Creatine Kinase and Myoglobin Levels as Indicators of Perioperative Muscle Damage during Open- and Mini-Invasive Stabilization of Thoracic and Lumbar Spine Fracture - a Prospective Randomized StudyOriginal papers

T. MATĚJKA, J. ZEMAN, J. BELATKA, Z. KLÉZL, J. RACEK, J. MATĚJKA

Acta Chir Orthop Traumatol Cech. 2020; 87(1):9-16 | DOI: 10.55095/achot2020/001  

PURPOSE OF THE STUDYIn this randomized prospective study, we monitored and compared perioperative changes in skeletal muscle enzymes blood levels in open and mini-invasive stabilization of thoracolumbar spine fractures. The established hypothesis was to confirm higher blood levels of muscle enzymes in open stabilization.MATERIAL AND METHODSThis study included 38 patients with the mean age of 46.4 years. 19 injuries were managed in an open procedure and 19 procedures were mini-invasive. Venous blood was taken intermittently at short intervals to determine the levels of skeletal muscle enzymes. The catalytic concentration of creatine kinase...

Influence of Anterior Cruciate Ligament Reconstruction on Gait KinematicsOriginal papers

M. BÉREŠ, Z. SVOBODA, J. GALLO, R. KALINA, E. ZAHUTOVÁ, J. ZAPLETALOVÁ

Acta Chir Orthop Traumatol Cech. 2020; 87(1):17-23 | DOI: 10.55095/achot2020/002  

INTRODUCTIONThe anterior cruciate ligament (ACL) reconstruction is a tried and tested method in treating knee joint instability which brings valuable results in an acceptable time frame. In the long-term follow-up, however, a higher risk of knee osteoarthritis development is described. One of the possible reasons is considered to be the abnormal kinematics of the operated knee. The purpose of our study was to determine the degree to which the ACL reconstruction helps restore the correct gait cycle compared to the healthy limb.MATERIAL AND METHODSThe study included patients after the ACL reconstruction performed in the period from 1 January...

The Evaluation of Results of Repair using All-Soft Suture Anchor in the Treatment of Chronic Tendinous Mallet Finger SurgeryOriginal papers

B. GÜLENÇ, Y. ÖÇ, S. YALÇIN, B. ŞENER, S. ÇAMUR, A. KARA

Acta Chir Orthop Traumatol Cech. 2020; 87(1):24-27 | DOI: 10.55095/achot2020/003  

PURPOSE OF THE STUDYThe purpose of this study is to evaluate the results of chronic tendinous mallet finger repair with all soft suture anchors.MATERIAL AND METHODSIn this retrospective study we evaluated 14 patients. Data included age, side of surgery, the degree of extensor lag, the ratio of the damaged articular surface, postoperative recovery period and time to return to work. We recorded extensor lag and Crawford scores of all patients at the last follow-up.RESULTSMean follow-up period was 22.07 months. The preoperative and postoperative extensor lags were 27.2 (15-35) and 3 (0-19), respectively. Crawford scores of patients...

Complications after Revision Total Knee ArthroplastiesOriginal papers

J. LOUDA, P. KUBÁT, J. PILNÝ

Acta Chir Orthop Traumatol Cech. 2020; 87(1):28-31 | DOI: 10.55095/achot2020/004  

PURPOSE OF THE STUDYThe failure of arthroplasties and above all the issue of infection and its detection have become an ever more frequently discussed problem. The purpose of our study was to determine the frequency and the type of complications after revision total knee arthroplasties and to compare them with the frequency of complications after primary implantations.MATERIAL AND METHODSIn our group of patients followed up in the period from January 2007 to December 2016, in 50 patients the revision surgery was performed for aseptic loosening and in 24 patients for deep infection. In the case of revision surgery for aseptic loosening,...

Factors Influencing Complication Rates in the Orthopaedic TheatreOriginal papers

S. DUMAN, I. TURKMEN, N. SAGLAM

Acta Chir Orthop Traumatol Cech. 2020; 87(1):32-38 | DOI: 10.55095/achot2020/005  

PURPOSE OF THE STUDYThe prevalence of complications in surgical units is available in the literature. The aim of this study was to compare the "rotational" (more than one surgeon) and "full-time single surgeon" use of the orthopedic theater.MATERIAL AND METHODSWe retrospectively evaluated patients who underwent orthopedic surgery in 2016 in different theaters. A total of 604 of 1973 patients were excluded from the study, and 1369 patients were analyzed. The follow-up period was 1 year. While evaluating the cases, the duration and order of each case, the total operation time on the table, the number of surgeons, the total number of cases,...

Evaluation of a Combination of Waveform Amplitude Latency and Decrease of Waveform Amplitude Magnitude during Spinal Surgery in Intraoperative Neurophysiological Monitoring of Transcranial Motor Evoked Potentials and Its Incidence on Postoperative Neurological DeficitOriginal papers

J. BEŇUŠKA, N. ČEMBOVÁ, Y. NASER, M. ŽABKA, J. PASIAR, A. ŠVEC

Acta Chir Orthop Traumatol Cech. 2020; 87(1):39-47 | DOI: 10.55095/achot2020/006  

PURPOSE OF THE STUDYThis retrospective study investigated the significance of a combination of peak latency of waveform amplitude and waveform amplitude in association with spinal deformities. The correlation with postoperative neurologic deficit was evaluated too.MATERIAL AND METHODSBetween January 2007 and January 2018, a group of 113 patients was evaluated in the study who underwent spine surgery using intraoperative neurophysiological monitoring (IONM) focusing on transcranial motor evoked potential (tc-MEP) monitoring. The average age of the patients was 30 years. Tc-MEPs were recorded bilaterally from tibialis anterior muscle and...

Minimally Invasive Cancellous Bone Graft Harvesting in Trauma Indication - Experimental Part of the StudyOriginal papers

P. LÁTAL, Z. ŠTIKOVÁ, Z. TŘÍSKA, J. ŠPERL, M. KLOUB

Acta Chir Orthop Traumatol Cech. 2020; 87(1):48-51 | DOI: 10.55095/achot2020/007  

PURPOSE OF THE STUDYOur experimental study presents a set of bone grafts harvested by a minimally invasive procedure from selected deceased donors. Our objective was to compare the concentration of red bone marrow in the cancellous bone harvested in this way from selected regions with the reference harvesting from the iliac crest. Thus, the potential of grafts to heal complicated fractures or non-unions is assessed.MATERIAL AND METHODSThe Hospital Department of Pathology provided 10 cadaver preparations - 7 male and 3 female for the experiment. In the process of selection, the age limit was 18-50 years, the other exclusion criteria were...

Hemicorporectomy as the Highest Grade of En Bloc SacrectomyCase report

J. ŠTULÍK, J. HOCH, P. RICHTR, J. KŘÍŽ, P. PŘIKRYL, J. KRYL

Acta Chir Orthop Traumatol Cech. 2020; 87(1):52-57 | DOI: 10.55095/achot2020/008  

Hemicorporectomy or translumbar amputation is an extensive surgical procedure consisting in removing the lower portion of the body. Thakur et al. found a total of 71 hemicorporectomies described in literature before 2017. In the form of a case study we present the case of our patient with terminal pelvic osteomyelitis, in whom hemicorporectomy was subsequently performed, namely from the spine surgery perspective.The man, 19 years old, was exposed to high-voltage electricity and fell down from a height of 4 meters. He suffered an instable comminuted fracture of T10 (AO A3.3.) with paraplegia (Frankel A) and multiple third-degree burns affecting...

Surgical Treatment of Congenital Cleft Foot - Case Study and Literature ReviewCase report

P. ŠPONER, T. KUČERA

Acta Chir Orthop Traumatol Cech. 2020; 87(1):58-61 | DOI: 10.55095/achot2020/009  

Congenital cleft foot is a deformity characterised by genetic heterogeneity and a high degree of phenotypic variability. This together with its very low incidence is the reason for rather controversial opinions on the treatment. The authors present a case study of a boy with unilateral cleft foot classified as type III by Blauth-Borisch and type II by Abraham et al., who underwent a surgery at the age of 12 months. The defect was closed by rectangular soft tissue flaps, the intermetatarsal ligament connecting the first metatarsal head and the third metatarsal head was reconstructed with local fibrous tissue flap. The present hypermobility with extension...

Recommendations for Crisis Management in Mass Casualty Incidents, with a Focus on a Terrorist AttackIn-service-training

F. BURGET, P. DOUŠA

Acta Chir Orthop Traumatol Cech. 2020; 87(1):62-67 | DOI: 10.55095/achot2020/010  

Recently, there has been an apparent increase in terrorism-related incidents. The security experts believe that the risk of terrorist attacks cannot be fully ruled out in the Czech Republic either. For this reason, it is appropriate to obtain information from regions with more experience with terrorism and to learn from their mistakes. Based on the analysis of terrorist attacks in Madrid (2004), Israel (2001-2012) and Paris (2015) and our own experience gained during the humanitarian missions in Libya, Syria, Iraq and Ukraine, adequate recommendations for crisis management are presented. An integral part of the preparedness is also a regular training...

Zápis ze zasedání výboru ČSOT dne 3. 12. 2019, Parkhotel PrůhoniceReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2020; 87(1):68