Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca
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Acta Chir Orthop Traumatol Cech · Jan 2012
Both column fractures of the acetabulum: epidemiology, operative management and long-term-results.
Both column fractures, defined as an acetabular fracture with no articular fragment in connection with the axial skeleton account for approximately 20% of all acetabular fractures. The typical type of a both column acetabular fracture is the C1.2 fracture with a multifragmentary anterior column fracture extending to the iliac crest and a large posterior column fragment in more than half of the patients. ⋯ In contrast to other acetabular fracture types, both column fractures show worser results regarding joint reconstruction, and functional and radiological long-term results. The optimal results can be achieved with anatomic joint reconstruction.
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Acta Chir Orthop Traumatol Cech · Jan 2012
[Arthroscopically-assisted osteosynthesis of calcaneal fractures: clinical and radiographic results of a prospective study].
The aim of this prospective study was to evaluate the clinical and radiographic results in a group of patients with calcaneal fractures treated by means of minimally invasive, arthroscopically-assited osteosynthesis. ⋯ In our group of patients with predominantly less severe types of calcaneal fractures, the quality of post-operative fracture reduction, as a result of minimally invasive, arthroscopically-assisted osteosynthesis, appeared to be comparable with open techniques. The observed complete bone healing and absence of soft-tissue problems could present a surgical option to treatment nihilism in patients contraindicated for ORIF techniques.
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Based on a retrospective analysis, the authors present their experience with treatment of subtalar dislocation of the foot. ⋯ A subtalar dislocation of the foot involves simultaneous dislocation of the talocalcaneal and talonavicular joints. It is a rare injury accounting for about 1 to 2% of all traumatic dislocations. It may occur as medial, lateral, anterior or posterior subtalar dislocation. The results of treatment depend on several factors, such as the type of dislocation (medial and open dislocations are at higher risk), associated injuries, or damage to deep skin layers, and also on an exact diagnosis, early and accurate reduction and sufficiently long foot immobilisation.
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Acta Chir Orthop Traumatol Cech · Jan 2012
[Epidemiological, morphological and clinical aspects of ankle fractures].
The study presents the evaluation and comparison of two groups of patients surgically treated for ankle fractures at our department in 2007 and in 2010, respectively. Our analysis included patients' age, the mechanism of injury, fracture morphology and the method of osteosynthesis. The aim of the comparison was to ascertain recent trends in the development of the selected characteristics. ⋯ The number of ankle fractures treated by primary osteosynthesis grew between 2007 and 2010. There was also an increase in the number of fractured posterior margins of the distal tibia managed by osteosynthesis. The results of the Weber and Lauge-Hansen classifications were in agreement with the relevant literature data. In the majority of cases the ankle fracture occurred as a single trauma.
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Acta Chir Orthop Traumatol Cech · Jan 2012
[Post-operative retransfusion and intra-operative autotransfusion systems in total knee arthroplasty. A comparison of their efficacy].
The aim of the study was to compare the effect of post-operative retransfusion with that of intra-operative autotransfusion in non-anaemic patients undergoing total knee arthroplasty (TKA). ⋯ The use of either of these systems has proved to be a simple and safe method of reducing the need of allogeneic blood transfusion in the TKA procedure. While the post-operative retransfusion system facilitates the return of drained blood only, the more efficient "cell-saver" technology collects blood shed during both intra- and post-operative periods and allows for erythrocyte mass retransfusion during and after surgery. Since the administration of allogeneic blood was required in less than 10% of the patients receiving intra-operative autotransfusion, this system was adopted as a more efficient method in routine TKA procedures.