Treatment of Hip Dislocation in Cerebral Palsy with Extraarticular InterventionOriginal papers

İ. A. SARIKAYA, S. E. BIRSEL, O. A. ERDAL, B. GÖRGÜN, A. ŞEKER, M. İNAN

Acta Chir Orthop Traumatol Cech. 2023; 90(2):92-99 | DOI: 10.55095/achot2023/013  

PURPOSE OF THE STUDY Hip dislocation is one of the major causes of disability in children with cerebral palsy (CP). Surgical treatment can be achieved using different techniques including proximal femoral varus derotation osteotomy (FVDRO), pelvic osteotomies, and open hip reduction (OHR). However, we claim that pathologies originating from extraarticular structures in the dislocated hip in CP can be reconstructed by extraarticular methods and OHR may not always be necessary. Therefore, this study aims to discuss the results of hip reconstruction with extraarticular intervention in patients with CP. MATERIAL AND METHODS In total,...

Fixation of Knee Osteochondral Lesions in Pediatric Patients with Magnesium-Based ImplantsOriginal papers

F. HANÁK, V. HAVLAS

Acta Chir Orthop Traumatol Cech. 2023; 90(2):100-107 | DOI: 10.55095/achot2023/014  

PURPOSE OF THE STUDY Fixation of osteochondral fragments are relatively common procedures in pediatric orthopaedic surgery. The use of biodegradable magnesium implants in these indications appears to be a promising alternative to polymer implants due to their favorable mechanical properties and biological behavior. The purpose of this study is to evaluate the short-term clinical and radiological outcomes of the fixation of unstable or displaced osteochondral fractures and osteochondritis dissecans lesions in the knee joint using MAGNEZIX® screws and pins in pediatric patients. MATERIAL AND METHODS In this study, 12 patients (5...

Assessing Knee Stability in Adolescent Athletes with Osgood-Schlatter Disease Using the Y-Balance TestOriginal papers

V. HLADKY, A. KAPLAN, J. SMETANOVA, V. HAVLAS

Acta Chir Orthop Traumatol Cech. 2023; 90(2):108-115 | DOI: 10.55095/achot2023/015  

PURPOSE OF THE STUDY Osgood-Schlatter disease develops secondary to chronic patellar tendon overloading. The present study was designed to determine whether athletes with Osgood-Schlatter disease perform significantly worse in the Y-Balance Test compared to healthy subjects in a control group. MATERIAL AND METHODS The study involved ten boys (average age 13.7 years). Seven participants had bilateral knee pain, swelling and tenderness whereas three had unilateral knee pain, swelling and tenderness (left knee in two cases, and right knee in one). Overall, 17 knees were assessed (left knee in nine cases and right knee in eight).Ten healthy...

Surgical Treatment of Tuberculous SpondylodiscitisOriginal papers

J. VČELÁK, A. KRÁL, M. ŠLÉGL, J. LESENSKÝ, M. MACKO

Acta Chir Orthop Traumatol Cech. 2023; 90(2):116-123 | DOI: 10.55095/achot2023/016  

PURPOSE OF THE STUDY The paper presents a monocentric retrospective study of patients treated surgically for spinal tuberculosis. Clinical and radiological results are analysed, early and late complications are recorded. The study aims to answer the following questions. 1. Can we use instrumentation to restore the stability and alignment in the infected spinal focus? 2. Should we always perform radical anterior resection of TBC lesions? 3. What is the prognosis of surgical treatment of TBC patients with neurological deficit manifestation? MATERIAL AND METHODS Between 2010 and 2020, a total of 12 patients were treated for spinal tuberculosis...

Modified Harrington Procedure in the Treatment of Extensive Tumor Defects of the AcetabulumOriginal papers

J. LESENSKÝ, O. BLECHA, J. VČELÁK

Acta Chir Orthop Traumatol Cech. 2023; 90(2):124-132 | DOI: 10.55095/achot2023/017  

PURPOSE OF THE STUDY The increasing prevalance of patients with metastatic bone cancer and their improved survival puts more emphasis on the quality of treatment of bone metastases. Although most pelvic lesions are treated non-operatively, extensive destruction of the acetabular segment poses a therapeutic challenge. A potential treatment option may be the modified Harrington procedure. MATERIAL AND METHODS At our department, this surgical procedure has been opted for in 14 patients (5 men and 9 women) since 2018. The mean age at the time of surgery was 59 years (range 42 to 73). Twelve patients suffered from metastatic cancer, one...

The Tibia Plafond Horizontal Orientation Angle for Frontal Alignment Evaluation of the Distal Lower ExtremityOriginal papers

M. A. ALSHROUF, M. D. AHREND, C. KONRADS

Acta Chir Orthop Traumatol Cech. 2023; 90(2):133-137 | DOI: 10.55095/achot2023/018  

PURPOSE OF THE STUDY Osteotomies around the knee are an established technique for treating knee osteoarthritis and other knee conditions by redistributing the body's weight and force within and around the knee joint. The aim of this study was to determine if the Tibia Plafond Horizontal Orientation Angle (TPHA) is a reliable measure for describing ankle alignment of the distal tibia in the coronal plane. MATERIALS AND METHODS This retrospective study included patients who underwent supracondylar rotational osteotomies for correction of femoral torsion. All patients had standing radiographs taken preoperatively and postoperatively...

Pathological Lesions and Fractures of the Proximal FemurOriginal papers

M. URBAN, L. LUŇÁČEK, R. BARTOŠKA, J. MALÉŘ, J. SKÁLA-ROSENBAUM

Acta Chir Orthop Traumatol Cech. 2023; 90(2):138-145 | DOI: 10.55095/achot2023/019  

PURPOSE OF THE STUDY The aim of the study was to determine the incidence of primary malignancies metastasizing to the area of the proximal femur, to evaluate the localization of the lesions and fractures, to compare the results of the selected surgical therapy, survival time of the patients and postoperative complications. MATERIAL AND METHODS We retrospectively evaluated the group of patients operated on from 2012 to 2021. The study included 45 patients (24 women and 21 men) with a pathological lesion or a pathological fracture in the area of the proximal femur. The average age was 67 years (38-90). There were 30 (67%) cases of pathological...

Type IV Titanium Hypersensitivity: Rare, or Rarely Detected?Current concepts review

J. VOVES, O. MĚRKA, K. ČABANOVÁ, J. JANOŠEK, G. BAJOR

Acta Chir Orthop Traumatol Cech. 2023; 90(2):85-91 | DOI: 10.55095/achot2023/012  

The presented review aims to summarize the current knowledge of hypersensitivity to titanium - a material widely used in medical applications thanks to its exceptional chemical stability, resistance to corrosion, low specific weight and high strength. The hypersensitivity to metals is usually caused by the Type IV immunopathological reaction. Case reports on allergic reactions to titanium are rare but the actual occurrence can be expected to be much higher, especially due to its problematic detection. Although cutaneous patch tests are widely accepted and used for the diagnosis of hypersensitivity of numerous metals (e.g. Ni), it is notoriously unreliable...

Zápis z jednání Výboru ČSOT konaného dne 21. 2. 2023 v Parkhotelu PrůhoniceReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2023; 90(2):146-147