The use of partial prosthesis in shoulder surgery

Introduction. Indications for the use of partial shoulder prosthesis are dislocated four-part fractures and multi-part and four-part fractures-dislocations, impressive fractures of the humeral head (including involvement of more than 40% of the articular surface) and ?head splitting? fractures of humerus. The aim of this study was to present the results of the application of partial shoulder prosthesis at the Department of Orthopedic Surgery and Traumatology, Clinical Center of Vojvodina in Novi Sad and identify risk groups among the participants. Material and Methods. The study, which was retrospective, included 22 patients who had undergone the partial shoulder arthroplasty in the period from 2005 to 2015 at the Department of Orthopedic Surgery and Traumatology, Clinical Center of Vojvodina. The functional results were evaluated on the basis of the Constant Shoulder Score. Results. The study sample consisted of 15 women and 7 men, whose mean age was 64.9 ? 9.1 years. The average time from the injury to surgery was 13.3 days. According to the Constant scoring scale, the result was excellent in 6 (27%) patients, good in 3 (14%), fair in 7 (32%), and poor in 6 (27%) participants. 75% of participants said they were satisfied with the results of the operation. Conclusion. Partial shoulder prosthesis gives good functional results and allows resumption of activities of daily living. Better results were obtained within the subjective segments (pain, daily activities, vitality), which points out a greater subjective patient?s satisfaction in relation to the measured functio?nal outcome.

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Surgical treatment of shoulder rotator cuff injuries

Medicinski pregled ◽

10.2298/mpns1408239n ◽

2014 ◽

Vol 67 (7-8) ◽

pp. 239-245 ◽

Cited By ~ 3

Author(s):

Srdjan Ninkovic ◽

Marko Simnjanovski ◽

Vladimir Harhaji ◽

Nemanja Kovacev ◽

Natasa Janjic ◽

...

Keyword(s):

Surgical Treatment ◽

Rotator Cuff ◽

Daily Living ◽

Clinical Results ◽

Results Of Treatment ◽

Rotator Cuff Injuries ◽

Significant Difference ◽

Rotator Cuff Injury ◽

Novi Sad ◽

Shoulder Score

Introduction. The rotator cuff is the most important functional structure of the shoulder. The aim of this study was to determine which factors contribute to a rotator cuff injury and to evaluate the results of the surgical treatment at the Department of Orthopedic Surgery and Traumatology in Novi Sad since December 2009 until May 2012. Material and Methods. The study sample consisted of 20 patients who had been operated for a shoulder rotator cuff injury. Their mean age was 56.8 ? 9.1. Results. According to the Constant Shoulder Score, 75% of the patients had excellent and good results. A statistically significant difference (p?0.05) was found between Constant Shoulder Score of the operated should and the opposite shoulder as well as between the range of external and internal rotation and abduction. After the surgical treatment, 95% of the patients have no limitations in the activities of daily living and they are satisfied with the results of treatment. Conclusion. Surgical treatment of a shoulder rotator cuff injury is reliable, time-tested and provides good clinical results especially in patients who were operated within the first three weeks after the injury.

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Frequency and nature of pain in patients undergoing neurorehabilitation

Clinical Rehabilitation ◽

10.1177/0269215520956784 ◽

2020 ◽

pp. 026921552095678

Author(s):

Alicja Timm ◽

Stefan Knecht ◽

Matthias Florian ◽

Heidrun Pickenbrock ◽

Bettina Studer ◽

...

Keyword(s):

Treatment Period ◽

Daily Living ◽

Severe Pain ◽

Pain Medication ◽

Daily Activities ◽

Inpatient Stay ◽

Moderate Pain ◽

Group Level ◽

Analog Scale ◽

Pain Scores

Objective: This prospective study investigated the extent to which patients undergoing neurorehabilitation reported pain, how this pain developed during inpatient stay and whether patients were treated accordingly (using pain medication). Methods: The extent of pain, performance in daily activities, with a focus on possible impairment from pain, and pain medication were assessed at the beginning and the end of neurorehabilitation treatment. Overall 584 patients, with various neurological diagnoses, such as stroke, intracerebral hemorrhage, polyneuropathy, etc. were classified into four groups based on whether they reported having “no pain,” “mild pain,” “moderate pain,” or “severe pain.” All patients received conventional neurorehabilitation therapy in the Mauritius Hospital, Germany. Results: A total of 149 patients had clinically relevant pain at the beginning of their inpatient stay, at a group level this did not change significantly during the treatment period. At the end of inpatient stay, a slight increase was noted in patients reporting pain. Overall 164 patients suffered from moderate or severe pain, operationalized of pain scores >3 on the visual analog scale. A total of 145 patients who had pain at the end of inpatient stay, did not receive pain medication. There was a weak negative association between pain at baseline and activities of daily living at the end of the treatment period, such that, patients with higher pain levels tended to showed lower Barthel Index scores at the end. Conclusion: In our study, about one-third of patients suffered from clinically relevant pain during neurorehabilitation treatment and most of them did not receive any pain medication.

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Assessment of Daily Living of Patients with Spinal Cord Injury: A Cross-Sectional Study in Kermanshah

Archives of Neuroscience ◽

10.5812/ans.117199 ◽

2021 ◽

Vol 8 (3) ◽

Author(s):

Masoud Hatefi ◽

AmirHosein Meisami ◽

Alalleh Dalvand ◽

Milad Borji

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Daily Living ◽

Cross Sectional Study ◽

Demographic Characteristics ◽

Daily Activities ◽

Sectional Study ◽

Cross Sectional ◽

Cord Injury ◽

The Impact

Background: Spinal cord injuries (SCI) are a variety of chronic diseases that various causes such as trauma may contribute to its onset. One of the problems in these patients is the problem of physical activity and, consequently, daily activities. Objectives: This study aimed to assess daily living of patients with SCI. Methods: In this descriptive cross-sectional study in 2019, 120 patients with SCI in Kermanshah were included in the study using purposive sampling. The instruments used in this study fell into two parts. One part included the demographic characteristics of the SCI patients, and the other part was a questionnaire of the rate of the Impact on Participation and Autonomy questionnaire (IPA-P). Data were analyzed by SPSS software version 16 using descriptive tests such as mean and standard deviation. Results: The result showed there was a significant relationship between demographic characteristics such as education (P < 0.007), time of spinal cord injury (P < 0.01), and income (P = 0.000). Also, the results showed there was a relationship between Autonomy and Participation, and the age of patients and their autonomy and participation decreased with age (P = 0.000, R = 0.72). Most of the patients had severe problems with daily activities. Also, most patients had very poor scores in relation to daily living activities. Conclusions: Considering the low rate of participation and autonomy in patients with SCI, it is suggested to conduct studies aimed at improving their self-care and social participation.

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70 Years of English-Yugoslav children hospital for osteoarticular tuberculosis in Sremska Kamenica

Srpski arhiv za celokupno lekarstvo ◽

10.2298/sarh0412469m ◽

2004 ◽

Vol 132 (11-12) ◽

pp. 469-473

Author(s):

Zelimir Mikic ◽

Aleksandar Lesic

Keyword(s):

World War Ii ◽

World War I ◽

Orthopedic Surgery ◽

World War ◽

Children's Hospital ◽

Osteoarticular Tuberculosis ◽

School Of Medicine ◽

The World ◽

Children’S Hospital ◽

Novi Sad

The development of orthopedic surgery in Novi Sad and Voivodina is related to the name of Dr. Katherine MacPhail, a Scottish physician, who came to Serbia during the World War I, where she worked with her mission in Belgrade and Kragujevac. After the war, she remained in Serbia and, in 1921, founded the first children's, co-called English-Serbian Hospital; then, in 1934, established English-Yugoslav Children's Hospital for Treatment of Osteoarticular Tuberculosis in Sremska Kamenica, which was open until 1941. After the end of World War II, as early as in 1947, Dr. MacPhail returned to Sremska Kamenica, where she reactivated the hospital. After the nationalization of the hospital, she left for Scotland, but the hospital kept working, first under the supervision of the Belgrade Clinic for Orthopedic Surgery and Traumatology, and then as a ward of the Clinic for Orthopedic Surgery and Traumatology of the Novi Sad School of Medicine, until 1992, when it was closed.

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Development of the city hospital in Novi Sad - part II

Medicinski pregled ◽

10.2298/mpns1908251d ◽

2019 ◽

Vol 72 (7-8) ◽

pp. 251-256

Author(s):

Dusanka Dobanovacki ◽

Nada Vuckovic ◽

Radmila Gudovic ◽

Vladimir Sakac ◽

Milanka Tatic ◽

...

Keyword(s):

Medical Rehabilitation ◽

City Hospital ◽

Financial Difficulties ◽

Gynecology And Obstetrics ◽

Clinical Center ◽

Bed Capacity ◽

1960S And 1970S ◽

The 1960S ◽

Novi Sad ◽

Rehabilitation Clinic

At the end of the Second World War, the General State Hospital had seven departments, the same facilities, and the same bed capacity as in the pre-war period. In the newly formed state of Yugoslavia, intensive growth and modernization of the hospital began, despite the great financial difficulties. The hospital became the Main Provincial Hospital and new departments and services were established. Mainly during the 1960s and 1970s, ten new surgery departments were established, which later became independent clinics. The surgery departments occupied pavilions 1, 2, 3 and 4. Complex and contemporary abdominal and thoracic surgeries were performed. The Department of Internal Diseases became the Clinic of Internal Diseases and in 1964 it was moved to a newly equipped four-story building. The Clinic of Gynecology and Obstetrics was founded and it was moved into a modern, purpose-built facility with a 230 bed capacity for adult patients and 105 for newborns. Rapid progress has also been made in the development of the Clinic of Infectious Diseases, Clinic of Eye Diseases, Clinic of Ear, Nose and Throat Diseases, Neurology and Psychiatry Clinics, Clinic of Dermatovenereology Diseases, Medical Rehabilitation Clinic - as well as a modern laboratory, X-ray, blood transfusion, and polyclinic services. After the establishment of the Faculty of Medicine and the Clinical Center of Vojvodina, this large tertiary medical institution is the source of pride for Novi Sad. Founded 110 years ago, the hospital is still dedicated to providing better healthcare for patients.

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Determination of the Optimal Syndesmosis Fixation Angle Using Mortise View of The Ankle Joint

Journal of the American Podiatric Medical Association ◽

10.7547/21-034 ◽

2021 ◽

Author(s):

Oğuzhan Tanoğlu ◽

İzzet Özay Subaşı ◽

Mehmet Burak Gökgöz

Keyword(s):

Ankle Joint ◽

Articular Surface ◽

Three Dimensional ◽

Vertical Plane ◽

Functional Results ◽

Practical Method ◽

Medial Malleolus ◽

Significant Difference ◽

Horizontal View ◽

Mortise View

Background: Syndesmosis is an important soft tissue component supporting the ankle stability and commonly injured accompanying with ankle fractures. The accurate reduction and fixation of syndesmosis is essential to obtain better functional results. Therefore, we aimed to find a practical method using the mortise view of ankle to determine the optimal syndesmosis fixation angle intraoperatively. Methods: We randomly selected 200 adults (100 women and 100 men) between 18 - 60 years of age. Three-dimensional anatomical models of tibia and fibula were created using Materialise MIMICS 21. We created a best fit plane on articular surface of medial malleolus and a ninety degrees vertical plane to medial malleolus plane. We determined two splines on cortical borders of tibia and fibula distant from the most superior point of ankle joint in horizontal view. We created two spheres that fit to the predefined splines. The optimal syndesmosis fixation angle was determined measuring the angle between the line connecting the center points of spheres, and the ninety degrees vertical plane to medial malleolus plane. Results: We observed no statistically significant difference between gender groups in terms of optimal syndesmosis fixation angles. The mean age of our study population was 47.1 {plus minus} 10.5. The optimal syndesmosis fixation angle according to mortise view was found as 21 {plus minus} 4.3 degrees. Conclusions: We determined the optimal syndesmosis fixation angle as 21 {plus minus} 4.3 degrees in accordance with the mortise view of ankle. The surgeon could evaluate the whole articular surface of ankle joint with the medial and lateral syndesmotic space in mortise view accurately and at the same position syndesmosis fixation could be performed at 21 {plus minus} 4.3 degrees.

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Minimally invasive repair of ruptured Achilles tendon

Acta chirurgica iugoslavica ◽

10.2298/aci1501085b ◽

2015 ◽

Vol 62 (1) ◽

pp. 85-88

Author(s):

Nikola Bulatovic ◽

Miroslav Kezunovic ◽

Zarko Dasic ◽

Nikola Fatic

Keyword(s):

Surgical Technique ◽

Achilles Tendon ◽

Tendon Rupture ◽

Achilles Tendon Rupture ◽

Functional Results ◽

Recreational Athletes ◽

Acute Injuries ◽

Clinical Center ◽

Immobility Time ◽

Heel Bone

INTRODUCTION: Achilles tendon rupture usually occurs in recreational athletes of middle age 30-50godina and typical place of the rupture of 3-5 cm above the insertion of the heel bone. Most common in recreational athletes. OBJECTIVE: To view the surgical technique suture the tendon with a guide ?Achillon? the functional outcome of acute injuries. MATERIAL AND METHODS: retrospective analysis included a total of 20 patients treated at the Clinic of Orthopedics and Traumatology, Clinical Center of Montenegro in Podgorica in the 2009-14. They were monitored for 12 months. Diagnosis is based on history, clinical examination Thompson?s Simmond O?Brien test, ECHO and NMR. RESULTS: The average age was 38.8 ?2.79 years 21-52 years. Right in 14 respondents 70%, the left side in 6 30%. There were no complications as: infection, thrombosis, rerupture and embolism. Functional results tables we have shown through specific scores. CONCLUSION: It can be concluded that this procedure provides a simple and quick surgical technique, a small percentage of complications, shorter immobility time and good functional results.

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RESULTADOS CLINICOS Y RADIOLOGICOS POSTERIORES AL TRATAMIENTO QUIRURGICO DE FRACTURA DE MESETA TIBIAL EN PACIENTES MILITARES EN ACTIVO DEL CENTRO MEDICO NAVAL DE MEXICO

International Journal of Advanced Research ◽

10.21474/ijar01/13845 ◽

2021 ◽

Vol 9 (11) ◽

pp. 1089-1094

Author(s):

Camargo-Garcia R. ◽

◽

Diaz-De Jesus B. ◽

Keyword(s):

Surgical Approach ◽

Tibial Plateau ◽

Tibial Plateau Fracture ◽

Medical Center ◽

Functional Results ◽

Daily Activities ◽

Joint Fractures ◽

Plateau Fracture ◽

Military Patients ◽

The Military

Objective: To lay foundations in the population of theNavy Secretary from Mexico on the frequency, surgical approach, and recovery time of tibial plateau fractures, which would help in the future to develop more efficient protocols for the treatment of these patients and achieve their faster recovery, incorporating into their daily activities of high impact without complications. Materials and methods: We evaluated the functional and radiographic recovery of 20 active military patients with tibial plateau fracture undergoing surgical treatment at the Naval Medical Center of Mexico (CEMENAV) during the period from 2018 to 2021. Results: Of the patients evaluated in this study, it was found that 70% were men, in addition, it was observed that the most frequent tibial plateau fracture was type III, based on the Schatzker scale. Highlighting that the surgical approach most frequently was the previous one >80% of patients. In addition, 45% of patients showed excellent functional recovery, but 15% were poor. However, 90% of the patients had a very good radiographic recovery. Conclusion: The management of proximal tibial joint fractures that occur in the military, which are treated surgically at the Naval Medical Center of Mexico, show favorable functional results accompanied by an adequate radiological evaluation.

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Short vs long posterior fixation of thoracolumbar spine injuries

Medicinski pregled ◽

10.2298/mpns16s1015s ◽

2016 ◽

Vol 69 (suppl. 1) ◽

pp. 15-21

Author(s):

Milan Stankovic ◽

Natasa Janjic ◽

Ivica Lalic ◽

Nemanja Gvozdenovic ◽

Igor Elez ◽

...

Keyword(s):

Orthopedic Surgery ◽

Neurological Deficit ◽

Anterior Part ◽

Thoracolumbar Spine ◽

Posterior Fixation ◽

Low Back ◽

Fixation Group ◽

Clinical Center ◽

Spine Injuries

Introduction. More than a quarter of total number of posterior fixations of thoracolumbar spine is unsuccessful. Material and methods. The aim is to compare short and long fixation of thoracolumbar spine injuries. During the period of 2006 to 2015 we examined 99 patients at the Department of Orthopedic Surgery and Traumatology of Clinical Center of Vojvodina. Short fixation was performed in 63 cases and long fixation in 36 cases. All patients underwent clinical, radiographic and neurological evaluation. Mean age in the short fixation group was 47 (18-66) and in the long fixation group it was 43 (17-70). Mean follow-up time was 4,5 years. Results. Implants were extracted in 14 cases of short and in 4 cases of long fixation. Collapse of anterior part of vertebral body developed in 28,45% in the short fixation group and in 22,43% in the long fixation group whereas angulation value was 10,2o and 12,3o respectively. Mean low back outcome scale value was 61 points in the short fixation group and 50 in the long fixation group. There were 22 patients with neurological deficit. Full recovery was recorded in 8 patients (36,4%) of the short fixation group and in 17 patients (22,7%) of the long fixation group. Complications developed in 15 patients (23,8%) of the short fixation group and 11 (30,6%) of the long fixation group. Conclusion. Short fixation is biomechanically weaker but provides a better functional recovery than long fixation.

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Six-Year Experience with the Delta III Reverse Shoulder Prosthesis

Journal of Orthopaedic Surgery ◽

10.1177/230949900901700205 ◽

2009 ◽

Vol 17 (2) ◽

pp. 151-156 ◽

Cited By ~ 50

Author(s):

Federico Alberto Grassi ◽

Luigi Murena ◽

Federico Valli ◽

Riccardo Alberio

Keyword(s):

Glenohumeral Joint ◽

Functional Results ◽

Shoulder Prosthesis ◽

Glenoid Component ◽

Main Concern ◽

Massive Rotator Cuff Tear ◽

Term Survival ◽

Scapular Notching ◽

Reverse Prosthesis ◽

Humeral Component

Purpose. To report the clinical and radiographic results and complications of the Delta III reverse prosthesis. Methods. 24 women and 2 men aged 62 to 84 (mean, 75) years underwent total shoulder replacement using the Delta III reverse prosthesis. Patient diagnoses were massive rotator cuff tear (n=20), disabling sequelae of proximal humeral fractures (n=3), and failure of an unconstrained arthroplasty (n=3). Clinical and functional results were assessed using the Constant scale. Active range of motion (ROM) was measured. Scapular notching and radiolucent lines around the humeral component were evaluated using radiographs. Patient satisfaction of the treatment was evaluated by a direct interview. Results. 23 patients were followed up for 26 to 84 (mean, 42) months. Two patients had loosening of the glenoid component (at 6 months and 5 years) and underwent revision surgery. There were no instances of infection, instability, or acromial fracture. Only active elevation improved significantly after surgery, as did both the absolute and adjusted Constant scores. 12 patients were completely pain-free, 9 complained of slight pain, and one of moderate pain. The severity of scapular notching progressed with time. 15 patients were satisfied with the treatment, 6 were partially satisfied, and 2 were not satisfied. Conclusion. The Delta III prosthesis restores shoulder function but has biomechanical limits. Its use should be limited to elderly patients with severe impairment of the glenohumeral joint. Scapular notching is a main concern for the long-term survival of the implant.

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