Zpráva z mezinárodního setkání odborníků v Istanbulu 29.-31. 8. 2024 - doporučení expertních panelů ke kontroverzím v endoprotetice

DAVID MUSIL, JIŘÍ GALLO, VLADISLAV BARTÁK

Acta Chir Orthop Traumatol Cech. 2026; 93(4):247-254 | DOI: 10.55095/achot2026/032  

Riziko selhání dvou metod osteosyntézy subkapitální zlomeniny pátého metakarpu

KVIDO ŠTĚPÁNEK, MILAN URBAN, RADEK BARTOŠKA, PETR GUTWALD

Acta Chir Orthop Traumatol Cech. 2026; 93(4):241-246 | DOI: 10.55095/achot2026/035  

Purpose of the study:Fifth metacarpal neck fractures rank among the most common fractures of the hand skeleton. Only about 10% of these fractures are treated surgically. There are multiple surgical treatment options. This study aims to compare the outcomes of plate osteosynthesis with those of the "bouquet" technique. Material and methods:Two cohorts of patients with fractures to the neck of fifth metacarpal treated at a district hospital and at a university hospital between 2017 and 2022 were evaluated, namely due to a different approach to fracture management. The district hospital cohort included 240 patients (215...

Mid-Term Follow-Up Results of Surgical Reconstruction for Congenital Hallux Varus with Polysyndactyly in Children

BOYAN BOYANOV HRISTOV, SOFIA VALENTINOVA NIKOLOVA, ALEXANDAR IVANOV GERCHEV, STEFAN STEFANOV TSEROVSKI, HRISTO DIMITROV GEORGIEV

Acta Chir Orthop Traumatol Cech. 2026; 93(4):235-240 | DOI: 10.55095/achot2026/019  

Purpose of the study:Congenital hallux varus associated with preaxial polysyndactyly of the foot is a rare deformity for which standardized treatment protocols and outcome data remain limited. The purpose of this study was to evaluate the mid-term clinical and radiographic outcomes of early surgical reconstruction in a consecutive pediatric series. Material and methods:Between 2015 and 2023, eight affected feet in seven children with congenital preaxial polysyndactyly and hallux varus were surgically treated at a single tertiary pediatric orthopedic center. The diagnosis was established at birth. The mean age at surgery...

Open Fractures in Polytrauma and Non-Polytrauma Patients: Outcomes and Predictive Factors in a Level III Trauma Center

EDOARDO IPPONI, MARGHERITA SIVIERI, FRANCESCO PECCHIA, LUCA FABBRI, STEFANO MARCHETTI, PAOLO DOMENICO PARCHI

Acta Chir Orthop Traumatol Cech. 2026; 93(4):226-234 | DOI: 10.55095/achot2026/020  

Purpose of the study:Open fractures represent complex injuries characterized by bone exposure, soft-tissue damage, and a high risk of infection, often requiring multidisciplinary management. In polytraumatized patients, these injuries further increase clinical complexity and hospital resource utilization. The purpose of this study was to evaluate adherence to international guidelines in the management of open fractures at a third-level trauma center and to identify clinical and organizational predictors of outcomes, complications, and hospitalization burden in polytraumatized and non-polytraumatized patients. Material and methods:

Péče o pacienty po osteoporotické fraktuře v České republice:adherence k doporučeným postupům a postoj k programu Fracture Liaison Services

KVĚTA VRÁBLÍKOVÁ, VLADIMÍR PALIČKA, VALÉRIE TÓTHOVÁ, MARIAN RYBÁŘ, LUDMILA BRUNEROVÁ⁴, RICHARD PIKNER⁵, MARTINA SOCHMANOVÁ⁶

Acta Chir Orthop Traumatol Cech. 2026; 93(4):219-225 | DOI: 10.55095/achot2026/005  

Purpose of the study:Untreated osteoporosis often leads to subsequent fractures associated with high morbidity and mortality. In the Czech Republic, approximately 15,000 patients are hospitalized annually with femoral neck fractures, with up to 25% mortality within the first year after a hip fracture. Establishing a coordinated post-fracture care program, such as Fracture Liaison Services (FLS), may substantially reduce this burden. In the FLS model, the role of the coordinator is pivotal. This study aimed to assess baseline adherence to national postfracture care guidelines and to evaluate nurses’ attitudes toward the FLS program...

Dlouhodobé funkční a radiologické výsledky mobilních totálních náhrad lumbálních disků Maverick a Prodisc

TOMÁŠ MATĚJKA, JIŘÍ MATĚJKA, JAROSLAV ZEMAN, JAROSLAV BELATKA, EVA KORČÁKOVÁ, MARTIN SALÁŠEK

Acta Chir Orthop Traumatol Cech. 2026; 93(4):211-218 | DOI: 10.55095/achot2025/041  

Purpose of the study:Lumbar Degenerative Disc Disease is a pathologic process that affects a large portion of aging population. Mobile lumbar disc replacement is a treatment option that preserves the natural movement of the functional spinal unit. The study aimed to evaluate the long-term functional and radiological outcomes of Maverick and Prodisc implants. Material and methods:Monocentric longitudinal observational study with a follow up ≥ 10 years. ODI and VAS were assessed and functional radiographs were evaluated. Analysis of revision surgery via Cox regression, analysis of quantitative data by linear regression...

Ultrazvukem navigovaná PRP terapie tendinopatií: praktický, multimodální přehled od biologie po rehabilitaci

RUDOLF DITMAR, JIŘÍ GALLO

Acta Chir Orthop Traumatol Cech. 2026; 93(4):203-210 | DOI: 10.55095/achot2026/016  

Tendinopathies are common and hete- rogeneous, and recovery depends on both the local biological milieu and appropriately progressed mechanical loading. Platelet-rich plasma (PRP) is a biologically plausible adjunct, yet reported clinical effects are inconsistent, likely due to variation in phenotype, PRP formulation and dosing, delivery technique, and rehabilitation protocols. Ultrasound guidance improves injection accuracy and safety, but its incremental clinical value may be context dependent. This review outlines tendon-healing biology, summarizes evidence for conservative management, and appraises PRP - its putative mechanisms, sources of heterogeneity,...

Osteoid osteoma v S2: perkutánní CT navigovaná resekce dvojitého niduKazuistika

JIŘÍ SKÁLA-ROSENBAUM, JAKUB JEŽEK

Acta Chir Orthop Traumatol Cech. 2026; 93(3):194-197 | DOI: 10.55095/achot2026/031  

The case report describes the option of percutaneous CT-guided ablation of osteoid osteoma with a double nidus to combine minimally invasive approach and CT(O-arm)-guided technique. Following X-ray, CT and MRI examinations, osteoid osteoma was diagnosed in the body of the second sacral vertebra (S2) in a 31-year-old female patient. CT reconstructions detected a double nidus with a defective, sclerotic rim. MRI demonstrated reaction in the surrounding tissue and edema in the nerve root. In consideration of the anatomic location of the osteoid osteoma and vicinity of the irritated S2 root percutaneous CT-guided intralesional resection of a double nidus...

Krevní ztráta u otevřených páteřních operací - peroperační odhad vs. realitaDoškolování

JIŘÍ SKÁLA-ROSENBAUM, JAKUB JEŽEK, PETR KAFKA

Acta Chir Orthop Traumatol Cech. 2026; 93(3):189-193 | DOI: 10.55095/achot2026/030  

Intraoperative blood loss represents a critical challenge in spinal surgery, with the potential to increase morbidity, mortality, and healthcare costs. Significant blood loss is associated with postoperative complications such as respiratory failure, infections, and hematomas. This paper evaluates current methods of estimating blood loss and highlights the discrepancy between intraoperative clinical estimates and the actual total blood loss, with a specific focus on the phenomenon of hidden blood loss (HBL). The concept of Total Blood Loss (TBL) is analyzed as the sum of Visible Blood Loss (VBL), consisting of blood in suction canisters, sponges, and...

Zlomenina hrudní kosti jako rizikový faktor tupého poranění srdceSouborný referát

BARBORA VYHNÁNKOVÁ, VALÉR DŽUPA, ZDENĚK ŠUBRT

Acta Chir Orthop Traumatol Cech. 2026; 93(3):178-188 | DOI: 10.55095/achot2025/044  

Motor vehicle collisions are the leading cause of blunt chest trauma, including blunt cardiac injury (BCI) and sternal fracture (SF). Blunt cardiac injury occurs in about 20% of blunt chest trauma reaching to 76% in polytrauma patients. Reported SF rates range from 1.6% to 42%. This review evaluates the link between SF and BCI with focus on incidence, diagnosis and implications for patient management. A systematic search of the scientific literature in online databases over the past 15 years was conducted. The final set included 31 studies, predominantly retrospective, which were subsequently analyzed with emphasis on the definition of BCI, its occurrence...

Možnosti využití fágové terapie v ortopedii a traumatologii při léčení FRI a PJISouborný referát

RADEK BARTOŠKA, VLADISLAV BARTÁK, JIŘÍ GALLO, DAVID MUSIL

Acta Chir Orthop Traumatol Cech. 2026; 93(3):170-177 | DOI: 10.55095/achot2026/018  

Bacteriophage therapy has re-emerged as a potential adjunctive strategy in the management of orthopedic and trauma-related infections, particularly fracture-related infection (FRI) and periprosthetic joint infection (PJI). These conditions are associated with biofilm formation, repeated surgery, prolonged antimicrobial therapy, impaired functional outcomes, and increasing rates of multidrug-resistant pathogens. The therapeutic rationale of bacteriophages is based on their high specificity for target bacteria, their ability to replicate at the site of infection, and their potential activity against biofilm. Experimental studies have demonstrated reduced...

Avaskulární nekróza hlavice femuru po léčbě Hodgkinova lymfomu:analýza rizikových faktorů a střednědobé výsledky po implantaci totální endoprotézy kyčelního kloubuPůvodní práce

MARTIN SALÁŠEK, JANA MARKOVÁ, KAROLÍNA BAREŠOVÁ, RICHARD ČESKÝ, HEIDI MÓCIKOVÁ, MICHAL ZÍDKA, VALÉR DŽUPA

Acta Chir Orthop Traumatol Cech. 2026; 93(3):162-169 | DOI: 10.55095/achot2026/015  

Purpose of the study:Treatment of classical Hodgkin lymphoma (cHL) can be eventually complicated by avascular necrosis of the femoral head (AVN FH). Stages 1 and 2 of AVN FH can be treated conservatively, but stages 3 and 4 are indicated for surgery. In adults, total hip replacement (THR) is the preferred method. The goal of our study was to analyze the risk factors for AVN FH and functional results after THR.Material and methods:This is a single-center retrospective observational longitudinal study. Patients with AVN FH after previous cHL treatment were included. Basic epidemiological data, time to AVN FH and THR, and...

Perkutánní stabilizace thorakolumbální páteře: indikace, limity a analýza souboruPůvodní práce

JAKUB JEŽEK, JAN ŠVEC, MARTIN KAPOUNEK, JIŘÍ SKÁLA-ROSENBAUM

Acta Chir Orthop Traumatol Cech. 2026; 93(3):156-161 | DOI: 10.55095/achot2026/022  

Purpose of the study:Percutaneous stabilization of the thoracolumbar spine represents a minimally invasive alternative to open posterior fixation. The aim of this study was to evaluate the indications, perioperative parameters, and limitations of this method in a single-center patient cohort.Material and methods:A retrospective analysis of 65 consecutive patients treated with percutaneous transpedicular stabilization of the thoracolumbar spine between 2021 and 2025 was performed. All procedures were carried out using an intraoperative CT-based navigation system (O-arm). Demographic data, primary diagnosis, extent of...

Onemocnění přilehlého segmentu u stabilizací lumbální páteře a lumbosakrálního přechodu: systematický přehledPůvodní práce

JAN ZEMÁNEK, JAN ŠTULÍK, ZDENĚK KLÉZL

Acta Chir Orthop Traumatol Cech. 2026; 93(3):149-155 | DOI: 10.55095/achot2026/014  

Purpose of the study:This paper aims to analyse available scientific sources related to adjacent segment disease after the surgical stabilisation of lumbar spine. To be specific, to the incidence, risk factors, gender and age of patients, correlation between the length of the instrumentation and ASD development, and the effects of suboptimal sagittal spine stability.Material and methods:A systematic review was elaborated in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA 2020) guideline. A literature search in PubMed database was conducted in January 2025. The papers included...

Trojdimenzionální operační korekce skoliotických křivek sledovaná metodou EOS imagingPůvodní práce

MARTIN REPKO, MICHAL GALKO, ANDREA ŠPRLÁKOVÁ-PUKOVÁ, MARTIN PRÝMEK, DOMINIK PARÍŽEK, MILAN FILIPOVIČ

Acta Chir Orthop Traumatol Cech. 2026; 93(3):140-148 | DOI: 10.55095/achot2026/029  

Purpose of the study:Structural scoliosis is a three-dimensional deformity that adversely affects the frontal, sagittal, and axial planes. Surgical correction of scoliotic deformities in children requires effective correction of all three planes, with restoration of a balanced position of the spine and the entire trunk. Using modern surgical instruments and targeted intraoperative maneuvers, we achieve this comprehensive 3D correction. The EOS Imaging System enables effective preoperative planning and postoperative verification of outcomes based on software processing of the acquired X-ray images. The aim of the study was to objectively...

Diagnostic Performance of Artificial Intelligence (AI) Chatbot Compared to Orthopedic Trauma Surgeons in Evaluating Indication for Surgery for Isolated Lateral Malleolar Fractures: a Retrospective StudyPůvodní práce

MARIA OULIANSKI, RAMI MOSHEIFF, DANA AVRAHAM, OMER BEN YEHUDA, YORAM WEIL, MAHMOUD JAMMAL

Acta Chir Orthop Traumatol Cech. 2026; 93(3):133-139 | DOI: 10.55095/achot2026/027  

Purpose of the study:The indication for surgery for isolated lateral malleolar fracture (AO/OTA 44B1) is debatable and in many cases, relies upon radiographic assessment of fracture stability. Artificial intelligence chatbots with visual analysis capabilities offer a potential attribute for radiographic assessment. This study compared the diagnostic performance of a  commercially available AI chatbot with that of three fellowship-trained orthopedic trauma surgeons in evaluating equivocal isolated lateral malleolar fractures.Material and methods:A  retrospective study. 50 patients with isolated lateral malleolar injury...

Oboustranná amputace dolních končetin u novorozence se syndromem Twin anemia polycytemia sequenceKazuistika

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 TendonsPůvodní práce

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 AlignmentPůvodní práce

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 FracturesPůvodní práce

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 FracturesPůvodní práce

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 FracturesPůvodní práce

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 FemurPůvodní práce

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 TearPůvodní práce

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 FracturesPůvodní práce

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...

Využitelnost sonografie k diagnostice dětských zlomeninPůvodní práce

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 GenderPůvodní práce

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),...

Srovnání MRI paraspinálních svalů u pacientů po otevřené a miniminvazivní perkutánní stabilizaci zlomenin hrudní a bederní páteřePůvodní práce

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...

Ultrazvukem navigovaný obstřik thorakolumbální fascie v terapii bolestí zad: metodický postup a anatomická studiePůvodní práce

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 StudySouborný referát

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...