Treatment of Distal Humeral Fractures by Open Reduction and Internal LCP-DHP FixationOriginal papers

CH. GEORGIADES, J. MATĚJKA, T. PAVELKA, P. HOUČEK

Acta Chir Orthop Traumatol Cech. 2010; 77(6):479-483 | DOI: 10.55095/achot2010/079  

PURPOSE OF THE STUDYThe aim of this retrospective study was to evaluate the group of 27 patients with distal humeral fractures treated by the locking compression plate and distal humerus plate (LCP-DHP) system.MATERIALBetween January 2006 and June 2008, a total of 62 distal humeral fractures (61 patients) were treated in our department, of which 27 were managed by LCP-DHP. The group comprised 15 women (55.5 %) and 12 men (45.5 %), with an average age of 53.6 years (range, 18 to 84 years).METHODSConservative reduction and subsequent immobilization were done in all fractures. The surgical procedure was indicated within 24 hours of...

Quality of Life in the Patients Treated for Degenerative Lumbar Spinal Stenosis: A Three-Year Follow-up StudyOriginal papers

F. NĚMEC, L. RYBA, M. REPKO, R. CHALOUPKA

Acta Chir Orthop Traumatol Cech. 2010; 77(6):484-488 | DOI: 10.55095/achot2010/080  

PURPOSE OF THE STUDYThe aim of the study was to evaluate the quality of life in patients treated for degenerative lumbar spinal stenosis at 3 years of follow-up.MATERIAL AND METHODSBetween October 2005 and 2008, answers to Oswestry, quality-of-life (SF-36) and VAS questionnaires were obtained from 117 patients indicated for lumbar spine surgery due to spinal stenosis. There were 52 men and 65 women, with an average age of 62 years. For future evaluation, the patients were placed into three groups according to the surgical treatment used: simple decompression with posterolateral fusion using autograft (69 patients); decompression and instrumented...

Proximal Femoral Varus Osteotomy in Adults after Developmental Dysplasia of the Hip: Long-Term ResultsOriginal papers

Z. ROZKYDAL, P. JANÍČEK, P. OTIEPKA

Acta Chir Orthop Traumatol Cech. 2010; 77(6):489-493 | DOI: 10.55095/achot2010/081  

PURPOSE OF THE STUDYThe aim of this retrospective study was to assess the results of varus osteotomy of the proximal femur in adults with coxa valga after developmental dysplasia of the hip (DDH) and to evaluate the efficacy of this method.MATERIAL AND METHODSThirty hips in 28 patients treated by proximal femoral varus osteotomy in the period from 1983 to 1990 were evaluated. The indication for surgery involved coxa valga (145°-168°) with grade I- III of osteoarthritis and mild acetabular dysplasia. The patient group comprised twenty six women and two men with an average age of 28 years (18 to 42) at the time of surgery. The mean follow-up...

Restoration of Upper-Limb Function in Patients with Cervical Spinal Cord LesionOriginal papers

I. ČIŽMÁŘ, E. EHLER, N. CALABOVÁ, R. VINTER, J. PALČÁK

Acta Chir Orthop Traumatol Cech. 2010; 77(6):494-500 | DOI: 10.55095/achot2010/082  

PURPOSE OF THE STUDYInjury to the spinal chord at the C5 level results in a severe handicap to the patient because of a loss of active motion of the wrist and hand. Selected surgical procedures can effectively restore active extension of the wrist and provide conditions for some vital pinching and gripping abilities. The deltoid muscle also has a potential for restoration of upper limb function, because its posterior portion can be used to restore elbow extension. The aim of this clinical retrospective study was to describe and evaluate the techniques used to improve the quality of life in patients with spinal chord lesions at the C5 level.MATERIAL...

Suicidal Jumper's FractureOriginal papers

J. ZEMAN, T. PAVELKA, J. MATĚJKA

Acta Chir Orthop Traumatol Cech. 2010; 77(6):501-506 | DOI: 10.55095/achot2010/083  

PURPOSE OF THE STUDYThe characteristics, diagnosis, classification and treatment options of rare fractures of the sacrum known as suicidal jumper's fractures are presented based on six illustrative cases.MATERIAL AND METHODSJumper's fractures of the sacrum are characterised by an H- or U-shaped fracture line in the upper sacrum, usually involving the S1-S2 region. Typically, the anterior segment of the pelvic ring is not injured. In most cases this injury is associated with polytrauma and it is imperative that the patients undergo thorough neurological examination including that for perineal sensitivity and anal tone.RESULTSBetween...

Changes in Epidemiology and Treatment of Pelvic Ring Fractures in Germany: An Analysis on Data of German Pelvic Multicenter Study Groups I and III (DGU/AO)Current concepts review

G. TOSOUNIDIS, J. H. HOLSTEIN, U. CULEMANN, F. HOLMENSCHLAGER, F. STUBY, T. POHLEMANN, R. Kurowski, P. Garcia, G. Streicher, H. Schmal, A. Pizanis

Acta Chir Orthop Traumatol Cech. 2010; 77(6):450-456 | DOI: 10.55095/achot2010/075  

The diagnosis and treatment of pelvic ring injuries is demanding. Therefore, standardized classifications characterizing the stability and severity of pelvic ring fractures are essential to define clear algorisms for the treatment of these injuries. The first part of this article provides an overview of the etiology and classification of pelvic ring injuries. We recommend the AO classification to assess the stability of pelvic ring fractures. This classification includes 3 types of pelvic ring fractures: stable fractures (type A), fractures with only rotational instability (type B), and fractures with complete (rotational and translational) instability....

Monteggia Fractures in AdultsCurrent concepts review

H. C. FAYAZ, J. B. JUPITER

Acta Chir Orthop Traumatol Cech. 2010; 77(6):457-462 | DOI: 10.55095/achot2010/076  

Over the past fifty years, treatment outcomes of traumatic injuries in the upper limb have improved with the advent of better implants. However, the Monteggia fracture is often still associated with various complications, poor functional outcomes and a relatively high rate of revision surgeries. Rigid anatomic fixation of ulnar fracture is paramount. Open relocation of the radial head and soft tissue procedures are redundant.Monteggia fractures are challenging to treat. Critical analysis with respect to the high rate of complications and unsatisfactory functional outcomes is required. The type of fracture and associated injuries such as coronoid...

Polyetheretherketone (PEEK). Part I: Prospects for Use in Orthopaedics and TraumatologyCurrent concepts review

Z. HORÁK, D. POKORNÝ, P. FULÍN, M. ŠLOUF, D. JAHODA, A. SOSNA

Acta Chir Orthop Traumatol Cech. 2010; 77(6):463-469 | DOI: 10.55095/achot2010/077  

On the basis of current studies, polyaryletherketone (PAEK) polymers appear to be materials with great prospects for medical application. The most important member of this family of semi-crystalline thermoplastics is polyetheretherketone (PEEK) with its composites. The excellent properties of this material find their use in the treatment of various disorders of the skeletal system. At present they are used with advantage to construct spinal implants, and replacements for other orthopaedic applications and for dental and trauma medicine are at advanced stages of clinical testing.

Polyetheretherketone (PEEK). Part II: Application in Clinical PracticeCurrent concepts review

D. POKORNÝ, P. FULÍN, M. ŠLOUF, D. JAHODA, I. LANDOR, A. SOSNA

Acta Chir Orthop Traumatol Cech. 2010; 77(6):470-478 | DOI: 10.55095/achot2010/078  

Polyetheretherketone (PEEK) is one of the up-to-date organic polymer thermoplastics with applications in orthopaedics and trauma medicine. This study presents a detailed analysis of its tests and applications in clinical medicine,A wide range of PEEK modifications and composites are commercially available, e.g., PEEK-Classix, PEEK-Optima, Endolign and Motis. They differ in their physical properties, which makes them suitable for different applications. Other forms, so-called PEEK bioactive composites, contain beta-tricalcium phosphate and hydroxyapatite. Research in this field is also concerned with the surface finish of this polymer thermoplastic...

65 let prof. MUDr. Karla Koudely, CSc.Reports from ČSOT

Acta Chir Orthop Traumatol Cech. 2010; 77(6):507