Complications in Spine Surgery: Prospective 13-year follow-up of unplanned revision spinal surgeriesOriginal papers

P. NESNÍDAL, J. ŠTULÍK, J. ŠTULÍK ML., J. KRYL, T. VYSKOČIL, M. BARNA

Acta Chir Orthop Traumatol Cech. 2022; 89(4):243-251 | DOI: 10.55095/achot2022/040  

PURPOSE OF THE STUDYUnplanned revision spinal surgeries constitute a complication in the treatment algorithm for the patient, surgeon and the entire treatment team. Any complication leading to an unplanned revision surgery is therefore undesirable. The percentage of complications referred to in publications on this topic focusing on unplanned revision surgeries only varies from 0.7% to 29.8%, with obvious diversity of causes and significant risk factors. The purpose of the submitted paper is to carry out a prospective evaluation of the most serious complications requiring unplanned revision spinal surgeries in the course of 13 years at a single...

Epidemiology of Bone Fractures in the Hand in Adult Population Using the ICD-10 ClassificationOriginal papers

D.M. DOMINGUEZ-PRADO, L. FERRADAS-GARCIA, E. PEREZ-ALFONSO, P. BALVIS-BALVIS, J.A. LOPEZ-LOPEZ, M. CASTRO-MENENDEZ

Acta Chir Orthop Traumatol Cech. 2022; 89(4):252-259 | DOI: 10.55095/achot2022/041  

PURPOSE OF THE STUDYThe purpose of this study was to conduct an epidemiological study of hand fractures in adult population.MATERIAL AND METHODSA retrospective observational study in a population of 470,000 habitants was performed. Over the course of three years, all patients over 16 years of age who were diagnosed with fracture or fracture-dislocation at the level of a carpal bone, metacarpal and/or phalange were included. These fractures were classified according to the International Classification of Diseases 10^th edition (ICD-10). Incidence rates, along with gender and age distribution were also studied.RESULTS1,267...

Migration of the Tips of Metal Implants during Treatment of Coxa Vara Adolescentium (Slipped Capital Femoral Epiphysis)Original papers

M. ŠOLTYSOVÁ, K. URBÁŠEK, T. PEŠL, P. HAVRÁNEK, K. ROČÁK, J. POUL

Acta Chir Orthop Traumatol Cech. 2022; 89(4):260-265 | DOI: 10.55095/achot2022/042  

PURPOSE OF THE STUDYThis paper aims to detect, through a retrospective study, the migration of the tips of used metal implants (K-wires or a screw) in the direction out from the proximal femoral epiphysis as a part of studied basic radiometric characteristics of the cohort, with no intention of the authors to evaluate the therapy outcomes.MATERIAL AND METHODSIt was a retrospective multicentre study including patients of two orthopaedic clinics and one department of orthopaedics treated in the period 2005-2018. The same treatment procedure was used in all three centres. The "in situ" fixation was indicated in patients, in whom the Southwick...

Intramedullary Nailing in Managing Diaphyseal Metastases of Long Bones: Retrospective Study Comparing the Expected Survival and the Actual Survival of PatientsOriginal papers

T. VALOUŠEK, L. PAZOUREK, T. TOMÁŠ, M. MAHDAL, P. JANÍČEK, V. APOSTOLOPOULOS

Acta Chir Orthop Traumatol Cech. 2022; 89(4):266-271 | DOI: 10.55095/achot2022/043  

PURPOSE OF THE STUDYThe paper focuses on the potential use of nail osteosynthesis in diaphyseal metastases of long bones. The purpose of the paper is to assess the outcomes of intramedullary osteosynthesis in pathologic and impending pathologic fractures, to evaluate patient survival and potential complications.MATERIAL AND METHODSThe retrospective study evaluated a cohort of 42 patients (19 men and 23 women) in whom intramedullary osteosynthesis was performed for complete pathologic fracture (28 patients) or impending pathologic fracture (14 patients) between 2010 and 2019. Of the total number of 42 patients, 31 patients' lower limbs were...

Comparison of High Hip Center versus Anatomical Reconstruction Technique in Crowe Types II and III Developmental Dysplasia of the Hip: a Retrospective Clinical StudyOriginal papers

M. DEMIREL, A. S. KENDIRCI, Y. SAGLAM, O. N. ERGIN, C. SEN, İ. ÖZTÜRK

Acta Chir Orthop Traumatol Cech. 2022; 89(4):272-278 | DOI: 10.55095/achot2022/044  

PURPOSE OF THE STUDYThe literature is conflicting as to whether the high hip center (HHC) reconstruction in total hip arthroplasty (THA) is an ideal option for patients with severe developmental dysplasia of the hip (DDH).This study aimed to compare the mid-term functional and radiographic outcomes of THA using HHC versus anatomical hip center (AHC) technique in Crowe types II and III DDH. Our hypothesis was that there may be no differences in terms of functional and radiographic outcomes between patients who underwent THA using HHC or AHC.MATERIAL AND METHODSFifty-seven patients who underwent a primary THA due to Crowe type-II or type-III...

Clinical Outcomes of the Application of Platelet-Rich Fibrin during Anatomic Anterior Cruciate Ligament Reconstruction: Results of Prospective Randomised StudyOriginal papers

J. KASL, P. ZEMAN, T. PAVELKA, J. CIBULKOVÁ, J. PILNÝ, J. MATĚJKA

Acta Chir Orthop Traumatol Cech. 2022; 89(4):279-285 | DOI: 10.55095/achot2022/045  

PURPOSE OF THE STUDYIt was a prospective, randomised, unblinded study. Effects of the application of platelet-rich fibrin (PRF) on the anatomic anterior ligament reconstruction were examined.MATERIAL AND METHODSA total of 40 patients who underwent a surgery between 2012 and 2014 were enrolled in the study. The patients were randomised into two groups: the group with PRF application (n=20) and the group without PRF application (n=20, control group). The study included 11 women and 29 men, with the mean age at the time of inclusion into the study 29.1 years. Vivostat ® PRF was obtained perioperatively from the patient s blood and applied...

Comparison of Intravenous and Topical Tranexamic Acid in Total Joint ArthroplastyOriginal papers

J. MASARYK, V. MELUS, J. VIDAN, B. STENO

Acta Chir Orthop Traumatol Cech. 2022; 89(4):286-292 | DOI: 10.55095/achot2022/046  

PURPOSE OF THE STUDYTo compare topical and intravenous (IV) administration of tranexamic acid (TXA) 2 g in patients undergoing total hip arthroplasty (THA), or total knee arthroplasty (TKA).MATERIAL AND METHODSIn total, 452 patients undergoing THA or TKA were randomised to 3 groups: 1) the IV TXA group received 2 doses of TXA 1 g intravenously 3 hours apart; 2) the topical TXA group received TXA 2 g topically, and 3) the NO TXA - control group. Furthermore, each group was divided in two subgroups by performed surgery (THA versus TKA). The following endpoints were used for final analysis: postoperative blood loss, transfusion requirement,...

Mechanical Analyses of Quadriceps Tendon Graft with Five Different Fixation Techniques on the Femoral Side: an Experimental Study on Sheep KneesOriginal papers

M. ÇETİN, M. S. SÖYLEMEZ, B. Y. ÖZTÜRK, İ. MUTLU, Ö. KARAKUŞ

Acta Chir Orthop Traumatol Cech. 2022; 89(4):293-299 | DOI: 10.55095/achot2022/047  

PURPOSE OF THE STUDYWe aimed to evaluate the biomechanical properties of quadriceps tendon graft with a bone plug ending (QTBP) and a quadriceps graft with a tendinous ending(QTT) fixed on the femoral side with different fixation devices.MATERIAL AND METHODSTwenty-five paired 2-year-old calf QTs and 25 paired 2-year-old sheep femurs were used for this study. 90x8 mm central part of the quadriceps tendons with or without a bone plug was harvested. 8×25 mm tunnel was placed in lateral condyles. The QTT was fixed with four different fixation devices, including the adjustable suspensory system (QTT-ASS, group 1), biodegradable interference...

Surgical Treatment of Sacral ChordomaOriginal papers

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

Acta Chir Orthop Traumatol Cech. 2022; 89(4):300-308 | DOI: 10.55095/achot2022/048  

PURPOSE OF THE STUDYThe retrospective study of patients treated for sacral chordoma with respect of complications, clinical outcomes and long-term survival is presented. Three main hypotheses have been formulated. Hypothesis 1: survival of patients with respect to generalization of the disease, manifestation of local recurrence and metastases with a R0 resection margin achieved is longer than survival of patients with a R1 or R2 resection margin. Hypothesis 2: survival of patients with the tumor resected from low endplate of S2 distally is longer than in tumors with resection above this level. Hypothesis 3: resection of large tumors with tumor...

Severe Head Injury in Childhood: the Importance of Early Offensive TherapyCase report

J. KNOR, J. PEKARA, P. PAVLÍČEK

Acta Chir Orthop Traumatol Cech. 2022; 89(4):309-311 | DOI: 10.55095/achot2022/049  

The case report presents the case of a five-year-old boy who fell off a scooter and sustained a blow to the left temporal region of his head. During a CT examination in the district hospital he suddenly showed a deterioration in the level of consciousness. Subsequent treatment along with transport to a specialized department were aimed at preventing secondary pathological changes and maintaining pressure-volume homeostasis of the brain. High-quality controlled ventilation with effective pharmacotherapy and gentle transport were essential. At the target specialized department, cerebral oedema in the left temporal region and aspiration in the right upper...

A Scapular Spine Fracture Defined on the Basis of a Bisphosphonate: a Case Report and Review of the LiteratureCase report

G. ILYAS, G. SENYUVA

Acta Chir Orthop Traumatol Cech. 2022; 89(4):312-314 | DOI: 10.55095/achot2022/050  

Bisphosphonates are commonly used in the treatment of osteoporosis. Long-term use without drug holiday causes the risk of atypical fractures. Subtrochanteric and femoral stress fractures are among the frequently described complications. In our case report; a stress fracture of the scapular spine, a previously undescribed adverse effect of bisphosphonates, is presented.

Nekrolog - doc. MUDr. Rudolf Ditmar, CSc.Reports from ČSOT

Acta Chir Orthop Traumatol Cech. 2022; 89(4):315