Acta chirurgica Iugoslavica最新文献_第6页

Two case reports of lower limb posttraumatic angular deformities correction by dynamic hinged external fixation 动态铰链外固定矫治下肢外伤性角畸形2例报告

Acta chirurgica Iugoslavica Pub Date : 2015-01-01 DOI: 10.2298/ACI1501069M

I. Micic, Gemizy El, M. Mitković, M. Mitkovic, S. Milenkovic, I. Kostić, P. Stojiljković, S. Stamenić, M. Milan, S. Sasa, D. Ivan, E. Mohamed, B. Milorad

{"title":"Two case reports of lower limb posttraumatic angular deformities correction by dynamic hinged external fixation","authors":"I. Micic, Gemizy El, M. Mitković, M. Mitkovic, S. Milenkovic, I. Kostić, P. Stojiljković, S. Stamenić, M. Milan, S. Sasa, D. Ivan, E. Mohamed, B. Milorad","doi":"10.2298/ACI1501069M","DOIUrl":"https://doi.org/10.2298/ACI1501069M","url":null,"abstract":"The aim of this study was to present two patients with lower limb posttraumatic angular deformity treated by dynamic hinged external fixation. CD-V mode Mitkovic type external fixator had been used in both cases for correction of these deformities. The method is based on hemicallotasis - bone callus distraction after a partial transversal bone cut (hemocorticotomy). The first patient had varus-recurvatum posttraumatic deformity of the ankle joint. Operation time was 65 min and hospital stay was 9 days. Superficial pin-track infection was resolved by the pin removal and by daily wound toilette. The second patient had varus-antecurvatum malunion deformity of the femoral diaphysis. Operation time was 50 min and hospital stay was 6 days. Mild knee contracture had been successfully treated by physical therapy. Angular deformity correction had been performed by distraction (for the first patient) and compression (for the second patient) in the fixator frame. Hemicallotasis of femur or tibia using CD-V mode Mitkovic type external fixator is a good alternative in the treatment of posttraumatic lower limb angular deformities, providing minimal surgical trauma and maximal use of the bone osteogenetic capacity. Gradual compression or distraction in the fixator frame allows to perform accurate angular correction in both coronal and sagital plane in one act. [Projekat Ministarstva nauke Republike Srbije, br. III41017: Virtual human osteoarticular system and its application in preclinical and clinical practice]","PeriodicalId":75377,"journal":{"name":"Acta chirurgica Iugoslavica","volume":"196 1","pages":"69-74"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68393338","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

Post-radiation extra-cranial aneurysm of internal carotid artery 放疗后颈内动脉颅外动脉瘤

Acta chirurgica Iugoslavica Pub Date : 2015-01-01 DOI: 10.2298/ACI1501081F

N. Fatic, N. Bulatović, P. Gajin, N. Aleksić, S. Tanasković, S. Babic, D. Radak

引用次数: 0

Morphologic and epidemiologic differences between Asian and European population in aneurismatic disease of abdominal aorta 亚洲和欧洲人群腹主动脉动脉瘤性疾病的形态学和流行病学差异

Acta chirurgica Iugoslavica Pub Date : 2015-01-01 DOI: 10.2298/ACI1502025M

A. Mladenovič

{"title":"Morphologic and epidemiologic differences between Asian and European population in aneurismatic disease of abdominal aorta","authors":"A. Mladenovič","doi":"10.2298/ACI1502025M","DOIUrl":"https://doi.org/10.2298/ACI1502025M","url":null,"abstract":"Background: In this study, we analyzed epidemiologic characteristics and morphologic differences between Asian and European population in patients with abdominal aorta aneurysm (AAA). Method: We conducted concomitant study in Japan and Europe , in 31 Asian patients (AP) with AAA and 130 control subjects of the same population, and in 30 European patients with AAA and 126 control subjects (EP). We observed various demographic and anthropologic parameters. Aortography was performed in all patients at the same type of CT-scanners using the same examination protocol and postprocessing. For data analysis, various statistical models were used. Results: There are statistically significant differences in multiple epidemiologic and morphologic findings in AAA patients, as well as in comparison with controls in both groups. This is most distinct in terms of anthropologic characteristics and number of risk-factors, and in terms of morphologic findings, in the length of neck of the aneurysm, transverse diameter of abdominal aorta (AA) and common iliac artery (c.i.a), and volumes of c.i.a. We obtained paradoxical results considering diabetes mellitus, which presented itself as a protective factor for AAA. Conclusion: Demographic-epidemiologic analysis accompanied with morphologic measurements using modern imaging modalities enables obtaining new information on pathology of AAA in different races. There are differences in number of risk-factors, and in terms of morphologic findings, in the length neck, angle of the aneurysm, transverse diameters of abdominal aorta (AA) and in the length of common iliac artery (c.i.a), and volume of c.i.a. [Projekat Ministarstva nauke Republike Srbije, br. 17504]","PeriodicalId":75377,"journal":{"name":"Acta chirurgica Iugoslavica","volume":"62 1","pages":"25-32"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68393588","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

When it is oportune to avoid cesarean myomectomy? An analysis of possible factors influencing duration of treatment in the intensive care unit 什么时候才有机会避免剖宫产子宫肌瘤切除术?影响重症监护病房治疗时间的可能因素分析

Acta chirurgica Iugoslavica Pub Date : 2015-01-01 DOI: 10.2298/ACI1502071S

R. Sparić, J. Stamenković, L. Nejković, A. Tinelli

{"title":"When it is oportune to avoid cesarean myomectomy? An analysis of possible factors influencing duration of treatment in the intensive care unit","authors":"R. Sparić, J. Stamenković, L. Nejković, A. Tinelli","doi":"10.2298/ACI1502071S","DOIUrl":"https://doi.org/10.2298/ACI1502071S","url":null,"abstract":"Background: Cesarean myomectomy (CM) is a controversial issue, even relatively contraindicated in obstetric practice. Recent reports showed that CM is not associated with increased morbidity, but those are lacking the data about risks of intensive care unit (ICU) treatment. Aim: The authors evaluated the factors affecting the duration of ICU treatment in patients after CM. Material and Methods: The study included 57 women who underwent CM and were postoperatively admitted and treated in ICU. Correlation analysis was used to estimate the effect of various parameters on the duration of ICU treatment. Results: There was a highly significant correlation between duration of ICU treatment and number of postoperative transfusions (p=0.001), duration of surgery (p=0.007), intraoprative hemorrhage (p=0.008) and myoma diameter (p=0.009). Duration of ICU treatment was also correlated with gestational age, hypertensive syndrome in pregnancy, preoperative hematocrit and hemoglobin values, number of intraoperative transfusions, postoperative hemorrhage and repeated myomectomy. Conclusions: In our report, longer ICU tretment was required in cases of perioperative hemorrhage, prolonged surgeries and those requiring perioperative transfusion. Patients who have had previous myomectomy, with lower preoperative hemoglobine and hematocrit vaues and bigger myomas are at risk of prolonged ICU treatment.","PeriodicalId":75377,"journal":{"name":"Acta chirurgica Iugoslavica","volume":"62 1","pages":"71-76"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68393712","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: 2

Open distal tibial pilon fractures treated with "one-stage" external fixation method “一期”外固定治疗胫骨远端开放性骨折

Acta chirurgica Iugoslavica Pub Date : 2015-01-01 DOI: 10.2298/ACI1501013M

S. Milenkovic, M. Mitkovic, M. Mitković, I. Micic, S. Stamenić, P. Stojiljković, M. Stanojlovic, M. Stanojković, Predrag Kovačèević, M. Spalević

{"title":"Open distal tibial pilon fractures treated with \"one-stage\" external fixation method","authors":"S. Milenkovic, M. Mitkovic, M. Mitković, I. Micic, S. Stamenić, P. Stojiljković, M. Stanojlovic, M. Stanojković, Predrag Kovačèević, M. Spalević","doi":"10.2298/ACI1501013M","DOIUrl":"https://doi.org/10.2298/ACI1501013M","url":null,"abstract":"Introdiction: Open distal tibial pilon fractures are considered as hard injuries, caused by high-energy axial load. Different treatment methods of these injuries are described in the literature. Authors of this paper are presenting own experience and results in the method of „one-stage“ external fixation with or without limited internal fixation of the fracture. Material and methods: All the patients had emergent surgical treatment in 4 to 8 hours after the hospitalisation. Surgical protocol included wound irrigation, debridement, fracture reduction and external fixation in type A fractures. Type B and type C fractures were treated by „bridging“ external fixation with limited internal fixation. In the cases where wound had not been possible to close primarily additional surgical procedures (soft tissue defects coverage) were performed. Results: Final functional outcome was excelent in 5(31,25%) patients, good in 6 (37,5%) patients, moderate in 3(18,75%) patients and bad in 2 (12,5%) patients (according Karlsson Score). Final anatomical and functional results were in correlation with the type of primary injury. One case of septic pseudoarthrosis and three cases of late ankle arthrosis were found as a major complication. Conclusion High-energy open distal tibial pilon fractures are still considered as a challange and significant surgical problem. The method of external fixation with or without limited internal fixation, as „one-stage“ method, was approved in clinical practice to give excelent and good final functional and anatomical results. Though final functional results were in correlation with degree of the injury, described method gives good outcome results and further clinical application will surely approve its clinical significance. [Projekat Ministarstva nauke Republike Srbije, br. III41017: Virtual human osteoarticular system and its application in preclinical and clinical practice]","PeriodicalId":75377,"journal":{"name":"Acta chirurgica Iugoslavica","volume":"62 1","pages":"13-18"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68393102","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

History and portraits in fracture treatment 骨折治疗的历史和概况

Acta chirurgica Iugoslavica Pub Date : 2015-01-01 DOI: 10.2298/aci1501019l

A. Lešić, B. Karovic, B. Krivokapic, M. Bumbasirevic

{"title":"History and portraits in fracture treatment","authors":"A. Lešić, B. Karovic, B. Krivokapic, M. Bumbasirevic","doi":"10.2298/aci1501019l","DOIUrl":"https://doi.org/10.2298/aci1501019l","url":null,"abstract":"During the human history there were many attempts to treat fractures and injuries of extremities. Since Mathijsen and his plaster cast there was many attempts to make immobilization at the fracture site, to protect obtained reduction. Hugh Owen Thomas invent traction which greatly decrease mortality in the patients with femoral fractures during the war. External fixation was used from the time of Malgaigne, Lambote, Parkhill in 19th century, and Anderson, Hofmann, Ilizarov in 20th century. This kind of fracture fixation still has place and role in the treatment of open, compound fractures, and in the patients with multiple fractures. Along with invention of antisepsis, antibiotics, X-rays, ant metallurgy, the internal fixation become widely used, from the Lane,s plate at the beginning of 20th century to the biogredable materials and new designed internal devices. Special problem of hip fracture treatment was solved by fixation dated from Hey Groves, Smith Petersen, while intramedullary fixation of long bones was introduced by Kuntscher. Clinical and biomechanical investigation during the 1950 and 1960 was established by members of AO group. [Projekat Ministarstva nauke Republike Srbije, br. 175095 i br. 450005]","PeriodicalId":75377,"journal":{"name":"Acta chirurgica Iugoslavica","volume":"62 1","pages":"19-25"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68393115","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

Minimally invasive repair of ruptured Achilles tendon 跟腱断裂的微创修复

Acta chirurgica Iugoslavica Pub Date : 2015-01-01 DOI: 10.2298/aci1501085b

N. Bulatović, M. Kezunović, Žarko Dašić, N. Fatic

引用次数: 2

Ureteritis cystica associated with xanthogranulom atouspyelonephritis 囊性输尿管炎伴黄色肉芽肿性肾盂肾炎

Acta chirurgica Iugoslavica Pub Date : 2015-01-01 DOI: 10.2298/aci1502065r

P. S. Ristovski, A. Sofronievska, M. Glavinov

引用次数: 0

Application of the Ilizarov apparatus in knee arthrodesis as a treatment option after infected total knee arthroplasty Ilizarov器械在感染全膝关节置换术后膝关节置换术中的应用

Acta chirurgica Iugoslavica Pub Date : 2015-01-01 DOI: 10.2298/ACI1501089L

R. Lalić, V. Harhaji, S. Ninkovic, M. Gvozdenovic, V. P. Rasovic, M. V. Kecojevic, S. Stankovic, D. Gojkovic, V. Vickovic, Z. Petrovic

{"title":"Application of the Ilizarov apparatus in knee arthrodesis as a treatment option after infected total knee arthroplasty","authors":"R. Lalić, V. Harhaji, S. Ninkovic, M. Gvozdenovic, V. P. Rasovic, M. V. Kecojevic, S. Stankovic, D. Gojkovic, V. Vickovic, Z. Petrovic","doi":"10.2298/ACI1501089L","DOIUrl":"https://doi.org/10.2298/ACI1501089L","url":null,"abstract":"A chronic periprosthetic infection with attendant failure of the knee extensor mechanism is one of the most disastrous outcome following total knee arthroplasty and knee arthrodesis may be the last possible option treatment with the exception lover limb amputated. The aim of this study is to represent the results to achieve knee arhrodesis in patients with chronically septic total knee arhroplasty. In our retrospective study we reviewed the clinical record of 27 patients who were treated with Ilizarov circular external fixator for this condition. Male to female ratio was 13:14. Main age of the patients was 62,3 years. We used Cierny-Mader classification for the clinical and pathoanatomical assessment. For the assessment of the bone defect we used Engh classification. Complete union we had in 22(81,4%) patients. Mean time for healing was 5,7 months, range (3-15). Mean residual limb shortness was 4,7 cm and mean follow-up was 21 months. We also had a five nonunion (18,6%) complications: three with septic intrarticular nonunion, two had intolerance to the Ilizarov apparatus, so we removed earlier. The Ilizarov circular external fixator provides us a high rate of bone healing and low risk of septic dissemination in patients with infected total knee arthroplasty (TKA).","PeriodicalId":75377,"journal":{"name":"Acta chirurgica Iugoslavica","volume":"62 1","pages":"89-97"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68393469","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

The effect of erythropoietin on alanine aminotransferase during ischemia reperfusion injury in rats 促红细胞生成素对大鼠缺血再灌注损伤中丙氨酸转氨酶的影响

Acta chirurgica Iugoslavica Pub Date : 2015-01-01 DOI: 10.2298/ACI1502033T

C. Tsompos, C. Panoulis, K. Ïtutouzas, G. Zografos, A. Papalois

{"title":"The effect of erythropoietin on alanine aminotransferase during ischemia reperfusion injury in rats","authors":"C. Tsompos, C. Panoulis, K. Ïtutouzas, G. Zografos, A. Papalois","doi":"10.2298/ACI1502033T","DOIUrl":"https://doi.org/10.2298/ACI1502033T","url":null,"abstract":"The aim of this experiment study was the erythropoietin testing, on the rat model and particularly on ischemia reperfusion protocol. The benefit or the non effect of that molecule was studied biochemically on blood alanine aminotransferase. Material and methods 40 rats were used of mean weight 247,7 gr. Alanine aminotrans-ferase was measured at these time points: on 60 min after reperfusion (groups A and C), and on 120 min after reperfusion (groups B and D), A and B without but C and D with erythropoietin administration. Results were that 1) erythropoietin administration increased significantly the ALT by 15.2 IU/L [-0.6168546 IU - 31.01685 IU/L] (P= 0.0591), in accordance also with paired t-test (P=0.0480), 2) reperfusion time increased non significantly the ALT by 3.4 IU/L [-13.1482 IU - 19.9482 IU/L] (P= 0.6798), in accordance also with paired t-test (P= 0.5994), and 3) interaction with erythropoietin administration and reperfusion time increased non significantly the ALT levels by 3.581818 IU/L [-6.350404 IU-13.51404 IU/L] (P= 0.4698). Conclusions are that erythropoietin administration, reperfusion time and their interaction have non significant short-term increasing effects on alanine aminotransferase.","PeriodicalId":75377,"journal":{"name":"Acta chirurgica Iugoslavica","volume":"62 1","pages":"33-39"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68393132","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: 3