Evaluation of the Clinical Outcomes of Autologous Chondrocyte Implantation in the Management of Chondral Lesions of the Knee after 10+ YearsOriginal papers

J. ŠIMURDA, P. VALIŠ, M. ROUCHAL, J. NOVÁK, T. OTAŠEVIČ

Acta Chir Orthop Traumatol Cech. 2023; 90(6):369-374 | DOI: 10.55095/achot2023/044

PURPOSE OF THE STUDY The authors present the outcomes of more than ten-year clinical follow-up of patients who underwent surgical treatment of deep chondral defect of the knee (medial or lateral condyle). The method of treatment was the implantation of autologous cultured chondrocytes in the form of a solid chondral graft. The aim was also to compare the mid-term and long-term outcomes and to evaluate how the knee condition affects the everyday life and sports activities more than 10 years after surgery. MATERIAL AND METHODS Thirty patients of the total of 56 patients (26 patients dropped out of the long-term follow-up) operated in the period between...

Femoral Fractures in Children Younger than Two Years. Are We Considering Abusive Etiology?Original papers

E. Popelová, M. Svatková, J. Přidal, J. Kotaška, M. Kynčl, V. Havlas

Acta Chir Orthop Traumatol Cech. 2023; 90(6):375-382 | DOI: 10.55095/achot2023/045

Purpose of the study The primary aim is to assess the proportion of children younger than two years with a femoral fracture who underwent a skeletal survey. The secondary aim of the study is to evaluate the patients' demographics, reported trauma mechanism, type of fracture, type of treatment and complication rate. Material and methods This was a retrospective study of children younger than two years examined at the Department of Imaging Methods for a femoral fracture between 2015-2022. The type and site of the fracture were assessed on radiographs. The patients' medical records were used to assess which steps had been taken to evaluate for possible...

Investigation of the Effect of Facet Joint Angle Characteristics on the Development of Lumbar Spinal Stenosis in Patients with Lumbar Canal StenosisOriginal papers

A. EROĞLU, M. ATAR, M. SAPANCI, C. ATABEY

Acta Chir Orthop Traumatol Cech. 2023; 90(6):383-390 | DOI: 10.55095/achot2023/046

Objectives The aim of our study was to investigate facet tropism and its impact on the development of lumbar spinal canal stenosis (LSCS) in patients with LSCS. Materials and Methods Bilateral facet joint angles at the L3-4, L4-5, and L5-S1 levels were measured on axial plane in the lumbar magnetic resonance imaging (MRI) scans of 82 patients aged between 32 and 75 with LSCS, and 82 healthy individuals aged between 30 and 66 without LSCS, who were considered as the normal group. Results Both groups in our study consisted of both males and females. The mean age was 51.4 for patients with LSCS and 44.7 for the healthy group, with no significant difference...

Arthroscopic Superior Capsule Reconstruction with a Long Head of the Biceps Tendon Autograft: One-Year Follow-up ResultsOriginal papers

R. KALINA, P. NEORAL, M. SIGMUND, J. GALLO

Acta Chir Orthop Traumatol Cech. 2023; 90(6):391-399 | DOI: 10.55095/achot2023/047

Purpose of the study Superior Capsule Reconstruction (SCR) of the shoulder joint has recently been included in the portfolio of interventions as a solution to irreparable rotator cuff tears. One of the options is to use a long head of the biceps tendon (LHBT) autograft. This paper presents the first clinical outcomes of the SCR of the shoulder joint using the LHBT autograft. Material and methods It is a prospective non-randomised study in which 14 patients were included, namely 7 men and 7 women. The patients were evaluated using the pain VAS, UCLA (The University of California at Los Angeles) Shoulder Rating Scale and ASES (The American Shoulder...

The Relationship between the Shoulder Functional Score and the Change in Labral Morphology after Arthroscopic Bankart RepairOriginal papers

A. TEMIZ, Y. ŞAHBAT, İ. M. PEPE, C. N. AKTEKIN

Acta Chir Orthop Traumatol Cech. 2023; 90(6):400-407 | DOI: 10.55095/achot2023/048

Purpose of the study The aim of arthroscopic Bankart repair is restoration of the anterior block mechanism and regaining stability. There are few studies that have tested the adequacy of the angle made with the glenoid and the height from the glenoid level of the repaired labral tissue, but the correlation with the clinical results is not clear. The aim of this study was to define the correlation of the height and slope of the repaired labral tissue in the glenoid anterior with the clinical results. Material and methods This prospective study included 20 patients who underwent an arthroscopic Bankart repair. To evaluate the labrum anatomy of the affected...

Comparison of Different Fixation Configurations in Different Types of High Pediatric Supracondylar Humerus Fractures: a Finite Element AnalysisOriginal papers

M. BOZOĞLAN, M. KUMBARACI, A. ÖZER, A. TURGUT

Acta Chir Orthop Traumatol Cech. 2023; 90(6):408-415 | DOI: 10.55095/achot2023/049

Purpose of the study The purpose of this study is to compare the stability of different fixation methods in high pediatric supracondylar humerus fractures with a finite element analysis method. Material and methods Transverse, lateral oblique, and medial oblique fracture models were created in a ten years old boy's distal humerus. Eight different fixation methods were applied to each fracture model. Displacement of the fracture models was measured under the translational and torsional forces. Results In the transverse fracture model; the 6^th method provided the best stability in internal rotation, external rotation, and extension loading....

Efficiency of the Local Infiltration Analgesia Method in Total Knee Artroplasty SurgeriesOriginal papers

S. AKBEN, G. TUNCEL, G. ARGUN, T. ASKiN, I. KAYA

Acta Chir Orthop Traumatol Cech. 2023; 90(6):416-421 | DOI: 10.55095/achot2023/050

Purpose of the study Postoperative pain after total knee arthroplasty (TKA) is severe because of bone and soft tissue trauma during the surgery and is difficult to control with oral analgesics. The primary aim of the study was to investigate the effects of the local infiltration anesthesia (LIA) method on postoperative analgesia quality and opioid consumption in patients undergoing TKA. The secondary aims were to evaluate knee flexion angle, side effects, and patient satisfaction. Material and Methods Total 40 patients, who underwent unilateral TKA surgery under spinal anesthesia were included in the prospective randomized study. Patients who underwent...

Is Bone Grafting Unnecessary in the Treatment of Cystic Scaphoid Pseudoarthrosis?Original papers

E. C. ZENGİN, H. ERTEM, S. SARUHAN, T. ÖZTÜRK, M. SENER

Acta Chir Orthop Traumatol Cech. 2023; 90(6):422-426 | DOI: 10.55095/achot2023/051

Purpose of the study The basic aim of the treatment of cystic nonunion is to provide stable fixation and mechanical compression to increase union, but there is no consensus on whether to perform bone grafting in the cystic area or not. The aim of this study was to compare the clinical and radiological results of patients with cystic scaphoid non-union who received open grafting, and internal fixation and those treated with percutaneous fixation without grafting. Material and Methods A retrospective evaluation was made of patients included those determined radiologically with Slade and Dodds grade IV scaphoid cystic non-union. Two different surgical...

Anterior Ankle Synovial Osteochondromatosis: a Rare Case in an AdolescentCase report

A. SUKUN

Acta Chir Orthop Traumatol Cech. 2023; 90(6):427-429 | DOI: 10.55095/achot2023/052