Management Strategy and Evaluation of Surgical Outcomes in Patients with Recurrent Patellar Instability between 2010-2020Original papers

R. ČAPEK, D. MUSIL, L. NEVŠÍMAL, P. SADOVSKÝ, T. TRNKA

Acta Chir Orthop Traumatol Cech. 2023; 90(1):9-16 | DOI: 10.55095/achot2023/001  

PURPOSE OF THE STUDYThe study retrospectively reviews the outcomes of patella stabilisation surgeries performed at our department in the period 2010-2020. It aimed to provide a more thorough evaluation, to compare the respective types of MPFL reconstruction and to confirm the beneficial effect of tibial tubercle ventromedialization on patella height.MATERIAL AND METHODSIn the period 2010-2020, a total of 72 stabilisation surgeries of patellofemoral joint in 60 patients with objective patellar instability (OPI) were performed at our department. The surgical treatment outcomes were evaluated retrospectively using a questionnaire, including...

Functional and Radiologic Results of Posteromedial Limited Surgery in Developmental Dysplasia of the HipOriginal papers

K. UZEL, M. GEM, İ. ŞAHIN, M. O. ZIYADANOĞULLARI, M. M. ESKANDARI, H. ARSLAN

Acta Chir Orthop Traumatol Cech. 2023; 90(1):17-21 | DOI: 10.55095/achot2023/002  

PURPOSE OF THE STUDYIn treatment algorithm of developmental dysplasia of the hip, posteromedial limited surgery is placed between closed reduction and medial open articular reduction. The aim of the present study was to assess the functional and radiologic results of this method.MATERIAL AND METHODSThis retrospective study was performed in 37 Tönnis grade II and III dysplastic hips of 30 patients. The mean age of the patients at operation was 12.4 months. The mean follow-up time was 24.5 months. Posteromedial limited surgery was applied when sufficient stable concentric reduction was not achieved by closed technique. No pre-operative traction...

Scapholunate Ligament Partial Tears; Tear Localization, Extrinsic Ligament Injury Association and Conservative Treatment Responses Prior to Instability: Cross-Sectional StudyOriginal papers

B. KARAALIOGLU, O. KORKMAZ, K. YILMAZ, S. SARI, B. ŞENER, A. KARA

Acta Chir Orthop Traumatol Cech. 2023; 90(1):22-28 | DOI: 10.55095/achot2023/003  

PURPOSE OF THE STUDYScapholunate interosseous ligament (SLIOL) tears with accompanying extrinsic ligament rupture have been associated with scapholunate (SL) instability. SLIOL partial tears were examined in terms of tear localization, grade and accompanying extrinsic ligament injury. Conservative treatment responses were scrutinized according to injury types.MATERIAL AND METHODSPatients with SLIOL tear without dissociation were evaluated retrospectively. Magnetic resonance (MR) images were reexamined in terms of tear localization (volar, dorsal or combined volar and dorsal tears), grade of injury (partial or complete) and extrinsic ligament...

Instabilities of the Thumb Carpometacarpal Joint: Our Surgical OutcomesOriginal papers

J. PILNÝ, D. KACHLÍK, P. ZEMAN, K. HORÁČKOVÁ, P. HÁJEK

Acta Chir Orthop Traumatol Cech. 2023; 90(1):29-33 | DOI: 10.55095/achot2023/004  

PURPOSE OF THE STUDYCarpometacarpal (CMC) instabilities of the thumb joint occur after injuries or due to joint overload in patients with congenital joint hypermobility. They are often undiagnosed and, if left untreated, are the basis for the development of rhizarthrosis in young individuals. The authors present the results of the Eaton-Littler technique.MATERIAL AND METHODSThe authors present a set of 53 CMC joints of patients with an average age of 26.8 years (15-43 years) operated on in the years 2005-2017. Post-traumatic conditions were found in 10 patients and in 43 cases instability was caused by hyperlaxity, also demonstrated in...

Which is the Best Solution for Achieving Maximal Interfragmentary Compression of the Scaphoid Fractures - One or Two Herbert Screws?Original papers

L. SIMEONOV

Acta Chir Orthop Traumatol Cech. 2023; 90(1):34-40 | DOI: 10.55095/achot2023/005  

PURPOSE OF THE STUDYTo compare the treatment outcome of scaphoid facture fixation with one versus two Herbert screws (HBS).MATERIAL AND METHODS72 patients underwent open reduction internal fixation (ORIF) following acute scaphoid fracture, and were followed prospectively by one surgeon. All fractures were Herbert & Fisher classification type B, the most common fracture lines being oblique (n=38) and transverse (n=34). Fractures with similar fracture lines were randomly assigned into two groups; fractures stabilized with one HBS (n=42) and fractures stabilized with two HBS (n=30). A specific methodology was developed for placement of...

Benefit of Arthroscopy in Differential Diagnostics and Therapy of Lateral EpicondylitisOriginal papers

A. KŘIVÁČEK, Z. VODIČKA, F. KREJČÍ, L. PAPEŽOVÁ, D. MUSIL

Acta Chir Orthop Traumatol Cech. 2023; 90(1):41-46 | DOI: 10.55095/achot2023/006  

PURPOSE OF THE STUDYThe aim of this study is to confirm that the involvement of arthroscopy in the surgical treatment of painful elbow syndrome, when proper and long enough conservative treatment failed, has better results than open radial epicondylitis surgery alone.MATERIAL AND METHODSA total of 144 patients included 65 men and 79 women, with the mean age of 45.3 years, namely 44.4 years (range 18-61 years) in men and 45.8 years (range 18-60 years) in women. Each patient was clinically examined, an anteroposterior and lateral X-ray of the elbow were performed, and proper therapy was chosen - either primary diagnostic and therapeutic arthroscopy...

Posterior Tibial Slope as a Morphological Risk Factor for Anterior Cruciate Ligament Reconstruction: a Retrospective Cohort StudyOriginal papers

R. KALINA, D. MELECKÝ, P. NEORAL, J. GALLO, M. SIGMUND

Acta Chir Orthop Traumatol Cech. 2023; 90(1):47-52 | DOI: 10.55095/achot2023/007  

PURPOSE OF THE STUDYIncreased tibial slope facilitates anterior translation of tibia relative to the femur, thereby increasing the load on both the native and replaced anterior cruciate ligament. This study aims to retrospectively review the posterior tibial slope in a cohort of our patients after the ACL reconstruction and revision ACL reconstruction. Based on the results obtained by measurements, we aimed to confirm or disprove the claim that the increased posterior tibial slope is one of the risk factors of the ACL reconstruction failure. Another aim of the study was to assess whether there are any correlations between the posterior tibial slope...

5^th Metatarsal Jones Fracture - To Treat Conservatively, or Surgically Using Headless Double-Threaded Herbert Screw?Original papers

J. DEMEL, L. PLANKA, R. STICHHAUER, A. VRTKOVA, G. BAJOR, M. HAVLICEK, L. PLEVA

Acta Chir Orthop Traumatol Cech. 2023; 90(1):53-58 | DOI: 10.55095/achot2023/008  

PURPOSE OF THE STUDYFifth metatarsal fractures, in particular so-called Jones fractures, are relatively common injuries both in the general population and athletes. Although discussions about whether the surgical or conservative solution should be preferred are ongoing for decades, there is no clear consensus. Here, we aimed to prospectively compare the results of osteosynthesis using the Herbert screw with the conservative solution in patients from our department.MATERIAL AND METHODSPatients 18-50 years presenting to our department with Jones fracture and meeting further inclusion/exclusion criteria were offered participation in the study....

First Experience with Diaphragm Pacing System in the Czech RepublicCase report

J. KŘÍŽ, S. JAROŠČIAKOVÁ, K. ŠEDIVÁ, V. HYŠPERSKÁ, K. ČADOVÁ, Z. PŘIKRYLOVÁ

Acta Chir Orthop Traumatol Cech. 2023; 90(1):59-62 | DOI: 10.55095/achot2023/009  

Patients with impaired diaphragm function are dependent on long-term mechanical ventilation. It is associated with numerous health complications as well as significant economic burden. Intramuscular diaphragm stimulation through laparoscopic implantation of pacing electrodes is a safe method which enables restoring breathing using diaphragm in a considerable number of patients. The first implantation of diaphragm pacing system in the Czech Republic was performed in a thirty-four-year-old patient suffering from a high-level cervical spinal cord lesion. After eight years of mechanical ventilation support, just five months from initiation of stimulation,...

High-Grade Chondrosarcoma of the Proximal Phalanx: an Unusual Case of a Rare EntityCase report

A. PAGNOTTA, V. M. FORMICA, S. TACCOGNA, G. SUMMA, C. ZOCCALI

Acta Chir Orthop Traumatol Cech. 2023; 90(1):63-66 | DOI: 10.55095/achot2023/010  

Chondrosarcoma of the hand is a rare disease, but is one of the more common malignancies of the hand. Biopsies and imaging are a fundamental step in determining correct diagnosis, grading and selection for best treatment.We describe the case of a 77-year-old male complaining of a painless swelling in the proximal phalanx of the third ray of left hand. A biopsy was performed and the histology revealed a G2 chondrosarcoma. The patient underwent III ray amputation with metacarpal bone disarticulation and sacrifice of the radial digit nerve of the fourth ray. Definitive histology revealed grade 3 CS. Eighteen months after surgery, the patient is apparently...

Comments on Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2021 - What to Do in the Initial Hours?In-service-training

P. SKLIENKA, M. FRELICH, E. KUŠÍKOVÁ, F. BURŠA, Z. CICHÝ, R. MADEJA

Acta Chir Orthop Traumatol Cech. 2023; 90(1):67-74 | DOI: 10.55095/achot2023/011