Romanian Journal of Orthopaedic Surgery and Traumatology最新文献_第6页

The importance of the Authorship and conflicts of interest statement and Copyright forms in the editorial policy of Romanian Journal of Orthopaedic Surgery and Traumatology 《罗马尼亚骨科外科与创伤学杂志》编辑政策中作者身份和利益冲突声明及版权形式的重要性

Romanian Journal of Orthopaedic Surgery and Traumatology Pub Date : 2019-12-01 DOI: 10.2478/ROJOST-2019-0012

C. Cirstoiu

引用次数: 1

Trends in systemic therapy for malignant peripheral nerve sheath tumors 恶性周围神经鞘肿瘤的全身治疗趋势

Romanian Journal of Orthopaedic Surgery and Traumatology Pub Date : 2019-12-01 DOI: 10.2478/rojost-2019-0025

L. Alecu, Cristina Orlov-Slavu, A. Tulin, C. Nitipir

引用次数: 0

Medical management of patients with inflammatory arthritis undergoing total hip arthroplasty and total knee arthroplasty 炎性关节炎患者行全髋关节置换术和全膝关节置换术的医疗管理

Romanian Journal of Orthopaedic Surgery and Traumatology Pub Date : 2019-12-01 DOI: 10.2478/rojost-2019-0020

Ioana Crețu, M. Bojincă, M. Milicescu, T. Serban, B. Crețu, R. Ionescu

{"title":"Medical management of patients with inflammatory arthritis undergoing total hip arthroplasty and total knee arthroplasty","authors":"Ioana Crețu, M. Bojincă, M. Milicescu, T. Serban, B. Crețu, R. Ionescu","doi":"10.2478/rojost-2019-0020","DOIUrl":"https://doi.org/10.2478/rojost-2019-0020","url":null,"abstract":"Abstract Total joint arthroplasty (TJA) including total hip arthroplasty (THA) and total knee arthroplasty (TKA) are performed for patients with primary osteoarthritis (OA). Also, there are patients who undergo TJA for management of inflammatory arthritis (IA), including patients with rheumatoid arthritis (RA), Spondyloarthritis (SPA) including ankylosing spondylitis (AS) and psoriatic arthritis (PSA) and systemic lupus erythematosus (SLE). The purpose of this review was to evaluate the current knowledge about the risk of complications after TJA in patients with IA and perioperative management of antirheumatic drugs. THA and TKA are orthopedic surgeries that help patients with arthritis restore function, mobility and reduce pain. Patients with inflammatory arthritis have systemic disorders that cause a high rate of complications associated with the surgery. Patients with inflammatory arthritis, including RA, SPA, and SLE who need TJA have a higher risk of developing complications compared to patients with OA. Information about cardiovascular risk factors and other comorbidities is important to better control and reduce the risk of postoperative complications. Abbreviations TJA = total joint arthroplasty, THA = total hip arthroplasty, TKA = total knee arthroplasty, OA = osteoarthritis, SPA = spondyloarthritis, IA = inflammatory arthritis, RA = rheumatoid arthritis, AS = ankylosing spondylitis, PSA = psoriatic arthritis, SLE = systemic lupus erythematosus, DMARDs = Disease-modifying antirheumatic drugs, PJI = prosthetic joint infection, VTE = venous thromboembolism, HCQ = hydroxychloroquine, SSZ = sulfasalazine, TNF = tumor necrosis factor, GS = corticosteroids.","PeriodicalId":122325,"journal":{"name":"Romanian Journal of Orthopaedic Surgery and Traumatology","volume":"95 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134522568","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

Osseous metastases and ovarian cancer 骨转移和卵巢癌

Romanian Journal of Orthopaedic Surgery and Traumatology Pub Date : 2019-06-01 DOI: 10.2478/rojost-2019-0007

M. Cirstoiu, A. Baros, F. Păuleț, Delia Grădinaru-Fometescu, B. Șerban, B. Crețu, C. Cirstoiu

引用次数: 0

Targeted therapy options for chondrosarcoma - a preclinical perspective 软骨肉瘤的靶向治疗选择-临床前的观点

Romanian Journal of Orthopaedic Surgery and Traumatology Pub Date : 2019-06-01 DOI: 10.2478/rojost-2019-0011

C. Nitipir, Cristina Orlov-Slavu, L. Alecu

引用次数: 0

In-hospital mortality rate after osteoporotic hip fracture in Bucharest 布加勒斯特骨质疏松性髋部骨折后的住院死亡率

Romanian Journal of Orthopaedic Surgery and Traumatology Pub Date : 2019-06-01 DOI: 10.2478/rojost-2019-0010

R. Dobre, D. Niculescu, G. Popescu, A. Barbilian, C. Cirstoiu, C. Poiană

{"title":"In-hospital mortality rate after osteoporotic hip fracture in Bucharest","authors":"R. Dobre, D. Niculescu, G. Popescu, A. Barbilian, C. Cirstoiu, C. Poiană","doi":"10.2478/rojost-2019-0010","DOIUrl":"https://doi.org/10.2478/rojost-2019-0010","url":null,"abstract":"Abstract Introduction: Hip fracture is the most severe consequence of osteoporosis and an important cause of excess mortality in the elderly. Objective: We aimed to evaluate the in-hospital mortality rate after osteoporotic hip fracture in patients treated surgically or functionally in specialized centers in Bucharest. Materials and methods: We calculated the in-hospital mortality rate in 745 patients (540 women [72.48%], with a mean age of 79.1 ± 11 years), surgically or functionally treated for fragility hip fracture over a 12 months period. Results: Average length of hospitalization was 18.12 days. In hospital mortality rate was 5.36% (n=40, women 60%). An important risk factor associated with mortality was age, p=0.001. The male sex was also a risk factor with a mortality rate of 7,8% (n=16), compared to 4.44% in women, p<0.005, with OR of 1.57. Out of the 40 patients, 57.5% had a femoral neck fracture, 35% intertrochanteric, and 5.5% atypical fracture in absence of bisphosphonates. 7.5% had previous fragility fractures. 85% of the patients had a history of one or more cardiac pathologies (34.28% with atrial fibrillation), 57.5% underwent surgical intervention (n=23) with an average day of intervention of 8.82 after admission. None of the patients had an osteoporosis treatment before the event and on average 3.73 medications with an increased risk of falling and fracture. Conclusion: In-hospital mortality rate after hip fracture remains high; probably this being related to the high comorbidity associated with male sex and increased age as risk factors.","PeriodicalId":122325,"journal":{"name":"Romanian Journal of Orthopaedic Surgery and Traumatology","volume":"86 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123598817","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

Knee arthrodesis as a salvage method for septic TKA failure 膝关节置换术作为脓毒性TKA失败的抢救方法

Romanian Journal of Orthopaedic Surgery and Traumatology Pub Date : 2019-06-01 DOI: 10.2478/rojost-2019-0002

T. Ciobanu, I. Japie, O. Nutiu, A. Papuc, D. Rădulescu, R. Rădulescu

{"title":"Knee arthrodesis as a salvage method for septic TKA failure","authors":"T. Ciobanu, I. Japie, O. Nutiu, A. Papuc, D. Rădulescu, R. Rădulescu","doi":"10.2478/rojost-2019-0002","DOIUrl":"https://doi.org/10.2478/rojost-2019-0002","url":null,"abstract":"Abstract Periprosthetic joint infection is the most common reason for a failed TKA, with a septic TKA reported rate of 1 to 4% of primary TKA patients. Septic TKA has a various number of treatment options which include chronic-suppressive antibiotics, irrigation and debridement, single or staged revision arthroplasty. The goal is to eradicate the periprosthetic joint infection and reimplant a sterile and fully functional total knee prosthesis. In case the infection becomes uncontrollable, there is only one option to eradicate the infection: knee arthrodesis or above-knee amputation. We report the case of a 63-year-old patient who in 2009 underwent TKA, the 1 year follow-up showed periprosthetic infection. At first stage, the prosthetic implants were removed and a solid cement spacer was shaped to occupy the remaining space. In 2011, after achieving complete clinical and biological remission of the infection, the cement spacer was removed and LCCK revision prosthesis was inserted. In 2013 reinfection occurred leading to removal of the prosthetic implants and reinsertion of an antibiotic impregnated cement spacer. Since the patient suffered significant bone loss and the local conditions were unfavorable, being prone to infection, there were 2 options to evaluate: knee arthrodesis or above knee amputation. We chose knee arthrodesis using Ilizarov external fixation technique. Many surgical techniques are available to achieve knee arthrodesis: internal fixation with plates or intramedullary nails and external fixation. The Ilizarov method is a very effective technique that could be taken into consideration when knee arthrodesis is required.","PeriodicalId":122325,"journal":{"name":"Romanian Journal of Orthopaedic Surgery and Traumatology","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133177941","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

Incidence and location of bone metastases in breast cancer 乳腺癌骨转移的发生率和部位

Romanian Journal of Orthopaedic Surgery and Traumatology Pub Date : 2019-06-01 DOI: 10.2478/rojost-2019-0006

M. Cirstoiu, O. Munteanu, O. Bodean, F. Păuleț, B. Șerban, B. Crețu, C. Cirstoiu

引用次数: 1

Emerging orthopaedics resident training programs, changing paradigms. This is the future. 新兴的骨科住院医师培训项目，正在改变范式。这就是未来。

Romanian Journal of Orthopaedic Surgery and Traumatology Pub Date : 2019-06-01 DOI: 10.2478/ROJOST-2019-0001

C. Cirstoiu, B. Crețu

引用次数: 0

Simultaneous quadriceps and contralateral patellar tendon ruptures in a patient with chronic renal failure following electric shock; a case report and review of the literature 电击后慢性肾衰竭患者同时发生股四头肌和对侧髌骨肌腱断裂1例病例报告及文献回顾

Romanian Journal of Orthopaedic Surgery and Traumatology Pub Date : 2019-06-01 DOI: 10.2478/rojost-2019-0003

Bilgin Emre, Vincenten Cornelis, Kati Yusuf Alper, K. Ozkan, Kalenderer Onder

引用次数: 1