Opening Remarks of the New CSOT ChairmanEditorial

J. CHOMIAK

Acta Chir Orthop Traumatol Cech. 2019; 86(1):9-10  

Treatment Algorithm for Pilon Fracture - Clinical and Radiological ResultsOriginal papers

S. MANEGOLD, A. SPRINGER, S. MÄRDIAN, S. TSITSILONIS

Acta Chir Orthop Traumatol Cech. 2019; 86(1):11-17 | DOI: 10.55095/achot2019/002  

PURPOSE OF THE STUDYThe aim of the present study was to evaluate the postoperative outcome of patients with pilon tibial fractures with a minimum follow-up of 24 months, treated according to a staged treatment algorithm.MATERIAL AND METHODSIn total, 27 patients (mean age 43.6 ± 13 years, range 18-69) with a pilon tibial fracture and a minimum follow-up of 24 months were included in the study. Medical recordings (discharge documents and surgical reports) and radiographic examinations were analyzed. All enrolled patients were invited for a clinical and radiological follow-up examination (ROM, AOFAS hindfoot score, Kellgren score)....

Factors Affecting Operative Time Intervals for Lower Limb Arthroplasties - Correlation with Total Operative TimeOriginal papers

B. HABERAL, O. SAHIN, A. MAHMUTI, E. K. SIMSEK, S. ALTUN, I. C. TUNCAY

Acta Chir Orthop Traumatol Cech. 2019; 86(1):18-22 | DOI: 10.55095/achot2019/003  

PURPOSE OF THE STUDYThe aim of this study is to evaluate the operative time intervals for major orthopaedic surgeries and analyze the correlation of different operative factors on total operative time.MATERIAL AND METHODSSpecific time intervals; anesthesia release time (ART), surgical preparation time (SPT), operative procedure time (OPT), and anesthesia end time (AET); were recorded by independent observers. Total operative procedure time (TOPT), was also calculated and statisctical correlation analysis was performed between TOPT and study parameters.RESULTSThe difference for ART and SPT time intervals between age groups below...

Mid-Term Results of Treatment of Severe Grades of Slipped Capital Femoral Epiphysis without Surgical Hip DislocationOriginal papers

J. CHOMIAK, M. OŠŤÁDAL, P. DUNGL

Acta Chir Orthop Traumatol Cech. 2019; 86(1):23-32 | DOI: 10.55095/achot2019/004  

PURPOSE OF THE STUDYTo evaluate the results of treatment of acute and chronic severe slips of slipped capital femoral epiphysis. The tested hypothesis was that the results will be comparable with the methods using surgical hip dislocation.MATERIAL AND METHODSIn the period 1996-2014, 26 patients were treated for severe slips ( >60°). Boys prevailed (2:1) and were older on average (the mean age 13.8 vs.12 years). Chronic stable slips prevailed (16 patients) and were followed by acute-on-chronic slips (7 patients) and with acute slips (3 patients). The acute unstable slips were treated using closed reduction and transphyseal fixation. The...

Rotational Knee Joint Kinematics before and after Unicompartmental Medial Arthroplasty, Comparison with a Healthy Knee JointOriginal papers

F. BUČEK, M. KOMZÁK, R. HART

Acta Chir Orthop Traumatol Cech. 2019; 86(1):33-38 | DOI: 10.55095/achot2019/005  

PURPOSE OF THE STUDYThe authors in their study compare the knee joint kinematics in patients before and after medial unicompartmental knee arthroplasty (UKA) and in the group of healthy volunteers. This study aims to confirm or reject the hypothesis that UKA preserves the physiological knee joint kinematics.MATERIAL AND METHODSIn the course of 2015 and 2016 a total of 20 patients with grade III-IV medial knee joint osteoarthritis and 20 healthy volunteers were included in the study. In the first group of patients the standard Oxford™ unicompartmental knee prosthesis was implanted using kinematic navigation and the reference data were...

Assessment of Reduction Abilities of an Expandable Stent in Treating Osteoporosis-Related Fractures of Th/L (Thoracolumbar) SpineOriginal papers

M. KELBL, J. KOČIŠ, T. KOČIŠ, R. VESELÝ, L. PAŠA

Acta Chir Orthop Traumatol Cech. 2019; 86(1):39-45 | DOI: 10.55095/achot2019/006  

PURPOSE OF THE STUDYThe method of stabilising the osteoporosis-related spinal fractures using an expandable stent (vertebral body stent - VBS) and bone cement is generally accepted for its minimal invasiveness, a low risk of complications and confirmed analgesic effect. The efficiency of reduction of a compressed vertebra is, however, still discussed in the literature. Our hypothesis was that the stent expansion in the vertebral body can achieve a statistically significant reduction in the anterior, middle and posterior part of the vertebra.MATERIAL AND METHODSThe patients in whom the VBS technique was used to treat an osteoporosis-related...

New Anterior Cruciate Ligament Reconstrucion Using Harmstring Tendon Grafts - Clinical PartOriginal papers

M. HANUS, M. HANDL, A. STANČÁK, T. TRČ

Acta Chir Orthop Traumatol Cech. 2019; 86(1):46-50 | DOI: 10.55095/achot2019/007  

PURPOSE OF THE STUDYThe authors present the clinical use of the new instrumentation set for the anterior cruciate ligament (ACL) reconstruction using the hamstring tendons (HS). The positionning of the femoral tunnel and the fixation of the graft play an important role for the results of the surgery. The aim of the study was to confirm the proposed surgical technique and the methods of the graft fixation, especially from the point of view of the clinical midterm results at the evaluation up to eight years after the surgery.MATERIAL AND METHODSThe clinical evaluation comprises 58 patients operated from 2007 to 2014 using the new instrumentation...

Mid-Term Outcomes of Reconstruction of Charcot Foot Neuroarthropathy in Diabetic PatientsOriginal papers

T. KUČERA, M. GRINAC, O. VALTR, P. ŠPONER

Acta Chir Orthop Traumatol Cech. 2019; 86(1):51-57 | DOI: 10.55095/achot2019/008  

PURPOSE OF THE STUDYThe aim of this study was to evaluate the mid-term outcomes of the surgical reconstruction of Charcot Foot Neuroarthropathy in diabetic patients with failed conservative treatment and indicated for a below-knee amputation.MATERIAL AND METHODSIn the period from 2010 to 2015 the surgical reconstruction of inactive, chronic Charcot Foot Neuroarthropathy classified as type II and III by Sanders and Frykbeg was performed in 16 patients with failed conservative treatment. All these patients were by the diabetes centres initially indicated for a below-knee amputation. The performed evaluation focused on the clinical outcome...

Current Concepts in the Treatment of Intra-Articular Calcaneal FracturesOriginal papers

V. POPELKA

Acta Chir Orthop Traumatol Cech. 2019; 86(1):58-64 | DOI: 10.55095/achot2019/009  

PURPOSE OF THE STUDYThe aim of this study was to evaluate and present the current concepts in the treatment of intra-articular calcaneal fractures.MATERIAL AND METHODSDuring the period of ten years (1/2007-12/2016) 162 dislocated intra-articular calcaneal fractures in 145 patients were treated and evaluated at the Trauma Department of University Hospital in Bratislava. The study group included 97 male (67%) and 48 (33%) female patients. The mean age was 42 years (10-66). 17 cases (11.7%) were bilateral calcaneal fractures. Twelve patients suffered a calcaneal fracture associated with polytrauma (8%), and 15 (10.3%) of such fractures were...

Short-Term Outcomes of Endoscopic Treatment of Inferior Calcar Calcanei in Patients with Plantar FasciitisOriginal papers

M. BÉREŠ, P. NEORAL, R. HOLIBKA, R. KALINA, J. GALLO, J. ZAPLETALOVÁ

Acta Chir Orthop Traumatol Cech. 2019; 86(1):65-71 | DOI: 10.55095/achot2019/010  

PURPOSE OF THE STUDYThe prospective study evaluates the short-term outcomes of endoscopic treatment of calcar calcanei in patients who underwent unsuccessfully more than 6 months of conservative therapy.MATERIAL AND METHODSOur study included 34 patients with refractory plantar fasciitis, in whom endoscopic treatment of inferior calcar calcanei with partial plantar fasciotomy was performed in the period from 01. 01. 2009 to 31. 07. 2015. The assessed parameters were the following: level of function, pain relief and patient satisfaction on the FAAM (Foot and Ankle Ability Measure) score and VAS (Visual Analog Scale) score with the minimum...

Reconstruction of Isolated Orbital Floor Fractures by Nasoseptal CartilageOriginal papers

B. GÁL, J. HLOŽEK, T. HLOŽKOVÁ, D. SLOUKA, R. KOSTŘICA

Acta Chir Orthop Traumatol Cech. 2019; 86(1):72-76 | DOI: 10.55095/achot2019/011  

PURPOSE OF THE STUDYThe incidence of isolated orbital floor fractures has an increasing tendency. Their optimal management is not uniform and is still being discussed in the literature. The therapeutic decision as to whether surgical intervention is necessary or conservative approach is adequate vitally depends on clinical and CT findings. Incorrect treatment can lead to serious consequences, especially to persistent diplopia and enophthalmos. The objective of our study was to evaluate the radiological indication criteria for surgery and the clinical outcomes thereafter.MATERIAL AND METHODSThe retrospective monocentric study of the group...

Osteoid Osteoma of the Upper ExtremityOriginal papers

M. CZINNER, R. KEBRLE, Z. MATĚJOVSKÝ, M. NĚMEJC

Acta Chir Orthop Traumatol Cech. 2019; 86(1):77-82 | DOI: 10.55095/achot2019/012  

PURPOSE OF THE STUDYOsteoid osteoma (OO) of the upper extremity is a rare pathology representing a major diagnostic challenge. The patients are often times incorrectly treated due to a misdiagnosis and therefore the final management of symptoms is delayed by several months. During this time the pain, which is the main symptom, increases. The surgical treatment is a fast and efficient solution. This paper aims to highlight the specificity of the OO of the upper extremity, evaluate our study group, the time to diagnosis and the benefits of individual imaging techniques.MATERIAL AND METHODSIn the period 2007-2017, a total of 8 patients with...