ACHOT - Latest articles
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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.
Chronic Instability following Isolated Subtalar Dislocations: a Case Series and Proposal for Routine MRIOriginal papers
MEHMET SÜLEYMAN ABUL, ÖMER FARUK SEVIM, HALİT MERT GÜNEŞ, ÖMER HEKIM, ENGIN ECEVIZ
Acta Chir Orthop Traumatol Cech. 2025; 92(4):231-236 | DOI: 10.55095/achot2025/010
Purpose of the study: Subtalar dislocations are rare orthopedic emergencies characterized by simultaneous dislocation of the talocalcaneal and talonavicular joints without an associated talar neck fracture. While these injuries are commonly managed with closed reduction and immobilization, they are often associated with chronic instability and other long-term complications due to underdiagnosed soft tissue injuries. This study aims to evaluate the role of magnetic resonance imaging (MRI) in the management of isolated medial subtalar dislocations and propose a routine MRI protocol to predict and address chronic instability. Material...
Inclusion of AMIS surgical approach in the Methods Used for Total Hip Arthroplasty: Learning Curve, Risks, Surgical TechniqueOriginal papers
PETR PALÁSEK, MILAN PASTUCHA
Acta Chir Orthop Traumatol Cech. 2025; 92(4):226-230 | DOI: 10.55095/achot2025/025
Purpose of the study: The study aims to point out the risks and matters associated with the inclusion of a new anterior approach in total hip replacement methods and to determine when and whether the values of investigated parameters would come close to those of the established surgical technique. Another aim was to compare the blood loss in AMIS and DLA approaches. Material and methods: The study covers 62 total hip arthroplasties in a breakdown by surgical approach. It investigated the progress of the entire surgical team - surgeon's learning curve, time curve of preparation for surgery, placement of the acetabular component,...
There Is a Difference in Patients' Opinions and Scientific Evidence Regarding Robot Assisted Total Joint Arthroplasty: a QuestionnaireOriginal papers
KADIR UZEL, NESRULLAH AZBOY, KEREM EDIP BAŞARIR, ALP EREN KILIÇKAP, SÜHA BERKHAN BAYIN, İBRAHIM AZBOY
Acta Chir Orthop Traumatol Cech. 2025; 92(4):218-225 | DOI: 10.55095/achot2024/063
Purpose of the study: This study aimed to evaluate patients' knowledge and opinions about robotic total hip arthroplasty (THA) and total knee arthroplasty (TKA). Material and methods: In order to assess patients' knowledge and opinions about robotic THA and TKA surgery, a descriptive questionnaire consisting of a total of 17 questions assessing patients' demographic information (age, gender, education level, occupation, income level, marital status) and their knowledge and opinions about robotic surgery was designed and applied to 200 participants by face-to-face interviews. Results: The mean age of participants...
Surgical Treatment of Wrist and Hand Deformity in Children with Cerebral PalsyCurrent concepts review
RAVI PATEL, MUHAMMAD MURTAZA KHAN, GURUKIRAN GURUKIRAN, MARIA BELEN CARSI, ROHIT AMOL SINGH
Acta Chir Orthop Traumatol Cech. 2025; 92(4):210-217 | DOI: 10.55095/achot2025/011
Cerebral palsy (CP) is a complex disorder resulting from injury to developing brain. It involves multimodal and multidisciplinary approach that involves various disciplines of medical science. The entire focus of this approach is to provide patients with this disorder the best quality of life. Although CP can affect both upper and lower limbs, the functional expectation of upper limb is much higher and complex. This implies particularly to hand and wrist based on complex functional movements expected of them. This puts orthopaedic surgeons in a unique position in managing these patients. It is worth mentioning here that it is not about offering them...
Septic Arthritis of the Wrist Joint: Cohort of Patients Treated between 2003 and 2023, Guidelines for the Diagnosis and TreatmentOriginal papers
LUCIE PAPEŽOVÁ, ZDENĚK VODIČKA, DAVID MUSIL, JAN KLOUDA
Acta Chir Orthop Traumatol Cech. 2025; 92(4):203-209 | DOI: 10.55095/achot2024/069
Purpose of the study: The study aimed to evaluate the timeliness and effectiveness of treatment of all patients who underwent surgery for septic arthritis of the wrist at our department between 2003 and 2023. Material and methods: The retrospective study included 38 patients (26 men and 12 women). The mean age of the patients was 68 years. All patients underwent surgery for culture-positive arthritis of the native wrist. Patients with periprosthetic and extraarticular infections were excluded from the study. Once the diagnosis was established based on the clinical examination and laboratory analysis of blood and synovial fluid, antibiotic treatment...
Septic Arthritis of the Glenohumeral Joint: Treatment Options and Outcomes Achieved in Our Study PopulationOriginal papers
JAN MAŘÍK, JAN KLOUDA, DAVID MUSIL, PAVEL SADOVSKÝ
Acta Chir Orthop Traumatol Cech. 2025; 92(4):195-202 | DOI: 10.55095/achot2025/007
Purpose of the study: The study aimed to evaluate the patients treated for septic arthritis of the glenohumeral joint at our department in the period between 2018 and the end of 2023. Material and methods: Between the beginning of 2018 and the end of 2023, a total of 37 patients were treated at our department for septic arthritis of the native glenohumeral joint. The study population consisted of 15 women and 22 men, with the mean age of 66.4 years. The youngest patient was 20 years old, and the oldest patient was 94 years of age. Patients with prosthetic joint infection were excluded from the study. The study included all...
The Role of Sonication in Improving the Detection of Periprosthetic Joint Infections: a Prospective AnalysisOriginal papers
JAKUB RAPI, VASILEIOS APOSTOLOPOULOS, FILIP RŮŽIČKA, MARTINA VANĚRKOVÁ, PAVEL BRANČÍK, TOMÁŠ TOMÁŠ
Acta Chir Orthop Traumatol Cech. 2025; 92(4):187-194 | DOI: 10.55095/achot2024/061
Purpose of the study: The diagnosis of periprosthetic joint infection (PJI) can be particularly challenging in cases of low-grade chronic infection. The suspicion of infection is typically confirmed through cultures of synovial fluid and periprosthetic tissue. However, these methods may not always detect low-grade infections, which can lead to persistent infection and early failure of the prosthesis. The purpose of this study was to evaluate the effectiveness of sonication in enhancing the detection of PJI using polymerase chain reaction (PCR) analysis. Material and methods: A prospective cohort of 26 patients, suspected of...