Comparison of Modified Transiliac Internal Fixators: Mechanical Testing on Pelvic ModelsOriginal papers

M. SALÁŠEK, L. LOBOVSKÝ, J. HLUCHÁ, J. KRYSTEK, J. KŘEN

Acta Chir Orthop Traumatol Cech. 2021; 88(5):333-338 | DOI: 10.55095/achot2021/049  

PURPOSE OF THE STUDYVertically unstable transforaminal sacral fractures can be stabilized with several types of transiliac internal fixators (TIFI): the classical one (TIFI-C), the supraacetabular one (TIFI-A) and by dual application of TIFI (DTIFI).MATERIAL AND METHODSPelvic models made of solid foam (Sawbones 1301) were used in the study. Mechanical loading tests were performed in order to assess the stiffness of the studied pelvic structures. The stiffness of the intact model was approximated as the slope of load/displacement curve. Then vertically unstable right-sided linear transforaminal fracture was created and subsequently fixed...

The Association of Interleukin-6 (IL-6) -572G/C and Transforming Growth Factor Beta 1 (TGFB1) 29C/T Single Nucleotide Polymorphisms (SNPs) with Developmental Dysplasia of the Hip: a Case Control StudyOriginal papers

S. İĞREK, T. ONAY, A. H. AKGÜLLE, M. POLAT, A. I. GÜNEY, H. H. MURATLI

Acta Chir Orthop Traumatol Cech. 2021; 88(5):339-343 | DOI: 10.55095/achot2021/050  

PURPOSE OF THE STUDYThe aim of the present study was to determine the potential effects of single nucleotide polymorphisms (SNPs) of TGFB1 and IL-6 on the development and severity of the disease in patients with DDH and investigate the relationship of these two gene polymorphisms.MATERIAL AND METHODSThis case control study was conducted on 105 patients diagnosed with DDH and 119 healthy control subjects of any age. The DDH patients were classified according to the Hartofilakidis and IHDI classifications for adult and pediatric patients, respectively. Genomic DNA was isolated from peripheral blood samples using the Salting-out method. TGFB1...

Contribution of miRNAs and Other Inflammatory Biomarkers to the Differentiation of Inflammatory and Non-Inflammatory Joint EffusionsOriginal papers

P. KUŠNIEROVÁ, I. BYSTROŇOVÁ, P. WALDER, R. HLUBEK, D. STEJSKAL

Acta Chir Orthop Traumatol Cech. 2021; 88(5):344-353 | DOI: 10.55095/achot2021/051  

PURPOSE OF THE STUDYThe aim of the study was to determine miR-146a-5p, miR-223-3p and miR-23a-3p by an enzyme immunoassay in patients with inflammatory and non-inflammatory joint effusion and to verify the usefulness of these miRNAs as biomarkers of joint inflammation.MATERIAL AND METHODSSynovial fluid (SF) samples were collected from 82 patients. The group consisted of 60 non-inflammatory, 11 inflammatory-non-pyogenic, 11 inflammatory-pyogenic SF. SF miRNA was isolated by RNA Isolation Kit Plasma/Serum. The concentrations of miRNA were determined by enzyme-linked immunosorbent assays (ELISA), C-reactive protein, interleukin-6 and procalcitonin...

Native Joint Septic Arthritis in Adults: Incidence in Our Group of Patients and Antibiotic Therapy GuidelinesOriginal papers

D. MUSIL, A. CHRDLE, M. HORNÍKOVÁ, M. BALEJOVÁ, J. KLOUDA, J. PERTLÍČEK, T. TRNKA

Acta Chir Orthop Traumatol Cech. 2021; 88(5):354-361 | DOI: 10.55095/achot2021/052  

PURPOSE OF THE STUDYThe purpose of the study is to analyse the number of adult patients treated in our department for native joint septic arthritis and to outline guidelines for antibiotic therapy.MATERIAL AND METHODSFrom the beginning of 2003 to the end of 2020, a total of 36,342 surgeries were performed at our department. We retrospectively reviewed and analysed all surgeries for native joint septic arthritis (a total of 538 surgical interventions).The study included all adult patients who were operated for native joint septic arthritis in our department in 2003-2020. We included all revision surgeries for ongoing infection (excluding...

Comparison of the Outcomes of Revision Anterior Cruciate Ligament Reconstruction Using Cadaverous BTB Graft with the Outcomes of Primary ACL Reconstruction with Filtering out the Effects of Age and SexOriginal papers

J. HEGER, M. ROUCHAL, P. VALIŠ, J. SKLENSKÝ, J. NOVÁK, M. MARŠÁLEK

Acta Chir Orthop Traumatol Cech. 2021; 88(5):362-368 | DOI: 10.55095/achot2021/053  

PURPOSE OF THE STUDYEvaluation of the success rate of revision ACL reconstruction using the cadaverous BTB allogeneic graft and comparison of the outcomes achieved with the data of patients after the primary ACL reconstruction using the autologous BTB graft with filtering out the potential effect of diversity of the groups of patients as concerns sex and age.MATERIAL AND METHODSThe evaluated outcomes of 34 patients operated in the period 2004-2017, i.e. with the minimum follow-up period of three years, were compared with the outcomes of 34 patients selected individually so that in pairs the age and sex are identical - 10 women and 24 men...

Arthroscopic versus Mini-Open Rotator Cuff Repair: Should We Ignore the Mini-Open Surgery?Original papers

M. S. OZCAN, A. VAROL, B. E. KILINC

Acta Chir Orthop Traumatol Cech. 2021; 88(5):369-374 | DOI: 10.55095/achot2021/054  

PURPOSE OF THE STUDYTo compare the functional and radiological results of the total arthroscopic treatment (TAT) performed due to the rotator cuff (RC) tear problem with the results of the arthroscopically assisted mini-open surgery (AAMOS).MATERIAL AND METHODSThis study conducted over a two-year period included all had TAT or AAMOS. Patients were included in the study if they had undergone arthroscopic or mini-open rotator cuff repair, with a minimum of 2 years' follow-up. Patients were divided into two groups in terms of the surgical technique performed. Patients who had TAT was included into the group 1 and, AAMOS group 2. Exclusion...

Skeletal Deformity in Children with Primary HyperparathyroidismCase report

M. I. DIKOVA, B. PETKOVA, V. ALEXIEV

Acta Chir Orthop Traumatol Cech. 2021; 88(5):375-378 | DOI: 10.55095/achot2021/055  

Skeletal deformation like genu valgum is reported to be rare in Primary hyperparathyroidism (PHPT). The solitary adenoma or hyperplasia of the parathyroid glands are the cause in 80-85% of the cases.We report 2 cases of girls on 12 years and 15 years of age, complaining from pain and genu valgum deformation of the lower extremities before the planned orthopaedic surgical correction. The first patient had complaints for 3 years and lost ability to walk independently, the second case lost normal gate for a period of 5 months. The paraclinical screening discovered hypercalcemia, hypophosphatemia, elevated alkaline phosphatase, normal creatinine, raised...

Die-Punch Fracture of the Scaphoid Fossa of the Distal RadiusCase report

P. ŠEBESTA, Z. TLUSTÝ

Acta Chir Orthop Traumatol Cech. 2021; 88(5):379-381 | DOI: 10.55095/achot2021/056  

Even though the die-punch fragment of the distal radius fracture was described as early as in 1962, its detection may be crucial to select the optimal therapy even nowadays. Typically, the die-punch fragment is located in the lunate fossa. It can, however, also be located in the radial column. The patient with the die-punch fracture of the scaphoid fossa, treated by us with open reduction and plate osteosynthesis from two surgical approaches, is presented in our case report.

Arthroscopic Minimal Invasive Treatment of Posterolateral Tibial Plateau Impression FracturesCase report

C. KONRADS, N. PETERSEN, T. HISTING, S. DÖBELE

Acta Chir Orthop Traumatol Cech. 2021; 88(5):382-385 | DOI: 10.55095/achot2021/057  

Posterolateral fractures of the tibial plateau are difficult to address. Malunion can lead to early posttraumatic arthritis of the knee due to instability and elevated joint reaction forces. Arthroscopically assisted percutaneous reduction facilitates visualization and avoids open approaches either directly from posterolateral or from lateral with optional extension via a lateral epicondylus osteotomy. We describe and illustrate a minimal invasive technique using an arthroscopic posterolateral viewing portal. Using this technique, we demonstrated very good clinical outcome with excellent patient satisfaction.

Combined Fracture of Carpal and Volar Divergent Dislocation of the Second to Fifth Carpometacarpal JointsCase report

Q. LIU, L. TANG, P. LIANG, J. YE, X. HU, J. DENG

Acta Chir Orthop Traumatol Cech. 2021; 88(5):386-388 | DOI: 10.55095/achot2021/058  

The volar divergent dislocation of the second to fifth carpometacarpal joints and involving fracture of carpal is an extremely rare injury. We reported a case of 55-year-old man, victim of a motorbike, who was struck by a car, admitted at the emergency department unable to move his left hand with severe swelling. X-rays and CT scan showed a volar divergent dislocation of second to fifth carpometacarpal joints and involving fracture of carpal. Patient underwent closed reduction and plaster fixation right way, after one week, he received open reduction internal fixation with K-wire and plaster. Functional exercise was started progressively once K-wire...

Zápis ze schůze Výboru ČSOT konané dne 20. 9. 2021 v 17.00 h ve Velkých BílovicíchReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2021; 88(5):389-390