ACHOT - Latest articles
Results 91 to 107 of 107:
A Systematic Review and Meta-Analysis of the Outcomes of Reconstruction with Vascularised vs Non-Vascularised Bone Graft after Surgical Resection of Primary Malignant and Non-Malignant Bone Tumors
R. PATEL, G. MCCONAGHIE, M. M. KHAN, W. GIBSON, R. SINGH, R. BANERJEE
Acta Chir Orthop Traumatol Cech. 2024; 91(3):143-150 | DOI: 10.55095/achot2024/020 
Purpose of the studyVascularised bone grafting (VBG) and non-vascularised bone grafting (NVBG) are crucial biological reconstructive procedures extensively employed in the management of bone tumours. The principal aim of this study is to conduct a comparative analysis of the post-resection outcomes associated with the utilisation of vascularised and non-vascularised bone grafts. Material and methodsA comprehensive and systematic literature review spanning the years 2013 to 2023 was meticulously executed, utilising prominent online databases including PubMed/Medline, Google Scholar, and Cochrane Library. Inclusion criteria...
Gait Analysis in Patients with Adolescent Idiopathic Scoliosis
J. SKLENSKÝ, M. ŠVEHLÍK, K. URBÁŠEK, P. MACKOVÁ, M. REPKO
Acta Chir Orthop Traumatol Cech. 2024; 91(3):137-142 | DOI: 10.55095/achot2024/022
Purpose of the studyThe study describes changes in gait parameters (temporal-spatial parameters, kinematic parameters represented by the global Gait Deviation Index) of individuals with Adolescent Idiopathic Scoliosis (AIS) compared to the healthy population. The hypothesis assumed a difference in the observed parameters between the two mentioned groups. Material and methodsIn a retrospective study, the temporal-spatial parameters and Gait Deviation Index (GDI) of a cohort of 45 AIS patients (36 girls and 9 boys with the mean age of 15.2 years, the mean Cobb angle of the thoracic curve of 47.3° and the lumbar curve of...
Bilateral Dorsal Fracture-Dislocation of the Proximal HumerusCase report
R. ČELLÁR, D. SOKOL
Acta Chir Orthop Traumatol Cech. 2024; 91(2):123-126 | DOI: 10.55095/achot2024/014
Fractures of the proximal humerus constitute approximately 5% of all fractures. Shoulder joint injuries without any external mechanical impact during seizures with the occurrence of spasms occur only sporadically. The occurrence rate is reported in approximately 0.4% of patients. Very rarely they occur in the form of epileptic seizure-induced dorsal fracture-dislocation impacting both sides. The case report describes a case of a 48-year-old woman with no treatment for epileptic seizures in her medical history. During the first seizure she sustained a bilateral dorsal fracture-dislocation caused by a muscle spasm, without any other mechanical impact....
A Rare Case: Transphyseal Distal Humerus Fracture in a NewbornOriginal papers
A. Yigitbay, M. Çelik
Acta Chir Orthop Traumatol Cech. 2024; 91(2):120-122 | DOI: 10.55095/achot2024/015
Transphyseal fractures of the distal humerus are usually seen in children younger than 3 years of age and are considered as Salter-Harris Type I epiphysiolysis. Neonatal transphyseal distal humerus injuries are extremely rare. It usually occurs due to trauma during difficult labour but can also be seen after child abuse. Since the distal humerus is composed of cartilaginous tissue in newborns, it is difficult to make a diagnosis with direct radiography. Patients are often diagnosed with elbow dislocation. However, elbow dislocation is almost never seen under the age of 3 years. Transphyseal fractures can be seen as a result of manoeuvres performed...
Viscosupplementation with High Molecular Weight Hyaluronic Acid for Hip Osteoarthritis: a Systematic Review and Meta-Analysis of Randomised Control Trials of the Efficacy on Pain, Functional Disability, and the Occurrence of Adverse EventsOriginal papers
R. PATEL, G. ORFANOS, W. GIBSON, T. BANKS, G. MCCONAGHIE, R. BANERJEE
Acta Chir Orthop Traumatol Cech. 2024; 91(2):109-119 | DOI: 10.55095/achot2024/009
Purpose of the study Hip osteoarthritis (OA) has a prevalence of around 6.4% and is the second most commonly affected joint. This review aims to assess the clinical outcomes of intra-articular high molecular weight hyaluronic acid (HMWHA) in the management of hip osteoarthritis. Material and methods We conducted a comprehensive search across PubMed, Google Scholar, and the Cochrane Library for randomised trials investigating the effectiveness of high molecular weight hyaluronic acid (HMWHA) in the treatment of hip osteoarthritis. Quality and risk of bias assessments were performed using the Cochrane RoB2 tool. To synthesise the data, we utilised the...
Three-Dimensional Computed Tomography Image Reformation for Comparison of Foraminal Cross-Sectional Dimension in Patients Who Have Undergone Laminoplasty and Laminectomy with FusionOriginal papers
S.-J. LEE, H.-J. LEE, Y.-M. LEE, M. F. DESLIVIA, W.-K. MIN
Acta Chir Orthop Traumatol Cech. 2024; 91(2):103-108 | DOI: 10.55095/achot2024/011
Purpose of the studyLaminectomy with fusion (LF) is commonly performed with laminoplasty (LP) for cervical myelopathy. Foraminal stenosis is important in the surgical treatment of cervical myelopathy. LF and LP can affect foraminal size in different ways. This study aimed to compare foraminal dimensions after LF and LP using a medical computer-assisted design (CAD) program. Material and methods Computed tomography (CT) scans of the cervical vertebrae of 16 patients with cervical myelopathy were retrospectively viewed in the Digital Imaging and Communications in Medicine format on a CAD program. CT images were reformatted...
Radial Head Replacement: Management of Elbow and Forearm Instability after Comminuted Radial Head Fractures Associated with Elbow DislocationOriginal papers
M. STRECK, M. VLČEK, D. VEIGL, J. PECH, I. LANDOR
Acta Chir Orthop Traumatol Cech. 2024; 91(2):96-102 | DOI: 10.55095/achot2024/012
Purpose of the study This manuscript aims to identify an indication algorithm for the surgical treatment of radial head fractures associated with elbow dislocation. The study compares the mid-term functional outcomes of patients with multifragment radial head fracture treated by resection with the outcomes of patients treated with radial head replacement. Material and methods The cohort of 34 patients who sustained a radial head fracture at the mean age of 42.5 years (age range 20-81 years) was broken down into two groups by type of surgery. The EXT group consists of 20 patients with the radial head fracture treated by radial head resection. The END...
Assessing the Correlation between the Radiological, Macroscopic and Histological Examination of Degenerative Changes of Articular Surfaces in Knee Osteoarthritis with Varus DeformityOriginal papers
D. WACIAKOWSKI, A. KOHOUT, J. BROŽÍK, P. ŠPONER4
Acta Chir Orthop Traumatol Cech. 2024; 91(2):88-95 | DOI: 10.55095/achot2024/013
Purpose of the study Our study aims to compare the results of preoperative radiography and intraoperative visual assessment of the cartilage with histological assessment of joint surfaces of the medial and lateral compartments resected in patients during the total knee replacement. Material and methods The cohort included 20 patients (9 men and 11 women) with the mean age of 66.6 (±7.0) years who met the inclusion criteria of the study. Degenerative changes of the knee joint seen on a preoperative weight-bearing anteroposterior X-ray were evaluated according to the Kellgren-Lawrence grading system separately for the medial and lateral compartment....
A Systemic Review of Primary Malignant Long Bone Tumors in Children and AdolescentsOriginal papers
M. KHAN, R. PATEL, M. YOUSSEF, R. BANERJEE, A. PARDIWALA, C. BELEN
Acta Chir Orthop Traumatol Cech. 2024; 91(2):77-87 | DOI: 10.55095/achot2024/010
Purpose of the study Managing bone tumours is complex, relying on limited evidence, expert opinions, and retrospective reviews. Multidisciplinary approaches and early diagnosis are crucial for better outcomes, especially in young patients with growing skeletons. The aim of this systemic review and meta-analysis is to give a comprehensive review of common malignant tumors affecting long bones in children and adolescents. Material and methods A PubMed/Medline search for "primary malignant long bone tumours in children" initially retrieved 1120 papers, which were subsequently narrowed down to 110 articles based on inclusion and exclusion criteria. These...
Results of Allografts and Synthetic Grafts in Humeral Simple Bone CystsOriginal papers
M. A. ŞAHİN, E. ÖZKUL, S. ELÇİ
Acta Chir Orthop Traumatol Cech. 2024; 91(1):62-68 | DOI: 10.55095/achot2024/005
Purpose of the study Simple bone cysts (SBCs) are the most common benign bone lesions in childhood. There are many different methods in the treatment of SBCs. There is no consensus on which method to use in the treatment. In this study, we compared the results of allogeneic bone graft or synthetic bone graft in addition to flexible intramedullary nail (FIN) for SBC located in the humerus. Material and methods This retrospective study comparing the data of 19 (group 1: 8 curettage, allograft and FIN; group 2: 11 curettage, synthetic graft and FIN) patients with a mean age of 11.4 (6 to 26; seven female, twelve male) who were surgically treated in our...
The Association between SLAP Lesions and Critical Shoulder Angle and Glenoid DepthOriginal papers
F. İ. CAN, E. GÜLTAÇ, S. YILMAZ, R. M. KILINÇ, C. Y. KILINÇ
Acta Chir Orthop Traumatol Cech. 2024; 91(1):57-61 | DOI: 10.55095/achot2024/007
Purpose of the study The critical shoulder angle (CSA) is formed by the combination of glenoid inclination and acromial index and has been shown related to rotator cuff tears and glenohumeral osteoarthritis. SLAP lesions today have an important place among bicipitolabral pathologies that cause intensive shoulder pain. We aimed to investigate the relationship between CSA and glenoid depth and SLAP lesions. Material and Methods Between March 2017 and January 2022, 279 consecutive shoulder arthroscopy patients' MRI images were retrospectively examined. After the exclusion criteria, 191 patients were eligible. Patients with SLAP lesions (n=37) were assembled...
Two-Stage Treatment Protocol of Fungal Periprosthetic Hip and Knee Joint Infections: the Clinical Experience from a Single Center ExperienceOriginal papers
J. XU, W. SUN, Y. WANG, H. JIANG, H. DING, Q. CHENG, N. BAO, J. MENG
Acta Chir Orthop Traumatol Cech. 2024; 91(1):52-56 | DOI: 10.55095/achot2024/003
Purpose of the study To evaluate the clinical results and safety of fungal periprosthetic joint Infections (fPJIs) using two-stage treatment protocol. Material and methods 8 patients with fPJIs (3 hips and 5 knees) using two-stage revision were reviewed retrospectively and followed up at least 2 years. The preoperative demographic data, two-stage treatment protocol, results of microbiology and histologic workup and postoperative follow-up results (reimplantation success rate and infection free time) were recorded. Results 7 patients got successful reimplantation, with a 75% reimplantation success rate. Two patients got knee arthrodesis eventually....
Management of Length Unstable Femur Fractures in Children by Flexible Intramedullary Nails: A Systematic ReviewOriginal papers
V. Garg, A. K. S. Gowda, A. Regmi, S. Barik, V. K. Maheshwari, V. Singh
Acta Chir Orthop Traumatol Cech. 2024; 91(1):44-51 | DOI: 10.55095/achot2024/006
Purpose of the study Surgical options for paediatric femoral fractures include flexible intramedullary nailing (FIN), plating, and external fixators. Length unstable fractures are usually spiral, long oblique, or comminuted and are often associated with > 2 cm of shortening. The purpose of this study was to see whether FIN is effective for managing unstable femur fractures in children. Material and methods An electronic literature search was performed up to 25 February 2022 in Cochrane Library, PubMed, and Embase databases using a combination of MeSH search terms and keywords related to the population (e.g., "child" AND "diaphyses" AND "femur"),...
Arthroscopic Subtalar Distraction Arthrodesis in Post-Traumatic IndicationsOriginal papers
V. RAK, J. ŠRÁMEK, D. IRA, M. KRTIČKA
Acta Chir Orthop Traumatol Cech. 2024; 91(1):34-43 | DOI: 10.55095/achot2024/002
PURPOSE OF THE STUDY This manuscript aims to present the method of arthroscopic assisted subtalar arthrodesis and to evaluate the benefits of this surgery on our study population. MATERIAL AND METHODS In the period from 9/2007 to 1/2020, a total of 33 subtalar arthrodesis were performed in 31 patients aged 19-66 years (mean 48 years, median 50 years). The indication for arthrodesis was subtalar arthritis causing pain and gait disorders, or hindfoot deformities (most commonly after a calcaneus bone fracture). The arthroscopic assisted subtalar arthrodesis was performed with autologous tricortical bone block graft harvesting from the pelvis, supplemented...
Total Hip Arthroplasty Using the AMIS Method: Surgical Technique, Suitability of This Method for Obese Patients, Evaluation of the Study PopulationOriginal papers
P. PALÁSEK, P. MAŠÁT, V. ŘEHÁČEK
Acta Chir Orthop Traumatol Cech. 2024; 91(1):24-33 | DOI: 10.55095/achot2024/008
Purpose of the study This manuscript aims to introduce our surgical technique, with an emphasis on the latest recommendations. The AMIS technique is discussed in more detail in patients with Class II and Class III obesity. We seek to prove the premise claiming that the anteversion and inclination values observed in this group of patients do not differ significantly from those observed in patients with the recommended BMI index. We will also compare the risk of neurovascular bundle injury and postoperative complication rate regarding the surgical wound. Material and methods Patients who underwent surgery using the AMIS method in the period between 1/2020...
Sagittal Profile of the Spine in Patients after Lumbar Stabilisation SurgeriesOriginal papers
J. PEŠEK, M. REPKO, L. RYBA, D. MATEJIČKA
Acta Chir Orthop Traumatol Cech. 2024; 91(1):17-23 | DOI: 10.55095/achot2024/001
Purpose of the study Spine stabilization surgery is nowadays one of the most common spinal surgical procedures. Spinopelvic alignment is considered to be an important factor impacting the patients' preoperative difficulties as well as the outcome of surgery. In our study, the outcomes of stabilization surgeries in patients with lumbar spine disorders were evaluated - especially in those with stenosis and spondylolisthesis, in whom the importance of sagittal parameters were assessed with respect to the patients' clinical outcomes and difficulties. Material and methods The study included 50 patients with lumbar spine disorders who had undergone a spine...
Reconstruction after Pelvic Bone Massive Resection: Evolution and Actuality of 3D-Printing TechnologyOriginal papers
F. COSSEDDU, S. SHYTAJ, E. IPPONI, A. D'ARIENZO, R. CAPANNA, L. ANDREANI
Acta Chir Orthop Traumatol Cech. 2024; 91(1):9-16 | DOI: 10.55095/achot2024/004
Purpose of the study Pelvic reconstructions after massive bone resections are among the most challenging practices in orthopedic surgery. Whether the bone gap results after a trauma, a tumor resection, or it is due to a prosthetic revision, it is mandatory to reconstruct pelvic bone continuity and rebuild the functional thread that connects spine and hip joint. Several different approaches have been described in literature through the decades to achieve those goals. Material and methods To this date, 3D-printed implants represent one of the most promising surgical technologies in orthopedic oncology and complex reconstructive surgery. We present our...