Acta Chir Orthop Traumatol Cech. 2008; 75(5)

Original papers

Functional Treatment of Closed Segmental Fractures of the TibiaOriginal papers

A. SARMIENTO, L. L. LATTA

Acta Chir Orthop Traumatol Cech. 2008; 75(5):325-331 | DOI: 10.55095/achot2008/060

PURPOSE OF THE STUDYSegmental tibial fractures are commonly believed to be more difficult to manage, requiring surgical treatment. Our experience with forty-eight segmental tibial fractures suggests that these fractures, if closed and with shortening of an acceptable initial degree and a corrected deformity, may be successfully treated with functional braces.MATERIAL AND METHODSForty-eight closed segmental fractures of the tibia that had initial shortening ≥12 mm and angular deformity manually corrected to ≥7 degrees were stabilized in an above-the-knee cast for a median time of 33 days and a mode of 15 days. They were subsequently...

Anterior Osteosynthesis of Odontoid FracturesOriginal papers

L. HRABÁLEK, S. BUŘVAL, M. VAVERKA

Acta Chir Orthop Traumatol Cech. 2008; 75(5):332-338 | DOI: 10.55095/achot2008/061

PURPOSE OF THE STUDYThe conservative treatment of an odontoid fracture with immobilization in a halo-vest or collar often results in pseudoarthrosis. Therefore, surgical treatment is preferred, and the Magerl-Böhler anterior osteosynthesis of the C2 dens is one of the options for achieving good bony union. The aim of this study was to show that the success of reducing an odontoid fracture is related to the direction of fracture lines and that of displacement, and that anterior osteosynthesis of the C2 dens provides sufficient stability when fixed either with one or two screws.MATERIALPatients treated for odontoid fracture at the Department...

Comparison of Hydroxyapatite-Coated Stems in Total Hip Arthroplasty after a Minimum 10-Years Follow-upOriginal papers

J. GALLO, I. LANDOR, I. ČECHOVÁ, D. JAHODA

Acta Chir Orthop Traumatol Cech. 2008; 75(5):339-346 | DOI: 10.55095/achot2008/062

PURPOSE OF THE STUDYHydroxypatite coating (HAC) was introduced into total hip arthroplasty (THA) practice to improve the fixation interface between bone and prosthesis. To test this assumption however, long-term follow-up investigations are needed. In this study, we present data for two consecutive series of THA stems with HAC and a minimum ten-year follow-up.MATERIALOverall, 249 patients (271 hips) were included in the study, of these 122 (135 hips) had Walter hip arthroplasty (WHA group) with a two-layered TiO2/HAC at the proximal part of the stem and 127 (136 hips) had ABG I prostheses (ABG I group) with a single-layered HAC at the proximal...

Iliopectineal BursitisOriginal papers

K. KOUDELA, Jr., J. KOUDELOVÁ, K. KOUDELA, Sr., M. KUNEŠOVÁ

Acta Chir Orthop Traumatol Cech. 2008; 75(5):347-354 | DOI: 10.55095/achot2008/063

PURPOSE OF THE STUDYTo present clinical and radiographic findings of iliopectineal bursitis and draw attention to some related etiopathogenetic factors.MATERIAL AND METHODSSix patients followed up between 2005 and 2007 were evaluated. They included four women and two men (average age, 58 years; range, 35 to 80 years) who presented with a tender mass in the hip region (four right and two left sides). Each patient underwent an examination involving a clinical check-up, imaging methods (CT, MR, angio-CT) and standard laboratory tests.RESULTSIliopectineal bursitis clinically manifested as a tender mass in the groin and hip region in...

Effects of Surgery on Muscles on Clinical and Radiographic Findings in the Hip Joint Region in Cerebral Palsy PatientsOriginal papers

A. SCHEJBALOVÁ, V. HAVLAS

Acta Chir Orthop Traumatol Cech. 2008; 75(5):355-362 | DOI: 10.55095/achot2008/064

PURPOSE OF THE STUDYIsolated or combined surgical procedures on muscles around the hip joint are currently indicated by many authors. In cerebral palsy patients they are regarded as essential intervention.MATERIALIn the years 2005-2007, surgery in the hip joint region was essential for 150 children between 3 and 18 years of age. At the time of surgery, the patients' locomotion ranged from stage 1 to stage 7 of the Vojta system.METHODSThe outcome was evaluated by clinical and radiographic examination at 2 and 6 months post-operatively and hip migration percentage and Wiberg's CE angle were measured.RESULTSThe best clinical...

Arthroscopic Treatment for Calcaneal Spur SyndromeOriginal papers

S. STROPEK, M. DVOŘÁK

Acta Chir Orthop Traumatol Cech. 2008; 75(5):363-368 | DOI: 10.55095/achot2008/065

PURPOSE OF THE STUDYArthroscopic treatment of calcaneal spur syndrome is a tissue-sparing and effective approach when conservative therapy has failed. This method, its results and our experience with the treatment of this syndrome are presented here.MATERIALBetween January 2003 and November 2007, 26 patients underwent an arthroscopic procedure for calcaneal spur syndrome; of these, 20 were women with an average age of 49 years, and six were men with an average age of 45 years. Four, three women and one man, were lost to follow-up, therefore 22 patients with 24 heels were eventually evaluated. All had conservative therapy for 3 to 6 monts.METHODSThe...

Results of Resection of Medial Patellar Plica through a Supero-lateral Portal as a Main Arthroscopic ProcedureOriginal papers

P. JEMELIK, A. E. STROVER, G. EVANS

Acta Chir Orthop Traumatol Cech. 2008; 75(5):369-374 | DOI: 10.55095/achot2008/066

PURPOSE OF THE STUDYThe aim of this study was to evaluate the results of resection of Medial Patellar Plica of the knee. The criteria for inclusion was that resection of the Medial Patellar Plica was the main arthroscopic intervention performed.MATERIALFrom 1^st January 2002 to 31^st December 2006, 1408 arthroscopies of the knee were carried out at the London Knee Clinic, London Bridge Hospital without the use of a tourniquet. In all cases of Medial Patellar Plica the Plica was observed through a supero-lateral portal as well as the standard portals. 53 knees fulfilled the criteria, of which 35 knees were traced and...

Morphological-functional Characteristic of Periarticular Tissue after Total Hip Arthroplasty-Histological, Cytochemical and Electron Microscopy AspectsOriginal papers

J. PETRUŠKA, D. ĎURČANSKÝ, A. MAKAREVIČ, E. KUBOVIČOVÁ, J. PIVKO

Acta Chir Orthop Traumatol Cech. 2008; 75(5):375-381 | DOI: 10.55095/achot2008/067

PURPOSE OF THE STUDYAnalysis of the tissue harvested around the total hip replacement isolated from re-operated patients in order to: (1) characterize complexity of structural processes developing in the region of the total hip replacement and, (2) to define the role and significance of histological structures of this tissue, mainly in relation to implant loosening, from the viewpoint of formal and causal pathogenesis.MATERIAL AND METHODSBiopsied material isolated from periarticular tissue of re-operated patients (n=19) after THR was analyzed using the methods of light optic, fluorescent (TUNEL), and transmission electron microscopy.RESULTSHistological...

Isolated Full Thickness Chondral Injuries. Prevalance and Outcome of Treatment. A Retrospective Study of 5233 Knee ArthroscopiesOriginal papers

W. WIDUCHOWSKI, P. LUKASIK, G. KWIATKOWSKI, R. FALTUS, K. SZYLUK, J. WIDUCHOWSKI, B. KOCZY

Acta Chir Orthop Traumatol Cech. 2008; 75(5):382-386 | DOI: 10.55095/achot2008/068

PURPOSE OF THE STUDYThe aim of this study was to provide data on the prevalence and epidemiology of isolated deep chondral lesions of the knee, diagnosed in arthroscopy. The study was also aimed to analyse subjective treatment results of localized deep isolated cartilage lesions and to determine how the different factors might affect the final outcome.MATERIAL AND METHODSFrom 1997 to 2002, 5233 knee arthroscopies were performed. The first part of the study is an epidemiological and statistical analysis of the isolated articular cartilage lesions in which we used the questionnaire based on the International Knee Documentation Committee (IKDC)...

Case report

Reccurent Tibial Osteomyelitis after the Segmental Bone Transport: A Radical Interdisciplinary TreatmentCase report

V. DŽUPA, A. NEJEDLÝ, O. ČECH

Acta Chir Orthop Traumatol Cech. 2008; 75(5):387-391 | DOI: 10.55095/achot2008/069

Long-term or recurrent osteomyelitis results in the deterioration of soft tissue quality at the site of an infectious process. An insufficient perfusion of the scar tissue contributes to difficult treatment of osteomyelitis. A local transpositional or free muscle flap used to replace the vulnerable scar tissue will enhance perfusion of the affected bone and will help to control osteomyelitis.The authors present the case of a patient who had been treated by bone transport for a 14-cm-long segmental defect of the tibia after post-traumatic osteomyelitis. Recurrent osteomyelitis was found nine years after the primary surgery. The whole tibial cavity...

Polyarticular Form of Pigmented Villonodular Synovitis. Radiation and Surgical Therapy: Long Term Follow-upCase report

P. VAVŘÍK, K. JAROŠOVÁ, S. POPELKA

Acta Chir Orthop Traumatol Cech. 2008; 75(5):392-395 | DOI: 10.55095/achot2008/070

We describe a case of 30-year old male followed-up since the age of 6 for severe type of rare combination of polyarticular form of pigmented villonodular synovitis with hereditary malformation constellation consistent with Noonan-like syndrome. Within 20 years, the patient underwent repeated synovectomies of large joints with temporary effect only. Radiation therapy with the dose of 30 Gy in 15 sessions has been applied for active aggressive synovitis of both knees associated with pain and progressive joint destruction. Favorable effect lasted for 3 years. Progressive destruction with range-of-motion limitation required successive total joint replacement...

Avascular Necrosis of the 1^st Metatarsal HeadCase report

M. GUREVICH, V. BIALIK, M. EIDELMAN, A. KATZMAN

Acta Chir Orthop Traumatol Cech. 2008; 75(5):396-398 | DOI: 10.55095/achot2008/071

Idiopathic avascular necrosis of first metatarsophalangeal head in child is unique condition not described in literature in past exlude one case. It seems to be part of avascular bone necrosis syndromes, like Freiberg disease, Sever disease etc. and the same principles of treatment are appropriate in AVN of 1^st MTT head.We describe the case of bilateral AVN of 1^st MTT head treated conservatively with complete cure.

Reports from ČSOT

Zdravica jubilantoviReports from ČSOT

Gabriel Varga

Acta Chir Orthop Traumatol Cech. 2008; 75(5):399-400

Zápis ze společné schůze výboru ČSOT a primářů ortopedických pracovišť konané dne 15. 5. 2008 v rezidenci primátora města PrahyReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2008; 75(5):400

Zápis z členské schůze ČSOT konané dne 16. 5. 2008 v hotelu Top PrahaReports from ČSOT