TEP kyčle Plasmacup-Bicontact: výsledky s minimálně 10letým sledovánímPůvodní práce

J. ŠPIČKA, L. RADOVÁ, J. GALLO

Acta Chir Orthop Traumatol Cech. 2012; 79(4):317-323 | DOI: 10.55095/achot2012/045  

PURPOSE OF THE STUDYThe aim of the study was to analyse the long-term clinical and radiographic results of total hip arthroplasty (THA) with the Bicontact-Plasmacup prosthesis.MATERIAL AND METHODSIn this retrospective observational study, 34 consecutive patients undergoing Bicontact-Plasmacup THA between August 1998 and July 2000 were evaluated. The group included 15 women and 19 men with an average age of 56 years (30 to 67 years). The mean ± SD of follow-up was 132 ± 9 months (122 to 149 months). Patients' satisfaction with the treatment outcome and selected clinical and radiographic features were evaluated. The data were...

Komparace a statistické zhodnocení dvou metod měření "condylar twist angle" u aloplastiky kolenního kloubuPůvodní práce

K. KOUDELA Jr., J. KOUDELOVÁ, K. KOUDELA Sr., S. KORMUNDA, J. KŘEN, J. POKORNÝ

Acta Chir Orthop Traumatol Cech. 2012; 79(4):324-330 | DOI: 10.55095/achot2012/046  

PURPOSE OF THE STUDYThe aim of this prospective randomised study was to compare and statistically analyse two methods of condylar twist angle (CTA) measurement in total knee arthroplasty in order to assess their applicability in routine practice.MATERIAL AND METHODSThe study included 238 patients with 256 sites undergoing total knee arthroplasty (TKA) in the period from January 2009 to May 2011. There were 93 men (nine with bilateral TKA) and 145 women (nine with bilateral TKA) with an average age of 69.3 years and a range of 47 to 88 years. The implants NexGen (Zimmer) and ADVANCE® Medial-Pivot Knee (Wright) were used. In each patient,...

Počítačem navigovaná artroplastika kolenního kloubu s ponecháním osteosyntetického materiálu ve femuruPůvodní práce

D. HERNANDEZ-VAQUERO, A. SUAREZ-VAZQUEZ, S. IGLESIAS-FERNANDEZ

Acta Chir Orthop Traumatol Cech. 2012; 79(4):331-334 | DOI: 10.55095/achot2012/047  

PURPOSE OF THE STUDYThe use of navigation applied to total knee arthroplasty in knees with femoral hardware retained has not been studied.MATERIAL AND METHODSWe use navigation in six patients to implant a total knee arthroplasty while retaining the femoral hardware. The retained materials were screws in two cases, diaphyseal plates in another two, intramedullary nails in one and supracondylar tube/plate in another one. Preoperative knee scores were within the 46-66 range, whereas the functional scores were within 40-68. The coronal deformity varied between 30° varus and 5° valgus.RESULTSThe final femoral mechanical axis was between...

Miniinvazivní fixace pánevního kruhu transiliakálním vnitřním fixátorem (TIFI)Původní práce

M. SALÁŠEK, T. PAVELKA

Acta Chir Orthop Traumatol Cech. 2012; 79(4):335-340 | DOI: 10.55095/achot2012/048  

PURPOSE OF THE STUDYTo evaluate the results of stabilisation of the posterior pelvic segment with a transiliacal internal fixator (TIFI) in type C fractures of the pelvis.MATERIAL AND METHODSBetween 2008 and 2011, the TIFI method was used in 27 patients with unstable type C pelvic ring fractures (AO classification) at our department. The patient group included 15 men and 12 women with an average age of 35 years (range, 15 to 65 years). All patients suffered high-energy trauma in traffic accidents (59.3%), by falls from a height (33.3%) or due to other causes (7.4%). In 40.7% of the patients, pelvic injury was part of polytrauma.Fixation...

Léčba zlomenin diafýzy humeru nitrodřeňovou fixací svazkem hřebů dle HackethalaPůvodní práce

P. OBRUBA, L. KOPP, K. EDELMANN

Acta Chir Orthop Traumatol Cech. 2012; 79(4):341-346 | DOI: 10.55095/achot2012/049  

PURPOSE OF THE STUDYTo inform on our experience with the treatment of humeral shaft fractures by intramedullary osteosynthesis using Hackethal's bundle nailing and to evaluate indications for the current use of this technique.MATERIAL AND METHODSFrom January 2001 to December 2009, a total of 184 patients with humeral shaft fractures were treated surgically and, of these, 147 by Hackethal's nailing. From January 2006 60 patients treated by this technique were prospectively followed up and, of them, 50 were evaluated (83.3%) and included in this study. The average age of the study group was 51.2 years. Fifteen fractures (30%) were in the...

Nitrodřeňová osteosyntéza diafyzárních zlomenin předloktí hřebem TrueFlex - dlouhodobé výsledkyPůvodní práce

J. TRLICA, I. POČEPCOV, J. KOČÍ, M. FRANK, T. HOLEČEK, T. DĚDEK

Acta Chir Orthop Traumatol Cech. 2012; 79(4):347-354 | DOI: 10.55095/achot2012/050  

PURPOSE OF THE STUDYPresentation of technical experience and the clinical and functional results of intramedullary fixation of forearm shaft fractures.MATERIAL AND METHODSBetween January 1994 and December 2009, a total of 96 patients with 144 radial and/or ulnar fractures (ulna, 33; radius,15; both, 48) were treated by nailing (True/Flex®). According to the AO classification there were 22-A, 22-B and 22-C type fractures in 39 (41%), 44 (46%) and 13 (13%) cases, respectively. Of these, 82 (85%) were closed (types: 0, 48; I, 33; II, 1) and 14 (15%) were open (types: I, 13; II, 1; III, 0) fractures. Seventy-eight patients (81%) were followed...

Vliv uvolnění mediálních stabilizátorů kolena na velikost korekce u vysoké valgizační opening-wedge osteotomie tibie; anatomická studie na kadaverechPůvodní práce

F. OKÁL, R. HART, M. KOMZÁK

Acta Chir Orthop Traumatol Cech. 2012; 79(4):355-360 | DOI: 10.55095/achot2012/051  

PURPOSE OF THE STUDYWhen a larger opening of high-tibial osteotomy is necessary to achieve good correction of the lower extremity axis, partial release of the attachments of the medial stabilisers of the knee may be required. The aim of the study was to ascertain, in cadaver specimens, the effect of loosening the medial knee stabilisers on the magnitude of correction in medial opening-wedge high-tibial valgus osteotomy.MATERIAL AND METHODSThirty-eight knees obtained from cadavers of Caucasian race were dissected. Medial opening-wedge high-tibial valgus osteotomy was performed using a dynamic distractor, constructed by us, with a dynamometer...

Porovnání efektivnosti pooperačního retransfuzního systému s perioperačním autotransfuzním systémem při implantacích totálních endoprotéz kolenního kloubuPůvodní práce

B. KUČERA, D. NÁHLÍK, R. HART, L. OCELÁKOVÁ

Acta Chir Orthop Traumatol Cech. 2012; 79(4):361-366 | DOI: 10.55095/achot2012/052  

PURPOSE OF THE STUDYThe aim of the study was to compare the effect of post-operative retransfusion with that of intra-operative autotransfusion in non-anaemic patients undergoing total knee arthroplasty (TKA).MATERIAL AND METHODSBetween February 2004 and June 2006, a total of 129 patients free of anaemia who underwent elective primary unilateral cemented TKA for primary arthritis received blood retransfusion by means of the post-operative retransfusion system. Intra-operative transfusion was not administered. Patients with coagulation disorders, thrombocytopaenia or other haematological diseases were not included. The results were compared...

Vliv šlachového transferu extensor carpi radialis longus - extensor pollicis longus na funkci rukyPůvodní práce

I. JUSTAN, Z. DVOŘÁK, T. KUBEK, P. HÝŽA, I. STUPKA, J. VESELÝ

Acta Chir Orthop Traumatol Cech. 2012; 79(4):367-369 | DOI: 10.55095/achot2012/053  

PURPOSE OF THE STUDYTwo tendons, i.e., the extensor indicis proprius (EIP) and the extensor carpi radialis longus (ECRL), are commonly used to reconstruct the function of a ruptured extensor pollicis longus (EPL) tendon. We reviewed a group of patients with EPL ruptures treated by ECRL tendon transfer to the EPL tendon, which was the method of choice. The aim was to evaluate the results and to assess the effect of ECRL detachment on hand function.MATERIAL AND METHODSTwenty patients were treated surgically for a subcutaneous rupture of the EPL tendon between 2003 and 2007. Each patient was examined at 2 years after surgery. The range of...

Epidemiologie kritických popálenin na jižní MoravěPůvodní práce

B. LIPOVÝ, M. FIAMOLI, N. GREGOROVÁ, H. ŘÍHOVÁ, J. JARKOVSKÝ, M. CVANOVÁ, I. SUCHÁNEK, P. BRYCHTA

Acta Chir Orthop Traumatol Cech. 2012; 79(4):370-375 | DOI: 10.55095/achot2012/054  

The aim of the study was to define the principal and additional characteristics of critical burns and to evaluate the effect of an increasing Abbreviated Burn Severity Index (ABSI) on mortality in burn patients admitted to the Department of Burns and Reconstructive Surgery, University Hospital in Brno.MATERIAL AND METHODSThis retrospective monocentric study included all patients older than 18 years with critical burns involving more than 40% of the total body surface area (TBSA) who were admitted to the Department of Burns and Reconstructive Surgery, University Hospital in Brno, in the period from January 1, 2001 to December 31, 2010. The epidemiological...

Periprotetické zlomeniny v oblasti kolena: nové terapeutické postupy pro vnitřní fixaci a revizní artroplastikuSouborný referát

S. MÄRDIAN, F. WICHLAS, K.-D. SCHASER, G. MATZIOLIS, B. FÜCHTMEIER, C. PERKA, P. SCHWABE

Acta Chir Orthop Traumatol Cech. 2012; 79(4):297-306 | DOI: 10.55095/achot2012/043  

Effective treatment of periprosthetic fractures following TKA continues to represent a surgical challenge. The incidence and frequency of these complicated type of fractures is expected to increase as the number of TKA as well as the activity level of these patients steadily rises. A careful and correct analysis of the fracture pattern, its classification, the quality of the existing bone stock and the fixation / loosening of the underlying prosthetic system has to precede decision making for successful conservative or surgical treatment. Therefore, improved diagnostic radiographic imaging of fracture patterns and reliable assessment of prosthesis...

Luxace TEP kolenního kloubu jako komplikace zlomeniny hlezna - kazuistikaKazuistika

M. HRUBINA, M. SKOTÁK

Acta Chir Orthop Traumatol Cech. 2012; 79(4):376-379 | DOI: 10.55095/achot2012/055  

Joint dislocation after total knee arthroplasty is a rare complication. It is described as the result of ligamentous instability. Here we report the case of an 82-year-old women who underwent primary total knee arthroplasty (TKA) for advanced primary grade III gonarthrosis. At 3 post-operative months the joint was stable and painless, with radiographic evidence of good TKA alignment and integration. At 4 months the patient suffered injury to the ankle involving a bimalleolar fracture and damage to knee soft tissues. The fracture was surgically treated. Subsequently, dorsal tibial dislocation was manifested. This was managed by individual intramedullary...

Padesát let Hackethalovy osteosyntézy humeruDopisy redakci

P. OBRUBA, L. KOPP, K. EDELMANN

Acta Chir Orthop Traumatol Cech. 2012; 79(4):380-381 | DOI: 10.55095/achot2012/056  

Léčba zlomenin proximálního humeru - přehled současných přístupů s ohledem na základní principyDoškolování

D. MAIER, M. JÄGER, P. C. STROHM, N. P. SÜDKAMP

Acta Chir Orthop Traumatol Cech. 2012; 79(4):307-316 | DOI: 10.55095/achot2012/044  

Fractures of the proximal humerus commonly affect elderly patients. The vast majority of proximal humeral fractures result from low-energy trauma in presence of osteoporosis. Incidence of proximal humeral fractures dramatically increased over the last decades. Recent epidemiological studies expect a rather stagnant incidence. Diversity of fracture types attenuates reliability of available classification systems. Even though, predictive morphologic criteria have been detected enabling a prognostic assessment. A short or absent metaphyseal head extension and disruption of the medial periosteal hinge reliably predict ischemia of the humeral head fragment....