Treatment Algorithm for Pilon Fracture - Clinical and Radiological Results.
CONCLUSIONS The present study confirms the fact that meticulous planning, respect of the soft-tissues and choice of the optimal timepoint for the definitive osteosynthesis and overall treatment according to standardized protocols can optimize the outcome of this severe injury. Key words:pilon, distal tibia fracture, outcome, algorithm. PMID: 30843508 [PubMed - in process] (Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca)
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - March 8, 2019 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

Factors Affecting Operative Time Intervals for Lower Limb Arthroplasties - Correlation with Total Operative Time.
CONCLUSIONS The strongest correlation was found between ART and TOPT. As the patient's age increased, ART and SPT time intervals were also significantly increased. Increased age and higher ASA scores with an unexperienced anesthegiologist significantly increased the ART intervals. Therefore, reducing ART is the most important factor in reducing TOPT. Key words:arthroplasty, anaesthesia, operation time. PMID: 30843509 [PubMed - in process] (Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca)
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - March 8, 2019 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Mid-Term Results of Treatment of Severe Grades of Slipped Capital Femoral Epiphysis without Surgical Hip Dislocation].
CONCLUSIONS The best results were achieved by closed reduction of acute slips where no complications were present. Subcapital osteotomy without surgical dislocation is comparable with modified osteotomy with surgical hip dislocation. Intertrochanteric osteotomy represents an efficient method in treating grade II slips. Transphyseal fixation without slip correction cannot be recommended in treating severe slips. Key words: slipped capital femoral epiphysis, severe grades of slip, subcapital femoral osteotomy, intertrochanteric femoral osteotomy, closed reduction of slip. PMID: 30843510 [PubMed - in process] (Source: Act...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - March 8, 2019 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Rotational Knee Joint Kinematics before and after Unicompartmental Medial Arthroplasty, Comparison with a Healthy Knee Joint].
CONCLUSIONS The arthritic process affecting the knee joint results in altered kinematics and biomechanics of the affected knee joint. This is manifested at both the axial and sagittal plane, when the kinematics fails to equal that of the healthy joint. The implantation of the medial unicompartmental knee arthroplasty improves the kinematics of the knee joint and helps achieve the requested values and stabilises the knee joint. Key words:medial gonarthrosis, unicompartmental knee arthroplasty, knee joint kinematics. PMID: 30843511 [PubMed - in process] (Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca)
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - March 8, 2019 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Assessment of Reduction Abilities of an Expandable Stent in Treating Osteoporosis-Related Fractures of Th/L (Thoracolumbar) Spine].
CONCLUSIONS The hypothesis that the stent is capable of a statistically significant reduction in the anterior, middle and posterior portion of the vertebral body was only partially confirmed. A statistically significant reduction was seen only in the middle portion of the vertebral body. In the anterior portion of the vertebral body the reduction was demonstrable only immediately after the surgery, while the later follow-up checks revealed the loss of correction. The statistically significant improvement of the kyphotic angle between the endplates of the injured vertebra was also seen only on the first postoperative radiog...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - March 8, 2019 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[New Anterior Cruciate Ligament Reconstrucion Using Harmstring Tendon Grafts - Clinical Part].
CONCLUSIONS The method provided sufficient post-operative stability of the knee joint. Fixation of the femoral screw satisfied the demands laid on it. Regarding the pain perception, the method was considered positive, the level of pain involved in the procedure was low. No severe complications or technical mistakes occurred during the surgical procedures. The new instrumentation set developed for the ACL reconstruction offers an easy technique and comfortof use. Key words:anterior cruciate ligament, reconstruction, hamstrings, knee arthroscopy, instrumentation set. PMID: 30843513 [PubMed - in process] (Source: Acta Chi...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - March 8, 2019 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Mid-Term Outcomes of Reconstruction of Charcot Foot Neuroarthropathy in Diabetic Patients].
CONCLUSIONS Of the original 16 indications for a lower limb amputation in diabetic patients with Charcot foot neuroarthropathy, only one amputation was performed. Positive mid-term outcomes of surgical reconstruction justify further development of this method, bearing in mind the necessity of careful indication and preoperative preparation of the patient in cooperation with diabetologists. Precise and accurate surgical technique and relevant postoperative care are essential to minimise the potential complications. Key words:Charcot arthropathy, diabetic neuropathy, rocker - bottom foot deformity, foot reconstruction. P...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - March 8, 2019 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Current Concepts in the Treatment of Intra-Articular Calcaneal Fractures].
DISCUSSION Despite the controversy as to the proper treatment of intra-articular calcaneal fractures, mainly in simpler types of Sanders type IIA and IIB it is of benefit to use a combination of percutaneous reduction of calcaneal body along with the posterior articular surface from the Palmer s modified approach. CONCLUSSIONS At our department we prefer percutaneous reduction and osteosynthesis as a method of choice in tongue-type fractures, and the Palmer s modified approach is the preferred method in Sanders type IIA and IIB fractures. In Sanders type III fractures we advise to use the plate osteosynthesis and for Sande...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - March 8, 2019 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Short-Term Outcomes of Endoscopic Treatment of Inferior Calcar Calcanei in Patients with Plantar Fasciitis].
CONCLUSIONS The endoscopic treatment of inferior calcar calcanei and plantar fasciotomy with denervation of fascial attachment is a fast, minimally invasive and safe method which brings very satisfactory results in the treatment of refractory plantar fasciitis. It is evidenced by subjective patient satisfaction, great function improvement, considerable pain relief after the surgery together with a minimum incidence of complications. Kew words:hindfoot, plantar heel pain, plantar fasciitis, arthroscopic treatment, short-term results. PMID: 30843516 [PubMed - in process] (Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca)
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - March 8, 2019 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Reconstruction of Isolated Orbital Floor Fractures by Nasoseptal Cartilage].
The objective of our study was to evaluate the radiological indication criteria for surgery and the clinical outcomes thereafter. MATERIAL AND METHODS The retrospective monocentric study of the group of 53 patients who underwent the isolated orbital floor fracture reconstruction during the period from 1/1/2006 to 31/12/2016 at the Clinic of Otolaryngology and Head and Neck Surgery of the St. Anne's University Hospital, Brno. The ealuated parameters wee the following: trauma cause, clinical symptoms, evaluation of CT parameters (MH index, RF index, MRI index), time interval from injury to surgery, complications. RESULTS Tra...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - March 8, 2019 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Osteoid Osteoma of the Upper Extremity].
CONCLUSIONS Osteoid osteoma of the upper extremity is a rare pathology which shall be considered in case of an increasing pain, especially in young men. A plain radiograph of the anatomically complex terrain of the hand and wrist is mostly not useful in diagnosis, whereas the CT examination can visualise even a small size nidus. The surgical excochleation results in pain relief and early functional recovery with swelling disappearance. To diagnose the OO is not difficult provided we take it into consideration. Key words:osteoid osteoma, upper extremity, hand, wrist, diagnosis. PMID: 30843518 [PubMed - in process] (Sour...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - March 8, 2019 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

Evolution of AO Fracture Treatment Part 1: the Internal Fixator.
Authors: Perren SM, Fernandez Dell'oca A, Regazzoni P Abstract Surgical fracture treatment has undergone an extensive evolution in the past decades. In the early days achieving solid healing in anatomically reduced position was the primary and nearly exclusive goal of fracture treatment. Since mainly Lambotte, Danis and Müller in Europe the focus of surgical fracture treatment shifted to achieving early recovery of the function of the injured limb with safe healing. Considering the shortcomings of the early fracture treatment helps understanding the evolution of surgical fracture treatment. The evolution of th...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - January 21, 2018 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

Treatment of Geriatric Proximal Humerus Fractures: Indications and Outcome.
Authors: Kaya N, Märdian S, Schwabe P, Manegold S, Tsitsilonis S Abstract Treatment algorithms of proximal humerus fractures are still controversially discussed. The enthusiasm towards operative treatment after the introduction of locking implants, has not been justified by the functional results in the elderly population. The majority of those fractures in the geriatric patients can be successfully treated conservatively. Thorough clinical and radiological examination for fracture analysis, dynamic stability control with the use of an image intensifier, and meticulous reduction, in addition with the appropria...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - January 21, 2018 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Results of Surgically Treated Patients for Hip Fracture - Complications, Mortality].
CONCLUSIONS Mortality has significantly decreased between 2003 and 2013 (p
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - January 21, 2018 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

Impact of Single Center Treatment on Ewing Sarcoma 10-Year Long Term Survival Rates.
Authors: Krieg AH, Gehmert S, Angst R, Rischewski JR, Kühne T, Hefti F Abstract PURPOSE OF THE STUDY Ewing sarcomas (ES) are the second most common solid malignant bone tumors in both, children and adolescents, and systemic chemotherapy protocols were established during the last 3 decades which proved to be a successful approach in addition to local treatment. The purpose of the present study is (i) to provide survival rates and prognostic factors for patients with ES which received treatment in a single center and (ii) to compare data with results of multicenter studies. MATERIALS AND METHODS Patients (n = 38...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - January 21, 2018 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

Evaluation of the Quality of Life and Psychiatric Symptoms of Patients with Primary Coxarthrosis after Total Hip Arthroplasty.
CONCLUSIONS In this study, it was determined that primary coxarthrosis affects significantly the quality of the patients' lives in a negative way and can be accompanied by mental symptoms. After total hip arthroplasty, significant improvement was observed in quality of life, depression and pain scores. Key words: total hip prosthesis, quality of life, mental symptoms. PMID: 29351526 [PubMed - in process] (Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca)
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - January 21, 2018 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Treatment of Extensive Chondral Defects of the Patella after Patellar Dislocation].
CONCLUSIONS Where a serious, extensive fragment of patellar cartilage is found, the fixation of cartilage with the use of transosseous PDS sutures brings very good and good results, without the necessity of another surgery, while the simultaneous treatment of medial patellar retinacula considerably decreases the risk of patellar re-dislocation, thus reducing the risk of further damage to cartilage of patelofemoral joint. The use of transosseous suture fixation is considered by the authors to be more appropriate than the use of screws, mostly because no further surgery to remove fixation screws is necessary. Key words: acut...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - January 21, 2018 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

Cement Augmentation of the Cervical Spine - a Technique Enhancing Stability of Anterior Cervical Plating.
CONCLUSIONS This technique of cement augmentation is a useful adjunct in those few patients where a secondary posterior surgery would be high-risk due to the general health of the patient, or when life expectancy is limited. We have shown that anterior alone reconstruction of the cervical spine with cement augmentation of screws did provide sufficient and sufficiently long stability of the cervical spine which prevented catastrophic collapse and quadriplegia in patients in poor general condition. Key words: cement augmentation, cervical spine, corpectomy, tumor, stabilization, fusion. PMID: 29351528 [PubMed - in proces...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - January 21, 2018 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Arthrodesis of the First Metatarsophalangeal Joint by Locking Plate].
CONCLUSIONS The arthrodesis is indicated in patients with Grade III and IV hallux rigidus, with severe hallux valgus, hallux varus, and in patients in whom the previous surgeries failed. We tend to prefer stable arthrodesis. Fixation by anatomic LCP plate facilitates early rehabilitation, loading and early return to work and sports activities. Key words: arthrodesis, metatarsophalangeal joint, hallux rigidus, hallux valgus. PMID: 29351529 [PubMed - in process] (Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca)
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - January 21, 2018 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Tibio-Calcaneal Arthrodesis with Vertically Placed Tricortical Bone Graft after Traumatic Talar Extrusion - a Case Report].
Authors: Popelka V, Zamborský R Abstract The aim of this publication is to present a case report of a 38-year-old patient with traumatic astragalectomy and resultant foot reconstruction surgery using a combination of talus compensation by vertically placed tricortical autograft and pantalar arthrodesis with a retrograde calcaneotibial nail (hindfoot nail). The advantage of this treatment is based on a solid, stable osteosynthesis, while maintaining the length of the limb. Key words: traumatic talar extrusion, tibiocalcaneal arthrodesis, hindfoot nail, bone graft, pantalar arthrodesis. PMID: 29351530 [Pub...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - January 21, 2018 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

Flexor Hallucis Longus Transfer for Foot Drop without Functioning Tibialis Posterior.
We describe a case of successful flexor hallucis longus transfer in such a case. Key words: foot drop, flexor hallucis longus, peroneal nerve palsy; tendon transfer. PMID: 29351531 [PubMed - in process] (Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca)
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - January 21, 2018 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

Proximal Femoral Fractures and Anticoagulation Therapy - When Is Surgery Safe?
Authors: Gänsslen A, Grechenig S, Grechenig W Abstract Patients presenting with proximal femur fractures are at high risk of developing DVT and pulmonary embolism. Many of these patients suffer from additional anticoagulant treatment. Patients on anticoagulation treatment are complex to manage, especially regarding timing of surgery due to implemented quality control recommendations. The present review analyses the present data timing of surgery and perioperative surgical considerations on anticoagulation treatment in this patients group. PMID: 29351532 [PubMed - in process] (Source: Acta Chirurgiae Orthop...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - January 21, 2018 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

Intramedullary Nailing of Metaphyseal Fractures of the Lower Extremity.
Authors: Rommens PM, Küchle R, Hofmann A, Hessmann MH Abstract Intramedullary nailing is a worldwide accepted technique for stabilization of fractures of long bones. Technique, instruments and implants primarily have been developed for the fixation of short (transverse and oblique) diaphyseal fractures. First generation nails were hollow and slotted, which gave them some elasticity. When the tip of the nail passed the fracture gap, picked up the opposite fracture fragment and was driven further down, the longitudinal axis of the bone was restored and the extremity realigned. Bone length was restored by closure...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - January 21, 2018 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

Cemented Hemiarthroplasties Are Associated with a Higher Mortality Rate after Femoral Neck Fractures in Elderly Patients.
CONCLUSIONS THA in eldery patients with femoral neck fractures is associated with a higher complication rate, mostly of general medical entity. After cemented HA, our study reveals a high mortality rate due to thromboembolic events. For patients with multimorbidity in particular, these findings therefore suggest that uncemented THA should be considered to prevent lethal complications. Key words: femoral neck fracture; total hip arthroplasty; hemiarthroplasty; complications. PMID: 29351534 [PubMed - in process] (Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca)
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - January 21, 2018 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Occurrence and Progression of Early Radiolucent Lines around Total Knee Arthroplasty].
CONCLUSIONS The occurrence of RL lines corresponds roughly with the frequency stated in literature. Some lines show progression, other disappear. So far, we have been unable to distinguish the predictively significant RL lines from the insignificant ones. Important will undoubtedly also be the size of surface of RL lines and their cause. More frequent RL lines were observed in the postoperative varus deformity of TKA and with the growing BMI value. The RL lines under the anterior part of the femoral component showed a tendency to progress. In order to avoid them we recommend modifying the cementing technique. Clinically si...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - January 21, 2018 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Osteochondritis Dissecans in Children - Treated with Arthroscopic Drilling].
CONCLUSION Treatment of OCHD with arthroscopic drilling shows promising results in our cohort of patients. We recommend to use arthroscopic drilling in patients in stage I to III according to X-ray when 3 months of conservative treatment do not improve the clinical symptoms, swelling and restriction of movement. Antegrade drilling is the most frequently used treatment method in OCHD at our clinic, we consider this technique a simple and effective, with short surgical time needed. Key words: osteochondritis dissecans, treatment, arthroscopy, drilling. PMID: 29351536 [PubMed - in process] (Source: Acta Chirurgiae Orthopa...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - January 21, 2018 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Influence of Enhanced Recovery Regime on Early Outcomes of Total Knee Arthroplasty].
CONCLUSIONS The TKA implant without suction drains combined with intensified perioperative analgesia and intensive postoperative rehabilitation is a safe way to earlier recovery of the function of the operated knee, or, by extension, the lower limb. The described approach is not associated with a higher risk of perioperative complications (bleeding, healing disorders or early infections). Patients also benefit from lower blood losses. Based on the results of our study, we recommend performing the TKA surgeries routinely without drains, with perioperative analgesia and immediate postoperative joint mobilization. Key words: ...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - January 21, 2018 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Bacteriuria and Symptomatic Urinary Tract Infections during Antimicrobial Prophylaxis in Patients with Short-Term Urinary Catheters - Prospective Randomised Study in Patients after Joint Replacement Surgery].
CONCLUSIONS Despite the negative pre-operative urine culture, frequent incidence of leukocyturia and symptomatic urinary infections were detected in a fairly high number of cases. Therefore, we recommend asking the patients during the hospital admission process specifically about the urinary infection symptoms. The results of our study show that antibiotic prophylaxis during the removal of indwelling urinary catheters placed for a short-term is unnecessary. Key words: endoprosthesis, urinary catheter, bacteriuria, urinary tract infection. PMID: 29351538 [PubMed - in process] (Source: Acta Chirurgiae Orthopaedicae et Tr...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - January 21, 2018 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Correlation between the Arthroscopic and MRI Findings in Patients Active in Sports with Clinically Suspected Acetabular Labral Tear - Prospective Study Results].
CONCLUSIONS The results of our study indicate that the arthro-MRI performed as a part of preoperative examination prior to hip arthroscopy has adequate specificity and sensitivity in patients with suspected labral tear. Based on this examination a decision can be made as to whether to perform arthroscopy. Our study also shows that it is essential to have a highly competent radiologist to evaluate the arthro-MRI results. Key words: hip arthroscopy, labral tears, arthro-MRI, hip joint, predictive value of tests, sensitivity and specificity, minimally invasive surgical procedures/methods. PMID: 29351539 [PubMed - in proce...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - January 21, 2018 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Our Experience with the Total Replacement of the First Metatarsophalangeal Joint by Medin PH-flex].
CONCLUSIONS An appropriately chosen type of the implant, a fitting indication and a correctly applied implantation technique can lead to the desired good outcome. The first MTP joint replacement should be indicated after careful consideration since the management of a potential joint replacement failure can often be very technically challenging and quite mutilating for the patient. The mid-term outcomes of the Medin a.s. first MTP implant seem to be promising. It will, however, be necessary to wait for long-term outcomes in order to evaluate the final benefits of this type of implant in patients with hallux rigidus. Key wo...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - January 21, 2018 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

Middle Term Results of Simple Open Hip Reduction of Irreducible DDH - What Is the Cut-off Age to Safely Perform It with Lower Complications?
CONCLUSIONS The thorough capsuloplasty after FH reduction in the acetabular socket is enough for stability even in Tonnis 4. When OR age is below 9 months severe AVN is lower and Herring-Mose FH sphericity scoring is higher. Key words: DDH, simple open hip reduction, avascular necrosis of femoral head. PMID: 29351541 [PubMed - in process] (Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca)
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - January 21, 2018 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

Carpal Tunnel Syndrome Surgery Anti-Adhesion Gel Is Effective?
CONCLUSIONS Results of the current study demonstrated that use of anti-adhesion gel during mini incision open surgery for CTS did not bring about significant advantages in terms of functional or symptomatic outcomes. Further, controlled trials on larger series are warranted to understand the beneficial effects of anti-adhesive materials during the surgical treatment of CTS. Key words: anti-adhesion gel, Boston questionnaire, carpal tunnel syndrome. PMID: 29351542 [PubMed - in process] (Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca)
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - January 21, 2018 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Severe Lower Extremity Infections Treated with Hip Disarticulation - Case Series].
Authors: Patera M, Mizera R Abstract Hip disarticulation is a major ablative procedure with serious risks as well as consequences for the patient, performed rarely for a lower extremity infection. According to literature, the mortality rate in these procedures reaches up to 60%. Unfavourable prognostic factors are emergency surgeries without adequate preparation of the patient and surgeries indicated for an ischemic terrain infection. The authors present four cases of hip disarticulation for severe lower extremity infection. In one patient, the procedure was performed urgently for necrotising fasciitis in the lower...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - January 21, 2018 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

Acetabular Fractures in an Advanced Age - Current Knowledge and Treatment Options.
Authors: Märdian S, Rau D, Hinz P, Wittenberg S, Giesecke M, Schwabe P Abstract The demographic change in industrial countries leads to an increasing population that sustains an acetabular fracture in an advanced age. Some authors predicted elderly individuals to be the most rapidly growing subgroup of patients currently sustaining acetabular fractures. Gold standard of treatment of acetabular fractures remains the open reduction and internal fixation. Relevant factors impeding surgical treatment include the significantly decreased bone stock and the incapability of the patients to partially weight bear follow...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - September 23, 2017 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

Concussion in Sports - What Trauma/Orthopedic Surgeons Need to Know!
This article presents the mechanisms, the underlying pathophysiology and typical primary signs and symptoms. The recognition and resulting medical measures including the present recommendations and decisions on return to play are described. The majority of patients with concussion present with clinical and cognitive symptoms only for short time intervals. As a rule a complete subjective recovery is observed within a few hours or days. Although neurocognitive impairments can persist in individual cases, they also show a good tendency to heal. Thus, after 1 year nearly all patients no longer have any relevant disorders. In a...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - September 23, 2017 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Local Application of Tranexamic Acid in Total Hip Arthroplasty Decreases Blood Loss and Consumption of Blood Transfusion].
Authors: Lošťák J, Gallo J, Večeřa M, Špička J, Langová K Abstract PURPOSE OF THE STUDY The primary aim of our study was to identify the effects of local application of tranexamic acid (TXA, Exacyl) on the amount of postoperative blood loss and blood transfusion requirement in primary total hip arthroplasty. We also recorded the levels of postoperative haemoglobin and its drop in early period after surgery. In each patient, we monitored in detail the incidence of early complications (haematoma, wound exudate). Lastly, the economic aspect of TXA administration was also taken into acco...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - September 23, 2017 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Mid-Term to Long-Term Results of Revision Total Hip Arthroplasty Using the Oval-Shaped Acetabular Cup - TC Type].
CONCLUSIONS The oval-shaped uncemented cup - type TC meets the requirements placed on a state-of the art revision implant, moreover its specific construction helps improve the conditions where another re-operation of acetabulum is necessary. By evaluating mid-term to long-term results of non-homogenous group of 36 patients (38 cups) we have obtained data on joint function comparable to similar groups with revision uncemented implants presented in our and foreign literature. Key words: revision oval-shaped cup, bone remodelling, pull-out tests, angular stable screws, computed tomography. PMID: 28933329 [PubMed - in proc...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - September 23, 2017 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Short-Term Results of Surgical Treatment of Patients with Hallux Rigidus].
Authors: Dygrýnová M, Uvízl M, Gallo J Abstract PURPOSE OF THE STUDY Hallux rigidus is common and degenerative arthritis of the first metatarsophalangeal joint. The aim of this study was to assess the results of cheilectomy and total joint replacement (TJR) in patients with hallux rigidus. Minimum duration of followup was 18 months. MATERIAL AND METHODS The study included fifty-nine patients who underwent surgery at our Department due to hallux rigidus between January 2013 and December 2014. Thirty-seven patients underwent cheilectomy and twenty-two patients had total joint arthroplasty using M...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - September 23, 2017 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Comparison of the Arthroscopic Finding in the Knee Joint and the MRI - Retrospective Study].
CONCLUSIONS A preoperative MRI scan can prevent an unnecessary arthroscopy. It displays structures to the surgeon which shall be reviewed in detail during the surgery. We recommend paying attention to Grade 2 MRI findings, positive MRI findings on the posterior horn of medial meniscus and to MRI findings on partial ACL tears. Such menisci and ligaments shall be carefully reviewed. Clinical preoperative examination and cooperation between the surgeon, the "arthroscopist", and the radiologist is essential. The experience of the radiologist also plays a role when evaluating the MRI scan. We have introduced MRI ward ...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - September 23, 2017 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

The Impact of Caregivers' Anxiety on Patients' Anxiety before Fast-Track Knee Arthroplasty.
CONCLUSIONS Anxious male caregivers appear to impart their anxiety to male patients but not to female patients. The anxiety of unrelated caregivers is associated with low preoperative anxiety among patients. Preoperative interventions should focus on caregivers, especially male caregivers, and to related caregivers to help patients cope with anxiety before knee arthroplasty. Key words: knee arthroplasty. knee replacement. fast track, anxiety, caregiver, preoperative stress. PMID: 28933332 [PubMed - in process] (Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca)
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - September 23, 2017 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Canine Elbow Humeroulnar Incongruity Measurements Using Computed Tomography].
CONCLUSIONS Dog is a suitable model animal for evaluation of HUI of elbow joints due to frequent incidence of elbow dysplasia associated with HUI. The quantification of HUI at the expense of subjective evaluation of HUI is often overrated in radiological studies. Key words: dog, elbow, humeroulnar incongruity. PMID: 28933333 [PubMed - in process] (Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca)
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - September 23, 2017 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Damage Control Surgery in Polytrauma Patients with Pelvic Fractures. Is It Possible to Use Internal Fixation?]
Authors: Havlůj L, Džupa V, Gürlich R Abstract Current polytrauma management is multidisciplinary, with Damage Control Surgery (DCS), Damage Control Orthopaedics (DCO) and Damage Control Resuscitation (DCR) being applied in the first few hours after injury. The most severe group of polytrauma patients are those with circulatory instability and massive blood loss as a consequence of unstable pelvic fractures. In treating these patients, of crucial importance is the speed and quality of stabilisation of pelvic fracture fragments. The authors present two case reports of polytrauma patients with unstable pelvic ...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - September 23, 2017 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

How to Choose between the Implant Materials Steel and Titanium in Orthopedic Trauma Surgery: Part 1 - Mechanical Aspects.
Authors: Perren SM, Regazzoni P, Fernandez AA Abstract When choosing between metal implants of different materials the surgeon mainly needs to balance the pros and cons of steel and titanium. Economic constraints often do not permit both to be kept in stock and it is necessary to decide beforehand which to choose. The arguments for the use of the "preferred metal" vary. The present paper elucidates the practical aspects based on the complex scientific background that has identified the differences between the two metals in their mechanical, electrochemical, biological and application behavior. The data pr...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - March 4, 2017 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

Arthrodesis of the Ankle.
Authors: Zwipp H Abstract About 90 % of all cases of painful posttraumatic ankle arthritis can be very successfully treated with a minor invasive ankle arthrodesis technique by using a small anterior approach and a fixation with four 6. 5 mm screws of which the posteromedial and transfibular one are inserted percutaneously. The results with this standardized procedure have been reported previously as excellent and good in a mid-term run of 6 years (34). This technique leads to a high union rate of 99% (92 of 93) with rapid bone healing within 8 ± 2 weeks, it causes a low minor complication rate of 8 % and en...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - March 4, 2017 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

Delayed Fracture Healing in Diabetics with Distal Radius Fractures.
CONCLUSIONS To corroborate the authors hypothesis of delayed fracture healing in patients with diabetes mellitus, prospective studies incorporating influencing factors like duration of metabolic disease, quality of diabetes control, medical diabetes treatment, comorbidities and secondary diseaseas, like chronic nephropathy and osteoporosis, have to be carried out. Key words: diabetes, delayed fracture healing, distal radius fractures, callus formation, blood glucose level, osteoblasts. PMID: 28253942 [PubMed - in process] (Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca)
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - March 4, 2017 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

The Importance of Patellar Resurfacing in Total Knee Arthroplasty for Symptomatic Valgus Degenerative Deformity.
CONCLUSIONS Although evidence in our study could not strongly suggest performing patella resurfacing in patients with valgus deformity, the results were slightly better in the patella resurfacing group and this trend could increase if larger series of patients would be employed. A longer follow-up period would be required for clear-cut decisions and more prospective studies are warranted. Key words: knee, arthroplasty, patella, replacement, valgus, deformity. PMID: 28253943 [PubMed - in process] (Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca)
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - March 4, 2017 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Management of Odontoid Fractures with Compression Screw and Anterior Transarticular Screw Fixation in Elderly Patients].
CONCLUSIONS The ATS is a method that increases stability of compression osteosynthesis in managing dens axis in elderly patients. Key words: dens axis, upper cervical spine fracture, elderly, triple screw technique, anterior transarticular C1/2 stabilization. PMID: 28253944 [PubMed - in process] (Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca)
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - March 4, 2017 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Pyogenic Spinal Infections in Adults: A 5-Year Experience from a Tertiary Care Centre].
CONCLUSIONS The study confirmed an increasing incidence of pyogenic spinal infections, known predisposing factors, importance of MRI in diagnostics, disease predilection in lumbar spine, staphylococcal predominance in causative pathogens, and a relatively high case fatality ratio. Although time to treatment was not proved to be a negative predictive factor of clinical outcome, it is an imperative to strive for an early diagnosis and treatment. Predictors of clinical outcome have to be evaluated in a more extensive cohort of patients. Key words: spinal infection, discitis, spondylitis, spondylodiscitis, epidural abscess, ps...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - March 4, 2017 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Periprosthetic Infection of the Knee Megaprosthesis following a Resection of Malignant Tumours around the Knee].
CONCLUSIONS The study presents the results of operative treatment of periprosthetic infection of megaprosthesis and the modification of the two-stage replantation of infected MP with the use of external fixation for stabilisation of a non-articulated cement spacer allowing the patient to remain active during the time before the second stage. Key words: periprosthetic infection, megaprosthesis, bone tumour, external fixator, two-stage revision. PMID: 28253946 [PubMed - in process] (Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca)
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - March 4, 2017 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Periprosthetic Femoral Fractures after Total Hip Replacement: Our Results and Treatment Complications].
CONCLUSIONS Surgical treatment of periprosthetic fractures, thanks to the introduction of new implants for osteosynthesis and development of new stems for revision endoprostheses, helps achieve ever better results. Of major importance for choosing the treatment method is correct classification of fracture and stem stability. Poor bone quality is a common feature, therefore a perfect mechanical fixation is necessary. The long-term results are affected primarily by the patient s age. Key words: periprosthetic femoral fractures, surgical treatment, results, complications. PMID: 28253947 [PubMed - in process] (Source: Acta...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - March 4, 2017 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research