ACHOT - Latest articles
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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,...
Early Surgical Treatment Options for Anterior Cruciate Ligament InjuryCurrent concepts review
FILIP HUŠEK, ROMAN MIZERA, LUKÁŠ ČAPEK, ZDENĚK HORÁK
Acta Chir Orthop Traumatol Cech. 2025; 92(1):45-51 | DOI: 10.55095/achot2024/055
Anterior cruciate ligament (ACL) is one of the most commonly injured structures in distortion injuries of the knee joint. Currently, there is no consensus among the professional community regarding the basic principles and timing of ACL injury management. An analysis of several retrospective studies from the 2008-2023 period provides information on ACL preservation procedures and a comparison of these results with those of ACL reconstruction surgery using a graft. The most comprehensive information was provided by a large meta-analysis conducted by Van der List et al. in 2019, which compared 1101 patients from 13 studies who had undergone an ACL preservation...
The Outcomes of Navicular Fracture SurgeryOriginal papers
MAREK PEML, KAREL HOLUB, MARTIN POMPACH, MICHAL PEŠTA, PAVEL DRÁČ, MARTIN KLOUB
Acta Chir Orthop Traumatol Cech. 2025; 92(1):28-35 | DOI: 10.55095/achot2024/034
Purpose of Study: Inadequate treatment of displaced fractures of the navicular bone may result in malalignment, formation of non-union, accelerated development of osteoarthritis or avascular necrosis and thus a fundamental limitation of mobility and gait disturbance. The aim of our study was to evaluate the results in our group of patients undergoing surgery for navicular fractures. Material and method: Our retrospective monocentric study included all surgically treated navicular fractures in patients over 18 years of age performed in our department between 2009 and 2018. A total of 18 patients met these criteria and were invited for clinical...
Modern Approach to the Use of Aspirin in Prevention of Venous Thromboembolism Following Total Hip Arthroplasty or Total Knee Arthroplasty. A Retrospective TrialOriginal papers
VADIM BENKOVICH, ARTSIOM ABIALEVICH, MARIA FITERMAN
Acta Chir Orthop Traumatol Cech. 2025; 92(1):21-27 | DOI: 10.55095/achot2024/070
Purpose of the study: Given the risk of venous thromboembolism (DVT) and pulmonary embolism (PE) after large joint replacement, the role of thromboprophylaxis is crucial. This retrospective study aims to evaluate the effectiveness of aspirin as thromboprophylaxis in patients undergoing TKA or THA. Material and methods: In this retrospective review of a database of patients who underwent total hip and total knee replacements between 2021 and 2023, we divided patients into two groups: those with no anticoagulation therapy before surgery and those on chronic anticoagulant use prior to surgery. The primary endpoint was the number of...
Pediatric Upper Cervical Spine Injuries: a Systematic ReviewCurrent concepts review
LUCIE SALAVCOVÁ, JAN ŠTULÍK, ONDŘEJ NAŇKA
Acta Chir Orthop Traumatol Cech. 2025; 92(1):15-20 | DOI: 10.55095/achot2024/036
Purpose of the study: The study aimed to systematically review the available literature focusing on upper cervical spine injuries in children, namely the age and sex of patients, epidemiology of injuries, classifications used, diagnosis and treatment methods, neurologic deficit, concomitant injuries, and potential complications. Material and methods: The systematic review was elaborated in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol. The studies assessing pediatric upper cervical spine injuries were searched for in the MEDLINE database in September 2023. The studies included were published...
Pelvic Avulsion Fractures in Children: a Retrospective Study from Four Trauma CentersOriginal papers
MARTIN SALÁŠEK, ANDREJ STANČÁK, MARTIN ČEPELÍK, TOMÁŠ PEŠL, VOJTĚCH HAVLAS, TOMÁŠ PAVELKA, PETR HAVRÁNEK, VALÉR DŽUPA
Acta Chir Orthop Traumatol Cech. 2025; 92(1):7-14 | DOI: 10.55095/achot2024/045
Purpose of the study: Pelvic avulsion fractures in children are rare and usually associated with sports. The study aimed to evaluate the epidemiology, complications, and displacement cutoff value for surgical treatment. Material and methods: In a retrospective study (2007-2022), we used a group of 201 boys and 20 girls (p < 0.0001). The mean age of boys was 14.9 ± 1.7, and 14.0 ± 1.9 years for girls (p = 0.0129). Injuries included 86 anterior superior iliac spine (ASIS), 83 anterior inferior iliac spine (AIIS), 28 ischial tuberosity (ITU), 13 iliac crest, nine reflected head of the rectus femoris avulsions, and two ipsilateral ASIS...
Evaluation of the Diagnostic Accuracy of Percutaneous Core Needle Biopsy in Bone and Soft Tissue Tumors
T. CENGİZ, A. YURTBAY, O. MUSLU, Ş. AYDIN ŞİMŞEK, A. B. ÖZBALCI, H. S. COŞKUN, Y. S. BARIŞ, N. DABAK
Acta Chir Orthop Traumatol Cech. 2024; 91(6):376-384 | DOI: 10.55095/achot2024/042
Purpose of the study Open (incisional) biopsies have long been accepted as the gold standard in diagnosing bone and soft tissue tumors. However, the main disadvantage of this method is that it can lead to increased contamination, hematoma, infection, and pathological fracture. Compared to open biopsies, percutaneous core needle biopsies are less invasive, do not require hospitalization, have low costs and low complication rates, and there is no need for wound healing in cases that require radiotherapy. This study evaluated the diagnostic accuracy and reliability of percutaneous core needle biopsy. Material and Methods The study included the results...
Lisfranc Injury: a Comprehensive Analysis of Long-Term Outcomes - the Oswestry Experience
R. PATEL, M. S. CHERUVU, A. DAOUB, R. A. SINGH, R. BANERJEE, S. HILL
Acta Chir Orthop Traumatol Cech. 2024; 91(6):369-375 | DOI: 10.55095/achot2024/037
Purpose of the study Lisfranc is a challenging injury both diagnostically and surgically, with sparse long-term literature evidence of surgical practice. We aim to review our long-term specialist orthopaedic institutional experience of Lisfranc injuries and the surgical management of this complex injury, specifically considering surgical outcomes as per radiological and clinical assessment. Material and methods We present data from a prospectively maintained institutional database, reviewing patients who underwent operative fixation for Lisfranc injury between April 2014 and August 2020. Patients were referred to our institution from hospitals across...
Is Extensor Indicis Proprius Tendon Transfer an Innocent Surgical Procedure for the Restoration of Extensor Pollicis Longus Function?
K. UZEL, F. AYDIN, Z. M. ASFUROĞLU, E. GÜMÜŞOĞLU, M. M. ESKANDARI
Acta Chir Orthop Traumatol Cech. 2024; 91(6):364-368 | DOI: 10.55095/achot2024/039
Purpose of the study The aim of this study to evaluate the subjective and objective results of Extensor indicis proprius (EIP) to extensor pollicis longus (EPL) transfer with an emphasis on donor site morbidity. Material and methods 17 patients (59% men, 41% women) who underwent EIP-EPL transfer were retrospectively analyzed. The mean age was 43 (9-64) years, and the mean follow-up was 72 (19-124) months. The extensor strengths were measured according to the Medical Research Council (MRC) scoring system. Nail tip-table surface distance (NTD) was measured to evaluate extension loss, and pulp-palm distance (PPD) to evaluate thumb flexion-adduction limitation....
O-arm Versus C-arm: Comparison of the Learning Curves and Accuracy in Transpedicular Screw Fixation of Lumbar Spondylolisthesis
J. JABLONSKÝ, Š. TRNKA, P. STEJSKAL, L. HRABÁLEK, T. WANEK, M. VAVERKA
Acta Chir Orthop Traumatol Cech. 2024; 91(6):355-363 | DOI: 10.55095/achot2024/057
Purpose of the study The annual number of spinal fusion procedures has been increasing and is well documented worldwide. The O-arm is slowly becoming the standard for transpedicular screw insertion. The accuracy and safety of this method have been confirmed by many studies. Therefore, the learning curve of this method and its use by younger surgeons is the focus of our investigation. Longer operative time and radiation exposure to the patient are its only disadvantages. Our aim was to evaluate the learning curve of neurosurgical residents receiving specialist training and to demonstrate the safety and accuracy compared to the conventional C-arm-guided...
Evaluation of Depression and Cognitive Status in Geriatric Patients Undergoing Orthopedic Surgery
E. YILDIRIM SAFAK, A. SAVCI, S. N. KUYUBAŞI
Acta Chir Orthop Traumatol Cech. 2024; 91(6):348-354 | DOI: 10.55095/achot2024/048
Purpose of the study:Cognitive disorders are common in geriatric surgical patients We conducted a study to evaluate depression and cognitive behavior in geriatric patients undergoing orthopedic surgery. Material and Methods:This descriptive cross-sectional study was conducted at a university hospital in Turkey, involving 262 elderly patients who underwent orthopedic surgeries. Data were collected using The Patient Information Form, Standardized Mini-Mental Test, and Geriatric Depression Scale. Results:The mean score of the Standardized Mini-Mental Test scale of the patients after surgery was 17.97±4.99, mean score...
Outcomes of Retrograde Femoral Nail Osteosynthesis of Intraarticular Fractures of the Distal Femur
J. ZEMAN, J. ZEMAN, P. KORPA, T. MATĚJKA, P. ZEMAN, J. MATĚJKA
Acta Chir Orthop Traumatol Cech. 2024; 91(6):339-347 | DOI: 10.55095/achot2024/044
PURPOSE OF THE STUDY Intraarticular fractures of the distal femur rank among the most severe musculoskeletal injuries. Various treatment options, such as plate osteosynthesis or retrograde nailing, can be employed. This study aims to evaluate the clinical outcomes and complications of intraarticular distal femoral fractures treated with retrograde femoral nail, with particular emphasis on C3 fractures. MATERIAL AND METHODS Between January 2016 and January 2023, 18 AO/33.C3 fractures were treated with a retrograde femoral nail. Of these, two were classified as 33.C1, eight as 33.C2 and eight as 33.C3. Twelve of the fractures were open. After the initial...
Hand Enchondromas Treated with Curettage: a Single Institution Experience and Literature Review
E. IPPONI, M. CORDONI, S. DE FRANCO, F. R. CAMPO, A. D'ARIENZO, L. ANDREANI
Acta Chir Orthop Traumatol Cech. 2024; 91(6):331-338 | DOI: 10.55095/achot2024/067
Purpose of the Study Hand enchondromas are benign cartilage bone tumors. Curettage represents the actual gold standard for hand enchondromas. Little has been written about the effectiveness of curettage on hand functionality. Material and Methods In this retrospective study, we evaluated the effectiveness of curettage and bone grafting on the hand. For each case, we compared the pre-operative and post-operative QuickDASH of the treated limb. The final functional outcome was also evaluated by calculating the affected finger's Total Active Movement (TAM). Complications and local recurrences were recorded. Results Forty-five cases were included in our...
Screw Angle and Condylar Ratio as Possible Parameters to Monitor the Treatment of Idiopathic Axial lower Limb Deformities Using Eight-Figure Plates
J. TUREK, O. VÁCLAV, K. URBÁŠEK, A. ADAMOVÁ, P. ZOUFALÝ, L. PLÁNKA
Acta Chir Orthop Traumatol Cech. 2024; 91(6):325-330 | DOI: 10.55095/achot2024/046
Purpose of the study: Temporary hemiepiphyseodesis using figure-eight plates is currently one of the main surgical techniques to correct axial deformities of lower limbs in paediatric patients. Comprehensive analysis, correct indication and monitoring of treatment are the basic prerequisites for successful therapy. The aim of the study was to analyse parameters that could become an alternative to standard parameters used nowadays, namely the inserted screw angle (SA), and a new parameter - condylar ratio (CR). Material and Methods: The study included 47 patients treated at the Department of Paediatric Surgery, Orthopaedics and Traumatology...
Healing of Critical-Size Bone Defects with Tricalcium Phosphate Hydrogel: Evaluation of Hydrogel as a Scaffold for Stem Cells and BMP-2
M. KORBEL, L. NOVOTNÝ, L. JANDOVÁ, P. ŠPONER
Acta Chir Orthop Traumatol Cech. 2024; 91(6):317-324 | DOI: 10.55095/achot2024/049
Purpose of the study: The preclinical study aimed to compare the healing of segmental bone defects treated with biodegradable hyaluronic acid and tricalcium phosphate-based hydrogel with the established autologous spongioplasty. Another aim was to evaluate the hydrogel as a scaffold for osteoinductive growth factor of bone morphogenetic protein-2 (BMP-2) and stem cells. Material and methods: The study was conducted in an in vivo animal model. A standardized rabbit model of a 15 mm long segmental bone defect of left radius was used. A total of 40 animals were divided into 5 groups of 8 individuals. In the KO- (negative control) group,...
Application of Ortho-Bridge System after Femoral Bone Transport
JINXING YANG, SHUYU LIU, ZICAI FU, QIN XU, JIANYI XIONG, WEIMIN ZHU, LIJUN LIU
Acta Chir Orthop Traumatol Cech. 2024; 91(5):269-275 | DOI: 10.55095/achot2024/043
The bone transport technique uses the principle of distraction-osteogenesis and fill bone defects with the aid of an external fixator. In order to evaluate the clinical effect of femoral internal fixation with Ortho-Bridge System after bone transport, 4 patients after femoral bone transport from October 2020 to October 2022 are studied in this paper. Among them, 3 patients ran refracture of femur after removal of the Limb reconstruction system, 1 patient just finish femoral bone transport and request internal fixation. The surgery results show that Ortho-Bridge System can be used in the situation that conventional Locking compression plate and intramedullary...
Hallux Extensus as a Rare Complication of Crural Fracture and Its Surgical Treatment
V. JUNK, M. KUPKA
Acta Chir Orthop Traumatol Cech. 2024; 91(5):301-305 | DOI: 10.55095/achot2024/038
Hallux extensus is a persistent dorsiflexion of the first metatarsophalangeal joint. Apart from many other causes, it can also be caused by contracture of the extensor hallucis longus muscle, in our case resulting from surgical treatment of crural fracture. The authors present the case of a 17-year-old soccer player who sustained a fracture of both shin and calf bone during a soccer match and underwent surgical treatment with intramedullary nailing. While compartment syndrome wasn't observed, a postoperative complication in the form of progressive development of a dynamic type of hallux extensus was reported. The reason behind this complication was...
The Prevalence and the Clinical Importance of os vesalianum pedis
C. UĞUZ GENÇER, H. Tetiker, M. İ. Koşar, N. Çullu
Acta Chir Orthop Traumatol Cech. 2024; 91(5):296-300 | DOI: 10.55095/achot2024/053
Purpose of the study Os vesalianum pedis (OVP) is a rare accessory bone of the foot located at the base of the fifth metatarsal bone. It is usually asymptomatic and incidentally seen on radiographs. When symptomatic, it manifests itself with lateral foot pain. OVP, which can become symptomatic as a result of traumatic injuries, can also be confused with fracture. The aim of this study is to determine the prevalence and morphometric characteristics of OVP in the Turkish population. Material and Methods Radiographic images of 5268 individuals aged 16 years and older (mean 39.65±17.21) who completed ossification of the fifth metatarsal bone were...
Risk Factors for Early Implant Failure in Geriatric Intertrochanteric Fractures Treated with Twin Interlocking Derotation and Compression Screw Cephalomedullary Nail (InterTAN)
E. ÖZMEN, T. F. YAĞCI, A. M. YILDIRIM, M. ALTAN, A. ERŞEN, Y. SAĞLAM
Acta Chir Orthop Traumatol Cech. 2024; 91(5):289-295 | DOI: 10.55095/achot2024/054
Purpose of the study Intertrochanteric hip fractures in elderly patients are a significant cause of morbidity and mortality, with increasing incidence due to the aging population. Despite advancements in intramedullary nailing (IMN) technology, fixation failure remains a concern. This study aims to evaluate pre-and postoperative radiographic risk factors for varus collapse in geriatric intertrochanteric fractures treated with twin interlocking derotation and compression screw cephalomedullary nail (InterTAN, Smith & Nephew). Material and Methods This retrospective study included patients over 60 years with AO 31A1 and 31A2 intertrochanteric femur...
Arthrodesis of the Distal Interphalangeal Joint of the Finger Using an Intramedullary Implant
P. BARABAS, R. PAVLIČNÝ
Acta Chir Orthop Traumatol Cech. 2024; 91(5):282-288 | DOI: 10.55095/achot2024/047
Purpose of the study Osteoarthritis (OA) of the joints of the hand is one of the most common musculoskeletal disorders in the elderly population. It is a complex, degenerative disease affecting all components of the joint. Surgical treatment is indicated when conservative therapy fails. The ultimate solution is arthrodesis of the distal interphalangeal (DIP) joint. Various methods of arthrodesis have been described, ranging from the use of K-wires or compression screw to different types of intra-articular (intramedullary) implants. The aim of this study is to evaluate the surgical outcomes of arthrodesis of the distal interphalangeal (DIP) joint of...
Effects of Total Hip or Knee Arthroplasty on Median Survival in Patients Aged 80 Years and Older
R. KUBEŠ, A. KRÁL, M. STOLLIN, M. BOBELYAK
Acta Chir Orthop Traumatol Cech. 2024; 91(5):276-281 | DOI: 10.55095/achot2024/052
Introduction During the 20th century, the life expectancy increased by 30 years. At the same time, the number of people living longer than that has grown significantly. The aim of this study was to investigate whether total hip or knee arthroplasty (THA or TKA) in patients over 80 years of age does not reduce their life expectancy. Material and methods The study examined the data of patients who had undergone THA or TKA between 1994 and 2002 and were older than 80 years at the time of surgery. The study group was divided into a group of patients in whom elective total hip or knee arthroplasty was performed for arthritis and into a group...
Methods of Measuring Limb Malrotation Following Femoral Osteosynthesis
J. Maléř, M. Buk, M. Michna, J. Skála-Rosenbaum
Acta Chir Orthop Traumatol Cech. 2024; 91(5):264-268 | DOI: 10.55095/achot2024/035
Significant malrotation of the femur after osteosynthesis is a serious complication of treatment and has a number of consequences for the patients and causes deterioration of their quality of life. Therefore, it is necessary to be familiar with intraoperative techniques to control the correct rotation, mostly clinical and radiological, which give us the possibility to minimize rotational errors. In the postoperative period, with even a slight suspicion of malrotation, it is necessary to proceed to its exact verification and, in indicated cases, to perform necessary correction. We recommend one of the CT techniques as a very reliable method, however...