Acta Chir Orthop Traumatol Cech. 2025; 92(3)

Original papers

Fixation of Osteochondral Lesions of the Knee Using MAGNEZIX Implants in Pediatric Patients: Midterm Clinical and MRI ResultsOriginal papers

FILIP HANÁK, VERONIKA KOUKOLSKÁ, BARBORA KRSKOVÁ, MARTIN KYNČL, VOJTĚCH HAVLAS

Acta Chir Orthop Traumatol Cech. 2025; 92(3):137-146 | DOI: 10.55095/achot2024/071  

Purpose of the study: Fixation of osteochondral fragments is a relatively common procedure in pediatric orthopaedic surgery. This study analyzes clinical and MRI results of biodegradable MAGNEZIX® magnesium alloy implants used to fix osteochondral knee lesions in pediatric patients. Material and methods: 18 pediatric patients with unstable or displaced OCD lesions or osteochondral fractures were treated with MAGNEZIX® screws or pins. Clinical examinations were conducted at regular intervals, and the final clinical and MRI assessments were performed 24 months after surgery. Results: The overall...

Funtional Outcomes of Pediatric Trigger Digits – Outcomes of Two CentersOriginal papers

MARTIN VLACH, DAVID MÁŠKA, ALENA SCHMORANZOVÁ, ELIŠKA KŠÍROVÁ, VOJTĚCH HAVLAS

Acta Chir Orthop Traumatol Cech. 2025; 92(3):147-152 | DOI: 10.55095/achot2024/058  

Purpose of the study: The study evaluates the functional outcomes of the treatment of pediatric trigger digits in two centers and compares them with data from the available literature. The secondary objective is to verify the possibilities of collecting data on patients' health status through questionnaire surveys using remote communication via a web interface.Material and methods: Patients operated on at the Hand and Plastic Surgery Institute in Vysoké nad Jizerou (ÚCHRaPCH) and the Motol University Hospital, Department of Orthopaedics (FNM) between 2018 and 2021 were evaluated. An analysis of demographic data, affected digits,...

Cementless THA with Femoral Shortening Osteotomy Provides Excellent Results for Patients with Crowe Type IV Hip DysplasiaOriginal papers

FAHRI EMRE, ENES ULUYARDIMCI, MESUT TAHTA, AHMET ADNAN KARAASLAN, ÇETIN IŞIK

Acta Chir Orthop Traumatol Cech. 2025; 92(3):153-159 | DOI: 10.55095/achot2025/008  

Introduction: This study aimed to present the clinical and radiological results and look for complications of total hip arthroplasty (THA) performed with subtrochanteric transverse femoral shortening osteotomy (STFO) for Crowe type IV developmental dysplasia of the hip (DDH). Material and methods: Ninety-four patients who underwent STFO and THA for Crowe type IV DDH between 2013 and 2018 were retrospectively evaluated. The mean follow-up period of the patients was 40 months (range 25 to 55) and the mean operation time was 58 min (range 52 to 70). We examined the results of routine anteroposterior and lateral hip radio- graphy....

Intra-Articular Use of Hyaluronic Acid Preparations in the Treatment of Knee OsteoarthritisOriginal papers

MATEJ TURAN, JIŘÍ GALLO

Acta Chir Orthop Traumatol Cech. 2025; 92(3):161-172 | DOI: 10.55095/achot2024/065  

Purpose of the study: The knee is the most common peripheral site of osteoarthritis (KOA; knee osteoarthritis). The mainstay of non-operative treatment is education, exercise, weight reduction, and pharmacological therapy. Intra-articular hyaluronic acid (HA) injection is a non-operative treatment option. The aim of our study was to assess the most recent data on the efficacy of intra-articular administration of HA in KOA therapy and to compare it with intra-articular injections of platelet-rich plasma (PRP), corticosteroids (CS) and placebo (saline solution). Material and methods: The PubMed and Cochrane Library databases were...

Comparison of Abductor Muscle Strength and Harris Hip Score after Total Hip Arthroplasty:Original papers

DAVID PAŘÍK, MICHAL ZÍDKA

Acta Chir Orthop Traumatol Cech. 2025; 92(3):174-178 | DOI: 10.55095/achot2025/009  

Purpose of the study: The study aimed to compare the postoperative outcomes of patients with total hip arthroplasty performed through Watson-Jones anterolateral approach and Röttinger minimally invasive anterolateral approach (MIS-AL). The hypothesis was that the MIS-AL approach enables faster recovery and better clinical outcomes in terms of abductor muscle strength and Harris Hip Score (HHS). Material and methods: The prospective comparative study included 136 patients who underwent surgery between 2018 and 2021. In 88 patients the Watson-Jones procedure was performed and in 48 patients Röttinger minimally invasive procedure...

Current concepts review

History of Internal Fixation of Fractures in the Czech LandsCurrent concepts review

JAN BARTONÍČEK, ONDŘEJ NAŇKA

Acta Chir Orthop Traumatol Cech. 2025; 92(3):127-136 | DOI: 10.55095/achot2025/013  

The beginnings of osteosynthesis (OS) in the Czech lands, dating back to the second half of the 19th century, are associated with the German surgeons W. Heine and C. Gussenbauer working in Prague. Development of the Czech musculoskeletal surgery began with the appointment of K. Maydl to the head of the Czech University Department of Surgery in Prague in 1891. In 1908, his pupil K. Kukula published the first "OS manifesto" in the Czech literature, including his own original method of fixation of diaphyseal fractures with a magnezium peg. Further development of OS of fractures came as late as in the 1920s. The first to publish his own results in a cohort...