Orthopaedics in St. Gallen 1960 - 1967 under Maurice E. Müller
Seven years that changed the worldEditorial

ALFRED M. DEBRUNNER

Acta Chir Orthop Traumatol Cech. 2011; 78(4):281-287  

Comparison of Functional Outcomes in Angle-Stable Osteosynthesis of Comminuted Fractures of the Proximal Humerus with Those in Percutaneous Kirschner-Wire Fixation. A Prospective Study of Mid-Term ResultsOriginal papers

K. EDELMANN, P. OBRUBA, L. KOPP, J. CIHLÁŘ, A. M. ČELKO

Acta Chir Orthop Traumatol Cech. 2011; 78(4):314-320 | DOI: 10.55095/achot2011/048  

PURPOSE OF THE STUDYTo evaluate the mid-term results in a group of patients with displaced comminuted (three- and four-fragment) fractures of the proximal humerus treated by angle-stable plate osteosynthesis and compare them with the results in the patients in whom the method of percutaneous Kirschner-wire (K-wire) fixation was used.MATERIAL AND METHODSThe group treated with angle-stable implants (ASI group) consisted of 55 patients, 13 men and 42 women. A Targon Ph nail was used in 32 and a Philos plate in 23 patients. These patients were compared with a group of nine patients, one man and eight women, treated by percutaneous K-wire fixation...

Surgical Treatment for Proximal Humerus FractureOriginal papers

K. ŠMEJKAL, P. LOCHMAN, T. DĚDEK, J. TRLICA, J. KOČÍ, I. ŽVÁK

Acta Chir Orthop Traumatol Cech. 2011; 78(4):321-327 | DOI: 10.55095/achot2011/049  

PURPOSE OF THE STUDYThe aim of the study was to compare the medical aspects of alternative surgical methods for treatment of proximal humerus fractures in specific indications (two- and three- fragment fractures).MATERIAL AND METHODSA prospective randomised study on surgical treatment of two- and three-fragment fractures of the proximal humerus was carried out at the Department of Surgery, University Hospital in Hradec Králové, from January 2006 till January 2010. The study comprised patients with proximal humerus fractures indicated for surgical treatment.Study inclusion criteria were as follows: informed consent, AO fracture types...

Mathematical Simulation of Biomechanical Background of Osteophyte Formation in Cervical VertebraOriginal papers

P. BARSA, J. NOVÁK, T. SOUČEK, F. MARŠÍK, P. SUCHOMEL

Acta Chir Orthop Traumatol Cech. 2011; 78(4):328-333 | DOI: 10.55095/achot2011/050  

PURPOSE OF THE STUDYThe aim of this study was to simulate different types of cervical vertebra loading and to find out whether mechanical stress would concentrate in regions known in clinical practice as predilection sites for osteophyte formation. The objective was to develop a theoretical model that would elucidate clinical observations concerning the predilection site of bone remodelling in view of the physiological changes inside the cervical vertebral body.MATERIAL AND METHODSA real 3D-geometry of the fourth cervical vertebra had been made by the commercially available system ATOS II. This is a high-resolution measuring system using...

A Comparative Analysis of Socon CS and Socon Pedicle Screws in View of their Use for Treatment of Osteoporotic Fractures of the Thoracolumbal Spine. A Biomechanical StudyOriginal papers

I. JANŮ, J. KOČIŠ, T. NÁVRAT, Z. FLORIAN, P. WENDSCHE

Acta Chir Orthop Traumatol Cech. 2011; 78(4):334-338 | DOI: 10.55095/achot2011/051  

PURPOSE OF THE STUDYTo compare the anchorage strength of Socon CS cannulated pedicle screws (B. Braun, Aesculap) with that of Socon screws in human cadaver vertebrae, using pull-out strength testing.MATERIALTwelve samples involving T12 to L3 vertebrae were prepared and a total of 20 pedicle screws, 10 Socon CS and 10 Socon screws, were inserted in them. All screws were 55 mm in length and 6 mm in diameter. After placement, Socon CS pedicle screws were augmented with bone cement (Cimplant cement application kit, B. Braun, Aesculap).METHODSBoth Socon CS and Socon screws were subjected to monotonous loading in the testing device ZWICK...

Injection of Anaesthetic-Corticosteroid to Relieve Sacroiliac Joint Pain after Lumbar StabilisationOriginal papers

R. HART, P. WENDSCHE, J. KOČIŠ, M. KOMZÁK, F. OKÁL, J. KREJZLA

Acta Chir Orthop Traumatol Cech. 2011; 78(4):339-342 | DOI: 10.55095/achot2011/052  

PURPOSE OF THE STUDYBoth the range of motion and load transfer of the sacroiliac (SI) joint improve considerably after lumbar spine surgery. When, following surgery, SI joint pain develops in spite of appropriate physical therapy, injection of an anaesthetic with added corticosteroid into the SI joint is a first choice treatment. The aim of this presentation is to provide information on our experience with this therapy.MATERIAL AND METHODSThirty-four patients after lumbar spine fusion reported lumbalgia different form pain before surgery. In 14 (41%) of them, pain in one of the SI joints was diagnosed as the cause. This group included 12...

Arthroscopic Technique Using Crossed K-wires for Avulsion Fractures of Intercondylar Eminence in ChildrenOriginal papers

V. HAVLAS, J. KAUTZNER, T. TRČ, A. KAPLAN

Acta Chir Orthop Traumatol Cech. 2011; 78(4):343-347 | DOI: 10.55095/achot2011/053  

PURPOSE OF THE STUDYAvulsion fractures of the intercondylar eminence (ICE) of the tibia have become increasingly frequent in older school age. Due to recent advances in arthroscopic techniques, it is now possible to treat them by minimally invasive methods. This retrospective study presents evaluation of clinical outcomes of an arthroscopic technique using crossed K-wires.MATERIALThirty-five patients with ICE avulsion fracture, 17 girls and 18 boys at an average age of 13 years (7-18), were included in this study. All were indicated for surgical treatment on the basis of radiographic evidence of McKeever type II and III fractures.METHODSThe...

Patella Alta in Cerebral Palsy PatientsOriginal papers

A. SCHEJBALOVÁ, T. TRČ, V. HAVLAS

Acta Chir Orthop Traumatol Cech. 2011; 78(4):348-354 | DOI: 10.55095/achot2011/054  

PURPOSE OF THE STUDYThe absence of active knee extension in cerebral palsy patients is often due to elevation of the patellar ligament causing the patella to run outside the intercondylar groove. Distal patellar realignment can be achieved by either patellar ligament shortening or transposition of the patellar ligament distally.MATERIALIn the 1992-2008 period we indicated 95 knees for the distal realignment procedure involving a bone block in children 12 to 18 years old, and 46 knees in children aged between 8 and 16 years for shortening of the patellar ligament using the method of rafage in the early period, and modified plication from...

Surgical Therapy of Primary Hyperparathyrodism in the Context of Orthopaedic Diagnosis and Treatment: Our Experiences in 441 PatientsOriginal papers

S. ADÁMEK, P. LIBÁNSKÝ, R. LISCHKE, R. FOLTÁN, J. KUBINYI, P. BROULÍK

Acta Chir Orthop Traumatol Cech. 2011; 78(4):355-360 | DOI: 10.55095/achot2011/055  

PURPOSE OF THE STUDYPrimary hyperparathyroidism is an endocrine disorder affecting calcium and phosphate metabolism. It is surgically treated by removing hyperfunctional parathyroid tissue. The aim of the study was to show, based on surgical results, that the introduction of serum calcium screening in orthopaedic therapy is effective. The detection of hypercalcemia and diagnosis of primary hyperparathyroidism allow for a good timing of endocrine surgery in relation to an orthopaedic procedure.MATERIAL AND METHODSThis retrospective study included 441 patients in the age range of 18 to 83 years who underwent parathyroidectomy between 2004...

Resection and Reconstruction of the Chest Wall for Primary or Metastatic TumoursOriginal papers

V. JEDLIČKA, P. VLČEK, J. VESELÝ, L. VEVERKOVÁ, I. ČAPOV, P. JANÍČEK

Acta Chir Orthop Traumatol Cech. 2011; 78(4):361-366 | DOI: 10.55095/achot2011/056  

PURPOSE OF THE STUDYThe aim of the study was to assess mortality and the complication rate after the extensive resection of chest wall tumour and subsequent soft tissue reconstruction. We wanted to evaluate the justification for major surgery in the group of patients with primary or secondary tumours, including those with an advanced stage of disease.MATERIALS AND METHODSA total of 35 patients after major chest wall resection within an eight-year period (2000-2008) were analysed retrospectively. A major resection was defined as resection of 75 cm2 or more of full thickness of the chest wall. There were 19 cases of primary malignant tumour...

Biomechanical Parameters and Clinical Outcomes of the Oxford Phase III Unicompartmental Knee ReplacementOriginal papers

P. KUBÁT, Z. PTÁČEK

Acta Chir Orthop Traumatol Cech. 2011; 78(4):367-372 | DOI: 10.55095/achot2011/057  

PURPOSE OF THE STUDYThe kinematics of an intact knee joint and that of a knee replacement have been studied in many research centres. In the 1987 radiographic study, Bradley, Goodfellow and O'Connor reported the movement of a polyethylene insert in patients with unicompartmental Oxford knee replacement. Views with the knee at full extension and 90° of flexion were obtained and the movement of the meniscal bearings over this range of flexion was measured. The bearings were found to move backwards on the tibia through an average distance of 4.4 mm in all 16 patients. This measurement was in agreement with the then valid concept of knee biomechanics...

Clavicle Fractures - Is there a Standard Treatment?Current concepts review

E. J. HÜBNER, O. HAUSSCHILD, N. P. SÜDKAMP, P. C. STROHM

Acta Chir Orthop Traumatol Cech. 2011; 78(4):288-296 | DOI: 10.55095/achot2011/045  

Clavicle fractures, especially of the mid third, are an injury commonly seen in clinical practice, therefore, there is constant earnest discussion of the optimal approach to therapy.Until recently clavicle fractures were solely the domain of non surgical management. Even displaced fractures have been successfully managed without surgery. However, complications have been reported after non surgical treatment, the most frequent being post-traumatic shortening of the clavicle with varying functional consequences for the shoulder joint and range of arm motion as well as pseudarthrosis, especially after more severely displaced fractures.Recent studies...

Fractures of the ScapulaCurrent concepts review

N. P. SÜDKAMP, N. JAEGER, L. BORNEBUSCH, D. MAIER, K. IZADPANAH

Acta Chir Orthop Traumatol Cech. 2011; 78(4):297-304 | DOI: 10.55095/achot2011/046  

The scapula connects the arm with the chest wall and is therefore of great importance for a free range of shoulder of motion. For a long-term scapular fractures had been treated predominantly conservative. However, clinical studies of the past decades revealed that some fracture patterns deserve operative treatment to prevent unfavorable functional outcome and chronic state of pain.Scapular fractures are predominantly acquired during highy-energy trauma and these patients' presents with a mean of 3.9 associated injuries in the emergency department. Injuries to the head, chest and ipsilateral upper extremity are most common. As some of these injuries...

Current Role of Methylprednisolone in the Treatment of Acute Spinal Cord InjuryCurrent concepts review

R. LUKÁŠ, I. ZÝKOVÁ, P. BARSA, J. ŠRÁM

Acta Chir Orthop Traumatol Cech. 2011; 78(4):305-313 | DOI: 10.55095/achot2011/047  

High doses of methylprednisolone (MPSS) came into use as part of a therapeutic protocol for acute spinal cord injuries following the published results from the NASCIS II study in 1992; they soon became a standard of care around the world. However, the results of this study have been critically reviewed and questioned by many authors since the beginning. The major argument is based on the fact that its effectiveness in reducing post-injury neurological damage has not been conclusively proved; in addition, there has been increasing evidence of serious side effects of steroids administered at high doses.In the Czech Republic, as part of pre-hospital...

Aseptic Necrosis of the Capitulum of the Humerus (Panner's Disease) Treated by Solid Chondrograft ImplantationCase report

P. VALIŠ, J. KOMÁREK

Acta Chir Orthop Traumatol Cech. 2011; 78(4):373-376 | DOI: 10.55095/achot2011/058  

The authors present the case of aseptic necrosis of the humeral capitulum in a top female gymnast. She was referred to our department with the diagnosis of aseptic necrosis already made and after repeated arthroscopic treatment of the elbow including removal of a loose body in another institution. Exercise-related pain and swelling of the elbow became permanent and did not allow her to pursue her sports activities. After thorough examination, the treatment by implantation of autologous cultured chondrocytes, as a solid chondrograft, was chosen. At the first stage of arthroscopic surgery, a loose body was removed and a sample of healthy cartilage from...

Udělení akreditace doktorskému studijnímu programu Ortopedie a Orthopaedics na LF v Plzni UK v PrazeReports from ČSOT

Karel Koudela

Acta Chir Orthop Traumatol Cech. 2011; 78(4):377