Vyhodnocení klinických výsledků metody implantace solidního chondrograftu v léčbě chondrálních lézí kolenního kloubu po více než 10 letechPůvodní práce

J. ŠIMURDA, P. VALIŠ, M. ROUCHAL, J. NOVÁK, T. OTAŠEVIČ

Acta Chir Orthop Traumatol Cech. 2023; 90(6):369-374 | DOI: 10.55095/achot2023/044

PURPOSE OF THE STUDY The authors present the outcomes of more than ten-year clinical follow-up of patients who underwent surgical treatment of deep chondral defect of the knee (medial or lateral condyle). The method of treatment was the implantation of autologous cultured chondrocytes in the form of a solid chondral graft. The aim was also to compare the mid-term and long-term outcomes and to evaluate how the knee condition affects the everyday life and sports activities more than 10 years after surgery. MATERIAL AND METHODS Thirty patients of the total of 56 patients (26 patients dropped out of the long-term follow-up) operated in the period between...

Fraktury femuru u dětí do dvou let. Pomýšlíme na možnost týrání?Původní práce

E. Popelová, M. Svatková, J. Přidal, J. Kotaška, M. Kynčl, V. Havlas

Acta Chir Orthop Traumatol Cech. 2023; 90(6):375-382 | DOI: 10.55095/achot2023/045

Purpose of the study The primary aim is to assess the proportion of children younger than two years with a femoral fracture who underwent a skeletal survey. The secondary aim of the study is to evaluate the patients' demographics, reported trauma mechanism, type of fracture, type of treatment and complication rate. Material and methods This was a retrospective study of children younger than two years examined at the Department of Imaging Methods for a femoral fracture between 2015-2022. The type and site of the fracture were assessed on radiographs. The patients' medical records were used to assess which steps had been taken to evaluate for possible...

Výzkum vlivu charakteristik úhlu facetového kloubu na rozvoj lumbální spinální stenózy u pacientů se stenózou bederního kanáluPůvodní práce

A. EROĞLU, M. ATAR, M. SAPANCI, C. ATABEY

Acta Chir Orthop Traumatol Cech. 2023; 90(6):383-390 | DOI: 10.55095/achot2023/046

Objectives The aim of our study was to investigate facet tropism and its impact on the development of lumbar spinal canal stenosis (LSCS) in patients with LSCS. Materials and Methods Bilateral facet joint angles at the L3-4, L4-5, and L5-S1 levels were measured on axial plane in the lumbar magnetic resonance imaging (MRI) scans of 82 patients aged between 32 and 75 with LSCS, and 82 healthy individuals aged between 30 and 66 without LSCS, who were considered as the normal group. Results Both groups in our study consisted of both males and females. The mean age was 51.4 for patients with LSCS and 44.7 for the healthy group, with no significant difference...

Roční klinické výsledky artroskopické rekonstrukce horní kapsuly ramenního kloubu pomocí šlachy dlouhé hlavy bicepsuPůvodní práce

R. KALINA, P. NEORAL, M. SIGMUND, J. GALLO

Acta Chir Orthop Traumatol Cech. 2023; 90(6):391-399 | DOI: 10.55095/achot2023/047

Purpose of the study Superior Capsule Reconstruction (SCR) of the shoulder joint has recently been included in the portfolio of interventions as a solution to irreparable rotator cuff tears. One of the options is to use a long head of the biceps tendon (LHBT) autograft. This paper presents the first clinical outcomes of the SCR of the shoulder joint using the LHBT autograft. Material and methods It is a prospective non-randomised study in which 14 patients were included, namely 7 men and 7 women. The patients were evaluated using the pain VAS, UCLA (The University of California at Los Angeles) Shoulder Rating Scale and ASES (The American Shoulder...

Vztah mezi funkčním skóre ramena a změnou morfologie labra po artroskopické Bankartově reparaciPůvodní práce

A. TEMIZ, Y. ŞAHBAT, İ. M. PEPE, C. N. AKTEKIN

Acta Chir Orthop Traumatol Cech. 2023; 90(6):400-407 | DOI: 10.55095/achot2023/048

Purpose of the study The aim of arthroscopic Bankart repair is restoration of the anterior block mechanism and regaining stability. There are few studies that have tested the adequacy of the angle made with the glenoid and the height from the glenoid level of the repaired labral tissue, but the correlation with the clinical results is not clear. The aim of this study was to define the correlation of the height and slope of the repaired labral tissue in the glenoid anterior with the clinical results. Material and methods This prospective study included 20 patients who underwent an arthroscopic Bankart repair. To evaluate the labrum anatomy of the affected...

Porovnání různých fixačních konfigurací u různých typů dětských vysokých suprakondylárních zlomenin humeru: analýza metodou konečných prvkůPůvodní práce

M. BOZOĞLAN, M. KUMBARACI, A. ÖZER, A. TURGUT

Acta Chir Orthop Traumatol Cech. 2023; 90(6):408-415 | DOI: 10.55095/achot2023/049

Purpose of the study The purpose of this study is to compare the stability of different fixation methods in high pediatric supracondylar humerus fractures with a finite element analysis method. Material and methods Transverse, lateral oblique, and medial oblique fracture models were created in a ten years old boy's distal humerus. Eight different fixation methods were applied to each fracture model. Displacement of the fracture models was measured under the translational and torsional forces. Results In the transverse fracture model; the 6^th method provided the best stability in internal rotation, external rotation, and extension loading....

Efektivita metody lokální infiltrační analgezie při operacích totální endoprotézy kolenního kloubuPůvodní práce

S. AKBEN, G. TUNCEL, G. ARGUN, T. ASKiN, I. KAYA

Acta Chir Orthop Traumatol Cech. 2023; 90(6):416-421 | DOI: 10.55095/achot2023/050

Purpose of the study Postoperative pain after total knee arthroplasty (TKA) is severe because of bone and soft tissue trauma during the surgery and is difficult to control with oral analgesics. The primary aim of the study was to investigate the effects of the local infiltration anesthesia (LIA) method on postoperative analgesia quality and opioid consumption in patients undergoing TKA. The secondary aims were to evaluate knee flexion angle, side effects, and patient satisfaction. Material and Methods Total 40 patients, who underwent unilateral TKA surgery under spinal anesthesia were included in the prospective randomized study. Patients who underwent...

Je kostní štěp nezbytný při léčbě cystické pseudoartrózy skafoidea?Původní práce

E. C. ZENGİN, H. ERTEM, S. SARUHAN, T. ÖZTÜRK, M. SENER

Acta Chir Orthop Traumatol Cech. 2023; 90(6):422-426 | DOI: 10.55095/achot2023/051

Purpose of the study The basic aim of the treatment of cystic nonunion is to provide stable fixation and mechanical compression to increase union, but there is no consensus on whether to perform bone grafting in the cystic area or not. The aim of this study was to compare the clinical and radiological results of patients with cystic scaphoid non-union who received open grafting, and internal fixation and those treated with percutaneous fixation without grafting. Material and Methods A retrospective evaluation was made of patients included those determined radiologically with Slade and Dodds grade IV scaphoid cystic non-union. Two different surgical...

Synoviální osteochondromatóza předního hlezna: vzácný případ u dospívajícíKazuistika

A. SUKUN

Acta Chir Orthop Traumatol Cech. 2023; 90(6):427-429 | DOI: 10.55095/achot2023/052