Magyar traumatologia, orthopaedia es helyreallito sebeszet最新文献

The case of a 57 year old male patient is described, operated for synovial chondromatosis of the third metacarpophalangeal joint of the left hand. The pathogenesis and the opinions on the therapy of this disease, described rarely because of its localization even in the world literature, are discussed.

Authors use in the diagnosis of fractures of the pelvis a three dimension programme developed by them to the tomographic apparatus of the Siemens Somatom CR computer. With the demonstration of a few pictures of their own they call attention to the possibility of diagnosis given by the 3D-CT programme. On the basis of their experiences the advantages and disadvantages of this modern imaging method are summarized.

The paper examines the initial treatment of the severely burned patient to be transferred. It is stated that the aspirations for a uniform expert treatment have not yet brought a complete success. The suggestions concerning this problem, described in the Methodological Letter "Treatment of Thermic Injuries" issued by the Nat. Institute of Traumatology are discussed and repeated.

Authors describe the more important injuries that must be corrected by all means during the operative treatment of the acute instability of the knee joint to prevent later arthrosis. They call attention to the fact that in the treatment of the acute instability of the knee joint the prevention of the arthrosis can be realized only with a reconstructive operation, performed in time and with modern technique. The biomechanical causes of the arthrosis, developing during the persistent instability are analysed. The extraarticular operative methods used by them in chronic cases are described.

During sonographic examination of 770 newborns and infants the diagnostic value and the possibility of valuation of singular risk factors were investigated. According our data an acetabular dysplasia, requiring treatment can be found most frequently in the background of a limitation of abduction motion. Pathologic alterations may be found less frequently in groups with familiar anamnesis and with breech presentation. It could be stated that the aspecific click is a clinical symptom of significance and cannot be neglected whereas we could not prove connections between asymmetry of the folds and the sonographic data. Our results prove that the anamnesis and the clinical symptoms alone do not make a perfect recognition of the dysplasia possible; in consequence it is suggested that sonography should be used as a screening.

Author sums on the basis of the literature of this country and of the international literature the more frequently used methods of bone substitution, their mechanical and biological characteristics. On the basis of the practice of their institute and of the international publications it can be stated that beside the usual transplantation of preserved bone the always increasing clinical claim makes the introduction and the knowledge of other methods also necessary. The advantages and disadvantages of the bone grafts of different types are detailed. It is stated that none of the implantates of different characteristics fulfils perfectly the ideal mechanical and biological requirements. To obtain the possibly best result it is recommended to choose, and on individual indication, the bone substitution method that will fulfil in the given case the requirements desired.

Authors report on the functional bracing of the fractured humerus. The advantage of the method is the preserved muscle and joint function with the use of a brace. This means ease for the patient in respect of the personal hygiene and living conditions. In elderly patients all other type of fixation around the chest means a substantial danger to the patients life because of the breath's movements depression.

Authors report on experiences gained with phenol lavage used as adjuvant and filling with bone cement in the surgical treatment of giant cell tumors of the bone. The effect of the adjuvant therapy was a considerable decrease in the rate of relapses: in 11 patients 1 relapse was found only in contrary to the 15 relapses in the control material (41 per cent) after 36 excochleations. They think that with adequate indications both the phenol lavage and filling with bone cement are useful supplements to the surgical therapy.

Author reports on a technical fault during Matti--Russe's operation. The corticospongious graft was inserted instead of the pseudarthrosis, in the scaphoid-trapezial joint. Because of the scaphoid-trapezial ankylosis developed, the persistent pseudarthrosis and the degeneration in the carpal bones the freeing of complaints could be reached only by intercarpal arthrodesis and wrist denervation, according to Wilhelm.

Authors report on the first implantation of a new type of an unicondylar meniscus and surface replacing knee prosthesis in this country. After a brief literary review the prosthesis, the instruments developed for the implantation, the indications and the early favourable results of their two operations are described.