Acta Chir Orthop Traumatol Cech. 2025; 92(1)
Original papers
Pelvic Avulsion Fractures in Children: a Retrospective Study from Four Trauma CentersOriginal papers
MARTIN SALÁŠEK, ANDREJ STANČÁK, MARTIN ČEPELÍK, TOMÁŠ PEŠL, VOJTĚCH HAVLAS, TOMÁŠ PAVELKA, PETR HAVRÁNEK, VALÉR DŽUPA
Acta Chir Orthop Traumatol Cech. 2025; 92(1):7-14 | DOI: 10.55095/achot2024/045 
Purpose of the study: Pelvic avulsion fractures in children are rare and usually associated with sports. The study aimed to evaluate the epidemiology, complications, and displacement cutoff value for surgical treatment. Material and methods: In a retrospective study (2007-2022), we used a group of 201 boys and 20 girls (p < 0.0001). The mean age of boys was 14.9 ± 1.7, and 14.0 ± 1.9 years for girls (p = 0.0129). Injuries included 86 anterior superior iliac spine (ASIS), 83 anterior inferior iliac spine (AIIS), 28 ischial tuberosity (ITU), 13 iliac crest, nine reflected head of the rectus femoris avulsions, and two ipsilateral ASIS...
Modern Approach to the Use of Aspirin in Prevention of Venous Thromboembolism Following Total Hip Arthroplasty or Total Knee Arthroplasty. A Retrospective TrialOriginal papers
VADIM BENKOVICH, ARTSIOM ABIALEVICH, MARIA FITERMAN
Acta Chir Orthop Traumatol Cech. 2025; 92(1):21-27 | DOI: 10.55095/achot2024/070
Purpose of the study: Given the risk of venous thromboembolism (DVT) and pulmonary embolism (PE) after large joint replacement, the role of thromboprophylaxis is crucial. This retrospective study aims to evaluate the effectiveness of aspirin as thromboprophylaxis in patients undergoing TKA or THA. Material and methods: In this retrospective review of a database of patients who underwent total hip and total knee replacements between 2021 and 2023, we divided patients into two groups: those with no anticoagulation therapy before surgery and those on chronic anticoagulant use prior to surgery. The primary endpoint was the number of...
The Outcomes of Navicular Fracture SurgeryOriginal papers
MAREK PEML, KAREL HOLUB, MARTIN POMPACH, MICHAL PEŠTA, PAVEL DRÁČ, MARTIN KLOUB
Acta Chir Orthop Traumatol Cech. 2025; 92(1):28-35 | DOI: 10.55095/achot2024/034
Purpose of Study: Inadequate treatment of displaced fractures of the navicular bone may result in malalignment, formation of non-union, accelerated development of osteoarthritis or avascular necrosis and thus a fundamental limitation of mobility and gait disturbance. The aim of our study was to evaluate the results in our group of patients undergoing surgery for navicular fractures. Material and method: Our retrospective monocentric study included all surgically treated navicular fractures in patients over 18 years of age performed in our department between 2009 and 2018. A total of 18 patients met these criteria and were invited for clinical...
Current concepts review
Pediatric Upper Cervical Spine Injuries: a Systematic ReviewCurrent concepts review
LUCIE SALAVCOVÁ, JAN ŠTULÍK, ONDŘEJ NAŇKA
Acta Chir Orthop Traumatol Cech. 2025; 92(1):15-20 | DOI: 10.55095/achot2024/036
Purpose of the study: The study aimed to systematically review the available literature focusing on upper cervical spine injuries in children, namely the age and sex of patients, epidemiology of injuries, classifications used, diagnosis and treatment methods, neurologic deficit, concomitant injuries, and potential complications. Material and methods: The systematic review was elaborated in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol. The studies assessing pediatric upper cervical spine injuries were searched for in the MEDLINE database in September 2023. The studies included were published...
Biomarkers and Their Role in Understanding OsteoarthritisCurrent concepts review
RUDOLF HLUBEK, PAVLÍNA KUŠNIEROVÁ, PAVEL WALDER, IVETA BYSTROŇOVÁ, PAVEL DOUŠA
Acta Chir Orthop Traumatol Cech. 2025; 92(1):36-43 | DOI: 10.55095/achot2024/051
Osteoarthritis (OA) is a degenerative joint disease characterized by progressive damage and loss of articular cartilage with concomitant structural and functional changes in the joint. It is the most common cause of joint pain globally and the resulting productivity loss to the economy. The clinical symptoms of osteoarthritis are mostly determined by the difficulties of patients related to the development of articular degenerative changes, which secondarily lead to joint stiffness and functional limitation. The diagnosis of this disease is currently based on typical clinical symptoms and radiographic findings (e.g. joint space narrowing, osteophytes,...
Early Surgical Treatment Options for Anterior Cruciate Ligament InjuryCurrent concepts review
FILIP HUŠEK, ROMAN MIZERA, LUKÁŠ ČAPEK, ZDENĚK HORÁK
Acta Chir Orthop Traumatol Cech. 2025; 92(1):45-51 | DOI: 10.55095/achot2024/055
Anterior cruciate ligament (ACL) is one of the most commonly injured structures in distortion injuries of the knee joint. Currently, there is no consensus among the professional community regarding the basic principles and timing of ACL injury management. An analysis of several retrospective studies from the 2008-2023 period provides information on ACL preservation procedures and a comparison of these results with those of ACL reconstruction surgery using a graft. The most comprehensive information was provided by a large meta-analysis conducted by Van der List et al. in 2019, which compared 1101 patients from 13 studies who had undergone an ACL preservation...
Case report
Combined Proximal Radius Reconstruction Following Resection for Oncological IndicationCase report
MÁRIO MALINA, MATEJ MAJERČÍK, YOUSEF NASER
Acta Chir Orthop Traumatol Cech. 2025; 92(1):52-57 | DOI: 10.55095/achot2024/068
Early surgical treatment of giant cell tumour of the bone has very good functional outcomes with a relatively low risk of local recurrence and metastatic spread.In case of a pathologic fracture, extraosseous extension, and tumor location in an anatomically difficult area, surgical treatment may represent a big challenge with an uncertain functional outcome.Our case report presents a 35-year-old patient with a delayed diagnosis of giant cell tumor of the proximal radius of the dominant limb, with pulmonary metastases. Following neoadjuvant Denosumab therapy, with a major treatment effect on both the primary tumor and pulmonary metastases,...