Supraacetabular External Fixation for Pain Control in Geriatric Type B Pelvic InjuriesOriginal papers

A. Gänsslen, F. Hildebrand, C. Krettek

Acta Chir Orthop Traumatol Cech. 2013; 80(2):101-105 | DOI: 10.55095/achot2013/015  

PURPOUSE OF THE STUDYPelvic ring fractures in the geriatric population are of increasing frequency. Often insufficiency fractures or occult fractures are described. With a classical injury mechanism the majority of these injuries are the result of a low energy trauma, typically a fall from standing or during walking.Clinically, many patients report immediate anterior groin pain but detailed clinical examination often shows significant posterior pelvic pain. CT evaluation often reveals posterior pelvic ring injury, in the majority of cases a sacral compression fracture. Despite adequate diagnostics, many of these patients suffer from persistent...

Unstable Injuries to the Upper Cervical Spine in Children and AdolescentsOriginal papers

J. Štulík, P. Nesnídal, J. Kryl, T. Vyskočil, M. Barna

Acta Chir Orthop Traumatol Cech. 2013; 80(2):106-113 | DOI: 10.55095/achot2013/016  

PURPOSE OF THE STUDYInjuries to the upper cervical spine in children are rare and account for 0.6 to 9.5 % of all cervical spine injuries. We present a detailed analysis of the children and adolescents with unstable upper cervical spine injuries treated at our spinal centre.MATERIALDuring 16 years of follow-up, unstable injury to the upper cervical spine was recorded in 23 children and adolescents. Two patients (8.7%) were treated conservatively and 21 (91.3 %) underwent surgery. The patients were allocated by age to three groups: 0-9 year, 10-14 year and 15-18 year categories. Twenty patients were seen at the final clinical and radiographic...

Wound Drainage in Primary Knee Arthroplasty - a Prospective Randomized StudyOriginal papers

S. Märdian, C. Perka, G. Matziolis

Acta Chir Orthop Traumatol Cech. 2013; 80(2):114-117 | DOI: 10.55095/achot2013/017  

PURPOUSE OF THE STUDYWound drainage in surgical interventions has a long tradition. Regarding the primary TKA there are no valid data concerning the ideal point of time for removal. The objective of this prospective randomized study was to investigate which drainage procedure should be given preference with regard to wound healing, blood loss, development of intraarticular hematomas and early postoperative function.MATERIAL AND METHODSWe documented the ROM, the knee circumference at the upper patellar pole preoperatively and on days 2, 4 and 6 postoperatively. The blood volume and loss was calculated. As surrogate parameter for wound healing...

Use of the Omega Plate for Stabilisation of Acetabular Fractures: First ExperienceOriginal papers

J. Šrám, S. Taller, R. Lukáš, L. Endrych

Acta Chir Orthop Traumatol Cech. 2013; 80(2):118-124 | DOI: 10.55095/achot2013/018  

PURPOSE OF THE STUDYThe aim of our study is to solve the problem of insufficient fixation of comminuted fractures of the quadrilateral plane and the iliopectineal line. These fixation problems occur while using the standard narrow 3.5 mm fixation plate applied from a modified Stoppa approach. A new plate developed by the authors - the Omega plate - fulfils the requirements.MATERIAL AND METHODSIn the period 2010-2012, we performed 156 stabilisations of pelvic ring fractures and acetabular fractures. We used the modified Stoppa approach applying the standard fixation plate in 24 patients and the Omega plate in 15 patients. The patient group...

Are there any Prognostic Prediction Parameters (PPPs) in the Treatment of the Massive Rotator Cuff Tear with Latissimus Dorsi Transfer?
Latissimus dorsi transfer in massiv rotator cuff tearsOriginal papers

L. J. Lehmann, K. Cafaltzis, S. Hünnebeck, M. Moursy

Acta Chir Orthop Traumatol Cech. 2013; 80(2):125-130 | DOI: 10.55095/achot2013/019  

PURPOSE OF THE STUDYEspecially in such complex salvage procedures as latissimus dorsi transfer for irreparable rotator cuff tears there is a need for valid prognostic prediction parameters. Parameters such as osteoarthritis, acromiohumeral distance, subscapularis, or teres minor insufficiency are controversial. The aim of this study is to present our data and to evaluate the literature regarding such parameters.METHODSFifty-seven patients with a follow-up of 3 years (range, 18-72 months, n = 57) were selected for this study. Average age of patients at the time of surgery was 64.9 years. Patients were evaluated using the age and gender adjusted...

Orthogonal Double Plate Fixation for Long Bone Fracture NonunionOriginal papers

M. El Haj, A. Khoury, R. Mosheiff, M. Liebergall, Y. A. Weil

Acta Chir Orthop Traumatol Cech. 2013; 80(2):131-137 | DOI: 10.55095/achot2013/020  

PURPOSE OF THE STUDYThe treatment of long bone diaphyseal fracture-nonunion is challenging. While taking into account biological needs, a stable mechanical environment is pertinent for fracture healing. This work aims at evaluating the surgical management of stubborn ununited fractures using orthogonal double plating of diaphyseal fractures with limited periosteal stripping and soft tissue dissection.PATIENTS AND METHODSRetrospective analysis in a level I trauma center. Between the years 2007-2009, 22 patients were treated with double plating due to nonunion of long bone fractures. Long bones included three clavicles, six humeri,...

Minimally Invasive Anterolateral Surgical Approach for Total Hip Arthroplasty: Seven-Year ResultsOriginal papers

D. Musil, J. Stehlík

Acta Chir Orthop Traumatol Cech. 2013; 80(2):138-141 | DOI: 10.55095/achot2013/021  

PURPOSE OF THE STUDYTo evaluate the results of using the minimally invasive surgical - anterolateral approach (MIS-AL) for total hip arthroplasty at 7-year follow-up.MATERIALA total of 188 patients operated on between January 2005 and March 2006 were invited to come for check-up. Of them, 132 had a complete follow-up including examination at one and 7 years post-operatively. Forty-seven patients did not respond, four had died and five underwent revision arthroplasty. The evaluation was based on the Harris Hip Score, percent and school markings and radiographic analysis.METHODSThe patient was operated on in the lateral position....

Open Reduction and Plate Fixation (ORIF LCP) for Treatment of Bilateral Calcaneal FracturesOriginal papers

J. Zeman, J. Matějka, T. Matějka, M. Salášek, P. Zeman, P. Nepraš

Acta Chir Orthop Traumatol Cech. 2013; 80(2):142-147 | DOI: 10.55095/achot2013/022  

PURPOSE OF THE STUDYCalcaneal fractures are frequent injuries which may interfere with the patient's daily activities for a long time. They usually occur as the result of an axial load causing impaction of the talus into the calcaneus. They can also be bilateral. Falls and jumps from height are the most frequent causes.MATERIAL AND METHODSBetween August 2005 and December 2011, the method of open reduction and internal fixation (ORIF) with a calcaneal locking compression plate (LCP) was used to treat 98 patients with 114 calcaneal fractures. Of these, 16 were bilateral fractures found in two women and 14 men.In each patient, plain lateral...

Allofit Cementless Acetabular Component: Five-Year ExperienceOriginal papers

P. HOZA, J. PILNÝ, J. KUBEŠ

Acta Chir Orthop Traumatol Cech. 2013; 80(2):148-154 | DOI: 10.55095/achot2013/023  

PURPOSE OF THE STUDYTo evaluate the mid-term results of using the Allofit cementless acetabular cup for primary hip replacement.MATERIAL AND METHODThe Allofit cup is a cementless hemispherical acetabular component. The macrostructure on the external surface, including 1200 concentrically arranged teeth, and the rough-blasted surface of the biocompatible pure titanium provide good conditions for press-fit fixation.From 1998 to 2005 we used it in 182 cases of primary total hip replacement (THR) in 164 patients. (18 patients had bilateral THRs) The average age at the time of surgery was 58.3 years in men (range, 39-74 years) and 64.1 years...

Anterior Cruciate Ligament Injuries in Children and Adolescents in our Patient GroupOriginal papers

M. Straka

Acta Chir Orthop Traumatol Cech. 2013; 80(2):155-158 | DOI: 10.55095/achot2013/024  

PURPOSE OF THE STUDYToday arthroscopy remains the principal method in both the diagnosis and the therapy of knee injuries also in children and adolescents because serious knee ligament injuries, including those to the anterior cruciate ligament (ACL), are not rare in childhood. According to many authors, consequences of knee instability in children are more serious than in adults.MATERIAL AND METHODSIn 713 patients treated by arthroscopy for knee joint injuries at our department between 2000 and 2010, ACL injury ranked fifth among knee injuries and was found in 85 patients (12%). All patients in this group were under 19 years of age. The...

Computer-Assisted Kinematic 2D and 3D Navigation in Medial Opening-Wedge High-Tibial Valgus OsteotomyOriginal papers

F. Okál, R. Hart, M. Komzák, A. Safi

Acta Chir Orthop Traumatol Cech. 2013; 80(2):159-164 | DOI: 10.55095/achot2013/025  

PURPOSE OF THE STUDYThe aim of the study was to assess the accuracy of axis deformity correction achieved by high-tibial valgus osteotomy either without or with a computer-assisted kinematic navigation system, on the basis of comparing the planned and the achieved frontal axis of the leg. Comparisons of mechanical axis deviation were made using both pre- and post-operative measurements with the planning software and intra-operative measurements with the navigation system before and after osteotomy. In addition, the aim was to test the hypothesis that the use of 3D navigation, as compared with 2D navigation, would help reduce changes in the tibial...

Surgical Management of Talus Fractures: Mid-Term Functional and Radiographic OutcomesOriginal papers

L. Kopp, P. Obruba, J. Riegl, P. Meluzinová, K. Edelmann

Acta Chir Orthop Traumatol Cech. 2013; 80(2):165-170 | DOI: 10.55095/achot2013/026  

PURPOSE OF THE STUDYThe aim of this prospective study was to present injury characteristics and to evaluate therapeutic procedures and mid-term functional and radiographic results of the surgical management of talus fractures.MATERIAL AND METHODSIn the period from January 1, 2004, to December 31, 2009, a total of 53 patients with 56 talar bone fractures or peritalar dislocations were treated surgically. The prospective study included 39 patients with 42 fractures of the talar neck and body; of these, 31 men had 34 fractures (79.5%) and eight women had eight fractures (20.5%). There were recorded demographic data, medical history, associated...

Nekrolog pana primáře MUDr. Pavla JelenaReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2013; 80(2):171  

Zápis ze zasedání výboru ČSOT konaného dne 13. 11. 2012 v restauraci Tarouca, Parkhotel PrůhoniceReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2013; 80(2):172  

Zápis ze zasedání výboru ČSOT konaného dne 19. 2. 2013 v restauraci Tarouca, Parkhotel PrůhoniceReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2013; 80(2):173