Vážení čtenáři časopisu Acta,Úvodník

Oldřich Čech

Acta Chir Orthop Traumatol Cech. 2009; 76(3):171  

Dlouhodobé zkušenosti s kombinovaným hydroxyapatitovým povrchem ARBOND v osteointegraci implantátuPůvodní práce

I. LANDOR, P. VAVŘÍK, D. JAHODA, D. POKORNÝ, R. BALLAY, A. SOSNA

Acta Chir Orthop Traumatol Cech. 2009; 76(3):172-178 | DOI: 10.55095/achot2009/033  

PURPOSE OF THE STUDYThe hydroxyapatite coating of an implant surface provides osteoactive conditions that can support osteointegration of cementless joint arthroplasties. However, the possibilities of hydroxyapatite degradation, resorption and delamination that may become responsible for failure of total hip arthroplasty (THA) have been reported. The aim of the study was to assess the properties of Arbond hydroxyapatite coating by comparing the long-term survival of implants identical in construction but different in surface coating.MATERIALOne group (HA) comprised 86 patients (100 THAs) with an average age of 45.14 years (range, 22.3 to...

Periprotetické zlomeniny v oblasti kyčelního kloubuPůvodní práce

M. WEISSINGER, C. HELMREICH, G. PÖLL

Acta Chir Orthop Traumatol Cech. 2009; 76(3):179-185 | DOI: 10.55095/achot2009/034  

PURPOSE OF THE STUDYIt is the aim of our study to present the results of our way of treatment of the periprosthetic fractures, with the cemented as well as the cement-free stems.MATERIALFrom 1.1.1988 until 31.3.2005 we operated 42 periprosthetic fractures of the hip in 41 patients. 31 of our patients were females, 10 of them males. In 22 cases we operated the right side, 18 times the left side and once we had to operate both sides, but at different times. We used the Vancouver classification scale for the grading of the fractures. In our study we excluded type A fractures; we registered 41 type B fractures and one only type C fracture....

Komplikace operačního léčení zlomenin acetabulaPůvodní práce

T. PAVELKA, P. HOUČEK

Acta Chir Orthop Traumatol Cech. 2009; 76(3):186-193 | DOI: 10.55095/achot2009/035  

PURPOSE OF THE STUDYTo analyse retrospectively complications of the surgical treatment of displaced acetabular fractures.MATERIALIn the years 1996 to 2006 a total of 251 patients with acetabular fractures were treated. The group comprised 162 men and 89 women; the average age was 35 years. The average follow-up was 71 months (range, 16 to 138). Based on the AO classification, type A fractures were found in 58 %, type B in 23 % and type C in 19 % of the patients. Indications for surgical intervention were hip instability or hip incongruence.RESULTSThe complications included intra-operative, and early and late post-operative problems....

Ponsetiho metoda v léčení pes equinovarus congenitus - první zkušenostiPůvodní práce

J. CHOMIAK, M. FRYDRYCHOVÁ, M. OŠŤÁDAL, M. MATĚJÍČEK

Acta Chir Orthop Traumatol Cech. 2009; 76(3):194-201 | DOI: 10.55095/achot2009/036  

PURPOSE OF THE STUDYTo provide a detailed description of the Ponseti method and report the first results of its use, including factors that played a role.MATERIAL AND METHODSIn the 2005-2007 period, 91 patients with idiopathic rigid clubfoot (133 feet) were treated by the Ponseti method. The group comprised 62 boys and 29 girls. In most patients the Ponseti method was used as primary treatment, or by 3 months of age when previous treatment failed. In five children this treatment was started between the 3rd and 8th months of age. The result were evaluated by the criteria described by Richards et al., who distinguished four groups. The result...

Ošetření trochanterických zlomenin PC.C.P. dlahouPůvodní práce

M. SKLÁDAL, M. PINK, M. LISÝ, L. NOVOTNÝ

Acta Chir Orthop Traumatol Cech. 2009; 76(3):202-207 | DOI: 10.55095/achot2009/037  

PURPOSE OF THE STUDYTo present a new type of percutaneous compression plate (PCP) for a minimally invasive method of treating trochanteric hip fractures.MATERIALBetween September 2004 and December 2006, a total of 66 patients with hip fractures were treated by minimally invasive percutaneous osteosynthesis involving a PCP. The average age of the patients was 74.5 years (range, 27-95 years). The fractures were classified as pertrochanteric (AO31, A1.1-A2.3) in 73 %, femoral neck fracture (AO31, B2) in 20 %, and intertrochanteric fracture (AO31, A3.1) in 7 % of the patients.METHODSReduction was performed under conduction or general...

Chronické lunotriquetrální nestability zápěstí - vlastní metoda ošetřeníPůvodní práce

J. PILNÝ, A. ŠVARC, M. PEŘINA, J. ŠILLER, P. VIŠŇA

Acta Chir Orthop Traumatol Cech. 2009; 76(3):208-211 | DOI: 10.55095/achot2009/038  

PURPOSE OF THE STUDYOne of the causes of pain on the ulnar side of the wrist is post-traumatic lunotriquetral (LTq) instability, which is difficult to detect on radiographs. For diagnosis, arthroscopic examination is most reliable. The methods for treatment of LTq instability include mere immobilization, ligament reconstructions and LTq joint stabilization with Kirschner's wires in acute conditions, and stabilization of the LTq joint by tenodesis or arthrodesis. In this study our method of treating chronic isolated injury to the lunotriquetral ligament is described.MATERIALThe group comprised 43 wrists with isolated lunotriquetral ligament...

Transachiální přístup při operační léčbě Haglundovy deformity a přidružených afekcí: hodnocení vlastního souboru pacientůPůvodní práce

F. FRIDRICH

Acta Chir Orthop Traumatol Cech. 2009; 76(3):212-217 | DOI: 10.55095/achot2009/039  

PURPOSE OF THE STUDYTo evaluate the results of the dorsal longitudinal tendon-splitting approach for surgical treatment of Haglund's deformity and associated conditions.MATERIALThe group comprised patients who underwent surgery for Haglund's deformity and related conditions between January 2003 and June 2007. There were 15 patients, six women and nine men, with 17 treated heels (one man and one woman had bilateral surgery).METHODSUsing the tendon-splitting approach, a prominence of the posteriosuperior border of the calcaneus was resected and the associated conditions were treated.The evaluation was based on a 1-to-5-degree...

Souborné zhodnocení screeningu vývojové dysplazie kyčelního kloubu v regionu Liberec za období 1984-2005Původní práce

Š. VENCÁLKOVÁ, J. JANATA

Acta Chir Orthop Traumatol Cech. 2009; 76(3):218-224 | DOI: 10.55095/achot2009/040  

PURPOSE OF THE STUDYTo analyze our results of screening for developmental dysplasia of the hip (DDH) in the Liberec region between 1984 and 2005.MATERIAL AND METHODSThe study comprised 30 010 infants screened for DDH without any primary selection between 1984 and 2005. The infants were clinically examined on the basis of a three-step screening system (newborn, at 6 weeks and between 3 and 4 months of age) and by an imaging method. In the period from 1984 to 1991, this was plain radiography of the hip at 3 months of age, and a total of 12 944 infants were assessed. Between 1992 to 2005 ultrasonography (USG) was used at 6 weeks (or earlier...

Kalkareózní tendinitida ramene - needlingPůvodní práce

J. LUBOJACKÝ

Acta Chir Orthop Traumatol Cech. 2009; 76(3):225-231 | DOI: 10.55095/achot2009/041  

PURPOSE OF THE STUDYCalcareous tendinitis (calcifying tendinitis) of the shoulder is a disease characterized by the formation of macroscopic deposits of hydroxyapatite (a crystalline calcium phosphate) in any tendon of the rotator cuff. It presents clinically as sudden intense pain flares resembling gout. It can be treated most effectively by invasive methods such as surgery or needling. The latter is associated with lower risks and fewer organizational and financial demands. The aim of this study is to promote the use of needling in orthopaedic outpatient departments where ultrasonography is available for diagnosis and guided intervention.MATERIALIn...

Minimálně invazivní torakoskopicky asistovaný transdiafragmatický přístup při ošetřování předního sloupce torakolumbálního přechoduPůvodní práce

J. KOČIŠ, P. WENDSCHE, V. MUŽÍK, A. BILIK, R. VESELÝ, I. ČERNOHOUSOVÁ

Acta Chir Orthop Traumatol Cech. 2009; 76(3):232-238 | DOI: 10.55095/achot2009/042  

PURPOSE OF THE STUDYA retrospective analysis of patients with thoracolumbar junction fractures who underwent video-assisted thoracoscopic surgery via a minimally invasive approach (minithoracotomy) for reconstruction of the anterior spinal column.MATERIALBetween 2002 and 2006, a total of 127 patients were treated by this technique. The age of the group, including 75 men and 52 women, ranged from 18 to 75 years (average, 45.9 years). L1 and Th12 fractures were treated in 71 and 66 patients, respectively. Based on CT scans and operative findings, the fractures were assessed as type A in 81, type B in 42 and type C in four patients. The causes...

Implantace totální endoprotézy kyčelního kloubu pro zlomeninu krčku femuru u pacientů se získaným neurologickým deficitemPůvodní práce

M. LUTONSKÝ, M. VALIŠ, J. ŠROT

Acta Chir Orthop Traumatol Cech. 2009; 76(3):239-242 | DOI: 10.55095/achot2009/043  

PURPOSE OF THE STUDYTo evaluate the outcome of total hip arthroplasty (THA) performed for femoral neck fracture in patients with a paralytic hip.MATERIAL AND METHODSBetween 1997 and 2004, total hip arthroplasty was performed in 301 patients with a medio-cervical or sub-capital fracture of the femoral neck. In 17 of them there was also neurological deficit due to a stroke in 11, multiple sclerosis in four, and conditions following cranial injury in two. The degree of neurological deficit was assessed pre-operatively and its effect on the outcome was evaluated, in particular that on the overall results of THA, implant stability and post-operative...

Recidiva nebo reinfekce TEP kyčelního kloubu? Příspěvek k diskusi o patogenezi periprotetické infekceKazuistika

J. GALLO, M. SMIŽANSKÝ, M. KOLÁŘ

Acta Chir Orthop Traumatol Cech. 2009; 76(3):243-246 | DOI: 10.55095/achot2009/044  

In our report we present the case of a 74-year-old man in whom Pseudomonas aeruginosa was identified unexpectedly in intra-operative samples taken during a one-stage revision total hip arthroplasty (THA). The patient was treated with a post-operative, eight-week antibiotic course and, subsequently, was free of infectious symptoms. However, 6 years later an infection of his THA was detected and Pseudomonas aeruginosa was again isolated. In accordance with traditional thinking this should be classified as a new infection, but some recent findings on the relationship between the host and infecting bacteria allow us to interpret this case as a recurrent...

Omrzliny dolních končetin versus následek hyperviskózního syndromu po dlouhodobém pobytu v extrémních výškáchKazuistika

I. NÁHLÍK

Acta Chir Orthop Traumatol Cech. 2009; 76(3):247-248 | DOI: 10.55095/achot2009/045  

PURPOSE OF THE STUDYThe author reports on a case of hyperviscosity syndrome resulting from a long-term stay at extremely high altitudes. As a consequence, the patient lost the acral parts of the first and second toes on both lower extremities.

Prof. Maurice Edmond Müller, M.D.Zprávy z ČSOT

Oldřich Čech

Acta Chir Orthop Traumatol Cech. 2009; 76(3):249-250  

Vzpomínka na přednostu I. ortopedické kliniky LF MU v Brně doc. MUDr. Zdeňka Bozděcha, CSc. (1925-1988)Zprávy z ČSOT

Z. Rozkydal

Acta Chir Orthop Traumatol Cech. 2009; 76(3):251-252  

AO kurzy DavosZprávy z ČSOT

Acta Chir Orthop Traumatol Cech. 2009; 76(3):253-258  

Zápis ze zasedání výboru ČSOT konaného dne 10. 2. 2009 v hotelu IPVZ Praha 4, BudějovickáZprávy z ČSOT

Acta Chir Orthop Traumatol Cech. 2009; 76(3):259-260