Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca
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Acta Chir Orthop Traumatol Cech · Jan 2013
[Use of the Omega plate for stabilisation of acetabular fractures: first experience].
The aim of our study is to solve the problem of insufficient fixation of comminuted fractures of the quadrilateral plane and the iliopectineal line. These fixation problems occur while using the standard narrow 3.5 mm fixation plate applied from a modified Stoppa approach. A new plate developed by the authors--the Omega plate--fulfils the requirements. ⋯ The Omega plate enables us to fix fractures of the superior pubic ramus, fractures of the anterior acetabular column, fractures of the quadrilateral acetabular plate, fractures in the iliopectineal line and simple fractures of the posterior column. A CT-defined projection of the pelvic inlet based on pre-operative CT scans allows us to choose the appropriate plate size and to shape the plate pre-operatively. After a technically well performed Stoppa approach and good fragment reduction, the application of an Omega plate is easy if our recommendations are followed. Fixation of all fragments of the anterior column and the quadrilateral plate is very stable and the Omega plate is highly resistant to secondary loss of reduction. A potential total hip arthroplasty does not require Omega plate removal.
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Acta Chir Orthop Traumatol Cech · Jan 2013
[DHS osteosynthesis for proximal femoral fractures: infectious complications].
Evaluation of infectious complications in patients with proximal femoral fractures treated by osteosynthesis using dynamic hip screws (DHS). ⋯ Infectious complications following osteosynthesis with dynamic hip screws are rare events in the treatment of proximal femoral fractures. Staphylococcus aureus was the most frequently isolated infectious agent. Each infectious complacation was associated with one or more risk factors. Antibiotic prophylaxis is important particularly in patients at risk.
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Acta Chir Orthop Traumatol Cech · Jan 2013
[Complications associated with surgical treatment of pelvic ring fractures].
A retrospective analysis of complications associated with surgical treatment of pelvic ring fractures. ⋯ The characterisation and evaluation of complications associated with the management of pelvic ring fractures is problematic because it is difficult to distinguish which of them have been caused by pelvic ring fracture and associated injuries and which are due to surgical treatment. Although most complications arise from injury, the increasing role of surgery in their treatment leads to a higher rate of iatrogenic complications most frequently resulting from an improper surgical technique, including fracture reduction and/or fixation.
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Acta Chir Orthop Traumatol Cech · Jan 2013
[Allofit cementless acetabular component: five-year experience].
To evaluate the mid-term results of using the Allofit cementless acetabular cup for primary hip replacement. ⋯ Cementless press-fit cups have very good outcomes, even in a long-term follow-up. Our experience gives support to these results because of a low number of hips with loosening, both septic and aseptic, or polyethylene wear of the primary implanted acetabular cup, and no cup migration in our patients. The five-year survival rate of the Allofit acetabular cup was 95.8%.
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Acta Chir Orthop Traumatol Cech · Jan 2013
[Tibio-talo-calcaneal arthrodesis with the retrograde intramedullary nail MEDIN].
When the talus and the talocalcaneal joint are both affected, their fusion is the method of treatment. Ankle arthrodesis is carried out using various osteosynthetic materials such as external fixators, screws and plates. One of the options is retrograde nailing. Tibio-talo-calcaneal arthrodesis is frequently indicated in patients with rheumatoid arthritis (RA) in whom both the talus and the subtalar joint are often affected. ⋯ The use of tibio-talo-calcaneal arthrodesis aims at a painless and stable joint. Arthrodesis of the talus and the subtalar joint using a retrograde nail is an effective surgical treatment of the joints affected. It is especially recommended for RA patients who have severe deviations. Retrograde nailing provides a stable osteosynthesis which does not require plaster cast immobilisation. The double-curved nail allows for its insertion in the solid part of the calcaneus and helps avoiding injury to the neurovascular bundle.