Romanian Journal of Orthopaedic Surgery and Traumatology最新文献_第7页

The epidemiology and influence of osteoarthritis on clinical, laboratory and ultrasound parameters of patients with early rheumatoid arthritis 骨关节炎的流行病学及对早期类风湿关节炎患者临床、实验室及超声参数的影响

Romanian Journal of Orthopaedic Surgery and Traumatology Pub Date : 2019-06-01 DOI: 10.2478/rojost-2019-0009

T. Serban, I. Satulu, Ioana Crețu, O. Vutcanu, M. Milicescu, M. Bojincă

{"title":"The epidemiology and influence of osteoarthritis on clinical, laboratory and ultrasound parameters of patients with early rheumatoid arthritis","authors":"T. Serban, I. Satulu, Ioana Crețu, O. Vutcanu, M. Milicescu, M. Bojincă","doi":"10.2478/rojost-2019-0009","DOIUrl":"https://doi.org/10.2478/rojost-2019-0009","url":null,"abstract":"Abstract Background: Osteoarthritis (OA) and rheumatoid arthritis (RA) can overlap and the presence of OA can interfere with the evaluation of patients with RA. Objectives: The aim of this study was to evaluate the possible impact of OA on the clinical, laboratory and ultrasound parameters currently evaluated in patients with early RA (ERA). Methods: We have evaluated the data obtained from patients with ERA referred to our Early Arthritis Research Center (EARC). Only data from patients who fulfilled EULAR/ ACR 2010 criteria for RA and had symptom duration of less than 12 months were analyzed. All patients underwent clinical examination, laboratory tests and ultrasound (US) examination. Results: There was a clear predominance of women (62.8%). The mean age was 55.47±13.71 years. At baseline, 21 patients (48.8%) were diagnosed with OA. Hand OA did not influence the values of any of the parameters assessed (p>0.05). For patients with knee OA, significantly higher values were observed only for DAS28 at baseline (p=0.018) as well as after 12 months of observation (p=0.031). Conclusions: Significantly higher values of DAS28 were observed in patients with ERA who associated knee OA, while the values of SDAI were not influenced, suggesting that SDAI may be superior to DAS28 in evaluating patients with ERA and knee OA. The values of patient’s VAS were not influenced by the presence of hand or knee OA suggesting that these types of OA do not influence the patients’ perception of the disease activity. Moreover, the values of ultrasound scores were not influenced by the presence of OA.","PeriodicalId":122325,"journal":{"name":"Romanian Journal of Orthopaedic Surgery and Traumatology","volume":"44 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":"128205567","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

Is intraabdominal pressure a predictive factor for mortality and morbidity in abdominal trauma? 腹内压是腹部外伤死亡率和发病率的预测因素吗?

Romanian Journal of Orthopaedic Surgery and Traumatology Pub Date : 2019-06-01 DOI: 10.2478/rojost-2019-0008

D. Ion, D. Păduraru, F. Musat, O. Andronic, A. Bolocan

引用次数: 0

Atypical Femoral Fractures due to long-term bisphosphonates therapy 长期双磷酸盐治疗引起的非典型股骨骨折

Romanian Journal of Orthopaedic Surgery and Traumatology Pub Date : 2019-06-01 DOI: 10.2478/rojost-2019-0005

Ioan-Mihai Japie, R. Rădulescu, A. Bădilă, E. Japie, A. Papuc, T. Ciobanu, A. Dumitru, C. Cirstoiu

{"title":"Atypical Femoral Fractures due to long-term bisphosphonates therapy","authors":"Ioan-Mihai Japie, R. Rădulescu, A. Bădilă, E. Japie, A. Papuc, T. Ciobanu, A. Dumitru, C. Cirstoiu","doi":"10.2478/rojost-2019-0005","DOIUrl":"https://doi.org/10.2478/rojost-2019-0005","url":null,"abstract":"Abstract Introduction. Bisphosphonates (BPs) represent the main therapy in patients with osteoporosis, although a long-term treatment can lead to atypical fractures. Material and methods. We conducted a retrospective study between 2008 and 2017 and included 23 female patients with atypical femoral fractures (AFFs). The mean period of BPs therapy administration was 5.2 years. We included 7 subtrochanteric fractures and 18 femoral shaft fractures. Two of the total patients presented bilateral femoral fractures. 18 patients presented prodromal symptoms from 2 to 18 months before the diagnosis of fractures, all of them following low energy trauma. All the patients included in our study underwent surgery with intramedullary nail or gamma nail. The postoperative mean follow-up was 2 years. Results. Of all 23 female patients with a total of 25 fractures – 10 underwent osteosynthesis with gamma nail and 15 underwent osteosynthesis with intramedullary nail. From the total number of patients: 13 patients achieved complete union, 6 presented delayed union and 3 non-union (2 intramedullary nail and one gamma nail), whereas in one patient treated previously with gamma nail we observed implant failure. Conclusion. The treatment of AFFs after BPs therapy administration represents a challenge for orthopaedic surgeons regarding both surgical technique and postoperative follow-up.","PeriodicalId":122325,"journal":{"name":"Romanian Journal of Orthopaedic Surgery and Traumatology","volume":"36 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":"124918235","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

GCT of knee treated with modular prosthesis-case presentation 模块化假体治疗膝关节GCT一例报告

Romanian Journal of Orthopaedic Surgery and Traumatology Pub Date : 2019-06-01 DOI: 10.2478/rojost-2019-0004

A. Papuc, Ioan-Mihai Japie, T. Ciobanu, O. Nutiu, D. Rădulescu, R. Rădulescu

引用次数: 0

Midshaft femoral fracture in an elderly patient with a rich history. Therapeutic and economic insights 有丰富病史的老年股骨中轴骨折1例。治疗和经济见解

Romanian Journal of Orthopaedic Surgery and Traumatology Pub Date : 2018-12-01 DOI: 10.2478/rojost-2018-0082

Mihai-Daniel Angheluță, Mihai Gherman, A. Sere, R. Coste

引用次数: 0

Statistically based survival rate estimation in patients with soft tissue tumors 基于统计的软组织肿瘤患者存活率估计

Romanian Journal of Orthopaedic Surgery and Traumatology Pub Date : 2018-12-01 DOI: 10.2478/rojost-2018-0085

B. Șerban, Z. Pánti, M. Nica, M. Pleniceanu, M. Popa, R. Ene, C. Cirstoiu

{"title":"Statistically based survival rate estimation in patients with soft tissue tumors","authors":"B. Șerban, Z. Pánti, M. Nica, M. Pleniceanu, M. Popa, R. Ene, C. Cirstoiu","doi":"10.2478/rojost-2018-0085","DOIUrl":"https://doi.org/10.2478/rojost-2018-0085","url":null,"abstract":"Abstract Although most soft tissue tumors are benign, with a high healing rate after surgical excision, there is a variety of malignant tumors with differences in progression and prognosis. The study aimed to assess the survival rate in patients diagnosed with this pathology, based on the patient’s characteristics (age, gender, race), as well as the tumor’s histological type, differentiation degree, location and size. The retrospective study included a group of 103 patients diagnosed during 2010 and 2017 in our department. Considering the high healing rate of benign tumors, only the group of neoplastic patients (45 cases) was involved in the survival rate estimation, assessing tumor characteristics and individual comorbidities. Within this lot, we emphasized a predominance of neoplasm in patients aged over 50 years (32 cases), men (29 cases), and localization of the neoplasm in the thigh (23 cases). The predominant histopathological type, liposarcoma, was diagnosed in 67% of the cases, with dimensions over 6 cm and with local extension. There have been significant variations in mortality between the different histological subtypes (liposarcoma vs. synovial sarcoma). Local recurrences were showed in 18 cases of liposarcoma in the first 2 years after the surgical excision, with an increased aggressiveness of this neoplasm in men over 50 years. 12 cases developed distant metastasis, and until the end of the study, 7 deaths were reported in 3 cases involving associated comorbidities. The five-year survival is inversely proportional to the extent of the tumor and the local invasion, as well as to the age of the patient. An overall survival rate is difficult to appreciate in the context of a heterogeneous group of tumors so it must be evaluated for every histological subtype taking into account the patient’s particularities.","PeriodicalId":122325,"journal":{"name":"Romanian Journal of Orthopaedic Surgery and Traumatology","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129432858","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: 1

Factors influencing functional results after surgery for ankle fractures 影响踝关节骨折术后功能结果的因素

Romanian Journal of Orthopaedic Surgery and Traumatology Pub Date : 2018-12-01 DOI: 10.2478/rojost-2018-0086

O. Lupescu, M. Nagea, N. Ciurea, A. Grosu, A. Dimitriu, G. Popescu

引用次数: 0

Lower Limb Deformity and Total Knee Replacement 下肢畸形和全膝关节置换术

Romanian Journal of Orthopaedic Surgery and Traumatology Pub Date : 2018-12-01 DOI: 10.2478/rojost-2018-0090

B. Crețu, Z. Pánti, M. Nica, B. Șerban, M. Popa, R. Ene, C. Cirstoiu

引用次数: 0

Using External Fixation in distal tibial fractures- good principle, debatable application- Case presentation 外固定治疗胫骨远端骨折-良好的原则，有争议的应用-个案报告

Romanian Journal of Orthopaedic Surgery and Traumatology Pub Date : 2018-12-01 DOI: 10.2478/rojost-2018-0081

O. Lupescu, M. Nagea, A. Grosu, A. Dimitriu, G. Popescu, R. Scurtu, N. Ciurea

{"title":"Using External Fixation in distal tibial fractures- good principle, debatable application- Case presentation","authors":"O. Lupescu, M. Nagea, A. Grosu, A. Dimitriu, G. Popescu, R. Scurtu, N. Ciurea","doi":"10.2478/rojost-2018-0081","DOIUrl":"https://doi.org/10.2478/rojost-2018-0081","url":null,"abstract":"Abstract Distal tibial fractures usually result from high-energy trauma, affecting young, active people, producing long-term disability and numerous complications. Their treatment is difficult, especially in type C fractures, which affect both the articular surface and the metaphysis, are quite frequent comminuted fractures, and are accompanied by soft tissue injuries. In these situations, External Fixation (EF) is used as a temporary bridging method, either for treating concomitant soft tissue injuries (in open fractures) or for achieving and maintaining reduction in order to prevent blisters or compartment syndrome, possibly resulting from severe displacement, bleeding or oedema. It must be however underlined that EF is rarely a definitive method for these fractures, especially when the ankle is splinted, and it must be followed by definitive Internal Fixation (IF) - the so-called “sequential method”, otherwise restoration of a normal ankle anatomy and function is improbable, resulting in ankle stiffness or even osteoarthritis. This paper presents a case in which this principle was only partially applied, thus requiring corrective surgery followed by a long-term recovery period.","PeriodicalId":122325,"journal":{"name":"Romanian Journal of Orthopaedic Surgery and Traumatology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130467825","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

Denosumab efficacy in giant cell tumors of the bone - short review 地诺单抗治疗骨巨细胞瘤的疗效综述

Romanian Journal of Orthopaedic Surgery and Traumatology Pub Date : 2018-12-01 DOI: 10.2478/rojost-2018-0088

C. Nitipir, A. Popa, Cristina Orlov-Slavu

引用次数: 0