Colles' Fractures: Functional Treatment in SupinationOriginal papers

A. Sarmiento, L. L. Latta

Acta Chir Orthop Traumatol Cech. 2014; 81(3):197-202 | DOI: 10.55095/achot2014/021  

PURPOUSE OF THE STUDYAbraham Colles classified and described fractures of the distal epiphyseal radius. He recommended the arm should be immobilized in a cast that extends from the base of the fingers to above the elbow, while holding this joint at ninety degrees of flexion the forearm in pronation and the wrist in slight flexion and ulnar deviation. We identified the brachioradialis muscle as the main culprit in the frequently observed loss of reduction of the fracture. Since the brachioradialis is attached to the distal region of the radius and functions as a flexor of the elbow when the forearm is in pronation, its stimulation easily displaces...

Axial Lumbar Interbody Fusion: Prospective Monocentric StudyOriginal papers

J. Štulík, S. Adámek, M. Barna, N. Kaspříková, O. Polanecký, J. Kryl

Acta Chir Orthop Traumatol Cech. 2014; 81(3):203-211 | DOI: 10.55095/achot2014/022  

PURPOSE OF THE STUDYThe aim of this prospective study was to evaluate clinical and radiographic results in the patients who underwent L5-S1 fixation using the technique of percutaneous lumbar interbody fusion (AxiaLIF).MATERIALThe study comprised 23 patients, 11 women and 12 men, who ranged from age of 21 to 63 years, with an average of 48.2 years. In all patients surgical posterior stabilisation involving the L5-S1 segment had previously been done. The initial indications for surgery were L5-S1 spondylolisthesis in 20 and L5-S1 spondylosis and stenosis in three patients.METHODSThe AxiaLIF technique for L5-S1 fixation was indicated...

Fixation of Acetabular Fractures. A Novel Method of Pre-Operative Omega Plate ContouringOriginal papers

S. Taller, J. Šrám, R. Lukáš, L. Endrych, V. Džupa

Acta Chir Orthop Traumatol Cech. 2014; 81(3):212-220 | DOI: 10.55095/achot2014/023  

PURPOSE OF THE STUDYThe aim of the study was to describe a novel Omega plate and the procedure for obtaining an accurate pelvic inlet view, the mode of pre-operative plate contouring, the surgical procedure used and the evaluation of results in the first 15 patients treated using this method.MATERIAL AND METHODSIn the period 2009-2011, a total of 232 patients underwent osteosynthesis for pelvic fractures. Out of them, 52 were treated by the modified Stoppa approach and 12 with the original Omega plate. Between July 2010 and January 2014, a novel 3.5-mm Omega plate was used in 12 men and 3 women. The average duration of follow-up was 8.5...

Is Attention Deficit and Hyperactivity Disorder a Risk Factor for Sustaining Fractures of Proximal Humerus?Original papers

M. Erdoğan, E. E. Desteli, Y. İmren, M. Yüce, İ. Büyükceran, E. Karadeniz

Acta Chir Orthop Traumatol Cech. 2014; 81(3):221-226 | DOI: 10.55095/achot2014/024  

PURPOSE OF THE STUDYTo evaluate whether or not children with displaced proximal humerus fractures are more likely to have attention deficit and hyperactivity disorder (ADHD).PATIENTS AND METHODBetween January 2010 and February 2013, we retrospectively evaluated 42 children with proximal humerus fractures. Requirements for inclusion were an open epiphyseal plate and a non-pathological fracture of the proximal humerus. Fractures were classified according to Salter-Harris, Neer and Horwitz. Following orthopaedic examination, all of the children were consulted to child psychiatry department of our hospital. Orthopaedic examination included...

Tangent Sign - a Reliable Predictor of Risk for Tendon Re-Rupture in Rotator Cuff RepairOriginal papers

P. Šmíd, R. Hart, M. Puskeiler

Acta Chir Orthop Traumatol Cech. 2014; 81(3):227-232 | DOI: 10.55095/achot2014/025  

PURPOSE OF THE STUDYRepair techniques for rotator cuff injury are currently well advanced. However, the risk of re-rupture, particularly when severe damage to the tendons has been repaired, is still high. The causes of failure can be due to the extent of injury, a repair done on a highly degenerated tendon with diminished viability or ischaemic damage to the tendon tissue resulting from suture material. The aim of the study was to ascertain the reliability of the tangent sign, a commonly used indicator of the degree of suprasupinatus muscle atrophy, in the prediction of risk for tendon re-rupture in the post-operative period.MATERIAL AND METHODSIn...

Metal Staples versus Conventional Suture for Wound Closure in Total Knee ArthroplastyOriginal papers

R. Hlubek, P. Walder, J. Káňa, D. Šalounová

Acta Chir Orthop Traumatol Cech. 2014; 81(3):233-237 | DOI: 10.55095/achot2014/026  

PURPOSE OF THE STUDYSurgical incision closure, as well as total joint replacement itself, plays a key role in the overall outcome of an arthroplasty procedure. Uncomplicated wound healing is the essential condition of successful rehabilitation and the patient's return to normal activities. Although there are many innovative suturing techniques which offer advantages, their safety is still being discussed.The aim of this prospective non-blind randomised study was to evaluate wound healing and complications in relation to skin incision closure with either conventional suture or metal staples.MATERIAL AND METHODSA total of 72 patients,...

Distal Tibial Fractures and Pilon FracturesCurrent concepts review

E. J. Huebner, N. Iblher, D.-C. Kubosch, N. P. Suedkamp, P. C. Strohm

Acta Chir Orthop Traumatol Cech. 2014; 81(3):167-176 | DOI: 10.55095/achot2014/019  

Fractures of the distal tibia are often very severe injuries that generally occur in the context of high-energy trauma and present with significant concomitant soft tissue involvement. Open fractures and extensive destruction of the articular surfaces are important challenges to the treating surgeon.In consequence the outcome for distal meta- and epiphyseal tibial fractures depends largely on the severity of the soft tissue injury and its management. Conventionally, tibial pilon fractures require surgical intervention. Conservative treatment would only be considered in some exceptional cases, for example, inoperability of the patient. Controversial...

Fractures of the Calcaneus: Current Treatment StrategiesCurrent concepts review

S. Rammelt, H. Zwipp

Acta Chir Orthop Traumatol Cech. 2014; 81(3):177-196 | DOI: 10.55095/achot2014/020  

Displaced, intra-articular fractures of the calcaneus represent a surgical challenge and the ideal choice of treatment remains a subject of continued debate. Open reduction and stable internal fixation without joint transfixation has been established as the standard treatment for most of these fractures with good to excellent results in more than two thirds of patients in larger clinical series. The extended lateral approach respects the neurovascular supply to the heel and allows a good exposition of the fractured lateral wall, the subtalar and calcaneocuboid joints, but wound healing problems cannot be completely avoided despite meticulous soft tissue...

Middle-Third Clavicle Fracture with Ipsilateral Acromioclavicular DislocationCase report

P. ŠEBESTA, J. HACH, Z. TLUSTÝ ST.

Acta Chir Orthop Traumatol Cech. 2014; 81(3):238-240 | DOI: 10.55095/achot2014/027  

A rare case of a middle-third clavicle fracture concurrent with ipsilateral acromioclavicular dislocation in a 46-year-old women who had fallen off her bicycle is presented. The clavicular fracture was managed by locking plate osteosynthesis. The acromioclavicular joint was stabilised by traction osteorrhaphy that was removed at 7 weeks after the procedure. Both the radiographic and clinical outcomes were very good. The epidemiology, aetiology, diagnosis and therapy of this injury are discussed.

Zápis ze zasedání výboru ČSOT konaného dne 11. 2. 2014 v Parkhotelu Průhonice, restaurace TaroucaReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2014; 81(3):241  

Zápis ze zasedání výboru ČSOT konaného dne 15. 5. 2014 v salonku restaurace Bohemia TOP hotelu PrahaReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2014; 81(3):242  

Zápis ze společné schůze výboru ČSOT a primářů ortopedických pracovišť konané dne 15. 5. 2014 v TOP HOTELU Praha v restauraci BohemiaReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2014; 81(3):243  

Zápis z členské schůze ČSOT konané dne 15. 5. 2014 v TOP hotelu PrahaReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2014; 81(3):243  

Prof. MUDr. Zdeněk Matějovský, DrSc., zemřel dne 12. dubna 2014Reports from ČSOT

Acta Chir Orthop Traumatol Cech. 2014; 81(3):244