Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca
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Retrograde nailing represents an established fixation method for fractures of the distal femur and offers in femoral shaft fractures an alternative to the existing technique of antegrade nailing. The aim of this study was to investigate in a retrospective analysis the results of retrograde nailing in distal femoral fractures and selected cases of femoral shaft fractures. Emphasis was posed on long- term functional outcome, especially in daily activities. ⋯ Retrograde nailing represents a reliable fixation method for extra-articular (33 - A1-3) and simple intra-articular (33 - C1-2) fractures of the supracondylar area. In femoral shaft fractures retrograde inserted nails offer a valuable alternative, especially when the proximal femoral approach is obstructed.
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Acta Chir Orthop Traumatol Cech · Jun 2008
[Simple bony fusion or instrumented hemivertebra excision in the surgical treatment of congenital scoliosis].
In a retrospective study, to analyze long-term radiographic results of two surgical procedures used to treat congenital scoliosis. ⋯ Congenital scoliosis due to failure off either formation or segmentation is indicated for surgical treatment at young age. Its early detection and subsequent surgical treatment at young age. Its early detection and subsequent surgical correction of the curve result in a long-term maintenance of a compensated spine. Instrumented hemivertebra excision provides the highest rate of correction, particularly if carried out before 3 years of age.
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Acta Chir Orthop Traumatol Cech · Jun 2008
[Mid-term results of cementless ultima cups in primary total hip replacement].
To present the results of primary total hip arthroplasty (THA) with use of the hemispheric threaded Ultima cup at 8.5-year follow-up. ⋯ At 8.5-year follow-up, 88.9 % of the Ultima acetabular components were without radiographic signs of loosening. Attention should be paid primarily to THA patients with a thin wall acetabulum requiring a larger cup and a 32-mm liner.
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Acta Chir Orthop Traumatol Cech · Jun 2008
[Use of angle-stable implants for proximal humeral fractures: prospective study].
To evaluate and compare proximal humeral fractures treated either by plate osteosynthesis with angular-stable screws or by intramedullary nailing, and to define the indications optimal for use of either technique. ⋯ No statistically significant differences in functional results occurred between the observed groups at one year of followup. In four-fragment proximal humerus fractures, the patients treated with Targon PH nails had more complications and worse relative CM scores than those treated with PHILOS plates; however, this was not statistically significant and the number of complications decreased after the technique of tubercle osteosuture had been introduced. Finally, the only significant difference between the groups was a shorter operative time with the use of intramedullary nailing.
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Acta Chir Orthop Traumatol Cech · Jun 2008
[Secondary pyomyositis of hip muscles (non-tropical pyomyositis)].
By presenting the results of treatment of secondary pyomyositis of deep hip muscles, to draw attention to the seriousness of this complication occurring in association with pelvic and lumbo-sacral infections. ⋯ Secondary pyomyositis is a serious, life-threatening complication of the underlying infection. The outcome of the disease depends on early diagnosis, therapy and the patient's overall state. Stage 1 pyomyositis (muscle oedema) is treated conservatively with antibiotics. Stage 2 pyomyositis needs surgical intervention with abscess aspiration and drainage; in some cases CT-guided needle puncture with pigtail drain insertion is sufficient. An appropriate antibiotic course is obligatory. Stage 3 pyomyositis associated with septic shock or multiple-organ failure requires a comprehensive care in an acute medicine department. In polymorbid patients prognosis is poor and treatment is expensive and often unsuccessful.