Oblong Acetabular Cup, Type TC, for Revision Total Hip ArthroplastyOriginal papers

T. TRČ, E. ŠŤASTNÝ

Acta Chir Orthop Traumatol Cech. 2012; 79(6):506-511 | DOI: 10.55095/achot2012/073  

PURPOSE OF THE STUDYRevision total hip arthroplasty is a demanding surgical procedure. It involves a massive loss of acetabular bone stock associated with primary implant removal, and a complicated revision cup fixation in the highly damaged surrounding bone. The authors describe the use of a novel oblong acetabular cup, type TC (Trč-Cingr), for replacement of a loose acetabular component. The aim of the study is to present this novel implant with evaluation of the first clinical results and to report on the authors' experience with revision arthroplasty assessed at 24 to 62 months of follow-up.MATERIALThe TC cup was used in revision total...

ProDisc-C Total Disc Replacement. A Four-Year Prospective Monocentric StudyOriginal papers

M. BARNA, J. ŠTULÍK, J. KRYL, T. VYSKOČIL, P. NESNÍDAL

Acta Chir Orthop Traumatol Cech. 2012; 79(6):512-519 | DOI: 10.55095/achot2012/074  

PURPOSE OF THE STUDYTo present the results of an independent prospective monocentric study of patients with ProDisc-C Total Disc Replacement (CTDR) followed up for 4 years, and to analyse the most frequent late complications, in particular heterotopic ossification.MATERIALIn the period from October 2004 to May 2006, a total of 61 patients underwent ProDisc-C CTDR involving one or two segments at the Department of Spinal Surgery, University Hospital in Motol. This study included 39 patients who were followed up for at least 4 years. With the exception of one patient operated on two segments, the patients were treated by ProDisc-C CTDR at...

Maïa Trapeziometacarpal Implant for Treatment of Advanced Osteoarthritis of the Basal Joint of the ThumbOriginal papers

P. KUBÁT, L. TRTÍK

Acta Chir Orthop Traumatol Cech. 2012; 79(6):520-523 | DOI: 10.55095/achot2012/075  

PURPOSE OF THE STUDYOsteoarthritis of the thumb's basal joint is a frequent and, in some cases, very painful condition that usually affects middle-aged and elderly women. Several surgical procedures have been proposed for severe carpometacarpal (CMC) joint arthritis; of these, joint replacement has proved to be an effective approach to its treatment. The aim of this study is to present the outcomes of the total non-cemented trapeziometacarpal implant Maïa in the treatment of more advanced stages of this disease.MATERIAL AND METHODSThirty-six total trapeziometacarpal joint replacements in 34 patients treated in 2008 for advanced CMC...

Results of the Ponseti Treatment Evaluated at Four to Six Years after it StartedOriginal papers

J. POUL

Acta Chir Orthop Traumatol Cech. 2012; 79(6):524-528 | DOI: 10.55095/achot2012/076  

PURPOSE OF THE STUDYTo assess outcomes of the Ponseti method for treatment of talipes equinovarus in relation to patient age at its start.MATERIAL AND METHODSIn the 2006-2010 period, 115 children (163 feet) with talipes equinovarus were treated using the principles of Ponseti. The right foot was affected in 44, the left foot in 23, and the bilateral form was treated in 48 patients. In order to obtain results for at least 3 years of follow-up, we included the patients treated by the Ponseti method between 2006 and 2008, in whom 83 affected feet were analysed (23 isolated right feet, 14 left feet, 23 bilateral forms). According to the Dimeglio...

AO type 13-C Distal Humerus Fractures. Results of Surgical TreatmentOriginal papers

K. HOLUB, M. KLOUB, P. KOPAČKA

Acta Chir Orthop Traumatol Cech. 2012; 79(6):529-534 | DOI: 10.55095/achot2012/077  

PURPOSE OF THE STUDYThe aim of this retrospective study was to evaluate the results of surgical treatment in 41 fractures of the distal humerus classified as type C according to the AO system using conventional versus angle-stable locking plates.MATERIALFifty-one patients were treated by the open reduction and internal fixation method at our department between 2005 and 2008. The group included 28 women and 23 men with an average age of 52.5 years. Forty-one patients came to the final treatment evaluation. The average follow-up was 19 months. Of the 41 injuries, 34% were open fractures.METHODSAll patients were operated on from the...

Comparison of the RTS and ISS Scores on Prediction of Survival Chances in Multiple Trauma PatientsOriginal papers

G. AKHAVAN AKBARI, A. MOHAMMADIAN

Acta Chir Orthop Traumatol Cech. 2012; 79(6):535-539 | DOI: 10.55095/achot2012/078  

PURPOSE OF THE STUDYTrauma represents the third cause of death after cardio vascular disease and tumors. Also in Iran, road accidents are one of the leading causes of death. Rapid evaluation of trauma severity and prediction of prognosis and mortality rate and probability of survival and rapid treatment of patients is necessary. One of the useful instruments for this is ISS and RTS scoring systems. This study evaluated 70 multi trauma patients in Fatemi trauma center affiliated to Ardabil University of medical science.MATERIALS AND METHODSThis study was prospective study populations were 70 trauma patients admitted in Fatemi trauma center....

Current Concepts Review: Ankle FracturesCurrent concepts review

M. H. ARASTU, R. DEMCOE, R. E. BUCKLEY

Acta Chir Orthop Traumatol Cech. 2012; 79(6):473-483 | DOI: 10.55095/achot2012/069  

Ankle fractures are common injuries that require meticulous technique in order to optimise outcome. The Lauge-Hansen and Danis-Weber classifications in addition to careful evaluation of the injury mechanism can help guide treatment but surgeons must be aware that there are injury patterns that will not always fit the afore mentioned patterns. The principles of atraumatic soft tissue handling, rigid internal fixation and early range of motion exercises are critical for successfully treating these injuries. There are still areas of treatment uncertainty and future directed research is needed in order to address some of these questions.

Arthroplasty for Intracapsular Fractures of the Femoral Neck. Current Concept ReviewCurrent concepts review

J. SKÁLA-ROSENBAUM, O. ČECH, V. DŽUPA

Acta Chir Orthop Traumatol Cech. 2012; 79(6):484-492 | DOI: 10.55095/achot2012/070  

The authors discuss arguments concerning indications and selection of implants and operative techniques for arthroplasty in the treatment of femoral neck fractures. Their analysis is based on long-term experience with surgical treatment of patients with hip fractures and on the evaluation of a large number of publications by well-known specialists. The assessed group included 4795 patients treated at their institution between 1997 and 2010, of whom 1532 underwent hip replacement, with 1032 receiving hemiarthroplasty (HA) and 500 having total hip replacement (THR) indicated for femoral neck fractures.A painful hemiarthroplasty due to acetabular...

Pelvic Ring Injuries in Children. Part I: Epidemiology and Primary Evaluation. A Review of the LiteratureCurrent concepts review

A. GÄNSSLEN, F. HILDEBRAND, N. HEIDARI, A. M. WEINBERG

Acta Chir Orthop Traumatol Cech. 2012; 79(6):493-498 | DOI: 10.55095/achot2012/071  

Pediatric pelvic injury is of major significance despite these injuries in children are rare with a suspected yearly rate of 3% of all pelvic injuries.The special pediatric bone anatomy of the pelvis is responsible for different fracture patterns, and overall, a bony or joint injury of the pelvis is an indicator of a severe trauma.The vast majority of pediatric pelvic fractures is the result of a high-energy trauma, especially after strucking by a car or injured as motor vehicle passengers. Additional injuries are common, but additional head injury is only present in 1/3 of patients. An adequate structured primary diagnosis must therefore be...

Tibial Shaft Fractures - Management and Treatment Options. A Review of the Current LiteratureCurrent concepts review

G. BODE, P. C. STROHM, N. P. SÜDKAMP, T. O. HAMMER

Acta Chir Orthop Traumatol Cech. 2012; 79(6):499-505 | DOI: 10.55095/achot2012/072  

Treatment of tibial shaft fractures is still discussed controversial. In the present study current literature was reviewed with the objective to demonstrate current recommendations concerning tibial shaft fractures.Tibial shaft fractures are often caused by high-energy trauma with severe concomitant soft-tissue injuries. Solid bone union without hypertrophy, fast mobilization and full range of motion without further soft-tissue damages are the aims of the therapy. Non-displaced tibial shaft fractures in patients with good compliance can be treated conservatively. Deep venous thrombosis, compartment syndrome, soft tissue injury and chronic regional...

Bilateral L3 Spondylolysis. A Case Report and an Overview of Spondylolytic Defect Repair TechniquesCase report

J. ŠRÁMEK, R. BERTAGNOLI, Z. ČEJKA

Acta Chir Orthop Traumatol Cech. 2012; 79(6):549-551 | DOI: 10.55095/achot2012/080  

The direct fusion methods for repair of spondylolytic defects of the lumbar spine have recently been replaced by transpedicular screw fixation of the affected segment, in combination with PLIF, TLIF or ALIF procedures. However, in clearly indicated cases, such as a younger patient with no intervertebral disc degeneration and only minimal or no displacement of the vertebra, the direct repair techniques have a great advantage over transpedicular fixation because they preserve segmental motion.The paper reports on a patient with spondylolysis at L3 who underwent surgery combining the Tokuhashi and Matsuzaki and the Gillet and Petit techniques, which...

Are Malleolar Fractures Easy to Treat?In-service-training

P. WENDSCHE, P. DRÁČ

Acta Chir Orthop Traumatol Cech. 2012; 79(6):540-548 | DOI: 10.55095/achot2012/079  

Malleolar fractures rank among the most frequent skeletal injuries. The majority of orthopaedic and trauma surgeons incline to surgical therapy with anatomical reposition and retention going for absolute stability. Recommended surgical techniques with screws, plates or tension-band wiring usually presents no problems for surgeons. Unsatisfactory postoperative radiological results, however, are often tolerated because revision surgery may not always have expected results.Difficulties in decision-making for right treatment are (a) the classification and right interpretation of the fracture type, (b) the question of stability and right treatment of...

Prof. MUDr. ARNOLD PAVLÍK (17. 3.1902 - 10. 2.1962)Reports from ČSOT

Acta Chir Orthop Traumatol Cech. 2012; 79(6):552