Early results of reconstruction of the dorsal scapholunate ligament.

We present the clinical results of a study of chronic dynamic scapholunate (SL) dissociation treated by reconstruction of the dorsal SL ligament. A total of 35 patients who presented with chronic dynamic SL instability had the scapholunate ligament reconstructed with a tendon graft. Twenty-nine patients were available for follow-up evaluation after a minimal interval of 17 months (range 17-72).

[Multidirectional screw fixation in the treatment of distal radius fractures using angle-stable plates].

Purpose Of The Study: Intra-articular fractures of the distal radius are treated predominantly by open reduction and internal fixation with various types of angle-stable plates. In this study we compare functional and radiographic outcomes in patients with intra-articular distal radius fractures treated with either angle-stable plates with rigid-direction screw insertion or multidirectional angle-stable plates.

Material And Methods: The LCP group included 37 patients with an average age of 50 years (range 20-81 years) who were treated using angle-stable plates with rigid-direction screw insertion (LCP, Synthes).

[Management of diaphyseal forearm fractures using LCP angle- stable fixation devices and intramedullary nailing].

Aim Of The Study: The aim of this study is to assess treatment outcomes of diaphyseal radial and ulnar fractures using angle- stable LCP device (Synthes, Svýcarsko), compared to ForeSight intramedullary nailing (Smith&Nephew, USA).

Material And Methods: The prospective study included 80 patients with 115 forearm fractures, assigned to two equal groups, based on the fixation method. The group included 53 males and 27 females, the mean age was 36.

[Chronic lunotriquetral instability of the wrist. Presentation of our method of treatment].

Purpose Of The Study: One of the causes of pain on the ulnar side of the wrist is post-traumatic lunotriquetral (LTq) instability, which is difficult to detect on radiographs. For diagnosis, arthroscopic examination is most reliable. The methods for treatment of LTq instability include mere immobilization, ligament reconstructions and LTq joint stabilization with Kirschner's wires in acute conditions, and stabilization of the LTq joint by tenodesis or arthrodesis.

[Six-month functional and X-ray outcomes of distal radius fractures managed using multidirectional locking plates].

Introduction: Distal radius fractures remain the commonest fractures in the human body. Developed countries have recorded increasing rates of these fracures.

Material And Methods: The authors assess results of distal radius osteosynthesis procedures using the Aptus Radius 2.

Complete burst fracture of the fifth lumbar vertebra treated by posterior surgery using expandable cage.

Study Design: This report characterises a 25 year old male patient with a complete burst fracture of the fifth lumbar vertebra with dislocation. He was treated by posterior surgery with transpedicular instrumentation and an expandable cage from the posterior approach.

Objectives: Burst fractures of the fifth lumbar vertebra are extremely rare.

Interlocking nailing of forearm fractures.

Aim Of The Study: The aim of this retrospective study is to evaluate the results after treating diaphyseal fractures of the radius and ulna with an interlocking intramedullary nail.

Materials And Methods: Between 2001 and 2005, 78 patients with 118 fractures were treated using the ForeSight intramedullary nail (Smith & Nephew, Memphis, USA). The average patient age was 37.

[Tibiotalocalcaneal arthrodesis using a retrograde nail locked in the sagittal plane].

Purpose Of The Study: To evaluate our experience with the use of a retrograde nail locked in the sagittal plane for tibiotalocalcaneal arthrodesis indicated in severe post-traumatic arthritis of the ankle.

Material: Twenty patients, 16 men and four women at an average age of 58.7 years (range, 23 to 72) were evaluated.

[Treatment of intracapsular fractures of the femoral neck with a biaxial proximal femoral nail].

Background: Intracapsular fractures of the femoral neck are mostly treated using individual cancellous screws or a dynamic hip screw in combination with anti-rotational cancellous screws. The goal of this study was to evaluate the possibility of using proximal femoral nails for the surgical stabilisation of intracapsular fractures of the femoral neck.

Methods: A total of 58 patients (30 male, 28 female) were evaluated in a retrospective study after a minimum postoperative follow-up of 24 months.

[Revision surgery in diaphyseal forearm fractures].

Purpose Of The Study: The aim of the study was to compare the results of revision surgery in diaphyseal fractures of the ulna and radius treated by intra-medullary interlocking nailing or plate osteosynthesis.

Material And Methods: The group included 36 patients who, in the period from 2000 to 2005, were treated with the use of the intra-medullary ForeSight nail system (Smith & Nephew, USA) or a small, 3.5 mm auto-compression plate (different manufacturers).

[Open posterior dislocation of the elbow with fractures of the radial head and coronoid process and multiple diaphyseal fractures of the ulna].

A healthy, right-handed 34-year-old man was injured by repeated direct blows delivered to his left upper arm with a baseball bat. These blows led to a posterior dislocation of the elbow joint, associated with fractures of the radial head and the coronoid process. There was bone loss on the fractured joint surface of the olecranon, with simultaneous ipsilateral trauma to the ulna.

[Callus distraction lengthening of the tibia with the intramedullary kinetic nail (case report)].

In this report the first experience with callus distraction lengthening using the intramedullary kinetic nail is described. This was performed on a left tibia with a total shortening of 34 mm. The distraction phase lasted 36 days and the rate of distraction was 0.

[Treatment of proximal humeral fractures by angular stabile, antegrade, interlocking intramedullar nail].

Introduction: The objective of our study is evaluation of clinical and radiological results of dislocated proximal humeral fractures, treated by direct, angular stabile, antegrade and interlocking implants Targon PH (Aesculap, Tuttlingen, Germany).

Methods: We evaluated 102 patients (76 female and 26 male), average age was 67.3 years (26-87 years).

[Treatment of gunshot wounds and prevention of complications during the healing process].

Introduction: The objective of the research is the assessment of the way and results of a case-series of treatment of gunshot wounds and to remain of the requirement of complete wound treatment in peace time.

Materials And Methods: During the period from 1997 to 2006, we treated 60 patients who had penetrating gunshot wounds. The case series included 12 female and 48 male patients ranging in ages from 18 to 71 years (average age 37 years).

[Treatment of diaphyseal forearm fractures with locking intramedullary nail].

Introduction: The aim of this study is to evaluate the results after treating diaphyseal fractures of the forearm with an inter-locking intramedullary nail.

Methods: Between 2003 and 2005, 45 patients with 68 fractures were treated using the ForeSight intramedullary nail (Smith&Nephew, Memphis, USA). The average patient age was 34.

[Scapholunate instability of the wrist following distal radius fracture].

Purpose Of The Study: Scapholunate (SL) ligament disruption frequently occurs together with distal radius fractures. If it is not diagnosed and treated, instability develops and will eventually be manifested as arthritic lesions known as scapholunate advanced collapse (SLAC) of the wrist. The aim of this study was to record the occurrence of SL ligament disruption in the patients treated conservatively for displaced fractures of the distal radius and to find out which fracture types are most often associated with injury to the SL ligament.

[Treatment of intracapsular femoral neck fractures with the use of a proximal femoral nail].

Purpose Of The Study: The management of intracapsular femoral neck fractures remains an unsolved issue of the present-day trauma surgery of the musculoskeletal system. These fractures are conventionally treated with the use of spongious screws or a dynamic hip screw combined with an antirotational spongious screw. The aim of this study was to evaluate the outcomes of surgical therapy using a different type of implant (proximal femoral nail) for intracapsular femoral neck fractures.

[Our experience with repair of the scapholunate ligament using the MITEK bone anchor].

Purpose Of The Study: A complete rupture of the scapholunate (SL) interosseal ligament results in palmar flexion of the scaphoid and dorsiflexion of the lunate that leads to disintegration of the carpal circle and the development of scapholunate dissociation with dorsal intercalary segment instability. If the injury is not treated properly or early, the abnormal position of the scaphoid and lunate results in degenerative changes of the wrist shown by X-ray and referred to as scapholunate advanced collapse (SLAC). The aim of this study was to evaluate the results of our method used for reconstruction of the SL ligament by means of MITEK bone anchors in acute injury.

An anatomical study of the anterior interosseous nerve and its innervation of the pronator quadratus muscle.

This anatomical study of 40 upper limbs from cadavers investigated the branching pattern of the anterior interosseous nerve in its distal part using the operating microscope. An articular branch to the wrist joint and/or the distal radioulnar joint was only found in seven of the 40 specimens and was always a small terminal continuation of the anterior interosseous nerve after the nerve had passed through the pronator quadratus and innervated it. Therefore, we do not recommend division of the anterior interosseous nerve from the dorsal approach through the interosseous membrane before it gives off its muscular branches to the pronator quadratus.

[Arthroscopic stabilization of the fractured intercondylar eminence].

Purpose Of The Study: The authors present the results of arthroscopic reduction of a displaced fracture of the intercondylar eminence and stabilization of the fracture with a tension band wire and absorbable, double PDS sutures.

Material: In the years 1998 to 2002, a fracture of the intercondylar eminence was arthroscopically diagnosed in 34 patients, 21 women and 13 men in the age range of 17 to 46 years. Five patients had type I fracture, 13 had type II fracture and 16 had type III fracture, as classified by the Meyers and McKeever system.

Radiological study of tha after mini-incision technique.

Mini-incision procedures reduce perioperative blood loss, postoperative pain, time of the postoperative recovery, length of the surgical scar, and hospitalisation time. Implant malposition and poor stability are potential risks for compromising long-term results. Between September 2000 and February 2002 (18 months), 120 cemented primary total hip arthroplasties for primary osteoarthritis were performed at the authors institutions.

Component position following total hip arthroplasty through a miniinvasive posterolateral approach.

Implant malposition and poor fixation are potential risks of compromising long-term results after total hip arthroplasty performed with a minimally invasive technique. Between September 2000 and February 2002, 120 cemented primary total hip arthroplasties were performed at the authors' institutions in patients with primary osteoarthritis of the hip and with BMI lower than 35. In 60 of these cases selected at random, a posterolateral incision no longer than 10 cm was used.

[Injuries to the lower cervical spine].

Purpose Of The Study: The authors present a retrospective evaluation of a group of patients with injury to the lower cervical spine. The aim of the study is to show current trends in the diagnosis and treatment of this trauma.

Material: Between 1995 and 2003, 363 patients with trauma to the lower cervical spine were treated in our clinic.

Treatment of deep cartilage defects of the knee using autologous chondrograft transplantation and by abrasive techniques--a randomized controlled study.

Aim Of The Study: To compare outcomes of surgical treatment of deep cartilage defects of the knee in a group of patients treated by autologous chondrograft transplantation versus patients treated by abrasive techniques.

Materials And Methods: An original method of chondrograft preparation based on cultivated autologous chondrocytes in a three-dimensional carrier - fibrin glue (Tissucol, Baxter, Austria) has been described. Preclinical tests in human cadavres and porcine models have established the possibility of chondrograft use in humans.