Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca
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Acta Chir Orthop Traumatol Cech · Jan 2012
[Treatment of humeral shaft fractures using Hackethal's technique of intramedullary bundle nailing].
PURPOSE OF THE STUDY To inform on our experience with the treatment of humeral shaft fractures by intramedullary osteosynthesis using Hackethal's bundle nailing and to evaluate indications for the current use of this technique. MATERIAL AND METHODS From January 2001 to December 2009, a total of 184 patients with humeral shaft fractures were treated surgically and, of these, 147 by Hackethal's nailing. From January 2006 60 patients treated by this technique were prospectively followed up and, of them, 50 were evaluated (83.3%) and included in this study. ⋯ Its outcomes are comparable with the other currently used and more expensive methods. It is the method of first choice in the treatment of transverse and short oblique fractures of the mid-third of the humeral shaft. Key words: humeral shaft fractures, bundle nailing, Hackethal's technique.
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Acta Chir Orthop Traumatol Cech · Jan 2012
[Minimally invasive fixation of the pelvic ring with a transiliacal internal fixator].
To evaluate the results of stabilisation of the posterior pelvic segment with a transiliacal internal fixator (TIFI) in type C fractures of the pelvis. ⋯ The TIFI technique is one of the options for fixation of posterior pelvic segment fractures. A short operative time and minimum complications are undeniable advantages. Indications should be carefully considered in each patient. TIFI is a minimally invasive method for anterior pelvic segment fixation that can also be used in the acute stage of injury.
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Acta Chir Orthop Traumatol Cech · Jan 2012
ReviewPelvic ring injuries in children. Part I: Epidemiology and primary evaluation. A review of the literature.
Pediatric pelvic injury is of major significance despite these injuries in children are rare with a suspected yearly rate of 3% of all pelvic injuries. The special pediatric bone anatomy of the pelvis is responsible for different fracture patterns, and overall, a bony or joint injury of the pelvis is an indicator of a severe trauma. The vast majority of pediatric pelvic fractures is the result of a high-energy trauma, especially after strucking by a car or injured as motor vehicle passengers. ⋯ But several long-term sequelae can occur in unstable pelvic injuries depending on the instability of the child's pelvis at the time of injury. Overall, there is a good correlation between the clinical and radiological result. Risk factors for a worse result can be additional significant peripelvic injuries (complex pelvic trauma).
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Acta Chir Orthop Traumatol Cech · Jan 2012
Comparative Study[Validation of the DTP-3 system for noninvasive spinal shape measurement by comparison with X-ray examination].
Repeated measurements of the spine are absolutely necessary in children and adolescents affected by spinal deformities especially during their growing-up periods. To avoid risks of tissue damage from x-ray exposure, several methods for non-invasive measurement of the spinal curvature have been developed. One of them is the DTP-3 position system allowing for a three-dimensional measurement of anatomical landmarks (spinous processes) and the calculation of curvature angles in both the frontal and sagittal planes. We were interested to know whether the DTP-3 was precise enough to determine the true spinal curvature. ⋯ In this study we report good concordance between noninvasive and x-ray examinations of a modeled spinal deformity in terms of both angle and linear measurements. The same results were obtained for angle measurements in a group of patients with scoliosis up to 40°. Based on this study and our previous data we believe that the DTP-3 system can be introduced into clinical practice.
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Acta Chir Orthop Traumatol Cech · Jan 2012
[Treatment of a ruptured extensor policis longus tendon by extensor carpi radialis longus transfer].
Two tendons, i.e., the extensor indicis proprius (EIP) and the extensor carpi radialis longus (ECRL), are commonly used to reconstruct the function of a ruptured extensor pollicis longus (EPL) tendon. We reviewed a group of patients with EPL ruptures treated by ECRL tendon transfer to the EPL tendon, which was the method of choice. The aim was to evaluate the results and to assess the effect of ECRL detachment on hand function. ⋯ The results showed increased adaptation of thumb motion to the extension lag at the IP joint, which had a mild effect on the patient's hand function. The difference in wrist extension between the operated and the contralateral hand corresponded to the pre-operative condition.