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National Repository of Grey Literature

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	Anteromedial wedge reduction osteotomy as a new surgical procedure in treatment of Morbus Perthes Burian, Michal ; Dungl, Pavel (advisor) ; Havlas, Vojtěch (referee) ; Gallo, Jiří (referee) Morbus​ ​Perthes​ ​(LCP)​ ​is​ ​an​ ​idiopathic​ ​defect​ ​in​ ​the​ ​blood​ ​flow​ ​of​ ​the​ ​proximal femoral​ ​epiphysis,​ ​where​ ​morphological​ ​and​ ​functional​ ​pathologies​ ​of​ ​the​ ​hip​ ​joint occur.​ ​Unfavorable​ ​prognostic​ ​factors​ ​include​ ​aspheric​ ​and​ ​incongruent​ ​hip,​ ​often manifested​ ​by​ ​the​ ​appearance​ ​of​ ​hinge​ ​abduction.​ ​The​ ​head​ ​is​ ​no​ ​longer​ ​remodeling after​ ​"golden"​ ​period​ ​of​ ​remodellation.​ ​Anteromedial​ ​Wedge​ ​Reduction​ ​Osteotomy (AWRO)​ ​is​ ​a​ ​new​ ​surgical​ ​method​ ​to​ ​improve​ ​the​ ​shape​ ​and​ ​reduce​ ​the​ ​femoral head​ ​and​ ​thus​ ​extend​ ​the​ ​life​ ​of​ ​a​ ​significantly​ ​altered​ ​hip​ ​joint. We​ ​evaluated​ ​10​ ​patients​ ​after​ ​the​ ​AWRO​ ​and​ ​established​ ​3​ ​hypotheses,​ ​in​ ​the clinical​ ​part​ ​of​ ​the​ ​study.​ ​1st​ ​hypothesis​ ​"AWRO​ ​leads​ ​to​ ​the​ ​reshape​ ​of​ ​the​ ​head" was​ ​confirmed​ ​following​ ​the​ ​Stulberg's​ ​classification.​ ​2nd​ ​hypothesis​ ​"AWRO​ ​leads to​ ​a​ ​reduction​ ​in​ ​the​ ​mediolateral​ ​diameter​ ​of​ ​the​ ​head",​ ​was​ ​confirmed​ ​by​ ​measuring the​ ​capitodiaphyseal​ ​index,​ ​which​ ​was​ ​reduced​ ​in​ ​all​ ​femoral​ ​heads​ ​after​ ​AWRO. The​ ​3rd​ ​hypothesis​ ​"Harris​ ​Hip​ ​Score​ ​improved​ ​in​ ​medium-term​ ​follow​ ​up​... Detailed record
	Computer Assisted Deformity Correction using the Taylor Spatial Frame (TSF) Ganger, Rudolf ; Dungl, Pavel (advisor) ; Gallo, Jiří (referee) ; Poul, Jan (referee) The management of multiapical and multidirectional deformities of the lower limb due to different aetiologies is still a challenging task for the orthopaedic surgeon. Internal fixation techniques for deformity correction are normally combined with open osteotomies and acute correction. For complex deformities these methods are restricted by several factors, particularly when additional leg length discrepancy has to be corrected. (...) Different modes of the software program are available; the Total Residual Program is most helpful. Despite using the same principles for callus distraction as the Ilizarov device, the computer-operated TSF allows a great number of advantages: The handling of the frame is less time consuming, no difficult changes of hinges are necessary. The duration of the correction time is predictable due to the prescription site, and what's most important the results of treatment are more accurate than the Ilizarov device as shown in a study. In 1999 at the Orthopaedic Hospital Vienna-Speising we started to change from the Ilizarov system to the Taylor Spatial Frame for treatment of complex deformities and leg lengthening. From June 1999 to February 2009 we were able to perform correction of 501 segments with the TSF- system. The patients suffered from congenital and hereditary disorders... Detailed record
	Osteogenesis and bone healing in congenital short femur Frydrychová, Monika ; Dungl, Pavel (advisor) ; Havlas, Vojtěch (referee) ; Charvát, Jan (referee) Introduction: Congenital short femur, or proximal femoral focal deficiency (PFFD), is a rare complex deformity of the lower extremity with femoral dominance. The clinical findings cover wide range of variety, from femoral absence till inconspicuous shortening of the femur. Aim of the study: 1. Molecular analysis of pseudoarthrosis tissue in congenital short femur with focusing on osteogenic and angiogenic gene expression in comparison with physiological bone. The differences in gene expression were expected. 2. Retrospective analysis of femoral healing after prolongation calculating the severity of affection, age, distance of elongation and complication. The extended healing according to severity type and age was expected compared to control group. Material and methods: The RNA from piece of one was isolated and transcription profile of possible 113 genes of osteogenesis and angiogenesis was detected by biochip technology (SuperArray Bioscience Corporation). 10 samples analyses were performed (7 of PFFD, 3 controls). The data of 57 PFFD patients indicated for elongation of the femur with the types Pappas III, IV, VII, VIII and IX and 12 patients in control group were evaluated retrospectively and statistically by GLS method. Results: The expected differences in gene expression in PFFD tissue... Detailed record
	Paraarticular ossifications after total hip replacement. Modalities of preoperative and postoperative reduction interventions Debre, Ján ; Dungl, Pavel (advisor) ; Tuček, Michal (referee) ; Dufek, Pavel (referee) 1 PURPOSE OF THE STUDY Heterotopic ossification is frequent and well known complication after primary total hip arthroplasty. Prophylaxis is crucial, ohterwise when ossification is matured, the only treatment option is surgical removal during revision hip surgery. Prophylaxis options are pre, peri- and postoperative modalities. Effectiveness of the profylaxis step sis the aim of this disertation. The goal of Study 1 was to prove the positive side effect of tranexamic acid application to reduce the heterotopic ossification ratio after elective total hip replacement. The goal of Study 2 was to prove the reduction in HO ratio with experimental modification of anterolateral approach with electrosurgery. The goal of Study 3 was to detect the knowledge among czech orthopaedic surgeons in ossification issues and compare the results of questionnaire with german results. 2 MATERIAL AND METHODS Study 1 Cohort of 401 total hip replacements were assessed prospectivelly. Stratification of particular degrees in Brooker scale, sex, laterality and fixation type were evaluated. The average follow up was 6,10 year (40m to 113m). Hips from 2012 are referential and hips from 2016 are administered to tranexamic acid procotol. Other secondary prophylactic modalities (farmacoprophylaxy or radiotherapy), tertiary... Detailed record
	Anteromedial wedge reduction osteotomy as a new surgical procedure in treatment of Morbus Perthes Burian, Michal ; Dungl, Pavel (advisor) ; Havlas, Vojtěch (referee) ; Gallo, Jiří (referee) Morbus​ ​Perthes​ ​(LCP)​ ​is​ ​an​ ​idiopathic​ ​defect​ ​in​ ​the​ ​blood​ ​flow​ ​of​ ​the​ ​proximal femoral​ ​epiphysis,​ ​where​ ​morphological​ ​and​ ​functional​ ​pathologies​ ​of​ ​the​ ​hip​ ​joint occur.​ ​Unfavorable​ ​prognostic​ ​factors​ ​include​ ​aspheric​ ​and​ ​incongruent​ ​hip,​ ​often manifested​ ​by​ ​the​ ​appearance​ ​of​ ​hinge​ ​abduction.​ ​The​ ​head​ ​is​ ​no​ ​longer​ ​remodeling after​ ​"golden"​ ​period​ ​of​ ​remodellation.​ ​Anteromedial​ ​Wedge​ ​Reduction​ ​Osteotomy (AWRO)​ ​is​ ​a​ ​new​ ​surgical​ ​method​ ​to​ ​improve​ ​the​ ​shape​ ​and​ ​reduce​ ​the​ ​femoral head​ ​and​ ​thus​ ​extend​ ​the​ ​life​ ​of​ ​a​ ​significantly​ ​altered​ ​hip​ ​joint. We​ ​evaluated​ ​10​ ​patients​ ​after​ ​the​ ​AWRO​ ​and​ ​established​ ​3​ ​hypotheses,​ ​in​ ​the clinical​ ​part​ ​of​ ​the​ ​study.​ ​1st​ ​hypothesis​ ​"AWRO​ ​leads​ ​to​ ​the​ ​reshape​ ​of​ ​the​ ​head" was​ ​confirmed​ ​following​ ​the​ ​Stulberg's​ ​classification.​ ​2nd​ ​hypothesis​ ​"AWRO​ ​leads to​ ​a​ ​reduction​ ​in​ ​the​ ​mediolateral​ ​diameter​ ​of​ ​the​ ​head",​ ​was​ ​confirmed​ ​by​ ​measuring the​ ​capitodiaphyseal​ ​index,​ ​which​ ​was​ ​reduced​ ​in​ ​all​ ​femoral​ ​heads​ ​after​ ​AWRO. The​ ​3rd​ ​hypothesis​ ​"Harris​ ​Hip​ ​Score​ ​improved​ ​in​ ​medium-term​ ​follow​ ​up​... Detailed record
	Computer Assisted Deformity Correction using the Taylor Spatial Frame (TSF) Ganger, Rudolf ; Dungl, Pavel (advisor) ; Gallo, Jiří (referee) ; Poul, Jan (referee) The management of multiapical and multidirectional deformities of the lower limb due to different aetiologies is still a challenging task for the orthopaedic surgeon. Internal fixation techniques for deformity correction are normally combined with open osteotomies and acute correction. For complex deformities these methods are restricted by several factors, particularly when additional leg length discrepancy has to be corrected. (...) Different modes of the software program are available; the Total Residual Program is most helpful. Despite using the same principles for callus distraction as the Ilizarov device, the computer-operated TSF allows a great number of advantages: The handling of the frame is less time consuming, no difficult changes of hinges are necessary. The duration of the correction time is predictable due to the prescription site, and what's most important the results of treatment are more accurate than the Ilizarov device as shown in a study. In 1999 at the Orthopaedic Hospital Vienna-Speising we started to change from the Ilizarov system to the Taylor Spatial Frame for treatment of complex deformities and leg lengthening. From June 1999 to February 2009 we were able to perform correction of 501 segments with the TSF- system. The patients suffered from congenital and hereditary disorders... Detailed record
	Implantace totální protézy kyčelního kloubu za ztížených anatomických podmínek Štědrý, Václav ; Dungl, Pavel ; Institut postgraduálního vzdělávání ve zdravotnictví Detailed record
	Implantace totální protézy kyčelního kloubu za ztížených anatomických podmínek Štědrý, Václav Detailed record
	Svalové transpozice na horní končetině v léčbě arthrogryposis multiplex congenita: :: anatomická, klinická a elektromyografická Chomiak, Jiří ; Dungl, Pavel ; Institut postgraduálního vzdělávání ve zdravotnictví Detailed record
	Zjišťování rizika trombozy dolních končetin po implantaci endoprotézy kyčelního kloubu ve fázi rehabilitace po propuštění z nemocnice Zeman, Jan ; Dungl, Pavel ; Fakultní nemocnice Na Bulovce (Praha, Česko) Detailed record

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