[Our Experience with RM Pressfit Vitamys Cup and Cementless Optimys Short Stem].
CONCLUSIONS The RM Pressfit Vitamys monobloc cup through its mechanical properties approximates the best the elasticity of bone tissue. The stress distribution around the implant is more symmetrical as against other conventional cementless cups. The Optimys stem enables the reconstruction of anatomical conditions corresponding a healthy hip joint. Respecting the rule of at least three-point fixation is a precondition for good and fast secondary stability of components. Minimising the wear of articulating surfaces and physiological remodelling of adjacent bone tissue are the main factors that help prolong the survivorship o...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - August 13, 2020 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Evolution of Opinions on Chest Wall Stabilisation and Our Experience].
CONCLUSIONS Prevailing majority of patients with a blunt chest trauma with rib fractures is still treated non-operatively, which is confirmed also by our group of patients. Nonetheless, correctly and early indicated stabilisation of the chest wall based on accurate indication criteria is of a great benefit to the patients. The aim of each and every trauma centre should be to develop a standardised protocol for the management of blunt chest trauma (the so-called "rib fracture protocol"), which comprises precisely defined criteria for patient admission, multimodal analgesia, indications for surgery, comprehensive p...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - August 13, 2020 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

Artroskopicky asistovan á osteosyntéza nitrokloubních zlomenin lopatky – první zkušenosti a dvouleté klinické výsledky.
CONCLUSIONS By visualising the fracture line, the arthroscopy facilitates a more accurate reduction of fragments and a minimally invasive osteosynthesis of some intra-articular fractures of the scapula when compared to closed reduction with fluoroscopic intraoperative control only. The use of arthroscopy in these interventions is conditional on perfect mastering of the surgical technique and also the use of special instruments both for arthroscopy and minimally invasive osteosynthesis. If these criteria are observed and the surgical technique mastered, the authors consider this method beneficial in treating the glenoid fra...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - August 13, 2020 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Two-Year Results of Modified AMIC Technique for Treatment of Cartilage Defects of the Knee].
Authors: OtaŠeviČ T, ValiŠ P, Rouchal M, NovÁk J, Repko M, ŠprlÁkovÁ-PukovÁ A Abstract PURPOSE OF THE STUDY Damage to hyaline cartilage represents a serious problem due to its limited capacity of regeneration. Currently, there are several treatment options available. The purpose of this study is to evaluate the success rate of treatment of chondral and osteochondral defects of the knee joint using the modified AMIC (Autologous Matrix-Induced Chondrogenesis) technique, combining microfractures of the base and the implantation of the type I collagen-based cell-free im...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - August 13, 2020 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Revision of Infected Total Knee Arthroplasties with DAIR Method - Factors Affecting the Two-Year Survival Rate].
CONCLUSIONS DAIR is a suitable method in treating infections of stable TKA without the history of revision surgery for infection. The surgery should be performed within 2 weeks from the manifestation of symptoms. Key words: debridement, antibiotics, infection, implant retention, total knee arthroplasty. PMID: 32773018 [PubMed - in process] (Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca)
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - August 13, 2020 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Comparison of Bone Marrow Stromal Cells from Different Anatomical Locations for Evaluation of Their Suitability for Potential Clinical Applications].
CONCLUSIONS The iliac crest represents a superior bone marrow source for the MNCs and MSCs yield when compared with tibia. However, there was no qualitative difference between the isolated and cultured cells. The population doubling time analysis showed that the tibia is a good alternative source of MSCs which can be obtained at therapeutically relevant numbers for example for the treatment of chondral lesions of the knee. Key words: bone marrow, mesenchymal stem cells, MSC, mononuclear cells, chondral defects, osteoarthritis. PMID: 32773019 [PubMed - in process] (Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca)
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - August 13, 2020 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[The Injury-Treatment Time Interval of the Most Frequent Limb Fractures - 1-Year Monocentric Study].
Authors: Tolar V, KlimeŠ J, DŽupa V, Marvan J, DouŠa P, BÁČa V, Čelko AM Abstract INTRODUCTION The purpose of the study was to evaluate the injury-treatment time interval in a group of patients with limb bone fractures over the period of one year; and to compare this interval in the most frequent fractures of the upper and lower limb. MATERIAL AND METHODS The followed-up group of the prospective one-year monocentric study included 3,148 patients treated consecutively for 3,909 fractures. For the purpose of sub-analysis of the injury-treatment time interval in limb bone fractures, excluded fr...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - August 13, 2020 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

Early Mobilization and Functional Discharge Criteria Affecting Length of Stay after Total Elbow Arthroplasty.
Authors: PrkiĆ A, Viveen J, The B, Koenraadt KLM, Eygendaal D Abstract PURPOSE OF THE STUDY Decline in length of stay is of growing interest for patients, doctors and health insurances. The aim of our study was to assess the safety and length of stay after omission of casting, start of early mobilization and implementation of functional discharge criteria after total elbow arthroplasty (TEA). MATERIAL AND METHODS We retrospectively reviewed all patients' records who received a Coonrad-Morrey TEA in the period from January 1st, 2011 to December 31st, 2018. From these records, indications, demographic information an...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - August 13, 2020 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

Investigation of the Optimal Interval for Staged Total Knee Arthroplasty for the Treatment of Advanced Bilateral Gonarthrosis.
CONCLUSIONS Even though a number of factors influence the optimal interval for staged TKAs in bilateral gonarthrosis, an interval of 91-270 days appears to be the optimal interval between surgeries in terms of minimizing pain and maximizing ADL s and knee scores. Key words: bilateral total knee arthroplasty, optimal interval, knee society scores, activities of daily living. PMID: 32773022 [PubMed - in process] (Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca)
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - August 13, 2020 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Mechanical Testing of Tendons Sutured with Newly Developed Biomaterial].
CONCLUSIONS For tendon core suture, the use of sutures with multiple longitudinal segments seems more appropriate. The epitendinous suture can considerably reinforce the basic load-bearing core suture. Also observed was not an insignificant effect of the needle profile on the resulting tensile strength of the suture. In materials developed by us, more suitable seems to be the design of braiding of absorbable nanofibers with a load-bearing non-absorbable yarn. While the mechanical tensile strength of new materials is lower, the benefits are expected in the form of biological support of healing. Moreover, the nanofibers can ...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - August 13, 2020 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Management of Glenoid Defect by a Bone Graft in Reverse Total Shoulder Arthroplasty - Surgical Technique and Two-Year Clinical Outcomes].
CONCLUSIONS The short-term clinical outcomes of patients, in whom glenoid defect was during the reverse total shoulder arthroplasty managed by bone grafts, are very good. Radiological signs of bone-to-graph incorporation were present in all the patients of the followed-up group. Nonetheless, for the sake of evaluation of this method, more patients shall be included in the group and a longer follow-up is needed for their evaluation. Key words: reverse total shoulder arthroplasty, glenoid bone loss, glenoid retroversion, augmented implant. PMID: 32396507 [PubMed - as supplied by publisher] (Source: Acta Chirurgiae Orthop...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - May 13, 2020 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

Can Intra-articular 1 α, 25-Dihydroxyvitamin D3 Administration Be Therapeutical in Joint Cartilage Damage?
Can Intra-articular 1α, 25-Dihydroxyvitamin D3 Administration Be Therapeutical in Joint Cartilage Damage? Acta Chir Orthop Traumatol Cech. 2020;87(2):90-94 Authors: Kuyucu E, Çabuk H, Güler Y, Çabuk F, Kiliç E, Bülbül M Abstract INTRODUCTION Vitamin D-deficiency is known to cause nerve conduction impairments, cancer and chronic diseases, as well as the pathogenesis of osteoarthritis. Our goal with this study is to evaluate the cartilage healing by applying intraarticular 1α, 25 (OH) 2D3 at different doses in rats with normal vitamin D levels and metabolis...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - May 13, 2020 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Minimally Invasive Posterior Lumbar Interbody Fusion and Instrumentation - Outcomes at 24-Month Follow-up].
CONCLUSIONS The minimally invasive posterior lumbar interbody fusion technique resulted in a statistically significant clinical improvement in the ODI, Macnab scale, VAS LBP and VAS LE scores. The percutaneous instrumentation technique shows an acceptable rate of incorrectly inserted screws. Key words: degenerative disc disease, minimally invasive spinal surgery, posterior lumbar interbody fusion, spine stabilization, lumbar interbody fusion complications. PMID: 32396509 [PubMed - as supplied by publisher] (Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca)
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - May 13, 2020 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Surgical Treatment of Clavicle Midshaft Fractures - Prospective Randomized Trial].
Authors: Šimek J, Šmejkal K, Frank M, Hyšpler R, Dědek T, Páral J Abstract PURPOSE OF THE STUDY Comparison of the outcomes of clavicle midshaft fractures using two different surgical techniques, namely intramedullar osteosynthesis using elastic stable intramedullary nailing (ESIN) with medial cap and extramedullar plate osteosynthesis. MATERIAL AND METHODS The prospective randomized trial was conducted at the Department of Trauma Surgery of the Department of Surgery of the University Hospital Hradec Králové in the Czech Republic at the Level I Trauma Center between 2014 an...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - May 13, 2020 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Minimally Invasive Cancellous Bone Graft Harvesting in Trauma Indication - Clinical Part of the Study].
CONCLUSIONS Our study confirmed that by the minimally invasive technique of bone graft harvesting adequate amount of tissue to treat defect fractures and non-unions can be harvested. Spongioplasty using grafts harvested in this manner is effective, with a minimum percentage of non-unions. The advantage of this technique is the proximity of the harvest site and the operative field and low level of pain. The minimally invasive graft harvesting represents a technique with a low risk of postoperative and late complications. Key words: bone graft, autografts, minimally invasive surgery, ilium, pain. PMID: 32396511 [PubMed -...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - May 13, 2020 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Treatment of Fractures of the Distal Third of Tibia Diaphysis by MIPO Technique].
CONCLUSIONS The treatment of fractures of the distal third of tibia diaphysis remains an unsolved issue despite the development of stateof-the art materials, implants and surgical techniques. The MIPO technique can be considered an effective method of treatment of these types of fractures, achieving a high success rate of healing and acceptable rate of complications. Key words: minimally invasive plate osteosynthesis (MIPO), distal third of tibia diaphysis, locking compression plate (LCP). PMID: 32396512 [PubMed - as supplied by publisher] (Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca)
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - May 13, 2020 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Comparison of Trauma Triage System in Prehospital Care Based on the Clinical Parameters with the ISS Score in Severely Injured Patients in the Czech Republic].
CONCLUSIONS The triage system for pre-hospital care in the Czech Republic in line with the applicable pre-hospital triage has high sensitivity as well as specificity and the results correspond to the latest triage algorithms used abroad. Increased sensitivity as a result of adding the new triage items was not confirmed. Key words: pre-hospital triage. PMID: 32396513 [PubMed - as supplied by publisher] (Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca)
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - May 13, 2020 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

Missed Sleeve Fracture of the Superior Pole of Patella.
Authors: Güler Y, Arslanoğlu F, Korkmaz O, Hakyemez ÖS, Ateş G, Çaçan MA Abstract Patellar sleeve fracture is a form of injury in which small osseous fragments avulsed with periosteum and cartilage. 15-year-old male patient, playing in school football team, apllied to our clinic with a history of previously missed patellar superior pole sleeve avulsion fracture. Care must be taken in order not to miss the patellar superior pole sleeve fractures, which are very rare in children. Extra care must be taken in patients, whose X-ray imaging is clean but there is a problem in the extensor mechani...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - May 13, 2020 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Heparin-Induced Thrombocytopenia after Total Knee Replacement].
Authors: Salášek M, Šlechtová J, Pavelk T Abstract Heparin-induced thrombocytopenia is a rare complication of treatment with both unfractionated heparin (UFH) and low molecular weight heparin (LMWH). Antibodies against the complex heparin-platelet factor 4 are the main cause of pathogenesis, resulting in the activation of thrombocytes, coagulation, endothelium, monocytes, neutrophils and subsequent highly prothrombotic state. The prothrombotic state can result not only in venous but also in arterial thrombosis at different locations (which is manifested apart from venous thromboembolic d...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - May 13, 2020 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Avascular Necrosis of Femoral Head and Coxarthrosis Progression after Acetabular Fractures].
Authors: Pavelka T, Salášek M, Bárta P, Fridrich F, Džupa V Abstract PURPOSE OF THE STUDY Non-operative and operative treatment of acetabular fractures is associated with a risk of development of posttraumatic avascular necrosis of femoral head or with the development of posttraumatic coxarthrosis. The purpose of the study was to identify the occurrence of these two complications in patients in our group and to determine the risk factors for the development of these complications. MATERIAL AND METHODS The retrospective study was conducted in two Level I trauma centres in the period from 2009 t...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - January 17, 2020 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Comparison of Explanted UHMWPE Hip Replacement Components of Various Manufacturers after 10 Years in vivo].
CONCLUSIONS At the time of failure almost all the components showed severe or even critical oxidative damage that strongly correlated with the overall clinical evaluation of the damage to the implant. This confirmed that the oxidative degradation is one of the main causes of THA failure. Key words: UHMWPE, oxidation index, crystallinity, THA failure, wear. PMID: 31941565 [PubMed - in process] (Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca)
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - January 17, 2020 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[The Risk of Total Joint Replacement Infectious Complications in Relation to the UHMWPE Particle Adhesion Area].
CONCLUSIONS The study outcomes clearly indicate that the area of polyethylene wear particles considerably increases over time. In spite of the fact that only approximately 10% of wear particles show parameters (also with respect to the size of particles and bacteria) for potential bacterial adhesion, this area is many times larger than the area of metal parts of the endoprosthesis. Key words: UHMWPE particle, adhesion, biofilm, wear, TJR infection. PMID: 31941566 [PubMed - in process] (Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca)
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - January 17, 2020 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Surgical Therapy of Fixed Atlantoaxial Rotatory Dislocation - Monocentric Study of 15 Patients].
Authors: Štulík J, Huvar P, Nesnídal P Abstract PURPOSE OF THE STUDY Atlantoaxial Rotatory Dislocation (AARD) mostly occurs in children and prevailing majority of cases are successfully managed by non-operative treatment. Surgical intervention is necessary in patients in whom non-operative treatment failed, in case of repeated dislocations and in patients with anatomical defects of the atlantoaxial complex. The purpose of the presented study is the radiological and clinical evaluation of patients with AARD surgically treated at our department. MATERIAL AND METHODS In the period from 2001 to 201...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - January 17, 2020 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Outcomes of Treatment of Calcaneal Fractures Using Locking Compression Plate with or without Augmentation].
CONCLUSIONS The operative treatment of displaced intra-articular fractures consisting of open reduction from extended lateral approach and internal calcaneal LCP fixation brings good results. We concluded that there is no statistically significant difference in the results of osteosynthesis with a locking plate alone and combined with augmentation of diaphyseal defect of the calcaneus. Filling of the diaphyseal defect in the calcaneus is not necessary, it neither accelerates the healing, nor brings better treatment outcomes Key words: calcaneal fracture, cement augmentation of defect, locking plate, extended lateral approa...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - January 17, 2020 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Peroneal Nerve Palsy Management by Tibialis Posterior Muscle Transposition - Anatomical and Clinical Study].
CONCLUSIONS The knowledge of the anatomical conditions may help us better manage potential complications intraoperatively. Key words: tibialis posterior muscle, peroneal nerve palsy, transposition of tibialis posterior muscle, anatomy of tibialis posterior muscle, common fibular nerve palsy. PMID: 31941569 [PubMed - in process] (Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca)
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - January 17, 2020 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[InternalBrace ACL Repair - First Experiences and Outcomes].
CONCLUSIONS Anterior cruciate ligament suture with the InternalBrace ligament augmentation judging from the results achieved by our group of patients brings very good clinical outcomes already at 6 months postoperatively. This method allows the athletes to return to full load soon. It maintains the kinematics and knee joint proprioception, and thus can potentially contribute to the prevention of post-traumatic arthritis. Strict application of indication criteria is a precondition to success. A longer follow up and evaluation of a larger number of patients will, however, be necessary to definitely confirm the success of thi...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - January 17, 2020 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[First Experience with Cranioplasty Using the Polyetheretherketone (PEEK) Implant - Retrospective Five-Year Follow-up Study].
CONCLUSIONS Authors prefer using autologous bone flaps during cranioplasty. In cases where this method is unavailable, a synthetic bone substitute has to be used. The first medium-term experience with the use of a Cranio-Oss implant made of PEEK showed that it is a suitable alternative to the patient's own bone. No complications associated with this synthetic implant were reported and its use to manage skull defects can be strongly recommended. With respect to legal and accreditationrelated difficulties connected with bone fragments storage and thanks to the continuous cost reduction of synthetic implants will their import...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - January 17, 2020 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Combined Symptomatic Treatment of Groin Pain Syndrome in Professional Football Players - Prospective Study Results].
CONCLUSIONS The results of this prospective study confirm that the Group 1 having undergone the 6-weeek long combined symptomatic non-operative therapy of GPS proposed by us showed a statistically significant improvement in all the parameters assessed by HAGOS and these values showed no statistically significant difference from those of the Control Group of healthy individuals. Key words: Groin Pain Syndrome (GPS), professional football player, HAGOS (Copenhagen Hip and Groin Outcome), symptomatic therapy. PMID: 31941572 [PubMed - in process] (Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca)
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - January 17, 2020 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Liver Injury after a Collapse Caused by Acute Myocardial Infarction, Resuscitation and Acute Myocardial Revascularisation].
Authors: Skalický T, Skalický A Abstract The presented case report describes primarily an unrecognized liver injury after the resuscitation with cardiac massage due to myocardial infarction. After myocardial revascularization, the hemodynamic instability and anaemia in the patient persisted. The performed CT scan confirmed a liver injury, namely the rupture of liver parenchyma with hemoperitoneum, which had to be treated surgically. It represents a complication of cardiac massage that occurs, though less frequently. Key words: resuscitation, liver trauma. PMID: 31941573 [PubMed - in process] (Sour...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - January 17, 2020 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Current Options of Rheumatosurgery of the Hand and Wrist].
Authors: Pech J, Vlček M, Landor I Abstract 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...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - November 23, 2019 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

Prediction of the Mortality with Comorbidity - Polypharmacy Score in the Osteoporotic Hip Fractures.
Authors: Camur S, Celik H Abstract PURPOSE OF THE STUDY Osteoporotic 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 METHODS Consecutive patients aged> 65 years had an osteoporotic hip fracture due to a simple trauma ...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - November 23, 2019 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[National Register of Joint Replacement Reflecting the Treatment of Developmental Dysplasia of the Hip in Newborns].
Authors: Zídka M, Džupa V Abstract PURPOSE OF THE STUDY In 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 METHODS The National Register of Joint Replacement comprises information on implantation of hip arthroplasties per...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - November 23, 2019 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Study on the Effects of Sex and Age on Proximal Femoral Fractures in Two Culturally Diverse Countries].
Authors: Zelenka L, Knížková I, Lukešová D, Kunc P Abstract PURPOSE OF THE STUDY The 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 1 s t Medical Faculty of the Charles Uni...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - November 23, 2019 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Whole-Body CT Scan and Other Imaging Techniques in Examining Polytrauma Patients - Outcomes of a Questionnaire Survey of Trauma Centres in the Czech Republic].
CONCLUSIONS he diagnostic procedure in a polytrauma patient is not uniform in trauma centres and even the procedure for urgent reporting of crucial WBCT findings to clinical physicians has not been standardised. In a number of cases the indication for WBCT seems to be unnecessary. A more careful consideration of indications for imaging examinations based on the clinical finding may reduce the radiation exposure of patients while maintaining the diagnostic accuracy. A structured report on WBCT in polytrauma is not used even though it is recommended by the European Society of Radiology. Key words:polytrauma, diagnostic imagi...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - November 23, 2019 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Importance of Skull X-ray in Head Trauma].
CONCLUSIONS Our study, in which no X-ray examination revealed possible intracranial bleeding, clearly shows that nowadays the plain radiograph of the skull does not bring any benefit in the diagnosis of minor traumatic brain injury. Key words:skull X-ray, CT of the head, head injury, minor traumatic brain injury. PMID: 31748109 [PubMed - in process] (Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca)
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - November 23, 2019 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Reconstruction of Lower Extremity Palsy after Pelvic Fractures with the Muscle Transfers].
CONCLUSIONS Irreversible palsy of lower extremity after the pelvic fracture is easily manageable as to the restoration of function. Surgical interventions using the preserved active muscles to restore the lost movement should be a component part of comprehensive surgical care for patients who sustained a pelvic fracture and should be performed centrally at a centre availing of comprehensive expertise. Key words: nerve lesion, tendon transfer, acetabulum, pelvis, fracture. PMID: 31748110 [PubMed - in process] (Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca)
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - November 23, 2019 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

Acute Total Ulnar Collateral Ligament Injuries of Thumb - Primary Repair with Mini Soft Suture Anchor (JuggerKnot ™).
CONCLUSIONS Surgical repair using the JuggerKnot™ Soft Anchor-1.0 mm is an effective alternative treatment method for acute total ulnar collateral ligament (UCL) rupture. Key words:ulnar collateral ligament, acute total injury, thumb, soft suture anchor, JuggerKnot™. PMID: 31748111 [PubMed - in process] (Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca)
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - November 23, 2019 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Arthrodesis of Interphalangeal Joints of the Hand by an External Fixator in Managing Conditions Resulting from Septic Arthritis].
CONCLUSIONS Our study confirms the safety and efficiency of arthrodesis of interphalangeal joints of the hand by means of an external fixator in treating the sequelae of septic arthritis. The union of arthrodesis with no complications was observed even in all the diabetic patients. Ranking among the main advantages of this method are the easy care for the surgical wound, achievement of easy and firm fixation with the possibility to apply an external fixator outside the area of the original infection. Key words:arthrodesis, external fixator, septic arthritis, interphalangeal joint. PMID: 31748112 [PubMed - in process] (...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - November 23, 2019 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Our Initial Experience with Radial Head Replacement].
CONCLUSIONS In treating the comminuted radial head fractures, the implantation of endoprosthesis helps to achieve a quick restoration of the elbow joint function along with good functional outcomes and prevents instabilities in case of associated ligamentous injuries. A basic precondition for successful treatment is the choice of an adequate size head. The radiological signs of stem loosening do not necessarily have to affect the functional outcomes. Key words: fracture, radial head, endoprosthesis, Kocher approach. PMID: 31748113 [PubMed - in process] (Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca)
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - November 23, 2019 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Bilateral Dislocation of the Hip Joints after a Car Accident?]
Authors: Švec A, Liščák B, Trepáč M, Jáger R, Kokavec M Abstract 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...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - November 23, 2019 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

Acetabular Cup Positioning during Total Hip Replacement in Osteoarthritis Secondary to Developmental Dysplasia of the Hip - a Review of the Literature.
Authors: Zhang L, Lu X Abstract Various surgical treatments for osteoarthritis (OA) secondary to hip dysplasia have been reported in the literature. According to the position of the arthroplasty cup, generally they could be divided into two groups: the primary rotational center (PRC) group and the high hip center (HHC) group. Some surgeons prefer the HHC technique. Without doubt it is less demanding, but several concerns exist against the long-term stability. When restoring the PRC, since the dysplastic acetabulum is usually shallower and underdeveloped, bone grafts or other biosynthetic materials are usually neede...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - May 10, 2019 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Comparison of the Quality of the Most Frequently Used New UHMWPE Articulation Inserts of the Total Hip Replacement].
CONCLUSIONS From the clinical practice point of view, the results showed the following facts: (i) In the field of THR, all manufactures prefer crosslinked types of UHMWPE due to their increased wear resistance; non-crosslinked UHMWPEs are regarded as obsolete. (ii) Most of the manufacturers prefer ethylene oxide or gas plasma sterilization to gamma sterilization because the gammasterilized UHMWPEs exhibit lower long-term oxidation resistance. (iii) Modern trend is the stabilization of UHMWPEs with vitamin E. Key words: UHMWPE, hip replacements, oxidative degradation, infrared spectroscopy, microhardness. PMID: 31070568...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - May 10, 2019 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Strong Antibacterial Efficacy of Titanium Surfaces Modified by Nanotubes and Silver Nanoparticles].
CONCLUSIONS Surface modification of Ti6Al4V with nano-texturing and silver nanoparticles resulted in strong antibacterial and modest antibiofilm effects. Thus, our results confirmed the technological potential of nano-texturing and silver nanoparticles for the improvement of antibacterial properties of implants. Key words:prosthetic joint infection, anti-infective biomaterials, titanium alloy, silver nanoparticles, nanotubes, prevention of infection. PMID: 31070569 [PubMed - in process] (Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca)
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - May 10, 2019 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Evaluation of Efficacy of Systemic Administration of Tranexamic Acid (Exacyl) in Total Hip and Knee Arthroplasty - Prospective Cohort Study].
CONCLUSIONS The administration of tranexamic acid in two IV doses of 10-15 mg/kg to patients with total knee and hip arthroplasty has proven to be efficient. A higher efficacy of TXA was reported in TKA and due to routine administration of TXA the postoperative autotransfusion system (ORTHO P.A.S.) ceased to be used in knee replacement surgery. Key words:total hip arthroplasty, total knee arthroplasty, tranexamic acid, blood loss, allogeneic transfusion, autotransfusion, postoperative complications. PMID: 31070570 [PubMed - in process] (Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca)
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - May 10, 2019 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Correction Loss of Calcaneal Fractures by Different Type of Osteosynthesis].
CONCLUSIONS The stability of different types of osteosynthesis is almost equal - the most stable is the screw synthesis (24% probability of failure), the plates show 36% odds of failure, and the most unstable seem to be the C-nails with 42% probability of failure. However, these results do not correlate with the clinical conditions according to the A-H score. Key words: calcaneal fracture, locking plate, intramedullary nail. PMID: 31070571 [PubMed - in process] (Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca)
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - May 10, 2019 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Comparison of Tension Banding and Modified Orthocord Sling in Acromioclavicular Dislocation Treatment - Non-Randomized Retrospective Study].
CONCLUSIONS Even though the tension banding and orthocord modified sling rank among the oldest and the cheapest techniques available for AC dislocation treatment, their results are comparable with modern and costly techniques. The orthocord modified sling technique has an advantage of fast and cheap material extraction in outpatient conditions. Key words: AC dislocation, acromioclavicular joint dislocation, orthocord sling, tension banding, AC disruption, acromioclavicular joint disruption. PMID: 31070572 [PubMed - in process] (Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca)
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - May 10, 2019 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Hinged Elbow External Fixation for Severe Elbow Stiffness].
CONCLUSIONS Open arthrolysis of a severe elbow contracture results in a substantial gain in motion (with or without using elbow external fixation) and gives reliable long-lasting results. The minimal improvement in motion provided by the hinge fixator does not justify the associated increase in the risk of complications. Key words:stiffed elbow, arthrolysis, external fixation. PMID: 31070573 [PubMed - in process] (Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca)
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - May 10, 2019 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Comparison of Plaster Fixation and Kirschner Wire Transfixation as Temporary Fixation of Displaced Ankle Fractures - Randomised Prospective Study].
CONCLUSIONS Plaster fixation or Kirschner wires for temporal fixation of displaced ankle fractures shall be applied on a case by case basis. Based on our findings, the application of plaster fixation to displaced ankle fractures does not provide adequate stability of the reduced fracture and in case of re-displacement the status of soft tissues deteriorates. The impossibility to control the status of soft tissues in plaster fixation and the lower complication rate in fixation with K wires constitute additional reasons why this fixation technique via the sole of the foot appears to reap more benefits. Key words:displaced an...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - May 10, 2019 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Comparison of Two Surgical Approaches for Osteosynthesis of Intraarticular Distal Humerus Fractures and Suggested New Treatment Algorithm for These Fractures].
CONCLUSIONS In our study no significant difference in functional outcomes was found between the examined approaches. A difference was identified with respect to protruding material of the cerclage and soft tissue irritation with subsequent removal of osteosynthesis material after the olecranon osteotomy. Key words:distal humerus fracture, internal fixation, surgical approach, olecranon osteotomy, paratricipital approach, tricepssparing approach, triceps reflecting anconeus pedicle approach. PMID: 31070575 [PubMed - in process] (Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca)
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - May 10, 2019 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

[Endoscopy-Assisted Treatment of Metaphyseal Osteomyelitis Focus in the Distal Tibia after Osteosynthesis of Comminuted Pilon Fracture].
Authors: Kašák P, Mizera R Abstract The submitted case study concerns a 36-year-old patient with a ladder fall injury, who suffered a comminuted right pilon fracture type C3 according to the AO classification. The primary treatment consisted in fixing the fracture with an ankle spanning external fixation and subsequent internal osteosynthesis after the recovery of soft tissues. At four weeks, an infection with fistula developed on the anterior face of the distal tibia. The patient was repeatedly treated with excochleation of suspected focus of osteomyelitis, soft tissue drainage by VAC system, applica...
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - May 10, 2019 Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research