Wear and Roughness of Bearing Surface in Retrieved Polyethylene Bicon-Plus CupsOriginal papers

M. RANUŠA, J. GALLO, M. HOBZA, M. VRBKA, D. NEČAS, M. HARTL

Acta Chir Orthop Traumatol Cech. 2017; 84(3):159-167 | DOI: 10.55095/achot2017/024  

PURPOSE OF THE STUDYBy 7^th December 2016, 4,755 Bicon-Plus cups in total were implanted in the Czech Republic. Some of them have been continuously re-operated, while the most frequent reason of failure is polyethylene wear and aseptic loosening. The present study is focused on surface analysis of retrieved polyethylene Bicon-Plus cups and the determination of the roughness of their bearing surfaces.MATERIAL AND METHODSIn this study, we had 13 high molecular weight polyethylene cups with the average time in situ of 8.11 years (3.6-13.7, SD 3.2) before the retrieval. The study population was composed of 3 men, 10 women,...

Clinical Results of Endoscopic Treatment of Greater Trochanteric Pain SyndromeOriginal papers

P. ZEMAN, M. RAFI, P. SKALA, J. ZEMAN, J. MATĚJKA, T. PAVELKA

Acta Chir Orthop Traumatol Cech. 2017; 84(3):168-174 | DOI: 10.55095/achot2017/025  

PURPOSE OF THE STUDYThis retrospective study aims to present short-term clinical outcomes of endoscopic treatment of patients with greater trochanteric pain syndrome (GTPS).MATERIAL AND METHODSThe evaluated study population was composed of a total of 19 patients (16 women, 3 men) with the mean age of 47 years (19-63 years). In twelve cases the right hip joint was affected, in the remaining seven cases it was the left side. The retrospective evaluation was carried out only in patients with greater trochanteric pain syndrome caused by independent chronic trochanteric bursitis without the presence of m. gluteus medius tear not responding to...

Arthroscopic Finding of Knee Joint in Relation to Age and Its Comparison with Pre-Operative Clinical Finding - a Retrospective StudyOriginal papers

P. LÁTAL, K. ŠIMEČEK, M. KLOUB

Acta Chir Orthop Traumatol Cech. 2017; 84(3):175-181 | DOI: 10.55095/achot2017/026  

PURPOSE OF THE STUDYIn the retrospective study of two South Bohemian centres we present the comparison of pre-operative anamnestic clinical signs in relation to the arthroscopic intraoperative finding. The obtained data is used also to evaluate the arthroscopic finding in relation to age and sex.MATERIAL AND METHODSThe arthroscopic findings of patients who underwent surgery in 2013-2014 period (1.1.2013-31.12.2014) at the Department of Trauma Surgery of České Budějovice Hospital, a.s. and in 2014 (1.1.-31.12.2014) at the Department of Orthopaedics and Traumatology of Písek Hospital, a.s. were evaluated. In total, 1 021 patients underwent...

Comparison of Short-Therm Results of Conservative versus Operative Treatment of Distal Ulna Fractures Associated with Distal Radius Fracture Treated by Plate OsteosynthesisOriginal papers

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

Acta Chir Orthop Traumatol Cech. 2017; 84(3):182-188 | DOI: 10.55095/achot2017/027  

PURPOSE OF THE STUDYThe study aims to evaluate and compare the results of conservative and operative treatment of individual types of distal ulna fractures associated with distal radius fracture treated by plate osteosynthesis and to verify the conclusions of the other authors regarding the recommended therapeutic procedures in these fractures.MATERIAL AND METHODSIn the period from 08/2013 to 09/2015, a total of 81 patients participated in the prospective randomised study, with the mean follow-up period of 24 months (6-36). All the fractures of distal two thirds of ulnar styloid process were treated conservatively. The patients with the...

Four-Corner Arthrodesis of the Wrist with Dorsal Circular Plate - a Retrospective Monocentric StudyOriginal papers

T. ZATRAPA, D. VEIGL, J. PECH, I. LANDOR, M. ŠIMKOVÁ

Acta Chir Orthop Traumatol Cech. 2017; 84(3):189-195 | DOI: 10.55095/achot2017/028  

PURPOSE OF THE STUDYOur study aimed to evaluate a group of patients who in the period from 2005 to 2014 underwent a four-corner arthrodesis of the wrist in our department. We also wanted to verify the hypothesis as to whether the use of conventional dorsal plate without the application of bone grafts leads to comparable results as the use of dorsal locking plates and routine application of bone grafts.MATERIAL AND METHODSThroughout the years 2005 to 2014 the four-corner arthrodesis of the wrist was performed in our department in a total of 62 patients, in two cases bilaterally. The indication was the diagnosis of SLAC/SNAC grade III. Normed...

The Effect of Incorrect Foot Placement on the Accuracy of Radiographic Measurements of the Hallux Valgus and Inter-Metatarsal Angles for Treating Hallux ValgusOriginal papers

M. ERDIL, E. KUYUCU, H. H. CEYLAN, S. SÜRÜCÜ, I. ERDIL, A. KARA, B. G GÜLENÇ, M. BÜLBÜL

Acta Chir Orthop Traumatol Cech. 2017; 84(3):196-201 | DOI: 10.55095/achot2017/029  

PURPOSE OF THE STUDYAccurate radiographic measurements are crucial in treating hallux valgus (HV). This three-dimensional deformity should not be evaluated from one joint on one plane. However, in practice, surgeons measure the deformity only on transverse dorsoplantar radiographs. We determined the amount of error associated with positioning the foot incorrectly on radiographs.MATERIAL AND METHODSTo simulate incorrect positions of the foot in radiographic evaluation, we designed an angled device that can move in transverse and frontal plane. In four patients with symptomatic HV, we took weight-bearing radiographs of the involved foot in...

Treatment of Displaced Patellar Fractures with Multiple Circular CerclageOriginal papers

Z. TŘÍSKA, J. URBAN, P. LÁTAL, M. KLOUB

Acta Chir Orthop Traumatol Cech. 2017; 84(3):202-207 | DOI: 10.55095/achot2017/030  

PURPOSE OF THE STUDYThe study aims to conduct a mid-term evaluation of results of the treatment of patellar fractures with multiple circular cerclage.MATERIAL AND METHODSThe retrospective clinical study with its own group of patients who underwent surgery in our centre in the period from 2008 to 2014. The study included a total of 29 patients with displaced patellar fractures treated with multiple circular cerclage. The available radiographic documentation was assessed and the quality of perioperative reposition, fracture healing, loss of reposition and potential failure of osteosynthesis material was considered. During the clinical examination,...

The Potential of the ICUC® Documentation Concept to Improve Trauma SurgeryCurrent concepts review

P. REGAZZONI, A. A. FERNANDEZ DELL'OCA, S. M. PERREN

Acta Chir Orthop Traumatol Cech. 2017; 84(3):153-158 | DOI: 10.55095/achot2017/023  

Conventional documentation of surgical procedures using only pre- and postoperative X-ray images and possibly a few intra-operative pictures does not allow secondary analysis of the technical performance in detail. In particular, the quality of the handling of tissues and surgical tools cannot be judged <<post hoc>>, i.e. after the end of the surgical procedure. The invasiveness of the surgical act cannot yet be quantified. Surrogate invasiveness indices have therefore been developed. Furthermore, conventional documentation does not allow evaluation of the proper use of the C-arm both technically and with regard to fluoroscopy time. Documentation...

Cementless Total Hip Arthroplasty in Primary Myelofibrosis - a Case ReportCase report

S. BRODT, E. EIGENDORFF, G. MATZIOLIS

Acta Chir Orthop Traumatol Cech. 2017; 84(3):208-210 | DOI: 10.55095/achot2017/031  

There is a great deal of data available, in part contradictory, on the best fixation technique to use for total hip arthroplasty (THA) in hip osteoarthritis. Both the cementless and the cemented versions offer excellent long-term outcomes - if the respective technique is applied correctly. However, as far as we know, no recommendation has been made regarding cemented vs. cementless THA in primary myelofibrosis.The case described here concerns a very active 76-year-old patient with primary myelofibrosis. This is a rare hematological disease. It develops from clonal hematopoiesis with impaired blood formation and progressive bone marrow fibrosis....

Fibular Strut Graft for Posterior Pelvic Ring Nonunion - a Case ReportCase report

M. FRANK, J. R. MCCALLUM, T. DĚDEK

Acta Chir Orthop Traumatol Cech. 2017; 84(3):211-214 | DOI: 10.55095/achot2017/032  

Posttraumatic pelvic nonunions in combination with malposition are uncommon in the present-day era of modern pelvic surgery. The case describes a new surgical technique for treatment of the nonunion localized to iliosacral joint.A 42-year-old polytraumatized male presented with a pelvic fracture (type 61-C2.3) associated with a complex acetabular fracture. The patient was treated and the pelvis stabilized according to damage control principles (external fixation and pelvic C-clamp) and subsequently definitively treated according to principles of current pelvic surgery. The posterior pelvis was stabilized by bilateral S1 iliosacral screws, however...

Rare Dorsal Traumatic Sternoclavicular Joint Dislocation in a 14-Year-Old Patient - a Case ReportCase report

A. STANČÁK, J. NĚMEC, V. HAVLAS

Acta Chir Orthop Traumatol Cech. 2017; 84(3):215-218 | DOI: 10.55095/achot2017/033  

We report a case of a 14-year-old patient with rare dorsal sternoclavicular dislocation caused by a sports injury. The patient was admitted to our department for further investigation and treatment. After a series of examinations, an open reduction and fixation using K-wires was used as a treatment modality. A satisfactory outcome was achieved, the patient returned to full sports activity 3 months after the surgery, with no limitations of movement. The necessity of early diagnosis and treatment options of this rare injury has been discussed.

Endoprosthesis Infections - Guidelines for Antibiotic Therapy
Common Guidelines of the Czech Society for Orthopaedics and Traumatology and the Society for Infectious Diseases of the Czech Medical Association of J. E. PurkyněIn-service-training

D. MUSIL, M. BALEJOVÁ, M. HORNÍKOVÁ, A. CHRDLE, N. MALLÁTOVÁ, O. NYČ, V. CHMELÍK, J. GALLO, D. JAHODA, J. STEHLÍK

Acta Chir Orthop Traumatol Cech. 2017; 84(3):219-230 | DOI: 10.55095/achot2017/034  

PURPOSE OF THE STUDYThis study aims to articulate regional guidelines for curative and suppressive antibiotic therapy of total joint replacement infections.MATERIAL AND METHODSWhen developing the standard, used as source materials were the published foreign guidelines for antibiotic therapy of prosthetic joint infections, the analysis of resistance of bacterial strains conducted in the Hospital in České Budějovice, a.s. and the assessment of strain resistance for the Czech Republic published by the European Antimicrobial Resistance Surveillance Network (EARS-Net). Considered was also the availability of individual antibiotics in the Czech...

Zápis ze zasedání výboru ČSOT konaného dne 18. 4. 2017 v Parkhotelu PrůhoniceReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2017; 84(3):231  

Zápis z členské schůze ČSOT konané dne 17. 5. 2017 v TOP hotelu Praha a schůze výboru ČSOT s primářiReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2017; 84(3):231-232  

Zápis z jednání výboru ČSOT konaného dne 17. 5. 2017 při XXI. Národním kongresu ČSOT v prostorách Top Hotelu PrahaReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2017; 84(3):232