Evaluation of Outcomes after Anterior Cruciate Ligament Reconstruction in Children and AdolescentsOriginal papers

T. PHILIPPOU, J. KAUTZNER, V. HLADKÝ, E. ŠŤASTNÝ, V. HAVLAS

Acta Chir Orthop Traumatol Cech. 2015; 82(6):398-403 | DOI: 10.55095/achot2015/066  

PURPOSE OF THE STUDYTreatment for tears of the anterior cruciate ligament (ACL) in paediatric patients has been a long-discussed issue because of complications associated with ligament reconstruction in the presence of growth plates. Various fixation materials and their efficiency as well as ACL techniques are still under investigation. The aim of our study was to find an optimal strategy of treating acute intra-articular ACL injury in childhood.MATERIAL AND METHODSThe paediatric patients treated for primary traumatic ACL injury between 2003 and 2013 were retrospectively evaluated. Only patients with a healthy contralateral knee (with no...

Influence of Cervical Spondylotic Spinal Cord Compression on Cerebral Cortical Adaptation. Radiological StudyOriginal papers

L. HRABÁLEK, P. HLUŠTÍK, P. HOK, E. ČECHÁKOVÁ, T. WANEK, P. OTRUBA, M. VAVERKA, P. KAŇOVSKÝ

Acta Chir Orthop Traumatol Cech. 2015; 82(6):404-411 | DOI: 10.55095/achot2015/067  

PURPOSE OF THE STUDYThe aim of the study was to measure the sensorimotor brain adaptation activity, shown on functional magnetic resonance images (fMRI), in relation to the degree and extent of spinal cord compression or cervical spondylotic myelopathy (CSM) detected by cervical spine MRI.MATERIAL AND METHODSTwenty-one patients (average age, 57 years; 9 men and 12 women) with anterior cervical cord compression detected on cervical MRI scans were included. On the images, the degree of spinal canal stenosis, the spinal cord compression based on the antero-posterior diameter of the spinal canal and on transverse areas of the cervical spinal...

Conservative and Surgical Treatment for Distal Ulna Fractures Associated with Distal Radius FracturesOriginal papers

M. VLČEK, J. PECH, V. MUSIL, J. STINGL

Acta Chir Orthop Traumatol Cech. 2015; 82(6):412-417 | DOI: 10.55095/achot2015/068  

PURPOSE OF STUDYFractures of the distal radius and distal ulna require anatomical reconstruction for good restoration of wrist and hand function. In this study we compared the results of conservative treatment with those of plate osteosynthesis management in distal ulna fractures of patients who had concomitant fractures of the distal radius indicated for plate osteosynthesis. Our objective was to specify indications for plate osteosynthesis of a distal ulna fracture in the case of an associated distal radius fracture.MATERIAL AND METHODSA total of 27 patients were evaluated. In 17 of them, distal radius fractures were treated by plate...

The Effect of Tranexamic Acid on Blood Loss after Primary Unilateral Total Knee Arthroplasty. Prospective Single-Centre StudyOriginal papers

J. PERTLÍČEK, J. STEHLÍK, P. SADOVSKÝ, D. MUSIL, V. MEZERA

Acta Chir Orthop Traumatol Cech. 2015; 82(6):418-423 | DOI: 10.55095/achot2015/069  

PURPOSE OF THE STUDYTranexamic acid is an antifibrinolytic agent which blocks plasmin-mediated fibrin degradation. It is used in surgery to reduce intra-operative and post-operative blood loss. The aim of our study was to assess the effect of tranexamic acid administration on blood loss after elective primary unilateral total knee arthroplasty.MATERIAL AND METHODSA total of 119 patients (50 men, 69 women) with an average age of 69.2 years were included. The patients were randomised into two groups: Group A received a single dose of tranexamic acid (Exacyl, 1.5 g i.v.) before the operation; Group B (control) did not receive any antifibrinolytic...

Eight-Plate Guided Growth Treatment for Angular Deformities and Length Discrepancies of the Lower Limbs in Children. Our First ExperienceOriginal papers

J. JOCHYMEK, T. PETERKOVÁ

Acta Chir Orthop Traumatol Cech. 2015; 82(6):424-429 | DOI: 10.55095/achot2015/070  

PURPOSE OF THE STUDYThe aim of this paper is to present our first experience with and the results of treating angular deformities and length discrepancies of the lower limbs in children and adolescents using the Eight-plate system, and to compare our results with the literature data.MATERIAL AND METHODSA total of 22 patients underwent surgery for the correction of angular deformities or length discrepancies of the lower limbs in 2014. Using Eight-plates, temporary medial hemiepiphysiodesis was carried out in 13 patients with the diagnosis of genu valgum (group 1). In nine patients (group 2) the Eight-plate was used to correct milder forms...

Bone Remodelling in the Proximal Femur after Uncemented Total Hip Arthroplasty in Patients with OsteoporosisOriginal papers

M. LACKO, D. SCHREIEROVÁ, R. ČELLÁR, G. VAŠKO

Acta Chir Orthop Traumatol Cech. 2015; 82(6):430-436 | DOI: 10.55095/achot2015/071  

PURPOSE OF THE STUDYThe aim of the study was to investigate the involvement of osteoporosis during remodelling of the proximal femur after uncemented total hip arthroplasty (THA) and the effect of bisphospohonate treatment on these changes.MATERIAL AND METHODSSixty evaluated patients with non-cemented THA were divided into three groups on the basis of pre-operative densitometric examinations. Group 1 (15 patients with osteoporosis) received a single dose of 5 mg zoledronic acid in infusion during the second post-operative week. Group 2 (15 patients with osteoporosis) were not treated by bisphospohonate. The patients of both groups took...

Fracture Fixation Using Cerclage, Research Applied to SurgeryCurrent concepts review

S. M. PERREN, A. FERNANDEZ DELL'OCA, P. REGAZZONI

Acta Chir Orthop Traumatol Cech. 2015; 82(6):389-397 | DOI: 10.55095/achot2015/065  

Arthroscopic-Assisted Intraosseous Balloon-Assisted Repositioning of a Tibial Plateau Fracture: A Case ReportCase report

O. BRINKMANN, M. RAU, S. MAENZ, M. BUNGARTZ, G. MATZIOLIS

Acta Chir Orthop Traumatol Cech. 2015; 82(6):437-439 | DOI: 10.55095/achot2015/072  

This is the first description of an arthroscopic-assisted intraosseous balloon-assisted repositioning and defect filling of a tibial plateau fracture.The bone defect was filled with calcium phosphate cement in a liquid/paste form. The described technique was therefore introduced in order to allow an arthroscopic control of reposition and intra-articular cement escape during defect filling. X-rays showed an exact reposition without cement escape and the clinical outcome was satisfactory.

Collet-Sicard Syndrome due to Occipital Condyle Fracture. Case ReportCase report

M. BARNA, J. ŠTULÍK, J. KRYL, T. VYSKOČIL, P. NESNÍDAL

Acta Chir Orthop Traumatol Cech. 2015; 82(6):440-442 | DOI: 10.55095/achot2015/073  

The case of a 63-year-old man diagnosed with Collet-Sicard syndrome due to a fracture of the right occipital condyle is presented. The cause of injury was falling off a bicycle. Dysphonia and dysphagia were present from the moment of injury, with the gradual development of light atrophy of the tongue muscles and right trapezius muscle. The diagnosis was based on examination by CT and MRI methods, the act of swallowing and physical examination by an otorhinolaryngology specialist and a neurologist who confirmed the diagnosis of injury to cranial nerves IX, X and XI on the right side. The patient was treated conservatively with application of a Philadelphia...

Destruction of the Humeral Head in Sensory Deficit due to the Spinal Hemorhagia. Case ReportCase report

J. KŘÍŽ, J. MIKEŠ

Acta Chir Orthop Traumatol Cech. 2015; 82(6):443-446 | DOI: 10.55095/achot2015/074  

Degenerative changes of the shoulder are a common complication in patients after spinal cord injury. The main cause is chronic overload to the shoulder joint due to manual wheelchair propulsion and transfers. Reduced shoulder function has a significant impact on all aspects of daily life. Shoulder arthroplasty in this group of patients is a challenging procedure because of the unique demand on the shoulder. This report presents the case of a wheelchair user who additionally experienced a complete loss of sensation around her shoulder. As a result of a repetitive strain during transfers from the wheelchair to the ground, the humeral head was destroyed.

Zápis z členské schůze ČSOT konané dne 17. 9. 2015 v sále Praha Top Hotelu 16:00-17:00 hReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2015; 82(6):447-448  

Zápis ze společné schůze výboru ČSOT a primářů ortopedických pracovišť konané dne 16. 9. 2015 v Malé aule Karolina, PrahaReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2015; 82(6):447  

14. pracovní schůze Sekce dětské ortopedie při ČSOTReports from ČSOT

Jiří Jochymek

Acta Chir Orthop Traumatol Cech. 2015; 82(6):448  

Zápis ze zasedání výboru ČSOT konaného dne 3. 11. 2015 v Parkhotelu PrůhoniceReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2015; 82(6):449