Surgical Treatment of Degenerative Lumbar Stenosis and Spondylolisthesis: Clinical Practice GuidelineOriginal papers

R. KAISER, L. KANTOROVÁ, A. LANGAUFOVÁ, S. SLEZÁKOVÁ, D. TUČKOVÁ, M. KLUGAR, Z. KLÉZL, P. BARSA, J. CIENCIALA, R. HAJDÚK, L. HRABÁLEK, R. KUČERA, D. NETUKA, M. PRÝMEK, M. REPKO, M. SMRČKA, J. ŠTULÍK

Acta Chir Orthop Traumatol Cech. 2023; 90(3):157-167 | DOI: 10.55095/achot2023/021  

PURPOSE OF THE STUDY This article presents the evidence and the rationale for the recommendations for surgical treatment of degenerative lumbar stenosis (DLS) and spondylolisthesis that were recently developed as a part of the Czech Clinical Practice Guideline (CPG) "The Surgical Treatment of the Degenerative Diseases of the Spine". MATERIAL AND METHODS The Guideline was drawn up in line with the Czech National Methodology of the CPG Development, which is based on the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach. We used an innovative GRADE-adolopment method that combines adoption and adaptation...

Thoracolumbar Compression Fractures in ChildrenOriginal papers

J. ŠTULÍK, L. SALAVCOVÁ, T. TRČ, P. HAVRÁNEK, T. PEŠL, M. BARNA

Acta Chir Orthop Traumatol Cech. 2023; 90(3):168-173 | DOI: 10.55095/achot2023/020  

PURPOSE OF THE STUDY The study aimed to draw up a diagnosis and treatment guidelines for the management of the most common compression fractures of the thoracolumbar spine in children. MATERIAL AND METHODS Between 2015 and 2017, pediatric patients with a thoracolumbar injury aged 0-12 years were followed up in the University Hospital in Motol and the Thomayer University Hospital. The age and gender of the patient, injury etiology, fracture morphology, number of injured vertebrae, functional outcome (VAS and ODI modified for children), and complications were assessed. An X-ray was performed in all patients, in indicated cases also an MRI scan was done,...

Effects of Tranexamic Acid on Perioperative Blood Loss and Wound Hematoma Development in Lumbar Spine Surgery: a Prospective Randomized StudyOriginal papers

P. STEJSKAL, Š. TRNKA, L. HRABÁLEK, T. WANEK, J. JABLONSKÝ, V. NOVÁK

Acta Chir Orthop Traumatol Cech. 2023; 90(3):176-180 | DOI: 10.55095/achot2023/022  

PURPOSE OF THE STUDY Tranexamic acid as a haemostatic agent is commonly used in multiple medical branches. Over the last decade, there has been a steep rise in the number of studies evaluating its effect, i.e. blood loss reduction in specific surgical procedures. The aim of our study was to evaluate the effect of tranexamic acid on reducing intraoperative blood loss, postoperative blood loss into the drain, total blood loss, transfusion requirements, and development of symptomatic wound hematoma in conventional single-level lumbar decompression and stabilization. MATERIAL AND METHODS The study included patients who had undergone a...

Popliteal Fossa SarcomasOriginal papers

O. ERDOGAN, A. ÇELİK, A. N. T. YILDIRIM, E. TEKÇE, G. ALTUN, S. DEMİRÖZ, Y. GÜLER, K. OZKAN, V. GURKAN

Acta Chir Orthop Traumatol Cech. 2023; 90(3):181-187 | DOI: 10.55095/achot2023/025  

PURPOSE OF THE STUDY Soft tissue sarcomas of the popliteal fossa are extremely rare tumors of mesenchymal origin accounting for 3%-5% of all extremity sarcomas. However, data regarding the tumor type, neurovascular involvement, and administration of radiation therapy before or after resection are limited. This study aimed to report on popliteal fossa sarcomas analyzing data from two institutions based on a relatively large patient sample. MATERIAL AND METHODS Twenty-four patients (80%; 9 men and 15 women) with a popliteal fossa soft tissue sarcoma were included in this study. The reviewed patient data included sex, age, duration of...

Antimicrobial Activity of the Most Common Antibiotic-Releasing Systems Employed in Current Orthopedic Surgery: in vitro StudyOriginal papers

R. ŠTÍCHA, P. FULÍN, O. NYČ, V. GAJDOŠOVÁ, D. POKORNÝ, M. ŠLOUF

Acta Chir Orthop Traumatol Cech. 2023; 90(3):188-197 | DOI: 10.55095/achot2023/027  

PURPOSE OF THE STUDY Infections of joint replacements represent one of the most serious problems in contemporary orthopedics. The joint infections treatment is usually multimodal and involves various combinations of drug delivery and surgical procedures. The aim of this study was to evaluate and compare the bacteriostatic and bactericidal properties of the most common antibiotic carriers used in orthopedic surgery: bone cements mixed with antibiotic and porous calcium sulfate mixed with antibiotic. MATERIAL AND METHODS Three commercial bone cements (Palacos®, Palacos® R+G, Vancogenx®) and commercial porous sulfate (Stimulan®)...

A Meta-Analysis on Comparison of Open vs Closed Reduction of Gartland Type 3 Supracondylar Humerus Fractures in ChildrenOriginal papers

S. BARIK, V. GARG, S. K. SINHA, S. CHAUDHARY, P. KANDWAL, V. SINGH

Acta Chir Orthop Traumatol Cech. 2023; 90(3):198-205 | DOI: 10.55095/achot2023/023  

PURPOSE OF THE STUDY Although there are numerous studies on outcomes and comparison of open and closed reduction but there is no clarity on relationship between outcomes and complications with type of surgical intervention done for Type 3 Gartland supracondylar humerus fracture. The aim of this study is to compare the outcomes and complications of closed vs open reduction in Type 3 Gartland supracondylar humerus fractures. MATERIAL AND METHODS Electronic literature searches of Embase, MEDLINE and the Cochrane Library was conducted in February 2022 using the terms "supracondylar", "humerus", "fracture", "Gartland type 3" and synonymous....

High Femoral Antetorsion Is a Major Risk Factor for Anterior Knee Pain whereas Trochlea Dysplasia Predisposes for Patella DislocationOriginal papers

S. LIBICHER, E. MAURER, S. DÖBELE, C. KONRADS

Acta Chir Orthop Traumatol Cech. 2023; 90(3):206-210 | DOI: 10.55095/achot2023/024  

PURPOSE OF THE STUDY Patellofemoral stability and congruency are influenced by different parameters. Their contribution to anterior knee pain and instability is not fully understood. We investigated, if isolated femoral antetorsion of more than 25° leads to patellofemoral instability. MATERIAL AND METHODS We analyzed 90 knees in patients with patellofemoral complaints and correlated clinical and radiological characteristics. Patients presenting at our center between January 2018 and December 2020 because of patellofemoral pain or instability were included, provided that there was no previous surgical intervention done. RESULTS

Incidence, Diagnosis and Risk Factors for Fracture-Related Infection (FRI): 3-Year Experience of Level I Trauma CentreOriginal papers

J. ŘIMSA, M. DOLEŽALOVÁ HRUBÁ, J. URBAN, M. PEML, K. HOLUB, M. KLOUB

Acta Chir Orthop Traumatol Cech. 2023; 90(3):211-218 | DOI: 10.55095/achot2023/026  

PURPOSE OF THE STUDY The study aims to determine the incidence of fracture-related infection (hereinafter referred to as the FRI) at a Level I trauma centre over a three-year period. It also aimed to determine the risk factors, to observe confirmatory and suggestive criteria in line with the applicable recommendations, and to evaluate the bacterial spectrum in a diagnosed FRI. MATERIAL AND METHODS It is a retrospective-prospective study carried out through studying the documentation. The study included all patients diagnosed with FRI and treated between 2019 and 2021, except for the patients with hand fractures since minor phalangeal...

Životní jubileum prof. MUDr. Antonína Sosny, DrSc., emeritního přednosty I. ortopedické kliniky 1. LF UKReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2023; 90(3):219-220  

Zápis ze schůze Výboru ČSOT konané dne 17. 5. 2023 v Hotelu International BrnoReports from ČSOT

Acta Chir Orthop Traumatol Cech. 2023; 90(3):221-222  

Zápis z jednání Výboru ČSOT s primáři ortopedických pracovišť (Brno, 17. 5. 2023)Reports from ČSOT

Acta Chir Orthop Traumatol Cech. 2023; 90(3):222