Acta Chir Orthop Traumatol Cech. 2025; 92(5)

Vliv intraartikulární aplikace plazmy bohaté na destičky na osteoartrózu kolena: systematické review a metaanalýza

MATÚŠ SLOVIAK, MICHAL ŠTEFANČÍK, JIŘÍ GALLO

Acta Chir Orthop Traumatol Cech. 2025; 92(5):247-258 | DOI: 10.55095/achot2025/023  

Purpose of the study: The treatment of knee osteoarthritis (KOA) must be comprehensive and personalised. Administration of platelet-rich plasma (PRP) is one of the interventions that has been investigated for a long time. Professional medical societies have so far failed to adopt a clear and consistent stance on this therapy, despite a number of randomized clinical trials (RCTs) conducted in the past. The aim of our review was to evaluate the results of RCTs published over the last 5 years. We do believe that a meta-analysis based on the best of the available studies will help articulate the national position on this treatment modality. Material and...

Kalcifikující aponeurotický fibrom, vzácný benigní útvar, kterému je třeba věnovat pozornost:systematický přehled literatury

SIMONE OTERA, MARTINA BIZZARRI, ANGELINA PERNAZZA, GIOVANNI ZOCCALI, CARMINE ZOCCALI

Acta Chir Orthop Traumatol Cech. 2025; 92(5):259-264 | DOI: 10.55095/achot2025/031  

Purpose of the study: Calcifying aponeurotic Fibroma (CAF) is a benign neoplasm that most commonly onsets in the distal extremities during the childhood. It usually presents as a slow growing non-painful mass. The purpose of this study is to carry out a systematic literature review aimed to delineate the main clinical characteristics of this nosologically entity to define the therapeutic approach and outcome.  Material and methods: A systematic literature review was conducted from March to June 2022 using five major databases: PubMed, Scopus, Embase, MEDLINE, and the Cochrane Library. Studies published in English between 1953 and 2022 reporting clinical...

Srovnání výsledků klinického vyšetření, vyšetření magnetickou rezonancí a peroperačních artroskopických nálezů ramenního kloubu: retrospektivní studie

ROMAN MADEJA, PETER SKLIENKA, JANA POMETLOVÁ, KAREL FRYDRÝŠEK, DOMINIKA MADEJOVÁ, PAVEL DOUŠA

Acta Chir Orthop Traumatol Cech. 2025; 92(5):265-270 | DOI: 10.55095/achot2025/014  

Purpose of the study: Diagnosing shoulder pathologies is rather challenging. The reason is not only the anatomical structure and biomechanics of the joint, but also the concomitant conditions, specifically of cervical spine, which can significantly contribute to the pathophysiology. The aim of this study was to evaluate the diagnostic accuracy of clinical examination and magnetic resonance imaging in relation to the actual intraoperative finding in patients with selected shoulder pathologies. Material and methods: The data of patients in whom shoulder arthroscopy was performed at the Department of Trauma Surgery, University Hospital Ostrava in the...

On-table rekonstrukce zlomenin hlavičky radiaOn-Table Reconstruction of Radial Head Fractures

RADIM HERŮFEK, TOMÁŠ PAVLACKÝ, MARTIN KELBL, JAN TRÁVNÍK

Acta Chir Orthop Traumatol Cech. 2025; 92(5):272-281 | DOI: 10.55095/achot2025/035  

Purpose of the study: Fractures of the proximal radius constitute a significant proportion of elbow joint injuries, representing approximately one-third of all such fractures and 75% of proximal forearm fractures. In adults, they account roughly for 4% of all fractures. Treatment of these fractures varies depending on their severity. No uniform guidelines have been published to date for the treatment of severely comminuted fractures.  Material and methods: The study included 16 patients who underwent on-table reconstruction, with a mean age of 49 years. Half of the cases involved Mason type III fractures, while the other half involved Mason type...

Roční zkušenosti s robotickým asistentem pro TEP kolena - ROSA systémOne Year of Experience with Robotic Total Knee Arthroplasty - ROSA System

PATRIK MUSIL, ROMAN LEHOVEC

Acta Chir Orthop Traumatol Cech. 2025; 92(5):282-287 | DOI: 10.55095/achot2025/024  

Purpose of the study: The study aimed to evaluate the initial experience with robot-assisted total knee arthroplasty (TKA) using the ROSA system. It focuses on surgical techniques, alignment options, and the pros and cons of the system. It also provides an analysis of the pre- and post-operative range of motion measured by the robotic system. Material and methods: In the period from 5 December 2023 to 8 August 2024, a total of 197 total knee arthroplasties were performed at the Dr. Pírek Clinic using the ROSA system and Persona implants with a medial congruent tibial insert. Complete data were available for 124 patients (63 men, 61 women) with a mean...

Septická artritida pravého loketního kloubu u kojence - původce Salmonella enterica poddruh IV. (houtenae)

PAVEL SADOVSKÝ ml., GABRIELA HELEŠICOVÁ

Acta Chir Orthop Traumatol Cech. 2025; 92(5):288-291 | DOI: 10.55095/achot2025/032  

Case report of an eight-month-old infant with infection of the right elbow joint caused by a rare subspecies of Salmonella enterica IV. houtenae, typical of cold-blooded vertebrates.

Reimplantace periprotetické zlomeniny femuru komplikovaná infekcí multirezistentní Escherichia coli:kazuistika a minireview

JAROSLAV KRAUS, VLASTA KRAUSOVÁ, HYNEK BARTOŠ, TOMÁŠ NOVOTNÝ

Acta Chir Orthop Traumatol Cech. 2025; 92(5):293-297 | DOI: 10.55095/achot2025/026  

Periprosthetic infections caused by multi-resistant bacteria are one of the most fearsome complications in current orthopedics. Despite using aseptic modern practices, the number of infectious complications caused by multidrug-resistant strains is rising worldwide. We present a case of a woman with a non-healing wound after hip arthroplasty revision surgery performed in Egypt for periprosthetic femoral fracture. Upon admission, 11 days after surgery, she presented with a purulent secretion from surgical wound and signs of sepsis. Carbapenem-resistant E. coli was proven from a wound swab. Two-stage revision with a 6-week-long interval of targeted parenteral...

Korekce intraartikulární malpozice distálního radia pomocí artroskopicky asistované otevřené osteotomie:kazuistika

VOJTĚCH KUNC, ROMAN MIŠIČKO, DAVID VEIGL

Acta Chir Orthop Traumatol Cech. 2025; 92(5):298-302 | DOI: 10.55095/achot2025/015  

Distal radius malunions, particularly those involving both intra-articular and extra-articular components, present significant surgical challenges. While extra-articular osteotomies are well-established, intra-articular corrections - especially at the sigmoid notch - are rarely described and difficult to execute. This case report introduces a novel technique combining arthroscopic and open approaches for the correction of a complex distal radius malunion. A patient with persistent pain and functional impairment following conservative treatment of a distal radius fracture was diagnosed with a complex malunion, featuring dorsal angulation, an intra-articular...