Magyar traumatologia, ortopedia, kezsebeszet, plasztikai sebeszet最新文献

Authors have found in a 1 year survey in the county Vas 7580 hand injuries. The major proportion of young men and adolescents in the material was conspicuous. The types of accidents were investigated together with the place of the accident and types of the injury. The material shows that in contrary to the work accidents in the recent past the number of the accidents at home has increased--and so their prophylaxis became the main point.

This paper reports on the global results of the low contact stress knee prosthesis system with mobile weight bearing surfaces. The follow-up result of 918 cemented and 963 cementless knee prostheses was in more than 90 per cent excellent and good 2-8 years after the operation. The ratio of complications connected with the construction decreased to 2.8 per cent in cementless prostheses. In the cemented series less variations of size were available and the problems with the tibial component were under 2, the complications with the patella remained under 1 per cent. The more than 12 years clinical use of the mobile weight bearing knee prosthesis system proved the success of the solution concerning the basic construction.

Authors have followed 754 patients with hip fracture and have found that about 60 per cent of them are alive after one year; their functional state further improved between 4 months and 1 year, it cannot be however considered as satisfactory even after one year. Analysing the operations performed in femoral neck and trochanteric fractures it should be stated that the operative indications are generally adequate and the conditions of further improvement are defined. More significant improvement of the lasting results can be expected from a well organized rehabilitation.

Author reports on a case of ectopic bone formation in the Achilles-tendons and reviews the literature. The pathologic change was caused probably by the chronic mechanical irritation suffered during the conservative treatment of the club feet. The continuity of the ossified mass was interrupted similarly to a fracture; the function was restored after an "osteosynthesis".

Authors described the development of the construction of fixateur externes supported by historical facts, analyse the biomechanical problems of the fixateur osteosyntheses, illustrated by drawings. They propose mountings, of modern montage proving its rightness. Finally a collection of synonyms is given to clear the nomenclature of the several montages.

Authors describe the cases of two patients, suffering from the rare, however frequently not diagnosed real writing spasm. In these patients surgery brought healing or significant improvement. After a review of the literature the symptoms, the possibilities of diagnosis and therapy are described. With their paper they want to call attention to this not well known disease.

Authors have compared two kind of exposures of the flexor tendons. The results were assessed by measuring the flexion oft the given finger on pulling, by light and electron microscopic examination. It was found that in fingers where the tendon sheat was detached from the subcutis the scarring was greater and its effect, limiting the motion has its maximum on the fourth postoperative week. It is raised that the role of the tendon sheat in respect of the success of the flexor tendon reconstruction is mainly mechanic and most effective if its highly integrated connection with its surrounding is not disturbed.

Authors report on the successful operative treatment, 15 years after the development of a pseudarthrosis, following the fracture of the lateral femoral condyle and causing knee instability. In this case the refreshing of the avascular pseudarthrosis gap reduction and screw osteosynthesis were performed. The basic principles of the distribution and treatment of pseudarthrosis are reviewed. Attention is called to the importance of exact reduction and stable fixation and to the fact that reconstruction can be carried out even long after the injury.

The review of the occurrence, etiopathology, classification and diagnosis of the aseptic necrosis of the femoral head is followed by the description of the method of transplantation of the vascular pedicled bone graft. During 5 years implantation of 12 vascular pedicled bone grafts in 10 young patients with severe and of major extension necrosis of the femoral head was carried out. The early result was in every case the quick and significant decrease of pains and that the necrosis did not progress. In the early stage the severe consequence of the necrosis the collapse can be prevented with core decompression. In a later stage the vascular pedicled revascularization of the femoral head may retain in young patients, beside adequate hip movements, the gait and the working capacity. This, though it is not a final solution, will give chance by gaining time to perform prosthesis operations later.

Authors present an apparatus resembling the Cloward instrument, that can be however used more simply and safely for gaining a good quality cortico-spongious cylinder from the iliac wing. The functioning of the bone gaining instrument and the process of bone gaining is described. The apparatus was used in more than 100 cases for filling up with spongious bone chips the cavity arising after the cleaning of the pseudarthrosis of the navicular bone. Three different cases are presented to demonstrate the alternative applications of the apparatus. It is supported by literary data that the autologous bone gained from the iliac wing is the most suitable for transplantation.