Conservative Treatment of Acetabular Both Column Fractures: Does the Concept of Secondary Congruence Work?Original papers

GÄNSSLEN, A., HILDEBRAND, F., KRETTEK, C.

Acta Chir Orthop Traumatol Cech. 2012; 79(5):411-415 | DOI: 10.55095/achot2012/058  

Complete separation of all bony fragments around the acetabulum in both column fractures can lead to extra-anatomical orientation of these fragments around the femoral head with the potential of a "secondary congruence". No long-term data are known in the literature.We could follow 35 patients were a both column fracture was treated non-operatively due to different reasons. Demographics, fracture type, additional fracture lesions (comminution, marginal impaction), the clinical and radiological result and joint failure (severe arthrosis, FHN, esc. THR) were analyzed.The mean age was 38 years, 27 patients were male, eight female. All but four...

Comparison of Patellar Pain after Total Knee Arthroplasty with Conventional versus Individual Femoral Rotational AlignmentOriginal papers

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

Acta Chir Orthop Traumatol Cech. 2012; 79(5):416-421 | DOI: 10.55095/achot2012/059  

PURPOSE OF THE STUDYThe aim of the study was to find out whether the frequency and intensity of patellar pain can be affected by individual rotational alignment of the femoral component in total knee arthroplasty, as compared with the standard 3 degrees of external femoral rotation in conventional procedures.MATERIAL AND METHODSIn randomly selected patients treated for knee osteoarthritis by total joint replacement between January 2007 and January 2011, the occurrence of patellar pain was assessed. The evaluated knees were allocated to two groups. Group 1 included 350 knee joints with conventional femoral rotational alignment, i.e., 3 degrees...

Comparison of Two Surgical Methods for Treatment of Idiopathic Thoracic Scoliosis - Anterior versus Posterior ApproachesOriginal papers

R. CHALOUPKA, M. REPKO, V. TICHÝ, M. LEZNAR, M. KRBEC

Acta Chir Orthop Traumatol Cech. 2012; 79(5):422-428 | DOI: 10.55095/achot2012/060  

PURPOSE OF THE STUDYThe aim of this retrospective randomised study is a comparison of two surgical approaches (anterior versus posterior) for the treatment of idiopathic thoracic scoliosis by corrective spondylodesis with segmental instrumentation in adolescents aged 13 to 20 years.MATERIAL AND METHODSThe study included patients with right-sided idiopathic thoracic scoliosis (Cobb's angle, 40°-70°; Lenke type I). The group of patients treated from the posterior approach by fusion and segmental instrumentation, involving the use of a hybrid, two-rod system or screws only, comprised 31 girls with an average age of 14.5 years (group 1). In...

Evolution of the Technique of Arthroscopic Reinsertion of the Rotator Cuff. Our Experience from the Years 1998 to 2008Original papers

R. HOLIBKA, P. NEORAL, R. KALINA, L. RADOVÁ, J. GALLO

Acta Chir Orthop Traumatol Cech. 2012; 79(5):429-436 | DOI: 10.55095/achot2012/061  

PURPOSE OF THE STUDYA rotator cuff tear is a relatively frequent cause of pain and restricted motion of the shoulder. Some orthopaedists believe that any attempt at rotator cuff reconstruction will fail. The aim of this paper is to present our experience with arthroscopic reconstruction of rotator cuff tears.MATERIAL AND METHODSBetween January 1998 and December 2008, 319 patients with an early diagnosis of rotator cuff rupture were treated. The group included 67 women and 252 men, with an average age of 37 years (range, 24 to 71 years) at the time of surgery. The patients indicated for arthroscopic reconstruction had to show free motion...

Surgery for Sciatic Nerve InjuriesOriginal papers

R. KAISER, L. HOUŠŤAVA, P. HANINEC

Acta Chir Orthop Traumatol Cech. 2012; 79(5):437-441 | DOI: 10.55095/achot2012/062  

PURPOSE OF THE STUDYInjury to the sciatic nerve is a rare event. Apart from war time surgery, it usually presents as a closed lesion caused by traction. The aim of the study was to evaluate a group of patients treated for sciatic nerve injury, with an analysis of the cause for and the outcome of surgery.MATERIAL AND METHODSIn this prospective study, the results in ten patients treated surgically were evaluated. Five patients underwent exoneurolysis, two were treated by end-to-end suture of the nerve and three by suture and sural nerve grafting. One patient was lost to follow-up and nine were followed up for minimally 24 months after surgery.RESULTSIn...

Intercondylar Eminence Fracture in Children. Results of Long-Term Follow-upOriginal papers

J. JOCHYMEK, Š. ONDRUŠ, J. ŠKVAŘIL

Acta Chir Orthop Traumatol Cech. 2012; 79(5):442-446 | DOI: 10.55095/achot2012/063  

PURPOSE OF THE STUDYAn intercondylar eminence fracture is injury more common in children and adolescents than in adults. Also if it is considered a benign lesion, a displaced medial spine fracture can result in cruciate ligament laxity. We report the evaluation of long-term results of conservative and arthroscopic stabilisation in children and adolescents with different types of intercondylar eminence fracture.MATERIAL AND METHODSForty-eight patients with intercondylar eminence fractures, 31 boys and 17 girls, were included in our retrospective study. Of them, 33 were at the end of skeletal growth.According to the Meyers and McKeever...

Subtalar Dislocation of the FootOriginal papers

M. LACKO, R. ČELLÁR, G. VAŠKO

Acta Chir Orthop Traumatol Cech. 2012; 79(5):447-450 | DOI: 10.55095/achot2012/064  

PURPOSE OF THE STUDYBased on a retrospective analysis, the authors present their experience with treatment of subtalar dislocation of the foot.MATERIAL AND METHODSBetween 1999 and 2011 six patients, all of them men, with the average age of 31 years were treated for subtalar fractures. Five patients were diagnosed with medial dislocation and one with lateral dislocation. In one patient with medial subtalar dislocation it was an open injury. The clinical and radiographic results of the patients followed up for 1 to 12 years (average, 7.8 years) were retrospectively evaluated.RESULTSThe achieved average score, based on the AOFAS ankle...

Vascular System InjuriesOriginal papers

J. MOLÁČEK, V. TŘEŠKA, K. HOUDEK, J. BAXA, B. ČERTÍK, J. KŘIŽAN

Acta Chir Orthop Traumatol Cech. 2012; 79(5):451-454 | DOI: 10.55095/achot2012/065  

PURPOSE OF THE STUDYThe aim of this retrospective study is to present our experience with the management of injuries to the vascular system at the Trauma Centre, University Hospital in Plzeň. We show the most frequent mechanisms of injury, diagnostic pitfalls, therapeutic options and evaluate both the short-term and long-term results of surgical treatment and interventional radiology procedures.MATERIAL AND METHODSWe evaluated a group of patients with a serious vascular injury who were treated at the Traima Centre during the five-year period from January 2006 to December 2010. The group included 82 patients, 59 men and 23 women, with the...

Gun-Shot Injuries to the Abdomen Involving the PancreasOriginal papers

F. ČEČKA, A. ASQAR, B. JON, J. KOČÍ, Z. ŠUBRT, A. FERKO

Acta Chir Orthop Traumatol Cech. 2012; 79(5):455-458 | DOI: 10.55095/achot2012/066  

PURPOSE OF THE STUDYThe aim of the study is to present our experience with the diagnosis and therapy of penetrating abdominal injury involving the pancreas caused by a gun shot.MATERIAL AND METHODSThe group included patients with gun-shot abdominal injuries involving the pancreas who were treated at the Department of Surgery and the Department of Emergency Medicine at the University Hospital Hradec Králové. The extent of pancreatic injury was assessed using the American Association for the Surgery of Trauma (AAST) classification. The factors evaluated included the timing of surgery, operative strategy, operative time, blood loss, post-operative...

Fixation of Osteoporotic Fractures in the Upper Limb with a Locking Compression PlateCurrent concepts review

NEUHAUS, V., KING, J. D., JUPITER, J. B.

Acta Chir Orthop Traumatol Cech. 2012; 79(5):404-410 | DOI: 10.55095/achot2012/057  

Locking Compression Plate (LCP) has the advantageous feature that screws can be locked in the plate leaving an angular stable construct. There is no need to have contact between the plate and the bone to achieve stability resulting from friction of the plate-bone-construct. Therefore the plate does not need to be contoured exactly to the bone and the healing bone's periosteal blood supply is not affected. The LCP is used as a bridging plate to gain relative stability in multi-fragmentary, diaphyseal or metaphyseal fractures. Depending on the fracture, the combination hole can also allow the LCP to achieve absolute stability similar to conventional...

Odontoid Fracture Combined with Lateral Atlanto-Axial Dislocation. Report of Two CasesCase report

P. BUCHVALD, P. BARSA, P. SUCHOMEL

Acta Chir Orthop Traumatol Cech. 2012; 79(5):459-462 | DOI: 10.55095/achot2012/067  

The authors describe their experience with treatment of two neurologically intact male patients, aged 70 and 74 years, presenting with combined lateral atlanto-axial dislocation and odontoid type II fracture. The mechanism of these two craniovertebral junction injuries had been lateroflexion of the neck. The initial attempt at closed reduction using axial traction failed. The authors succeeded with a closed reduction maneuver under general anaesthesia in the first patient in whom long-term stability was achieved by transarticular C2-C1 fixation, together with interlaminar fusion. In the second patient, closed reduction was unsuccessful due to intra-articular...

Zápis ze zasedání výboru ČSOT konaného dne 11. 9. 2012 v HN hotelu OlomoucReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2012; 79(5):463