Impact Is Back - 0.415. Is It Good Enough or Not?Editorial

Martin Krbec

Acta Chir Orthop Traumatol Cech. 2014; 81(4):255  

Determining the Risk of Falling in Elderly Patients Undergoing Hip Fracture SurgeryOriginal papers

E. Seyhan, I. Cavdar

Acta Chir Orthop Traumatol Cech. 2014; 81(4):272-275 | DOI: 10.55095/achot2014/036  

PURPOSE OF THE STUDYThis study examines the risk of falling in elderly patients who underwent hip fracture surgery in the orthopaedic clinic during the postoperative period.MATERIALS AND METHODSThis study was a cross-sectional study. The study sample consisted of 71 elderly patients aged more than 65 years undergoing hip fracture surgery. A questionnaire, the Tinetti balance test and the mini-mental state examination (MMSE) were used.RESULTSThe analyses included 71 elderly patients with a mean age of 78.45 years. All patients had been hospitalized for hip fracture due to falling, and 29.6% had a history of falling in the one year...

The Effect of Central Anatomical Single-Bundle versus Anatomical Double-Bundle Reconstruction of the Anterior Cruciate Ligament on Knee Stability. A Clinical StudyOriginal papers

M. Komzák, R. Hart, P. Šmíd, M. Puskeiler

Acta Chir Orthop Traumatol Cech. 2014; 81(4):276-280 | DOI: 10.55095/achot2014/037  

PURPOSE OF THE STUDYA comparison of the efficacy of central anatomical single-bundle (CASB) reconstruction with that of double-bundle (DB) repair of the anterior cruciate ligament (ACL) in relation to knee stability in anteroposterior translation (APT), internal rotation (IR) and external rotation (ER) of the joint.MATERIAL AND METHODSA total of 40 patients were evaluated; 20 had ACL reconstruction by the CASB technique using hamstrings and 20 underwent DB repair surgery. The average age was 31.3 years, and the group included 22 men and 18 women with 19 right and 21 left knees. The KT-1000 test was used to assess the amount of APT in the...

The Angular Profile of a Cage Has no Influence on Segmental Alignment after Anterior Cervical Stand-Alone Interbody FusionOriginal papers

P. Barsa, S. Elgawhary, J. Hradil, M. Šercl, P. Suchomel

Acta Chir Orthop Traumatol Cech. 2014; 81(4):281-287 | DOI: 10.55095/achot2014/038  

PURPOSE OF THE STUDYThe original aim of this prospective semi-randomised study was to determine associations between segmental sagittal alignment after Anterior Cervical Discectomy and Fusion (ACDF) and subjective and clinical results. Two types of cages, cage P with parallel end-plates and cage A with 5-degree angulations, were used in the patients treated for degenerative conditions.MATERIAL AND METHODSA total of 94 consecutive patients, 56 treated by single-level ACDF and 38 undergoing a two-level procedure, completed 8 years of follow-up. The patients in equally-sized A and P subgroups were examined at 6 weeks and 1, 2 and 8 years after...

Surgical Treatment of Ischial Apophysis Avulsion. Case ReportOriginal papers

M. Frank, T. Dědek

Acta Chir Orthop Traumatol Cech. 2014; 81(4):292-294 | DOI: 10.55095/achot2014/040  

The optimal management of ischial apophysis avulsion, especially indications for surgery, is not well defined. The authors present the case of a 16-year-old man who sustained an avulsion fracture of the ischial apophysis during his athlete training programme. The avulsion was diagnosed by X-ray. Because of displacement, surgery was indicated and open reduction with osteosynthesis was performed using a subgluteal approach on the eighth day after injury. Full weight bearing was allowed at nine weeks after injury, after the post-operative rehabilitation programme had been completed. Return to his sports activity was allowed at four months after injury....

Tears of the Rotator Cuff. Causes - Diagnosis - TreatmentCurrent concepts review

S. J. Herrmann, K. Izadpanah, N. P. Südkamp, P. C. Strohm

Acta Chir Orthop Traumatol Cech. 2014; 81(4):256-266 | DOI: 10.55095/achot2014/034  

Rotator cuff ruptures are the most common degenerative tendon injury and occur mainly in older patients as multifactorial disorders manifesting the main symptoms of pain and restricted range of motion. Thorough clinical examination of the shoulder includes testing the function of the rotator cuff and leads to a tentative clinical diagnosis that is the prerequisite for diagnostic imaging procedures. Sonography of the shoulder gives rapid access to a very good sensitive overview of the rotator cuff. Conventional radiological imaging permits differential diagnosis since a reduced acromiohumeral interval is understood as a direct sign of rotator cuff rupture....

Biomechanical and Biological Aspects of Defect Treatment in Fractures Using Helical PlatesCurrent concepts review

S. M. Perren, P. Regazzoni, A. A. D. Fernandez

Acta Chir Orthop Traumatol Cech. 2014; 81(4):267-271 | DOI: 10.55095/achot2014/035  

Epithelioid Osteosarcoma of the ScapulaCase report

G. W. Herget, C. Otto, P. Kurz, M. Uhl, C.-P. Adler, N. P. Südkamp, O. Hauschild

Acta Chir Orthop Traumatol Cech. 2014; 81(4):288-291 | DOI: 10.55095/achot2014/039  

Epithelioid and epithelial neoplasms of bone are rare. They include different epithelioid variants of vascular lesions, osteoblastoma, chondroblastoma and most importantly metastatic carcinoma. Up to now, only few cases of epithelioid osteosarcoma were described.In this case the authors report a 53-year-old patient presented with a medical history of chronic shoulder pain for 3 years. Magnetic resonance imaging (MRI and computed tomography (CT) showed a destructive, partially calcified osseous lesion of the scapula with expansion into the surrounding soft tissue, suggestive of a primary bone tumor. Histologically, the tumor consisted of epithelioid...