Osteosynthesis of Clavicle Fractures - an Overview of Complications and Causes of FailureOriginal papers

J. MÄRZ, Z. KLÉZL

Acta Chir Orthop Traumatol Cech. 2018; 85(4):245-248 | DOI: 10.55095/achot2018/042  

PURPOSE OF THE STUDYThe study aimed to find out whether the higher rate of complications described in literature in the case of plate and intramedullary osteosynthesis of clavicle fractures is high enough to discredit one of these methods.MATERIAL AND METHODSIn the period from July 2007 to March 2016, a total of 151 osteosyntheses of diaphyseal clavicle fractures were performed in 149 patients (106 men, 43 women). The plate as well as intramedullary techniques were used in this group of patients. The follow-up of 12 months was completed in 125 patients (91 men, 34 women). The age of patients ranged from 15 to 74 years. The postoperative...

Extracapsular Proximal Femoral Fractures - Retrospective Evaluation of a Group of Patients with a Focus on Complications of TreatmentOriginal papers

P. NOVOTNÝ, T. DĚDEK, M. FRANK, K. ŠMEJKAL, S. BÚTORA, J. KOČÍ, J. TRLICA

Acta Chir Orthop Traumatol Cech. 2018; 85(4):249-253 | DOI: 10.55095/achot2018/043  

PURPOSE OF THE STUDYThe purpose of this study is to retrospectively evaluate the treatment and the complications in patients with extracapsular proximal femoral fractures.MATERIAL AND METHODSThe evaluation focused on a group of patients who underwent a surgery at the authors department in the period from 1 January 2011 to 31 December 2013. The inclusion criteria were a simple fall and a monotrauma. The injury-to-surgery interval, course of the surgery and hospital stay, occurrence of early and late complications were assessed.RESULTSIn the respective period 286 patients underwent surgery, with the mean age of 79 years (36-101)....

Osteotomy after Distal Radius Fractures - Five-Year Clinical and Radiological OutcomesOriginal papers

Z. CIBULA, M. HRUBINA, M. MELIŠÍK, I. MUDRÁK, L. NEČAS

Acta Chir Orthop Traumatol Cech. 2018; 85(4):254-260 | DOI: 10.55095/achot2018/044  

PURPOSE OF THE STUDYThe purpose of our retrospective study is to evaluate 5-year functional and radiological outcomes in patients following corrective osteotomy of the distal radius and ulnar osteotomy for malposition after a distal radius fracture, to identify differences in the outcomes of corrective osteotomies depending on the type of the original fracture according to the AO classification, the grade of arthritis of radiocarpal (RC) joint, surgical approach and the way of stabilisation of the osteotomy.MATERIAL AND METHODSThe followed-up group of 22 patients (8 men and 14 women) underwent osteotomy for malposition of distal radius...

Treatment of the Shoulder Impingement Syndrome with PRP InjectionOriginal papers

P. ŠMÍD, R. HART, M. KOMZÁK, L. PAŠA, M. PUSKEILER

Acta Chir Orthop Traumatol Cech. 2018; 85(4):261-265 | DOI: 10.55095/achot2018/045  

PURPOSE OF THE STUDYThis study aimed to explore the effects of new therapeutic procedures in patients with shoulder impingement syndrome. The primary goal of the study was to confirm the hypothesis that the application of the platelet-rich plasma (PRP) in patients with shoulder impingement syndrome will have a positive effect on both the subjective and objective evaluation of their condition. The clinical condition before and after the treatment was evaluated. The secondary goal was to compare the effect achieved by a series of 3 PRP injections and that achieved by treating the impingement syndrome with a standard single depot corticosteroid injection.MATERIAL...

Surgical Treatment of the Achilles Insertional Tendinopathy Using the Augmentation with the BT Graft from M. Quadriceps FemorisOriginal papers

H. SANALLA, R. HART, M. KOMZÁK, L. PAŠA

Acta Chir Orthop Traumatol Cech. 2018; 85(4):266-270 | DOI: 10.55095/achot2018/046  

PURPOSE OF THE STUDYThe aim of the prospective study was to evaluate the effectiveness of the Achilles insertion tendinopathy treatment, focusing on the evaluation of results in patients treated for retrocalcaneal pain, and to review the outcomes following the surgical treatment by means of Achilles tendon reinforcement with the bone-tendon autograft (BT).MATERIAL AND METHODSThe group comprised 18 patients, 10 men and 8 women, who were surgically treated with in line with the described surgical protocol. The group was treated at the author s department in the period 2013-2016. The patients were evaluated using the FAOS, VAS, and Kitaoka...

Verification of the Necessity for the Open Reduction and Tension Band Wiring of the Displaced Olecranon Fracture in Younger ChildrenOriginal papers

R. ŠTICHHAUER, J. TUREK, J. PREIS, J. ZEMAN, O. MAREK, L. PLÁNKA

Acta Chir Orthop Traumatol Cech. 2018; 85(4):271-275 | DOI: 10.55095/achot2018/047  

PURPOSE OF THE STUDYOlecranon fractures in skeletally immature patients are rather rare and represent up to 7% of elbow skeletal injuries. Although the majority of olecranon fractures is constituted by undisplaced fractures treated conservatively with good outcomes, a few of them require surgery. The aim of the study was to compare two different approaches of surgical treatment - the open reduction with tension band wiring - cerclage (ORCe) and the closed reduction and percutaneous pinning (CRPP).MATERIAL AND METHODS37 patients (28 boys, 9 girls) were included in the retrospective multicentric study. The patients were treated at two different...

Comparison of Two Methods of Minimally Invasive Osteosynthesis for Proximal Radius Fractures in Paediatric PatientsOriginal papers

J. ZEMAN, O. MAREK, J. TUREK, A. SEEHOFNEROVÁ, L. PLÁNKA

Acta Chir Orthop Traumatol Cech. 2018; 85(4):276-280 | DOI: 10.55095/achot2018/048  

PURPOSE OF THE STUDYThe presented study was construed as a retrospective multicentric clinical study focused on paediatric skeletal injuries of the proximal radius. As a general rule, the Type I displaced fractures (Judet classification) are treated conservatively, with no reduction. In the case of Type II-IV displacement, the fracture necessitates reduction or is also transfixed by a Kirschner wire (K-wire) or a Prevot nail (P-nail) where subsequent fragment instability occurs. The comparison aimed to ascertain whether there is a statistically significant difference between the two methods. No difference was expected by the authors, therefore...

Gait Analysis before and after Cycle Training Using a 3D Pedal SystemOriginal papers

T. ZIPPELIUS, K. SANDER, F. LAYHER, J. TÖPFER, G. MATZIOLIS

Acta Chir Orthop Traumatol Cech. 2018; 85(4):281-284 | DOI: 10.55095/achot2018/049  

PURPOSE OF THE STUDYIn this pilot study, gait analysis was performed before and after training with a 3D pedal system (BIUS1), in order to clarify whether these differences are detectable by gait analysis after a short period of training.MATERIAL AND METHODSTwo female and three male subjects were included in a prospective case-control pilot study. The patient and training characteristics were determined. Objective measurement data of the gait were obtained by using a three-dimensional motion analysis system with six infrared cameras and three force plates before and after training with the 3D pedal system.RESULTSThe mean age was...

Kinesiotaping Reduces Knee Diameter but Has No Effect on Differences Pain and Edema Following Knee ArtroscopyOriginal papers

B. GÜLENÇ, E. KUYUCU, H. BİÇER, S. G. GENÇ, S. YALÇIN, M. ERDİL

Acta Chir Orthop Traumatol Cech. 2018; 85(4):285-290 | DOI: 10.55095/achot2018/050  

PURPOSE OF THE STUDYInvestigating the efficacy of kinesiotaping for the reduction of postoperative pain and swelling after invasive knee arthroscopy, which tend to develop in almost every patient undergoing this procedure.MATERIALS AND METHODSKinesiotaping or sham taping was performed in a total of 42 patients who underwent invasive knee arthroscopy. Pain intensities; mid-thigh, knee, mid-calf, and ankle diameters; and VAS (Visual Analogue Scale) were recorded preoperatively and postoperatively.RESULTSHowever knee diameter was significantly greater in the control group compared to the group there is no significant differences were...

Thoracic Outlet Syndrome Caused by Fibrous Dysplasia of the First RibCase report

Z. CHOVANEC, Z. KŘÍŽ, E. BRICHTOVÁ

Acta Chir Orthop Traumatol Cech. 2018; 85(4):291-293 | DOI: 10.55095/achot2018/051  

The purpose of the case report is to present the case of a 42-year-old woman with thoracic outlet syndrome caused by fibrous dysplasia of the first rib treated by surgical therapy through cervicothoracic approach by Grunenwald with complete vascular and partial brachial plexus preparation.

Ohlédnutí za XXII. Národním kongresem ČSOT, 16.-18. 5. 2018 v OlomouciReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2018; 85(4):294-295  

Zápis ze zasedání výboru ČSOT konaného dne 19. 6. 2018 v Parkhotelu PrůhoniceReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2018; 85(4):295-296