[Arthroscopic stabilization of a primary traumatic dislocation of the glenohumeral joint].

Purpose Of The Study: The authors present their experience with arthroscopic stabilization of a primary traumatic dislocation of the glenohumeral joint in young patients.

Material: In up to 80% of patients younger than 25 years, traumatic dislocation of the glenohumeral joint is associated with its recurrence within one year of treatment even in well performed conservative therapy. Repeated dislocations gradually damage the joint and eventually result in the development of arthritis.

[Treatment of chondral and osteochondral defects of the knee].

Chondral and osteochondral defects play an important role in the knee surgery. The knee traumas are often followed by preterm development of osteoarthritis due to limited reparative processes in the cartilage. Today's diagnostic possibilities and progress in arthroscopic techniques promote the early diagnostic and exact classification of osteochondral defects.

[The Medin intramedullary nails].

The authors present an account on a group of their first 28 patients/29 nails/treated during a 6-month period from May 1995 by synthesis using Medin nails/14 tibial, 12 femoral and 3 reconstruction nails/. The nails and instruments are briefly described. The main objective of the development of nails was to enable the professional public to obtain the necessary implants from local manufacturers and thus at much lower prices.

[Reconstruction with intramedullary femoral nailing (a new implant made by Medin, A.S. for synthesis of concurrent fractures of the femoral shaft and neck--preliminary report)].

The authors discuss indications for the use of a femoral reconstruction nail-synthesis of a diaphyseal fracture of the femur by an intramedullary nail with the necessity of concurrent treatment of cervical fracture or the necessity to safeguard by screws in the cervix a too short proximal fragment. The authors present short-term results obtained in a group of 13 clinical patients (followed up for 2-12 months, mean 6.6 months) who were operated using a Russel-Taylor reconstruction nail: 10 on account of a new fracture and the remaining three on account of complications of the original synthesis.

[Pitfalls and complications of the Weidner-Ender method of osteosynthesis in the treatment of fractures of the proximal part of the femur].

Ender's method is associated not only with advantages but also with some pitfalls and risks. The advantages--adequate stability, small surgical stress, small blood losses during operation, minimal risk of infection. Complications during operation, during the postoperative period and during subsequent by evaluation of the general condition of the patient and the type of fracture, by perfect reposition, correct surgical procedure--selection of a trepanation aperture, correct length of wires, adequate number of wires, early mobilization and gradual bordening of the operated extremity during walking.