The Risk of Neurovascular Injury in Minimally Invasive Plate Osteosynthesis (MIPO) when Using a Distal Tibia Anterolateral Plate: A Cadaver StudyOriginal papers

S. Lidder, S. Masterson, C. Grechenig, H. Clement, A. Gänsslen, S. Grechenig

Acta Chir Orthop Traumatol Cech. 2014; 81(5):313-316 | DOI: 10.55095/achot2014/042  

PURPOSE OF THE STUDYPercutaneous plating of the distal tibia via a limited incision is an accepted technique of osteosynthesis for extra-articular and simple intra-articular distal tibia fractures. The aim of this study was to analyze structures that are at risk during this approach.Material and MethodsThirteen unpaired adult lower limbs were used for this study. Thirteen, 15-hole LCP anterolateral distal tibial plates were percutaneously inserted according to the recommended technique. Dissection was performed to examine the relation of the superficial and deep peroneal nerves and anterior tibial artery relative to the plate.RESULTSThe...

Correction of Kyphotic Deformity of the Cervical Spine in Ankylosing Spondylitis Using Pedicle Subtraction Osteotomy of the Seventh Cervical VertebraOriginal papers

P. Vaněk, M. Votavová, S. Ostrý, V. Beneš, K. Pavelka

Acta Chir Orthop Traumatol Cech. 2014; 81(5):317-322 | DOI: 10.55095/achot2014/043  

PURPOSE OF THE STUDYThe aim of the study is to present the technique of pedicle subtraction osteotomy (PSO) of the seventh cervical vertebra (C7) for correction of rigid kyphotic deformity of the cervicothoracic junction (C/Th) in patients with severe ankylosing spondylitis (AS).MATERIAL AND METHODSThe PSO technique for correction of rigid deformity of the C/Th spine was used in five patients with the aim to restore their ability of horizontal vision. The follow-up in all patients lasted two years at least. Clinical assessment of treatment results was based on the patients' neurological status and their satisfaction with the correction...

Surgery for Degenerative Spondylolisthesis of the Lumbar Spine Using Intra-Articular Fusion. A Prospective StudyOriginal papers

L. Hrabálek, T. Wanek, M. Adamus, E. Čecháková, S. Buřval, K. Langová, M. Vaverka

Acta Chir Orthop Traumatol Cech. 2014; 81(5):323-327 | DOI: 10.55095/achot2014/044  

PURPOSE OF THE STUDYThe aim of the study is to present our surgical method of treating degenerative spondylolisthesis, which includes radical bilateral laminectomy to relieve compression on the spinal cord, transpedicular fixation of the segment and arthrodesis by bilateral intra-articular fusion.MATERIAL AND METHODSThis surgery was indicated in patients with grade I or grade II of degenerative sponylolisthesis with a 4-mm or more slippage. Our prospectively studied group consisted of 46 patients (17 men, 29 women; average age, 64.2 years; range, 39-84 years). Before surgery and at 1 year after the procedure, the intensity of axial pain...

Femoroacetabular Impingement Syndrome: First Experience with Surgical TreatmentOriginal papers

P. Chládek, M. Musálek, P. Zahradník

Acta Chir Orthop Traumatol Cech. 2014; 81(5):328-334 | DOI: 10.55095/achot2014/045  

PURPOSE OF THE STUDYFemoroacetabular impingement syndrome (FAI) represents a mechanical conflict between acetabulum and proximal part of the femur. This disorder may gradually result in the development of the hip osteoarthritis. FAI may be caused by an acetabular retroversion, rarely by coxa profunda or by asphericity of the femoral head and missing femoral head-neck offset respectively. However, a combination of both conditions is the most frequent.Before FAI treatment was adopted as a standard technique for hip preservation at our department, detailed cadaver studies of the vascular anatomy of the hip were performed and the relevant literature...

Shape-Memory Osteosynthesis for Trapeziometacarpal Joint ArthrodesisOriginal papers

J. Pech, D. Veigl, R. Hromádka, J. Dobiáš, T. Zatrapa

Acta Chir Orthop Traumatol Cech. 2014; 81(5):335-339 | DOI: 10.55095/achot2014/046  

PURPOSE OF THE STUDYArthrodesis of the trapeziometacarpal joint is the method of choice in the treatment of degenerative arthritis of this joint. This procedure was indicated most frequently in middle-age patients doing hard manual labor. Methods for achieving a solid fusion of the trapeziometacarpal joint are known and often reported in the literature. Frequently, they are associated with some failure rate, particularly as concerns bone union. Our study presents a simple and effective method verified in cadaver specimens and then currently used at our department.MATERIAL AND METHODSThe procedure for arthrodesis of the trapeziometacarpal...

Is Platelet-Rich Plasma Injection an Effective Choice in Cases of Non-Union?Original papers

F. Say, E. Türkeli, M. Bülbül

Acta Chir Orthop Traumatol Cech. 2014; 81(5):340-345 | DOI: 10.55095/achot2014/047  

PURPOSE OF THE STUDYBy the expression of several growth factors from activated thrombocytes, the application of Platelet Rich Plasma (PRP) stimulates angiogenesis and regeneration thus stimulating recovery through cell differentiation. This study aimed to evaluate the effects of PRP injection on patients who had undergone surgery for fracture and in whom delayed union or non-union had been determined.MATERIAL AND METHODSThe study comprised 20 patients (male 17, female 3; median age 33.5 range 15-77) who had undergone lower extremity fracture surgery and were diagnosed with aseptic delayed union (8 patients) or non-union (12 patients). Blood...

Patellar Fractures - a Review of Classification, Genesis and Evaluation of TreatmentCurrent concepts review

M. V. Neumann, P. Niemeyer, N. P. Südkamp, P. C. Strohm

Acta Chir Orthop Traumatol Cech. 2014; 81(5):303-312 | DOI: 10.55095/achot2014/041  

The patellar bone is involved in repetitive, load bearing motion sequences every day and functions as a vectorial force translator. A fracture rate of 1% of all skeletal fractures is reported and surgical treatment often required. Beside a direct trauma mechanism, indirect mechanism but as well as fatigue fractures after reconstructive knee surgery are published.The fracture management is dependent on the soft tissue condition and a variety of surgical options are known. New generation of low profile plates show promising results but the conventional cerclage wiring technique with K-wires is widely preferred. Best functional results with sustainable...

Zápis ze zasedání výboru ČSOT konaného dne 9. 9. 2014 v Parkhotelu Průhonice, restaurace TaroucaReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2014; 81(5):346