Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca
-
Acta Chir Orthop Traumatol Cech · Jan 2005
[Harms technique of C1-C2 fixation with polyaxial screws and rods].
The Harms technique of stabilizing C1-C2 by fixation with polyaxial screws and rods is a further option for atlantoaxial fixation from the dorsal approach. Harms and Melcher published this method in 2001, but the operation had first been performed by Harms in August 1997. The aim of this study is to evaluate the first results and try to assign the Harms C1-C2 fixation an appropriate standing in the in broad range of options for stabilization of the atlantoaxial complex. ⋯ The Harms fixation of C1-C2 is a very effective technique for stabilizing the atlantoaxial complex. It enables us to provide temporary fixation without damage to atlantoaxial joints and to reduce the vertebrae after the screws and rods had been inserted, which is unique. These advantages compensate for a higher cost of the implant.
-
Acta Chir Orthop Traumatol Cech · Jan 2005
[Pathologic proximal femoral fractures in children in an unicameral bone cyst].
Proximal femoral fractures in children are rare, pathologic fractures being extremely rare. Despite many meanings these fractures are still "unsolved" there are some definite rules for treatment of true accidental injuries. Pathologic fractures are outstanding with their extremely rare incidence. The aim of the study is to overview a large clinical material, find out the incidence of this pathologic fracture, the extent and shape of the unicameral bone cyst (UBC), specific therapeutic approach, technical problems of eventual osteosynthesis, number of reoperations and sequels. ⋯ Pathologic proximal femoral fractures in UBC are extremely rare and need individual approach. Some of them should be operated on the others primarily treated by traction with secondary operation of the cyst. Complications can be frequent.
-
Acta Chir Orthop Traumatol Cech · Jan 2005
Comparative Study[Reconstruction of the anterior cruciate ligament: comparison of patellar bone-tendon-bone and hamstring tendon graft methods. Part 2. Short-term evaluation of the hamstring tendon graft technique with use of the Rigidfix system].
The high number of patients with femoropatellar complaints following ACL reconstruction with bone-tendon-bone (B-T-B) autograft led us to use and subsequently evaluate hamstring tendon grafts fixed with the Rigidfix system. In this study we present the evaluation of short-term results. ⋯ ACL reconstruction with a hamstring tendon autograft fixed with the Rigidfix system is a suitable alternative technique to ACL reconstruction carried out with a patellar B-T-B graft. It provides equal knee stability but has significantly lower donor site morbidity. It is suitable for patients who have contraindications for the B-T-B technique and in persons practicing little or no sports.
-
Acta Chir Orthop Traumatol Cech · Jan 2005
[Infectious complications after arthroscopic replacement of the cruciate ligaments].
Infection following replacement of the cruciate ligaments of the knee joint may result in not only graft failure but also complete destruction of the joint. The aim of this study was to report the authors' experience with the diagnosis and therapy of this, fortunately occasional, complication. ⋯ On the basis of their experience with arthroscopic replacement of the cruciate ligaments, the authors recommend an active approach if the development of infectious complications is suspected. In our patients, no persisting sequelae were recorded.
-
Acta Chir Orthop Traumatol Cech · Jan 2005
Comparative Study[Forefoot surgery under regional anesthesia].
The aim of this study is to present the method of lower limb peripheral nerve block for forefoot surgery and, in comparison with other methods, to evaluate the results in terms of postoperative analgesia and postoperative complications. ⋯ Regional anesthesia for forefoot surgery, if the anesthetic is well administered, is one of the options associated with minimal risks. It apparently reduces complications of wound healing, when compared with infiltration anesthesia. It can be used in situations where general anesthesia would put the patient at risk. It also has a pronounced analgesic effect that persists well after surgery and provides better postoperative comfort for the patient. Key words: lower limb, peripheral nerve block, forefoot surgery.