Newborn with Bilateral Lower Limb Amputation Due to Twin Anemia Polycythemia SequenceCase report

Pavel Sadovský ml., Lucie Papežová

Acta Chir Orthop Traumatol Cech. 2026; 93(2):119-122 | DOI: 10.55095/achot2026/007  

We present a case report of a newborn with bilateral lower limb ischemic gangrene caused by spontaneous Twin anemia polycythemia sequence (TAPS). Due to the extent of tissue damage, bilateral lower limb amputation was performed on the fourth day after birth-left knee disarticulation and right transfemoral amputation. The postoperative course was uneventful, and the wounds healed by primary intention. This case represents an exceptionally rare complication of TAPS, in which timely prenatal diagnosis could have enabled early intrauterine intervention.

Impact of Treadmill Running Intensity on Lubricin Levels in Rat Achilles TendonsOriginal papers

SHU-FEN LI, CHENG-XIAN SONG, SHENG-YAO LIU, WEI LIU, SHAO-YONG XU

Acta Chir Orthop Traumatol Cech. 2026; 93(2):111-118 | DOI: 10.55095/achot2025/039  

Purpose of the study:The Achilles tendon is crucial for transferring force from the calf muscles to the heel bone. Lubricin, a key glycoprotein, ensures smooth tendon gliding. This study investigated the effects of different treadmill running intensities on lubricin levels in rat Achilles tendons and explored the associated molecular mechanisms.Material and methods:Eighteen rats were divided into three groups: Strenuous Treadmill Running (STR), Moderate Treadmill Running (MTR), and a sedentary Control group (CON). The running protocols were conducted over eight weeks. Post-intervention, tendon samples were analyzed...

Poller K-Wires versus Screws in Distal Tibial Nailing: Non-Inferior Union with Superior Efficiency and Better AlignmentOriginal papers

AHMET MUÇTEBA YILDIRIM, SERKAN BAYRAM, MUHAMMED İBRAHIM KARAÇAM, HALIL İBRAHIM BALCI, FUAT AKPINAR

Acta Chir Orthop Traumatol Cech. 2026; 93(2):103-110 | DOI: 10.55095/achot2026/011  

Purpose of the study:To compare the short-term outcomes and complications of the poller screw (PS) and the poller K-wire (PW) in distal tibia nailing.Material and methods:In the present study, a retrospective analysis was performed on prospectively collected data, 43 cases were included in the study. 16 patients were included in the PS group and 27 patients in the PW group. Demographic data, fracture union times, RUST scores, alignment in the coronal and sagittal planes, associated fibula fractures and fixation, malunion, and complications were compared. A subgroup analysis was performed according to fibula fixation...

Comparison of Clinical and Radiological Outcomes of Four Different Proximal Femoral Nailing Systems in the Treatment  of Intertrochanteric FracturesOriginal papers

BEKIR KARAGOZ, OZAN KECELI, HÜNKAR CAGDAS BAYRAK

Acta Chir Orthop Traumatol Cech. 2026; 93(2):94-102 | DOI: 10.55095/achot2026/006  

Purpose of the study:This study aimed to compare the clinical and radiological outcomes of four different proximal femoral nailing systems—Proximal Femoral Nail Antirotation (PFNA), Dynamic Locked Trochanteric (DLT) nail, Intertan, and Talon Distalfix—used in the surgical treatment of intertrochanteric femoral fractures. The goal was to evaluate the differences between systems both statistically and in terms of clinical relevance.Material and methods:A retrospective analysis was conducted on 309 patients who underwent PFN procedures between January 2015 and December 2019. Patients were categorized into...

Dual Plating Through a Single Anterior Approach for Distal Femoral FracturesOriginal papers

NADIR ÖZKAYIN, CAN YENER, OMAR ALJASIM

Acta Chir Orthop Traumatol Cech. 2026; 93(2):86-93 | DOI: 10.55095/achot2025/034  

Purpose of the study:Comminuted distal femoral fractures and very low periprosthetic fractures present significant treatment challenges, which are commonly associated with nonunion and varus collapse. Dual plating has emerged as an effective solution to address these issues. The aim of this study was to evaluate the clinical outcomes of osteosynthesis with double plates through a single anterior incision.Material and Methods:Forty-nine patients (38 females, 11 males, mean age 65.7 ± 16.2 years, range 23–90 years) were included. The study comprised 18 acute distal femoral fractures (AO/OTA 33-C2/C3),...

Analysis of the Efficacy of Arthroscopic Suture Anchor “X” Fixation for Lateral Femoral Condyle Osteochondral FracturesOriginal papers

ChengShang Yan, ShiJuan Li, Min Cai, ChuanKai Zhang, GuangWang Liu, Song Zhou, ZeWen Zheng

Acta Chir Orthop Traumatol Cech. 2026; 93(2):72-85 | DOI: 10.55095/achot2025/046  

Purpose of the study:To evaluate and compare the clinical efficacy of arthroscopic suture anchor “X” fixation and hollow compression screw fixation in treating lateral femoral condyle osteochondral fractures.Material and methods:This retrospective study analyzed 31 patients diagnosed with lateral femoral condyle osteochondral fractures, treated at our hospital between June 2015 and July 2024. Patients were divided into two groups based on the surgical approach: Group A received arthroscopic suture anchor “X” fixation, while Group B underwent arthroscopic hollow compression screw fixation...

The Effect of Bone Minerals Density on Mortality of Elderly Patients Applying with a Proximal Fracture of the FemurOriginal papers

ŞEYHMUS YIĞIT, EMIN OZKUL, NESIM ÇEVIK, AYHAN KAYDU, AYSEGÜL YIGIT

Acta Chir Orthop Traumatol Cech. 2026; 93(2):67-71 | DOI: 10.55095/achot2026/004  

Purpose of the study:This study aimed to evaluate the risk of mortality in elderly hip fracture patients within one year after surgery, and to compare it with DXA values and to evaluate the predictive value of DXA values.Material and methods:This is a prospective study including data from 160 elderly hip fracture patients treated in our hospital. The patient data included the following; DXA values of spine, neck, intertrochanteric, total and ward‘s T-scores, age, blood values (preoperative CRP (mg/dl), CRP/Albumin ratio, albumin (g/dl), sex, creatine value (mg/dL), American Society of Anesthesiologists (ASA)...

There Is No Clinical and Radiological Difference between Suspensory and Cortical Button Fixation at the Treatment of Medial Meniscus Posterior Root Tear

GÜNEŞ SARIKAYA, AHMET EMRE PAKSOY, ÖMER KARAŞAHİN, MEHMET KÖSE, MATTHİE P OLLİVİER, BARIŞ KOCAOĞLU

Acta Chir Orthop Traumatol Cech. 2026; 93(1):53-58 | DOI: 10.55095/achot2026/001  

Purpose of the study: The purpose of this prospective study was to compare the two surgical techniques; (Transosseous Fixation with the Suspensory Fixation System technique and Pull Out Suture Repair) for clinical and radiologic scores and to investigate the effects on meniscal extrusion in Medial Meniscus Posterior Root Tear (MMPRT). Material and Methods:This was a prospective single-center study. Patients undergoing MMPRT were divided into two groups. Group 1 patients were repaired with Transosseous Fixation with The Suspensory Fixation System technique while Group 2 patients were repaired with Pull Out Suture Repair...

Comparison of Usability of Sagittal Plane Parameters with Baumann Angle in Radiological Imaging of Supracondylar Humerus Fractures

Nuri Koray Ülgen, Batuhan Gencer, Özgür Doğan

Acta Chir Orthop Traumatol Cech. 2026; 93(1):47-52 | DOI: 10.55095/achot2025/030  

Purpose of the study:Radiological studies in supracondylar humerus fractures (SCHF) often focus on coronal plane imaging. In our study, we focused on the measurements used in elbow sagittal plane imaging. We investigated the role of humeral shaft condylar angle (SCA) and lateral capitellohumeral angle (LCHA) in determining the reduction quality by comparing them with Baumann angle (BA). İnvestigated its effectiveness in assessing the reduction of the teardrop figure and in the follow-up period. Material and methods:Eighty-eight patients with SCHF were included in the study. BA, SCA and LCHA measurements were taken...

Usability of Ultrasonography in the Diagnosis of Pediatric Fractures

JAKUB KRUTSKÝ, ŠIMON KUBOV, MARTIN ČEPELÍK, PETR HAVRÁNEK, TOMÁŠ PEŠL

Acta Chir Orthop Traumatol Cech. 2026; 93(1):40-46 | DOI: 10.55095/achot2026/002  

Purpose of the study:The study aims to evaluate the usability of ultrasonography in the diagnosis of pediatric fractures. Material and methods:Ultrasound examination of patients with fractures diagnosed using radiography at the Clinic of Pediatric and Trauma Surgery, Third Faculty of Medicine, Charles University and UTH between 27 May 2024 and 31 December 2024. We identified a total of 11 areas to be examined - clavicle, proximal humerus, elbow, forearm, metacarpal bones, fingers of the upper limb, sternum, femur, tibia, ankle, and metatarsal bones. The examination was performed independently by a surgeon and a radiologist,...

Morphometric Analysis of Lumbar Vertebral Pedicles According to Age and Gender

ZEHRA SEZNUR KASAR, GÖKSEL TUZCU

Acta Chir Orthop Traumatol Cech. 2026; 93(1):29-39 | DOI: 10.55095/achot2025/037  

Purpose of the study:A thorough understanding of pedicle morphometrics is crucial for selecting suitable pedicle screws and their optimal trajectory in spinal stabilization. This study aims to provide a detailed morphometric analysis of lumbar pedicles in a Turkish population from the Aegean region, considering gender and age based on CT scans. Material and methods:This retrospective study analyzed CT scans of 500 lumbar vertebrae from 100 healthy individuals (50 females, 50 males) residing in the Aegean region of Turkey. Results:Our study found that pedicule axial length (PAL), pedicle width (PW),...

Comparison of MRI of Paraspinal Muscles in Patients after Open and Minimally Invasive Percutaneous Stabilisation of Thoracic and Lumbar Spine Fractures

Tomáš Matějka, Jiří Matějka, Jaroslav Zeman, Jaroslav Belatka, Martin Salášek

Acta Chir Orthop Traumatol Cech. 2026; 93(1):22-28 | DOI: 10.55095/achot2025/033  

Purpose of the study:Magnetic resonance imaging (MRI) was used to evaluate paraspinal muscle damage after classic open surgery (OPEN) and minimally invasive spine surgery (MISS) after injury. In a randomised prospective study, we evaluated our hypothesis that MISS would result in a lower extent of atrophy and fibrosis as detected by MRI. Material and Methods:MRI was performed after the injury and not earlier than 3 months after the removal of implants. 16 OPEN and 16 MISS patients underwent the final follow-up. Both atrophy and muscle fibrosis were assessed based on the progression of the condition after the surgery...

Ultrasound-Guided Injection of the Thoracolumbar Fascia in the Treatment of Low Back Pain: Methodological Approach and Anatomical Study

TOMÁŠ NOVOTNÝ, ONDŘEJ NAŇKA, DANIEL NALOS, KAMAL MEZIAN

Acta Chir Orthop Traumatol Cech. 2026; 93(1):15-21 | DOI: 10.55095/achot2025/036  

Purpose of the study: To develop an anatomically verified protocol for ultrasound-guided analgesic interventions targeting the thoracolumbar fascia region for the treatment of both acute and chronic back pain. Material and Methods:One cadaver was embalmed using the Fix-4-Life method, which preserves tissue properties suitable for subsequent ultrasound visualization. Under ultrasound guidance, a needle was inserted to the thoracolumbar fascia at the level of the transverse process of the fourth lumbar vertebra. Upon contact with the transverse process, 5 ml of diluted red latex dye was injected. The distribution of the...

Dry Needle Arthroscopy of the Elbow with a 1.9 mm Chip-on-Tip System: a Cadaveric Study

DANIEL REISER, LARS ADOLFSSON, Ásgerdur Thórdardóttir, MARCUS SAGERFORS

Acta Chir Orthop Traumatol Cech. 2026; 93(1):9-14 | DOI: 10.55095/achot2025/042  

Summary:Arthroscopy has evolved significantly with advancements in instrumentation and surgical techniques. The introduction of needle arthroscopy represents a promising minimally invasive alternative and, has for the wrist proven to offer a reduced soft tissue trauma with still maintained diagnostic and therapeutic efficacy. The purpose of this study was to evaluate the safety and visualization capabilities of needle arthroscopy of the elbow using cadaveric specimens. Six fresh-frozen cadaveric elbows (three right, three left) were examined using a needle arthroscope, followed by dissection to assess portal safety and proximity to neurovascular...

Historie vzniku ortopedických lůžkových pracovišť

Jan Bartoníček, Jiří Běhounek, Jiří Gallo, Martin Krbec

Acta Chir Orthop Traumatol Cech. 2025; 92(Suppl.2):8-10 | DOI: 10.55095/achot2025/048  

Ultrasound-Guided Interventions for the Ankle and FootCurrent concepts review

TOMÁŠ NOVOTNÝ, KAMAL MEZIAN, ONDŘEJ NAŇKA

Acta Chir Orthop Traumatol Cech. 2025; 92(Suppl):39-44 | DOI: 10.55095/achot2025/022  

Ultrasound-guided interventions for the ankle and foot offer precise treatment for musculoskeletal conditions. This article reviews injections of the talocrural joint, first metatarsophalangeal joint, Achilles tendon (via stripping and retrocalcaneal bursa injections), plantar aponeurosis, and tibialis posterior tendon, detailing probe selection, patient positioning, and procedural techniques. Precise needle guidance is emphasized to prevent complications like nerve injury and tendon rupture. Text is supplemented with anatomical notes.

Ultrasound-Guided Interventions for the KneeCurrent concepts review

TOMÁŠ NOVOTNÝ, KAMAL MEZIAN, ONDŘEJ NAŇKA

Acta Chir Orthop Traumatol Cech. 2025; 92(Suppl):34-38 | DOI: 10.55095/achot2025/021  

Ultrasound imaging of the knee is a highly valuable modality that enhances diagnostic accuracy and optimizes the precision of injection therapy. This article reviews the application of ultrasound in various knee interventions, including intra-articular injections, treatments for prepatellar bursitis and patellar ligament tendinopathy, pes anserinus, iliotibial band procedures, and guidance for popliteal fossa pathologies. Detailed guidance is provided on probe selection, patient positioning, and procedural techniques for specific anatomical targets. Key considerations include optimizing needle placement using in-plane and out-of-plane techniques, ensuring...

Ultrasound-Guided Interventions for the HipCurrent concepts review

TOMÁŠ NOVOTNÝ, KAMAL MEZIAN, ONDŘEJ NAŇKA

Acta Chir Orthop Traumatol Cech. 2025; 92(Suppl):27-33 | DOI: 10.55095/achot2025/020  

Ultrasound imaging of the hip is a highly valuable modality that enhances diagnostic precision and facilitates injection therapy with remarkable accuracy. This article reviews the use of ultrasound in various hip interventions, including intra-articular injections, iliopsoas and trochanteric bursa treatments, lateral femoral cutaneous nerve blocks, and interventions for adductor and hamstring tendinopathies. Comprehensive guidance is offered on probe selection, patient positioning, and step-by-step procedural protocols tailored for specific conditions and anatomical targets. Key aspects include optimizing needle placement using in-plane and out-of-plane...

Ultrasound-Guided Interventions for the Wrist and HandCurrent concepts review

KAMAL MEZIAN, TOMÁŠ NOVOTNÝ, ONDŘEJ NAŇKA

Acta Chir Orthop Traumatol Cech. 2025; 92(Suppl):21-26 | DOI: 10.55095/achot2025/019  

Ultrasound-guided interventions for the wrist and hand provide valuable therapeutic options for managing various conditions. This article reviews common procedures including injections into the radiocarpal joint, first metacarpophalangeal joint, ganglions, and tendon sheaths, as well as the interventional management of De Quervain's tenosynovitis, trigger finger, and carpal tunnel syndrome. Detailed instructions are provided on probe selection, patient positioning, and procedural techniques tailored to each anatomical target. The importance of careful needle placement, and appropriate risk management is emphasized. Risks such as nerve injury, tendon...

Ultrasound-Guided Interventions for the ElbowCurrent concepts review

TOMÁŠ NOVOTNÝ, KAMAL MEZIAN, ONDŘEJ NAŇKA

Acta Chir Orthop Traumatol Cech. 2025; 92(Suppl):14-20 | DOI: 10.55095/achot2025/018  

Ultrasound imaging of the elbow is an invaluable tool that enhances diagnostic precision and facilitates therapeutic procedures with high accuracy. Compared to palpation-guided techniques, ultrasound-guided interventions significantly improve precision. This article reviews ultrasound-guided techniques for elbow joint interventions, including intra-articular injections, tennis elbow, golfer's elbow, triceps and distal biceps tendinopathy, and ulnar nerve neuropathy. Practical guidance is provided on probe selection, patient positioning, and step-by-step procedural details. Special emphasis is placed on optimizing needle placement and minimizing risks...

Ultrasound-Guided Interventions for the ShoulderCurrent concepts review

KAMAL MEZIAN, TOMÁŠ NOVOTNÝ, ONDŘEJ NAŇKA

Acta Chir Orthop Traumatol Cech. 2025; 92(Suppl):9-13 | DOI: 10.55095/achot2025/017  

Ultrasound imaging of the shoulder is a highly valuable modality that enhances diagnostic accuracy and facilitates precise injection therapy for a variety of shoulder conditions. This article provides a review of ultrasound-guided interventions, including intra-articular injections of the glenohumeral joint, subacromial-subdeltoid bursa, injections into the biceps tendon recess, and acromioclavicular joint. Comprehensive guidance is presented on probe selection, patient positioning, and step-by-step procedural protocols tailored to specific anatomical targets. Emphasis is placed on optimizing needle placement using in-plane and out-of-plane techniques,...

Introduction to Ultrasound-Guided Musculoskeletal InterventionsCurrent concepts review

KAMAL MEZIAN, TOMÁŠ NOVOTNÝ, ONDŘEJ NAŇKA

Acta Chir Orthop Traumatol Cech. 2025; 92(Suppl):5-8 | DOI: 10.55095/achot2025/016  

The text is an introduction to six articles on ultrasound-guided musculoskeletal interventions for the major extremity joints. Each article provides a detailed overview of injections for the shoulder, elbow, wrist and hand, hip, knee, ankle, and foot. The text of this manuscript emphasizes general advantages, techniques, and practical considerations of ultrasound guided injections. It highlights the benefits of ultrasound guidance over traditional palpation-based methods, emphasizing improved accuracy, safety, and therapeutic efficacy. Various ultrasound-guided techniques, including in-plane and out-of-plane needle approaches and indirect marking methods,...

Simultaneous Ruptures of All Four Extensor Mechanism Tendons in Both Knees: a Rare and Challenging Case in a Chronic Kidney Disease Patient

ALI CAN KOLUMAN, SULEYMAN EMRE SALMANOGLU, CEMAL KURAL

Acta Chir Orthop Traumatol Cech. 2025; 92(6):362-366 | DOI: 10.55095/achot2025/040  

We report a rare and remarkable case of simultaneous bilateral injuries to all four extensor mechanism tendons in a 39-year-old male with a history of diabetes and chronic kidney disease. Physical examination revealed pronounced swelling, palpable gaps above and below both patellae, and complete loss of active knee extension. Imaging confirmed complete ruptures of the right quadriceps and left patellar tendons, alongside partial ruptures of the left quadriceps and right patellar tendons. Surgical repair was performed using suture anchors to ensure secure tendon reattachment. Postoperatively, both knees were immobilized with hinged braces for six weeks,...

Surgical Treatment of a Posterior Malleolus Fracture: Literature Review

PETR KAŠÁK, LUKÁŠ ČAPEK, TOMÁŠ BERAN

Acta Chir Orthop Traumatol Cech. 2025; 92(6):350-361 | DOI: 10.55095/achot2025/028  

Fractures of the posterior margin of the distal end of the tibia, also referred to as posterior malleolus fractures, represent an important but often underestimated component of ankle injuries. They are rarely isolated but rather occur as part of more complex fractures classified as Weber type B and C, or they accompany high-energy pilon tibial fractures and spiral fractures of the tibial shaft. In recent decades, there has been a significant shift in the understanding of biomechanical importance of the posterior malleolus, which plays a key role in maintaining the stability of the distal tibiofibular syndesmosis and preserving the congruency of the...

Posterior Wall Reconstruction Using Iliac Strut Graft in Posterior Acetabular Wall Fracture

SINA HAGHIGHAT, MAZIAR MALEKZADE, ALI MOUSAPOUR, YAHYA SALIMI, VAHID FEIZOLAHI, GHOBAD RAMEZANI

Acta Chir Orthop Traumatol Cech. 2025; 92(6):343-349 | DOI: 10.55095/achot2025/012  

Purpose of the study Reconstruction of acetabular posterior wall fractures is challenging. This study evaluates the use of iliac crest graft to reconstruct the posterior wall of the acetabulum. Material and methods The study population included all patients with high-grade acetabular posterior wall fractures who were treated with acetabular posterior wall reconstruction using iliac strut graft. In this study, patients with high-grade acetabular posterior wall fracture (based on Letournel and Judet’s classification of acetabular fracture equivalent to grade 2 or 3 and based on AO type A1 classification) were treated with acetabular posterior...

Seeking a New Radiological Measure to Predict Rotator Cuff Tears: Investigating the Coracoclavicular Distance in an MRI-Based Study

Hakan Eskara, Batuhan Gencer, Abdulkadir Durdi, Tayfun Aman, Tuhan Kurtulmus

Acta Chir Orthop Traumatol Cech. 2025; 92(6):336-342 | DOI: 10.55095/achot2025/002  

Purpose of the Study Rotator cuff tears are a common disease and various radiological measurement methods are still being investigated to make the diagnosis. The aim of this study was to investigate whether the coracoclavicular distance is associated with rotator cuff tears. Material and Methods Shoulder magnetic resonance imaging (MRI) examinations of 101 patients who underwent shoulder arthroscopy due to rotator cuff tears and 158 patients with normal MRI findings were evaluated retrospectively. Coracohumeral distance, acromiohumeral distance and supraspinatus volume were measured. Results When the acromiohumeral distance, coracoclavicular distance...

Minimally Invasive Osteosynthesis with Intramedullary Nail: Evaluation of Outcomes

MARTIN POMPACH, MARTIN CARDA, P. BOŠTÍK, DAVID PRCHAL, PAVEL DRÁČ, MAREK PEML

Acta Chir Orthop Traumatol Cech. 2025; 92(6):326-335 | DOI: 10.55095/achot2025/038  

Purpose of the study Fractures of the calcaneus are always very serious injuries that, due to their nature or when inadequately treated, can have permanent consequences. Minimally invasive methods, such as the C-nail, help reduce both intraoperative and postoperative risks. The aim of the study is a retrospective evaluation of a group of 260 patients with 280 calcaneus fractures treated surgically with the C-nail in the period from 2011 to 2023. The hypotheses of a lower incidence of postoperative infection, a lower risk of sural nerve injury, and a higher AOFAS functional score need to be confirmed or disproved. Thanks to the higher biomechanical...

Our Experience with Trabecular Metal Total Ankle System

STANISLAV POPELKA Sr., JIŘÍ BEK, STANISLAV POPELKA Jr., NIKOLA VEREŠOVÁ, RASTISLAV HROMÁDKA

Acta Chir Orthop Traumatol Cech. 2025; 92(6):320-325 | DOI: 10.55095/achot2025/045  

Purpose of the study: One of the surgical treatment options for advanced ankle joint destruction with various etiologies is the total joint replacement. Its significant upside is the preservation of range of motion of the ankle joint and less stress on forefoot joints compared to ankle arthrodesis. Since 2022, we have been using the Zimmer Trabecular Metal Total Ankle inserted via a lateral transfibular approach. This study aims to evaluate the initial outcomes and experience with this implant. Patients and methods: Between 2022 and 2024, 65 total ankle replacements were performed in 63 patients using the lateral transfibular approach. Long oblique...

Comparative Analysis of First Metatarsophalangeal Arthrodesis: Implant Survival, Failure Modes, and Functional Outcomes across Three Fixation Techniques

JAKUB JINDRA, VASILEIOS APOSTOLOPOULOS, JAKUB RAPI, MARIÁN KUBÍČEK, LUBOŠ NACHTNEBL, TOMÁŠ TOMÁŠ

Acta Chir Orthop Traumatol Cech. 2025; 92(6):311-319 | DOI: 10.55095/achot2025/027  

Purpose of the study: First metatarsophalangeal (I. MTP) arthrodesis is a well-established surgical procedure for treating hallux rigidus. Despite its widespread use, the optimal fixation method remains debated. This study compares implant survival, failure modes, and functional outcomes across three fixation techniques: two crossed screws, dorsal plate fixation, and dorsal plate fixation with a lag screw. Material and methods: A retrospective analysis was conducted on 83 patients (89 fusions) who underwent I. MTP arthrodesis between January 2014 and October 2023. Patients were categorized into three groups based on the fixation method: Group...

Distal Radius Intra-Articular Malunion Corrected with Arthroscopy Assisted Open Osteotomy: a Case Report

VOJTĚCH KUNC, ROMAN MIŠIČKO, DAVID VEIGL

Acta Chir Orthop Traumatol Cech. 2025; 92(5):298-302 | DOI: 10.55095/achot2025/015  

Distal radius malunions, particularly those involving both intra-articular and extra-articular components, present significant surgical challenges. While extra-articular osteotomies are well-established, intra-articular corrections - especially at the sigmoid notch - are rarely described and difficult to execute. This case report introduces a novel technique combining arthroscopic and open approaches for the correction of a complex distal radius malunion. A patient with persistent pain and functional impairment following conservative treatment of a distal radius fracture was diagnosed with a complex malunion, featuring dorsal angulation, an intra-articular...