Vážení čtenáři a přispěvatelé časopisu ActaEditorial

Martin Krbec

Acta Chir Orthop Traumatol Cech. 2017; 84(5):321  

Cemented Hemiarthroplasties Are Associated with a Higher Mortality Rate after Femoral Neck Fractures in Elderly PatientsOriginal papers

M. FUCHS, F. A. SASS, S. DIETZE, M. KRÄMER, C. PERKA, M. MÜLLER

Acta Chir Orthop Traumatol Cech. 2017; 84(5):341-346 | DOI: 10.55095/achot2017/051  

PURPOSE OF THE STUDYThe postoperative outcomes of total hip replacement and hemiarthroplasty after femoral neck fractures in elderly patients were analysed to determine general and local complications as well as morbidity and mortality rates in order to detect risk profiles and assess the best individual treatment option.MATERIALS AND METHODSOne hundred sixty-one femoral neck fractures among patients aged ≥ 65 years treated with cemented hemiarthroplasty (HA) or uncemented total hip arthroplasty (THA) between January 2005 and October 2013 were evaluated. In the presence of articular pathologies as well as a fracture type Garden III or...

Occurrence and Progression of Early Radiolucent Lines around Total Knee ArthroplastyOriginal papers

M. HOLINKA, J. GALLO, R. PAVLIČNÝ

Acta Chir Orthop Traumatol Cech. 2017; 84(5):347-354 | DOI: 10.55095/achot2017/052  

PURPOSE OF THE STUDYRadiolucent (RL) lines may appear around the total knee arthroplasty (TKA); they occur much more frequently under the tibial component than under the femoral one. The RL lines are gaps between the TKA and the cement, or between the cement and the bone bed. They are clearly visible immediately after the surgery or may appear later. They constitute pathology of the interface and are subject to research mainly due to their potential association with aseptic loosening. The aim of this study was to assess how often they are clearly visible on the first postoperative radiograph in everyday clinical practice, how they develop during...

Osteochondritis Dissecans in Children - Treated with Arthroscopic DrillingOriginal papers

J. PŘIDAL, E. ŠŤASTNÝ, T. TRČ, V. HAVLAS

Acta Chir Orthop Traumatol Cech. 2017; 84(5):355-360 | DOI: 10.55095/achot2017/053  

PURPOSE OF STUDYOsteochondritis dissecans (OCHD) is an increasingly diagnosed disease among adolescent patients. It is a condition affecting subchondral bone and the lining cartilage. If left untreated, it can cause destruction of cartilage of the affected joint leading to early development of arthrosis. Mostly affected joints are knees and ankles, but affected elbow and other joints have been described too. The purpose of our study is to present the patients diagnosed and treated surgically at our clinic with arthroscopic drilling in the period 2010-2015, and subsequently the clinical findings obtained at follow-up checks after the surgery.MATERIAL...

Influence of Enhanced Recovery Regime on Early Outcomes of Total Knee ArthroplastyOriginal papers

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

Acta Chir Orthop Traumatol Cech. 2017; 84(5):361-367 | DOI: 10.55095/achot2017/054  

PURPOSE OF THE STUDYOur study compared early outcomes of total knee arthroplasty performed in conventional and enhanced perioperative care regimes, i.e. without the use of Redon drain, with intensified perioperative analgesia and more frequent and intensive rehabilitation regime in the latter.MATERIAL AND METHODSThe prospective study included 194 patients (76 men and 118 women) implanted with primary knee endoprosthesis. The mean age was 68.8 (44.7 - 88.0 years). The patients were divided into two groups - the "enhanced" and "conventional" procedures. In the first group, Redon suction drain was not inserted at the end of the surgery, and...

Bacteriuria and Symptomatic Urinary Tract Infections during Antimicrobial Prophylaxis in Patients with Short-Term Urinary Catheters - Prospective Randomised Study in Patients after Joint Replacement SurgeryOriginal papers

M. DEJMEK, T. KUČERA, L. RYŠKOVÁ, E. ČERMÁKOVÁ, P. ŠPONER

Acta Chir Orthop Traumatol Cech. 2017; 84(5):368-371 | DOI: 10.55095/achot2017/055  

PURPOSE OF THE STUDYA very serious complication following joint replacement surgery is periprosthetic joint infection that can be caused by a urinary tract infection. Insertion of an indwelling urinary catheter constitutes a risk factor that may result in urinary tract infections. The aim of this prospective randomised study was to compare the occurrence of significant bacteriuria and symptomatic urinary tract infections during antibiotic prophylaxis at the time of removal of an indwelling urinary catheter by cotrimoxazole in two doses and with no administration of antibiotics. We also monitored the incidence of potential periprosthetic infection...

Correlation between the Arthroscopic and MRI Findings in Patients Active in Sports with Clinically Suspected Acetabular Labral Tear - Prospective Study ResultsOriginal papers

P. SKALA, P. ZEMAN, J. KAUTZNER, V. HAVLAS, T. PAVELKA, J. MATĚJKA

Acta Chir Orthop Traumatol Cech. 2017; 84(5):372-379 | DOI: 10.55095/achot2017/056  

PURPOSE OF THE STUDYThe aim of our prospective study was to establish correlation between the arthro-MRI and arthroscopic findings in patients active in sports clinically suspected of having a hip labral tear. We sought to identify the benefits of arthro-MRI for clinical practice prior to the considered hip arthroscopy.MATERIAL AND METHODSThe prospective study included 34 patients with hip pain and clinically suspected of having a labral tear. The group consisted of 19 men (55.9%) and 15 women (44.1%) of the mean age of 32.2 years (18 to 50 years). All our patients were active athletes, either professional (12; 35.3%) or recreational (22;...

Our Experience with the Total Replacement of the First Metatarsophalangeal Joint by Medin PH-flexOriginal papers

S. POPELKA ML., R. HROMÁDKA, V. BARTÁK, J. KLOUDA, I. LANDOR, S. POPELKA

Acta Chir Orthop Traumatol Cech. 2017; 84(5):380-385 | DOI: 10.55095/achot2017/057  

PURPOSE OF THE STUDY:The first metatarsophalangeal (MTP) joint replacement ranks among the treatment methods of patients with hallux rigidus. The paper aims to evaluate the short-term to mid-term outcomes and to present clinical experience with our Medin PH-flex implant.MATERIAL AND METHODSIn the period from January 2011 to 2016 we performed total replacement of the first MTP joint in 31 patients, in 4 cases bilaterally. In total, 35 implants were evaluated. The mean age of the patient at the time of surgery was 57.7 years (39-72 years). The surgery was conducted in 29 women and 2 men. The patients were evaluated using the AOFAS score (American...

Middle Term Results of Simple Open Hip Reduction of Irreducible DDH - What Is the Cut-off Age to Safely Perform It with Lower Complications?Original papers

V. ALEXIEV, H. GEORGIEV, S. MILEVA

Acta Chir Orthop Traumatol Cech. 2017; 84(5):386-390 | DOI: 10.55095/achot2017/058  

PURPOSE OF THE STUDYWhen developmental dysplasia of the hip (DDH) is irreducible by conservative means, then surgical open hip reduction is the choice. When done before walking age simple open hip reduction (SOHR) is most often enough to stabilize the hip.We tested the hypothesis that simple open hip reduction gives enough stability even in severe Tönnis 4 grades of dislocation. We tried to find what is the cut-off age to safely perform SOHR with lower complications.MATERIAL AND METHODSFrom 193 open hip reductions (OHR) of irreducible DDH in 123 children for the period 1995-2010 year with X-ray follow up of at least 8 years and full...

Carpal Tunnel Syndrome Surgery Anti-Adhesion Gel Is Effective?Original papers

A. BILGE, R. G. ULUSOY, O. OZTURK, I. A. OZTURK, S. AYKUT

Acta Chir Orthop Traumatol Cech. 2017; 84(5):391-395 | DOI: 10.55095/achot2017/059  

PURPOSE OF THE STUDYThe purpose of the current study is to assess the efficacy of anti-adhesion gel on the symptom severity and functional outcomes after mini incision open surgery for carpal tunnel syndrom (CTS).MATERIAL AND METHODSA total of 200 CTS patients (154 women, 46 men) were included in this study. Group I (n = 100; 78 women, 22 men) did not receive local administration of anti-adhesion gel, while anti-adhesion gel consisting of hyaluronic acid-carboxy-methylcellulose (Seprafilm®, SanofiBiosurgery, Bridgewater, NJ, USA) was locally applied to patients in Group II (n = 100; 76 women, 24 men). All patients recruited in this...

Proximal Femoral Fractures and Anticoagulation Therapy - When Is Surgery Safe?Current concepts review

A. GÄNSSLEN, S. GRECHENIG, W. GRECHENIG

Acta Chir Orthop Traumatol Cech. 2017; 84(5):323-329 | DOI: 10.55095/achot2017/049  

Patients presenting with proximal femur fractures are at high risk of developing DVT and pulmonary embolism. Many of these patients suffer from additional anticoagulant treatment. Patients on anticoagulation treatment are complex to manage, especially regarding timing of surgery due to implemented quality control recommendations. The present review analyses the present data timing of surgery and perioperative surgical considerations on anticoagulation treatment in this patients group.

Intramedullary Nailing of Metaphyseal Fractures of the Lower ExtremityCurrent concepts review

P. M. ROMMENS, R. KÜCHLE, A. HOFMANN, M. H. HESSMANN

Acta Chir Orthop Traumatol Cech. 2017; 84(5):330-340 | DOI: 10.55095/achot2017/050  

Severe Lower Extremity Infections Treated with Hip Disarticulation - Case SeriesCase report

M. PATERA, R. MIZERA

Acta Chir Orthop Traumatol Cech. 2017; 84(5):396-400 | DOI: 10.55095/achot2017/060  

Hip disarticulation is a major ablative procedure with serious risks as well as consequences for the patient, performed rarely for a lower extremity infection. According to literature, the mortality rate in these procedures reaches up to 60%. Unfavourable prognostic factors are emergency surgeries without adequate preparation of the patient and surgeries indicated for an ischemic terrain infection.The authors present four cases of hip disarticulation for severe lower extremity infection. In one patient, the procedure was performed urgently for necrotising fasciitis in the lower extremity extending up to the groin area, in the other three patients...

Zápis ze zasedání výboru ČSOT konaného dne 12. 9. 2017 v Parkhotelu PrůhoniceReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2017; 84(5):401-402  

Opustil nás doc. MUDr. Ľuboš Rehák, CSc., MPH, mimoriadny profesor (14. 3. 1958-7. 12. 2016)Reports from ČSOT

Andrey Švec, Milan Kokavec

Acta Chir Orthop Traumatol Cech. 2017; 84(5):403