Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca最新文献

{"title":"The Effect of Bone Minerals Density on Mortality of Elderly Patients Applying with a Proximal Fracture of the Femur.","authors":"Şeyhmus Yiğit, Emin Ozkul, Nesim Çevik, Ayhan Kaydu, Aysegül Yigit","doi":"10.55095/achot2026/004","DOIUrl":"10.55095/achot2026/004","url":null,"abstract":"<p><strong>Purpose of the study: </strong>This study aimed to evaluate the risk of mortality in elderly hip fracture patients within one year after surgery, and to compare it with DXA values and to evaluate the predictive value of DXA values.</p><p><strong>Material and methods: </strong>This is a prospective study including data from 160 elderly hip fracture patients treated in our hospital. The patient data included the following; DXA values of spine, neck, intertrochanteric, total and ward's T-scores, age, blood values (preoperative CRP (mg/dl), CRP/Albumin ratio, albumin (g/dl), sex, creatine value (mg/dL), American Society of Anesthesiologists (ASA) scores, and type of surgery.</p><p><strong>Results: </strong>The risk of mortality was 5.06 times higher in patients with neck DXA values ≤-2.2 cut-off value (DXA values of neck odds ratio (OR) = 5.06, 95%CI: 544-.723, P: 0.02). There was a statistically significant difference between the DXA values of spine, intertrochanteric, wards, creatine, and albumin values between the groups (respectively p=0.002, p=0.005, p=0.01, p=0.003, and p=0.01).</p><p><strong>Conclusions: </strong>Biomarkers to assess mortality one year postoperatively in elderly patients undergoing surgery for hip fracture are lacking. The mortality rate was found to be 5.06 times higher in patients with DXA values of neck ≤-2.2 cut-off. Severe osteoporosis is a disease with high mortality. The initiation of osteoporosis treatment should be started earlier.</p>","PeriodicalId":6980,"journal":{"name":"Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca","volume":"93 2","pages":"67-71"},"PeriodicalIF":0.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147969479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Poller K-Wires versus Screws in Distal Tibial Nailing: Non-Inferior Union with Superior Efficiency and Better Alignment.","authors":"Ahmet Muçteba Yildirim, Serkan Bayram, Muhammed Ibrahim Karaçam, Halil Ibrahim Balci, Fuat Akpinar","doi":"10.55095/achot2026/011","DOIUrl":"10.55095/achot2026/011","url":null,"abstract":"<p><strong>Purpose of the study: </strong>To compare the short-term outcomes and complications of the poller screw (PS) and the poller K-wire (PW) in distal tibia nailing.</p><p><strong>Material and methods: </strong>In the present study, a retrospective analysis was performed on prospectively collected data, 43 cases were included in the study. 16 patients were included in the PS group and 27 patients in the PW group. Demographic data, fracture union times, RUST scores, alignment in the coronal and sagittal planes, associated fibula fractures and fixation, malunion, and complications were compared. A subgroup analysis was performed according to fibula fixation and the number of distal locking screws.</p><p><strong>Results: </strong>There was no significant difference between PS and PW groups in respect to age, gender, trauma etiology, fracture-joint distance and AO classification of fractures. In the PS group, the operation time and final coronal angulation were significantly higher (operation time: 81.5 ± 15.27 minutes and 72.22 ± 11.79 minutes, respectively, p = 0.031; coronal angulation: 3.12° ± 3.2° and 1.24° ± 1.76°, respectively, p = 0.044). No statistically significant difference was found in terms of fracture healing time and RUST scores. Non-union was observed in one patient in the PS group. There was no significant difference in fracture healing times and RUST scores when subgroup analysis was performed according to fibula fixation and distal locking screw numbers.</p><p><strong>Discussion: </strong>The PW technique offers significant advantages in terms of surgical efficiency and reduction quality in the coronal plane. Although the risk of wire displacement remains a disadvantage that must be minimised with careful technique, these advantages make PW a preferable alternative to PS for assisting reduction in distal tibial nailing, where PS has disadvantages such as longer operating times and less optimal alignment control.</p><p><strong>Conclusions: </strong>The use of PW instead of PS has no negative effect on fracture union time and also improves alignment and decreases the operative time.</p>","PeriodicalId":6980,"journal":{"name":"Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca","volume":"93 2","pages":"103-110"},"PeriodicalIF":0.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147969427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dual Plating Through a Single Anterior Approach for Distal Femoral Fractures.","authors":"Nadir Özkayin, Can Yener, Omar Aljasim","doi":"10.55095/achot2025/034","DOIUrl":"https://doi.org/10.55095/achot2025/034","url":null,"abstract":"<p><strong>Purpose of the study: </strong>Comminuted distal femoral fractures and very low periprosthetic fractures present significant treatment challenges, which are commonly associated with nonunion and varus collapse. Dual plating has emerged as an effective solution to address these issues. The aim of this study was to evaluate the clinical outcomes of osteosynthesis with double plates through a single anterior incision.</p><p><strong>Material and methods: </strong>Forty-nine patients (38 females, 11 males, mean age 65.7 ± 16.2 years, range 23-90 years) were included. The study comprised 18 acute distal femoral fractures (AO/OTA 33-C2/C3), 15 acute periprosthetic fractures (Su classification 2-3), and 16 distal femoral nonunions (13 with a history of acute distal femoral fractures and 3 with periprosthetic fractures). Demographic data, hospitalization time, follow-up duration, union time, and complications were assessed.</p><p><strong>Results: </strong>The mean hospitalization time was 5.5 ± 3 days, with a mean follow-up of 13.6 ± 10.3 months (range 6-42 months). All fractures healed with a mean union time of 4.8 ± 1.6 months. Union times were 4.2 ± 1.5 months for distal femoral fractures, 4.1 ± 1 months for periprosthetic fractures, and 5.8 ± 1.5 months for nonunion fractures. Complications included one implant failure after a fall, one intraoperative vascular injury, and two superficial infections.</p><p><strong>Conclusions: </strong>Dual plating through a single anterior incision is a reliable technique for comminuted distal femoral fractures, very low periprosthetic fractures, and distal femoral nonunion. It provides stable fixation, promotes early healing, and minimizes soft tissue complications.</p>","PeriodicalId":6980,"journal":{"name":"Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca","volume":"93 2","pages":"86-93"},"PeriodicalIF":0.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147969402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of the Efficacy of Arthroscopic Suture Anchor \"X\" Fixation for Lateral Femoral Condyle Osteochondral Fractures.","authors":"Yan ChengShang, ShiJuan Li, Min Cai, ChuanKai Zhang, GuangWang Liu, Song Zhou, ZeWen Zheng","doi":"10.55095/achot2025/046","DOIUrl":"10.55095/achot2025/046","url":null,"abstract":"<p><strong>Purpose of the study: </strong>To evaluate and compare the clinical efficacy of arthroscopic suture anchor \"X\" fixation and hollow compression screw fixation in treating lateral femoral condyle osteochondral fractures.</p><p><strong>Material and methods: </strong>This retrospective study analyzed 31 patients diagnosed with lateral femoral condyle osteochondral fractures, treated at our hospital between June 2015 and July 2024. Patients were divided into two groups based on the surgical approach: Group A received arthroscopic suture anchor \"X\" fixation, while Group B underwent arthroscopic hollow compression screw fixation combined with a spacer. HSS scores and excellent outcome rates were assessed at postoperative day 3, 1 month, 3 months, and 6 months. Additionally, postoperative complications were evaluated through a second arthroscopic procedure.</p><p><strong>Results: </strong>The surgical duration in Group A was significantly longer than in Group B (P < 0.05). No significant differences in HSS scores were found between the groups at postoperative day 3 and 1 month, while Group A showed significantly higher HSS scores at 3 months and 6 months compared to Group B (P < 0.05). The incidence of postoperative knee joint complications was lower in Group A than in Group B, with a statistically significant difference (P < 0.05).</p><p><strong>Conclusions: </strong>The suture anchor system is effective for both non-weight-bearing and weight-bearing areas of the lateral femoral condyle, especially for small bone fragments, showing favorable clinical results. Compared to traditional hollow compression screw fixation, the suture anchor system significantly reduces postoperative complications and improves knee joint function.</p>","PeriodicalId":6980,"journal":{"name":"Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca","volume":"93 2","pages":"72-85"},"PeriodicalIF":0.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147969486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of Clinical and Radiological Outcomes of Four Different Proximal Femoral Nailing Systems in the Treatment of Intertrochanteric Fractures.","authors":"Bekir Karagoz, Ozan Keceli, Hünkar Cagdas Bayrak","doi":"10.55095/achot2026/006","DOIUrl":"10.55095/achot2026/006","url":null,"abstract":"<p><strong>Purpose of the study: </strong>This study aimed to compare the clinical and radiological outcomes of four different proximal femoral nailing systems-Proximal Femoral Nail Antirotation (PFNA), Dynamic Locked Trochanteric (DLT) nail, Intertan, and Talon Distalfix-used in the surgical treatment of intertrochanteric femoral fractures. The goal was to evaluate the differences between systems both statistically and in terms of clinical relevance.</p><p><strong>Material and methods: </strong>A retrospective analysis was conducted on 309 patients who underwent PFN procedures between January 2015 and December 2019. Patients were categorized into four groups based on the type of nail used. Parameters assessed included operative time, intraoperative blood loss, fluoroscopy time, fracture union time, Harris Hip Score, WOMAC score, reduction quality, and complication rates. Additionally, Minimal Clinically Important Difference (MCID) values were calculated to assess the clinical significance of any observed differences.</p><p><strong>Results: </strong>The Talon Distalfix group demonstrated significantly lower operative time, blood loss, and fluoroscopy duration (all p < 0.001). Since these differences exceeded MCID thresholds, they were considered not only statistically significant but also clinically meaningful. No significant differences were observed among the groups in terms of functional outcomes (Harris Hip Score, WOMAC score), fracture union time, or reduction quality. The overall complication rate was 22.9%, with screw cut-out being the most common complication (14.2%). Complication rates did not differ significantly between the groups.</p><p><strong>Conclusions: </strong>The Talon Distalfix nail was found to offer both statistically and clinically significant advantages in terms of shorter operative time, reduced blood loss, and less fluoroscopy exposure. While functional outcomes and complication rates were similar across all groups, the findings suggest that implant design may play a decisive role in intraoperative parameters.</p>","PeriodicalId":6980,"journal":{"name":"Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca","volume":"93 2","pages":"94-102"},"PeriodicalIF":0.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147969447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Treadmill Running Intensity on Lubricin Levels in Rat Achilles Tendons.","authors":"L I Shu-Fen, Cheng-Xian Song, Sheng-Yao Liu, Wei Liu, X U Shao-Yong","doi":"10.55095/achot2025/039","DOIUrl":"10.55095/achot2025/039","url":null,"abstract":"<p><strong>Purpose of the study: </strong>The Achilles tendon is crucial for transferring force from the calf muscles to the heel bone. Lubricin, a key glycoprotein, ensures smooth tendon gliding. This study investigated the effects of different treadmill running intensities on lubricin levels in rat Achilles tendons and explored the associated molecular mechanisms.</p><p><strong>Material and methods: </strong>Eighteen rats were divided into three groups: Strenuous Treadmill Running (STR), Moderate Treadmill Running (MTR), and a sedentary Control group (CON). The running protocols were conducted over eight weeks. Post-intervention, tendon samples were analyzed for histological changes (collagen fiber integrity and cell count), lubricin levels, and the expression of TGF-β1 (a growth factor involved in tendon healing) and IL-1 (a pro-inflammatory cytokine).</p><p><strong>Results: </strong>The STR group exhibited significantly greater collagen fiber damage compared to the other groups. In contrast, the MTR group showed higher cell proliferation, elevated lubricin levels, and increased TGF-β1 expression. The STR group had reduced lubricin levels, likely due to elevated IL-1 expression.</p><p><strong>Discussion: </strong>MTR enhances tendon health by upregulating TGF-β1, increasing lubricin production, and improving load transmission. Conversely, STR may promote tendon degeneration by elevating IL-1, reducing lubricin levels, and increasing the risk of tendinopathy. These findings support previous research indicating that moderate mechanical loading maintains tendon homeostasis, whereas excessive loading leads to inflammation and structural damage.</p><p><strong>Conclusions: </strong>Moderate-intensity treadmill running boosts lubricin levels via TGF-β1 regulation, supporting tendon function, while strenuous running decreases lubricin due to IL-1 upregulation, increasing tendon injury risk. These results emphasize the importance of optimal exercise intensity in preventing tendinopathies and maintaining tendon health. The findings could guide exercise recommendations for athletes and rehabilitation programs. Future research should explore therapeutic strategies targeting the TGF-β1 and IL-1 pathways.</p>","PeriodicalId":6980,"journal":{"name":"Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca","volume":"93 2","pages":"111-118"},"PeriodicalIF":0.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147969429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Usability of Ultrasonography in the Diagnosis of Pediatric Fractures].","authors":"Jakub Krutský, Šimon Kubov, Martin Čepelík, Petr Havránek, Tomáš Pešl","doi":"10.55095/achot2026/002","DOIUrl":"10.55095/achot2026/002","url":null,"abstract":"<p><p>The study aims to evaluate the usability of ultrasonography in the diagnosis of pediatric fractures. 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, who selected the patients randomly during their treatment at the clinic. The entire bone was examined by ultrasound in all available projections, and signs of skeletal trauma (cortical bumping, cortical disruption, offset of bone fragments, chimney effect, or indirect signs such as joint effusion) were sought. A total of 61 patients were examined, of whom 24 girls (39%) and 37 boys (61%). The mean age of patients was 10 years (1-17 years). The overall agreement between ultrasound and radiologic examinations is 94%. Ultrasonography failed to visualize two fractures, namely a nondisplaced SH type II fracture of the distal fibula epiphysis and a nondisplaced SH type III fracture of the distal phalanx epiphysis. Two suspected fractures of the distal forearm detected by radiography were not observed by ultrasonography. The fracture was ruled out by a follow-up radiography, and the sonographic finding was found to be correct. Ultrasonography is a usable diagnostic method for skeletal trauma. The estimated sensitivity of this examination is around 97%. Our results indicate greater specificity of ultrasound in the forearm region. In agreement with literature, ultrasound can be considered usable for the diagnosis of fractures in all examined areas. In certain locations, it can also be used to measure displacement. The weak point of the study is the limited number of patients, therefore further investigation into these matters is necessary. Ultrasonography appears to be a useful screening method for skeletal trauma in children, serving as a basis for indication for radiography. This could help reduce the number of radiologic examinations performed by up to two-thirds, thereby reducing the radiation exposure in pediatric patients. Further research on these matters is needed, and diagnostic reliability indicators shall be defined. In the phase two of the study, we plan to determine the sensitivity, specificity, positive and negative predictive values for all anatomical regions. The secondary objective is to evaluate the results achieved by the surgeon and the radiologist, the painfulness of the examination, and the usability of portable ultrasound devices.</p>","PeriodicalId":6980,"journal":{"name":"Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca","volume":"93 1","pages":"40-46"},"PeriodicalIF":0.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147484108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dry Needle Arthroscopy of the Elbow with a 1.9 mm Chip-on-Tip System: a Cadaveric Study.","authors":"Daniel Reiser, Lars Adolfsson, Ásgerdur Thórdardóttir, Marcus Sagerfors","doi":"10.55095/achot2025/042","DOIUrl":"10.55095/achot2025/042","url":null,"abstract":"<p><p>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 structures. The arthroscopic portals evaluated included the proximal anteromedial (PAMP), anteromedial (AMP), mid-anterolateral (MALP), postero-lateral (PLP), direct lateral, and direct posterior portals. The visualization quality of the needle arthroscope was found satisfactory and the smaller diameter (1.9 mm), allowed enhanced maneuverability. Needle arthroscopy offers improved access and acceptable visualization, potential risks remain, particularly concerning neurovascular structures. Notably, the anteromedial portal was in close proximity to the median nerve and medial antebrachial cutaneous nerve (MABCN), with one documented case of PBMACN (Posterior Branch of the MABCN) injury. Our results support the use of the needle arthroscope for elbow arthroscopy. However, caution is required to minimize neurovascular injury. Further studies are needed to establish standardized protocols and confirm the long-term safety and efficacy of needle arthroscopy in clinical practice.</p>","PeriodicalId":6980,"journal":{"name":"Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca","volume":"93 1","pages":"9-14"},"PeriodicalIF":0.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147502613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Ultrasound-Guided Injection of the Thoracolumbar Fascia in the Treatment of Low Back Pain: Methodological Approach and Anatomical Study].","authors":"Tomáš Novotný, Ondřej Naňka, Daniel Nalos, Kamal Mezian","doi":"10.55095/achot2025/036","DOIUrl":"10.55095/achot2025/036","url":null,"abstract":"<p><strong>Purpose of the study: </strong>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.</p><p><strong>Material and methods: </strong>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 injected fluid was then observed through anatomical dissection.</p><p><strong>Results: </strong>This cadaveric study confirmed that ultrasound-guided injection into the middle layer of the thoracolumbar fascia is both accurate and technically feasible. The dye demonstrated substantial potential to spread within the targeted area, distributing mediolaterally among the structures of the m. erector trunci and cranio-caudally over a range exceeding 10 cm, encompassing nearly four spinal segments.</p><p><strong>Discussion: </strong>Back pain of various etiologies remains a major interdisciplinary challenge. Refining therapeutic techniques may improve the outcomes. The thoracolumbar fascia represents a promising target for delivering local anesthetics, depot corticosteroids, and next-generation hyaluronic acid derivatives.</p><p><strong>Conclusions: </strong>This study confirms the accuracy and feasibility of ultrasound-guided interventions targeting the thoracolumbar fascia.</p>","PeriodicalId":6980,"journal":{"name":"Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca","volume":"93 1","pages":"15-21"},"PeriodicalIF":0.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147502541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"There Is No Clinical and Radiological Difference between Suspensory and Cortical Button Fixation at the Treatment of Medial Meniscus Posterior Root Tear.","authors":"Güneş Sarikaya, Ahmet Emre Paksoy, Ömer Karaşahin, Mehmet Köse, Matthie P Ollivier, Bariş Kocaoğlu","doi":"10.55095/achot2026/001","DOIUrl":"10.55095/achot2026/001","url":null,"abstract":"<p><strong>Purpose of the study: </strong>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).</p><p><strong>Material and methods: </strong>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 with Cortical Button. Lysholm and Tegner Score, Visual Analog Scale (VAS), meniscus extrusion on magnetic resonance imaging (MRI) and K-L grade were recorded preop and postop at minimum one year follow-up.</p><p><strong>Results: </strong>Meniscal extrusion on MRI increased in both groups at 12 months postoperatively compared to preoperative evaluation, but this increase was not statistically significant in both methods (Group 1: p = 0.670, Group 2: p = 0.211). There was no statistically significant difference in the pre-postoperative change in Lysholm knee score, Tegner activity score and meniscal extrusion on MRI in Group 1 compared to Group 2 (p = 0.575, p = 0.257 and, p = 0.141 respectively). Both Lysholm Knee Score (Group 1: p = 0.001, Group 2: p = 0.001) and Tegner Activity Score (Group 1: p = 0.008, Group 2: p < 0.001) increased statistically significantly at 12 months postoperatively compared to preoperative evaluation in Group 1 and Group 2. No patient in either group underwent total knee arthroplasty(TKA) at one-year follow-up.</p><p><strong>Conclusions: </strong>The Suspensory Fixation System technique in MMPRT repair has been shown to be a feasible treatment method with similar functional and radiologic results compared to Pull Out Suture Repair with Cortical Button. At short-term follow-up, the addition of a suspensory device to the conventional transtibial pullout repair did not result in a statistical difference on meniscal extrusion on MRI.</p>","PeriodicalId":6980,"journal":{"name":"Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca","volume":"93 1","pages":"53-58"},"PeriodicalIF":0.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147502623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}