Surgical Management and Outcome of Skeletal Metastatic Disease of the HumerusOriginal papers

P. Schwabe, M. Ruppert, S. Tsitsilonis, I. Melcher, K.-D. Schaser, S. Märdian

Acta Chir Orthop Traumatol Cech. 2014; 81(6):365-370 | DOI: 10.55095/achot2014/050  

PURPOSE OF THE STUDYEvaluation of outcome after surgical treatment of humerus metastases with a focus on tumour and patient derived factors, timing and strategy of intervention, surgical outcome and complications.MATERIAL AND METHODSSixty-five patients with a mean age of 64.3 years (range 25-89) with 66 metastases of the humerus were surgically treated in a 7-year time-period and retrospectively reviewed.RESULTSRenal cell carcinoma and breast cancer were the most abundant types of primary tumour. The mean time from diagnosis of primary tumour to first metastasis was 14.5 months (range 0-173). The mean time from diagnosis of metastasis...

Most Frequent Causes of Autologous Graft Failure in Anterior Cruciate Ligament ReplacementOriginal papers

P. Vališ, J. Sklenský, M. Repko, M. Rouchal, J. Novák, T. Otaševič

Acta Chir Orthop Traumatol Cech. 2014; 81(6):371-379 | DOI: 10.55095/achot2014/051  

PURPOSE OF THE STUDYThe aim of this retrospective study was to present a comprehensive overview of the causes of bone-tendon-bone (BTB) autograft failure after primary anterior cruciate ligament (ACL) reconstruction.MATERIAL AND METHODSBetween 2003 and 2013, we performed revision ACL replacement in 47 patients who had undergone primary BTB autograft ACL reconstruction in other hospitals. The group consisted of 16 women (aged 25 to 48 years) and 31 men (25 to 46 years). Surgery was performed on the right knee in 26 and on the left knee in 21 patients. In each of the 47 patients, two different assessments were made:1. Analysis of causes...

The Comparative Evaluation of Treatment Outcomes in Pediatric Displaced Supracondylar Humerus Fractures Managed with either Open or Closed Reduction and Percutaneous PinningOriginal papers

D. Keskin, H. Sen

Acta Chir Orthop Traumatol Cech. 2014; 81(6):380-386 | DOI: 10.55095/achot2014/052  

PURPOSE OF THE STUDYThe aim of this study was to evaluate comparatively the outcomes of pediatric displaced supracondylar fractures of humerus which were treated with either closed reduction and percutaneous pinning (CRPP) or open reduction and percutaneous pinning (ORPP).MATERIAL AND METHODSThe study included 100 children with displaced supracondylar fractures of the humerus, who were treated with either CRPP (group 1) or ORPP (group 2); the numbers of subjects in the study groups were equal. The treatment outcomes were assessed clinically and radiologically.RESULTSNinety-six percent excellent or good cosmetic results were achieved...

Supraclavicular Neuropathy after Surgical Treatment of Clavicular Fractures: Comparison of Two IncisionsOriginal papers

M. Erdoğan, E. E. Desteli, Y. İmren, M. Kiliç, S. Ulusoy, A. Varli

Acta Chir Orthop Traumatol Cech. 2014; 81(6):387-391 | DOI: 10.55095/achot2014/053  

PURPOSE OF THE STUDYTo compare the clinical results of clavicular fractures operated by superior locking plate using either horizontal or vertical incision by physical examination and nerve conduction tests.MATERIAL AND METHODSBetween January 2010 and January 2013, 63 patients with displaced midshaft clavicle fracture were treated with superior locking plate (22 female, 41 male) with either horizontal (n = 38) or vertical incisions (n = 25). Mean interval between trauma and surgery was 3 days (1 to 8 days). Electrodiagnostic tests were performed to 15 patients who felt numbness across their shoulder or chest and ASES test was performed...

Use of Artificial Bone in Lateral Interbody Fusion of the Lumbar Spine: A Prospective Radiographic StudyOriginal papers

L. Hrabálek, E. Čecháková, S. Buřval, M. Adamus, K. Langová, M. Vaverka

Acta Chir Orthop Traumatol Cech. 2014; 81(6):392-398 | DOI: 10.55095/achot2014/054  

PURPOSE OF THE STUDYThe aim of the study was to evaluate the extent of fusion using synthetic β-tricalcium phosphate as a bone substitute in extreme lateral interbody fusion (XLIF).MATERIAL AND METHODSIn this prospective study, patients undergoing XLIF with an Oracle cage filled with the artificial bone ChronOs Strip (Synthes, USA) were evaluated. The group consisted of 61 patients, 33 women and 28 men, with an average age of 50.9 years (range, 21 to 73 years). A total of 64 segments were operated on. Stand-alone interbody fusion was performed in 14 segments, lateral plate fixation in 19, transpedicular (TP) fixation before XLIF was...

Elbow Arthroscopy in the Surgical Treatment of Post-Traumatic Changes of the Elbow JointOriginal papers

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

Acta Chir Orthop Traumatol Cech. 2014; 81(6):399-406 | DOI: 10.55095/achot2014/055  

PURPOSE OF THE STUDYThe aim was to determine indication criteria for use of arthroscopy in the treatment of post-traumatic changes in the elbow joint, to present the surgical technique and to evaluate the results of a prospective study involving early follow-up of functional and radiographic outcomes of this treatment.MATERIAL AND METHODSBetween February 2010 and February 2013, arthroscopic surgery was carried out on 14 elbows in 14 patients at the Clinic of traumatology of Masaryk hospital in Ústí nad Labem. The group comprised seven men and seven women, with an average age of 40 years (range, 20 to 67 years). The indications for elbow...

Fracture Healing: Fracture Healing Understood as the Result of a Fascinating Cascade of Physical and Biological Interactions. Part I. An Attempt to Integrate Observations from 30 Years AO Research, DavosCurrent concepts review

S. M. Perren

Acta Chir Orthop Traumatol Cech. 2014; 81(6):355-364 | DOI: 10.55095/achot2014/049  

The choice of best procedure in fracture treatment relies on a proper understanding of tissue reactions to the prevailing mechanical and biological conditions. Investing time and effort is rewarding as it opens up access to a fascinating world and improves fracture treatment based on logical decision making.An intact bony skeleton enables mechanical functions of the human body such as locomotion. This function of the bone is made possible by its stiffness and strength, which allows bone to carry load without undergoing major deformation while remaining intact even under heavy loads. The shortcoming of bone as a strong and stiff material is its...

Surgical Treatment of Intra-Articular Calcaneal Fractures in ChildrenCase report

J. Zeman, J. Matějka

Acta Chir Orthop Traumatol Cech. 2014; 81(6):407-411 | DOI: 10.55095/achot2014/056  

Fractures of the heel bone are frequent injuries and they may interfere with the patient's common daily activities for quite a long time. They are most frequently caused by falls and jumps from a height, and occur most often in middle-aged persons; they account for about 2% of all fractures in adults. In children, calcaneal fractures indicated for surgery are rare.The report presents two cases of intra-articular fracture in children treated by open reduction from the extended lateral approach and by osteosynthesis with an angular stable plate. The surgical procedure, reduction, implant and post-operative care were the same as used in adults.A...

13. sympozium Sekce dětské ortopedie při ČSOT - KroměřížReports from ČSOT

Jan Charvát

Acta Chir Orthop Traumatol Cech. 2014; 81(6):412