Acta Chir Orthop Traumatol Cech. 2017; 84(4)
Original papers
Local Application of Tranexamic Acid in Total Hip Arthroplasty Decreases Blood Loss and Consumption of Blood TransfusionOriginal papers
J. LO©«ÁK, J. GALLO, M. VEČEŘA, J. ©PIČKA, K. LANGOVÁ
Acta Chir Orthop Traumatol Cech. 2017; 84(4):254-262 | DOI: 10.55095/achot2017/040 
PURPOSE OF THE STUDYThe primary aim of our study was to identify the effects of local application of tranexamic acid (TXA, Exacyl) on the amount of postoperative blood loss and blood transfusion requirement in primary total hip arthroplasty. We also recorded the levels of postoperative haemoglobin and its drop in early period after surgery. In each patient, we monitored in detail the incidence of early complications (haematoma, wound exudate). Lastly, the economic aspect of TXA administration was also taken into account.MATERIAL AND METHODSThe prospective study included a total of 312 patients (122 men and 190 women) undergoing primary...
Early Predictors Related with Mortality in Suspected Patients of Necrotizing FasciitisOriginal papers
S.-M. CHOI, K.-B. LEE
Acta Chir Orthop Traumatol Cech. 2017; 84(4):263-270 | DOI: 10.55095/achot2017/041
PURPOSE OF THE STUDYThere are little reports about criteria or predictors for evaluation of the severity of necrotizing fasciitis (NF) leading to death. The purpose of this study is to evaluate the risk factors to predict mortality through analysis of historical, clinical, laboratory and radiographic findings in the patients suspected NF in emergency room and assist surgeons in taking preventative measures or appropriate treatment to increase survival rates on the basis of the early predictor related mortality.MATERIAL AND METHODS67 consecutive patients who received a fasciotomy under the impression of NF in emergency room were divided...
Mid-Term to Long-Term Results of Revision Total Hip Arthroplasty Using the Oval-Shaped Acetabular Cup - TC TypeOriginal papers
E. ©«ASTNÝ, T. TRČ, J. FRÝDL, Z. KOPEČNÝ, T. PHILIPPOU, J. LISÝ
Acta Chir Orthop Traumatol Cech. 2017; 84(4):271-278 | DOI: 10.55095/achot2017/042
INTRODUCTIONThe purpose of our paper is to evaluate the mid-term to long-term results and to confirm the basic criteria of a high-quality revision implant: safe bridging of bone defects, achievement of reliable primary fixation of revision acetabular cup, achievement of good secondary stability with documentable osteointegration of cup and demonstration of remodelling of transplanted bone tissue in the area of defects and in spaces between the implant ribs.MATERIAL AND METHODSAltogether 36 patients (38 cups) were evaluated who had undergone revision hip arthroplasty in the period from 2004 to 2010. The mean follow-up was 8.2 years (5.1-11.6...
Short-Term Results of Surgical Treatment of Patients with Hallux RigidusOriginal papers
M. DYGRÝNOVÁ, M. UVÍZL, J. GALLO
Acta Chir Orthop Traumatol Cech. 2017; 84(4):279-284 | DOI: 10.55095/achot2017/043
PURPOSE OF THE STUDYHallux rigidus is common and degenerative arthritis of the first metatarsophalangeal joint. The aim of this study was to assess the results of cheilectomy and total joint replacement (TJR) in patients with hallux rigidus. Minimum duration of follow-up was 18 months.MATERIAL AND METHODSThe study included fifty-nine patients who underwent surgery at our Department due to hallux rigidus between January 2013 and December 2014. Thirty-seven patients underwent cheilectomy and twenty-two patients had total joint arthroplasty using METIS®. The outcomes were assessed by comparing preoperative and postoperative ranges of motion,...
Comparison of the Arthroscopic Finding in the Knee Joint and the MRI - Retrospective StudyOriginal papers
K. ©IMEČEK, P. LÁTAL, J. DUDA, M. ©IMEČEK
Acta Chir Orthop Traumatol Cech. 2017; 84(4):285-291 | DOI: 10.55095/achot2017/044
PURPOSE OF THE STUDYOur retrospective study presents the comparison of the preoperative magnetic resonance imaging of the knee joint - MRI - and the arthroscopic finding - ASC. Its aim is to find out how a positive or a negative finding of MRI corresponds with the operative finding and how much the experience of radiologist contributes to the conformity.MATERIAL AND METHODSThe MRI findings of knee joints treated surgically at two departments in 2013 and 2014 were assessed. The MRI was performed in a total of 470 patients who subsequently underwent an arthroscopic surgery.A conformity or a non-conformity in anterior, posterior horn and...
The Impact of Caregivers' Anxiety on Patients' Anxiety before Fast-Track Knee ArthroplastyOriginal papers
P. ZIETEK, B. ZARZYCKA, J. ZIETEK, M. STEPIEN-SLODKOWSKA, E. SIENKO-AWIERIANOW, D. KOTRYCH, K. DOBIECKI
Acta Chir Orthop Traumatol Cech. 2017; 84(4):292-298 | DOI: 10.55095/achot2017/045
PURPOSE OF THE STUDYAnxiety may have negative repercussions on the surgery including poorer outcomes. On the other hand, the majority of patients reporting preoperative anxiety fear not receiving enough attention from a caregiver.In patients undergoing fast-track knee arthroplasty, we determined the relationship between patients' preoperative anxiety and the anxiety the patient's caregiver. We also analyzed the influence of selected psychosocial and demographic variables on the relationship between caregivers' and patients' anxiety.MATERIAL AND METHODSWe conducted a prospective, descriptive study in which baseline assessments of patients...
Canine Elbow Humeroulnar Incongruity Measurements Using Computed TomographyOriginal papers
R. SNÁ©IL, P. PROKS, A. NEČASOVÁ, K. MICHALČÁKOVÁ, A. NEČAS
Acta Chir Orthop Traumatol Cech. 2017; 84(4):299-303 | DOI: 10.55095/achot2017/046
PURPOSE OF THE STUDYThe purpose of the study is to compare the repeatability and reproducibility of quantitative and subjective evaluation of elbow humeroulnar incongruity (HUI) using computed tomography (CT) on an in vivo canine model.MATERIAL AND METHODSHUI was evaluated on canine (n = 50) elbow joints (n = 100). The computed tomography of elbow joints was performed under intravenous sedation. Multiplanar reconstructions (MPR) were produced. HUI was evaluated on sagittal MPR images subjectively and by measuring the subluxation index (SI). The SI was defined by measuring the distance between the centres of two circles, the shape of which...
Current concepts review
Acetabular Fractures in an Advanced Age - Current Knowledge and Treatment OptionsCurrent concepts review
S. MÄRDIAN, D. RAU, P. HINZ, S. WITTENBERG, M. GIESECKE, P. SCHWABE
Acta Chir Orthop Traumatol Cech. 2017; 84(4):241-246 | DOI: 10.55095/achot2017/038
The demographic change in industrial countries leads to an increasing population that sustains an acetabular fracture in an advanced age. Some authors predicted elderly individuals to be the most rapidly growing subgroup of patients currently sustaining acetabular fractures. Gold standard of treatment of acetabular fractures remains the open reduction and internal fixation. Relevant factors impeding surgical treatment include the significantly decreased bone stock and the incapability of the patients to partially weight bear following surgery. Therefore, special considerations should be performed when dealing with this patient group as surgical treatment...
Concussion in Sports - What Trauma/Orthopedic Surgeons Need to Know!Current concepts review
A. GÄNSSLEN, T. NEUBAUER, W. KRUTSCH
Acta Chir Orthop Traumatol Cech. 2017; 84(4):247-253 | DOI: 10.55095/achot2017/039
Concussion in sport is often underdiagnosed with the potential risk of long-term sequelae. This article presents the mechanisms, the underlying pathophysiology and typical primary signs and symptoms. The recognition and resulting medical measures including the present recommendations and decisions on return to play are described.The majority of patients with concussion present with clinical and cognitive symptoms only for short time intervals. As a rule a complete subjective recovery is observed within a few hours or days. Although neurocognitive impairments can persist in individual cases, they also show a good tendency to heal. Thus, after 1...
Case report
Damage Control Surgery in Polytrauma Patients with Pelvic Fractures.
Is It Possible to Use Internal Fixation?Case report
L. HAVLŮJ, V. D®UPA, R. GÜRLICH
Acta Chir Orthop Traumatol Cech. 2017; 84(4):304-308 | DOI: 10.55095/achot2017/047
Current polytrauma management is multidisciplinary, with Damage Control Surgery (DCS), Damage Control Orthopaedics (DCO) and Damage Control Resuscitation (DCR) being applied in the first few hours after injury. The most severe group of polytrauma patients are those with circulatory instability and massive blood loss as a consequence of unstable pelvic fractures. In treating these patients, of crucial importance is the speed and quality of stabilisation of pelvic fracture fragments. The authors present two case reports of polytrauma patients with unstable pelvic fractures, in whom open reduction and internal fixation was performed on the anterior fracture...