I. orthopedic clinic of the 1st Medical Faculty of Charles University and University Hospital Motol

The head

• Prof. MD Ivan Landor, CSc.
  tel.: 224 433 901

Primary

• Prof. MD Stanislav Popelka, CSc.
  phone: 224 433 903
  Email: stanislav.popelka@fnmotol.cz

Head nurse

• Petra Sklenářová DiS.
  tel.: 224433905
  Email: petra.sklenarova@fnmotol.cz

Professors

• Prof. MD David Jahoda, CSc.
• Prof. MUDr. David Pokorny, CSc.
• Prof. MD Stanislav Popelka, CSc.
• Prof. MUDr. Antonin Sosna, DrSc.

Teachers

• Doc. MD Petr Fulín, Ph.D., MBA
• Doc. MD Jan Pech, CSc.
• Doc. MUDr. Vera Pinskerova, Ph.D.
• Doc. MUDr. Rastislav Hromadka, Ph.D.
• Doc. MD Vladislav Barták, Ph.D.

Professional assistants and staff

• as. MD Evžen Beitl, Ph.D.
• as. MD Pavel Belán
• as. MD Zdeněk Borský
• as. MD Pavel Dupal
• as. MUDr. Jan Dobias
• as. MD Kristián Güttler, Ph.D.
• as. MD Jan Hach
• as. MD Jaroslav Kalvach
• as. MD Tomas Kruta
• as. MD Miroslav Netval, CSc.
• as. MD Milan Richter, CSc.
• as. MD Jan Valenta, CSc.
• as. MD David Veigl, Ph.D.
• as. MUDr. Martin Vlcek, Ph.D.
• as. MUDr. Tomas Zatrapa

Doctors

• MD Rastislav Ballay
• MD Miloš Barna
• MUDr. Jindrich Bartak
• MD Jiří Bek
• MD Viktor Bezvoda
• MD Otakar Dosoudil
• MD Milan Hein
• MD Karel Hejno
• MD Jan Heřt
• MUDr. Zdenka Honzova
• MD Aneta Rybáková
• MD Michal Koutek
• MD Pavel Kubicek
• MD Petr Libanský
• MD Edib Jaganjac
• MD Marek Jokl
• MUDr. David Jonas
• MUDr. Tobias Judl
• MD Robert Manek
• MD Matej Mazura
• MUDr. Pavel Melichercik, Ph.D.
• MD Pavel Mišek
• MD Marek Niedoba
• MD Jannis Papadopoulos
• MD, Jiří Polák
• MUDr. Stanislav Popelka Jr.
• MD Zdenek Šmidl
• MD Stanislav Stefanisko
• MD Jan Štědrý
• MD Roman Stícha
• MD Jan Tomades
• MD Milan Valcha
• MD Jiří Walder

Blue pavilion, part for adults
Ground floor, communication node B
Office hours: Mon-Fri 8:00-15:00

Patients can make an appointment via file cabinets:

Card file Traumatology - 224 438 624 Mon-Fri 8:00-15:00
Email: traumatologie@fnmotol.cz

Card file Orthopedics - 224 433 925 Mon-Fri 12:00-15:00
Email: 1.ortopedie@fnmotol.cz

E-mails are only used for ordering already registered patients - choose this option first. Enter the information required for ordering in the message.

New patients we order only with a recommendation from a peripheral orthopedist with an indication for surgery - for the first order of an examination, choose telephone or personal contact.

It is not possible to answer questions about your state of health, recommend or otherwise consult a treatment procedure, or arrange an alternative surgery date via e-mail.

For results and consultations, please call the clinics of the respective doctors.

If the patient is not insured, it is necessary to contact them first Foreign and Private Patient Department - 224 443 681, 224 443 682.

Monday

Tuesday

Wednesday

Thursday

Friday

Blue Pavilion, adult part:

• 1st ward: node B, ground floor – 30 beds, phone: 224 433 933
  Leading physician: Doc. MD Petr Fulín, Ph.D., MBA
  Station nurse: Lucie Kopernická

• 2st ward: node B, 1st floor – 3 beds, phone: 224 433 934
  Chief physician: As. MUDr. Kristián Güttler
  Station nurse: B.Sc. Tomas Walla

• 3st ward: node C, ground floor – 30 beds, phone: 224 433 935
  Chief physician: as. MD Tomáš Zatrapa
  Station nurse: Mgr. Daša Klívarová

• Septic department: node C, - ground floor – 20 beds, phone: 224 433 989
  Leading physician: doc. MD Vladislav Barták, Ph.D.
  Station nurse: Martina Hatáková

• 4th inpatient department: node C, -2. floor – 30 beds, phone: 224 438 630
  Chief physician: MUDr. Milan Valcha
  Station nurse: Jana Veselá

• Traumatological ICU: node B, 2st floor – 12 beds, phone: 224 438 638
  Chief physician of the trauma department: As. MUDr. Evžen Beitl, Ph.D.
  Chief physician of the orthopedic part: As. MUDr. Zdeněk Borský
  Station nurse: Romana Šišková, DiS.

• Orthopedic ICU: node B, 1st floor – 4 beds, phone: 224 433 940
  Chief physician: As. MUDr. Kristián Güttler
  Station nurse: B.Sc. Tomas Walla

Orthopedics and traumatology of the musculoskeletal system with a focus on:

• large joint replacements, especially complicated conditions after birth defects, injuries, systemic diseases and revision surgeries
• Traumatology
• rheumatic surgery
• solution of complicated post-traumatic conditions of the musculoskeletal system
• arthroscopic joint defects and injuries
• surgical treatment of tumors of the musculoskeletal system
• problems of bone and joint infections and especially the solution of joint replacement infections
• hand surgery
• surgical treatment of congenital and acquired foot defects
• development of original joint replacements

Traumatology part of the Orthopedic Clinic of the 1st Medical Faculty of Charles University and the University Hospital Motol

The care of patients with injuries has its professional and operational specifics. In addition to professionalism, the ability to make immediate decisions is also important in traumatology. At the Orthopedic Clinic of the First Medical Faculty of Charles University and the Faculty of Medicine, great attention is paid to traumatology. A specialized team of paramedics provides the necessary health care in the departments of accident reception, standard and intensive care, and emergency operating rooms.

Accident income

There are 6 examination beds on which, in cooperation with other clinics, patients not only with injuries to the musculoskeletal system, but also with injuries to the head, chest and abdomen are treated. The operation is non-stop, 24 hours a day.

Patients with the most serious injuries are treated on the so-called "Traumabox". The ambulance is specially equipped for rapid diagnosis and treatment of patients, including resuscitation. The location of the traumabox is connected to the complex of urgent operating theaters.

In the past year, more than 31 patients with various serious injuries were treated on the "accident intake". When accepting patients from the emergency services, a system of "advised income" is used for quick and uncomplicated transfer. Accident ambulances are designed for acute treatment. After urgent treatment, patients requiring further professional outpatient care are referred to the relevant outpatient clinics according to the type and severity of the injury, taking into account the place of residence.  

The operation at the accident reception is subject to urgent, unplanned treatment and the order of patients is governed by the severity of the injury.

Hospitalization

Hospitalization takes place in standard and intensive care beds. Currently, there are 30 standard beds for injuries, of which 3 beds (2 rooms) are with above-standard equipment. Another 8 beds are available in the intensive care unit. Around 2000 patients are hospitalized annually. Follow-up nursing and rehabilitation care for patients, in the vast majority of seniors, is often long-term and is handled in cooperation with the social department of the National Hospital. If the patient's state of health does not allow for home care, rehabilitation or social follow-up care is offered at the FNM or at other health care providers. We cannot provide long-term care on the beds of the I. Orthopedic Clinic.

Operating rooms

More than 1500 patients are operated on in emergency rooms each year for injuries. My most common operations are operations for a fracture of the upper end of the femur. In these patients, depending on the type of fracture, the choice is between rescue surgery with osteosynthesis or implantation of a hip replacement.

The number of treated and hospitalized patients with an accidental diagnosis in the FNM is constantly growing. This is also because the University Hospital in Motol has gained the status of the highest level of trauma center.

Education

Trauma doctors participate in undergraduate and postgraduate education. A new syllabus of internships and seminars on traumatology is currently being prepared. Interested students of medical faculties can, in agreement with the management of the clinic, practice on an accident basis.

Volunteer program

You can also meet "volunteers" in our departments. If you want to help our patients and you are interested in volunteering, please contact the "Volunteer Center FNM". Thank you.

• Information for patients with plaster bandage
• Hallux valgus
• Hallux rigidus

Plaster bandage care

• Your cast needs 1 to 3 days to dry!

Plaster bandage on the upper limb:

• If you are in bed, place the injured limb on a pillow.
• The hand must always lie higher than the body.
• If you are out of bed, put the injured limb in a sling with the fingers placed above the elbow.
• Move your fingers for a few minutes every half hour.

Plaster bandage on the lower limb:   

• In bed, place the injured limb on a pillow.
• The leg must always lie higher than the body.
• If you are sitting, raise the injured limb and place it on a chair higher than the level of the heart.
• Move your toes for a few minutes every half hour.

If the plaster bandage is tight:

• Move your fingers and lift the limb.
• If the feeling of distress does not decrease, see a doctor.

See a doctor immediately for the following conditions:

• Numbness or tingling in the fingers.
• With increasing swelling of the fingers that does not subside within 30 minutes when the position is raised.
• When the fingers turn white or blue.
• In severe pain.

How to use crutches:  

• The top of the crutch should be 3 fingers below the armpit.
• The handle of the crutch should reach the wrist when the arm is extended.
• Do not transfer your full weight to your armpits, but support yourself on your hands.
• When walking, place the crutches about 30 cm in front of the legs, lean on the crutches and take a step with the healthy leg.

How to use the stick:

• Carry a cane on your side healthy extremities

 How to use a simple arm hanger:

• The sling should support the arm so that the hand is placed higher than the elbow.
• The curtain should also cover and support part of the hand.

Other related instructions:

• Take prescribed medication (for pain and thrombosis).
• Inform your GP as soon as possible.

Hallux valgus

Big thumb (hallux valgus) is an acquired deformity of the foot. It is a complex lesion of the forefoot with a disorder of the thumb. In the Czech Republic, various superstitions and myths are circulating about the operation of the thumb. Some of them are not based on the truth and many of them are based on ways of operational solutions in the past. Currently, modern approaches are used in treatment, which shortens the length of hospitalization and convalescence. These methods significantly changed the possibility of revalgization, ie the re-creation of the arched toe. Due to concerns, patients often postpone surgeries and come to the doctor only when the condition is significantly advanced. In the advanced stages, it is sometimes impossible to save the joint.

Improper thumb position overloads other parts of the foot. Different types of forefoot pain can occur on the basis of the arched toe, which is located in the area of ​​the base of the toe or in the toes.

Conservative therapy

As part of conservative therapy, the use of interdigital concealers and orthopedic insoles for shoes is recommended. Physiotherapy is the most important component of conservative therapy. It improves the position of the foot (holding the arch of the foot), improves the strength of the leg muscles when standing and walking, adjusts the stereotype of walking and the involvement of the thumb in the rebound phase. The use of different types of patch fixations (taping) of the forefoot serves to strengthen the thumb and keep it in a better position when walking.

The significant load on the forefoot even during normal activities means that conservative procedures are often not effective in the treatment of manifestations of hallux valgus deformity. In cases of long-term pain that persist despite the use of conservative therapy, it is appropriate to choose a surgical solution. The operation can be performed under general anesthesia or only under local anesthesia. The time of postoperative recovery depends on the type of operation used and the individual course of healing. After the operation, it is necessary to take into account the impossibility of full load on the operated limb and the need to walk on crutches with a limited step on the operated limb.

Operation

The operation serves to remove the deformity and therefore it is almost always necessary to perform an osteotomy (bone intersection). The first instep bone in the forefoot most often intersects and its correct position is always ensured by screws or staples. These operations can be performed with an open approach or with a more modern closed approach under the control of an X-ray machine. It is these new procedures that shorten the length of recovery after surgery and shorten the time needed to return to a full life.

The operations that are performed at our clinic include operations: Austin, Akin, L chevron (ReveL), SCARF, Lapidus. These types of operations also have their own modifications and are often combined. Our workplace also specializes in the correction of severe deformities after previous operations and destruction in systemic diseases (rheumatoid arthritis, psoriatic arthritis).

Hallux rigidus

A stiff thumb (hallux rigidus) is an acquired deformity of the foot. It is a degenerative disease of the basic thumb. Osteoarthritis of this joint leads to narrowing of the joint space and loss of cartilage on the articular surfaces. Growths (osteophytes) penetrate at the edges of the joint surfaces, which subsequently prevent the joint from moving. Often, this disease results from a combination of several factors, such as congenital predisposition and frequent minor joint injuries.

Conservative therapy

As part of conservative therapy, the use of orthopedic insoles for shoes and the application of steroidal (anti-inflammatory) injections into the joint is recommended. Conservative procedures are usually ineffective and disease progression.

Operation

Surgery to eliminate the causes and consequences of the disease. The procedures are targeted at the base of the big toe or the first instep bone. It is usually necessary to perform an osteotomy (bone intersection) and always remove bone growths. Operations that are performed at our clinic include, Moberg (proximal toe) osteotomy, Youngswick (first and squeezing of the first femur), arthrodesis (stiffening of the base of the thumb) and joint replacements (entoprosthesis of the basal joint of the big toe).

Surgical treatment can be performed under general anesthesia or only under local anesthesia. The time of postoperative recovery depends on the type of operation used and the individual course of healing. After the operation, it is necessary to take into account the impossibility of full load on the operated limb, which lasts for about 3-6 weeks, and the need to walk on crutches with a limited step on the operated limb. 

Master's degree
Orthopedics, 4th year

Orthopedics, 4th year

Optional subjects
Musculoskeletal endoprosthetics 1

Musculoskeletal endoprosthetics 2

Endoprosthesis of the locomotion apparatus 1

Endoprosthesis of the locomotion apparatus 2

Propaedeutics and basics of surgical techniques in musculoskeletal traumatology 1

Propaedeutics and basics of surgical techniques in musculoskeletal traumatology 2

Propaedeutics and basics of surgical techniques in orthopedics 1

Propaedeutics and basics of surgical techniques in orthopedics 2

Clinical seminars
Clinical seminars of the Orthopedic Clinic of the 1st Faculty of Medicine, Charles University and FNM; Autumn 2014

Clinical seminars of the Orthopedic Clinic of the 1st Faculty of Medicine, Charles University and FNM; spring 2015

Information for students of the 4th year of the 1st Faculty of Medicine, Charles University, classified according to the study schedule
to the 1st Orthopedic Clinic of the XNUMXst Medical Faculty of Charles University and the University Hospital Motol

Dear colleagues!

Welcome to our clinic, where Orthopedics and Traumatology of the Musculoskeletal System are taught for 2 weeks, ending with a credit and then an exam.

Basic instructions:

1. Students will meet in the morning in the library of the clinic: FN Motol, blue pavilion, ground floor, clinic secretariat between node B and C.
2. Classes begin at 8:20 attendance.
3. Each day of classes begins with a lecture on the topic from 8:30 to about 10 o'clock.
4. Subsequently, students are divided and taken to individual practical workplaces: orthopedic clinics, trauma clinics, operating rooms.
5. You will put away your personal belongings before the practical training. Those students who go to the ambulance must have a white coat and a visible student ID; no white coat needed on the operating room.
6. On Tuesday of the second week, classes are taking place at the Spondylosurgery Clinic. In agreement with the head of teaching at this clinic, this day you will meet with the teacher at the Motol University Hospital, Blue Pavilion, 2nd floor, node C.
7. Practical training will take place until about 12-12: 30 hours, according to the current program of the operating room and ambulance.
8. One absence can be excused for 10 days of teaching. In the event of a longer absence, the situation is always resolved individually with the head of teaching, Professor Pokorný (during his absence with Associate Professor Fulín - via e-mail or via the clinic's secretariat).
9.  During the Covid 19 epidemic, you will be informed by letter, at the e-mail address provided by you in the SIS, before the start of the course, about the current measures. These, of course, result from the measures listed on the website of our Faculty.
10. The exams take place in a classic - full-time form - according to the announced dates (dates are announced by the head of the lesson - it is possible to adjust them in advance according to the schedule of afternoon lessons, other exams, etc.). The basis of preparation for questions from Orthopedics is the textbook Basics of Orthopedics. All seminars are available as presentations at MS Teams.
11. According to the rules of division of circles into different clinics, only students who have trained at our clinic and are therefore assigned to us according to the schedule can apply for the exam at our clinic.

Dear colleagues, if you have any comments or questions during the teaching at our clinic, do not hesitate to write to me directly to my e-mail address. The goal of us - the teachers - is to make the teaching beneficial and interesting for you.

David Pokorny
Email: david.pokorny@lf1.cuni.cz

Prof. MUDr. David Pokorny, CSc.
Deputy Head of the Teaching Clinic
I. orthopedic clinic of the 1st Medical Faculty of Charles University and University Hospital Motol

Master studies

Teaching Orthopedics for Master's Degree Program and measures associated with pandemic COVID-19

Distance education of orthopedics and traumatology at the 1st Department of Orthopedic, 1st. Faculty of Medicine, Charles University and University Hospital Motol will be primarily provided by professional publications that are already published in SIS system and lectures on the main topics of orthopedics and traumatology. Lectures and webinars will be available in Microsoft Teams application provided by multilicence of our faculty and will be verbally commented in English.

Microsoft Teams link:

https://teams.microsoft.com/l/team/19%3aacb86010b0984b899bf9601ced38bec8%40thread.tacv2/conversations?groupId=81dac043-70b2-4337-9f64-e4081cf2a6b2&tenantId=e09276da-f934-4086-bf08-8816a20414a2

Doc. MD Ratsilav Hromadka, Ph.D.
Deputy Head of Teaching for English Parallel, rastislav.hromadka@gmail. com

First week

Second week

Musculoskeletal endoprosthetics 1, Master's degree

4th year, compulsory-optional, winter semester, always Monday from 14.00 pm

Musculoskeletal endoprosthetics 2, Master's degree

4th year, compulsory-optional, summer semester, always Monday from 14.00 pm

Propaedeutics and basics of surgical techniques in musculoskeletal traumatology 1

3rd - 6th year, compulsory-optional, winter semester

Propaedeutics and basics of surgical techniques in musculoskeletal traumatology 2

3rd - 6th year, compulsory-optional, summer semester

Propaedeutics and basics of surgical techniques in orthopedics 1

3rd - 6th year, compulsory-optional, winter semester

Propaedeutics and basics of surgical techniques in orthopedics 2

3rd - 6th year, compulsory-optional, summer semester

Endoprosthesis of the locomotion apparatus 1, master study

4th year, obligatory elective subject, Winter term, every Monday starting at 2PM

Endoprosthesis of the locomotion apparatus 2, Master study

4th year, obligatory elective subject, Summer term, every Monday starting at 2PM

Gallery

Ambulance files

Orthopedic file, tel .: (224) 433 925
Traumatology file, tel .: (224) 438 624

Ambulance

1st ambulance, tel .: (224) 433 973
2st ambulance, tel .: (224) 433 974
3st ambulance, tel .: (224) 433 975
4st ambulance, tel .: (224) 433 976
5st ambulance, tel .: (224) 433 978
6. Ambulance, phone: (224) 433 930
7st ambulance, tel .: (224) 433 977
Traumatology ambulance, tel. (224) 438 662

Inpatient stations

1st station, tel .: (224) 433 933
2st station, tel .: (224) 433 934
3st station, tel .: (224) 433 935
4th station (trauma department), tel .: (224) 438 630
Septic department, tel .: (224) 433 989
Orthopedic ICU, tel .: (224) 433 940
Traumatological ICU, tel .: (224) 438 638

Operating rooms

Orthopedic operating rooms, tel .: (224) 438 407
Emergency operating theaters, tel .: (224) 438 422