4,779 results match your criteria Acta Chirurgiae Orthopaedicae Et Traumatologiae Cechoslovaca[Journal]


[Osteoid Osteoma of the Upper Extremity].

Acta Chir Orthop Traumatol Cech 2019 ;86(1):77-82

Oddělení ortopedie, Traumatologicko-ortopedické centrum, Krajská nemocnice Liberec.

PURPOSE OF THE STUDY Osteoid 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. Read More

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January 2019
2 Reads

[Reconstruction of Isolated Orbital Floor Fractures by Nasoseptal Cartilage].

Acta Chir Orthop Traumatol Cech 2019 ;86(1):72-76

Klinika otorinolaryngologie a chirurgie hlavy a krku, Fakultní nemocnice u sv. Anny v Brně a Lékařské fakulty Masarykovy univerzity Brno.

PURPOSE OF THE STUDY The 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. Read More

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January 2019
1 Read

[Short-Term Outcomes of Endoscopic Treatment of Inferior Calcar Calcanei in Patients with Plantar Fasciitis].

Acta Chir Orthop Traumatol Cech 2019 ;86(1):65-71

Ortopedická klinika Fakultní nemocnice Olomouc.

PURPOSE OF THE STUDY The 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 METHODS Our 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. Read More

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January 2019
1 Read

[Current Concepts in the Treatment of Intra-Articular Calcaneal Fractures].

Authors:
V Popelka

Acta Chir Orthop Traumatol Cech 2019 ;86(1):58-64

Klinika úrazovej chirurgie Lekárskej fakulty Slovenskej zdravotníckej univerzity a Univerzitnej nemocnice Bratislava.

PURPOSE OF THE STUDY The aim of this study was to evaluate and present the current concepts in the treatment of intra-articular calcaneal fractures. MATERIAL AND METHODS During 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. Read More

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January 2019
2 Reads

[Mid-Term Outcomes of Reconstruction of Charcot Foot Neuroarthropathy in Diabetic Patients].

Acta Chir Orthop Traumatol Cech 2019 ;86(1):51-57

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

PURPOSE OF THE STUDY The 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 METHODS In 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. Read More

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January 2019
4 Reads

[New Anterior Cruciate Ligament Reconstrucion Using Harmstring Tendon Grafts - Clinical Part].

Acta Chir Orthop Traumatol Cech 2019 ;86(1):46-50

Klinika dětské a dospělé ortopedie a traumatologie 2. lékařské fakulty Univerzity Karlovy a Fakultní nemocnice v Motole, Praha, ČR.

PURPOSE OF THE STUDY The 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. Read More

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January 2019

[Assessment of Reduction Abilities of an Expandable Stent in Treating Osteoporosis-Related Fractures of Th/L (Thoracolumbar) Spine].

Acta Chir Orthop Traumatol Cech 2019 ;86(1):39-45

Klinika traumatologie Lékařské fakulty Masarykovy Univerzity v Brně.

PURPOSE OF THE STUDY The 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. Read More

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January 2019
1 Read

[Rotational Knee Joint Kinematics before and after Unicompartmental Medial Arthroplasty, Comparison with a Healthy Knee Joint].

Acta Chir Orthop Traumatol Cech 2019 ;86(1):33-38

Ortopedicko-traumatologické oddělení, Nemocnice Znojmo.

PURPOSE OF THE STUDY The 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 METHODS In 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. Read More

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January 2019
1 Read

[Mid-Term Results of Treatment of Severe Grades of Slipped Capital Femoral Epiphysis without Surgical Hip Dislocation].

Acta Chir Orthop Traumatol Cech 2019 ;86(1):23-32

Ortopedická klinika 1. lékařské fakulty Univerzity Karlovy, Institutu postgraduálního vzdělávání ve zdravotnictví a Nemocnice Na Bulovce, Praha.

PURPOSE OF THE STUDY To 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 METHODS In the period 1996-2014, 26 patients were treated for severe slips ( >60°). Read More

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January 2019
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Factors Affecting Operative Time Intervals for Lower Limb Arthroplasties - Correlation with Total Operative Time.

Acta Chir Orthop Traumatol Cech 2019 ;86(1):18-22

Department of Orthopaedics and Traumatology, Baskent University Hospital, Ankara, Turkey.

PURPOSE OF THE STUDY The 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 METHODS Specific 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. Read More

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January 2019

Treatment Algorithm for Pilon Fracture - Clinical and Radiological Results.

Acta Chir Orthop Traumatol Cech 2019 ;86(1):11-17

Charité - University Medicine Berlin, Center for Musculoskeletal Surgery, Berlin, Germany.

PURPOSE OF THE STUDY The 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 METHODS In 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. Read More

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January 2019
2 Reads

[Treatment Options for Inveterate Injuries of Deep Finger Flexors - Primary Transplantation with Tendon Graft].

Acta Chir Orthop Traumatol Cech 2018 ;85(5):370-372

Klinika plastické chirurgie 3. lékařské fakulty Univerzity Karlovy a Fakultní nemocnice Královské Vinohrady, Praha.

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. Read More

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February 2019
17 Reads

[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 Radiologist].

Acta Chir Orthop Traumatol Cech 2018 ;85(5):366-369

Klinika radiologie a nukleární medicíny Fakultní nemocnice Brno a Lékařské fakulty Masarykovy univerzity, Brno.

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. Read More

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February 2019
1 Read

[Use of the Peptigel with Nanofibres in the Bone Defects Healing].

Acta Chir Orthop Traumatol Cech 2018 ;85(5):359-365

Oddělení chirurgie a ortopedie, Klinika chorob psů a koček, Fakulta veterinárního lékařství, Veterinární a farmaceutická univerzita Brno 2.

INTRODUCTION Traumatic 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. Read More

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February 2019
22 Reads

[Immunohistochemical Detection of Mast and Dendritic Cells in Periprosthetic Tissues of Aseptically Loosened Total Prostheses].

Acta Chir Orthop Traumatol Cech 2018 ;85(5):351-358

Ústav patologie Lékařské fakulty Ostravské univerzity a Fakultní nemocnice Ostrava.

PURPOSE OF THE STUDY This 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 patterns of aseptic loosening and the benefit of the applied immunohistochemical methods was evaluated. Read More

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February 2019
1 Read

[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 Study].

Acta Chir Orthop Traumatol Cech 2018 ;85(5):343-350

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

PURPOSE OF THE STUDY The 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 METHODS The 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. Read More

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February 2019
2 Reads

[Triplane Fractures of the Distal Tibial Epiphysis - Contributions of CT Scans to Indication and Planning of Osteosynthesis].

Acta Chir Orthop Traumatol Cech 2018 ;85(5):336-342

Klinika dětské chirurgie a traumatologie 3. lékařské fakulty Univerzity Karlovy a Thomayerovy nemocnice, Praha.

PURPOSE OF THE STUDY The 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 METHODS In 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. Read More

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February 2019
1 Read

[Classification Systems to Evaluate the Clubfoot and Their Potential Use to Predict the Course and the Results of the Ponseti Method Treatment].

Acta Chir Orthop Traumatol Cech 2018 ;85(5):331-335

Klinika dětské chirurgie, ortopedie a traumatologie Lékařské fakulty Masarykovy univerzity a Fakultní nemocnice Brno.

INTRODUCTION The 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. Read More

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February 2019
6 Reads

Modified Lindgren-Turan Osteotomy for Hallux Valgus Deformity - a Review of 60 Cases.

Acta Chir Orthop Traumatol Cech 2018 ;85(5):325-330

Golhisar State Hospital, Burdur, Turkey.

PURPOSE OF THE STUDY To 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 METHODS 60 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 (PPAA) and shortening amount in the first metatarsus were measured through preoperative and follow-up radiography. Read More

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February 2019
1 Read

Mid-Term Survival of Total Knee Arthroplasty in Patients with Posttraumatic Osteoarthritis.

Acta Chir Orthop Traumatol Cech 2018 ;85(5):319-324

Center for Musculoskeletal Surgery, University Department of Orthopaedics, Charité - University Medicine Berlin, Berlin, Germany.

PURPOSE OF THE STUDY There 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. Read More

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February 2019
1 Read

[Surgical Treatment of High-Grade High-Dysplastic Spondylolistheses in Young Patients - Prospective Monocentric Study of 29 Patients].

Acta Chir Orthop Traumatol Cech 2018 ;85(5):305-318

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

PURPOSE OF THE STUDY An 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 standalone 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. Read More

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February 2019
3 Reads

[Anterior Penetrating Sacral Injury in a 14-Year-Old Girl - a Case Report].

Acta Chir Orthop Traumatol Cech 2018 ;85(2):149-152

Klinika ortopedie a traumatologie pohybového ústrojí Fakultní nemocnice Plzeň.

Anterior penetrating sacral injuries in children are extremely rare. These injuries are coupled with both a high energy mechanism (combat injury, motor vehicle accidents) and with foreign body impalement. The treatment is individual, laparotomy with penetrating wound exploration is indicated, osteosynthesis is performed in case of grossly displaced fractures, in an unstable injury to the posterior pelvic ring, and urgently in case of a neurological injury. Read More

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January 2019

[Penetrating Injuries of the Heart and Great Vessels - Fifteen Years of Experience of the Cardiac Surgery Service as a Part of the Major Trauma Centre].

Acta Chir Orthop Traumatol Cech 2018 ;85(2):144-148

Kardiochirurgická klinika Fakultní nemocnice Olomouc.

PURPOSE OF THE STUDY Outcome analysis of penetrating cardiac and great vessels injury within the 15-year existence of the cardiac surgery service as a part of the major trauma centre of the University Hospital Olomouc MATERIAL AND METHODS Retrospective analysis of a group of a total of 16 patients who underwent a surgery for penetrating cardiac and great vessels injury since II/2002 to XI/2016. The dominant causes of penetrating trauma were stab injuries (15 patients, 94%), in one patient only (6%) it was a gunshot injury. The mean age of the patients included in the group was 42. Read More

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January 2019
11 Reads

[Changes in Cognitive Functions after Total Hip Arthroplasty].

Acta Chir Orthop Traumatol Cech 2018 ;85(2):137-143

I. ortopedická klinika Fakultní nemocnice u sv. Anny v Brně a Lékařské fakulty Masarykovy univerzity, Brno.

PURPOSE OF THE STUDY The postoperative delirium is a frequent, oftentimes underestimated complication of total hip arthroplasty. Its occurrence is reported to be between 10% and 50%. The postoperative delirium increases mortality, the length of hospital stay and leads to worse functional results. Read More

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January 2019
4 Reads

[Short-Term Results of the Carpometacarpal Joint Arthroplasty Using the Ivory® Prosthesis].

Acta Chir Orthop Traumatol Cech 2018 ;85(2):130-136

Ortopedické oddělení, Karvinská Hornická Nemocnice, a.s., Karviná - Nové Město.

PURPOSE OF THE STUDY Trapeziometacarpal osteoarthritis affects primarily postmenopausal middle-aged and older women. Total joint replacement is one of the surgical treatment options for symptomatic advanced degenerative changes of the carpometacarpal joint. This study aims to evaluate the short-term functional and radiological results of the Ivory ® prosthesis with the minimum followup period of three years after the surgery. Read More

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January 2019
9 Reads

[Interposition and Suspension Arthroplasty of Carpometacarpal Joint of the Thumb Using the TIE-IN Implant].

Authors:
J Jurča V Havlas

Acta Chir Orthop Traumatol Cech 2018 ;85(2):125-129

Ortopedické oddělení Nemocnice v Chomutově, Krajská zdravotní, a.s., Chomutov.

PURPOSE OF THE STUDY The aim of the study was to present the surgical technique combining the interposition and suspension arthroplasty using the TIE-IN implant as a treatment option for advanced symptomatic to final stage rhizarthrosis. MATERIAL AND METHODS Since 2015 we have performed the interposition arthroplasty combined with suspension arthroplasty using the TIE-IN implant in 12 patients, mostly indicated for stage IV rhizarthrosis. In two cases stage III rhizarthrosis with concomitant trapezium destruction was present. Read More

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January 2019
23 Reads

[Proximal Row Carpectomy - Five-Year Results].

Acta Chir Orthop Traumatol Cech 2018 ;85(2):120-124

Ortopedické oddělení, Nemocnice Pardubice.

PURPOSE OF THE STUDY This study aims to evaluate the results of patients treated by proximal row carpectomy at a follow-up of at least 5 years after the surgery. MATERIAL AND METHODS A total of 25 patients were treated by proximal row carpectomy for degenerative changes of the wrist as a consequence of the previous trauma or avascular necrosis of the lunate bone, of whom 21 patients underwent a follow-up examination at least 5 years postoperatively. Proximal row carpectomy was indicated in 15 patients for SLAC wrist, in 4 patients for avascular necrosis of the lunate bone, in 1 patient for SNAC wrist, and in 1 patient for inveterate dislocation of the wrist. Read More

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January 2019
5 Reads

[Suprapatellar Nailing of Tibial Fractures - Evaluation of Clinical and Radiological Results].

Acta Chir Orthop Traumatol Cech 2018 ;85(2):113-119

Traumacentrum, Krajská nemocnice Liberec.

PURPOSE OF THE STUDY The locked nailing of diaphyseal fractures of the tibia currently represents a method of choice for treating the closed diaphyseal fractures, some of the tibial metaphyseal fractures and open tibial diaphyseal fractures classified as grade I and II according to Gustilo-Anderson (GA) classification. The suprapatellar (SP) approach is an alternative technique of insertion of the nail in semi-extension of the lower extremity with easier reduction, namely of multiple fractures and proximal diaphyseal fractures of the tibia in particular. This study aims to evaluate the group of patients in whom the suprapatellar approach was used and who were followed up for the period of at least 12 months. Read More

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January 2019
2 Reads

Arthroscopic Excision of Tendinous Giant Cell Tumors Causing Locking in the Knee Joint.

Acta Chir Orthop Traumatol Cech 2018 ;85(2):109-112

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

PURPOSE OF THE STUDY Non-osseous giant cell tumors are locally aggressive tumors arising around joints. They are commonly located around synovial joints such as wrist and knee and occasionally cause mechanical symptoms. MATERIAL AND METHODS This retrospective case series includes 7 patients operated due to intraarticular lesion. Read More

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January 2019
9 Reads

Use of Mother-Child Screws in the Treatment of Coronoid Fractures in Terrible Triad Injury of the Elbow.

Acta Chir Orthop Traumatol Cech 2018 ;85(2):102-108

Department of Orthopaedic Surgery, The Affiliated Wujin Hospital of Jiangsu University, Changzhou, China.

PURPOSE OF THE STUDY This study aims to analyze the clinical and radiographic outcomes of a consecutive series of 18 patients with terrible triad injury. The coronoid fractures of these patients were repaired using Mother-Child screw (MCS). MATERIAL AND METHODS Twelve men and six women (mean age: 47. Read More

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January 2019
10 Reads

[Anatomical All-Inside Anterior Cruciate Ligament Reconstruction Using Quadrupled Semitendinosus Tendon Graft with Posteromedial Harvest - Clinical Results of Prospective Study at a Minimum 12-Months Follow-up].

Acta Chir Orthop Traumatol Cech 2018 ;85(2):94-101

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

PURPOSE OF THE STUDY This original paper aims to present the conclusions of the prospective study evaluating the clinical results of anatomical all-inside ACL reconstruction using quadrupled semitendinosustendon graft with posteromedial harvest using suspensory fixation by Tightrope implants at the follow-up of at least 12 months. MATERIAL AND METHODS The prospective study included a total of 119 patients (74 men/39 women) with the mean age of 28.3 (18-52) years, in whom demographic data was collected and a clinical examination was performed. Read More

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January 2019
2 Reads

[Growth Guidance System in Treatment of Early Onset Scoliosis].

Acta Chir Orthop Traumatol Cech 2018 ;85(2):89-93

Ortopedická klinika Lékařské fakulty Masarykovy univerzity a Fakultní nemocnice Brno.

PURPOSE OF THE STUDY The Growth Guidance System (GGS) represent a relatively new alternative to the traditional growing systems used for the treatment of early onset scoliosis. Ranking among the main aims of this surgical treatment is a three-dimensional correction of the deformity, maintenance of spinal growth and postponement of the necessity of final treatment by spondylodesis. MATERIAL AND METHODS Our study retrospectively evaluates the results of surgical correction in a group of 35 patients treated by GGS technique. Read More

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January 2019
2 Reads

Balloon Guided Cement Augmentation of Iliosacral Screws in the Treatment of Insufficiency Fractures of the Sacrum - Description of a New Method and Preliminary Results.

Acta Chir Orthop Traumatol Cech 2018 ;85(2):85-88

BG Unfallklinik Tuebingen, Eberhard-Karls-Universitaet Tuebingen, Germany.

PURPOSE OF THE STUDY Fragility fractures of the pelvic ring in the elderly population are a serious problem in orthopaedics. The treatment options range from conservative treatment to diverse operative options. We present a balloon guided new technique of implanting cement augmented screws aiming at improved implant anchorage and reduced cement leakage. Read More

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January 2019
2 Reads

[Innovated Judet Ribs Plates - Preclinical Study, First Clinical Experience].

Acta Chir Orthop Traumatol Cech 2018 ;85(3):226-230

Traumatologické centrum Fakultní nemocnice Královské Vinohrady, Praha.

PURPOSE OF THE STUDY Based on the experience with using the Judet plates in stabilization of rib fractures an innovated Judet plate was constructed in cooperation with the Development Department of Medin company. During the preclinical part of the project, following the construction of the new Judet plate, a surgical technique was elaborated. Subsequently, the clinical application of rib osteosynthesis with innovated plates was commenced. Read More

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January 2019
18 Reads

[Long-Term Results of Computer-Navigated Total Knee Arthroplasties Performed by Low-Volume and Less Experienced Surgeon].

Acta Chir Orthop Traumatol Cech 2018 ;85(3):219-225

PURPOSE OF THE STUDY The study aims to evaluate the long-term results of computer-navigated total knee arthroplasties performed by less experienced surgeon performing a small number of procedures per year. MATERIAL AND METHODS In the prospective randomised study functional and radiological results, rate of revision and probability of clinical and radiological survival were compared in 30 computer-navigated (in 28 patients: 19 women, 9 men, with the mean age of 66.9 years) and 31 conventionally implanted (in 30 patients: 27 women, 3 men, with the mean age of 66. Read More

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January 2019

Causal Relation of Psychical Stress to Acute Back Pain.

Acta Chir Orthop Traumatol Cech 2018 ;85(3):216-218

Klinikum Chemnitz, Klinik für Orthopädie, Hand- und Unfallchirurgie, Germany.

PURPOSE OF THE STUDY There s a known relation between the chronical back-pain-syndrome and psychical problems. We suppose a direct causality between acute stress and onset of the backpain syndrome. MATERIAL AND METHODS A prospective cohort-study (IV/2014 - VIII/2014) of patients who came to our emergency department with acute backpain-syndrome, with no relevant previous history - such as operations or chronic pain. Read More

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January 2019

[Arthroscopic Treatment of Chronic Retrocalcaneal Bursitis - Endoscopic Calcaneoplasty].

Acta Chir Orthop Traumatol Cech 2018 ;85(3):209-215

Klinika traumatologie Lékařské fakulty Masarykovy univerzity Brno.

INTRODUCTION The authors evaluate the results of endoscopic treatment and analyse the causes of persisting difficulties in retrocalcaneal bursitis unresponsive to conservative treatment. Stated as one of the causes is the possible chronic irritation of minor/partial tears of anterior parts of the distal portion of the Achilles tendon, which have no chance to heal due to continued overload and impingement syndrome of the superior prominence of the calcaneal tubercle. MATERIAL AND METHODS The authors evaluate the group of 24 patients (10 women and 14 men) diagnosed with retrocalcaneal bursitis, who reported more than 12 months of difficulties and in whom the conservative therapy options have already been exhausted. Read More

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January 2019
10 Reads

[Effect of Unloading Knee Brace on Dynamic Parameters of the Stance Phase of Gait in Patients with Knee Osteoarthritis].

Acta Chir Orthop Traumatol Cech 2018 ;85(3):204-208

Fakulta tělesné kultury, Univerzita Palackého v Olomouci.

PURPOSE OF THE STUDY Knee joint is the most common place where osteoarthritis may occur. A specific therapy is indicated to patients depending on the degree of disability and other signs. The available methods and their clinical value are regularly assessed in systematic reviews and meta-analysis of clinical studies. Read More

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January 2019
1 Read

[Tear of the Distal Biceps Brachii Tendon - Correlation of Ultrasound and Operative Findings, Surgical Therapy Results].

Acta Chir Orthop Traumatol Cech 2018 ;85(3):199-203

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

PURPOSE OF THE STUDY When treating tears of the distal biceps brachii muscle tendon, we repeatedly noticed a difference between the preoperative ultrasound findings and the operative findings. The aim of the study was to retrospectively correlate these findings in order to determine the sensitivity of the ultrasound examination in everyday orthopaedic practice. Moreover, we compared the results and complications of surgical treatment through two operative techniques used at our department. Read More

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January 2019
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[S2 Alar-Iliac Screws in Fixation and Correction of Combined Neuromuscular Spinal and Pelvic Deformities].

Acta Chir Orthop Traumatol Cech 2018 ;85(3):194-198

Ortopedická klinika Lékařské fakulty Masarykovy univerzity a Fakultní nemocnice Brno 2 Klinika radiologie a nukleární medicíny Lékařské fakulty Masarykovy univerzity a Fakul.

PURPOSE OF THE STUDY Neuromuscular deformities of the spine represent surgically uneasy to solve problems as well as serious handicaps causing sitting instability, pressure ulcers as well as pain. The aim of our study is to conduct a retrospective clinical analysis of the results of surgical correction of these deformities. This paper presents the use of a recent technique of sacral-alar-iliac (S2AI) screws and its comparison with other techniques of pelvic stabilisation. Read More

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January 2019
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[Indication for Radial Head Resection in Traumatology].

Acta Chir Orthop Traumatol Cech 2018 ;85(3):186-193

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

PURPOSE OF THE STUDY The aim of our study was to determine the indications for radial head resection at the present day. MATERIAL AND METHODS The radial head resection was performed in the period from 2008 to 2015 in 63 patients divided into three groups. The first group marked "CR" consisted of 33 patients with the Mason type III fracture. Read More

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January 2019
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[Two-Stage Revision for Periprosthetic Infection of the Total Hip Arthroplasty: a Comparison of Two Methods].

Acta Chir Orthop Traumatol Cech 2018 ;85(3):179-185

Ortopedická klinika 1. lékařské fakulty Univerzity Karlovy a Institut postgraduálního vzdělávání ve zdravotnictví, Nemocnice Na Bulovce, Praha.

PURPOSE OF THE STUDY The purpose of the study is a retrospective comparison of results of the two-stage revision total hip arthroplasty using a non-articulating and an articulating spacer to treat periprosthetic joint infection (PJI). Two basic hypotheses are evaluated: (1) the clinical outcomes of the patients treated with "hand made" articulating cement spacer are better than in non-articulating patient's group in two-stage revision for PJI of the total hip arthroplasty and (2) PJI recurrence is higher in the group of patients treated with an articulating spacer group. MATERIAL AND METHODS The evaluated group consists of a total of 57 patients (23 women, 34 men) with the mean age of 61. Read More

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January 2019
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[Use of Solid Intercalary Allografts for Reconstruction Following the Resection of Primary Bone Tumors].

Acta Chir Orthop Traumatol Cech 2018 ;85(3):171-178

I. ortopedická klinika Fakultní nemocnice U sv. Anny v Brně, Lékařská fakulta Masarykovy univerzity Brno.

PURPOSE OF THE STUDY There are several treatment options for bone tumors at diaphyseal/metadiaphyseal sites of long bones (with joint preservation) including massive intercalary allografts, autografts (vascularized or non-vascularized fibular autograft, devitalised tumor bearing bone), endoprosthetic replacement (intercalary spacer), cementoplasty with ostheosynthesis and distraction osteogenesis. Reconstruction using massive intercalary bone allografts is for us the method of choice in case of curable primary bone tumors at the diaphyseal/metadiaphyseal region. The purpose of this study is to evaluate our results and complications. Read More

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January 2019

Establishing an Interdisciplinary Compulsory Elective Subject 'Spine' in the Curriculum of the University Study Course of Human Medicine.

Acta Chir Orthop Traumatol Cech 2018 ;85(3):165-170

Orthopaedic Department, University Hospital Jena, Campus Eisenberg, Eisenberg, Germany.

PURPOSE OF THE STUDY Back pain and pathologies of the spine are among the main reasons why people consult a doctor, both general practitioners and paediatricians, as well as, specifically, orthopaedists, surgeons, and neurosurgeons. This involvement of different faculties calls for a high degree of interdisciplinary co-operation. In order to mediate these aspects of spine-specific diagnostics, therapy, and research to students during their studies and to promote up-and-coming specialists, the compulsory elective subject 'Spine' was established. Read More

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January 2019
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Successful Total Elbow Replacement after Septic Arthritis with Staphylococcus aureus- a Case Report and Review of the Literature.

Acta Chir Orthop Traumatol Cech 2018 ;85(1):70-74

Department of Trauma, Hand and Reconstructive Surgery, University Hospital Giessen-Marburg, GmbH, Campus Giessen, Germany.

Septic arthritis of the elbow seems to be a contraindication for total elbow arthroplasty (TEA). We here describe a 65-year-old male, American Society of Anesthesiologists (ASA) class 3 - patient, with a severely destructed right elbow due to septic arthritis with Staphylococcus aureus. His treatment consisted of multiple irrigation and debridement procedures including resection of the distal humerus, soft tissue coverage by local rotational flap and the use of a gentamicin-vancomycin loaded PMMA spacer, i. Read More

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January 2019
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[Suture - the Current Trend of Medial Meniscus Lesion Treatment].

Authors:
M Pach F Horáček

Acta Chir Orthop Traumatol Cech 2018 ;85(1):62-69

Ortopedické oddělení Nemocnice Břeclav.

URPOSE OF THE STUDY The aim of this study was to summarise the current approaches to diagnostics and therapy of the medial meniscus tear, and to evaluate the short-term results of meniscus repair by outside-in and all-inside techniques. MATERIALS AND METHODS The study included 24 patients who underwent medial meniscus repair for vertical longitudinal tear 10 mm or longer in length localised in the rear two-thirds of meniscus in the red-red or red-white zone at the author's workplace between June 2012 and December 2014. As regards the method, either outside-in or all-inside techniques were used, or the combination of both. Read More

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January 2019
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[Limited versus Extended Lateral Approach for Osteosynthesis of Calcaneal Fractures - Comparison of Temporal and Dynamic Parameters of the Gait Cycle].

Authors:
S Jandová J Pazour

Acta Chir Orthop Traumatol Cech 2018 ;85(1):57-61

Technická univerzita v Liberci.

PURPOSE OF THE STUDY Currently, operative treatment is preferred in dislocated calcaneal fractures. Most frequently used is the extended lateral approach, the disadvantage of which is the risk of early complications. Therefore, less invasive operative techniques are sought that would reduce the risk of such complications. Read More

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January 2019
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Calcaneal Displacement Osteotomies - Less Soft Tissue Irritation in Lateral Compression Plate than Screws.

Acta Chir Orthop Traumatol Cech 2018 ;85(1):54-56

Orthopaedic Department, University Hospital Jena, Campus Eisenberg,Germany.

PURPOSE OF THE STUDY With the concept of the lateral compression plate (LLCP) a technique has been available designed to combine the advantages of a fixed-angle fixation with a complete sinking of the implant into the proximal bone. The objective of the present study was to investigate the results of the LLCP compared with classical screw osteosynthesis (SO). MATERIAL AND METHODS 31 patients with pes planovalgus who received calcaneal displacement osteotomy and osteosyntheses with screws (n = 17) or LLCP (n = 14) between 2010 and 2015 were investigated retrospectively. Read More

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January 2019
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[Influence of the Type of Hip-Component Fixation and Age of Patients on Mid-Term Revision Rate of Total Hip Replacement].

Authors:
V Kubinec

Acta Chir Orthop Traumatol Cech 2018 ;85(1):46-53

Fakultná nemocnica s poliklinikou F. D. Roosevelta, Ortopedická klinika SZU, Banská Bystrica.

PURPOSE OF THE STUDY Aseptic loosening of endoprosthetic components is the most frequent reason for total hip arthroplasty revision. This paper aimed to verify the influence of the type of hip-component fixation of total hip replacement in correlation with the age of patients on aseptic loosening of components during mid-term survival. MATERIAL AND METHODS The retrospective, monocentric study statistically evaluated the data of 67 cases of implanted total hip replacements in 66 patients with the loosening of at least one of the components requiring a revision of the total number of 1,488 primary total hip replacements implanted during the 1995 to 2006 period at a single department. Read More

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January 2019
15 Reads

[Epidemiological Study of the Effects of Gender, Age, Mobility and Time of Injury on Proximal Femoral Fractures].

Acta Chir Orthop Traumatol Cech 2018 ;85(1):40-45

Klinika ortopedie 1. lékařské fakulty Univerzity Karlovy a Ústřední vojenské nemocnice - Vojenské fakultní nemocnice Praha.

PURPOSE OF STUDY Based on the selected criteria the study presents the evaluation of data of patients who underwent a surgery for proximal femoral fracture at the Department of Orthopaedic Trauma of the 1 st Faculty of Medicine and Military University Hospital Prague in the period 2013-2016. The paper aimed to determine whether there are any differences in proximal femoral fractures depending on the selected criteria. MATERIAL AND METHODS The study comprised 805 patients (562 women and 243 men) older than 21 years with proximal femoral fractures who were treated between January 1, 2013 and December 31, 2016. Read More

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January 2019
10 Reads