Clinical Outcome after Surgical Treatment of Transitional Fractures of the Distal Tibia in ChildrenOriginal papers

P. C. STROHM, O. HAUSCHILD, K. REISING, K. KUMINACK, N. P. SÜDKAMP, H. SCHMAL

Acta Chir Orthop Traumatol Cech. 2011; 78(2):97-100 | DOI: 10.55095/achot2011/015  

PURPOSE OF THE STUDYFractures affecting a partially closed physis are described as transitional fractures. The distal tibia is one of the most common locations for transitional fractures second only to the distal radius. Aim of this retrospective study was to evaluate the clinical and radiological results after surgical treatment of transitional fractures of the distal tibia.PATIENTS AND METHODSFrom May 2003 to March 2009 24 children (median age 14 years) received surgical treatment for transitional fractures of the distal tibia. 89% (21/24) of patients were followed up after 27.5 (range 6 to 72) months to assess functional outcome (using...

Venous Thromboembolism Prophylaxis after Total Hip ArthroplastyOriginal papers

T. KUČERA, R. MALÝ, K. URBAN, P. ŠPONER

Acta Chir Orthop Traumatol Cech. 2011; 78(2):101-105 | DOI: 10.55095/achot2011/016  

PURPOSE OF THE STUDYThe authors compare the frequency of thromboembolic disease in the patients receiving prophylactic therapy for 10 days with that in the patients having a prolonged course of preventive treatment recommended for up to 35 days after total hip arthroplasty (THA).MATERIALThe group first evaluated comprised patients undergoing total hip replacement in 2005 and 2006 when enoxaparin was administered for 10 days after surgery. Patients with revision THA were not included. The other group included patients operated on in 2008 who received preventive treatment for 35 post-operative days either with enoxaparin for the whole time,...

Surgical Treatment of Intra-articular Calcaneal FracturesOriginal papers

V. POPELKA, P. ŠIMKO

Acta Chir Orthop Traumatol Cech. 2011; 78(2):106-113 | DOI: 10.55095/achot2011/017  

PURPOSE OF THE STUDYThe calcaneus is one of the most complex bones in the human body. If fractured, restoration of its anatomy is demanding and displaced fractures may have permanent consequences affecting both daily living and work activities of the patient. In this prospective study, the authors present the results of surgical treatment of 48 dislocated intra-articular fractures of the heel bone.MATERIALIn the period from September 2006 to September 2009, 48 dislocated intra-articular fractures in 41 patients were surgically treated at the Department of Trauma Surgery in Bratislava-Kramare. Seven (17 %) patients, six men and one woman,...

Posterior Extensile Approach to Release a Post-traumatic Stiffness of the ElbowOriginal papers

R. HART, M. JANEČEK, T. KOZÁK, F. OKÁL

Acta Chir Orthop Traumatol Cech. 2011; 78(2):114-119 | DOI: 10.55095/achot2011/018  

PURPOSE OF THE STUDYRestriction of joint motion is a frequent complication in the treatment of elbow injury. Grade 4 elbow stiffness up to its ankylosis is a strong limiting factor in the patient's daily activities. The surgical release of a stiff elbow has been a rare procedure. It can be done using either isolated or combined approaches. The aim of the study is to present our experience with and the results of elbow arthrolysis using a posterior extensile approach to the joint.MATERIAL AND METHODSSeven patients aged between 17 and 38 years with post-traumatic post-operative ankylosis, or grade 4 elbow stiffness were operated on. The average...

Multicentric Study of Patients with Pelvic Injury: Overview of Clinical Outcomes and Permanent SequelaeOriginal papers

V. DŽUPA, J. CHMELOVÁ, T. PAVELKA, P. OBRUBA, P. WENDSCHE, P. ŠIMKO, CISP Investigators

Acta Chir Orthop Traumatol Cech. 2011; 78(2):120-125 | DOI: 10.55095/achot2011/019  

PURPOSE OF THE STUDYThe aim of the study was to assess the clinical outcomes and permanent sequelae of pelvic fractures at one year after injury and to identify factors that influenced these results.MATERIAL AND METHODSThe group evaluated consisted of 151 patients older than 15 years treated for pelvic fractures in 2007 at seven hospitals in the Czech Republic and Slovakia. This one-year descriptive prospective study included all basic epidemiological data concerning the patients and the evaluation of their clinical results using the Majeed score. The obtained data were statistically analysed by the χ2 test of independence and contingency...

Calcaneal Fractures Treated by Open Reduction and Internal Fixation with a Locking Compression Plate (LCP). A Prospective Study. Part I: Basic Analysis of the GroupOriginal papers

F. SVATOŠ, R. BARTOŠKA, J. SKÁLA-ROSENBAUM, P. DOUŠA, V. PACOVSKÝ, M. KRBEC

Acta Chir Orthop Traumatol Cech. 2011; 78(2):126-130 | DOI: 10.55095/achot2011/020  

PURPOSE OF THE STUDYIn a prospective study of patients with calcaneal fractures treated by open reduction from an extensile lateral approach and LCP osteosynthesis, the authors evaluated the basic epidemiological data, mechanism of injury, type of fracture, essential data on surgery, days of hospital stay and the number of complications.MATERIAL AND METHODSIn the period from September 1, 2006 to July 31, 2010, a total of 230 patients with 243 calcaneal fractures were treated. The fractures were classified as either open or closed and according to the Essex-Lopresti system. Of the total number of patients, 135 (55.6 % of all fractures) were...

MORF Method for Assessment of the Size and Shape of UHMWPE Wear Microparticles and Nanoparticles in Periprosthetic TissuesOriginal papers

P. FULÍN, D. POKORNÝ, M. ŠLOUF, M. LAPČÍKOVÁ, E. PAVLOVA, E. ZOLOTAREVOVÁ, G. Entlicher, D. Jahoda, A. Sosna

Acta Chir Orthop Traumatol Cech. 2011; 78(2):131-137 | DOI: 10.55095/achot2011/021  

PURPOSE OF STUDYAseptic loosening of total joint replacement (TJR) due to wear of ultra-high molecular weight polyethylene (UHMWPE) is regarded as one of the major problems in the field of arthroplasty. This work describes a newly developed method, called MORF, which completely describes the morphology of UHMWPE wear particles. The differences in wear particle morphology may help to elucidate individual differences in TJR failures.MATERIAL AND METHODSDuring the years 2002-2010, a set of 47 typical damaged periprosthetic tissues, coming from 16 TJR revisions, was collected. Isolated on polycarbonate (PC) filters were quantified. Quantification...

Comparison of Chondrogenic Differentiation of Adipose Tissue-Derived Mesenchymal Stem Cells with Cultured Chondrocytes and Bone Marrow Mesenchymal Stem CellsOriginal papers

V. HAVLAS, P. KOS, P. JENDELOVÁ, P. LESNÝ, T. TRČ, E. SYKOVÁ

Acta Chir Orthop Traumatol Cech. 2011; 78(2):138-144 | DOI: 10.55095/achot2011/022  

PURPOSE OF THE STUDYMany congenital and acquired disorders as well as sequelae of injury are associated with articular cartilage degeneration, which adversely affects the patient's quality of life. The currently used cell therapy with cultured chondrocytes has its disadvantages due to a process of de-differentiation of chondrocytes during cultivation. We believe that the mesenchymal stem cell therapy offers a new treatment options.MATERIAL AND METHODSThe adult mesenchymal stem cells (MSCs) for chondrocyte differentiation are usually obtained from bone marrow mesenchymal stem cells (BMSCs). In this study these cells were compared with mesenchymal...

Anatomical Study of Flexor Hallucis Brevis Insertion. Implications for Clinical PracticeOriginal papers

V. BARTÁK, R. HROMÁDKA, P. FULÍN, D. JAHODA, A. SOSNA, S. POPELKA

Acta Chir Orthop Traumatol Cech. 2011; 78(2):145-148 | DOI: 10.55095/achot2011/023  

PURPOSE OF THE STUDYThe flexor hallucis brevis (FHB) is one of the short muscles of the foot. It divides in front into two portions, which are inserted into the medial and lateral sides of the base of the first phalanx of the great toe. The detailed knowledge of its insertion into the proximal phalangeal base is decisive in any surgery involving the first metatarsophalangeal (MTP) joint, such as implant arthroplasty, resection arthroplasty or amputation. Complications resulting from injury to this insertion are commonly known. The aim of this study was to describe in detail the morphology of FHB insertion sites and to determine a safe extent of...

Early Suture Versus Ligamentoplasty of Scapholunate Ligament Injury: Comparison of Clinical ResultsOriginal papers

D. IRA, I. ČIŽMÁŘ, M. KRTIČKA, P. DRÁČ, Z. BORTLÍČEK, M. MAŠEK

Acta Chir Orthop Traumatol Cech. 2011; 78(2):149-155 | DOI: 10.55095/achot2011/024  

PURPOSE OF THE STUDYThe aim was to evaluate subjective and objective criteria of wrist, hand and arm function in a group of patients with acute static scapholunate dissociation treated by acute suture or ligament reinsertion, and in a group of patients with chronic static scapholunate dissociation treated by ligament reconstruction using ligamentoplasty.MATERIAL AND METHODSOf a total number of 70 patients treated surgically for scapholunate instability at the Department of Trauma Surgery, University Hospital in Olomouc and the Department of Trauma Surgery, University Hospital in Brno, from 2002 till the end of 2008, 37 patients with acute...

Pressure Ulcer and Mortality Risk after Surgical Treatment of Proximal Femoral Fractures in the ElderlyOriginal papers

L. KOPP, P. OBRUBA, K. EDELMANN, B. PROCHÁZKA, K. BLŠŤÁKOVÁ, A. M. ČELKO

Acta Chir Orthop Traumatol Cech. 2011; 78(2):156-160 | DOI: 10.55095/achot2011/025  

PURPOSE OF THE STUDYWe aimed to determine the incidence of pressure sores and their effect on survival in patients older than 70 years who underwent surgery for hip fracture, and to identify the factors which were associated with an increased risk of pressure sores.MATERIAL AND METHODSThe group comprised 269 patients (219 women and 50 men) older than 70 years who underwent surgery for proximal femoral fractures in the Trauma center between January 2003 and June 2005. Follow-up ranged from 12 to 18 months.In a prospective study we assessed relevant medical history, demographic and clinical data, pre-, intra-, and post-operative factors...

Shoulder Fusion in Two Patients with a Long-standing Proximal Humerus ResectionCase report

J. KAGER, R. K. MARTI, E. L. F. B. RAAYMAKERS

Acta Chir Orthop Traumatol Cech. 2011; 78(2):161-164 | DOI: 10.55095/achot2011/026  

With a "headless" humerus active abduction and elevation of the arm are hardly possible. Especially if the humeral head was removed because of an infection, shoulder fusion is often the only safe solution for this disabling condition.Large corticocancellous, autologous bone grafts are interposed between the thin humeral stump on one side and its broad glenoid-acromion counterpart on the other. A 4.5 narrow AO-plate stabilizes the fusion. The technique is described and the functional result of two patients is shown.Ten years after the operation, both patients were free of pain and very satisfied about the utility of the arm. The fusion had convincingly...

Dislocation of the Clavicle: Case ReportCase report

L. PAŠA, S. KALANDRA

Acta Chir Orthop Traumatol Cech. 2011; 78(2):165-168 | DOI: 10.55095/achot2011/027  

A traumatic dislocation of the clavicle is a rare injury. So far 37 reports of this trauma have been found in the relevant literature; they are most often treated by surgery.A 32-year-old woman was admitted to local hospital for polytraumata sustained in a motor car accident. Once the patient had been stabilised, at three months after injury, stabilisation of the left dislocated clavicle was undertaken. The medial end was stabilised, using a strip dissected from the ligament of the sternoclavicular (SC) joint capsule, with Orthocord sutures, and laterally by coracoacromial ligament transfer (Weaver and Dunn technique) and K-wire fixation through...

Bilateral Stress Fracture of the Mid-tibial Shaft in a Professional DancerCase report

L. TOMČOVČÍK, A. TOMČOVČÍKOVÁ

Acta Chir Orthop Traumatol Cech. 2011; 78(2):169-171 | DOI: 10.55095/achot2011/028  

Stress fractures of the anterior cortex of the mid-tibial shaft in dancers are rare, with a 1.4 % incidence in injured elite dancers. Treatment can be difficult and long-lasting and can seriously influence the dancer's career. The authors present the case of a 26-year-old professional dancer of a folk dance ensemble who suffered rare simultaneous bilateral mid-tibial shaft stress fractures. A conservative method of treatment with avoiding exercise and dancing activities resulted in the resolution of symptoms and healing of the fractures after 6 months. The patient finished his dancing career because of the necessity of a prolonged therapy interfering...

Zemřel primář doc. MUDr. Josef Kundrát, CSc.Reports from ČSOT

Karel Foldyna

Acta Chir Orthop Traumatol Cech. 2011; 78(2):172