[Osteoarthrosis--a suggested approach for the general physician] ].
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Biomedical subjects
Publications and source records attributed to I Kopecký.
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The authors describe two cases of the disease. They perform modified operation after Speed in which they use instead of a strip from fascia lata a 1 mm thick binding wire for the fixation of the medial end of the clavicle to the first rib. Immobilization in the Desault bandage takes three weeks and is followed by rehabilitation with the reduction of elevation above 90 degrees. After twelve weeks the upper extremity of the affected side can perform normal activity, however, with permanent exclusion of weightbearing of the extremity in the direction conductive to dislocation.
The authors analyze diagnostic and therapeutic problems in fractures associated with tabes dorsalis. In the foreground of the clinical picture are in the majority neurological symptoms. The first symptoms develop 15 years after the primary infection. The laboratory results are not decisive for the diagnosis. Previously treatment of these fractures was conservative in rare instances arthrodesis of the affected joint was performed. In the case-history the authors submit new therapeutic possibilities in fractures of the neck of the femur associated with tabes dorsalis, using total endoprostheses of the hip joint. The authors mention also possible complications. The subjective evaluation by the patient is, however, very favourable.