Concentration of Hyaluronic Acid in Synovial Fluid as an Indicator of Severity and Degree of Impairment in Patients Suffering from GonarthrosisOriginal papers

J. KOTAŠKA, L. HANOUSKOVÁ, R. PRŮŠA, T. TRČ, K. KOTAŠKA

Acta Chir Orthop Traumatol Cech. 2021; 88(2):83-86 | DOI: 10.55095/achot2021/015  

PURPOSE OF THE STUDYHyaluronic acid is a major component of synovial fluid and an indicator of joint viscosity and viscoelasticity. Decreased concentrations of hyaluronic acid in the synovial fluid indicate the severity of osteoarthritis. The aim of the study was to determine the concentrations of hyaluronic acid in the synovial fluid and to evaluate the correlation with the severity of osteoarthritis determined based on the radiological criteria (evaluation according to X-ray classification) and the physicochemical criteria (measurement of synovial fluid osmolality).MATERIAL AND METHODSA total of 67 patients with the mean age of 67 years...

Correction of Valgus Knee Deformity by Hemiepiphyseodesis: a Restrospective AnalysisOriginal papers

R. STACHOŇ, J. CHOMIAK, M. OŠŤÁDAL, M. FRYDRYCHOVÁ, A. FRAŇO

Acta Chir Orthop Traumatol Cech. 2021; 88(2):87-94 | DOI: 10.55095/achot2021/016  

PURPOSE OF THE STUDYHemiepiphyseodesis is commonly used to correct a coronal plane knee deformity during childhood. Since 2007 Blount staple method has been replaced by the eight-Plate Guided Growth System. We retrospectively analysed the indications, results and complications of the older Blount staple method so as to compare them with the newer eight-Plate Guided Growth system.MATERIAL AND METHODSIn the period from 2009 to 2019, a total of 98 lower extremities of 54 patients were treated by hemiepiphyseodesis. Lateral distal femoral angle (LDFA), medial proximal tibial angle (MPTA) and mechanical axis deviation (MAD) were measured before...

Simultaneous Bilateral Femoral Osteotomies in Neurogenic Hip Instability: a Feasibility StudyOriginal papers

J. POUL, M. MALÁ, K. URBÁŠEK, P. ZOUFALÝ, K. ROČÁK

Acta Chir Orthop Traumatol Cech. 2021; 88(2):95-100 | DOI: 10.55095/achot2021/017  

PURPOSE OF THE STUDYThe study aimed to evaluate the intraoperative and early postoperative response to simultaneous bilateral femoral osteotomy usually accompanied by soft tissue release of hip joints, or open reduction, capsuloplasty, pelvic osteotomy or extraarticular shelf procedure.MATERIAL AND METHODSA bilateral surgery was performed in 16 children. Twelve children suffered from (spastic) cerebral palsy and there was one case of paralytic dislocation in a patient with myelomeningocele, while the remaining patients suffered from chromosome I aberrations, Dandy-Walker syndrome and merosin-deficient muscular dystrophy. GMFCS Level IV...

Orbital Fractures in ChildrenOriginal papers

K. PERCEOVÁ, Š. BIBROVÁ, M. URÍK, I. ŠLAPÁK, M. JURAJDA, S. ŠIKOLOVÁ

Acta Chir Orthop Traumatol Cech. 2021; 88(2):101-106 | DOI: 10.55095/achot2021/018  

PURPOSE OF THE STUDYDiagnosis and treatment of fractures of the facial skeleton in children can be difficult due to the skeletal growth.MATERIAL AND METHODSThe 9-year retrospective study included patients admitted with the orbital fracture diagnosis to the University Hospital Brno, Children s Hospital, Department of Paediatric ENT, Department of Paediatric Anaesthesiology and Resuscitation, and Department of Paediatric Surgery, Orthopaedics and Traumatology. We looked into the number of patients admitted to the hospital with the orbital fracture diagnosis and the cause of the injury, the age of patients, and the used treatment method -...

Diagnosis, Treatment and Complications of Knee Dislocation: a Retrospective StudyOriginal papers

T. MALOTÍN, T. MATĚJKA, J. MATĚJKA

Acta Chir Orthop Traumatol Cech. 2021; 88(2):107-116 | DOI: 10.55095/achot2021/019  

PURPOSE OF THE STUDYAcute knee dislocation is a less common injury of the knee joint. It is, however, a serious injury with a high rate of nerve and vascular damage and it is considered a limb threatening injury with long-term functional disability, which can ultimately lead to amputation. Knee dislocations constitute less than 0.5% of all joint dislocations. Most of these injuries occur in high-energy traumas and careful diagnosis can identify the patient at risk of this injury.MATERIAL AND METHODSThe total number of patients with knee dislocation was 37. The incidence of knee dislocation was 2.5 patients per year. The mean age of patients...

Comparison of the Efficacy of Different Concentrations of Diclofenac Sodium Phonophoresis (1.16% vs 2.32%) in Patients with Knee Osteoarthritis: a Randomized Double-Blind Controlled TrialOriginal papers

S. TOLU, M. M. KÖSE, M. C. KORKMAZ, A. ÜŞEN, A. REZVANİ

Acta Chir Orthop Traumatol Cech. 2021; 88(2):117-123 | DOI: 10.55095/achot2021/020  

PURPOSE OF THE STUDYThe objective of the present study is to compare the efficacy of two different concentrations of diclofenac sodium phonophoresis (DSPH) (1.16% vs 2.32%) in patients with knee osteoarthritis (OA).MATERIAL AND METHODSA randomized, double-blind, controlled design was applied. Ninety patients (mean age± SD, 59.98 ± 8.89 years) who had Kellgren-Lawrence (K-L) grades II to III knee OA were randomly allocated into three groups; 1.16% DSPH, 2.32% DSPH, TUS (30 in each group). Each patient was treated five sessions per week for two weeks. A 100-mm visual analogue scale (VAS) for usual pain and the Western Ontario...

Revision ACL Reconstruction in Our Study PopulationOriginal papers

M. HANUS, A. STANČÁK, E. ŠŤASTNÝ, T. TRČ

Acta Chir Orthop Traumatol Cech. 2021; 88(2):124-130 | DOI: 10.55095/achot2021/021  

INTRODUCTIONThe authors present the long-term clinical outcomes of revision anterior cruciate ligament (ACL) reconstruction. The aim was to compare the surgical technique with respect to the clinical outcomes within 3 years postoperatively.MATERIAL AND METHODSThe clinical evaluation of revision anterior cruciate ligament reconstructions performed at our department in 2002-2017 was carried out. A total of 82 patients were included in the study, male as well as female patients. Apart from the clinical outcomes, the associated procedures performed as a consequence of other injuries or damage to other intraarticular structures, the surgical...

Comparison of Clinical Features and Serum Parameters of Culture-Positive Children with Culture-Negative Children in Septic Arthritis and Acute OsteomyelitisOriginal papers

Ç. ÖZCAN, S. ÇAMUR, K. M. I. SHATAT, B. KEMAH, M. S. SÖYLEMEZ, N. SAĞLAM

Acta Chir Orthop Traumatol Cech. 2021; 88(2):131-136 | DOI: 10.55095/achot2021/022  

PURPOSE OF THE STUDYThe aim of this study was to investigate the culture results of children undergoing debridement for suspected septic arthritis or acute osteomyelitis and to compare the laboratory parameters and clinical characteristics of culture-positive and culture-negative patients.MATERIAL AND METHODSPatients who underwent surgery in our hospital for septic arthritis and acute osteomyelitis between 2011 and 2019 were retrospectively analyzed. Seventy-two of 96 patients were included in the study. The patients had documented joint swelling, redness, pain with joint movement and weight-bearing failure. Fever was assessed preoperatively....

Minimally Invasive Hallux Valgus Surgery: First ExperienceOriginal papers

R. HROMÁDKA, J. KLOUDA, S. POPELKA, J. BEK, L. KODAT, V. BARTÁK

Acta Chir Orthop Traumatol Cech. 2021; 88(2):137-143 | DOI: 10.55095/achot2021/023  

PURPOSE OF THE STUDYThe Minimally Invasive Chevron Akin (MICA) is a percutaneous technique used to correct hallux valgus deformity. The combination of distal osteotomy of the first metatarsal and the proximal phalanx of the big toe stabilized with internal fixation was used over the last decade. The retrospective study presents the results of measurements performed on preoperative and postoperative X-rays and offers a comparison with conventional osteotomies.MATERIAL AND METHODSThe study population consists of 76 patients who underwent 93 operations between 2015 and 2018 at the Department of Orthopaedics, 1st Faculty of Medicine, Charles...

Interlocked Pins Increase Strength by a Lateral Spread of Load in Femoral Neck Fixation: a Cadaver StudyOriginal papers

J. E. BRATTGJERD, S. NIRATISAIRAK, H. STEEN, K. STRØMSØE

Acta Chir Orthop Traumatol Cech. 2021; 88(2):144-152 | DOI: 10.55095/achot2021/024  

PURPOSE OF THE STUDYTo improve the important torsional, bending and compressive stability in femoral neck fixation, locking plates have been the latest contribution. However, increased strength by restricted fracture motion may come at expense of an altered load distribution and failure patterns. Within locking plate technology, the important intermediate fracture compression may principally be achieved by multiple sliding screws passing through a sideplate fixed to the femur or connected to an interlocking plate not fixed to the femur laterally, sliding "en bloc" with the plate. While biomechanical studies may deliver the short-time patient safety...

Plate Positioning Affects the Pressure on the Axillary Nerve Following a Deltopectoral ApproachOriginal papers

B. E. KILINC, B. KEMAH, Y. OC, A. VAROL, H. CELIK, I. TURKMEN

Acta Chir Orthop Traumatol Cech. 2021; 88(2):153-157 | DOI: 10.55095/achot2021/025  

PURPOSE OF THE STUDYTo investigate the pressure levels on the axillary nerve at different plate positions after plate fixation of a proximal humerus fracture.MATERIAL AND METHODSEight fresh-frozen cadaveric specimens were used. The plates were applied on the lateral side of the humerus. A FlexiForce pressure sensor was placed between the nerve and the plate, and the pressure on the nerve was measured (Group 1). The plates were then placed in two different positions such that distal portion of the plates would have 30° anterior and 30° posterior angles to the anatomical axis of the humerus (Group 2 and 3). The anterior of the distal attachment...

Zápis ze schůze Výboru ČSOT konané dne 6. 4. 2021 videokonferenčněReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2021; 88(2):158