Three-Dimensional Geometry of the Proximal Humerus and Rotator Cuff Attachment and Its Utilization in Shoulder ArthroplastyOriginal papers

R. HROMÁDKA, D. POKORNÝ, S. POPELKA, D. JAHODA, A. SOSNA

Acta Chir Orthop Traumatol Cech. 2006; 73(2):77-84 | DOI: 10.55095/achot2006/010  

PURPOSE OF THE STUDYThe aim of the study was to provide a method of measurement and data collection, based on morphologic analysis of the proximal humerus, that would facilitate precise placement of the humeral stem and would be easy to apply in clinical medicine in patients requiring shoulder arthroplasty.MATERIALThree groups of materials were used. Materials for the first and second groups were provided by the Department of Anatomy, First Faculty of Medicine, Charles University. The first group included 10 specimens (five left and five right humeral bones) obtained at routine anatomical dissection. The second group contained 110 so-called...

Molecular Diagnostics for the Detection of Prosthetic Joint InfectionOriginal papers

J. GALLO, P. SAUER, M. DENDIS, Y. LOVEČKOVÁ, M. KOLÁŘ, J. ZAPLETALOVÁ, V. JANOUT

Acta Chir Orthop Traumatol Cech. 2006; 73(2):85-91 | DOI: 10.55095/achot2006/011  

PURPOSE OF THE STUDYTen years after inauguration of the molecular methods into the orthopaedic practice for diagnosing Prosthetic Joint Infection (PJI), this approach is still in the limelight of research and discussion. The aim of the current study was to determine the diagnostic power of our Polymerase Chain Reaction (PCR) protocol for preoperative detection of bacterial nucleic acid in the synovial joint fluid.MATERIAL AND METHODSSynovial fluids obtained from thirty-five septic hip or knee arthroplasties and sixty-six aseptic controls were investigated by the conventional PCR technique. Two subgroups were established with regard to antibiotic...

Injury to Major Blood Vessels in Anterior Thoracic and Lumbar Spinal SurgeryOriginal papers

J. ŠTULÍK, T. VYSKOČIL, P. BODLÁK, P. ŠEBESTA, J. KRYL, J. VOJÁČEK, P. PAFKO

Acta Chir Orthop Traumatol Cech. 2006; 73(2):92-98 | DOI: 10.55095/achot2006/012  

PURPOSE OF THE STUDYThe anterior approach to the thoracic and lumbar spine is used with increasing frequency for various indications. With the advent of prosthetic intervertebral disc replacement, its use has become even more frequent and has often been associated with serious complications. The aim of this study was to evaluate vascular complications in patients who underwent anterior spinal surgery of the thoracic and lumbar spine.MATERIALWe performed a total of 531 operations of the thoracolumbar spine from the anterior approach. In 12 cases, after exposure of the body of the first or second thoracic vertebrae, we employed the Smith-Robinson...

Musculoskeletal Vascular Malformations in ChildrenOriginal papers

T. KUČERA, A. KRAJINA, P. ŠPONER, A. KOHOUT

Acta Chir Orthop Traumatol Cech. 2006; 73(2):99-103 | DOI: 10.55095/achot2006/013  

PURPOSE OF THE STUDYThis study on vascular malformations of the musculoskeletal system in children is concerned with the disease diagnosis and evaluation of treatment results in a group of pediatric patients.MATERIALEighteen children with musculoskeletal vascular malformations, treated at the Department of Orthopedics in Hradec Králové, were assessed. The relevant data were obtained from their medical notes and the children were examined at the outpatient department.METHODSThe initial complaints leading to examination at our department, diagnostic methods used and outcomes of vascular malformation treatment were investigated. Special...

Antibiotic Treatment for Prevention of Infectious Complications in Joint ReplacementCurrent concepts review

D. JAHODA, O. NYČ, D. POKORNÝ, I. LANDOR, A. SOSNA

Acta Chir Orthop Traumatol Cech. 2006; 73(2):108-114 | DOI: 10.55095/achot2006/015  

Prophylactic antibiotic treatment is mandatory in every operation involving an orthopedic implant. Carefully selected and correctly administered antibiotics can provide effective protection of the implant from bacterial colonization.The prevention of deep wound infection in joint replacement includes several procedures and measures which constitute three basic groups: 1) Promotion of patient's ability to resist infection (careful pre-operative preparation, elimination of potential infectious loci, good nutritional status, etc). 2) Optimal conditions for the operative wound (surgical technique, prophylactic antibiotics). 3) Reduction of the number...

Current Concepts in Gene Therapy of the Musculoskeletal SystemCurrent concepts review

A. IVKOVIĆ, A. PASCHER, D. HUDETZ, M. JELIĆ, M. HAŠPL, R. WINDHAGER, M. PEĆINA

Acta Chir Orthop Traumatol Cech. 2006; 73(2):115-122 | DOI: 10.55095/achot2006/016  

The purpose of this article is to review the remarkable progress in the field of musculoskeletal system gene therapy. Since the introduction of this concept 15 years much of the preclinical and clinical data have emerged. The original target, rheumatoid arthritis, has been subjected to clinical phase II efficacy protocol, and osteoarthritis gene therapy efficacy is being thoroughly investigated in various animal models. The most promising area of research in this field however, is the tissue repair, because it doesn't require prolonged period of gene expression, local delivery is reasonably simple and it avoids substantial risk associated with systemic...

Synovial Sarcoma in Child - Case ReportCase report

J. SKOTÁKOVÁ, V. BAJČIOVÁ, Š. ONDRUŠ

Acta Chir Orthop Traumatol Cech. 2006; 73(2):104-107 | DOI: 10.55095/achot2006/014  

Soft tissue tumors occur rarely and account for 7 to 10% of all malignant neoplasms in children under 15 years of age. They constitute a heterogeneous group of tumors arising from primitive mesenchymal tissue. According to their origin they are classified as rhabdomyosarcomas and non-rhabdomyosarcomas of soft tissues.Synovial sarcoma is a rare fibroblastic tumor of soft tissue. In children under 5 years it is found only exceptionally. This study reports on a synovial sarcoma localized on the right lower extremity in a boy aged 4 years and 5 months. Differential diagnosis, prognostic factors and the role of imaging methods are discussed.

AO - DAVOS 2005Reports from ČSOT

Acta Chir Orthop Traumatol Cech. 2006; 73(2):123

4. sympozium Sekce dětské ortopedie ČSOTReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2006; 73(2):132

Zajímavé publikace pro ortopedyReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2006; 73(2):133