Acta Chir Orthop Traumatol Cech. 2024; 91(2)

Original papers

A Systemic Review of Primary Malignant Long Bone Tumors in Children and AdolescentsOriginal papers

M. KHAN, R. PATEL, M. YOUSSEF, R. BANERJEE, A. PARDIWALA, C. BELEN

Acta Chir Orthop Traumatol Cech. 2024; 91(2):77-87 | DOI: 10.55095/achot2024/010

Purpose of the study Managing bone tumours is complex, relying on limited evidence, expert opinions, and retrospective reviews. Multidisciplinary approaches and early diagnosis are crucial for better outcomes, especially in young patients with growing skeletons. The aim of this systemic review and meta-analysis is to give a comprehensive review of common malignant tumors affecting long bones in children and adolescents. Material and methods A PubMed/Medline search for "primary malignant long bone tumours in children" initially retrieved 1120 papers, which were subsequently narrowed down to 110 articles based on inclusion and exclusion criteria. These...

Assessing the Correlation between the Radiological, Macroscopic and Histological Examination of Degenerative Changes of Articular Surfaces in Knee Osteoarthritis with Varus DeformityOriginal papers

D. WACIAKOWSKI, A. KOHOUT, J. BROŽÍK, P. ŠPONER4

Acta Chir Orthop Traumatol Cech. 2024; 91(2):88-95 | DOI: 10.55095/achot2024/013

Purpose of the study Our study aims to compare the results of preoperative radiography and intraoperative visual assessment of the cartilage with histological assessment of joint surfaces of the medial and lateral compartments resected in patients during the total knee replacement. Material and methods The cohort included 20 patients (9 men and 11 women) with the mean age of 66.6 (±7.0) years who met the inclusion criteria of the study. Degenerative changes of the knee joint seen on a preoperative weight-bearing anteroposterior X-ray were evaluated according to the Kellgren-Lawrence grading system separately for the medial and lateral compartment....

Radial Head Replacement: Management of Elbow and Forearm Instability after Comminuted Radial Head Fractures Associated with Elbow DislocationOriginal papers

M. STRECK, M. VLČEK, D. VEIGL, J. PECH, I. LANDOR

Acta Chir Orthop Traumatol Cech. 2024; 91(2):96-102 | DOI: 10.55095/achot2024/012  

Purpose of the study This manuscript aims to identify an indication algorithm for the surgical treatment of radial head fractures associated with elbow dislocation. The study compares the mid-term functional outcomes of patients with multifragment radial head fracture treated by resection with the outcomes of patients treated with radial head replacement. Material and methods The cohort of 34 patients who sustained a radial head fracture at the mean age of 42.5 years (age range 20-81 years) was broken down into two groups by type of surgery. The EXT group consists of 20 patients with the radial head fracture treated by radial head resection. The END...

Three-Dimensional Computed Tomography Image Reformation for Comparison of Foraminal Cross-Sectional Dimension in Patients Who Have Undergone Laminoplasty and Laminectomy with FusionOriginal papers

S.-J. LEE, H.-J. LEE, Y.-M. LEE, M. F. DESLIVIA, W.-K. MIN

Acta Chir Orthop Traumatol Cech. 2024; 91(2):103-108 | DOI: 10.55095/achot2024/011  

Purpose of the studyLaminectomy with fusion (LF) is commonly performed with laminoplasty (LP) for cervical myelopathy. Foraminal stenosis is important in the surgical treatment of cervical myelopathy. LF and LP can affect foraminal size in different ways. This study aimed to compare foraminal dimensions after LF and LP using a medical computer-assisted design (CAD) program. Material and methods Computed tomography (CT) scans of the cervical vertebrae of 16 patients with cervical myelopathy were retrospectively viewed in the Digital Imaging and Communications in Medicine format on a CAD program. CT images were reformatted...

Viscosupplementation with High Molecular Weight Hyaluronic Acid for Hip Osteoarthritis: a Systematic Review and Meta-Analysis of Randomised Control Trials of the Efficacy on Pain, Functional Disability, and the Occurrence of Adverse EventsOriginal papers

R. PATEL, G. ORFANOS, W. GIBSON, T. BANKS, G. MCCONAGHIE, R. BANERJEE

Acta Chir Orthop Traumatol Cech. 2024; 91(2):109-119 | DOI: 10.55095/achot2024/009  

Purpose of the study Hip osteoarthritis (OA) has a prevalence of around 6.4% and is the second most commonly affected joint. This review aims to assess the clinical outcomes of intra-articular high molecular weight hyaluronic acid (HMWHA) in the management of hip osteoarthritis. Material and methods We conducted a comprehensive search across PubMed, Google Scholar, and the Cochrane Library for randomised trials investigating the effectiveness of high molecular weight hyaluronic acid (HMWHA) in the treatment of hip osteoarthritis. Quality and risk of bias assessments were performed using the Cochrane RoB2 tool. To synthesise the data, we utilised the...

A Rare Case: Transphyseal Distal Humerus Fracture in a NewbornOriginal papers

A. Yigitbay, M. Çelik

Acta Chir Orthop Traumatol Cech. 2024; 91(2):120-122 | DOI: 10.55095/achot2024/015  

Transphyseal fractures of the distal humerus are usually seen in children younger than 3 years of age and are considered as Salter-Harris Type I epiphysiolysis. Neonatal transphyseal distal humerus injuries are extremely rare. It usually occurs due to trauma during difficult labour but can also be seen after child abuse. Since the distal humerus is composed of cartilaginous tissue in newborns, it is difficult to make a diagnosis with direct radiography. Patients are often diagnosed with elbow dislocation. However, elbow dislocation is almost never seen under the age of 3 years. Transphyseal fractures can be seen as a result of manoeuvres performed...

Case report

Bilateral Dorsal Fracture-Dislocation of the Proximal HumerusCase report

R. ČELLÁR, D. SOKOL

Acta Chir Orthop Traumatol Cech. 2024; 91(2):123-126 | DOI: 10.55095/achot2024/014  

Fractures of the proximal humerus constitute approximately 5% of all fractures. Shoulder joint injuries without any external mechanical impact during seizures with the occurrence of spasms occur only sporadically. The occurrence rate is reported in approximately 0.4% of patients. Very rarely they occur in the form of epileptic seizure-induced dorsal fracture-dislocation impacting both sides. The case report describes a case of a 48-year-old woman with no treatment for epileptic seizures in her medical history. During the first seizure she sustained a bilateral dorsal fracture-dislocation caused by a muscle spasm, without any other mechanical impact....