Acta Chir Orthop Traumatol Cech. 2016; 83(1)

Original papers

Osteochondral Fractures of the Knee in Skeletally Immature Patients: Short-Term Results of Operative Fixation using Omnitech ScrewsOriginal papers

S. LIDDER, M. THOMAS, A. DESAI, A. SKYRME, A. ARMITAGE, S. RAJARATNAM

Acta Chir Orthop Traumatol Cech. 2016; 83(1):16-20 | DOI: 10.55095/achot2016/002  

PURPOSE OF THE STUDYRetrospective case series looking at the use of Omnitech compression screws for the management of osteochondral fractures in skeletally immature patients.MATERIAL AND METHODSNine patients with a mean age of 14 were included in the study with a mean follow up of 26 months.RESULTSThe average KOOS, IKDC and Tegner Lysholm Scores were 86.7, 90.34 and 96.1 respectively.CONCLUSIONThe use of Omnitech screws in the acute setting for skeletally immature patients shows excellent short-term outcomes.

Musculoskeletal Pain and Vitamin D Deficiency in Children: A Pilot Follow-up Study of Vitamin D Therapy in Musculoskeletal/Orthopedic ConditionsOriginal papers

Z. BLAGOJEVIC, V. NIKOLIC, D. KISIC-TEPAVCEVIC, Z. TERZIC SUPIC, R. KOVACEVIC, Z. ZIVKOVIC, D. STEVANOVIC

Acta Chir Orthop Traumatol Cech. 2016; 83(1):21-26 | DOI: 10.55095/achot2016/003  

PURPOSE OF THE STUDYThe prevalence of vitamin D deficiency in pediatric populations is high. In the present study we analyzed associations between vitamin D therapy and pain, mobility, fatigue, and daily functioning in children with musculoskeletal/orthopedic conditions suffering from chronic and recurrent pain, but also diagnosed with vitamin D deficiency.MATERIAL AND METHODSChildren with different musculoskeletal/orthopedic conditions and vitamin D deficiency were prescribed to receive vitamin D over 6 months. Thirty-five children (18 males; age 10.48 ± 3.87 years) completed a 6-month follow-up. Self- and parent/proxy rating scales...

Surgical Treatment for Advanced Rhizarthrosis. Comparison of Results of the Burton-Pellegrini Technique and Trapeziometacarpal Joint ArthroplastyOriginal papers

J. JURČA, M. NĚMEJC, V. HAVLAS

Acta Chir Orthop Traumatol Cech. 2016; 83(1):27-31 | DOI: 10.55095/achot2016/004  

PURPOSE OF THE STUDYThe aim of the study was to compare results of the Burton-Pellegrini trapeziectomy with ligamentoplasty using the flexor carpi radialis tendon with those of trapeziometacarpal joint replacement in the treatment of advanced rhizarthrosis.MATERIAL AND METHODSA group of 17 patients, 15 men and two women, underwent trapeziectomy with ligamentoplaty; in 12 of them, the dominant hand was involved. The trapeziometacarpal joint prosthesis Beznoska was implanted in 11 patients (10 men and one woman) with seven dominant and four non-dominant hands. All patients pre-operatively experienced pain during thumb movement and hand grip....

Double Osteotomy of the First Metatarsal for Treatment of Juvenile Hallux Valgus Deformity - Our ExperienceOriginal papers

J. JOCHYMEK, T. PETERKOVÁ

Acta Chir Orthop Traumatol Cech. 2016; 83(1):32-37 | DOI: 10.55095/achot2016/005  

PURPOSE OF THE STUDYThe aim of the study was to evaluate the mid-term results in a group of selected patients undergoing corrective surgery for juvenile hallux valgus, using double osteotomy of the first metatarsal.MATERIAL AND METHODSThe group included eight patients, seven girls and one boy, with a more severe form of this deformity treated by double osteotomy of the first metatarsal between 2010 and 2013. The indication for corrective surgery was serious pain when walking; all patients had previously undergone conservative treatment with no effect.All patients had pre-operative clinical examination, the affected foot was X-rayed...

Anterior Superior and Anterior Interior Iliac Spine Fractures. Comparison of the Results of Conservative and Surgical TreatmentOriginal papers

A. STANČÁK, J. KAUTZNER, V. HAVLAS

Acta Chir Orthop Traumatol Cech. 2016; 83(1):38-42 | DOI: 10.55095/achot2016/006  

PURPOSE OF THE STUDYAvulsion fractures of the anterior superior iliac spine (ASIS) and anterior inferior iliac spine (AIIS) are rare injuries to the skeleton in children. They are most frequent in adolescent athletes, such as sprinters and long-distance runners, and football players. The authors present a group of patients treated at their department and compare the results of procedures used to manage different pelvic avulsion fractures.MATERIAL AND METHODSBetween 2005 and 2012, 38 patients (31 boys and seven girls) with an average age of 15.1 years (range, 4-17 years) were treated. Fourteen patients with minimally displaced fractures...

The Effect of Sagittal Plane Deformities after Tibial Plateau Fractures to Functions and Instability of Knee JointOriginal papers

M. ERDIL, F. YILDIZ, E. KUYUCU, Ş. SAYAR, G. POLAT, H. H. CEYLAN, F. KOÇYIĞIT

Acta Chir Orthop Traumatol Cech. 2016; 83(1):43-46 | DOI: 10.55095/achot2016/007  

PURPOSE OF THE STUDYThe objective of this study is to evaluate the effect of posterior tibial slope after fracture healing on antero-posterior knee laxity, functional outcome and patient satisfaction.MATERIAL AND METHODS126 patients who were treated for tibial plateau fractures between 2008-2013 in the orthopedics and traumatology department of our institution were evaluated for the study. Patients were treated with open reduction and internal fixation, arthroscopy assisted minimally invasive osteosynthesis or conservative treatment.RESULTSMean posterior tibial slope after the treatment was 6.91 ± 5.11 and there was no significant...

Case report

Talus Bipartitus Etiology - Is Neonatal Infection Involved?Case report

A. M. BOSZCZYK, Ł. KOŁODZIEJ

Acta Chir Orthop Traumatol Cech. 2016; 83(1):47-49 | DOI: 10.55095/achot2016/008  

Talus bipartitus is a rare skeletal variation. Several causative factors have been proposed, but none of them seem to be convincing. We hypothesize that talus bipartitus may result from ossification disruption in neonatal period caused possibly by an infection. The observations supporting this link are discussed. The hypothesis is supported by two cases with symptomatic talus bipartitus illustrating the postulated connection.

Septic Sacroiliitis Complicated by a Pseudoaneurysm of the Internal Iliac Artery. A Case ReportCase report

M. SALÁŠEK, T. PAVELKA

Acta Chir Orthop Traumatol Cech. 2016; 83(1):50-54 | DOI: 10.55095/achot2016/009  

The case of a 67-year-old woman with a combination of pelvic pyomyositis and left-sided sacroiliitis is reported. After a failed two-week antibiotic therapy, CT-guided percutaneous drainage of psoas muscle abscesses was performed and methicillin-resistant Staphylococcus aureus (MRSA) was isolated. Subsequently, a regression of symptoms was observed. At 6.5 weeks after the onset of symptoms, progression of sacroiliac joint (SI) destruction was again observed and an open revision of the SI joint was indicated (posterior approach, drainage and lavage). This again was followed by symptom regression. At 9.5 weeks after the patient was admitted, her condition...

Chronic Locked Posterior Shoulder Dislocation Treated by Anatomical Total Shoulder ArthroplastyCase report

V. POPELKA

Acta Chir Orthop Traumatol Cech. 2016; 83(1):55-61 | DOI: 10.55095/achot2016/010  

The aim of this study was to present the results of surgical treatment in two male patients with chronic locked posterior dislocation of the shoulder, who underwent total shoulder arthroplasty due to destruction of more than 45% of the humeral head articular surface and glenoid impairment. The deltopectoral approach was used in both cases. Total shoulder arthroplasty (Epoca-Synthes) was carried out in the standard manner.Case one: A 29-year-old, extremely obese patient suffered injury to his shoulder during an epileptic seizure. At 11 months after injury, surgery was performed using an interscalene plexus block because general anaesthesia presented...

In-service-training

Balancing Success and Risk in Orthopedic Trauma Surgery: The Ridge-Walking between Sound Accepting "Good" and Risky Striving for "Better"In-service-training

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

Acta Chir Orthop Traumatol Cech. 2016; 83(1):9-15 | DOI: 10.55095/achot2016/001  

Immediate post-operative rating of surgical performance can be a valuable source of learning when trying to analyze the reasons for the difference between "work as planned" and "work as done".There are many reasons for the difference, but they can only be found if complete documentation of the surgical steps allows retrospective scrutiny. Documentation like ICUC provides this opportunity for scrutiny and may allow better understanding of some unexpected post-operative evolutions.