Infectious Complications of Total Shoulder ArthroplastyOriginal papers

D. JAHODA, D. POKORNÝ, O. NYČ, V. BARTÁK, R. HROMÁDKA, I. LANDOR, A. SOSNA

Acta Chir Orthop Traumatol Cech. 2008; 75(6):422-428 | DOI: 10.55095/achot2008/079  

PURPOSE OF THE STUDYTo evaluate our experience with the therapy of infected total shoulder arthroplasty and to compare the treatment methods used. Although infected total shoulder arthroplasty is not a frequent finding at the present time, the necessity of treating this complication may become more urgent with the continually increasing number of arthroplasty procedures performed.MATERIAL AND METHODSFrom 1992 till the beginning of 2005, eleven patients were treated for infected total shoulder arthroplasty. Of them, seven underwent the primary surgery in an outside hospital and four were initially treated at our department. The average age...

Judet Posterior Aproach to the ScapulaOriginal papers

J. BARTONÍČEK, M. TUČEK, L. LUŇÁČEK

Acta Chir Orthop Traumatol Cech. 2008; 75(6):429-435 | DOI: 10.55095/achot2008/080  

PURPOSE OF THE STUDYA detailed description of the Judet posterior approach to the scapula.MATERIAL AND METHODSThe authors used this approach in 24 patients operated on for fractures of the scapular body and neck and for combined fractures of the scapula. In 23 patients the surgical site healed without complications, in 1 case revision was required due to a haematoma.DESCRIPTION OF THE APPROACHThe approach has three phases. The first of them consists in a boomerang skin incision along the scapular spine and the medial scapular border producing a skin flap, and identification of the posterior border of the deltoid. In the next phase,...

Clinical Evaluation of the Ceramic Femoral Component Used for Reconstruction of Total Knee ReplacementOriginal papers

P. VAVŘÍK, I. LANDOR, F. DENK

Acta Chir Orthop Traumatol Cech. 2008; 75(6):436-442 | DOI: 10.55095/achot2008/081  

PURPOSE OF THE STUDYThe study evaluates mid-term results of total knee replacement with a zirconia ceramic (ZrO₂) femoral component.MATERIALThe evaluated group comprised 20 knees in 19 patients (4 men and 15 women). In one patient the replacement was performed bilaterally. Two patients had in the contralateral knee the same type of prosthesis with a femoral chrome-cobalt component.The mean age at the time of operation was 65.2 years (range, 38-81 years). The primary indication was 14times osteoarthritis and 5times rheumatoid arthritis. The average follow-up period was 6.5 years (range, 2.1-8.5 years).METHODSPatients included...

Staining Undecalcified Bone Sections a Modified Technique for an Improved Visualization of Synthetic Bone SubstitutesOriginal papers

U. MAYR-WOHLFART, G. RAVALLI, K. P. GÜNTHER, S. KESSLER

Acta Chir Orthop Traumatol Cech. 2008; 75(6):443-445 | DOI: 10.55095/achot2008/082  

We describe a detailed embedding procedure for large bone spicemens in methyl methacrylate and a new staining method by which thin sections (appr 100 um) of undecalcified bones with synthetic implants can be coloured. Different staining effects were obtained which greatly facilitated the evaluation of sections with bone, new forming bone and especially remnants of synthetic implants. The identification and quantification of the latter is difficult in common staining techniques.A detailed embedding - staining - mounting procedure is proposed.

Total Hip Replacement after Tuberculous Coxitis. Twenty-Seven-Year Experience (1980-2007)Original papers

M. NETVAL, N. TAWA, D. CHOCHOLÁČ

Acta Chir Orthop Traumatol Cech. 2008; 75(6):446-450 | DOI: 10.55095/achot2008/083  

PURPOSE OF THE STUDYTuberculous hip arthritis accounts for about 15 % of all orthopaedic forms of tuberculosis and ranks third after spinal and knee joint tuberculosis. The aim of this study was to present the results of total hip arthroplasty (THA) for treatment of post-infectious arthritis or ankylosis, or previous arthrodesis.MATERIALA group of patients, 16 women and 10 men, treated at the 1st Department of Orhopaedics, 1st Faculty of Medicine, Charles University in Prague, between 1980 and 2007, was evaluated. All patients had tuberculous hip arthritis in their history and subsequently underwent THA. The average age at the time of THA...

Patient - Related Risk Factors for Infected Total ArthroplastyOriginal papers

T. TOMÁŠ

Acta Chir Orthop Traumatol Cech. 2008; 75(6):451-456 | DOI: 10.55095/achot2008/084  

PURPOSE OF THE STUDYTo analyse risk factors for the development of prosthetic infection after total joint arthroplasty in our group of patients, and to contribute to the understanding of conditions leading to infection and, consequently, to its eliminations.MATERIALWe assessed a group of 196 patients who were treated for deep infection of total hip or knee arthroplasty at our department between 1990 and 2006. The group was compared with a group of 400 randomly selected patients who, in the same period, underwent total hip or knee arthroplasty and were free from infectious complications.METHODSSeveral factors considered to be associated...

Long-Term Results of Calcaneal Fracture Treatment by Open Reduction and Internal Fixation Using a Calcaneal Locking Compression Plate from an Extended Lateral ApproachOriginal papers

P. ZEMAN, J. ZEMAN, J. MATĚJKA, K. KOUDELA

Acta Chir Orthop Traumatol Cech. 2008; 75(6):457-464 | DOI: 10.55095/achot2008/085  

PURPOSE OF THE STUDYTo report on the surgical treatment of intra-articular calcaneal fractures by open reduction and internal fixation with a calcaneal locking compression plate (LCP) from an extended lateral approach, and to retrospectively analyze the mid-term results in a group of patients treated by this technique.MATERIALIn the period from August 2005 till March 2007, a total of 49 patients with 61 calcaneal fractures were treated. Of these, 11 (18 %) were treated conservatively. Reduction combined with Kirschner-wire fixation was used in four fractrues (6.6 %). Open reduction with internal calcaneal LCP fixation (ORIF-calcaneal LCP)...

Proximal Humerus Fractures - Current Treatment OptionsCurrent concepts review

G. G. KONRAD, A. MEHLHORN, J. KÜHLE, P. C. STROHM, N. P. SÜDKAMP

Acta Chir Orthop Traumatol Cech. 2008; 75(6):413-421 | DOI: 10.55095/achot2008/078  

Proximal humerus fractures represent an increasing challenge for the health system due to epidemiological changes. As estimated by a Finnish study group the number of fractures may triple by the year 2030. The majority of patients with these fractures are older than 60 years and in this population most of the proximal humerus fractures have been related to osteoporosis. Nondisplaced fractures and fractures with minimal displacement and adequate stability are usually successfully treated non-operatively. The main challenge in the operative treatment of displaced and unstable proximal humerus fractures is to achieve effective stabilization of an adequately...

Anterior Cervicothoracic Junction Surgery with Partial Sternotomy Using an Operative MicroscopeCase report

L. HRABÁLEK, M. VAVERKA, J. KLEIN

Acta Chir Orthop Traumatol Cech. 2008; 75(6):465-470 | DOI: 10.55095/achot2008/086  

The anterior cervical approach with partial sternotomy allows exposure of the lower cervical and upper thoracic spine. The use of a operative microscope provides a better view of the spine and safer and more radical performance while the surgical approach remains minimal. The authors describe this surgical procedure and present the illustrative histories of three patients with tumors between the first and the third thoracic vertebra. A good knowledge of upper mediastinum anatomy and magnetic resonance examination are the basic prerequisite for a successful operation without complications. On approach from the right side, the right recurrent laryngeal...

Osseous Bridge after Physeal-Injury to the Distal Tibia with Spontaneous ResolutionCase report

J. TRNKA, Ľ. SÝKORA, J. BIBZA

Acta Chir Orthop Traumatol Cech. 2008; 75(6):471-473 | DOI: 10.55095/achot2008/087  

The risk of osseous bridge development after certain types of physeal injury is well established. Once formed, the bridge continues to grow and results in a progressive deformity. The authors present an unusual case of a five-year-old girl who had a Salter-Harris Type-IV fracture of the distal tibial epiphyseal plate, with subsequent osseous bridge formation and deformity development. The bridge resolved spontaneously in 16 months, and joint mechanical axis alignment was gradually restored with normal growth of the distal tibia.

Prof. MUDr. František Makai, DrSc. - 75-ročnýReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2008; 75(6):474