Acta Chir Orthop Traumatol Cech. 2022; 89(3)

Original papers

Arthroscopic Transosseous Rotator Cuff Repair: First ExperienceOriginal papers

F. HUDEČEK

Acta Chir Orthop Traumatol Cech. 2022; 89(3):181-187 | DOI: 10.55095/achot2022/026  

PURPOSE OF THE STUDYTo present the technique, learning curve, complications, postoperative pain levels and cost-effectiveness analysis of 24 patients with symptomatic rotator cuff tear operated with Drillbone Tunneler - a novel transosseous suture-passing device designed for arthroscopic use.MATERIAL AND METHODSBetween February and May 2021, 24 patients underwent arthroscopic transosseous rotator cuff repair. During the study, the time spent preparing the tunnels was recorded along with the occurrence of complications during the operation. Price calculation of the delivered transosseous cuff repair and an alternative procedure with suture...

Treatment of Giant Cell Tumor of Bone in the Distal Radius and UlnaOriginal papers

M. MAHDAL, J. JINDRA, I. STANICZKOVÁ ZAMBO, L. PAZOUREK, L. NACHTNEBL, T. TOMÁŠ

Acta Chir Orthop Traumatol Cech. 2022; 89(3):188-192 | DOI: 10.55095/achot2022/027  

PURPOSE OF THE STUDYThe preferred treatment of giant cell tumor of bone is curettage with the use of local adjuvant. If the tumor spreads beyond the bone into soft tissues, en bloc excision should be performed. Intralesional curettage allows joint preservation, but it is associated with a high recurrence rate. The purpose of the study was to identify the risk factors for local recurrence and to compare the functional outcomes after both types of surgical procedures.MATERIAL AND METHODSThe group included 16 patients (5 women, 11 men) with giant cell tumor of bone in distal forearm treated at the First Department of Orthopedic Surgery, St....

Temporary Hemiepiphysiodesis in the Correction of Axial Deformities for Genua Valga: Retrospective Assessment and Comparison of Outcomes Achieved with the Use of Eight-Figure Plates and Blount StaplesOriginal papers

J. TUREK, N. HOMOLOVÁ, K. URBÁŠEK, A. SEEHOFNEROVÁ, L. PLÁNKA, O. MAREK

Acta Chir Orthop Traumatol Cech. 2022; 89(3):193-198 | DOI: 10.55095/achot2022/028  

PURPOSE OF THE STUDYAxial deformities of the lower limbs of various aetiologies are relatively common orthopaedic diagnoses in paediatric population. Fixed deformity is an indication for correction in order to reduce the pain and to delay the early osteoarthrosis of adjacent joints and pain. Temporary hemiepiphysiodesis is technically a fairly simple method for modulating growth at the level of the growth plate and thus correcting the skeletal axis.MATERIAL AND METHODS59 patients who underwent axial deformity correction of lower limbs at KDCHOT FN Brno were retrospectively analysed. Group 1 consisted of 21 patients with Blount staples implantation,...

The Predictive Values of the Functional Status, Comorbidities, and the Types of Treatment on the Treatment Outcomes in Elderly Patients Following the Hip FractureOriginal papers

H. ĐOZIĆ, M. BIŠĆEVIĆ, T. MUHAREMOVIĆ, S. ŽUJO, A. KUKULJAC, E. SKOPLJAK

Acta Chir Orthop Traumatol Cech. 2022; 89(3):199-203 | DOI: 10.55095/achot2022/029  

PURPOSE OF THE STUDYThe hip fracture is the leading cause of disability and deaths in elderly. If left untreated, the hip fracture results in inability to walk, and therefore the patient is dependent on the other's people help. The aim of this study was to determine the predictive values of the functional status, present comorbidities, and the types of treatment on the long-term functional status and mortality in patients with the hip fracture.MATERIAL AND METHODSWe analyzed the data about the patients with the hip fractures treated in the period between 01.07.2006. and 01.07.2016., with the mean follow-up period between 34.3±4.9...

Management of Leg Ulcers Using Combined PRP Therapy on a Nanofiber Carrier: Results of a Pilot StudyOriginal papers

P. ŠÍMA, J. SCHŮREK, S. FOROSTYAK, V. DŽUPA, P. ARENBERGER

Acta Chir Orthop Traumatol Cech. 2022; 89(3):204-207 | DOI: 10.55095/achot2022/030  

PURPOSE OF THE STUDYPopulation aging is connected with an increased incidence of chronic diseases. A common related problem is chronic skin ulcers, which, while not life-threatening, can significantly decrease the quality of the patient's life. The present study aims to evaluate new materials and methods to improve and accelerate the treatment of leg ulcers.MATERIAL AND METHODSTwenty-five patients with chronic ulcers treated using autologous growth factors applied on a nanofiber carrier were included in the cohort. The control group consisted of 15 patients treated using standard moist wound therapy. The surface area of the ulcer was measured...

Treatment of the Refractory Atrophic Humeral Nonunion with Autogenous Block Iliac Crest Graft and Spongioplasty: a Retrospective StudyOriginal papers

G. OZDEMIR, O. BINGOL, F. INCI, E. CEYHAN, N. KARAHAN, A. DEVECI

Acta Chir Orthop Traumatol Cech. 2022; 89(3):208-212 | DOI: 10.55095/achot2022/031  

PURPOSE OF THE STUDYMost humeral nonunions can be successfully treated with a single procedure, but some are more difficult to heal. Humeral nonunions which have two or more surgical procedures were defined as refractory humeral nonunions, and this condition is a very challenging condition. The aim of the study is to show the results of atrophic refractory humeral nonunion treated with open reduction and internal fixation and autogenous block iliac crest graft and spongioplasty.MATERIAL AND METHODSRefractory humeral nonunions treated with open reduction and internal fixation and autogenous block iliac crest graft and spongioplasty from...

Comparison of Two Minimally Invasive Osteosynthesis Techniques for Radial Head Fractures in Paediatric PatientsOriginal papers

O. MAREK, J. TUREK, A. SEEHOFNEROVÁ, L. PLÁNKA, R. ŠTICHHAUER

Acta Chir Orthop Traumatol Cech. 2022; 89(3):213-219 | DOI: 10.55095/achot2022/032  

PURPOSE OF THE STUDYRadial head fractures in paediatric patients account for 5-19% of all elbow injuries and approximately 1% of all fractures in children. Non-displaced fractures are treated with plaster cast fixation. If the fracture is displaced, we proceed to closed reduction, or to osteosynthesis in case of unstable fragments. If closed reduction fails, we opt for open reduction and osteosynthesis. The prospective randomised clinical study aims to compare the two methods of minimally invasive osteosynthesis using the pre-bent Kirschner wire or Prévot nail and to identify differences between them.MATERIAL AND METHODSThe prospective...

Case report

Musculoskeletal Tumors in Extremities Diagnosed During the Gestational Period: Case Series and Literature ReviewCase report

C. DE LA CALVA CEINOS, I. COPETE, M. ANGULO, J. FERRÁS, J. V. AMAYA, F. BAIXAULI

Acta Chir Orthop Traumatol Cech. 2022; 89(3):220-223 | DOI: 10.55095/achot2022/033  

Given the low incidence of musculoskeletal tumors during pregnancy, publications on the subject are scarce and treatment guidelines nonexistent.We present five cases of musculoskeletal tumors in pregnant women, three with metastasizing malignant neoplasms and two with aggressive giant cell tumors. The three patients diagnosed during their gestational period were operated before the end of pregnancy, adapting surgical techniques to minimize risk to mother and fetus. Adjuvant therapies were postponed until the end of gestation. All newborns were delivered at term vaginally, except for one where a cesarean section was required. After a mean follow-up...

Arthroscopic Excision of Osteoid Osteoma of the Femoral HeadCase report

P. ZEMAN, P. SKALA, J. PILNÝ

Acta Chir Orthop Traumatol Cech. 2022; 89(3):224-229 | DOI: 10.55095/achot2022/034  

Osteoid osteoma is a primary benign bone tumor with rare intra-articular occurrence. Our case report describes a rare case of a 21-year-old man with long-term severe pain in the right hip region caused by osteoid osteoma managed by arthroscopic excision. The clinical finding of pains and a limited range of motion did not correlate with the normal plain X-ray finding. The osteoid osteoma was suspected based on the CT scan. In literature, several methods of resection of intra-articular osteoid osteoma of the hip are described. Since our department has long specialised in arthroscopic hip surgery and based on the available examinations the tumor appeared...

A Rare Cause of Lateral Snapping Knee in a 14-Year-Old Female Patient: Popliteus TendonCase report

S. HANCIOGLU, E. BILGIN

Acta Chir Orthop Traumatol Cech. 2022; 89(3):230-233 | DOI: 10.55095/achot2022/035  

With this case report, we introduced a rare and commonly overlooked cause of lateral snapping knee, a snapping popliteus in a 14-year-old female patient. She was initially treated for a lateral discoid meniscus, a common diagnosis in this age group. Because of the non-resolving symptoms, a second-look arthroscopy was performed and showed a popliteus tendon snapping over a tubercle on the lateral femoral condyle. Resection of the tubercle resulted with a successful outcome. In evaluating the snapping knee in young children, popliteus tendon should be kept in mind.

Reports from ČSOT

Zápis ze schůze Výboru ČSOT konané dne 18. 5. 2022 ve Vlasteneckém sále Karolina, PrahaReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2022; 89(3):234  

Zápis ze schůze Výboru ČSOT s primáři pracovišť konané dne 18. 5. 2022 ve Vlasteneckém sále Karolina, PrahaReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2022; 89(3):234  

Zápis z členské schůze České společnosti pro ortopedii a traumatologii pohybového ústrojíReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2022; 89(3):235  

Ohlédnutí za XXV. Národním kongresem ČSOT, 18.-20. 5. 2018 v PrazeReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2022; 89(3):236