Reflections on Our ProfessionEditorial

A. Sarmiento

Acta Chir Orthop Traumatol Cech. 2015; 82(1):9-12 | DOI: 10.55095/achot2015/001  

Minimally Invasive Stabilization of Posterior Pelvic Ring Injuries with a Transiliac Internal Fixator and Two Iliosacral Screws: Comparison of OutcomeOriginal papers

M. Salášek, T. Pavelka, J. Křen, D. Weisová, M. Jansová

Acta Chir Orthop Traumatol Cech. 2015; 82(1):41-47 | DOI: 10.55095/achot2015/005  

PURPOSE OF THE STUDYA comparison of radiological and clinical results between dorsal pelvic segment stabilization with a transiliac internal fixator (TIFI) and that with two iliosacral screws (IS).MATERIAL AND METHODSIn this prospective study, both the TIFI and the IS group had 32 patients. The majority of injuries were assessed as type C1.3 because only patients with a high-energy mechanism of injury were included. Radiological results were evaluated according to the Matta scoring system and clinical outcome using the Majeed score and the Pelvic Outcome Score. Categorical data were evaluated by the two-sided Fisher's exact test or Pearson's...

Risk of Bleeding from the Internal Iliac Artery and Its Branches in Pelvic Fractures: Cadaver StudyOriginal papers

V. Báča, Z. Marvanová, J. Štefela, K. Hašplová, D. Kachlík, V. Džupa

Acta Chir Orthop Traumatol Cech. 2015; 82(1):48-50 | DOI: 10.55095/achot2015/006  

PURPOSE OF THE STUDYThe study was designed to investigate whether anatomical variations of the anterior and posterior divisions of the internal iliac artery and their branches are associated with different risks of bleeding resulting from injury to the posterior pelvic segment.MATERIAL AND METHODSThe study was carried out on 19 cadavers. The dissected area included the internal iliac artery from the common iliac artery bifurcation to the origins of the superior gluteal artery, the inferior gluteal artery and the internal pudendal artery. Using an electronic slide rule, distances between the bifurcation and the origin of each branch from...

Conservative Treatment of Acetabular Fractures: Epidemiology and Medium-term Clinical and Radiological ResultsOriginal papers

M. MAGALA, V. POPELKA, M. BOŽÍK, T. HEGER, V. ZAMBORSKÝ, P. ŠIMKO

Acta Chir Orthop Traumatol Cech. 2015; 82(1):51-60 | DOI: 10.55095/achot2015/007  

PURPOSE OF THE STUDYThe vast majority of studies on fractures of the acetabulum are concerned with surgical treatment. All displaced fractures are presented as surgically treated. The purpose of this study was to evaluate the results of surgical and conservative treatment of patients with acetabular fractures in relation to the degree of fracture displacement.MATERIAL AND METHODSWe analysed 140 fractures of the acetabulum treated in our institution by different methods between 2009 and 2013. In addition to the use of Letournel's classification, we allocated each fracture to one of six groups: 1. Sixty displaced fractures treated surgically,...

The Incidence of Osteopenia and Osteoporosis in Patients with Cementless Total Hip ArthroplastyOriginal papers

M. Lacko, D. Schreierová, R. Čellár, G. Vaško

Acta Chir Orthop Traumatol Cech. 2015; 82(1):61-66 | DOI: 10.55095/achot2015/008  

PURPOSE OF THE STUDYThe aim of the study was to evaluate the incidence of osteopenia and osteoporosis in the patients elected to cementless total hip replacement.MATERIAL AND METHODSThe group evaluated comprised 100 patients with primary or secondary forms of coxarthrosis who underwent cementless total hip arthroplasty (THA). The results of densitometric examination of the lumbar spine and proximal femur were analysed. Based on the lowest T-score value, the patients were divided into three groups, i.e., first, normal bone density; second, osteopenia; third, osteoporosis. Clinical examination included patient medical history, Harris hip...

Low Expression of TLR-1, -2, -4 a IL-2, -2R, -10, -10R and TGFb1 in Pseudosynovial Tissue Collected at Revision Total Knee Arthroplasty for Aseptic LooseningOriginal papers

T. Tománková, E. Kriegová, R. Fillerová, P. Lužná, J. Ehrmann, J. Gallo

Acta Chir Orthop Traumatol Cech. 2015; 82(1):67-75 | DOI: 10.55095/achot2015/009  

PURPOSE OF THE STUDYAseptic loosening (AL) and periprosthetic osteolysis (PPOL) in total hip (THA) and knee (TKA) arthroplasty are linked to an inflammatory process initiated by wear debris released from artificial joints. There is still limited information about the contribution of Toll-like receptors (TLRs) and distinct regulatory cytokines to AL/PPOL in both joints.METHODSIn this study, we investigated mRNA expression of TLR-1,-2,-4 and cytokines/receptors (IL-2,-2R,-10,-10R, TGFb1) in pseudosynovial tissue obtained from 55 patients with aseptically failed THAs/TKAs and 37 control patients with hip/knee primary osteoarthritis (OA) using...

Sternal Fractures and their Surgical TreatmentOriginal papers

J. Šafránek, V. Špidlen, V. Šimánek, J. Vodička, J. Široký, J. Doležal, D. Šmíd

Acta Chir Orthop Traumatol Cech. 2015; 82(1):76-79 | DOI: 10.55095/achot2015/010  

PURPOSE OF THE STUDYSternal fractures occur most frequently in vehicle accidents, then due to falls from a height and by other blunt chest trauma. Most of these injuries are simple, non-displaced fractures only rarely requiring surgical management. Based on a retrospective analysis, the authors present their experience with the treatment of sternal fractures, emphasizing the use of osteosynthesis.MATERIAL AND METHODSA group of 293 patients treated for fresh sternal fractures in the period from 2004 to 2013 were evaluated. Their median age was 47.5 years (range, 2 to 86 years). They were allocated to two groups according to the method of...

Open Talar DislocationOriginal papers

R. Veselý, J. Kočiš, M. Kelbl

Acta Chir Orthop Traumatol Cech. 2015; 82(1):80-83 | DOI: 10.55095/achot2015/011  

PURPOSE OF THE STUDYTotal talar extrusion is a rare injury. It is frequently associated with severe soft tissue injury. There is no consensus about an appropriate treatment for an extruded talus. Total extrusion of the talus has a high possibility of avascular necrosis of the talus or infection. The primary goal of this study is a retrospective evaluation of the patients with open total talar dislocation treated by immediate reimplantation.MATERIALS AND METHODSWe evaluated six patients (mean age, 29.6 years) with an open total talar dislocation treated in the Traumatological Hospital Brno. The dislocated talus, after debridement, was reduced,...

Fracture healing: Fracture Healing Understood as the Result of a Fascinating Cascade of Physical and Biological Interactions. Part IICurrent concepts review

S. M. Perren

Acta Chir Orthop Traumatol Cech. 2015; 82(1):13-21 | DOI: 10.55095/achot2015/002  

Based on our own observations an explanation of the different factors influencing bone reaction is proposed. Special attention is given to the aspect of tissue deformation (strain). We propose thinking in terms of strain rather than of instability when contemplating tissue reaction. Considering the observed bone behavior should help improving the treatment of fractures and their complications.

Management of Femoral Shaft FracturesCurrent concepts review

M. V. Neumann, N. P. Südkamp, P. C. Strohm

Acta Chir Orthop Traumatol Cech. 2015; 82(1):22-32 | DOI: 10.55095/achot2015/003  

Femoral shaft fractures are severe injuries and are often associated with a high impact trauma mechanism, frequently seen in multiple injured patients. In contrast an indirect trauma mechanism can lead to a complex femoral shaft fracture especially in elderly patients with minor bone stock quality. Hence management of femoral shaft fractures is often directed by co-morbidities, additional injuries and the medical condition of the patient. Timing of fracture stabilization is depended on the overall medical condition of the patient, but definite fracture fixation can often be implemented in the early total care concept in management of multiple injured...

Total Knee Arthroplasty in Patient with Paraplegia after Spinal Cord Injury. What Factors Should be Considered before a Procedure? A Case Report and Review of LiteratureCase report

P. ZIETEK, K. DOBIECKI

Acta Chir Orthop Traumatol Cech. 2015; 82(1):84-88 | DOI: 10.55095/achot2015/012  

The clinical management of paraplegic patients is more complex than in able-bodied subjects. Spinal cord injury (SCI) affects younger, active people more often than the elderly during high-energy fall or traffic accidents. In order to return to work after suffering an SCI, patients need to regain their functional independence, especially their ability to drive. The literature lacks strong evidence addressing the surgical solutions in severe knee arthrosis in paralyzed patients after SCI. We present a favourable outcome of total knee arthroplasty (TKA) of a stiff knee in extension in a man with T12 grade C paraplegia after SCI. We describe an effective...

Evidence Based Postoperative Treatment of Distal Radius Fractures following Internal Locking Plate FixationIn-service-training

S. M. KLEIN, L. PRANTL, M. KOLLER, J. VYKOUKAL, J. H. DOLDERER, S. GRAF, M. NERLICH, M. LOIBL, S. GEIS

Acta Chir Orthop Traumatol Cech. 2015; 82(1):33-40 | DOI: 10.55095/achot2015/004  

Originally, the treatment method of choice for distal radial fractures (DRF) has been a non-operative approach with six to eight weeks of plaster casting. The introduction of volar locking plate systems at the beginning of the 21st century has pushed trends towards open reduction and internal fixation (ORIF). While the introduction of fixed angle locking plates together with the increasing knowledge on wrist function and related variable outcomes has led to consensus that operative fixation in instable DRF is the treatment method of choice, there is no agreement on a postoperative care of these injuries. The authors will discuss the available evidence...

Zápis ze 7. schůze podvýboru pro ekonomiku ve zdravotnictví, zdravotní pojištění a lékovou politiku a semináře na téma: "Ve kterých oborech je léčba kmenovými buňkami postupem lege artis?" ze dne 11. listopadu 2014Reports from ČSOT

Acta Chir Orthop Traumatol Cech. 2015; 82(1):89-91  

Zápis ze zasedání výboru ČSOT konaného dne 2. 12. 2014 v Parkhotelu Průhonice v restauraci TaroucaReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2015; 82(1):92