Doctors Center

as. MUDr. Jan Lesenský, MD, Ph.D.

Head of the Centre and Surgical Department of Oncological Orthopaedics

He joined the orthopaedic clinic at Bulovka in the summer of 2006 as a graduate of the 1st Faculty of Medicine of Charles University in Prague. He has been working in oncological orthopaedics since 2008, when he took over the outpatient clinic from Professor Matějovský. In 2010 he completed the EFORT travelling fellowship and then successfully applied for a 4-month fellowship at the renowned Rizzoli in Bologna, Italy where oncologic orthopedics was taking shape. After his return, he introduced the method of bone replacement using combined graft in the Czech Republic. In 2014, he completed the nostriction for the United States (USMLE tests culminating in an ECFMG diploma) and subsequently successfully applied for the world's most prestigious clinical fellowship in oncologic orthopaedics at Memorial Sloan-Kettering Cancer Center in New York,which after a year of capped in summer 2017 (he is fully qualified to work in the US). After his return to the Czech Republic, he successfully defended his doctorate (PhD) at the 1st Faculty of Medicine of the Charles University in Prague. He regularly publishes in foreign scientific journals and participates in the education of medical students and pre-testing of orthopaedic surgeons.

Contact: jan.lesensky@bulovka.cz; order now here.


Specialisation

  • benign bone tumours
  • primary malignant bone tumours
  • soft tissue tumours
  • pelvic resection and reconstruction
  • operative management of metastatic skeletal disease
  • complex reconstructive and endoprosthetic surgery
  • traumatology and standard endoprosthetics of large joints

Professional milestones

2011
1. long bone replacement using the "Cappanna technique" in the Czech Republic = reconstruction using a combined graft from the donor and the patient's fibula transferred by microanastomosis.

2012
1. Reconstruction of the pelvis after tumour resection using the LUMiC shaft socket in the Czech Republic.

2016
Introduction of the so-called "long-stem hemi" and Harington pelvic reconstruction into the treatment of metastatic skeletal involvement.

2017
Introduction of pelvic ring reconstruction using a spinal fixator.

2018
Implantation of the 1st non-invasive extendable endoprosthesis in the Czech Republic.

2019
Introduction of individual custom-made implants made on 3D printer according to CT planning

2021
Double-constrained "dumbbell" shoulder arthroplasty

Publications

  1. Proximal Femoral Replacement or Revision Stem Hemiarthroplasty for Metastatic Disease of the Proximal Femur-Is There Any Notable Difference? J Am Acad Orthop Surg Glob Res Rev. 2025 Jul 29;9(8). doi: 10.5435/JAAOSGlobal-D-24-00243. PMID: 40749198. Lesensky J, Blecha O, Vcelak J, Belzarena AC. 
  2. Isolated Limb Perfusion Can Avert Amputation Indication in Initially Nonsalvageable Sarcomas of the Extremities. Clin Orthop Relat Res. 2025 Jun 19. doi: 10.1097/CORR.0000000000003584. Epub ahead of print. PMID: 40536544. Lesensky J, Blecha O, Belzarena AC, Vočka M, Špaček M.
  3. Functional outcomes and complications of elbow endoprosthesis reconstruction after tumor resection: insights from a national study at two sarcoma centers. J Shoulder Elbow Surg. 2025 Jun 7:S1058-2746(25)00438-0. doi: 10.1016/j.jse.2025.05.003. Epub ahead of print. PMID: 40490068. Mahdal M, Lesenský J, Apostolopoulos V, Blecha O, Nachtnebl L, Tomáš T.
  4. Giant ischial osteochondroma causing ischiofemoral impingement and sciatic nerve compression in a pediatric patient with Albright's hereditary osteodystrophy. Radiol Case Rep. 2025 Sep 24;20(12):6189-6195. doi: 10.1016/j.radcr.2025.08.075. PMID: 41070289; PMCID: PMC12506491. Jebackumar T, Johnson R, Schroeder A, Silveri C, Lesensky J, Belzarena AC.
  5. Optimized prosthetic design, surgical technique, and cosmetic outcome in shoulder reconstruction with double-constrained implant following extra-articular shoulder resection: a proof-of-concept. World J Surg Oncol. 2025 May 16;23(1):194. doi: 10.1186/s12957-025-03844-9. PMID: 40380345; PMCID: PMC12083034. Lesensky J, Benes M, Havranek M, Belzarena AC
  6. Successful limb-salvage procedure using a bioexpandable prosthesis after infected primary reconstruction of the distal femur in a skeletally immature patient: a case report. World J Surg Oncol. 2025 Apr 2;23(1):116. doi: 10.1186/s12957-025-03759-5. PMID: 40176042; PMCID: PMC11963633. Lesensky J, Belzarena AC, Benes M.
  7. Custom 3-Dimensional-Printed Oncologic Endoprosthesis for Reconstruction of the Calcaneus A Case Report. Foot Ankle Spec. 2025 Feb 22:19386400251318978. doi: 10.1177/19386400251318978. Epub ahead of print. PMID: 39985405. Lesensky J, Blecha O, Belzarena AC, Benes M.
  8. A quantitative CT analysis of fibula inlayed in a massive allograft for femoral diaphysis reconstruction.  J Bone Oncol. 2023 Jun 17;41:100488. doi: 10.1016/j.jbo.2023.100488. PMID: 37398560; PMCID: PMC10314285. Lesensky J, Belzarena AC, Masek M, Matejovsky Z Jr.
  9. Reconstruction with a double-constrained implant design after complex shoulder extra-articular resection. World J Surg Oncol. 2023 Sep 18;21(1):295. doi: 10.1186/s12957-023-03173-9. PMID: 37723520; PMCID: PMC10506192. Lesensky J, Belzarena AC, Daniel M. 
  10. Modified Harrington Procedure in the Treatment of Extensive Tumor Defects of the Acetabulum.  Acta Chir Orthop Traumatol Cech. 2023;90(2):124-132. Czech. PMID: 37156001. Lesenský J, Blecha O, Včelák J
  11. Cement Intercalary Reconstruction After Bone Tumor Resection. Orthopedics. 2021 Jul-Aug;44(4):e593-e599. doi: 10.3928/01477447-20210618-23. Epub 2021 Jul 1. PMID: 34292839.;  Lesenský J, Mavrogenis AF
  12. Chondrosarcomas of the small bones: analysis of 44 patients. Eur J Orthop Surg Traumatol. 2021 Dec;31(8):1597-1602. doi: 10.1007/s00590-021-02964-8. Epub 2021 Apr 3. PMID: 33811526. ; Lesenský J, Matejovsky ZJ, Vcelak J, Ostadal M, Hosova M, Bavelou C, Sioutis S, Bekos A, Mavrogenis AF. 
  13. Neoadjuvant Use of Isolated Limb Perfusion in Large Myxoid Liposarcoma of the Thigh: a Case Report. Acta Chir Orthop Traumatol Cech. 2021;88(4):321-324. Czech. PMID: 34534063. ;  Lesenský J, Vočka M, Špaček M, Hósová M
  14. Complex surgery for locally advanced bone and soft issue sarcomas of the shoulder girdle. Eur J Orthop Surg Traumatol. 2017 Aug;27(6):777-786. doi: 10.1007/s00590-017-1999-4. Epub 2017 Jun 29. PMID: 28664224. ;  Lesenský J1, Mavrogenis AF2, Igoumenou VG2, Matejovsky Z Jr1, Nemec K1, Papagelopoulos PJ2, Fabbri N3.
  15. Distracion osteogenesis reconstrucion of large segmental bone defects ater primary tumor resecion: pitalls and benefits. Eur J Orthop Surg Traumatol. 2017 Aug;27(6):715-727. doi: 10.1007/s00590-017-1998-5. Epub 2017 Jun 22. PMID: 28643081. ;  Lesensky J1, Prince DE2.
  16. Autologous structural iliac bone grats in reconstrucions of short bone defects in the hand and foot after primary bone tumor resections: a single-insituion retrospecive study.   Eur J Orthop Surg Traumatol. 2017 Aug;27(6):797-804. doi: 10.1007/s00590-017-1990-0. Epub 2017 Jun 13. PMID: 28612249 ; Lesensky J1,2, Nemec K3, Kofranek I3, Matejovsky Z Jr3.
  17. Tumors of the hand. Eur J Orthop Surg Traumatol. 2017 Aug;27(6):747-762. doi: 10.1007/s00590-017-1984-y. Epub 2017 Jun 5. PMID: 28585186 ; Mavrogenis AF1, Panagopoulos GN2, Angelini A3, Lesenský J4, Vottis C2, Megaloikonomos PD2, Kokkalis ZT5, Kontogeorgakos V2, Ruggieri P3, Papagelopoulos PJ2.
  18. Intercalary reconstrucions ater bone tumor resections: a review of treatments. Eur J Orthop Surg Traumatol. 2017 Aug;27(6):737-746. doi: 10.1007/s00590-017-1985-x. Epub 2017 Jun 5. PMID: 28585185. ; Panagopoulos GN1, Mavrogenis AF2, Mauffrey C3, Lesenský J4, Angelini A5, Megaloikonomos PD1, Igoumenou VG1, Papanastassiou J6, Savvidou O1, Ruggieri P5, Papagelopoulos PJ1. 
  19. Periprosthetic Infection of the Knee Megaprosthesis following a Resection of Malignant Tumours around the Knee. Acta Chir Orthop Traumatol Cech. 2017;84(1):46-51. [Article in Czech];  Včelák J1, Matějovský Z Jr, Kofránek I, Kubeš R, Lesenský J
  20. Atypical lipomatous tumors/well-differen8ated liposarcomas: clinical outcome of 67 patients.  Orthopedics. 2011 Dec 6;34(12):e893-8. doi: 10.3928/01477447-20111021-11; Mavrogenis AF1, Lesensky J, Romagnoli C, Alberghini M, Letson GD, Ruggieri P.
  21. Chondrosarcoma Resection Followed by a Branched Crural tof the Right Calf: Case Report. Cor et Vasa, Volume 58, Issue 5, October 2016, Pages e470–e47 ISSN 0010-8650.; Jan Lesenský , Dr, Jan Hrubý , Dr, Jaroslav Hlubocký , Dr, Petr Mitáš , Prof, Jaroslav Lindner
  22. Surgical Treatment of Cervical Spondylodiscitis. Acta Chir Orthop Traumatol Cech. 2021;88(6):442-449. Czech. PMID: 34998448. Včelák J, Špeldová A, Džupová O, Macko M, Lesenský J
  23. Operační léčba chordomu sakra [Surgical Treatment of Sacral Chordoma]. Acta Chir Orthop Traumatol Cech. 2022;89(4):300-308. Czech. PMID: 36055671. Včelák J, Lesenský J, Špeldová A, Macko M. 
  24. Riziko zlomenin při osteopatiích nádorů dlouhých kostí (Risk of fractures in long bone tumor osteopathy). Ortopedie, 2010, roč.4, č.3; 143-149. ISSN 1802-1727.; Matějovský Z., Kofránek I., Krystlík Z., Mašek M., Lesenský J., Dungl. P.
  25. Rotational Laxity of the Knee Joint – In Vivo MRI Study. Acta Chir Orthop Traumatol Cech. 2019;86(4):249-255. [Article in Czech]; Němec K1, Plajner M, Krásenský J, Landor I, Lesenský J, Pinskerová V. 
  26. Solitární kostní metastáza v palci ruky jako primomanifestace bilaterálního světlobuněčného renálního karcinomu pT1a u pacienta se sporadickou triplicitou urologických malignit.  Čes. Urol 2017, 21(4): 299-304.; Novák J, Fišer L, Jůzek R, Lesenský J, Petrlíček J, Špůrková Z, Beroušková P, Hyrš L.
  27. Patologické fraktury jako pozdní komplikace pooperační radioterapie sarkomů měkkých tkání v oblasti dolních končetin.  Onkologie 2022: 16(4): 177-183 , DOI: 10.36290/xon.2022.034  Tereza Drbohlavová, Zdeňka Pechačová, Jan Lesenský, Radka Lohynská
  28. Surgical Treatment of Tuberculous Spondylodiscitis.  Acta Chir Orthop Traumatol Cech. 2023;90(2):116-123. Czech. PMID: 37156000. Včelák J, Král A, Šlégl M, Lesenský J, Macko M.
  29. J.Lesensky – attestation thesis  : Means of reconstruction of intercalary defects in tumor indications.

BOOKS:

  • DUNGL Ortopedie. 2. přepracované a doplněné vyd. Praha: Grada, 2014;  Nádory měkkých tkání.  Kapitola 13.4, s. 413-432.
  • Infekce v Ortopedii : Musil, Gallo, Chrdle a kol., Maxdorf-Jessenius 2022; Kapitola 32 - Infekce v Onko-ortopedii, s.745-765.

International forum lectures

  1. Design Improvements in Custom 3D Printed Pelvic reconstructions - Czech Experience; Sacro-Pelvic Study Group, MSKCC, New York, NY, USA, 2025
  2. Isolated Limb Perfusion Can Deter Amputation Indication in Initially Non-Salvageable Sarcomas; E.M.S.O.S., Padova, Italy, 2025
  3. Optimised Prosthetic Design, Surgical Technoque and Cosmetic Outcome in Shoulder Reconstruction with Double-Constrained Implant Following Extra-articular Shoulder Resection; E.M.S.O.S., Padova, Italy, 2025
  4. Custom 3D-printed Oncologic Endoprosthesis for Reconstruction of the Calcaneus : A Case Report ; E.M.S.O.S., Padova, Italy, 2025
  5. Isolated Limb Perfusion Can Deter Amputation Indication in Initially Non-Salvageable Sarcomas, MSTS, Chicago, IL, USA 2024
  6. A Quantitative CT Analysis of Fibula Inlayed in a Massive Allograft for Femoral Diaphysis Reconstruction, MSTS, Banff, AB, Canada 2023
  7. Complex Shoulder Extra-Articular Resection and Reconstruction - A Novel Desing, MSTS, London, UK 2022
  8. Dumbbell shoulder prosthesis - A Novel Desing, ISOLS, Los Angeles, USA 2022
  9. Cement spacer as form of definite intercalary reconstruction; MSTS, New York, NY, USA 2018
  10. The value of Constrained Cup to prevent instability after pelvic and proximal femur complex tumor surgery; MSTS, Denver, CO, USA 2017
  11. Cervicocapital prostheses of proximal humerus after the resection of tumors – 20 years of experience with own desing custom-made implant; 28th annual meeting of E.M.S.O.S., Athens, Greece 2015
  12. Use of tricortical autologous graft from iliac crest reconstruction of long bone defects after block resection in tumor indications; 28th annual meeting of E.M.S.O.S., Athens, Greece 2015
  13. Chondrosarcoma of hand and feet – Review of 37 cases from single institution; 28th annual meeting of E.M.S.O.S., Athens, Greece 2015
  14. The use of structural iliac bone graft in reconstruction of short bone defects in hand and foot after bone tumor resection; 17th General Meeting ISOLS, Bologna, Italy 2013
  15. Chondrosarcoma of Hand and Feet;  XXV. E.M.S.O.S. symposium, Bologna, Italy 2012
  16. Extreme Chondrosarcoma – is paliative surgery justified? ; XXV.E.M.S.O.S. symposium, Bologna, Italy 2012
  17. Benefits of Chemotherapy in “Chemo-resistant” High Grade Sarcomas; EFORT Forum speaker, XXX. Cervenansky Days, Bratislava 2010
  18. Enchondromatosis versus solitary enchondroma risk of malignization and pathological fracture; XI. EFFORT Congress, Madrid 2010
  19. Synovial sarcoma: is biopsy a simple procedure in this specific entity? ; X. EFFORT Congress, Vienna 2009

Surgical examples

as. MUDr. Zdeněk Matějovský, CSc.

Chairman of Conservative Oncological Orthopaedics and Interdisciplinary Cooperation

Promoted physician and candidate of sciences for surgical disciplines, specialist in orthopaedics and clinical oncology. Since his studies he has been interested in oncological issues thanks to his father, Prof. Zdeněk Matějovský, MD, DrSc. After graduation, he joined the Orthopaedic Clinic of the 2nd Faculty of Medicine of Charles University as an internal medicine postgraduate. In 1990-91, a one-year study stay at the Vienna University Orthopaedic Clinic, then headed by Prof. Dr. Med. R. Kotz, the world's leading expert in orthopaedic oncology. In 1994, he defended his thesis on the topic "Possibilities of resection treatment of lower limb neoplasms in children". This was followed by further fellowships at the Schulthes Clinic in Zurich, a study tour in Japan, and a fellowship at the University Clinic of Miami. After his certification in clinical orthopaedics in 1999, he took over from prim. MUDr. I. Kofránek in 2002, he took over the management of the department of orthopaedic oncology (ORT 6) at the Orthopaedic Clinic of the Bulovka Hospital. Here he introduced some new chemotherapy schemes and contributed to its intensification. He also introduced some new surgical procedures, such as individual pelvic replacements or reimplantation of irradiated bone after internal hemipelvectomy, conversion of resection arthrodesis of the knee to TEP. He has maintained the tradition of the Thursday onco-orthopaedic clinics established by his father. 

Contact: zdenek.matejovsky@bulovka.cz; to make an appointment here.

as. MUDr. Radovan Kubeš, Ph.D.

Primary of the Orthopaedic Clinic of FNB, 1. LF UK and IPVZ

The newest Chief of the Orthopaedic Clinic joined Bulovka in 1987, passed the first and second attestation in orthopaedics and gradually worked in all departments of the clinic. In 1995-2002 he worked permanently at the Department of General Orthopaedics, where he rose to the position of head physician. Here he was mainly involved in oncological surgery, but he was also involved in joint replacement and hand surgery. Subsequently, he was appointed head of the alloplastic department - a specialised centre for haemophilia surgery. In 2010, as part of his doctoral studies at the Faculty of Medicine in Pilsen, he defended his dissertation on "Mini-invasive approaches to hip joint replacement" and received his Ph.D. Radovan Kubeš is also engaged in scientific and educational practice. For many years he has been an assistant professor at the Department of Orthopaedics of the IPVZ and also regularly lectures to medical students at the 1st Faculty of Medicine of the Charles University, since 2015 he has been a supervisor of doctoral students. He participated in the IPVZ research plans "Surgical treatment in the hip joint in trauma, congenital defects, osteopathies and arthropathies. Fractures of the spine in the field of osteopathy" and "Determination of basic conditions for research and development of artificial knee and hip joint replacements in oncological diseases of bone tissue in the area of articular connection". He has held the position of the Head of the Orthopaedic Clinic of the Faculty of Medicine, 1st Faculty of Medicine, Charles University and IPVZ since 2018. 

Contact:radovan.kubes@bulovka.cz; to make an appointment, here.

Doc. MUDr. Josef Včelák, Ph.D.

Head of Oncological SpondyloSurgery

At the Orthopaedic Clinic 1. He joined the Department of Orthopaedic Surgery at the Faculty of Medicine of the Charles University in Prague in 1999. After his second certification in orthopaedics and traumatology of the musculoskeletal system, he began to specialize in spinal surgery and then in the management of septic conditions and complications in orthopaedics. Within these areas, he completed three long-term fellowships in the UK, one in Switzerland and one in Germany. In 2015, he defended his PhD thesis on "Surgical treatment of spinal inflammation" and received his Ph. In 2019 he defended his habilitation thesis on "Osteoporotic fractures of the spine" and received the title of Associate Professor in Orthopaedics. He has been working in spinal surgery for more than 15 years and completed his long-term specialisation training in 2021 with an additional certification in spondylosurgery. He is also involved in the treatment of spinal cancer, carried out in cooperation with the Institute of Radiation Oncology and the Oncology Department of Bulovka Hospital.

Contact: josef.vcelak@bulovka.cz; to make an appointment, here.

 

MUDr. Petros Christodoulou

Doctor of the Clinic of Plastic Surgery 

He has been working in the field of plastic and reconstructive surgery since 2012, when he moved from the Surgical Department of Strakonice Hospital to the Department of Plastic and Aesthetic Surgery at the University Hospital Olomouc. Here he was intensively involved in reconstructive surgery, hand surgery and microsurgery and in 2016 he received his certification in Olomouc. As a member of the Head and Neck team at the hospital, he was involved in complex resection and reconstructive procedures on the face and neck, and in cooperation with the local orthopaedic clinic, he also gained extensive experience in reconstruction of defects in orthopaedic onco-surgery.In 2018, he moved to the Department of Plastic Surgery at Bulovka University Hospital, where he has been working as chief since June 2019. Here he has been involved in microsurgical reconstructive procedures on the neck and face - in collaboration with the Department of Maxillofacial Surgery of the Dental Clinic of the 1st Faculty of Medicine of the Charles University in Prague. Currently, he cooperates intensively with the Orthopaedic Clinic of the Faculty of Medicine and is involved in complex reconstructions after tumour resections within the framework of orthopaedic onco-surgery.  MUDr. Christodoulou is an assistant professor at the 1st Medical Faculty of Charles University in Prague, a lecturer at the Institute of Postgraduate Education and a member of a number of professional societies and specialised groups. He is involved in the organization of professional congresses and regularly participates as a lecturer or speaker in educational events in the Czech Republic and worldwide.

Contact: petros.christodoulou@bulovka.cz