EditorialEditorial

Acta Chir Orthop Traumatol Cech. 2011; 78(1):9

Multidirectional Screw Fixation in the Treatment of Distal Radius Fractures Using Angle-Stable PlatesOriginal papers

M. VLČEK, I. LANDOR, P. VIŠŇA, P. VAVŘÍK, J. ŠINDELÁŘOVÁ, A. SOSNA

Acta Chir Orthop Traumatol Cech. 2011; 78(1):27-33 | DOI: 10.55095/achot2011/004  

PURPOSE OF THE STUDYIntra-articular fractures of the distal radius are treated predominantly by open reduction and internal fixation with various types of angle-stable plates. In this study we compare functional and radiographic outcomes in patients with intra-articular distal radius fractures treated with either angle-stable plates with rigid-direction screw insertion or multidirectional angle-stable plates.MATERIAL AND METHODSThe LCP group included 37 patients with an average age of 50 years (range 20-81 years) who were treated using angle-stable plates with rigid-direction screw insertion (LCP, Synthes). The APTUS group comprising 41...

Inveterated Posterior Glenohumeral Dislocation Treated Surgically from the Anterior ApproachOriginal papers

R. HART, L. PAŠA, J. KOČIŠ, B. TĚKNĚDŽJAN, T. KOZÁK, P. WENDSCHE

Acta Chir Orthop Traumatol Cech. 2011; 78(1):34-40 | DOI: 10.55095/achot2011/005  

PURPOSE OF THE STUDYThe aim of the study is to remind the medical community of the occurrence of rare dorsal glenohumeral dislocations and of the need to pay increased attention to radiographic and clinical examination in the patients in whom signs of this injury are also supported by medical history. When this dislocation becomes a chronic disorder, it can frequently be managed only by surgical intervention. The treatment algorithm used at the authors' institutions is described.MATERIALIn the period from 2000 to 2008, a total of 17 patients (9 women and 8 men) with an average age of 65.5 years (51 to 89 years) had surgery for inveterated...

Corrective Osteotomy of the Distal RadiusOriginal papers

V. PACOVSKÝ, F. SVATOŠ

Acta Chir Orthop Traumatol Cech. 2011; 78(1):41-45 | DOI: 10.55095/achot2011/006  

PURPOSE OF THE STUDYThe aim of the study was to evaluate the outcomes of corrective osteotomy for malunited fractures of the distal radius, to assess the degree of correction or its loss, if it happened, after bone union, and to compare the clinical and radiographic results with the relevant literature reports.MATERIAL AND METHODSIn the period from September 2002 and October 2004, a total of 16 patients (six men and 10 women) underwent surgery for malunited fractures of the distal radius. The average patient age was 49.3 years, with a range of 23 to 73 years. For the sake of evaluation, records were made of patients' subjective feelings,...

Fractures of the L5 Transverse Process in Pelvic Ring InjuryOriginal papers

J. CHMELOVÁ, V. DŽUPA, B. PROCHÁZKA, J. SKÁLA-ROSENBAUM, V. BÁČA

Acta Chir Orthop Traumatol Cech. 2011; 78(1):46-48 | DOI: 10.55095/achot2011/007  

PURPOSE OF THE STUDYThe aim of the study was to record the frequency of L5 transverse process fractures associated with pelvic injuries and to find out whether in unstable pelvic fractures the frequency is significantly higher.MATERIAL AND METHODSThe group evaluated comprised 106 patients (38 women and 68 men; average age, 43.4 years; range, 16 to 95 years) treated for pelvic ring fractures at two trauma centres in the period from January 1 to December 31, 2007. Their radiographs and CT scans were retrospectively reviewed in order to identify fractures of the L5 transverse processes and to obtain exact descriptions of injuries to the dorsal...

Comparison of in Vivo Characteristics of Polyethylene Wear Particles Produced by a Metal and a Ceramic Femoral Component in Total Knee ReplacementOriginal papers

D. VEIGL, P. VAVŘÍK, D. POKORNÝ, M. ŠLOUF, E. PAVLOVA, I. LANDOR, P. Fulín

Acta Chir Orthop Traumatol Cech. 2011; 78(1):49-55 | DOI: 10.55095/achot2011/008  

PURPOSE OF THE STUDYThe aim of the study was to evaluate in vivo and compare, in terms of the quality and number of ultra high-molecular polyethylene (UHMWPE) wear particles, total knee replacements of identical construction differing only in the material used for femoral component production, i.e., CoCrMo alloy or ZrO₂ ceramics.MATERIAL AND METHODSSamples of peri-prosthetic granuloma tissue were collected in two patients with total knee replacement suffering from implant migration, who were matched in relevant characteristics. The primary knee replacement in Patient 1 with a CoCrMo femoral component was done 7.2 years...

Arthroscopic Stabilisation of Post-traumatic Ventral Instability of the Shoulder by Use of Bioknotless AnchorsOriginal papers

P. NEPRAŠ, P. ZEMAN, J. MATĚJKA, K. KOUDELA Jr., K. KOUDELA Sr.

Acta Chir Orthop Traumatol Cech. 2011; 78(1):56-60 | DOI: 10.55095/achot2011/009  

PURPOSE OF THE STUDYPost-traumatic ventral shoulder instability is a frequent disorder resulting from ventral and caudal dislocation of the humeral head. The aim of this retrospective study is to evaluate the long-term results of arthroscopy-assisted reinsertion of the ventral labrum using absorbable bioknotless suture anchors.MATERIAL AND METHODSA group of 129 patients with unidirectional ventral instability of the shoulder was evaluated for the results of treatment involving labrum reinsertion with use of absorbable bio-knotless anchors. This arthroscopy-assisted method is performed from two minimal incisions, with the patient in a beach-chair...

Complications after Femoral Lengthening with Ring Fixators in Congenital Femoral DeficiencyOriginal papers

R. GANGER, C. RADLER, J. CHOMIAK, A. HANDLBAUER, F. GRILL, P. DUNGL

Acta Chir Orthop Traumatol Cech. 2011; 78(1):61-66 | DOI: 10.55095/achot2011/010  

PURPOSE OF THE STUDYCongenital femoral deficiency (CFD) is a rare and complex deformity. The results and complications of surgical correction of this deformity using ring fixators (Ilizarov/Taylor Spatial Frame) have been evaluated.MATERIAL AND METHODSWe retrospectively reviewed a consecutive series of 30 patients with CFD, between the ages of 3.3 and 17 years (mean, 9.3 years), with 35 lengthening procedures. Ten cases were treated with an Ilizarov frame, 25 cases with a Taylor Spatial Frame (TSF).RESULTSThe average lengthening at femoral osteotomy was 44.3 mm. Nine patients underwent an additional tibial lengthening by an average...

Urinary Incontinence in Degenerative Spinal DiseaseOriginal papers

J. DE RIGGO, M. BENČO, B. KOLAROVSZKI, J. ĽUPTÁK, J. ŠVIHRA

Acta Chir Orthop Traumatol Cech. 2011; 78(1):67-70 | DOI: 10.55095/achot2011/011  

PURPOSE OF THE STURYThe aim of the study was to evaluate the presence of urinary incontinence in patients with chronic degenerative spinal disease and to identify factors affecting the occurrence and changes in urinary incontinence after surgery.MATERIALThe group evaluated comprised 214 patients undergoing surgery for degenerative spinal disease at our department between January 1 and December 31, 2008. The patients were categorised according to the type of their degenerative disease (cervical disc herniation, lumbar disc herniation, spinal stenosis, spinal instability or olisthesis) and the spine level involved (cervical or lumbar spine)....

Relationship of the Flexor Hallucis Longus and Flexor Digitorum Longus Tendons in the Plantar Midfoot. An Anatomical Cadaver StudyOriginal papers

P. FILAN, R. HART

Acta Chir Orthop Traumatol Cech. 2011; 78(1):71-76 | DOI: 10.55095/achot2011/012  

PURPOSE OF THE STUDYTo verify, in cadaver specimens, the precise anatomic structure of cross-connection between the flexor hallucis longus (FHL) and flexor digitorum longus (FDL) tendons and to identify its position in relation to orientation points in the foot in view of the surgical technique for tendon transfer, including the necessity of subsequent tendon suture.MATERIAL AND METHODSA hundred cadaver legs (50 cadavers of 29 men and 21 women, all Caucasians) were dissected by an extensive medioplantar approach. The anatomical relationship of the FHL and FDL tendons was studied. The distances measured were as follows: between the first...

Fractures of the Femoral NeckCurrent concepts review

T. LEIN, P. BULA, J. JEFFRIES, K. ENGLER, F. BONNAIRE

Acta Chir Orthop Traumatol Cech. 2011; 78(1):10-19 | DOI: 10.55095/achot2011/002  

The ideal treatment of the intracapsular fracture of the femoral neck still is subject of discussion. The demographic development of the population in Europe with fractures of the neck of femur being typical in the older patient, requires conclusive and stringent concepts of treatment. Adequate and patient oriented therapy should be promoted, regional differences and provisional deficiencies need to be adjusted in order to minimize the rate of complications. The guideline "Schenkelhalsfraktur" of the German board of trauma surgeons, the 'Deutsche Gesellschaft für Unfallchirurgie', and the article at hand are meant to serve as a manual for the trauma...

Painful Flatfoot DeformityCurrent concepts review

M. WIEWIORSKI, V. VALDERRABANO

Acta Chir Orthop Traumatol Cech. 2011; 78(1):20-26 | DOI: 10.55095/achot2011/003  

The posterior tibial muscle is the key dynamic support of the medial longitudinal arch of the foot. When it fails - typically in women older than 40 years of age - progressively, the arch slowly collapses, the heel drifts into valgus, the midfoot flattens, and the forefoot gradually abducts and supinates, resulting in painful acquired pes planovalgus abductus et supinatus. Posterior tibial tendon insufficiency (PTTI) is often misdiagnosed as a chronic ankle sprain, osteoarthritis, or collapsed arch as a result of aging or obesity, and it leaves the patient debilitated. Prompt diagnosis prevents frustration for the patient and allows treatment to be...

Bilateral Pathological Sub-trochanteric Fracture in a Long-Term Biphosphonate UserCase report

P. KĽOC, Ľ. TOMČOVČÍK, J. KĽOC

Acta Chir Orthop Traumatol Cech. 2011; 78(1):77-81 | DOI: 10.55095/achot2011/013  

The number of papers reporting the occurrence of specific pathological fractures in long-term biphosphonate users has recently increased. They refer to the forms of stress fracture probably resulting from an extreme decrease in bone turnover, which may involve sub-trochanteric or isolated transverse fractures, or short transverse fractures with a unicortical beak in an area of cortrical hypertrophy. At the time of prodromal signs and symptoms, cortical bone at the site of impeding fracture appears rougher on radiographs. Gradually, an incomplete fracture develops, with a subsequent complete fracture often sustained without any mechanism of injury noted....

Non-union after a Vertical Fracture of the Sacral Central Zone with a Conical Dislocation of the Pelvic RingCase report

S. TALLER, J. ŠRÁM

Acta Chir Orthop Traumatol Cech. 2011; 78(1):82-85 | DOI: 10.55095/achot2011/014  

A longitudinal (vertical) fracture of the sacrum passing through the central sacral canal is a very rare injury, reported in the literature mostly as case reports. Out of 24 reference found, non-union associated with this fracture has been reported only once. A longitudinal fracture of the sacrum is always associated with injury to the anterior pelvic ring. Conical instability of the pelvis, little known so far, occurs if only the anterior ring of the pelvis is stabilised and early weight-bearing is established. It is demonstrated by opening of the distal part of a sacral fracture and, in the case of symphyseolysis, also by opening of the distal part...