Functional Results Following Titanium Elastic-Stable Intramedullary Nailing (ESIN) of Mid-Shaft Clavicle FracturesOriginal papers

K. F. BRAUN, S. SIEBENLIST, G. H. SANDMANN, F. MARTETSCHLÄGER, T. KRAUS, C. SCHRÖDL, C. KIRCHHOFF, M. NEUMAIER

Acta Chir Orthop Traumatol Cech. 2014; 81(2):118-121 | DOI: 10.55095/achot2014/012  

INTRODUCTIONWhile plate fixation remains the gold standard for surgical treatment for displaced mid-shaft clavicle fractures (DMCF), intramedullary fixation has emerged as a promising alternative. However, due to its more demanding technique and depending on the fracture's nature, an open reduction can be necessary. Aim of this study was to compare the outcome of open reduction versus closed reduction of DMCF using ESIN.PATIENTS AND METHODSTitanium Elastic Nail (TEN) were used to treat 40 patients undergoing minimally invasive ESIN between December 2006 and July 2009. A total of 19 patients were treated with a closed reduction and 21 patients...

All-Polyethylene Tibial Component in Walter-Motorlet Total Knee Arthroplasty. Long-Term OutcomesOriginal papers

V. RYBKA, P. VAVŘÍK, I. LANDOR, F. DENK, J. HACH, T. KRŮTA, M. SÍBR

Acta Chir Orthop Traumatol Cech. 2014; 81(2):122-128 | DOI: 10.55095/achot2014/013  

PURPOSE OF THE STUDYAn analysis of long-term results of the all-polyethylene tibial component in Walter-Motorlet cemented condylar knee arthroplasty, with a standard tibial plateau (STP) of our own design.MATERIAL AND METHODSA total of 49 patients underwent knee replacement; of them, 35 (71.4%) with 38 Walter-Motorlet implants using the STP were evaluated. The average age at the time of evaluation was 87.3 years. The follow-up ranged from 18 to 27 years (average, 24.6 years). Mechanical properties of the STP were tested by experimental measurements and in a photoelasticimetric study. The clinical results were evaluated according to the...

Surgical Treatment of Humeral Diaphyseal FracturesOriginal papers

K. ŠMEJKAL, P. LOCHMAN, T. DĚDEK, J. TRLICA

Acta Chir Orthop Traumatol Cech. 2014; 81(2):129-134 | DOI: 10.55095/achot2014/014  

PURPOSE OF THE STUDYThe aim of the study was to compare two surgical methods of treating diaphyseal fractures of the humerus.MATERIAL AND METHODSA prospective randomised study on the surgical treatment of humeral diaphyseal fractures was carried out between September 2009 and January 2013. The patients indicated for surgical treatment fell into two groups according to the technique used as follows: minimally invasive plate osteosynthesis (MIPO) with a locking compression plate (LCP; Synthes, Switzerland); depending on the fracture type and course of fracture line, either a straight narrow or a Philos or a metaphyseal LCP was used (group...

Scaphoid Excision and Four-Corner Fusion using the Variable Angle Locking Intercarpal Fusion Plate for Treatment of Post-Traumatic Degenerative Changes of the WristOriginal papers

P. DRÁČ, I. ČIŽMÁŘ, M. HOMZA, V. PRÁŠIL, J. ZAPLETALOVÁ

Acta Chir Orthop Traumatol Cech. 2014; 81(2):135-139 | DOI: 10.55095/achot2014/015  

PURPOSE OF THE STUDYThe aim of this study is to compare functional and X-ray results before and after four-corner arthrodesis using an angular stable dorsal circular plate in patients with post-traumatic degenerative changes of the wrist.METHODSNine consecutive patients with scapholunate advanced collapse (SLAC) or scaphoid nonunion advanced collapse (SNAC) of the wrist, stage III, underwent scaphoid excision and four-corner fusion using angular stable plate fixation. The wrists were immobilised using a split for two weeks and then a removable wrist brace with assisted physiotherapy for four weeks. Minimal follow-up was 18 months. Clinical...

Pedicle Screw Fixation of Thoracic Spine FracturesOriginal papers

M. BOŽÍK, M. MAGALA, T. HEGER, D. MATEJIČKA, J. BAKA, P. ŠIMKO

Acta Chir Orthop Traumatol Cech. 2014; 81(2):140-151 | DOI: 10.55095/achot2014/016  

PURPOSE OF THE STUDYFractures of the thoracic spine involve injury at the levels of Th2 to Th10. Because of pedicle morphology, pedicle screw fixation is a demanding procedure. However, evidence on the reliability and efficiency of this technique has recently been provided by several studies. The aim of this study was to analyse a group of patients with thoracic spine fractures treated by pedicle screw fixation and to evaluate treatment outcomes.MATERIAL AND METHODSA total number of 33 patients treated by pedicle screw fixation for thoracic spine fractures between January 2007 and December 2011 were enrolled in this retrospective study....

Current Concepts Review: Open Tibial FracturesCurrent concepts review

P. J. SHARR, R. E. BUCKLEY

Acta Chir Orthop Traumatol Cech. 2014; 81(2):95-107 | DOI: 10.55095/achot2014/010  

Femoral Shaft Fractures in Adults: Treatment Options and ControversiesCurrent concepts review

A. GÄNSSLEN, T. GÖSLING, F. HILDEBRAND, H. C. PAPE, H. J. OESTERN

Acta Chir Orthop Traumatol Cech. 2014; 81(2):108-117 | DOI: 10.55095/achot2014/011  

Antegrade reamed femoral nailing via the piriformis entry point is the technique of choice in treating femoral shaft fractures, with retrograde nailing as an alternative. The supine position is favored to reduce complications, especially rotational malalignment. With navigation and robotic assistance fracture reduction can be supported and the rate of rotational, axis and length malalignement can potentially further reduced.Careful reaming is the procedure of choice to optimize bony healing and reduce systemic and local complications. In multiply injured patients reamed nailing can be safely integrated in the DCO- or ETC-concept and can be performed...

Tumour-Like Lesion of the Forefoot due to a Retained Toothpick Fragment. Case ReportCase report

V. BARTÁK, Z. KRÁTKÝ, S. POPELKA ml.

Acta Chir Orthop Traumatol Cech. 2014; 81(2):152-154 | DOI: 10.55095/achot2014/017  

The case of a 17-year-old patient with a pseudotumour of the forefoot caused by a retained toothpick fragment is reported. The patient had several examinations in a two-year period and was treated for synovialitis of the first and third metatarsophalangeal joints. However, radiography of the plantar surface was the only examination done during these two years. Therapy was unsuccessful. After admission to our department, ultrasonography was performed and a foreign body in granulation tissue was detected. Computed tomography and MRI confirmed the finding. The foreign body granuloma was removed by surgery and the patient healed successfully. Options for...

Zápis ze zasedání výboru ČSOT konaného dne 11. 2. 2014 v Parkhotelu Průhonice, restaurace TaroucaReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2014; 81(2):155