Acta Chir Orthop Traumatol Cech. 2025; 92(2)
Original papers
Predictors of Knee Replacement Following Meniscal Tear Arthroscopy: a 7-Year Risk Prediction ModelOriginal papers
ERIK FIDLER, MATÚ© SLOVIAK, KATEØINA LANGOVÁ, JIØÍ GALLO
Acta Chir Orthop Traumatol Cech. 2025; 92(2):67-76 | DOI: 10.55095/achot2024/066
Purpose of the study: The aim of this study was to analyze the outcomes of knee arthroscopy (KA) for degenerative meniscal tears in relation to early total knee arthroplasty (TKA) in the elderly population. The study focused on identifying the factors that influence the need for TKA within seven years after previous arthroscopic partial meniscectomy (APM). Material and methods: A total of 526 patients older than 64 years who underwent APM between January 1, 2010, and December 31, 2015, were included in the study. The patients were divided into three groups according to age. Specific patient data were extracted from the hospital information system....
Functional Outcomes of Treatment of the Mallet Finger with a Bone Fragment Using the Ishiguro ExtensionOriginal papers
MARTIN VLACH, DOMINIK KREJÈÍ, VOJTÌCH HAVLAS
Acta Chir Orthop Traumatol Cech. 2025; 92(2):77-82 | DOI: 10.55095/achot2024/059
Purpose of the study:The study aims to evaluate the mid-term functional and subjective outcomes of treatment of the mallet finger with a bone fragment using the Ishiguro extension block pinning. The hypothesis was that this technique provides reliable and high-quality outcomes with a low complication rate. Material and methods: The study included 54 patients aged 7-17 years who underwent surgery at our department between 2017 and 2022. The inclusion criteria were the diagnosis of the mallet finger with a Doyle type IVa and IVb bone fragment, subluxation of the distal interphalangeal joint, fracture fragment size greater than 30% of the articular...
Effects of General Anesthesia in Combination with Saphenous Nerve Block-Tibial Nerve Block on Analgesia for Total Knee Arthroplasty and Hemodynamic IndexesOriginal papers
DANFENG LIU, YONG WANG, WEI TANG
Acta Chir Orthop Traumatol Cech. 2025; 92(2):85-91 | DOI: 10.55095/achot2024/064
Purpose of the study: We aimed to assess the effects of general anesthesia (GA) plus saphenous nerve block-tibial nerve block (SNB-TNB) on analgesia for total knee arthroplasty (TKA) and hemodynamic indexes. Material and methods: A control group and an observation group were set for equal allocation of 106 patients with knee osteoarthritis (KOA) treated with TKA during November 2021 and November 2023 through a random number table. GA was used for the control group, and GA plus SNB-TNB was performed for the observation group. Clinical indexes, analgesic effect, joint motion range, hemodynamic indexes and safety were compared between the two groups....
Preoperative Incidence of Deep Venous Thrombosis and Its Risk Factors in Older Patients with Hip FractureOriginal papers
TINGMING PAN, ZHONG DONG, HONGJIE ZHANG, JINCHAO XU, JIANWEI GUAN, XIANG PENG
Acta Chir Orthop Traumatol Cech. 2025; 92(2):92-97 | DOI: 10.55095/achot2024/062
Purpose of the study: Hip fractures in the elderly are commonly complicated by deep venous thrombosis (DVT), particularly in the preoperative phase. This retrospective study aimed to determine the preoperative incidence of DVT and identify its risk factors in older patients with hip fractures. Material and methods: This single-center retrospective study enrolled 278 patients (aged ≥ 60 years) with unilateral hip fracture, who underwent color Doppler ultrasonography of the lower extremity veins on the day of surgery at the Second People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine between 1st January 2015 and...
Comparison of the Results of Expanded Arthroscopic Debridement and 18-Gauge Percutaneous Tenotomy in Lateral EpicondylitisOriginal papers
İBRAHİM FARUK ADİGÜZEL, HÜNKAR CAGDAS BAYRAK, OSMAN ORMAN, SAMED ORDU
Acta Chir Orthop Traumatol Cech. 2025; 92(2):98-105 | DOI: 10.55095/achot2024/060
Purpose of the study: This retrospective comparative study aims to evaluate the clinical outcomes, cost-effectiveness, and complication rates associated with two minimally invasive surgical techniques: extended arthroscopic debridement and 18-gauge percutaneous tenotomy. Material and methods: The study included 31 patients with resistant lateral epicondylitis who underwent either arthroscopic debridement (n=14) or percutaneous tenotomy (n=17) between January 2019 and June 2023. Outcomes were assessed using the Mayo Elbow Performance Score (MEPS) and the Patient-Rated Tennis Elbow Evaluation (PRTEE) at preoperative, 3-month, 6-month, and 12-month...
Acute Pancreatitis as a Result of Supramesocolic Ischemia after Scoliosis SurgeryOriginal papers
JOSEF VÈELÁK, JAN ©TULÍK, MICHAL BARNA, ANDREA ©PELDOVÁ
Acta Chir Orthop Traumatol Cech. 2025; 92(2):106-113 | DOI: 10.55095/achot2024/050
Ischemic complications in the supramesocolic anatomical region with the development of acute pancreatitis due to compression of the celiac artery or superior mesenteric artery are rare but potentially serious complications after major spine surgery. A case report of two patients with idiopathic scoliosis who underwent posterior instrumented correction and fusion with subsequent development of acute pancreatitis due to vascular compression of the retroperitoneum is presented. The manifestation of an acute abdomen within 24 hours after the surgery with elevation of pancreatic obstruction enzymes and confirmation of acute pancreatitis on CT angiography...
Case report
Isolated Lateral Subtalar Dislocation Due to Low-Energy TraumaCase report
NURI KORAY ÜLGEN, BATUHAN GENCER, TEOMAN BEKIR YENI, ÖZGÜR DOĞAN
Acta Chir Orthop Traumatol Cech. 2025; 92(2):114-117 | DOI: 10.55095/achot2025/001
Isolated subtalar dislocations constitute 1% of all dislocations and are extremely rare. They frequently occur as a result of high-energy trauma. Dislocations are classified based on the direction of the dislocation, with 80% being medial. Closed reduction under anesthesia without delay is the optimal treatment method. In our case, we present an extremely rare instance of an isolated lateral subtalar dislocation resulting from a low-energy injury. Although isolated subtalar dislocations are frequently reduced with closed reduction, open reduction was necessary in our case. The structure obstructing reduction in lateral dislocations is often reported...