Spinal Injuries in Children and AdolescentsOriginal papers

J. ŠTULÍK, T. PEŠL, J. KRYL, T. VYSKOČIL, P. ŠEBESTA, P. HAVRÁNEK

Acta Chir Orthop Traumatol Cech. 2006; 73(5):313-320 | DOI: 10.55095/achot2006/045  

PURPOSE OF THE STUDYSpinal injuries in children are rare and account for a low proportion of all childhood injuries. Due to anatomical and biomechanical properties of the growing spine, there are great differences between spinal injury in childhood and adulthood. Because of higher mobility and elasticity of the spine and a lower body mass in children, spinal injuries are not frequent and represent only 2 to 5 % of all spinal injuries. In this retrospective study, the effectiveness of conservative and surgical treatment of injured spines in children is evaluated in a 10-year period.MATERIALAll patients from birth to the completed 18th year...

Surgical Treatment of Fracture of the Ring of Axis - "Hangman's Fracture"Original papers

P. SUCHOMEL, J. HRADIL, P. BARSA, P. BUCHVALD, R. LUKÁŠ, S. TALLER, R. FRÖHLICH

Acta Chir Orthop Traumatol Cech. 2006; 73(5):321-328 | DOI: 10.55095/achot2006/046  

PURPOSE OF THE STUDYTo evaluate surgical management of the fracture of the ring of axis (FRA), known as "hangman's fracture", and to discuss adequacy of this treatment.MATERIAL AND METHODSBetween 1994 and 2004, 41 patients with FRA were surgically treated in our hospital. We present a retrospective study of 30 cases treated by anterior cervical fixation and fusion and 11 cases treated by a posterior, CT-guided approach (published recently).Our diagnostic algorithm for evaluation of FRA included plain radiographs for basic diagnosis, detailed CT scan, MRI and finally passive lateral flexion-extension fluoroscopy (performed by physician)...

Linezolid in the Treatment of Antibiotic-Resistant Gram-Positive Infections of the Musculoskeletal SystemOriginal papers

D. JAHODA, O. NYČ, D. POKORNÝ, I. LANDOR, A. SOSNA

Acta Chir Orthop Traumatol Cech. 2006; 73(5):329-333 | DOI: 10.55095/achot2006/047  

PURPOSE OF THE STUDYThe growing incidence of resistant microorganisms has been responsible for complications associated with treatment of osteomyelitis, infections following joint arthroplasty, as well as septic arthritis. Their therapy often requires a long-term administration of antibiotics to which the bacterial strain is sensitive. Oxazolidinons present a novel group of antibiotics recently adopted in clinical medicine. However, the only member of this group so far approved for clinical use is linezolid. It is effective for Gram-positive bacteria including antibiotic-resistant strains, such as methicillin-resistant Staphylococcus aureus (MRSA),...

Derotational Subtrochanteric Osteotomy of the Femur in Celebral Palsy PatientsOriginal papers

A. SCHEJBALOVÁ

Acta Chir Orthop Traumatol Cech. 2006; 73(5):334-339 | DOI: 10.55095/achot2006/048  

PURPOSE OF THE STUDYDerotational subtrochanteric osteotomy as an independent surgical procedure is one of the options for treatment of hip anteversion in adolescent patients with cerebral palsy. In other indications it is one of combined surgical procedures for hip joint reconstruction.MATERIALDuring the 1992-2005 period, derotational subtrochanteric osteotomy was indicated in 74 cases, in ambulatory patients 9 to 18 years old, with diplegic or hemiplegic cerebral plasy. In 63 cases it was used a part of combined surgery.METHODSThe postoperative evaluation was based on clinical and radiographic findings, migration rates and Wiberg's...

Treatment of Dysplastic Acetabulum Using Total Hip Arthroplasty: Our Intermediate-Term ResultsOriginal papers

Z. CICHÝ

Acta Chir Orthop Traumatol Cech. 2006; 73(5):340-344 | DOI: 10.55095/achot2006/049  

PURPOSE OF THE STUDYThe aim of the study is a retrospective evaluation of our patients with a dysplastic acetabulum treated by total hip arthroplasty (THA), who were followed up for at least 5 years, and a comparison of our intermediate-term results with those in the relevant literature.MATERIALIn the period from June 1995 to June 2005, a total of 1305 total hip replacements were performed. Of these 293 were done in patients (213 women and 48 men) with the diagnosis of a dysplastic acetabulum; bilateral total hip arthroplasty was carried out in 18 women and four men. The evaluation was based on the Harris scoring system. The condition of...

Arthrodesis of the Carpometacarpal Joint of the ThumbOriginal papers

M. LUTONSKÝ, D. PELLAR

Acta Chir Orthop Traumatol Cech. 2006; 73(5):345-349 | DOI: 10.55095/achot2006/050  

PURPOSE OF THE STUDYArthrodesis of the carpometacarpal (CMC) joint of the thumb is an option for treatment of degenerative and post-traumatic conditions affecting the CMC thumb joint. This procedure is indicated most frequently in patients with primary or secondary stage III rhizarthritis (by the Eaton classification of basal joint arthritis) of idiopathic, rheumatic or post-traumatic etiology. Patients with multidirectional CMC instability, usually traumatic in origin, undergo this surgery only occasionally. In our institution, the treatment is based on the Carroll technique.MATERIAL AND METHODSBetween 1990 and 2005 a total of 14 arthrodeses...

Our Experience with an Image Guided Navigation System for Accurate Alignment in Total Hip Replacement by Minimally Invasive Posterolateral SurgeryOriginal papers

V. ŠTIPČÁK, R. HART, B. KUČERA

Acta Chir Orthop Traumatol Cech. 2006; 73(5):350-352 | DOI: 10.55095/achot2006/051  

PURPOSE OF THE STUDYThe aim of the study was to compare a radiographic position of the acetabular component with a position guided by the navigation system in final acetabular cup alignment.MATERIALBetween May and October 2005, 15 patients underwent implantation of a cementless acetabular component from the posterolateral minimally invasive approach with the use of kinematic navigation.METHODSThe final acetabular cup alignment was determined from the data saved in the navigation system. The radiographic measurement of acetabular cup inclination was made from an anteroposterior projection of both hips on one image, and anteversion...

Open Fractures and InfectionCurrent concepts review

Th. NEUBAUER, G. S. BAYER, M. WAGNER

Acta Chir Orthop Traumatol Cech. 2006; 73(5):301-312 | DOI: 10.55095/achot2006/044  

Open fractures still represent a major challenge for the treating surgeon and frequently demand a complex of soft tissue and bone procedures to achieve an undisturbed healing with adequate limb function. However, despite improvement in operative techniques and antibiotic therapy septic complications still occur in severe open fracture forms up to 50%. They are still deleterious for the patient as well as a major economic factor for the treating hospital. Radical (repetitive) debridement of the wound and coverage of soft tissue defects are of utmost importance in the prophylaxis of septic complications along with antibiotic therapy. If the local wound...

Pressfitpfannen - Grundlagen, Konzepte-Ergebnisse, QualitätssicherungReview

Oldřich Čech, Valér Džupa

Acta Chir Orthop Traumatol Cech. 2006; 73(5):361

Spinal Injury Caused by a Nail Fired from a Stud GunCase report

J. KRYL, J. ŠTULÍK, T. VYSKOČIL, P. ŠEBESTA

Acta Chir Orthop Traumatol Cech. 2006; 73(5):353-355 | DOI: 10.55095/achot2006/052  

The patient, a 52-year-old male foreign citizen working as a construction worker, was attacked by his coworker who had fired a drive stud, 70 mm long, with reverse hooks from a powered gun at him; the stud pierced the worker's spine at the scapular level. The patient was taken to the nearest surgical ward. On the basis of clinical presentation and X-ray of the thoracic spine, the diagnosis of penetrating injury to the spinal column at the 7th thoracic vertebra level was made. Subsequently, the patient was admitted to the intensive care unit of our department. On admission the patients showed slight paresis of the right lower extremity and hypesthesia...

Teaching Arthroscopy Techniques at the Educational Center for Clinical Anatomy and Endoscopy (ECAE), Department of Anatomy, 3rd Faculty of Medicine, Charles University in PragueIn-service-training

V. BÁČA, A. DOUBKOVÁ, D. KACHLÍK, J. STINGL, F. SVATOŠ

Acta Chir Orthop Traumatol Cech. 2006; 73(5):356-358 | DOI: 10.55095/achot2006/053  

In the period from 2000 to 2005, with support of several grants, a unique multi-media center for teaching endoscopic techniques was established at the Department of Anatomy, 3rd Faculty of Medicine, Charles University in Prague. This conditions have been provided for the repeated use of cadavers preserved by a special embalming method of Professor Thiel of the Institute for Anatomy, University of Graz, for simulation of surgical procedures. One room of the Department has been converted into a small operating theatre and an audio-visual network with wireless Internet connection covers the whole dissection unit of the Department. A graphic studio for...

Zápis ze zasedání výboru ČSOT konaného dne 6. 6. 2006 v hotelu IPVZ Praha 4, BudějovickáReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2006; 73(5):359

XXVII. Červeňanského dniReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2006; 73(5):360