Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca
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Acta Chir Orthop Traumatol Cech · Jan 2012
[The influence of patient age and mechanism of injury on the type of pelvic fracture: epidemiological study].
The patients with pelvic ring injury involve two groups: 1) young and middle-age persons, mostly men, with serious injury to the pelvic ring due to high-energy trauma; and 2) older patients, mostly women, with osteoporotic fractures due to a simple fall. The aim of this study was to show significant differences in the selected epidemiological characteristics between these two groups. ⋯ The evaluation of epidemiological data in this study allows us to conclude that younger men are those most frequently sustaining pelvic injuries due to high-energy trauma and that old age (80+) is characteristic for patients of both sexes, with female sex predominance, who have fractures due to simple falls. These findings give support to the concept that, in a group of patients with pelvic injuries, a subgroup with fractures different in terms of epidemiology and aetiology (osteoporotic fracture) can be identified.
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Acta Chir Orthop Traumatol Cech · Jan 2012
[Surgical treatment for factures of the neck and body of the talus].
To present a retrospective evaluation of the results of our method of open reduction and internal fixation. ⋯ Surgical management of dislocated talar neck and body fractures by open reduction and osteosynthesis does not achieve very good results. The definitive treatment should be carried out by an experienced surgeon and at a department with routine performance of these procedures. The results show that a delayed treatment by open reduction and stable osteosynthesis has better long-term outcomes than a rash acute operation done by an incomplete or less experienced operating team.
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Acta Chir Orthop Traumatol Cech · Jan 2012
Comparative Study[Validation of the DTP-3 system for noninvasive spinal shape measurement by comparison with X-ray examination].
Repeated measurements of the spine are absolutely necessary in children and adolescents affected by spinal deformities especially during their growing-up periods. To avoid risks of tissue damage from x-ray exposure, several methods for non-invasive measurement of the spinal curvature have been developed. One of them is the DTP-3 position system allowing for a three-dimensional measurement of anatomical landmarks (spinous processes) and the calculation of curvature angles in both the frontal and sagittal planes. We were interested to know whether the DTP-3 was precise enough to determine the true spinal curvature. ⋯ In this study we report good concordance between noninvasive and x-ray examinations of a modeled spinal deformity in terms of both angle and linear measurements. The same results were obtained for angle measurements in a group of patients with scoliosis up to 40°. Based on this study and our previous data we believe that the DTP-3 system can be introduced into clinical practice.
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Acta Chir Orthop Traumatol Cech · Jan 2012
Both column fractures of the acetabulum: epidemiology, operative management and long-term-results.
Both column fractures, defined as an acetabular fracture with no articular fragment in connection with the axial skeleton account for approximately 20% of all acetabular fractures. The typical type of a both column acetabular fracture is the C1.2 fracture with a multifragmentary anterior column fracture extending to the iliac crest and a large posterior column fragment in more than half of the patients. ⋯ In contrast to other acetabular fracture types, both column fractures show worser results regarding joint reconstruction, and functional and radiological long-term results. The optimal results can be achieved with anatomic joint reconstruction.
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Based on a retrospective analysis, the authors present their experience with treatment of subtalar dislocation of the foot. ⋯ A subtalar dislocation of the foot involves simultaneous dislocation of the talocalcaneal and talonavicular joints. It is a rare injury accounting for about 1 to 2% of all traumatic dislocations. It may occur as medial, lateral, anterior or posterior subtalar dislocation. The results of treatment depend on several factors, such as the type of dislocation (medial and open dislocations are at higher risk), associated injuries, or damage to deep skin layers, and also on an exact diagnosis, early and accurate reduction and sufficiently long foot immobilisation.