Effect of Primary and Revision Total Hip Arthroplasty on Gait KinematicsOriginal papers

M. JANURA, E. ZAHUTOVÁ, J. GALLO, Z. SVOBODA, L. HONZÍKOVÁ

Acta Chir Orthop Traumatol Cech. 2020; 87(4):243-250 | DOI: 10.55095/achot2020/037  

PURPOSE OF THE STUDYThe number of patients with total hip arthroplasty (THA) has been growing. In addition to traumatic indication, the patients manifest abnormalities in kinematics and kinetics of gait preoperatively. The aim of the study was to assess kinematics of the pelvis and lower limbs during walking in patients with unilateral primary and revision THA.MATERIAL AND METHODSA total of 18 patients (10 females, 8 males) with primary THA (pTHA) as well as 18 patients (9 males, 9 females) with revision THA (rTHA) participated in the study. The control group (CON) comprised 19 healthy subjects (11 females, 8 males). Kinematic data were...

Reliability of the Evaluation of MRI Examinations after the Treatment of Chondral Defects in the Knee JointOriginal papers

A. ŠPRLÁKOVÁ-PUKOVÁ, A. ŠTOURAČOVÁ, P. VALIŠ, M. REPKO, E. KORIŤÁKOVÁ, J. TINTĚRA, T. OTAŠEVIČ

Acta Chir Orthop Traumatol Cech. 2020; 87(4):251-258 | DOI: 10.55095/achot2020/038  

PURPOSE OF THE STUDYThis study is a component part of the project focused on cartilage imaging after the treatment of a defect. It aims to compare the evaluation of postoperative status performed by two radiologists with the use of 2D MOCART scoring system and to determine whether this method is a reliable tool for the evaluation of postoperative changes.MATERIAL AND METHODSThe study evaluated 78 MRI examinations from 25 patients (one patient had two defects treated), each of whom underwent 3 MRI examinations at 6, 12 and 18 months after surgery. The MRI examinations were performed on Philips Ingenia 3T scanner with 8-channel knee coil,...

Treatment of Subtrochanteric Fractures, Our Experience, ComplicationsOriginal papers

T. PAVELKA, M. SALÁŠEK

Acta Chir Orthop Traumatol Cech. 2020; 87(4):259-267 | DOI: 10.55095/achot2020/039  

PURPOSE OF THE STUDYThe study gives a retrospective assessment of the outcomes of surgical treatment in patients who sustained a subtrochanteric fracture.MATERIAL AND METHODSIn the period 2010-2018, a total of 118 patients with a subtrochanteric fracture, namely 75 males and 43 females, the mean age 61 years, were treated at our department. The study group included the patients who met the following inclusion criteria: age 18+, fracture treated by intramedullary nailing, follow-up for at least 12 months, in case of impaired healing and need for revision surgery follow-up until complete healing was achieved. Exclusion criteria - pathological...

Comparison of 2-Screw Implant and Antirotational Blade Implant in Treatment of Trochanteric FracturesOriginal papers

J. FELDINSZKÁ, P. JACKO, J. BARINKA, M. KILIAN, P. ŠIMKO

Acta Chir Orthop Traumatol Cech. 2020; 87(4):268-272 | DOI: 10.55095/achot2020/040  

PURPOSE OF THE STUDYSurgical treatment of trochanteric fractures with intramedullary nailing still remains controversial as to which nail design is the best with no postoperative complications. The purpose of this study was to provide a comparative evaluation of complications in the treatment of trochanteric fractures using 2-screw proximal femoral nail versus proximal femoral anti-rotational blade nail.MATERIAL AND METHODSA retrospective review was conducted between March 2013 and March 2019. The study included 519 patients (358 females and 161 males) treated surgically for trochanteric fractures. The mean age was 79.8±12.0 (24-100)...

Safety and Efficacy of Intra-Articular 20 mg/2 ml Hyaluronic Acid Injection for the Non-Operative Palliation Treatment of Osteoarthritis of the Knee JointOriginal papers

E. UYGUR, İ. TÜRKMEN, B. ÖZTURAN, O. POYANLI

Acta Chir Orthop Traumatol Cech. 2020; 87(4):273-277 | DOI: 10.55095/achot2020/041  

PURPOSE OF THE STUDYIn this study it is aimed to prospectively evaluate the safety and efficacy of 20 mg/2 ml Hyaluronic Acid (HA) injections for non-operative palliation treatment of osteoarthritis (OA) of the knee joint.MATERIAL AND METHODSAfter institutional review board approval was obtained for the study, 63 patients were enrolled and followed prospectively. All the patients have signed informed consent form.Patients who had diagnosis of gonarthrosis according to clinical and radiological evaluation, were given nonsteroid anti-inflammatory drug (NSAID) treatment for four weeks. Patients between 55-80 years old in both sexes, whose...

Improved Functional Outcomes with Reverse Shoulder Arthroplasty Compared to Hemiarthroplasty after Proximal Humeral Fractures in the ElderlyOriginal papers

S. BATAR, I. TURKMEN, H. CELIK, G. UZER, K. BILSEL

Acta Chir Orthop Traumatol Cech. 2020; 87(4):278-284 | DOI: 10.55095/achot2020/042  

PURPOSE OF THE STUDYUnsatisfactory functional results following hemiarthroplasty (HA) are seen in the treatment of 3- and 4-part proximal humeral fractures due to tuberosity healing problems and rotator cuff tears. Reverse shoulder arthroplasty (RSA) has been popular for improving functional outcomes. This study compares the results of HA and RSA in the treatment of comminuted proximal humeral fractures in the elderly.MATERIAL AND METHODSPatients over 60 years of age with three- or four-part proximal humeral fractures were included in the study. Twenty-five patients were treated with HA and 33 patients with RSA. The patients were evaluated...

Management of Osteoid Osteoma in Unusual LocationsOriginal papers

S. A. GÜMÜŞTAŞ, H. B. ÇEVİK, S. KAYAHAN

Acta Chir Orthop Traumatol Cech. 2020; 87(4):285-291 | DOI: 10.55095/achot2020/043  

PURPOSE OF THE STUDYOsteoid osteoma is a benign tumor that forms in bone, which accounts for 3% of all primary bone tumors. The classical clinical finding is substantial nocturnal pain and imaging findings. The management of osteoid osteomas include open surgical excision or minimally invasive percutaneous interventions. Why and which treatment modality should be considered between CT-guided radiofrequency ablation and open surgical excision for osteoid osteomas in unusual locations?MATERIAL AND METHODSWe retrospectively reviewed 17 patients with osteoid osteomas in unusual locations included cuboid, triquetrum, coronoid process, and proximal...

Ankle Arthrodesis - a Review of Current Techniques and ResultsCurrent concepts review

E. MANKE, N. YEO ENG MENG, S. RAMMELT

Acta Chir Orthop Traumatol Cech. 2020; 87(4):225-236 | DOI: 10.55095/achot2020/035  

Ankle arthrodesis continues to be the golden standard in the treatment of end-stage ankle arthritis. Meticulous soft tissue handling, correct positioning of the foot, and stable fixation are crucial for obtaining a favorable result. With current techniques, mostly internal fixation with screws or plates, union rates between 87 and 100% are reported. Adjacent joint arthritis remains a concern in long-term follow-up, but does not always become symptomatic. It is pre-existing in a substantial number of cases and associated with fusion in less than optimal position, particularly equinus. With arthroscopic arthrodesis techniques, wound complications and...

Patient Triage in Disasters and Mass Casualty IncidentsCurrent concepts review

F. BURGET, P. DOUŠA

Acta Chir Orthop Traumatol Cech. 2020; 87(4):237-242 | DOI: 10.55095/achot2020/036  

Disasters (more than 50 people affected) and mass casualty incidents (more than 10 people affected) which are the result of natural or civilisation disasters, traffic accidents or terrorist attacks are characterised by a large number of injured persons. In these critical situations, triage - prioritisation of patients based on the severity and type of the injury must be performed. Patients are sorted into those who need immediate medical intervention and those whose care can wait. Triage is a generally accepted tool assisting the health-care professionals in treating large numbers of injured people following mass casualty incidents. It is a stressful...

Tetanus Still CurrentCase report

A. CHRDLE, M. BALEJOVÁ

Acta Chir Orthop Traumatol Cech. 2020; 87(4):292-296 | DOI: 10.55095/achot2020/044  

Tetanus is a disease caused by tetanotoxin produced in necrotic wounds by Clostridium tetani. It is a very rare disease in Czechia due to successful and effective population-wide vaccination programme, despite the fact that spores of C. tetani are permanently present in the environment. Groups with the highest risk of clinical tetanus include elderly people, immunocompromised individuals, residents of foreign origin with unclear vaccination history, and unvaccinated children. We present four case studies of severe and mild form of tetanus, wound infection with the presence of C. tetani without the development of clinical tetanus...

Zápis z jednání výboru ČSOT konaného dne 9. 6. 2020 v 15.30 h v Parkhotelu PrůhoniceReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2020; 87(4):297-298