Morfologie zlomenin v oblasti hlezna-její vliv na typ zlomeniny a výsledky léčby

• Main Author: Marvan, Jiří
• Other Authors: Krbec, Martin
• Format: Doctoral Thesis
• Language: Czech
• Published: 2017
• Online Access: http://www.nusl.cz/ntk/nusl-450734

Ankle fractures can be serious and complex injuries with variable prognoses. In our department, ankle fractures are the third most common fracture behind fractures of the distal radius and the proximal femur. Ankle fractures present with considerable variability with regard to the extent of injury to bones and ligaments, with each injured structure requiring appropriate treatment. We analyzed a group of patients that were surgically treated, in the Orthopedics and Traumatology Clinic, 3rd Medical Faculty of Charles University, for ankle fractures, with a particular focus on the epidemiological, clinical, and morphological parameters of the fractures. Our objective was to supplement existing information regarding the morphology of ankle fractures. Furthermore, we wanted to experimentally verify certain aspects related to ankle fractures. Our first step was to focused on the structure of cortical and cancellous bone in the fibula by carrying out a biomechanical study of the distal fibula after treatment with various types of fixation. The structure of fibular cortical bone was analyzed, using superficial sections, from dry preparations of a human fibula. By rubbing Indian ink into polished sections of cortical bone, we were able to visualize both the direction and organization of the central vascular...