Romanian Journal of Orthopaedic Surgery and Traumatology最新文献_第2页

Complex table saw hand injury-case report 复杂台锯手伤1例报告

Romanian Journal of Orthopaedic Surgery and Traumatology Pub Date : 2021-12-01 DOI: 10.2478/rojost-2021-0010

M. Mihai, Alexa Gabriela, Abu-Baker Abdalah, Toader Horia

{"title":"Complex table saw hand injury-case report","authors":"M. Mihai, Alexa Gabriela, Abu-Baker Abdalah, Toader Horia","doi":"10.2478/rojost-2021-0010","DOIUrl":"https://doi.org/10.2478/rojost-2021-0010","url":null,"abstract":"Abstract Currently, Romania lacks a tradition of trade schools. This is due to the lack of awareness on the importance of this educational structure. Such multiple trades have been learned by simple observation from one individual to another. The importance of security measures has been taken for granted if not ignored. The number of traumas produced in wood processing has decreased rapidly due to the appearance of wood processing robots, the human factor being reduced only to their programming. The cases that arrive in the emergency departments are in a major percentage from the rural area, where the wood processing is done in the household without an adequate training and without going through a learning process. Hand injuries represent a great part of the Emergency Department presentations, and because of their fundamental functional use in daily life, repair of such lesions should be done with utmost care. Wounds of the hand typically have different degrees of severity depending on the mechanism of injury. Hand trauma probably represents the most frequent pathology of a plastic surgery ER and it should be handled with utmost care because of the fundamental function in the daily routine. The present article presents the therapeutic conduct of a complex case, multiple wounds with bone exposure, digital nerve sectioning and destruction of the flexor system of several fingers.","PeriodicalId":122325,"journal":{"name":"Romanian Journal of Orthopaedic Surgery and Traumatology","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132103163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

COVID-19 Era - Adapting treatment and education in the Orthopedics and Traumatology Department - review COVID-19时代-骨科和创伤科的适应性治疗和教育-综述

Romanian Journal of Orthopaedic Surgery and Traumatology Pub Date : 2021-12-01 DOI: 10.2478/rojost-2021-0015

M. Popa, B. Serban, Sergiu-Andrei Iordache, M. Costache, A. Lupu, G. Iacobescu, A. Cursaru

{"title":"COVID-19 Era - Adapting treatment and education in the Orthopedics and Traumatology Department - review","authors":"M. Popa, B. Serban, Sergiu-Andrei Iordache, M. Costache, A. Lupu, G. Iacobescu, A. Cursaru","doi":"10.2478/rojost-2021-0015","DOIUrl":"https://doi.org/10.2478/rojost-2021-0015","url":null,"abstract":"Abstract Coronavirus disease (COVID-19) is a pandemic-level health disaster with more than 220 million verified cases and more than 4.6 million confirmed fatalities globally as of September 2021. Since its initial detection in 2019, the virus has spread rapidly around the world. In many parts of the world, the present status of health systems has resulted in a decline in elective procedures. Physician shortages have been clearly reported in nations that have previously been infected with the virus. Experienced and young physicians were similarly recruited to work on the front lines in medical wards and intensive care units outside of their specializations. As a result, hospitals have made significant modifications to their care systems, such as updating general wards to include ICU capabilities, postponing, and canceling elective procedures, and rethinking the duties of healthcare personnel. Residents and fellows in training in orthopedic surgery have not been immune to these developments. As a result of many hospitals discontinuing elective procedures, orthopedic case volume has decreased significantly. Numerous educational activities must be implemented to provide workers with the knowledge and skills essential to protect themselves and their families from infection and to care for COVID-19 patients.","PeriodicalId":122325,"journal":{"name":"Romanian Journal of Orthopaedic Surgery and Traumatology","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126350805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Surgical management of bone metastasis located in the proximal femur-review of literature 股骨近端骨转移的手术治疗-文献回顾

Romanian Journal of Orthopaedic Surgery and Traumatology Pub Date : 2021-12-01 DOI: 10.2478/rojost-2021-0013

Iordache Sergiu Andrei, Ş. Bogdan, Popa Mihnea Ioan Gabriel, Costache Mihai, Cursaru Adrian, Dumitrescu Dan

{"title":"Surgical management of bone metastasis located in the proximal femur-review of literature","authors":"Iordache Sergiu Andrei, Ş. Bogdan, Popa Mihnea Ioan Gabriel, Costache Mihai, Cursaru Adrian, Dumitrescu Dan","doi":"10.2478/rojost-2021-0013","DOIUrl":"https://doi.org/10.2478/rojost-2021-0013","url":null,"abstract":"Abstract Neoplasms are the second leading cause of death worldwide. The increase in diagnostic possibilities and development of new treatments has led to an increase in life expectancy among cancer patients. The proximal region of the femur is a favorite site for bone metastases, these lesions being accompanied by increased mortality and morbidity. The methods of treatment for metastatic bone disease can be surgical or non-surgical. Bone metastases and pathological bone fractures in the proximal femur are most commonly located in the intertrochanteric or subtrochanteric region. Patients with bone metastases at this level most often require osteosynthesis with a centromedullary nail, but also plates and screws or dynamic hip screw can be used. Bone metastases located in the femoral neck or femoral head can be treated surgically by hemiarthroplasty (HA) or total hip arthroplasty (THA). Both HA and THA have been shown to be successful surgeries in patients with bone metastases. In patients with multiple bone metastases located in the head or neck of the femur and trochanteric region, but with increased life expectancy, resection and reconstruction using endoprostheses is a viable solution. Given the complexity of oncological pathologies, the therapeutic decision in the case of a patient with secondary bone determinations must be established by a multidisciplinary team comprising the oncologist, orthopedic surgeon, pathologist, anesthetist, and radiotherapist. Surgical treatment of symptomatic bone metastases that cause pain and functional impotence with limited patient mobility increases survival and quality of life regardless of the type of surgery and the implant chosen.","PeriodicalId":122325,"journal":{"name":"Romanian Journal of Orthopaedic Surgery and Traumatology","volume":"104 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128510049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bone grafts versus synthetic bone substitutes in the treatment of benign bone tumors 骨移植物与人工骨替代物在治疗良性骨肿瘤中的比较

Romanian Journal of Orthopaedic Surgery and Traumatology Pub Date : 2021-12-01 DOI: 10.2478/rojost-2021-0012

Costache Mihai-Aurel, Iordache Sergiu Andrei, Ş. Bogdan, Spiridonică Dumitru Răzvan, Popa Mihnea Ioan Gabriel, Rascu Angel Ştefan, Cursaru Adrian

引用次数: 0

Current review of surgical management options for total knee arthroplasty in the rheumatoid knee 类风湿膝关节全膝关节置换术的外科治疗选择综述

Romanian Journal of Orthopaedic Surgery and Traumatology Pub Date : 2021-06-01 DOI: 10.2478/rojost-2021-0007

Sergiu-Andrei Iordache, B. Șerban, M. Popa, A. Cursaru

{"title":"Current review of surgical management options for total knee arthroplasty in the rheumatoid knee","authors":"Sergiu-Andrei Iordache, B. Șerban, M. Popa, A. Cursaru","doi":"10.2478/rojost-2021-0007","DOIUrl":"https://doi.org/10.2478/rojost-2021-0007","url":null,"abstract":"Abstract Rheumatoid arthritis (RA) represents a condition that can erode cartilage and damage joints, leading to inflammation and loss of movement, characterized by inflammatory synovitis. While the widespread use of potent disease-modifying medications has increased opportunities for RA patients, orthopedic surgery and complete joint arthroplasty remain an important option in end-stage joint treatment. The knee is one of the most frequently affected joints in chronic rheumatoid arthritis patients. The severity of RA ranges from a moderate illness to a serious, rapidly progressing, destructive version, gradually leading to incessant pain and joint deformity. Despite recent advances in biological agents and therapeutic modalities in the field of rheumatology, certain patients with RA, who ultimately undergo joint surgery, tend to experience progressive joint damage. Though, TKA can be performed in these patients, increased complications and poorer outcomes may result after total knee arthroplasty, because of the particularities given by RA. They are associated with extended operating time, specifically resulting in increased infection, blood loss and deep vein thrombosis. However, because RA patients present additional risk factors for complications, certain critical preoperative examination and surgical aspects need to be considered in order to maximize TKA outcomes in this subgroup of patients.","PeriodicalId":122325,"journal":{"name":"Romanian Journal of Orthopaedic Surgery and Traumatology","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121177522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Orthopaedic marketing strategies in Romania 罗马尼亚骨科市场营销策略

Romanian Journal of Orthopaedic Surgery and Traumatology Pub Date : 2021-06-01 DOI: 10.2478/rojost-2021-0001

C. Cirstoiu

引用次数: 0

Malignant granular cell tumor of the arm – case report 手臂恶性颗粒细胞瘤1例报告

Romanian Journal of Orthopaedic Surgery and Traumatology Pub Date : 2021-06-01 DOI: 10.2478/rojost-2021-0002

Mihai Mehedințu, R. Danciu, Ân Toma, Corina M. Stefan, C. Jecan

引用次数: 0

Multimodal analgesia in primary bone tumors 原发性骨肿瘤的多模式镇痛

Romanian Journal of Orthopaedic Surgery and Traumatology Pub Date : 2021-06-01 DOI: 10.2478/rojost-2021-0006

A. Bratu, A. Cursaru, A. Comănelea, B. Șerban, C. Cirstoiu

{"title":"Multimodal analgesia in primary bone tumors","authors":"A. Bratu, A. Cursaru, A. Comănelea, B. Șerban, C. Cirstoiu","doi":"10.2478/rojost-2021-0006","DOIUrl":"https://doi.org/10.2478/rojost-2021-0006","url":null,"abstract":"Abstract Introduction: A worrying increase in the number of bone tumors that appear at younger ages justifies the efforts aimed at optimizing perioperative management practices in orthopedic tumor surgery. Pain control is critical in the prognosis and postoperative outcome of these procedures. Material and methods: Our study included a group of 11 patients diagnosed with bone malignancies. These patients were hospitalized in the Orthopedic Clinic of the University Emergency Hospital Bucharest. Under our supervision, they underwent surgical treatment of the tumor under combined general anesthesia and epidural anesthesia for the pelvic limb, and general anesthesia only for the upper limb. We performed perioperative pain management with multimodal analgesia (continuous epidural analgesia with ropivacaine 0,2% and fentanyl 2 mcg/ml in association with systemic analgesics). Following this procedure, we measured the intensity of the postoperative pain at intervals of 48 hours and one week after surgery and compared with preoperative pain intensity using the visual analogue pain scale (VAS). Results: Multimodal analgesia (epidural analgesia associated with systemic analgesics – paracetamol, COX2 inhibitor, gabapentinoids) was performed well in the postoperative pain of the tumor prosthesis, with a significant decrease in VAS from a mean value of 7.63 preoperatively to an average of 3 in the first 48 hours postoperatively. After the removal of the epidural catheter, which also coincided with patient mobilization, the level of pain registered a slight increase to a mean value of 3.23. Conclusions: Multimodal analgesia is currently considered the gold standard in perioperative pain management. The use of multimodal analgesia during perioperative period in patients with bone tumors has been shown to decrease the length of hospital stay, improve surgical outcome, reduce the number of systemic complications, and improve the long-term prognosis of the patient. Efficacy of analgesia correlates with tumor site and vascularization.","PeriodicalId":122325,"journal":{"name":"Romanian Journal of Orthopaedic Surgery and Traumatology","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129644965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Non-operative management of blunt splenic injuries beyond safety conditions A short narrative review 超出安全条件的钝性脾损伤的非手术治疗

Romanian Journal of Orthopaedic Surgery and Traumatology Pub Date : 2021-06-01 DOI: 10.2478/rojost-2021-0008

Cătălin Aliuș, M. Zivari, D. Dumitrescu, A. Cursaru, B. Șerban, A. Dumitru, D. Serban

引用次数: 0

When an old pigmented lesion becomes serious: the problematic diagnosis of low-grade skin malignancies – Bednar tumor with fibrosarcomatous transformation 当一个旧的色素病变变得严重:低级别皮肤恶性肿瘤的诊断问题-贝德纳肿瘤伴纤维肉瘤转化

Romanian Journal of Orthopaedic Surgery and Traumatology Pub Date : 2021-06-01 DOI: 10.2478/rojost-2021-0004

A. Dumitru, A. Ciongariu, Cătălin Aliuș, D. Dumitrescu, Sergiu-Andrei Iordache, B. Șerban, D. Ionescu, M. Costache, M. Sajin, D. Țăpoi

{"title":"When an old pigmented lesion becomes serious: the problematic diagnosis of low-grade skin malignancies – Bednar tumor with fibrosarcomatous transformation","authors":"A. Dumitru, A. Ciongariu, Cătălin Aliuș, D. Dumitrescu, Sergiu-Andrei Iordache, B. Șerban, D. Ionescu, M. Costache, M. Sajin, D. Țăpoi","doi":"10.2478/rojost-2021-0004","DOIUrl":"https://doi.org/10.2478/rojost-2021-0004","url":null,"abstract":"Abstract Bednar tumor is a rare cutaneous neoplasm, regarded as a variant of dermatofibrosarcoma protuberans with melanotic colonization and it usually affects young and middle-aged adults or children. This lesion is considered a low-grade malignant tumor, which can be associated with multiple local recurrences after surgical excision. Although a rare phenomenon, these lesions may undergo fibrosarcomatous transformation, which implies a poorer prognosis of the disease, as the tumor has a more locally aggressive behavior and patients might also develop distant metastases. We present the case of a 53-year-old female patient, with no significant medical history, who presented with a subcutaneous nodule on her upper back, for which a wide surgical excision was performed. The gross examination of the specimen showed a solitary protuberant grey-white nodule with a bluish shade and flecked with pigment. The microscopic examination revealed a malignant proliferation with a predominantly fascicular growth pattern, composed of spindle cells with highly pleomorphic nuclei and high mitotic rate, as well as the presence of dendritic cells with abundant melanin. Upon immunohistochemical analysis, the proliferation showed negative staining for CD 34 and AE 1/3, whereas the scattered dendritic cells stained positive with S100 protein. Ki 67 was positive in 15% of the tumor cells and the absence of p53 expression was noted. Thus, the diagnosis of Bednar tumor with fibrosarcomatous transformation was established. The aim of this paper was to gain further knowledge about the histopathological and immunohistochemical features, as well as about the treatment of Bednar tumor, especially considering its rarity.","PeriodicalId":122325,"journal":{"name":"Romanian Journal of Orthopaedic Surgery and Traumatology","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131772622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0