Our experience with management of epiphyseolysis in children and adolescents.

A total of 58 children is referred to with fractured growth plates of the distal forearm, proximal humerus, radial condyle of humerus, ulnar epicondyle of humerus, distal tibia, proximal tibia and the distal femur. The related injuries are divided in accord with Salter-Harris classification. The treatment of epiphyseolyses is concerned together with summarizing its results and the appropriate experience. In addition, the indications for both conservative and surgical approaches are delimitated in treating these injuries.

Our experience with management of epiphyseolysis in children and adolescents.

A total of 58 children is referred to with fractured growth plates of the distal forearm, proximal humerus, radial condyle of humerus, ulnar epicondyle of humerus, distal tibia, proximal tibia and the distal femur. The related injuries are divided in accord with Salter-Harris classification. The treatment of epiphysiolyses is concerned together with summarizing its results and the appropriate experience. In addition, the indications for both conservative and surgical approaches are delimited in treating these injuries.

Our contribution to the external fixation in traumatology.

The experience is summarized in using the method of external fixation (Stuhler-Heise from Aesculap, Poldi 7, Ilizarov's compressory distractive devices) in the traumatology of extremities within 5-year lasting period. Starting from june 1985 to July 1990, the amount of 90 open fractures of long bones has been managed (10.2% of all fractures admitted). Open fractures related to III. grade by Gustilo's classification were 20 in number, i.e. 22.0% of all open fractures admitted with anatomical distribution as follows: 50% crural, 25% humeral, 15% forearm and 10% femoral locations. The EF device was applied in 11 cases, i.e. 55%. Primary amputations were done in 4 cases, i.e. 20%. The EF application period averaged for 64 days. One case showed primary healing of EF treated fractures. The remaining cases attributed an exchange of the type of osteosynthesis or were supplemented with plastic surgery on the soft tissues and bone. Another group of 36 pseudoarthroses of long bones were operated on within the mentioned period, from them 9 cases as infected ones were treated with EF method. Once the infection has been healed, the authors proceeded with surgery and EF exchange in all cases when treating pseudoarthroses. Third--the group of 18 nonstabile intraarticular fractures of distal radius treated by means of EF is presented. The advantages of individual EF methods are discussed, and the comprehensive care approaches are presented in documental groups of injuries as illustrated with the short case-reports.

The initial experience with closed interlocking intramedullary fixation.

Authors present the initial experience with the closed locked intramedullary fixation of long bones (mainly the tibial bone) in conditions of the Teaching Hospital. Possible improvisation is reported on when lacking the foreign osteosynthetical material.

[Personal experience in the diagnosis and therapy of Boerhaave's syndrome]. / Nase zkusenosti s diagnostikou a terapií Boerhaaveho syndromu.

At the Surgical Clinic of the Faculty Hospital in Hradec Králové during the last 20 years 32 patients with perforation of the oesophagus were treated. Of these five had a spontaneous rupture of the oesophagus--Boerhaave's syndrome. The authors describe their own experience with the diagnosis of this syndrome. They emphasize the importance of early diagnosis which determines the type of surgical treatment, makes a more radical operation possible, reduces the percentage of complications and thus also the high mortality of this syndrome.