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 20^th 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...

Current Management of Patients with Proximal Femur Fractures Receiving Antiplatelet and Anticoagulant Therapy

B. ŠTEŇO, A. BÁTOROVÁ, D. JANKOVIČOVÁ, T. PRIGANCOVÁ, J. HLOŽNÍK, A. ŠVEC, I. CHANDOGA

Acta Chir Orthop Traumatol Cech. 2024; 91(5):257-263 | DOI: 10.55095/achot2024/041  

Proximal femur fractures (PFF) pose a major challenge in elderly patients with severe comorbidities and receiving antithrombotic therapy since according to the latest guidelines the surgery should be performed as soon as possible, preferably within 24 hours, to reduce mortality and morbidity. This review outlines the practical approach to surgical management of PFF that relies on increasing evidence of safety of early surgery in patients with PFF receiving antiplatelet and anticoagulant therapy. We have also used information from the existing evidence-based guidelines for elective/planned surgery in patients with antithrombotic therapy. The practical...

Neurogenic Heterotopic Ossification of the Hip: a Case Report

M. ÇELIK, S. H. BAŞARAN

Acta Chir Orthop Traumatol Cech. 2024; 91(4):245-247 | DOI: 10.55095/achot2024/033  

Heterotopic ossification (HO) denotes aberrant osteogenesis in extra-skeletal tissues, often associated with neurological disorders, total hip arthroplasty, and specific traumatic scenarios. Neurogenic heterotopic ossification manifests prominently subsequent to traumatic brain injury or spinal cord injury, with Guillain-Barre Syndrome presenting an infrequent etiological link. This article details the case of a 56-year-old female diagnosed with Guillain-Barre Syndrome, who developed neurogenic heterotopic ossification around both hips within two years of disease onset. The patient's medical history included mechanical ventilation, incomplete tetraplegia,...

The Impact of Coracoid Tip Orientation on Subscapularis Tear Incidence: an MRI-Based Study

H. YAKA, M. ÖZER, B. SARIKAYA, U. KANATLI

Acta Chir Orthop Traumatol Cech. 2024; 91(4):239-244 | DOI: 10.55095/achot2024/032  

PURPOSE OF THE STUDY This study investigated the relationship between the position of the tip of the coracoid process (CP) relative to the glenoid with subscapularis (Ssc) tears. We hypothesized that the coracoid tip is more inferior, lateral and posterior in patients with Ssc tear. MATERIAL AND METHODS This research enrolled 34 isolated Ssc tears and 44 controls. We introduced the axial central glenoid-coracoid angle (acGCA) and sagittal central glenoid-coracoid angle (scGCA) to evaluate the position of the tip of the CP relative to the glenoid center on MRI images. In both groups, acGCA, scGCA on MRI and critical shoulder angle (CSA), glenoid inclination...

Comparison of Arthroscopic Microfracture and Retrograde Subchondral Drilling in the Treatment of Osteochondral Lesions of Talus

U. O. KASMAN, Ö. KORKMAZ

Acta Chir Orthop Traumatol Cech. 2024; 91(4):234-238 | DOI: 10.55095/achot2024/031  

Purpose of the study In our study, it was aimed to evaluate the efficacy of microfracture and retrograde subchondral drilling on clinical outcomes in patients who underwent ankle arthroscopy due to osteochondral lesion of medial talus. Material and methods Twenty eight patients with osteochondral lesion of talus less than 1.5 cm² treated with ankle arthroscopy were evaluated retrospectively. Microfracture was performed in 16 patients and retrograde subchondral drilling was performed in 12 patients that there was no loss of integrity in the cartilage layer or cartilage layer is partially preserved during ankle arthroscopy. Postoperative...

Alternative Surgical Treatment Method for 5th Metacarpal Neck Fractures: Comparison of Clinical Outcomes of Intramedullary and Transverse K-Wire Fixations with Additional Antirotational K-Wire

U. O. KASMAN, C. TUREMIS, S. SURUCU, Ö. KORKMAZ

Acta Chir Orthop Traumatol Cech. 2024; 91(4):229-233 | DOI: 10.55095/achot2024/030  

Purpose of the study The purpose of this study was to assess the clinical outcomes and complications associated with intramedullary and transverse K-wire fixations of 5^th metacarpal neck fractures. Material and methods Patients who were operated for 5^th metacarpal neck fractures between 2019 and 2022 were evaluated retrospectively. Regarding the surgical treatment methods, patients were assessed by dividing them into two groups. The first group comprised patients who underwent treatment with an intramedullary K-wire. The second group comprises patients who underwent transverse K-wire fixation. Results The average quick DASH...

Analysis of Punch Injuries: Clinical Characteristics, Management and Outcomes

Y. AĞIRDIL, Y. ŞAHBAT

Acta Chir Orthop Traumatol Cech. 2024; 91(4):222-228 | DOI: 10.55095/achot2024/029  

Purpose of the study The aim of this study is to describe injury patterns, characteristics, treatment modalities and functional outcomes after punching related injuries. Material and Methods Retrospective data of cases admitted to emergency department following punch injury between January 1, 2012, and December 31, 2022. was collected. Patient's demographic data, the dominant and injured upper extremity side, punched object, a time of patient admission were recorded. Smoking habit and blood ethanol level were documented. Trauma mechanism, diagnosis (1: dermabrasions: skin, 2: lacerations: neurovascular structures or tendons and 3: osseous pathologies),...

Clinical Effect of Screw Internal Fixation on Fracture Healing and Ankle Alignment in Patients with Posterior Malleolar Fracture

JIAWANG ZHOU, WEIDONG WU, LI SUN, FENG LV, JUNJIE FAN

Acta Chir Orthop Traumatol Cech. 2024; 91(4):217-221 | DOI: 10.55095/achot2024/027  

Purpose of the study To examine the clinical impact of screw internal fixation on the process of fracture healing and ankle alignment in individuals diagnosed with posterior malleolar (PM) fracture, specifically those with a fracture involving less than 25% of the articular surface (ASR) area. Material and methods A total of 120 patients diagnosed and treated for PM fracture, encompassing less than 25% of the distal tibial ASR area, were selected from our hospital's records spanning from September 2021 to June 2023. These people were subsequently divided into two groups, namely the control group (group A) and the observation group (group B), based...

Comparison of the Quality of the Most Commonly Used New UHMWPE Articulation Inserts of the Total Knee Replacement

D. POKORNÝ, M. ŠLOUF, V. GAJDOŠOVÁ, I. ŠEDĚNKOVÁ, M. VYROUBALOVÁ, K. NĚMEC, P. FULÍN

Acta Chir Orthop Traumatol Cech. 2024; 91(4):207-216 | DOI: 10.55095/achot2024/026  

Purpose of study Total joint replacements (TJR) have become the cornerstone of modern orthopedic surgery. A great majority of TJR employs ultrahigh molecular weight polyethylene (UHMWPE) liners. TJR manufacturers use many different types of UHMWPE, which are modified by various combinations of crosslinking, thermal treatment, sterilization and/or addition of biocompatible stabilizers. The UHMWPE modifications are expected to improve the polymer's resistance to oxidative degradation and wear (release of microparticles from the polymer surface). This manuscript provides an objective, non-commercial comparison of current UHMWPE formulations currently...

Mid Term Results of Treatment of Unstable Slips of Proximal Femoral Epiphysis by Closed Reduction

J. CHOMIAK, M. OŠŤÁDAL, P. DUNGL

Acta Chir Orthop Traumatol Cech. 2024; 91(4):199-206 | DOI: 10.55095/achot2024/025  

Purpose of the study The study aimed to evaluate the results of closed reduction and epiphyseodesis of unstable slips of the proximal femoral epiphysis. The hypothesis was that the clinical and radiological results of this method and incidence of avascular necrosis are comparable to the results of closed reduction and open reduction using surgical hip dislocation reported by literature. Material and methods In the period 2013-2023, 20 patients were treated for unstable slips in one institution. Whereas the boys were older (mean age of 13.4 years) than girls (mean age of 11.6 years), the gender distribution was equal. Acute on chronic slips prevailed...

Erratum to: Three-Dimensional Computed Tomography Image Reformation for Comparison of Foraminal Cross-Sectional Dimension in Patients Who Have Undergone Laminoplasty and Laminectomy with Fusion [Acta Chir Orthop Traumatol Cech., 2024;91:103-108]

S.-J. LEE, H.-J. LEE, Y.-M. LEE, M. F. DESLIVIA, W.-K. MIN

Acta Chir Orthop Traumatol Cech. 2024; 91(3):188 | DOI: 10.55095/achot2024/016  

Prepacked Take-Home Analgesia in Outpatient Hand Surgery Reduces Opioid Dispensation

E. LUNDQVIST, S. MOUSA, S. WALLÉN, I. HURTIG, D. REISER

Acta Chir Orthop Traumatol Cech. 2024; 91(3):182-187 | DOI: 10.55095/achot2024/018  

Background Adequate postoperative pain treatment is important for quality of life, patient satisfaction, rehabilitation, function, and total opioid consumption, and might lower both the risk of chronic postoperative pain and the costs for society. Prolonged opioid consumption is a well-known risk factor for addiction. Previous studies in upper extremity surgery have shown that total opioid consumption is a third of the amount prescribed, which can be explained by package size. The aim of this study was to examine whether implementation of prepacked take-home analgesia bags reduced the quantity of prescribed and dispensed opioids. Material and methods...

Patient-Experience of Trapeziectomy for Trapeziometacarpal Osteoarthritis in Wide-Awake Local Anesthesia no Tourniquet, 2-Year Follow-up

D. REISER, V. BRANDT, M. SAGERFORS

Acta Chir Orthop Traumatol Cech. 2024; 91(3):175-181 | DOI: 10.55095/achot2024/017  

Purpose of the studyThe purpose of this study was to assess the patient experience of trapeziectomy under WALANT for trapeziometacarpal joint (TMJ) osteoarthritis (OA) in a prospective study with 2-year follow-up. Material and methodsThe study included 23 patients with TMJ OA undergoing trapeziectomy with WALANT. All patients were seen by a hand therapist preoperatively and at 3, 12, and 24 months postoperatively. At each visit, VAS pain scores, thumb range of motion, grip strength, and Disabilities of the Arm, Shoulder and Hand (DASH) score were assessed. The Picker Patient Experience (PPE-15) questionnaire was administered...

Donor Site Morbidity after Removal of Full-Thickness Peroneus Longus Tendon Graft for Anterior Cruciate Ligament (ACL) Reconstruction: 4-Year Follow-up

D. ERTILAV, E. ERTILAV, G. N. DIRLIK, K. BARUT

Acta Chir Orthop Traumatol Cech. 2024; 91(3):170-174 | DOI: 10.55095/achot2024/023  

Puspose of the studyMany studies have investigated the efficacy of peroneus longus tendon (PLT) in anterior cruciate ligament (ACL) reconstruction, and donor site morbidity has not been adequately studied. Material and MethodsFifty patients who underwent ACL reconstruction using PLT were included. Ankle strengths of the patients evaluated with an analog dynamometer. Ankle range of motion (ROM) was measured with a smart phone inclonometer application. ResultsThere was no significant difference between the postoperative ankle strength(eversion, plantar flexion) in the donor area and the preoperative...

Evaluation of the Relationship between Acromiohumeral Distance and Supraspinatus Tendon Thickness Measured by Ultrasonography and Rotator Cuff Pathologies, Pain, and Function

B. T. DEDE, Y. P. DOĞAN, M. OĞUZ, B. BULUT, H. COŞKUN, E. AYTEKİN

Acta Chir Orthop Traumatol Cech. 2024; 91(3):164-169 | DOI: 10.55095/achot2024/024  

Purpose of the studyIn this study, we aimed to evaluate acromiohumeral distance (AHD) and supraspinatus tendon (ST) thickness measurements and their relationship with pain and function in ST pathologies. Material and MethodsThe study included 111 patients and 25 healthy controls (HC). Patients were divided into 3 groups according to their diagnosis: non-tear tendinopathy (NTT), partial thickness tear (PTT), and full thickness tear (FTT). The AHD and ST thickness of the participants were measured with ultrasound. The pain and functional status of the patients were evaluated with the Numeric Rating Scale (NRS), The QuickDASH...

Comparison of Radiographic Measurement Parameters of the Wrist in Patients with and without Scaphoid Fracture after Fall on an Outstretched Hand

T. BULUT, U. AKGUN, G. YILDIZ, M. GURSOY, Y. ONDER

Acta Chir Orthop Traumatol Cech. 2024; 91(3):156-163 | DOI: 10.55095/achot2024/021  

Purpose of the StudyTo investigate the effects of anatomical variations on the mechanism of scaphoid fracture by comparing the radiologic parameters of the wrist of patients with and without scaphoid fracture after a fall on an outstretched hand. Material and MethodsCross-sectional comparative retrospective analysis of radiographs of patients with (Group 1, n=169) and without scaphoid fracture (Group 2, n=188). Morphometric data were measured including radial inclination (RI), radial height (RH), ulnar variance (UV), carpal height (CH) ratio, revised carpal height (RCH) ratio and palmar tilt of the distal radius (PT)....

Intraarticular TXA Administration with Appropriate Timing of Clamping and Appropriate Dose is More Effective Than IV Administration

F. EMRE, E. ULUYARDIMCI, M. TAHTA, Ç. IŞIK

Acta Chir Orthop Traumatol Cech. 2024; 91(3):151-155 | DOI: 10.55095/achot2024/019  

Purpose of the studyOur aim was to compare the effects of intraarticular and intravenous (IV) tranexemic acid (TXA) application on bleeding and complication rates in patients who underwent total knee arthroplasty (TKA). Material and methodsBetween 2017 and 2021, 406 patients who underwent TKA with 2 g of IV TXA and retrograde 1.5 g of TXA applied through the drain were included in the study. Of the patients, 206 were in the IV TXA group. Preoperative and postoperative hemoglobin levels, drain output, BMI, ASA score, blood loss, and the number of transfused patients were recorded. Complications such as symptomatic venous...