Total En Bloc Spondylectomy of C3: A New Surgical Technique and Literature ReviewOriginal papers

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

Acta Chir Orthop Traumatol Cech. 2015; 82(4):261-267 | DOI: 10.55095/achot2015/040  

PURPOSE OF THE STUDYRadical resection of a vertebra is reserved only for specific tumors that invade the surrounding tissues and recur when not removed completely. The vertebra may be removed using a piecemeal technique or en bloc, using only two (in thoracolumbar spine) or more osteotomies (in cervical spine). We present our technique of en bloc resection of subaxial cervical vertebra for Ewing's sarcoma of C3, with preservation of all nerve roots and both vertebral arteries. To our knowledge, this surgical technique has not been reported in the English literature. The aim of this study is to describe the new technique of radical resection...

Delayed Fracture Healing in Diabetics with Distal Radius FracturesOriginal papers

S. PSCHERER, G. H. SANDMANN, S. EHNERT, A. K. NUSSLER, U. STÖCKLE, T. FREUDE

Acta Chir Orthop Traumatol Cech. 2015; 82(4):268-273 | DOI: 10.55095/achot2015/041  

PURPOSE OF THE STUDYDiabetics may have an increased fracture risk, depending on disease duration, quality of metabolic adjustment and extent of comorbidities, and on an increased tendency to fall. The aim of this retrospective one-centre study consisted in detecting differences in fracture healing between patients with and without diabetes mellitus. Data of patients with the most common fracture among older patients were analyzed.MATERIAL AND METHODSClassification of distal radius fractures was established according to the AO classification. Inital assessment and follow-up were made by conventional X-rays with radiological default settings....

Open versus Percutaneous Stabilization of Thoracolumbar Spine Fractures: A Short-Term Functional and Radiological Follow-upOriginal papers

M. PISHNAMAZ, S. OIKONOMIDIS, M. KNOBE, K. HORST, H.-C. PAPE, P. KOBBE

Acta Chir Orthop Traumatol Cech. 2015; 82(4):274-281 | DOI: 10.55095/achot2015/042  

PURPOSE OF THE STUDYA prospective cohort study evaluates the functional and radiological outcome of thoracolumbar spine fractures treated either with open or percutaneous dorsal instrumentation.In recent years, several studies advocate percutaneous stabilization of spinal fractures in patients without neurological deficits. However, it is still debated whether percutaneous stabilization is superior to open dorsal instrumentation in spinal trauma.MATERIAL AND METHODSThis study was performed between 2010 and 2012 at a Level 1 trauma center. Patients treated either with an open or a percutaneous dorsal instrumentation for traumatic fractures...

Fracture Type and Injury-to-Surgery Interval as Risk Factors for Avascular Necrosis of the Femoral Head after Internal Fixation of Intracapsular Femoral Neck FractureOriginal papers

O. POPELKA, J. SKÁLA-ROSENBAUM, R. BARTOŠKA, P. WALDAUF, M. KRBEC, V. DŽUPA

Acta Chir Orthop Traumatol Cech. 2015; 82(4):282-287 | DOI: 10.55095/achot2015/043  

PURPOSE OF THE STUDYThe aim of the study was to investigate the occurrence of avascular necrosis (AVN) of the femoral head following the osteosynthesis of intracapsular fracture of the femoral neck in relation to the time interval between injury and surgery and the type of fracture.MATERIAL AND METHODSThe data of patients with intracapsular fractures of the femoral neck surgically treated in the period from 2001 to 2011 were reviewed. Of 1555 patients treated for this fracture, 125 (7%) underwent osteosynthesis. The evaluated group included 115 patients who came for examination at one-year follow-up. There were 59 (52%) women and 56 (48%)...

Does an Independent Predictor of In-Hospital Mortality Exist for Patients with Isolated Proximal Femoral Fracture? A Retrospective Two-Year Observational StudyOriginal papers

M. ŤOUKÁLKOVÁ, P. ŠTOURAČ, O. SMÉKALOVÁ, A. ŠTOURAČOVÁ, T. PAVLÍK, M. REPKO, M. MAŠEK

Acta Chir Orthop Traumatol Cech. 2015; 82(4):288-292 | DOI: 10.55095/achot2015/044  

PURPOSE OF THE STUDYThe primary objective of the study was to find out in-hospital mortality in patients undergoing surgery for proximal femoral fracture. The secondary objective was to identify independent predictors of in-hospital mortality.MATERIAL AND METHODSA retrospective single-centre observational study PROXIMORT of patients operated on for isolated proximal femoral fracture at the University Hospital (FN) Brno in the years 2011 and 2012. The 30-day and overall one-year mortality in the study group and the impact of observed parameters on mortality were also assessed. The observed parameters were: patient age and sex, ASA score,...

Reduction of Total Antioxidant Capacity after Femoral FractureOriginal papers

D. KESKIN, A. KIZILTUNC

Acta Chir Orthop Traumatol Cech. 2015; 82(4):293-295 | DOI: 10.55095/achot2015/045  

PURPOSE OF THE STUDYThe aim of this study was to determine the changes in total antioxidant capacity (TAC) during the fracture healing process.MATERIAL AND METHODSTwenty patients with isolated closed femoral fracture, between the ages 18 and 60 years, were included in the study. The control group was formed with healthy volunteers. Venous blood was drawn from the healthy volunteers once, and from the patients five times during 14 days after fracture. TAC was measured in the sera of these samples.RESULTSIn the patient group, the serum TAC was the highest in the first 6 hours, whereas there was a decreasing trend on the 3^rd,...

Augmentation of the Anterior Cruciate Ligament in Patients with Symptomatic Isolated Tear of Anteromedial or Posterolateral Bundle: Evaluation of Two-Year Clinical ResultsOriginal papers

P. ZEMAN, P. SADOVSKÝ, K. KOUDELA, Jr., T. MATĚJKA, J. ZEMAN, J. MATĚJKA

Acta Chir Orthop Traumatol Cech. 2015; 82(4):296-302 | DOI: 10.55095/achot2015/046  

PURPOSE OF THE STUDYWe present the results of a prospective study of patients with symptomatic partial ACL tears comparing the pre-operative findings with the clinical results at two years after anterior cruciate ligament (ACL) augmentation.MATERIAL AND METHODSA total of 29 patients (7 women, 22 men; average age, 27.8 years) who were diagnosed with an isolated tear of the posterolateral (PL) bundle (18 patients) or the anteromedial (AM) bundle (11 patients) at 9 to 24 weeks after injury, and underwent ACL augmentation by isolated PL or AM bundle replacement, were evaluated. The characteristics assessed before surgery and at two years after...

Surgical Stabilisation of Flail Chest Injury: Indications, Technique and ResultsOriginal papers

F. VYHNÁNEK, D. JIRAVA, M. OČADLÍK, D. ŠKRABALOVÁ

Acta Chir Orthop Traumatol Cech. 2015; 82(4):303-307 | DOI: 10.55095/achot2015/047  

PURPOSE OF THE STUDYMultiple rib fractures with segmental chest wall instability are caused by high-energy chest trauma and are associated with significant morbidity and mortality. Flail chest injuries are mostly combined with lung injury (contusion, rupture, laceration) and subsequent pneumothorax or haemothorax. Early mechanical ventilation with internal pneumatic splinting is a conservative treatment for flail chest in patients with respiratory insufficiency. The surgical stabilisation of a flail chest is an effective method of treatment and is beneficial for selected patients. It shortens the duration of mechanical ventilation and thus reduces...

Understanding Fracture Healing Biomechanics Based on the "Strain" Concept and its Clinical ApplicationsCurrent concepts review

PERREN S. M., FERNANDEZ A., REGAZZONI P.

Acta Chir Orthop Traumatol Cech. 2015; 82(4):253-260 | DOI: 10.55095/achot2015/039  

Bone and Joint Involvement in Celiac DiseaseIn-service-training

I. HOFFMANOVÁ, D. SÁNCHEZ, V. DŽUPA

Acta Chir Orthop Traumatol Cech. 2015; 82(4):308-312 | DOI: 10.55095/achot2015/048  

Celiac disease (gluten-sensitive enteropathy) is currently regarded as a multisystem autoimmune disorder; its clinical signs and symptoms do not involve merely the gastrointestinal tract but are associated with several other medical specialties, including orthopaedics and traumatology.In orthopaedic and trauma patients, celiac disease should be suspected in the following diagnoses: osteomalacia, pre-menopausal osteoporosis, post-menopausal osteoporosis more severe than expected and refractory to medication, osteoporosis in men under 55 years of age, recurrent bone fractures in the limbs, large joint arthralgia or arthritis of unclear aetiology,...

Laudatio k životnímu jubileu prof. MUDr. Jana Bartoníčka, DrSc.Reports from ČSOT

Acta Chir Orthop Traumatol Cech. 2015; 82(4):313  

Prof. MUDr. Tomáš Trč, CSc., MBAReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2015; 82(4):314  

Prof. MUDr. Karel Koudela, CSc., sedmdesátiletýReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2015; 82(4):315-316  

Zápis ze zasedání výboru ČSOT konaného dne 16. 6. 2015 v Parkhotelu Průhonice v restauraci TaroucaReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2015; 82(4):316