ABSTRACT
The authors draw attention to the problem of iatrogenic gonitis. They analyze the causes of their development and draw attention to the possible negative effect of intraarticular therapy in patients with affections of the joints in orthopaedics. During the past seven years they recorded 54 cases of purulent iatrogenic gonitis after administration of corticoids and chondroprotective substances administered in out-patient departments. They emphasize the very rapid therapeutic effect of corticoids, while also side-effects of these preparations must be taken into consideration, in particular the development of pyogenic arthritis. Only satisfactory knowledge of the topographic anatomy, physiological and pathological conditions in the joints and the pharmacological effect of the preparations and knowledge of the basic principles of intraarticular treatment justify the doctor to use these procedures. Key words: intraarticular treatment, pyogenic iatrogenic arthritis.
ABSTRACT
The authors discuss the use of biodegradable in vivo absorbable osteosynthetic material BIOFIX manufactured by BIOSCIENCE Ltd. Tampere Finland. They describe its composition, indications, contraindications of its use, possible complications as well as advantages of its use in orthopaedics, traumatology and microsurgery. They present their initial experience with osteosynthesis of fractures with Biofix in the talocrural joint, shoulder and elbow. Key words: fractures of the ankle, osteosynthesis, Biofix.
ABSTRACT
The authors analyze mechanical and biological causes of loosening of cemented total endoprosthesis of the hip joint. They reflect on the "most suitable" time of reoperation, based on clinical experience and the X-ray finding. The authors investigated on account of loosening of the first and second endoprosthesis of the hip joint resp. a group of 28 patients. They present an account of their experience with some new non-cemented types of prostheses during primary or secondary revisions of total prostheses of the hip joint. Key words: total endoprosthesis of the hip joint, aseptic loosening, reimplantation of a total endoprosthesis of the hip joint, secondary and tertiary endoprosthesis of the hip joint.
ABSTRACT
The authors pay attention to problems of iatrogenic gonitis. They analyze the causes of their development, draw attention to possible negative influences of intraarticular treatment in patients with articular affections in the field of orthopaedics. During the last seven years thy recorded 34 cases of purulent iatrogenic gonitis after ambulatory administration of corticoids and chondroprotective substances. They emphasize the very good and rapid therapeutic effect of corticoids, however, it is important to consider also side-effects of preparations, in particular possible development and progression of pyogenic arthritis. Only good knowledge of topographic anatomy, physiological and pathological relations in the joint, pharmacological of action preparations, knowledge of basic principles and principles of intraarticular treatment justifies doctors to perform these operations. Key words: intraarticular treatment, pyogenic iatrogenic arthritis.
ABSTRACT
The authors discuss the risk of mechanical loosening and protrusion of a cemented endoprosthesis of the hip joint after operation which is one of the few possibilities of palliative treatment in patients with rheumatoid arthritis. They deal in particular with specific features of surgical approaches whereby they select a modified method described by Eftekhar which makes it possible to resolve even severe grades of intrapelvic migration of the socket of a total endoprosthesis. The authors discuss possible complications which can be prevented if the relationship of intrapelvic structures to the protruded prosthesis is elucidated before operation. In a group of 1268 patients operated there were three with intrapelvic migration of a total endoprosthesis of the hip joint.
