Acta Chir Orthop Traumatol Cech. 2025; 92(4)
Original papers
The Role of Sonication in Improving the Detection of Periprosthetic Joint Infections: a Prospective AnalysisOriginal papers
JAKUB RAPI, VASILEIOS APOSTOLOPOULOS, FILIP RÙ®IÈKA, MARTINA VANÌRKOVÁ, PAVEL BRANÈÍK, TOMÁ© TOMÁ©
Acta Chir Orthop Traumatol Cech. 2025; 92(4):187-194 | DOI: 10.55095/achot2024/061 
Purpose of the study: The diagnosis of periprosthetic joint infection (PJI) can be particularly challenging in cases of low-grade chronic infection. The suspicion of infection is typically confirmed through cultures of synovial fluid and periprosthetic tissue. However, these methods may not always detect low-grade infections, which can lead to persistent infection and early failure of the prosthesis. The purpose of this study was to evaluate the effectiveness of sonication in enhancing the detection of PJI using polymerase chain reaction (PCR) analysis. Material and methods: A prospective cohort of 26 patients, suspected of...
Septic Arthritis of the Glenohumeral Joint: Treatment Options and Outcomes Achieved in Our Study PopulationOriginal papers
JAN MAØÍK, JAN KLOUDA, DAVID MUSIL, PAVEL SADOVSKÝ
Acta Chir Orthop Traumatol Cech. 2025; 92(4):195-202 | DOI: 10.55095/achot2025/007
Purpose of the study: The study aimed to evaluate the patients treated for septic arthritis of the glenohumeral joint at our department in the period between 2018 and the end of 2023. Material and methods: Between the beginning of 2018 and the end of 2023, a total of 37 patients were treated at our department for septic arthritis of the native glenohumeral joint. The study population consisted of 15 women and 22 men, with the mean age of 66.4 years. The youngest patient was 20 years old, and the oldest patient was 94 years of age. Patients with prosthetic joint infection were excluded from the study. The study included all...
Septic Arthritis of the Wrist Joint: Cohort of Patients Treated between 2003 and 2023, Guidelines for the Diagnosis and TreatmentOriginal papers
LUCIE PAPE®OVÁ, ZDENÌK VODIÈKA, DAVID MUSIL, JAN KLOUDA
Acta Chir Orthop Traumatol Cech. 2025; 92(4):203-209 | DOI: 10.55095/achot2024/069
Purpose of the study: The study aimed to evaluate the timeliness and effectiveness of treatment of all patients who underwent surgery for septic arthritis of the wrist at our department between 2003 and 2023. Material and methods: The retrospective study included 38 patients (26 men and 12 women). The mean age of the patients was 68 years. All patients underwent surgery for culture-positive arthritis of the native wrist. Patients with periprosthetic and extraarticular infections were excluded from the study. Once the diagnosis was established based on the clinical examination and laboratory analysis of blood and synovial fluid, antibiotic treatment...
There Is a Difference in Patients' Opinions and Scientific Evidence Regarding Robot Assisted Total Joint Arthroplasty: a QuestionnaireOriginal papers
KADIR UZEL, NESRULLAH AZBOY, KEREM EDIP BAªARIR, ALP EREN KILIÇKAP, SÜHA BERKHAN BAYIN, İBRAHIM AZBOY
Acta Chir Orthop Traumatol Cech. 2025; 92(4):218-225 | DOI: 10.55095/achot2024/063
Purpose of the study: This study aimed to evaluate patients' knowledge and opinions about robotic total hip arthroplasty (THA) and total knee arthroplasty (TKA). Material and methods: In order to assess patients' knowledge and opinions about robotic THA and TKA surgery, a descriptive questionnaire consisting of a total of 17 questions assessing patients' demographic information (age, gender, education level, occupation, income level, marital status) and their knowledge and opinions about robotic surgery was designed and applied to 200 participants by face-to-face interviews. Results: The mean age of participants...
Inclusion of AMIS surgical approach in the Methods Used for Total Hip Arthroplasty: Learning Curve, Risks, Surgical TechniqueOriginal papers
PETR PALÁSEK, MILAN PASTUCHA
Acta Chir Orthop Traumatol Cech. 2025; 92(4):226-230 | DOI: 10.55095/achot2025/025
Purpose of the study: The study aims to point out the risks and matters associated with the inclusion of a new anterior approach in total hip replacement methods and to determine when and whether the values of investigated parameters would come close to those of the established surgical technique. Another aim was to compare the blood loss in AMIS and DLA approaches. Material and methods: The study covers 62 total hip arthroplasties in a breakdown by surgical approach. It investigated the progress of the entire surgical team - surgeon's learning curve, time curve of preparation for surgery, placement of the acetabular component,...
Chronic Instability following Isolated Subtalar Dislocations: a Case Series and Proposal for Routine MRIOriginal papers
MEHMET SÜLEYMAN ABUL, ÖMER FARUK SEVIM, HALİT MERT GÜNEª, ÖMER HEKIM, ENGIN ECEVIZ
Acta Chir Orthop Traumatol Cech. 2025; 92(4):231-236 | DOI: 10.55095/achot2025/010
Purpose of the study: Subtalar dislocations are rare orthopedic emergencies characterized by simultaneous dislocation of the talocalcaneal and talonavicular joints without an associated talar neck fracture. While these injuries are commonly managed with closed reduction and immobilization, they are often associated with chronic instability and other long-term complications due to underdiagnosed soft tissue injuries. This study aims to evaluate the role of magnetic resonance imaging (MRI) in the management of isolated medial subtalar dislocations and propose a routine MRI protocol to predict and address chronic instability. Material...
Current concepts review
Surgical Treatment of Wrist and Hand Deformity in Children with Cerebral PalsyCurrent concepts review
RAVI PATEL, MUHAMMAD MURTAZA KHAN, GURUKIRAN GURUKIRAN, MARIA BELEN CARSI, ROHIT AMOL SINGH
Acta Chir Orthop Traumatol Cech. 2025; 92(4):210-217 | DOI: 10.55095/achot2025/011
Cerebral palsy (CP) is a complex disorder resulting from injury to developing brain. It involves multimodal and multidisciplinary approach that involves various disciplines of medical science. The entire focus of this approach is to provide patients with this disorder the best quality of life. Although CP can affect both upper and lower limbs, the functional expectation of upper limb is much higher and complex. This implies particularly to hand and wrist based on complex functional movements expected of them. This puts orthopaedic surgeons in a unique position in managing these patients. It is worth mentioning here that it is not about offering them...
Case report
Thoracomelia in Poland AnomalyCase report
MARCUS SAGERFORS, ÁSGERDUR THÓRDARDÓTTIR, CATHRINE WIDEHAMMAR
Acta Chir Orthop Traumatol Cech. 2025; 92(4):237-240 | DOI: 10.55095/achot2025/006
Poland Anomaly (PA) represents pectoral muscle hypoplasia in combination with various forms of hand anomalies. We report a case of PA with pectoral hypoplasia, an upper limb deficiency and an accessory extremity/digit on the ipsilateral thoracic wall (thoracomelia). To our knowledge, this is the first reported case of thoracomelia in PA.