Twenty-Four-Hour Movement Behaviors in Adults and Older Adults before Total Knee Arthroplasty: a Study Based on Compositional Data AnalysisOriginal papers

J. LOŠŤÁK, A. GÁBA, J. DYGRÝN, Ľ. BALÁŽ, N. ŠTEFELOVÁ, J. GALLO

Acta Chir Orthop Traumatol Cech. 2022; 89(1):9-15 | DOI: 10.55095/achot2022/001  

PURPOSE OF THE STUDYThis study aims to describe and analyze the age differences in the 24-hour movement behavior patterns among a sample of adults and older adults with end-stage knee osteoarthritis referred for total knee arthroplasty (TKA).MATERIAL AND METHODSA total of 86 patients referred for TKA were included in this study. Sleep duration, sedentary behavior (SB), light physical activity (LPA), and moderate-to-vigorous physical activity (MVPA) were assessed using multi-day 24-hour raw data from wrist-worn accelerometers. Compositional data analysis was used to analyze the differences between the age categories.RESULTSOn average...

Glucose, Lactate, NGAL and Coefficient of Energy Balance in Synovial Fluid in Patients with Hip and Knee Prosthetic Joint InfectionOriginal papers

M. SVOBODA, J. GALLO, J. ZAPLETALOVÁ, J. PROŠKOVÁ, J. JURÁŇOVÁ, Y. LOVEČKOVÁ

Acta Chir Orthop Traumatol Cech. 2022; 89(1):16-26 | DOI: 10.55095/achot2022/002  

PURPOSE OF THE STUDYLaboratory methods are central to prosthetic joint infection (PJI) diagnosis. Most research teams focus on detection of specific inflammatory markers, causative pathogens, or on assessment of the tissue response. This study sought to determine the optimal cut-off values and diagnostic performance of selected synovial markers in relation to the diagnosis of hip or knee PJI. The studied markers were synovial level of glucose, lactate, coefficient of energy balance (CEB) and NGAL (neutrophil gelatinase-associated lipocalin).MATERIAL AND METHODSThis prospective study includes 89 patients who underwent revision total knee...

The Most Cited Top 100 Articles in Shoulder ArthroscopyOriginal papers

M. A. AKÇAL, N. ÖZTÜRK, F. ERPALA, K. BILSEL

Acta Chir Orthop Traumatol Cech. 2022; 89(1):27-36 | DOI: 10.55095/achot2022/003  

PURPOSE OF THE STUDYThe purpose of this study was to identify and analyze the current most cited top-100 articles in shoulder arthroscopy literature.MATERIAL AND METHODSThis retrospective analysis obtained bibliometric information from the Web of Science (WoS) database and analyzed the data via VOSviewer through software package.RESULTSThe citation count of the most-cited articles varied from 122 to 923 on WoS. Altogether, the top 100 articles were cited 19,726 times; the average number of citations among the articles was 197.26. According to an abstract analysis, the most frequent terms were rotator cuff tear, tear, instability,...

Risk Factors for the Development of Distal Tibiofibular Synostosis after Unstable Ankle FracturesOriginal papers

J. MARVAN, J. JEŽEK, J. VRÁNOVÁ, D. MARVAN, F. ČÍŽEK, V. DŽUPA

Acta Chir Orthop Traumatol Cech. 2022; 89(1):37-42 | DOI: 10.55095/achot2022/004  

PURPOSE OF THE STUDYThe study analyses a cohort of patients with surgically treated ankle fractures who developed complete distal tibiofibular synostoses. It focuses on their occurrence and association with the extent of tibiotalar dislocation of the ankle joint on the trauma X-ray and its relation to the choice of surgery.MATERIAL AND METHODSThe cohort of a total of 824 patients with type B and C fractures according to Weber classification was followed up for 9 years. The cohort consisted of 403 (48.9%) men and 421 (51.1%) women. The exclusion criteria included associated talus fractures, calcaneus fractures and fractures of the other...

Comparison of Clinical Outcomes of Displaced Diaphyseal Clavicle FracturesOriginal papers

Z. KLÉZL Jr., J. MARVAN, J. JEŽEK, P. DOUŠA

Acta Chir Orthop Traumatol Cech. 2022; 89(1):43-47 | DOI: 10.55095/achot2022/005  

PURPOSE OF THE STUDYThe aim of this retrospective study was to assess the subjective evaluation of treatment by patients with respect to their return to work and recreational sport following the fracture of clavicle diaphysis with posttraumatic shortening of 1.5 cm, or more, treated non-operatively and surgically.MATERIAL AND METHODSOur group of patients consisted of 51 patients (14 females, 37 males) aged between 18 and 89 years (average age 46 years). We concentrated on the parameters of sex, age, side of injury, extent of posttraumatic shortening, method of treatment, return to work or recreational sport, DASH score at one year...

Analysis of The Risk Factors for Postoperative Allogenic Blood Transfusion Requirement in Intertrochanteric Femur FracturesOriginal papers

G. CANSABUNCU, A. TURGUT

Acta Chir Orthop Traumatol Cech. 2022; 89(1):48-52 | DOI: 10.55095/achot2022/006  

PURPOSE OF THE STUDYHemoglobin (Hb) levels tend to decrease in patients after hip fractures. There are several factors that is responsible for this decrease in Hb levels. The primary aim in this study was to evaluate the risk factors of blood loss in patients with IFF and to determine the limits that may require allogeneic blood transfusion (ABT), and the secondary aim was to prevent unnecessary blood crossing outside these limits.MATERIAL AND METHODS119 patients with intertrochanteric femur fracture (IFF) were included in the study. The patients were divided into two groups according to the use of ABT in the postoperative period. Age,...

Therapeutic Effects of Small Incision Open Reduction and Internal Fixation and Arthroscopic High Strength Non-Absorbable Suture on Tibial Insertion Avulsion Fracture of the Anterior Cruciate LigamentOriginal papers

J. WU, W. LUO, F. REN, H. ZHENG, J. HUANG

Acta Chir Orthop Traumatol Cech. 2022; 89(1):53-59 | DOI: 10.55095/achot2022/007  

PURPOSE OF THE STUDYTo evaluate the therapeutic effects of small incision open reduction and internal fixation and arthroscopic high strength non-absorbable suture on tibial insertion avulsion fracture of the anterior cruciate ligament (ACL).MATERIAL AND METHODSIn this prospectively study, 72 patients with ACL tibial insertion avulsion fracture treated from December 2017 to June 2020 were enrolled and divided into group A (treated with small incision open reduction and cannulated screw internal fixation) and group B (treated with arthroscopic high strength non-absorbable suture) using a random number table (n=36). Their general data, surgical...

Posterior Dislocation of the Shoulder with Compression Fracture of the Humeral Head. Our Experience with McLaughlin Procedure and Its ModificationOriginal papers

O. KABELKA, P. KOUT, R. PRIX, A. ŠVARC, P. HOZA

Acta Chir Orthop Traumatol Cech. 2022; 89(1):60-67 | DOI: 10.55095/achot2022/008  

PURPOSE OF THE STUDYThe purpose of this study is to remind of the specific features of diagnosis and therapy of dorsal dislocations of the glenohumeral joint to prevent frequent neglect or misdiagnosis during primary treatment.Also, we strived to present our experience and outcomes of posterior dislocation treatment by McLaughlin procedure and its modified version.MATERIAL AND METHODSWe retrospectively evaluated 7 patients who had been treated at our department in the period 2015-2019 by McLaughlin procedure or its modification.The group consisted of 5 men and 2 women aged 33-79 years. In five patients, the dislocation occurred...

Pathological Fractures of the Proximal Femur in Children and Adolescents Treated with LCP Paediatric Hip PlateOriginal papers

K. PATRIKOV, H. GEORGIEV, R. KEHAYOV

Acta Chir Orthop Traumatol Cech. 2022; 89(1):68-74 | DOI: 10.55095/achot2022/009  

PURPOSE OF THE STUDYExploring the therapeutic potential of pathological fractures treatment of the proximal femur in childhood with LCP paediatric hip plate system according to the principles of AO.MATERIAL AND METHODSSix children with pathological fractures of the proximal femur and with an unicameral bone cyst have undergone surgery in our institution, in the period between June 2018 up until December 2020. All patients were young boys with a mean age of 11.83 ± 3.43 years. According to the classification of Delbet-Colonna, three of the fractures were Type IV - intertrochanteric fractures and three were Type III - basocervical...

Reliability of Evaluation of the Surgeon-Dependent Factors Affecting Mechanical Failure after Intertrochanteric Femur Fracture TreatmentOriginal papers

A. TURGUT, M. FILIBELI, M. KUMBARACI, E. BILGIN, S. HANCIOĞLU, Ö. KALENDERER

Acta Chir Orthop Traumatol Cech. 2022; 89(1):75-80 | DOI: 10.55095/achot2022/010  

PURPOSE OF THE STUDYThe intertrochanteric femur fractures seen in the elderly population are usually treated surgically. Mechanical failure of this treatment is a serious complication and to prevent this, many assessment factors have been described such as tip-apex distance, reduction quality etc. The aim of this study is to evaluate the intra- and inter-observer reliability of modifiable factors evaluated after the treatment of intertrochanteric fractures.MATERIAL AND METHODSThe early post-operative radiographs of sixty-two patients treated with PFN-A were evaluated. Six observers with 8 to 27 years of experience in hip trauma surgery...

Risk of Upper Limb Ischemia and Subsequent Finger Amputation in Haemodialysis PatientsIn-service-training

R. KVASNIČKOVÁ, V. POLAKOVIČ

Acta Chir Orthop Traumatol Cech. 2022; 89(1):81-84 | DOI: 10.55095/achot2022/011  

Upper limb ischemia in patients with chronic kidney disease treated by haemodialysis is a known complication, but fortunately its progression into gangrene is not frequent. Ischemia occurs in 3.7-5% of dialysis patients, in dependence on the type of vascular access.The main cause behind the risk of digital upper limb ischemia in dialysis patients is the presence of an arteriovenous fistula. The higher the location of arteriovenous fistula, the higher the risk of onset of ischemia. In case of brachiocephalic and brachiobasilic fistulas, the risk for developing symptomatic ischemia is faced by 10-25% of patients, in case of radio-cephalic fistula...

Zápis ze schůze Výboru ČSOT konané dne 1. 2. 2022 v 15.30 hod. videokonferenčněReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2022; 89(1):85-86