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Acta Chir Orthop Traumatol Cech 2022 ;89(1):81-84

Interní oddělení Strahov, Všeobecná fakultní nemocnice v Praze.

Upper limb ischemia in patients with chronic kidney disease treated by haemodialysis is a known complication, but fortunately its progression into gangrene is not frequent. Ischemia occurs in 3.7-5% of dialysis patients, in dependence on the type of vascular access. Read More

Acta Chir Orthop Traumatol Cech 2022 ;89(1):75-80

Tepecik Training and Research Hospital, Department of Orthopaedics and Traumatology, İzmir, Turkey.

PURPOSE OF THE STUDY The intertrochanteric femur fractures seen in the elderly population are usually treated surgically. Mechanical failure of this treatment is a serious complication and to prevent this, many assessment factors have been described such as tip-apex distance, reduction quality etc. The aim of this study is to evaluate the intra- and inter-observer reliability of modifiable factors evaluated after the treatment of intertrochanteric fractures. Read More

Acta Chir Orthop Traumatol Cech 2022 ;89(1):68-74

Sofia Medical University. Department of Orthopaedics and Traumatology, Sofia, Bulgaria.

PURPOSE OF THE STUDY Exploring the therapeutic potential of pathological fractures treatment of the proximal femur in childhood with LCP paediatric hip plate system according to the principles of AO. MATERIAL AND METHODS Six children with pathological fractures of the proximal femur and with an unicameral bone cyst have undergone surgery in our institution, in the period between June 2018 up until December 2020. All patients were young boys with a mean age of 11. Read More

Acta Chir Orthop Traumatol Cech 2022 ;89(1):60-67

Ortopedické oddělení, Pardubická nemocnice, Nemocnice Pardubického kraje, a.s., Pardubice.

PURPOSE OF THE STUDY The purpose of this study is to remind of the specific features of diagnosis and therapy of dorsal dislocations of the glenohumeral joint to prevent frequent neglect or misdiagnosis during primary treatment. Also, we strived to present our experience and outcomes of posterior dislocation treatment by McLaughlin procedure and its modified version. MATERIAL AND METHODS We retrospectively evaluated 7 patients who had been treated at our department in the period 2015-2019 by McLaughlin procedure or its modification. Read More

Acta Chir Orthop Traumatol Cech 2022 ;89(1):53-59

Second Ward of Sports Injuries and Arthroscopy, Tianjin Hospital, Tianjin, China.

PURPOSE OF THE STUDY To evaluate the therapeutic effects of small incision open reduction and internal fixation and arthroscopic high strength non-absorbable suture on tibial insertion avulsion fracture of the anterior cruciate ligament (ACL). MATERIAL AND METHODS In this prospectively study, 72 patients with ACL tibial insertion avulsion fracture treated from December 2017 to June 2020 were enrolled and divided into group A (treated with small incision open reduction and cannulated screw internal fixation) and group B (treated with arthroscopic high strength non-absorbable suture) using a random number table (n=36). Their general data, surgical indices and incidence of postoperative adverse reactions were compared. Read More

Acta Chir Orthop Traumatol Cech 2022 ;89(1):48-52

Department of Orthopaedic and Traumatology, Tepecik Training and Research Hospital, İzmir; Turkey.

PURPOSE OF THE STUDY Hemoglobin (Hb) levels tend to decrease in patients after hip fractures. There are several factors that is responsible for this decrease in Hb levels. The primary aim in this study was to evaluate the risk factors of blood loss in patients with IFF and to determine the limits that may require allogeneic blood transfusion (ABT), and the secondary aim was to prevent unnecessary blood crossing outside these limits. Read More

Acta Chir Orthop Traumatol Cech 2022 ;89(1):43-47

Ortopedicko-traumatologická klinika 3. lékařské fakulty Univerzity Karlovy a Fakultní nemocnice Královské Vinohrady, Praha.

PURPOSE OF THE STUDY The aim of this retrospective study was to assess the subjective evaluation of treatment by patients with respect to their return to work and recreational sport following the fracture of clavicle diaphysis with posttraumatic shortening of 1.5 cm, or more, treated non-operatively and surgically. MATERIAL AND METHODS Our group of patients consisted of 51 patients (14 females, 37 males) aged between 18 and 89 years (average age 46 years). Read More

Acta Chir Orthop Traumatol Cech 2022 ;89(1):37-42

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

PURPOSE OF THE STUDY The study analyses a cohort of patients with surgically treated ankle fractures who developed complete distal tibiofibular synostoses. It focuses on their occurrence and association with the extent of tibiotalar dislocation of the ankle joint on the trauma X-ray and its relation to the choice of surgery. MATERIAL AND METHODS The cohort of a total of 824 patients with type B and C fractures according to Weber classification was followed up for 9 years. Read More

Acta Chir Orthop Traumatol Cech 2022 ;89(1):27-36

Bezmialem Vakif University, Orthopaedics and Traumatology Clinic, Istanbul,Turkey.

PURPOSE OF THE STUDY The purpose of this study was to identify and analyze the current most cited top-100 articles in shoulder arthroscopy literature. MATERIAL AND METHODS This retrospective analysis obtained bibliometric information from the Web of Science (WoS) database and analyzed the data via VOSviewer through software package. RESULTS The citation count of the most-cited articles varied from 122 to 923 on WoS. Read More

Acta Chir Orthop Traumatol Cech 2022 ;89(1):16-26

Ústav mikrobiologie Fakultní nemocnice Olomouc a Lékařské fakulty Univerzity Palackého v Olomouci.

PURPOSE OF THE STUDY Laboratory methods are central to prosthetic joint infection (PJI) diagnosis. Most research teams focus on detection of specific inflammatory markers, causative pathogens, or on assessment of the tissue response. This study sought to determine the optimal cut-off values and diagnostic performance of selected synovial markers in relation to the diagnosis of hip or knee PJI. Read More

Acta Chir Orthop Traumatol Cech 2022 ;89(1):9-15

Department of Orthopedics, University Hospital Olomouc, Czech Republic.

PURPOSE OF THE STUDY This study aims to describe and analyze the age differences in the 24-hour movement behavior patterns among a sample of adults and older adults with end-stage knee osteoarthritis referred for total knee arthroplasty (TKA). MATERIAL AND METHODS A total of 86 patients referred for TKA were included in this study. Sleep duration, sedentary behavior (SB), light physical activity (LPA), and moderate-to-vigorous physical activity (MVPA) were assessed using multi-day 24-hour raw data from wrist-worn accelerometers. Read More

Acta Chir Orthop Traumatol Cech 2021 ;88(6):464-467

I. chirurgická klinika Fakultní nemocnice a Lékařské fakulty Univerzity Palackého v Olomouci.

Subcutaneous emphysema can be a secondary complication of chest trauma or one of the complications of ruptured bullae in advanced chronic obstructive pulmonary disease. Massive subcutaneous emphysema impairs the respiratory mechanics and affects the venous returns of the head and neck. It can lead to respiratory insufficiency with the need for mechanical ventilation. Read More

Acta Chir Orthop Traumatol Cech 2021 ;88(6):461-463

Klinika dětské a dospělé ortopedie a traumatologie, 2. lékařská fakulta Univerzity Karlovy a Fakultní nemocnice v Motole, Praha.

Differential diagnosis of tumor processes in orthopedics is a relatively broad and inherently very serious issue, especially if the patients are pediatric patients. A number of examination procedures is used in diagnostics, together with a wide range of complementary laboratory and imaging methods. However, the clinical examination, including the collected anamnestic data, remains to be the cornerstone. Read More

Acta Chir Orthop Traumatol Cech 2021 ;88(6):456-460

Halic University, Faculty of Health Sciences, Istanbul, Turkey.

Bio-absorbable anchors are widely used for Bankart repair in shoulder instability surgery. Suture anchor placement for labral repair may give rise to osteolysis and/or create stress risers in the glenoid rim, which may be the underlying reasons for glenoid rim fracture with a fracture line passing through previous anchor placement sites, the so-called "postage stamp fracture". Intraarticular fractures of the glenoid have been treated via open reduction and internal fixation through an arthrotomy, which may lead to potential postoperative complications like infection, neurovascular injuries, joint stiffness, and a long recovery period. Read More

Acta Chir Orthop Traumatol Cech 2021 ;88(6):450-455

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

PURPOSE OF THE STUDY The purpose of this study was to assess the available information on patients with a whole-body CT and to ascertain whether the number of examinations could be reduced. MATERIAL AND METHODS This retrospective study included all patients who underwent a whole-body CT in the University Hospital Olomouc during a period of one year. Epidemiologic data of patients and information about the trauma and injuries suffered were collected. Read More

Acta Chir Orthop Traumatol Cech 2021 ;88(6):442-449

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

PURPOSE OF THE STUDY The purpose of the retrospective study is to analyse a group of patients surgically treated for cervical spondylodiscitis. The first hypothesis states that the removal of infected intervertebral disc without its anterior column reconstruction in the acute phase of infection results in worse clinical and radiological evaluation of the patient. The second hypothesis defines that the use of titanium implant in anterior column reconstruction in the chronic phase of infection increases the risk of recurrent infection. Read More

Acta Chir Orthop Traumatol Cech 2021 ;88(6):434-441

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

PURPOSE OF THE STUDY Shoulder instability is often times accompanied by associated injuries caused by the humeral head displacement. These are primarily bone lesions on the head and socket of the glenohumeral joint. The purpose of this study was to evaluate the frequency, morphology and clinical significance of bone lesions in shoulder instabilities in a group of patients operated in our department for glenohumeral instability between 2012 and 2019. Read More

Acta Chir Orthop Traumatol Cech 2021 ;88(6):428-433

Health Sciences University, Haydarpasa Numune Training and Research Hospital, Radiology Department, Tibbiye Cad. Uskudar, Istanbul, Turkey.

PURPOSE OF THE STUDY The purpose of this study was to evaluate the position of tibial tunnel (TT) and femoral tunnels (FT) performed by using the anteromedial (AM) portal technique and its effect on the aperture of FT. MATERIAL AND METHODS A total 44 patients operated for anterior cruciate ligament (ACL) rupture by AM portal technique between January 2013 and July 2015, were included in this study. They were subjected to a magnetic resonance imaging of the knee to assess the FT, dimensions of the FT aperture and TT. Read More

Acta Chir Orthop Traumatol Cech 2021 ;88(6):423-427

Department for Trauma and Reconstructive Surgery, BG Klinik, University of Tübingen, Tübingen, Germany.

PURPOSE OF THE STUDY Anterior cruciate ligament (ACL) preservation surgical techniques have been rising lately. In the acute setting, proximal ACL tears and femoral avulsions of the ACL are good indications for primary repair of the ACL. However, literature shows a wide range of failure rates. Read More

Acta Chir Orthop Traumatol Cech 2021 ;88(6):418-422

BG Trauma Center at Ruprecht-Karls-Universität Heidelberg, Ludwigshafen, Germany.

PURPOSE OF THE STUDY Pelvic trauma causes severe threats especially to polytraumatized patients. Not only it is in itself a possible cause for significant bleeding, but it also indicates a high risk for intra-abdominal injuries. The initial treatment of patients with pelvic trauma follows the ATLS principles of priority-oriented treatment. Read More

Acta Chir Orthop Traumatol Cech 2021 ;88(6):412-417

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

PURPOSE OF THE STUDY Use of an all-polyethylene (all-poly, AP) tibial component in primary total knee arthroplasty is still an attractive option considering the durability of replacement, the elimination of backside wear and the lower cost compared to modular metalbacked tibia. The purpose of the study was to evaluate the long-term results of the total knee replacement using the P.F. Read More

Acta Chir Orthop Traumatol Cech 2021 ;88(6):401-411

1st Department of Orthopaedics, First Faculty of Medicine, Charles University, University Hospital Motol, Prague, Czech Republic.

PURPOSE OF THE STUDY Reverse total shoulder arthroplasty (RSA) can be considered a proven method for the treatment of the most severe shoulder joint affections. In this study, we present 14-year experiences of the authors with the LimaCorporate SMR® RSA system in 496 cases. MATERIAL AND METHODS Included in the study are 496 RSAs performed between 2007 and 2020. Read More

Acta Chir Orthop Traumatol Cech 2021 ;88(5):386-388

Department of Orthopedics, Jiangxi Province Xing Guo People's Hospital, Xingguo, Jiangxi Province, China.

The volar divergent dislocation of the second to fifth carpometacarpal joints and involving fracture of carpal is an extremely rare injury. We reported a case of 55-year-old man, victim of a motorbike, who was struck by a car, admitted at the emergency department unable to move his left hand with severe swelling. X-rays and CT scan showed a volar divergent dislocation of second to fifth carpometacarpal joints and involving fracture of carpal. Read More

Acta Chir Orthop Traumatol Cech 2021 ;88(5):382-385

Department for Trauma and Reconstructive Surgery, BG Klinik, University of Tübingen, Tübingen, Germany.

Posterolateral fractures of the tibial plateau are difficult to address. Malunion can lead to early posttraumatic arthritis of the knee due to instability and elevated joint reaction forces. Arthroscopically assisted percutaneous reduction facilitates visualization and avoids open approaches either directly from posterolateral or from lateral with optional extension via a lateral epicondylus osteotomy. Read More

Acta Chir Orthop Traumatol Cech 2021 ;88(5):379-381

Chirurgické oddělení Nemocnice Mělník.

Even though the die-punch fragment of the distal radius fracture was described as early as in 1962, its detection may be crucial to select the optimal therapy even nowadays. Typically, the die-punch fragment is located in the lunate fossa. It can, however, also be located in the radial column. Read More

Acta Chir Orthop Traumatol Cech 2021 ;88(5):375-378

University Orthopaedic Hospital "Prof.Bojcho Bojchev", Medical University, Sofia, Bulgaria.

Skeletal deformation like genu valgum is reported to be rare in Primary hyperparathyroidism (PHPT). The solitary adenoma or hyperplasia of the parathyroid glands are the cause in 80-85% of the cases. We report 2 cases of girls on 12 years and 15 years of age, complaining from pain and genu valgum deformation of the lower extremities before the planned orthopaedic surgical correction. Read More

Acta Chir Orthop Traumatol Cech 2021 ;88(5):369-374

Health Science University Istanbul Fatih Sultan Mehmet Training and Research Hospital, Department of Orthopaedics and Traumatology, Istanbul, Turkey.

PURPOSE OF THE STUDY To compare the functional and radiological results of the total arthroscopic treatment (TAT) performed due to the rotator cuff (RC) tear problem with the results of the arthroscopically assisted mini-open surgery (AAMOS). MATERIAL AND METHODS This study conducted over a two-year period included all had TAT or AAMOS. Patients were included in the study if they had undergone arthroscopic or mini-open rotator cuff repair, with a minimum of 2 years' follow-up. Read More

Acta Chir Orthop Traumatol Cech 2021 ;88(5):362-368

Ortopedická klinika Lékařské fakulty Masarykovy univerzity Brno a Fakultní nemocnice Brno.

PURPOSE OF THE STUDY Evaluation of the success rate of revision ACL reconstruction using the cadaverous BTB allogeneic graft and comparison of the outcomes achieved with the data of patients after the primary ACL reconstruction using the autologous BTB graft with filtering out the potential effect of diversity of the groups of patients as concerns sex and age. MATERIAL AND METHODS The evaluated outcomes of 34 patients operated in the period 2004-2017, i.e. Read More

Acta Chir Orthop Traumatol Cech 2021 ;88(5):354-361

Ortopedické oddělení, Nemocnice České Budějovice, a.s.

PURPOSE OF THE STUDY The purpose of the study is to analyse the number of adult patients treated in our department for native joint septic arthritis and to outline guidelines for antibiotic therapy. MATERIAL AND METHODS From the beginning of 2003 to the end of 2020, a total of 36,342 surgeries were performed at our department. We retrospectively reviewed and analysed all surgeries for native joint septic arthritis (a total of 538 surgical interventions). Read More

Acta Chir Orthop Traumatol Cech 2021 ;88(5):344-353

Institute of Laboratory Medicine, Department of Clinical Biochemistry, University Hospital Ostrava.

PURPOSE OF THE STUDY The aim of the study was to determine miR-146a-5p, miR-223-3p and miR-23a-3p by an enzyme immunoassay in patients with inflammatory and non-inflammatory joint effusion and to verify the usefulness of these miRNAs as biomarkers of joint inflammation. MATERIAL AND METHODS Synovial fluid (SF) samples were collected from 82 patients. The group consisted of 60 non-inflammatory, 11 inflammatory-non-pyogenic, 11 inflammatory-pyogenic SF. Read More