Acta Chir Orthop Traumatol Cech. 2024; 91(3)

Original papers

Gait Analysis in Patients with Adolescent Idiopathic ScoliosisOriginal papers

J. SKLENSKÝ, M. ©VEHLÍK, K. URBÁ©EK, P. MACKOVÁ, M. REPKO

Acta Chir Orthop Traumatol Cech. 2024; 91(3):137-142 | DOI: 10.55095/achot2024/022  

Purpose of the study:The 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 methods:In 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...

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 TumorsOriginal papers

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 study:Vascularised 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 methods:A 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...

Intraarticular TXA Administration with Appropriate Timing of Clamping and Appropriate Dose is More Effective Than IV AdministrationOriginal papers

F. EMRE, E. ULUYARDIMCI, M. TAHTA, Ç. IªIK

Acta Chir Orthop Traumatol Cech. 2024; 91(3):151-155 | DOI: 10.55095/achot2024/019  

Purpose of the study:Our 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 methods:Between 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...

Comparison of Radiographic Measurement Parameters of the Wrist in Patients with and without Scaphoid Fracture after Fall on an Outstretched HandOriginal papers

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 Study:To 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 Methods:Cross-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)....

Evaluation of the Relationship between Acromiohumeral Distance and Supraspinatus Tendon Thickness Measured by Ultrasonography and Rotator Cuff Pathologies, Pain, and FunctionOriginal papers

B. T. DEDE, Y. P. DOĞAN, M. OĞUZ, B. BULUT, H. COªKUN, E. AYTEKİN

Acta Chir Orthop Traumatol Cech. 2024; 91(3):164-169 | DOI: 10.55095/achot2024/024  

Purpose of the study:In 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 Methods:The 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...

Donor Site Morbidity after Removal of Full-Thickness Peroneus Longus Tendon Graft for Anterior Cruciate Ligament (ACL) Reconstruction: 4-Year Follow-upOriginal papers

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 study:Many 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 Methods:Fifty 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. Results:There was no significant difference between the postoperative ankle strength(eversion, plantar flexion) in the donor area and the preoperative...

Patient-Experience of Trapeziectomy for Trapeziometacarpal Osteoarthritis in Wide-Awake Local Anesthesia no Tourniquet, 2-Year Follow-upOriginal papers

D. REISER, V. BRANDT, M. SAGERFORS

Acta Chir Orthop Traumatol Cech. 2024; 91(3):175-181 | DOI: 10.55095/achot2024/017  

Purpose of the study:The 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 methods:The 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...

Prepacked Take-Home Analgesia in Outpatient Hand Surgery Reduces Opioid DispensationOriginal papers

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  

Purpose of the study: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...

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]Original papers

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