Stemless Hemiarthroplasty of the Shoulder Using the SMR® System: Summary of Six-Year Experience and Surgical TechniqueOriginal papers

D. POKORNÝ, P. FULÍN, J. HEŘT, J. WALDER, J. ŠTEFAN, A. SOSNA

Acta Chir Orthop Traumatol Cech. 2022; 89(6):395-405 | DOI: 10.55095/achot2022/064  

PURPOSE OF THE STUDYIn the last number of years, the anatomic hemiarthoplasty has gradually been pushed out of clinical practice by modern reverse shoulder arthroplasty (RSA) designs. This is due to the clear excellent functional results of RSAs in a wide spectrum of indication criteria. Nevertheless, RSAs have several possible complications that cannot occur in an anatomic hemiarthroplasty.In anatomic hemiarthoplasty, the importance of correct indication criteria and observing correct operative technique including soft tissue reconstruction is much more important than in RSA.Furthermore, there is a clear recent trend of increased use of...

Arthroscopic Bankart Repair with Remplissage for Anterior Instability: Functional Outcomes, Risk of FailureOriginal papers

P. NEORAL, M. OBHLÍDAL, R. DITMAR, ML., R. KALINA, K. LANGOVÁ, J. GALLO

Acta Chir Orthop Traumatol Cech. 2022; 89(6):406-414 | DOI: 10.55095/achot2022/065  

PURPOSE OF THE STUDYThis study aimed to evaluate the clinical outcomes and the rate of recurrence in patients who had undergone arthroscopic Bankart repair with remplissage for anterior instability of the glenohumeral joint.MATERIAL AND METHODSThe study included 96 arthroscopic Bankart procedures with remplissage performed between 2013 and 2019 at our department in 93 patients (81 men and 12 women; with the mean age of 33 years). We gathered and analysed preoperative data, including a 3D-CT scan of the affected shoulder. Apart from stability, the functional results were assessed postoperatively using the WOSI, SSV, Rowe score, and by measuring...

Comparison of Modifications of Femoral and Tibial Lengthening in ChildrenOriginal papers

M. OŠŤÁDAL, R. STACHOŇ, M. FRYDRYCHOVÁ, A. FRAŇO, P. DUNGL, J. CHOMIAK

Acta Chir Orthop Traumatol Cech. 2022; 89(6):415-422 | DOI: 10.55095/achot2022/066  

PURPOSE OF THE STUDYLimb lengthening has always belonged to the most complex surgical techniques in paediatric orthopaedics. In our study, we compared the results of femoral and tibial lengthening using three different surgical techniques. The presented study aimed to shorten the duration of external fixation to a minimum and to reduce the complication rate.MATERIAL AND METHODSThe retrospective study compared 74 patients (38 boys, 36 girls) who had undergone stepwise progressive lengthening of the femur or tibia between the years 2007 and 2019. The most frequent indication was the proximal focal femoral deficiency (PFFD, 33 patients). The...

The Clinical Outcome of Custom-Made Implants in Primary and Revision Hip ArthroplastyOriginal papers

P. WINTER, K. KURZ, A. JUNG, J. ROCH, M. WOLF, T. SIEBEL

Acta Chir Orthop Traumatol Cech. 2022; 89(6):423-428 | DOI: 10.55095/achot2022/067  

PURPOSE OF THE STUDYFacing the increasing number of priary and revision hip arthroplasties, the therapy of complex osseus defects becomes a crucial issue. Large acetabular defects cannot be treated with standard implant. Individual, customized implants based on 3D computed tomography (CT) scans are used for reconstruction. However, high complication and revision rates come along with final favorable outcomes.MATERIAL AND METHODSEight patients underwent primary or revision total hip arthroplasty by an anterolateral surgical approach using patient matched implants based on 3D CT scans. Six patients with a Paprosky type IIIB acetabular defect,...

Effect of COVID-19 Pandemic on Major Trauma Treated at a Level I Trauma CentreOriginal papers

J. BERKOVÁ, M. HLAVÁČKOVÁ, J. KOČÍ

Acta Chir Orthop Traumatol Cech. 2022; 89(6):429-434 | DOI: 10.55095/achot2022/068  

PURPOSE OF THE STUDYThe paper aims to evaluate the effect of COVID-19 pandemic on a change in the number of major trauma cases, their mechanism and length of hospital stay as seen by a Level I Trauma Centre.MATERIAL AND METHODSThe retrospective study included a total of 755 major trauma patients (ISS ≥ 16) treated at our Level I Trauma Centre in the period 2018-2019 ("pre-COVID-19 time") and 2020-2021 ("COVID-19 time"). The effect of COVID-19 infection on the change in the number and nature of major trauma, mechanism of injury, length of treatment during prehospital care, length of hospital stay, and mortality.RESULTSOf the total...

Deep Venous Thrombosis after Conservative Treatment of Clavicular Fracture in COVID-19 Negative Children: Two Case ReportsCase report

M. SALÁŠEK, T. PAVELKA, D. WEISOVÁ

Acta Chir Orthop Traumatol Cech. 2022; 89(6):435-440 | DOI: 10.55095/achot2022/069  

A 13-year-old girl suffered fracture of her left clavicle. A figure-of-8 bandage was placed during initial treatment. Six days after trauma her distal arm, elbow and proximal forearm were swollen, pain and tenderness of distal part of brachial vein was recognized during clinical examination. Duplex ultrasonography revealed partial thrombosis of the brachial vein. Bandage was immediately removed and administration of LMWH (enoxaparin) was started. Complete recanalization was achieved after a few days. The fracture was healed without further complication, patient was without sonographic and clinical signs of post-thrombotic syndrome. The second case...

Early Onset Rapidly Progressive Osteoarthritis of the Hip in a Young AthleteCase report

J. MIKA, T. O. CLANTON, A. F. HASSE, A. EL SAMAN, R. W. KINNE

Acta Chir Orthop Traumatol Cech. 2022; 89(6):441-447 | DOI: 10.55095/achot2022/070  

We report and discuss a very rare case of early-stage rapidly progressive osteoarthritis (RPO) in a 33-year-old female athlete. The etiopathology of RPO remained unclear, although in this case mechanical overloading due to constant joint overuse appeared to be the only significant contributing factor to the very early development of RPO.

Giant Cell Tumor of the Proximal Phalanx: Report of two Cases Treated by Two Different Methods and Review of the LiteratureCase report

S. DEMIROZ, A. N. T. YILDIRIM, M. AKAN, A. U. FARUQ, U. A. IBRAHIM, K. OZKAN

Acta Chir Orthop Traumatol Cech. 2022; 89(6):448-452 | DOI: 10.55095/achot2022/071  

The hand is an extremely rare site for giant cell tumor (GCT). There are only a few reported cases of GCT including the hand, and even fewer reporting involvement of phalanges. GCTs in small bones are typically more aggressive and have higher local recurrence and rate of metastasis in younger patients compared to long bone involvement, so the treatment is more clinically challenging in the hand. In this study, we present the management of giant cell tumors of the proximal phalanxin two patients treated with two different method; ray resection and arthrodesis using an iliac crest graft.

A Saddle-Horn Injury of the PelvisCase report

A. UHRIN, J. PAZOUR, M. KŘIVOHLÁVEK

Acta Chir Orthop Traumatol Cech. 2022; 89(6):453-457 | DOI: 10.55095/achot2022/072  

A saddle-horn injury of the pelvis can be considered a separate category of injuries. They occur during horse riding, when a horse rider hits the horn of the saddle and suffers from anteroposterior compression of the pelvic ring. The hits can cause symphyseolysis or even sacroiliac joint injury, and thus also pelvic ring instability. So far, just a few articles have been published dealing with horse saddle-related injuries. Our report describes a rare case of abnormal haemorrhage in vascular anastomosis called corona mortis. The discussion part is then about appropriate treatment of such injury and the role of interventional radiology in similar injuries....

Zápis z členské schůze České společnosti pro ortopedii a traumatologii pohybového ústrojí se sídlem Budínova 67/2, 180 00 Praha 8 LibeňReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2022; 89(6):458  

Zápis ze schůze Výboru ČSOT konané dne 22. 11. 2022 od 16.00 h. v Parkhotelu PrůhoniceReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2022; 89(6):459