Biomedical subjects

J Pilnácek

Publications and source records attributed to J Pilnácek.

At least 19 recordsLinked to original sources

PubMed1993

[Noncemented revision of femoral hip joint prostheses with severe bone defects (preliminary report)].

The authors present an account of their initial experience with Wagner's non-cemented femoral revision prosthesis of the hip joint. After a brief technical description of the implant the mention the indications and contraindications of they revision shaft. They emphasize the necessity of peroperative planning and describe the surgical technique. Since 1992 they used a revision shaft in five patients (three times in aseptic loosening of a TEP of the hip joint, once during septic loosening and once when treating a periprosthetic fracture with extensive bone destruction). Long-term experience will be the subject of a subsequent paper.

Cementation↗

PubMed1993

[Treatment of acetabular fractures. 1. Indications for surgical approaches].

The results of surgical treatment of fractures of the acetabulum depend on the selection of the surgical approach. Therefore the authors focused their attention on the surgical approaches which are best known and used most frequently at present. They present a review and brief characteristic of different surgical approaches. On a group of 70 fractures in the region of the acetabulum they demonstrate their own practical experience with the application of different approaches. Based on their experiences and analysis of data reported in the literature, they submit indications of these approaches when dealing with actual traumatological situations in the region of the injured acetabulum.

Acetabulum↗

PubMed1993

[Musculocutaneous flaps in the treatment of chronic decubitus ulcers in the ischial region].

In a group of 28 decubiti in 21 paraplegic patients, operated during the past five years the authors draw attention to the advantages of the use of three types of musculocutaneous (MC) flaps for surgical and radical treatment of ischial decubiti. The method using musculocutaneous flaps makes it possible to restore a relatively satisfactory cover of the defect by a multilayer long-lasting flap.

Adult↗

PubMed1993

[Possibilities of using the sartorius muscle in the treatment of chronic osteoarticular infections].

In a group of 17 patients with chronic osteoarticular infection for filling of the chronic cavity the sartorius muscle was used. In eight instances chronic osteomyelitis of the distal femur was involved, in nine instances by means of the sartorius muscle the acetabulum was filled (after removal of an infected total endoprosthesis or after resection of the hip joint on account of purulent coxitis). In the first group the authors recorded 75% satisfactory results and therefore they recommend to use the sartorius muscle for filling chronic osteomyelitic cavities in the distal part of the femur with a fistula on the inner side of the thigh. In the second group of patients, where the sartorius muscle was used to fill the acetabulum, poor results were recorded in 55.5%. This is obviously associated with the blood supply of the muscle used, which does not permit such an extensive mobilization and rotation of the muscle without jeopardizing its nutrition. Therefore the authors do not recommend the use of the sartorius muscle for filling the acetabulum and propose other muscle flaps which gave preliminary, satisfactory results.

Acetabulum↗

PubMed1991

Musculocutaneous flaps for the treatment of chronic osteomyelitis of the heel.

Treatment for chronic osteomyelitis with musculocutaneous and muscular flaps is a highly effective modern method. It is effective even in such unfavourable localizations as the calcaneus. The scope of use provided by muscles in the plantar region is wide enough to permit the treatment of foci in the heel bone of diverse localizations. The range of possibilities includes use of m. abductor digiti quinti. A muscular or musculocutaneous flap elevated from the muscle is well suited for the treatment of defects on the external side of the heel. The group consisted of six patients with osteomyelitis of seven heel bones operated on as described above at the author's clinics between 1983 and 1987. One patient had both heel bones affected. The mean age was 47 years, ranging from 23 to 62 years. All of the patients showed clinical and X-ray signs of healing of the soft tissue defects and full remission of inflammatory complication. Control check-ups were made at 2-5 years postoperatively with an average postoperative period of 38 months. None of the patients developed any chronic osteomyelitis relapse at any point during that period.

Adult↗

PubMed1987