ACTA - the JubileeEditorial

Martin Krbec, Oldřich Čech

Acta Chir Orthop Traumatol Cech. 2016; 83(6):365-366  

Long-Term Function following Periprosthetic FracturesOriginal papers

J. ZWINGMANN, M. KRIEG, F. THIELEMANN, N. SÜDKAMP, P. HELWIG

Acta Chir Orthop Traumatol Cech. 2016; 83(6):381-387 | DOI: 10.55095/achot2016/061  

PURPOSE OF THE STUDYClinical results of long-term follow-up after traumatic periprosthetic femur fractures and different therapies (ORIF vs. revision arthroplasty).MATERIAL AND METHODSThe Visual Analog Scale (VAS), Harris-Hip-Score (HHS), Oxford-Hip-Score (OHS), Oxford-Knee-Score (OKS), Knee-Society-Score (KSS), SF-36 Questionnaire and Funktionsfragebogen Hannover (FFH) were used to evaluate outcome and functionality. Radiological examinations were performed and the Vancouver (THA) and Lewis and Rorabeck (TKA) classifications used.RESULTS70 patients suffered a periprosthetic hip fracture (29× revision prosthesis, 41x ORIF), 23 patients...

Callus Distraction in the Treatment of Post-Traumatic Defects of the Femur and TibiaOriginal papers

R. VESELÝ, V. PROCHÁZKA

Acta Chir Orthop Traumatol Cech. 2016; 83(6):388-392 | DOI: 10.55095/achot2016/062  

PURPOSE OF THE STUDYEvaluation of the results in patients treated for post-traumatic defects by the method of callus distraction of the femur and tibia using a monolateral external fixator.MATERIAL AND METHODSThe group comprised 42 patients, 38 men and 4 woman, who underwent callus distraction using a monolateral external fixator in the Trauma Hospital Brno in the period from 2003 to 2010. The average age of the patients on the day gradual callus distraction was commenced was 32 (18-64) years. Post-traumatic bone defects were treated in 31 patients and deformities resulting from resection of post-traumatic infection loci in 11 patients....

Quantitative Analysis of Power Doppler Images in Lateral Humeral EnthesopathyOriginal papers

P. WALDER, L. PAŠA, L. PAVLISKA

Acta Chir Orthop Traumatol Cech. 2016; 83(6):393-398 | DOI: 10.55095/achot2016/063  

PURPOSE OF THE STUDYThe evaluation of efficiency of power Doppler sonography in the diagnosis of lateral humeral enthesopathy, role of correct assessment of Doppler sonographic images with the method of quantitative analysis, assessment of statistical differences between a group of patients with lateral humeral enthesopathy and a control group of healthy subjects and assessment of the diagnostic power of this test. In addition, consideration of the relevance of each area of the lateral compartment for assessment and diagnosis making in lateral humeral enthesopathy.MATERIAL AND METHODSA total of 41 subjects, aged 18 to 60 years, entered...

Peripheral Factures of the Talus. Mid-Term ResultsOriginal papers

M. PEML, P. KÁLAL, P. KOPAČKA, M. KLOUB

Acta Chir Orthop Traumatol Cech. 2016; 83(6):399-404 | DOI: 10.55095/achot2016/064  

PURPOSE OF THE STUDYPeripheral fractures of the talus (lateral talar process and posterior talar process) are rare injuries, easy to miss on examination due to their location and clinical manifestation. They account for 0.3% to 1.0% of all fractures of the talus. An incorrect or late treatment of talar process fractures can result in permanent pain, impingement syndrome, healing in malposition, pseudoarthrosis development and also, due to joint instability, in a potential development of severe subtalar arthritis. The aim of this retrospective study was to evaluate the results of surgical management of these fractures in our department.MATERIAL...

Bilateral Total Knee Arthroplasty. Short-Term ResultsOriginal papers

S. KŘIVÁNEK, M. HRUBINA, M. CHMÚRNY, M. ROVŇÁK, M. MELIŠÍK, L. NEČAS

Acta Chir Orthop Traumatol Cech. 2016; 83(6):405-410 | DOI: 10.55095/achot2016/065  

PURPOSE OF THE STUDYEvaluation of short-term functional results in patients undergoing one-stage surgery involving sequential bilateral total knee arthroplasty (TKA) and comparison with the results of patients after unilateral TKA.MATERIAL AND METHODSThe group with bilateral TKA consisted of 171 patients with 342 total knee replacements treated between 2009 and 2013. The control group included 50 patients with 50 TKAs operated on in the years 2010 to 2012.The indications to bilateral knee replacement included bilateral gonarthrosis, grade III or more in patients who were in good health and had a stable knee joint with axis deviation...

Treatment of Tibial Non-Unions - State of the Art and Future ImplicationsCurrent concepts review

S. MÄRDIAN, M. GIESECKE, F. HASCHKE, S. TSITSILONIS, B. WILDEMANN, P. SCHWABE

Acta Chir Orthop Traumatol Cech. 2016; 83(6):367-374 | DOI: 10.55095/achot2016/059  

Although fracture healing disturbances could be decreased due to successful concepts for fracture treatment, bone healing disturbances occur in 5-10% of the cases. The anatomical region of the lower limb predisposes the tibia for bone healing disturbances. Reports about the incidence of non-unions of the tibial shaft are inhomogeneous. Different treatment strategies have been published which depend on the type of non-union as well as the history of the patient. These range from conservative approaches to complex procedures including segmental resection and bone transport. This review aimed to summarize the state of the art treatment of tibial non-unions...

Spontaneous Tendon Ruptures in the Rheumatoid HandCurrent concepts review

J. PECH, D. VEIGL, M. VLČEK

Acta Chir Orthop Traumatol Cech. 2016; 83(6):375-380 | DOI: 10.55095/achot2016/060  

A spontaneous tendon rupture is a direct consequence of rheumatoid inflammation and can appear without any noticeable impact, often during sleep. The patient then presents with inability to flex or extend metacarpophalageal or interphalangeal joints. Multiple ruptures resulting in impaired function of several fingers can also occur and markedly limit the hand's grip strength. A tear may arise from either mechanical injury to the tendon along its course over bone or connective tissues, or by biochemical action of lysosomal enzymes, released during the inflammation process, on the connective tissue of the tendon. Ischaemic damage to a part of the tendon...

Infectious Inflammation of Pubic Symphysis (Symphysitis Pubis Purulenta): Five Case Reports and Literature ViewCase report

F. FRIDRICH, V. BÁČA, V. DŽUPA

Acta Chir Orthop Traumatol Cech. 2016; 83(6):411-417 | DOI: 10.55095/achot2016/066  

Purulent inflammation of the pubic symphysis is a rare condition involving the symphysis and parasymphyseal parts of the pubic bones. It is usually found in immuno-compromised patients and its most frequent cause is Staphylococcus aureus. Conservative treatment is based on long-term administration of antibiotics and has been efficient, as reported, in about 50% of the patients.The authors treated five patients with a late diagnosis of purulent infection of the pubic symphysis in whom the antibiotic therapy had to be completed by surgical intervention. Three patients undergoing surgery with removal of the infected necrotic tissue healed fast and...

Avulsion of the Proximal Hamstring Insertion. Case ReportsCase report

R. MIZERA, R. HARCUBA, J. KRATOCHVÍL

Acta Chir Orthop Traumatol Cech. 2016; 83(6):418-420 | DOI: 10.55095/achot2016/067  

Proximal hamstring avulsion is an uncommon muscle injury with a lack of consensus on indications and the timing and technique of surgery. Poor clinical symptoms and difficulties in the diagnostic process can lead to a false diagnosis. The authors present three cases of proximal hamstring avulsion, two complete and one partial ruptures of the biceps femoris muscle. MRI and ultrasound scans were used for optimal treatment alignment. Acute surgery reconstruction (< 4 weeks) was done in two patients. Re-attachment of the full thickness ruptures was performed to the original place and secured by suture anchors, the partial rupture was fixed by a simple...

XX. Národní kongres ČSOTReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2016; 83(6):421-422  

Krst knihyReports from ČSOT

Peter Šimko

Acta Chir Orthop Traumatol Cech. 2016; 83(6):422  

Zápis ze zasedání výboru ČSOT konaného dne 15. 11. 2016 v Parkhotelu PrůhoniceReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2016; 83(6):423-424

15. Pracovní schůze Sekce dětské ortopedie při ČSOTReports from ČSOT

J. Charvát

Acta Chir Orthop Traumatol Cech. 2016; 83(6):423