Treatment of Congenital Pseudarthrosis of Tibia by Vascularized Fibular GraftOriginal papers

J. POUL, J. VESELÝ, P. GÁL, J. BAJEROVÁ, I. JUSTAN

Acta Chir Orthop Traumatol Cech. 2006; 73(1):10-17 | DOI: 10.55095/achot2006/002  

PURPOSE OF THE STUDYThe aim of the study was to evaluate the results in a group of patients with congenital pseudarthrosis of the tibia treated by transfer of a vascularized fibular graft from the contralateral extremity.MATERIALThe group included three boys and two girls aged 2 to 8 years at the time of surgery. In two patients, the vascularized graft transfer was preceded by other operations. All patients but one had Crawford type IV pseudarthrosis. The signs of peripheral neurofibromatosis were found in four of the five patients.METHODSThe operation was carried out by two surgical teams, i. e., orthopedic and microsurgery (plastic...

Scarf Osteotomy for the Treatment of Forefoot DeformityOriginal papers

M. SKOTÁK, J. BĚHOUNEK

Acta Chir Orthop Traumatol Cech. 2006; 73(1):18-22 | DOI: 10.55095/achot2006/003  

PURPOSE OF THE STUDYThe outcome of surgical treatment in hallux valgus is sometimes unsatisfactory for both the patient and the surgeon. The valgus position of the big toe in the metatarsophalangeal joint is associated with a deviation to varus of the first metatarsal, resulting in the space between the first and second metatarsals called the intermetatarsal (IMT) angle. In most patients the angle is between 10 and 20 degrees. These patients were indicated for scarf osteotomy as this method has been reported to achieve good outcomes. The results are compared with the relevant literature data on foot osteotomy.MATERIALOur group involved...

Arthroscopic Stabilization of the ShoulderOriginal papers

P. SADOVSKÝ, D. MUSIL, J. STEHLÍK

Acta Chir Orthop Traumatol Cech. 2006; 73(1):23-27 | DOI: 10.55095/achot2006/004  

PURPOSE OF THE STUDYMinimally invasive technique have recently gained importance because of their apparent advantages. One of them is arthroscopic stabilization of the shoulder used for treatment of traumatic anterior glenohumeral dislocation with subsequent instability. In this study we describe the results of and experience with this technique.MATERIALConventional treatment of glenohumeral dislocation, which includes reduction and subsequent immobilization for 4 weeks, has a high risk of recurrent dislocation particularly in young patients. Therefore surgical treatment lowering this risk is preferred. Arthroscopic stabilization is effective...

Measurement of Acetabular Polyethylene Wear, Using a Universal Measuring Microscope, in Total Hip Replacement
Intra- and Inter-Observer Measurement VariabilityOriginal papers

J. GALLO, V. HAVRÁNEK, J. ZAPLETALOVÁ, D. MANDÁT

Acta Chir Orthop Traumatol Cech. 2006; 73(1):28-33 | DOI: 10.55095/achot2006/005  

PURPOSE OF THE STUDYThe aim of the study was to present our own method of measuring acetabular polyethylene wear in total hip arthroplasty, including assessment of basic measurement characteristics. It is a well known fact that, in total hip replacement, polyethylene liners wear out with use. The rate of acetabular polyethylene wear can then be related to clinical or demographic data.MATERIAL AND METHODSOur method, using a universal measuring microscope, is based on the ability of exact identification of central positions of the head of total hip replacement before implantation and after prosthesis removal. The difference between the original...

Use of Post-Operative Drainage and Auto-Transfusion Sets in Total Knee ArthroplastyOriginal papers

J. HENDRYCH

Acta Chir Orthop Traumatol Cech. 2006; 73(1):34-38 | DOI: 10.55095/achot2006/006  

PURPOSE OF THE STUDYThe aim of the study was to show advantages of post-operative collection of shed blood and its return to the patient's circulation, using blood-reinfusion sets, in terms of requirements for homologous blood, transmission of infections and post-transfusion reactions in total knee arthroplasty.MATERIALTwo groups of patients were studied. In group 1, comprising 88 patients, shed blood was collected by means of sets for post-operative wound drainage and subsequent autotransfusion. In group 2, with 44 patients, the standard Redon drainage system was used and blood losses were compensated for by homologous blood.Osteoarthrosis...

The Charnley Hip Replacement - 43 Years of Clinical SuccessCurrent concepts review

B. M. WROBLEWSKI, P. D. SINEY, P. A. FLEMING

Acta Chir Orthop Traumatol Cech. 2006; 73(1):6-9 | DOI: 10.55095/achot2006/001  

The Carnley low-frictional torque arthroplasty of the hip with 22.225 mm diameter head and thick ultra high molecular weigh polyethylene cup, both components grouted with cold curing acrylic cement, has reached 43 years of clinical success. Follow-up past 30 years is now available. Over 96% of patients are satiscied with the result. Post operative activity level is a reflection of patient selection. The neuropathic nature of the new joint does not reflect the mechanical state of the arthroplasty: regular follow-up with good quality radiographs is essential. Revisions may have to be undertaken for asymptomatic radiographic changes: a principle that...

Fractures of the Femoral Neck: A Rewiew and Personal StatementCurrent concepts review

ERNST L.F.B. RAAYMAKERS

Acta Chir Orthop Traumatol Cech. 2006; 73(1):45-59 | DOI: 10.55095/achot2006/008  

EPIDEMIOLOGYThe number of hip fractures will increase enormously in the decades to come as will the cost of treatment of these patients do. In the USA the annual cost has estimated to be nearly $10 billion.Hip fractures, therefore, represent an enormous socio-economic and medical problem and challenge (orthopaedic) surgeons an anaesthetists to find the cheapest and most effective way to treat them. At the same time the search for preventive measures should be continued. Biphosphonates and hip protectors seem to be able to decrease the risk of suffering a hip fracture with 50%.CLASSIFICATIONThe first classification of femoral neck fractures,...

Peripheral Primitive Neuroectodermal Tumor - PNETCase report

J. KOUDELOVÁ, M. KUNEŠOVÁ, K. KOUDELA, Jr., J. MATĚJKA, P. NOVÁK, J. PRAUSOVÁ

Acta Chir Orthop Traumatol Cech. 2006; 73(1):39-44 | DOI: 10.55095/achot2006/007  

The authors describe three cases of peripheral primitive neuroectodermal tumor. The tumor was found in soft tissues of the crus, shoulder girdle and perineum, and was also located paravertebrally and epidurally at the level of L1-L2 vertebrae. Radiological findings were not specific for this disease. The results of imaging methods (sonography, CT, MRI, DSA) were important for the assessment of tumor size, its boundary and invasion of the surrounding tissues, and for the evaluation of tumor response to therapy and detection of recurrent disease. The PNET diagnosis was based on immunohistochemical, biochemical and cytogenetic examinations. One patient...

Zápis ze zasedání výboru ČSOT konaného dne 29.11. 2005 v hotelu IPVZ Praha 4, BudějovickáReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2006; 73(1):60