Operative Treatment for Saddle-Shaped Femoral HeadsOriginal papers

M. BURIAN, P. DUNGL, J. CHOMIAK, M. OŠŤÁDAL, R. KUBEŠ, O. SCHWARZ

Acta Chir Orthop Traumatol Cech. 2016; 83(4):247-253 | DOI: 10.55095/achot2016/040  

PURPOSE OF THE STUDYA saddle-shaped deformity of the femoral head has a poor prognosis due to rapid development of secondary changes. A new method of treatment by intra-articular anteromedial wedge reduction osteotomy (AWRO) of the femoral head may preserve the hip for the future. This study was designed to ascertain that this invasive technique was safe and effective and to confirm our hypothesis that AWRO significantly improved functional and radiological parameters of the hip joint.MATERIAL AND METHODSPatients who underwent AWRO between 2010 and 2013 were enrolled in this study. The indication criteria for the procedure included Stulberg...

Intra-Articular Application of Tranexamic Acid Significantly Reduces Blood Loss and Transfusion Requirement in Primary Total Knee ArthroplastyOriginal papers

J. LOŠŤÁK, J. GALLO, J. ŠPIČKA, K. LANGOVÁ

Acta Chir Orthop Traumatol Cech. 2016; 83(4):254-262 | DOI: 10.55095/achot2016/041  

PURPOSE OF THE STUDYThe aim of this prospective study was to investigate the effect of topical application of tranexamic acid (TXA, Exacyl) on the amount of post-operative blood loss, and blood transfusion requirement in patients undergoing primary total knee arthroplasty (TKA). Attention was paid to early complications potentially associated with TXA administration, such as haematoma, wound exudate, or knee swelling. In addition, the economic benefit of TXA treatment was also taken into account.MATERIAL AND METHODSThe study included 238 patients (85 men and 153 women) who underwent primary total knee arthroplasty (TKA) at our department...

Radiological Changes after Interspinous Dynamic Stabilisation for Lateral Stenosis of Lumbar Spinal Canal: A Parallel Group Randomised TrialOriginal papers

J. MOHAR, M. CIMERMAN

Acta Chir Orthop Traumatol Cech. 2016; 83(4):263-268 | DOI: 10.55095/achot2016/042  

PURPOSE OF THE STUDYInterspinous dynamic stabilisation devices (IDSDs) are used for stabilisation and indirect decompression of the spinal motion segment in minimally invasive treatment of degenerative conditions of lumbar spine. Good methodological quality studies on biomechanical effects of IDSDs are lacking in scientific literature. The purpose of this study was to evaluate the biomechanical effect of dynamic IDSD implantation on a spinal motion segment.MATERIAL AND METHODSWe conducted a parallel group randomised trial (RT) on twelve patients, comparing radiological stabilisation and indirect decompression outcome measures between groups...

Influence of the Weather on the Incidence of Fractures in the ElderlyOriginal papers

BURGET F., FOLTÁN O., KRAUS J., KUDRNA K., NOVÁK M., ULRYCH J.

Acta Chir Orthop Traumatol Cech. 2016; 83(4):269-273 | DOI: 10.55095/achot2016/043  

PURPOSE OF THE STUDYThe incidence of geriatric fractures (proximal femur, distal radius, proximal humerus and thoracolumbar spine injuries) in the population increases with ageing. However, the role of weather conditions, such as icy and slippery winter, should not be overlooked. A deeper insight into this relationship may bring about a better understanding of the fracture aetiology and thus allow for improvement in the prevention of fractures in elderly people.MATERIAL AND METHODSThis prospective study included 676 patients (469 women and 207 men) aged 65 and over. Relationships between the incidence of geriatric fractures in these patients...

Standard Approaches to the Acetabulum Part 2: Ilioinguinal ApproachCurrent concepts review

A. GÄNSSLEN, ST. GRECHENIG, M. NERLICH, M. MÜLLER, W. GRECHENIG

Acta Chir Orthop Traumatol Cech. 2016; 83(4):217-222 | DOI: 10.55095/achot2016/036  

Non-Union in Upper Limb Fractures - Clinical Evaluation and Treatment OptionsCurrent concepts review

M. V. NEUMANN, J. ZWINGMANN, M. JAEGER, T. O. HAMMER, N. P. SÜDKAMP

Acta Chir Orthop Traumatol Cech. 2016; 83(4):223-230 | DOI: 10.55095/achot2016/037  

Although non-unions in the upper limb are rare different treatment options of this challenging situation are still affected with up to 20% of failure rate due to current literature. Risk factors for delayed and non-union of fractures are mainly the size of the fracture gap and bone loss of open fractures or in primary surgery followed by other relevant internal and external factors. In the upper limb non-unions of long bones are described with up to 30% after operative intervention. Especially in the upper limb range of motion is limited in non-union cases and disables adjacent joints like the shoulder, elbow and wrist hence reducing the total activity...

Comminuted Fracture of Elbow - Ostheosynthesis vs. Total Joint ReplacementCurrent concepts review

J. ZWINGMANN, M. V. NEUMANN, T. O. HAMMER, K. REISING, N. P. SÜDKAMP

Acta Chir Orthop Traumatol Cech. 2016; 83(4):231-237 | DOI: 10.55095/achot2016/038  

Comminuted fractures of the elbow are very rare and in most cases very complex and the successful treatment can be a challenge for the treating surgeon. Due to the elbow joint's complex functional anatomy, the multi-fragmentary nature of many fractures and concomitant destabilizing associated injuries, comminuted fractures of the elbow still present a serious challenge for the orthopedic surgeon. Especially in more severe communicated injuries an osteosynthesis or endoprosthesis must be discussed with the patient. There is a lack of clear treatment recommendations based on solid evidence.An overview of the literature including a treatment algorithm...

Gait Analysis in Patients with Hip DisordersCurrent concepts review

K. URBÁŠEK, J. POUL

Acta Chir Orthop Traumatol Cech. 2016; 83(4):238-246 | DOI: 10.55095/achot2016/039  

Recent studies have shown that the evaluation of both conservative and surgical therapy cannot do without gait analysis. Orthopaedic textbooks, with some exceptions, deal in great detail with a thorough clinical examination of the patient but gait assessment is mentioned only marginally. More attention is paid to gait analysis in rehabilitation medicine. Motion and gait analysis laboratories equipped with optoelectronic cameras and force platforms were first developed for cerebral palsy children. Recently, several studies have been published on the use of these methods in disorders of hip and knee joints or spine diseases.

Traumatic Thrombosis of the Renal Artery following Seat-Belt InjuryCase report

ČERTÍK B., TŘEŠKA V., BIERHANZLOVÁ J., MATĚJKA J., ZEMAN J., MATĚJKA T.

Acta Chir Orthop Traumatol Cech. 2016; 83(4):274-278 | DOI: 10.55095/achot2016/044  

Renal artery thrombosis is a rare complication of blunt abdominal injury. It occurs most frequently in car accidents in which sudden deceleration results in multiple internal injuries. Renal artery occlusion occurs rarely as an isolated blunt trauma. This report presents a case of traumatic occlusion of the left renal artery with complete ischaemia of the left kidney in a haemodynamically stable girl who suffered multiple seat-belt injuries in a car crash. Ambiguous findings on a CT scan of the abdominal cavity indicated surgical inspection of the abdomen and, since the injury-to-surgery interval was short, an attempt at revascularisation of the left...

Symptomatic Intraosseous Ganglion of the Trapezium. Case Report and Literature ReviewCase report

KOVAŘÍK J., DRÁČ P.

Acta Chir Orthop Traumatol Cech. 2016; 83(4):279-282 | DOI: 10.55095/achot2016/045  

An intraosseous ganglion cyst has been reported in nearly all of the carpal bones; it is a rare cause of chronic wrist pain. The case presented here is a rare finding of symptomatic intraosseous ganglion of the trapezium bone. The relevant literature is reviewed.

Zápis ze zasedání výboru ČSOT konaného dne 7. 6. 2016 v Parkhotelu PrůhoniceReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2016; 83(4):283