|
|
Posterior malleolar fractures of the tibia in fracture-dislocations of the ankle
Kostlivý, Karel ; Bartoníček, Jan (advisor) ; Pilný, Jaroslav (referee) ; Dráč, Pavel (referee)
The dissertation deals with fractures of the posterior malleolus of the tibia in ankle fractures. There is no consensus on the issue in the diagnosis and treatment of tibial posterior malleolus fractures in ankle fractures worldwide. The experimental part of the study focused on the anatomy of the ankle joint, especially on the construction of the fibular incisure of the distal tibia as one of the key areas for ankle stability. The result was the determination of the ideal distance for the correct assessment of the position of the fibula in the incisure of the tibia. In the clinical part of the study, the pattern of the fractures was evaluated on a basic group of patients with ankle fractures with concurrent tibial posterior malleolus fracture using preoperative X-ray and CT examination. This made it possible to determine the basic morphological types of posterior malleolus fractures. The resulting classification was verified on an extended group of patients. In clinical practice, it was used to choose the surgical approach and method of fixation. The correctness of the resulting classification was verified on an extended group of patients. The clinical application of the anatomical 3D CT classification achieved a good anatomical position by direct reduction and stable osteosynthesis from the chosen...
|
|
|
Minimally Invasive Cancellous Bone Graft Harvesting in Trauma Indication - Experimental and Clinical Study
Látal, Pavel ; Kloub, Martin (advisor) ; Dráč, Pavel (referee) ; Šponer, Pavel (referee) ; Lacko, Marek (referee)
Univerzita Karlova 3. lékařská fakulta Disertační práce - Abstract Miniinvazivní odběr spongiózních štěpů v traumatologické indikaci - experimentální a klinická studie Minimally Invasive Cancellous Bone Graft Harvesting in Trauma Indication - Experimental and Clinical Study Školitel: MUDr. Martin Kloub, Ph.D. Abstract The thesis "Minimally invasive cancellous bone graft harvesting in trauma indication" deals with the strategy of treatment of complicated fractures and false joints using miniinvasively collected bone grafts. The thesis includes experimental and clinical parts. The aim of the experimental part is a laboratory comparison of red bone marrow content in mini-invasively taken bone grafts from ten cadaver specimens from chosen sites with the reference collection from the ilium of the hip bone. In the clinical part of the study we focus on the practical results of this surgical technique, especially on the amount of spongy bone tissue collected, efficiency of its use and complications. We evaluate the pain in the area of graft collection site and compare it with the pain after the standard collection from the ilium of the hip bone. In the experimental part of the thesis, we confirmed the content of red bone marrow in mini- invasive bone grafts from the area of the greater trochanter, distal femur,...
|
|
| |
guest ::
