Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca
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Acta Chir Orthop Traumatol Cech · Jan 2002
[Osteosynthesis of trochanteric fractures using proximal femoral nails].
Presentation of the existing experience in the use of Proximal Femoral Nail Synthes (PFN) in trochanteric fractures. ⋯ PFN is a method of choice in trochanteric fractures, namely in high subtrochanteric fractures (31-A3).
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Acta Chir Orthop Traumatol Cech · Jan 2002
[Use of bioceramics in the treatment of fractures of the thoraco-lumbar spine].
The primary reduction and stabilization of all types of injury to the thoracolumbar spine is currently performed from the posterior approach by an internal, transpedicular fixator. The exceptions are type A fractures, according to the AO classification, that can primarily be treated from the anterior approach. The aim of the study was to assess the effect of BAS-O bioceramic granules, inserted by transpedicular approach, on the development of post-operative kyphosis of the segments injured. ⋯ Bioceramic granules provide material for replacement of osseous tissue in the body of the vertebra as well as conditions necessary for bone restructuring. The loss of correction per segment is lower by about half in patients treated with bioceramic granules than in those who received a spongeous bone grafts.
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Acta Chir Orthop Traumatol Cech · Jan 2002
[A strategy for reduction of blood loss in total hip joint endoprosthesis].
The aim of the work is to evaluate 42 patients with THA with the use of alternative approaches to blood transfusion. ⋯ The use of alternative procedures of blood loss reduction may be divided into three principles: 1. acceptable extent of anemia, 2. preoperative optimisation of the number of erythrocytes and the level of hemoglobin, 3. minimisation of bleeding during the surgery. By observation of these principles it is possible to reduce the use of blood transfusions in extensive orthopaedic operations.
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Acta Chir Orthop Traumatol Cech · Jan 2002
[Combined method of treating dislocated fractures of the calcaneus].
The treatment of dislocated intraarticular fractures of calcaneus is still an unsolved chapter of traumatology. Our own poor long-term results of a purely conservative procedure has led us to develop a combined method of a direct and indirect reduction of calcaneus with the subsequent stabilization which we have been using since 1994. The basic principle of the method consists in the combination of a direct reduction of dislocated fragments of articular surfaces and indirect of calcaneus as a whole with the subsequent transfixation of calcaneus by K-wires. ⋯ The proposed method requires neither a specialist nor any expensive technical equipment and as a result it may be used both at orthopaedic and surgical departments and due to its undemanding nature and short hospitalization it is also very acceptable from the economic viewpoint.
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In this retrospective study, the outcomes of anterior and posterior approaches, performed either simultaneously or consecutively, in the radical surgical treatment of tumors of the thoracolumbar spine were compared in terms of surgery duration, intra-operative blood loss, neurological findings and complications. ⋯ We prefer an active and radical approach to the therapy of spinal tumors. The simultaneous surgery resulted in an operative time reduced by about 100 min (29%). The consecutive treatment, on the other hand, produced lower blood losses by 813 ml (24%). Complete surgery under one anesthesia was preferred.