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Ultrasound-Guided Interventions for the Ankle and FootCurrent concepts review

TOMÁŠ NOVOTNÝ, KAMAL MEZIAN, ONDŘEJ NAŇKA

Acta Chir Orthop Traumatol Cech. 2025; 92(Suppl.1):39-44 | DOI: 10.55095/achot2025/022  

Ultrasound-guided interventions for the ankle and foot offer precise treatment for musculoskeletal conditions. This article reviews injections of the talocrural joint, first metatarsophalangeal joint, Achilles tendon (via stripping and retrocalcaneal bursa injections), plantar aponeurosis, and tibialis posterior tendon, detailing probe selection, patient positioning, and procedural techniques. Precise needle guidance is emphasized to prevent complications like nerve injury and tendon rupture. Text is supplemented with anatomical notes.

Ultrasound-Guided Interventions for the KneeCurrent concepts review

TOMÁŠ NOVOTNÝ, KAMAL MEZIAN, ONDŘEJ NAŇKA

Acta Chir Orthop Traumatol Cech. 2025; 92(Suppl.1):34-38 | DOI: 10.55095/achot2025/021  

Ultrasound imaging of the knee is a highly valuable modality that enhances diagnostic accuracy and optimizes the precision of injection therapy. This article reviews the application of ultrasound in various knee interventions, including intra-articular injections, treatments for prepatellar bursitis and patellar ligament tendinopathy, pes anserinus, iliotibial band procedures, and guidance for popliteal fossa pathologies. Detailed guidance is provided on probe selection, patient positioning, and procedural techniques for specific anatomical targets. Key considerations include optimizing needle placement using in-plane and out-of-plane techniques, ensuring...

Ultrasound-Guided Interventions for the HipCurrent concepts review

TOMÁŠ NOVOTNÝ, KAMAL MEZIAN, ONDŘEJ NAŇKA

Acta Chir Orthop Traumatol Cech. 2025; 92(Suppl.1):27-33 | DOI: 10.55095/achot2025/020  

Ultrasound imaging of the hip is a highly valuable modality that enhances diagnostic precision and facilitates injection therapy with remarkable accuracy. This article reviews the use of ultrasound in various hip interventions, including intra-articular injections, iliopsoas and trochanteric bursa treatments, lateral femoral cutaneous nerve blocks, and interventions for adductor and hamstring tendinopathies. Comprehensive guidance is offered on probe selection, patient positioning, and step-by-step procedural protocols tailored for specific conditions and anatomical targets. Key aspects include optimizing needle placement using in-plane and out-of-plane...

Ultrasound-Guided Interventions for the Wrist and HandCurrent concepts review

KAMAL MEZIAN, TOMÁŠ NOVOTNÝ, ONDŘEJ NAŇKA

Acta Chir Orthop Traumatol Cech. 2025; 92(Suppl.1):21-26 | DOI: 10.55095/achot2025/019  

Ultrasound-guided interventions for the wrist and hand provide valuable therapeutic options for managing various conditions. This article reviews common procedures including injections into the radiocarpal joint, first metacarpophalangeal joint, ganglions, and tendon sheaths, as well as the interventional management of De Quervain's tenosynovitis, trigger finger, and carpal tunnel syndrome. Detailed instructions are provided on probe selection, patient positioning, and procedural techniques tailored to each anatomical target. The importance of careful needle placement, and appropriate risk management is emphasized. Risks such as nerve injury, tendon...

Ultrasound-Guided Interventions for the ElbowCurrent concepts review

TOMÁŠ NOVOTNÝ, KAMAL MEZIAN, ONDŘEJ NAŇKA

Acta Chir Orthop Traumatol Cech. 2025; 92(Suppl.1):14-20 | DOI: 10.55095/achot2025/018  

Ultrasound imaging of the elbow is an invaluable tool that enhances diagnostic precision and facilitates therapeutic procedures with high accuracy. Compared to palpation-guided techniques, ultrasound-guided interventions significantly improve precision. This article reviews ultrasound-guided techniques for elbow joint interventions, including intra-articular injections, tennis elbow, golfer's elbow, triceps and distal biceps tendinopathy, and ulnar nerve neuropathy. Practical guidance is provided on probe selection, patient positioning, and step-by-step procedural details. Special emphasis is placed on optimizing needle placement and minimizing risks...

Ultrasound-Guided Interventions for the ShoulderCurrent concepts review

KAMAL MEZIAN, TOMÁŠ NOVOTNÝ, ONDŘEJ NAŇKA

Acta Chir Orthop Traumatol Cech. 2025; 92(Suppl.1):9-13 | DOI: 10.55095/achot2025/017  

Ultrasound imaging of the shoulder is a highly valuable modality that enhances diagnostic accuracy and facilitates precise injection therapy for a variety of shoulder conditions. This article provides a review of ultrasound-guided interventions, including intra-articular injections of the glenohumeral joint, subacromial-subdeltoid bursa, injections into the biceps tendon recess, and acromioclavicular joint. Comprehensive guidance is presented on probe selection, patient positioning, and step-by-step procedural protocols tailored to specific anatomical targets. Emphasis is placed on optimizing needle placement using in-plane and out-of-plane techniques,...

Introduction to Ultrasound-Guided Musculoskeletal InterventionsCurrent concepts review

KAMAL MEZIAN, TOMÁŠ NOVOTNÝ, ONDŘEJ NAŇKA

Acta Chir Orthop Traumatol Cech. 2025; 92(Suppl.1):5-8 | DOI: 10.55095/achot2025/016  

The text is an introduction to six articles on ultrasound-guided musculoskeletal interventions for the major extremity joints. Each article provides a detailed overview of injections for the shoulder, elbow, wrist and hand, hip, knee, ankle, and foot. The text of this manuscript emphasizes general advantages, techniques, and practical considerations of ultrasound guided injections. It highlights the benefits of ultrasound guidance over traditional palpation-based methods, emphasizing improved accuracy, safety, and therapeutic efficacy. Various ultrasound-guided techniques, including in-plane and out-of-plane needle approaches and indirect marking methods,...

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.

Chronic Instability following Isolated Subtalar Dislocations: a Case Series and Proposal for Routine MRIOriginal papers

MEHMET SÜLEYMAN ABUL, ÖMER FARUK SEVIM, HALİT MERT GÜNEŞ, 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...

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,...

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 BAŞARIR, 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...

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...

Septic Arthritis of the Wrist Joint: Cohort of Patients Treated between 2003 and 2023, Guidelines for the Diagnosis and TreatmentOriginal papers

LUCIE PAPEŽOVÁ, ZDENĚK VODIČKA, 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...

Septic Arthritis of the Glenohumeral Joint: Treatment Options and Outcomes Achieved in Our Study PopulationOriginal papers

JAN MAŘÍK, 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...

The Role of Sonication in Improving the Detection of Periprosthetic Joint Infections: a Prospective AnalysisOriginal papers

JAKUB RAPI, VASILEIOS APOSTOLOPOULOS, FILIP RŮŽIČKA, MARTINA VANĚRKOVÁ, PAVEL BRANČÍK, TOMÁŠ TOMÁŠ

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...

Comparison of Abductor Muscle Strength and Harris Hip Score after Total Hip Arthroplasty:Original papers

DAVID PAŘÍK, MICHAL ZÍDKA

Acta Chir Orthop Traumatol Cech. 2025; 92(3):174-178 | DOI: 10.55095/achot2025/009  

Purpose of the study: The study aimed to compare the postoperative outcomes of patients with total hip arthroplasty performed through Watson-Jones anterolateral approach and Röttinger minimally invasive anterolateral approach (MIS-AL). The hypothesis was that the MIS-AL approach enables faster recovery and better clinical outcomes in terms of abductor muscle strength and Harris Hip Score (HHS). Material and methods: The prospective comparative study included 136 patients who underwent surgery between 2018 and 2021. In 88 patients the Watson-Jones procedure was performed and in 48 patients Röttinger minimally invasive procedure...

Intra-Articular Use of Hyaluronic Acid Preparations in the Treatment of Knee OsteoarthritisOriginal papers

MATEJ TURAN, JIŘÍ GALLO

Acta Chir Orthop Traumatol Cech. 2025; 92(3):161-172 | DOI: 10.55095/achot2024/065  

Purpose of the study: The knee is the most common peripheral site of osteoarthritis (KOA; knee osteoarthritis). The mainstay of non-operative treatment is education, exercise, weight reduction, and pharmacological therapy. Intra-articular hyaluronic acid (HA) injection is a non-operative treatment option. The aim of our study was to assess the most recent data on the efficacy of intra-articular administration of HA in KOA therapy and to compare it with intra-articular injections of platelet-rich plasma (PRP), corticosteroids (CS) and placebo (saline solution). Material and methods: The PubMed and Cochrane Library databases were...

Cementless THA with Femoral Shortening Osteotomy Provides Excellent Results for Patients with Crowe Type IV Hip DysplasiaOriginal papers

FAHRI EMRE, ENES ULUYARDIMCI, MESUT TAHTA, AHMET ADNAN KARAASLAN, ÇETIN IŞIK

Acta Chir Orthop Traumatol Cech. 2025; 92(3):153-159 | DOI: 10.55095/achot2025/008  

Introduction: This study aimed to present the clinical and radiological results and look for complications of total hip arthroplasty (THA) performed with subtrochanteric transverse femoral shortening osteotomy (STFO) for Crowe type IV developmental dysplasia of the hip (DDH). Material and methods: Ninety-four patients who underwent STFO and THA for Crowe type IV DDH between 2013 and 2018 were retrospectively evaluated. The mean follow-up period of the patients was 40 months (range 25 to 55) and the mean operation time was 58 min (range 52 to 70). We examined the results of routine anteroposterior and lateral hip radio- graphy....

Funtional Outcomes of Pediatric Trigger Digits – Outcomes of Two CentersOriginal papers

MARTIN VLACH, DAVID MÁŠKA, ALENA SCHMORANZOVÁ, ELIŠKA KŠÍROVÁ, VOJTĚCH HAVLAS

Acta Chir Orthop Traumatol Cech. 2025; 92(3):147-152 | DOI: 10.55095/achot2024/058  

Purpose of the study: The study evaluates the functional outcomes of the treatment of pediatric trigger digits in two centers and compares them with data from the available literature. The secondary objective is to verify the possibilities of collecting data on patients' health status through questionnaire surveys using remote communication via a web interface.Material and methods: Patients operated on at the Hand and Plastic Surgery Institute in Vysoké nad Jizerou (ÚCHRaPCH) and the Motol University Hospital, Department of Orthopaedics (FNM) between 2018 and 2021 were evaluated. An analysis of demographic data, affected digits,...

Fixation of Osteochondral Lesions of the Knee Using MAGNEZIX Implants in Pediatric Patients: Midterm Clinical and MRI ResultsOriginal papers

FILIP HANÁK, VERONIKA KOUKOLSKÁ, BARBORA KRSKOVÁ, MARTIN KYNČL, VOJTĚCH HAVLAS

Acta Chir Orthop Traumatol Cech. 2025; 92(3):137-146 | DOI: 10.55095/achot2024/071  

Purpose of the study: Fixation of osteochondral fragments is a relatively common procedure in pediatric orthopaedic surgery. This study analyzes clinical and MRI results of biodegradable MAGNEZIX® magnesium alloy implants used to fix osteochondral knee lesions in pediatric patients. Material and methods: 18 pediatric patients with unstable or displaced OCD lesions or osteochondral fractures were treated with MAGNEZIX® screws or pins. Clinical examinations were conducted at regular intervals, and the final clinical and MRI assessments were performed 24 months after surgery. Results: The overall...

History of Internal Fixation of Fractures in the Czech LandsCurrent concepts review

JAN BARTONÍČEK, ONDŘEJ NAŇKA

Acta Chir Orthop Traumatol Cech. 2025; 92(3):127-136 | DOI: 10.55095/achot2025/013  

The beginnings of osteosynthesis (OS) in the Czech lands, dating back to the second half of the 19th century, are associated with the German surgeons W. Heine and C. Gussenbauer working in Prague. Development of the Czech musculoskeletal surgery began with the appointment of K. Maydl to the head of the Czech University Department of Surgery in Prague in 1891. In 1908, his pupil K. Kukula published the first "OS manifesto" in the Czech literature, including his own original method of fixation of diaphyseal fractures with a magnezium peg. Further development of OS of fractures came as late as in the 1920s. The first to publish his own results in a cohort...

Isolated Lateral Subtalar Dislocation Due to Low-Energy TraumaCase report

NURI KORAY ÜLGEN, BATUHAN GENCER, TEOMAN BEKIR YENI, ÖZGÜR DOĞAN

Acta Chir Orthop Traumatol Cech. 2025; 92(2):114-117 | DOI: 10.55095/achot2025/001  

Isolated subtalar dislocations constitute 1% of all dislocations and are extremely rare. They frequently occur as a result of high-energy trauma. Dislocations are classified based on the direction of the dislocation, with 80% being medial. Closed reduction under anesthesia without delay is the optimal treatment method. In our case, we present an extremely rare instance of an isolated lateral subtalar dislocation resulting from a low-energy injury. Although isolated subtalar dislocations are frequently reduced with closed reduction, open reduction was necessary in our case. The structure obstructing reduction in lateral dislocations is often reported...

Acute Pancreatitis as a Result of Supramesocolic Ischemia after Scoliosis SurgeryOriginal papers

JOSEF VČELÁK, JAN ŠTULÍK, MICHAL BARNA, ANDREA ŠPELDOVÁ

Acta Chir Orthop Traumatol Cech. 2025; 92(2):106-113 | DOI: 10.55095/achot2024/050  

Ischemic complications in the supramesocolic anatomical region with the development of acute pancreatitis due to compression of the celiac artery or superior mesenteric artery are rare but potentially serious complications after major spine surgery. A case report of two patients with idiopathic scoliosis who underwent posterior instrumented correction and fusion with subsequent development of acute pancreatitis due to vascular compression of the retroperitoneum is presented. The manifestation of an acute abdomen within 24 hours after the surgery with elevation of pancreatic obstruction enzymes and confirmation of acute pancreatitis on CT angiography...

Comparison of the Results of Expanded Arthroscopic Debridement and 18-Gauge Percutaneous Tenotomy in Lateral EpicondylitisOriginal papers

İBRAHİM FARUK ADİGÜZEL, HÜNKAR CAGDAS BAYRAK, OSMAN ORMAN, SAMED ORDU

Acta Chir Orthop Traumatol Cech. 2025; 92(2):98-105 | DOI: 10.55095/achot2024/060  

Purpose of the study: This retrospective comparative study aims to evaluate the clinical outcomes, cost-effectiveness, and complication rates associated with two minimally invasive surgical techniques: extended arthroscopic debridement and 18-gauge percutaneous tenotomy. Material and methods: The study included 31 patients with resistant lateral epicondylitis who underwent either arthroscopic debridement (n=14) or percutaneous tenotomy (n=17) between January 2019 and June 2023. Outcomes were assessed using the Mayo Elbow Performance Score (MEPS) and the Patient-Rated Tennis Elbow Evaluation (PRTEE) at preoperative, 3-month, 6-month, and 12-month...

Preoperative Incidence of Deep Venous Thrombosis and Its Risk Factors in Older Patients with Hip FractureOriginal papers

TINGMING PAN, ZHONG DONG, HONGJIE ZHANG, JINCHAO XU, JIANWEI GUAN, XIANG PENG

Acta Chir Orthop Traumatol Cech. 2025; 92(2):92-97 | DOI: 10.55095/achot2024/062  

Purpose of the study: Hip fractures in the elderly are commonly complicated by deep venous thrombosis (DVT), particularly in the preoperative phase. This retrospective study aimed to determine the preoperative incidence of DVT and identify its risk factors in older patients with hip fractures. Material and methods: This single-center retrospective study enrolled 278 patients (aged ≥ 60 years) with unilateral hip fracture, who underwent color Doppler ultrasonography of the lower extremity veins on the day of surgery at the Second People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine between 1st January 2015 and...

Effects of General Anesthesia in Combination with Saphenous Nerve Block-Tibial Nerve Block on Analgesia for Total Knee Arthroplasty and Hemodynamic IndexesOriginal papers

DANFENG LIU, YONG WANG, WEI TANG

Acta Chir Orthop Traumatol Cech. 2025; 92(2):85-91 | DOI: 10.55095/achot2024/064  

Purpose of the study: We aimed to assess the effects of general anesthesia (GA) plus saphenous nerve block-tibial nerve block (SNB-TNB) on analgesia for total knee arthroplasty (TKA) and hemodynamic indexes. Material and methods: A control group and an observation group were set for equal allocation of 106 patients with knee osteoarthritis (KOA) treated with TKA during November 2021 and November 2023 through a random number table. GA was used for the control group, and GA plus SNB-TNB was performed for the observation group. Clinical indexes, analgesic effect, joint motion range, hemodynamic indexes and safety were compared between the two groups....

Functional Outcomes of Treatment of the Mallet Finger with a Bone Fragment Using the Ishiguro ExtensionOriginal papers

MARTIN VLACH, DOMINIK KREJČÍ, VOJTĚCH HAVLAS

Acta Chir Orthop Traumatol Cech. 2025; 92(2):77-82 | DOI: 10.55095/achot2024/059  

Purpose of the study:The study aims to evaluate the mid-term functional and subjective outcomes of treatment of the mallet finger with a bone fragment using the Ishiguro extension block pinning. The hypothesis was that this technique provides reliable and high-quality outcomes with a low complication rate. Material and methods: The study included 54 patients aged 7-17 years who underwent surgery at our department between 2017 and 2022. The inclusion criteria were the diagnosis of the mallet finger with a Doyle type IVa and IVb bone fragment, subluxation of the distal interphalangeal joint, fracture fragment size greater than 30% of the articular...

Predictors of Knee Replacement Following Meniscal Tear Arthroscopy: a 7-Year Risk Prediction ModelOriginal papers

ERIK FIDLER, MATÚŠ SLOVIAK, KATEŘINA LANGOVÁ, JIŘÍ GALLO

Acta Chir Orthop Traumatol Cech. 2025; 92(2):67-76 | DOI: 10.55095/achot2024/066  

Purpose of the study: The aim of this study was to analyze the outcomes of knee arthroscopy (KA) for degenerative meniscal tears in relation to early total knee arthroplasty (TKA) in the elderly population. The study focused on identifying the factors that influence the need for TKA within seven years after previous arthroscopic partial meniscectomy (APM). Material and methods: A total of 526 patients older than 64 years who underwent APM between January 1, 2010, and December 31, 2015, were included in the study. The patients were divided into three groups according to age. Specific patient data were extracted from the hospital information system....

Biomarkers and Their Role in Understanding OsteoarthritisCurrent concepts review

RUDOLF HLUBEK, PAVLÍNA KUŠNIEROVÁ, PAVEL WALDER, IVETA BYSTROŇOVÁ, PAVEL DOUŠA

Acta Chir Orthop Traumatol Cech. 2025; 92(1):36-43 | DOI: 10.55095/achot2024/051  

Osteoarthritis (OA) is a degenerative joint disease characterized by progressive damage and loss of articular cartilage with concomitant structural and functional changes in the joint. It is the most common cause of joint pain globally and the resulting productivity loss to the economy. The clinical symptoms of osteoarthritis are mostly determined by the difficulties of patients related to the development of articular degenerative changes, which secondarily lead to joint stiffness and functional limitation. The diagnosis of this disease is currently based on typical clinical symptoms and radiographic findings (e.g. joint space narrowing, osteophytes,...

Combined Proximal Radius Reconstruction Following Resection for Oncological IndicationCase report

MÁRIO MALINA, MATEJ MAJERČÍK, YOUSEF NASER

Acta Chir Orthop Traumatol Cech. 2025; 92(1):52-57 | DOI: 10.55095/achot2024/068  

Early surgical treatment of giant cell tumour of the bone has very good functional outcomes with a relatively low risk of local recurrence and metastatic spread.In case of a pathologic fracture, extraosseous extension, and tumor location in an anatomically difficult area, surgical treatment may represent a big challenge with an uncertain functional outcome.Our case report presents a 35-year-old  patient with a delayed diagnosis of giant cell tumor of the proximal radius of the dominant limb, with pulmonary metastases. Following neoadjuvant Denosumab therapy, with a major treatment effect on both the primary tumor and pulmonary metastases,...