Surgical Treatment of High-Grade High-Dysplastic Spondylolistheses in Young Patients - Prospective Monocentric Study of 29 PatientsOriginal papers

J. ŠTULÍK, P. NESNÍDAL, K. KOZELNICKÁ, M. BARNA

Acta Chir Orthop Traumatol Cech. 2018; 85(5):305-318 | DOI: 10.55095/achot2018/054  

PURPOSE OF THE STUDYAn optimal technique to surgically treat high-grade high-dysplastic (HG HD) spondylolistheses remains disputable. There are multiple surgical procedures described, ranging from a simple posterior fusion in situ without fixation through a stand-alone anterior lumbar interbody fusion with the oblique insertion of a structural bonegraft to instrumented full reduction and 360-degree fusion. At our department, preference is given to the instrumented monosegmental reduction and fixation by a fixator with Schanz screws. The aim of this paper is a prospective clinical and radiological evaluation of the group of operated patients...

Mid-Term Survival of Total Knee Arthroplasty in Patients with Posttraumatic OsteoarthritisOriginal papers

M. FUCHS, B. EFFENBERGER, S. MÄRDIAN, A. BERNER, S. KIRSCHBAUM, M. PUMBERGER, C. PERKA, P. VON ROTH

Acta Chir Orthop Traumatol Cech. 2018; 85(5):319-324 | DOI: 10.55095/achot2018/055  

PURPOSE OF THE STUDYThere is limited evidence on survival and complication rates in patients after total knee arthroplasty for posttraumatic osteoarthritis. The failure mechanisms leading to revision remain an issue of constant debate. The purpose of this study was to analyze the mid-term survival of primary total knee arthroplasties as well as to evaluate complications and failure mechanisms in patients with posttraumatic knee osteoarthritis.MATERIAL AND METHODSThis retrospective study included 79 patients with an average age of 59 years at the time of primary total knee arthroplasty. A functional and radiographic assessment was obtained...

Modified Lindgren-Turan Osteotomy for Hallux Valgus Deformity - a Review of 60 CasesOriginal papers

B. E. KILINC, Y. OC, R. E. ERTURER

Acta Chir Orthop Traumatol Cech. 2018; 85(5):325-330 | DOI: 10.55095/achot2018/056  

PURPOSE OF THE STUDYTo evaluate the clinical and radiological results of a new modification of relatively less-known Lindgren-Turan osteotomy technique in HV deformity that is performed by combining bunionectomy and capsuloplasty.MATERIAL AND METHODS60 feet of 52 patients with moderate and heavy deformity who were operated between 2009 and 2014 were included in the study. The patients had clinically severe pain, did not respond to at least 6-month conservative treatment and had moderate and severe deformity before Hallux valgus angle (HVA), intermetatarsal angle (IMA), distal metatarsal joint angle (DMAA), proximal phalangeal joint angles...

Classification Systems to Evaluate the Clubfoot and Their Potential Use to Predict the Course and the Results of the Ponseti Method TreatmentOriginal papers

J. JOCHYMEK, J. TUREK, T. PETERKOVÁ

Acta Chir Orthop Traumatol Cech. 2018; 85(5):331-335 | DOI: 10.55095/achot2018/057  

INTRODUCTIONThe clubfoot ranks among the most frequent paediatric structural deformities of the lower extremity. Currently, the Ponseti method is considered the gold standard for the treatment. To evaluate the degree and severity of the deformity, clinical classification systems have been developed, commonly used in clinical practice. This study aims to verify whether the Pirani and Dimeglio clinical scoring systems can be used to predict the results of treatment by the Ponseti method.MATERIAL AND METHODSThe study included 31 patients. The patients had been referred from the neonatal departments to the Department of Paediatric Surgery,...

Triplane Fractures of the Distal Tibial Epiphysis - Contributions of CT Scans to Indication and Planning of OsteosynthesisOriginal papers

J. HENDRYCH, T. PEŠL, P. HAVRÁNEK

Acta Chir Orthop Traumatol Cech. 2018; 85(5):336-342 | DOI: 10.55095/achot2018/058  

PURPOSE OF THE STUDYThe triplane fracture of the distal tibial epiphysis is characterised by the fracture line in typical three planes which can, however, differ case by case. The authors use the CT imaging as the perfect examination method to determine the nature of the fracture to plan the osteosynthesis.MATERIAL AND METHODSIn the five-year retrospective study of a group of patients treated at their own department in the period 2011-2015 the authors assess a total of 55 patients with a triplane fracture. The radiograph, the CT scan and the specific therapeutic process are evaluated. Regarding the imaging methods, they focus on the fracture...

Evaluation of the MRI Findings on a Tendon Graft after the Anatomic Anterior Cruciate Ligament Reconstruction in Patients with Versus without the Application of Platelet-Rich Fibrin - Results of the Prospective Randomised StudyOriginal papers

P. ZEMAN, J. KASL, R. TUPÝ, R. FREI, O. KOTT, J. KAUTZNER

Acta Chir Orthop Traumatol Cech. 2018; 85(5):343-350 | DOI: 10.55095/achot2018/059  

PURPOSE OF THE STUDYThe purpose of the prospective randomised study was to assess the benefits of the platelet-rich fibrin (PRF) application during the anatomic anterior cruciate ligament reconstruction (ACLR) for tendon graft healing.MATERIAL AND METHODSThe study included 40 patients with an isolated rupture of the anterior cruciate ligament in the knee. The MRI findings on the tendon graft were evaluated at 6 months and 12 months after the surgery in a total of 33 patients, namely in 10 women/23 men (21 right knee/12 left knee), with the mean age of 29.1 years and at the mean follow-up of 15.9 weeks after the injury. The randomisation...

Immunohistochemical Detection of Mast and Dendritic Cells in Periprosthetic Tissues of Aseptically Loosened Total ProsthesesOriginal papers

J. VACULOVÁ, P. HURNÍK, J. GALLO, D. ŽIAK, O. MOTYKA

Acta Chir Orthop Traumatol Cech. 2018; 85(5):351-358 | DOI: 10.55095/achot2018/060  

PURPOSE OF THE STUDYThis study deals with the possibilities and application of immunohistochemical methods to detect mast and dendritic cells in periprosthetic tissues in patients with aseptically loosened total joint replacements of the knee and hip. The purpose of the study was to quantify and characterize the distribution of mast and dendritic cells in the examined samples and to study the statistically significant relations between the aforementioned cell populations and selected parameters characterizing the patients, implants or tissue response. Based on the proved findings, a possible relation between mast and dendritic cells and histomorphological...

Use of the Peptigel with Nanofibres in the Bone Defects HealingOriginal papers

R. SRNEC, R. DIVÍN, M. ŠKORIČ, R. SNÁŠIL, M. KRBEC, A. NEČAS

Acta Chir Orthop Traumatol Cech. 2018; 85(5):359-365 | DOI: 10.55095/achot2018/061  

INTRODUCTIONTraumatic bone injuries or pathological processes may sometimes result in very extensive bone defects. Currently, the standard procedure applied in clinical humane as well as veterinary medicine to fill a bone defect is the autogenous bone graft which, however, necessitates a more invasive procedure for the patient and in the cases of extensive defects it fails to provide adequate amount of graft. Synthetic bone replacements can be used with no further burden for the patient and can simultaneously be used as the carriers for bioactive molecules or therapeutic drugs. For clinical use, an easy and simple application is one of the requirements...

Current Options and Importance of Imaging of the Hyaline Articular Cartilage of the Knee Prior to the Surgery - a Different Perspective of an Orthopaedic Surgeon and a RadiologistCurrent concepts review

A. ŠPRLÁKOVÁ-PUKOVÁ, P. VALIŠ, M. REPKO

Acta Chir Orthop Traumatol Cech. 2018; 85(5):366-369 | DOI: 10.55095/achot2018/062  

The authors present an overview of the commonly used techniques and new trends of the cartilage imaging, especially postoperatively, and also discuss the potential of MRI imaging of the cartilage from the perspective of an experienced orthopaedic surgeon. In conclusion, the authors propose possible explanations for the potential discrepancies between the MRI and the arthroscopic findings.Hyaline cartilage damage and subsequent reparation of this tissue is one of the topical issues of orthopaedics and traumatology. Due to the expanding possibilities of treatment of this tissue and a relatively good effect of the surgery, the number of patients indicated...

Treatment Options for Inveterate Injuries of Deep Finger Flexors - Primary Transplantation with Tendon GraftCase report

A. SUKOP, P. TICHÁ, M. MOLITOR

Acta Chir Orthop Traumatol Cech. 2018; 85(5):370-372 | DOI: 10.55095/achot2018/063  

Injuries of the flexor finger apparatus are very common. Primarily, it is routinely treated by suture of the tendon. Isolated deep flexor injuries, when the flexion restriction only reaches the DIP joint, are sometimes overlooked by the surgeon or by the patients themselves, especially if the deep flexor is injured, after a closed rupture or cutaneous injury with a small skin wound. The patient is then sent to a department specializing in hand surgery after a few weeks. Subsequent shortening of the tendon apparatus makes flexor suture more difficult or sometimes even impossible.Many ways of suturing the tendons and subsequent treatment are described.The...

Doc. MUDr. Václav SmetanaReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2018; 85(5):373  

Zápis ze zasedání výboru ČSOT konaného dne 11.9. 2018 v Parkhotelu PrůhoniceReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2018; 85(5):374-375