Prediction of the Mortality with Comorbidity - Polypharmacy Score in the Osteoporotic Hip FracturesOriginal papers

S. CAMUR, H. CELIK

Acta Chir Orthop Traumatol Cech. 2019; 86(5):320-323 | DOI: 10.55095/achot2019/054  

PURPOSE OF THE STUDYOsteoporotic hip fractures commonly associated with comorbid diseases and use of multiple drugs. Polypharmacy status and the comorbidity-polypharmacy score (CPS) are the most common two grading system to predict mortality risk for the trauma patients older than 45 years. The purpose of the study was to determine whether the CPS or polypharmacy can predict the mortality risk in the older patients had a surgery due to an osteoporotic hip fracture.MATERIAL AND METHODSConsecutive patients aged > 65 years had an osteoporotic hip fracture due to a simple trauma were enrolled in the study. Detailed data were collected included...

National Register of Joint Replacement Reflecting the Treatment of Developmental Dysplasia of the Hip in NewbornsOriginal papers

M. ZÍDKA, V. DŽUPA

Acta Chir Orthop Traumatol Cech. 2019; 86(5):324-329 | DOI: 10.55095/achot2019/055  

PURPOSE OF THE STUDYIn the Czech Republic a systematic neonatal hip screening has been performed for many decades. Its aim is to prevent, by means of early treatment of hip dysplasia in the newborn period, the development of hip deformities leading to the onset of degenerative hip changes during the adulthood. The study aims to prove the effects of paediatric hip care based on the data analysis of the Czech National Register of Joint Replacement.MATERIAL AND METHODSThe National Register of Joint Replacement comprises information on implantation of hip arthroplasties performed over the period of last 15 years, while the screening has been...

Study on the Effects of Sex and Age on Proximal Femoral Fractures in Two Culturally Diverse CountriesOriginal papers

L. ZELENKA, I. KNÍŽKOVÁ, D. LUKEŠOVÁ, P. KUNC

Acta Chir Orthop Traumatol Cech. 2019; 86(5):330-333 | DOI: 10.55095/achot2019/056  

PURPOSE OF THE STUDYThe pilot study deals with the current situation in proximal femoral fractures in culturally diverse regions, namely in Afghanistan (AFG) and in the Czech Republic (CZ). The study aimed to find out whether there are any differences in proximal femoral fractures in dependence on the selected criteria between the two culturally diverse areas. The study used the data of patients who underwent surgery for proximal femoral fracture at the Department of Orthopaedics of the 1st Medical Faculty of the Charles University and the Military University Hospital and at the Military Base Hospital Kabul.MATERIAL AND METHODSThe study...

Whole-Body CT Scan and Other Imaging Techniques in Examining Polytrauma Patients - Outcomes of a Questionnaire Survey of Trauma Centres in the Czech RepublicOriginal papers

D. GIRSA, J. WEICHET, H. MALÍKOVÁ

Acta Chir Orthop Traumatol Cech. 2019; 86(5):334-341 | DOI: 10.55095/achot2019/057  

PURPOSE OF THE STUDYThe study aimed to map the use of imaging techniques and results reporting in polytrauma patients by the trauma centres in the Czech Republic.MATERIAL AND METHODSThe representatives of radiology departments and units of all 12 trauma centres in the Czech Republic completed a questionnaire regarding the imaging in polytrauma patients.RESULTSThe Focused Assessment with Sonography for Trauma (FAST) as an initial imaging is used by all the centres, the Whole-Body CT scan (WBCT) is the dominant imaging technique everywhere and all the centres have standards in place for its performance. The WBCT examination protocol...

Importance of Skull X-ray in Head TraumaOriginal papers

V. NEKUDA, M. KRTIČKA, B. MIKLOŠOVÁ, J. ŠVANCARA, M. CHOVANEC

Acta Chir Orthop Traumatol Cech. 2019; 86(5):342-347 | DOI: 10.55095/achot2019/058  

PURPOSE OF THE STUDYThe aim of our study is to show the pitfalls of performing skull X-rays in patients with head injuries and the lack of accuracy of this examination nowadays, and to clarify the current trend in the MTBI investigation algorithm.MATERIAL AND METHODSA retrospective study of 3,950 patients treated for acute head injury at the Department of Trauma Surgery (University Hospital Brno) in the period from 2015 to 2016. Inclusion criteria were the following: mild brain injury (GCS = 15), primary skull X-ray design in head injury diagnosis. Patients with a positive skull X-ray finding underwent a head CT evaluation up to 24-hours...

Reconstruction of Lower Extremity Palsy after Pelvic Fractures with the Muscle TransfersOriginal papers

I. ČIŽMÁŘ, M. VLČEK, E. EHLER, P. DRÁČ

Acta Chir Orthop Traumatol Cech. 2019; 86(5):348-352 | DOI: 10.55095/achot2019/059  

PURPOSE OF THE STUDYThe prevalence of nerve structure injuries accompanying pelvic and acetabular fractures is stated to be 5-25 %, with most frequent injuries to motor nerve structures associated with fractures of the posterior wall of the acetabulum. Prognostically worse outcomes of regeneration are documented mainly in iatrogenic, intraoperative injuries to nerve structures. This study aims to document the functional effect of muscle transfers restoring the movement of lower extremities with irreversible nerve lesion caused by the pelvic and acetabular fracture.MATERIAL AND METHODSA total of 18 patients with irreversible palsy of lower...

Acute Total Ulnar Collateral Ligament Injuries of Thumb - Primary Repair with Mini Soft Suture Anchor (JuggerKnot™)Original papers

A. KARA, B. GÜLENÇ, H. ÇELIK, E. KILINÇ, S. ÇAMUR, B. ŞENER

Acta Chir Orthop Traumatol Cech. 2019; 86(5):353-357 | DOI: 10.55095/achot2019/060  

PURPOSE OF THE STUDYWe aimed to investigate the functional outcomes and complications of a new approach, the primary UCL repair using JuggerKnot™ Soft Anchor-1.0 mm Mini (Zimmer-Biomet).MATERIAL AND METHODSThis study included a total of 12 patients with acute UCL injury who were operated with primary repair with JuggerKnot™ Soft Anchor-1.0 mm Mini between January 2012 and September 2016. All patients were operated on using the same surgical technique. The thumb pinch and grip strengths, articular range of motion, and Glickel functional score were recorded for all patients. The pinch grip strength and articular range of motion...

Arthrodesis of Interphalangeal Joints of the Hand by an External Fixator in Managing Conditions Resulting from Septic ArthritisOriginal papers

J. KVASNIČKA

Acta Chir Orthop Traumatol Cech. 2019; 86(5):358-361 | DOI: 10.55095/achot2019/061  

PURPOSE OF THE STUDYArthrodesis of interphalangeal joints of the hand is a method used to treat conditions associated with joint destruction, instability and pain.Our study aims to evaluate the outcomes of the treatment of sequelae of septic arthritis of interphalangeal joints by arthrodesis with external fixation. This topic is hardly covered in literature. Moreover, it compares the outcomes of application of this method in diabetic patients and non-diabetic population.MATERIAL AND METHODSArthrodesis by means of Stellbrink external fixator was performed in 17 patients who had suffered septic arthritis of interphalangeal joints of the...

Our Initial Experience with Radial Head ReplacementOriginal papers

M. VLČEK, M. STRECK, I. ČIŽMÁŘ, J. PECH, A. SOSNA

Acta Chir Orthop Traumatol Cech. 2019; 86(5):362-367 | DOI: 10.55095/achot2019/062  

PURPOSE OF THE STUDYA single treatment procedure for multi-fragmented non-reconstructible radial head fractures has not been established as of yet. One of the available treatment methods can be the implantation of an endoprosthesis, but there is no consensus in available publications. We therefore decided to trial their use and to obtain our own experience. This study includes the evaluation of the outcomes of treatment at one year postoperatively.MATERIAL AND METHODSOur group included eight patients (six men and two women with the mean age of 46.1 years, ranging from 24 to 80 years) with an implanted ExploR® (Biomet, U.S.A.) radial...

Current Options of Rheumatosurgery of the Hand and WristCurrent concepts review

J. PECH, M. VLČEK, I. LANDOR

Acta Chir Orthop Traumatol Cech. 2019; 86(5):313-319 | DOI: 10.55095/achot2019/053  

Rheumatosurgery is a discipline managing the symptoms of rheumatoid arthritis of the musculoskeletal system. In a vast number of patients this disease starts in the wrist and hand. The portfolio of surgical procedures performed on the skeleton and soft tissues in these regions can be divided into two groups that, however, often times overlap in practice. Commonly, a combination of these surgical interventions is used. The surgical management should commence with prophylactic interventions that aim to slow down the development of rheumatoid deformities. These are followed by reconstructive surgery which shall manage the already developed rheumatoid...

Bilateral Dislocation of the Hip Joints after a Car Accident?Case report

A. ŠVEC, B. LIŠČÁK, M. TREPÁČ, R. JÁGER, M. KOKAVEC

Acta Chir Orthop Traumatol Cech. 2019; 86(5):368-371 | DOI: 10.55095/achot2019/063  

The authors describe a case report of a 5-year-old foreign girl with a rare bilateral hip dislocation after a car accident. Young surgeons at the emergency department performed an unsuccessful closed reduction. Since the clinical and ultrasound screening of DDH of all newborns in the Slovak Republic is carried out until the age of 4-6 weeks, the treatment of dislocated hips starts early and the late diagnosed dislocations occur rarely. The aim of the study is to point at differences in DDH screening all over Europe resulting in an increased risk of misdiagnosed patients.

Zápis ze zasedání výboru ČSOT konaného dne 17. 9. 2019 v Parkhotelu PrůhoniceReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2019; 86(5):372