Surgical Treatment of Spinal InfectionsOriginal papers

Z. KLÉZL, J. ŠTULÍK, J. KRYL, P. ŠEBESTA, T. VYSKOČIL, R. BOMMIREDDY, D. CALTHORPE

Acta Chir Orthop Traumatol Cech. 2007; 74(5):305-317 | DOI: 10.55095/achot2007/048  

PURPOSE OF THE STUDYAlthough great advances have been made in both radiological diagnosis and antibiotic therapy of microbial infections, the treatment of spinal infections remains a major clinical challenge. Many of the patients affected are referred to spinal units with long delays. The general population is ageing and the number of immunocompromised patients, as well as the number of operative procedures for spinal disorders are increasing. The aim of our study was to evaluate the clinical presentations of spinal infections, options for their diagnosis, indications for treatment and their risk factors and the results of surgery.MATERIAL...

Massive Tears of the Rotator Cuff-Comparison of Mini-Open and Arthroscopic Techniques
Part 2. Arthroscopic RepairOriginal papers

D. MUSIL, P. SADOVSKÝ

Acta Chir Orthop Traumatol Cech. 2007; 74(5):318-325 | DOI: 10.55095/achot2007/049  

PURPOSE OF THE STUDYIn this study the results of arthroscopic repair of massive rotator cuff tears are evaluated and compared with those of mini-open surgery published in Part 1.MATERIALBy the year 2006, of 176 patients undergoing the reconstruction of massive rotator cuff tears in our department, 77 were treated by arthroscopy. In this group there were 50 men; the dominant arm was operated on more frequently (60x). The average age of the patients was 55 years (range, 37-74).METHODSSurgery is carried out under combination of general anesthesia and an interscalene brachial plexus block, in a lateral recumbent position, with traction...

Restricted Motion after Total Knee ArthroplastyOriginal papers

T. KUČERA, K. URBAN, K. KARPAŠ, P. ŠPONER

Acta Chir Orthop Traumatol Cech. 2007; 74(5):326-331 | DOI: 10.55095/achot2007/050  

PURPOSE OF THE STUDYThe aim of the study was to ascertain what proportion of patients undergoing total knee arthroplasty (TKA) complain of restricted knee joint motion, and to investigate options for improvement of this situation.MATERIALOur evaluation included a group of 796 patients treated with TKA at our department in the period from January 1, 1990, to December 31, 2004. In all cases, a condylar implant with preservation of the posterior cruciate ligaments was used.METHODSIn addition to medical history, the range of motion, knee joint malalignment and radiological findings were assessed before surgery. After THA, the type of...

Comparative Assessment of Outcome in Osteoarthritis of the Knee: The Utility of Knee ScoresOriginal papers

S. KESSLER, W. KÄFER

Acta Chir Orthop Traumatol Cech. 2007; 74(5):332-335 | DOI: 10.55095/achot2007/051  

PURPOSE OF THE STUDYThe utility of scoring systems, which are used to determine health status or treatment benefit in patients with knee osteoarthritis is under discussion. Therefore it was the purpose of our investigation to evaluate the reliability and the concordance of two established knee scoring systems.METHODSThirty-eight patients with unilateral knee osteoarthritis were scored by the Hospital for Special Surgery score and the Knee Society score. Two blinded observers rated the patients independently in order to determine the concordance of the scores, the correlation between the overall scores and their subscales such as "pain",...

Treatment of Intra-Articular Proximal Tibial Evaluation of Two- to Seven-Year Follow-upOriginal papers

L. PAŠA, M. KELBL, R. SUCHOMEL, V. PROCHÁZKA, J. FILIPÍNSKÝ

Acta Chir Orthop Traumatol Cech. 2007; 74(5):336-341 | DOI: 10.55095/achot2007/052  

PURPOSE OF THE STUDYIntra-articular fractures of the proximal tibia always present a complicated therapeutic problem. In this retrospective study, the results of both conservative and surgical treatment of these fractures are evaluated.MATERIALIn the period from 1997 to 1999, 114 patients with proximal tibial fractures were treated in the Traumatological Hospital in Brno-Traumacenter. Of these, 34 (30 %) were treated conservatively and 80 (70 %) by a surgical procedure. A total of 80 patients were included in follow-up (70 %). Of these, 61 had surgery, which involved arthroscopically-assisted intervention in 25 patients, arthrotomy in 27...

Revision Surgery in Diaphyseal Forearm FracturesOriginal papers

P. VIŠŇA, E. BEITL, Z. ŠMÍDL, J. KALVACH, E. JAGANJAC

Acta Chir Orthop Traumatol Cech. 2007; 74(5):342-348 | DOI: 10.55095/achot2007/053  

PURPOSE OF THE STUDYThe aim of the study was to compare the results of revision surgery in diaphyseal fractures of the ulna and radius treated by intra-medullary interlocking nailing or plate osteosynthesis.MATERIAL AND METHODSThe group included 36 patients who, in the period from 2000 to 2005, were treated with the use of the intra-medullary ForeSight nail system (Smith & Nephew, USA) or a small, 3.5 mm auto-compression plate (different manufacturers). Pseudoarthrosis developed in 25 patients and recurrent fractures were found in 11 patients (six of these suffered fractures along the original fracture line after minimal trauma and...

Femoroacetabular Impingement Syndrome - Pre-Arthritis of the HipCurrent concepts review

P. CHLÁDEK, T. TRČ

Acta Chir Orthop Traumatol Cech. 2007; 74(5):354-358 | DOI: 10.55095/achot2007/055  

The diagnosis of femoroacetabular impingement (FAI) syndrome is relatively recent. Therefore, the concept of early hip arthritis development is an interesting issue. The assumed prevalence of this disease is rather high and any postponement of necessity to perform total hip arthroplasty (THA) for hip arthritis, as a FAI sequela, should bring benefits to medical care as well as economy. To make an exact diagnosis it is necessary, in addition to essential clinical examination and standard conventional radiography, to carry out MRI that, in indicated cases, is combined with arthrography. Surgical treatment includes extensive procedures, such as controlled...

Vascular and Neurological Complications of Supracondylar Humeral Fractures in ChildrenCase report

J. MASÁR

Acta Chir Orthop Traumatol Cech. 2007; 74(5):349-353 | DOI: 10.55095/achot2007/054  

The author reports two cases of pediatric patients with supracondylar humeral fractures complicated by concomitant vascular injury. One of the patients also presented with neurological symptoms from compression of the ulnar and median nerves.In the case of vascular injury only, it was necessary to resect a 1-cm segment of the brachial artery which was thrombosed due to intimal disruption. In the other case, surgery was not indicated immediately; however, liberation of the nervus ulnaris and nervus medianus was later required because of nerve compression by the scar and bone.The author considers the exact diagnosis, precise reduction and stable...

Zápis ze zasedání výboru ČSOT konaného dne 25. 4. 2007 v salonku Morava, v areálu VVB BrnoReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2007; 74(5):359  

Usnesení členské a volební schůze ČSOT konané dne 26. 4. 2007 v 16:30 hodin v sále Rotunda VVB BrnoReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2007; 74(5):359-360  

Zpráva ze zasedání redakční rady časopisu Acta Chirurgiae orthopaedicae et Traumatologiae Čechoslovaca, Brno, dne 27. 2. 2007Reports from ČSOT

Acta Chir Orthop Traumatol Cech. 2007; 74(5):360-362  

Žádost o recenzní posudekReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2007; 74(5):363-364  

Recenzní posudekReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2007; 74(5):364