[Paraarticular Ossifications of Total Endoprostheses of the Hip Joint Part II: Effect of Indomethacin on their Genesis and Development.]. / Paraartikulární osifikace totálních endoprotéz kycelního kloubu II. cást: vliv Indomethacinu na vznik a vývoj.

In the submitted paper the authors give an account on the use of Indomethacin in the prevention of paraarticular ossifications after implantation of a TEP of the hip joint, and on its effect of the development of these ossifications. This involves in particular inhibition of prostaglandin synthesis and partly also an antiphlogistic effect. The authors describe also their own observations regarding the effect of Indomethacin on the genesis and development of paraarticular ossifications. In the final evaluation they point out that Indomethacin does not reduce the incidence of paraarticular ossifications after implantation of TEP of the hip joint but contributes to the diminution of the final extent of ossification and thus has a positive effect on the final results of surgery. Key words: Indomethacin, paraarticular ossifications.

[Sternoclavicular dislocation. Case report]. / Sternoklavikulární luxace. Kasuistika.

The authors describe two cases of the disease. They perform modified operation after Speed in which they use instead of a strip from fascia lata a 1 mm thick binding wire for the fixation of the medial end of the clavicle to the first rib. Immobilization in the Desault bandage takes three weeks and is followed by rehabilitation with the reduction of elevation above 90 degrees. After twelve weeks the upper extremity of the affected side can perform normal activity, however, with permanent exclusion of weightbearing of the extremity in the direction conductive to dislocation.

[Changes in the femoral neck in tabes dorsalis. Case report]. / Zlomenina krcku kosti stehenní pri tabes dorsalis. Kasuistika.

The authors analyze diagnostic and therapeutic problems in fractures associated with tabes dorsalis. In the foreground of the clinical picture are in the majority neurological symptoms. The first symptoms develop 15 years after the primary infection. The laboratory results are not decisive for the diagnosis. Previously treatment of these fractures was conservative in rare instances arthrodesis of the affected joint was performed. In the case-history the authors submit new therapeutic possibilities in fractures of the neck of the femur associated with tabes dorsalis, using total endoprostheses of the hip joint. The authors mention also possible complications. The subjective evaluation by the patient is, however, very favourable.