4,851 results match your criteria Acta Chirurgiae Orthopaedicae Et Traumatologiae Cechoslovaca[Journal]


[Heparin-Induced Thrombocytopenia after Total Knee Replacement].

Acta Chir Orthop Traumatol Cech 2020 ;87(2):129-133

Klinika ortopedie a traumatologie pohybového ústrojí Lékařské fakulty Univerzity Karlovy a Fakultní nemocnice Plzeň.

Heparin-induced thrombocytopenia is a rare complication of treatment with both unfractionated heparin (UFH) and low molecular weight heparin (LMWH). Antibodies against the complex heparin-platelet factor 4 are the main cause of pathogenesis, resulting in the activation of thrombocytes, coagulation, endothelium, monocytes, neutrophils and subsequent highly prothrombotic state. The prothrombotic state can result not only in venous but also in arterial thrombosis at different locations (which is manifested apart from venous thromboembolic disease also by acute limb ischemia, acute myocardial infarction, ischemic stroke, skin necrotizing lesion exanthema). Read More

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January 2020

Missed Sleeve Fracture of the Superior Pole of Patella.

Acta Chir Orthop Traumatol Cech 2020 ;87(2):127-128

Istanbul Medipol University School of Medicine, Department of Orthopaedics and Traumatology, Istanbul, Turkey.

Patellar sleeve fracture is a form of injury in which small osseous fragments avulsed with periosteum and cartilage. 15-year-old male patient, playing in school football team, apllied to our clinic with a history of previously missed patellar superior pole sleeve avulsion fracture. Care must be taken in order not to miss the patellar superior pole sleeve fractures, which are very rare in children. Read More

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January 2020

[Comparison of Trauma Triage System in Prehospital Care Based on the Clinical Parameters with the ISS Score in Severely Injured Patients in the Czech Republic].

Acta Chir Orthop Traumatol Cech 2020 ;87(2):120-126

Jesseniova lekárska fakulta v Martine, Univerzita Komenského v Bratislave.

PURPOSE OF THE STUDY The purpose of the study is to verify the sensitivity of pre-hospital triage algorithm used in the Czech Republic, which decides on directing the patients at risk of a failure of vital functions into a trauma centre. Another aim is to find out whether the triage algorithm extension by items F4-persistent traumatic paralysis and M7-buried under heavy objects, implemented in 2015, resulted in an increased sensitivity of triage. MATERIAL AND METHODS It is a retrospective, observational, monocentric study. Read More

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January 2020

[Treatment of Fractures of the Distal Third of Tibia Diaphysis by MIPO Technique].

Acta Chir Orthop Traumatol Cech 2020 ;87(2):114-119

Ortopedická klinika 1. lékařské fakulty Univerzity Karlovy, IPVZ a Nemocnice Na Bulovce, Praha.

PURPOSE OF THE STUDY MIPO (Minimally Invasive Plate Osteosynthesis) technique is currently a commonly used method to treat fractures of the distal third of tibia diaphysis. At the same time, it is just like other methods accompanied by a relatively high complication rate. The purpose of this study was to determine whether the use of this technique at our department is effective and whether the complication rate does not differ considerably from values reported by literature. Read More

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January 2020

[Minimally Invasive Cancellous Bone Graft Harvesting in Trauma Indication - Clinical Part of the Study].

Acta Chir Orthop Traumatol Cech 2020 ;87(2):108-113

Oddělení úrazové chirurgie Nemocnice České Budějovice, a.s.

PURPOSE OF THE STUDY The clinical prospective study presents the results of minimally invasive harvesting of cancellous bone tissue in trauma indications. We focused on evaluating the clinical outcomes of this technique, particularly on the amount of cancellous bone harvested, the effectiveness of its use and complications. The pain in the bone graft harvest site is evaluated and compared with the pain after a standard harvest from the iliac crest. Read More

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January 2020

[Surgical Treatment of Clavicle Midshaft Fractures - Prospective Randomized Trial].

Acta Chir Orthop Traumatol Cech 2020 ;87(2):101-107

Katedra vojenské chirurgie, Fakulta vojenského zdravotnictví, Univerzita obrany v Brně, Hradec Králové.

PURPOSE OF THE STUDY Comparison of the outcomes of clavicle midshaft fractures using two different surgical techniques, namely intramedullar osteosynthesis using elastic stable intramedullary nailing (ESIN) with medial cap and extramedullar plate osteosynthesis. MATERIAL AND METHODS The prospective randomized trial was conducted at the Department of Trauma Surgery of the Department of Surgery of the University Hospital Hradec Králové in the Czech Republic at the Level I Trauma Center between 2014 and 2018 and compared two types of osteosynthesis of clavicle midshaft fractures. 60 patients were enrolled in the study and were randomly assigned to one of the two groups. Read More

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January 2020

[Minimally Invasive Posterior Lumbar Interbody Fusion and Instrumentation - Outcomes at 24-Month Follow-up].

Acta Chir Orthop Traumatol Cech 2020 ;87(2):95-100

Neurochirurgické oddělení Krajské nemocnice Tomáše Bati, Zlín.

PURPOSE OF THE STUDY Minimally invasive posterior lumbar interbody fusion and percutaneous instrumentation were introduced in the clinical practice with the aim to reduce the damage to musculoligamentous structures associated with open surgeries. The purpose of the study is to evaluate the clinical outcomes, radiological results and complications of the group of patients operated with the use of the minimally invasive posterior lumbar interbody fusion technique. MATERIAL AND METHODS The group of 31 patients operated for lumbar degenerative disc disease was followed-up prospectively. Read More

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January 2020

Can Intra-articular 1α, 25-Dihydroxyvitamin D3 Administration Be Therapeutical in Joint Cartilage Damage?

Acta Chir Orthop Traumatol Cech 2020 ;87(2):90-94

Istanbul Medipol University Faculty of Medicine, Department of Orthopedics and Traumatology, Istanbul, Turkey.

INTRODUCTION Vitamin D-deficiency is known to cause nerve conduction impairments, cancer and chronic diseases, as well as the pathogenesis of osteoarthritis. Our goal with this study is to evaluate the cartilage healing by applying intraarticular 1α, 25 (OH) 2D3 at different doses in rats with normal vitamin D levels and metabolism, which we made focal chondral damage model in the knee joint. MATERIAL AND METHODS 35 male Sprague-Dawley rats aged 20-24 weeks were used in our study. Read More

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January 2020

[Management of Glenoid Defect by a Bone Graft in Reverse Total Shoulder Arthroplasty - Surgical Technique and Two-Year Clinical Outcomes].

Acta Chir Orthop Traumatol Cech 2020 ;87(2):82-89

Ortopedicko-traumatologické oddělení, Nemocnice Jihlava.

PURPOSE OF THE STUDY The purpose of the study is to share the first experience of authors with the management of glenoid defects by a bone graft in reverse total shoulder arthroplasty. MATERIAL AND METHODS Evaluation of 7 patients was conducted, who underwent reverse total shoulder arthroplasty at the authors' department. Due to the presence of glenoid bone defect, augmentation was performed by bone graft, obtained either as an autograft harvested from the humeral head of the patient intraoperatively or as an allograft from the femoral head from the bone tissue bank. Read More

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January 2020

[Recommendations for Crisis Management in Mass Casualty Incidents, with a Focus on a Terrorist Attack].

Authors:
F Burget P Douša

Acta Chir Orthop Traumatol Cech 2020 ;87(1):62-67

I. chirurgická klinika - klinika hrudní, břišní a úrazové chirurgie Všeobecné fakultní nemocnice a 1. lékařské fakulty Univerzity Karlovy, Praha.

Recently, there has been an apparent increase in terrorism-related incidents. The security experts believe that the risk of terrorist attacks cannot be fully ruled out in the Czech Republic either. For this reason, it is appropriate to obtain information from regions with more experience with terrorism and to learn from their mistakes. Read More

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[Surgical Treatment of Congenital Cleft Foot - Case Study and Literature Review].

Authors:
P Šponer T Kučera

Acta Chir Orthop Traumatol Cech 2020 ;87(1):58-61

Ortopedická klinika Lékařské fakulty Univerzity Karlovy a Fakultní nemocnice Hradec Králové.

Congenital cleft foot is a deformity characterised by genetic heterogeneity and a high degree of phenotypic variability. This together with its very low incidence is the reason for rather controversial opinions on the treatment. The authors present a case study of a boy with unilateral cleft foot classified as type III by Blauth-Borisch and type II by Abraham et al. Read More

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[Hemicorporectomy as the Highest Grade of En Bloc Sacrectomy].

Acta Chir Orthop Traumatol Cech 2020 ;87(1):52-57

Klinika spondylochirurgie 1. lékařské fakulty Univerzity Karlovy a Fakultní nemocnice v Motole, Praha.

Hemicorporectomy or translumbar amputation is an extensive surgical procedure consisting in removing the lower portion of the body. Thakur et al. found a total of 71 hemicorporectomies described in literature before 2017. Read More

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[Minimally Invasive Cancellous Bone Graft Harvesting in Trauma Indication - Experimental Part of the Study].

Acta Chir Orthop Traumatol Cech 2020 ;87(1):48-51

Oddělení úrazové chirurgie Nemocnice České Budějovice, a.s.

PURPOSE OF THE STUDY Our experimental study presents a set of bone grafts harvested by a minimally invasive procedure from selected deceased donors. Our objective was to compare the concentration of red bone marrow in the cancellous bone harvested in this way from selected regions with the reference harvesting from the iliac crest. Thus, the potential of grafts to heal complicated fractures or non-unions is assessed. Read More

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[Evaluation of a Combination of Waveform Amplitude Latency and Decrease of Waveform Amplitude Magnitude during Spinal Surgery in Intraoperative Neurophysiological Monitoring of Transcranial Motor Evoked Potentials and Its Incidence on Postoperative Neurological Deficit].

Acta Chir Orthop Traumatol Cech 2020 ;87(1):39-47

I. Ortopedicko-traumatologická klinika, Lekárskej fakulty Univerzity Komenského, Slovenskej zdravotníckej Univerzity a Univerzitnej nemocnice Bratislava.

PURPOSE OF THE STUDY This retrospective study investigated the significance of a combination of peak latency of waveform amplitude and waveform amplitude in association with spinal deformities. The correlation with postoperative neurologic deficit was evaluated too. MATERIAL AND METHODS Between January 2007 and January 2018, a group of 113 patients was evaluated in the study who underwent spine surgery using intraoperative neurophysiological monitoring (IONM) focusing on transcranial motor evoked potential (tc-MEP) monitoring. Read More

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Factors Influencing Complication Rates in the Orthopaedic Theatre.

Acta Chir Orthop Traumatol Cech 2020 ;87(1):32-38

Health Sciences University Umraniye Training and Research Hospital Department of Orthopaedics and Traumatology, Istanbul, Turkey.

PURPOSE OF THE STUDY The prevalence of complications in surgical units is available in the literature. The aim of this study was to compare the "rotational" (more than one surgeon) and "full-time single surgeon" use of the orthopedic theater. MATERIAL AND METHODS We retrospectively evaluated patients who underwent orthopedic surgery in 2016 in different theaters. Read More

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[Complications after Revision Total Knee Arthroplasties].

Acta Chir Orthop Traumatol Cech 2020 ;87(1):28-31

Ortopedicko-traumatologické oddělení Nemocnice Havlíčkův Brod.

PURPOSE OF THE STUDY The failure of arthroplasties and above all the issue of infection and its detection have become an ever more frequently discussed problem. The purpose of our study was to determine the frequency and the type of complications after revision total knee arthroplasties and to compare them with the frequency of complications after primary implantations. MATERIAL AND METHODS In our group of patients followed up in the period from January 2007 to December 2016, in 50 patients the revision surgery was performed for aseptic loosening and in 24 patients for deep infection. Read More

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The Evaluation of Results of Repair using All-Soft Suture Anchor in the Treatment of Chronic Tendinous Mallet Finger Surgery.

Acta Chir Orthop Traumatol Cech 2020 ;87(1):24-27

Istanbul Medipol University Orthopaedics Department, Istanbul, Turkey.

PURPOSE OF THE STUDY The purpose of this study is to evaluate the results of chronic tendinous mallet finger repair with all soft suture anchors. MATERIAL AND METHODS In this retrospective study we evaluated 14 patients. Data included age, side of surgery, the degree of extensor lag, the ratio of the damaged articular surface, postoperative recovery period and time to return to work. Read More

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[Influence of Anterior Cruciate Ligament Reconstruction on Gait Kinematics].

Acta Chir Orthop Traumatol Cech 2020 ;87(1):17-23

Ortopedická klinika Fakultní nemocnice Olomouc a Lékařské fakulty Univerzity Palackého v Olomouci.

INTRODUCTION The anterior cruciate ligament (ACL) reconstruction is a tried and tested method in treating knee joint instability which brings valuable results in an acceptable time frame. In the long-term follow-up, however, a higher risk of knee osteoarthritis development is described. One of the possible reasons is considered to be the abnormal kinematics of the operated knee. Read More

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Creatine Kinase and Myoglobin Levels as Indicators of Perioperative Muscle Damage during Open- and Mini-Invasive Stabilization of Thoracic and Lumbar Spine Fracture - a Prospective Randomized Study.

Acta Chir Orthop Traumatol Cech 2020 ;87(1):9-16

Department of Orthopaedics and Locomotive Apparatus Traumatology of the Faculty of Medicine in Pilsen, Charles University, Czech Republic.

PURPOSE OF THE STUDY In this randomized prospective study, we monitored and compared perioperative changes in skeletal muscle enzymes blood levels in open and mini-invasive stabilization of thoracolumbar spine fractures. The established hypothesis was to confirm higher blood levels of muscle enzymes in open stabilization. MATERIAL AND METHODS This study included 38 patients with the mean age of 46. Read More

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[Liver Injury after a Collapse Caused by Acute Myocardial Infarction, Resuscitation and Acute Myocardial Revascularisation].

Acta Chir Orthop Traumatol Cech 2019 ;86(6):444-446

Chirurgická klinika Lékařské fakulty Univerzity Karlovy a Fakultní nemocnice, Plzeň.

The presented case report describes primarily an unrecognized liver injury after the resuscitation with cardiac massage due to myocardial infarction. After myocardial revascularization, the hemodynamic instability and anaemia in the patient persisted. The performed CT scan confirmed a liver injury, namely the rupture of liver parenchyma with hemoperitoneum, which had to be treated surgically. Read More

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January 2020

[Combined Symptomatic Treatment of Groin Pain Syndrome in Professional Football Players - Prospective Study Results].

Acta Chir Orthop Traumatol Cech 2019 ;86(6):435-443

Ortopedické oddělení Fakultní nemocnice Ostrava.

PURPOSE OF THE STUDY The results of the prospective study evaluating the outcomes of a combined therapeutic approach of non-operative therapy of Groin Pain Syndrome (GPS) in professional football players are presented. MATERIAL AND METHODS The evaluated cohort consisted of a total of 31 football players of a professional football club divided into two groups. The Group 1 included 10 symptomatic patients suffering from GPS for at least 4 weeks, the Control Group 2 included 21 healthy football players not suffering from GPS. Read More

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January 2020

[First Experience with Cranioplasty Using the Polyetheretherketone (PEEK) Implant - Retrospective Five-Year Follow-up Study].

Acta Chir Orthop Traumatol Cech 2019 ;86(6):431-434

Neurochirurgická klinika Fakultní nemocnice Královské Vinohrady a 3. lékařské fakulty Univerzity Karlovy, Praha.

PURPOSE OF THE STUDY Cranioplasty is currently the most common neurosurgical procedure. The purpose of this study is to describe the first experience with successful use of the Cranio-Oss (PEEK) custom implant for cranioplasty. MATERIAL AND METHODS In the period 2012 to 2013, a total of 26 cranioplasties were performed. Read More

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January 2020

[InternalBrace ACL Repair - First Experiences and Outcomes].

Acta Chir Orthop Traumatol Cech 2019 ;86(6):423-430

Ortopedická klinika Lékařské fakulty Univerzity Palackého v Olomouci a Fakultní nemocnice Olomouc.

PURPOSE OF THE STUDY In recent years attempts have been made again to repair anterior cruciate ligament (ACL) in order to maintain native kinematics and knee joint proprioception. The method of choice is the arthroscopic suture of the ligament using the InternalBrace ligament augmentation. This study presents the first experience gained with this surgical technique and the clinical outcomes. Read More

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January 2020

[Peroneal Nerve Palsy Management by Tibialis Posterior Muscle Transposition - Anatomical and Clinical Study].

Acta Chir Orthop Traumatol Cech 2019 ;86(6):419-422

Ústav anatomie Lékařské fakulty Univerzity Karlovy, Hradec Králové.

PURPOSE OF THE STUDY Transposition of tibialis posterior muscle ranks among the methods of dorsiflexion restoration in patients with peroneal nerve palsy. Even though this method is commonly used, anatomical variations are still encountered which make us modify the established procedures. The purpose of this study is to evaluate the functional outcomes of operated patients and based on the clinical experience to define by cadaver preparation the anatomical causes preventing the use of the standard transposition technique. Read More

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January 2020

[Outcomes of Treatment of Calcaneal Fractures Using Locking Compression Plate with or without Augmentation].

Acta Chir Orthop Traumatol Cech 2019 ;86(6):413-418

Klinika ortopedie a traumatologie pohybového ústrojí Lékařské fakulty Univerzity Karlovy a Fakultní nemocnice, Plzeň.

PURPOSE OF THE STUDY The retrospective study aims to compare the outcomes of augmentation of neutral triangle formed after the calcaneal fracture reduction with osteosynthesis using the locking compression plate with the outcomes of osteosynthesis without augmentation. MATERIAL AND METHODS In the period from 2005 to January 2011, 98 patients with 114 calcaneal fractures were treated by open reduction and internal fixation (ORIF) method with the use of calcaneal plate. The group included 15 women (15. Read More

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January 2020

[Surgical Therapy of Fixed Atlantoaxial Rotatory Dislocation - Monocentric Study of 15 Patients].

Acta Chir Orthop Traumatol Cech 2019 ;86(6):403-412

Klinika spondylochirurgie 1. lékařské fakulty Univerzity Karlovy a Fakultní nemocnice v Motole, Praha.

PURPOSE OF THE STUDY Atlantoaxial Rotatory Dislocation (AARD) mostly occurs in children and prevailing majority of cases are successfully managed by non-operative treatment. Surgical intervention is necessary in patients in whom non-operative treatment failed, in case of repeated dislocations and in patients with anatomical defects of the atlantoaxial complex. The purpose of the presented study is the radiological and clinical evaluation of patients with AARD surgically treated at our department. Read More

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January 2020

[The Risk of Total Joint Replacement Infectious Complications in Relation to the UHMWPE Particle Adhesion Area].

Acta Chir Orthop Traumatol Cech 2019 ;86(6):397-402

l. ortopedická klinika 1. lékařské fakulty Univerzity Karlovy a Fakultní nemocnice v Motole, Praha.

PURPOSE OF THE STUDY Periprosthetic joint infection is a major complication which in most of the cases requires a long-term administration of antibiotics and often necessitates undergoing multiple challenging surgeries. Bacterial adhesion to foreign material is one of the key risk factors associated with periprosthetic joint infection. The foreign material with large adhesion area might be also the UHMWPE (Ultrahigh molecular weight polyethylene) particles released during the wear process from the surface of articulating components. Read More

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January 2020

[Comparison of Explanted UHMWPE Hip Replacement Components of Various Manufacturers after 10 Years in vivo].

Acta Chir Orthop Traumatol Cech 2019 ;86(6):390-396

l. ortopedická klinika 1. lékařské fakulty Univerzity Karlovy a Fakultní nemocnice v Motole, Praha.

PURPOSE OF THE STUDY Considered to be one of the most common causes of aseptic loosening of endoprostheses is the THA failure due to the wear of articulating components, UHMWPE in particular. The purpose of this study is to verify, in terms of oxidative damage and other parameters, the differences between the UHMWPE implants made by various manufacturers explanted for aseptic loosening with the same life span in vivo. MATERIAL AND METHODS In the period 2010-2015, a total of 21 THA articulating components (cups) made of Ultrahigh molecular weight polyethylene by seven different manufacturers were explanted. Read More

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January 2020

[Avascular Necrosis of Femoral Head and Coxarthrosis Progression after Acetabular Fractures].

Acta Chir Orthop Traumatol Cech 2019 ;86(6):381-389

Klinika ortopedie a traumatologie pohybového ústrojí Lékařské fakulty Univerzity Karlovy a Fakultní nemocnice, Plzeň.

PURPOSE OF THE STUDY Non-operative and operative treatment of acetabular fractures is associated with a risk of development of posttraumatic avascular necrosis of femoral head or with the development of posttraumatic coxarthrosis. The purpose of the study was to identify the occurrence of these two complications in patients in our group and to determine the risk factors for the development of these complications. MATERIAL AND METHODS The retrospective study was conducted in two Level I trauma centres in the period from 2009 to 2014. Read More

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January 2020

[Bilateral Dislocation of the Hip Joints after a Car Accident?]

Acta Chir Orthop Traumatol Cech 2019 ;86(5):368-371

I. Ortopedicko-traumatologická klinika Lekárskej fakulty Univerzity Komenského a Univerzitnej nemocnice, Bratislava.

The authors describe a case report of a 5-year-old foreign girl with a rare bilateral hip dislocation after a car accident. Young surgeons at the emergency department performed an unsuccessful closed reduction. Since the clinical and ultrasound screening of DDH of all newborns in the Slovak Republic is carried out until the age of 4-6 weeks, the treatment of dislocated hips starts early and the late diagnosed dislocations occur rarely. Read More

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December 2019

[Our Initial Experience with Radial Head Replacement].

Acta Chir Orthop Traumatol Cech 2019 ;86(5):362-367

Ortopedická klinika 1. lékařské fakulty Univerzity Karlovy a Fakultní nemocnice v Motole, Praha.

PURPOSE OF THE STUDY A single treatment procedure for multi-fragmented non-reconstructible radial head fractures has not been established as of yet. One of the available treatment methods can be the implantation of an endoprosthesis, but there is no consensus in available publications. We therefore decided to trial their use and to obtain our own experience. Read More

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December 2019

[Arthrodesis of Interphalangeal Joints of the Hand by an External Fixator in Managing Conditions Resulting from Septic Arthritis].

Authors:
J Kvasnička

Acta Chir Orthop Traumatol Cech 2019 ;86(5):358-361

Ortopedická klinika Fakultní nemocnice Hradec Králové.

PURPOSE OF THE STUDY Arthrodesis of interphalangeal joints of the hand is a method used to treat conditions associated with joint destruction, instability and pain. Our study aims to evaluate the outcomes of the treatment of sequelae of septic arthritis of interphalangeal joints by arthrodesis with external fixation. This topic is hardly covered in literature. Read More

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December 2019

Acute Total Ulnar Collateral Ligament Injuries of Thumb - Primary Repair with Mini Soft Suture Anchor (JuggerKnot™).

Acta Chir Orthop Traumatol Cech 2019 ;86(5):353-357

Istanbul Medipol University, Orthopaedics and Traumatology Department, Istanbul, Turkey.

PURPOSE OF THE STUDY We aimed to investigate the functional outcomes and complications of a new approach, the primary UCL repair using JuggerKnot™ Soft Anchor-1.0 mm Mini (Zimmer-Biomet). MATERIAL AND METHODS This study included a total of 12 patients with acute UCL injury who were operated with primary repair with JuggerKnot™ Soft Anchor-1. Read More

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December 2019

[Reconstruction of Lower Extremity Palsy after Pelvic Fractures with the Muscle Transfers].

Acta Chir Orthop Traumatol Cech 2019 ;86(5):348-352

Traumatologická klinika Lékařské fakulty Univerzity Palackého v Olomouci a Fakultní nemocnice Olomouc.

PURPOSE OF THE STUDY The prevalence of nerve structure injuries accompanying pelvic and acetabular fractures is stated to be 5-25 %, with most frequent injuries to motor nerve structures associated with fractures of the posterior wall of the acetabulum. Prognostically worse outcomes of regeneration are documented mainly in iatrogenic, intraoperative injuries to nerve structures. This study aims to document the functional effect of muscle transfers restoring the movement of lower extremities with irreversible nerve lesion caused by the pelvic and acetabular fracture. Read More

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December 2019

[Importance of Skull X-ray in Head Trauma].

Acta Chir Orthop Traumatol Cech 2019 ;86(5):342-347

Klinika úrazové chirurgie Fakultní nemocnice Brno a Lékařské fakulty Masarykovy univerzity, Brno.

PURPOSE OF THE STUDY The aim of our study is to show the pitfalls of performing skull X-rays in patients with head injuries and the lack of accuracy of this examination nowadays, and to clarify the current trend in the MTBI investigation algorithm. MATERIAL AND METHODS A retrospective study of 3,950 patients treated for acute head injury at the Department of Trauma Surgery (University Hospital Brno) in the period from 2015 to 2016. Inclusion criteria were the following: mild brain injury (GCS = 15), primary skull X-ray design in head injury diagnosis. Read More

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December 2019

[Whole-Body CT Scan and Other Imaging Techniques in Examining Polytrauma Patients - Outcomes of a Questionnaire Survey of Trauma Centres in the Czech Republic].

Acta Chir Orthop Traumatol Cech 2019 ;86(5):334-341

Radiodiagnostická klinika, 3. lékařská fakulta Univerzity Karlovy a Fakultní nemocnice Královské Vinohrady v Praze.

PURPOSE OF THE STUDY The study aimed to map the use of imaging techniques and results reporting in polytrauma patients by the trauma centres in the Czech Republic. MATERIAL AND METHODS The representatives of radiology departments and units of all 12 trauma centres in the Czech Republic completed a questionnaire regarding the imaging in polytrauma patients. RESULTS The Focused Assessment with Sonography for Trauma (FAST) as an initial imaging is used by all the centres, the WholeBody CT scan (WBCT) is the dominant imaging technique everywhere and all the centres have standards in place for its performance. Read More

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December 2019

[Study on the Effects of Sex and Age on Proximal Femoral Fractures in Two Culturally Diverse Countries].

Acta Chir Orthop Traumatol Cech 2019 ;86(5):330-333

Klinika ortopedie 1. lékařské fakulty Univerzity Karlovy a Ústřední vojenské nemocnice, Praha.

PURPOSE OF THE STUDY The pilot study deals with the current situation in proximal femoral fractures in culturally diverse regions, namely in Afghanistan (AFG) and in the Czech Republic (CZ). The study aimed to find out whether there are any differences in proximal femoral fractures in dependence on the selected criteria between the two culturally diverse areas. The study used the data of patients who underwent surgery for proximal femoral fracture at the Department of Orthopaedics of the 1 s t Medical Faculty of the Charles University and the Military University Hospital and at the Military Base Hospital Kabul. Read More

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December 2019

[National Register of Joint Replacement Reflecting the Treatment of Developmental Dysplasia of the Hip in Newborns].

Authors:
M Zídka V Džupa

Acta Chir Orthop Traumatol Cech 2019 ;86(5):324-329

Ortopedické oddělení CLPA-Mediterra, Praha.

PURPOSE OF THE STUDY In the Czech Republic a systematic neonatal hip screening has been performed for many decades. Its aim is to prevent, by means of early treatment of hip dysplasia in the newborn period, the development of hip deformities leading to the onset of degenerative hip changes during the adulthood. The study aims to prove the effects of paediatric hip care based on the data analysis of the Czech National Register of Joint Replacement. Read More

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December 2019

Prediction of the Mortality with Comorbidity - Polypharmacy Score in the Osteoporotic Hip Fractures.

Authors:
S Camur H Celik

Acta Chir Orthop Traumatol Cech 2019 ;86(5):320-323

Health Science University, Umraniye Training and Research Hospital, Department of Orthopaedics and Traumatology, Istanbul, Tu r k ey.

PURPOSE OF THE STUDY Osteoporotic hip fractures commonly associated with comorbid diseases and use of multiple drugs. Polypharmacy status and the comorbidity-polypharmacy score (CPS) are the most common two grading system to predict mortality risk for the trauma patients older than 45 years. The purpose of the study was to determine whether the CPS or polypharmacy can predict the mortality risk in the older patients had a surgery due to an osteoporotic hip fracture. Read More

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December 2019

[Current Options of Rheumatosurgery of the Hand and Wrist].

Acta Chir Orthop Traumatol Cech 2019 ;86(5):313-319

Rheumatosurgery is a discipline managing the symptoms of rheumatoid arthritis of the musculoskeletal system. In a vast number of patients this disease starts in the wrist and hand. The portfolio of surgical procedures performed on the skeleton and soft tissues in these regions can be divided into two groups that, however, often times overlap in practice. Read More

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December 2019

[Ipsilateral Fractures of the Coracoid and Acromion Process of the Scapula Combined with the Distal Clavicle End Fracture, Treatment Options].

Acta Chir Orthop Traumatol Cech 2019 ;86(4):299-303

Klinika úrazové chirurgie, Fakultní nemocnice Brno a Lékařská fakulta, Masarykova Univerzita, Brno.

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. Read More

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November 2019
7 Reads

[Distal Ulna Malunion as the Result of Distal Ulnar Shaft Fracture Treated by Three-Dimensional Corrective Osteotomy].

Acta Chir Orthop Traumatol Cech 2019 ;86(4):294-298

Klinika úrazové chirurgie, Masarykova nemocnice v Ústí nad Labem a Univerzita Jana Evangelisty Purkyně v Ústí nad Labem.

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. Read More

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November 2019
7 Reads

[Vascularised Fibula and Tendon Transfer in the Comprehensive Treatment of Forearm Fracture with Gas Gangrene Complication].

Acta Chir Orthop Traumatol Cech 2019 ;86(4):290-293

Klinika plastickej, rekonštrukčnej a estetickej chirurgie Lekárskej fakulty Univerzity Komenského v Bratislave a Univerzitnej nemocnice Bratislava.

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. Read More

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November 2019
3 Reads

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

Acta Chir Orthop Traumatol Cech 2019 ;86(4):286-289

Klinika popálenin a plastické chirurgie, Fakultní nemocnice Brno.

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. Read More

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November 2019
6 Reads

Orthopedics and Traumatology Residency - Working Conditions, Training, and Psychological Stress.

Acta Chir Orthop Traumatol Cech 2019 ;86(4):281-285

Medipol University, Orthopaedics & Traumatology Department, Istanbul-Turkey.

PURPOSE OF THE STUDY The 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 METHODS 524 (70.05%) of 748 assistants who receive specialization training in Turkey were reached. Read More

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November 2019

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

Acta Chir Orthop Traumatol Cech 2019 ;86(4):276-280

Istanbul Medipol University Faculty of Medicine, Department of Orthopedics and Traumatology, Istanbul, Turkey.

PURPOSE OF THE STUDY Septic 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%. Read More

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November 2019
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An Effective Technique in Treatment of Femoral Neck Fractures - Ostheosynthesis under Double Fluoroscopic Guidance.

Acta Chir Orthop Traumatol Cech 2019 ;86(4):271-275

Istanbul Medipol University, Orthopaedics and Traumatology Department, Istanbul, Turkey.

PURPOSE OF THE STUDY The 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. Read More

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November 2019
2 Reads

[Arthroscopic Superior Capsule Reconstruction Using the DX Reinforcement Matrix in Patients with Irreparable Rotator Cuff Tears - Pilot Data].

Acta Chir Orthop Traumatol Cech 2019 ;86(4):264-270

PURPOSE OF THE STUDY Irreparable 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. Read More

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November 2019
1 Read

[Outcomes and Complications of Surgical Treatment for LSS at 1-Year Follow-up - Prospective Study].

Acta Chir Orthop Traumatol Cech 2019 ;86(4):256-263

Ortopedicko-traumatologická klinika, 3. lékařská fakulta Univerzity Karlovy a Fakultní nemocnice Královské Vinohrady, Praha.

PURPOSE OF THE STUDY Lumbar 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. Read More

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November 2019
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[Rotational Laxity of the Knee Joint - In Vivo MRI Study].

Acta Chir Orthop Traumatol Cech 2019 ;86(4):249-255

Ortopedická klinika 1. lékařské fakulty Univerzity Karlovy a Nemocnice Na Bulovce, Praha.

PURPOSE OF THE STUDY The 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 METHODS Part 1: MRIs of volunteers Data 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. Read More

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November 2019
1 Read