Acta Chir Orthop Traumatol Cech. 2024; 91(5)
Current Management of Patients with Proximal Femur Fractures Receiving Antiplatelet and Anticoagulant Therapy
B. ŠTEŇO, A. BÁTOROVÁ, D. JANKOVIČOVÁ, T. PRIGANCOVÁ, J. HLOŽNÍK, A. ŠVEC, I. CHANDOGA
Acta Chir Orthop Traumatol Cech. 2024; 91(5):257-263 | DOI: 10.55095/achot2024/041 
Proximal femur fractures (PFF) pose a major challenge in elderly patients with severe comorbidities and receiving antithrombotic therapy since according to the latest guidelines the surgery should be performed as soon as possible, preferably within 24 hours, to reduce mortality and morbidity. This review outlines the practical approach to surgical management of PFF that relies on increasing evidence of safety of early surgery in patients with PFF receiving antiplatelet and anticoagulant therapy. We have also used information from the existing evidence-based guidelines for elective/planned surgery in patients with antithrombotic therapy. The practical...
Methods of Measuring Limb Malrotation Following Femoral Osteosynthesis
J. Maléř, M. Buk, M. Michna, J. Skála-Rosenbaum
Acta Chir Orthop Traumatol Cech. 2024; 91(5):264-268 | DOI: 10.55095/achot2024/035
Significant malrotation of the femur after osteosynthesis is a serious complication of treatment and has a number of consequences for the patients and causes deterioration of their quality of life. Therefore, it is necessary to be familiar with intraoperative techniques to control the correct rotation, mostly clinical and radiological, which give us the possibility to minimize rotational errors. In the postoperative period, with even a slight suspicion of malrotation, it is necessary to proceed to its exact verification and, in indicated cases, to perform necessary correction. We recommend one of the CT techniques as a very reliable method, however...
Application of Ortho-Bridge System after Femoral Bone Transport
JINXING YANG, SHUYU LIU, ZICAI FU, QIN XU, JIANYI XIONG, WEIMIN ZHU, LIJUN LIU
Acta Chir Orthop Traumatol Cech. 2024; 91(5):269-275 | DOI: 10.55095/achot2024/043
The bone transport technique uses the principle of distraction-osteogenesis and fill bone defects with the aid of an external fixator. In order to evaluate the clinical effect of femoral internal fixation with Ortho-Bridge System after bone transport, 4 patients after femoral bone transport from October 2020 to October 2022 are studied in this paper. Among them, 3 patients ran refracture of femur after removal of the Limb reconstruction system, 1 patient just finish femoral bone transport and request internal fixation. The surgery results show that Ortho-Bridge System can be used in the situation that conventional Locking compression plate and intramedullary...
Effects of Total Hip or Knee Arthroplasty on Median Survival in Patients Aged 80 Years and Older
R. KUBEŠ, A. KRÁL, M. STOLLIN, M. BOBELYAK
Acta Chir Orthop Traumatol Cech. 2024; 91(5):276-281 | DOI: 10.55095/achot2024/052
Introduction During the 20th century, the life expectancy increased by 30 years. At the same time, the number of people living longer than that has grown significantly. The aim of this study was to investigate whether total hip or knee arthroplasty (THA or TKA) in patients over 80 years of age does not reduce their life expectancy. Material and methods The study examined the data of patients who had undergone THA or TKA between 1994 and 2002 and were older than 80 years at the time of surgery. The study group was divided into a group of patients in whom elective total hip or knee arthroplasty was performed for arthritis and into a group...
Arthrodesis of the Distal Interphalangeal Joint of the Finger Using an Intramedullary Implant
P. BARABAS, R. PAVLIČNÝ
Acta Chir Orthop Traumatol Cech. 2024; 91(5):282-288 | DOI: 10.55095/achot2024/047
Purpose of the study Osteoarthritis (OA) of the joints of the hand is one of the most common musculoskeletal disorders in the elderly population. It is a complex, degenerative disease affecting all components of the joint. Surgical treatment is indicated when conservative therapy fails. The ultimate solution is arthrodesis of the distal interphalangeal (DIP) joint. Various methods of arthrodesis have been described, ranging from the use of K-wires or compression screw to different types of intra-articular (intramedullary) implants. The aim of this study is to evaluate the surgical outcomes of arthrodesis of the distal interphalangeal (DIP) joint of...
Risk Factors for Early Implant Failure in Geriatric Intertrochanteric Fractures Treated with Twin Interlocking Derotation and Compression Screw Cephalomedullary Nail (InterTAN)
E. ÖZMEN, T. F. YAĞCI, A. M. YILDIRIM, M. ALTAN, A. ERŞEN, Y. SAĞLAM
Acta Chir Orthop Traumatol Cech. 2024; 91(5):289-295 | DOI: 10.55095/achot2024/054
Purpose of the study Intertrochanteric hip fractures in elderly patients are a significant cause of morbidity and mortality, with increasing incidence due to the aging population. Despite advancements in intramedullary nailing (IMN) technology, fixation failure remains a concern. This study aims to evaluate pre-and postoperative radiographic risk factors for varus collapse in geriatric intertrochanteric fractures treated with twin interlocking derotation and compression screw cephalomedullary nail (InterTAN, Smith & Nephew). Material and Methods This retrospective study included patients over 60 years with AO 31A1 and 31A2 intertrochanteric femur...
The Prevalence and the Clinical Importance of os vesalianum pedis
C. UĞUZ GENÇER, H. Tetiker, M. İ. Koşar, N. Çullu
Acta Chir Orthop Traumatol Cech. 2024; 91(5):296-300 | DOI: 10.55095/achot2024/053
Purpose of the study Os vesalianum pedis (OVP) is a rare accessory bone of the foot located at the base of the fifth metatarsal bone. It is usually asymptomatic and incidentally seen on radiographs. When symptomatic, it manifests itself with lateral foot pain. OVP, which can become symptomatic as a result of traumatic injuries, can also be confused with fracture. The aim of this study is to determine the prevalence and morphometric characteristics of OVP in the Turkish population. Material and Methods Radiographic images of 5268 individuals aged 16 years and older (mean 39.65±17.21) who completed ossification of the fifth metatarsal bone were...
Hallux Extensus as a Rare Complication of Crural Fracture and Its Surgical Treatment
V. JUNK, M. KUPKA
Acta Chir Orthop Traumatol Cech. 2024; 91(5):301-305 | DOI: 10.55095/achot2024/038
Hallux extensus is a persistent dorsiflexion of the first metatarsophalangeal joint. Apart from many other causes, it can also be caused by contracture of the extensor hallucis longus muscle, in our case resulting from surgical treatment of crural fracture. The authors present the case of a 17-year-old soccer player who sustained a fracture of both shin and calf bone during a soccer match and underwent surgical treatment with intramedullary nailing. While compartment syndrome wasn't observed, a postoperative complication in the form of progressive development of a dynamic type of hallux extensus was reported. The reason behind this complication was...