Ultrazvukem navigovaná PRP terapie tendinopatií: praktický, multimodální přehled od biologie po rehabilitaci

RUDOLF DITMAR, JIŘÍ GALLO

Acta Chir Orthop Traumatol Cech. 2026; 93(4):203-210 | DOI: 10.55095/achot2026/016  

Tendinopathies are common and hete- rogeneous, and recovery depends on both the local biological milieu and appropriately progressed mechanical loading. Platelet-rich plasma (PRP) is a biologically plausible adjunct, yet reported clinical effects are inconsistent, likely due to variation in phenotype, PRP formulation and dosing, delivery technique, and rehabilitation protocols. Ultrasound guidance improves injection accuracy and safety, but its incremental clinical value may be context dependent. This review outlines tendon-healing biology, summarizes evidence for conservative management, and appraises PRP - its putative mechanisms, sources of heterogeneity,...

Dlouhodobé funkční a radiologické výsledky mobilních totálních náhrad lumbálních disků Maverick a Prodisc

TOMÁŠ MATĚJKA, JIŘÍ MATĚJKA, JAROSLAV ZEMAN, JAROSLAV BELATKA, EVA KORČÁKOVÁ, MARTIN SALÁŠEK

Acta Chir Orthop Traumatol Cech. 2026; 93(4):211-218 | DOI: 10.55095/achot2025/041  

Purpose of the study:Lumbar Degenerative Disc Disease is a pathologic process that affects a large portion of aging population. Mobile lumbar disc replacement is a treatment option that preserves the natural movement of the functional spinal unit. The study aimed to evaluate the long-term functional and radiological outcomes of Maverick and Prodisc implants. Material and methods:Monocentric longitudinal observational study with a follow up ≥ 10 years. ODI and VAS were assessed and functional radiographs were evaluated. Analysis of revision surgery via Cox regression, analysis of quantitative data by linear regression...

Péče o pacienty po osteoporotické fraktuře v České republice:adherence k doporučeným postupům a postoj k programu Fracture Liaison Services

KVĚTA VRÁBLÍKOVÁ, VLADIMÍR PALIČKA, VALÉRIE TÓTHOVÁ, MARIAN RYBÁŘ, LUDMILA BRUNEROVÁ⁴, RICHARD PIKNER⁵, MARTINA SOCHMANOVÁ⁶

Acta Chir Orthop Traumatol Cech. 2026; 93(4):219-225 | DOI: 10.55095/achot2026/005  

Purpose of the study:Untreated osteoporosis often leads to subsequent fractures associated with high morbidity and mortality. In the Czech Republic, approximately 15,000 patients are hospitalized annually with femoral neck fractures, with up to 25% mortality within the first year after a hip fracture. Establishing a coordinated post-fracture care program, such as Fracture Liaison Services (FLS), may substantially reduce this burden. In the FLS model, the role of the coordinator is pivotal. This study aimed to assess baseline adherence to national postfracture care guidelines and to evaluate nurses’ attitudes toward the FLS program...

Open Fractures in Polytrauma and Non-Polytrauma Patients: Outcomes and Predictive Factors in a Level III Trauma Center

EDOARDO IPPONI, MARGHERITA SIVIERI, FRANCESCO PECCHIA, LUCA FABBRI, STEFANO MARCHETTI, PAOLO DOMENICO PARCHI

Acta Chir Orthop Traumatol Cech. 2026; 93(4):226-234 | DOI: 10.55095/achot2026/020  

Purpose of the study:Open fractures represent complex injuries characterized by bone exposure, soft-tissue damage, and a high risk of infection, often requiring multidisciplinary management. In polytraumatized patients, these injuries further increase clinical complexity and hospital resource utilization. The purpose of this study was to evaluate adherence to international guidelines in the management of open fractures at a third-level trauma center and to identify clinical and organizational predictors of outcomes, complications, and hospitalization burden in polytraumatized and non-polytraumatized patients. Material and methods:

Mid-Term Follow-Up Results of Surgical Reconstruction for Congenital Hallux Varus with Polysyndactyly in Children

BOYAN BOYANOV HRISTOV, SOFIA VALENTINOVA NIKOLOVA, ALEXANDAR IVANOV GERCHEV, STEFAN STEFANOV TSEROVSKI, HRISTO DIMITROV GEORGIEV

Acta Chir Orthop Traumatol Cech. 2026; 93(4):235-240 | DOI: 10.55095/achot2026/019  

Purpose of the study:Congenital hallux varus associated with preaxial polysyndactyly of the foot is a rare deformity for which standardized treatment protocols and outcome data remain limited. The purpose of this study was to evaluate the mid-term clinical and radiographic outcomes of early surgical reconstruction in a consecutive pediatric series. Material and methods:Between 2015 and 2023, eight affected feet in seven children with congenital preaxial polysyndactyly and hallux varus were surgically treated at a single tertiary pediatric orthopedic center. The diagnosis was established at birth. The mean age at surgery...

Riziko selhání dvou metod osteosyntézy subkapitální zlomeniny pátého metakarpu

KVIDO ŠTĚPÁNEK, MILAN URBAN, RADEK BARTOŠKA, PETR GUTWALD

Acta Chir Orthop Traumatol Cech. 2026; 93(4):241-246 | DOI: 10.55095/achot2026/035  

Purpose of the study:Fifth metacarpal neck fractures rank among the most common fractures of the hand skeleton. Only about 10% of these fractures are treated surgically. There are multiple surgical treatment options. This study aims to compare the outcomes of plate osteosynthesis with those of the "bouquet" technique. Material and methods:Two cohorts of patients with fractures to the neck of fifth metacarpal treated at a district hospital and at a university hospital between 2017 and 2022 were evaluated, namely due to a different approach to fracture management. The district hospital cohort included 240 patients (215...

Zpráva z mezinárodního setkání odborníků v Istanbulu 29.-31. 8. 2024 - doporučení expertních panelů ke kontroverzím v endoprotetice

DAVID MUSIL, JIŘÍ GALLO, VLADISLAV BARTÁK

Acta Chir Orthop Traumatol Cech. 2026; 93(4):247-254 | DOI: 10.55095/achot2026/032