Citation and Scientific Searching Databases and Impact Factor as a Tool for Evaluation of Scientific Level of the PublicationEditorial

M. KRBEC, O. ČECH

Acta Chir Orthop Traumatol Cech. 2010; 77(4):263-265

Patellar Tendinopathy: Histopathological Examination and Follow-up of Surgical TreatmentOriginal papers

M. PEĆINA, I. BOJANIĆ, A. IVKOVIĆ, L. BRČIĆ, T. SMOLJANOVIĆ, S. SEIWERTH

Acta Chir Orthop Traumatol Cech. 2010; 77(4):277-283 | DOI: 10.55095/achot2010/052  

PURPOSE OF THE STUDYThe aim of this study was to determine the exact localization of the histopathological process (bone, bone-tendon junction or tendon), and to determine whether the underlying pathologic process is predominantly of inflammatory or degenerative nature, then to evaluate the outcome of the surgical treatment of patellar tendinopathy.MATERIALSA prospective cohort study was performed in order to analyze the outcome of surgical treatment of patellar tendinopathy, as well as to document histopathological changes in bone, bone-tendon junction, and in the patellar ligament in 34 professional athletes treated with patellar apicotomy....

Poldi-Čech Cemented Femoral Stem in Total Hip Arthroplasty after 25 YearsOriginal papers

Z. ROZKYDAL, P. JANÍČEK

Acta Chir Orthop Traumatol Cech. 2010; 77(4):284-290 | DOI: 10.55095/achot2010/053  

PURPOSE OF THE STUDYThe aim of the study was to evaluate the results of Poldi-Čech femoral stem implantation in primary total hip arthroplasty after 25 years.MATERIAL AND METHODSA group of 65 patients (90 hips) with Poldi-Čech total hip arthroplasty carried out between 1974 and 1984 was evaluated at the end of 2009. The mean follow-up of all patients was 28 years (25 to 35). There were seven men and 58 women. The mean age at the time of implantation was 43 years (26 to 60) and at the latest follow-up it was 72 years. In all patients the cemented UHMW PE acetabular component (RCH 1000) was used together with AKV Ultra 2 Poldi steel femoral...

Treatment of Deep Cartilage Defects of the Knee with Autologous Chondrocyte Transplantation: Long-Term ResultsOriginal papers

J. KOMÁREK, P. VALIŠ, M. REPKO, R. CHALOUPKA, M. KRBEC, A. Šprláková, Z. Pavlovský, B. Kubešová

Acta Chir Orthop Traumatol Cech. 2010; 77(4):291-295 | DOI: 10.55095/achot2010/054  

PURPOSE OF THE STUDYThe authors present the long-term results of surgical treatment of deep chondral defects of the knee (medial or lateral femoral condyle). They used the transplantation of autologous cultured chondrocytes in the form of a solid chondral graft.MATERIAL AND METHODSIndications for autologous chondrocyte transplantation most frequently included acute trauma to the knee. Patients with chondral lesions categorized as grades IIIa and IIIb by the Noyes-Stabler classification were indicated for this treatment. A small sample of healthy cartilage was harvested arthroscopically from the non-weight-bearing area of the knee...

Hamstring versus Quadriceps Tendon Graft in Double-Bundle Anterior Cruciate Ligament ReconstructionOriginal papers

R. HART, B. KUČERA, A. SAFI

Acta Chir Orthop Traumatol Cech. 2010; 77(4):296-303 | DOI: 10.55095/achot2010/055  

PURPOSE OF THE STUDYThe aim of this prospective study was to evaluate functional outcomes and knee joint stability after double-bundle anterior cruciate ligament reconstruction using three-tunnel quadriceps tendon-bone graft and four-tunnel hamstring graft (semitendinosus and gracilis muscles).MATERIALGroup 1 included 20 patients undergoing reconstruction with quadriceps tendon- bone graft group; 2 comprised of 20 patients treated by hamstring graft. There were 26 men and 14 women, with an average age of 27 (range, 16 to 44) years. The minimum follow-up period was one year.METHODSIn group 1 patients, semi-anatomic anterior cruciate...

Radiographic Measurements in Total Knee Arthroplasty and their Role in Clinical PracticeOriginal papers

K. KOUDELA Jr., J. KOUDELOVÁ, K. KOUDELA Sr., M. KUNEŠOVÁ, J. KŘEN, J. POKORNÝ

Acta Chir Orthop Traumatol Cech. 2010; 77(4):304-311 | DOI: 10.55095/achot2010/056  

PURPOSE OF THE STUDYThe aim of the study was to present the use of digital sciagraphy and computed tomography for pre- and post-operative measurements in total knee arthroplasty. The authors were interested, in the first place, in the optimal adjustment of femoral component rotation and a valgus angle if extra-articular deformities of the femur and/or the tibia were present.MATERIAL AND METHODSDigital sciagraphic examination was carried out on an AXIOM ARISTOS (Siemens) apparatus using the software designed by us. In group 1 comprising 269 knee joints, in a standing and weight-bearing position with lower extremity neutral rotation, the...

Surgical Treatment of Thoracic Disc HerniationOriginal papers

L. HRABÁLEK, O. KALITA, K. LANGOVÁ

Acta Chir Orthop Traumatol Cech. 2010; 77(4):312-319 | DOI: 10.55095/achot2010/057  

PURPOSE OF THE STUDYThe aim of this study was to compare the efficiency of different surgical approaches to thoracic disc herniation, and to show the role of segmental fusion and selection of an appropriate microsurgical decompression technique for the successful outcome of surgery.MATERIALA group of 27 patients, 10 men and 17 women, between 31 and 70 years (average age, 49.33 years) were included in this prospective study. They underwent surgery for thoracic degeneration disc disease in the period from June 1994 to August 2008.METHODSIn all patients, the severity of myelopathy was assessed using the grading Frankel system and JOA...

Intra-operative Myelography in Treatment of Fractures of Thoracolumbar SpineOriginal papers

Ľ. TOMČOVČÍK, R. ČUHA, R. RAŠI

Acta Chir Orthop Traumatol Cech. 2010; 77(4):320-326 | DOI: 10.55095/achot2010/058  

PURPOSE OF THE STUDYThe aim of this retrospective study was to evaluate the results of intra-operative myelography as the method used to assess the reduction of bone fragments from the posterior margin of the vertebral body.MATERIAL AND METHODSForty patients with 42 comminuted fractures of the thoracolumbar spine were included in the study. The pre-operative spinal stenosis caused by bone fragments from the posterior margin of the vertebral body, as detected by CT scanning, ranged from 25 % to 85 %. Neurological deficit was due to injury in 19 patients and in one it developed post-operatively after the patient stood and walked.After...

Latarjet Procedure for the Treatment of Inveterated Shoulder DislocationsOriginal papers

P. PŘIKRYL, J. SELUCKÝ, J. GRÉNAR, P. SKÁCEL

Acta Chir Orthop Traumatol Cech. 2010; 77(4):327-331 | DOI: 10.55095/achot2010/059  

PURPOSE OF THE STUDYTransfer of the tip of the coracoid process to the anterior margin of the glenoid is a procedure indicated in shoulder instability due to bone lesion. However, it is also used in inveterated shoulder dislocations refractory to conservative treatment that require open reduction of the joint. The bone block thus created allows for more effective and safer rehabilitation than does a temporary rigid Ki-wire fixation of the humeral head. The aim of this retrospective study was to evaluate the group of patients treated for irreducible inveterated shoulder dislocations by the Latarjet procedure.MATERIALBetween 2005 and 2009,...

Shortening Scarf Osteotomy of the Fifth Metatarsal: Mid-Term ResultsOriginal papers

M. SKOTÁK, M. HRUBINA

Acta Chir Orthop Traumatol Cech. 2010; 77(4):332-336 | DOI: 10.55095/achot2010/060  

PURPOSE OF THE STUDYTo present the results of shortening scarf osteotomy of the fifth metatarsal as an option for the treatment of forefoot deformities with calluses and associated pain around the fifth metatarsal head.MATERIALIn nine patients, 12 osteotomies were performed between 2004 and 2007. The results were evaluated at the end of 2009. One patient had one-stage bilateral surgery two had two-stage bilateral surgery.METHODSSurgical treatment was indicated in patients in whom conservative treatment had failed, and after the evaluation of load radiographs of the forefoot. The operation (sec. Barouk) is standardly performed from...

Tibial Pilon FracturesCurrent concepts review

F. J. MÜLLER, M. NERLICH

Acta Chir Orthop Traumatol Cech. 2010; 77(4):266-276 | DOI: 10.55095/achot2010/051  

Tibial pilon fractures are severe injuries to the distal articular surface of the tibia. Such injuries frequently result from high-energy axial impact and are often associated with extended soft tissue injury. Various treatment methods are available, depending not only on the fracture type but mostly on the extent of the soft tissue injury; one of the most frequent procedures is a two-stage surgery: the initial closed reduction of the fracture via primary placement of an ankle joint-spanning external fixator, if possible in conjunction with open reduction and internal fixation of the fractured fibula followed by a secondary procedure after soft tissue...

Pulmonary Polymethylmetacrylate Embolism: A Rare Complication of Percutaneous VertebroplastyCase report

P. NESNÍDAL, J. ŠTULÍK, P. ŠEBESTA

Acta Chir Orthop Traumatol Cech. 2010; 77(4):337-340 | DOI: 10.55095/achot2010/061  

Percutaneous vertebroplasty is a minimally invasive surgical technique involving transpedicular injection of polymethylmetacrylate into the vertebral body. The aim of this procedure is to enhance the mechanical strength of a pathologically changed vertebra. Currently, the method is most often used for painful osteoporotic vertebral fractures, aggressive haemangiomas, necrotic lesions and spinal tumours, particularly the metastatic ones. Although this method is less invasive, relatively straight-forward and effective, there may be complications. The authors present the case of a 70-year-old woman who, on the second day after surgery, developed a rare...

Plantar Fibromatosis (Ledderhose's Disease)Case report

K. KOUDELA, Jr., K. KOUDELA, Sr., M. KUNEŠOVÁ, J. KOUDELOVÁ

Acta Chir Orthop Traumatol Cech. 2010; 77(4):341-345 | DOI: 10.55095/achot2010/062  

The authors describe the concomitant presence of plantar fibromatosis and Dupuytren's disease in a 33-year-old man. A lesion located under the sesamoid bones of the first metatarsophalangeal joint on the right showed an aggressive tendency (rapid growth, pain, impossibility to put weight on the medial side of the foot). Another lesion located proximal to the first one was smaller and painless. Neither plain radiography nor computed tomography showed any structural changes of the skeleton. Contrast-enhancement on magnetic resonance imaging revealed two lesions on the sole of the foot. Since a concurrence of plantar fibromatosis and malignant tumour...