BACKGROUND: Mid-term results (clinical and radiographic) of ultra-short anatomical cementless stem total hip arthroplasty (THA) in patients with osteonecrosis of the femoral head (ONFH) has not often been presented. The aim of this study is to evaluate THA using the Proxima stem in patients with ONFH in the mid-term. METHODS: The study consists of 73 patients (97 THAs) with a Proxima stem implanted between 2006 and 2015. The mean age of patients was 47.4 years, with a mean follow-up 105.2 months. The clinical results include preoperative and postoperative Harris Hip Scores (HHSs). Radiological follow-up reports on stem migration, bony trabecular development and radiolucent lines. The complications and revisions were registered. Kaplan-Meier survival analysis was performed to determine the implant survival. RESULTS: The average HHS improved significantly from 40.3 preoperatively to 98.0 at the final evaluation (p ˂ 0.0001). Stem migration (subsidence and "varisation") was observed in 11 hips (in 9 of them up to 6th postoperative month without any further progression, in 2 with progressive migration and radiological loosening). Bony trabecular development was detected in modified Gruen zones (1,2,4,6,7 for Proxima stem): in zone 1 (0%), 2 (67.0%), 4 (64.9%), 6 (64.9%), 7 (0%). Radiolucent lines were observed in 1 cup and 6 stems (2 were loose, 4 with fibrous stable fixation). Complications were found in 5 hips (5.1%): squeezing hip once, repeated dislocation in 1, 1 early deep infection, and 2 loose stems. 2 hips (2.1%) were revised (dislocation, infection). The implant survival was 98.9% and 97.9% clinically and radiologically, respectively. CONCLUSIONS: Observations in the mid-term show that the clinical and radiological results of the Proxima stem in patients with ONFH are promising. The stem design preserves the proximal femoral bone stock. The bony trabecular appearance confirms physiological proximal femoral load transmission.

• MeSH
• hlavice femuru chirurgie   MeSH
• kyčelní protézy * MeSH
• lidé středního věku MeSH
• lidé MeSH
• náhrada kyčelního kloubu * škodlivé účinky   metody   MeSH
• následné studie MeSH
• nekróza hlavice femuru * diagnostické zobrazování   chirurgie   MeSH
• protézy - design MeSH
• výsledek terapie MeSH
• Check Tag
• lidé středního věku MeSH
• lidé MeSH
• Publikační typ
• časopisecké články MeSH

Úvod: Totálna náhrada kolenného kĺbu je jednou z najčastejších a najúspešnejších operačných metód v ortopédii u pacientov s diagnózou pokročilej artrózy. V tejto retrospektívnej analýze sa zameriavame na porovnanie funkčných a klinických výsledkov u pacientov podstupujúcich unilaterálnu výmenu a u pacientov s bilaterálnou výmenou v rámci jedného operačného zákroku. Metódy: Do štúdie bolo zaradených celkovo 54 pacientov (bilaterálna 19, unilaterálna 35), ktorí na našom pracovisku podstúpili totálnu náhradu kolenného kĺbu. U pacientov bola sledovaná dĺžka hospitalizácie. Na objektívne zhodnotenie sme použili štandardizované dotazníky WOMAC a KSS 1, KSS 2, rozsah pohybu v operovanom kolennom kĺbe a výskyt pooperačných komplikácii. Výsledky: Obe skupiny pacientov boli vekom, body mass index a zastúpením pohlaví pomerne homogénne. Dĺžka hospitalizácie bola v unilaterálnej skupine 4,7±1,3 nesignifikantne kratšia ako v bilaterálnej skupine 5,6±2,0. Pacienti operovaní unilaterálne dosahovali rok po operácii flexiu 114,9±9,3, bilaterálna skupina dosahovala flexiu 112,6±8,6. Tak v unilaterálnej skupine u WOMAC, KSS1 a KSS2, ako aj v bilaterálnej skupine dochádza pri porovnaní s predoperačnými hodnotami k signifikantnému zlepšeniu jeden rok pooperačne. Pri porovnaní výsledkov WOMAC, KSS1 a KSS2 unilaterálnej a bilaterálnej skupiny 3, 6 a 12 mesiacov pooperačne, sú rozdiely hodnôt nesignifikantné. Revidovanosť implantátov v dvojročnom sledovaní dosahovala v unilaterálnej skupine 1,5 % a 1,4 % v bilaterálnej skupine. Záver: Unilaterálna aj bilaterálna implantácia endoprotézy kolenného kĺbu ako úspešné operačné metódy majú svoje zastúpenie v každodennej ortopedickej praxi. Pri dôslednej indikácii pacientov môže byť bilaterálna implantácia výhodnejšou alternatívou liečby, nakoľko pacient podstupuje len jeden operačný zákrok a riziká s ním spojené.

Introduction: Total knee replacement is one of the most common surgical methods in diagnosis of end staged osteoarthritis. In this retrospective analysis, we focus on comparison of functional and clinical outcome in patients undergoing unilateral and bilateral replacement within a single surgical procedure. Methods: 54 patients (bilateral 19, unilateral 35) underwent total knee replacement in our clinic participated in the current study. The length of hospital stay was monitored in all patients. Assessment of functional results was based on the WOMAC score, KSS 1, KSS2, range of motion and presence of complications in both groups. Results: Both groups of patients were homogeneous with age, body mass index and sex. The length of hospital stay in the unilateral group was 4.7±1.3 and 5.6±2.0 in the bilateral group. Patients operated on unilaterally achieved flexion of 114.9±9.3 after one year, bilateral group 112.6±8.6, the difference was insignificant. In both groups, there is a significant improvement one year postoperatively at WOMAC, KSS1 and KSS2. Comparing WOMAC, KSS1 and KSS2 between the unilateral and bilateral groups 3, 6, 12 months postoperatively, the differences are insignificant. The revision of implants in two-year follow-up reached 1.5% in unilateral group and 1.4% in bilateral group. Conclusion: Unilateral and bilateral knee joint endoprosthesis implantation is a successful surgical method in orthopedic practice. With conscious selection of patients, bilateral implantation may be more advantageous alternative, as the patient undergoes one operation and the associated risks.

• MeSH
• artróza kolenních kloubů * chirurgie   MeSH
• lidé MeSH
• následné studie MeSH
• retrospektivní studie MeSH
• rozsah kloubních pohybů MeSH
• totální endoprotéza kolene * metody   MeSH
• Check Tag
• lidé MeSH

PURPOSE OF THE STUDY The aim of this study is to assess the mid-term results of this specific ultra-short, cementless stem in patients younger than 60 years with regard to clinical and radiographic outcomes, survivorship, complication rate and revisions. MATERIAL AND METHODS A consecutive series of one hundred and twenty-one patients (130 hips) younger than 60 years at the time of surgery was enrolled in the study. Primary arthritis (33.8%) and dysplastic hips (30%) were the most common diagnoses. The patients used crutches for 6 weeks to protect femoral components against subsidence and rotational stress. The mean follow-up was 118 months (range 96-156 months). RESULTS At the final evaluation, the mean Harris Hip Score was 98.8. A perioperative periprosthetic fracture occurred in two hips and a perioperative ceramic insert breakage was observed in one hip. One hip had ceramic insert fracture 3.5 years postoperatively. In one hip a dislocation occurred. These two hips (1.5%) were revised due to reasons not associated with the stem. One hip has aseptic asymptomatic polyethylene inlay wear. In two hips squeezing was reported. There were two cases of loosening and migration of stems (1.5%) with osteolysis all around the stems. These patients have moderate thigh pain. The radiological survival is 98.5% and the clinical survival is 100% after 10 years on average. DISCUSSION Although improved clinical results were reported in younger patients with standard cementless stems, some problems still prevail: thigh pain, proximal stress shielding, difficult removal of the stem. In an effort to reduce these problems, Proxima ultra-short anatomical cementless stem was developed. Several studies show that this stem design provides good short- and mid- term results, but only in a limited number of patients and relatively short follow-up. Furthermore, the initial fears of early aseptic loosening due to the absence of diaphyseal fixation were not confirmed. CONCLUSIONS Proxima ultra-short anatomical cementless stem provided excellent mid-term clinical and radiographic results in patients younger than 60 years. Key words: total hip arthroplasty, ultra-short cementless anatomical stem.

• MeSH
• kyčelní protézy * MeSH
• lidé MeSH
• náhrada kyčelního kloubu * škodlivé účinky   MeSH
• následné studie MeSH
• periprotetické fraktury * chirurgie   MeSH
• protézy - design MeSH
• selhání protézy MeSH
• výsledek terapie MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH

BACKGROUND: The aim of this study was to evaluate the clinical and radiological outcomes (in mid-term) after "shortening" scarf osteotomy of the fifth metatarsal for the treatment of bunionette deformity. METHODS: We retrospectively reviewed the functional score - American Orthopaedic Foot and Ankle Society (AOFAS) Lesser Toe Metatarsophalangeal-Interphalangeal Scale, radiographic results - 4th/5th intermetatarsal angle, varus angle of the 5th metatarsophalangeal joint and complications in a consecutive series of 34 feet (27 patients) with bunionette. Nine males and 18 females (mean age: 45 years) were included in the study. Three males and four females were operated bilaterally The patients were operated on between 2004 and 2015, and evaluated during 2017. RESULTS: The average AOFAS score improved from 59.4 to 93 at a mean follow-up of 7.2 years. The 4th/5th intermetatarsal angle and varus angle of the 5th metatarsophalangeal joint decreased from 13.9°/19.5° preoperatively to 6°/5.9° at final follow-up. No neurovascular damage was recorded. Complications arose in five feet (14.7%): delayed union (n=1), early infection (n=1), distal screw migration (n=1), asymptomatic non-union (n=1), transverse metatarsalgia (n=1). The osteotomy healed within less than three months except twoo (delayed union, non-union). Three feet needed additional surgery: screw removal (n=2), Weil osteotomy of 2nd-4th metatarsals (n=1). CONCLUSIONS: "Shortening" scarf osteotomy is an acceptable, but not complication-free, treatment option for the bunionette deformity and offers promising results in the mid-term.

• MeSH
• bunionette deformity diagnóza   chirurgie   MeSH
• lidé středního věku MeSH
• lidé MeSH
• metatarzální kosti diagnostické zobrazování   chirurgie   MeSH
• metatarzofalangeální kloub diagnostické zobrazování   chirurgie   MeSH
• následné studie MeSH
• osteotomie metody   MeSH
• rentgendiagnostika MeSH
• retrospektivní studie MeSH
• senioři MeSH
• výsledek terapie MeSH
• Check Tag
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH

INTRODUCTION: The aim of this study has been to present outcomes after cementless arthroplasty for developmental dysplasia Crowe type IV of the hip, with transverse subtrochanteric shortening osteotomy and using the S-ROM stem. METHODS: We evaluated radiographs, functional scores and complications in a consecutive series of 23 patients (28 hips) with high dislocation of the hip. The average age of patients at surgery was 49.9 (range 22-68) years. The operations were performed between 2007 and 2013. Patients were assessed retrospectively-clinically and radiographically during the year 2018. RESULTS: The mean follow-up period was 94 (range 60-134) months. The average Harris hip score improved from 39.9 to 84.0. The mean leg length discrepancy decreased from 5 cm preoperatively to 1.4 cm at the final follow-up. All acetabular components were implanted into the true acetabulum, and all prostheses were stable at the latest examination. No neurovascular damage was recorded. We have identified specific complications in seven hips (25%) in total: Intraoperative femoral fracture required fixation in four hips; three hips (10.7%) needed revision: Recurrent dislocation, with the need for cup reorientation, occurred in two hips (in one of them, this was followed by the subsequent need for resection of heterotopic ossification); there was one aseptic stem loosening with the need of one-stage revision. All the osteotomies healed within 8 months. CONCLUSION: Hip arthroplasty with transverse shortening femoral osteotomy, using S-ROM stem, is an acceptable, but not complication-free treatment method in patients with Crowe type IV developmental hip dysplasia, in the midterm.

• MeSH
• dislokace kloubu etiologie   chirurgie   MeSH
• dospělí MeSH
• kyčelní kloub * diagnostické zobrazování   patofyziologie   chirurgie   MeSH
• lidé středního věku MeSH
• lidé MeSH
• náhrada kyčelního kloubu * škodlivé účinky   metody   MeSH
• nestejná délka dolních končetin etiologie   chirurgie   MeSH
• osteotomie * škodlivé účinky   metody   MeSH
• pooperační komplikace * diagnóza   patofyziologie   chirurgie   MeSH
• rentgendiagnostika metody   MeSH
• reoperace * škodlivé účinky   metody   statistika a číselné údaje   MeSH
• retrospektivní studie MeSH
• výsledky a postupy - zhodnocení (zdravotní péče) MeSH
• vývojová kyčelní dysplazie * diagnóza   chirurgie   MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH

PURPOSE OF THE STUDY The purpose of our retrospective study is to evaluate 5-year functional and radiological outcomes in patients following corrective osteotomy of the distal radius and ulnar osteotomy for malposition after a distal radius fracture, to identify differences in the outcomes of corrective osteotomies depending on the type of the original fracture according to the AO classification, the grade of arthritis of radiocarpal (RC) joint, surgical approach and the way of stabilisation of the osteotomy. MATERIAL AND METHODS The followed-up group of 22 patients (8 men and 14 women) underwent osteotomy for malposition of distal radius in the period 2007-2011. The age of patients in the followed-up group ranged from 21 to 72 years, with the mean age of 51 years at the time of surgery. The indications for corrective osteotomy due to distal radius deformity were the following: functional limitation, pain and radiological parameters confirming the deformity. The opening wedge osteotomy of distal radius performed through volar or dorsal approach, isolated shortening osteotomy of ulna and a combination of both the methods were used. The observations included: the original type of fracture according to AO/OTA classification, functional outcomes - Disabilities of the Arm Shoulder and Hand (DASH) score, Mayo Wrist Score (MWS), range of motion, grade of wrist arthritis and specific complications. The follow-up period was 5 years. RESULTS Average results were obtained in the group of patients before/after the osteotomy: DASH score- 35/14, MWS- 54/77, flexion- 44°/64°, dorsiflexion- 48°/61°, supination- 75°/79°, pronation- 72°/83°, ulnar duction- 20°/23°, radial duction- 9°/16°, grip strength in percentage- 59%/83%. After osteotomy, a statistically significant increase was observed in flexion, dorsiflexion, supination, pronation, radial duction, ulnar duction, grip strength in percentage, MWS, while in the DASH score a statistically significant decrease was reported. Based on the statistical evaluation of differences in functional outcomes after osteotomy, in patients with type A and C original distal radius fractures no difference in range of motion parameters was found after osteotomy. As to the mean values, the flexion and dorsiflexion range of motion was greater by 10° in patients after extra-articular osteotomy for malposition following the type A original fracture as compared to the type C fracture. By measuring the Joint Space High (JSH) ratio, no statistically significant changes were found regarding the progression of arthrosis of the radiolunate and radioscaphoid part of the RC joint as against the arthrosis in patients up to 5 years after corrective osteotomy of the distal radius. In patients with distal radius malposition and RC joint grade 1-2 arthritis according to the Knirk and Jupiter classification, better functional outcomes were achieved than in the limited and total wrist arthrodesis. In our patients, at 5 years after osteotomy no worsening was observed of the existing wrist arthritis and no arthritis was newly diagnosed. Specific complications were found in 4 cases (18.2 %). In 2 patients after radial osteotomy from dorsal approach (extensor tendon irritation, rupture of the long extensor tendon of the thumb), removal of osteosynthesis material was necessary in both the patients. In one patient after the isolated ulnar shortening osteotomy, an intraoperative fissure of distal ulnar fragment was detected, which healed without any further complications. In one patient an iatrogenic fracture of anterior superior iliac spine was observed after harvesting the corticospongious graft from the ala of the ilium. DISCUSSION Corrective osteotomy is a well-established method for treating distal radius deformities following a fracture. Even at present, there are various opinions regarding the indications, contraindications, timing of the surgery, osteotomy technique and the need to use a bone graft. Limited or total wrist arthrodeses in the area of wrist arthrosis and deformities bring good results with respect to the pain relief, but a limited range of motion occurs mainly in younger patients. Bearing this in mind, in grade 1-2 wrist arthritis in patients with distal radius deformities, a better functional outcome can be achieved by osteotomy. By using dorsal or volar approach, comparable outcomes can be obtained, but with the dorsal approach there is higher frequency of complications and the need to remove the osteosynthesis material. CONCLUSIONS Corrective osteotomies resulted in an improved functional outcome in the treatment of deformities after a distal radius fracture. Apart from deformity correction, the treatment has been affected also by the RC joint arthritis. The study confirmed neither statistically significant differences in the osteotomy outcomes in patients with the original type A or type C distal radius fracture according to the AO classification, nor the statistical significance of the RC joint arthritis. Our results have proven better functional outcomes of deformity correction achieved by osteotomy in case of grade 1 and 2 arthritis than by the limited wrist arthrodesis. In patients showing arthritic changes, no progression was reported within five years after the osteotomy. Key words: distal radius fracture, distal radius deformity, osteotomy, functional results.

• MeSH
• fraktury vřetenní kosti * diagnóza   etiologie   chirurgie   MeSH
• lidé středního věku MeSH
• lidé MeSH
• následné studie MeSH
• obnova funkce MeSH
• osteotomie * škodlivé účinky   metody   MeSH
• pooperační komplikace diagnóza   MeSH
• poranění zápěstí * komplikace   patofyziologie   MeSH
• radius * diagnostické zobrazování   zranění   chirurgie   MeSH
• rentgendiagnostika MeSH
• rozsah kloubních pohybů MeSH
• špatně zhojené fraktury diagnóza   chirurgie   MeSH
• zápěstní kloub * diagnostické zobrazování   patofyziologie   MeSH
• Check Tag
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Česká republika MeSH

V našej práci prezentujeme kazuistiku 44ročného pacienta so spontánnou bilaterálnou ruptúrou proximálnej časti ligamentum patellae. U pacienta neboli zistené systémové ochorenia ako rizikové faktory šľachových ruptúr. Diagnóza bilaterálnej ruptúry bola potvrdená fyzikálnym vyšetrením a RTG nálezom (patella alta). Druhý deň po úraze bola u pacienta realizovaná bilaterálna reinzercia ruptúr transoseálnymi stehmi cez tunely v patele spolu s odľahčením sutúry serklážnymi slučkami. Vzhľadom k re-ruptúre na pravom kolene po dvoch týždňoch od sutúry bola realizovaná revízna operácia - reinzercia šľachy pôvodnou metódou a augmentáciou šľachami musculus semitendinosus a musculus gracilis. Pooperačne boli obidve kolená fixované v ortézach po dobu 12 týždňov, flexia do 60° bola pacientovi povolená po 6 týždňoch a flexia nad 90° po 9 týždňoch. Po jednom roku od úrazu mal pacient aktívne bilaterálne plnú extenziu. Rozsah flexie v pravom kolene bol 125° a vľavo 130°. Subjektívne pociťoval pacient pravé koleno ako stabilnejšie. Klinický výsledok operačnej liečby bilaterálnej ruptúry ligamentum patellae závisí od skorej operačnej intervencie a pooperačnej rehabilitácie. V prípade re-ruptúr, sutúr s časovým odstupom a v prípadoch nedostatočnej kvality šľachy je indikovaná augmentácia šľachy autológnym štepom, alogénnym štepom alebo syntetickými materiálmi. Podobný prípad sme v slovenskej ani českej literatúre zatiaľ popísaný nenašli.

We present the case of a 44-year-old patient with spontaneous bilateral ruptures of the proximal part of the patellar ligament. There were no identified specific risk factors for tendon ruptures. The diagnosis of bilateral patellar tendon rupture was confirmed in the initial physical examination with unambiguous x-ray diagnosis of patella alta. The second day after the injury, the patient underwent bilateral reinsertion of the rupture with transosseous suture (FiberWire) through tunnels in patella, together with the protection of the primary repairs using cerclage wires. Due to re-rupture of the patella ligament of the right knee two weeks later, revision procedure was carried out. That consisted of resuture of the tendon by the original method and augmentation using the semitendinosus and gracilis tendons. Postoperatively, both knees were fixed in orthoses for 12 weeks, flexion to 60° was allowed after 6 weeks, and flexion beyond 90° after 9 weeks. After one year from injury, the patient had an active bilateral full extension. The range of the right knee flexion was 125° and 130° on the left. The range of the right knee flexion was 125° and 130° on the left. The patient subjectively felt his right knee to be more stable. The clinical results of surgical treatment of the bilateral rupture ligamentum patellae tendons depend on early surgical intervention and post-operative rehabilitation. Augmentation of the tendon with autograft, allograft, or synthetic materials is indicated in the case of re-ruptures, late sutures and in cases of deficient quality of the tendon. We found no similar case described either in the Slovak or Czech literature.

• MeSH
• autologní transplantace metody   MeSH
• dospělí MeSH
• lidé MeSH
• ligamentum patellae * chirurgie   patofyziologie   zranění   MeSH
• ortopedické výkony metody   MeSH
• poranění kolena * diagnostické zobrazování   chirurgie   rehabilitace   MeSH
• šlachy chirurgie   transplantace   MeSH
• výsledek terapie MeSH
• zadní stehenní svaly chirurgie   patofyziologie   MeSH
• Check Tag
• dospělí MeSH
• lidé MeSH
• mužské pohlaví MeSH
• Publikační typ
• kazuistiky MeSH

The study was aimed at the clinical and biomechanical analyses of the sliding hip screw breakage with the use of finite element method. We have identified two patients with the sliding screw breakage. In the first patient, the biomechanical analysis revealed the reduced stress values σHMHnot exceeding the yield limit or strength limit of the implant. The yield limit was exceeded in second one. Clinical and biomechanical analyses have demonstrated that adherence to technical requirements of the appropriate osteosynthesis implementation is the principal condition of timely healing since it prevents the material failure.

• MeSH
• biomechanika MeSH
• fraktury kyčle diagnostické zobrazování   patofyziologie   MeSH
• kostní šrouby * MeSH
• lidé středního věku MeSH
• lidé MeSH
• mechanický stres * MeSH
• selhání protézy * MeSH
• senioři nad 80 let MeSH
• teoretické modely MeSH
• testování materiálů MeSH
• Check Tag
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• senioři nad 80 let MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• kazuistiky MeSH

PURPOSE OF THE STUDY Evaluation of short-term functional results in patients undergoing one-stage surgery involving sequential bilateral total knee arthroplasty (TKA) and comparison with the results of patients after unilateral TKA. MATERIAL AND METHODS The group with bilateral TKA consisted of 171 patients with 342 total knee replacements treated between 2009 and 2013. The control group included 50 patients with 50 TKAs operated on in the years 2010 to 2012. The indications to bilateral knee replacement included bilateral gonarthrosis, grade III or more in patients who were in good health and had a stable knee joint with axis deviation up to 20 degrees. A cemented TKA was used and the posterior cruciate ligament was preserved. Assessment of functional results was based on the Womac score, Knee Society Score (KSS 1, 2) range of motion and presence of specific complications in both groups. The follow-up lasted three years. RESULTS The average results in the bilateral vs the control group were as follows: the Womac score, 39.4/42.2 pre-operatively, 87.2/71.0 at 3 years; KSS 1, 48.5 / 44.8 pre-operatively, 87.4 / 79.9 at 3 years; KSS 2, 44.1 / 50.6 pre-operatively, 86.1 / 72.8 at 3 years; motion-flexion, 105.2° / 105.7° preoperatively, 114.0° / 100.2° at 3 years. In the bilateral group, infection was recorded in one patient. DISCUSSION Bilateral total knee replacement is a controversial issue. A higher risk of non-specific complications has been reported. Functional outcomes are good. The key problem is to set the correct indication to this procedure after an individual assessment of the patient's general health condition and the state of his/her knee joints. CONCLUSIONS The patients undergoing bilateral TKA at one-stage surgery showed functional results comparable (range of motion was even better) with the results of the unilateral TKA group. The number of specific complications was low. Every patient should be carefully assessed. Key words: total knee arthroplasty, bilateral implantation, functional results.

• MeSH
• artróza kolenních kloubů patofyziologie   chirurgie   MeSH
• lidé MeSH
• pooperační komplikace etiologie   MeSH
• rozsah kloubních pohybů fyziologie   MeSH
• skóre závažnosti úrazu MeSH
• totální endoprotéza kolene metody   MeSH
• výsledek terapie MeSH
• Check Tag
• lidé MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• srovnávací studie MeSH

• MeSH
• analýza přežití MeSH
• náhrada kyčelního kloubu statistika a číselné údaje   MeSH
• totální endoprotéza kolene statistika a číselné údaje   MeSH
• Publikační typ
• statistiky MeSH
• Geografické názvy
• Slovenská republika MeSH

• Konspekt
• Ortopedie. Chirurgie. Oftalmologie
• NLK Obory
• ortopedie
• statistika, zdravotnická statistika
• NLK Publikační typ
• studie