ACHOT - Latest articles
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Revision Arthroplasty for Periprosthetic Femoral Fracture Complicated by Multidrug-Resistant Escherichia coli: Case Report and Minireview
JAROSLAV KRAUS, VLASTA KRAUSOVÁ, HYNEK BARTOŠ, TOMÁŠ NOVOTNÝ
Acta Chir Orthop Traumatol Cech. 2025; 92(5):293-297 | DOI: 10.55095/achot2025/026 
Periprosthetic infections caused by multi-resistant bacteria are one of the most fearsome complications in current orthopedics. Despite using aseptic modern practices, the number of infectious complications caused by multidrug-resistant strains is rising worldwide. We present a case of a woman with a non-healing wound after hip arthroplasty revision surgery performed in Egypt for periprosthetic femoral fracture. Upon admission, 11 days after surgery, she presented with a purulent secretion from surgical wound and signs of sepsis. Carbapenem-resistant E. coli was proven from a wound swab. Two-stage revision with a 6-week-long interval of targeted parenteral...
Septic Arthritis of the Right Elbow Joint in an Infant – Caused by Salmonella enterica Subspecies IV. (houtenae)
PAVEL SADOVSKÝ ml., GABRIELA HELEŠICOVÁ
Acta Chir Orthop Traumatol Cech. 2025; 92(5):288-291 | DOI: 10.55095/achot2025/032
Case report of an eight-month-old infant with infection of the right elbow joint caused by a rare subspecies of Salmonella enterica IV. houtenae, typical of cold-blooded vertebrates.
One Year of Experience with Robotic Total Knee Arthroplasty – ROSA System
PATRIK MUSIL, ROMAN LEHOVEC
Acta Chir Orthop Traumatol Cech. 2025; 92(5):282-287 | DOI: 10.55095/achot2025/024
Purpose of the study: The study aimed to evaluate the initial experience with robot-assisted total knee arthroplasty (TKA) using the ROSA system. It focuses on surgical techniques, alignment options, and the pros and cons of the system. It also provides an analysis of the pre- and post-operative range of motion measured by the robotic system. Material and methods: In the period from 5 December 2023 to 8 August 2024, a total of 197 total knee arthroplasties were performed at the Dr. Pírek Clinic using the ROSA system and Persona implants with a medial congruent tibial insert. Complete data were available for 124 patients (63 men, 61 women) with a mean...
On-Table Reconstruction of Radial Head Fractures
RADIM HERŮFEK, TOMÁŠ PAVLACKÝ, MARTIN KELBL, JAN TRÁVNÍK
Acta Chir Orthop Traumatol Cech. 2025; 92(5):272-281 | DOI: 10.55095/achot2025/035
Purpose of the study: Fractures of the proximal radius constitute a significant proportion of elbow joint injuries, representing approximately one-third of all such fractures and 75% of proximal forearm fractures. In adults, they account roughly for 4% of all fractures. Treatment of these fractures varies depending on their severity. No uniform guidelines have been published to date for the treatment of severely comminuted fractures. Material and methods: The study included 16 patients who underwent on-table reconstruction, with a mean age of 49 years. Half of the cases involved Mason type III fractures, while the other half involved Mason type...
Comparison of the Clinical Examination, Magnetic Resonance Imaging and Intraoperative
ROMAN MADEJA, PETER SKLIENKA, JANA POMETLOVÁ, KAREL FRYDRÝŠEK, DOMINIKA MADEJOVÁ, PAVEL DOUŠA
Acta Chir Orthop Traumatol Cech. 2025; 92(5):265-270 | DOI: 10.55095/achot2025/014
Purpose of the study: Diagnosing shoulder pathologies is rather challenging. The reason is not only the anatomical structure and biomechanics of the joint, but also the concomitant conditions, specifically of cervical spine, which can significantly contribute to the pathophysiology. The aim of this study was to evaluate the diagnostic accuracy of clinical examination and magnetic resonance imaging in relation to the actual intraoperative finding in patients with selected shoulder pathologies. Material and methods: The data of patients in whom shoulder arthroscopy was performed at the Department of Trauma Surgery, University Hospital Ostrava in the...
Calcifying Aponeurotic Fibroma, a Rare Benign Entity to Consider: a Systematic Review of Literature
SIMONE OTERA, MARTINA BIZZARRI, ANGELINA PERNAZZA, GIOVANNI ZOCCALI, CARMINE ZOCCALI
Acta Chir Orthop Traumatol Cech. 2025; 92(5):259-264 | DOI: 10.55095/achot2025/031
Purpose of the study: Calcifying aponeurotic Fibroma (CAF) is a benign neoplasm that most commonly onsets in the distal extremities during the childhood. It usually presents as a slow growing non-painful mass. The purpose of this study is to carry out a systematic literature review aimed to delineate the main clinical characteristics of this nosologically entity to define the therapeutic approach and outcome. Material and methods: A systematic literature review was conducted from March to June 2022 using five major databases: PubMed, Scopus, Embase, MEDLINE, and the Cochrane Library. Studies published in English between 1953 and 2022 reporting clinical...
Efficacy of Intra-Articular Platelet-Rich Plasma in Knee Osteoarthritis: a Systematic Review and Meta-Analysis
MATÚŠ SLOVIAK, MICHAL ŠTEFANČÍK, JIŘÍ GALLO
Acta Chir Orthop Traumatol Cech. 2025; 92(5):247-258 | DOI: 10.55095/achot2025/023
Purpose of the study: The treatment of knee osteoarthritis (KOA) must be comprehensive and personalised. Administration of platelet-rich plasma (PRP) is one of the interventions that has been investigated for a long time. Professional medical societies have so far failed to adopt a clear and consistent stance on this therapy, despite a number of randomized clinical trials (RCTs) conducted in the past. The aim of our review was to evaluate the results of RCTs published over the last 5 years. We do believe that a meta-analysis based on the best of the available studies will help articulate the national position on this treatment modality. Material and...
Thoracomelia in Poland AnomalyCase report
MARCUS SAGERFORS, ÁSGERDUR THÓRDARDÓTTIR, CATHRINE WIDEHAMMAR
Acta Chir Orthop Traumatol Cech. 2025; 92(4):237-240 | DOI: 10.55095/achot2025/006
Poland Anomaly (PA) represents pectoral muscle hypoplasia in combination with various forms of hand anomalies. We report a case of PA with pectoral hypoplasia, an upper limb deficiency and an accessory extremity/digit on the ipsilateral thoracic wall (thoracomelia). To our knowledge, this is the first reported case of thoracomelia in PA.
Chronic Instability following Isolated Subtalar Dislocations: a Case Series and Proposal for Routine MRIOriginal papers
MEHMET SÜLEYMAN ABUL, ÖMER FARUK SEVIM, HALİT MERT GÜNEŞ, ÖMER HEKIM, ENGIN ECEVIZ
Acta Chir Orthop Traumatol Cech. 2025; 92(4):231-236 | DOI: 10.55095/achot2025/010
Purpose of the study: Subtalar dislocations are rare orthopedic emergencies characterized by simultaneous dislocation of the talocalcaneal and talonavicular joints without an associated talar neck fracture. While these injuries are commonly managed with closed reduction and immobilization, they are often associated with chronic instability and other long-term complications due to underdiagnosed soft tissue injuries. This study aims to evaluate the role of magnetic resonance imaging (MRI) in the management of isolated medial subtalar dislocations and propose a routine MRI protocol to predict and address chronic instability. Material...
Inclusion of AMIS surgical approach in the Methods Used for Total Hip Arthroplasty: Learning Curve, Risks, Surgical TechniqueOriginal papers
PETR PALÁSEK, MILAN PASTUCHA
Acta Chir Orthop Traumatol Cech. 2025; 92(4):226-230 | DOI: 10.55095/achot2025/025
Purpose of the study: The study aims to point out the risks and matters associated with the inclusion of a new anterior approach in total hip replacement methods and to determine when and whether the values of investigated parameters would come close to those of the established surgical technique. Another aim was to compare the blood loss in AMIS and DLA approaches. Material and methods: The study covers 62 total hip arthroplasties in a breakdown by surgical approach. It investigated the progress of the entire surgical team - surgeon's learning curve, time curve of preparation for surgery, placement of the acetabular component,...
There Is a Difference in Patients' Opinions and Scientific Evidence Regarding Robot Assisted Total Joint Arthroplasty: a QuestionnaireOriginal papers
KADIR UZEL, NESRULLAH AZBOY, KEREM EDIP BAŞARIR, ALP EREN KILIÇKAP, SÜHA BERKHAN BAYIN, İBRAHIM AZBOY
Acta Chir Orthop Traumatol Cech. 2025; 92(4):218-225 | DOI: 10.55095/achot2024/063
Purpose of the study: This study aimed to evaluate patients' knowledge and opinions about robotic total hip arthroplasty (THA) and total knee arthroplasty (TKA). Material and methods: In order to assess patients' knowledge and opinions about robotic THA and TKA surgery, a descriptive questionnaire consisting of a total of 17 questions assessing patients' demographic information (age, gender, education level, occupation, income level, marital status) and their knowledge and opinions about robotic surgery was designed and applied to 200 participants by face-to-face interviews. Results: The mean age of participants...
Surgical Treatment of Wrist and Hand Deformity in Children with Cerebral PalsyCurrent concepts review
RAVI PATEL, MUHAMMAD MURTAZA KHAN, GURUKIRAN GURUKIRAN, MARIA BELEN CARSI, ROHIT AMOL SINGH
Acta Chir Orthop Traumatol Cech. 2025; 92(4):210-217 | DOI: 10.55095/achot2025/011
Cerebral palsy (CP) is a complex disorder resulting from injury to developing brain. It involves multimodal and multidisciplinary approach that involves various disciplines of medical science. The entire focus of this approach is to provide patients with this disorder the best quality of life. Although CP can affect both upper and lower limbs, the functional expectation of upper limb is much higher and complex. This implies particularly to hand and wrist based on complex functional movements expected of them. This puts orthopaedic surgeons in a unique position in managing these patients. It is worth mentioning here that it is not about offering them...
Septic Arthritis of the Wrist Joint: Cohort of Patients Treated between 2003 and 2023, Guidelines for the Diagnosis and TreatmentOriginal papers
LUCIE PAPEŽOVÁ, ZDENĚK VODIČKA, DAVID MUSIL, JAN KLOUDA
Acta Chir Orthop Traumatol Cech. 2025; 92(4):203-209 | DOI: 10.55095/achot2024/069
Purpose of the study: The study aimed to evaluate the timeliness and effectiveness of treatment of all patients who underwent surgery for septic arthritis of the wrist at our department between 2003 and 2023. Material and methods: The retrospective study included 38 patients (26 men and 12 women). The mean age of the patients was 68 years. All patients underwent surgery for culture-positive arthritis of the native wrist. Patients with periprosthetic and extraarticular infections were excluded from the study. Once the diagnosis was established based on the clinical examination and laboratory analysis of blood and synovial fluid, antibiotic treatment...
Septic Arthritis of the Glenohumeral Joint: Treatment Options and Outcomes Achieved in Our Study PopulationOriginal papers
JAN MAŘÍK, JAN KLOUDA, DAVID MUSIL, PAVEL SADOVSKÝ
Acta Chir Orthop Traumatol Cech. 2025; 92(4):195-202 | DOI: 10.55095/achot2025/007
Purpose of the study: The study aimed to evaluate the patients treated for septic arthritis of the glenohumeral joint at our department in the period between 2018 and the end of 2023. Material and methods: Between the beginning of 2018 and the end of 2023, a total of 37 patients were treated at our department for septic arthritis of the native glenohumeral joint. The study population consisted of 15 women and 22 men, with the mean age of 66.4 years. The youngest patient was 20 years old, and the oldest patient was 94 years of age. Patients with prosthetic joint infection were excluded from the study. The study included all...
The Role of Sonication in Improving the Detection of Periprosthetic Joint Infections: a Prospective AnalysisOriginal papers
JAKUB RAPI, VASILEIOS APOSTOLOPOULOS, FILIP RŮŽIČKA, MARTINA VANĚRKOVÁ, PAVEL BRANČÍK, TOMÁŠ TOMÁŠ
Acta Chir Orthop Traumatol Cech. 2025; 92(4):187-194 | DOI: 10.55095/achot2024/061
Purpose of the study: The diagnosis of periprosthetic joint infection (PJI) can be particularly challenging in cases of low-grade chronic infection. The suspicion of infection is typically confirmed through cultures of synovial fluid and periprosthetic tissue. However, these methods may not always detect low-grade infections, which can lead to persistent infection and early failure of the prosthesis. The purpose of this study was to evaluate the effectiveness of sonication in enhancing the detection of PJI using polymerase chain reaction (PCR) analysis. Material and methods: A prospective cohort of 26 patients, suspected of...
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...
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...
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....
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,...
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...
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...
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...
Acute Pancreatitis as a Result of Supramesocolic Ischemia after Scoliosis SurgeryOriginal papers
JOSEF VČELÁK, JAN ŠTULÍK, MICHAL BARNA, ANDREA ŠPELDOVÁ
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...
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...
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...
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....
Functional Outcomes of Treatment of the Mallet Finger with a Bone Fragment Using the Ishiguro ExtensionOriginal papers
MARTIN VLACH, DOMINIK KREJČÍ, VOJTĚCH 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...
Predictors of Knee Replacement Following Meniscal Tear Arthroscopy: a 7-Year Risk Prediction ModelOriginal papers
ERIK FIDLER, MATÚŠ SLOVIAK, KATEŘINA LANGOVÁ, JIŘÍ 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....
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,...
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,...