Balloon Guided Cement Augmentation of Iliosacral Screws in the Treatment of Insufficiency Fractures of the Sacrum - Description of a New Method and Preliminary ResultsOriginal papers

G. H. SANDMANN, U. STÖCKLE, T. FREUDE, F. M. STUBY

Acta Chir Orthop Traumatol Cech. 2018; 85(2):85-88 | DOI: 10.55095/achot2018/013  

PURPOSE OF THE STUDYFragility fractures of the pelvic ring in the elderly population are a serious problem in orthopaedics. The treatment options range from conservative treatment to diverse operative options. We present a balloon guided new technique of implanting cement augmented screws aiming at improved implant anchorage and reduced cement leakage.MATERIAL AND METHODSWe describe a new technique of balloon- guided cement augmented iliosacral screws. After the balloon has been insufflated and contrast medium has been instillated for leakage detection, iliosacral screws can safely be placed with a relevant cement depot.RESULTSAll...

Growth Guidance System in Treatment of Early Onset ScoliosisOriginal papers

M. REPKO, M. FILIPOVIČ, M. PRÝMEK, M. LATALSKI, A. ŠPRLÁKOVÁ-PUKOVÁ, J. HOŘÁK

Acta Chir Orthop Traumatol Cech. 2018; 85(2):89-93 | DOI: 10.55095/achot2018/014  

PURPOSE OF THE STUDYThe Growth Guidance System (GGS) represent a relatively new alternative to the traditional growing systems used for the treatment of early onset scoliosis. Ranking among the main aims of this surgical treatment is a three-dimensional correction of the deformity, maintenance of spinal growth and postponement of the necessity of final treatment by spondylodesis.MATERIAL AND METHODSOur study retrospectively evaluates the results of surgical correction in a group of 35 patients treated by GGS technique. The group consisted of patients with idiopathic, neuromuscular and syndromic spine deformity with the average age of 8...

Anatomical All-Inside Anterior Cruciate Ligament Reconstruction Using Quadrupled Semitendinosus Tendon Graft with Posteromedial Harvest - Clinical Results of Prospective Study at a Minimum 12-Months Follow-upOriginal papers

P. ZEMAN, J. KAUTZNER, O. HAVEL, J. MATĚJKA, T. PAVELKA, V. HAVLAS

Acta Chir Orthop Traumatol Cech. 2018; 85(2):94-101 | DOI: 10.55095/achot2018/015  

PURPOSE OF THE STUDYThis original paper aims to present the conclusions of the prospective study evaluating the clinical results of anatomical all-inside ACL reconstruction using quadrupled semitendinosus tendon graft with posteromedial harvest using suspensory fixation by Tightrope implants at the follow-up of at least 12 months.MATERIAL AND METHODSThe prospective study included a total of 119 patients (74 men/39 women) with the mean age of 28.3 (18-52) years, in whom demographic data was collected and a clinical examination was performed. The patients satisfying the "inclusion" and "exclusion" criteria were enrolled in the study and subsequently...

Use of Mother-Child Screws in the Treatment of Coronoid Fractures in Terrible Triad Injury of the ElbowOriginal papers

Y. SHI, G.-F. WANG, K. MEI, J. ZHANG, C.-J. YUN, C. QIAN, J.-Y. SUN

Acta Chir Orthop Traumatol Cech. 2018; 85(2):102-108 | DOI: 10.55095/achot2018/016  

PURPOSE OF THE STUDYThis study aims to analyze the clinical and radiographic outcomes of a consecutive series of 18 patients with terrible triad injury. The coronoid fractures of these patients were repaired using Mother-Child screw (MCS).MATERIAL AND METHODSTwelve men and six women (mean age: 47.2 years) with terrible triad injury of the elbow were followed up for a mean of 17.6 months (range: 13-42 months). Surgical treatment consisted of open reduction and internal fixation of coronoid fractures with MCS, radial head fracture with MCS (Mason type II, n = 10), or mini-plate (Mason type III, n = 3). Furthermore, all underwent lateral collateral...

Arthroscopic Excision of Tendinous Giant Cell Tumors Causing Locking in the Knee JointOriginal papers

B. GÜLENÇ, E. KUYUCU, S. YALÇIN, A. ÇAKIR, A. M. BÜLBÜL

Acta Chir Orthop Traumatol Cech. 2018; 85(2):109-112 | DOI: 10.55095/achot2018/017  

PURPOSE OF THE STUDYNon-osseous giant cell tumors are locally aggressive tumors arising around joints. They are commonly located around synovial joints such as wrist and knee and occasionally cause mechanical symptoms.MATERIAL AND METHODSThis retrospective case series includes 7 patients operated due to intraarticular lesion. The mean age of the patients was 28.7 (range 22-37) years. Mean follow-up period was 12 months.RESULTSAll patients underwent arthroscopic debridement. They were followed monthly with clinical examination and magnetic resonance imaging (MRI) was obtained at third month for all patients. Patients were contacted...

Suprapatellar Nailing of Tibial Fractures - Evaluation of Clinical and Radiological ResultsOriginal papers

M. KŘIVOHLÁVEK, J. ŠRÁM, J. PAZOUR, M. KLOUB

Acta Chir Orthop Traumatol Cech. 2018; 85(2):113-119 | DOI: 10.55095/achot2018/018  

PURPOSE OF THE STUDYThe locked nailing of diaphyseal fractures of the tibia currently represents a method of choice for treating the closed diaphyseal fractures, some of the tibial metaphyseal fractures and open tibial diaphyseal fractures classified as grade I and II according to Gustilo-Anderson (GA) classification. The suprapatellar (SP) approach is an alternative technique of insertion of the nail in semi-extension of the lower extremity with easier reduction, namely of multiple fractures and proximal diaphyseal fractures of the tibia in particular.This study aims to evaluate the group of patients in whom the suprapatellar approach was...

Proximal Row Carpectomy - Five-Year ResultsOriginal papers

A. ŠVARC, J. PILNÝ, M. REPKO, T. KASTENBERGER, M. EICHINGER

Acta Chir Orthop Traumatol Cech. 2018; 85(2):120-124 | DOI: 10.55095/achot2018/019  

PURPOSE OF THE STUDYThis study aims to evaluate the results of patients treated by proximal row carpectomy at a follow-up of at least 5 years after the surgery.MATERIAL AND METHODSA total of 25 patients were treated by proximal row carpectomy for degenerative changes of the wrist as a consequence of the previous trauma or avascular necrosis of the lunate bone, of whom 21 patients underwent a follow-up examination at least 5 years postoperatively. Proximal row carpectomy was indicated in 15 patients for SLAC wrist, in 4 patients for avascular necrosis of the lunate bone, in 1 patient for SNAC wrist, and in 1 patient for inveterate dislocation...

Interposition and Suspension Arthroplasty of Carpometacarpal Joint of the Thumb Using the TIE-IN ImplantOriginal papers

J. JURČA, V. HAVLAS

Acta Chir Orthop Traumatol Cech. 2018; 85(2):125-129 | DOI: 10.55095/achot2018/020  

PURPOSE OF THE STUDYThe aim of the study was to present the surgical technique combining the interposition and suspension arthroplasty using the TIE-IN implant as a treatment option for advanced symptomatic to final stage rhizarthrosis.MATERIAL AND METHODSSince 2015 we have performed the interposition arthroplasty combined with suspension arthroplasty using the TIE-IN implant in 12 patients, mostly indicated for stage IV rhizarthrosis. In two cases stage III rhizarthrosis with concomitant trapezium destruction was present. In two other cases the patients suffered from secondary osteoarthrosis associated with rheumatoid arthritis. Pain under...

Short-Term Results of the Carpometacarpal Joint Arthroplasty Using the Ivory® ProsthesisOriginal papers

I. ZÁVODSKÝ, R. PAVLIČNÝ, M. HOLINKA

Acta Chir Orthop Traumatol Cech. 2018; 85(2):130-136 | DOI: 10.55095/achot2018/021  

PURPOSE OF THE STUDYTrapeziometacarpal osteoarthritis affects primarily postmenopausal middle-aged and older women. Total joint replacement is one of the surgical treatment options for symptomatic advanced degenerative changes of the carpometacarpal joint. This study aims to evaluate the short-term functional and radiological results of the Ivory® prosthesis with the minimum follow-up period of three years after the surgery.MATERIAL AND METHODSPresented are the results of 48 total trapeziometacarpal joint replacements in the group of 40 patients composed of 36 women and 4 men. The age of patients ranges from 41 to 75 years (median 56...

Changes in Cognitive Functions after Total Hip ArthroplastyOriginal papers

T. TOMÁŠ, A. POKORNÁ, P. JANÍČEK, I. FIALOVÁ

Acta Chir Orthop Traumatol Cech. 2018; 85(2):137-143 | DOI: 10.55095/achot2018/022  

PURPOSE OF THE STUDYThe postoperative delirium is a frequent, oftentimes underestimated complication of total hip arthroplasty. Its occurrence is reported to be between 10% and 50%. The postoperative delirium increases mortality, the length of hospital stay and leads to worse functional results. Even though there is evidence of efficiency of preventive measures and effectiveness of treatment interventions, inadequate attention has been paid so far to this serious complication related to inpatient hospital care. This paper aimed to determine the incidence of cognitive function impairment in relation to the total hip replacement, to determine the...

Penetrating Injuries of the Heart and Great Vessels - Fifteen Years of Experience of the Cardiac Surgery Service as a Part of the Major Trauma CentreOriginal papers

M. ŠIMEK, J. KONEČNÝ, R. HÁJEK, I. ČIŽMÁŘ, V. KUTĚJ, V. LONSKÝ

Acta Chir Orthop Traumatol Cech. 2018; 85(2):144-148 | DOI: 10.55095/achot2018/023  

PURPOSE OF THE STUDYOutcome analysis of penetrating cardiac and great vessels injury within the 15-year existence of the cardiac surgery service as a part of the major trauma centre of the University Hospital Olomouc.MATERIAL AND METHODSRetrospective analysis of a group of a total of 16 patients who underwent a surgery for penetrating cardiac and great vessels injury since II/2002 to XI/2016. The dominant causes of penetrating trauma were stab injuries (15 patients, 94%), in one patient only (6%) it was a gunshot injury. The mean age of the patients included in the group was 42.9 ± 16.1 years, with men significantly prevailing (13...

Anterior Penetrating Sacral Injury in a 14-Year-Old Girl - a Case ReportCase report

T. PAVELKA, M. SALÁŠEK

Acta Chir Orthop Traumatol Cech. 2018; 85(2):149-152 | DOI: 10.55095/achot2018/024  

Anterior penetrating sacral injuries in children are extremely rare. These injuries are coupled with both a high energy mechanism (combat injury, motor vehicle accidents) and with foreign body impalement. The treatment is individual, laparotomy with penetrating wound exploration is indicated, osteosynthesis is performed in case of grossly displaced fractures, in an unstable injury to the posterior pelvic ring, and urgently in case of a neurological injury. The case report describes a 14-year-old girl with a left-sided anterior penetrating sacral injury at the level of S2/S3, who was injured during a bicycle accident (impalement on handlebars). The...

Prof. MUDr. Pavlu Dunglovi, DrSc., k 70. narozeninámReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2018; 85(2):153  

Prof. MUDr. Davidu Pokornému, CSc., k 50. narozeninámReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2018; 85(2):154