinity.
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Acta Chir Orthop Traumatol Cech · Jan 2012
[Spinal cord concussion: a retrospective study of twenty-four patients].
Spinal cord concussion is characterised as fully reversible, temporary inhibition of conductive function due to trauma, without signs of structural changes. Although neurological deficit is usually related to the severity of spinal injury, this is different in spinal cord concussion. The aim of this retrospective study was to evaluate a group of 24 patients with spinal cord concussion, to design a diagnostic algorithm and propose an effective therapy with a good prognosis for the patients. ⋯ Spinal cord concussion is not a frequent injury; in our study, it accounted for 3.54% of the patients with trauma histories out of the total number of 678 patients, or for 2.40% out of 997 injured spinal levels. The first steps should be the same as in any other injury to the spinal cord. An early examination of the patient with imaging methods including MRI is of primary importance. At present administration of methylprednisolone according to the NASCIS system is disputable. The patient diagnosed with spinal cord concussion has a good prognosis, with rehabilitation as the main therapeutic approach.