3+4+Supplementum/2012 - Společnost pro pojivové tkáně

More documents

Recommendations

Info

fourth is transverse deficiency, in which the critical period is not known. Based on these studies, the author modified IFSSH classification and it was adopted by the Japanese Society for Surgery of the Hand and is called Japanese modification of the IFSSH classification (Japanese modification). In this paper, the author introduced the Japanese modification of the IFSSH classification and described some recommendations. key words: longitudinal deficiency, radial deficiency, ulnar deficiency, cleft hand, constriction band syndrome, transverse deficiency, symbrachydactyly aBSTRakT SuRGiCal OPTiOnS fOR funCTiOnal iMPROVeMenT afTeR uPPeR liMB aMPuTaTiOn. Georg Neff, Berlin (former Head of Dpmt. for Technical Orthopaedics, “Oskar-Helene-Heim”, Freie Universität Berlin) Partial or total amputation of an upper limb is always combined with a loss of function. In many instances special surgical procedures and adequate prosthetic devices – preserving sensory feed-back – may improve functional capabilities for the amputee. A better grip after amputation of the radial finger rays can be achieved by lengthening of even a short “left over” of the first metacarpal according to Matev. After loss of all fingers “metacarpalisation” according to kreuz allows for a pincer grip by resection of the second 334 14 th Prague-Sydney-Lublin metacarpal, the deepening of the web with transposition of the m. adductor pollicis and isolation of the first metacarpal creating a new short “thumb”. The kruckenberg procedure after transradial amputation consists in the separation of radius and ulna and the preservation of the essential muscles for active opening and closing of this pincer. A modified incision acc. to Marquardt covers the opposing tips of both branches with fully sensible flaps. For the public a cosmetic or a myoelectric prosthesis is adequate. Sauerbruch’s cineplastic creates muscle channels for direct voluntary activation of a prosthesis and extented proprioceptive control (Childress); it applies for transradial, transhumeral and shoulder /-girdle disarticulation. For transhumeral residual stumps an angulation osteotomy of the distal humerus according to Marquardt allows for free range of motion in the shoulder girdle and direct transfer of rotation to a snug fitting prosthesis – either body- or myoelectrically powered; with an open splint construction instead of a closed socket much of the posterior skin is ready for sensory feed-back. Due to the proximal growth plate transhumeral amputation in childhood results in osseous overgrowth and penetration of the bony spike. Stumpcapping with an osseous-cartilage graft according to Marquardt creates a “quasi” disarticulation stump, prevents further osseous overgrowth and provides full weightbearing and additional length. For Targeted Muscle Reinnervation according to kuiken after (sub-) total loss of an arm the nerves of the extremity are implanted in surgically isolated muscle segments – e.g. of m. pectoralis major – to gain more individual signals for control-
ling myoelectric prostheses and – as a side effect – islands on the skin with sensory representation of the respective implanted nerve. Is this already basic for “brain control” of a prosthesis? key words: Matev’s lengthening of metacarpal stumps, Kreuz’s metacarpalisation, Kruckenberg’s forearm pincer, Marquardt’s angulation osteotomy, Marquardt’s stumpcapping, Sauerbruch’s cineplastic, Kuiken’s targeted muscle reinnervation aBSTRakT CeReBRal PalSied Hand Mohamed AlamEldin, Sohag university hospital, Sohag, Egypt key words: celebral palsy – spasticity – tendon-lengthening – rehabilitation Background z CP is a non-specific term that include disorders characterized by early onset and impaired movement and posture. It is non-progressive and may include perceptual problems, language deficits, and intellectual involvement. Variety of perinata, prenatal, and postnatal factors contribute, either singly or multifactorily to CP Commonly thought to be due to birth asphyxia; now known to be due to existing prenatal brain abnormalities. Premature delivery is the single most important determinant of CP. In 24% of cases, no cause is found CP may b Spastic-hypertonicity with poor posture control Dyskinetic/athetoid -abnor- ambul_centrum@volny.cz mal involuntary movement/slow wormlike writhing, Ataxic-wide-based gait. z The hand is an organ of both motion and sensibility Motion is necessary for the highly adaptive functions of pinch, grasp and hook Objective To present our experience in management of celebral palsied hand. indications z Surgery is reserved for child who does not respond to conservative therapy or whose spasticity causes progressive deformities z Surgery is mostly needed in spasticity, less often in athetosis and rarely in rigidity ataxia and tremor Methods Orthopaedic surgery include: z correct contractures or spastic deformities z provide stability for uncontrolled joint z provide balanced muscle power Technique z Tendon-lengthening procedures z Release of spastic wrist flexor muscles z Correction of hip-adductor muscle spasticity or contracture to improve locomotion z Surgery is for improved function rather than cosmetic reasons and is followed by PT. 335
Page 1 and 2:
Pokroky ve výzkumu, diagnostice a
Page 3 and 4:
POHYBOVÉ ÚSTROJÍ ročník 19, 20
Page 5 and 6:
Devatenáctý ročník časopisu Po
Page 7 and 8:
ScHindlerová n., Foltýnová B., H
Page 9 and 10:
SlOVO čTenářůM � a wORd TO Re
Page 11 and 12:
OBRázek na TiTulnÍ STRaně čaSOP
Page 13 and 14:
RTG snímky z archivu Ambulantního
Page 15 and 16:
SOuBORnÉ RefeRáTY � ReViewS nOS
Page 17 and 18:
Nosologie by měla být užitečná
Page 19 and 20:
Skupina 30 (Syndromy nadměrného v
Page 21 and 22:
přiřazeny mezi jiné. Probíhají
Page 23 and 24:
group/Name of Disorder Inheritance
Page 25 and 26:
Page 27 and 28:
Page 29 and 30:
Page 31 and 32:
Page 33 and 34:
Page 35 and 36:
Page 37 and 38:
Page 39 and 40:
Page 41 and 42:
Page 43 and 44:
SOuBORnÉ RefeRáTY � ReViewS POH
Page 45 and 46:
např. k metabolickému syndromu a
Page 47 and 48:
ku. Ten se během školního roku v
Page 49 and 50:
s použitím zvýšené PA, monitor
Page 51 and 52:
měřená kaliperem) ukázalo od š
Page 53 and 54:
cal fitness and body composition, A
Page 55 and 56:
PůVOdnÍ PRáCe � ORiGinal PaPeR
Page 57 and 58:
ty čtyři druhy materiálů s růz
Page 59 and 60:
Deformace [mm] 8 7 6 5 4 3 2 1 0 0
Page 61 and 62:
9. OLFAT, M. et al. Effect of Terra
Page 63 and 64:
change their states and structure i
Page 65 and 66:
Each patient has the record: name n
Page 67 and 68:
lock1 patient arrival to hospital b
Page 69 and 70:
PůVOdnÍ PRáCe � ORiGinal PaPeR
Page 71 and 72:
Obr. 1. Zařízení pro měření d
Page 73 and 74:
Obr. 2. Četnosti hodnot BMI u 33 p
Page 75 and 76:
cí se podobným problémem, nebylo
Page 77 and 78:
kazuiSTikY � CaSe RePORTS OllieRO
Page 79 and 80:
ging of enchondromas, localized and
Page 81 and 82:
Obr. 1C. RTG snímek ukazuje dvouú
Page 83 and 84:
Obr. 1f. rigidní equinovarosní ko
Page 85 and 86:
Obr. 1CH. RTG snímek P femuru v bo
Page 87 and 88:
Obr. 2B. RTG dobrá osifikace kostn
Page 89 and 90:
Obr. 2f. Resekce diafýzy v distál
Page 91 and 92:
Obr. 2i. Po rekonstrukčním etapov
Page 93 and 94:
ho obratu i kostní denzity. Cílen
Page 95 and 96:
THe TeaM Of THe ORTHOPaediC dePaRTM
Page 97 and 98:
fig. 3a, 3b, 3c Wiktor Dega (3a) He
Page 99 and 100:
fig. 7 Building of Paediatric Hospi
Page 101 and 102:
9c 9a 9b fig. 9a, 9b, 9c Guests in
Page 103 and 104:
surgery - the release of ITB in 199
Page 105 and 106:
fig. 14 Orthopaedics / Team & Frien
Page 107 and 108:
fig. 16 Guests in Lublin / Lublin o
Page 109 and 110:
19a 19b 19c fig. 19 Professors from
Page 111 and 112:
1925 - dead 1997), Prof. T. Karski
Page 113 and 114:
Page 115 and 116:
Fig. 28 Guests in Lublin / Lublin o
Page 117 and 118:
Page 119 and 120:
nosti 70 kg je poté velikost napě
Page 121 and 122: ✃ PŘIHLÁŠKA řádného člena
Page 123 and 124: and maintained permanently. Our rol
Page 125 and 126: autora a jasné označení, kde bud
Page 127 and 128: RefeRenCeS References must be prese
Page 129 and 130: OznáMenÍ ÚMRTÍ OBiTuaRY zPRáVY
Page 131 and 132: Jarek Masopust prožil velmi bohat
Page 133 and 134: MySlivec r., PetráŠová Š., Mař
Page 135 and 136: COnTenTS Of VOluMe 2011 A WORD TO R
Page 137 and 138: Assoc. Professor Vaclav Smrcka, MD,
Page 139 and 140: MaříK i., ŠorMová l., zeMKová
Page 141 and 142: MariK i., SorMova l., zeMKova d., K
Page 143 and 144: Pokroky ve výzkumu, diagnostice a
Page 145 and 146: SundaY 16, SePTeMBeR 2012 Arrival o
Page 147 and 148: wedneSdaY 19, SePTeMBeR 2012 SYMPOS
Page 149 and 150: fRidaY 21, SePTeMBeR 2012 SYMPOSiuM
Page 151 and 152: note: Lectures and text slides will
Page 153 and 154: ing practical patients problems are
Page 155 and 156: Table 1. A cohort of congenital sys
Page 157 and 158: Osteogenesis imperfecta, progressiv
Page 159 and 160: This cohort of 619 probands include
Page 161 and 162: plasia), Stickler syndrome and some
Page 163 and 164: is caused by mutations in PEX7 whic
Page 165 and 166: Pycnodysostosis With the chromosoma
Page 167 and 168: aBSTRakT PRinCiPleS Of THe HiSTOPaT
Page 169 and 170: Practical information for ”nordic
Page 171: stiffness, no large curves, no big
Page 175 and 176: tus, b) varus deformity and c) the
Page 177 and 178: PROSPeCTiVe ORiGinal PaPeR POSSiBil
Page 179 and 180: At present, we provided temporary h
Page 181 and 182: 20. TANNER J M, HEALY M J, et al. A
Page 183 and 184: correct the alignment, and intra me
Page 185 and 186: Conclusions z The treatment of thor
Page 187 and 188: one stage “Z” lengthening of di
Page 189 and 190: Fig. 3A Fig. 3B Fig. 4A Fig. 4B ele
Page 191 and 192: The main advantage of Si-CAP (Actif
Page 193 and 194: advised to perform numerous flexion
Page 195 and 196: Ortopedická protetika Praha s.r.o.
show all

3+4+Supplementum/2012 - Společnost pro pojivové tkáně

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?