Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca
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Acta Chir Orthop Traumatol Cech · Apr 2008
Review[Pelvic fractures: role of imaging methods in the diagnosis of isolated pelvic fractures and multi-trauma].
The authors evaluate the role of imaging methods used in the diagnostics of pelvic fractures with the aim to suggest the most effective way of their use. The exact diagnosis of an injury is achieved most quickly if, in hemodynamically stable patients, CT scan is the initial examination and, based on the findings, conservative, invasive (laparotomy) or miniinvasive (angiography with bleeding artery embolization) procedures are used. In hemodynamically unstable patients, the diagnostic procedure always begins with plain X-ray and FAST (ultrasound) examination of the pelvis. ⋯ When only a small amount of hemoperitoneum is detected, a primary, minimally invasive procedure (angiography with bleeding artery embolization) can be carried out by an experienced interventional radiologist. If this fails to result in stabilization of the circulation, laparotomy should follow. Key words: pelvic ring injury, diagnosis, plain radiography, FAST, MDCT, angiography, embolization.
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Acta Chir Orthop Traumatol Cech · Dec 2007
[Percutaneous CT-guided radiofrequency ablation in spinal osteoid osteoma treatment].
Radiofrequency ablation is a minimally invasive method indicated in the treatment of bone tumors. Its effectiveness and safety have been reported in a number of studies concerned with the therapy of osteoid osteoma of extremities. However, only scarce information is available on effectiveness of ablation in osteoid osteoma of the spine. The aim of the study was to verify the efficacy of percutaneous CT-guided radiofrequency ablation on this indication. ⋯ Percutaneous CT-guided radiofrequency ablation is an effective and safe method for treatment of spinal osteoid osteoma. It has advantages that could make it preferable to surgical excision of tumors. Key words: osteoid osteoma, computed tomography, radiofrequency ablation.
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It is well known that proximal humerus fractures are among the three most frequent fracture types. Epidemiological invetsigations show that in people elder than 60 years the fracture of the proximal humerus is more frequent than fractures of the hip region (17). Over the last decades several techniques have been applied for treatment of proximal humerus fractures. ⋯ There are still cases of implant failure and humerus head necrosis, but most of these complications were caused by the fracture type and not an implant specific problem. However the overall results with these new implants are encouraging. Key words: locking plates, proximal humerus fracture, humerus, humerus fracture, PHILOS, PHP.
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Acta Chir Orthop Traumatol Cech · Oct 2007
[Treatment of intra-articular proximal tibial evaluation of two- to seven-year follow-up].
Intra-articular fractures of the proximal tibia always present a complicated therapeutic problem. In this retrospective study, the results of both conservative and surgical treatment of these fractures are evaluated. ⋯ In intra-articular fractures of the proximal tibia, treatment outcomes depend on the type of fracture as well as correct reduction and use of appropriate fixation. When accurate alignment, joint stability and well reduced articular surfaces are achieved, outcomes are very good. At mid-term follow-up, reduction under arthroscopic control gives better results than stabilization performed by arthrotomy.
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Acta Chir Orthop Traumatol Cech · Oct 2007
Comparative Study[Massive tears of the rotator cuff--comparison of mini-open and arthroscopic techniques. Part 2. Arthroscopic repair].
In this study the results of arthroscopic repair of massive rotator cuff tears are evaluated and compared with those of mini-open surgery published in Part 1. ⋯ Arthroscopic rotator cuff repair can be recommended as the procedure fully comparable with the open technique. Because of the possibility to diagnose and treat all shoulder pathologies at one stage, all rotator cuff repairs at present carried out at our department are arthroscopic procedures.