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Maisonneuve fracture - anatomy, diagnostics, operative approaches and technics of osteosynthesis
Kašper, Štěpán ; Tuček, Michal (advisor) ; Kachlík, David (referee) ; Hromádka, Rastislav (referee)
Although Maisonneuve fracture (MF) is a well-known type of ankle fracture-dislocation, there are a number of misconceptions that can lead to wrong choice of treatment. The concept of Maisonneuve fracture is also not understood by all authors in the same way and the recent CT studies confirmed that this is much more complex and variable injury. The dissertation was divided into two main parts: anatomical (experimental) and clinical. In the experimental part, the aim was to describe the appearance and shape and demonstrate the clinical significance of the crista malleoli lateralis (CML), which is located on the lateral side of the distal fibula and which previous anatomical and clinical studies neglected. Knowledge of this structure is essential to correct placement of syndesmal screws. The aim of the clinical part was the precise description of the pathoanatomy and associated injuries within the "classic" and less frequent forms of Maisonneuve fracture based on CT examination and intraoperative findings. Anatomical studies were performed on 352 dry bone specimens of adult fibula. Clinical studies were conducted on a set of 54 adult patients with "classic" MF occuring in the period 2012-2018 and 11 adult patients with "double" MF occuring in the period 2012-2020. In the anatomical part of the...
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Case Report of a Patient after Talus Fracture
Švarcová, Kamila Ruth ; Reckziegelová, Petra (advisor) ; Slezáková, Petra (referee)
Title: Case Report of a Patient after Talus Fracture Objectives: The main objective of this thesis is to gain theoretical knowledge about fractures in the ankle region and about their rehabilitation care and a subsequent processing of a case report of a patient after talus fracture. Methods: This bachelor thesis consists of two parts: theoretical and practical. The theoretical part contains information and facts about the anatomy of the lower leg and foot, kinetics and kinematics of the foot joints, classification of the ankle fractures and the information about the course of treatment of ankle fractures in conclusion. The practical part contains the processing of a case report of a patient, specifically the entrance and final kinesiology analysis, therapies and the evaluation of the effectiveness of the therapy. This case report was processed during my continuous practice in the Locomotion System Therapy Centre (CLPA) in Prague in the period from January 23 to February 17, 2017. Keywords: ankle fractures, ankle joint, physiotherapy, case report
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