Arthroscopic Stabilization Procedure for Multidirectional Shoulder InstabilityOriginal papers

P. PŘIKRYL, M. RAFI, J. SELUCKÝ, K. ROČÁK, P. PILAŘ

Acta Chir Orthop Traumatol Cech. 2007; 74(4):253-257 | DOI: 10.55095/achot2007/039  

PURPOSE OF THE STUDYThe authors describe an arthroscopic procedure for multidirectional shoulder instability and its results in a group of their patients. They present a new argument to the widely accepted view that multidirectional instability of the shoulder is not an indication to surgical treatment.MATERIALA total of nine shoulders in seven patients were indicated to surgical intervention because of multidirectional shoulder instability. The average age of the patients was 19 years. Two patients underwent a bilateral procedure. Based on the pre-operative clinical findings, two groups were distinguished: the patients with loose shoulders...

Trauma to the Triangular Fibrocartilaginous Complex (TFCC)Original papers

M. PILNÝ, T. KUBEŠ, I. ČIŽMÁŘ, M. JINDRA, A. ŠPRLÁKOVÁ

Acta Chir Orthop Traumatol Cech. 2007; 74(4):258-261 | DOI: 10.55095/achot2007/040  

PURPOSE OF THE STUDYThe triangular fibrocartilaginous complex (TFCC) can be injured either due to trauma or by chronic strain. Based on these findings, Palmer devised a classification system distinguishing traumatic (I) and degenerative (II) TFCC lesions. Traumatic TFCC injury may be single or involved in a combined injury of the distal radius. The aim of this study was to evaluate the results of surgical treatment in patients with traumatic TFCC injury at six-month follow-up.MATERIAL AND METHODSIn the years 2000 to 2004, 23 patients with injury to the wrist were treated. The group comprised 16 men and 7 women at an average age of 34 years...

Hemiarthroplasty for Management of Proximal Humeral FracturesOriginal papers

S. TALLER, M. KŘIVOHLÁVEK, R. LUKÁŠ, J. ŠRÁM, M. KRÁL

Acta Chir Orthop Traumatol Cech. 2007; 74(4):262-267 | DOI: 10.55095/achot2007/041  

PURPOSE OF THE STUDYWith the advent of angle-stable implant systems in surgical treatment of proximal humeral fractures, the number of indications to shoulder hemiarthroplasty decreased dramatically, because these modern implants provide certain fixation of osteoporotic bone fragments in elderly patients.MATERIAL AND METHODSThe authors report on their experience with shoulder replacement surgery in 29 patients, of which 26 underwent urgent surgery. The indications for acute hemiarthroplasty included humeral head fractures in which destruction of the articular surface exceeded 40 %, and fractures with evident or suspected insufficient vitality...

Arthroscopic Palliative Resection of the Rotator Cuff in Patients with Unreconstructible LesionsOriginal papers

L. URBÁNEK, V. VANĚČEK, P. VAŠEK, R. KUBELA

Acta Chir Orthop Traumatol Cech. 2007; 74(4):268-272 | DOI: 10.55095/achot2007/042  

PURPOSE OF THE STUDYThe aim of this study is to present a simple rotator cuff lesion classification that provides guidelines as to their treatment, and to evaluate the results of palliative arthroscopic resection of rotator cuff residues known as unreconstructible lesions. In addition, our therapeutic approaches were ascertained in view of their applicability to the types of lesions studied.MATERIALIn a five-year period (January 1, 2000 to December 31, 2004), a total of 181 arthroscopic procedures were performed on the shoulder joints of patients diagnosed with impingement or rotator cuff syndromes. In 130 cases, a tear or irritation of...

The Role of Capsulolabral Complex in Bankart Lesion Repair Using Mitek AnchorsOriginal papers

R. HOLIBKA, M. PACH, R. KALINA

Acta Chir Orthop Traumatol Cech. 2007; 74(4):273-277 | DOI: 10.55095/achot2007/043  

PURPOSE OF THE STUDYThe reconstructions of Bankart lesions, carried out according to the procedure recommended by the Mitek company, showed a high rate of recurrent dislocation. Therefore, based on operative experience, anatomical studies and reconstructive surgery on cadaver shoulders, we developed a new surgical technique that provided good shoulder stability and better operative outcomes. The results are reported here.MATERIALBetween 1997 and 2005, arthroscopic Bankart repair with use of Mitek anchors was performed on 368 shoulders at the Department of Orthopedics, Faculty of Medicine, Palacky University in Olomouc. The average age of...

Silastic Implant Arthroplasty of the Second to Fifth Metacarpophalangeal Joints in Rheumatoid ArthritisOriginal papers

J. DOBIÁŠ, J. PECH, S. POPELKA

Acta Chir Orthop Traumatol Cech. 2007; 74(4):278-286 | DOI: 10.55095/achot2007/044  

PURPOSE OF THE STUDYThe authors evaluate the long-term results of metacarpophalangeal joint (MCP) arthroplasty of the second to fifth digits in the rheumatoid hand in relation to the factors that have a long-term effect on implant function.MATERIALIn a group of 41 patients, 52 hands were treated with a total of 166 Swanson silastic MCP implants in the period from 1988 to 2005. The average follow-up was 3.2 years (range, 6 months to 17 years). Arthroplasty was carried out exclusively for the indication of rheumatoid destruction of MCP joints.METHODSThe patients were assessed for the range of motion, MCP joint alignment and functional...

Current Concepts in the Management of Distal Radius FracturesCurrent concepts review

E. K. SHIN, J. B. JUPITER

Acta Chir Orthop Traumatol Cech. 2007; 74(4):233-246 | DOI: 10.55095/achot2007/037  

The treatment of fractures at the distal end of the radius continues to challenge orthopaedic and upper extremity surgeons. As our understanding of the injury mechanism and local anatomy continues to improve, so too have our surgical techniques in helping patients regain functional use of the injured extremity. The purpose of this maniscript is to review the treatment methods available for distal radius fracture management.

Involvement of Immunogenetic Factors in the Development of Periprosthetic OsteolysisCurrent concepts review

J. GALLO, F. MRÁZEK, M. PETŘEK

Acta Chir Orthop Traumatol Cech. 2007; 74(4):247-252 | DOI: 10.55095/achot2007/038  

Aseptic loosening and osteolysis are the most frequent causes of total hip or total knee arthroplasty failure. Osteolysis is induced predominantly by polyethylene particles that are produced by adhesive wear of the prosthesis. The particles trigger a complex host's reaction varying in intensity even in response to the same number of particles. These differences indicate that individual predisposition may have an important role in the pathogenesis of osteolysis. The major key mediators of wear-induced osteolysis include the cytokines RANKL, TNF-a, IL-1, IL-6 and IL-8. The inter-individual differences in the extent of bone destruction may therefore be...

Callus Distraction Lengthening of the Tibia with the Intramedullary Kinetic Nail (Case Report)Case report

P. VIŠŇA, E. BEITL, Z. ŠMÍDL, J. KALVACH, E. JAGANJAC

Acta Chir Orthop Traumatol Cech. 2007; 74(4):287-291 | DOI: 10.55095/achot2007/045  

In this report the first experience with callus distraction lengthening using the intramedullary kinetic nail is described. This was performed on a left tibia with a total shortening of 34 mm. The distraction phase lasted 36 days and the rate of distraction was 0.95 mm per day. The full weight-bearing of the treated lower extremity was allowed at 12 weeks after surgery. Complete consolidation of the callus was achieved at 112 days and the consolidation index was 3.21 days/mm.No serious complications were recorded during the post-operative period. At 12 months after surgery, the patient showed a full range of motion in the knee, his ankle range...

XVI. ortopedické sympozium s mezinárodní účastí v Hradci KrálovéReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2007; 74(4):292

Zápis ze schůze výboru AOAA CZReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2007; 74(4):292