Economic Analysis of the Costs of Hospital Stay of Patients with Infection as a Complication of Total Replacements - Part 2: Total Hip ArthroplastyOriginal papers

D. MUSIL, M. ŠNOREK, J. GALLO, D. JAHODA, J. STEHLÍK

Acta Chir Orthop Traumatol Cech. 2019; 86(4):241-248 | DOI: 10.55095/achot2019/041  

PURPOSE OF THE STUDYThe study aims to quantify the costs of a hospital stay of patients with periprosthetic joint infection after total hip arthroplasty throughout the period of treatment.MATERIAL AND METHODSThe group included patients who have been treated at our department for infection as a complication of total hip replacement since 1 January 2011, who have been provided with treatment (including complications) exclusively at the departments of Nemocnice České Budějovice, a.s. and whose treatment can be considered completed in 2019. The patients were included in the study regardless of the type of infection and method of treatment....

Rotational Laxity of the Knee Joint - In Vivo MRI StudyOriginal papers

K. NĚMEC, M. PLAJNER, J. KRÁSENSKÝ, I. LANDOR, J. LESENSKÝ, V. PINSKEROVÁ

Acta Chir Orthop Traumatol Cech. 2019; 86(4):249-255 | DOI: 10.55095/achot2019/042  

PURPOSE OF THE STUDYThe purpose of the study was to evaluate tibio-femoral rotation during a simulated squat and to investigate the relationship between the rotational position of the femur in full extension and the amount of external rotation of the femur on the tibia during flexion.MATERIAL AND METHODSPart 1: MRIs of volunteersData on healthy knees of 10 volunteers were obtained using 2D MRI measurements. The foot and the ankle were fixed to prevent rotation and adduction/abduction movements. Sagittal MRIs of the knees have been performed in 4 positions of flexion. The amount of longitudinal rotation in each position of flexion was...

Outcomes and Complications of Surgical Treatment for LSS at 1-Year Follow-up - Prospective StudyOriginal papers

J. JEŽEK, P. WALDAUF, M. KRBEC, P. DOUŠA, J. SKÁLA-ROSENBAUM

Acta Chir Orthop Traumatol Cech. 2019; 86(4):256-263 | DOI: 10.55095/achot2019/043  

PURPOSE OF THE STUDYLumbar spinal stenosis (LSS) is a serious and fairly frequent disorder with prevalence increasing with age which often results in a disability. The surgical procedures are often very risky due to the greater age of patients with severe stenosis and their comorbidities. The study aimed to assess the functional outcomes and complications in patients who underwent surgical treatment for LSS at one year postoperatively and to identify the differences in the functional outcomes, if any, in dependence on the number of operated segments.MATERIAL AND METHODSIt was a prospective study which included 33 patients who underwent...

Arthroscopic Superior Capsule Reconstruction Using the DX Reinforcement Matrix in Patients with Irreparable Rotator Cuff Tears - Pilot DataOriginal papers

R. KALINA, P. NEORAL, R. HOLIBKA, J. GALLO

Acta Chir Orthop Traumatol Cech. 2019; 86(4):264-270 | DOI: 10.55095/achot2019/044  

PURPOSE OF THE STUDYIrreparable rotator cuff tear continues to be a point of discussion. Several surgical techniques have been proposed so far. None of them, however, can be considered the method of choice. This study presents the first clinical results of superior capsule reconstruction (SCR) using the DX Reinforcement Matrix.MATERIAL AND METHODSThe evaluation included patients with the minimum follow-up of 6 months. The follow-up period in these patients was 1 year (6-18 months) on average. The active (AROM) and passive (PROM) ranges of motion were assessed-anterior flexion, abduction, external rotation and external rotation at 90° abduction....

An Effective Technique in Treatment of Femoral Neck Fractures - Ostheosynthesis under Double Fluoroscopic GuidanceOriginal papers

B. GÜLENÇ, B. GÜNAYDIN, S. ÇAMUR, M. A. TALMAÇ, Y. GÜLER, A. KARA

Acta Chir Orthop Traumatol Cech. 2019; 86(4):271-275 | DOI: 10.55095/achot2019/045  

PURPOSE OF THE STUDYThe most commonly used technique for fixation of the femoral neck fractures is percutaneous osteosynthesis with cannulated screw under fluoroscopy guidance. Osteosynthesis performed under single-fluoroscopic guidance requires continuous repositioning the fluoroscope to obtain biplane imaging. This study aimed to evaluate whether there is a statistically significant difference between the osteosynthesis procedures performed under guidance of single-fluoroscopy and double fluoroscopy with respect to radiation emission safety and treatment parameters for fixation of femoral neck fractures.MATERIAL AND METHODSThis retrospective...

Is Intraarticular Antibiotic Administration Effective in the Treatment of Methicillin-Resistant Staphylococcus aureus?Original papers

E. KUYUCU, H. ÇABUK, Y. GÜLER, F. ÇABUK, E. KILIÇ, M. BÜLBÜL

Acta Chir Orthop Traumatol Cech. 2019; 86(4):276-280 | DOI: 10.55095/achot2019/046  

PURPOSE OF THE STUDYSeptic arthritis is an infection of joints caused by a pathogenic microorganism. Septic arthritis has a mortality rate of 11-40% when it's not treated properly. The mortality rate with methicillin-sensitive Staphylococcus aureus (MSSA) is 5-7%, while the rate with methicillin-resistant Staphylococcus aureus (MRSA) is 13-20%. The aim of this study is to evaluate the effects of intraarticular vancomycin and teicoplanin on joint cartilage in in vivo settings and its utility in routine MRSA treatment.MATERIALS AND METHODSIn our study, 35 male Sprague-Dawley rats aged 28 days were used. Rats were obtained from...

Orthopedics and Traumatology Residency - Working Conditions, Training, and Psychological StressOriginal papers

B. GÜLENÇ, S. YALÇIN, S. SÜRÜCÜ, M. MAHİROĞULLARI, M. ERDİL, M. BÜLBÜL

Acta Chir Orthop Traumatol Cech. 2019; 86(4):281-285 | DOI: 10.55095/achot2019/047  

PURPOSE OF THE STUDYThe specialty of orthopedics and traumatology that is completed in the 5 years period in our country is a challenging educational process and our purpose in this study is to demonstrate through a survey training conditions of the orthopedic assistants in our country and the effects of this process on assistants.MATERIAL AND METHODS524 (70.05%) of 748 assistants who receive specialization training in Turkey were reached. There were 20 multiple choice questions (1 mark each) and 3 questions (more than 1 mark each) in the survey consisting of twenty-three questions. Our study group was formed by doctors who have still worked...

Our Experience with Application and Cutometric Evaluation of Collagen-Elastin Dermal Substitute Matriderm® in Local Therapy of 6-Year-Old Boy with Severe Burn TraumaCase report

J. HOLOUBEK, B. LIPOVÝ

Acta Chir Orthop Traumatol Cech. 2019; 86(4):286-289 | DOI: 10.55095/achot2019/048  

The consequences of deep burns to the hands and face are the most challenging we encounter in modern reconstructive surgery. In many cases, the simple autotransplantation of full-thickness defects with split-thickness skin grafts is now considered inadequate or outdated. For this and many other reasons, the use of dermal substitution is on the rise as it provides improved cosmetic effects and skin compliance, reduces contractility and greatly approximates the histological image to normal, healthy skin. For the purpose of this article, we present a dermal substitution, Matriderm®, in the case of extensive thermal trauma in a 6-year-old boy.

Vascularised Fibula and Tendon Transfer in the Comprehensive Treatment of Forearm Fracture with Gas Gangrene ComplicationCase report

D. PALENČÁR, A. ŠVEC

Acta Chir Orthop Traumatol Cech. 2019; 86(4):290-293 | DOI: 10.55095/achot2019/049  

Vascularized bone grafting was for the first time described in the 1970s. It has become a crucial component in the reconstruction of long bone defects and non-unions in a poorly vascularised environment. Although the vascularized bone is well described for the lower extremity and mandibular reconstructions, it started to be used for the upper extremity bone defects only recently.This publication presents a case of a young man with an open fracture of both the forearm bones. The treatment of the injury has been complicated with anaerobic gas gangrene of the forearm. This resulted in a non-union, radius shortening and necrosis of both the thumb extensors...

Distal Ulna Malunion as the Result of Distal Ulnar Shaft Fracture Treated by Three-Dimensional Corrective OsteotomyCase report

P. MELUZINOVÁ, P. DRÁČ

Acta Chir Orthop Traumatol Cech. 2019; 86(4):294-298 | DOI: 10.55095/achot2019/050  

The team of authors presents a case of the patient who suffered an isolated unstable extra-articular distal ulnar fracture, the surgical treatment of which was affected by a postponed management in consequence of inadequate primary treatment. The primary non-operative treatment resulted in a complex malunion ad latus, ad axim and ad peripheriam. The malunion which led to a painful restricted range of motion of the forearm (59%), decreased hand grip strength and significant limitation of activities of daily living was surgically treated by a triplane corrective osteotomy at 11 months after injury. At 12 months after surgery, a complete ulnar bone union...

Ipsilateral Fractures of the Coracoid and Acromion Process of the Scapula Combined with the Distal Clavicle End Fracture, Treatment OptionsCase report

M. KRTIČKA, M. PETRÁŠ

Acta Chir Orthop Traumatol Cech. 2019; 86(4):299-303 | DOI: 10.55095/achot2019/051  

Superior Shoulder Suspensory Complex (SSSC) is a bone and soft-tissue ring securing the connection of the upper extremity to the axial skeleton via the clavicle and sternoclavicular joint. An isolated injury to one component of SSSC is usually stable. An injury to 2 of its components is a potential source of shoulder girdle instability and requires surgical stabilisation. An injury affecting 3 and more components is extremely rare and surgical stabilisation should be indicated. Our study presents the case of a 50-year-old man who fell off the bicycle and sustained a direct blow to his left shoulder resulting in an ipsilateral fracture of the coracoid...

Zápis ze zasedání výboru ČSOT konaného dne 18. 6. 2019 v Parkhotelu PrůhoniceReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2019; 86(4):304