Background. Nonunion of the lateral humeral condyle are of the complex pathology of the elbow joint, occurring relatively often and resulting in disability of children. The treatment of nonunion of the lateral humeral condyle of humerus with cubitus valgus remains controversial. Purpose of this report was improvement of the results of surgical treatment of the nonunion of the lateral humeral condyle of humerus with cubitus valgus of the lateral humeral condyle of humerus with cubitus valgus with use of differential approach to the surgical strategy. Material and methods. We were observing 28 children (17 boys and 11 girls) with nonunion and longstanding nonunion of lateral condyle of humerus, with various degrees of severity. There were used MRI and Xray investigations for differential study of the patients divided into 3 groups in relation to stability and nonstability of the nonunion of the lateral humeral condyle of humerus with cubitus valgus of the lateral humeral condyle of humerus with cubitus valgus. Results. All 28 patients lateral humeral condyle nonunions with cubitus valgus achieved union within sixty five days after operative procedure using Ilisarovs technique. The mean postoperative humerusulna angle was 6,0 degrees of cubitus valgus. All of reverse Tosteothomies healed uneventfully, and there was no loss of correction postoperatively. The mean duration of followup was 7 years. The overall results were excellent in 15(53,5%) patients, good in 11(39,3%) patients, and fair in 2(7,2%) patients. All 28 patients lateral humeral condyle nonunions with cubitus valgus achieved union within sixty five days after operative procedure using Ilisarovs technique. The mean postoperative humerusulna angle was 6,0 degrees of cubitus valgus. All of reverse Tosteothomies healed uneventfully, and there was no loss of correction postoperatively. The mean duration of followup was 7 years. The overall results were excellent in 15(53,5%) patients, good in 11(39,3%) patients, and fair in 2(7,2%) patients. Conclusion. We believe it is reasonable to use our treatment method when dealing with nonunion of the lateral humeral condyle with cubitus valgus. These differential techniques helps to shape the distal part of humerus, thus, restoring the function of the elbow joint., Ilkhom E. Khujanazarov, Iskandar U. Khodjanov, and Literatura
Autoři referují dva případy náhodně zjištěného duplicitního tumoru pankreatu v ponechané části slinivky po parciální resekci pro adenokarcinom hlavy slinivky. Důvodem odstranění ponechaného zbytku slinivky byla vždy pooperační komplikace. Je diskutována možná četnost těchto duplicitních nádorů slinivky vzhledem k známému pohledu na vznik duktálního adenokarcinomu pankreatu z prekanceróz, tedy pankreatických duktálních intraepiteliálních neoplazií. Současně je hodnocen možný význam těchto němých duplicit v klinické praxi., The authors refer two cases of incidentally founded synchronous pancreatic tumors in the remaining pancreas following partial pancreatic resection for adenocarcinoma of the head of the pancreas. The reasons for removing the retained pancreas were postoperative complications. The frequency of these synchronous tumors is discussed with regards to the newly described development of pancreatic adenocarcinoma from pancreatic ductal intraepithelial neoplasia. The possible clinical importance of these silent synchronous tumors in clinical praxis is discussed., Roman Havlík, Martin Loveček, Dušan Klos, Mohamed Ghothim, Čestmír Neoral, and Lit.: 9
Léčba sarkomů měkkých tkání by měla být vedena na základě rozhodnutí multioborového týmu. Standardní léčbou operabilních sarkomů je chirurgická léčba, v indikovaných případech doplněná radioterapií. Postavení chemoterapie není jednoznačně definováno. Paliativní chemoterapie má své místo v léčbě neresekabilního lokálně pokročilého nebo metastatického onemocnění., Multidisciplinary treatments planning is mandatory in all cases of soft-tissue sarcoma. Surgery is the standard treatment for all patients with adult-type, localised tumor, complemented by radiation therapy in selected cased. The role of chemotherapy is not clearly defined. Palliative chemotherapy may be added as an option in the treatment for unresectable locally advanced or metastatic disease., Dagmar Adámková Krákorová, and Lit.:24