He studied at Charles University at Prague and he started his career at University Hospital Vinorady at Prague, where he also finished his PhD program and afterwards became an associated professor. He published a monography about calcaneus factures, and was a co-founder of czech external fixation system, which was used in our country for several decades. Nowadays he mostly specializes in hip and knee arthroplasty surgery. He was an initiator of MIS A-L technique in Czech Republic and presented many papers on this topic. He is focusing on postdysplastic hip arthrosis and is using innovative techniques how to ensure ideal prosthesis implantation.
Objective: Radiological and clinical evaluation of patients who underwent acetabular osteotomy during total hip arthroplasty (THA) for postdysplastic hip artrhrosis.
Methods: Acetabulum osteotomy was used to allow correct cup position and firm holding of acetabular component of THA in patients with severe postdysplastic acetabular bone defects. We conducted a prospective study evaluating patients who underwent acetabular osteotomy during THA. We collected data on demography, previous surgeries, range of motion and Harris hip score. We arranged CT scans in all patients preoperatively and also postoperatively.
Results: We performed fifteen THA surgeries with additional acetabular osteotomy. We evaluated 8 patients in average age of 54. Six patients already underwent orthopedic surgery for hip dysplasia. We used spherical press-fit cups in all cases. Average postoperative Harris Hip score is 79,5. We had to reoperate one hip because of cup malposition.
Conclusion: Acetabular osteotomy during THA is quite rare indicated part of THA surgery and must be precisely planned preoperatively using CT scans. This surgery may assure firm holding of acetabular component especially among patients with severe postdysplastic acetabular bone defects.