ACHOT - Latest articles
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There Is No Clinical and Radiological Difference between Suspensory and Cortical Button Fixation at the Treatment of Medial Meniscus Posterior Root Tear
GÜNEŞ SARIKAYA, AHMET EMRE PAKSOY, ÖMER KARAŞAHİN, MEHMET KÖSE, MATTHİE P OLLİVİER, BARIŞ KOCAOĞLU
Acta Chir Orthop Traumatol Cech. 2026; 93(1):53-58 | DOI: 10.55095/achot2026/001 
Purpose of the study: The purpose of this prospective study was to compare the two surgical techniques; (Transosseous Fixation with the Suspensory Fixation System technique and Pull Out Suture Repair) for clinical and radiologic scores and to investigate the effects on meniscal extrusion in Medial Meniscus Posterior Root Tear (MMPRT). Material and Methods:This was a prospective single-center study. Patients undergoing MMPRT were divided into two groups. Group 1 patients were repaired with Transosseous Fixation with The Suspensory Fixation System technique while Group 2 patients were repaired with Pull Out Suture Repair...
Comparison of Usability of Sagittal Plane Parameters with Baumann Angle in Radiological Imaging of Supracondylar Humerus Fractures
Nuri Koray Ülgen, Batuhan Gencer, Özgür Doğan
Acta Chir Orthop Traumatol Cech. 2026; 93(1):47-52 | DOI: 10.55095/achot2025/030
Purpose of the study:Radiological studies in supracondylar humerus fractures (SCHF) often focus on coronal plane imaging. In our study, we focused on the measurements used in elbow sagittal plane imaging. We investigated the role of humeral shaft condylar angle (SCA) and lateral capitellohumeral angle (LCHA) in determining the reduction quality by comparing them with Baumann angle (BA). İnvestigated its effectiveness in assessing the reduction of the teardrop figure and in the follow-up period. Material and methods:Eighty-eight patients with SCHF were included in the study. BA, SCA and LCHA measurements were taken...
Usability of Ultrasonography in the Diagnosis of Pediatric Fractures
JAKUB KRUTSKÝ, ŠIMON KUBOV, MARTIN ČEPELÍK, PETR HAVRÁNEK, TOMÁŠ PEŠL
Acta Chir Orthop Traumatol Cech. 2026; 93(1):40-46 | DOI: 10.55095/achot2026/002
Purpose of the study:The study aims to evaluate the usability of ultrasonography in the diagnosis of pediatric fractures. Material and methods:Ultrasound examination of patients with fractures diagnosed using radiography at the Clinic of Pediatric and Trauma Surgery, Third Faculty of Medicine, Charles University and UTH between 27 May 2024 and 31 December 2024. We identified a total of 11 areas to be examined - clavicle, proximal humerus, elbow, forearm, metacarpal bones, fingers of the upper limb, sternum, femur, tibia, ankle, and metatarsal bones. The examination was performed independently by a surgeon and a radiologist,...
Morphometric Analysis of Lumbar Vertebral Pedicles According to Age and Gender
ZEHRA SEZNUR KASAR, GÖKSEL TUZCU
Acta Chir Orthop Traumatol Cech. 2026; 93(1):29-39 | DOI: 10.55095/achot2025/037
Purpose of the study:A thorough understanding of pedicle morphometrics is crucial for selecting suitable pedicle screws and their optimal trajectory in spinal stabilization. This study aims to provide a detailed morphometric analysis of lumbar pedicles in a Turkish population from the Aegean region, considering gender and age based on CT scans. Material and methods:This retrospective study analyzed CT scans of 500 lumbar vertebrae from 100 healthy individuals (50 females, 50 males) residing in the Aegean region of Turkey. Results:Our study found that pedicule axial length (PAL), pedicle width (PW),...
Comparison of MRI of Paraspinal Muscles in Patients after Open and Minimally Invasive Percutaneous Stabilisation of Thoracic and Lumbar Spine Fractures
Tomáš Matějka, Jiří Matějka, Jaroslav Zeman, Jaroslav Belatka, Martin Salášek
Acta Chir Orthop Traumatol Cech. 2026; 93(1):22-28 | DOI: 10.55095/achot2025/033
Purpose of the study:Magnetic resonance imaging (MRI) was used to evaluate paraspinal muscle damage after classic open surgery (OPEN) and minimally invasive spine surgery (MISS) after injury. In a randomised prospective study, we evaluated our hypothesis that MISS would result in a lower extent of atrophy and fibrosis as detected by MRI. Material and Methods:MRI was performed after the injury and not earlier than 3 months after the removal of implants. 16 OPEN and 16 MISS patients underwent the final follow-up. Both atrophy and muscle fibrosis were assessed based on the progression of the condition after the surgery...
Ultrasound-Guided Injection of the Thoracolumbar Fascia in the Treatment of Low Back Pain: Methodological Approach and Anatomical Study
TOMÁŠ NOVOTNÝ, ONDŘEJ NAŇKA, DANIEL NALOS, KAMAL MEZIAN
Acta Chir Orthop Traumatol Cech. 2026; 93(1):15-21 | DOI: 10.55095/achot2025/036
Purpose of the study: To develop an anatomically verified protocol for ultrasound-guided analgesic interventions targeting the thoracolumbar fascia region for the treatment of both acute and chronic back pain. Material and Methods:One cadaver was embalmed using the Fix-4-Life method, which preserves tissue properties suitable for subsequent ultrasound visualization. Under ultrasound guidance, a needle was inserted to the thoracolumbar fascia at the level of the transverse process of the fourth lumbar vertebra. Upon contact with the transverse process, 5 ml of diluted red latex dye was injected. The distribution of the...
Dry Needle Arthroscopy of the Elbow with a 1.9 mm Chip-on-Tip System: a Cadaveric Study
DANIEL REISER, LARS ADOLFSSON, Ásgerdur Thórdardóttir, MARCUS SAGERFORS
Acta Chir Orthop Traumatol Cech. 2026; 93(1):9-14 | DOI: 10.55095/achot2025/042
Summary:Arthroscopy has evolved significantly with advancements in instrumentation and surgical techniques. The introduction of needle arthroscopy represents a promising minimally invasive alternative and, has for the wrist proven to offer a reduced soft tissue trauma with still maintained diagnostic and therapeutic efficacy. The purpose of this study was to evaluate the safety and visualization capabilities of needle arthroscopy of the elbow using cadaveric specimens. Six fresh-frozen cadaveric elbows (three right, three left) were examined using a needle arthroscope, followed by dissection to assess portal safety and proximity to neurovascular...
Ultrasound-Guided Interventions for the Ankle and FootCurrent concepts review
TOMÁŠ NOVOTNÝ, KAMAL MEZIAN, ONDŘEJ NAŇKA
Acta Chir Orthop Traumatol Cech. 2025; 92(Suppl):39-44 | DOI: 10.55095/achot2025/022
Ultrasound-guided interventions for the ankle and foot offer precise treatment for musculoskeletal conditions. This article reviews injections of the talocrural joint, first metatarsophalangeal joint, Achilles tendon (via stripping and retrocalcaneal bursa injections), plantar aponeurosis, and tibialis posterior tendon, detailing probe selection, patient positioning, and procedural techniques. Precise needle guidance is emphasized to prevent complications like nerve injury and tendon rupture. Text is supplemented with anatomical notes.
Ultrasound-Guided Interventions for the KneeCurrent concepts review
TOMÁŠ NOVOTNÝ, KAMAL MEZIAN, ONDŘEJ NAŇKA
Acta Chir Orthop Traumatol Cech. 2025; 92(Suppl):34-38 | DOI: 10.55095/achot2025/021
Ultrasound imaging of the knee is a highly valuable modality that enhances diagnostic accuracy and optimizes the precision of injection therapy. This article reviews the application of ultrasound in various knee interventions, including intra-articular injections, treatments for prepatellar bursitis and patellar ligament tendinopathy, pes anserinus, iliotibial band procedures, and guidance for popliteal fossa pathologies. Detailed guidance is provided on probe selection, patient positioning, and procedural techniques for specific anatomical targets. Key considerations include optimizing needle placement using in-plane and out-of-plane techniques, ensuring...
Ultrasound-Guided Interventions for the HipCurrent concepts review
TOMÁŠ NOVOTNÝ, KAMAL MEZIAN, ONDŘEJ NAŇKA
Acta Chir Orthop Traumatol Cech. 2025; 92(Suppl):27-33 | DOI: 10.55095/achot2025/020
Ultrasound imaging of the hip is a highly valuable modality that enhances diagnostic precision and facilitates injection therapy with remarkable accuracy. This article reviews the use of ultrasound in various hip interventions, including intra-articular injections, iliopsoas and trochanteric bursa treatments, lateral femoral cutaneous nerve blocks, and interventions for adductor and hamstring tendinopathies. Comprehensive guidance is offered on probe selection, patient positioning, and step-by-step procedural protocols tailored for specific conditions and anatomical targets. Key aspects include optimizing needle placement using in-plane and out-of-plane...
Ultrasound-Guided Interventions for the Wrist and HandCurrent concepts review
KAMAL MEZIAN, TOMÁŠ NOVOTNÝ, ONDŘEJ NAŇKA
Acta Chir Orthop Traumatol Cech. 2025; 92(Suppl):21-26 | DOI: 10.55095/achot2025/019
Ultrasound-guided interventions for the wrist and hand provide valuable therapeutic options for managing various conditions. This article reviews common procedures including injections into the radiocarpal joint, first metacarpophalangeal joint, ganglions, and tendon sheaths, as well as the interventional management of De Quervain's tenosynovitis, trigger finger, and carpal tunnel syndrome. Detailed instructions are provided on probe selection, patient positioning, and procedural techniques tailored to each anatomical target. The importance of careful needle placement, and appropriate risk management is emphasized. Risks such as nerve injury, tendon...
Ultrasound-Guided Interventions for the ElbowCurrent concepts review
TOMÁŠ NOVOTNÝ, KAMAL MEZIAN, ONDŘEJ NAŇKA
Acta Chir Orthop Traumatol Cech. 2025; 92(Suppl):14-20 | DOI: 10.55095/achot2025/018
Ultrasound imaging of the elbow is an invaluable tool that enhances diagnostic precision and facilitates therapeutic procedures with high accuracy. Compared to palpation-guided techniques, ultrasound-guided interventions significantly improve precision. This article reviews ultrasound-guided techniques for elbow joint interventions, including intra-articular injections, tennis elbow, golfer's elbow, triceps and distal biceps tendinopathy, and ulnar nerve neuropathy. Practical guidance is provided on probe selection, patient positioning, and step-by-step procedural details. Special emphasis is placed on optimizing needle placement and minimizing risks...
Ultrasound-Guided Interventions for the ShoulderCurrent concepts review
KAMAL MEZIAN, TOMÁŠ NOVOTNÝ, ONDŘEJ NAŇKA
Acta Chir Orthop Traumatol Cech. 2025; 92(Suppl):9-13 | DOI: 10.55095/achot2025/017
Ultrasound imaging of the shoulder is a highly valuable modality that enhances diagnostic accuracy and facilitates precise injection therapy for a variety of shoulder conditions. This article provides a review of ultrasound-guided interventions, including intra-articular injections of the glenohumeral joint, subacromial-subdeltoid bursa, injections into the biceps tendon recess, and acromioclavicular joint. Comprehensive guidance is presented on probe selection, patient positioning, and step-by-step procedural protocols tailored to specific anatomical targets. Emphasis is placed on optimizing needle placement using in-plane and out-of-plane techniques,...
Introduction to Ultrasound-Guided Musculoskeletal InterventionsCurrent concepts review
KAMAL MEZIAN, TOMÁŠ NOVOTNÝ, ONDŘEJ NAŇKA
Acta Chir Orthop Traumatol Cech. 2025; 92(Suppl):5-8 | DOI: 10.55095/achot2025/016
The text is an introduction to six articles on ultrasound-guided musculoskeletal interventions for the major extremity joints. Each article provides a detailed overview of injections for the shoulder, elbow, wrist and hand, hip, knee, ankle, and foot. The text of this manuscript emphasizes general advantages, techniques, and practical considerations of ultrasound guided injections. It highlights the benefits of ultrasound guidance over traditional palpation-based methods, emphasizing improved accuracy, safety, and therapeutic efficacy. Various ultrasound-guided techniques, including in-plane and out-of-plane needle approaches and indirect marking methods,...
Simultaneous Ruptures of All Four Extensor Mechanism Tendons in Both Knees: a Rare and Challenging Case in a Chronic Kidney Disease Patient
ALI CAN KOLUMAN, SULEYMAN EMRE SALMANOGLU, CEMAL KURAL
Acta Chir Orthop Traumatol Cech. 2025; 92(6):362-366 | DOI: 10.55095/achot2025/040
We report a rare and remarkable case of simultaneous bilateral injuries to all four extensor mechanism tendons in a 39-year-old male with a history of diabetes and chronic kidney disease. Physical examination revealed pronounced swelling, palpable gaps above and below both patellae, and complete loss of active knee extension. Imaging confirmed complete ruptures of the right quadriceps and left patellar tendons, alongside partial ruptures of the left quadriceps and right patellar tendons. Surgical repair was performed using suture anchors to ensure secure tendon reattachment. Postoperatively, both knees were immobilized with hinged braces for six weeks,...
Surgical Treatment of a Posterior Malleolus Fracture: Literature Review
PETR KAŠÁK, LUKÁŠ ČAPEK, TOMÁŠ BERAN
Acta Chir Orthop Traumatol Cech. 2025; 92(6):350-361 | DOI: 10.55095/achot2025/028
Fractures of the posterior margin of the distal end of the tibia, also referred to as posterior malleolus fractures, represent an important but often underestimated component of ankle injuries. They are rarely isolated but rather occur as part of more complex fractures classified as Weber type B and C, or they accompany high-energy pilon tibial fractures and spiral fractures of the tibial shaft. In recent decades, there has been a significant shift in the understanding of biomechanical importance of the posterior malleolus, which plays a key role in maintaining the stability of the distal tibiofibular syndesmosis and preserving the congruency of the...
Posterior Wall Reconstruction Using Iliac Strut Graft in Posterior Acetabular Wall Fracture
SINA HAGHIGHAT, MAZIAR MALEKZADE, ALI MOUSAPOUR, YAHYA SALIMI, VAHID FEIZOLAHI, GHOBAD RAMEZANI
Acta Chir Orthop Traumatol Cech. 2025; 92(6):343-349 | DOI: 10.55095/achot2025/012
Purpose of the study Reconstruction of acetabular posterior wall fractures is challenging. This study evaluates the use of iliac crest graft to reconstruct the posterior wall of the acetabulum. Material and methods The study population included all patients with high-grade acetabular posterior wall fractures who were treated with acetabular posterior wall reconstruction using iliac strut graft. In this study, patients with high-grade acetabular posterior wall fracture (based on Letournel and Judet’s classification of acetabular fracture equivalent to grade 2 or 3 and based on AO type A1 classification) were treated with acetabular posterior...
Seeking a New Radiological Measure to Predict Rotator Cuff Tears: Investigating the Coracoclavicular Distance in an MRI-Based Study
Hakan Eskara, Batuhan Gencer, Abdulkadir Durdi, Tayfun Aman, Tuhan Kurtulmus
Acta Chir Orthop Traumatol Cech. 2025; 92(6):336-342 | DOI: 10.55095/achot2025/002
Purpose of the Study Rotator cuff tears are a common disease and various radiological measurement methods are still being investigated to make the diagnosis. The aim of this study was to investigate whether the coracoclavicular distance is associated with rotator cuff tears. Material and Methods Shoulder magnetic resonance imaging (MRI) examinations of 101 patients who underwent shoulder arthroscopy due to rotator cuff tears and 158 patients with normal MRI findings were evaluated retrospectively. Coracohumeral distance, acromiohumeral distance and supraspinatus volume were measured. Results When the acromiohumeral distance, coracoclavicular distance...
Minimally Invasive Osteosynthesis with Intramedullary Nail: Evaluation of Outcomes
MARTIN POMPACH, MARTIN CARDA, P. BOŠTÍK, DAVID PRCHAL, PAVEL DRÁČ, MAREK PEML
Acta Chir Orthop Traumatol Cech. 2025; 92(6):326-335 | DOI: 10.55095/achot2025/038
Purpose of the study Fractures of the calcaneus are always very serious injuries that, due to their nature or when inadequately treated, can have permanent consequences. Minimally invasive methods, such as the C-nail, help reduce both intraoperative and postoperative risks. The aim of the study is a retrospective evaluation of a group of 260 patients with 280 calcaneus fractures treated surgically with the C-nail in the period from 2011 to 2023. The hypotheses of a lower incidence of postoperative infection, a lower risk of sural nerve injury, and a higher AOFAS functional score need to be confirmed or disproved. Thanks to the higher biomechanical...
Our Experience with Trabecular Metal Total Ankle System
STANISLAV POPELKA Sr., JIŘÍ BEK, STANISLAV POPELKA Jr., NIKOLA VEREŠOVÁ, RASTISLAV HROMÁDKA
Acta Chir Orthop Traumatol Cech. 2025; 92(6):320-325 | DOI: 10.55095/achot2025/045
Purpose of the study: One of the surgical treatment options for advanced ankle joint destruction with various etiologies is the total joint replacement. Its significant upside is the preservation of range of motion of the ankle joint and less stress on forefoot joints compared to ankle arthrodesis. Since 2022, we have been using the Zimmer Trabecular Metal Total Ankle inserted via a lateral transfibular approach. This study aims to evaluate the initial outcomes and experience with this implant. Patients and methods: Between 2022 and 2024, 65 total ankle replacements were performed in 63 patients using the lateral transfibular approach. Long oblique...
Comparative Analysis of First Metatarsophalangeal Arthrodesis: Implant Survival, Failure Modes, and Functional Outcomes across Three Fixation Techniques
JAKUB JINDRA, VASILEIOS APOSTOLOPOULOS, JAKUB RAPI, MARIÁN KUBÍČEK, LUBOŠ NACHTNEBL, TOMÁŠ TOMÁŠ
Acta Chir Orthop Traumatol Cech. 2025; 92(6):311-319 | DOI: 10.55095/achot2025/027
Purpose of the study: First metatarsophalangeal (I. MTP) arthrodesis is a well-established surgical procedure for treating hallux rigidus. Despite its widespread use, the optimal fixation method remains debated. This study compares implant survival, failure modes, and functional outcomes across three fixation techniques: two crossed screws, dorsal plate fixation, and dorsal plate fixation with a lag screw. Material and methods: A retrospective analysis was conducted on 83 patients (89 fusions) who underwent I. MTP arthrodesis between January 2014 and October 2023. Patients were categorized into three groups based on the fixation method: Group...
Distal Radius Intra-Articular Malunion Corrected with Arthroscopy Assisted Open Osteotomy: a Case Report
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...
Revision Arthroplasty for Periprosthetic Femoral Fracture Complicated by Multidrug-Resistant Escherichia coli: Case Report and 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...
Septic Arthritis of the Right Elbow Joint in an Infant – Caused by Salmonella enterica Subspecies 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.
One 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...
On-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...
Comparison of the Clinical Examination, Magnetic Resonance Imaging and Intraoperative
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...
Calcifying Aponeurotic Fibroma, a Rare Benign Entity to Consider: a Systematic Review of Literature
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...
Efficacy of Intra-Articular Platelet-Rich Plasma in Knee Osteoarthritis: a Systematic Review and Meta-Analysis
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...
Thoracomelia in Poland AnomalyCase report
MARCUS SAGERFORS, ÁSGERDUR THÓRDARDÓTTIR, CATHRINE WIDEHAMMAR
Acta Chir Orthop Traumatol Cech. 2025; 92(4):237-240 | DOI: 10.55095/achot2025/006
Poland Anomaly (PA) represents pectoral muscle hypoplasia in combination with various forms of hand anomalies. We report a case of PA with pectoral hypoplasia, an upper limb deficiency and an accessory extremity/digit on the ipsilateral thoracic wall (thoracomelia). To our knowledge, this is the first reported case of thoracomelia in PA.