Acta Chir Orthop Traumatol Cech. 2026; 93(2)

Původní práce

The Effect of Bone Minerals Density on Mortality of Elderly Patients Applying with a Proximal Fracture of the FemurPůvodní práce

ŞEYHMUS YIĞIT, EMIN OZKUL, NESIM ÇEVIK, AYHAN KAYDU, AYSEGÜL YIGIT

Acta Chir Orthop Traumatol Cech. 2026; 93(2):67-71  

Purpose of the studyThis study aimed to evaluate the risk of mortality in elderly hip fracture patients within one year after surgery, and to compare it with DXA values and to evaluate the predictive value of DXA values.Material and methodsThis is a prospective study including data from 160 elderly hip fracture patients treated in our hospital. The patient data included the following; DXA values of spine, neck, intertrochanteric, total and ward‘s T-scores, age, blood values (preoperative CRP (mg/dl), CRP/Albumin ratio, albumin (g/dl), sex, creatine value (mg/dL), American Society of Anesthesiologists (ASA)...

Analysis of the Efficacy of Arthroscopic Suture Anchor “X” Fixation for Lateral Femoral Condyle Osteochondral FracturesPůvodní práce

ChengShang Yan, ShiJuan Li, Min Cai, ChuanKai Zhang, GuangWang Liu, Song Zhou, ZeWen Zheng

Acta Chir Orthop Traumatol Cech. 2026; 93(2):72-85  

Purpose of the studyTo evaluate and compare the clinical efficacy of arthroscopic suture anchor “X” fixation and hollow compression screw fixation in treating lateral femoral condyle osteochondral fractures.Material and methodsThis retrospective study analyzed 31 patients diagnosed with lateral femoral condyle osteochondral fractures, treated at our hospital between June 2015 and July 2024. Patients were divided into two groups based on the surgical approach: Group A received arthroscopic suture anchor “X” fixation, while Group B underwent arthroscopic hollow compression screw fixation combined...

Dual Plating Through a Single Anterior Approach for Distal Femoral FracturesPůvodní práce

NADIR ÖZKAYIN, CAN YENER, OMAR ALJASIM

Acta Chir Orthop Traumatol Cech. 2026; 93(2):86-93  

Purpose of the studyComminuted distal femoral fractures and very low periprosthetic fractures present significant treatment challenges, which are commonly associated with nonunion and varus collapse. Dual plating has emerged as an effective solution to address these issues. The aim of this study was to evaluate the clinical outcomes of osteosynthesis with double plates through a single anterior incision.Material and MethodsForty-nine patients (38 females, 11 males, mean age 65.7 ± 16.2 years, range 23–90 years) were included. The study comprised 18 acute distal femoral fractures (AO/OTA 33-C2/C3), 15...

Comparison of Clinical and Radiological Outcomes of Four Different Proximal Femoral Nailing Systems in the Treatment  of Intertrochanteric FracturesPůvodní práce

BEKIR KARAGOZ, OZAN KECELI, HÜNKAR CAGDAS BAYRAK

Acta Chir Orthop Traumatol Cech. 2026; 93(2):94-102  

Purpose of the studyThis study aimed to compare the clinical and radiological outcomes of four different proximal femoral nailing systems—Proximal Femoral Nail Antirotation (PFNA), Dynamic Locked Trochanteric (DLT) nail, Intertan, and Talon Distalfix—used in the surgical treatment of intertrochanteric femoral fractures. The goal was to evaluate the differences between systems both statistically and in terms of clinical relevance.Material and methodsA retrospective analysis was conducted on 309 patients who underwent PFN procedures between January 2015 and December 2019. Patients were categorized into...

Poller K-Wires versus Screws in Distal Tibial Nailing: Non-Inferior Union with Superior Efficiency and Better AlignmentPůvodní práce

AHMET MUÇTEBA YILDIRIM, SERKAN BAYRAM, MUHAMMED İBRAHIM KARAÇAM, HALIL İBRAHIM BALCI, FUAT AKPINAR

Acta Chir Orthop Traumatol Cech. 2026; 93(2):103-110  

Purpose of the studyTo compare the short-term outcomes and complications of the poller screw (PS) and the poller K-wire (PW) in distal tibia nailing.Material and methodsIn the present study, a retrospective analysis was performed on prospectively collected data, 43 cases were included in the study. 16 patients were included in the PS group and 27 patients in the PW group. Demographic data, fracture union times, RUST scores, alignment in the coronal and sagittal planes, associated fibula fractures and fixation, malunion, and complications were compared. A subgroup analysis was performed according to fibula fixation...

Impact of Treadmill Running Intensity on Lubricin Levels in Rat Achilles TendonsPůvodní práce

SHU-FEN LI, CHENG-XIAN SONG, SHENG-YAO LIU, WEI LIU, SHAO-YONG XU

Acta Chir Orthop Traumatol Cech. 2026; 93(2):111-118  

Purpose of the studyThe Achilles tendon is crucial for transferring force from the calf muscles to the heel bone. Lubricin, a key glycoprotein, ensures smooth tendon gliding. This study investigated the effects of different treadmill running intensities on lubricin levels in rat Achilles tendons and explored the associated molecular mechanisms.Material and methodsEighteen rats were divided into three groups: Strenuous Treadmill Running (STR), Moderate Treadmill Running (MTR), and a sedentary Control group (CON). The running protocols were conducted over eight weeks. Post-intervention, tendon samples were analyzed...

Kazuistika

Oboustranná amputace dolních končetin u novorozence se syndromem Twin anemia polycytemia sequenceKazuistika

Pavel Sadovský ml., Lucie Papežová

Acta Chir Orthop Traumatol Cech. 2026; 93(2):119-122  

We present a case report of a newborn with bilateral lower limb ischemic gangrene caused by spontaneous Twin anemia polycythemia sequence (TAPS). Due to the extent of tissue damage, bilateral lower limb amputation was performed on the fourth day after birth—left knee disarticulation and right transfemoral amputation. The postoperative course was uneventful, and the wounds healed by primary intention. This case represents an exceptionally rare complication of TAPS, in which timely prenatal diagnosis could have enabled early intrauterine intervention.