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...

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...