Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca
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Acta Chir Orthop Traumatol Cech · Feb 2007
[Our results of surgical management of unstable pelvic ring injuries].
The authors present a group of patients treated for pelvic fractures in a period of 6 years and they evaluate radiographic findings and clinical outcomes following surgical management of type B and type C fractures. ⋯ An active approach to the treatment of patients with unstable pelvic fractures, which is based on the correct diagnosis, comprehensive multi-disciplinary care, urgent primary stabilization and early definitive fixation by internal osteosynthesis, offers a prospect of survival and a good functional outcome for the patient. However, a high proportion of lasting sequelae due to altered biomechanics of the pelvic ring, and irreversible injuries to neural structures and the urogenital system may lessen good results achieved by a demanding surgical procedure on the skeleton.
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Acta Chir Orthop Traumatol Cech · Dec 2006
Case ReportsSpontaneous healing of pathologic humerus fracture caused by a cartilaginous tumor.
Conservative treatment of pathologic fractures of the long bones have been reported very infrequently, especially when fracture is caused by an tumour. This report highlights the possibility of an nonoperative treatment of a pathologic humerus fracture caused by an cartilaginous tumour with radiographic criterions of an chondrosarcoma.
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Acta Chir Orthop Traumatol Cech · Dec 2006
[The role of plain radiography in pelvic trauma in the era of advanced computed tomography].
The aim was to evaluate the diagnostic value of plain X-ray images in the diagnosis of pelvic ring injury in comparison with CT findings. ⋯ There is no doubt about the role of standard AP X-ray in the identification of pelvic injury type in polytraumatized, hemodynamically unstable patients. The validity of CT examination for identification of injury to the posterior ring of the pelvis in particular is so high that, in the primary diagnostic procedure, inlet and outlet radiography of the pelvis has lost its importance. The information on the stability and type of injury provided by 2D and 3D CT reconstructions is so exact that, at present, CT examination can reliably replace AP radiography, particularly if, for various reasons, good-quality X-ray images cannot be guaranteed.
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The authors compare their experience with the treatment of pelvic ring injuries with the literature data concerning the etiology, diagnosis and classification of this trauma, co-existing pathologies, primary therapeutic procedures, timing of the definitive treatment, surgical approaches, osteosynthesis of the posterior and anterior segments, complications and lasting sequelae. The authors regard the issue of surgical treatment as an independent discipline in the field of musculoskeletal system traumatology. They see the reason for it in the variability and complexity of primary therapeutic procedures and the necessity of following up and attending to the patients in whom treatment of complications and lasting sequelae requires multi-disciplinary co-operation.
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Acta Chir Orthop Traumatol Cech · Dec 2006
Comparative Study[Massive tears of rotator cuff - comparison of mini-open and arthroscopic techniques. Part 1. Mini-open technique].
In Part 1 of this study we evaluate the results of surgical repair of massive rotator cuff tears by a "mini-open" technique. In Part 2 we will compare them with the results of reconstructions performed by arthroscopic surgery. ⋯ Repair of massive rotator cuff tears by the mini-open technique, if indicated early, gives very good results on condition that an adequate surgical technique is used and good-quality post-operative care, including rehabilitation, is provided. This approach can be fully recommended. Its results are comparable with those achieved by arthroscopy. This, in addition, permits inspection of the glenohumeral joint for co-existing pathologies. However, since 2005 we have preferred doing all RC repairs by arthroscopic surgery.