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Aim of the Study: The aim of this study is to assess treatment outcomes of diaphyseal radial and ulnar fractures using angle- stable LCP device (Synthes, Svýcarsko), compared to ForeSight intramedullary nailing (Smith&Nephew, USA)., Material and Methods: The prospective study included 80 patients with 115 forearm fractures, assigned to two equal groups, based on the fixation method. The group included 53 males and 27 females, the mean age was 36.6 years of age (range 18-77). the mean folow up period was 18 months (range 12-32 months). The patients were repetitevely x-rayed and their functional assessment was performed at the same time. Furthermore, treatment- related complications were also evaluated., Results: Two cases of prolonged healing were recorded in the LCP device treatment group. Four cases of prolonged healing were recorded in the intramedullary nailing group, which healed within 18 months and did not require reoperation. The mean fracture healing time was 20.5 weeks (range 9-80 weeks) in the group with intramedullary nailing, and 19.0 weeks (range 12-46 weeks) in the LCP group. No significat differences in surgery time, healing time, postoperative pain scores or final 1-year functional outcomes were detected between the both treatment groups. Statistically significant prolonged healing was demonstrated in the intramedullary nailing group in cases, where fragment dislocation exceeded 3 mm, compared to a group of patients with anatomical repositioning and dislocation of less than 2 mm (p = 0.015; Anova). No cases of deep infections were recorded. Complications, recorded in the intramedullary nailing group, included the following: partial migration of securing nails in two subjects and incomplete synostosis in two subjects. Complications, recorded in the LCP device group, included: early re-fracturing in the original fracture location in a single subject (3 weeks after extraction)., Discussion: The results correspond with outcomes of other recent studies. Although open repositioning and internal fixation is considered a standard treatment method in forearm diaphyseal fractures, recently changing opinion on the use of nails in this indication is apparent. Considering ongoing improvements of these implants, the trend of nailing should be more widely accepted., Conclusion: Although their concept of fracture fixation is different, the both implants appear indicated for the management of forearm diaphyseal fractures.

Introduction: Distal radius fractures remain the commonest fractures in the human body. Developed countries have recorded increasing rates of these fracures., Material and Methods: The authors assess results of distal radius osteosynthesis procedures using the Aptus Radius 2.5 mm (Medartis, Schweiz) system, consisting of 18 types of multidirectional, locking plates, designated for osteosyntheses and corrective osteotomies of the distal radius. The authors evaluate six-month results in 66 patients operated from January to September 2007. All AO types of fractures were included in the study group.The mean age of the patients was 49.5 years., Results: According to X-ray, the mean healing time was 7 weeks. 6 moths following the procedure, the radius length was +0.4 mm (ranging from +4 mm to -4 mm), the radial inclination was 21 degrees (ranging from 13 degrees to 29 degrees) and the palmar tilt of the articular surface was 7 degrees (ranging from 0 degrees to 10 degrees of the palmar tilt). The range of motion, compared to the other extremity, was as follows: palmar flexion 87.5%, dorsal flexion 91.5%, radial duction 90.5%, ulnar duction 88.2%, pronation 98.1% and supination 94.3%. The mean grip strength reached 85% of that of the contralateral extremity., Discussion: Fragment-specific fixation using the Aptus radius system, provides enough stability to prevent secondary loss of correction. Functional and radiological outcomes were similar to those with other types of locking plates. The results obtained from this study correspond to data presented in other recent studies assessing multidirectional locking plates., Conclusion: Central, targeted fixation of the fracture fragments and introduction of locking screws provide stability, which minimizes duration of additional fixation and facilitates early rehabilitation. It can be used for osteosynthesis of all types of fractures according to AO classification and, in particular, optimizes fixation of the C.2. and C.3. fracture types.

Introduction: The aim of this study is to evaluate the results after treating diaphyseal fractures of the forearm with an inter-locking intramedullary nail., Methods: Between 2003 and 2005, 45 patients with 68 fractures were treated using the ForeSight intramedullary nail (Smith&Nephew, Memphis, USA). The average patient age was 34.12 years. In the postoperative period, early and late complications were evaluated through radiological and functional methods., Results: The average length of time to demonstrated bone healing was 13.2 weeks. 3 cases of prolonged healing were observed, and pseudoarthrosis formation did not occur. Assessment of function according to Anderson gave the following results: full range of movement in 86.9% of patients; mild restriction of movement in 10.9%; and severe restriction of movement in 2.2% of patients. Postoperative complications included: I superficial infection, 2 cases of incomplete radioulnar synostosis; and one case of compartment syndrome., Conclusions: Upon comparing the techniques of using plates with those of nailing in the treatment of forearm fractures, we have achieved comparable results with nailing, and we therefore regard it as advantageous foremost for treating open, serial and grossly comminuted fractures of the forearm bones.

Five-year studies (1981-1986) were performed to investigate a total number of 2589 small mammals of 18 species. Refuse dumps are marked for highly specific conditions. The difference between refuse dumps and natural habitats consists in more sufficient quantity of food, better sheltering possibilities and in highly specific microclimate particularly. As a result of aerobic and anaerobic decompositions of organic materials, temperature in dumps is approximately 50 degrees C. From ecological point of view mammalian populations in refuse dumps could be classified in three groups according to the degree of their adaptation to this specific habitat: 1. permanent, abundant species, well-adapted to and closely connected with the habitat of dumps (Crocidura suaveolens, Mus musculus, Rattus norvegicus, Apodemus sylvaticus, Microtus arvalis), 2. permanent, common species which are, however, loosely connected with this habitat (Sorex araneus, Mustela nivalis), 3. rare species whose occurrence in this habitat is largely accidental.(ABSTRACT TRUNCATED AT 250 WORDS)

From 1977 to 1979 a study on the occurrence of adiaspiromycosis was performed on three animal farms in South Bohemia. In 113 examined small mammals from the farms and their neighbourhoods adiaspiromycosis was detected in M. arvalis living both in the fields in the precincts (7/613, i. e. 1.14%) and in the grassy areas inside the three animal farms (5/221, i. e. 2.3%). By that time no adiaspiromycosis was found in small mammals living in the farm buildings. The obtained results were compared with the results achieved at the control locality Klec, in the same geographical region, where adiaspiromycosis had been followed for 15 years. At the control locality adiaspiromycosis was found in further four species of small mammals: Talpa europaea, Erinaceus europaeus, Apodemus sylvaticus and Ondatra zibethica. The occurrence of adiaspiromycosis inside the farms is a serious epizootological finding. From the viewpoint of maintaining and circulation of pathogen is on the studied farms undoubtedly of major importance M. arvalis, forming here permanently living residential populations.