Acta Chir Orthop Traumatol Cech. 2024; 91(4)
Mid Term Results of Treatment of Unstable Slips of Proximal Femoral Epiphysis by Closed Reduction
J. CHOMIAK, M. O©«ÁDAL, P. DUNGL
Acta Chir Orthop Traumatol Cech. 2024; 91(4):199-206 | DOI: 10.55095/achot2024/025 
Purpose of the study The study aimed to evaluate the results of closed reduction and epiphyseodesis of unstable slips of the proximal femoral epiphysis. The hypothesis was that the clinical and radiological results of this method and incidence of avascular necrosis are comparable to the results of closed reduction and open reduction using surgical hip dislocation reported by literature. Material and methods In the period 2013-2023, 20 patients were treated for unstable slips in one institution. Whereas the boys were older (mean age of 13.4 years) than girls (mean age of 11.6 years), the gender distribution was equal. Acute on chronic slips prevailed...
Comparison of the Quality of the Most Commonly Used New UHMWPE Articulation Inserts of the Total Knee Replacement
D. POKORNÝ, M. ©LOUF, V. GAJDO©OVÁ, I. ©EDÌNKOVÁ, M. VYROUBALOVÁ, K. NÌMEC, P. FULÍN
Acta Chir Orthop Traumatol Cech. 2024; 91(4):207-216 | DOI: 10.55095/achot2024/026
Purpose of study Total joint replacements (TJR) have become the cornerstone of modern orthopedic surgery. A great majority of TJR employs ultrahigh molecular weight polyethylene (UHMWPE) liners. TJR manufacturers use many different types of UHMWPE, which are modified by various combinations of crosslinking, thermal treatment, sterilization and/or addition of biocompatible stabilizers. The UHMWPE modifications are expected to improve the polymer's resistance to oxidative degradation and wear (release of microparticles from the polymer surface). This manuscript provides an objective, non-commercial comparison of current UHMWPE formulations currently...
Clinical Effect of Screw Internal Fixation on Fracture Healing and Ankle Alignment in Patients with Posterior Malleolar Fracture
JIAWANG ZHOU, WEIDONG WU, LI SUN, FENG LV, JUNJIE FAN
Acta Chir Orthop Traumatol Cech. 2024; 91(4):217-221 | DOI: 10.55095/achot2024/027
Purpose of the study To examine the clinical impact of screw internal fixation on the process of fracture healing and ankle alignment in individuals diagnosed with posterior malleolar (PM) fracture, specifically those with a fracture involving less than 25% of the articular surface (ASR) area. Material and methods A total of 120 patients diagnosed and treated for PM fracture, encompassing less than 25% of the distal tibial ASR area, were selected from our hospital's records spanning from September 2021 to June 2023. These people were subsequently divided into two groups, namely the control group (group A) and the observation group (group B), based...
Analysis of Punch Injuries: Clinical Characteristics, Management and Outcomes
Y. AĞIRDIL, Y. ªAHBAT
Acta Chir Orthop Traumatol Cech. 2024; 91(4):222-228 | DOI: 10.55095/achot2024/029
Purpose of the study The aim of this study is to describe injury patterns, characteristics, treatment modalities and functional outcomes after punching related injuries. Material and Methods Retrospective data of cases admitted to emergency department following punch injury between January 1, 2012, and December 31, 2022. was collected. Patient's demographic data, the dominant and injured upper extremity side, punched object, a time of patient admission were recorded. Smoking habit and blood ethanol level were documented. Trauma mechanism, diagnosis (1: dermabrasions: skin, 2: lacerations: neurovascular structures or tendons and 3: osseous pathologies),...
Alternative Surgical Treatment Method for 5th Metacarpal Neck Fractures: Comparison of Clinical Outcomes of Intramedullary and Transverse K-Wire Fixations with Additional Antirotational K-Wire
U. O. KASMAN, C. TUREMIS, S. SURUCU, Ö. KORKMAZ
Acta Chir Orthop Traumatol Cech. 2024; 91(4):229-233 | DOI: 10.55095/achot2024/030
Purpose of the study The purpose of this study was to assess the clinical outcomes and complications associated with intramedullary and transverse K-wire fixations of 5th metacarpal neck fractures. Material and methods Patients who were operated for 5th metacarpal neck fractures between 2019 and 2022 were evaluated retrospectively. Regarding the surgical treatment methods, patients were assessed by dividing them into two groups. The first group comprised patients who underwent treatment with an intramedullary K-wire. The second group comprises patients who underwent transverse K-wire fixation. Results The average quick DASH...
Comparison of Arthroscopic Microfracture and Retrograde Subchondral Drilling in the Treatment of Osteochondral Lesions of Talus
U. O. KASMAN, Ö. KORKMAZ
Acta Chir Orthop Traumatol Cech. 2024; 91(4):234-238 | DOI: 10.55095/achot2024/031
Purpose of the study In our study, it was aimed to evaluate the efficacy of microfracture and retrograde subchondral drilling on clinical outcomes in patients who underwent ankle arthroscopy due to osteochondral lesion of medial talus. Material and methods Twenty eight patients with osteochondral lesion of talus less than 1.5 cm2 treated with ankle arthroscopy were evaluated retrospectively. Microfracture was performed in 16 patients and retrograde subchondral drilling was performed in 12 patients that there was no loss of integrity in the cartilage layer or cartilage layer is partially preserved during ankle arthroscopy. Postoperative...
The Impact of Coracoid Tip Orientation on Subscapularis Tear Incidence: an MRI-Based Study
H. YAKA, M. ÖZER, B. SARIKAYA, U. KANATLI
Acta Chir Orthop Traumatol Cech. 2024; 91(4):239-244 | DOI: 10.55095/achot2024/032
PURPOSE OF THE STUDY This study investigated the relationship between the position of the tip of the coracoid process (CP) relative to the glenoid with subscapularis (Ssc) tears. We hypothesized that the coracoid tip is more inferior, lateral and posterior in patients with Ssc tear. MATERIAL AND METHODS This research enrolled 34 isolated Ssc tears and 44 controls. We introduced the axial central glenoid-coracoid angle (acGCA) and sagittal central glenoid-coracoid angle (scGCA) to evaluate the position of the tip of the CP relative to the glenoid center on MRI images. In both groups, acGCA, scGCA on MRI and critical shoulder angle (CSA), glenoid inclination...
Neurogenic Heterotopic Ossification of the Hip: a Case Report
M. ÇELIK, S. H. BAªARAN
Acta Chir Orthop Traumatol Cech. 2024; 91(4):245-247 | DOI: 10.55095/achot2024/033
Heterotopic ossification (HO) denotes aberrant osteogenesis in extra-skeletal tissues, often associated with neurological disorders, total hip arthroplasty, and specific traumatic scenarios. Neurogenic heterotopic ossification manifests prominently subsequent to traumatic brain injury or spinal cord injury, with Guillain-Barre Syndrome presenting an infrequent etiological link. This article details the case of a 56-year-old female diagnosed with Guillain-Barre Syndrome, who developed neurogenic heterotopic ossification around both hips within two years of disease onset. The patient's medical history included mechanical ventilation, incomplete tetraplegia,...