Reverse Total Shoulder Arthroplasty: 14-Year Clinical Experience with 496 Performed ArthroplastiesOriginal papers

D. POKORNÝ, P. FULÍN, J. HEŘT, I. LANDOR, J. ŠTEFAN, A. SOSNA

Acta Chir Orthop Traumatol Cech. 2021; 88(6):401-411 | DOI: 10.55095/achot2021/060  

PURPOSE OF THE STUDYReverse total shoulder arthroplasty (RSA) can be considered a proven method for the treatment of the most severe shoulder joint affections. In this study, we present 14-year experiences of the authors with the LimaCorporate SMR® RSA system in 496 cases.MATERIAL AND METHODSIncluded in the study are 496 RSAs performed between 2007 and 2020. We successfully followed up 368 shoulders in 358 patients. This was a prospective study with function being evaluated preoperatively and at the last follow-up in 2020. We evaluated the range of motion in active elevation and the classic Constant Score (CS). According to this score,...

Long-Term Results of Total Knee Replacement Using P.F.C. Sigma System with an All-Polyethylene Tibial ComponentOriginal papers

L. NACHTNEBL, T. TOMÁŠ, V. APOSTOLOPOULOS, L. PAZOUREK, M. MAHDAL

Acta Chir Orthop Traumatol Cech. 2021; 88(6):412-417 | DOI: 10.55095/achot2021/061  

PURPOSE OF THE STUDYUse of an all-polyethylene (all-poly, AP) tibial component in primary total knee arthroplasty is still an attractive option considering the durability of replacement, the elimination of backside wear and the lower cost compared to modular metal-backed tibia. The purpose of the study was to evaluate the long-term results of the total knee replacement using the P.F.C. Sigma system with a monoblock all-polyethylene tibial component implanted at the 1st Orthopedic Department of the St. Anne's University Hospital and Masaryk University Brno in the period 1999-2010.MATERIAL AND METHODSIn the monitored period, 911 total knee...

Early Outcomes of Pelvic Trauma Patients - Complications, ICU Stay and Treatment Concepts in Two ATLS Compliant Trauma Centers: Germany and QatarOriginal papers

H. KEIL, A. EL-MENYAR, J. DAERR, F. WEIL, H. ABDELRAHMAN, A. ALHAMMOUD, S. I. GHOURI, E. BABIKIR, B. M. WAHLEN, H. AL-THANI, P. A. GRUETZNER, M. MUENZBERG

Acta Chir Orthop Traumatol Cech. 2021; 88(6):418-422 | DOI: 10.55095/achot2021/062  

PURPOSE OF THE STUDYPelvic trauma causes severe threats especially to polytraumatized patients. Not only it is in itself a possible cause for significant bleeding, but it also indicates a high risk for intra-abdominal injuries. The initial treatment of patients with pelvic trauma follows the ATLS principles of priority-oriented treatment. To examine the value of this highly standardized concept and to evaluate the effect of different patient collectives on early outcome parameters, two large collectives from Germany and Qatar were analyzed regarding injury parameters and early outcomes.MATERIAL AND METHODSPatients were recruited in Hamad...

Combining ACL Reconstruction and Refixation: the Single Anteromedial Bundle Biological Augmentation and Refixation (SAMBBAR) TechniqueOriginal papers

S. DÖBELE, P. ZIEGLER, V. HOFMANN, T. HISTING, C. KONRADS

Acta Chir Orthop Traumatol Cech. 2021; 88(6):423-427 | DOI: 10.55095/achot2021/063  

PURPOSE OF THE STUDYAnterior cruciate ligament (ACL) preservation surgical techniques have been rising lately. In the acute setting, proximal ACL tears and femoral avulsions of the ACL are good indications for primary repair of the ACL. However, literature shows a wide range of failure rates. An intact synovial membrane seems to be a predicational factor for the outcome of primary ACL repair. Disruption of the synovial membrane is associated with higher failure rates. We describe a surgical technique repairing the ACL in combination with a semitendinosus augmentation for proximal ACL tears with or without disruption of the synovial membrane.MATERIAL...

How the Aperture of Femoral Tunnel Affected in ACL Reconstruction Performed with AM Portal Technique?Original papers

H. BOMBACI, F. CETINKAYA, O. AKINCI, G. KILICOGLU

Acta Chir Orthop Traumatol Cech. 2021; 88(6):428-433 | DOI: 10.55095/achot2021/064  

PURPOSE OF THE STUDYThe purpose of this study was to evaluate the position of tibial tunnel (TT) and femoral tunnels (FT) performed by using the anteromedial (AM) portal technique and its effect on the aperture of FT.MATERIAL AND METHODSA total 44 patients operated for anterior cruciate ligament (ACL) rupture by AM portal technique between January 2013 and July 2015, were included in this study. They were subjected to a magnetic resonance imaging of the knee to assess the FT, dimensions of the FT aperture and TT. The location of the ACL graft within the joint was compared with the intact ACL of healthy individuals. The patients were also...

Incidence, Morphology and Clinical Significance of Hill-Sachs Lesions in Shoulder Instability - CT Scan Evaluation of the Group of PatientsOriginal papers

M. OBHLÍDAL, P. NEORAL, R. HOLIBKA, J. GALLO, M. SIGMUND, R. KALINA

Acta Chir Orthop Traumatol Cech. 2021; 88(6):434-441 | DOI: 10.55095/achot2021/065  

PURPOSE OF THE STUDYShoulder instability is often times accompanied by associated injuries caused by the humeral head displacement. These are primarily bone lesions on the head and socket of the glenohumeral joint. The purpose of this study was to evaluate the frequency, morphology and clinical significance of bone lesions in shoulder instabilities in a group of patients operated in our department for glenohumeral instability between 2012 and 2019.MATERIAL AND METHODSThe ongoing evaluation included 373 patients with trauma and habitual instability who had undergone surgery in our department in the period from 2012 to 2019. All patients...

Surgical Treatment of Cervical SpondylodiscitisOriginal papers

J. VČELÁK, A. ŠPELDOVÁ, O. DŽUPOVÁ, M. MACKO, J. LESENSKÝ

Acta Chir Orthop Traumatol Cech. 2021; 88(6):442-449 | DOI: 10.55095/achot2021/066  

PURPOSE OF THE STUDYThe purpose of the retrospective study is to analyse a group of patients surgically treated for cervical spondylodiscitis. The first hypothesis states that the removal of infected intervertebral disc without its anterior column reconstruction in the acute phase of infection results in worse clinical and radiological evaluation of the patient. The second hypothesis defines that the use of titanium implant in anterior column reconstruction in the chronic phase of infection increases the risk of recurrent infection.MATERIAL AND METHODSThe evaluated group of patients who underwent surgery includes a total of 21 patients...

Trauma Analysis in Patients Examined by Whole-Body CTOriginal papers

D. MÁCHAL, P. ŠPIROCH, T. FÜRST, J. POCHYLOVÁ, Z. SEDLÁČKOVÁ

Acta Chir Orthop Traumatol Cech. 2021; 88(6):450-455 | DOI: 10.55095/achot2021/067  

PURPOSE OF THE STUDYThe purpose of this study was to assess the available information on patients with a whole-body CT and to ascertain whether the number of examinations could be reduced.MATERIAL AND METHODSThis retrospective study included all patients who underwent a whole-body CT in the University Hospital Olomouc during a period of one year. Epidemiologic data of patients and information about the trauma and injuries suffered were collected. The injuries were assessed using the Abbreviated Injury Scale and the Injury Severity Score and classified as high- and low-energy injuries. These two groups were subsequently compared.RESULTSA...

Arthroscopic Assisted Percutaneous Screw Fixation of a Postage Stamp Anterior Glenoid FractureCase report

K. YILDIRIM, T. BEYZADEOGLU

Acta Chir Orthop Traumatol Cech. 2021; 88(6):456-460 | DOI: 10.55095/achot2021/068  

Bio-absorbable anchors are widely used for Bankart repair in shoulder instability surgery. Suture anchor placement for labral repair may give rise to osteolysis and/or create stress risers in the glenoid rim, which may be the underlying reasons for glenoid rim fracture with a fracture line passing through previous anchor placement sites, the so-called "postage stamp fracture". Intraarticular fractures of the glenoid have been treated via open reduction and internal fixation through an arthrotomy, which may lead to potential postoperative complications like infection, neurovascular injuries, joint stiffness, and a long recovery period. Thus, arthroscopic...

Unexpected Finding of a Foreign Body in the Knee Joint Area of a 10-Year-Old BoyCase report

M. HANUS, V. HLADKÝ

Acta Chir Orthop Traumatol Cech. 2021; 88(6):461-463 | DOI: 10.55095/achot2021/069  

Differential diagnosis of tumor processes in orthopedics is a relatively broad and inherently very serious issue, especially if the patients are pediatric patients. A number of examination procedures is used in diagnostics, together with a wide range of complementary laboratory and imaging methods. However, the clinical examination, including the collected anamnestic data, remains to be the cornerstone. In pediatric patients, of major importance is the cooperation with parents, but not always necessary information is provided to make the final diagnosis. In younger children, it is very often impossible to obtain relevant anamnestic data due to a number...

Negative Pressure Wound Therapy as a Treatment Option for Extensive Post-Trauma Subcutaneous EmphysemaCase report

M. GREGOŘÍK, M. SZKORUPA, J. CHUDÁČEK

Acta Chir Orthop Traumatol Cech. 2021; 88(6):464-467 | DOI: 10.55095/achot2021/070  

Subcutaneous emphysema can be a secondary complication of chest trauma or one of the complications of ruptured bullae in advanced chronic obstructive pulmonary disease. Massive subcutaneous emphysema impairs the respiratory mechanics and affects the venous returns of the head and neck. It can lead to respiratory insufficiency with the need for mechanical ventilation. The treatment should focus on the primary pathology. Nonetheless, in patients with subcutaneous emphysema as the only but serious symptom, the treatment can zero in solely on this complication. The standard procedure consists in the insertion of chest drain which does not necessarily have...

Kurz mladých ortopedůReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2021; 88(6):468  

Zápis ze schůze Výboru ČSOT konané dne 4. 11. 2021 18.15 h v Clarion Congress hotelu v PrazeReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2021; 88(6):469