Arthroscopic Stabilisation of Acute Acromioclavicular Dislocation Using the TighRope DeviceOriginal papers

L. Bajnar, R. Bartoš, P. Šedivý

Acta Chir Orthop Traumatol Cech. 2013; 80(6):386-390 | DOI: 10.55095/achot2013/065  

PURPOSE OF THE STUDYTo present the TightRope (Arthrex, Naples, FL) technique and its results in the arthroscopic stabilisation of acute acromioclavicular joint (ACJ) dislocation carried out at our department.MATERIAL AND METHODSFrom July 2009 till December 2010, arthroscopic stabilisation of acute ACJ dislocation was performed in 22 patients. The group consisted of 18 men and four women with an average age of 37.4 years. The Rockwood type III to type V ACJ dislocations (III, 16; IV, 1; V, 5) were indicated for surgery. The average interval between injury and surgery was 5.4 days. In all cases, a second-generation TightRope implant was inserted...

Hinged External Fixation in Orthopaedic and Trauma Surgery of the ElbowOriginal papers

M. Feranec, R. Hart, T. Kozák

Acta Chir Orthop Traumatol Cech. 2013; 80(6):391-395 | DOI: 10.55095/achot2013/066  

PURPOSE OF THE STUDYA hinged external fixator of the elbow provides stable fixation of the joint while maintaining the range of its motion. The aim of the study was to evaluate a group of patients in whom an external fixator was used to manage severe injuries to the elbow, namely, traumatic unstable dislocation, unstable fracture-dislocation, and elbow fractures not permitting management by primary osteosynthesis. This also involved assessment of early elbow mobilisation and a comparison of this group with a group of patients treated conservatively for less severe elbow injuries.MATERIAL AND METHODSA group of 25 patients were evaluated...

Recurrent Intra-Articular Bleeding Episodes in Haemophiliacs. Treatment Outcomes in the Patients at the University Hospital Motol in 1985-2005Original papers

P. Teyssler, T. Trč, K. Kološtová, V. Bobek

Acta Chir Orthop Traumatol Cech. 2013; 80(6):396-399 | DOI: 10.55095/achot2013/067  

PURPOSE OF THE STUDYChronic synovitis is a common finding in people with haemophilia. It regularly appears after recurrent episodes of intra-articular bleeding. The bleeding originates from the subsynovial venous plexus underlying the capsule where a lack of thromboplastic activity has been demonstrated. Therefore, the changed synovium appears to be a treatment target. There are several methods which can be used to remove the synovial layer from the joint. The aim of our study was to asses the efficacy of different treatment approaches used in a group of haemophiliacs between 1985 and 2005 in our hospital.MATERIAL AND METHODSA group of...

Tibio-Talo-Calcaneal Arthrodesis with the Retrograde Intramedullary Nail MEDINOriginal papers

S. Popelka, P. Vavřík, I. Landor, J. Bek, S. Popelka ml., R. Hromádka

Acta Chir Orthop Traumatol Cech. 2013; 80(6):400-406 | DOI: 10.55095/achot2013/068  

PURPOSE OF THE STUDYWhen the talus and the talocalcaneal joint are both affected, their fusion is the method of treatment. Ankle arthrodesis is carried out using various osteosynthetic materials such as external fixators, screws and plates. One of the options is retrograde nailing. Tibio-talo-calcaneal arthrodesis is frequently indicated in patients with rheumatoid arthritis (RA) in whom both the talus and the subtalar joint are often affected.MATERIAL AND METHODSA retrograde nail for tibio-talo-calcaneal arthrodesis was developed at our department in cooperation with MEDIN Company. This is a titanium double-curved nail, with the distal...

Reflections on Acromio-Clavicular DislocationsCurrent concepts review

A. Sarmiento

Acta Chir Orthop Traumatol Cech. 2013; 80(6):373-376 | DOI: 10.55095/achot2013/063  

A number of surgical and nonsurgical techniques have been used in the recent past for the treatment of this not uncommon traumatic condition. Thus far, no agreement has been reached regarding the method most likely to consistently render good results. Uppermost in determining the treatment has been the degree of displacement of the clavicle and the prevention of possible cosmetically unacceptable complications.Advances in the surgical care of most fractures and dislocations have lead to the current belief and practice among the majority of orthopaedic surgeons that every effort should be made to correct any deviation from the normal produced by...

What Should an Orthopaedic Surgeon Know about Biotribology of Total Hip ArthroplastyCurrent concepts review

J. Gallo, M. Hartl, M. Vrbka, T. Návrat, I. Křupka

Acta Chir Orthop Traumatol Cech. 2013; 80(6):377-385 | DOI: 10.55095/achot2013/064  

The objective of this paper is to briefly review the engineering biotribology of total hip arthroplasty (THA). At present the issue of lubrication, wear and friction within a THA is being studied in detail and the results have been published in a number of papers. The reason is obvious since the rate at which the articulating surfaces wear off affects the longevity of a THA to a great extent. Seeking an optimal biotribological configuration remains an important task for both the researchers and orthopaedic surgeons. In order to enable the orthopaedic community to think over THA biotribology and, at the same time, communicate with the representatives...

Anatomically Precontoured LCP for Delayed Union of a Medial Third Clavicle Fracture. Case Report with Review of the LiteratureCase report

S. Siebenlist, G. Sandmann, C. Kirchhoff, P. Biberthaler, M. Neumaier

Acta Chir Orthop Traumatol Cech. 2013; 80(6):407-410 | DOI: 10.55095/achot2013/069  

BACKGROUNDFractures of the medial clavicle third are rare injuries. Even in case of significant fracture displacement, their therapeutic management has been nonoperative. Recently, surgical intervention has become mandatory for displaced fractures types to prevent non-union and functional complaints, but the optimal operative strategy is being discussed controversially.CASE PRESENTATIONWe describe the case of a 63-year-old male patient with a significantly displaced medial clavicle fracture after failed conservative treatment resulting in restricted, painful shoulder function. The patient underwent open reduction and osteosynthesis with...

Posterior Dislocation of the TalusCase report

P. Šebesta, J. Hach, Z. Tlustý st.

Acta Chir Orthop Traumatol Cech. 2013; 80(6):411-413 | DOI: 10.55095/achot2013/070  

This report presents a rare case of an open total talar extrusion. The patient was treated by reduction and transarticular Kirschner-wire fixation of the talus, suture of an associated Achilles tendon rupture and plaster cast immobilisation. The plaster cast and Kirschner wires were removed after 6 weeks. At 10 weeks after injury, the patient started to walk with full weight-bearing of the operated extremity. At 18 months after injury, the patient was free from subjective complaints, with persisting slight restriction of ankle dorsiflexion range of motion and recurrent perimalleolar oedema. Neither MRI nor radiographic examination showed any avascular...

General Assembly AOTrauma Europe Barcelona, 17.-21. 10. 2013Reports from ČSOT

Martin Kloub

Acta Chir Orthop Traumatol Cech. 2013; 80(6):414-415  

Zápis ze zasedání výboru ČSOT konaného dne 5. 11. 2013 v Parkhotelu Průhonice, restaurace TaroucaReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2013; 80(6):416