Acta Chir Orthop Traumatol Cech. 2025; 92(6)
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...
Our Experience with Trabecular Metal Total Ankle System
STANISLAV POPELKA, JIŘÍ BEK, STANISLAV POPELKA, ML., 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...
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...
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...
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...
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...
Simultaneous Ruptures of All Four Extensor Mechanism Tendons in Both Knees: a Rare and Challenging Case in a Chronic Kidney Disease PatientSoučasné ruptury všech čtyř šlach extenzorového aparátu u obou kolen: vzácný a náročný případ u pacientas chronickým onemocněním ledvina 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,...