Acta Chir Orthop Traumatol Cech. 2024; 91(1)
Original papers
Reconstruction after Pelvic Bone Massive Resection: Evolution and Actuality of 3D-Printing TechnologyOriginal papers
F. COSSEDDU, S. SHYTAJ, E. IPPONI, A. D'ARIENZO, R. CAPANNA, L. ANDREANI
Acta Chir Orthop Traumatol Cech. 2024; 91(1):9-16 | DOI: 10.55095/achot2024/004
Purpose of the study Pelvic reconstructions after massive bone resections are among the most challenging practices in orthopedic surgery. Whether the bone gap results after a trauma, a tumor resection, or it is due to a prosthetic revision, it is mandatory to reconstruct pelvic bone continuity and rebuild the functional thread that connects spine and hip joint. Several different approaches have been described in literature through the decades to achieve those goals. Material and methods To this date, 3D-printed implants represent one of the most promising surgical technologies in orthopedic oncology and complex reconstructive surgery. We present our...
Sagittal Profile of the Spine in Patients after Lumbar Stabilisation SurgeriesOriginal papers
J. PE©EK, M. REPKO, L. RYBA, D. MATEJIÈKA
Acta Chir Orthop Traumatol Cech. 2024; 91(1):17-23 | DOI: 10.55095/achot2024/001
Purpose of the study Spine stabilization surgery is nowadays one of the most common spinal surgical procedures. Spinopelvic alignment is considered to be an important factor impacting the patients' preoperative difficulties as well as the outcome of surgery. In our study, the outcomes of stabilization surgeries in patients with lumbar spine disorders were evaluated - especially in those with stenosis and spondylolisthesis, in whom the importance of sagittal parameters were assessed with respect to the patients' clinical outcomes and difficulties. Material and methods The study included 50 patients with lumbar spine disorders who had undergone a spine...
Total Hip Arthroplasty Using the AMIS Method: Surgical Technique, Suitability of This Method for Obese Patients, Evaluation of the Study PopulationOriginal papers
P. PALÁSEK, P. MA©ÁT, V. ØEHÁÈEK
Acta Chir Orthop Traumatol Cech. 2024; 91(1):24-33 | DOI: 10.55095/achot2024/008 
Purpose of the study This manuscript aims to introduce our surgical technique, with an emphasis on the latest recommendations. The AMIS technique is discussed in more detail in patients with Class II and Class III obesity. We seek to prove the premise claiming that the anteversion and inclination values observed in this group of patients do not differ significantly from those observed in patients with the recommended BMI index. We will also compare the risk of neurovascular bundle injury and postoperative complication rate regarding the surgical wound. Material and methods Patients who underwent surgery using the AMIS method in the period between 1/2020...
Arthroscopic Subtalar Distraction Arthrodesis in Post-Traumatic IndicationsOriginal papers
V. RAK, J. ©RÁMEK, D. IRA, M. KRTIÈKA
Acta Chir Orthop Traumatol Cech. 2024; 91(1):34-43 | DOI: 10.55095/achot2024/002
PURPOSE OF THE STUDY This manuscript aims to present the method of arthroscopic assisted subtalar arthrodesis and to evaluate the benefits of this surgery on our study population. MATERIAL AND METHODS In the period from 9/2007 to 1/2020, a total of 33 subtalar arthrodesis were performed in 31 patients aged 19-66 years (mean 48 years, median 50 years). The indication for arthrodesis was subtalar arthritis causing pain and gait disorders, or hindfoot deformities (most commonly after a calcaneus bone fracture). The arthroscopic assisted subtalar arthrodesis was performed with autologous tricortical bone block graft harvesting from the pelvis, supplemented...
Management of Length Unstable Femur Fractures in Children by Flexible Intramedullary Nails: A Systematic ReviewOriginal papers
V. Garg, A. K. S. Gowda, A. Regmi, S. Barik, V. K. Maheshwari, V. Singh
Acta Chir Orthop Traumatol Cech. 2024; 91(1):44-51 | DOI: 10.55095/achot2024/006
Purpose of the study Surgical options for paediatric femoral fractures include flexible intramedullary nailing (FIN), plating, and external fixators. Length unstable fractures are usually spiral, long oblique, or comminuted and are often associated with > 2 cm of shortening. The purpose of this study was to see whether FIN is effective for managing unstable femur fractures in children. Material and methods An electronic literature search was performed up to 25 February 2022 in Cochrane Library, PubMed, and Embase databases using a combination of MeSH search terms and keywords related to the population (e.g., "child" AND "diaphyses" AND "femur"),...
Two-Stage Treatment Protocol of Fungal Periprosthetic Hip and Knee Joint Infections: the Clinical Experience from a Single Center ExperienceOriginal papers
J. XU, W. SUN, Y. WANG, H. JIANG, H. DING, Q. CHENG, N. BAO, J. MENG
Acta Chir Orthop Traumatol Cech. 2024; 91(1):52-56 | DOI: 10.55095/achot2024/003
Purpose of the study To evaluate the clinical results and safety of fungal periprosthetic joint Infections (fPJIs) using two-stage treatment protocol. Material and methods 8 patients with fPJIs (3 hips and 5 knees) using two-stage revision were reviewed retrospectively and followed up at least 2 years. The preoperative demographic data, two-stage treatment protocol, results of microbiology and histologic workup and postoperative follow-up results (reimplantation success rate and infection free time) were recorded. Results 7 patients got successful reimplantation, with a 75% reimplantation success rate. Two patients got knee arthrodesis eventually....
The Association between SLAP Lesions and Critical Shoulder Angle and Glenoid DepthOriginal papers
F. İ. CAN, E. GÜLTAÇ, S. YILMAZ, R. M. KILINÇ, C. Y. KILINÇ
Acta Chir Orthop Traumatol Cech. 2024; 91(1):57-61 | DOI: 10.55095/achot2024/007
Purpose of the study The critical shoulder angle (CSA) is formed by the combination of glenoid inclination and acromial index and has been shown related to rotator cuff tears and glenohumeral osteoarthritis. SLAP lesions today have an important place among bicipitolabral pathologies that cause intensive shoulder pain. We aimed to investigate the relationship between CSA and glenoid depth and SLAP lesions. Material and Methods Between March 2017 and January 2022, 279 consecutive shoulder arthroscopy patients' MRI images were retrospectively examined. After the exclusion criteria, 191 patients were eligible. Patients with SLAP lesions (n=37) were assembled...
Results of Allografts and Synthetic Grafts in Humeral Simple Bone CystsOriginal papers
M. A. ªAHİN, E. ÖZKUL, S. ELÇİ
Acta Chir Orthop Traumatol Cech. 2024; 91(1):62-68 | DOI: 10.55095/achot2024/005
Purpose of the study Simple bone cysts (SBCs) are the most common benign bone lesions in childhood. There are many different methods in the treatment of SBCs. There is no consensus on which method to use in the treatment. In this study, we compared the results of allogeneic bone graft or synthetic bone graft in addition to flexible intramedullary nail (FIN) for SBC located in the humerus. Material and methods This retrospective study comparing the data of 19 (group 1: 8 curettage, allograft and FIN; group 2: 11 curettage, synthetic graft and FIN) patients with a mean age of 11.4 (6 to 26; seven female, twelve male) who were surgically treated in our...