Floating Hip Injuries: Treatment Outcomes and ComplicationsOriginal papers

T. PAVELKA, M. SALÁŠEK, D. WEISOVÁ

Acta Chir Orthop Traumatol Cech. 2016; 83(5):311-316 | DOI: 10.55095/achot2016/049  

PURPOSE OF THE STUDYThe aim of this retrospective study was to evaluate the results of surgical management of patients with ipsilateral injuries to the femur and the pelvis or acetabulum (floating hip).MATERIAL AND METHODSA total of 54 patients with injury to the pelvic ring or acetabulum concomitant with an ipsilateral femoral fracture were treated at our Department in the period from 2005 to 2013. The group consisted of 35 men and 19 women with an average age of 36.5 (22 to 72) years. Only patients undergoing surgery were included. Excluded were patients who died within 48 hours of injury, those whose pelvic injury was treated conservatively...

Treatment for Periprosthetic Femoral Fractures after Total Hip ArthroplastyOriginal papers

R. KUNOVSKÝ, T. PINK, A. SHAKER, J. JAROŠÍK, L. PAŠA, R. VESELÝ

Acta Chir Orthop Traumatol Cech. 2016; 83(5):317-326 | DOI: 10.55095/achot2016/050  

PURPOSE OF THE STUDYTo give a description of the patient group, risk factors, classification, therapeutic procedures and treatment outcomes in periprosthetic femoral fractures after total hip arthroplasty treated in the Trauma Hospital in Brno.MATERIAL AND METHODSThis retrospective study comprised of 51 patients treated for a periprosthetic femoral fracture between 2003 and 2013. This included 19 (37%) intra-operative and 32 (63%) post-operative fractures. According to the Vancouver classification, the types of fractures were as follows: 9 patients A; 21 B1; 9 B2; 6 B3 and 6 with type C.RESULTSType A fractures were treated conservatively....

High-Resolution MR Examination of the Scapholunate Ligament using a Microscopic Coil: Comparison with Direct MR Arthrography and Arthroscopy FindingsOriginal papers

A. ŠTOURAČOVÁ, A. ŠPRLÁKOVÁ-PUKOVÁ, I. ČIŽMÁŘ, J. PROCHÁZKOVÁ, E. JANOUŠOVÁ, P. VALIŠ

Acta Chir Orthop Traumatol Cech. 2016; 83(5):327-331 | DOI: 10.55095/achot2016/051  

PURPOSE OF THE STUDYScapholunate dissociation is a clinically most frequently diagnosed form of carpal instability. The aim of this study was to compare high resolution MRI using a microscopic coil with direct MRI arthrography in patients with suspected scapholunate ligament lesions and compare the results with arthroscopy findings and Geissler's arthroscopy classification.MATERIAL AND METHODSA prospective study was carried out in 47 patients (average age, 30.7 years) with clinical symptoms of wrist instability from 2013 to 2014. The patients were examined with the MR device Philips Achieva 1.5T using a microscopic coil and subsequently...

Perilunate Injuries to the WristOriginal papers

J. PILNÝ, V. BÁČA, L. KOHOUTEK, H. VODOVÁ, K. HORÁČKOVÁ, A. SUKOP

Acta Chir Orthop Traumatol Cech. 2016; 83(5):332-335 | DOI: 10.55095/achot2016/052  

PURPOSE OF THE STUDYPerilunate dislocations and perilunate fractures are serious wrist injuries which are often overlooked at primary treatment. Their inadequate therapy results in severe wrist damage and patient disability. An early diagnosis and correct therapy can prevent such conditions.MATERIAL AND METHODSA group of 25 patients with 26 wrist injuries is presented. It included nine patients with isolated perilunate dislocations (34%), 11 patients with trans-scaphoid perilunate dislocations (44%),two with trans-radial trans-scaphoid perilunate dislocations (7%) and next two patients with trans-radial perilunate dislocations (7%). One...

Injury to the Scapholunate Ligament in Distal Radius Fractures: Peri-Operative Diagnosis and Treatment ResultsOriginal papers

R. GAJDOŠ, J. PILNÝ, A. POKORNÁ

Acta Chir Orthop Traumatol Cech. 2016; 83(5):336-343 | DOI: 10.55095/achot2016/053  

PURPOSE OF THE STUDYInjury to the scapholunate ligament is frequently associated with a fracture of the distal radius. At present neither a unified concept of treatment nor a standard method of diagnosis in these concomitant injuries is available. The aim of the study was to evaluate a group of surgically treated patients with distal radius fractures in order to assess a contribution of combined conventional X-ray and intra-operative fluoroscopic examinations to the diagnosis of associated lesions and to compare short-term functional outcomes of sugically treated patients with those of patients treated conservatively.MATERIAL AND METHODSA...

Surgical Correction of Scoliosis: Does Intraoperative CT Navigation Prolong Operative Time?Original papers

J. SKÁLA-ROSENBAUM, M. JEŽEK, V. DŽUPA, R. KADEŘÁBEK, P. DOUŠA, R. RUSNÁK, M. KRBEC

Acta Chir Orthop Traumatol Cech. 2016; 83(5):344-347 | DOI: 10.55095/achot2016/054  

PURPOSE OF THE STUDYThe aim of the study was to compare the duration of corrective surgery for scoliosis in relation to the intra-operative use of either fluoroscopic or CT navigation.MATERIAL AND METHODSThe indication for surgery was adolescent idiopathic scoliosis in younger patients and degenerative scoliosis in middleage or elderly patients. In a retrospective study, treatment outcomes in 43 consecutive patients operated on between April 2011 and April 2014 were compared. Only patients undergoing surgical correction of five or more spinal segments (fixation of six and more vertebrae) were included.RESULTSTranspedicular screw...

Sealing of Femoral Tunnel with Autologous Bone Graft Decreases Blood LossOriginal papers

A. G. BATMAZ, M. E. KAYAALP, O. OTO, A. M. BULBUL

Acta Chir Orthop Traumatol Cech. 2016; 83(5):348-350 | DOI: 10.55095/achot2016/055  

PURPOSE OF THE STUDYTotal knee arthroplasty is commonly used procedure with advanced stage arthritis which causes extensive blood loss intraoperatively and postoperatively. Purpose of this study is to show the effectiveness of sealing of femoral tunnel with bone grafting in preventing blood loss.MATERIAL AND METHODS288 patients with primary bicompartmental knee arthroplasty who were operated in between April 2012 and June 2015 are retrospectively studied. Two groups are formed according to sealing of femoral tunnel with autologous bone graft or not. Group 1 was the plugged group with 192 patients and group 2 was the unplugged group with...

Standard Approaches to the Acetabulum Part 3: Intrapelvic ApproachCurrent concepts review

A. GÄNSSLEN, S. GRECHENIG, M. NERLICH, M. MÜLLER, W. GRECHENIG, J. LINDAHL

Acta Chir Orthop Traumatol Cech. 2016; 83(5):293-299 | DOI: 10.55095/achot2016/047  

Reduction Techniques for Trochanteric- and Subtrochanteric Fractures of the Femur: a Practical GuideCurrent concepts review

M. L. FALKENSAMMER, E. BENNINGER, C. MEIER

Acta Chir Orthop Traumatol Cech. 2016; 83(5):300-310 | DOI: 10.55095/achot2016/048  

Trochanteric intramedullary nailing has gained widespread acceptance and popularity among orthopedic trauma surgeons. Whereas some simple fracture patterns are easily reduced and nailed, others may present a major challenge for the surgeon. Anatomical reduction and optimal placement of the intramedullary implants are the most important factors for fracture healing and good functional outcome. Closed anatomical reduction is to be achieved before the nail is inserted. However, especially in inter- and subtrochanteric fractures, a limited open or even open reduction technique may be necessary to achieve an adequate reduction. This article focuses on a...

Fracture of the Anatomical Neck of the Humerus Associated with Posterior Shoulder Dislocation. Case ReportCase report

A. ZATLOUKAL, R. KIRPICHENKO, M. LERCH

Acta Chir Orthop Traumatol Cech. 2016; 83(5):351-353 | DOI: 10.55095/achot2016/056  

A rare case of a fracture of the anatomical neck of the humerus associated with a posterior dislocation of the shoulder in a 43-year-old man is presented. It was managed by immediate surgery using locking plate osteosynthesis. The shoulder was immobilised for 5 weeks in a Gilchrist brace. The outcome was very good with a full range of motion and a stable shoulder at 1 year after injury, with no signs of avascular necrosis of the humeral head. The aetiology of this injury and possibilities of its treatment are discussed.

Zápis ze zasedání výboru ČSOT konaného dne 18. 9. 2016 v budově České národní banky u příležitosti XX. NKReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2016; 83(5):354