A Guideline to Fit Them AllEditorial

A. SARMIENTO

Acta Chir Orthop Traumatol Cech. 2015; 82(5):325-326 | DOI: 10.55095/achot2015/053  

Is Whole-Body Computed Tomography the Standard Work-up for Severely-Injured Children? Results of a Survey among German Trauma CentersOriginal papers

J. BAYER, K. REISING, K. KUMINACK, N. P. SÜDKAMP, P. C. STROHM

Acta Chir Orthop Traumatol Cech. 2015; 82(5):332-336 | DOI: 10.55095/achot2015/055  

PURPOSE OF THE STUDYWhole-body computed tomography is accepted as the standard procedure in the primary diagnostic of polytraumatised adults in the emergency room. Up to now there is still controversial discussion about the same algorithm in the primary diagnostic of children. The aim of this study was to survey the participation of German trauma-centres in the care of polytraumatised children and the hospital dependant use of whole-body computed tomography for initial patient work-up.MATERIAL AND METHODSA questionnaire was mailed to every Department of Traumatology registered in the DGU (German Trauma Society) databank.RESULTSWe...

Minimal Invasive Dorsal Plate Osteosynthesis of the Tibia - Are Nerves and Vessels at Risk? An Anatomical StudyOriginal papers

S. GRECHENIG, M. DREU, H. CLEMENT, M. PLECKO, W. PICHLER, A. GÄNSSLEN, W. KRUTSCH

Acta Chir Orthop Traumatol Cech. 2015; 82(5):337-340 | DOI: 10.55095/achot2015/056  

PURPOSE OF THE STUDYPurpose of this anatomic study was to develop a new and safe technique of minimal invasive dorsal plate osteosynthesis for tibia shaft fractures.MATERIAL AND METHODSSixteen paired adult lower limbs of eight different cadaveric specimens were examined. Anatomical prebending for each plate was done. Plates were inserted percutaneously, following plate fixation the neurovascular bundle was dissected out. The distance between the neurovascular bundle (posterior tibial nerve, posterior tibial artery) and the plate was measured at two different positions. The distance to the origin of the flexor digitorum longus muscle and...

Determination of a Friction Coefficient for THA Bearing CouplesOriginal papers

M. VRBKA, D. NEČAS, J. BARTOŠÍK, M. HARTL, I. KŘUPKA, A. GALANDÁKOVÁ, J. GALLO

Acta Chir Orthop Traumatol Cech. 2015; 82(5):341-347 | DOI: 10.55095/achot2015/057  

PURPOSE OF THE STUDYThe wear of articular surfaces is considered one of the most important factors limiting the life of total hip arthroplasty (THA). It is assumed that the particles released from the surface of a softer material induce a complex inflammatory response, which will eventually result in osteolysis and aseptic loosening. Implant wear is related to a friction coefficient which depends on combination of the materials used, roughness of the articulating surfaces, internal clearance, and dimensions of the prosthesis.MATERIAL AND METHODSThe selected parameters of the bearing couples tested were studied using an experimental device...

Vertical Talus: Mid-Term Results of Surgical TherapyOriginal papers

E. NĚMEJCOVÁ, P. CHLÁDEK, D. RYBKA, A. SCHEJBALOVÁ, T. TRČ

Acta Chir Orthop Traumatol Cech. 2015; 82(5):348-352 | DOI: 10.55095/achot2015/058  

PURPOSE OF THE STUDYThe aim of the study was to clinically and radiographically evaluate the results of a two-stage surgical technique used in our department to treat congenital vertical talus.MATERIAL AND METHODSIn the years 1990-2010 we treated eight patients (nine feet). We used a two-stage surgical technique, with lengthening of the dorsiflexor muscles of the leg and the tibialis anterior muscle at the first stage. This was followed by cast fixation with the ankle in plantar flexion for 6 weeks. At the second stage, through a Cincinnati approach, the talonavicular and calcaneocuboid joints were reduced and the Achilles tendon and peroneal...

Long-Term Outcomes of Surgical Management of Symptomatic Fibular Discoid Meniscus in ChildhoodOriginal papers

J. JOCHYMEK, T. PETERKOVÁ

Acta Chir Orthop Traumatol Cech. 2015; 82(5):353-357 | DOI: 10.55095/achot2015/059  

PURPOSE OF THE STUDYThe aim of the study was to evaluate the outcomes of treatment in patients operated on in childhood for discoid meniscus, and to compare the results with those published in the relevant international literature.MATERIAL AND METHODSThe group evaluated consisted of 15 patients, 10 girls and five boys, who underwent surgery for symptomatic discoid meniscus in the period from 2000 to 2010. The average age at the time of surgery was 9 years and 2 months. The diagnosis was based on the patient's history of complaints, physical examination, X-rays of the knee joint taken in two planes, and ultrasonographic and magnetic resonance...

Impaired Healing after Surgery for Femoral FracturesOriginal papers

ŠMEJKAL K., LOCHMAN P., TRLICA J., NOVOTNÝ P., ŠIMEK J., DĚDEK T.

Acta Chir Orthop Traumatol Cech. 2015; 82(5):358-363 | DOI: 10.55095/achot2015/060  

PURPOSE OF THE STUDYThe aim of the study was to analyse causes of impaired bone healing in femoral fractures and to present options of their management.MATERIAL AND METHODSThis is a retrospective study of the data on complications prospectively collected between 2008 and 2013. The patients admitted for primary treatment at the Trauma Centre of the Faculty of Medicine in Hradec Kralove from January 2008 to December 2013 included 1186 patients with injury severity scores (ISS) > 15 and 1340 patients with new injury severity scores (NISS) >15, all older than 16 years. With the exception of two patients, the primary treatment involved...

Dynamic Hip Screw Osteosynthesis for Proximal Femoral Fractures in Patients with CoxarthrosisOriginal papers

HRUBINA M., SKOTÁK M., LETOCHA J.

Acta Chir Orthop Traumatol Cech. 2015; 82(5):364-368 | DOI: 10.55095/achot2015/061  

PURPOSE OF THE STUDYEvaluation of a group of patients with coxarthrosis who sustained fractures of the proximal femur and were treated by dynamic hip screw (DHS) osteosynthesis.MATERIAL AND METHODSThe group comprised 23 DHS osteosyntheses in 22 patients treated between the years 1997 and 2012.The indication to osteosynthesis in all 23 cases was a stable pertrochanteric fracture of the femur; all patients had grade III or grade IV coxarthrosis (assessed on the Kellgren & Lawrence scale) and their physical health was classified as ASA 3 or 4. Preventive antibiotic therapy was administered within 48 hours of surgery. The evaluated...

Plate Osteosynthesis of Distal Ulna Fractures with Associated Distal Radius Fractures Treated by Open Reduction and Internal Fixation. Short-Term Functional and Radiographic ResultsOriginal papers

P. MELUZINOVÁ, L. KOPP, P. DRÁČ, K. EDELMANN, P. OBRUBA

Acta Chir Orthop Traumatol Cech. 2015; 82(5):369-376 | DOI: 10.55095/achot2015/062  

PURPOSE OF THE STUDYThe aim of the study was to describe the indication criteria and operative technique and to present the first conclusions of a prospective study dealing with an assessment of functional and radiographic findings in patients with concurrent fractures of the distal ulna and distal radius; the former was treated by osteosynthesis using an LCP Distal Ulna Plate (De Puy Synthes, USA) and the latter by plate osteosynthesis.MATERIAL AND METHODSBetween August 2013 and September 2014, 18 patients (3 men and 15 women; average age, 58 years; range, 25-74 years) with a fracture of the distal ulna and a concurrent distal radius fracture...

C-Reactive Protein in Orthopaedic SurgeryCurrent concepts review

M. NEUMAIER, K. F. BRAUN, G. SANDMANN, S. SIEBENLIST

Acta Chir Orthop Traumatol Cech. 2015; 82(5):327-331 | DOI: 10.55095/achot2015/054  

C-reactive protein (CRP) is a common laboratory infection marker in blood-serum of patients.In all diverse medical departments CRP is often used, and also in orthopaedics CRP is proved to be very helpful in diagnosis and monitor of infections. CRP in most fields is superior to conventional and newer infection parameter and is a basic parameter for inflammation. Especially for detection of an early postoperative infection CRP can be very helpful as an objective parameter easy to obtain. In uneventful operative treatment a similar evolution in CRP concentrations was found: the peak level occurred on the second or third postoperative day and reflected...

Zpráva o 16. kongresu EFORT konaném ve dnech 27. až 29. května v PrazeReports from ČSOT

Pavel Dungl

Acta Chir Orthop Traumatol Cech. 2015; 82(5):377-378  

Zápis ze zasedání výboru ČSOT konaného dne 16. 9. 2015 v Malé aule Karolina, PrahaReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2015; 82(5):378