Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca
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Acta Chir Orthop Traumatol Cech · Jan 2012
[Arthroscopically-assisted osteosynthesis of calcaneal fractures: clinical and radiographic results of a prospective study].
The aim of this prospective study was to evaluate the clinical and radiographic results in a group of patients with calcaneal fractures treated by means of minimally invasive, arthroscopically-assited osteosynthesis. ⋯ In our group of patients with predominantly less severe types of calcaneal fractures, the quality of post-operative fracture reduction, as a result of minimally invasive, arthroscopically-assisted osteosynthesis, appeared to be comparable with open techniques. The observed complete bone healing and absence of soft-tissue problems could present a surgical option to treatment nihilism in patients contraindicated for ORIF techniques.
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Acta Chir Orthop Traumatol Cech · Jan 2012
[Post-operative retransfusion and intra-operative autotransfusion systems in total knee arthroplasty. A comparison of their efficacy].
The aim of the study was to compare the effect of post-operative retransfusion with that of intra-operative autotransfusion in non-anaemic patients undergoing total knee arthroplasty (TKA). ⋯ The use of either of these systems has proved to be a simple and safe method of reducing the need of allogeneic blood transfusion in the TKA procedure. While the post-operative retransfusion system facilitates the return of drained blood only, the more efficient "cell-saver" technology collects blood shed during both intra- and post-operative periods and allows for erythrocyte mass retransfusion during and after surgery. Since the administration of allogeneic blood was required in less than 10% of the patients receiving intra-operative autotransfusion, this system was adopted as a more efficient method in routine TKA procedures.
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The aim of the study was to define the principal and additional characteristics of critical burns and to evaluate the effect of an increasing Abbreviated Burn Severity Index (ABSI) on mortality in burn patients admitted to the Department of Burns and Reconstructive Surgery, University Hospital in Brno. ⋯ The most important epidemiological data on patients with critical burns were evaluated. The study shows that although the number of patients annually admitted to hospital with severe burns is still high, it has nevertheless decreased recently.
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Acta Chir Orthop Traumatol Cech · Jan 2012
[Timing of surgical intervention in acute spinal cord injury and post-operative neurological recovery].
The effect of an early surgical intervention in the traumatised spine on resolution of neurological deficit still remains a topic of professional discussions. The aim of this retrospective study was to find a correlation between the length of an injury-to-surgery interval and the development of a post-operative neurological deficit, and thus to answer the question of whether early surgical decompression and stabilization gives better chance of neurological recovery. ⋯ Patients with traumatic spinal cord injury who undergo early decompression and stabilisation have a higher chance of at least partial neurological recovery.
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Acta Chir Orthop Traumatol Cech · Jan 2012
[Treatment of humeral shaft fractures using Hackethal's technique of intramedullary bundle nailing].
PURPOSE OF THE STUDY To inform on our experience with the treatment of humeral shaft fractures by intramedullary osteosynthesis using Hackethal's bundle nailing and to evaluate indications for the current use of this technique. MATERIAL AND METHODS From January 2001 to December 2009, a total of 184 patients with humeral shaft fractures were treated surgically and, of these, 147 by Hackethal's nailing. From January 2006 60 patients treated by this technique were prospectively followed up and, of them, 50 were evaluated (83.3%) and included in this study. ⋯ Its outcomes are comparable with the other currently used and more expensive methods. It is the method of first choice in the treatment of transverse and short oblique fractures of the mid-third of the humeral shaft. Key words: humeral shaft fractures, bundle nailing, Hackethal's technique.